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This study aims to evaluate the quality of public services at the Department of Population and Civil Registration of West Sumba Regency following the implementation of digitalization through the use of electronic signatures. A quantitative approach was employed, with data collected through questionnaires distributed to 100 respondents. Data analysis was conducted using the Importance Performance Analysis (IPA) method to identify gaps between the level of importance and service performance. The results indicate that, overall, service quality can be categorized as fairly good, as reflected by performance levels that are relatively close to public expectations. However, several service attributes remain in the priority quadrant, particularly in terms of system usability, service stability, and accessibility. Meanwhile, attributes such as service speed, data security, and staff responsiveness demonstrate satisfactory performance and should be maintained. These findings suggest that the implementation of electronic signatures has improved service efficiency and effectiveness, although further improvements are still required, particularly in technical aspects and system usability. Therefore, continuous improvement efforts are necessary to enhance public service quality, making it more responsive and oriented toward user satisfaction.

This study aims to analyze the role of digital transformation in strengthening competitive advantage and resilience of highland tourism villages in Central Java. Highland tourism villages face increasing competition, environmental vulnerability, and market uncertainty, requiring adaptive and innovation-driven strategies. Digital transformation is considered a strategic instrument to enhance destination competitiveness, expand market access, and improve institutional resilience. This research employs a quantitative approach using Structural Equation Modeling (SEM-PLS) to examine the relationships among digital transformation, competitive advantage, and tourism village resilience. The study was conducted in selected highland tourism villages in Central Java, including [insert village names if needed]. Data were collected through structured questionnaires distributed to tourism village managers, local stakeholders, and community representatives. The findings indicate that digital transformation has a significant positive effect on competitive advantage and resilience. Furthermore, competitive advantage partially mediates the relationship between digital transformation and tourism village resilience. These results suggest that digital adoption, digital marketing integration, and digital governance practices are critical in strengthening sustainable tourism development in highland areas. The study contributes to the literature on digital tourism transformation and provides managerial implications for policymakers and tourism village managers in developing adaptive and resilient tourism ecosystems.

The quality of nursing services is not solely determined by nurses’ technical competence in providing clinical care, but is also influenced by their ability to establish therapeutic communication with patients. Therapeutic communication is a professional interaction process aimed at helping patients understand their health conditions, express their feelings, and develop a trusting relationship with nurses. Effective communication between nurses and patients can increase patients’ comfort during hospitalization and may influence their level of satisfaction with the nursing services provided. This study aimed to determine the relationship between nurses’ therapeutic communication and patient satisfaction in the inpatient ward of Grha Permata Ibu Hospital in 2025. This study used an observational analytic design with a cross-sectional approach. The sample consisted of 182 patients selected using a purposive sampling technique. Data were collected using a therapeutic communication questionnaire and the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) to assess patient satisfaction with nursing care. Data analysis was conducted using the Spearman Rank correlation test to determine the relationship between the two variables. Most respondents assessed nurses’ therapeutic communication as good (87%). However, the majority of patients reported poor satisfaction levels (79.7%). The results of the Spearman Rank analysis showed a Sig. (2-tailed) value of <0.001 with a correlation coefficient of rs = −0.438, indicating a statistically significant relationship with a moderate correlation strength between nurses’ therapeutic communication and patient satisfaction. There is a significant relationship between nurses’ therapeutic communication and patient satisfaction in the inpatient ward of Grha Permata Ibu Hospital.

Emotional mental health in adolescents is an important focus because this age group is highly vulnerable to academic and social pressures, as well as the demands of personal development. Emotional problems such as anxiety, stress, and depression that are not recognized early on can interfere with concentration, social relationships, and psychological well-being. This study aims to review the literature related to the early detection of emotional mental disorders in adolescents, so that it can serve as a basis for the development of prevention and intervention strategies. The method used is a literature review, analyzing a number of recent research articles discussing risk factors, symptoms, and early screening methods using instruments such as the Self Reporting Questionnaire (SRQ) and the Strengths and Difficulties Questionnaire (SDQ). The results of the study show that the most common symptoms include anxiety, fatigue, concentration disorders, and relationship problems with peers in adolescents, as well as academic pressure in students. Early screening has been proven to help identify individuals at risk so that intervention can be carried out more quickly. The use of technology, such as web-based expert systems, can also speed up the screening process and improve the accuracy of assessments. It is recommended that educational institutions and health services be more active in conducting mental health screening, providing promotional education, and designing preventive programs. Further research should use analytical or experimental designs to explore risk factors and the effectiveness of interventions in greater depth.

Stroke is one of the leading causes of death and long-term disability worldwide. Early detection and prompt first aid during the golden period are essential to improve patient outcomes, yet family knowledge regarding stroke management is often limited. This study aimed to analyze the effect of health education media, specifically audio-visual and leaflet, on family knowledge of early detection and first aid for stroke patients in the working area of Tamamaung Public Health Center, Makassar. This study used a quasi-experimental design with a two-group pre-test post-test approach. A total of 64 respondents were selected using purposive sampling and divided into audio-visual and leaflet groups. Data were collected using a structured questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests. The results showed a significant increase in knowledge in both groups after the intervention (p = 0.000), with a significant difference between groups (p = 0.016), where audio-visual media was more effective than leaflets. These findings indicate that both media improve family knowledge, but audio-visual media is more effective and can be recommended as a primary educational tool to improve family preparedness in stroke emergencies.

Nursing documentation is an essential part of healthcare services, playing a key role in communication, care continuity, and serving as legal evidence. The introduction of the Hospital Management Information System (SIMRS) aims to improve the efficiency of documentation processes. However, high workloads in critical areas such as the Emergency Department (IGD) and Intensive Care Unit (ICU) may influence nurse compliance with documentation protocols. This study investigates the relationship between workload and nursing documentation compliance during the implementation of SIMRS at RSUD Haji Makassar's IGD and ICU. A quantitative cross-sectional design was used, with 30 nurses participating (total sampling). The workload was assessed using the NASA Task Load Index (NASA-TLX), while compliance was evaluated through a questionnaire. The data were analyzed using Chi-Square and Fisher’s Exact Test. The results showed that the majority of respondents experienced heavy workloads (83.3%), and most had compliant documentation (96.7%). However, the statistical analysis yielded a p-value of 1.000, indicating no significant relationship between workload and documentation compliance. Based on these findings, the study recommends optimizing SIMRS usage and providing ongoing training to ensure improved compliance with nursing documentation practices.

This study aims to determine the effect of educational activities on the management of ARI through infant massage practices on increasing maternal knowledge and reducing complaints of coughs and colds in infants in Majungan Village. The research method used was descriptive with a mixed methods approach (quantitative and qualitative). The study subjects consisted of 25 mothers with infants aged 0–12 months. Data were collected through observation, interviews, and pre-test and post-test questionnaires. The results showed that the level of maternal knowledge increased from 28% to 88% after being provided with education and demonstrations of infant massage. In addition, 76% of mothers reported a decrease in complaints of coughs and colds in infants after routine infant massage for one week. Qualitative results indicate that this activity is not only physically beneficial, but also increases the role of mothers in the management of mild ARI and awareness of the importance of cleanliness and environmental health. Thus, education on the management of ARI through infant massage practices can be one of the supporting efforts in maintaining infant health, especially in areas with limited access to health services.

Zakat is a key instrument in the Islamic economic system, functioning as a mechanism for income redistribution and poverty alleviation. However, zakat management at the level of mosque-based Zakat Collection Units (Unit Pengumpul Zakat/UPZ) still faces significant challenges, particularly in terms of managerial capacity, administrative systems, and institutional governance. This community service project aims to optimize the collection and distribution of zakat through capacity building of the UPZ management at Al-Hidayah Mosque, Mandailing Natal. The study employed a participatory approach consisting of observation, joint planning, socialization, training, mentoring, and evaluation stages. Data were collected using observation, interviews, and structured questionnaires administered through pre-test and post-test to measure participants’ knowledge improvement. Data analysis was conducted using a descriptive comparative method to assess changes before and after the intervention. The results indicate a significant improvement in the managerial capacity of UPZ administrators, as reflected by an increase in the average score from 55% in the pre-test to 80% in the post-test. In addition, improvements were observed in zakat management practices, including the establishment of simple financial recording systems, the development of a structured database of donors (muzakki) and beneficiaries (mustahik), and enhanced transparency and accountability. Qualitatively, the program also fostered behavioral change among administrators, the emergence of local leadership, and increased public trust in the UPZ. This study concludes that participatory-based socialization, training, and mentoring are effective in strengthening institutional capacity and optimizing zakat management at the grassroots level. The findings highlight the importance of governance and capacity building in enhancing the effectiveness of community-based zakat institutions.

This study was conducted with the aim of identifying and analyzing the influence of price, innovation, and service quality variables on consumer decisions in using the Maxim online transportation service. The background of this research is the increasing competition in the online transportation industry in Indonesia, which encourages companies to continuously improve their marketing strategies to attract and retain customers. As one of the rapidly growing online transportation service providers, Maxim needs to understand the factors that influence consumer decisions in order to compete effectively. The method used in this research is a quantitative approach, with data collected through questionnaires distributed to 134 respondents who are active users of Maxim's transportation services. The data collected were analyzed using multiple linear regression to examine the effect of each independent variable (price, innovation, and service quality) on the dependent variable (consumer decision). Validity and reliability tests were also conducted to ensure the research instrument was appropriate for use.The results of the study show that all three independent variables—price, innovation, and service quality—have a positive and significant effect on consumer decisions. This means that the more competitive the price offered, the higher the level of innovation provided, and the better the perceived service quality, the more likely consumers are to choose and continue using the Maxim online transportation service.These findings provide practical implications for Maxim’s management in designing more targeted marketing strategies and service improvements, as well as strengthening the company’s position in facing market competition.

Cine Crib is a YouTube channel that routinely reviews both international and Indonesian films, with a primary focus on Indonesian cinema. The review content, presented in a relaxed, informative, and entertaining manner, possesses significant potential to influence audience decisions to watch films in cinemas. In the digital era, social media platforms, including YouTube, have emerged as primary information sources that play a vital role in shaping consumer perceptions, preferences, and behaviors concerning movie-watching interest, particularly in theaters. This study aims to determine the influence and the magnitude of the impact of review content on the Cine Crib YouTube channel toward the interest in watching films in cinemas. The research employs a quantitative approach utilizing a survey method. Data were collected by distributing questionnaires to 100 respondents consisting of Cine Crib channel subscribers. Data analysis includes validity and reliability tests, simple linear regression, t-tests, F-tests, and the calculation of the coefficient of determination ($R^2$). Research findings indicate that film review content on YouTube has a positive and significant influence on the interest in watching films in cinemas, albeit with a weak correlation. Variations in watching interest are influenced by film review content, while the remaining factors are influenced by variables outside the scope of this study. Consequently, the Cine Crib channel represents an effective strategy for increasing interest in cinema-going.

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia resulting from impaired insulin secretion, insulin action, or both. Globally, DM continues to pose a growing health challenge, particularly type 2 DM, which is closely associated with insulin resistance. In this condition, body cells fail to respond effectively to insulin, so even though the pancreas initially produces sufficient or excessive amounts of insulin, its effectiveness gradually declines. Over time, pancreatic beta-cell function deteriorates, further exacerbating chronic hyperglycemia. This persistent condition may lead to long-term complications, including nephropathy, retinopathy, neuropathy, and cardiovascular diseases, through mechanisms such as oxidative stress, inflammation, and the formation of advanced glycation end products (AGEs). The prevalence of type 2 DM is expected to continue rising, including in Indonesia, highlighting the need for comprehensive management strategies. An important aspect of DM management is the assessment of health-related quality of life. Quality of life reflects an individual’s perception of their health status within social and cultural contexts. This can be evaluated using generic instruments such as the WHOQOL-BREF questionnaire. In this case report, the quality of life of a patient with type 2 DM was assessed using the WHOQOL-BREF to provide a comprehensive understanding of the disease’s impact on the patient’s daily life.

This study aims to analyze the implementation of pedagogical competence among Christian Religious Education teachers and its implications for students’ learning interest at SMTK Katharos Bekasi. The study is based on the importance of teachers’ pedagogical competence in creating effective learning environments and increasing student engagement in the classroom. A qualitative approach with a descriptive design was applied in this research. Data were collected through classroom observations, questionnaire-based interviews with students, and literature review. The findings show that teachers’ pedagogical competence is categorized as good, with an average score of 33.8 or 75.1% of the maximum score, reflecting effective classroom management, appropriate material delivery, and proper student guidance. Students’ learning interest is also categorized as good, with an average score of 32.8 or 72.9%, indicating active participation and positive engagement in the learning process. Therefore, pedagogical competence positively influences students’ learning interest, and continuous improvement is needed to enhance learning effectiveness.

This study explored how integrating YouTube video analysis into pre-writing activities can support idea generation and coherence in students’ writing. Writing is often challenging for EFL learners, especially in developing ideas and organizing them logically. To address this, the study used YouTube as a pre-writing tool that provides visual and auditory input to stimulate creativity and critical thinking. This research employed a descriptive qualitative method using a YouTube video titled “Writing Process: Pre-Writing” from Mr. Paige’s English Writing Center and open-ended questionnaires answered by 30 English Literature students. The findings showed that 70% of students agreed that watching or analyzing YouTube videos before writing helped them generate ideas more easily, while 56.7% found the activities more engaging and 53.3% reported better organization of thoughts. Additionally, 50% of participants felt more confident to start writing, and 63.3% believed that teachers should integrate video analysis into writing classes. These results indicate that YouTube-based pre-writing activities enhance idea generation, coherence, and motivation in writing. Overall, YouTube video analysis proves to be an effective digital learning strategy that combines creativity, engagement, and logical organization in the writing process.

This study aims to examine the effect of Islamic Service Quality comprising compliance, assurance, reliability, tangibles, empathy, and responsiveness on repurchase intention through consumer satisfaction at the Musa’adah Kopontren Retail, Sukorejo Situbondo. This research employs an explanatory research design. The sampling technique used is non-probability sampling with a purposive sampling method. Data were collected a questionnaire distributed both directly and via Google Forms, involving a total of 240 respondents. The data analysis method applied is Partial Least Squares (PLS) using SmartPLS software. The results indicate that: (1) compliance has a significant effect on consumer satisfaction; (2) assurance has a significant effect on consumer satisfaction; (3) reliability has no significant effect on consumer satisfaction; (4) tangibles have a significant effect on consumer satisfaction; (5) empathy has a significant effect on consumer satisfaction; (6) responsiveness has a significant effect on consumer satisfaction; (7) compliance has no significant effect on repurchase intention; (8) assurance has no significant effect on repurchase intention; (9) reliability has no significant effect on repurchase intention; (10) tangibles have a significant effect on repurchase intention; (11) empathy has no significant effect on repurchase intention; (12) responsiveness has no significant effect on repurchase intention; and (13) consumer satisfaction has a significant effect on repurchase intention.

Taxes are the main source of state revenue that play an important role in financing development. However, the level of taxpayer compliance, especially individual non-employee taxpayers, is still low and fluctuating. This compliance is influenced by several factors, such as trust in the government, tax rates, taxpayer awareness, and tax policies. This study aims to determine the influence of trust in the government, tax rates, taxpayer awareness, and tax policies on the compliance of non-employee individual taxpayers. The population in this study consists of non-employee individual taxpayers registered at the Primary Tax Office under the South Jakarta II Regional Office of the Directorate General of Taxes. The research sample was determined using a purposive sampling technique, resulting in 96 respondents who met the research criteria. The data used is primary data collected through the distribution questionnaires using a likert scale. This study used a multiple linear regression analysis with the help of IBM SPSS Software version 22. The results of this study indicate that trust in the government has a negative effect on taxpayer compliance, tax rates have a positive effect on taxpayer compliance, taxpayer awareness has no effect on taxpayer compliance, and tax policy has a positive effect on taxpayer compliance.

This study is motivated by the important role of licensed coaches in implementing the Filanesia curriculum to improve the quality of early-age football development. The purpose of this study is to examine and analyze the significance of the impact of training programs implemented by licensed coaches on the improvement of holistic performance (technical, tactical, physical, and mental aspects) of students at the Mitra Persada Football School (SSB) in Cilongok, Banyumas. The method used in this study is a quantitative experimental approach with a Pre-Experimental Design, specifically the One-Group Pretest-Posttest Design. The population consisted of 25 students from the Mitra Persada Football School aged 13–15 years. The sampling technique used was purposive sampling, resulting in a final sample of 15 students. Data collection instruments included performance tests and questionnaires that had been validated by experts with a feasibility level of 95% (categorized as “Very Feasible”). The collected data were analyzed using the Paired Sample T-Test and N-Gain Score effectiveness test with the help of SPSS version 26. The results showed an overall improvement in performance, with the average pretest score of 58.40 increasing to 79.20 in the posttest. The Paired Sample T-Test results indicated a significance value (Sig. 2-tailed) of 0.000 < 0.05, meaning that H0 was rejected and Ha was accepted. Furthermore, the effectiveness test using the N-Gain Score resulted in a value of 0.50 (50%), which falls into the “Moderate” or fairly effective category. Thus, it can be concluded that there is a positive and highly significant impact of licensed coach training programs on improving the performance of early-age athletes at SSB Mitra Persada Cilongok Banyumas.

The PPA Symphony recorded 7,842 cases of violence against children by mid-2024, indicating the need for preventive efforts through early sexual education. Sexual education for children aims to improve their understanding of body awareness, body privacy, and self-protection from inappropriate behaviors. This community service activity aimed to increase students’ understanding of sexual education through interactive PowerPoint media. The activity was conducted at SD Negeri Gebang Surakarta on April 25, 2025, involving 63 students from grades 3, 4, and 5. The method used was an interactive lecture supported by PowerPoint media, storytelling, and mini games. Evaluation was conducted using pre-test and post-test questionnaires to measure students’ knowledge. The results showed an increase in the average knowledge score from 9.827 in the pre-test to 10.210 in the post-test. These findings indicate that interactive PowerPoint media is effective in improving students’ understanding of basic sexual education, particularly regarding body parts, body privacy, safe and unsafe zones, and strategies for refusing uncomfortable behaviors. Therefore, interactive learning media can serve as an effective educational strategy to strengthen early sexual education among elementary school students.

The increasing competition in the healthcare industry requires hospitals to establish effective relationship strategies to enhance patient loyalty. This study aims to examine the effect of Customer Relationship Management (CRM) on patient loyalty, with brand salience and customer engagement behavior (CEB) as mediating variables. The research adopts a quantitative approach using Partial Least Squares Structural Equation Modeling (PLS-SEM). Data were collected from 155 outpatients at Cengkareng General Hospital (RSAR) who had experienced CRM-related services, using a structured questionnaire measured on a four-point Likert scale. The findings reveal that CRM has a significant positive effect on brand salience, customer engagement behavior, and patient loyalty. Among these relationships, CRM demonstrates the strongest influence on customer engagement behavior, indicating that relationship-based strategies effectively encourage active patient involvement. Furthermore, customer engagement behavior significantly affects patient loyalty, suggesting that patients who are more engaged—through feedback, recommendations, and participation—are more likely to develop stronger loyalty toward healthcare providers. In contrast, brand salience does not have a significant effect on patient loyalty, indicating that brand awareness alone is insufficient to drive loyalty in the healthcare context. Mediation analysis shows that customer engagement behavior partially mediates the relationship between CRM and patient loyalty, whereas brand salience does not act as a mediator. These results suggest that CRM enhances patient loyalty not only directly but also indirectly through strengthening engagement behavior. This study contributes to healthcare marketing literature by integrating relationship marketing and customer engagement perspectives, highlighting engagement as a more critical mechanism than brand salience in fostering sustainable patient loyalty.

Digital transformation in healthcare services is a strategic approach to improve access, efficiency, and service quality, particularly within Indonesia’s National Health Insurance (JKN) system. BPJS Kesehatan has introduced an online queue feature through the Mobile JKN application to minimize manual queuing and reduce waiting times in outpatient services. However, despite the widespread ownership of the application, its actual utilization for online queuing remains relatively low, including in a regional public hospital (RSUD) in West Bandung. This condition reflects a gap between the availability of digital health technology and patients’ actual usage behavior, highlighting the need to examine factors influencing adoption.This study aims to analyze the effects of perceived ease of use, social influence, and facilitating conditions on the actual use of the Mobile JKN online queue, with behavioral intention as an intervening variable among outpatients. A quantitative cross-sectional design was applied, involving 255 JKN outpatient participants selected through purposive sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling (SEM) with AMOS version 24, based on the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT). Data analysis included descriptive statistics, validity and reliability testing, normality assessment, goodness-of-fit evaluation, Three Box Method, and hypothesis testing.

Anemia during pregnancy remains a major public health concern with significant implications for maternal and fetal health. One contributing factor to its high prevalence is the limited knowledge among pregnant women regarding early detection. Health education serves as a crucial promotive-preventive strategy to enhance awareness of anemia’s signs, symptoms, and risks. This study aimed to analyze the effectiveness of health education in improving knowledge of early detection of anemia among pregnant women in the Galala Community Health Center working area. A pre-experimental one-group pretest–posttest design with a quantitative approach was employed. The sample consisted of 30 pregnant women selected using total sampling. Respondents received structured health education on early detection of anemia, and their knowledge levels were assessed before and after the intervention using a questionnaire. Data were analyzed using univariate and bivariate methods, with the Wilcoxon signed-rank test applied due to non-normal distribution. Results indicated a significant improvement in knowledge after education (p = 0.000), with most respondents shifting from poor or moderate knowledge to good knowledge. The study concludes that health education effectively increases pregnant women’s knowledge of anemia detection and should be systematically integrated into antenatal care to prevent anemia and improve maternal health outcomes.