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Acute respiratory tract infections (ARTIs) indicate a higher prevalence among children compared to other infections, contributing to over 870,000 deaths of children under five years of age each year, or approximately 2,320 children every day. Eucalyptus oil contains chemical compounds such as eucalyptol, cineole, linalool, and terpineol, which produce a warming sensation when applied to the skin. Inhaling eucalyptus oil can relieve respiratory problems because the vapor acts as a decongestant, helping reduce nasal congestion, ease breathing, thin mucus for easier expulsion, and maintain moisture in the respiratory mucosa.The purpose of this study was to analyze nursing care for children with acute respiratory tract infections (ARTIs) experiencing ineffective airway clearance using the intervention of warm water vapor and eucalyptus oil inhalation. The method used was a case study, with data collected through interviews with the patient’s family, observation, physical examination, and nursing documentation.The coloring therapy intervention was given once daily for three consecutive days during the implementation phase. After the administration of warm water vapor and eucalyptus oil therapy to patient An.D, who had an acute respiratory tract infection with ineffective airway clearance, there was an observable improvement in cough intensity and mucus expulsion. The patient’s respiratory rate decreased from 42 breaths per minute to 30 breaths per minute, and oxygen saturation (SpO₂) returned to normal.It can therefore be concluded that warm water vapor and eucalyptus oil therapy has a positive effect on children with acute respiratory tract infections (ARTIs) who experience ineffective airway clearance.

Breast cancer is one of the types of cancer that has the highest incidence in women, with an increasing incidence at a young age. The aim of the study was to identify factors associated with the incidence of breast cancer in women under 40 years of age at RSUD Arifin Achmad Riau Province. This study used a case control design with a retrospective approach with a sample of 76. The sampling technique used was consecutive sampling. Data analysis was done with chi-square test. The results showed that the majority of respondents had high school education (55.3%) in the case group and (57.9%) in the control group, the average age of the case group was 36.05 and the control group was 33.58, the age of menarche (68.4%) in the case group and (28.9%) in the control group, breastfeeding history (47.4%) in the case group and (15.8) in the control group, hormonal contraception (13.2%) in the case group and (10.5%) in the control group, family history (44.7%) in the case group and (2.6%) in the control group. Bivariate analysis showed there was an association between menarche age factor (P = 0.001, OR = 5.318), breastfeeding history factor (P = 0.007, OR = 4.800), family history factor (P = 0.000, OR = 29.952) with the incidence of breast cancer. There was no association between hormonal contraceptive factors and the incidence of breast cancer (P=1.000, OR=0.776). The study concluded that the factors associated with breast cancer in women under 40 years old are age of menarche, breastfeeding history and family history. It is expected for women under 40 years old to routinely perform SADARI (breast self-examination) to prevent and detect early occurrence of breast cancer.

Continuity of Care (CoC) is a midwifery care model that provides continuous care from pregnancy, childbirth, the postpartum period, and newborn care to family planning services. This approach aims to improve the quality of care, enable early detection of complications, and enhance maternal and neonatal health outcomes. This study aimed to describe the implementation of Continuity of Care midwifery services for Mrs. D, aged 25 years, at PMB Siti Nur Azizah, Wonoayu, Sidoarjo, East Java.This study employed a descriptive method with a case study approach. The subject was Mrs. D, a primigravida woman who received midwifery care from the first trimester of pregnancy through the postpartum period, newborn care, and family planning services. Data were collected through interviews, observation, physical examinations, and medical record review.The results showed that throughout pregnancy, both maternal and fetal conditions remained within physiological limits with routine monitoring and adequate health education. Labor occurred spontaneously and normally with the application of respectful maternity care and interventions based on clinical indications. The postpartum period progressed normally with good uterine involution and adequate breast milk production. The newborn demonstrated optimal physiological adaptation and received essential neonatal care. In the family planning phase, Mrs. D chose a three-month injectable contraceptive, which was appropriate for her breastfeeding condition and pregnancy spacing needs.

Marriage is principally intended to establish a happy and enduring family. However, in practice at Puncak area of Bogor Regency has seen the growth of contract marriage, a practice that often resembles disguised prostitution and may facilitate the exploitation of women. This research aims to analyze the legal position and validity of contract marriage from the perspectives of islamic law and Indonesian positive law, as well as to explain its legal consequences for women and children. This study employs a normative juridical method through an examination of positive law, legal doctrine, and prior research, and applies both a statute approach and a case approach. The findings indicate that contract marriage is a time limited marriage that contradicts the objective of marital permanence under the Marriage Law. In Islamic law, the practice is equated with mut’ah marriage, which is prohibited, and if conducted it is deemed void by operation of law. Under Indonesian positive law, contract marriage is not recognized, and its agreement does not satisfy the legal requirements for a valid contract under Article 1320 of the Civil Code. As a result, women may lose civil rights such as maintenance, inheritance rights, and entitlements to joint marital property, while Out-of-Marriage Children may have a limited civil relationship only with the mother and the mother’s family. Therefore, contract marriage lacks validity under both Islamic law and Indonesian positive law and may generate legal, social, and moral harms, particularly for women and children.

This study examines the legal protection provided to holders of Building Use Rights (HGB) on land under Management Rights (HPL) as interpreted in Supreme Court Decision No. 2160 K/Pdt/2017. The research aims to understand how civil law is applied to ensure legal certainty for HGB holders on HPL land and to strengthen insight into civil law principles used in resolving land-rights disputes. In the juridical context, land refers to the earth’s surface, while land rights are defined as authority over a specific, limited portion of that surface. Legal certainty, based on written regulations implementing the Basic Agrarian Law No. 5 of 1960, provides clarity regarding the rights and obligations of parties who own or control land. The study was conducted at the Sragen Police Resort using documentation methods—reviewing legal texts, literature, and supporting materials—along with field data obtained through interviews with relevant officers and individuals familiar with the case. The findings show that the Judex Facti of the West Java High Court made an error by declaring that no new issues required examination without giving adequate legal reasoning. The court also failed to address the objections submitted by the appellant, violating Article 50 paragraph (1) of Law No. 48 of 2009 on Judicial Power. Consequently, the Supreme Court annulled the previous decision, clarifying the legal consequences and strengthening the interpretation of HGB status on HPL land.

Plasma Cell Leukemia (PCL) is a rare lymphoproliferative disorder characterized by the proliferation of malignant plasma cells in the bone marrow and their presence in the peripheral blood. PCL is classified into primary plasma cell leukemia (pPCL), which occurs de novo without a prior history of multiple myeloma, and secondary plasma cell leukemia (sPCL), which arises in association with relapsed or refractory multiple myeloma. A 58-year-old woman presented with right hip pain that had been ongoing for four months. The pain progressively worsened, limiting her ability to move her leg and eventually causing significant difficulty in walking. She also experienced bilateral lower limb weakness and an unintentional weight loss of 10 kg over the same period. The patient denied any history of trauma. Physical examination revealed pallor without signs of bruising or spontaneous bleeding. Laboratory findings showed severe anemia (Hb 6.5 g/dL), leukocytosis (24,100/µL), thrombocytopenia, an elevated erythrocyte sedimentation rate, and 25% plasma cells on peripheral blood smear. Bone marrow aspiration demonstrated 40% infiltration by plasma cells. Based on the patient’s clinical presentation, physical examination, and laboratory findings, the diagnosis is consistent with primary Plasma Cell Leukemia.

The background of this study is bacteriuria, which is a cause of Urinary Tract Infections (UTIs). Bacteriuria indicates the growth of microorganisms in the urine, which is influenced by increased secretion of the hormone progesterone. This study aims to determine the characteristics of asymptomatic bacteriuria in Passo Christian High School students. The method used in this study is a descriptive method with a total sample of 25 students selected using a total sampling technique. The results showed that respondents were aged between 15 and 20 years, with 18 male respondents (72%) and 7 female respondents (28%). The results of urine culture and colony count examinations showed that 25 respondents (100%) had negative results, meaning that no bacteriuria was detected in these students. The conclusion of this study is that no indication of asymptomatic bacteriuria was found in Passo Christian High School students, indicating that in this sample, none of the students experienced urinary tract infections caused by bacteriuria.

Benson Relaxation Technique on improving cognitive function in elderly with Hypertension. Using a Quasi-Experimental design with a One-Group Pretest-Posttest Design approach. The research sample of 10 elderly with Hypertension who showed indications of mild cognitive impairment, was taken through a Purposive Sampling technique. The Benson Relaxation Technique intervention was given 3 times a week for 2 consecutive weeks (a total of 6 sessions), with a duration of 15-20 minutes per session. Cognitive function was measured using the Mini-Mental State Examination instrument. Analysis used the Wilcoxon Signed Rank Test. The Pretest results showed all respondents were in the Mild Cognitive Impairment category. After the intervention, there was a significant increase in cognitive function: 40% of respondents experienced an increase in status to the Normal category while the other 60% remained in the Mild Cognitive Impairment category. The bivariate test Mann-Whitney U test showed a significance value of p = 0.001 (<0.05). These results prove a significant difference between cognitive scores after the Benson Relaxation intervention. Research results show that the Benson Relaxation Technique effectively improves cognitive function. Benson Relaxation activates the parasympathetic nervous system, improving memory and attention in elderly people with hypertension.

The digital transformation of public administration in recent decades has reshaped government service delivery, particularly through the adoption of technology as a tool to enhance transparency, efficiency, and accountability. The implementation of the Online Single Submission–Risk Based Approach (OSS-RBA) represents Indonesia’s strategic effort to create an integrated licensing framework aligned with the principles of good governance. This study aims to analyze the forms of administrative responsibility in digital-based licensing services under OSS-RBA and examine the accountability mechanisms applicable when system failures affect legal certainty for business actors. The research employs a normative juridical method using statutory, conceptual, and case approaches through the examination of regulations, doctrines, and administrative court decisions. The findings indicate that digitalization does not alter the core of governmental responsibility, as every decision generated by the system is legally attributed to the competent administrative authority. The implementation of OSS-RBA still faces obstacles such as system errors, data inconsistencies between institutions, and delays in technical verification, all of which directly affect legal certainty and the quality of public services. Furthermore, internal and external oversight mechanisms are not yet fully effective in preventing maladministration, including unreasonable delays and inaccuracies in automated decision-making. The study also shows that business actors require more responsive administrative remedies to prevent technological risks from shifting entirely onto them. Therefore, this research concludes that the effectiveness of OSS-RBA depends on strengthening institutional capacity, harmonizing regulations, and ensuring the consistent application of good governance principles throughout all stages of digital licensing administration.  

This research seeks to examine the management of transparent and accountable civil service transfers and promotions in the Formation and Mutation Division of Pasuruan City's Civil Service Agency (BKD). The study is based on the significance of the merit system in upholding bureaucratic professionalism, since the procedures for transfer and promotion frequently influence equity and organizational effectiveness. Employing a qualitative case study method, data were gathered via in-depth interviews, participatory observations, and document examination. The results show that the transfer and promotion systems in BKD Pasuruan have progressed towards transparency via data-driven management, yet obstacles persist in communicating policies and involving employees in performance evaluations. Accountability has been enhanced via performance-driven assessments incorporated with the e-performance system and job analysis. The conversation emphasizes that the effectiveness of governance practices is affected by organizational flexibility, engaged leadership, and the public service motivation of civil servants. This research determines that the interplay of data-based policies, performance assessment frameworks, and a transparent bureaucratic environment establishes the basis for creating a just, efficient, and sustainable civil service governance model.

The authority of fatwa in Islamic law is essential in directing the legal and moral behavior of Muslims. This study investigates the intricate dynamics of fatwa authority, emphasizing the equilibrium between its legality and its application in modern Islamic communities. The research investigates the historical underpinnings of fatwa issuance, examining the methodologies and standards used by religious scholars and organizations in the promulgation of fatwas. It also looks at the problems that come up when trying to put fatwas into practice in today's world, such as the role of governmental institutions, the many ways that Islamic scholars interpret them, and the changing demands of society. This study seeks to comprehend the legitimization and application of fatwas within various Muslim communities by a critical examination of legal and socio-political issues, while also evaluating the efficacy of fatwas in influencing contemporary Islamic legal practices. This research closes by offering ideas to augment the relevance and efficacy of fatwas within modern Islamic legal frameworks.

This study explores the integration of Qur'anic ethical values in modern educational settings, focusing on how philosophical hermeneutics, combined with reflective pedagogy, can enhance students' ethical consciousness. The Qur'an, with its emphasis on key ethical principles such as justice (adl), compassion (rahmah), and responsibility (amanah), provides a foundational framework for cultivating moral behavior in students. The study highlights the potential of reflective pedagogy to contextualize these ethical teachings, ensuring they remain relevant to contemporary issues. The findings suggest that when Qur'anic values are approached through an interpretative and dialogical lens, they can be effectively internalized by students, promoting not only theoretical knowledge but also practical ethical behavior. This study also examines the challenges of integrating religiously oriented ethical frameworks in secular educational systems and the complexities of making Qur'anic teachings resonate with diverse student populations. The implications for educational practice are significant, suggesting that the incorporation of Qur'anic values can bridge the gap between religious teachings and moral actions, fostering a more ethically aware and responsible student body. The research concludes with recommendations for further exploration into the practical implementation of this approach in varied educational contexts, especially in multicultural and multi-faith settings, and highlights the need for long-term studies to assess the impact on students' ethical development.

Internal control plays a crucial role in ensuring the reliability of financial reporting and the effectiveness of a company’s operations. One account that requires special attention is prepaid expenses, as its recognition and amortization may lead to misstatements if not properly executed. This study aims to analyze the implementation of internal control over prepaid expense accounts from the perspective of external auditors at Public Accounting Firm XYZ. The research employs a qualitative descriptive method through semi-structured interviews with auditors and examination of supporting documents related to the internal control system. The results indicate that internal control has been implemented through payment authorization procedures, verification of supporting documents, and testing of amortization allocations. However, weaknesses remain, including limited staff understanding of expense allocation policies and inadequate segregation of duties, which increase the risk of material misstatement. The findings highlight the importance of enhancing staff competence, establishing consistent amortization policies, and utilizing technology-based accounting systems to strengthen the effectiveness of internal controls and the reliability of financial reporting.

This study focuses on the role of auditing in improving the credibility and reliability of financial statements, particularly through the examination of cash and cash equivalents, which are the most liquid assets and also the most vulnerable to errors and fraud. The purpose of this study is to improve the understanding of financial statement users, including investors, financial analysts, consultants, academics and accounting practitioners, as well as accounting students, about the function of cash and cash equivalents audit reports in improving business quality. This study found that comprehensive and independent cash and cash equivalent audits can increase user confidence in the transparency, accountability, and reputation of companies. This study conducted semi-structured interviews with eight informants in Jakarta, Bogor, and Depok. The results show that three main factors influence financial statement users' perceptions of audit quality: auditor credibility, audit process independence, and the audit's ability to demonstrate good corporate governance. According to the results of this study, cash audits are very important as a measure of management integrity and a tool for assessing company quality. The study is also expected to help auditors and management improve audit practices that are clearer, more independent, and focused on the needs of financial statement users.

The enforcement of ethical codes within the civil service is a fundamental pillar for maintaining public trust and bureaucratic integrity. However, the implementation of disciplinary sanctions for Civil Servants (Aparatur Sipil Negara or ASN) in Indonesia currently faces significant challenges regarding fairness and consistency. (Problem) The core issue lies in the broad administrative discretion possessed by investigators (Tim Pemeriksa) under Government Regulation No. 94 of 2021, which often leads to subjective, legalistic, and disproportionate sanctioning without considering substantive justice. This study aims to analyze the weaknesses of the current sanction implementation mechanism and proposes a reconstruction of the investigators' authority based on the value of justice (Nilai Keadilan). Using a normative juridical approach and conceptual analysis, this research examines current regulations and compares them with the principles of Dignified Justice. The study finds that the current positivistic approach tends to ignore the human aspect and restorative potential of the sanctions. Consequently, a reconstructed model is proposed where investigators must integrate ethical deliberation and justice values into their examination process, ensuring sanctions are not merely punitive but also corrective and fair.

Appendicitis is one of the most common causes of acute abdominal pain in children and is considered a surgical emergency requiring immediate diagnosis and management to prevent serious complications. Diagnosing appendicitis in children is often challenging because the symptoms are non-specific, and the child's ability to articulate complaints is limited. This case report discusses a 6-year-and-9-month-old boy who presented with a chief complaint of lower right abdominal pain accompanied by nausea, vomiting, and fever. Based on the results of the anamnesis, physical examination, and supporting investigations in the form of laboratory tests and abdominal ultrasound (USG), a diagnosis of acute appendicitis was established. The patient then underwent an appendectomy with good recovery and no complications. This case emphasizes the importance of comprehensive clinical evaluation and the use of non-invasive supporting examinations such as ultrasound in establishing the diagnosis of appendicitis in children. It highlights the critical role of timely diagnosis and intervention, which can lead to favorable outcomes and prevent the risk of perforation or other serious complications. Early recognition and appropriate surgical decision-making are key to improving patient prognosis.

Open fractures are serious orthopedic injuries with a high risk of infection and soft tissue complications. A 20-year-old male patient presented to the Emergency Department with severe pain in his left leg and wrist, accompanied by a laceration on his face, following a traffic accident. Physical examination revealed deformity and an open wound on the left leg, along with severe swelling and tenderness. Radiographic results showed an open fracture of the proximal third of the left tibia and fibula, an open fracture of the left pedal metatarsal, a closed fracture of the distal phalanx of the third digit of the left foot, and a closed fracture of the distal third of the left radius with distal radioulnar joint dislocation. Based on the Gustilo–Anderson classification, the case was categorized as type IIIB. The patient received initial management including debridement, broad-spectrum antibiotics, analgesics, and splinting. Surgical intervention was performed in stages, comprising Open Reduction External Fixation (OREF) for the tibia–fibula and left foot, followed by Open Reduction Internal Fixation (ORIF) for the distal left radius. Postoperative evaluation showed clinical improvement with reduced pain, decreased edema, and improved extremity function. This case emphasizes the importance of rapid and appropriate management of multiple open fractures to prevent infection, maintain bone stability, and accelerate the healing process.

Background: Posterior tooth loss can impact masticatory function, aesthetics, and quality of life. Bridges are a restorative solution, but conventional pontic designs often make it difficult to maintain periodontal hygiene and health. Sanitary pontics offer a design that minimizes tissue contact, facilitates cleaning, and reduces plaque accumulation. Case report: A 23-year-old male patient lost his mandibular right first molar and sought to restore chewing function. After clinical and radiographic examinations, it was decided to restore the edentulous area of tooth 46 using a PFM bridge with a sanitary pontic design. Teeth 45 and 47 underwent abutment preparation, impressions, and fabrication of the bridge. Discussion: The sanitary pontic design has been shown to facilitate oral hygiene, especially under the pontic. The space between the pontic and the alveolar mucosa facilitates effective brushing or flossing, reducing plaque and the risk of gingival inflammation. PFM materials provide appropriate strength and durability for posterior restorations. Conclusion: A Porcelain Fused Metal (PFM) bridge with a sanitary pontic design is an effective restorative alternative for posterior tooth loss, improving hygiene and supporting long-term periodontal health.

This meta-analysis provides an in-depth examination of the effectiveness of community-based interventions in alleviating collective trauma experienced by populations in conflict zones of the Middle East, compiling 47 empirical studies (N = 12,483) published between 2000 and 2023. The synthesis indicates a significant impact of community-based interventions on reducing PTSD symptoms, with a substantial effect size (d = 0.82, 95% CI [0.76, 0.88], p < .001) and moderate heterogeneity (I² = 68%), reflecting inter-study variation yet remaining within interpretable bounds. Among the strategies analysed, community psychosocial support programs demonstrated the most pronounced effectiveness (β = 0.74, p < .001), followed by collective narrative therapy (β = 0.68, p < .001) and family-based rehabilitation interventions (β = 0.59, p < .001), all underscoring the relevance of approaches rooted in social networks and interpersonal relations. Moderator analyses revealed that longer program duration, particularly interventions spanning at least 6 months (β = 0.71, p < .001), and active engagement of local leaders (β = 0.65, p < .001) were critical determinants of intervention success. Furthermore, meta-regression findings indicated a strong and consistent correlation between the intensity of community involvement and reductions in collective trauma symptoms (R² = 0.73, p < .001), highlighting that social participation is not merely complementary but constitutes the foundation of program efficacy. In the researchers' view, these findings extend the contributions of prior studies by Hassan et al. (2016) and Morrison & Marrison (2024) by affirming the central role of local wisdom in trauma recovery processes, while offering a conceptual contribution in the form of an integrative framework that merges psychosocial interventions with community cultural values. Consequently, these results provide not only an empirical basis for developing more effective trauma-healing programs in Middle Eastern conflict zones but also underscore the urgency of contextual adaptation to ensure that interventions meet the most essential needs of affected populations.

The purpose of this study was to determine the differences in routine blood in COVID-19 suspected patients who were confirmed positive and negative who were treated at the Emergency Room of Sultan Suriansyah Hospital Banjarmasin in the period January-June 2022. This study used naso-oropharyngeal swab samples for RT-PCR examination of COVID-19 and hematology analyzer for routine blood tests. This type of research is an analytic survey research with a comparative design. The population of this study were suspected patients admitted to the emergency room with a total sample size of 196 patients who performed RT-PCR tests and performed routine blood tests at the beginning of the treatment period using purposive sampling method. Routine blood results in positive patients mostly obtained leukocytes at normal limits 64.1%, neutrophilia 59.0%, lymphopenia 64.1% increased NLR 66.7% and platelets at normal limits 56.4%. While in negative patients, leukocytes were obtained at normal limits of 46.6%, neutrophilia 61.0%, lymphopenia 61.0% increased NLR 73.7% and platelets at normal limits 64.4.4%. Based on the results of the unpaired T-test statistical test, it is known that there are significant differences between positive and negative patients, namely in the parameters of leukocytes sig. 0.028, neutrophils sig. 0.043 and platelets sig. 0,005. From the results of the unpaired t-test statistical test on routine blood between positive and negative COVID-19 patients, it was found that there were significant differences in the parameters of leukocytes, neutrophils and platelets, while those that were not different were the parameters of lymphocytes and NLR.