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Vomitus is the forceful expulsion of gastric contents through the mouth, commonly occurring in children as a clinical manifestation of gastrointestinal diseases. Based on medical records of RSUD dr. Soeselo, Tegal Regency, vomitus cases increased to 355 cases in 2025. Therefore, comprehensive nursing care is needed to address problems arising from vomiting in children. This study used a descriptive method in the form of a case study through a nursing process approach, aimed at describing nursing care for a pediatric patient with vomitus. Three nursing diagnoses were identified in An. A with vomitus: Nausea related to gastric irritation/stimulation of the vomiting center, Risk of Fluid Imbalance related to repeated vomiting, and Knowledge Deficit related to lack of information exposure. Nursing interventions provided included Vomiting Management, Fluid Management, and Health Education. After three days of nursing implementation, all three nursing diagnoses were resolved, marked by the disappearance of nausea, improved appetite, normal hydration status (moist mucosa, good skin turgor, pulse 88x/minute), and the patient's mother and patient being able to understand and re-explain health education material about vomitus.

Due to its effect on the caliber of generations to come, iron deficiency anemia in teenage females is one of Indonesia's most pressing reproductive health concerns. Adolescents' awareness to autonomously adopt preventative actions is shaped mostly by their knowledge. The purpose of this research is to determine whether there is a correlation between the prevalence of anemia among teenage females in Boyolali Regency and their degree of education. Using a cross-sectional design, this study employs quantitative correlational analytic methods. An accidental sampling approach was used to obtain a sample size of 80 respondents from the population of seventh grade female pupils. A digital POCT device was utilized to quantify the incidence of anemia variables based on hemoglobin (Hb) levels, while a structured questionnaire instrument was employed to gather data for knowledge variables. The Chi-Square test was used to assess the bivariate data analysis. According to the univariate analysis, 62.5% of the participants (50 respondents) had a decent level of knowledge, and 73.8% of the participants (59 respondents) did not suffer from anemia (Hb > 12 g/dL). With a p-value of 0.000 (p < 0.05), the results of the bivariate test were generated. Anemia is more common among female students at MTs Al Ihsan Doglo who have a higher degree of expertise, according to this study. School districts should keep an eye on students' iron pill use and improve their nutrition education programs.

This study aims to describe the level of understanding of grade IV students of SD HKBP Perdamean regarding environmental pollution. The research method used is descriptive with a focus on depicting student understanding based on the indicators that have been set. The research data shows that students' understanding is in the category quite well, although it is not even in every indicator. Students better understand aspects of direct action such as keeping the environment clean, planting trees, and saving on the use of plastic. However, understanding of the causes and impacts of environmental pollution, such as littering, river pollution, waste incineration, and air pollution, is still relatively low. In general, the results of the study show that students' understanding is still dominant in simple practical knowledge, so it does not fully cover the concept of environmental pollution and causes. These findings underscore the need for more contextual, student-centered, and hands-on learning that integrates real-world experiences with scientific concepts. Thus, a more interactive and environment-based learning strategy is expected to improve students' overall understanding of environmental pollution and its impact on life.

Elderly people are a vulnerable group experiencing declining body functions and an increased risk of degenerative diseases, requiring promotive and preventive efforts to maintain their health. One alternative is the utilization of kitchen spices as herbal drinks because they contain various bioactive compounds that are beneficial for health. However, knowledge among the elderly regarding the benefits and processing methods of herbal ingredients is still limited. This community service activity aimed to improve the knowledge and skills of elderly participants in utilizing kitchen spices as herbal drinks at LKS Payung Besurek Bengkulu City. The method used a participatory approach through educational sessions, interactive discussions, and direct practice in preparing herbal drinks. The results showed high enthusiasm from participants during the activities. Around 85% of participants experienced increased understanding of the health benefits of kitchen spices. Participants were also able to independently prepare herbal drinks using easily available local ingredients. In addition, the activity generated positive social impacts, including improved interaction, increased awareness of healthy lifestyles, and greater independence in maintaining health through natural ingredients. Therefore, this education program is an effective community-based health empowerment strategy for the elderly.

The development of digital governance has accelerated the transformation of public financial management through e-budgeting, e-reporting, and integrated digital financial systems. However, studies discussing digital public financial management in cross-border areas remain fragmented and dispersed across disciplines. This study aims to systematically map the development of research on digital public financial management in cross-border contexts through publication trends, influential journals, active researchers, keyword patterns, countries, institutions, and research areas. This research employed a qualitative approach using a Systematic Literature Review (SLR) and bibliometric analysis based on 48 Scopus-indexed articles published between 2020 and 2026. The findings indicate that publications increased significantly after 2023, reflecting growing scholarly interest in cross-border digital finance and governance. The literature is dominated by economics and finance perspectives, while public financial governance and fiscal accountability in border areas remain underexplored. In addition, knowledge production is still concentrated in a limited number of countries and institutions, particularly in Europe. This study contributes by providing an intellectual mapping of the field and identifying opportunities for future research integrating digital governance, public financial management, and border studies.

Background: Lymphadenopathy is an enlargement of the lymph nodes commonly caused by infection or inflammatory processes, which may lead to pain and risk of postoperative complications. This study aims to provide a comprehensive description of nursing care for a patient following left-sided lymphadenopathy surgery. Method: This case study used a nursing process approach, encompassing data collection through interviews, observation, physical examination, and documentation review of medical records conducted in Mawar 2 Ward at RSUD dr. Soeselo, Tegal Regency. Results: Based on assessment, three primary nursing diagnoses were identified: acute pain, knowledge deficit, and risk of infection. Following standard nursing interventions, pain was reduced, patient knowledge improved, and the wound was maintained without signs of infection. Conclusion: The systematic application of nursing care can help reduce patient complaints and prevent postoperative complications of lymphadenopathy.

Background: Gout arthritis is a metabolic disease caused by excessive uric acid levels in the blood (hyperuricemia), which leads to monosodium urate crystal deposition in the joints. Globally, the prevalence of gout arthritis ranges from 1–4% of the general population. In Indonesia, the national prevalence reaches approximately 7.3% based on medical diagnosis, and in Brebes Regency, cases reach 62.4%. At the Tonjong Health Center service area, the prevalence of gout arthritis in Karanganyar Hamlet, Tonjong Village, reaches 2.04%. Gout arthritis requires comprehensive nursing care including pain management and health education to prevent recurrence. Objective: To implement nursing care for Ny. S, family of Tn. S, with musculoskeletal system disorder: gout arthritis in Karanganyar Hamlet, Tonjong Village, Tonjong District, Brebes Regency. Method: This study used a case study design with a single patient/family subject. Data collection was conducted through interview, observation, physical examination, and study documentation on December 26–27, 2025 at the patient's home. Results: Assessment revealed Ny. S (72 years) experienced acute pain in the right knee joint with a pain scale of 3/10 and uric acid level of 7.3 mg/dL, along with knowledge deficit regarding gout arthritis. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management education, non-pharmacological therapy (turmeric decoction), pharmacological therapy (allopurinol), and health education. Implementation was conducted over two visits. Evaluation results showed that acute pain was partially resolved (pain scale reduced to 2/10, uric acid 7.2 mg/dL) and knowledge deficit was resolved. Conclusion: Nursing care for patients with gout arthritis through pain management and health education can reduce pain intensity and improve family knowledge about the disease. Non-pharmacological intervention with turmeric decoction contributed to decreasing uric acid levels and pain. Keywords: gout arthritis, acute pain, knowledge deficit, family nursing care, non-pharmacological therapy

Background: Community nursing is a specialty field that combines nursing science skills, public health sciences, and social assistance in addressing individual and family health problems, including non-communicable diseases such as gout arthritis. Gout arthritis is a metabolic disease characterized by pain and joint inflammation due to the accumulation of purine crystals (hyperuricemia). The WHO reports a prevalence of gout arthritis reaching 3.74% globally, while in Indonesia the prevalence reaches 11.9% based on health worker diagnosis. In Brebes Regency, the prevalence reaches 13.67%, with 3,078 sufferers out of 22,550 productive-age population. Objective: To provide comprehensive community nursing care to Ny. R with musculoskeletal system disorder: gout arthritis in Tonjong Village, Tonjong District, Brebes Regency. Method: This study uses a case study approach with data collection through interview, observation, physical examination, and documentation study conducted on December 26–28, 2025. Results: Assessment findings showed that Ny. R, a 60-year-old woman, had a history of gout arthritis for 3 months with uric acid levels of 9.6 mg/dL, complaining of pain and aching in the left foot with pain scale 3. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management, uric acid level monitoring, lemongrass stem decoction foot soak complementary therapy, and health education using leaflets. After 2 days of implementation, uric acid levels decreased to 8.2 mg/dL and pain scale decreased to 2. Conclusion: Community nursing care through complementary therapy (lemongrass stem decoction foot soak) and health education effectively reduced pain and improved knowledge about gout arthritis in Ny. R.

A common health problem, especially in developing countries, is anemia. This is common among adolescent girls due to their lack of knowledge about anemia. This puts them at risk of developing anemia, particularly because menstruation is a contributing factor. Providing health education is expected to change behaviors toward a healthy lifestyle and contribute to preventing anemia among adolescent girls. This community service activity was held on May 26, 2026, at SMK Bhakti Indonesia Medika, and was attended by female students of childbearing age. The methods used included lectures, discussions, question-and-answer sessions, and sharing sessions. Pretests and posttests were used as evaluation materials to measure the increase in students' knowledge. The average pretest score was 7, while the average posttest score was 12, indicating a 5 point increase in knowledge about anemia among adolescent girls. The students demonstrated interest and enthusiasm during this activity. The results and conclusions of the e-booklet-based education program proved to be an effective alternative medium for increasing students' knowledge about anemia prevention. It is hoped that similar education can be implemented sustainably to improve the quality of healthy life in adolescent girls.

Gout arthritis is joint inflammation that occurs suddenly due to the accumulation of excess uric acid levels in the body (hyperuricemia). In Indonesia, based on the 2018 Basic Health Research, the prevalence of gout diagnosed by health workers ranges from 11.9% to 24.7%, with the highest rates in the elderly age group. This scientific paper aims to provide family nursing care for Mr. T and family with musculoskeletal system disorder: gout arthritis in Tonjong Village, Karanganyar Hamlet, RT 03 RW 04, Tonjong District, Brebes Regency. The method used is narrative descriptive, focusing on nursing care given to patients according to the stages of the nursing process. The method of data collection includes observation, interview, and documentation. The nursing diagnoses that emerged were impaired physical mobility and knowledge deficit. Nursing interventions included ambulation support, oral medication administration, massage therapy, and health education. After 2 days of nursing implementation, the evaluation results showed that both nursing diagnoses of impaired physical mobility and knowledge deficit were resolved.

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

Substance and prescription drug misuse among adolescents continues to escalate and demands targeted preventive strategies within the school setting. This community service activity aimed to enhance students’ knowledge about the hazards of drug abuse through an interactive, school-based educational intervention. The program was conducted on 11 November 2026 at SMA Negeri 7 Kota Batam, involving fifty grade-X students as participants. A pre-experimental one-group pretest–posttest design was employed. The intervention combined interactive lectures, real-case illustrations, and two-way discussion, with knowledge measured using a content-validated questionnaire covering ten indicators. The mean score improved from 55.2 (pretest) to 86.3 (posttest), a gain of 31.1 points, while the proportion of correct answers across indicators rose from 48.6-62.9% to 80.0-91.4%. The largest gains appeared on items concerning rational drug use and the importance of professional health guidance, whereas the legal-consequence indicator improved more modestly. Interactive, contextually relevant education proves effective in elevating adolescent knowledge of drug abuse hazards, with stronger gains on experience-near content than on abstract regulatory aspects.

Universities are educational institutions that have an important role in addressing various problems in rural areas by motivating, empowering, and broadening the perspectives of local communities. Through community service activities, universities can contribute to improving community skills and encouraging economic independence. This community service program aims to foster an entrepreneurial spirit among female farmers in APK Bandung Village, Selupu Rejang District, through training and assistance in producing pineapple-flavored papaya jam as a value-added agricultural product. The program was conducted in November 2025 and involved one partner, namely the Srikandi Women's Farmers Group (Kelompok Wanita Tani/KWT) 02 of APK Bandung Village. The implementation stages included socialization, product-making demonstrations, mentoring, monitoring, and evaluation activities. These stages were designed to enhance participants’ knowledge and practical skills in processing local agricultural commodities into marketable products. Out of 20 registered members of KWT Srikandi, 17 members attended and actively participated in the program. The results of the evaluation, based on questionnaires distributed to participants, showed that approximately 64.70% of the members demonstrated an entrepreneurial spirit. These findings indicate that the program contributed positively to increasing entrepreneurial awareness and encouraging the development of small-scale rural business opportunities among female farmers.

This study aims to analyze environmentally based science learning as an effort to enhance ecological awareness among elementary/Islamic elementary school (SD/MI) students through a literature review approach. The method employed is a Systematic Literature Review (SLR) by examining reputable scientific articles published between 2020 and 2026. Data were collected through documentation, with literature selected using purposive sampling based on topic relevance, while data analysis utilized content analysis techniques to identify patterns, characteristics, and key findings across studies. The results indicate that environmentally based science learning is characterized by the integration of scientific concepts with real environmental contexts, the use of contextual approaches, and the application of active learning models such as problem-based learning, project-based learning, and inquiry learning. This approach has been proven to play a significant role in enhancing students’ ecological awareness, including knowledge, attitudes, and environmentally responsible behaviors. However, its implementation still faces several challenges, such as limited facilities, teacher competencies, and suboptimal integration into the curriculum. Additionally, research gaps remain, particularly regarding the lack of studies examining long-term impacts on students’ ecological behavior. Therefore, more innovative learning strategies and more comprehensive future research are needed.

This study examines human resource competence in improving financial management at the Public Service Agency of Gorontalo State University, a public higher education institution that operates under a flexible financial management model while remaining accountable for public funds. The main problem addressed is how financial management personnel translate regulatory knowledge, technical skills, and professional attitudes into efficient, effective, and accountable financial governance. This study aims to analyze the competence of financial management personnel and explain its contribution to strengthening institutional financial management. A qualitative descriptive approach was employed through interviews, observation, and document analysis involving bureau leaders, financial work team officials, treasurers, and financial managers across relevant work units. The findings show that knowledge competence is reflected in personnel understanding of regulations, policies, financial systems, budgeting procedures, reporting requirements, and the linkage between budget and institutional performance. Skills competence is demonstrated through financial administration, transaction recording, document verification, use of financial information systems, reconciliation, reporting, and preparation of accountability documents. Attitudinal competence appears in professionalism, compliance, integrity, prudence, responsibility, and openness to evaluation and audit. Financial management has been directed toward performance-based planning, expenditure control, budget realization monitoring, reporting, supervision, and audit follow-up. However, challenges remain in regulatory adaptation, system integration, data quality, document timeliness, account-code accuracy, inter-unit coordination, and consistency of audit follow-up. The study concludes that strengthening human resource competence is essential for improving financial management that is efficient, effective, accountable, and performance-oriented in public university financial governance.

This community service study investigates a marketing training program implemented by theology students of STT Kadesi Bogor at the GPIA Sidoasri congregation in Sumbermanjing Wetan District, Malang Regency, East Java. The program targeted eighteen women members of the congregation to improve their economic capacity through the marketing of low-cost everyday clothing via three channels: door-to-door sales, a small storefront at the church, and online commerce through TikTok. The study applied a pre- test/post-test design evaluated using the Normalized Gain (N-Gain) method to measure changes in knowledge and skill across five indicators: marketing knowledge, selling skills, online media usage, basic financial recording, and entrepreneurial motivation. Results indicated a moderate-to-high N-Gain across all measured indicators, with an average N-Gain score of 0.656 (moderate category), and the highest individual gain in entrepreneurial motivation (0.76, high category). Sales data over the three-month period (January–March 2025) recorded a total profit of Rp1,967,500 across 345 garments sold, representing an income supplement of approximately 27–35% relative to participants' baseline household income for the most active participants. A marked sales decline in February and March was attributed to seasonal demand shifts ahead of Eid al-Fitr, as consumers redirected purchases toward formal Muslim attire. The program demonstrated that congregation-based economic empowerment rooted in a biblical theology of work, stewardship, and the dignity of labor can yield measurable and holistic socioeconomic outcomes for Christian women in rural communities.

This study aims to analyze the influence of product knowledge, corporate image, relationship marketing, and trust on customers’ savings decisions at Bank Syariah Indonesia (BSI) KCP Jakarta Duri Kosambi, as well as examine the moderating effect of word of mouth in the relationship between these variables. The background of this research is based on the relatively low number of customers at BSI KCP Jakarta Duri Kosambi, which only reached 515 customers by the end of 2023, despite the large Muslim population in Cengkareng District, which represents a significant potential market for Islamic banking services. This study employs a quantitative research method using a questionnaire distributed to 100 customers selected through accidental sampling techniques. The data were analyzed using Structural Equation Modeling–Partial Least Square (SEM-PLS) with the assistance of SmartPLS 4.0 software. The results indicate that product knowledge, corporate image, relationship marketing, and trust each have a significant positive effect on savings decisions, as reflected in their respective path coefficients and t-statistics. Furthermore, word of mouth is found to significantly moderate only the relationship between relationship marketing and savings decisions, while its moderating effect on product knowledge, corporate image, and trust is not significant. These findings suggest that BSI KCP Jakarta Duri Kosambi should strengthen marketing strategies focusing on customer knowledge, institutional image, relationship quality, and trust to enhance customers’ savings decisions.  

This study aims to describe gazebo management strategies as tourism infrastructure to increase visitor attraction at Pasir Putih Parparean II Beach, Porsea Subdistrict, Toba Regency. The beach is a unique destination in the Lake Toba area, characterized by fine white sand that is rarely found in the region. However, visitor data from the Toba Regency Tourism Office reveals a significant decline, from 35,304 visitors in January–April 2023 to only 1,550 visitors in January–August 2025. This decline is closely linked to the unplanned construction of permanent gazebos on the beach area, which has reduced the open space that constitutes the beach’s main attraction. This study employed a descriptive qualitative method. Data were collected through in-depth observation, semi-structured interviews, and documentation. The key informants consisted of three beach managers: Herbert Napitupulu, Nora Pandiangan, and Her Hutasoit, selected purposively based on their direct involvement and in-depth knowledge. Two regular tourists were also included as additional informants. Data analysis followed the Miles and Huberman model, encompassing data reduction, data presentation, and conclusion drawing. The results indicate that gazebo management strategie including facility improvements, environmental landscaping, and the provision of supporting amenities contribute significantly to enhancing visitor comfort and tourism appeal. This study recommends more systematic and planned management, spatial restructuring of gazebo placement, and the implementation of effective promotional strategies to support Pasir Putih Parparean II Beach as a sustainable tourism destination.

This study aims to analyze the influence of love of money, hedonistic lifestyle, and locus of control on the financial behavior of students at the Faculty of Economics, Kadiri Islamic University. The background of this research is based on the low level of saving awareness and the tendency toward consumptive behavior among students, which are influenced by psychological factors and lifestyle. This study employed a quantitative approach using a survey method. The population consisted of students from the Faculty of Economics at Kadiri Islamic University, with samples selected using a simple random sampling technique. Data were collected through questionnaires and analyzed using multiple linear regression analysis.The results showed that partially, love of money, hedonistic lifestyle, and locus of control had a significant effect on students’ financial behavior. A hedonistic lifestyle tended to have a negative effect on financial behavior, while locus of control had a positive effect in improving financial management abilities. Simultaneously, the three variables significantly influenced students’ financial behavior.This research is expected to contribute to the development of financial management knowledge, particularly regarding students’ financial behavior, and to serve as a consideration for students in managing their finances more wisely.

Communication within the family, especially between parents and children, is an important foundation for the development of a child's personality, emotions, and social skills. The purpose of this writing is to identify the types of parental communication styles, analyze the factors that influence them, examine their impact on child development, and provide practical recommendations to improve the effectiveness of communication patterns within the family. The method used in writing this paper is a literature study. The discussion results show that there are three main types of parental communication styles: permissive, authoritarian, and democratic. The permissive style tends to give the child unlimited freedom, the authoritarian style emphasizes control and obedience, while the democratic style encourages openness and mutual respect. The choice of communication style is influenced by various factors such as educational background, culture, past experiences, and the socio-economic conditions of parents. Each communication style has a different impact on the emotional, social, and cognitive development of children. The democratic style is considered the most effective in optimally supporting child development. This article provides recommendations to parents to increase knowledge about dialogical-based parenting, practice assertive communication skills, give children space to express their opinions, and build a family culture that is open and mutually respectful.