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This study aims to describe the form of women's empowerment in the development of Micro, Small, and Medium Enterprises (MSMEs) through a case study of the local product business "Mie Des" in Klisat Hamlet, Srihardono Village, Pundong District, Bantul Regency. The method used is descriptive qualitative research with a case study approach, where data is collected through observation, interviews, and documentation of business actors and community leaders. Data analysis uses the Miles and Huberman model which includes data reduction, data presentation, and conclusion drawing. The results show that women's empowerment in the "Mie Des" business includes five main indicators, namely Opportunities, Support, Strengthening, Protection, and Supervision. Women have an important role in the production, management, and marketing of "Mie Des" products, and demonstrate increasing economic independence. Support from family and community is a significant supporting factor, although access to assistance with production tools is still uneven. In terms of empowerment, business actors acquire new skills and become more confident in making decisions. However, legal protection for women's MSMEs is still minimal, and external supervision has not been carried out continuously.

Anemia in pregnancy remains a major public health concern, particularly in developing countries where prevalence reaches 38%. Iron deficiency is the leading cause, contributing to adverse maternal and fetal outcomes such as preterm delivery, low birth weight, and maternal mortality. Compliance with iron supplementation is critical, yet data from North Sulawesi indicate that only 60% of pregnant women adhere to recommended intake. This study aimed to analyze the relationship between compliance with Fe tablet consumption and anemia incidence among pregnant women at the Suluun Community Health Center, South Minahasa. Using a cross-sectional design, 100 respondents were selected via purposive sampling based on Slovin’s formula. Data collection involved questionnaires assessing compliance and demographics, alongside hemoglobin measurements to determine anemia status. Statistical analysis employed Chi-Square and logistic regression tests. Results showed that 56.7% of respondents were compliant, while 43.3% were non-compliant. A significant relationship was found between compliance and anemia incidence (p=0.004), with 76.9% of non-compliant women experiencing anemia compared to 23.5% of compliant women. These findings highlight the importance of education, family support, and healthcare access in improving adherence to iron supplementation. Strengthening health programs targeting these factors is essential to reduce anemia prevalence among pregnant women.

The phenomenon of Mobile Legends addiction among children in Kebagusan has generated significant social and academic consequences, highlighting the crucial role of family communication patterns in addressing this issue. This study aims to analyze parental communication strategies in dealing with children addicted to Mobile Legends. Employing a descriptive qualitative method, data were collected through in-depth interviews, observation, and documentation with four housewives as key informants. The findings reveal that the dominant communication pattern is democratic, characterized by openness, empathy, emotional support, and positive attitudes that foster dialogue within the family. This approach proved effective in reducing tensions, strengthening emotional bonds, and encouraging children to be more receptive to parental guidance. The study suggests that the democratic communication approach significantly mitigates the negative effects of digital addiction. Additionally, it emphasizes the importance of creating an open, supportive, and understanding environment at home, where children feel comfortable discussing their digital habits. In conclusion, democratic communication plays a vital role in overcoming digital addiction among children and offers practical implications for families to cultivate healthy interactions in the digital era.

Micro, Small, and Medium Enterprises (MSMEs) play an important role in enhancing community economic growth. Good economic growth serves as an indicator of the government’s success in implementing development programs. This research aimed to analyze the development of MSMEs, particularly in Koting B Village, focusing on two indicators, namely, business development, which covers health, education, employment, and housing. The research used a descriptive qualitative approach using observation, interviews, and documentation techniques. The findings revealed that MSMEs actors have undertaken various efforts to develop their businesses, such as obtaining capital loans, determining selling prices, and enhancing marketing activities. The existence of MSMEs helped communities meet additional family economic needs. The results also indicated that village government support need to be further optimized, particularly in terms of access to capital, human resources, and marketing through the utilization of digital platforms, to improve the competitiveness of MSMEs so they can continue to grow and make a significant contribution to national economic growth.

The purpose of this study is to analyze the social and economic characteristics of fishing households in Muara Telake Village and to identify the supporting and inhibiting factors affecting fishermen. This research employs a quantitative descriptive method with a descriptive analysis approach and purposive sampling technique, involving 24 respondents. Data were analyzed using percentage techniques to illustrate the overall social and economic conditions of the fishermen. The results indicate that the social condition of fishermen falls into the “moderate” category, with an average percentage of 67.29%, covering indicators such as education, age, number of dependents, and health. Meanwhile, the economic condition is also categorized as “moderate,” with an average percentage of 53.70%, encompassing income, expenditure, housing conditions, and asset ownership. Supporting factors include good health, government assistance, family support, and the fishermen’s experience. Conversely, inhibiting factors include low education levels, unpredictable environmental conditions, limited capital, fluctuating fuel prices, and restricted market access, which affect productivity and the welfare of fishing households. These findings highlight the need for targeted interventions to enhance both social and economic well-being.

Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being the most common symptom. This study aims to describe the nursing care process for patients with paranoid schizophrenia experiencing sensory perception disturbances, specifically auditory hallucinations. The research applied a descriptive case study design conducted in Dewaruci Ward, RSJD dr. Amino Gondohutomo, Central Java Province, from October to December 2024. Data were collected through interviews, direct observation, and medical record review, then analyzed using thematic analysis based on Miles and Huberman’s framework. The findings revealed that the patient was able to gradually reduce the intensity of auditory hallucinations and showed improvement in social interactions after nursing interventions, including identification of hallucinations, distraction techniques, therapeutic communication, and collaboration in pharmacological treatment. Family involvement also played an essential role in supporting the patient’s recovery process. This study implies that comprehensive nursing care based on bio-psycho-socio-spiritual approaches and family participation is effective in managing hallucinations and enhancing patient outcomes.

Prevelensi penderita DM sebanyak 10.3 juta jiwa dari 90% total tersebut merupakan diabates tipe 2. Kadar glukosa tidak terkendali memicu komplikasi makrovaskular dan mikrovaskular. Kunci keberhasilan pengendalian diabates melitus adalah self-management, agar mencapai perilaku self -management yang baik dukungan keluarga sangat berperan penting pada manajemen penatalaksanaan DM. Penelitian ini bertujuan untuk mengetahui Hubungan Dukungan Keluarga dengan self-management pada Pasien Diabetes melitus Tipe 2 di RS PKU Muhammadiyah Yogyakarta. Jenis penelitian ini adalah kuantitatif, dengan desain penelitian observasional analitik dengan pendekatan cross sectional. Sampel penelitian ini adalah 93 penderita DM tipe 2. Analisis data menggunakan uji statistik Kendal Tau. Hasil penelitian ini menunjukkan bahwa dukungan keluarga dengan kategori sedang yaitu 57 orang (61.3%). Self mnagement dengan  kategori sedang sebanyak 62 orang (66.7%). Ada hubungan antara dukungan keluarga dengan self-management p= 0,000 (nilai p<0,05). Simpulan dan Saran: Terdapat hubungan antara dukungan keluarga dengan self-management pada pasien diabetes melitus tipe 2 di RS PKU Muhammadiyah Yogyakarta. Hasil tersebut menunjukkan bahwa keterlibatan keluarga memiliki peran penting dalam mendukung pelaksanaan manajemen mandiri diabetes melitus. Oleh karena itu, melibatkan keluarga dalam setiap aspek penatalaksanaan dan perawatan diabetes melitus sangat penting untuk meningkatkan hasil pengobatan dan memastikan kepatuhan jangka panjang terhadap rencana terapi.

This study aims to examine the relationship between paternal involvement and bullying victimization in Pharmacy students in West Sumatra. Using a quantitative approach, this study involved 320 respondents selected from various Pharmacy colleges in the region. The research instrument was independently developed by the researcher, with the paternal involvement scale compiled based on Lamb's (2010) theory which includes the dimensions of direct involvement, emotional availability, and paternal responsibility. Meanwhile, the scale of bullying victimization refers to the theory of Smith et al. (1999), which includes forms of physical, verbal, social, and cyber victimization. Data analysis was conducted using the Pearson correlation technique, which showed a significant negative association between paternal involvement and bullying victimization (r = -0.728; p = 0.000). These findings indicate that the higher the level of father's involvement in a child's life, the lower the likelihood of the child experiencing bullying victimization. On the other hand, low involvement of fathers can increase the risk of students becoming victims of bullying. The results of this study make an important contribution to understanding the role of fathers as a protective factor against victimization behavior, as well as being the basis for the development of family interventions in the context of higher education. This research also opens up space for further studies on family dynamics and student mental health.

he fatherless phenomenon in Bandung City affects family communication patterns and influences how adult women determine partner criteria. This study aims to examine the conversation and conformity orientations in the family communication of fatherless adult women when choosing a life partner. The research employed a qualitative case study approach using purposive sampling, involving four key informants and eight supporting informants. The findings indicate that conversation orientation is more focused on the mother, but is limited by feelings of awkwardness and inequality in speaking positions, reducing openness in discussing life values. The conformity orientation, centered on the mother as the dominant figure, does not always reach the child due to emotional differences and the indirect delivery of expectations, which create emotional distance and tension. The mother assumes a dual role as the source of values, moral guidance, and understanding of family life; however, communication tends to be one-sided and less balanced. The study recommends that individuals who have experienced the loss of a father figure develop self-awareness regarding the influence of past experiences in partner selection, understand the relationship values they believe in, and foster healthy communication to build more stable and meaningful relationships. In addition, the study highlights the importance of creating safe spaces for dialogue within the family, so that openness and equality in communication can emerge. Strengthening social support systems, including peer and community support, can also complement family communication, thereby helping fatherless adult women establish healthier relationship choices in the future.

Emotional neglect is a form of non-physical maltreatment that occurs when a child fails to receive sufficient emotional support, attention, and affection necessary for proper psychological growth. This study aimed to explore the lived experiences of emotional neglect among a male juvenile inmate at the Correctional House for Adolescents (LPKA) Class II Payakumbuh and to understand how these experiences influenced emotional and behavioral development prior to engagement in criminal activities. A qualitative design with a descriptive phenomenological approach was employed, and data were collected through three in-depth interviews with a 17-year-old participant who had experienced emotional neglect since childhood. Analysis was conducted using Interpretative Phenomenological Analysis (IPA) stages. Findings revealed that emotional neglect caused deep emotional wounds, persistent loneliness, family disintegration, and emotional escape through deviant behaviors, including drug use and also criminal acts. The participant also expressed a profound emotional longing for his mother and attempted to reconstruct his self-identity by seeking supportive relationships outside the family environment. The study emphasizes the critical importance of emotional care in parenting and highlights the need for systemic interventions and support for children raised in dysfunctional families to prevent the development of maladaptive behaviors and to promote healthier emotional and social development.

Bronchopneumonia is the most common form of pneumonia in children and remains a leading cause of death in those under five years of age. This condition is characterized by shortness of breath due to lung infection. One of the interventions used is nebulizer inhalation therapy, which helps relieve breathing difficulties and thin secretions. This study aims to evaluate the effectiveness of inhalation therapy in children experiencing ineffective airway clearance. The method applied is a case study based on evidence-based practice (EBP) involving one patient, with nebulizer interventions administered for three consecutive days, each lasting 10–15 minutes. The findings showed improvement, including reduced shortness of breath, decreased productive cough, and the disappearance of rhonchi. Therefore, nebulizer therapy is proven effective in managing respiratory problems in children with bronchopneumonia, and its implementation should be accompanied by education for patients and their families to support collaborative nursing care.

The 2025 Real Work Lecture Program (KKN) of PGRI Wiranegara University (UNIWARA) Team 12 was carried out in Pohjentrek Village with a focus on empowering MSMEs, improving literacy, environmental education, food security, and character education. The main issues identified include low awareness among SME actors regarding the importance of business legality, low basic literacy skills among elementary school students, high rates of open waste burning, and the emergence of social issues related to bullying among teenagers. The methods used include mentoring, socialization, training, and active participation in community activities. The results of the activities showed that 15 MSMEs were successfully registered through OSS, with three of them obtaining NIB and halal certificates; tutoring and regular literacy assistance twice a week improved students' literacy skills; the initiation of a community literacy corner began to be implemented in one of the neighborhood associations (RT); socialization of waste management encouraged four households to practice composting; the introduction of vertical farming through the distribution of vegetable seeds supported family greening and food security; and anti-bullying socialization at SMPN 6 helped students recognize their potential using the SMART method. The conclusion of this program is that KKN is able to provide a multidimensional impact through collaboration between students, the community, and the village government, while strengthening community awareness of business legality, literacy, the environment, food, and character.

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

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.

Non-Communicable Diseases (NCDs) remain the leading cause of global morbidity and mortality, and one of the chronic conditions included in this group is rheumatoid arthritis (RA). RA is an autoimmune disease that affects the synovial joints, resulting in persistent inflammation, chronic pain, stiffness, and eventual deformities if left untreated. In Indonesia, the burden of RA continues to grow; the prevalence reaches 11.9% based on clinical diagnosis and rises to 24.7% when measured using symptom-based diagnosis. This case study aimed to describe family nursing care for a client with RA through a structured nursing process approach to improve quality of life and family involvement. The study took place in Purwodadi Village, Tonjong Subdistrict, Brebes Regency, focusing on the family of Mr. AS with Mrs. W as the client diagnosed with RA. Data collection involved comprehensive interviews, direct observation, physical examination, and documentation review. Assessment findings included chronic pain with an intensity score of 4, limited mobility, and inadequate family knowledge regarding RA management. Nursing interventions implemented were family education on RA, simple rheumatic exercises tailored to the client’s ability, and the application of warm ginger compresses as a non-pharmacological pain relief method. Post-intervention evaluation showed pain reduction to a score of 2, improved independence in performing light daily activities, and enhanced family understanding and support. In conclusion, family-centered nursing care combined with non-pharmacological interventions can effectively reduce pain, improve mobility, and strengthen the family’s role in supporting RA management.

Homecare services are increasingly recognized as a preferred healthcare option because of their practicality, flexibility, and accessibility, especially for elderly patients and individuals with physical limitations who face difficulties in reaching health facilities. This study aims to examine the relationship between consumer, provider, sociocultural, and organizational factors with patients’ preferences in selecting homecare services. Employing a quantitative approach with a descriptive analytical design, data analysis was conducted using the chi-square test to determine the significance of each factor. The findings reveal that consumer-related aspects, such as personal needs, convenience, and trust (p = 0.005), along with sociocultural influences including social norms, cultural values, and family support (p < 0.001), have a significant relationship with patients’ choices of homecare services. In contrast, provider factors (p = 0.096) and organizational factors (p = 0.161) were found to have no significant impact on the decision-making process. These results suggest that patients’ decisions are primarily shaped by internal motivations and sociocultural environments rather than institutional or organizational elements. Thus, it is essential for healthcare providers to focus on understanding community needs, cultural practices, and patient expectations to ensure that the services offered are both relevant and acceptable. By integrating cultural sensitivity and consumer-oriented strategies, homecare services can become more effective, trusted, and widely utilized within the community.

Cancer is still one of the leading causes of death in Indonesia and poses a major challenge in the world of health. Cancer patients undergoing chemotherapy generally face various psychological problems, one of which is anxiety arising from side effects of therapy, uncertainty of treatment, and deterioration of physical condition. This study aimed to analyze the relationship between family support and anxiety levels in patients undergoing chemotherapy. The research design uses a quantitative approach with a cross-sectional method. The research sample amounted to 40 chemotherapy patients at RSI Sultan Agung Semarang who were selected using a total sampling technique. The research instruments were in the form of family support questionnaires and the Hamilton Anxiety Rating Scale (HARS). Data analysis was carried out using the Marginal Homogeneity test. The results showed that most patients received family support in the moderate to high category (75%) and experienced mild to moderate levels of anxiety (70%). Based on statistical tests, a value of p = 0.001 was obtained, which showed a significant relationship between family support and anxiety levels in chemotherapy patients. The conclusion of this study confirms that good family support plays an important role in helping patients reduce anxiety during treatment. These findings indicate the importance of active family involvement in accompanying patients, both emotionally, informationally, and instrumentally. Therefore, educational programs involving families are highly recommended to improve the quality of care and support the psychological condition of cancer patients.

This study discusses the level of participation of elderly people in Mantang Baru Village in routine health checks. The main objective is to see how active they are in participating and what makes them interested or reluctant to attend health checks. This study uses a quantitative approach with the aim of measuring the level of participation of elderly people in health check activities in Mantang Baru Village. Data was collected using direct surveys of each elderly person's home, which contained questions related to the frequency of health check visits, motivation, and barriers to health checkups for the elderly. The population in this study was all elderly people aged 60 years and above who reside in Mantang Baru Village. The results showed that most elderly people were quite diligent in attending health checkups because they realized the importance of maintaining their physical condition. Factors such as family support, ease of access to health check locations, and their knowledge about health significantly influence their decision to participate. In conclusion, if health education and facilities can be further improved, elderly participation will certainly increase, thereby helping to maintain their health better. The role of health cadres is very significant in encouraging elderly participation through a personal approach and continuous education.

A 37-year-old woman, G3P2A0, at 16 weeks of gestation, came to the community health center for her first antenatal check-up. The patient had no characteristic clinical symptoms, but the triple elimination screening results showed reactivity for HBsAg, with negative HIV and syphilis results. An ultrasound examination revealed a viable intrauterine fetus with normal findings. The patient had not received Hepatitis B immunization or vitamin supplements previously, and the patient's partner had not undergone Hepatitis B screening despite having a work-related risk factor. The patient was given iron and vitamin supplements and referred to the hospital for further evaluation. Comprehensive education was provided regarding modes of transmission, risks of maternal and fetal infection, prevention of vertical transmission, as well as the importance of Hepatitis B immunization and the administration of HBIG to the newborn within 12 hours after birth. This case emphasizes the importance of early antenatal screening, comprehensive education, psychosocial support, and collaboration between the patient, family, and healthcare providers to prevent vertical transmission of Hepatitis B. The education provided included essential preventive measures and infection control steps to protect both the mother and the baby. Proper management and follow-up monitoring are necessary to ensure the health of the mother and baby and prevent further complications.

Community Service Program (Kuliah Kerja Nyata/KKN) is a compulsory activity for university students as a form of community engagement and application of academic knowledge in real life. One of the work programs carried out was the education and cultivation of Family Medicinal Plants (Tanaman Obat Keluarga/TOGA), which aimed to improve the knowledge and practical skills of the community in Telaga Sam Sam Village, Kandis District, in cultivating and utilizing TOGA. Family medicinal plants have long been known to possess great potential as an alternative treatment for common illnesses such as fever, cough, stomachache, and skin itching, making them highly relevant to daily community health needs.The program was implemented through counseling sessions, interactive discussions, training, and hands-on practice of planting TOGA in the residents’ yards. The community actively participated in recognizing, cultivating, and maintaining various types of medicinal plants such as ginger, turmeric, galangal, lemongrass, and betel leaf. In addition to enhancing understanding, this activity encouraged households to practice simple herbal preparation techniques for family use.The results of the program showed a significant increase in community awareness regarding the importance of utilizing TOGA as a primary step in maintaining family health, while also contributing to the creation of a greener, cleaner, and healthier living environment. Furthermore, the activity not only improved community knowledge but also strengthened independence and self-reliance in utilizing local resources to support sustainable health practices.