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This study aims to describe and analyze the planning of mathematics learning based on a love-centered curriculum at Athalla Health Vocational School. The curriculum was developed in response to the low motivation and academic achievement of nursing and midwifery students, who often perceive mathematics as irrelevant to their future professions. The love-based curriculum emphasizes the integration of compassion, empathy, and care values into the teaching process to create a more supportive, enjoyable, and meaningful learning environment. This study employs a qualitative method with a case study approach, collecting data through in-depth interviews with teachers and students, classroom observations, and analysis of lesson planning documents. Through the implementation of a love-centered curriculum, it is expected that students’ motivation, conceptual understanding, and learning outcomes will improve. Furthermore, this research aims to demonstrate how mathematics learning integrated with humanitarian values can foster positive character traits such as empathy, responsibility, and collaboration, which are essential qualities for future health professionals.

High-risk pregnancy is a pregnancy with a number of risk factors that can cause more serious risks or complications and disrupt the pregnancy process until the postpartum period which endangers the life of the mother and fetus, and occurs due to several factors including pregnancies that are too close together, pregnancies with a mother's age that is too young or old, or pregnancies with too frequent births. Too close pregnancy spacing is a pregnancy gap of <24 months (2 years) between the current pregnancy and the previous pregnancy. Based on the midwifery management method described by VARNEY and SOAP, this study aims to offer complete midwifery care services to Mrs. T, from pregnancy to the use of contraceptives, through a qualitative descriptive method with a case study approach. Research findings from the comprehensive midwifery care assessment that has been provided to Mrs. T aged 31 years, in pregnancy found problems spacing of less than 2 years. Mrs. T gave birth spontaneously at Siti Asiyah Bumiayu Hospital with severe preeclampsia. At By. Mrs. T visits I, II, III no problems were found. Mrs. T's postpartum. From 6 hours postpartum to 42 days postpartum, problems were found at the second visit, including hypertension and lower extremity oedema. Proper care from midwives during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby.

This study aims to provide an overview of comprehensive midwifery care in reducing maternal morbidity and mortality at the Paguyangan Health Center, Brebes Regency. According to WHO data in 2023, the maternal mortality rate was recorded at 4,129 per 100,000 live births, with the same rate in Indonesia and 335 per 100,000 in Central Java. In Brebes Regency, there were 54 cases of maternal death caused by various factors. This study used a case study method with a descriptive approach to analyze midwifery care during pregnancy, childbirth, postpartum, newborn care, and family planning programs. The results show that Mrs. Ny. N, aged 35 and with a history of multiparity, had a pregnancy with high-risk factors. Despite this, her delivery proceeded naturally with a spontaneous birth of a female baby, who cried loudly, weighing 3110 grams, and measuring 50 cm in length. During the postpartum period, no complications were found, uterine reflexes were normal, and lochia was physiologically appropriate. The baby was healthy and received hepatitis B immunization and vitamin K1. In the family planning program, the mother chose to use a 3-month injection contraception. The conclusion of this study is that despite the high-risk factors faced by the mother, comprehensive midwifery care can help minimize risks and improve the quality of care during pregnancy and childbirth.

The long-term care required by schizophrenia patients places a heavy burden on caregivers who are responsible for meeting the patients' needs. Performing these caregiving tasks often causes physical and emotional stress on caregivers, especially due to the long-term nature of the care. In situations like this, coping strategies play a crucial role in supporting the well-being of caregivers so that they are able to face the challenges that arise during the process of caring for schizophrenic patients. This study focuses on examining the correlation between coping strategies and the quality of life of caregivers who provide care for schizophrenic patients at the Aceh Mental Hospital Polyclinic. The research design applied was analytical with a cross-sectional approach. A total of 115 caregivers were sampled through accidental sampling from a total population of 4,035 families. Research data were collected using two measuring instruments, namely the Brief COPE questionnaire and The Schizophrenia Caregiver Quality of Life Questionnaire (SCGQoL). The research process took place at the Aceh Mental Hospital Polyclinic from March 6 to 24, 2025. Data analysis used univariate and bivariate methods. Based on the research results, it was found that 108 caregivers (93.9%) were in the low coping strategy category, while 80 caregivers (69.6%) had a moderate quality of life. Statistical testing with Chi-Square produced a p-value of 0.001, which indicates a significant relationship between coping strategies and the quality of life of caregivers. Therefore, it is hoped that health care institutions can improve mental health nursing interventions for patients' families, particularly through educational programs on managing schizophrenia patients at home and assistance in identifying adaptive coping resources for patients' families.

Background: Colostrum is the first natural food for newborns, containing essential nutrients and antibodies that protect against infection. Health education for pregnant women in their third trimester is crucial to enhance their knowledge and practices regarding colostrum provision. Despite the global decline in neonatal mortality, the rate remains high, partly due to limited access and low quality of neonatal care. In Indonesia, particularly in Semarang, although exclusive breastfeeding coverage has improved, many mothers still lack understanding of colostrum’s importance and remain influenced by misconceptions. Preliminary studies revealed insufficient knowledge among pregnant women about colostrum. Method: This study applied a quasi-experimental method with a pretest-posttest design and a control group. The intervention group received health education, while the control group did not. Results: Before intervention, most respondents in both groups had poor knowledge. After the intervention, knowledge in the intervention group increased significantly, with 88.8% reaching a good category, while the control group showed no significant change. Furthermore, 94.4% of mothers in the intervention group gave colostrum, compared with only 33.3% in the control group. Conclusion: Health education is an effective strategy to increase maternal knowledge and encourage colostrum practice, dispelling myths and promoting better neonatal outcomes.

This study thoroughly explores the role of Christian women’s fellowship as a locus of spiritual recovery for survivors of Post-Traumatic Stress Disorder (PTSD). The research was conducted through a library study of scholarly literature published in the past decade on faith-based community support, religious coping, and trauma-informed ministry. Thematic analysis indicates that women’s fellowship can provide a safe and inclusive recovery environment, facilitate faith reconstruction through positive religious coping and trauma-sensitive practices, and bridge spiritual care with professional mental health services. The novelty of this research lies in integrating recent findings from the psychology of religion with pastoral theology principles to develop a theoretical-practical framework adaptable to church contexts. The practical implications include implementing trauma-informed ministry standards, designing adaptive spiritual curricula, training facilitators, and conducting continuous evaluations. Therefore, Christian women’s fellowship has the potential to strengthen the church’s capacity as a holistic, safe, and resilient recovery community for PTSD survivors.

Sustainable tourism aims to maximize the potential of travel destinations while maintaining a careful balance between social, economic, and environmental factors, and coastal tourism such as that found at Mutun Beach in Lampung illustrates both the promise and the urgency of this approach. Coastal tourism is one of the fastest-growing segments of the global travel industry, offering visitors natural beauty, recreational activities, and cultural experiences that generate significant income for local economies. In Indonesia, beaches are major attractions that can boost regional development through job creation, small business opportunities, and improved infrastructure. Mutun Beach, a well-known coastal destination on the southern coast of Sumatra, contributes greatly to the Regional Original Income (PAD) of Lampung Province and provides livelihoods for surrounding communities. Yet despite its popularity, the area continues to face persistent problems such as weak administrative management, limited community participation, inadequate facilities, and signs of environmental degradation, all of which threaten its long-term sustainability. This service project therefore focuses on designing a comprehensive plan for sustainable tourism growth at Mutun Beach for the 2025–2030 period. A participatory strategy is employed through Focus Group Discussions (FGD) involving local government, tourism stakeholders, community members, academics, and potential investors to ensure inclusive decision-making. The resulting five-stage roadmap emphasizes strengthening tourism regulations, constructing eco-friendly infrastructure, empowering residents with training and entrepreneurial opportunities, creating tourism products that highlight environmental and cultural values, and adopting digital marketing to reach broader audiences. Success indicators include increased regional revenue, rising visitor numbers, higher tourist satisfaction, and measurable improvements in coastal environmental health. Implementing this roadmap is urgent because coastal tourism directly supports economic growth, provides steady employment, and safeguards natural resources, ensuring that Mutun Beach remains both competitive and environmentally resilient for generations to come.

Several things contribute to the rise in Indonesia's Maternal Mortality Rate (AKI), one of which is how moms behave and think while they are pregnant. If pregnant women don't follow the recommended schedule for antenatal care (ANC) exams, a number of pregnancy issues may go unnoticed at an early stage, which may have an impact on the pregnancy process, childbirth, the postpartum period, and the health of the child being born. As a result, midwife visits play a key role in improving pregnant women's adherence to ANC tests via education, mentorship, and close supervision. The goal of this study is to assess the impact of midwife appointments on pregnant women's adherence to ANC exams at the Rumbalibunga Tidore Health Center UPT. With a cross-sectional research design, this study employs a quantitative methodology. This research focuses on 66 pregnant women who are enrolled in the Rumbalibungan Health Center UPT's working area in Tidore. Total sampling, which utilizes the entire population as a research sample, is the method employed. The chi-square test was used in bivariate analysis to investigate the impact of midwife visits on antenatal care (ANC) examination compliance, while univariate analysis was performed to describe the frequency and percentage distribution of each variable. The majority of participants, or 51.5%, had not followed the recommended antenatal care (ANC) exams, according to the data. After a midwife's visit to the home, which served as an intervention, there was an increase in the compliance of pregnant women in having ANC tests. The chi-square test yielded a p-value of 0.021 (p < 0.05) in the statistical analysis, indicating that the midwife's home visit has a substantial impact on adherence to the ANC examination. According to the study's findings, the UPT Puskesmas may enhance its coaching operations to the community by providing frequent home visits and health education, particularly to expectant mothers and women of reproductive age. The instruction covers pregnancy preparation, the value of antenatal care (ANC) exams, the optimum time to begin pregnancy exams, and the timeline for follow-up exams. Consequently, it is hoped that pregnant women will adhere to the service standards established for pregnancy tests, which call for at least four tests throughout the course of the pregnancy.

Electronic Medical Records (EMR) are a crucial component of hospital information systems that support the effectiveness, accuracy, and continuity of patient care. However, their implementation among nurses at Hospital X remains suboptimal due to barriers related to organizational culture, leadership, and individual motivation. This study aims to analyze the effect of organizational culture (X1) and transformational leadership (X2) on the implementation of EMR (Y) through work motivation (Z) as an intervening variable. The research applied an explanatory-causal design with a quantitative approach, using a cross-sectional survey method. Data were collected through questionnaires distributed to nurses and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The findings reveal that organizational culture and transformational leadership significantly influence EMR implementation both directly and indirectly through work motivation, with p-values less than 0.05. These results indicate that strong organizational values, collaborative culture, and transformational leadership that fosters motivation and innovation can improve nurses’ willingness and effectiveness in utilizing EMR. The study concludes that enhancing organizational and leadership factors, along with maintaining high work motivation, is essential to ensure successful EMR adoption and optimize healthcare service quality in hospitals.

This study was motivated by the high number of stunted children found in stunting locations, namely in Kelurahan Kahean and Sigulang-gulang, Kecamatan Siantar Utara, Kota Pematangsiantar. This study also found indications of inadequate parenting patterns in terms of nutrition and child health care. This condition is a serious concern because stunting not only affects children's physical growth but also influences their cognitive development and future quality of life. To understand this phenomenon in depth, this study used a qualitative method with a descriptive approach. Data were collected through in-depth interviews, observations, literature studies, and documentation, involving six main informants. The results of the study revealed that 4 of the 6 parents with stunted children practiced inadequate parenting, particularly neglectful parenting, which was the most dominant parenting style. This neglectful parenting style was characterized by a lack of adequate supervision and attention to providing nutritious food and health care for children. Parents who apply this parenting style tend to consistently ignore their children's nutritional and health needs, thereby increasing the risk of stunting. In addition, some parents also apply a permissive parenting style, which is characterized by allowing children to freely choose food without clear boundaries or rules. As a result, children often consume unhealthy foods and have irregular eating schedules. In addition to parenting factors, limited socioeconomic conditions also exacerbate the risk of stunting. Parents' low level of knowledge about balanced nutrition and child health care further increases the likelihood of children experiencing stunting. This shows that economic and educational factors are major obstacles in efforts to prevent stunting in the Kecamatan Siantar Utara.

Teeth and mouth are the first part of the digestive system, where germs and bacteria can enter and cause health problems. Teeth are also part of the body. Tooth decay can affect the health of other body parts, which can disrupt daily activities. Brushing your teeth plays a very important role in preventing the development of bacteria that can cause tooth decay. Therefore, effective educational efforts are needed to care for teeth by brushing your teeth at least twice a day at the right time, in the morning after breakfast and at night before bed. The behavior of eating sticky and sweet foods can affect the occurrence of tooth decay. One method that is considered effective is education that can increase knowledge about how to brush your teeth properly. The purpose of this study was to analyze the effect of providing education on how to brush your teeth properly and correctly to increase the knowledge of elementary school children. This study used a quasi-experimental research method (Quasi Experimental Design), a pre-experimental design with a pre-post design Single group that is quantitative. The population in this study was 55 people. The research sample was 35 people using the Slovin formula with a margin of error (0.1). with a significance level of p <0.05.

The family plays a central role in shaping children’s growth and well-being, particularly in marginalized communities where access to education and healthcare is limited. This study aims to describe the forms of family support in improving the well-being of children at Sanggar Anak Sungai Deli, a non-formal educational institution located along the banks of the Deli River in Medan City. Using a qualitative descriptive approach, the research involved observations, in-depth interviews, and documentation. The informants included families of children, sanggar administrators, and children actively participating in the program. The findings reveal that family support is manifested in six main indicators: (1) positive emotional relationships, (2) provision of safety and comfort, (3) instilling positive values, (4) support for education and talent development, (5) protection from negative influences, and (6) partial fulfillment of basic needs. These supports contribute significantly to children’s emotional, social, and intellectual well-being, although the physical aspect remains less fulfilled due to economic constraints. Despite limited financial resources, families demonstrate care and commitment to supporting their children’s development. Sanggar Anak Sungai Deli serves as an essential partner by providing a safe and supportive learning environment. This study concludes that family involvement, combined with community-based interventions such as SASUDE, is crucial in ensuring holistic child well-being. The implications highlight the importance of strengthening collaboration between families, community organizations, and government to address gaps in child welfare programs in marginalized areas.  

Cardiac arrest is a medical emergency that results in the sudden cessation of heart function, leading to more than 7 million deaths worldwide annually. In Indonesia, its prevalence is not well-documented. Ischemic heart disease is the primary cause, with other risk factors like hypertension, diabetes, obesity, and smoking also contributing. Clinical signs include loss of responsiveness, impaired breathing, and the absence of a pulse. Diagnosis is based on history, physical examination, electrocardiography, laboratory tests, and imaging to determine the underlying cause. Treatment follows the 2020 American Heart Association (AHA) guidelines, starting with basic life support (BLS), followed by Advanced Cardiac Life Support (ACLS). ACLS includes high-quality cardiopulmonary resuscitation (CPR), early defibrillation for shockable rhythms, epinephrine administration, and airway management through intubation. Once Return of Spontaneous Circulation (ROSC) is achieved, post-cardiac arrest care is crucial, including hemodynamic stabilization, Targeted Temperature Management (TTM), and critical care to prevent recurrence and neurological damage. A clear understanding of cardiac arrest's diagnosis, risk factors, and management is vital for reducing mortality. Adherence to AHA guidelines, especially rapid resuscitation, improves survival rates, making continuous CPR education essential for healthcare providers and the public.

Procedures for Issuing Port Health Quarantine Clearance (PHQC) and Ship Health Book for the MT. Venus Ship at Kuala Tanjung Port by PT. Seroja Jaya Agensi. Every ship entering the port must be in good health, free from disease outbreaks and pests. Issuance of ship health documents is the responsibility of the Health Quarantine Agency (BKK). PT. Seroja Jaya Agensi, as the agency company, acts on behalf of the ship owner in processing ship health documents at Kuala Tanjung Port. This study aims to determine the procedures for issuing Port Health Quarantine Clearance (PHQC) and Ship Health Book for the MT. Venus Ship. The procedure begins with the ship agent submitting an application to the BKK, followed by a sanitation inspection by health officers, issuance of a Certificate of Free Practice (CoP), and recording or issuing the ship health book. These documents are the primary requirements for the ship's clearance process. The research methods used were field research and library research. The results showed that the document issuance procedure involved close coordination between the ship's agent and relevant agencies, and required careful attention to the completeness and validity of the ship's documents.

Cancer is a chronic disease that not only affects physical conditions but also imposes a significant psychological burden on both cancer patients and cancer survivors. Various mental health problems, such as anxiety, depression, stress, and psychological distress, are frequently experienced throughout the processes of diagnosis, treatment, and the survivorship phase. One psychological intervention that has developed and been widely studied is expressive writing, which allows individuals to freely express their thoughts and emotions through writing. This study aims to examine the effectiveness of expressive writing interventions on the mental health of cancer patients and cancer survivors using a literature review method. The article search process was conducted in international databases (ScienceDirect, PubMed, and SpringerLink) and a national database (Garuda), covering publications from 2020 to 2025. Article selection was carried out using PRISMA guidelines, and methodological quality assessment was conducted using the Critical Appraisal tools from the Joanna Briggs Institute (JBI). Based on the selection results, nine articles met the eligibility criteria for analysis. The review findings indicate that most studies report positive effects of expressive writing in reducing anxiety, depression, stress, and psychological distress, as well as improving quality of life, positive affect, self-efficacy, and posttraumatic growth. However, the effectiveness of this intervention varies depending on individual characteristics, clinical context, writing structure and focus, intervention duration, and cultural appropriateness. Therefore, expressive writing has the potential to serve as an effective, flexible, and low-cost supportive intervention in cancer care, particularly when it is designed contextually and adaptively in accordance with patients’ psychological needs.

(MMR) refers to the number of deaths of women that occur during the pregnancy period or within 42 days after delivery. According to WHO in (2022) MMR is an indicator that states the number of maternal deaths for 303,000 per 100.000 live births, According to the Brebes health office (2022) MMR 177.94/ 100.000 live birth, IMR 197 cases. According to data obtained from the Sirampog Health Center daring 2022, the maternal mortality rate was recorded at one case, and eleven infant dealths. The study aims to provide comprehensive midwifery care to patients with a history of cesarean section, using a qualitative descriptive case study approach. Based on integrate midwifery care carried out on patients who had a history of cesarean section, the results were obtained, namely Mrs. Saya’s pregnancy with an indication of CPD as well as high blood pressure and ureine protein approaching positive one. Delivery was carried out by secarean section as an effort to prevent complications in the mother anda baby. During the neonatal care period up to 28 days of age, no abdormalities or problems were found. During the postpartum period up to 42 days, on problem or complications were found. Mrs. I  chose to use an IUD as a contraceptive.

This report presents a comprehensive overview of the crucial role of Proportional-Integral-Derivative (PID) control systems in maintaining an optimal environment for premature neonates in modern infant incubators. The main focus is directed on the effectiveness of the PID system in regulating vital physiological parameters such as temperature, humidity, and stability of the baby's body temperature, which greatly determine the survival and development of the neonate. The PID control system is proven to be able to provide a fast and accurate response to changes in environmental conditions, thus maintaining parameter stability in real-time. The integration of PID technology with modern incubator devices enables precise automatic setup, supports energy efficiency, and improves patient safety and comfort. The report also discusses various PID tuning methods, such as Ziegler-Nichols and adaptive methods, which are used to improve the performance of the system in the face of environmental dynamics and individual characteristics of infants. Implementation challenges identified include system complexity, need for periodic calibration, and limited technical resources in healthcare facilities. However, continuous innovations in control design and algorithms have driven the evolution of incubator devices to be more intelligent and responsive. Thus, the PID control system plays a central role in supporting neonatal life-support technologies, while representing significant advances in biomedical engineering and intensive care of premature infants.

Lymphadenopathy is a condition characterized by the enlargement of lymph nodes, commonly encountered in clinical practice, and may indicate both infectious and non-infectious disorders. This condition often causes anxiety as it is frequently associated with chronic diseases or malignancies. This study aims to describe nursing care in patients with lymphadenopathy through a case study approach and theoretical review. The method used was a descriptive case study with data collected through interviews, physical examinations, observations, and documentation. The results revealed the main complaint of pain in the anterior neck following surgical intervention. The identified nursing diagnoses included acute pain, knowledge deficit, and risk of infection. Interventions were carried out in the form of infection prevention, pain management, and health education. Evaluation showed significant improvements. The study concludes that comprehensive nursing care for patients with lymphadenopathy is effective in reducing symptoms, alleviating anxiety, increasing patient knowledge, and positively impacting quality of life.

Urinary incontinence is a common medical condition among older women, characterized by the involuntary leakage of urine due to impaired bladder control. This condition not only affects physical health but also has significant psychosocial impacts, including reduced self-confidence and quality of life. Non-pharmacological interventions, particularly pelvic floor muscle exercises, have been recognized as effective strategies to strengthen the bladder sphincter and pelvic floor muscles, thereby enhancing urinary retention. The present study aimed to evaluate the effectiveness of pelvic floor muscle exercises in reducing the frequency of urinary incontinence among elderly women. An experimental design with a one-group pretest–posttest approach was employed. The study population consisted of 64 elderly women receiving care at the Gunung Pati Public Health Center in Semarang, from which 45 participants were selected through purposive sampling based on inclusion criteria. Data were collected using structured questionnaires and clinical observation to assess the frequency of urinary incontinence episodes before and after the intervention. Statistical analysis was performed using the Wilcoxon signed-rank test, and the results indicated a significant reduction in urinary incontinence episodes following the exercise program, with a p-value of <0.001. These findings suggest that pelvic floor muscle exercises are a simple, cost-effective, and non-invasive intervention to manage urinary incontinence in elderly women. Implementing such exercises in community health programs can play a vital role in promoting the well-being and independence of older women. The study recommends incorporating pelvic floor muscle training into routine elderly care services and encourages further research with larger samples and longer follow-up periods to confirm the long-term benefits.

Positive social interaction among nursing students can be disrupted by Toxic Friendship and Body Shaming, which affect empathy, communication, and the quality of nursing care in the future. This study aims to analyze the correlation between Body Shaming and Toxic Friendship with social interaction among Nursing Students at Universitas Indonesia Maju in 2025. The research method used was quantitative with a descriptive correlational design and a cross-sectional approach. A cluster sampling technique was applied, involving 82 respondents. Data were collected using social interaction, Body Shaming, and Toxic Friendship questionnaires measured with a 5-point Likert scale. Data analysis was performed using Pearson correlation. The results showed that: (1) the majority of respondents had a moderate level of Body Shaming, with 60 students or 73.2%; (2) the majority of respondents had a high level of Toxic Friendship, with 52 students or 63.4%; (3) there was a significant relationship between Body Shaming and social interaction among Nursing Students at Universitas Indonesia Maju with a p-value of 0.00 < 0.05; and (4) there was a significant relationship between Toxic Friendship and social interaction among Nursing Students at Universitas Indonesia Maju with a p-value of 0.00 < 0.05. The conclusion is that there is a relationship between Body Shaming and Toxic Friendship with social interaction. The study suggests socializing the impacts of Body Shaming and Toxic Friendship.