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Patient satisfaction influences their desire to return to the same place, and if they are not satisfied, they will look for another place of health, prolonged helminths will result in patients experiencing psychological disorders and will result in the decline of patients caused by the threat of death, overall economic problems and medical problems. Cognitive factors can influence the health and well-being of patients with kidney failure because patients with kidney failure can feel psychologically tired because they have to undergo hemodialysis. The aim of this research is to determine the description of patient satisfaction undergoing hemodialysis at Santa Elisabeth Hospital. The design method for clinical treatment is delscrilptilf which will analyze or observe a picture of the population of patients who underwent hemodilalization at Rulmah Hospital Santa Ellilsabelth with a sample size of 50 respondents. The total sampling technique was taken. Research Results The results of this research were to determine the description of patient satisfaction undergoing hemodialysis at Santa Elisabeth Hospital in Medan with a total of 50 respondents. Where the research uses tables and provides an explanation of the frequency distribution of characteristics based on age, gender, religion, occupation, marital status, education. And this research was obtained from primary data obtained from the respondents themselves. After the data is obtained, it is processed and the results will be analyzed using univariate analysis.

Gastric disease is a disease that cannot be taken lightly, because if it is allowed to continue it can cause other diseases to appear and can also cause death if not treated immediately. Stomach disease can be caused by an inappropriate diet, a burden on the mind and also an infection caused by bacteria. Given these problems, this study can only provide a diagnosis of gastric disease, namely gastritis, stomach ulcers, GERD, gastric cancer. The symptoms given to the system are based on common symptoms. This study aims to create an expert system for diagnosing gastric disease using the Case Based Relational (CBR) method. Based on the testing and analysis of an expert system for diagnosing gastric disease using a Web-based Case Based Reasoning (CBR), it is capable of diagnosing 5 gastric diseases Gastritis, gastric ulcer, GERD, gastric cancer by calculating the similarity value with the Case Based Reationing (CBR) method.

Bullying is a form of aggressive behavior that is intentionally and repeatedly carried out, characterized by an imbalance of power between the perpetrator and the victim. This phenomenon is not limited to childhood and adolescence but may also produce long term effects that extend into adulthood, including among university students. This study aims to explore the long term impact of bullying on victims’ mental health, with a particular focus on students who have experienced bullying in the past. The study employed a descriptive qualitative method using a literature review approach. Data were obtained through a comprehensive analysis of scientific articles, national and international journals, and previous studies related to bullying and mental health. The findings show that victims of bullying face a higher risk of psychological problems, such as depression, anxiety, post traumatic stress disorder or PTSD, low self esteem, and difficulties in social interactions. These effects influence not only emotional well-being but also academic functioning, including reduced concentration, decreased learning motivation, and lower academic performance. In addition, prolonged psychological stress resulting from bullying may lead to physical problems, such as sleep disturbances and somatic complaints. Factors including limited social support, maladaptive coping strategies, and high intensity or prolonged exposure to bullying were found to intensify the negative impacts experienced by victims. Therefore, this study emphasizes the importance of comprehensive prevention and intervention efforts in higher education settings, such as the provision of accessible counseling services, the implementation of strict anti bullying policies, and the strengthening of social support systems to minimize the long-term mental health effects of bullying among university students.  

Industrial development in Indonesia has significantly contributed to national economic growth; however, it also poses potential risks of environmental pollution when corporate waste management is not conducted properly. Environmental pollution resulting from corporate waste activities may cause harm to surrounding communities, including health problems, ecosystem degradation, as well as material and immaterial losses. In this context, the class action mechanism serves as a relevant legal instrument to collectively advocate for the rights of affected communities. This study aims to analyze the implementation of the class action mechanism in environmental pollution cases based on Decision Number 29/Pdt.G/2023/PN.Skh and to evaluate its effectiveness in providing legal protection and restoring the rights of affected communities. This research employs normative legal research using statute approach, case approach, and conceptual approach. The findings indicate that the class action mechanism in the aforementioned decision fulfilled the requirements of numerosity, commonality, typicality, and adequacy of representation as regulated under Supreme Court Regulation (PERMA) Number 1 of 2002. Procedurally, the class action proved effective in enhancing access to justice, ensuring judicial efficiency, and strengthening the protection of the constitutional right to a good and healthy environment. However, its substantive effectiveness remains dependent on the fulfillment of formal requirements, the quality of evidence presented, and the consistent application of environmental law principles by judges. Therefore, the class action mechanism constitutes an important instrument in environmental law enforcement, yet it requires consistent regulatory support and judicial practice to achieve optimal ecological justice.

Acute Respiratory Infections (ARI) remain one of the public health problems that contribute significantly to high morbidity rates, especially among vulnerable groups. Community health centers, as primary health care facilities, play an important role in recording, reporting, and monitoring cases through surveillance systems. This study aims to determine the description of ARI cases and evaluate the implementation of the ARI surveillance system at the Perumnas Community Health Center from August to October 2025. This study uses a descriptive evaluative approach. The surveillance system evaluation is based on the 5M components, namely man, money, material, method, and machine. Data were obtained through a review of surveillance documents and observation of the implementation of the ARI case recording and reporting system at the health center. The results of the study indicate that ARI is still one of the most common diseases found in the Perumnas Community Health Center's working area. The implementation of ARI surveillance is generally running well, but there are still several obstacles in terms of human resources, supporting facilities, data completeness, and optimization of reporting methods. These conditions affect the quality of the epidemiological information produced. Therefore, it is necessary to strengthen the surveillance system by increasing the capacity of officers, providing supporting facilities, and improving recording and reporting mechanisms so that the implementation of ARI surveillance is more effective and supports disease control efforts.

This study aims to analyze the public relations strategy of the Dinas Komunikasi and Informatika Kabupaten Sragen in promoting “Jelajah Sukowati” on the Sragenkab.go.id website. This study uses a descriptive qualitative approach. The data source for this study is the Sragenkab.go.id website. The data in this study consists of interviews with informants and photo documentation uploaded to the Sragenkab.go.id website. Data collection techniques include observation, interviews, and documentation. The data analysis technique uses four data analysis techniques based on the Miles and Huberman model, namely data collection, data reduction, data presentation, and conclusion drawing (verification). The results of the study show that the Public Relations Dinas Komunikasi and Informatika Kabupaten Sragen has implemented these four strategies through problem identification, program planning, program implementation, and program success evaluation. In addition, SWOT analysis shows that public relations has utilized its strengths and opportunities, although there are still several weaknesses, such as inconsistent posting times and the lack of a comment section for the public, which is used as a benchmark for the success of the strategies implemented. The implementation of the public relations strategy of the Public Relations Dinas Komunikasi and Informatika Kabupaten Sragen has proven to be a bridge between the people of Sragen Regency and the Sragen Regency government in publications related to regional potential.

Explainable artificial intelligence (XAI) has become a critical requirement in cybersecurity due to the high-stakes nature of security decision-making and the limitations of black-box learning models. This study investigates the construction of an explainable cybersecurity knowledge representation by leveraging standardized terminology from the NIST cybersecurity glossary. The primary problem addressed is the lack of transparent and semantically grounded reasoning mechanisms in existing AI-driven cybersecurity systems, which limits trust, accountability, and analyst adoption. To address this challenge, we propose a NIST-based semantic knowledge graph that embeds explainability directly into its ontology structure and reasoning process. The proposed framework systematically extracts definitional entities and relations from NIST glossary entries to construct a domain ontology and a multi-relational knowledge graph. A rule-based semantic relation extraction method is employed to ensure faithful, interpretable, and reproducible reasoning paths. The resulting knowledge graph contains over 3,000 cybersecurity concepts and approximately 27,000 semantic relations, covering hierarchical, associative, dependency, and mitigation semantics. Experimental evaluation demonstrates that the proposed approach achieves a high level of explainability, with 92.4% of reasoning outcomes being fully traceable and only 1.4% classified as non-traceable. Most explainable reasoning paths are limited to two or three hops, indicating an effective balance between inferential depth and human interpretability. Structural analysis further confirms the presence of meaningful hub concepts that support multi-hop semantic inference. These results confirm that ontology-driven, standard-based knowledge graphs provide a robust foundation for explainable cybersecurity intelligence. The study concludes that explainability-by-design, grounded in authoritative standards, offers a viable and trustworthy alternative to opaque AI models for cybersecurity applications.

This research is motivated by the importance of guiding students in using digital technology in a positive way. The implementation of digital literacy enables students to use digital technology wisely and responsibly. This study aims to explore the importance of digital literacy, the impact of digital technology development on student’s character, the implementation of digital literacy for improving 21st-century skills, and the role of digital literacy for personalizing a generation with strong character, specifically at SMK Budi Mulia Pakisaji. This research is using a qualitative descriptive method, using purposive technique sampling and data triangulation techniques. This study uses an interactive model of data analysis. Data were collected through in-depth interviews, observation, documentation, and open-ended questionnaires. The results show that digital literacy supports the improvement of students’s 21st-century skills, known as the 6Cs: critical thinking, creativity, collaboration, communication, character, and citizenship. Digital literacy is integrated into IPAS (Science, Social, and Environmental Education) learning and implemented through the SMART (Spesific-Measurable-Achievable-Relevant-Time bound) digital concept. The implementation of digital literacy supports the achievement of IPAS learning goals, to make meaningfull learning experience, and students are able to produce a creation in IPAS projects. Students are able to solve problems using digital technology, select useful content, manage their time effectively, and become a lifelong learner. Furthermore, digital literacy supports the students to increase their knowledge, skills, and attitudes aligned with the values of Pancasila.

The doctrine of open legal policy is a jurisprudential construction of the Constitutional Court that provides space for lawmakers to formulate norms as long as they do not contradict the 1945 Constitution of the Republic of Indonesia. Nevertheless, the application of this doctrine in the practice of law testing has raised various constitutional problems, particularly concerning the limits of authority between legislators and the Constitutional Court, as well as the protection of citizens' constitutional rights. This research aims to analyze the concept and construction of open legal policy within the Indonesian constitutional system and to formulate the constitutional limits of its application in Constitutional Court decisions. This research is a normative legal study with an approach based on legislation, a conceptual approach, and a case approach. The legal materials used include the 1945 Constitution, relevant legislation, and pertinent Constitutional Court decisions. The research results indicate that open legal policy cannot be interpreted as absolute freedom for lawmakers, but must be limited by the principle of constitutional supremacy, protection of constitutional rights, and the principle of proportionality as reflected in Article 28J paragraph (2) of the 1945 Constitution. The ambiguity of the parameters for applying this doctrine has the potential to cause inconsistencies in rulings and disrupt legal certainty. Therefore, a more precise and consistent formulation of constitutional limits is necessary to maintain the balance between representative democracy and constitutional oversight.

The phenomenon of adolescent suicide is a significant and increasing mental health problem in various countries, including Indonesia, influenced by complex social, psychological, and economic pressures. This study aims to analyze the relevance of Pancasila Education in efforts to prevent adolescent suicide cases. The method used is a literature review by analyzing and synthesizing national and international scientific articles published from 2021 to 2025. This study is not yet applied; it only aims to build a theoretical construct regarding the contribution of Pancasila values ​​to adolescent mental health. The results of the study indicate that Pancasila values, namely the values ​​of divinity, humanity, unity, deliberation, and social justice, can build spirituality, empathy, social bonds, communication skills, and a sense of justice in adolescents. The implementation of these values ​​in the character learning process can foster mental resilience, social awareness, and life expectancy, thus Pancasila Education has relevance as a preventive strategy in supporting the prevention of suicide cases in adolescents.

Indiscipline in learning behavior is a form of problematic behavior that is commonly found in the school environment and has the potential to hinder the effectiveness of the learning process. This issue does not arise suddenly; rather, it develops gradually through processes influenced by various factors. This article aims to examine the problem of indiscipline in learning through a review and analysis of relevant research findings. The study uses a literature review method by collecting, examining, and analyzing journals and scientific references that discuss learning discipline and students’ indisciplined behavior. The results indicate that indiscipline in learning activities is influenced by both internal and external factors. Internal factors include low interest and motivation, poor study habits, weak values and morals, as well as students’ physical and psychological conditions. Meanwhile, external factors include family situations, peer influence, the school environment, the use of technology, and inconsistent enforcement of rules. The observable behaviors include arriving late, skipping school without clear reasons, violating school regulations, and showing a lack of responsibility. Therefore, addressing the problem of indiscipline in learning requires a comprehensive and sustainable approach involving both schools and families.

The increasing use of facial cosmetics among adolescents and young adults is not always accompanied by adequate cosmetic literacy, potentially leading to skin health problems. Many consumers choose products based on trends without understanding their skin type, ingredients, and safety aspects, which can lead to skin barrier damage, irritation, and long-term dermatological disorders. This study aims to analyze the influence of cosmetic choices on facial skin health through a literature review. The method used was a qualitative literature study with a purposive sampling technique of scientific articles published between 2015 and 2025 that were relevant to the behavior of adolescents and young adults and the impact of cosmetic ingredients on the skin. Data were analyzed using content analysis to identify the relationship between knowledge, attitudes, and cosmetic choices. The results show that cosmetic knowledge tends to be high, but is not always followed by appropriate selection behavior, with varying correlation strengths. These findings confirm that cosmetic literacy contributes to the tendency to choose more appropriate products, but is not the sole determining factor. Therefore, education is needed that emphasizes cognitive aspects while fostering critical attitudes in choosing cosmetics safely and responsibly.

This study aims to investigate the skill gaps experienced by bachelor’s degree graduates in Indonesia when facing the dual demands of Industry 4.0 and Society 5.0. The method applied in this research is a systematic literature review, synthesizing findings from 21 scientific articles focusing on the dynamics of skill gaps and the effectiveness of higher education interventions in Indonesia. The study findings reveal two main categories of competency gaps. In the context of Industry 4.0, the most significant deficiencies are observed in specific hard skills, particularly data literacy, artificial intelligence proficiency, and automation across various sectors. Meanwhile, within the Society 5.0 dimension, deeper gaps emerge in soft skills and human-centered competencies, including complex problem-solving, emotional intelligence, creativity, and environmentally sustainable skills. These human-centered skill gaps play a critical role in enhancing graduate value as AI technologies increasingly replace routine tasks. Although the Merdeka Belajar Kampus Merdeka program shows positive outcomes in improving sustainability skills and digital certification, it has not fully succeeded in driving fundamental transformation of higher education learning outcomes, limiting alignment with sustainability principles and the Society 5.0 approach. It can be concluded that Indonesian higher education faces the challenge of undertaking fundamental curriculum reform to integrate human-centered competencies as a foundation for preparing future human resources.

Social media is one form of technological advancement that has become an integral part of students’ lives, including university students. Its use is not limited to communication and information sharing, but it may also generate psychological effects that influence both physical and mental health. The purpose of this review is to identify and explain the psychological impacts of social media use through appropriate theoretical approaches, which serve as a foundation for discussing the research findings. This study employs a literature review method by examining various academic books and relevant scientific articles. The findings indicate that excessive use of social media has the potential to cause psychological problems among university students, such as social comparison behavior, cyberbullying, decreased sleep quality, and reduced learning productivity. These issues are influenced by several factors, including the intensity of social media use, the type of content accessed, and individuals’ ability to manage emotions and time. Furthermore, uncontrolled social media use may lead to difficulties in social relationships, increased procrastination, poor time management, and reduced self-control in using social networking platforms. Therefore, students are encouraged to develop healthier patterns of social media use to reduce the risk of psychological disturbances. This review is also expected to assist healthcare professionals in understanding the relationship between the intensity of social media use and the occurrence of depressive symptoms among university students.

This activity was conducted in Timbang Lawan Village, located in Bahorok Sub-district, Langkat Regency, North Sumatra Province. The results of surveys and interviews with partners indicate that most residents, especially housewives, carry out activities at home, work as agricultural laborers, and engage in farming. This situation provides significant opportunities to train and educate them through programs aimed at improving economic conditions and financial independence. However, the main inhibiting factors identified are limited access to information, knowledge, and technology, which hinder their creativity in utilizing leisure time productively. The purpose of this community empowerment program is to provide education and socialization to inspire and empower the community in addressing economic problems through training in making dishwashing liquid. After this activity, it is expected that participants can reduce household expenses by no longer needing to purchase dishwashing liquid on a daily basis. Moreover, if opportunities arise, they may also identify business prospects to develop dishwashing liquid production. The expected benefit of this activity is to foster an entrepreneurial spirit among housewives in Timbang Lawan Village.

Seren Village has abundant organic waste potential, particularly banana peel waste generated from banana-processing MSME activities and wood ash resulting from household firewood combustion. To date, this waste has not been optimally utilized and is often discarded, thereby posing potential environmental problems. This study aims to process banana peel waste and wood ash into an innovative, environmentally friendly shoe polish made from natural materials, while also enhancing the economic value and welfare of the community. The research employed a descriptive qualitative method with a case study approach. Data were collected through observation, interviews, and documentation involving the women’s Family Welfare Empowerment Group (PKK) of Seren Village as the target participants. The shoe polish production process includes drying and grinding banana peels, mixing them with a wood ash solution that functions as a natural coloring agent, adding supporting materials, and heating the mixture until a ready-to-use shoe polish is obtained. The results indicate that the shoe polish produced from banana peels and wood ash has a solid texture, is slightly coarse, non-glossy, and has a relatively fast drying time of approximately one minute. In addition, the product shows good resistance to water splashes and does not damage the surface of shoes. The use of natural ingredients makes this shoe polish safer for health. The utilization of this waste has the potential to support MSME development, reduce environmental pollution, and sustainably improve the welfare of the Seren Village community.

This study aimed to examine the effectiveness of emotion regulation training in improving the adjustment of adolescents living in orphan in Padang. The research employed a mixed method approach using a one group pre-test post-test experimental design supported by qualitative data. Participants were 26 adolescents from one orphan in Padang. Data were collected through an adjustment scale administered before and after the intervention, observation, and open-ended questionnaire  questionnaire  responses. Quantitative data were analyzed using the Wilcoxon Signed Rank Test with the assistance of IBM SPSS 23, while qualitative data were analyzed through thematic analysis using NVivo 12. The results showed a significant difference between pre-test and post-test scores, indicating an improvement in overall adjustment after the training. Most participants experienced increased scores across emotional maturity, intellectual maturity, social maturity, and responsibility. Qualitative findings revealed positive behavioral changes, including helping behavior, cooperation, rule compliance, and independent problem solving. These findings indicate that emotion regulation training is effective in enhancing adolescents adjustment in institutional care settings.

This study aims to analyze legal protection for lenders in the terms and conditions clauses of Peer-to-Peer (P2P) Lending platforms in Indonesia, particularly regarding the risk of default or breach of contract. The background of the study is based on the rapid growth of the P2P Lending fintech industry accompanied by an increase in the risk of default, as well as the potential imbalance in the lenders' bargaining position due to the use of standard clauses that are often detrimental. The results of this study reveal that of the 10 P2P Lending platforms that the author studied, none of the platforms can be said to have completely fulfilled all components of preventive and repressive protection as regulated by POJK No. 40 of 2024. This problem is exacerbated by the existence of exoneration clauses prohibited by POJK No. 22 of 2023 Article 46 paragraph (2), where platforms often unilaterally limit their responsibilities by transferring the risk of default entirely to lenders, thereby reducing consumer rights and violating the principle of consumer protection in Law No. 8 of 1999 Article 18 paragraph (1).

The highest mortality cases during pregnancy until the postpartum period are caused by several factors such as hypertension, infection, bleeding, anemia and KEK. Data obtained from pregnant women at the Bumiayu Community Health Center in 2023 were 30 cases, in 2024 there was an increase of 183 cases and in 2025 from January to February there were 30 KEK cases (Bumiayu Community Health Center profile, 2025). The purpose of the study was to provide comprehensive midwifery care to pregnant women, childbirth, newborns, postpartum and family planning (KB) using the Varney and SOAP management approaches. The method used in this study is a qualitative descriptive method with a comprehensive case study approach. The results of the study of comprehensive midwifery care to Mrs. S found problems in pregnancy with KEK have been given management according to the mother's needs. In labor, newborns, postpartum to KB Mrs. S there were no complications. Conclusion Comprehensive midwifery care to Mrs. S with KEK has been carried out in accordance with Standard Operating Procedures with the condition of the mother and baby being good.  

This study aims to examine the application of group guidance in improving students' learning processes at the secondary school level. Group guidance is one of the services in guidance and counseling that allows students to discuss, share experiences, and develop problem-solving skills in a group setting. The background of this research stems from the observation that many students experience difficulties in their learning process, including low motivation, ineffective learning strategies, and an inability to manage academic pressure. The method used in this study is a literature review approach that examines various relevant research and theories. The results show that group guidance has a significant positive impact on improving students' learning processes, including increasing learning motivation, developing effective study habits, enhancing social interaction among students, and reducing academic anxiety. Group guidance also provides a safe space for students to express their academic difficulties and receive constructive support from peers and counselors. The implications of this research suggest that group guidance services need to be consistently and systematically implemented in schools as part of a comprehensive guidance and counseling program. Schools are recommended to design structured group guidance programs with clear objectives and methods tailored to students' developmental needs. This approach is proven to be effective in supporting students' academic achievement and personal development.