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Obstetricians are often confronted with medical malpractice lawsuits, even when they have acted in accordance with professional standards, medical service standards, operational procedures, and medical ethics. Medical malpractice is generally defined as negligence or deviation from professional standards that results in serious harm to patients (Fiscina, 1999). This study aims to examine the application of the concept of medical malpractice along with its legal implications and to analyze the forms of legal protection available to obstetricians under Law Number 17 of 2023 on Health, viewed from the perspective of the principle of justice. Using a normative juridical method with descriptive-analytical specifications, the research employed a literature study and qualitative deductive analysis. The results indicate that legal protection for obstetricians consists of two dimensions: preventive and repressive. Preventive protection includes the implementation of informed consent, proper medical records, and compliance with standard operating procedures. Repressive protection involves legal defense mechanisms and institutional or professional organizational support. However, this protection remains suboptimal, as the decisions of the Indonesian Medical Disciplinary Board (MKDKI) are not always taken into account by the courts (Rahman, 2022). From the perspective of Rawls’ principle of justice, protection for obstetricians should ensure a balanced recognition of both patients’ and doctors’ rights, thereby promoting fairness and equitable justice for all parties (Rawls, 1971).

This study aims to analyze the levels of reducing sugars and sucrose in Trigona honey using the Luff Schoorl method as a key parameter for assessing honey quality and authenticity. Trigona honey, produced by stingless bees, possesses unique physicochemical characteristics that differ from Apis mellifera honey, thus requiring further scientific investigation of its sugar profile. The analysis was performed at the BSPJI Pekanbaru Laboratory using a titrimetric procedure based on the Luff Schoorl reagent, involving the determination of reducing sugars and sucrose following hydrolysis. The results revealed that the reducing sugar content of the Trigona honey sample was 31.75%, while the sucrose content was 9.6%. These values do not comply with the Indonesian National Standard (SNI 8664:2018), which requires a minimum of 55% reducing sugars and a maximum of 5% sucrose in honey. The non-conformity is presumed to be influenced by factors such as nectar source, high moisture content, premature harvesting, and storage conditions. Nevertheless, the deviation from the standard does not necessarily indicate adulteration but may reflect the natural characteristics of stingless bee honey. This research provides scientific evidence that may contribute to the evaluation of specific quality standards for Trigona honey in Indonesia and serve as a reference for future studies related to authentication and standardization of stingless bee honey products.

This study evaluates the consistency of transmitter level performance through calibration data obtained from the Instrumentation Maintenance Unit of the Cilegon PLTGU. The purpose of this study is to determine the accuracy, linearity, and stability of transmitter output against standard reference values. Qualitative methods were used, including direct observation, interviews, and literature studies to support the analysis of calibration procedures. Calibration data from the Masoneilan 12420-51 and Yokogawa EJA210E transmitters were analyzed using a comparative approach between normal and abnormal calibration results. Classification was based on the difference between the actual output and the 4–20 mA standard signal, with a tolerance limit of ±0.25% in accordance with ISA and IEC calibration standards. The results of the study show that the Level-3 Deaerator Storage Tank transmitter operates within the normal range, with excellent linearity and accuracy, while the Flash ST Tank Level transmitter shows minor deviations outside the tolerance limit, categorized as abnormal. These deviations suggest the potential for drift or zero shift influenced by environmental factors and aging. This study concludes that periodic calibration is necessary to maintain tranmitter performance reliability and ensure accurate signal transmission in the automatic control system at the Cilegon PLTGU facility.

This research aims to develop a digital-based governance model for village finance to support the realization of a Smart and Green Village. The study analyzes how digital transformation in village finance management can increase transparency, accountability, and efficiency, while promoting sustainability-oriented budgeting and environmental practices. A Systematic Literature Review (SLR) was used to identify, evaluate, and synthesize scientific publications from 2022 to 2025, accessed through reputable databases such as ScienceDirect, Springer, Wiley, Taylor & Francis, SAGE, ACM, and IEEE. The review focused on topics including digital governance in villages, digital public finance, smart village development, green budgeting, environmental sustainability, and rural digital transformation. Findings indicate that digital-based village finance governance enhances administrative efficiency, strengthens budget transparency through real-time monitoring, minimizes financial deviation risks, and boosts public participation in fiscal accountability. Integrating digital systems with green budgeting features enables the prioritization of sustainable programs, such as renewable energy, waste management, climate change mitigation, and green infrastructure development. The study suggests a comprehensive digital-based governance model that includes e-budgeting, e-accounting, digital payment systems, public transparency dashboards, and environmental performance indicators to support the implementation of a Smart and Green Village. This research offers strategic insights for village governments, policymakers, and practitioners on the importance of adopting digital governance tools to improve financial management and strengthen sustainable development at the local level.

This study aims to analyze production performance and the factors influencing the productivity of mining operations at PT. XYZ during August 2025. The evaluation covers production achievement against the corporate work plan (RKAP) and the owner’s operational plan, equipment availability (Physical Availability), the productivity of loading and hauling units, and various types of loss time that reduce effective working hours. The results indicate that production realization reached only 65% of the RKAP target, while achieving 102% of the owner’s plan for total material. Low equipment availability, high loss time such as no hauler, wait operator, and front preparation, as well as the underperformance of 80-ton and 100-ton units, were identified as the main contributors to production deviation. Additional influencing factors include unit reassignment, suboptimal haul road conditions, and insufficient operational fleet numbers. The study recommends optimizing fleet management, enhancing preventive and predictive maintenance programs, reorganizing hauling workflows, and controlling dominant loss time sources to improve operational efficiency and production target achievement in future periods.

This article discusses the concept of acquiring wealth through wrongful means from an Islamic perspective through an interdisciplinary study approach. In Islam, wealth is viewed as a trust that must be acquired and utilized in accordance with sharia provisions, so that any form of acquisition carried out through unlawful means is viewed as an act that damages the public interest and violates religious provisions. This study uses a qualitative method with a literature study approach to analyze the forms of acquiring wealth through wrongful means, such as usury, gharar, risywah, tadlis, and maysir, and their impacts on various aspects of life. The analysis is conducted through the perspectives of Islamic law, economics, psychology, and socio-culture. The results of the study indicate that acquiring wealth through wrongful means not only harms individuals but also affects the social, economic, and moral stability of society. In addition, this practice is viewed as a form of deviation from the essential function of wealth in Islam, namely as a means to realize the common good. This study emphasizes the importance of implementing sharia values in economic and social practices as a preventive measure against injustice and injustice in society.

Anemia is a global health problem that frequently affects adolescent girls, particularly in developing countries such as Indonesia. Adolescent girls are at a higher risk of anemia due to menstrual blood loss and inadequate nutritional intake. This study aims to describe the level of knowledge about anemia among female students in Islamic boarding schools in Tarakan City. The research employed a quantitative approach with a descriptive method. The sample consisted of 124 adolescent girls selected using a total sampling technique. Data were collected using a questionnaire adapted from the Guidelines for Assessing Nutrition-related Knowledge, Attitudes, and Practices (FAO) and De et al., comprising 11 statement items. The results showed that 39.5% of respondents had good knowledge, 34.7% had moderate knowledge, and 25.8% had poor knowledge, with a mean score of 70.24, standard deviation of 19.10, minimum score of 18.18, and maximum score of 100.00. The study concludes that most adolescent girls in Islamic boarding schools in Tarakan City have good knowledge about anemia, although continuous nutrition education remains necessary.

The impact of earnings management practices in banking companies is a consideration of the importance of research on earnings management that discusses how to reduce and control aggressiveness and deviations from earnings management so as to maintain the credibility and quality of information presented by financial reports. This article aims to observe and analyze the development of research on the role of the Sharia Supervisory Board (SSB) in reducing discretionary accruals in Islamic banking. This article uses a qualitative approach to literature study by analyzing articles originating from previous research. Based on the results of the analysis of previous articles, a strong argument is provided that the Sharia Supervisory Board (SSB) plays a significant but complex role in mitigating earnings management practices in Islamic banking. The effectiveness of the SSB's Sharia Supervisory Board, adequate qualifications and expertise (a combination of sharia and financial knowledge) are one of the most consistent determining factors, surpassing mere size or frequency of meetings. There is an academic gap for future research exploring moderating variables, real-world manipulation techniques, and the dynamics of interactions between governance elements within the dual structure that characterizes Islamic banking.

This research aims to: (1) To find out the reason why parties choose customary law in resolving marital problems at Pollo Village, situated in Amanuban Setalan Sub-district, South Central Timor District, (2) To find out the application of customary law enforcement in resolving Tribal marriage issues at Pollo Village, situated in Amanuban Setalan Sub-district, South Central Timor District. This type of this research was Empirical Juridical research, primary data obtained by interviewing 11 respondents and supported by secondary data, qualitative descriptive data analysis. The result of this research is to show that: (1) The way of living of the communities at Pollo Village, situated in Amanuban Setalan Sub-district, South Central Timor District who experience domestic violence conflicts can be settled by custom for the reason that customary law is the result of ancestral heritage that must be maintained and preserved, maintaning unbreakable kinship between local communities, also customary law is considered as fast and affordable. (2) The application of customary law enforcement in resolving marital problem of tribal cummunities at Pollo Village, in Amanuban Setalan Sub-district, South Central Timor District is seen very effective in providing a deterrent effect to perpetrators of domestic violence because the customary sanction imposed are not only punitive but also provide learning for the perpetrators and the local community so that they are afraid and do not be able to commit to the similar action in the future. The practice of customary law enforcement against perpetrators of domestic violence is carried out to correct deviation from obligations and prohibitions in customary community relations, so that the aim is to have a direct impact and direct execution on the violating party. In order to increase the effectiveness of the imposition of customary sanction.

This study aims to determine the effect of using smart bottle media to improve the learning outcomes of Indonesian students in grade IV at MIN 10 Medan, which consist of two classes. The researcher took class IV-A and IV-B to be used as a sample, totaling 12 people as the experimental class and 12 people as the control class. This type of research is a quantitative experimental research (Quasi Experimental Design) with the Nonequevalent Control Group Design approach. Data collection techniques with observation, documentation, and test. Based on data analysis from research result werw obtained: 1) The Indonesian language learning result of students at MIN 10 Medan using picture story can be seen from the average final test (posttest) score in the control class, namely class IV-A, which obtained an average score of 48,33 and a standar deviation of 15,27.  3) The Indonesian language learning results of students at MIN 10 Medan using a smart bottle media can be seen from the average final test (posttest) score in the experimental class, namely class IV-B, which obtained an average score of 53,33 and a standard deviation of 16,69. 3) The process of implementing smart bottle media in Indonesian language subjects in class IV MIN 10 Medan is going well and can improve student learning outcome in Indonesian language subjects. This can be seen from comparison of learning outcomes between the experimental class and the control class, where the learning outcomes of students in the experimental class are higher than the learning outcomes of students in the control class.

This study evaluates the effectiveness of M-Passport service management at the Immigration Office Class I TPI Cirebon using the ITIL V3 framework, focusing on Service Strategy and Service Operation. A quantitative approach was applied through observation, structured interviews, and questionnaires distributed to applicants and staff. Data were analyzed using Maturity Level assessment and GAP Analysis. The findings indicate that the M-Passport service has reached Level 4 (Managed) with an average score of 3.77, showing that processes are measurable, controlled, and consistently implemented. However, Incident Management remains at Level 3 (Defined) with the largest deviation from the expected level, while Problem Management, Request Fulfillment, and Business Relationship Management also show minor gaps. The study recommends strengthening incident handling procedures, enhancing communication strategies, improving applicants’ digital literacy, and increasing staff competencies. These improvements are expected to optimize ITIL V3 implementation and enhance technology-based public service delivery.

The purpose of community service activities is to provide information to students regarding the importance of moral education for children in the digital era. Moral cultivation for children is very important both in the family, school and community. In this era, which we often call the millennial era, there are often moral deviations for the nation's children with rampant moral damage, for that we as educators fix the cultivation of children's character and morals

Education plays a crucial role in improving human resource quality, yet academic procrastination remains a challenge, as seen in students at SMK Mekar Murni who tend to delay assignments, show a decline in academic performance, and struggle with time management. This community service program aims to enhance students' time management skills through delivering materials and discussions with 25 students from 11th and 12th grades in a participatory manner. The method used is a pre-experimental design with a one-group pre-test–post-test, employing a quantitative approach. Evaluation was carried out using a Time Management instrument consisting of three indicators: long-term time orientation, schedule management, and daily time management. The results show an average pre-test score of 48.00 (Standard Deviation = 4.99) with the majority of students in the moderate category. After the intervention, the post-test score increased to 83.4 (Standard Deviation = 7.37). The proportion of low category students increased from 4% to 68%, moderate category decreased from 56% to 24%, and high category increased from 40% to 8%. These findings indicate that time management training can reduce academic procrastination by enhancing students' understanding of effective time management.

The rapid advancement of science and technology requires universities to provide safe, comfortable, and representative learning facilities. One such initiative is the construction of a five-story lecture building at Dr. Soetomo University, designed with a steel structure as an alternative to reinforced concrete. Steel was chosen due to its high tensile strength, uniform material properties, lighter weight, ease of installation, and strong resistance to earthquake loads. This study aims to design a five-story lecture building with a steel structure that meets the requirements of strength, stability, and safety in accordance with applicable standards. The method applied is structural planning based on SNI 1729:2020, SNI 1727:2020, and SNI 1726:2019 using the Load and Resistance Factor Design (LRFD) approach. Structural analysis was conducted with SAP2000 version 2014 through three-dimensional modeling that considers geometry, material properties, loading, and placement. The results show that the selected steel profiles for beams, columns, and connections are capable of supporting the combination of dead loads, live loads, and seismic loads with safe performance. The maximum stress remains below the allowable limit, and the deflection values do not exceed the permitted deviation. These findings confirm that steel provides efficiency in dimensions and materials while offering practicality and earthquake resistance, and the design produced can serve as a useful reference for future multi-story building projects in earthquake-prone regions.

Developmental deviations in children under five years of age are estimated to affect approximately 5-10% of this population, with inappropriate stimulation, particularly from electronic devices such as gadgets, being a significant contributing factor. Early exposure to these technologies can lead to decreased physical activity, adversely impacting the overall development of children, including their gross and fine motor skills, language acquisition, socialization, and independence. The objective of this study was to evaluate the effect of gadget usage on the developmental outcomes of preschool children in the Banda Sakti District of Lhokseumawe, utilizing an observational analytic research method with a cross-sectional design to collect both primary and secondary data. The results indicated varying levels of gadget usage among respondents: 40 individuals (42%) fell into the high usage category, 31 individuals (32%) were classified as moderate users, and 25 individuals (26%) were categorized as low users. Among those with low gadget usage, 6 respondents (24%) displayed questionable developmental outcomes, while in the moderate and high usage categories, 22 respondents (71.1%) and 22 respondents (55%) respectively exhibited similar concerns. This study reveals that a significant number of children are facing developmental disorders, with 21 respondents (37.5%) experiencing challenges related to socialization and independence, and 17 respondents (30.4%) demonstrating speech and language difficulties. Notably, a substantial proportion of preschool children (52 respondents or 54.2%) were identified as having high levels of gadget usage, and the study established a significant correlation between the intensity of gadget use and the occurrence of developmental disorders in preschool children within the Banda Sakti District of Lhokseumawe.

The 2021 Indonesian Nutritional Status Survey (SSGI) shows that 1 in 4 Indonesian children suffers from stunting and 1 in 10 children suffers from malnutrition. Good nutrition is a crucial foundation for optimal growth and development, especially for those growing up in vulnerable environments. According to the WHO, stunting is a failure of growth and development experienced by children due to prolonged inadequate nutritional intake, recurrent infectious diseases, and inadequate psychosocial stimulation. However, on the other hand, children who experience stunting are usually accompanied by developmental delays in various other organs, especially if malnutrition occurs during the first 1000 days of life (HPK). Stunting is defined as a child's length for age (PB/A) or height for age (H/A) that is lower than -2 standard deviations. Therefore, a child with stunting is definitely stunted, but a child who is stunted is not necessarily stunted. Stunting that occurs before a child is 2 years old is an indication of decreased cognitive abilities at a later age if not followed by adequate psychosocial stimulation, thus impacting academic or educational abilities later in life. Providing innovative education such as making moringa pudding is one way to present nutritious and creative food or drinks so that it can be accepted by kindergarten mothers who have toddlers and preschoolers. The content of moringa leaves is a food ingredient that has good nutritional value, especially for preventing stunting in children.

This community service activity was carried out in Sladi Village with the goal of improving the digital literacy of village officials through the utilization of Artificial Intelligence (AI) plugins in Microsoft Word and Excel. The main issue faced by the village officials was their limited ability to use digital technology, which resulted in administrative tasks being carried out manually and inefficiently. Therefore, this digital literacy training aimed to enhance the skills of village officials in utilizing digital tools, especially AI, to support their administrative work. The method used in this activity was Participatory Action Research (PAR), which involved the stages of diagnosing, action planning, action taking, evaluating, and specifying learning. Evaluation of the activity was conducted using Likert scale questionnaires and open-ended questions to collect feedback from participants regarding their understanding and responses to the training provided. Data analysis was carried out using SPSS to calculate the mean, standard deviation, and qualitative findings from the open-ended questions. The evaluation results showed that the benefits of the activity (mean = 4.2) and the intention to implement AI (mean = 4.2) received the highest scores, indicating that the participants found the training highly beneficial and were motivated to apply AI in their daily tasks. On the other hand, the understanding of AI in Excel (mean = 3.7) and the assessment of the material (mean = 3.7) showed that further in-depth learning was needed to improve participants' comprehension and skills. Overall, the activity successfully improved the skills of village officials and raised collective awareness to transition towards a more efficient and adaptive digital village administration. This training is expected to positively contribute to the digital transformation in the village.

Conventional robotic surgical systems, while offering enhanced dexterity and 3D visualization, suffer from a critical limitation: the absence of tactile sensation. This sensory disconnect can lead to inadvertent tissue damage from excessive force application and complicates delicate maneuvers that rely on the surgeon's sense of touch. This research proposes and validates a novel surgical robotic system architecture designed to bridge this sensory gap by integrating high-fidelity 3D visual input with accurate, real-time force feedback from tactile sensors mounted on the end-effector. To rigorously evaluate this innovation, a structured comparative methodology was employed. A cohort of surgeons performed standardized surgical tasks, including suturing and tissue manipulation, on realistic soft-tissue phantoms. The performance of a conventional (visual-only) system was benchmarked against that of the proposed (visual-haptic) system. A comprehensive dataset was collected, which included objective metrics such as task completion time, precision deviation from the ideal tool path, and the magnitude of applied forces. Concurrently, subjective evaluations from the participating surgeons were gathered to assess perceived control, cognitive workload, and overall task confidence. The test data revealed statistically significant improvements when using the visual-haptic system. Participants not only completed tasks with greater speed and accuracy but also applied considerably lower and more consistent forces. The analysis underscores that haptic feedback, enabled by advanced sensor fusion, not only restores a crucial 'sense of touch' to the surgeon but also reduces the incidence of excessive force application, potentially minimizing tissue trauma and improving patient recovery. These findings confirm the hypothesis that haptic-visual integration constitutes a new paradigm in robotic surgery, shifting the paradigm from purely visual guidance to a more intuitive, multi-sensory surgical experience. This study also discusses future challenges and opportunities, including the potential for AI-driven partial autonomy, such as creating virtual safety boundaries or automating sub-tasks, and the development of next-generation sensor technologies to further enhance clinical outcomes.

The spice industry faces significant challenges in maintaining product weight consistency as part of quality assurance and compliance with production standards. A case at PT X revealed that a newly installed filling machine produced deviations from the target weight of 50 grams, with hypothesis testing showing that out of 30 samples, 17 samples fell outside the  confidence interval. To mitigate this issue, this study proposes the development of a real-time data-driven Decision Support sistem (DSS) combined with statistical approaches. The methodology includes two-tailed hypothesis testing to detect weight deviations and Failure Mode and Effects Analysis (FMEA) to identify dominant failure causes based on high Risk Priority Numbers (RPN), such as delayed machine calibration, operator error, and worn-out machine components. These findings serve as the foundation for designing the DSS architecture, which consists of sensor input modules, statistical data processing, risk mapping, and an automated corrective recommendation engine. The sistem is designed to enable early detection of deviations, accelerate response time to quality issues, and support data-driven decision-making on the production floor. The study concludes that a structured implementation of DSS can be an effective strategy to improve product weight consistency and enhance operational efficiency in spice manufacturing.  

          During the second and third trimesters of pregnancy, as fetal development progresses, pregnant women often experience lower back pain. This condition not only causes discomfort but also affects daily activities and overall quality of life. One of the non-pharmacological approaches believed to reduce lower back pain is prenatal exercise. This study aims to evaluate the effect of pregnancy exercise on reducing lower back pain among pregnant women in the second and third trimesters. This research employed a quasi-experimental design with a pre-post test approach without a control group. The sample consisted of 28 pregnant women in their second and third trimesters who met the inclusion criteria and reported experiencing lower back pain. Pain levels were assessed before and after the intervention using a valid and reliable pain scale. Data were analyzed using appropriate statistical tests, particularly the paired sample t-test. The findings revealed that the mean pain score before the intervention was 3.32 with a standard deviation of 0.772. After the intervention, the mean pain score decreased to 2.25 with a standard deviation of 1.005. Results of the paired t-test indicated a p-value of 0.000 (p < 0.05), demonstrating a significant difference in pain levels before and after pregnancy exercise. These results indicate that pregnancy exercise is effective in reducing lower back pain in women during the second and third trimesters of pregnancy. Therefore, prenatal exercise can be recommended as a safe, simple, and beneficial non-pharmacological intervention in midwifery care. It is expected that this study provides scientific evidence supporting the role of pregnancy exercise in improving maternal comfort and quality of life throughout pregnancy.