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Brebes Regency is one of the main national centers of shallot production in Indonesia, where agricultural land dynamics play a crucial role in sustaining production performance. Rapid infrastructure development and land-use change have raised concerns regarding the sustainability of shallot cultivation areas. This study aims to analyze spatial–temporal changes in shallot cultivated area and production in Brebes Regency during 2023–2024 and to examine the relationship between land area changes and production levels at the sub-district scale. A descriptive quantitative approach based on spatial analysis was employed using Geographic Information Systems (GIS). Spatial data consisted of administrative boundary maps, while non-spatial data included shallot cultivated area and production data obtained from the Brebes Regency Office of Agriculture and Food Security. Data integration and analysis were conducted using QGIS through attribute joining and inter-annual comparison. The results indicate that total shallot cultivated area increased from 26,331 ha in 2023 to 28,628 ha in 2024, accompanied by a significant rise in production from 289,942.05 tons to 409,106.90 tons. Spatial analysis reveals that major production centers remain concentrated in the central and northern sub-districts, particularly Wanasari, Larangan, Bulakamba, and Tanjung. Although a positive relationship between land expansion and production increase is evident, variations among sub-districts suggest that productivity and local conditions also play important roles. The findings highlight the effectiveness of GIS-based analysis in supporting spatially informed agricultural land management and policy formulation.

Business competition in the culinary sector continues to increase along with changes in people's consumption patterns towards ready-to-eat food. One product that is quite popular is fried dim sum, which is known for its variety of flavors and relatively affordable prices. In this competitive environment, understanding how consumers perceive product price and quality is crucial for businesses to maintain and increase customer interest in purchasing goods. Consumer perceptions of product price and quality when they choose fried dim sum are the subject of this study. Informants were selected purposively in this study, which used a qualitative and descriptive approach, namely consumers who have purchased and consumed fried dim sum products. Data collection methods included comprehensive interviews, direct observation, and supporting documentation. The collected data were analyzed using an interactive analysis model developed by Miles and Huberman through steps such as data reduction, data presentation, and discovery. The results show that consumers view price as an indicator related to the affordability and suitability of the product value. Price is considered acceptable if it is commensurate with perceived quality. In addition, product quality, including taste, texture, cleanliness, and packaging, is a primary factor considered before making a purchase. Positive perceptions of product quality increase customer trust and encourage repeat purchases. This study concluded that customer perceptions or opinions about price and product quality influence fried dim sum purchasing decisions. Therefore, culinary businesses need to prioritize proportional pricing and maintain consistent product quality to enhance business competitiveness.

Free trade is one of the central issues in the dynamics of the global economy, sparking debates about the extent to which the state should be involved in economic activities. Each economic system holds a different perspective on the relationship between market mechanisms and state intervention. This article aims to analyze the concept of free trade and the role of the state from the perspective of various economic systems, namely liberal, socialist, mixed, and Islamic economic systems. The research method employed is a literature review, examining relevant sources such as books, scholarly journals, and other academic references. The findings indicate that the liberal economic system tends to emphasize market freedom with minimal state involvement, whereas the socialist system positions the state as the main regulator in trade. The mixed economic system seeks to balance the roles of the market and the state, while Islamic economics permits free trade as long as it is conducted in accordance with the principles of ethics, justice, and social responsibility. This article is expected to contribute academically to a better understanding of the differing approaches of economic systems toward free trade and the role of the state in addressing global economic challenges.

This study investigates the determinants of capital structure within the healthcare industry, focusing on the influence of asset structure, profitability, and company size. Given the capital-intensive nature of healthcare—characterized by significant investments in medical technology and infrastructure—understanding how these firms balance debt and equity is critical for financial sustainability and operational growth. Using a quantitative approach, this research analyzes a panel dataset of healthcare companies listed on the Indonesian Capital Market from 2018 to 2023. Furthermore, the capital structure is quantified by the debt-to-equity ratio. Meanwhile, asset structure, profitability, and company size are measured by the ratio of fixed assets to total assets, return on assets, and the natural logarithm of total assets, respectively. Moreover, the data are analyzed using multiple linear regression, supported by the classical assumption testing. As a result, asset structure has a significant positive impact on capital structure, aligning with the static trade-off theory. Conversely, profitability demonstrates a significant negative relationship with capital structure, supporting the pecking order theory. Finally, company size positively affects capital structure, indicating that larger firms have greater access to debt financing. These findings suggest that healthcare managers should optimize their asset utilization and internal reserves to maintain an efficient capital structure that supports long-term healthcare delivery and investor confidence.

Smartphone addiction refers to excessive smartphone use that can have physical and psychological impacts. The purpose of this study was to provide psychoeducation to increase knowledge about self-management in an effort to reduce smartphone addiction. This study used a pre-experimental research design with a one-group pretest-posttest design on 32 students. Data collection used the Smartphone Addiction Scale-Short Version questionnaire and additional questionnaires developed by the researcher. The results of the paired sample t-test showed an increase in scores after the psychoeducational intervention (p < 0.05). These findings indicate that psychoeducation can be used as an effective approach to preventing and reducing smartphone addiction in adolescents. These findings can provide new insights into the importance of preventing smartphone addiction through psychological and educational approaches that can be applied in the context of adolescent education and health. This study makes an important contribution to the prevention and management of smartphone addiction, with implications for the development of psychoeducational programs that can be implemented in educational and health settings to support adolescent well-being.

Low back pain (LBP) is one of the most common musculoskeletal complaints globally and is the main cause of decreased work productivity. One of the risk factors that has been widely studied in the literature is prolonged sitting duration. Prolonged sitting activities cause increased static pressure on the lumbar spine, fatigue of the supporting muscles, as well as a decrease in local blood flow that can trigger chronic pain. This study is a literature review with a meta-analytical approach that aims to analyze the relationship between long-term sitting and the incidence of LBP. The review process was carried out following PRISMA guidelines through searches on PubMed, Scopus, ScienceDirect, and Google Scholar databases for publication in 2020–2025. Of the 20 previous studies analyzed, most showed a positive association between sitting time and an increased risk of LBP, both in adults, adolescents, and children. Sitting for more than 6 hours per day increases the risk of LBP by 33%, especially in individuals with low physical activity. In addition, longer sitting durations with poor posture and minimal active rest were found in the group of office workers and professional drivers who had a high prevalence of LBP. Physical activity has been shown to play a protective role against the risk of LBP, while ergonomic interventions such as lumbar support can reduce pain complaints. Although most studies were observational, the consistency of results supports the importance of prevention through reduced sitting time, increased physical activity, and ergonomic work environment settings. These findings provide a scientific basis for multidimensional interventions to effectively reduce the incidence of LBP.  

Down Syndrome (DS) is a genetic disorder characterized by trisomy of chromosome 21 and is inherently associated with clinical manifestations such as hypotonia, joint laxity, and neuromuscular deficits, all of which collectively contribute to impaired postural control and balance. These balance impairments significantly affect the attainment of motor milestones, performance of daily activities, and increase the risk of falls. This study aims to analyze the effectiveness of core stability training in improving balance among children with DS. A narrative review approach was employed by conducting a literature search across electronic databases including PubMed, Scopus, Google Scholar, and ResearchGate. Inclusion criteria consisted of primary studies (RCTs, quasi-experimental designs) published within the last ten years (2015–2025) that examined core stability interventions targeting balance or postural control in children with DS. A review of 10 relevant studies demonstrated that core stability training, either as a standalone intervention or combined with other modalities (e.g., treadmill training or balance training), resulted in significant improvements in both static and dynamic balance. These improvements are facilitated through the strengthening of deep trunk muscles (such as the multifidus, transversus abdominis, and rectus abdominis), which play a crucial role in proximal stabilization and force transfer to the extremities. In conclusion, core stability training is an effective and recommended intervention modality within physiotherapy rehabilitation programs to enhance the quality of life and motor independence of children with Down Syndrome.  

Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia. Despite the implementation of national TB control programs through the Directly Observed Treatment Shortcourse (DOTS) strategy, treatment success continues to face significant challenges, particularly related to patient adherence to anti-tuberculosis drug (ATD) therapy. Non-adherence to TB treatment can lead to treatment failure, disease relapse, and the development of drug-resistant tuberculosis, thereby increasing the overall burden of the disease.Treatment adherence in TB patients is influenced not only by medical factors but also by social and behavioral determinants. Family support plays a crucial role in encouraging patients to comply with treatment regimens by providing motivation, reminding medication schedules, and offering emotional support throughout the long duration of therapy. Patients who receive adequate family support tend to demonstrate higher levels of treatment adherence compared to those with limited support.In addition, the use of herbal medicine as a preventive and supportive health measure is common among the Indonesian population. Herbal medicine is often utilized to enhance immune function, reduce medication side effects, and improve patient comfort during TB treatment. However, the use of herbal remedies without proper medical guidance may lead to misconceptions regarding standard TB therapy.Therefore, it is important to examine the relationship between family support and the use of herbal medicine as preventive measures with treatment adherence among pulmonary TB patients in primary healthcare settings. Such evidence is expected to support a comprehensive family medicine approach and strengthen TB control programs in primary care services.

Aortic dissection is a cardiovascular emergency characterized by a tear in the aortic intima layer and the formation of a false lumen, posing risks of fatal complications such as rupture and organ malperfusion. Stanford type B dissections may be managed conservatively; however, complicated cases require intervention. Thoracic Endovascular Aortic Repair (TEVAR) has emerged as the preferred modality, offering lower perioperative morbidity and mortality compared to open surgery. To report the first TEVAR procedure performed in Manado on a patient with Stanford type B aortic dissection, highlighting the technical approach, operative challenges, and clinical outcomes. A 62-year-old male with a history of hypertension and chronic chest pain was referred following a CT angiography that revealed a Stanford type B aortic dissection with an entry site in the proximal descending aorta. TEVAR was performed with stent-graft placement in zone 2 and a chimney graft to preserve perfusion of the left subclavian artery (LSA). Intraoperative aortography confirmed false lumen exclusion without endoleak. The patient showed significant clinical improvement and recovered without postoperative complications. The procedure was technically and clinically successful, with no major complications. Postoperative evaluation confirmed stable stent position and maintained LSA perfusion. This case demonstrates that TEVAR can be safely implemented in non-tertiary regional hospitals with thorough preparation. The first TEVAR procedure in Manado illustrates that this technique can be an effective solution for complicated type B aortic dissections. This experience marks a milestone in the development of endovascular services in resource-limited settings and may serve as a reference for similar institutions in Indonesia.

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in endemic areas, including Olat Rarang Hamlet, Labuhan Sumbawa Village. Effective dengue prevention requires active community involvement supported by entomological surveillance data. This community service activity aimed to enhance community awareness and participation in dengue prevention through the implementation of the 3M Plus Movement integrated with an entomological surveillance approach using the House Index (HI), Container Index (CI), and Breteau Index (BI) indicators. The activity was conducted on December 6, 2025, involving local community members and public health students. The methods included health education, larval surveys in houses and water-holding containers, and community-based mosquito breeding site eradication. The results indicated that houses and containers positive for Aedes larvae were still present, reflecting a moderate risk of dengue transmission. However, the implementation of the 3M Plus Movement improved community knowledge, awareness, and participation in vector control. Integrating the 3M Plus Movement with entomological surveillance is an effective promotive and preventive strategy based on community empowerment for sustainable dengue prevention.

This community service activity aimed to strengthen teachers’ competencies in utilizing digital platforms to support project-based learning at a vocational high school. The background of this activity was the limited ability of teachers to manage project-based learning in a structured and systematic manner using digital platforms. The method employed was participatory mentoring, involving needs analysis, activity planning, implementation of digital platform mentoring, monitoring and evaluation, and reflection with follow-up actions. The participants were teachers of SMK Negeri 1 Tukak Sadai, Bangka Barat. The results indicated an improvement in teachers’ understanding and skills in designing, managing, and evaluating project-based learning using digital platforms. Teachers became more confident in integrating technology into learning processes and demonstrated better organization of project activities. This activity contributed to enhancing teachers’ digital competencies and improving the quality of project-based learning practices in vocational education. The findings suggest that participatory mentoring is an effective approach to supporting sustainable digital learning innovation in vocational schools.

The Indonesia–European Union Comprehensive Economic Partnership Agreement (IEU-CEPA) signed in September 2025 opens significant economic opportunities through the elimination of 98% of tariffs and broader access to the European Union market. However, the implementation of this agreement poses serious challenges for Micro, Small, and Medium Enterprises (MSMEs), which contribute 60% of GDP and absorb 97% of the national workforce. This research analyzes the readiness of Indonesian national law in supporting MSME participation in facing IEU-CEPA implementation using normative juridical methods with statutory and conceptual approaches. The research findings show that although IEU-CEPA offers 0% tariffs for 95% of Indonesian products, MSMEs face barriers in meeting European Union technical standards such as Technical Barriers to Trade (TBT), Sanitary and Phytosanitary Measures (SPS), and European Union Deforestation Regulation (EUDR). National regulations such as Law Number 20 of 2008 and Government Regulation Number 7 of 2021 have not yet regulated mechanisms for assisting MSMEs in meeting international standards, traceability systems, and special legal protection. The research recommends comprehensive legal harmonization and reform strategies including regulatory revision, establishment of an IEU-CEPA Task Force for MSMEs, adequate budget allocation, capacity building programs, and strengthening legal protection mechanisms to ensure MSMEs optimally utilize IEU-CEPA opportunities.

The development of digital technology has brought about significant changes ini parenting patterns and the learning process for early childhood. Children are now familiar with using devices for lpay, learning, and intraction, requiring parents and techers to have the ability to guide their childrens appropriate use of technology. Although technology facilitates access to information, unsupervised use can trigger various problems, such as screen addiction, reduced sosial interaction, exposure to age-inappropriate content, and decreased concentration. Therefore, supervision and guidance are crucial elements ini educating children in the digital age. Various studies confirm that regulating device usage time, implementing firm rules, active guidance, and instilling character values are essential for children to use  technology in a healthy and responsible manner Synergy beyween parents and schools, along with improving digital literacy, are key factors in ensuring that technology provides safe and positive benefits for childrens cognotive, social, emotional, morality, and physical-motor development. A comprehensive approach is necessary for children to develop optimally amidst the rapid development of the digital world.

A creative and stimulating learning environment plays an important role in supporting early childhood development, particularly fine motor skills. One innovative learning environment that can be implemented is Kids Art Space, a specially designed art space that provides children with safe, enjoyable, and meaningful learning experiences through art activities. This study aims to describe the implementation of Kids Art Space as an innovative learning environment in supporting the development of fine motor skills in early childhood. The research employed a descriptive qualitative approach involving early childhood participants who took part in Kids Art Space activities, with parents serving as companions and supporting informants. Data were collected through observation, documentation, and activity reflection. The results indicate that the implementation of Kids Art Space effectively enhances children’s fine motor skills through various art activities such as sticking, painting, color mixing, and tap-tap plastic activities that involve hand–eye coordination. In addition, Kids Art Space positively influences children’s focus, enthusiasm, independence, and self-confidence during the learning process. Therefore, Kids Art Space can be considered an innovative and effective learning environment that supports fine motor development in early childhood through creative and interactive learning experiences.

The transformation of public governance has encouraged a paradigm shift in public service delivery, from an administrative and procedure-oriented approach toward a citizen-centered and value-based model. In this context, public sector marketing has emerged as a strategic instrument to enhance service quality, institutional image, public participation, and trust. This study aims to examine the contemporary implementation of marketing strategies and planning in the public sector, with particular attention to their effectiveness and contextual relevance. The research adopts a qualitative descriptive approach through a systematic literature review of selected scholarly publications addressing public sector marketing, strategy implementation, digital governance, and public service management. The findings indicate that public institutions increasingly apply marketing principles not as commercial activities, but as mechanisms for creating public value through strategic communication, digital engagement, institutional branding, and stakeholder collaboration. However, the effectiveness of implementation varies across organizations and is strongly influenced by leadership capacity, human resources competence, organizational culture, and technological support. The study also reveals that public sector marketing strategies must be adapted to social, cultural, and institutional contexts, as private-sector models cannot be directly transferred. Theoretically, this study strengthens the positioning of marketing as an integral component of public governance. Practically, it provides insights for public organizations to develop contextual, responsive, and sustainable marketing strategies to improve public service performance and trust.

This article discusses the role of Christian Religious Education (PAK) in shaping inclusive attitudes of students in the midst of diverse Indonesian society. Using a descriptive qualitative approach, this study examines how PAK can teach the values ​​of love, justice, and respect for differences, and their impact on students' character. The results of the study indicate that PAK not only functions as a transmitter of the doctrine of faith, but also as a means to promote tolerance and interfaith dialogue. Teachers play an important role as facilitators who create a safe and supportive learning environment, and integrate multicultural values ​​into the curriculum. Although PAK faces challenges in the learning approach, collaboration between the church, school, and family can strengthen the impact of religious education. Thus, PAK has great potential in shaping a tolerant generation committed to social justice in a pluralistic society.

This research examines criminal law policy in handling special narcotics crimes and their social impacts on Indonesian society. Narcotics crime constitutes an extraordinary crime that threatens public health, security, and social resilience. Therefore, the state implements criminal law policies through penal and non-penal approaches regulated in statutory provisions, particularly the Narcotics Law. This research aims to analyze the effectiveness of criminal law policies in combating narcotics crimes and to examine the social impacts arising from the implementation of such policies. The research method used is normative legal research employing statutory and conceptual approaches. The findings indicate that criminal law policies in narcotics control still face various challenges, including ineffective law enforcement, prison overcapacity, and social stigma against narcotics users. The social impacts are not only experienced by offenders but also affect families and the wider community. Consequently, criminal law policies that prioritize restorative justice, rehabilitation, and preventive measures are urgently needed to reduce negative social impacts and to ensure sustainable protection for society in Indonesia.

Plastic waste is a form of solid waste originating from synthetic polymer materials that are difficult to decompose naturally and pose serious threats to environmental sustainability. Its accumulation continues to increase, causing pollution of soil, water, and ecosystems. In general, public attention is often limited to waste disposal and management activities without addressing preventive measures or innovative solutions at the source of the problem. This study aims to increase public awareness of plastic waste processing as an alternative approach to reducing the growing volume of plastic waste generated daily. One promising method explored in this research is the utilization of plastic waste as a raw material for producing environmentally friendly construction bricks. The study applied a simple descriptive experimental approach through direct practical activities, including the collection of plastic waste, processing and melting procedures, molding processes, and drying stages. The results demonstrate that plastic waste can be transformed into bricks with adequate physical strength and mechanical properties that comply with basic building standards. Therefore, this method has the potential to support sustainable waste management while providing alternative construction materials.

The Muhammadiyah Orphanage in Pamekasan faces major challenges in developing life skills and digital education for its children due to limited facilities, teaching staff, and conventional learning methods. To address these issues, an edutainment-based approach and digital pedagogy intervention were implemented to enhance learning quality, motivation, and preparedness for future social and technological challenges. The activities included workshops and training on Digital Pedagogy and Edutainment learning materials, as well as simulations and role-plays using a Game-Based Learning approach, followed by evaluations and participant plan presentations. The program significantly improved the wards’ digital literacy, particularly in personal security (online safety), digital ethics (cyber ethics), gadget usage, and information management, with the average score rising from 2.84 to 4.10 on a 5-point scale, surpassing the target of 75% of participants in the “good” category. Beyond cognitive aspects, the program also boosted motivation, engagement, communication, problem-solving, and independence. Caregiver training was also provided to ensure program sustainability. It is recommended that the orphanage integrate the Game-Based Learning Digital Safety module into its non-formal curriculum, enhance caregiver capacity through advanced training, and improve IT infrastructure.

Social emotional development in early childhood is an important foundation for children's psychological and social functioning in later stages of development. This process is greatly influenced by the quality of interactions within the family environment, including the level and quality of the father's involvement in parenting. Although various studies show that fathers play a significant role in shaping children's emotional regulation, independence, and social competence, studies that systematically integrate the role of fathers within the framework of psychosocial and sociocultural development theory are still relatively limited. This study aims to critically analyze the role of fathers in shaping the emotions and socialization of early childhood based on the perspectives of Erik Erikson's psychosocial development theory and Lev Vygotsky's sociocultural theory. This study uses a qualitative approach with a Literature Study Review (LSR) method of reputable national and international journal articles, academic books, and scientific proceedings published in the period 2020–2025. The data were analyzed through thematic synthesis and conceptual analysis. The results of the study show that consistent, responsive, and supportive father involvement contributes significantly to the development of emotional regulation, self-confidence, social initiative, and adaptive social interaction skills in children. These findings confirm the relevance of Erikson and Vygotsky's theories and provide theoretical and practical implications for the development of family parenting patterns and early childhood education policies that encourage optimal father involvement.