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Preeclampsia is one of the leading causes of maternal mortality and may result in various complications during pregnancy and childbirth. In Tegal Regency, preeclampsia contributed to 27% of maternal deaths in 2024; therefore, studies on childbirth characteristics among mothers with this condition are needed. This study aimed to identify the characteristics of childbirth events in mothers with preeclampsia at Dr. Soeselo Slawi Regional Hospital, Tegal Regency. A descriptive design with a retrospective approach was used by reviewing the medical records of 202 mothers who delivered with preeclampsia during 2025. Data were analyzed univariately and presented as frequency distributions and percentages. The results showed that most mothers underwent operative delivery (62.38%), while spontaneous and induced labor accounted for 37.13% and 0.50%, respectively. Most deliveries occurred at preterm gestational age (62.38%), followed by term (36.14%) and postterm (1.49%) deliveries. Maternal and obstetric complications included bleeding (6.93%), fetal distress (4.95%), eclampsia (1.49%), and HELLP syndrome (0.99%). Most neonates had normal birth weight (82.18%) and did not require NICU care (95.05%), although low birth weight (17.82%) and NICU admission (4.95%) were still identified. The maternal clinical condition was dominated by blood pressure of 140–159/90–109 mmHg (75.74%). Proteinuria was found in 46.53% of respondents, with moderate proteinuria (+2) as the predominant category (38.30%). In conclusion, childbirth among mothers with preeclampsia was dominated by operative and preterm deliveries. These findings emphasize the importance of early detection and optimal management of preeclampsia to reduce maternal and neonatal complications and improve the quality of maternal-infant health services overall.

This research is motivated by the low poetry writing skills of grade VIII B students at MTs Mujahidin Pontianak, evidenced by a pre-cycle average score of 64% and a classical completeness rate of only 34%. The primary issues include students' difficulties in developing imagination, word choice (diction), and the limited use of innovative learning media. This study aims to improve poetry writing skills through the implementation of the Project Based Learning (PjBL) model assisted by Canva digital media. This study employed Classroom Action Research (CAR) conducted in two cycles, comprising planning, action, observation, and reflection phases. The research subjects consisted of 23 students. The results indicated a significant improvement in each cycle. The students' average score increased to 80% in cycle I and reached 87% in cycle II. Classical completeness also rose from 65% in cycle I to 86% in cycle II. The use of Canva was proven to stimulate students' creativity and motivation in expressing ideas into aesthetic poetry. The conclusion of this study is that the integration of the PjBL model and Canva media is effective in improving the quality of both the process and the learning outcomes of poetry writing. It is suggested that teachers adopt this model as an innovative alternative for literature learning in the digital era.

This research aims to develop audio-visual learning media based on the Discovery Learning model to improve the ability to write news texts in grade XI students of SMK Mutiara Qolbu Cianjur. The Research and Development (R&D) method is used by referring to the development model which includes the stages of identification of potentials and problems, data collection, product development, product validation, limited scale trials, product revisions, large-scale trials, final revisions, and final products. The research subjects consisted of 103 students in grade XI of SMK Mutiara Qolbu Cianjur which were divided into three classes. Data collection techniques were carried out through observation, interviews, questionnaires, expert validation, and news text writing tests. Data were analyzed using quantitative and qualitative descriptive techniques. The results of the study show that audio-visual learning media based on the Discovery Learning model obtained a very good feasibility level based on the results of the validation of material experts with a percentage of 91% and the validation of media experts of 89%. The results of the trial showed that the learning media received a positive response from students with an average percentage of 87.25%. In addition, the use of Discovery Learning-based audio-visual learning media has proven to be effective in improving students' ability to write news texts. This is shown by the increase in the average score of students from 64.21 in the pre-test to 84.37 in the post-test. The use of audio-visual media also improves students' learning activities, such as active questioning, discussion participation, and the ability to identify news elements.

The development of Artificial Intelligence (AI), particularly Large Language Models such as ChatGPT, has changed the paradigm of creative writing learning in secondary schools. However, empirical evidence regarding the relationship between the intensity of this technology utilization and the quality of students' literary works is still limited. This study aims to examine the relationship between AI utilization and the poetry writing skills of grade XI students at Karya Budi Putussibau Senior High School. The method used was a quantitative correlational method with a sample of N = 27 students selected through a random sampling technique. Data were collected using an AI utilization questionnaire (30 valid and reliable statements, (α= 0.975) and a poetry writing test assessed with an analytical rubric. The results of descriptive statistical analysis showed that the level of AI utilization was in the high category (M =    3.70) and students' poetry writing skills were in the good category (M =  78.41). The Pearson Product Moment correlation test showed a very strong and significant positive relationship between the two variables (r = 0.978; p < 0.01). These findings confirm that proper AI integration acts as a creative catalyst that helps students explore diction and imagery structure in the poetry writing process.

Background: Stroke is a neurological dysfunction caused by impaired blood circulation to the brain. Stroke can cause disability for survivors, one of which is impaired physical mobility due to weakness in the extremities and decreased muscle strength that can hinder the fulfillment of daily life activities. Range of Motion (ROM) and rubber ball grasping are one of the non-pharmacological ways in providing nursing care to ischemic stroke patients according to evidence-based practice (EBP). Purpose: This study aims to explain the process of providing nursing care with Range of Motion (ROM) interventions and rubber ball grasping for the problem of impaired physical mobility in stroke patients in Mina 1 room of RSUDZA. Method: case study with one patient as the subject with impaired physical mobility. Results: what was obtained during 6 days of intervention was an increase in the patient's muscle strength before and after the intervention, which was initially 1, increased to 4. Conclusion: Physical mobility impairment was resolved because the patient's muscle strength increased much better. Suggestion: It is hoped that Dr. Zainoel Abidin Banda Aceh can continue to improve nursing care for stroke patients so that the care provided is more effective and can apply Range of Motion (ROM) and rubber ball grasping as non-pharmacological methods.

Background: Stroke is a neurological dysfunction caused by impaired blood circulation to the brain. Stroke can cause disability for survivors, one of which is impaired physical mobility due to weakness in the extremities and decreased muscle strength that can hinder the fulfillment of daily life activities. Range of Motion (ROM) and rubber ball grasping are one of the non-pharmacological ways in providing nursing care to ischemic stroke patients according to evidence-based practice (EBP). Purpose: This study aims to explain the process of providing nursing care with Range of Motion (ROM) interventions and rubber ball grasping for the problem of impaired physical mobility in stroke patients in Mina 1 room of RSUDZA. Method: case study with one patient as the subject with impaired physical mobility. Results: what was obtained during 6 days of intervention was an increase in the patient's muscle strength before and after the intervention, which was initially 1, increased to 4. Conclusion: Physical mobility impairment was resolved because the patient's muscle strength increased much better. Suggestion: It is hoped that Dr. Zainoel Abidin Banda Aceh can continue to improve nursing care for stroke patients so that the care provided is more effective and can apply Range of Motion (ROM) and rubber ball grasping as non-pharmacological methods.

This study aims to analyze the effect of homework load and extended study hours on students’ learning stress levels. The background of this research is based on increasing academic demands that may affect students’ psychological conditions. This study employs a qualitative approach with data collected through observation and interviews. The results indicate that excessive homework load and prolonged study duration significantly contribute to higher levels of learning stress. Students tend to experience physical and mental fatigue, decreased motivation, and difficulty managing time between study and rest. In addition, pressure to achieve high academic performance further exacerbates stress levels. Other factors such as lack of environmental support and less varied teaching methods also influence students’ stress. Furthermore, students often report feelings of anxiety and emotional exhaustion when academic tasks accumulate without adequate rest periods. This condition not only affects their psychological well-being but also reduces concentration and learning effectiveness in the classroom. Therefore, balanced learning load management, appropriate task distribution, and more effective and humanistic teaching strategies are needed to reduce learning stress and improve the quality of education. Schools and educators are encouraged to consider students’ cognitive capacity and mental health in designing assignments and study schedules to create a more supportive learning environment.

Evacuation planning in spatial networks requires the identification of critical nodes that maintain connectivity, accessibility, and flow distribution during emergency situations. Existing approaches often rely on individual centrality measures, which capture only a single structural dimension of node importance and may therefore produce incomplete or biased prioritization. To address this limitation, this study proposes a Composite Centrality Framework for identifying critical nodes in meso-scale spatial networks with semi-structured connectivity. The network is modeled as a weighted undirected graph, and Degree, Betweenness, and Closeness Centrality are integrated into a unified composite index to capture complementary structural roles. The framework is implemented in MATLAB and evaluated using a real-world campus spatial network consisting of 30 nodes and a synthetic network comprising 16 nodes with comparable structural characteristics. The results reveal a highly uneven distribution of node importance, with a small set of structurally dominant nodes consistently identified across both networks. In the campus network, node P1 achieves the highest composite centrality score (0.2195) and ranks first across the individual centrality measures, indicating its dominant role in maintaining network connectivity, accessibility, and flow distribution. Quantitative evaluation demonstrates strong agreement between the composite ranking and the individual measures, with Spearman rank correlation coefficients of 0.94, 0.89, and 0.91 for Degree, Betweenness, and Closeness Centrality, respectively. However, only one node (P1) appears simultaneously in the top five of all rankings, highlighting the complementary nature of the individual centrality measures and supporting the need for multi-criteria integration. Sensitivity analysis across three weighting scenarios yields rank correlations exceeding 0.97, confirming ranking stability and methodological robustness. Overall, the proposed framework provides a balanced and reliable approach for identifying critical nodes and demonstrates potential applicability to evacuation planning and spatial network analysis in semi-structured environments.

Penelitian ini mengkaji strategi Kepala Madrasah MA Bali Bina Insani Tabanan dalam membentuk toleransi siswa melalui penguatan moderasi beragama di tengah masyarakat Hindu dengan guru lintas agama. Tujuannya: (1) mendeskripsikan strategi kepala madrasah, (2) menganalisis pengaruh moderasi beragama terhadap toleransi siswa di lingkungan multikultural, dan (3) mengidentifikasi faktor pendukung serta hambatan.Metode yang digunakan adalah kualitatif fenomenologi melalui observasi, wawancara, dan dokumentasi, dengan triangulasi untuk uji keabsahan data.Hasil penelitian menunjukkan: (1) Strategi kepala madrasah mencakup pembelajaran, pengembangan karakter, kemitraan, lingkungan inklusif, dan evaluasi partisipatif. (2) Moderasi beragama tercermin pada komitmen kebangsaan, sikap anti kekerasan, serta penghormatan tradisi lokal yang membentuk toleransi siswa. (3) Faktor pendukung meliputi keterlibatan guru Hindu, praktik toleransi sehari-hari, dan dukungan masyarakat. Hambatan muncul dari perbedaan latar siswa, keterbatasan fasilitas, serta keraguan orang tua terhadap guru non-Muslim, namun diatasi dengan komunikasi persuasif, keteladanan, dan kolaborasi pasca Bali Democracy Forum 2016.

This study aims to identify the management system for Taman Imbi by the Department of Public Works and Public Housing (Dinas PUPR) and to analyze its comfort level based on the perceptions of park visitors and street vendors (PKL). Taman Imbi, managed by the PUPR Service (Section for Environmental Management and Parks), is one of the main urban parks in the city center of North Jayapura District. The research uses a descriptive, qualitative approach combined with Likert-scale analysis. Primary data were obtained from questionnaires distributed to 100 park visitors and 10 business actors (PKL) operating around the park. Eight comfort indicators were assessed, based on Hakim (2003): aesthetics, cleanliness, safety, noise, circulation, aroma, physical form, and climate/natural forces. Results indicate that, based on visitor perceptions, the overall comfort level was 56.0% (fairly good), while PKL perceptions were 64.4% (good). Among all indicators, circulation scored the lowest for visitors (46.2%), particularly ease of access. Aroma/odor scored the highest for PKL (80.0%). The study recommends rehabilitating park facilities, reactivating security posts, improving pedestrian and parking access, and clarifying spatial zoning for economic and community activities in the park.

Chemical exposure during the dyeing process in the Textile industry has the potential to cause health problems, particularly allergic reactions mediated by Immunoglobulin E (IgE). Non-compliance with the use of Personal Protective Equipment (PPE) may increase the risk of chemical exposure through inhalation and skin contact, thereby triggering an allergic immune response characterized by elevated total IgE levels in the blood. This study aimed to determine the relationship between compliance with the use of Personal Protective Equipment (PPE) and total Immunoglobulin E (IgE) levels among Textile industry workers. This research was an analytic observational study with a cross-sectional design. The sample consisted of 15 Textile industry workers who met the inclusion and exclusion criteria, selected using purposive sampling technique. Data on PPE compliance were obtained through questionnaires and interviews, while total IgE levels were measured using the Electrochemiluminescence Immunoassay (ECLIA) method. The relationship analysis was conducted using Fisher’s Exact test. The results showed a significant relationship between PPE compliance and total IgE levels (p<0.05). It can be concluded that there is a significant association between compliance with the use of Personal Protective Equipment and total Immunoglobulin E (IgE) levels among Textile industry workers.

Work stress is a critical occupational health concern among midwives working at primary healthcare facilities. This cross-sectional study aimed to analyze factors associated with work stress among 30 midwives, including age, marital status, length of service, and dual-role conflict. Data were collected using structured questionnaires measuring work stress (9 valid items) and dual-role conflict (6 items), and analyzed through univariate, bivariate (Fisher's Exact Test and Chi-Square), and multivariate (binary logistic regression) analyses. Results showed that 43.3% of midwives experienced high work stress and 53.3% reported high dual-role conflict. Bivariate analysis revealed significant associations between work stress and marital status (p=0.009) and dual-role conflict (p=0.004), while age (p=0.633) and length of service (p=0.586) were not significant. Multivariate analysis identified dual-role conflict as the primary determinant of work stress (OR=15.762; 95% CI: 2.149–115.631; p=0.007). Healthcare facility management should develop gender-responsive policies and workplace stress intervention programs to reduce dual-role conflict and work stress among midwives.

Digital technology has significantly transformed adolescents’ lives, including the process of character formation. While the digital era provides broad opportunities for accessing information and developing personal potential, it also presents challenges such as identity crises, individualism, instant culture, cyberbullying, moral relativism, and declining spiritual engagement. These conditions create unique challenges for Christian adolescents in maintaining values and character grounded in biblical teachings. This study aims to examine the challenges of Christian adolescent character formation in the digital era, analyze the perspectives of the Christian worldview and educational psychology on character development, and explain the relevance of integrating these perspectives in addressing contemporary challenges. The research employed a qualitative approach using a library research method. Data were collected from books, scholarly journals, and other relevant academic sources and analyzed through content analysis. The findings indicate that the Christian worldview provides a theological foundation for shaping identity, values, and character based on biblical truth, while educational psychology offers scientific insights into adolescent development and effective character-building strategies. The integration of these perspectives creates a holistic approach that addresses spiritual, moral, social, emotional, and cognitive dimensions. Therefore, this integration is essential for helping Christian adolescents navigate the challenges of the digital era wisely, responsibly, and in accordance with Christian values.

Christian religious education teachers act as agents of social, spiritual, and cultural transformation by integrating Christian values ​​into the lives of communities that are still strongly bound to ancestral customs and beliefs. The transformation of customs through contextual evangelism is both a challenge and an opportunity for Christian religious education (PAK) teachers in carrying out their roles as educators and servants of God in a pluralistic society. This study aims to analyze the strategic steps of PAK teachers in integrating Gospel values ​​with local culture without eliminating the identity of the Christian faith or damaging the noble values ​​of customs. The research method used is a qualitative approach and literature study. The results of the study indicate that PAK teachers need to have three main strategic steps, namely contextual understanding by studying in depth the values, symbols, and practices of local customs, a transformational approach, namely presenting Gospel values ​​through education that respects culture but leads to renewal of life and pedagogical implementation through creative and reflective learning methods that foster students' awareness of faith and social responsibility. With this strategy, Christian Religious Education teachers can become agents of transformation, bridging the gap between Christian faith and local culture, ensuring that evangelism is not confrontational but contextual, dialogical, and builds lives rooted in the love of Christ.

This article aims to explain the theological meaning and implications of the word "worship" (προσκυνέω/proskuneō) in Matthew 2:2 in the context of the birth of Jesus Christ, and its relevance to the worship practices of the church today. This study uses a qualitative method with a contextual-historical analysis approach to the biblical text, supported by a review of theological literature related to worship in the Christian tradition. The results of the study indicate that proskuneō does not only refer to an act of reverence, but also contains the meaning of acknowledgment of divine authority, an attitude of humility, and a deep spiritual commitment. In the context of Matthew 2:2, the actions of the Magi represent theological, relational, and transformative worship. These findings confirm that true worship involves acknowledging God's sovereignty, a readiness for sacrifice, and an openness to renewal of life. The practical implication for the church today is the need to enrich the understanding and practice of worship that goes beyond the liturgy, but is manifested in personal intimacy with God, acts of social benevolence, and service that reflects a God-fearing life. This article contributes to a biblical understanding of worship and its application in the context of the believer's spiritual life.

The paradigmatic transformation of Christian Religious Education (CRE) in the digital era has become a crucial issue to be examined because the development of information technology, virtual culture, and globalization has brought significant changes to adolescents’ mindsets, behaviors, and character formation. These conditions have created various moral and spiritual challenges, such as identity crises, declining ethical sensitivity, and the increasing influence of individualistic and hedonistic values among young people. This study aims to analyze the paradigm transformation of Christian Religious Education in shaping adolescent character through a theological-pedagogical perspective that is relevant to the context of the digital era. The research employs a qualitative method using a library research approach and descriptive analysis of various scientific, theological, and pedagogical sources related to Christian education, teacher spirituality, and adolescent character development in the digital age. The findings indicate that the transformation of the CRE paradigm should be directed toward contextual, participatory, and transformative learning by positioning teachers as spiritual role models and facilitators of character formation. Furthermore, the integration of Christian values, the ethical use of technology, and collaboration among schools, families, and churches are important factors in shaping adolescents who possess strong character, integrity, and spiritual maturity amid increasingly complex digital challenges.

This article examines the impact of dehumanization in the era of Artificial Intelligence (AI) on the formation of the personality of future priests in light of the teachings of Pastores Dabo Vobis, particular number 43-44, as well as from Philosophical and theological perspectives. The development of AI brings significant changes in the way human think, relate, and build their self-identity. On the one hand, AI offers great opportunities to support intellectual formation through access to information, pastoral simulations, and digital learning. However, on the other hand, the dominance of technology has the potential to cause dehumanization, namely a reduction in the quality of interpersonal relationships, the depth of reflection and sensitivity. This study employs a literature review method, examining relevant theological, philosophical, and scientific literature. The findings indicate that excessive reliance on AI can disrupt the development of the human dimension in seminarians, particularly regarding affective maturity, relational competence, and the integrity of personal identity. From a philosophical perspective, humans are understood as free, rational, and relational beings; thus, reducing humans to mere components of an algorithmic system contradicts their very nature. Meanwhile, theology affirms human dignity as the Imago Dei, which cannot be replaced by technology. Therefore, a critical and prudent formation approach is required, one that positions AI as an aid, not a substitute for human relationships.

This research aims to examine how the functions of Christian counseling (preventive, curative, developmental, and pastoral) can be integrated into the practice of Christian Religious Education as an effective strategy to support adolescents’ faith development. The background of this study arises from the fact that adolescents experience a crisis of faith that is not only related to theological aspects but also affects their psychological and emotional well-being. On the other hand, christian religious education practices in schools often remain focused on the transfer of doctrinal knowledge without being balanced by adequate personal guidance. This study applies a qualitative method through literature review and conceptual analysis of christian counseling theory, theories of adolescent faith development, and pedagogical practices in christian religious education. The findings indicate that integrating Christian counseling functions into the design of christian religious education learning can create a dialogical, reflective, and pastoral classroom atmosphere, providing opportunities for adolescents to develop spiritual discernment, self-awareness, and the ability to make responsible moral decisions. This article discusses the relevance of counseling to adolescents’ spiritual development, the characteristics of their faith development, the challenges of implementing counseling in Christian educational institutions, and the design of learning based on dialogue, reflection, and mentoring. In this way, the integration of christian counseling in christian religious education is considered a holistic approach that enriches the meaning of faith education and supports adolescents’ faith growth in a contextual, profound, and sustainable manner.

The wave of digitalization triggers a severe morality crisis among the younger generation through constant exposure to negative content, cyberbullying, and global communication ethics degradation. This descriptive qualitative study aims to analyze the specific internalization of Christian values at GPIB Harapan Kasih Congregation Bekasi to shield youth morality amidst ongoing technological disruption. Employing intensive in-depth interviews and participatory observations, data were analyzed interactively through systemic reduction, structured display, and final verification. The results indicate that the digital morality crisis explicitly manifests as pornography normalization, virtual toxicity, and the severe erosion of academic honesty. In response, pastoral strategies utilizing highly contextualized digital ethics sermons and youth cell groups prove thoroughly effective. The deep internalization of self-control and integrity successfully stimulates a holistic self-censorship mechanism across the youth's cognitive, affective, and behavioral domains. This study concludes that consistent accountability-based mentorship effectively transforms Christian youth from passive digital victims into active agents of change within global cyberspace.

This article theologically analyzes the role of the Holy Spirit in the lives of believers through a study of the doctrine of pneumatology, traced from the testimony of Scripture to its impact on the practice of Christian faith. The purpose of this study is to explain how the work of the Holy Spirit is understood not merely as a theological concept, but also as a spiritual reality that shapes the identity, character, and dynamics of believers’ service. The method employed is qualitative research with a library research approach, involving the analysis of relevant theological and biblical sources to construct a conceptual framework concerning the work of the Holy Spirit in guidance, conviction, the sealing of salvation, spiritual transformation, and empowerment in ministry. This research is necessary because there remains a limited understanding of pneumatology that tends to be doctrinal and disconnected from concrete faith experiences. The findings of this study indicate that the presence of the Holy Spirit plays a vital role in leading believers into truth, forming Christian character, strengthening their identity as children of God, and empowering them to serve effectively within the community. Therefore, pneumatology holds significant practical relevance in fostering a dynamic, reflective, and transformative life of faith in the contemporary Christian context.