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The global and national rates of cesarean section (CS) deliveries continue to show an increasing trend, including in Lampung Province. This study aims to analyze the factors associated with the increased incidence of CS deliveries at Griya Medika Dompet Dhuafa Hospital. An analytical quantitative design with a cross-sectional approach. The study population consisted of all mothers who gave birth during the period of January–June 2025. The sample was determined using the Slovin formula, yielding 240 medical records selected through simple random sampling. The independent variables included maternal age, educational background, obstetric history, and medical indications, while the dependent variable was CS delivery. The study was conducted from July to August 2025. Data were analyzed using univariate and bivariate methods with the Chi-Square test. The results showed that most respondents underwent CS delivery (95%). Maternal characteristics included non-risk age (73.8%), secondary education (38.3%), multiparity (54.2%), and the most common medical indication was fetal indication (55.4%). Bivariate analysis indicated no significant relationship between maternal age (p=0.519), educational background (p=0.509), and obstetric history (p=0.694) with CS delivery. Conversely, there was a significant association between medical indications and CS delivery (p=0.041). It was concluded that the increasing rate of CS deliveries is predominantly influenced by medical indications, particularly fetal indications. Therefore, it is recommended that health workers enhance early detection of pregnancy and childbirth risks and strengthen educational efforts for pregnant women as preventive measures to reduce the incidence of CS

Healthcare Associated Infections (HAIs) are serious occurrences and problems that are often found in all hospital facilities. HAIs cause extended hospitalization, permanent disability, increased treatment costs, and death. Hand Hygiene has an important role in the prevention and control of HAIs. This study aims to see the compliance of nurses' hand hygiene and nurses' knowledge of healthcare associated infections (HAIs) in the intensive care unit of Santa Elisabeth Hospital Medan in 2024. The type of research design used was descriptive with a sampling technique using a total of 31 respondents. Based on the results of the study, it was found that most nurses were obedient in carrying out hand hygiene (83.9%) and knowledge that is about the prevention of HAIs was found to be a large number of nurses who had high knowledge (67.7%). It is hoped that nurses maintain compliance in performing hand hygiene so that HAIs do not occur.

Children's socio-emotional development is an important aspect that plays a role in their ability to recognize, understand, express, and regulate emotions, as well as interact adaptively in social environments. The family serves as the first environment that provides the foundation for this development through parenting patterns, emotional relationships, daily interactions, and parental behavior models. This study uses the Systematic Literature Review (SLR) method by analyzing scientific articles published between 2020–2025 from the Scopus, ERIC, ScienceDirect, and Google Scholar databases. The results of the review indicate that parental responsiveness, observational learning, secure attachment, and emotional communication significantly influence children's emotion regulation and social skills. In addition, parenting styles, particularly the authoritative style, have been shown to have a positive impact on psychological well-being, self-control, and social competence, while authoritarian, permissive, and neglectful styles are associated with behavioral problems and low self-esteem. Overall, the quality of the family environment and patterns of emotional communication play a significant role in shaping children's socio-emotional development. These findings underscore the need for support and reinforcement of parenting practices in efforts to enhance children's emotional and social well-being.

Hypertension substantially increases the risk of developing secondary conditions, including stroke, renal disease, coronary heart disease, and heart failure. Early management is therefore essential to prevent complications and adverse outcomes. Evidence indicates that untreated hypertension contributes to approximately 60% of stroke cases. Public knowledge regarding hypertension-related complications remains limited, and many individuals are unable to identify early signs of stroke the most common complication associated with hypertension. This study aimed to assess the knowledge of hypertensive patients regarding stroke risk and management at Santa Elisabeth Hospital Medan in 2024. A descriptive research design was employed. The sample consisted of 67 hypertensive patients attending the outpatient clinic, selected through purposive sampling. Data were presented using frequency distribution tables. The findings revealed that 52.2% of respondents demonstrated poor knowledge, 32.8% had moderate knowledge, and only 14.9% showed good knowledge regarding stroke risk and management. These results underscore the need for patients to adopt healthier lifestyles and for the hospital to strengthen educational efforts by providing more engaging and interactive learning materials for patients and their families.

This study is motivated by the emergence of public controversy surrounding the alleged sexual harassment case involving the preacher Gus Elham, which has sparked widespread debate about ethical boundaries in da’wah activities. This phenomenon reflects a moral and social crisis in contemporary da’wah practices, particularly in relation to power relations, child protection, and the moral responsibility of religious figures as public role models. This study aims to analyze violations of da’wah ethics in this case from moral and social perspectives, as well as to identify its impact on public trust in preachers and religious institutions. The method used is a descriptive qualitative approach through the analysis of online news, public statements, social media posts, interview recordings, and da’wah-related content associated with the case. The findings indicate that the actions in question not only violated norms of decency but also revealed a failure to understand principles of child protection and ethics of da’wah based on akhlakul karimah. Socially, the case demonstrates a moral crisis affecting religious authority and an increase in public skepticism toward religious figures. The implications of this study emphasize the importance of formulating stricter da’wah codes of ethics, strengthening ethical literacy among preachers, and integrating child protection values into da’wah practice to prevent similar cases from recurring.

Motorcycle communities not only function as a platform for hobbies but also as a medium for shaping identity and image within society. In this context, the role of Public Relations is crucial in maintaining reputation and building positive relationships with the public. A strong brand image helps the community sustain its existence while countering the negative stigma often associated with motorcycle groups. This study aims to explore and analyze the Public Relations planning of Biker Jowo Depok in maintaining its brand image, using the RPACE model (Research, Planning, Action and Communication, Evaluation) by Cutlip & Center (2017). The theoretical framework of this research refers to the concept of Public Relations planning by Cutlip & Center. The method used is qualitative descriptive, with data collection techniques including in-depth interviews, secondary data from the website and Instagram, as well as documentation. Data validity was tested through source triangulation involving the public and community members. The results show that Biker Jowo Depok implements all four dimensions of Public Relations planning according to the RPACE model. The community utilizes social media and various offline activities to build a positive image based on Javanese cultural values, such as togetherness (guyub), social awareness (tanggap), and cultural preservation (nguri-uri). Evaluation is carried out periodically through social media engagement analysis and feedback from members. The main challenges faced include negative stereotypes toward motorcycle communities and competition with other groups. However, through adaptive and collaborative Public Relations strategies, Biker Jowo Depok has succeeded in maintaining its image as a professional, culturally-rooted, and socially conscious community.

This study aims to model the Infant Mortality Rate (IMR) in East Nusa Tenggara Province using truncated spline nonparametric regression. In this study, IMR is associated with four predictor variables: the percentage of poor people, the percentage of pregnant women under 19 years of age, low birth weight, and life expectancy. These four variables have an unpatterned relationship, indicating the presence of a nonparametric component in the model. The truncated spline regression method was chosen because of its ability to handle nonlinear relationships between variables. The results showed that the best model was obtained using three knot points, which produced a coefficient of determination (R²) of 97.47%. This indicates that the truncated spline regression model is able to explain 97.47% of the variation in IMR in East Nusa Tenggara Province. In addition, the four predictor variables have a significant influence on the model, making a significant contribution in explaining the factors that influence IMR in the region.

Hypertension remains a major health problem with high prevalence, often linked to poor lifestyle habits and low self-efficacy in managing one’s health. Effective hypertension management requires not only support from health professionals but also encouragement from family members who can remind patients to adhere to treatment and provide emotional support. This study aimed to analyze the relationship between self-efficacy, lifestyle, and family support with hypertension among Prolanis members in the working area of Puskesmas Oesapa, Kupang City. Using an observational analytical approach with a cross-sectional design, the study involved 65 hypertensive Prolanis members selected through simple random sampling. Data collection was conducted using a structured questionnaire. The findings showed significant relationships between self-efficacy, physical activity, and diet with hypertension status (p-value = 0.000). However, resting habits were not significantly associated with hypertension (p-value = 0.063), and family support also showed no significant relationship (p-value = 0.388). The study recommends that the Puskesmas continue to strengthen Prolanis activities and enhance health education, particularly regarding the importance of maintaining a healthy lifestyle through proper dietary management and regular light physical activity tailored to the abilities of Prolanis members.

Diabetes mellitus (DM) is a metabolic disease characterized by elevated blood glucose levels. This condition includes several types, such as type 1 and type 2 diabetes. It occurs when the body is unable to produce enough insulin, experiences impaired insulin function, or faces a combination of both. As a result, glucose cannot be effectively absorbed by the body’s cells and accumulates in the bloodstream, leading to high blood sugar or hyperglycemia. If this condition persists, the buildup of glucose can cause various disorders in different organs. Without proper management, diabetes may lead to severe and life-threatening complications. Chronic hyperglycemia in diabetic patients is associated with long-term damage, dysfunction, and even failure of vital organs such as the eyes, kidneys, nerves, heart, and blood vessels. In this activity, percentage-based methods and demonstrations of blood glucose testing were used as educational tools for students. The results showed that students’ awareness of the dangers of elevated blood sugar levels remains low. Many of them are still unfamiliar with the importance of regular blood glucose monitoring and maintaining a healthy lifestyle to prevent diabetes. Therefore, continuous efforts are needed to provide education and outreach on the prevention and early management of diabetes mellitus.

This study explores the impact of Artificial Intelligence (AI) integration and algorithm transparency on organizational efficiency and perceived fairness in Human Resource (HR) decision-making. Using a qualitative literature review approach, the research examines the mediating role of employee trust and the moderating influence of organizational culture. The analysis focuses on peer-reviewed international studies published since 2020, reflecting the latest theoretical and empirical developments in AI and HR management. The findings reveal that a higher level of AI integration improves decision speed, reduces operational costs, and increases the accuracy of talent allocation. However, these efficiency gains are not independent of ethical considerations. Transparent algorithms are shown to significantly enhance employees’ trust and perceptions of fairness, whereas opaque systems tend to generate resistance and distrust. Furthermore, organizational culture plays a crucial moderating role. Companies with innovative and participatory cultures report better outcomes from AI implementation, while hierarchical cultures are associated with lower adoption success and ethical challenges. This research highlights the importance of aligning technical capabilities with social and cultural factors to optimize the use of AI in HR functions. The study contributes to the discourse on socio-technical systems by proposing an integrative framework that links AI integration, transparency, trust, and culture to key organizational outcomes. Practical implications include the need for transparent system design, ethical governance, and cultural readiness to support responsible AI adoption in HR.

Stunting is a significant public health problem in Indonesia, especially among toddlers. Stunting can have long-term effects on children's quality of life, including physical growth and cognitive development disorders. The Puuwatu Community Health Center in Kendari City has recorded a high rate of stunting. Therefore, it is important to identify the factors associated with stunting in this area. This study aims to identify factors associated with stunting in toddlers in the working area of the Puuwatu Health Center in Kendari City. This study uses an analytical study design with a cross-sectional approach. The sample in this study consisted of 73 respondents, and sampling was conducted using stratified random sampling taken from each urban village. Data were collected through interviews with parents of toddlers experiencing stunting, as well as measurements of the toddlers' nutritional status. Data analysis was performed using the chi-square statistical test to examine the relationship between the variables studied. This study shows that nutritional intake (p value = 0.002), exclusive breastfeeding (p value = 0.000), and income (p value = 0.439) are related to stunting. It can be concluded that there is a relationship between nutritional intake and exclusive breastfeeding with the incidence of stunting, while income is not related to the incidence of stunting in the working area of the Puuwatu Community Health Center.

Adolescents are a vulnerable age group to nutritional problems due to increased nutritional requirements during periods of rapid growth. Suboptimal nutritional status, including undernutrition and anaemia, can negatively affect health and academic performance. This study aimed to describe the nutritional status of adolescents at SMA Negeri 2 Kendari, Southeast Sulawesi Province. This study employed a descriptive observational design conducted from August to September 2025 with a total sample of 226 twelfth-grade students’ selected using proportionate stratified random sampling. Data were collected through measurements of body weight and height to determine nutritional status based on the BMI-for-Age indicator and haemoglobin levels were assessed using a digital haemometer. Data were analyzed using univariate analysis. The results showed that most respondents had normal nutritional status (52.2%), while a considerable proportion were undernutrition (47.8%). In addition, more than half of the respondents were anaemia (50.9%). These findings indicate that although anthropometric nutritional status was generally normal, anemia remains a health problem that requires attention among adolescents. Regular monitoring of nutritional status and hemoglobin levels accompanied by nutrition education is recommended. Further studies are recommended to use an analytical study design to identify factors associated with nutritional status and anaemia.

The global environmental crisis caused by plastic pollution has intensified in recent years, particularly in aquatic ecosystems such as rivers, lakes, and oceans, creating an urgent need for effective and sustainable solutions. This article explores the potential role of aquatic bacteria in degrading plastic polymers by reviewing the biological and molecular mechanisms these microorganisms use to break down complex synthetic materials. Special attention is given to key genes and enzymes involved in plastic degradation, including PETase and MHETase, which play a critical role in the decomposition of polyethylene terephthalate (PET). In addition, the article highlights advanced gene expression and analysis techniques, such as metagenomics, transcriptomics, and proteomics, to better understand bacterial activity and degradation dynamics in natural environments. The main problem addressed is the continuous and unsustainable production and consumption of plastics, which has resulted in extensive pollution of freshwater and marine systems, while conventional waste treatment methods remain largely ineffective. The objective of this article is to provide a comprehensive scientific review of biotechnological approaches used to analyze and utilize aquatic bacteria for plastic degradation, focusing on molecular aspects and environmental applications. Using a literature review method, studies published between 2018 and 2024 were analyzed to evaluate effective bacterial models, technological challenges, and future prospects. The findings indicate that aquatic bacteria offer promising potential as biological tools for mitigating plastic pollution through sustainable environmental strategies.

Cervical cancer remains a major public health problem and is one of the leading causes of cancer-related mortality among women in Indonesia. Early detection through Visual Inspection with Acetic Acid (VIA) is an effective and feasible screening method at the primary health care level. However, the coverage of VIA screening among women of reproductive age (WRA) remains low. Knowledge is considered an important predisposing factor that may influence women’s motivation to undergo VIA screening. This study aimed to analyze the association between cervical cancer knowledge and motivation to undergo VIA screening among women of reproductive age. This study employed a quantitative analytic design with a cross-sectional approach. A total of 105 women of reproductive age were recruited using consecutive sampling at the Payangan Community Health Center, Gianyar Regency, Indonesia. Data were collected using validated and reliable structured questionnaires measuring cervical cancer knowledge and motivation to undergo VIA screening. Univariate analysis was performed to describe respondent characteristics, while bivariate analysis using the chi-square test was applied to examine the association between knowledge and motivation at a significance level of 5%. The results showed that 61.9% of respondents had good knowledge of cervical cancer, while 52.4% demonstrated low motivation to undergo VIA screening. A statistically significant association was found between cervical cancer knowledge and motivation to undergo VIA screening (p = 0.043). Women with higher levels of knowledge tended to have greater motivation to participate in VIA screening. In conclusion, cervical cancer knowledge is significantly associated with motivation to undergo VIA screening among women of reproductive age. These findings suggest that strengthening health education interventions at primary health care facilities is essential to enhance motivation and increase participation in early cervical cancer detection programs.

Anxiety in laboring mothers is a psychological factor that can influence the course of labor, particularly during the second stage, and increase the risk of complications such as perineal rupture. Along with obstetric factors, the quality of labor guidance is crucial in preventing perineal trauma. This study aimed to analyze the relationship between maternal anxiety, labor guidance, and the incidence of perineal rupture at Obi Hospital, South Halmahera. Using an observational analytical design with a cross-sectional approach, the study involved 50 laboring mothers undergoing vaginal delivery, selected through purposive sampling. Data collection took place from February to April 2024, with maternal anxiety measured using a standardized anxiety questionnaire. Labor guidance and perineal rupture were assessed through observation sheets and clinical examinations. Data analysis was conducted univariately and bivariately using the Chi-Square test with a significance level of p < 0.05. The results showed a significant relationship between maternal anxiety and labor guidance (p < 0.05), as well as between maternal anxiety and perineal rupture (p < 0.05). Additionally, labor guidance was significantly associated with the incidence of perineal rupture (p < 0.05). Mothers with higher anxiety levels tended to receive poor labor guidance and had a higher risk of perineal rupture. The study concludes that maternal anxiety significantly impacts labor guidance and perineal rupture, emphasizing the need for holistic care that addresses both psychological and physical aspects of childbirth.

This study aims to determine the effect of green accounting on firm profitability, with firm size, leverage, and liquidity as moderating variables. This research employs a quantitative approach using secondary data analysis derived from annual reports and sustainability reports of energy firms listed on the Indonesia Stock Exchange (IDX) during the 2021–2024 period. The study applies multiple regression analysis. The sampling method used is non-probability sampling with a purposive sampling technique, resulting in 170 observations. The data collection method uses documentation techniques. The results show that green accounting and firm size have a positive effect on profitability, while leverage and liquidity have no effect on profitability. These findings provide important insights into the role of green accounting and firm size in encouraging firms to obtain legitimacy, which can enhance profitability through disclosures in financial reports. The implications of this study demonstrate the application of legitimacy theory and provide benefits to relevant parties, particularly firms and stakeholders associated with the firm, in paying attention to the presentation of high-quality annual and sustainability reports.

This study reports the green synthesis of vanadium pentoxide (V₂O₅) using virgin olive oil as a natural and environmentally benign reducing agent. The approach aims to minimize the environmental impacts associated with conventional synthesis routes. Structural and physicochemical characterizations confirmed the successful formation of nanoscale V₂O₅. X‑ray diffraction (XRD) analysis indicated an average crystallite size of approximately 16.57 nm, evidencing high crystallinity. Fourier‑transform infrared spectroscopy (FTIR) revealed characteristic V=O and V–O–V vibrations with bands associated with physisorbed water, confirming the correct oxide framework. Field‑emission scanning electron microscopy (FE‑SEM) showed irregularly shaped nanoparticles with a representative particle diameter of ~32.62 nm. Brunauer–Emmett–Teller (BET) and Barrett–Joyner–Halenda (BJH) analyses yielded a specific surface area of 10.817 m²/g, a total pore volume of 0.024277 cm³/g, and a broad mesoporous distribution (20–90 nm). Energy‑dispersive X‑ray spectroscopy (EDX) confirmed the purity of V₂O₅ with weight fractions of V (69.40%) and O (30.60%), consistent with the stoichiometric composition. Overall, the results demonstrate the effectiveness of olive oil as a green reducing agent for preparing nanoscale V₂O₅, which is promising for catalysis, energy storage, sensors, and clean‑energy applications.

According to data from the World Health Organization (WHO), approximately 24 million people worldwide, or about one in every 300 individuals, live with schizophrenia. Individuals with schizophrenia commonly experience reduced independence in performing daily functions and social roles, including self-care, employment, and social interaction. This decline in independence is closely related to disturbances in thought processes, which subsequently affect their ability to carry out activities of daily living (ADL). This study aimed to examine the relationship between family support and the level of ADL independence among patients with schizophrenia at Embung Fatimah Hospital, Batam City, in 2024. The research employed an analytical correlation approach with a cross-sectional design and involved 60 families who lived in the same household as schizophrenia patients. Data collection was conducted from October 1 to October 9, 2024, using a purposive sampling technique and structured questionnaires. The findings revealed that the majority of respondents perceived family support as adequate, accounting for 38 respondents (63.3%), while 29 patients (48.3%) demonstrated a sufficient level of ADL independence. Bivariate analysis using the Spearman rank correlation test showed a correlation coefficient of r = 0.605 with a p-value of 0.000 (< 0.05), indicating a statistically significant relationship between family support and ADL independence. These results confirm that stronger family support is associated with higher levels of independence in daily activities among schizophrenia patients. Therefore, families are encouraged to consistently provide emotional, instrumental, and motivational support to help patients maintain and improve their daily functioning.

This study aims to describe the relationship between age, education, and occupation with the participation of Couples of Reproductive Age (PUS) in the Family Planning (KB) program in Desa Gandu, Majalengka. The study design used is a descriptive observational design with a cross-sectional approach. The sample of this study consisted of 440 PUS recorded in the village administration and Puskesmas between January and June 2025. The results of the study showed that older age (25-34 years), lower education, and the occupation of housewives (IRT) were associated with higher participation in the KB program. Most respondents with low education (SD and SMP) showed high participation in the KB program, while those with higher education showed lower participation. These findings indicate the importance of a community-based approach that involves housewives (IRT), as well as the need to improve KB counseling programs for higher-educated groups and formal workers. This study suggests that KB programs in Desa Gandu should focus more on the younger age group, formal workers, and those with higher education who still have lower participation rates.

Premarital sexual behavior among adolescents remains a public health concern influenced by social change, technological development, and social environment. This study aims to analyze factors associated with adolescent premarital sexual behavior based on the Health Belief Model (HBM). A systematic literature review was conducted on eight studies published between 2019 and 2025, including journal articles, undergraduate theses, and a doctoral dissertation. The findings were analyzed by categorizing the results into six HBM components: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The results indicate that perceived susceptibility is the most consistently associated component with adolescent premarital sexual behavior. Perceived severity, perceived barriers, cues to action, and self-efficacy also show significant associations in several studies, whereas perceived benefits demonstrate the weakest and most inconsistent relationship. Overall, adolescent premarital sexual behavior is shaped by the interaction between risk perception, environmental support, and individual confidence in behavioral control. These findings confirm that the Health Belief Model remains a relevant framework for designing adolescent health promotion and preventive interventions.