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Inguinal hernia is one of the most common abdominal wall disorders, accounting for approximately 75% of all hernia cases, with 50% classified as lateral inguinal hernias, and it occurs more frequently in older adults. We report a 57-year-old male patient who was admitted to the hospital with a complaint of a lower abdominal mass. The mass initially appeared in the right inguinal region one year prior and subsequently developed in the left inguinal region two months later. The swelling progressively increased in size. Intermittent pain, predominantly on the left side, had been present for the past month without associated nausea, vomiting, or fever. Physical examination revealed a moderately ill general condition, stable vital signs, and a soft, tender mass in both inguinal regions. Based on the clinical history, physical examination, and supporting investigations, the patient was diagnosed with bilateral irreducible lateral inguinal hernia. The patient received intravenous Ringer’s lactate and intravenous ketorolac, followed by an elective herniorrhaphy using Lichtenstein Tension-Free Repair Technique under spinal anesthesia. The operation was completed successfully without intraoperative complications.

The automotive sector continues to demonstrate significant progress in line with innovations in various supporting components of motor vehicles. Motorcycles, which initially served only as a practical means of transportation, have now evolved into a lifestyle element and a popular activity among many communities. Along with the increasing demand from consumers for performance and efficiency, the development of transmission technology, particularly the Continuously Variable Transmission (CVT) system, has become an important aspect that requires serious attention. One of the key components in the CVT system is the double clutch lining and the clutch housing, which play a vital role in transferring torque and power from the engine to the driving wheel. The performance of these components directly affects acceleration, efficiency, and engine durability. Therefore, research on the design and modification patterns of the double clutch lining and clutch housing is essential to determine an optimal configuration. This study applies an experimental method using a 110 cc motorcycle as the test object. Several modification patterns were applied to the double clutch lining and clutch housing to examine their influence on vehicle performance. The testing process was carried out using a dynotest, which enables precise measurement of torque and power across different engine speeds. The data obtained from these tests are expected to provide a clear overview of the effect of modification patterns on the transmission performance of motorcycles. The findings of this research are expected to contribute significantly to the development of more efficient and optimal designs for double clutch linings and clutch housings. Furthermore, this study may serve as a valuable reference for the automotive industry as well as motorcycle modification communities in enhancing vehicle performance while maintaining efficiency and component durability. In this regard, innovations in CVT components hold great potential to support the advancement of two-wheeled transportation technology in the future.

The progressive dynamics of the Indonesia Stock Exchange (IDX) encourage accurate and optimized financial statement audits. Every listed company is required to prepare financial statements in accordance with accounting standards and have them verified by independent auditors registered with the capital market authority. Auditing for publicly listed companies demands high responsibility, motivating firms to improve professional standards, including maintaining timeliness in audit reporting. One of the sectors under focus is the oil, gas, and coal subsector, where some companies experience delays in financial reporting, known as audit delay. Factors influencing these delays include firm size and solvency. This study aims to analyze the effect of firm size and solvency on audit delay in companies within the oil, gas, and coal subsector listed on the IDX from 2021 to 2024. The study sample consists of 13 companies meeting the research criteria during this period. Purposive sampling was employed, and data were analyzed using classical assumption tests and multiple linear regression with SPSS version 27. Results indicate that firm size has a significant negative effect on audit delay, while solvency does not have a significant partial effect. Simultaneously, firm size and solvency significantly influence audit delay, suggesting that both variables collectively affect the timeliness of financial statement submission.

The rapid development of information technology has created significant opportunities for secondary schools to improve the quality of learning through the use of digital-based applications. This study aims to design and develop a web-based tutoring application for students of Junior High School (SMP) Negeri 1 Tana Righu by applying Object Oriented Technology (OOT) as the software development approach. OOT was chosen for its ability to simplify the system design process through structured modeling using the concepts of classes, objects, attributes, and relationships between objects. The developed application provides various features, including the presentation of learning materials, interactive practice questions, learning outcome evaluations, and student progress reports accessible in real time by both teachers and students. The research method consisted of needs analysis, system design using UML diagrams, implementation, and application testing. The testing results indicate that the tutoring application is effective in improving the learning process, assisting teachers in monitoring and evaluating student progress, and providing students with a more engaging and interactive learning experience. Therefore, this application is expected to serve as an innovative solution to support tutoring activities in secondary schools and contribute positively to enhancing the quality of education in the digital era.

This study aims to develop an interactive mobile application-based learning media to introduce Devanagari Sanskrit script to Indonesian teenagers. The background of this research is the lack of communicative, contextual, and engaging learning media for the digital generation in learning traditional scripts. The development method uses the ADDIE model modified with a visual communication design approach and integration of local Balinese cultural values. The results show that this media successfully combines strong visual elements, interactive voice narratives, and Balinese cultural iconography in one mobile-friendly platform. Validation from design and cultural experts shows a very high level of feasibility, supported by positive responses from student users at the Dvipantara Samskrtam Foundation. This research makes a real contribution to the preservation of traditional scripts through a digital educational approach that is adaptive to the learning needs of today's teenagers. In addition, this research also opens opportunities for the development of similar learning media for other traditional scripts, thereby increasing awareness and understanding of Indonesia's rich culture among the younger generation. By integrating technology in learning, it is hoped that the preservation of Indonesian culture can go hand in hand with the progress of the times.

A sump is a water reservoir that functions to accommodate runoff water in the pit before the water is pumped. This study was conducted to determine the location plan and sump capacity based on the direction of mine progress and the actual estimation of runoff discharge that enters the pit at PT. Wahyu Murti Garuda Kencana, Central Kalimantan. There is a water problem that interferes with production activities because the actual sump dimensions are insufficient to accommodate the daily discharge of water that enters the sump. So that the impact on the mining front is flooded or there is waterlogging that disrupts mining activities. The progress of the mine is directed towards the north of the sump so that the distance and dimensions of the actual sump are ineffective and unable to accommodate the incoming water discharge in accordance with the direction of the mine progress due to the mining location in the pit which is easily submerged by water. The drainage condition at PT. Wahyu Murti Garuda Kencana uses the mine dewatering method which is a method of removing water that flows into the mining sump using a pump. Theoretically, by conducting direct research on the sump area of PT. Wahyu Murti Garuda Kencana, the actual sump dimensions are insufficient to accommodate the water discharge that enters the pit. The design carried out pays attention to the mining plan so that the sump design to be designed can be applied in the field in accordance with the mine design. The shape of the sump designed is a trapezoidal shape with dimensions of 80 m x 70 m cross-section, 74 m x 64 m bottom section, depth of 4 m and 55 degree tilt angle and a total sump volume capacity of 20,672 m3.

Drug abuse among adolescents in Jayapura City is a pressing issue with significant repercussions for health, society, and the future of younger generations. Due to Jayapura's strategic position as a border city with Papua New Guinea, it faces a heightened risk of cross-border drug trafficking, making it particularly vulnerable. This study explores the various factors contributing to the rise in drug abuse among adolescents, including individual, family, and peer group dynamics, socio-economic conditions, weak legal enforcement, and the influence of globalization. The findings suggest that a multifaceted approach is essential in addressing the problem. Repressive measures alone are insufficient, and should be complemented by preventive, rehabilitative, and educational strategies. Such approaches must emphasize child protection principles and ensure justice that is both substantive and forward-thinking. Progressive and responsive legal frameworks, aligned with the goals of criminal punishment, are necessary to effectively combat drug abuse in Jayapura. Moreover, these frameworks should prioritize adolescent recovery, recognizing that these individuals are the future of the nation.

The advancement of digital technology has created new opportunities for cybercrime, including revenge porn the non-consensual distribution of intimate content motivated by revenge. In Indonesia, such cases have surged significantly, predominantly affecting women of productive age, with multidimensional consequences including psychological trauma, social stigmatization, and job loss. This study analyzes the element 'without right' (tanpa hak) in Article 27 paragraph (1) of the Electronic Information and Transactions Law (UU ITE), which is both the core and the main source of legal uncertainty in prosecuting revenge porn cases. Through normative legal research using statute and case approaches, analyzing the Banten High Court Decision No. 96/Pid.Sus/2023/PT BTN, this research finds that the element 'without right' must be interpreted holistically by making a clear distinction between consent to create and consent to distribute. The appellate court decision demonstrates a progressive human rights-based approach, integrating the principle of reasonable expectation of privacy and victimological impacts. However, normative ambiguity continues to create disparities in rulings and disproportionate evidentiary burdens on victims. The research recommends legislative reform through amendment of the UU ITE or enactment of specific legislation on image-based sexual abuse to provide stronger legal certainty and substantive victim protection.

Public service innovation across various levels of government represents a positive sign of progress in Indonesia’s bureaucratic reform efforts. In practice, however, it is essential to ensure that such innovations genuinely enhance the public value of existing services so that they effectively address the needs of service recipients. Field evidence indicates that the implementation of public service innovations continues to face multiple challenges. The public value generated by an innovation may vary—or even fail—when viewed from the perspectives of different stakeholder groups. This study examines these dilemmas, an area that remains relatively underexplored. Employing a qualitative approach that includes in-depth interviews, observation, and a review of relevant literature, the research finds that failures in public value often arise from inherent dilemmas within public service innovation itself. Accordingly, government administrators are expected to develop a clear understanding of the values that should be embedded in the public service innovations they implement. Furthermore, attention must be paid to variations in social conditions and local cultures, as enhancing public value requires alignment between the values underpinning innovation and the cultural context of the community it serves. Finally, public sector organizations, as the primary agents of practical implementation, must provide legitimate mechanisms to reconcile value conflicts when they arise.  

Chronic kidney disease (CKD) is a progressive and irreversible decline in kidney function that, if left untreated, can lead to serious complications. Ultrasonography (USG) is a widely used imaging modality for detecting CKD, yet its interpretation remains highly dependent on the radiologist’s expertise. This study aims to develop a CKD detection system using a convolutional neural network (CNN) on kidney ultrasound images based on estimated glomerular filtration rate (eGFR), and to evaluate the system’s performance. This research employed a research and development (R&D) approach with an experimental design. The dataset consisted of kidney ultrasound images from CKD and non-CKD patients with corresponding eGFR values. The methodology included image preprocessing, CNN model training, and accuracy evaluation using classification metrics. The results demonstrated that the developed CNN model achieved a total accuracy of 97% on internal test data and 95.8% on external validation. The model’s sensitivity reached 100% for the normal category, 91.67% for CKD stage 4, and 90% for CKD stage 5. Specificity exceeded 96% across all categories, with high precision and F1-scores above 94% for all classes. This system has proven to be effective as a diagnostic support tool for automatically detecting CKD through kidney ultrasound imaging. Its advantages lie not only in accurately classifying CKD from USG images but also in correlating the classification results with patients' eGFR values. This provides more precise clinical information and supports appropriate CKD staging and management planning.

Artificial Intelligence (AI) has increasingly shaped the digital transformation of higher education, particularly through its integration with Learning Management Systems (LMS). Features such as intelligent tutoring, predictive analytics, plagiarism detection, and automated grading are reshaping teaching and learning. However, questions remain regarding the readiness of higher education institutions and the acceptance among lecturers and students. This paper presents a Systematic Literature Review (SLR) of studies published between 2020 and 2025, focusing on readiness and acceptance of AI in LMS. Guided by the PRISMA framework, 220 records were identified, 85 screened, 40 assessed for eligibility, and 20 included in the final analysis. Findings highlight that readiness is largely influenced by infrastructure, digital literacy, and institutional policy, while acceptance is shaped by perceived usefulness, ease of use, trust, and behavioural intention. Although challenges such as ethics, cost, and privacy concerns persist, opportunities exist in the form of personalized learning and intelligent decision-making. The review concludes that while AI adoption in LMS is progressing globally, developing contexts such as Malaysian polytechnics require further research and targeted interventions to enhance both readiness and acceptance.

Development to become a tourist village requires cooperation and participation of the entire village community to advance the village. Local communities play an important role in the development of tourist villages because the resources and unique traditions, culture inherent in the community are the main driving elements of tourist village activities.tareget activities of tourism awareness groups, village government and the people of Maitara Tengah village. PKM methods; lectures, practices and participant mentoring. Output; journal, video making and online media publication. The results of PKM activities were carried out on Saturday, with 37 participants, Tourism is developed for the progress of the village, Maitra Tenga village has the potential for marine tourism to be developed, besides that, tourism will also develop the income of the Maitara Tengah village community.

This study explores the psychological analysis of the main character in John Wick (2014), emphasizing the emotional and motivational factors that drive his actions. By applying Bernhardt's psychological aspects and Kenney's conflict theory, the research investigates the protagonist's internal struggles alongside his external challenges. Key issues examined include grief, trauma, and the pursuit of justice, highlighting how these elements shape character development and influence the narrative's progression. Utilizing a qualitative descriptive method and thorough film analysis, the study reveals that John Wick's journey transcends mere revenge; it represents a complex psychological quest for closure, identity, and moral reconciliation. The findings emphasize the significance of emotions, ethical dilemmas, and personal values in character-driven narratives, illustrating how internal conflicts affect external actions. This research adds to broader discussions on the psychological depth of cinematic characters and underscores the universal themes of loss and resilience. Future studies could investigate similar analyses across different genres to deepen our understanding of character psychology and audience engagement.

Equal access to education is a crucial issue in Islamic educational institutions in Indonesia. Ensuring that all students, without exception, have equal access to quality education is vital for the advancement of education in the country. In this context, Management Information Systems (MIS) play a crucial role in enhancing the efficiency, effectiveness, and transparency of educational services. The implementation of MIS can streamline administrative processes, improve decision-making, and facilitate more equitable access to educational resources. This research employs a literature study approach, relying on books and journal articles as primary sources. The findings indicate that the application of MIS provides significant benefits in terms of planning, management, and evaluation. By providing real-time data, MIS enables educational institutions to make better decisions, monitor student progress, and allocate resources more effectively. Additionally, MIS enhances the transparency of educational services, ensuring that all stakeholders—students, parents, and educators—have access to important information related to educational processes and outcomes. However, challenges in the implementation of MIS remain, such as technical barriers related to inadequate infrastructure and limited access to technology, as well as human resource issues like insufficient training. To address these challenges, the research recommends providing comprehensive training programs for educators and administrators, investing in technological infrastructure, and promoting data integration across educational institutions. Overall, while MIS offers many advantages in promoting equal educational access, addressing technical and human resource challenges is crucial to fully realizing its potential in Islamic educational institutions in Indonesia.

This research is motivated by the fact that effective sentences in historical articles can be a path to progressive learning. The article “Sejarah Dunia” (World History), October 2024 edition on sejarahkita.com, was chosen as the object of research because of its relevance as a medium that can provide historical information in a clear and interesting way. Therefore, this study aims to analyze the effectiveness of sentences in articles that are directed at history education, which not only focus on facts but also on the development of critical thinking skills. The method used is descriptive qualitative with listening and recording techniques. The author analyzes the sentence structure, word choice, coherence between sentences, and the chronological flow of the article using distributional and matching methods. The collected data will be tabulated to identify syntactic errors, accuracy of diction, and spelling. The findings show that the article contains a number of shortcomings in sentence structure, where the message conveyed is less clear. However, in some ways, the article also succeeds in conveying an informative and relevant history. This study will provide benefits and insights into effective sentences in historical articles to provide a basis for readers to understand various suggestions and models for progressive learning oriented towards critical thinking. In addition, this study also provides added value by preserving historical values through an easy and interesting presentation.

Illocutionary speech are one of the key concepts in pragmatics, referring to actions performed by the speaker through utterances with specific intentions and functions. Illocutionary acts are a central aspect of speech act theory and are categorized into five types, namely expressive, declarative, representative, directive, and commissive acts. This study examines illocutionary acts in the film Sekawan Limo by Bayu Skak. The aim of this research is to analyze how illocutionary acts create additional meaning in communication between characters, as well as to understand how these acts influence the development of the storyline and character progression within the film. The data collection techniques used in this research include a descriptive qualitative approach, along with matching methods, observation and note-taking, as well as formal and informal methods.Based on the findings, we identified inaccuracies or misuses in illocutionary acts, including expressive, declarative, representative, directive, and commissive types. The benefit of this research lies in the development of scientific knowledge and understanding regarding illocutionary acts. For the general public, this study can provide insight into the various types of illocutionary acts. Through this research, we hope to deepen the understanding of illocutionary acts and provide useful information that can serve as a valuable reference for future researchers conducting similar studies. 

This research is motivated by the fact that effective sentences in historical articles can be a path to progressive learning. The article “Sejarah Dunia” (World History), October 2024 edition on sejarahkita.com, was chosen as the object of research because of its relevance as a medium that can provide historical information in a clear and interesting way. Therefore, this study aims to analyze the effectiveness of sentences in articles that are directed at history education, which not only focus on facts but also on the development of critical thinking skills. The method used is descriptive qualitative with listening and recording techniques. The author analyzes the sentence structure, word choice, coherence between sentences, and the chronological flow of the article using distributional and matching methods. The collected data will be tabulated to identify syntactic errors, accuracy of diction, and spelling. The findings show that the article contains a number of shortcomings in sentence structure, where the message conveyed is less clear. However, in some ways, the article also succeeds in conveying an informative and relevant history. This study will provide benefits and insights into effective sentences in historical articles to provide a basis for readers to understand various suggestions and models for progressive learning oriented towards critical thinking. In addition, this study also provides added value by preserving historical values through an easy and interesting presentation.

Hypertension is an increase in systolic blood pressure of more than 140 mmHg or diastolic blood pressure of more than 90 mmHg. Hypertension is not only at high risk of suffering from heart disease, but also suffering from other diseases such as nerve, kidney, and blood vessel diseases and the higher the blood pressure the greater the risk, Signs and symptoms of hypertension that are often felt are dizziness, sleep disturbances, blurred vision, and headaches. One of the non-pharmacological treatments that can be done for hypertension sufferers is progressive muscle relaxation. The purpose of this paper is to discuss progressive muscle relaxation therapy for lowering blood pressure in hypertensive patients. The writing method uses a descriptive design with a nursing process approach. The results of the writing show that there is a decrease in blood pressure after progressive muscle relaxation therapy is carried out for 5 days, the results obtained before 150/80 mmHg and after 120/80 mmHg.

The elderly is among the most vulnerable groups in society due to progressive biological decline that weakens physical resistance, making them prone to chronic diseases such as hypertension. Hypertension is one of the most common multifactorial disorders in older adults, and its severity may be influenced by anxiety, which stimulates the sympathetic nervous system and increases blood pressure. This study aimed to examine the relationship between anxiety levels and hypertension among the elderly in the working area of Andalas Health Center, Padang City. An analytic study with a cross-sectional design was conducted involving 81 elderly participants diagnosed with hypertension, selected through accidental sampling based on inclusion and exclusion criteria. The Geriatric Anxiety Scale (GAS) was employed as the research instrument, while data analysis used the Chi-square test. Results showed that the majority of respondents experienced mild anxiety (67 respondents, 82.7%) and uncontrolled hypertension (54 respondents, 66.6%). Statistical analysis revealed a p-value of 0.534, indicating no significant association between anxiety levels and hypertension in the elderly population studied. These findings are consistent with several previous studies reporting that the relationship between anxiety and blood pressure in the elderly is often inconsistent, largely due to other risk factors including age, gender, low physical activity, comorbidities, and poor adherence to antihypertensive treatment. The implication of this study highlights the necessity of a holistic approach to hypertension management in the elderly, addressing not only psychological aspects but also lifestyle modification, treatment adherence education, and strengthening public health programs. Therefore, this research is expected to serve as input for health workers at community health centers to improve strategies for preventing and controlling hypertension in elderly populations.

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.   Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.