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This study evaluates the implementation and contribution of the Sekolah Peternakan Rakyat (SPR) Program to Brahman Cross cattle farming in Bojonegoro Regency. A mixed-methods approach with a sequential explanatory design was applied, involving surveys, in-depth interviews, field observations, and document analysis of 20 SPR farmers. The results show that the program effectively improved farmers’ knowledge and technical competencies (knowledge scores ranging from 4.35–5.00). However, business expansion aspiration remained very low 1.15, indicating structural constraints beyond individual capacity enhancement. Technical performance of Brahman Cross cattle was fluctuating, particularly in reproductive indicators, and institutional capacity within the farmer group remained limited in managerial coordination and collective decision-making. These findings demonstrate that improvements in individual capacity do not automatically translate into sustainable business performance. Institutional strengthening and alignment between program design and smallholder conditions are essential to ensure long-term program effectiveness.

The implementation of Electronic Medical Records (EMR) has become an important element in improving healthcare service quality, efficiency, and patient safety in hospitals. However, the benefits of EMR depend not only on system availability but also on the quality of the information provided and how actively the system is used by healthcare professionals. This study aims to analyze the influence of electronic medical record content and perceived ease of use on the net benefits of EMR, with actual system use acting as an intervening variable. The research applied a quantitative approach with a cross-sectional design conducted at RSM Hospital. The population consisted of all general practitioners and specialist doctors working at the hospital, totaling 51 respondents, and the study used a total sampling technique. Data were collected through structured questionnaires measured using a Likert scale and analyzed using the Structural Equation Modeling–Partial Least Squares (SEM-PLS) method. The results show that EMR content and perceived ease of use significantly influence the net benefits of EMR. Both variables also significantly affect the actual use of the system, while actual use significantly influences the benefits obtained. Furthermore, actual use mediates the relationship between EMR content, ease of use, and net benefits, indicating that better information quality and usability can encourage greater system utilization and maximize the advantages of EMR implementation.

Chronic Energy Deficiency (CED) in pregnant women remains a health problem in Indonesia, including in Sleman District. CED can be overcome through the provision of supplementary foods (PMT) based on local foods that are high in energy and protein. This study aims to determine the effectiveness of local PMT on upper arm circumference (UAC) in pregnant women with CED. The study design used an analytical observational approach with a cross-sectional approach. The sampling technique used in this study was total sampling, involving 47 pregnant women with CEM who received local PMT for at least 90 days in 2024 at the Cangkringan and Sleman Community Health Centers. The secondary data in this study were the results of LILA measurements before and after the provision of local PMT. The Wilcoxon Signed Test was used to analyze the difference in LILA. The results showed that the median LILA before PMT administration was 22 cm and after PMT administration was 23.6 cm, with an increase of 1.6 cm. There was a significant difference between LILA before and after local PMT administration (p = 0.000). After local PMT administration, 51.06% of pregnant women had LILA > 23.5 cm. It is hoped that further research can explore the intake of pregnant women with KEK during local PMT administration as additional data to examine the effectiveness of local PMT on LILA in pregnant women with KEK.

Unlike Indo-European languages, Indonesian (Bahasa Indonesia) and most other Austronesian languages lack grammatical tense marking, presenting a fundamental typological difference with significant implications for linguistic theory and second language acquisition. This study investigates how Indonesian expresses temporal reference without grammatical tense, comparing it with tensed languages, and exploring the cognitive and typological implications of tenselessness. We employed a mixed-methods approach combining: corpus analysis of 5,000 Indonesian sentences; comparative linguistic analysis with English and Mandarin Chinese; psycholinguistic experiments with 200 native Indonesian speakers; and a cross-linguistic survey of 15 Austronesian languages. Results revealed that Indonesian expresses temporality primarily through lexical temporal markers (sudah, sedang, akan) in 68.3% of contexts, temporal adverbials (82.1%), and contextual inference (34.5%). Psycholinguistic experiments showed no processing disadvantage for Indonesian speakers in temporal reasoning tasks compared to English speakers. Cross-linguistic analysis confirmed that 86.7% of surveyed Austronesian languages lack grammatical tense, suggesting tenselessness represents a stable inherited feature of the family. Indonesian's tenseless system represents not a linguistic deficit but an alternative, equally sophisticated means of temporal expression. These findings challenge universal claims about tense as a necessary grammatical category and have significant implications for linguistictypology, second language pedagogy, and theories of universal grammar.

Patient safety culture is an essential component in improving the quality of healthcare services and preventing medical errors in hospitals. However, the implementation of patient safety culture is often influenced by several organizational and individual factors, including situational awareness, availability of hospital infrastructure, and the balance between effort and rewards experienced by healthcare workers. This study aims to analyze the influence of situational awareness and hospital infrastructure on patient safety culture, with effort–reward imbalance acting as a mediating variable. The research was conducted at RSIA Tiara and involved healthcare workers as respondents. A quantitative approach with a cross-sectional design was applied in this study. Data were collected through structured questionnaires distributed to healthcare professionals and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM). The results show that situational awareness has a significant positive effect on effort–reward imbalance and patient safety culture. Hospital infrastructure also significantly influences effort–reward imbalance and patient safety culture. Furthermore, effort–reward imbalance significantly affects patient safety culture and mediates the relationship between situational awareness, hospital infrastructure, and patient safety culture. These findings indicate that improving healthcare workers’ situational awareness and ensuring adequate hospital infrastructure can help reduce work imbalance and strengthen patient safety culture. In conclusion, hospital management should prioritize training programs to enhance situational awareness, improve supporting facilities, and implement fair reward systems to promote a sustainable and positive patient safety culture in healthcare organizations.

Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic respiratory disease primarily caused by smoking and is one of the leading causes of death worldwide. In Pekanbaru City, 4,226 cases (5.7%) have been recorded, indicating a significant public health concern. Therefore, more effective prevention efforts are needed to reduce the incidence and impact of COPD in the community. The purpose of this study is to determine the relationship between the degree of smoking and the severity level of Chronic Obstructive Pulmonary Disease (COPD) at Garuda Public Health Center, Pekanbaru. This study uses a quantitative approach with a descriptive correlational design and a cross-sectional method. The results showed that among COPD patients with a mild smoking degree, 14 respondents (13.6%) had mild COPD severity, 31 respondents (30.1%) had moderate COPD severity, and 17 respondents (16.5%) had severe COPD. Meanwhile, among patients with a moderate smoking degree, 10 respondents (9.7%) had mild COPD severity, 11 respondents (10.7%) had moderate COPD severity, and 20 respondents (19.4%) had severe COPD. The chi-square test result showed a p-value of 0.04, which is less than 0.05, indicating a statistically significant relationship between smoking degree and the severity of COPD. There is a significant relationship between the degree of smoking and the severity of COPD. Patients with higher smoking degrees tend to have more severe COPD. It is recommended that healthcare workers enhance education and smoking cessation programs to prevent and reduce the severity of COPD in the community.

This study aims to analyze the cultural meaning of social drinking displayed in South Korean films on Netflix in 2024 through the perspective of Charles Sanders Peirce's semiotic theory. Social drinking, as a cultural phenomenon, is not only a social habit in South Korea but is also often used as a narrative element in films to convey cultural values, social dynamics, and interpersonal relationships. Qualitative research methods with a semiotic analysis approach are used to explore the meaning displayed on the representamen, object, and interpretant sides of social drinking in the films Badland Hunters, Officer Black Belt, Mission: Cross, Wonderland, and My Name is Loh Kiwan. The results of the study show that social drinking represents the culture of togetherness of South Korean society that is woven into various contexts, such as work relationships, family, and friendships. In terms of representamen, visual signs in the form of symbols of drinking culture such as soju, banquet tables, and the movement of pouring drinks to each other create a strong picture of togetherness. From the object side, social drinking becomes a medium to highlight solidarity and release social pressure, especially in a hierarchical and competitive work culture. The resulting interpretation shows a dualism of meaning: on the one hand, it strengthens harmony and the value of togetherness, while on the other hand it displays the dark side of this culture, such as excess consumption and its influence on social pressure. This study provides new insights into the role of South Korean films as a medium for conveying global cultural messages, which are able to influence local cultural interpretations outside their country of origin. In addition, this study is expected to enrich the literature on semiotics in visual communication studies with a focus on drinking culture as an element of representation.

This study investigates the role of artificial intelligence (AI) in enhancing language learning, with a focus on five key applications: automatic text analysis, personalized learning, adaptive feedback, language error detection, and automatic translation. The study addresses the challenge of integrating AI effectively in educational contexts while balancing technological potential with pedagogical guidance. The objective is to provide a comprehensive understanding of how AI tools contribute to more adaptive, efficient, and engaging language learning experiences. A systematic literature review method was employed, selecting and critically analyzing studies published between 2020 and 2025 that examined AI-assisted language learning strategies. The findings indicate that automatic text analysis supports comprehension monitoring and guided learning, while personalized learning adapts content to individual learner needs, enhancing motivation and retention. Adaptive feedback delivers immediate, targeted guidance that fosters accuracy and self-regulated learning, and language error detection tools enable learners to identify and correct grammatical and lexical mistakes, promoting metalinguistic awareness. Automatic translation broadens access to authentic texts and cross-cultural materials, supporting comprehension and independent learning. Synthesizing these findings highlights the transformative potential of AI to improve learning outcomes while also revealing challenges such as tool reliability, ethical considerations, and the need for teacher oversight. The study concludes that AI, when thoughtfully integrated, complements instruction, enhances learner engagement, and supports differentiated and data-driven teaching strategies, providing valuable insights for language educators and guiding future research on AI-enabled language learning.

The implementation of Patient Safety Goals remains a major challenge in hospital management, particularly in ensuring consistent compliance among nurses. This study aims to analyze the influence of nurses’ knowledge and motivation on the implementation of Patient Safety Goals, with clinical leadership positioned as a mediating variable. A quantitative cross-sectional design was employed in a general hospital in Jakarta, Indonesia. Data were collected from 119 nurses across inpatient, outpatient, emergency, and operating units using structured questionnaires. The data were analyzed using Structural Equation Modeling (SEM) with AMOS, supported by the Three-Box Method to assess the level of variable achievement. The results indicate that nurses’ knowledge and motivation have a significant direct effect on clinical leadership. Clinical leadership also demonstrates a significant positive effect on the implementation of Patient Safety Goals. Furthermore, clinical leadership plays a significant mediating role in the relationship between both nurses’ knowledge and motivation and the implementation of Patient Safety Goals. The model explains 76.67% of the variance in Patient Safety Goal implementation, highlighting the strategic role of clinical leadership in translating individual competencies into safe clinical practices. These findings contribute to healthcare management literature by reinforcing the importance of clinical leadership as an organizational mechanism that strengthens patient safety performance. From a managerial perspective, the study emphasizes that improving patient safety outcomes requires not only enhancing nurses’ knowledge and motivation, but also systematically developing clinical leadership competencies. Hospital management is encouraged to invest in leadership development programs, supportive supervision, and non-punitive incident reporting systems to ensure sustainable implementation of Patient Safety Goals.

Occupational health is an important aspect in maintaining worker productivity and safety, particularly in sectors with a high risk of chemical exposure such as gas stations (SPBU). Gas station workers are potentially exposed to hazardous chemical compounds such as benzene, toluene, and xylene which may affect the hematopoietic system and lead to decreased hemoglobin (Hb) levels. The use of Personal Protective Equipment (PPE) is one of the preventive measures to minimize exposure to these hazardous substances. This study aimed to determine the relationship between the use of Personal Protective Equipment (PPE) and hemoglobin levels among female workers exposed to fuel at gas stations in Kendari City. This study employed a quantitative research design with a descriptive analytic approach using a cross-sectional method. The population in this study consisted of all female fuel filling operators working at gas stations in Kendari City, totaling 30 workers, who were all included as research samples. Data on PPE usage were obtained through observation and questionnaires, while hemoglobin levels were measured using a Hematology Analyzer with venous blood samples collected in EDTA tubes. Data analysis was conducted using univariate and bivariate statistical tests to determine the relationship between PPE usage and hemoglobin levels. The results showed that out of 30 respondents, 21 (70%) had normal hemoglobin levels and 9 (30%) had abnormal hemoglobin levels. A total of 20 respondents (66.7%) used PPE according to the required standards, while 10 respondents (33.3%) did not meet the PPE requirements. Statistical analysis showed a p-value of 0.104 (p > 0.05), indicating that there was no significant relationship between PPE usage and hemoglobin levels among female gas station workers in Kendari City. The study concludes that the use of PPE does not have a significant relationship with hemoglobin levels among female gas station workers in Kendari City. However, the consistent use of PPE is still recommended as a preventive measure to protect workers from exposure to hazardous chemicals in the workplace.

Sexual violence against children in Jambi City continues to show a fluctuating trend, with 32 cases in 2022, decreasing to 24 in 2023, and increasing again to 33 in 2024. This condition emphasizes the importance of strengthening cross-sector case handling between the UPTD PPA Jambi City and the Jambi Police in cases of sexual violence against children. This study aims to analyze the division of labor between the two institutions using the coordination theory according to Hasibuan (2006), which includes indicators of unity of action, communication, division of labor, and discipline. The method used is a qualitative approach through in-depth interviews, documentation, and data triangulation to ensure the validity of the findings. The results show that coordination between the UPTD PPA Jambi City and the Jambi Police has generally been running well, especially in the aspects of unity of action and discipline, as reflected in the alignment of goals and a fairly rapid response in handling cases. Communication between the two agencies has also been ongoing through formal and informal channels to expedite case response. The division of labor has been aligned with each agency's respective authority, with the UPTD PPA focusing on victim assistance and psychological support, while the police handle law enforcement. However, the lack of formal SOPs and MoUs poses a barrier to strengthening sustainable institutional integration. The implications of this research emphasize the need to strengthen formal mechanisms, regular evaluation forums, and formal cooperation agreements to enhance effective coordination and comprehensive protection for child victims.

Social conflicts experienced by indigenous peoples in Yahukimo Regency, Papua Pegunungan, reveal the vulnerability of civilians due to violence, displacement, and weak protection of basic rights in situations of prolonged conflict. These conditions indicate a gap between conflict management policies and the real needs of indigenous peoples for justice, peace, and social recovery. This study aims to analyze the role of the church in responding to social conflicts experienced by indigenous peoples in Yahukimo Regency. This study was conducted using qualitative methods through a descriptive-analytical approach based on literature studies and analysis of the socio-religious context of Papua. This study confirms that the church has a strategic role as an agent of peace and a prophetic voice in defending the dignity and rights of indigenous peoples amid social conflict. The results of the study show that the church's involvement in pastoral counseling, humanitarian advocacy, and peace awareness building contributes to strengthening the social resilience of indigenous peoples. The study concludes that the role of the church needs to be directed in a more contextual and sustainable manner in order to promote fair and dignified conflict resolution. The recommendations of this study emphasize the importance of strengthening the role of the church in peace dialogue and cross-stakeholder cooperation for the social recovery of indigenous peoples in Yahukimo.

Excessive smartphone use among adolescents, especially students, can develop into smartphone addiction and potentially disrupt learning concentration. At SMP Negeri 11 Jambi City, most students use smartphones for long periods for entertainment and social media until late at night, which leads to drowsiness and reduced focus during lessons. This study employed a quantitative method with a cross-sectional design. The population consisted of all seventh-grade students at SMP Negeri 11 Jambi City, totaling 352 students, with a sample of 175 respondents selected through stratified proportionate random sampling. Data were collected using the Smartphone Addiction Scale–Short Version (SAS-SV) questionnaire and a learning concentration questionnaire. Data analysis was conducted using univariate and bivariate methods with Kendall’s tau-b test. The results showed that 84% of respondents experienced smartphone addiction, while 61.7% had a good level of learning concentration. Kendall’s tau-b test indicated a significant relationship between smartphone addiction and learning concentration (p-value = 0.000; r = 0.243), showing a weak association. Higher levels of smartphone addiction were linked to decreased learning concentration. Therefore, active involvement from schools and parents is needed to guide adolescents in managing stress and boredom positively.

Exclusive breastfeeding (EBF) is essential for infant growth and immunity during the first six months of life. Despite its benefits, many primiparous mothers face challenges in maintaining EBF due to lack of experience, stress, and insufficient support. Husband support has been identified as a crucial social factor that can influence a mother’s confidence and success in breastfeeding. This study aimed to examine the relationship between husband support and the success of exclusive breastfeeding among primiparous mothers in the Kalibaru Public Health Center area. A cross-sectional correlational design was employed, with 90 primiparous mothers selected through purposive sampling. Data were collected using structured questionnaires measuring husband support, including emotional, informational, and instrumental dimensions, and exclusive breastfeeding practice, following the World Health Organization (WHO) definition. Descriptive statistics summarized participants’ demographic characteristics and levels of support, while inferential analysis using the Chi-square test and Pearson correlation determined the association between husband support and EBF success. The results indicated that higher levels of husband support were significantly associated with successful exclusive breastfeeding among primiparous mothers (p < 0.05). Among the types of support, emotional and informational support were particularly influential in enhancing maternal confidence and overcoming breastfeeding challenges. These findings suggest that encouraging husband involvement through prenatal education, counseling, and family-based interventions can improve EBF rates. In conclusion, husband support plays a vital role in the successful practice of exclusive breastfeeding among first-time mothers. Health programs should actively involve fathers to provide emotional, informational, and practical support, thereby promoting optimal breastfeeding outcomes and infant health in the community.

High-dimensional clinical data exhibit complex and non-linear relationships among patient attributes, where outcomes are often influenced by feature interactions rather than isolated variables. However, many existing machine learning models prioritize predictive performance while providing limited interpretability and insufficient insight into interaction structures. This study aims to address this limitation by developing an interpretable and robust framework for feature interaction mining in clinical data. We propose a hybrid tree–neural modeling framework that explicitly captures and ranks feature interactions while maintaining stable predictive performance. Tree-based ensemble models are employed to identify non-linear interaction patterns, while neural representations enhance learning flexibility and generalization. The framework integrates interaction importance analysis, cross-validation–based stability assessment, and evaluation across multiple data splits to ensure robustness and interpretability. Experiments conducted on a real-world high-dimensional clinical dataset demonstrate that the proposed approach achieves consistent predictive performance, with AUC values ranging from 0.628 to 0.641 across five cross-validation folds (mean AUC ≈ 0.633). Performance remains stable under varying train–test splits, indicating strong generalizability. Interaction analysis reveals that a small number of dominant feature interactions—such as age combined with length of hospital stay and medication count combined with diagnostic information—consistently contribute to model predictions, appearing in over 80% of validation folds. Ablation studies further confirm that removing interaction-aware components leads to noticeable performance degradation, highlighting their importance.  In conclusion, this study demonstrates that explicit feature interaction modeling enhances interpretability, stability, and generalization in clinical prediction tasks. The proposed hybrid framework provides a reliable foundation for developing trustworthy and transparent clinical decision-support systems

This study examines the application of Transparent Artificial Intelligence (AI) for fraud detection in public welfare programs using publicly available administrative data. Persistent challenges in welfare governance such as misallocation, fraud, and data inaccuracy necessitate analytical frameworks that are both effective and explainable. The research aims to design and evaluate an interpretable anomaly detection system capable of identifying irregularities in welfare distribution while maintaining transparency and accountability. Methodologically, the study employs two unsupervised models Isolation Forest and Local Outlier Factor (LOF) to detect anomalies in sub-district-level welfare data, incorporating features such as population size, number of beneficiaries, and coverage ratio. An Explainable AI (XAI) framework integrating surrogate Random Forests, Permutation Feature Importance (PFI), and local linear surrogates (LIME-like) is applied to ensure interpretability of both global and local model behaviors. Findings reveal that receivers per 1000 population and percentage coverage are dominant determinants of anomaly scores. Fifteen administrative units were flagged for potential inconsistencies suggesting over- or under-reporting of beneficiaries. Cross-validation between IF and LOF models confirmed consistency in identifying anomalous regions. The integrated XAI explanations enhance transparency, enabling policymakers and auditors to trace the rationale behind detected anomalies. In conclusion, the proposed Transparent AI framework demonstrates that combining anomaly detection with interpretability tools can strengthen accountability and fairness in welfare administration. It offers a reproducible, ethical, and data-driven approach to social program monitoring, reinforcing public trust and supporting responsible AI governance.

This study evaluated the feeding behavior and palatability of Etawa Crossbred (PE) dairy goats fed diets with partial substitution of Cnidoscolus aconitifolius forage. An in vivo field experiment was conducted using a Completely Randomized Design with four dietary treatments and three replications. The treatments consisted of: (T0) Leucaena leucocephala (lamtoro) as the basal forage; (T1) lamtoro supplemented with concentrate; (T2) lamtoro plus concentrate with 10% substitution of lamtoro dry matter by C. aconitifolius; and (T3) lamtoro plus concentrate with 20% substitution of lamtoro dry matter by C. aconitifolius. Parameters observed included feed intake (dry matter, organic matter, crude protein, and crude fiber), body weight change, and feeding behavior related to forage preference. The goats consistently consumed forage prior to concentrate and exhibited a higher preference for diets containing C. aconitifolius. Inclusion of C. aconitifolius reduced lamtoro intake; however, no significant differences were observed among treatments for dry matter, organic matter, crude protein, or crude fiber intake (P>0.05). Body weight change showed a positive tendency in goats receiving 10% and 20% C. aconitifolius substitution, while goats fed the control diet experienced slight weight loss, although these differences were not statistically significant (P>0.05). In conclusion, C. aconitifolius demonstrated good palatability and potential as an alternative forage for PE goats when used as a partial substitute for lamtoro. Nevertheless, its inclusion at the tested levels did not significantly affect nutrient intake or body weight change. Further studies are recommended to optimize inclusion levels and feeding strategies to enhance its practical application in small ruminant production systems.

The PESIAR Program (Petakan, Sisir, Advokasi, dan Registrasi Map, Screen, Advocate, and Register) is an operational instrument of BPJS Kesehatan designed to accelerate the achievement of Universal Health Coverage (UHC) by increasing National Health Insurance (JKN) membership at the local level. However, the effectiveness of this program’s implementation is strongly determined by the institutional capacity and configuration that support it. This article aims to reposition institutional determination not only as a factor influencing program effectiveness, but as a model of administrative governance in achieving UHC. The study uses a mixed methods approach with a sequential explanatory design. Quantitative data were obtained through a survey of PESIAR Agents in Semarang City, while qualitative data were collected through open-ended questionnaires and interviews. The results show a strong, positive relationship between institutional determination and the effectiveness of the PESIAR Program. Qualitative findings further clarify that issues of program effectiveness largely originate from institutional capacity, the quality of cross-sector coordination, and the role of PESIAR Agents as field implementers. This study concludes that institutional determination deserves to be positioned as an administrative governance model for the PESIAR Program in promoting the achievement of UHC at the local level.

The development of digital technology has increased the popularity of online games among adolescents. Excessive intensity of online gaming may have negative effects on health, particularly sleep quality and aggressive behavior. This study aimed to determine the relationship between the intensity of online gaming and sleep quality as well as aggressive behavior among tenth-grade students at SMAN 38 South Jakarta in 2025. This research is quantitative associative method with a correlational analytic design using a cross-sectional approach. The population in the study was 145 students, with a sample of 117 respondents selected using random sampling. Data analysis was conducted using the Chi-Square test. The results showed a significant relationship between the intensity of online gaming and sleep quality with a p-value of 0.001 (p < 0.05), as well as a significant relationship between the intensity of online gaming and aggressive behavior with a p-value of 0.001 (p < 0.05). Therefore, the null hypothesis (H0) was rejected and (Ha) was accepted. In conclusion, higher intensity of online gaming is associated with poorer sleep quality and increased aggressive behavior among adolescents. It is expected that adolescents can manage and limit their online gaming time wisely to reduce its negative impact on health and behavior.

Data from the National Commission on Violence Against Women (Komnas Perempuan) shows that between May 2022 and December 2023, there were 4,179 cases of sexual violence, including 2,776 cases of Electronic-Based Sexual Violence (KSBE) and 623 cases of rape. Adolescents' knowledge and attitudes play a crucial role in preventing sexual violence in schools. Objective: To determine the level of adolescents' knowledge and attitudes regarding sexual violence prevention at State Senior High School 1 Surakarta. Methods: A quantitative descriptive study with a cross-sectional approach involving 89 students in grades X and XI was conducted on January 20, 2026. Results: The results showed that most respondents had good knowledge (65 respondents, 73.0%), and 3 respondents (3.4%) had poor knowledge. The results also showed that most respondents had good attitudes (44 respondents, 49.4%) and 9 respondents (10.1%) had poor attitudes. Conclusion: Most Students had good  knowledge and attitudes regarding sexual violence prevention at SMA Negeri 1 Surakarta.