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Early detection of a potential heart attack is a crucial step in preventing sudden death from heart disease. This research aims to develop an Internet of Things (IoT)-based health monitoring system capable of measuring vital body data in real time and predicting the likelihood of a heart attack from CSV data obtained from sensors, integrated through RapidMiner as learning data using a machine learning algorithm, the Support Vector Machine (SVM). The system was built using an ESP32 microcontroller connected to a MAX30102 sensor to measure heart rate and finger oxygen levels (SpO₂), as well as a DHT22 sensor to measure temperature and humidity. The resulting data is sent to the Blynk application to display real-time data according to its parameters. The initial prediction logic was developed using a rule-based method based on medical thresholds for four vital parameters. The data was then used to train an SVM model as a classification system to detect potential heart attacks. Test results showed that the system can identify abnormal conditions with a good level of accuracy and provide early warnings based on changes in vital parameters in real time. This system is expected to be an initial solution for personal health monitoring, especially for individuals at risk of heart disease. It can be further developed with cloud integration and automatic notifications to users' devices.

Breast cancer has a high global incidence and is the most prevalent cancer among women. Chemotherapy is a primary treatment option, but it may cause various physical and psychological side effects that can reduce patients’ quality of life. This study aimed to describe the characteristics of breast cancer patients undergoing chemotherapy and examine the relationship between chemotherapy side effects and quality of life at the outpatient unit of Ciremai Hospital. A cross-sectional analytical observational design was applied, with 30 patients receiving chemotherapy between May and July as the sample. Data were collected from medical records and the Indonesian version of the WHOQOL-BREF questionnaire, then analyzed using Spearman rank correlation. Most patients were aged 40–60 years, had a senior high school education, were housewives, and were in the 2nd or 5th chemotherapy cycle. Frequently reported side effects included nausea, vomiting, decreased appetite, early satiety, dizziness, sleep disturbances, body pain, and alopecia, mostly categorized as moderate. Most patients had a relatively poor quality of life. The analysis indicated a strong positive correlation between chemotherapy side effects and patients’ quality of life, with a Spearman correlation coefficient of 0.604 (p = 0.000 < 0.05), demonstrating a significant and strong relationship.

Microplastics are extremely small plastic particles that have become a major concern in public health and environmental studies. This literature review aims to discuss the sources of microplastics, their routes of exposure to the human body, their distribution in organs, and their potential health impacts. The method used was a literature review of scientific articles and reports published from 2021 onward, retrieved from Google Scholar, PubMed, ScienceDirect, and official websites of organizations such as the WHO, OECD, and the World Bank. The review findings show that microplastics originate from plastic waste, synthetic clothing, cosmetics, vehicle tires, and food packaging. These particles have been detected in blood, lungs, the placenta, feces, and various human tissues, indicating that human exposure is widespread. However, evidence from human studies is still limited, so cause-and-effect relationships cannot yet be confirmed with certainty. Based on these findings, further research is needed to better understand the long-term health effects of microplastics. In addition, efforts to reduce single-use plastics, improve waste management systems, and increase public education are essential to reduce exposure and prevent future health risks.

Gesture  recognition  technology  is  used  to  detect  movements  through  image processing,   enabling  computers  or digital devices to understand and interpret human  body  movements  as  input  or  commands.   This  technology  has  great potential  to bridge communication between the deaf community and individuals without   hearing   impairments,    enhancing  interaction  and  enriching  mutual understanding between the two.  However,  the accuracy ofgesture recognition is often  affected  by variations in the distance between hand landmarks.  Based on this problem,  this research proposes a methodfor stabilizing the measurement of distances between landmark points  in gesture recognition through a polynomial regression  approach.   Specifically,   the  distance  between  hand  landmarks  is calculated and stabilized using polynomial  regression to improve the accuracy of gesture recognition.  This method is implemented using the MediaPipeframework to detect and track hands in real-time,  and the OpenCV library to manage video. The  research  results  show  that  this  approach  can  significantly  improve  the stability  and accuracy  of gesture detection.   The developed system successfully detects gestures for  letters A  through F with a high accuracy  rate,  averaging above 98,3%.  The use ofpolynomial regression helps enhance detection accuracy by reducing noise in the landmark data.

Breast cancer has a high global incidence and is the most prevalent cancer among women. Chemotherapy is a primary treatment option, but it may cause various physical and psychological side effects that can reduce patients’ quality of life. This study aimed to describe the characteristics of breast cancer patients undergoing chemotherapy and examine the relationship between chemotherapy side effects and quality of life at the outpatient unit of Ciremai Hospital. A cross-sectional analytical observational design was applied, with 30 patients receiving chemotherapy between May and July as the sample. Data were collected from medical records and the Indonesian version of the WHOQOL-BREF questionnaire, then analyzed using Spearman rank correlation. Most patients were aged 40–60 years, had a senior high school education, were housewives, and were in the 2nd or 5th chemotherapy cycle. Frequently reported side effects included nausea, vomiting, decreased appetite, early satiety, dizziness, sleep disturbances, body pain, and alopecia, mostly categorized as moderate. Most patients had a relatively poor quality of life. The analysis indicated a strong positive correlation between chemotherapy side effects and patients’ quality of life, with a Spearman correlation coefficient of 0.604 (p = 0.000 < 0.05), demonstrating a significant and strong relationship.

Persons with disabilities often face negative stigma and challenges in developing their potential due to limited access to appropriate education and training. Despite the growing body of literature on disability empowerment, existing studies have predominantly focused on hard skill development and economic outcomes, while the role of social skills programs in facilitating broader social integration remains underexplored. This study aims to analyze the empowerment and social skill development of persons with disabilities through programs implemented by the Sahabat Difabel Community, employing the theory of secondary socialization proposed by Berger and Luckmann (1966) and the critical pedagogy framework of McLaren (2010). Using a descriptive qualitative method, data were collected through interviews, observations, and documentation from November 2024 to June 2025 in Semarang. The findings indicate that the community provides both hard skill and soft skill training to support the independence and social skills of persons with disabilities. This potential-based empowerment model emphasizes social inclusion and work readiness while complementing the role of families in fostering independence. The study recommends further collaboration among communities, families, private institutions, and the government to create an inclusive environment that supports the development of persons with disabilities.

High-quality forage selection is a central factor in improving Bali cattle performance, particularly in smallholder systems that rely heavily on local feed resources. This study evaluated the effects of odot grass (Pennisetum purpureum cv. Mott) and pakchong grass (Pennisetum purpureum cv. Thailand) on feed intake, average daily gain, and feed conversion ratio of male Bali cattle. The experiment was conducted for 30 days from February to March 2026 at CV. RnB Farm, Gorontalo Regency. Nine male Bali cattle with relatively homogeneous initial body weights of 150–200 kg was assigned to a completely randomized design with three treatments and three replications. The treatments were P0, field grass as the control; P1, 100% odot grass plus concentrate; and P2, 100% pakchong grass plus concentrate. Dry matter intake did not differ significantly among treatments, with values of 6.47 ± 0.19, 6.52 ± 0.19, and 6.55 ± 0.16 kg/head/day for P0, P1, and P2, respectively. In contrast, average daily gain differed significantly, with the highest value observed in P2 at 0.56 ± 0.08 kg/head/day, followed by P1 at 0.52 ± 0.09 kg/head/day and P0 at 0.45 ± 0.06 kg/head/day. Feed conversion ratio also differed significantly, with the most efficient value recorded in P2 at 11.98 ± 2.10. These findings indicate that pakchong grass combined with concentrate provides the best feed efficiency and growth performance, while odot grass remains a promising alternative forage for improving Bali cattle productivity.

Blood is a major component of the homeostatic system that plays an essential role in maintaining the physiological balance of the body. Several blood chemistry parameters, including blood glucose, cholesterol, and blood pH levels, can be used to assess an individual's health condition. Blood glucose is derived from carbohydrate metabolism and serves as the body's primary energy source. Cholesterol is a lipid compound involved in cell membrane formation and hormone synthesis and consists of Low-Density Lipoprotein (LDL) and High-Density Lipoprotein (HDL). Blood pH measurement is used to determine the degree of acidity or alkalinity of the blood, reflecting the body's acid-base balance. This study aims to interpret the results of blood chemical analyses and understand the principles and methods used to determine blood glucose, cholesterol, and pH levels. The research employed a laboratory experimental method by measuring these parameters using blood chemistry testing equipment on blood samples. The results showed that fasting blood glucose was 97 mg/dL, indicating a normal glucose level. In contrast, non-fasting blood glucose was 61 mg/dL, which was below the normal range and indicated hypoglycemia. Blood cholesterol was measured at 139 mg/dL, which remained within the normal range. The blood pH value was 6, indicating a condition of acidosis. These findings highlight the importance of blood chemistry examinations as indicators for evaluating metabolic conditions and overall health status.

Physical mobility is highly influenced by the integrity of the musculoskeletal and neuromuscular systems, which play a fundamental role in facilitating body movement. Impairment in these systems, such as muscle weakness, limited joint range of motion, pain, or injury, may lead to decreased physical movement and functional limitations. This case study aimed to describe the implementation of joint strengthening exercise techniques in a patient with impaired physical mobility at RSUD Bayu Asih Purwakarta. Joint strengthening exercise techniques, as a nursing intervention, may improve joint flexibility and enhance physical mobility. This study employed a case study design using a comprehensive nursing care approach. Assessment findings revealed decreased extremity movement, reduced muscle strength, and limited joint range of motion. The nursing diagnosis established was impaired physical mobility. Nursing interventions were implemented through joint strengthening exercise techniques over three days in two sessions. Evaluation findings demonstrated partial improvement in extremity movement, muscle strength, and joint range of motion. The implementation of joint strengthening exercise techniques contributed to improved patient mobility; however, the problem of impaired physical mobility was not fully resolved, as the outcome indicators remained at scores of three to four, below the expected target score of five.

This study aims to explain the construction of gender identity in Toni Morrison's novel Beloved through Judith Butler's gender performativity theory. This novel tells the story of the traumatic experience of slavery that shapes racial identity as well as the social issues, power relations, and extreme violence depicted within it. This study explains how Sethe and other female characters in the novel Beloved construct and demonstrate their identities through concrete actions as a form of protest against slavery. Based on Judith Butler's performativity approach, identity is not understood through a fixed biological destiny but rather as a repetition of social practices and norms within society. In the novel Beloved, Black women are represented not as a fixed biological essence but as the result of the application of norms in society. In Beloved, the Black female body is depicted as a source of oppression and a space of resistance. The system of slavery in Beloved not only controls the physical body but also women's subjectivity. Sethe's actions in protecting her child in the novel can be read as an attempt to shake up hegemonic maternal norms. The results of this study indicate that Morrison portrays identity as a political construct and always in the process of becoming. The trauma depicted in the novel is a performative mechanism that shapes the characters' subjectivities. Thus, an analysis of gender performativity in Beloved cannot be separated from the intersectional issues of race, history, slavery, and patriarchal culture.

This study aims to analyze the environmental impact of waste generated by the gecko processing home industry based on environmental law regulations in Indonesia. In its processing activities such as lizards and snakes. These activities produce organic waste in the form of animal organs, blood, body fluids, and other waste in the materials that are later utilized as catfish feed. The research method used is qualitative with a normative juridical approach, statutory approach, and literature study. Data were obtained from laws and regulations , scientific journal, and environmental law literature. The results of the study indicate that the disposal of waste into rivers can increase Biological Oxyen Demand and Chemical Oxygen Demand (COD) levels, cause unpleassant odors, and reduce water quality and public health. The utilization of waste as catfish feed can reduce the amount of waste disposed of, however, it still requires hygienic processing to prevent biological risks. From the perspective of environmental law, the direc disposal of the waste into rivers is not in accordance with Law No. 32 of 2009 concerning Environmental Protection and Management and Government Regulation No. 22 of 2021 concerning the Implementation of Environmental Protection and Management. Therefore, better waste management is needed through proper waste treatment, increased awareness among business actors, and goverment supervision so that home industries can operate sustainably and in an environmentally friendly manner

This study aims to analyze the education of children with special physical needs, particularly children with speech impairment, at TK Harsya Ceria Banda Aceh. The study used a qualitative method with a descriptive approach to describe the learning process, fulfillment of physical needs, teacher assistance, family support, and obstacles faced in inclusive education. Data were collected through observation, interviews, and documentation involving school principals, teachers, parents, and children with speech impairment. The results showed that TK Harsya Ceria has implemented inclusive education by providing equal learning opportunities for children with special needs alongside regular students. Teachers use visual media, body language, educational games, and individual assistance to support children’s communication and learning processes. Family support also plays an important role in developing children’s independence, communication skills, and social interaction. However, several obstacles were found, including communication barriers, limited facilities, lack of special assistants, and high therapy costs. Therefore, collaboration between schools, families, health workers, and the government is needed to support the optimal development of children with speech impairment in inclusive education environments.

This study examines disaster management strategies in earthquake-prone countries, with a comparative focus on Japan and the Philippines as case studies for lessons applicable to public administration systems worldwide. Using a qualitative comparative analysis approach, the research evaluates institutional frameworks, policy instruments, community engagement mechanisms, and intergovernmental coordination systems deployed in both countries. Japan’s highly centralized yet locally adaptive Disaster Management Basic Act framework is contrasted with the Philippines’ decentralized National Disaster Risk Reduction and Management (NDRRM) system. Findings reveal that effective disaster management hinges on five critical pillars: strong legal frameworks, inter-agency coordination, investment in early warning systems, community resilience programs, and post-disaster recovery governance. The study further identifies that public trust, administrative capacity, and fiscal decentralization significantly influence disaster response outcomes. Lessons drawn from both countries offer practical recommendations for developing nations seeking to strengthen their disaster governance architectures. This research contributes to the growing body of knowledge on comparative public administration and disaster risk reduction, underscoring the imperative of integrated, adaptive, and community-centered governance frameworks in seismically active regions.

Intracerebral Hemorrhage (ICH) is one of the types of stroke with the highest rates of mortality and morbidity. This condition is often accompanied by decreased levels of consciousness and hemodynamic instability, particularly in patients undergoing intensive care in the ICU. The application of murottal (Qur’anic recitation) therapy is expected to contribute to the stabilization of patients’ hemodynamic, physical, and physiological conditions. The purpose of this study was to explore the effect of Qur’anic murottal therapy on the hemodynamic stability of ICU patients at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This study used a case study design in the form of a nursing care report involving one patient diagnosed with ICH and a nursing problem of decreased intracranial adaptive capacity. The intervention consisted of listening to the recitation of Surah Ar-Rahman for 20 minutes once per shift over three consecutive days. The observed hemodynamic parameters included blood pressure, heart rate, respiratory rate, body temperature, oxygen saturation, and the Glasgow Coma Scale (GCS). The results showed that after the administration of the murottal therapy of Surah Ar-Rahman, the patient experienced improvement and stabilization in hemodynamic parameters, including blood pressure, pulse rate, respiration, and oxygen saturation. Qur’anic murottal therapy of Surah Ar-Rahman has a positive effect on the hemodynamic stability of ICH patients in the ICU at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This intervention has the potential to serve as a non-pharmacological approach to support holistic recovery and improvement in critically patients.

Nowadays, social media has shaped a new interaction space for human to communicate and access information broadly within a new reality phenomenon called the (global village), a term popularized by Marshall McLuchan. Although it open opportunities for limitless relationship, this phenomenon also frequently gives rise to several moral issues, such as consumerist culture, body exploitation, and the tendency of individuals to build self-identity based on social judgment. This situation aligns with Charles Horton Cooley’s idea., which asserts that self-identity is often formed through the perspective of others. Based on this context, this study aims to examine the relevance of the concept of haecceitas in John Duns Scotus thought as a basis for criticizing moral degradations in social media practices. This research uses a qualitative method through literature study and philosophical analysis of the digital identity phenomenon. The results of the study show that the concept of haecceitas emphasizes the uniqueness and dignity of every person as an individual who cannot be reduced by social construction or the demand of popularity on social media. This concept can serve as a basis for ethical reflection to strengthen the awareness of one’s distinctive identity and respect for the human body in the digital space.

Intracerebral Hemorrhage (ICH) is one of the types of stroke with the highest rates of mortality and morbidity. This condition is often accompanied by decreased levels of consciousness and hemodynamic instability, particularly in patients undergoing intensive care in the ICU. The application of murottal (Qur’anic recitation) therapy is expected to contribute to the stabilization of patients’ hemodynamic, physical, and physiological conditions. The purpose of this study was to explore the effect of Qur’anic murottal therapy on the hemodynamic stability of ICU patients at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This study used a case study design in the form of a nursing care report involving one patient diagnosed with ICH and a nursing problem of decreased intracranial adaptive capacity. The intervention consisted of listening to the recitation of Surah Ar-Rahman for 20 minutes once per shift over three consecutive days. The observed hemodynamic parameters included blood pressure, heart rate, respiratory rate, body temperature, oxygen saturation, and the Glasgow Coma Scale (GCS). The results showed that after the administration of the murottal therapy of Surah Ar-Rahman, the patient experienced improvement and stabilization in hemodynamic parameters, including blood pressure, pulse rate, respiration, and oxygen saturation. Qur’anic murottal therapy of Surah Ar-Rahman has a positive effect on the hemodynamic stability of ICH patients in the ICU at RSUD Prof. Dr. Margono Soekarjo Purwokerto. This intervention has the potential to serve as a non-pharmacological approach to support holistic recovery and improvement in critically patients.

Old age is the final phase in the human life cycle, characterised by a decline in physiological function. Global data shows that the prevalence of old age will increase from 33.69 million to 48.19 million by 2035. One of the effects of this decline in physiological function is a disruption in the quality of sleep among the elderly. As many as 50-60% of elderly people in Indonesia experience sleep disorders. One way to overcome sleep disorders is through relaxation therapy. Progressive Muscle Relaxation is a technique performed by stretching and relaxing certain muscles to relax the body. The purpose of this study was to determine the effectiveness of progressive muscle relaxation on the quality of sleep in elderly people. This research method involved a nursing care process from assessment to evaluation using a case study design. The research sample consisted of one elderly person with moderate sleep quality. The intervention was given for 10-15 minutes using eight movements with a frequency of twice a week for one month. The data were analysed using pre-test and post-test PSQI questionnaires to determine sleep quality. The results of this study indicate that progressive muscle relaxation training has an effect on improving sleep quality in the elderly.

Neonatal sepsis is a major factor contributing to morbidity and mortality in newborns. C-Reactive Protein (CRP) and leukocytes are laboratory tests used as indicators of inflammation. This study aims to determine the relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients. The research method used was an observational analytic with a cross-sectional approach. Neonatal sepsis at PKU Muhammadiyah Yogyakarta in the period 2021-2026 consisted of 30 samples using a total sampling technique. The distribution of respondents was dominated by male gender compared to female gender, who had a low birth weight <2,500 grams. Based on the study, normal CRP levels were found in 21 respondents, which was caused by a delay in increasing CRP levels. Leukocytes had high levels in 18 respondents. Leukocytes are an initial phase of examination in detecting inflammation that does not require a long time, have several different morphological types in detecting inflammation in the body. This study shows that the most dominant increase in leukocyte levels is found in eosinophils and neutrophils. Based on medical record data at PKU Muhammadiyah Hospital Yogyakarta, analysis using the Spearman correlation test yielded a correlation coefficient of 0.261 with a significance value of 0.164 (p > 0.05). The results showed no significant relationship between the studied variables, with a positive direction and weak correlation strength. The conclusion of this study is that there is no significant relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients.

Neonatal sepsis is a major factor contributing to morbidity and mortality in newborns. C-Reactive Protein (CRP) and leukocytes are laboratory tests used as indicators of inflammation. This study aims to determine the relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients. The research method used was an observational analytic with a cross-sectional approach. Neonatal sepsis at PKU Muhammadiyah Yogyakarta in the period 2021-2026 consisted of 30 samples using a total sampling technique. The distribution of respondents was dominated by male gender compared to female gender, who had a low birth weight <2,500 grams. Based on the study, normal CRP levels were found in 21 respondents, which was caused by a delay in increasing CRP levels. Leukocytes had high levels in 18 respondents. Leukocytes are an initial phase of examination in detecting inflammation that does not require a long time, have several different morphological types in detecting inflammation in the body. This study shows that the most dominant increase in leukocyte levels is found in eosinophils and neutrophils. Based on medical record data at PKU Muhammadiyah Hospital Yogyakarta, analysis using the Spearman correlation test yielded a correlation coefficient of 0.261 with a significance value of 0.164 (p > 0.05). The results showed no significant relationship between the studied variables, with a positive direction and weak correlation strength. The conclusion of this study is that there is no significant relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients.

Diabetes mellitus, as a persistent non-infectious metabolic pathology increasingly prominent in the global epidemiological spectrum, is fundamentally characterized by dysfunctional hyperglycemia rooted in primary disruptions of pancreatic insulin hormone synthesis or peripheral resistance to its biological action, thereby inducing dynamic imbalances in gluconeogenesis and glycolysis pathways; amid the hypothesis that body mass index (BMI) as a measure of central adiposity potentially mediates variability in serum glucose levels, this quantitative observational study with a cross-sectional design rigorously tests the causal relationship between BMI and fasting/random blood glucose concentrations in a cohort of 134 adult subjects with type 2 diabetes mellitus affiliated with primary care services at Puskesmas Bongo II, Boalemo Regency, through an inclusive total sampling recruitment strategy, precision anthropometric measurement instruments (height, weight, WHO BMI categorization), and laboratory-validated glucometric validation, with multivariate inferential processing based on the Chi-Square independence test at a Type I error rate of α=0.05 using the latest edition of the SPSS analytical suite; the demographic profile highlights female gender supremacy (90 individuals, 67.2%), the normoweight group (78 cases, 58.2%), concurrent with substantial glycemic elevation prevalence (78 subjects, 58.2%), but the crucial statistical output reveals a p-value of 0.831 (>0.05) that negates any probabilistically meaningful association, thus the substantive conclusion affirms the non-significance of the BMI-glucose relationship in this local context, while implying the dominance of alternative etiopathogenic factors such as hypercaloric macronutrient intake patterns, deficits in aerobic/anaerobic physical activity, non-adherence to multidisciplinary pharmacological protocols (e.g., metformin/oral hypoglycemics), and a comprehensive management paradigm integrating behavioral education, continuous monitoring, and personalized interventions to mitigate long-term cardiovascular risks across the diabetes mellitus spectrum.