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Suci Erlawati; Mien Zyahratil Umami; Romadhona Chusna Tsani

Garina 2025 Akademi Kesejahteraan Sosial Ibu Kartini Semarang

Weaving and fabric painting techniques were alternative in making textile motif designs for Ready to Wear. The exclusive value of fabric painting could be a proponent of more beautiful and unique clothing. The problem studied was how to apply weave and fabric painting to clothing and making Ready To Wear exotic dramatic style of Wayang Krisna. The aim of this report was to find out the application of weave and  fabric painting in the manufacture of Ready To Wear exotic dramatic style of wayang Krisna. The method used was R&D.The process of making Ready To Wear includes determining the fashion design, preparing tools and materials, applying measurements, making basic patterns, cutting materials, marking the stitches on the fabric, ironing upholstery, and sewing clothes. The materials for this dress were red and black drill fabric, red and black toyobo fabric and batik Sekar Jagat fabric. Using variations of woven and painted fabrics on Ready To Wear with an exotic dramatic style of Wayang Krisna. The use of brushes should be in a smooth way and not pressed firmly, in order to produce natural color strokes and form fine bristles. The process of pressing fabric painting should be at a temperature of 150 degrees and the material part was given a fabric base so that the fabric painting part was not wreck.

Dea Ayuk Septiani; Agus Susanti; Sofia Daniati

Garina 2025 Akademi Kesejahteraan Sosial Ibu Kartini Semarang

Plastic bottle waste is a leftover material that is no longer used from human activities. Flower bouquet has become one of the necessities, especially for teenagers to adults. Comparison of the price of a bouquet of real flowers and artificial flowers is quite expensive, making a bouquet of flowers from plastic bottle waste a new innovation. The purpose of this study was to determine the process of making a flower bouquet, determine product validation, determine the public acceptance of the product, and determine the comparison of the price of production costs of a flower bouquet of plastic bottle waste, real flowers, and artificial flowers. This research uses the methods of observation, literature, experimentation, documentation, interviews, and questionnaires. The process of making a bouquet consists of the preparation of tools and materials, and manufacturing steps starting from bottle selection, bottle cleaning, bottle formation according to flower patterns, pattern assembly, application of color paint, glitter, and clear paint. Making a flower bouquet from plastic bottle waste was carried out through three experiments. The results of the validation test to 3 expert validators based on the assessment of shape, color, appearance, circuit patterns, and color combinations that obtained decent results were the products in the third experiment with a score of 15. The results of the public test to 34 respondents on the public acceptance of the products in the third experiment based on aspects of shape, color, appearance, circuit patterns, and color combinations were very like (score 3). So that the product in the third experiment was accepted by the community. So that the product in the third experiment is accepted by the public and has the potential to become a business opportunity. We recommend that craftsmen streamline time in the manufacturing process and use gloves to avoid droplets of wax glue and cuts due to cutters or sharp bottle parts.

Slama Slama; Ahmad Ilzamul Hikam

Publikasi Para ahli Bahasa dan Sastra Inggris 2025 Asosiasi Periset Bahasa Sastra Indonesia

This study discusses the character of Acha in the novel Mariposa by Luluk HF using Sigmund Freud's psychoanalytic approach. Acha is described as a teenager who is persistent in pursuing love, but has a complex inner conflict. This study was conducted because psychological issues, especially in teenagers, are very relevant in modern life. The method used is a qualitative-descriptive approach with Freud's structural analysis of personality, namely id, ego, and superego. In this study, Acha shows the dominance of the id when expressing love impulsively, the ego when adjusting to the bitter reality, and the superego when choosing honesty even though it is painful. The presence of supporting characters also strengthens Acha's psychological dynamics in the story. The results of the study show that Acha's internal conflict is a reflection of the struggle between desire, reality, and morality, and describes the process of maturing teenage characters. This study is expected to provide a deeper understanding of psychological dynamics in literary works and their relevance to the lives of teenagers today.

Tengku Mutiara Saidina

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

Inguinal hernia is a condition where a bulge occurs in the groin area and is the most common type of hernia with 75% of all abdominal wall hernias. The diagnosis of inguinal hernia can be made easily through physical examination, where the lump can be seen or felt when pressed on the external inguinal ring. In this case study, a 51-year-old man complained of a lump on the right underarm to the scrotum area that had been painful since 1 day before admission to the hospital. The lump had been felt since 2 years ago, but the lump seemed to disappear. The patient was diagnosed with incarcerated lateral inguinal hernia from the results of anamnesis, physical examination, supporting examination, and performed hernioraphy with mash graft.

Opie Yunia Widiati; Eska Dwi Prajayanti; Isti Wulandari

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Fracture is a condition in which the bone structure is severed or damaged due to external pressure on the bone. Fractures can be caused by direct impact, sudden twisting movements, or even by extreme muscle contractions. The WHO states that the prevalence rate of fractures increased from 2020 by approximately 13 million (2.7%). The Ministry of Health in 2023 stated that in Indonesia around 8 million people had fractures. To determine the results of the application of religious music therapy on pain in fracture patients in Flamboyant Ward 5 of Dr Moewardi Surakarta Hospital. The application uses a case study method with a research sample of 2 respondents, the research instrument uses NRS. The intervention group reduced pain from a scale of 6 to 4, and in the control group reduced pain from a scale of 5 to 4. From this study it can be concluded that religious music therapy is more effective to reduce pain.

Khansa Aliifah; Hilma Marisa; Indah Lestari; Jelita Septiani; Jihan Al Ihsani +1 more

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Hyperlipidemia is a condition in which lipid levels in the bloodstream (plasma) experience an imbalance in lipid levels, although it does not show severe symptoms but can trigger various serious diseases. Statins are used as the main therapy for antidyslipidemia, but with long-term use, statins cause various side effects such as muscle pain, muscle disorders and muscle discomfort. Indonesia has a variety of plants that have benefits for lowering blood cholesterol levels. To determine the potential of metabolite compounds contained in several plants as HMG-COA Reductase inhibitors, research can be carried out using molecular docking. The purpose of this literature study is to determine the comparison of compounds that have HMG-COA Reductase inhibitor inhibitor activity. The method used in compiling this literature study is from various national and international scientific articles published in the period 2020-2025. The natural compounds that have been studied have significant inhibitory activity against the HMG-CoA Reductase enzyme, namely from the 10 plants studied, Rhodomyrtus tomentosa has the best activity in inhibiting the HMG-CoA Reductase enzyme with an Affinity of the Binding value of -11.4 so that it has the potential to be further developed as a natural anti-cholesterol drug.

Andika Nugraha; Moh. Amin Tohari

WISSEN : Jurnal Ilmu Sosial dan Humaniora 2025 Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

Drugs are an abbreviation of narcotics, psychotropics, and hazardous materials. Narcotics are addictive substances or materials that work on the nervous system, can cause loss of consciousness and pain, and can cause dependence. Psychotropics are substances or active materials that work on the central nervous system, can cause changes in mental activity and behavior, and can cause dependence. To deal with this problem, one of them is through the Sakinah Harakah Bhakti Center Foundation (Sahabat Foundation) South Tangerang, Banten which provides treatment to develop psychological strength called resilience through spiritual guidance. Through spiritual guidance, it is hoped that it will be able to form the resilience of drug abuse students so that they are able to bounce back from various pressures and face the next life with a better perspective. The purpose of this study was to determine how spiritual guidance activities in forming the resilience of drug abuse students at the Sakinah Harakah Bhakti Foundation (Sahabat Foundation). The research method used is qualitative with a descriptive type. The subjects in this study consisted of 1 Foundation administrator, 1 spiritual guide, and 3 beneficiaries (PM) of drug abuse. Through interviews and observations, it is known that spiritual guidance activities at the Sakinah Harakah Bhakti Foundation (Sahabat Foundation) are muhasabah, sirah nabawiyah, theory and practice of worship, and thematic interpretation.

Nur Afifah Nazaruddin; Hermiaty Nasaruddin; Mardiana, Mardiana

Jurnal Riset Rumpun Ilmu Kedokteran 2025 Pusat riset dan Inovasi Nasional

Low Back Pain (LBP) is one of the most common musculoskeletal problems experienced by people in various age groups and work backgrounds. This complaint can be acute, subacute, or chronic, with various causes ranging from mechanical, degenerative, to psychosocial factors. This study aims to examine the characteristics of LBP through a literature review of several previous studies that focus on prevalence, risk factors, and their impact on patients' daily lives. The method used is a narrative literature review, with data sources coming from national and international journals, research reports, and academic repositories. The results of the study show that the prevalence of LBP is very high, with a significant percentage of occurrence in the elderly, pregnant women, administrative workers, and individuals with a sedentary lifestyle and non-ergonomic work posture. In addition to age, female gender, non-ideal body mass index, and long work duration, it was also found that psychosocial characteristics such as low social support and high work pressure play a role in triggering or worsening LBP. A study at Ibnu Sina Hospital Makassar showed that most LBP patients were elderly women with acute pain and radiological results showed lumbar spondylosis as the most common diagnosis. The conclusion of this study emphasizes the importance of prevention through ergonomic education, work stress management, and early intervention based on a healthy lifestyle. These findings are expected to be the basis for designing promotive and preventive strategies for high-risk groups.

Erwin Erwin; Purbawati Purbawati; Diyaa Aaisyah Salmaa Putri Atmaja; Ida Rosanti

Mars: Jurnal Teknik Mesin, Industri, Elektro Dan Ilmu Komputer 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Generator Set Service Management is the process of organizing maintenance, repair, and upkeep activities of generator sets, starting from planning, implementation, evaluation, control, and improvement of services to ensure the generator machine continues to operate effectively and efficiently. The research was conducted at PT. Sigma Quantum Insani, located in Balikpapan, East Kalimantan. The problem addressed in the research is the frequent delays in completing scheduled tasks within the generator set service management activities. The purpose of the study is to determine the critical path of activities and identify the duration of the critical path. From the analysis using the Critical Path Method (CPM) assisted by MS Project software, the identified critical path activities are: A1-B1-B2-B3-B4-B5-B6-B7-B8-B9-B10-B14-B16-B17-C1-C2-D1-D2-D3, which include DO approval, engineering scope, painting scope, and delivery scope. The total time obtained for the critical path is 38 days, resulting in a time efficiency of 8 days in the generator set service process.

Sukmawati Sukmawati; Arlin Adam; Andi Alim

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

The implementation of the Enhanced Recovery After Cesarean Surgery (ERACS) method as an innovation in the Sectio Cesarea (SC) surgical procedure aims to accelerate recovery, minimize pain, and improve patient comfort. Although it has been clinically proven, there is still limited research exploring patients' subjective experiences with this method, particularly in eastern Indonesia. This study aims to explore in depth the physical, emotional, psychological experiences, as well as perceptions of service and patient expectations after undergoing SC with the ERACS method at Banggai Laut General Hospital. The study employs a qualitative approach with a phenomenological study design. Data were collected through in-depth interviews with purposively selected informants and analyzed using Braun & Clarke's thematic analysis technique. The results showed that patients experienced rapid physical recovery, minimal pain, and were able to mobilize early. Emotionally, patients felt calm and stable, supported by good communication with medical staff and family support. However, information about the ERACS procedure before surgery was still perceived as lacking detail. Patients also hope that this method continues to be implemented with improvements in educational aspects and financial support from BPJS. Patients' experiences with the ERACS method are generally very positive and reflect the success of this approach not only clinically but also in creating a more comfortable, efficient, and humane childbirth experience. This study recommends enhancing preoperative education, postoperative monitoring, and more inclusive financial support systems.

Madalena Gomes, Ni Luh Putu Silvi; Tedjasulaksana, Regina; Astiti, Komang Erny

Bali Health Published Journal (BHPJ) 2025 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Normal delivery is a significant moment in a mother's life, marked by the expulsion of the fetus after a full-term pregnancy, typically between 37 to 40 weeks, accompanied by intense uterine contractions. During the active phase of labor, mothers often experience peak pain due to increased frequency and strength of these contractions. One effective method to alleviate this pain is through counter pressure massage. This study aims to explore the differences in pain intensity among mothers in the active phase of labor before and after the application of counter pressure massage at RSU Permata Hati Klungkung. Method: This study used a pre-experimental design and purposive sampling technique. The population in this study were all mothers who underwent normal delivery in September to November 2024 with a total of 80 people, until a sample of 39 participants was determined. Data were collected through observations using a rating scale based on the Numerical Rating Score. Result: Data analysis was performed using the Wilcoxon test, revealing that the average pain score before the massage was 6.92, which decreased to 3.20 afterward. The Wilcoxon test yielded a p-value of 0.001, indicating a significant difference in labor pain intensity. Conclusion: This study shows that there is a difference in pain intensity before and after counter pressure massage is performed on mothers giving birth in the first active phase at Permata Hati Hospital, Klungkung with a p-value of 0.001.

Dira Putri Nabila; Noviana Zara

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

A 52-year-old female patient presented to the non-communicable disease clinic at the Banda Baro Community Health Center with complaints of pain in the right toe joint for the past two weeks. The pain was described as severe, especially when touched or moved. The patient reported that the toe initially became red and swollen, but the redness had subsided by the time she arrived at the clinic. The patient also complained of feeling weak and occasional tingling in the tips of her toes. She admitted to frequently consuming chicken liver and other offal. She mentioned having experienced a similar condition previously, and previous examinations indicated elevated uric acid levels. She had previously taken allopurinol two years ago, obtained from the health center, to alleviate her symptoms. On physical examination, the patient's blood pressure was 120/70 mmHg, heart rate 87 beats per minute, respiratory rate 19 breaths per minute, and temperature 36.5°C. The patient was prescribed allopurinol 2x100 mg. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and completing patient records. Assessment was based on the initial, ongoing, and final holistic diagnosis of the visit.  Interventions included education on the importance of clean and healthy living habits, avoiding risk factors, medication adherence, and preventing complications that may arise due to hyperuricemia.

Nabilla Windi Aulia; Galih Adhi Isak Setiawan; Wahyu Tri Sudaryanto

Jurnal Mahasiswa Ilmu Kesehatan 2025 STIKes Ibnu Sina Ajibarang

Femur fracture is a condition where there is discontinuity or loss of part of the femur bone, To overcome this, physiotherapy can contribute to reducing pain, reducing edema, increasing joint range of motion, and strengthening muscles. Objectives: physiotherapy can contribute to reducing pain, reducing edema, increasing joint range of motion, and strengthening muscles. Physiotherapy modalities that are often used for this condition include Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound, and exercise. Results: after 6 times of therapy, a decrease in tenderness T1:5 and T6: 4, motion pain T1: 7 and T6: 2. ROM knee extension/flexion T1: S: 5°-0°-40°, T6: S: 0°-0°-100°. Conclusion: Administration of TENS, ultrasound and exercise can reduce pain, increase ROM in post fracture of 1/3 Distal femur.

Mariyati Mariyati; Arlin Adam; Andi Alim

Jurnal Riset Ilmu Farmasi dan Kesehatan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Adolescence is a critical phase in individual development, especially for adolescent girls who begin to experience menstruation as a sign of reproductive maturity. However, not all adolescents experience menstruation normally; some experience disorders such as menstrual pain, irregular cycles, and prolonged bleeding. This study aims to explore in depth the subjective experiences of adolescent girls with menstrual disorders at SMP Negeri 2 Bunta, Banggai Regency, focusing on the nature of the disorders experienced, their interpretation of these experiences, coping strategies, and the social support received. This study employs a qualitative approach with a phenomenological design. The primary informants were female adolescents in grades VII–IX who had experienced menstrual disorders in the past six months, selected purposively until data saturation was achieved. Data collection techniques included in-depth interviews, non-participatory observation, and document analysis. Data were analyzed using the Miles and Huberman model through data reduction, data presentation, and drawing conclusions. The results of the study indicate that menstrual disorders are viewed as normal by most informants, despite causing physical discomfort and psychological anxiety. Adolescents' responses to these disorders vary, ranging from the use of warm compresses and medication to no intervention at all. The primary sources of information are mothers and social media, while the roles of teachers and schools remain limited. Social support is most commonly provided by family, although some adolescents also feel supported by peers and teachers. This study emphasizes the importance of systematic reproductive health education, school involvement in supporting adolescents, and the creation of safe and stigma-free discussion spaces regarding menstruation-related issues.

Julian Mahendra; Zaki alghifari; Zalfa Aditya Putra

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Acute Otitis Media (AOM) is a common middle ear infection in children, particularly in rural areas. This study aims to explore the clinical characteristics of AOM in children treated at rural health centers (puskesmas) and to examine the barriers to effective management. A descriptive qualitative method was employed through a literature review analyzing symptoms, stages, risk factors, and treatment approaches. The findings reveal that AOM in children often begins with an upper respiratory tract infection and presents with sudden ear pain, high fever, sleep disturbances, and ear discharge. Risk factors include young age, poor environmental conditions, and limited access to healthcare services. Management of AOM depends on its clinical stage and requires accurate diagnosis. However, in rural puskesmas, a lack of diagnostic tools and limited public awareness often leads to delayed treatment. Therefore, it is essential to provide health workers with basic ENT training, ensure the availability of diagnostic equipment, and educate parents to enable early detection and prevent complications that could affect a child’s development.

Novanda Isnain Ramadhani; Amalia Ruhana

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Dysmenorrhea is pain during menstruation experienced by women of childbearing age. Risk factors that can cause dysmenorrhea include age of menarche, family history, duration and menstrual cycle, stress, physical activity, nutritional status, and nutrient intake. Some nutrients that are related to the incidence of dysmenorrhea include fat, calcium, and magnesium. This study aims to determine the relationship between fat, calcium, magnesium, and physical activity intake with the severity of dysmenorrhea in students of the Faculty of Sport and Health Sciences, Surabaya State University. This study used a cross-sectional approach. The sampling technique used stratified random sampling with a total of 119 samples. Data collection used the NRS (Numeric Rating Scale) questionnaire for the incidence of dysmenorrhea, SQ-FFQ (Semi Quantitative Food Frequency) for fat, calcium, and magnesium intake, and IPAQ-SF (International Physical Activity Questionnaire-Short Form) for physical activity. The results showed that students of the Faculty of Sport and Health Sciences, Surabaya State University had low fat intake (79%), low calcium intake (58%), normal magnesium intake (47,9%), heavy physical activity (47,1%) and mild dysmenorrhea pain (40,3%). Data analysis using the Spearman Rank test showed a value of p = 0.000 (fat), p = 0.023 (calcium), p = 0.023 (magnesium), and p = 0.039 (physical activity). Based on the results of the study, it can be concluded that there is a significant relationship between fat, calcium, magnesium, and physical activity intake with the severity of dysmenorrhea (p <0.05).

Henri Joko Lumban Gaol; Nelson Tarigan

Misterius: Publikasi Ilmu Seni dan Desain Komunikasi Visual 2025 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

The creation of this artwork was inspired by the artist, who is a native of the Batak Toba tribe from Pollung District, Humbang Hasundutan Regency. This area is known as a horse breeding region, which produces waste in the form of horsehide scraps. This waste is then utilized as an alternative medium for painting. The idea for the artwork was inspired by traditional Batak Toba games rich in cultural value. This research aims to visualize the form, historical background, and function of traditional Batak Toba games through paintings. In the creation process, horsehide and oil paint were used as media. Each painting depicts the visual form of the traditional game with a simple approach yet still reflects the characteristics and meaning of the games. The method of creating the artwork is based on the stages described by Hedriyana, which include five stages: preparation, elaboration, contemplation, the creation process, and completion of the artwork. The final result of this research is a series of paintings with various titles, as the author's visual interpretation of traditional Batak Toba games.

Niken Hertiana Wulandari; Suryo Saputra Perdana; Arihta Dewanti

Jurnal Pelayanan Hubungan Masyarakat 2025 International Forum of Researchers and Lecturers

Wonorejo Village is located in Polokarto District, Sukoharjo Regency, Central Java Province, which shows a high commitment to the welfare of the elderly. One of the diseases that is often suffered by the elderly is knee osteoarthritis. Objective: to reduce complaints that arise in knee osteoarthritis conditions such as pain, stiffness, and increase the ability of daily activities. Method: An educational approach based on pre-test and post-test to measure the increase in participants' knowledge before and after the activity. Results: Pre-test and post-test evaluations showed a significant increase in the understanding of elderly participants after counseling and demonstration activities related to knee osteoarthritis. Conclusion: counseling accompanied by demonstrations of simple exercises has proven effective in increasing the understanding of the elderly about osteoarthritis and how to handle it independently

Anisah Nur Asidah; Elok Dwi Cahyani; Aldhina Janurti; Aulia Rahma; Nadila Afriza +2 more

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Background: Premenstrual Syndrome (PMS) is a combination of physical, emotional, and behavioral symptoms that occur cyclically before menstruation and are commonly experienced by adolescent girls. Common symptoms include fatigue, abdominal pain, headaches, anxiety, and mood disturbances, which can affect sleep quality, concentration, and academic productivity. This article provides an in-depth examination of the definition, types, prevalence, causes, impacts, and management of PMS in adolescent girls. Based on epidemiological data, the prevalence of PMS is quite high, both globally and nationally, with incidence rates in Indonesia reaching 70–90% among women of reproductive age, and most cases beginning during adolescence. There are four main types of PMS: Type A (anxiety), Type H (hyperhidrosis), Type C (food cravings), and Type D (depression), each with specific characteristics and etiologies. Causes of PMS include hormonal imbalances of estrogen and progesterone, reduced serotonin levels, poor sleep quality, psychological stress, genetic factors, and unhealthy lifestyles. The impact of PMS on adolescents is complex, including decreased academic performance, social relationship disturbances, and reduced psychological well-being. Therefore, PMS management should be approached holistically through pharmacological (such as NSAIDs, antidepressants, and diuretics) and non-pharmacological (physical exercise, relaxation, lifestyle changes, and nutritional education) interventions. Environmental support and reproductive health education are crucial to help adolescents effectively manage PMS symptoms and improve their quality of life. This study is expected to serve as a foundation for promotive and preventive interventions in adolescent health care.

Ketut Santi Indriani

International Journal of Multilingual Education and Applied Linguistics 2025 Asosiasi Periset Bahasa Sastra Indonesia

This study investigates doctor–patient communication strategies in overcoming verbal and non-verbal language barriers within the Pain Clinic of RSUD Genteng Banyuwangi, a public hospital in East Java, Indonesia. Pain clinics pose unique communicative challenges, as patients often struggle to express their discomfort clearly due to limited health literacy, cultural norms, or emotional inhibitions. This research aims to identify and analyze the communicative methods employed by doctors to facilitate accurate information exchange and build therapeutic rapport with patients experiencing chronic pain. Utilizing a qualitative approach, this study applies Conversation Analysis (CA) to naturally occurring doctor–patient consultations recorded through non-intrusive video methods. Verbal and non-verbal interactions were transcribed and analyzed to uncover recurring communicative patterns. The data were interpreted through sociolinguistic and pragmatic lenses to account for the local language diversity and cultural context of Banyuwangi. Findings reveal that doctors employ multiple strategies to clarify meaning and adapt communication: repetition, strategic questioning, utterance correction, and linguistic adaptation. Additionally, doctors interpret and respond to patients' non-verbal cues, including vocal tone, facial expressions, and body gestures, to supplement incomplete verbal communication. These strategies not only enhance diagnostic accuracy but also promote empathy, trust, and patient-centered care. The study concludes that effective communication in pain clinics must account for linguistic diversity, cultural sensitivities, and emotional dynamics. Adaptive and empathetic communication fosters better understanding, reduces the risk of diagnostic error, and improves treatment outcomes. The findings offer practical implications for clinical training and healthcare policy, particularly in multicultural and linguistically diverse settings.