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Providing passive ROM to the extremities can help improve blood circulation, improve respiratory function, and support the recovery of consciousness as assessed using the Aldrete Score. The purpose of this study was to determine the effect of providing early passive ROM mobilization of the extremities on changes in the Aldrete score in patients after general anesthesia. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 57 respondents. The intervention provided was early passive ROM mobilization. The Aldrete score was measured before and after the intervention. Data analysis used the Wilcoxon signed rank test with a significance level of α = 0.05. The results showed that the average Aldrete score before the intervention was 5.89 and after the intervention increased to 9.26. The results of the statistical test showed a p value = 0.0001 (p <0.05), which means that there is a significant effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia. From this study, it can be concluded that there is an effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia.

Chili (Capsicum annuum L) ) is one of the most important horticultural commodities widely consumed in Indonesia and has high economic value. To maintain productivity and prevent pest attacks, farmers commonly apply chemical pesticides intensively. However, excessive and improper pesticide application can leave harmful residues on the surface and within the tissues of chili fruits. The accumulation of these residues not only poses health risks to consumers but also contributes to environmental pollution, particularly in wastewater generated from chili washing activities. This study aims to reduce pesticide residues of Cherizeb and Emacel in chili washing water using the photolysis methodassisted by a ZnO/zeolite catalyst. Zinc oxide (ZnO) acts as a photocatalyst activated by ultraviolet (UV) light to produce reactive hydroxyl radicals (•OH) capable of decomposing complex organic compounds into simpler compounds such as CO₂ and H₂O. Meanwhile, zeolite is used as a catalyst support due to its large surface area and high adsorption capacity, allowing adsorption and photocatalytic processes to occur simultaneously. The results showed that the photolysis method using the ZnO/zeolite catalyst significantly reduced pesticide residues, with optimum degradation efficiencies of 85.66% for Cherizeb using 0.8 g ZnO/zeolite under UV irradiation for 60 minutes, and 83.97% for Emacel using 0.8 g ZnO/zeolite under UV irradiation for 75 minutes. The samples were characterized using Fourier Transform Infrared Spectroscopy (FTIR) to identify functional groups, indicating the disappearance of specific organic functional groups. Pesticide residues on chili samples were analyzed using UV-Vis spectrophotometry to determine concentrations before and after treatment. X-Ray Diffraction (XRD) analysis confirmed that the crystalline structure of the catalyst remained stable after the photolysis process. Based on these findings, the ZnO/zeolite catalyst is proven to be effective in reducing pesticide residues through photocatalytic degradation and has the potential to be applied as a safe, efficient, and environmentally friendly post-harvest technology to improve the quality of agricultural products.

This research is motivated by the reality of religious diversity at SMP Pembangunan V Yapis Waena, where non-Muslim students also take part in Islamic Religious Education (PAI) classes. The purpose of this study is to explore and describe the responses of non-Muslim students in receiving PAI lessons, viewed from the aspects of attitudes, behavior, and learning outcomes.This research employed a qualitative method with a descriptive approach, using observation, interviews, and documentation techniques that involved the principal, Islamic Religious Education teachers, and non-Muslim students as informants.The findings show that, in general, non-Muslim students respond positively to PAI learning, with a tolerant and open attitude toward universal materials such as morals, ethics, and humanitarian values, although they tend to be passive when dealing with ritual content that does not align with their faith. In terms of behavior, they attend classes on time, follow teacher instructions, participate in group discussions, and complete assignments despite difficulties with Arabic readings. Meanwhile, their learning outcomes are fairly good in general aspects, indicating that PAI lessons benefit them in fostering respect, discipline, and responsibility. The study concludes that PAI learning at SMP Pembangunan V Yapis Waena is accepted by non-Muslim students in a tolerant, adaptive, and constructive manner thanks to inclusive teaching strategies, school policies emphasizing tolerance, and a conducive classroom atmosphere.

One of the most actively traded and liquid stock groups in the capital market is the LQ45 index, which consistently attracts investor attention due to its strong market capitalization and transaction volume. This study aims to analyze the influence of financial performance and financial management strategies on firm value among companies listed in the LQ45 index on the Indonesia Stock Exchange during the 2018–2022 period. The study population consisted of 73 LQ45-indexed companies, with purposive sampling used to select 23 companies that met the research criteria. This research employed a quantitative approach using path analysis to examine both direct and indirect relationships among variables. The findings indicate that profitability and leverage have a positive and significant effect on firm value. In addition, profitability and leverage also positively influence firm size, indicating that companies with stronger profitability and effective debt management tend to expand their operational scale. However, firm size does not significantly affect firm value and is unable to mediate the relationship between profitability, leverage, and firm value. These results suggest that investors place greater emphasis on profitability and leverage indicators than company size when evaluating firm value in LQ45 companies. Therefore, effective financial performance remains the primary factor in enhancing corporate value and investor confidence.

Although cryptographic security is often the main concern in e-voting system development, practical implementation failures are frequently associated with poor user interfaces that increase cognitive load and voting errors. This study evaluates the effectiveness of User-Centered Design (UCD) interventions in improving usability and voter confidence in an e-voting system. A one-group pretest-posttest design was applied to 36 respondents representing novice voters. Usability was measured using the System Usability Scale (SUS) before and after the interface redesign. The intervention focused on visual hierarchy, navigation consistency, status visibility, and error prevention. The results show a statistically significant improvement, with the mean SUS score increasing from 69.10 in the marginal category to 95.76 in the excellent category. The paired sample t-test produced t(35) = -7.3441 with p < 0.0001, while Cohen's d reached 1.2130, indicating a large practical effect. The standard deviation also decreased from 21.98 to 3.09, demonstrating a more consistent user experience. These findings indicate that interface optimization is essential for strengthening accessibility, voting accuracy, and user trust in digital democracy systems.

Background: Women and newborns are vulnerable groups that must be given special attention in disaster situations such as war. The Israeli military aggression in Gaza, Palestine, has been ongoing since October 2023. Besides resulting in tens of thousands of direct war-related morbidities, vulnerable demographics such as pregnant women, maternity and newborns (neonates) in Gaza confront severe health hazards amid the conflict. Method: This study was descriftive analitic who employs Quantitative data was obtained from secondary data from medical records at Al-Emiraty Hospital. The Result of this study: before war, Mothers who delivery normal 20-38 year, caesarea, namely 20-40 year, during war, mothers who delivery normal 20-35 year and with caesarea 18-45 years  Meanwhile, baby weight, before war baby weight ?1499 grams was 0 baby, 1500-2499 grams was 15 babies, and ?125 babies, during war,  baby weight ?1499 grams was 1 baby, 1500-2499 grams was 51 babies, and ?2500 grams 189 babies. Conclusion: During the war there was a surge in patients because Al Emirates Hospital was the only referral for maternal and child cases.

Prolonged outpatient waiting time remains a major challenge in public hospitals and reflects inefficiencies in service process management. Internal medicine clinics are characterised by high service complexity and patient volume, making them particularly vulnerable to process waste that contributes to extended waiting times. Objective: This study aimed to develop an outpatient service flow model based on the Lean Hospital approach to reduce waiting time in the internal medicine clinic of RSUD Balaraja. Methods: A qualitative case study design was employed. Data were collected through direct observation of outpatient service processes, document review, and Focus Group Discussions (FGD) with relevant stakeholders. Process analysis was conducted using Value Stream Mapping (VSM) to identify value-added and non–value-added activities, while Fishbone Diagram analysis was applied to explore the root causes of process inefficiencies. All findings were integrated to develop a future-state outpatient service flow model. Results: The findings indicate that prolonged outpatient waiting time is primarily influenced by inefficient service flow design, repetitive administrative processes, and weak coordination among service units. The proposed service flow model demonstrates a more streamlined, integrated, and patient-centred process, with potential reductions in waiting time through systematic waste elimination and process improvement. Conclusion: The Lean Hospital approach provides an effective framework for developing outpatient service flow models in public hospitals. The proposed model offers a practical basis for improving outpatient service efficiency in complex clinical settings such as internal medicine clinics.

Cholelithiasis is the formation of hardened bile deposits within the gallbladder due to an imbalance in the chemical composition of bile, which can cause symptoms ranging from abdominal pain to serious complications such as cholecystitis, biliary obstruction, and gallbladder infection. This study aimed to determine the relationship between patient characteristics and the length of hospital stay in cholelithiasis patients at Cut Meutia General Hospital. This study used an analytical observational design with a cross-sectional approach and a retrospective study, employing a total sampling technique with 50 patients. The results showed that most patients were female (52.0%), with the largest age group being late elderly (28.0%). The most common surgical technique was laparoscopic cholecystectomy (42.0%), and the majority of patients received surgical management (60.0%). Bivariate analysis using the Chi-Square test showed significant relationships between age (p=0.000), gender (p=0.044), surgical technique (p=0.029), and management (p=0.045) with the length of hospital stay in cholelithiasis patients. The conclusion of this study is that there is a relationship between patient characteristics and the length of hospital stay in cholelithiasis patients.

This study aims to analyze the factors that influence the residential spatial system of the Marori and Mengge ethnic groups in Wasur Village, Merauke, South Papua, in the context of their involvement in the eucalyptus oil industry as a leading tourism product of Wasur National Park. A rationalistic qualitative approach is used with the main theory of behavioral setting to examine the relationship between behavior, local culture, and spatial structure. The results of the study indicate that houses not only function as domestic spaces, but also as places for the production of eucalyptus oil, especially at the packaging stage. The overlapping use of space causes space invasion, changes in function, and the emergence of high spatial flexibility. The space of the house undergoes a temporal functional transformation, adjusting to the intensity of economic activities and cultural rituals of the community. Private, semi-public, and spiritual spaces experience shifting boundaries, which have an impact on social relationship patterns and living comfort. This study also found that social structure, customary values (Boan/marga), and division of customary areas play an important role in the formation of the spatial system. These findings are expected to be an important contribution to the development of residential architecture based on behavior and local wisdom, as well as community-based conservation area management. This study also highlights the urgency of preserving the culture and existence of indigenous tribes amidst the current of modernization and the threat of extinction.

Bacterial infections are diseases that can be transmitted by bacteria from sufferers to others, either directly or indirectly. Cases of bacterial infections are more common among children. The use of antibiotics is needed to treat life-threatening conditions caused by bacteria by killing bacteria or making it difficult for bacteria to grow and reproduce. Antibiotics are a type of drug given to prevent bacterial infections, or are drugs given to high-risk patients. This research method is a descriptive study by collecting medical record data to find out the description of bacterial infections and the use of antibiotics in pediatric inpatients at RSU Cut Meutia Aceh Utara in 2022. This research technique used purposive sampling with a sample size of 183 samples. The results of this study showed that 183 children suffered from bacterial infections and received injection antibiotic therapy, the majority were boys, namely 106 children (57%), the age group with the most number of sufferers, namely aged 0‒5 years, totaling 76 children (41%), the percentage of bacterial infections most commonly found in pediatric inpatient wards at RSU Cut Meutia Aceh Utara in 2022, namely typhoid fever as much as 33%, the class of antibiotics most commonly used at RSU Cut Meutia is cephalosporins (93%).

The problem of household waste in Kalanganyar Village, Sedati District, Sidoarjo Regency, is increasing along with population growth, while residents' knowledge about waste sorting is still minimal and processing facilities are limited. This community service program aims to increase awareness and cleanliving behavior through education and mentoring on household waste processing based on the 3R concept (Reduce, Reuse, Recycle). This activity adopts an Asset-Based Community Development (ABCD) approach that focuses on mapping and utilizing local potential, such as health cadres, youth organizations, the spirit of mutual cooperation, and the availability of potential land. The implementation methods include appreciative inquiry, focus group discussions (FGDs), in-depth interviews with the Head of the Sopo Nyongko TPS and community leaders, participatory observation, and practical mentoring for housewives, youth organizations, and TPS managers on February 9. The results of the activity showed an increase in residents' understanding of PHBS and waste management, indicated by the enthusiasm of participants during the educational session. The program also successfully activated local agents of change: youth groups began implementing inorganic waste recycling, and health cadres designed a home-based waste sorting system.

This community service activity is motivated by the suboptimal implementation of sharing values during Ramadan in Taman Sepanjang Village, Sidoarjo, particularly among economically disadvantaged communities who require both material and spiritual support. This study aims to enhance religious awareness, strengthen social solidarity, and empower the community through a takjil-sharing program based on charity. The method used is the Asset Based Community Development (ABCD) approach, consisting of discovery, dream, design, define, and destiny stages. Data collection techniques include participatory observation, interviews, Focus Group Discussions (FGD), and documentation. The results indicate an increase in community understanding of charity and piety, higher participation of residents as volunteers and donors, and stronger social relationships among community members. Furthermore, the program successfully fostered a sustainable culture of sharing and strengthened social cohesion. Despite challenges such as limited funding and coordination, the program is considered effective in providing positive social and spiritual impacts and has the potential for sustainable development.

Bullying and child harassment in the school environment are serious problems that can negatively affect students’ mental health, self-confidence, and academic achievement. Therefore, preventive efforts are needed through educational activities to increase students’ knowledge and awareness about the dangers of Bullying and child harassment. This activity aims to improve students’ understanding of Bullying and child harassment prevention through the Community Service Program (KKN) at SMAN 1 Koto Kampar Hulu. The method used was a descriptive quantitative approach with a one group pre-test post-test design involving 54 students as participants. The instrument used was a questionnaire administered before and after the educational session. The educational materials included the definition, types, impacts, and prevention efforts related to Bullying and child harassment in the school environment. The results showed an increase in students’ knowledge and awareness regarding the importance of preventing Bullying and child harassment in schools. Therefore, educational programs conducted through the KKN activity can be one of the efforts to create a safe and Bullying-free school environment.

This study examines the constitutional issues surrounding the authority of the Religious Harmony Forum (Forum Kerukunan Umat Beragama/FKUB) in issuing recommendations for the establishment of houses of worship in Indonesia. The main issue lies in the tension between the guarantee of freedom of religion and worship as a non-derogable constitutional right and the administrative licensing mechanism requiring social approval and FKUB recommendations. Such a mechanism potentially gives rise to majoritarianism by placing the fulfillment of minority groups’ constitutional rights under the approval of the majority. This study aims to critically analyze the legitimacy and practice of FKUB’s authority within the framework of Indonesian constitutionalism and to formulate a reconceptualization of FKUB based on a rights-based approach. The research employs a normative juridical method combined with a socio-legal approach through the analysis of legislation, academic literature, and other relevant data. The findings reveal that FKUB’s authority has shifted from a facilitative function to a quasi-regulatory power with determinative characteristics, thereby creating potentially unconstitutional conditions in the fulfillment of religious freedom. This condition demonstrates a disharmony between the regulatory regime governing houses of worship and the principles of Pancasila constitutionalism and minority rights theory. Therefore, this study proposes the reconceptualization of FKUB as a non-discriminatory mediator without the authority to determine the fulfillment of the right to worship.

Background: Diabetes mellitus (DM) is a significant global health problem and continues to increase worldwide. Chronic and uncontrolled hyperglycemia is a major risk factor for macrovascular complications such as Peripheral Arterial Disease (PAD). Buerger Allen Exercise (BAE) is a recommended physical activity therapy to prevent peripheral arterial disease. Objective: This study aims to determine the effect of Buerger Allen Exercise on the Ankle Brachial Index (ABI) in diabetes mellitus patients. Methods: This study is a Quasi-experimental study with a pre-posttest with control group design. The study population was all Diabetes Mellitus patients at the Kusuma Bangsa Community Health Center, Pekalongan City with a sample of 32 respondents selected using a purposive sampling technique and divided into a control group and an intervention group. Buerger Allen Exercise in the intervention group was carried out for 5 consecutive days with a duration of 15 minutes. Data were analyzed using the Mann-Whitney Test. Results: In the control group, there was no significant difference in the average ABI value of the control group on day 1 and day 5 with a p-value = 0.195. In the intervention group, there was a difference in ABI scores before and after being given Buerger Allen Exercise with a p-value of 0.000. Conclusion: There is an effect of Buerger Allen Exercise on the Ankle Brachial Index value in diabetes mellitus patients at the Kusuma Bangsa Community Health Center.  

This study aims to examine the effects of applying a Problem-Based Learning (PBL) method combined with PhET simulation tools on enhancing critical thinking skills among eighth-grade students at SMP Negeri 4 Singaraja when learning vibration and wave topics. It adopted a quasi-experimental approach with a Pretest-Posttest setup and non-equivalent control group design. The participant cohort comprised 75 students distributed across two groups: the treatment group (n=38) who engaged in learning activities using PBL supplemented by PhET simulation, and the comparison group (n=37) who received PBL instruction without PhET simulation support. Data collection was conducted through essay-type assessment instruments containing 7 questions designed to evaluate critical thinking competencies based on Ennis' theoretical framework. Data processing employed descriptive statistical analysis, N-Gain Score computation and ANCOVA testing were conducted at a 0.05 significance level. Results showed the treatment group's average Posttest score at 84, compared to 66 for the control group. The ANCOVA produced an F-value of 103.701 (p < 0.001), confirming a statistically significant difference in critical thinking skills between the groups. The adjusted mean Posttest scores were 83.99 for the treatment group and 66.01 for the comparison group, reflecting a differential of 17.99 points. Consequently, the findings substantiate that the integration of PBL with PhET simulation demonstrates greater effectiveness in fostering students' critical thinking skills in comparison to conventional PBL implementation without technology-enhanced simulation assistance.

A faith-based marriage strengthening program is essential for building family resilience in urban congregations facing high divorce rates and declining marital quality. This community service activity aimed to revitalize the marital bonds of 22 couples in the Pria Sejati Bandung community and GPPS Agape Bandung congregation through the "Reborn Marriage" program. Using a participatory action research approach, a team of 12 facilitators implemented three main stages: initial coordination to identify needs and plan together with the community; an intensive one-day intervention consisting of teachings on grace, agape love, and divine purpose of marriage, along with testimony sharing, footwashing ritual, and gift giving; and a marriage commitment renewal ceremony. The results showed 100% attendance rate of all registered couples, active participation in every coaching session, and qualitative findings from focus group discussions including renewed spiritual intimacy, mutual forgiveness between spouses, and alignment of marital visions based on divine values. A total of 86% of couples expressed willingness to participate in regular follow-up mentoring, and local leaders emerged among participants who are ready to facilitate small groups after the program. Discussions confirmed that combining biblical teachings on agape love with experiential symbolic rituals can holistically transform marital relationships. This community-based intervention proves replicable in other local communities and churches in urban settings, especially those seeking to strengthen family resilience through integrated pastoral care and participatory action.

This study aims to describe the strategies of Islamic Religious Education (PAI) teachers in increasing the learning participation of low-ability students at SDN 008 Tebing Karimun. Learning participation is an important indicator of learning success, but in reality there is still low student involvement in the learning process. Inhibiting factors come from internal aspects such as low confidence and limited cognitive abilities, as well as external aspects in the form of less varied learning strategies and less supportive classroom environments. This study uses a qualitative approach with a descriptive type, involving PAI teachers as the main informants and students as supporting informants. Data was collected through observation, interviews, and documentation, then analyzed with an interactive model that included data reduction, data presentation, and conclusion drawn, and tested for validity through triangulation. The results of the study showed that teachers' strategies include active learning, group discussions, individual approaches, and the use of learning media. The obstacles faced include low student confidence, cognitive limitations, and lack of variety of methods. The solutions carried out by teachers are in the form of providing motivation, applying innovative methods, and creating a conducive learning environment. This study concludes that PAI teachers' strategies play an important role in increasing the learning participation of low-ability students through innovative, interactive, and student-centered learning.

The quality of interaction between physicians and patients plays a crucial role in the healthcare system, as it directly affects patient satisfaction. Ineffective communication by physicians may reduce patient satisfaction and increase the risk of complaints and medical disputes. This study aims to analyze the relationship between doctor–patient communication patterns and patient satisfaction in outpatient services. This research employed a quantitative approach with an observational analytic design using a cross-sectional method. The study population included all outpatient patients, with a sample of 110 respondents selected through accidental sampling. The independent variable was doctor–patient communication, while the dependent variable was patient satisfaction. Data were collected using a questionnaire, and analysis was performed using the Chi-Square test with a 95% confidence level. The results showed that the majority of respondents rated doctor–patient communication as good (80.9%) and reported high levels of satisfaction (75.5%). The analysis revealed that among respondents who experienced good communication, 84.3% reported high satisfaction, whereas the proportion of high satisfaction decreased significantly in the groups with moderate and poor communication. In conclusion, there is a significant relationship between the quality of doctor–patient communication and patient satisfaction in outpatient services, where improvements in communication quality are consistently associated with increased patient satisfaction.

The increasing elderly population presents challenges in healthcare services, particularly related to decreased mobility and independence in daily activities. Physiotherapy plays a crucial role in maintaining and improving the mobility function of older adults through appropriate evaluation and intervention approaches. One simple, valid, and reliable measurement tool for assessing functional mobility is the Timed Up and Go Test (TUG). This study aims to examine the role of physiotherapy in increasing independence in older adults through functional mobility assessment using the TUG. The method used was a descriptive-analytical study with a cross-sectional approach in a group of older adults. Measurements were conducted using the TUG to assess mobility, balance, and fall risk. The assessment results were then used as the basis for planning physiotherapy interventions, which included muscle strength training, balance training, and functional exercises. The results showed that older adults with better TUG scores had higher levels of independence in daily activities. Targeted physiotherapy interventions based on TUG results have proven effective in improving mobility and reducing fall risk. Therefore, using the TUG as an initial assessment tool is crucial in determining appropriate rehabilitation strategies. In conclusion, physiotherapy plays a significant role in increasing the independence of older adults through an approach based on functional mobility assessment using the TUG. Routine implementation of this assessment is expected to support optimal quality of life for older adults.