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COPD is a condition characterized by airflow obstruction that cannot be completely corrected. This limitation generally worsens over time and is associated with abnormal permeability to noxious particles or gases, resulting in narrowing of the airways, increased mucus secretion, and changes in the vascular system. The increase in chest expansion capacity is caused by the activity of respiratory muscle contraction. The activity of the respiratory muscles plays a role in chest expansion, which also affects lung growth. It is stated that the strength of the respiratory muscles decreases with age. Loss of intercostal muscle mass and strength are factors that reduce the ability of chest wall presence or development. This study used a case report design research method. Physiotherapy management for COPD is increasingly focused on exercise-based rehabilitation, both in outpatient and inpatient settings. Some therapies such as breathing exercises, thoracic expansion exercises and muscle release.

Introduction: Chronic Obstructive Pulmonary Disease or often referred to as COPD, is a disease that occurs due to limited airflow, this is caused by abnormalities of the airways and/or damage to the alveoli, abnormalities or damage that occurs are caused by significant exposure to hazardous particles or gases, not only due to exposure, COPD is also influenced by lung abnormalities. Dyspnea is a condition that describes a sensation of shortness of breath, which is characterized by obstruction of airflow, or difficulty breathing and chest tightness which is often associated with heart or respiratory disease. Purpose: This study is to determine the management of physiotherapy in cases of right chronic obstructive pulmonary disease. Method: This study uses a case report approach in patients with right chronic obstructive pulmonary disease by providing interventions in the form of nebulizers, pulsed lip breathing and muscle release for 4 weeks 5x meetings with doses of 3 times a day every week. Evaluation is carried out using the vital sign index, auscultation, borg scale, MMRC scale and thorax cage mobilization examination. Results: evaluation measurements using vital sign index, auscultation, borg scale, MMRC scale and thorax cage examination. Thus, the results show an increase and decrease in the degree of shortness of breath before and after intervention. Conclusion: there is an increase and decrease in shortness of breath before and after intervention.

Early marriage in Indonesia is a significant reproductive health issue, particularly for adolescent girls. This study aims to explore the impact of early marriage on reproductive health and the contributing factors. Early marriage, defined as marriage before the age of 19, can lead to various health problems, including a high risk of pregnancy complications and mental health issues. Data indicates that Indonesia has a high rate of early marriage, with the highest prevalence in several provinces. The method used is a literature review analyzing 30 relevant scientific journals from 2015 to 2025. The findings indicate that early marriage is associated with an increased risk of pregnancy complications, disturbed mental health, and low knowledge about reproductive health among adolescent girls. Further efforts are needed in reproductive health education and policies to prevent early marriage.

This study analyzes Red Bull advertisements as a form of visual propaganda that effectively constructs a brand image associated with extreme sports, bravery, and extraordinary achievement. The background of this research lies in the phenomenon of the increasing prevalence of visual content in modern marketing strategies, which not only sell products but also embed ideologies and social identities. Red Bull was selected as the object of study due to its consistent use of visual elements rich in symbolic and connotative meaning. This research employs a qualitative approach using Roland Barthes' semiotic analysis method, along with theories of visual propaganda and social identity. The findings reveal that Red Bull communicates its message not merely through images and slogans, but also through the construction of deep connotative meanings. The slogan “Red Bull Gives You Wings” instills a sense of hope in surpassing one's limits, while the use of extreme sports figures as testimonials reinforces the product's image as a symbol of high performance. These advertisements create a modern myth in which Red Bull is associated with courage and freedom, transforming it from a mere energy drink into a lifestyle identity. In the context of social identity, consumers are not only purchasing a product but also affirming themselves as members of an adventurous, active, and daring community. Thus, Red Bull successfully builds brand loyalty through a strong and symbolic visual narrative. This research emphasizes that today’s advertisements are inseparable from ideological functions and the social constructions they visually shape.  

This qualitative study analyzes the role of Internet of Things (IoT) technology in regenerative soil management practices, focusing on global best practices that can be replicated in Indonesia. As a vital resource, soil plays a crucial role in supporting agricultural productivity and food security, yet it faces significant threats from degradation due to unsustainable agricultural practices and chemical overuse. The study emphasizes the importance of integrating IoT technology to monitor and manage soil conditions in real-time, enhancing decision-making for sustainable agriculture. Key questions addressed include how IoT supports regenerative practices, examples of successful global implementations, and the effectiveness of IoT in improving soil quality and organic carbon content. Findings highlight that IoT can significantly enhance soil health by enabling precise monitoring of key parameters such as moisture, pH, and temperature, thereby facilitating timely interventions. The research also explores the challenges and opportunities associated with IoT adoption in regenerative agriculture, particularly in developing countries. Ultimately, the integration of IoT in regenerative soil management presents a promising pathway to achieving sustainable agricultural practices that meet the growing global food demands while restoring ecosystem health.

Small-scale industries such as tofu and tempeh factories play a significant role in the local economy but often face serious issues such as workplace accidents. This study aims to describe the working conditions and their relation to unsafe acts by workers at the XYZ tofu and tempeh factory. A descriptive qualitative approach was used through direct observation and interviews with four workers. The findings show that a hot and noisy work environment, poor ventilation, and disorganized workspace affect workers’ behavior in carrying out tasks without using proper personal protective equipment (PPE). Unsafe work practices have become a common habit due to factors such as routine behavior, limited facilities, and demands for work efficiency. The study concludes that an unsupportive work environment is directly associated with the increase in unsafe behavior. Therefore, efforts are needed to improve the working environment, including ventilation, workspace layout, and adequate provision of PPE, as well as to increase workers’ awareness of occupational health and safety through regular training and outreach. These measures are essential to foster a safe and healthy work culture in small-scale industrial settings.

Central obesity in women of reproductive age can have a negative impact on their health and is associated with the occurrence of metabolic diseases. This study aims to determine the factors associated with central obesity in women aged 15-49 years in Indonesia in 2023 using 2023 SKI data with a cross-sectional study design. The study sample was 213,309 women of reproductive age obtained using the linear systematic sampling technique. Data analysis was carried out up to multivariate analysis using the Cox Regression test. The results showed that the prevalence of central obesity in women of reproductive age was 49.11%. Age [PR = 1.96 (95% CI: 1.93 - 2.00)], occupation [PR = 1.20 (95% CI: 1.19 - 1.22)], and place of residence [PR = 1.08 (95% CI: 1.07 - 1.10)] were found to be associated with an increased risk of central obesity. Meanwhile, education level [PR = 0.97 (95% CI: 0.95 – 0.98)], physical activity [PR = 0.93 (95% CI: 0.91 – 0.94)], and emotional mental disorders [PR = 0.75 (95% CI: 0.70 – 0.80)] were found to be protective factors against central obesity. The most dominant factor with the occurrence of central obesity is age. Therefore, it is important for WUS to be aware of the risk of central obesity and implement appropriate preventive measures. Preventive efforts can be done by maintaining hormonal balance and body metabolism through a healthy lifestyle, as well as undergoing regular health checks.

Nutritional problems such as obesity warrant serious attention, due to their potential to contribute to various other health complications. One modifiable factor associated with obesity that can be targeted through intervention is dietary pattern, including adoption of vegetarian diet. Several previous studies have suggested that vegetarian diets may be effective in promoting weight loss. This study aims to examine the potential role of vegetarian diets in the management of obesity. The method employed in a literature review of relevant studies published within the last ten years. The findings indicate that vegetarian diets are effective in reducing body weight, insulin resistance, blood glucose levels, trimethylamin N-oxide (TMAO), low-density lipoprotein (LDL), triglycerides (TG), and total cholesterol levels. Additionally, they are associated with increased high-density lipoprotein (HDL) levels and improvements in lipid profiles, as well as kidney and liver function. Nevertheless, the implementation of vegetarian diets among individuals with obesity should be carefully supervised and planned by qualified professionals to minimize the risk of nutritional deficiencies.

Prolactin, a hormone primarily known for its important role in lactation and reproductive function have recently been implicated in metabolic-processes including glucose regulation. This study aims to investigation the relationship between serum prolactin levels and markers of glucose metabolism—specifically HbA1c and fasting blood glucose (FBG)—in women with T2DM. A cross sectional study was conducted on 100 adult female patients with T2DM, aged 35–50 years. Participants were classified based on HbA1c into three groups: good (≤7.0%), moderate (7.1–8.5%), and poor (≥8.6%) glycemic control. They were also stratified into low, normal, and high prolactin level groups. Serum prolactin was measured by ELISA, HbA1c by HPLC, and FBG using an automated analyzer. Statistical analysis was performed with significance at p ≤ 0.05. Although prolactin levels tended to increase with worsening HbA1c, the difference among HbA1c groups was not statistically significant. However, when stratified by prolactin levels, women in the high prolactin group had significantly higher HbA1c (7.38 ± 1.07%) and FBG (163.21 ± 25.23 mg/dL) compared to those in the low prolactin group (HbA1c: 6.82 ± 0.91%, FBG: 149.22 ± 22.24 mg/dL; p = 0.041 and p = 0.040, respectively). Elevated serum prolactin levels may be associated with poorer glycemic control in women with T2DM. These results showing the potential-role of prolactin hormone as a supplementary test in measuring glucose metabolism.

The rapid growth of social media among university students raises concerns regarding its impact on health, particularly sleep patterns. This research investigates the link involving social media usage intensity and students’ sleep patterns. A descriptive quantitative approach was employed through a survey method involving 30 active undergraduate students from various universities in Indonesia, using a survey based on Likert items. The analysis applied Pearson’s correlation to assess the intensity and orientation of the link between variables. The results revealed a strong and affirmative link between social media engagement and sleep pattern disturbances, indicated by a correlation score of 0.655. This reflects that greater intensity in using social media is associated with increased likelihood of disrupted sleep patterns, including irregular sleep schedules, reduced sleep duration, and decreased sleep quality. These findings emphasize the importance of better digital time management and educational interventions regarding healthy sleep habits, both for students and higher education institutions.  

Academic stress is a psychological condition commonly experienced by high school students in response to demanding academic expectations. This study aims to analyze the relationship between social support and academic stress among students at SMA Nurul Ihsan in Palangka Raya. Utilizing a quantitative correlational approach, data were collected from 20 students using a four-point Likert scale questionnaire covering variables of social support and academic stress. Descriptive statistical analysis showed that the average score for social support was 30.25, while the average score for academic stress was 24.80. Pearson correlation analysis indicated a moderate negative relationship (r = -0.425; p < 0.05), suggesting that higher levels of perceived social support are associated with lower levels of academic stress. Peer support was identified as the primary source of social support, whereas support from family and teachers was found to be less optimal. These findings highlight the importance of strengthening effective and responsive social support systems to promote students’ psychological well-being in facing academic pressure.

Social changes due to technological advancements have transformed the way people relate and associate with one another. Relationships can now be developed more easily, more affordably, and more quickly. As a community, the church is "forced" to re-evaluate whether the methods of learning and faith formation that have been applied so far still meet the needs of today’s congregation. Using a qualitative method with a literature-based approach, the researcher investigates the biblical perspective on this issue and finds that close relationships among members are a key indicator in learning and faith formation, as exemplified by the early church. Bringing the church back to its original design as the family of God (oikos), while utilizing current technological advancements, will make the church a constructive place for learning and nurturing the faith of its members.

Paul's educating on the moment coming of Jesus Christ plays a imperative part in forming Christian religious philosophy and morals. In his epistles, Paul emphasizes that the return of Christ isn't simply a promise for long haul; it may be a living reality of confidence that provides trust and changes the way devotees live. The call to heavenly living within the present is integrated with the guarantee of salvation that will be satisfied at Christ's return. Agreeing to Paul, confidence in Christ must be illustrated through a life filled with love, truth, and sacredness. This is often since the hope of the Lord's coming is an fundamental portion of the moral obligation of each devotee. The understanding of Christ's return, in Paul's point of view, isn't only eschatological but too profoundly associated to the practical viewpoints of the believer's way of life. Within the setting of the early church—marked by abuse, doctrinal disarray, and ethical crisis—Paul demands that the trust of Christ's return ought to result in a life that's satisfying and commendable some time recently God. The long run. coming of Christ includes not as it were judgment or eminence, but too every day reliability. The point of this ponder is to investigate how Paul gets it the moment coming of Jesus in connection to the guarantee of salvation and from the values of the Kingdom of God.

Copyright royalties as an economic object in intellectual property are of particular concern in family law, especially when associated with their status as joint property in marriage. This study aims to examine and compare how the Indonesian and Malaysian legal systems regulate the distribution of copyright royalties in the context of divorce. In Indonesia, the concept of joint property is regulated in Law Number 1 of 1974, which was updated by Law Number 16 of 2019, as well as in the Compilation of Islamic Law. Meanwhile, in Malaysia, different Islamic family laws between states provide a basis for the division of joint property, including royalties, by considering the contribution of the spouse. This study uses a normative-comparative approach through literature study and analysis of legal documents. It was found that despite the differences in legal systems, both countries in principle recognize copyright royalties as part of joint property if they meet certain requirements, especially regarding the time of acquisition and the contribution of the spouse. This study emphasizes the importance of the principle of justice in the division of intangible assets in the context of a household.

Triglycerides are an important metabolic indicator associated with the risk of metabolic syndrome and cardiovascular disease. Hypertriglyceridemia often develops without symptoms but contributes to the accumulation of atherogenic lipids. This activity involved 104 adult participants who underwent triglyceride level examination using Point-of-Care Testing (POCT). Education was delivered individually using a leaflet containing information on the relationship between high-calorie food intake and increased triglyceride levels, as well as recommendations for replacing energy-dense foods with healthy foods. A total of 47.1% of participants showed triglyceride levels ≥150 mg/dL, while the other 52.9% had normal levels. The average triglyceride level of 159.1 mg/dL reflects the hidden metabolic risk in the population. Education was provided based on the results of the examination to encourage the selection of low-calorie foods and increased fiber consumption. Triglyceride level examination is useful as an early screening for hypertriglyceridemia in the community. Education about high-calorie food consumption plays an important role in reducing metabolic risk and supporting the prevention of cardiovascular disorders through a healthier diet.

This study examines the pivotal role of artificial intelligence (AI) in talent attraction within the human resources sector, particularly in the context of modern technological advancements. We aim to understand the influence of AI on recruitment processes and identify factors affecting talent attraction in the information age, as well as the associated challenges. The study focuses on how AI impacts recruitment and utilizes statistical methods, including interviews, questionnaires, standard deviation, arithmetic mean, and Spearman's rank correlation, to achieve accurate results. Participants included 100 employees and professors from the Ministry of Higher Education and Scientific Research, with a research community of around 750. Findings suggest that organizations employing AI for recruiting, attracting, training, and guiding individuals tend to succeed. The study recommends the urgent integration of AI into organizational operations, urging a shift from traditional applicant comparison methods to modern assessment techniques while avoiding favoritism. Additionally, organizations should implement contemporary training programs to boost employee performance.

Hypertension is one of the health problems, especially for hajj pilgrims, because hypertension is one of the entry points or risk factors for diseases such as heart disease, kidney failure, diabetes mellitus, and stroke. In 2024, cases of hajj pilgrims suffering from hypertension were 1,822 people (38.66%). This study aims to analyze the factors related to the incidence of hypertension in hajj pilgrims at the Aceh Embarkation. Quantitative research with a Cross Sectional Study approach using secondary data. The population is all hajj pilgrims at the Aceh Embarkation in 2024 totaling 4,713 people. The research sample is the total population. Bivariate data analysis with the chi-square test and multivariate with logistic regression. The results of the study obtained variables that have a significant relationship with hypertension are age (OR = 3.5; 95% CI: 3.08–3.95; p-value = 0.0001), family history (OR = 2; 95% CI: 1.74-2.25; p-value = 0.0001). Obesity (OR = 1.3; 95% CI: 1.14–1.44; p-value = 0.0001), diabetes (OR = 1.5; 95% CI: 1.28–1.75; p-value = 0.0001) and poor physical fitness OR = 1.7; 95% CI: 1.48–1.89; p-value = 0.0001). The conclusion of this study is that the age variable is the most dominant variable with the incidence of hypertension in the Aceh Embarkation Hajj pilgrims.

The use of Paylater as a means to achieve a desired lifestyle, especially among the younger generation, is the highlight of this research. With a focus on psychological and financial impacts, this study combines qualitative and quantitative approaches to investigate the complex interactions between demographic factors, motivations, and the consequences of using Paylater for prestige. Through data collection using questionnaires and interviews with samples covering various age groups, education levels, and income levels, the research results highlight interesting findings. The main motivation for using Paylater was revealed as a drive to achieve a prestigious image and keep up with emerging digital consumption trends. The psychological impact cannot be ignored either, with some respondents admitting to the financial stress associated with this habit. Data analysis shows that education level plays an important role in an individual's ability to manage Paylater debt. Respondents with a higher level of education tend to be more aware of risk and have better debt management strategies. The implications of the results of this research include challenges in financial literacy and psychological well-being in the digital era. A more targeted approach is needed to educate young people about the financial risks associated with using Paylater for prestige. Nonetheless, this study acknowledges limitations in the generalisability of the results and suggests further research to investigate alternative financial management strategies and the long-term impact of this phenomenon      

Low back pain (LBP) is one of the most common musculoskeletal problems experienced by workers, especially those in professions that require prolonged static sitting, such as public transportation drivers. This condition not only impacts work productivity but can also disrupt daily activities and increase the risk of chronic health problems. This study aims to analyze factors associated with the incidence of LBP in public transportation drivers on the Latuhalat route at Mardika Terminal, Ambon City. The study design used an observational analytical approach with a cross-sectional approach. The study population consisted of 96 public transportation drivers, and 51 were selected as samples through a purposive sampling technique based on inclusion criteria. The independent variables in this study included driving position, driving duration, age, and length of service, while the dependent variable was low back pain. Data were collected using questionnaires and observation sheets, then analyzed using the Chi-square test. The results showed that all independent variables, namely driving position, driving duration, age, and length of service, had a significant relationship with the incidence of LBP (p < 0.05). Thus, ergonomic factors and workload significantly contribute to the occurrence of NPB in public transportation drivers. Therefore, ergonomic interventions, proportional work hour arrangements, and the implementation of occupational health programs are important steps in reducing the risk of NPB in drivers.

Microplastics have emerged as a serious threat to tropical marine ecosystems in Indonesia, particularly in coastal areas with dense populations, major river estuaries, and busy shipping routes. This study aims to develop a predictive model of microplastic dispersion using partial differential equations based on ocean current data. The data set includes ocean currents derived from satellite imagery, global oceanographic models, and field observations, combined with information on microplastic sources from coastal human activities. The modeling process was conducted through numerical simulations using the finite difference method, taking into account geographic boundary conditions and numerical stability. The results indicate that the spatial distribution of microplastics is strongly influenced by seasonal current patterns closely associated with the Asian-Australian monsoon system. Microplastic concentrations tend to increase in areas with closed circulation and complex marine topography, with the highest accumulation identified in the Makassar Strait and the Java Sea. These findings highlight the critical role of ocean currents and other oceanographic factors in governing the transport and accumulation of microplastics in tropical seas. Ecologically, the outcomes suggest serious risks for coastal ecosystems, marine biodiversity, and the fisheries sector that supports Indonesia’s coastal communities. The implications of this study emphasize the need for more comprehensive marine environmental management strategies, strengthened field monitoring, and the integration of scientific models into plastic pollution control policies.