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Background: Chronic Kidney Disease (CKD) patients undergoing long-term hemodialysis often experience anxiety due to therapy dependency, changes in health conditions, and uncertainty regarding the disease. Unresolved anxiety can reduce quality of life, comfort, and patient adherence to treatment. Therefore, non-pharmacological interventions are needed that are safe, easy to implement, and aligned with the patient's spiritual values. Mantram Tri Sandya has the potential to provide relaxation and psychological calm, thus helping to reduce anxiety. However, scientific evidence regarding the effectiveness of this therapy in hemodialysis patients is still limited, making this research crucial.  Purpose: The aim of this research is to determine the effect of the Tri Sandya mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital. Methods: Pre-Experimental One Group Pre-Test & Post-Test research design with the Wilcoxon Signed Rank Test conducted at the Buleleng Regency Regional General Hospital. Data were collected using the HARS (Hamilton Anxiety Rating Scale) questionnaire sheet with Purposive Sampling technique with a sample size of 88 people. Results: The results obtained from this study were that there was a decrease in anxiety levels when given Mantra Tri Sandya therapy to CKD patients who were undergoing hemodialysis with a P value <0.001 (p<0.05). Conclusion: There is a significant effect of administering the Tri Sandy mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital.

- Background: The rate of cesarean section (CS) deliveries continues to increase in Indonesia. Bali Province ranks first nationally, with a cesarean delivery rate of 53.2%. Cesarean section results in surgical wounds that cause pain in postpartum mothers. One non-pharmacological intervention to reduce pain is early mobilization through video media. Objective: This study aimed to determine the differences in pain intensity among post-cesarean mothers before and after receiving early mobilization through video media. Methods: This study employed a quantitative approach with a pre-experimental one-group pretest-posttest design. The study population consisted of post-cesarean mothers at Singasana Regional General Hospital. A total of 26 respondents who met the inclusion and exclusion criteria were recruited. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The intervention consisted of early mobilization delivered through a 3-minute and 23-second video, accompanied by healthcare personnel. Data were analyzed using the Wilcoxon test. Results: Most respondents were aged 20–35 years, multiparous, had completed senior high school, and were employed. The median pain intensity decreased from 5.00 before the intervention to 3.00 after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant difference in pain intensity before and after the intervention. Conclusion: Early mobilization through video media was effective in reducing pain intensity among post-cesarean mothers. Video media can be utilized as an educational tool to support the implementation of early mobilization in healthcare settings..

Background: Breastfeeding is a valuable experience for both mother and infant, enhancing cognitive development, immunity, and emotional bonding. However, exclusive breastfeeding coverage remains suboptimal, partly due to inadequate breastfeeding technique skills among mothers. Objective: This study aims to analyze the differences in breastfeeding technique skills among pregnant women before and after a video-based educational intervention at the Gema Santi Nusa Penida Regional General Hospital, Klungkung Regency. Methods: This study utilized a pre-experimental design with a one-group pretest-posttest approach. The population consisted of 160 pregnant women visiting the Gema Santi Nusa Penida Regional General Hospital from March to April 2025. A sample of 32 pregnant women was determined using a comparative analysis sample size formula and selected via purposive sampling. Primary data were collected through observation using a validated and reliable breastfeeding technique skill checklist (calculated $r = 0.411 - 0.758 > 0.349$; Cronbach's alpha $= 0.757 > 0.6$). Results: The Shapiro-Wilk test indicated that the data were normally distributed, with values of 0.325 (pre-test) and 0.127 (post-test) $> 0.05$. The mean score for breastfeeding technique skills was 42.28 before the intervention and increased to 70.46 afterwards. The paired t-test demonstrated a significant difference in breastfeeding technique skills before and after the educational intervention ($p = 0.000 < 0.05$). Conclusion: Video media is highly effective in improving breastfeeding technique skills. Future initiatives should focus on developing more comprehensive video content to further enhance educational efficacy.

This study aims to implement the Cooperative Integrated Reading and Composition (CIRC) learning model to improve collaboration skills and learning outcomes among phase E students in class X-3 at SMA Katolik 2 Kabanjahe in Catholic Religious Education. This research employed Classroom Action Research conducted in two cycles, consisting of planning, implementation, observation, and reflection stages. Data were collected through observation sheets, learning outcome tests, and documentation, then analyzed using descriptive qualitative analysis supported by process and learning achievement indicators. The findings showed that the implementation of the CIRC learning model improved across learning stages, including orientation from 87% to 95%, organization from 90% to 97%, concept introduction from 87% to 92%, publication from 93% to 98%, and reflection and reinforcement from 87% to 98%. Students’ collaboration skills also increased in each indicator, namely working productively from 75% to 88%, actively participating in problem solving from 82% to 88%, maintaining a balance between listening and speaking from 76% to 86%, appreciating group members’ contributions from 73% to 87%, and demonstrating responsibility as group members from 77% to 93%. Learning outcomes also improved, as shown by the increase in the proficient category from 27% to 77%, while the basic and developing categories decreased to 0% in cycle II. These results indicate that CIRC effectively enhances students’ active participation, collaboration, responsibility, and learning achievement. Therefore, CIRC is recommended as an alternative collaborative learning model for Catholic Religious Education, particularly in strengthening cooperative interaction and meaningful understanding of religious learning materials in classroom practice.

Penelitian ini bertujuan untuk mengkarakterisasi tingkat toksisitas ekstrak etanol 90% daun trembesi (Samanea saman) terhadap larva Artemia salina melalui penentuan nilai LC₅₀ menggunakan metode Reed-Muench dan analisis probit. Penelitian ini merupakan penelitian eksperimental dengan rancangan post-test only control group design. Larva Artemia salina digunakan sebagai organisme uji dan dipaparkan pada berbagai konsentrasi ekstrak, yaitu 10 ppm, 100 ppm, 500 ppm, 1000 ppm, 5000 ppm, dan 10.000 ppm. Parameter yang diamati adalah jumlah kematian larva setelah 24 jam perlakuan. Hasil penelitian menunjukkan bahwa persentase kematian larva meningkat seiring dengan kenaikan konsentrasi ekstrak, yang mengindikasikan adanya hubungan dosis-respons. Perhitungan nilai LC₅₀ dengan metode 823 ppm. Berdasarkan klasifikasi toksisitas Brine Shrimp Lethality Test (BSLT), nilai LC₅₀ tersebut termasuk dalam kategori toksik moderat / sedang. Hal ini menunjukkan bahwa ekstrak etanol 90% daun trembesi memiliki aktivitas toksisitas sedang terhadap larva Artemia salina. Dengan demikian, ekstrak ini berpotensi sebagai sumber senyawa bioaktif yang dapat dikembangkan lebih lanjut namun diperlukan penelitian lanjutan untuk mengidentifikasi senyawa aktif serta mengevaluasi keamanan pada sistem biologis yang lebih kompleks.

Penelitian ini bertujuan untuk mengkarakterisasi tingkat toksisitas ekstrak etanol 60% daun trembesi (Samanea saman) terhadap larva Artemia salina melalui penentuan nilai LC₅₀ menggunakan metode Reed-Muench dan analisis probit. Penelitian ini merupakan penelitian eksperimental dengan rancangan post-test only control group design. Larva Artemia salina digunakan sebagai organisme uji dan dipaparkan pada berbagai konsentrasi ekstrak, yaitu 10 ppm, 100 ppm, 500 ppm, 1000 ppm, 5000 ppm, dan 10.000 ppm. Parameter yang diamati adalah jumlah kematian larva setelah 24 jam perlakuan. Hasil penelitian menunjukkan bahwa persentase kematian larva meningkat seiring dengan kenaikan konsentrasi ekstrak, yang mengindikasikan adanya hubungan dosis-respons. Perhitungan nilai LC₅₀ dengan metode Reed-Muench diperoleh sebesar 351,07 ppm, sedangkan analisis probit menghasilkan nilai LC₅₀ sebesar 468,05 ppm. Berdasarkan klasifikasi toksisitas Brine Shrimp Lethality Test (BSLT), nilai LC₅₀ tersebut termasuk dalam kategori toksik (30–1000 ppm). Hal ini menunjukkan bahwa ekstrak etanol 60% daun trembesi memiliki aktivitas toksisitas sedang terhadap larva Artemia salina. Dengan demikian, ekstrak ini berpotensi sebagai sumber senyawa bioaktif yang dapat dikembangkan lebih lanjut, namun diperlukan penelitian lanjutan untuk mengidentifikasi senyawa aktif serta mengevaluasi keamanan pada sistem biologis yang lebih kompleks.

Penelitian ini bertujuan untuk mengkarakterisasi tingkat toksisitas ekstrak etanol 90% daun trembesi (Samanea saman) terhadap larva udang (Artemia salina) menggunakan metode Brine Shrimp Lethality Test (BSLT) dengan pendekatan Reed-Muench dan analisis probit. Penelitian ini merupakan penelitian eksperimental dengan rancangan post-test only control group design. Larva Artemia salina digunakan sebagai organisme uji karena memiliki sensitivitas tinggi terhadap senyawa toksik dan sering digunakan sebagai indikator awal aktivitas bioaktif. Ekstrak diuji pada berbagai konsentrasi bertingkat untuk mengamati persentase mortalitas larva setelah 24 jam perlakuan. Hasil penelitian menunjukkan bahwa peningkatan konsentrasi ekstrak berbanding lurus dengan peningkatan jumlah kematian larva, yang mengindikasikan adanya hubungan dosis-respons yang jelas. Nilai LC₅₀ yang diperoleh dengan metode Reed-Muench adalah sebesar 567,02 ppm, sedangkan dengan analisis probit diperoleh nilai LC₅₀ sebesar 581,0319 ppm. Perbedaan nilai ini disebabkan oleh perbedaan pendekatan analisis, di mana metode probit dinilai lebih akurat karena melibatkan transformasi statistik yang lebih kompleks. Berdasarkan klasifikasi toksisitas BSLT, nilai LC₅₀ sebesar 581,0319 ppm termasuk dalam kategori sangat toksik (LC₅₀ < 30 ppm). Tingginya tingkat toksisitas ekstrak diduga berkaitan dengan kandungan metabolit sekunder seperti flavonoid, saponin, dan tanin yang memiliki aktivitas sitotoksik. Hasil penelitian ini menunjukkan bahwa ekstrak etanol 90% daun trembesi memiliki potensi bioaktivitas yang tinggi dan berpeluang untuk dikembangkan lebih lanjut sebagai sumber senyawa bioaktif dalam bidang farmasi maupun bioteknologi.

Traditional wedding rituals constitute intangible cultural heritage rich in symbolic meaning, serving to strengthen social solidarity and transmit cultural values. The massive penetration of modernization and digitalization has created new pressures for the Bugis-Makassar community in maintaining this heritage. This study analyzes the transformation of Bugis-Makassar traditional wedding rituals in South Sulawesi within the digital era context, focusing on how the community negotiates their cultural identity between the forces of tradition and modernity. Using a critical ethnographic approach with a multiple case study design grounded in Bhabha's concept of the third space, the study involved 42 informants from three groups: young couples (digital generation, aged 22–35), parents/family (middle generation, 40–60), and customary elders (to panrita lopi/bissu, 65+) in Makassar City, Bone Regency, and Wajo Regency. Data were collected through in-depth interviews, participant observation in 12 wedding ceremonies, and social media content analysis. Results reveal three main transformation patterns: (1) digital spectacularization—rituals adapted for social media consumption; (2) reflective selectivity—young couples actively choosing which traditional elements to retain; and (3) procedural hybridization—the integration of customary procedures with contemporary elements. These transformations are colored by intergenerational contestation that generally ends in compromise between demands for customary completeness and the aesthetic preferences of the younger generation. The study concludes that this transformation is not merely a loss of tradition, but a creative form of identity negotiation in which the Bugis-Makassar community actively reconstructs the meaning of siri' (self-esteem/dignity) and pesse (solidarity) within the changed socio-cultural landscape. The findings imply the need for cultural preservation policies that understand change as inherent to living culture, and open avenues for longitudinal studies on the intergenerational transmission of cultural values.

This study aims to describe the planning, implementation, and assessment of differentiated instruction in teaching descriptive text writing to ninth-grade students at SMP Negeri 2 Bendo, Magetan Regency. The study was conducted in response to students difficulties in generating ideas, selecting appropriate vocabulary, organizing ideas coherently, and producing vivid descriptive texts. This research employed a qualitative approach with a case study design. Data were collected through lesson plan observation, classroom observation, teacher interviews, and documentation of student learning products. The findings indicate that differentiated instruction was planned through a Merdeka Curriculum-based teaching module, diagnostic assessment, contextual material selection, and the use of PowerPoint, observation sheets, and tiered student worksheets. The implementation emphasized process and learning-environment differentiation through triggering questions, direct observation of real objects around the school, group work, individual scaffolding, immediate feedback, and reflection. Assessment was carried out continuously through diagnostic, formative, and summative assessment. Differentiated instruction helped students generate concrete ideas, organize their writing more systematically, increase motivation, and strengthen descriptive text writing skills. These findings affirm that differentiated instruction can serve as an adaptive strategy in Indonesian language learning at junior high school level.

This community service program aimed to promote a community-based environmental care movement through the planting of productive trees in Meunasah Panggoi Village, Muara Dua District, Lhokseumawe City. The program was implemented over four weeks using a Community-Based Participatory (CBP) approach, actively involving local residents in the planning, observation, seedling procurement, tree planting, and initial maintenance stages. The observation results indicated that vegetation cover in the village was still limited, highlighting the need for sustainable greening efforts. A total of 25 productive trees, including mango, longan, coconut, guava, and avocado, were successfully planted at several strategic locations. The activity involved village officials, youth groups, and community members, thereby strengthening public participation in environmental conservation. The program not only increased vegetation cover but also reinforced the spirit of mutual cooperation, enhanced collective awareness of environmental preservation, and encouraged the productive use of available land. The productive trees are expected to provide long-term ecological, social, and economic benefits by improving environmental quality and generating harvests that can be utilized by the community. Therefore, community-based greening represents an effective strategy for supporting sustainable environmental development at the village level.

This community engagement program aimed to strengthen community empowerment through human resource development and employability skills training in West Java Indonesia. The program involved youth groups, unemployed individuals, women’s associations, and local community members who experienced limited access to professional training and workforce readiness opportunities. To address these challenges, participatory workshops, leadership training, career mentoring, and collaborative learning activities were implemented over a three-month period involving 65 participants. The findings demonstrated significant improvements in communication skills, teamwork, leadership competencies, career planning awareness, and problem-solving abilities among participants. Qualitative results also revealed increased confidence, stronger motivation for professional development, and greater participation in community and economic activities. Participants showed improved readiness for employment and entrepreneurship opportunities after completing the program. The integration of human resource development and participatory educational approaches proved effective in promoting employability and sustainable community empowerment

This community engagement program aimed to strengthen community empowerment through legal and financial literacy initiatives designed to support sustainable social development in Uttarakhand, India. The program involved rural and semi-urban communities, including local residents, youth groups, small entrepreneurs, and women’s associations, many of whom demonstrated limited understanding of legal rights, financial management, and sustainable economic practices. These limitations reduced their participation in local development initiatives and community decision-making processes. To address these challenges, the program implemented participatory workshops, legal awareness campaigns, financial literacy training, and mentoring activities over a three-month period involving 60 participants. The findings indicated significant improvements in participants’ understanding of legal rights, budgeting practices, savings management, entrepreneurial planning, and financial decision-making skills. Qualitative results further revealed stronger community participation, increased confidence in social engagement, and improved awareness regarding social responsibility and sustainable development. Participants also became more actively involved in local economic and community activities after completing the program.

The primary challenge faced by the community in Dewasari Village, Ciamis Regency, is the ineffective management of household organic waste, along with limited knowledge and skills in converting organic waste into value-added products. This community service program aimed to strengthen community capacity in developing smart environmental management through community-based Black Soldier Fly (BSF) maggot cultivation. The program was implemented through educational sessions, practical training on BSF maggot cultivation, community mentoring, and learning evaluation using a participatory approach involving the village government, community groups, and local youth. The results showed significant improvements in participants' knowledge and practical skills in managing organic waste, cultivating BSF maggots independently, and utilizing the harvested maggots as alternative livestock feed and an additional source of household income. The program also increased community awareness of the importance of sustainable and environmentally friendly waste management. Therefore, community-based BSF maggot cultivation can serve as an innovative solution for promoting smart, productive, and sustainable environmental management while strengthening community economic empowerment and improving household livelihoods in Dewasari Village.

Indonesia is an archipelagic country that has a diversity of ethnic groups as well as a rich heritage of arts and culture. One form of art found is weaving with clove flower motifs. The purpose of this study is “The Application of Clove Flower Motif Weaving Technique on Ready to Wear.” The main material used is shoelaces, as a weaving material that is easy to shape and unique. The method applied is Research and Development (R&D), which includes: identifying potential and problems, data collection through literature study, observation, documentation, product design, design validation, to the process of making and evaluating the final product. The results of the study show that the clove flower motif weaving technique can be well applied to ready to wear, especially on the vest and pants parts, producing a modern fashion. Applying this technique requires high precision, especially in the process of arranging the weaving pattern and integrating it with the main material. This study is expected to serve as a reference in developing innovative designs. The conclusion of this research is that the weaving technique gives a unique and aesthetic impression on ready to wear. The suggestion for making woven products applied to ready to wear is that during the process of ironing glue on the weave, the heat should not be too high because the shoelace material is easily burned, and the ends of the weave should be burned to prevent fraying.

This study conducts a qualitative literature review to examine how insolvency frameworks in developing countries can be designed to effectively accommodate multinational corporations (MNCs). Drawing on interdisciplinary legal, economic, and policy oriented scholarship, the review analyses why MNCs frequently avoid initiating insolvency proceedings in host developing jurisdictions and instead engage in forum shopping toward developed economies. The findings indicate that institutional weaknesses, limited judicial and professional capacity, inadequate group-insolvency coordination, and low procedural predictability significantly reduce the attractiveness of domestic insolvency regimes. The review further identifies core value foundations legal certainty, transparency, efficiency, stakeholder balance, and enterprise value preservation as essential elements of effective insolvency law reform. The study contributes by synthesising reform priorities that move beyond formal legislative change toward strengthening institutional credibility and normative legitimacy, offering policy relevant insights for developing countries seeking to retain multinational insolvency cases and enhance economic resilience.

This study aims to describe the implementation of Islamic school culture in shaping the religious character of students at SMK Islam Insan Mulia. The research employed a descriptive qualitative approach based on interview transcripts with three students from different vocational programs, namely Mechanical Engineering, Accounting, and Culinary Arts. Data were analyzed through data condensation, thematic coding, data presentation, and interpretive conclusion drawing to obtain a comprehensive understanding of students’ experiences. The findings indicate that Islamic school culture is implemented through religious routines, student discipline, teacher guidance, ethical vocational learning, and the development of a clean and orderly school environment. These practices contribute to the formation of religious character, which is reflected in students’ worship awareness, moral responsibility, honesty in learning, discipline, cooperation, and future orientation. The study also identified several challenges, including limited student independence, peer dependence in group assignments, and the gradual development of facilities in a new vocational program. These findings suggest that Islamic school culture needs to be managed consistently through habituation, teacher role modeling, continuous monitoring, and integration with vocational competencies. The study implies that strengthening Islamic school culture can support both religious character formation and vocational readiness among students.

This study aims to examine the effectiveness of implementing forgiveness therapy in enhancing the personal growth of inmates at the Tangerang Class II-A Women’s Correctional Facility. The method used was a pre-experimental study with a one-group pretest-posttest design. Nine subjects aged 20-40 years were selected from 50 inmates based on low to moderate scores on the forgiveness scale and the psychological well-being scale. The intervention consisted of six sessions adapted from the forgiveness model developed by Enright and Fitzgibbons. Data analysis utilized a paired-sample t-test and the N-Gain formula. The results showed a significant increase in personal growth scores from the pretest (M = 7.00; SD = 1.225) to the posttest (M = 9.44; SD = 1.424), with t(8) = −8.315 and p < 0.001. An N-Gain value of 0.610 indicates moderate effectiveness. The follow-up measurement (M = 9.67; SD = 1.118) did not differ significantly from the post-test (p = 0.347), indicating the sustainability of the changes achieved. Forgiveness scores also increased from 65.33 (pre-test) to 86.67 (post-test) and 87.33 (follow-up), confirming the role of forgiveness as a psychological mechanism for personal growth. These findings support the integration of structured forgiveness therapy into correctional programs for women’s prisons.

The implementation of agricultural productivity improvement policies is an important effort to increase agricultural production and improve farmers' welfare. Policy implementation is influenced not only by program design and resource availability but also by the interests of actors involved in the implementation process. This study aims to analyze actor interests in the implementation of agricultural productivity improvement policies in Rantau Indah Village, Tanjung Jabung Timur Regency. This research employed a qualitative descriptive approach. Data were collected through interviews, observations, and documentation involving representatives of the Food Crops and Horticulture Office, Agricultural Extension Workers, village government officials, farmer group leaders, and community leaders. The findings indicate that each actor has different interests in policy implementation, reflecting their respective institutional roles, responsibilities, and expectations. These differences influence program planning, coordination, decision-making, and policy execution. Nevertheless, effective communication, collaboration, and coordination among stakeholders contribute positively to minimizing conflicts of interest and supporting policy implementation. The active involvement of farmer groups and agricultural extension workers also strengthens the dissemination of agricultural innovations and encourages community participation in improving productivity. The study concludes that actor interests constitute an important factor influencing the implementation of agricultural productivity improvement policies in Rantau Indah Village. Therefore, strengthening stakeholder collaboration, improving institutional coordination, and ensuring transparent communication are essential to achieving sustainable agricultural development and enhancing farmers' welfare.

The risk of accidents in the school environment is quite high, but the ability of the School Health Business Team (UKS) to handle emergencies is often still limited to theoretical knowledge without adequate practical skills. This study aims to analyze the influence of the Role Playing and Emergency Simulation (RANGGA) method on the improvement of the knowledge and skills of the UKS Team in junior high school. This study used a quasi-experiment design with a pre-post test with control group design. The research sample amounted to 60 respondents which were taken by purposive sampling technique. The intervention group was given RANGGA training, while the control group was given conventional education. The data were analyzed using the non-parametric Wilcoxon Signed Ranks Test because the data distribution was abnormal. In the intervention group, there was an increase in the average knowledge score from 88.7 to 97.9 and the skill score from 87.99 to 97.98. The results of the Wilcoxon test showed a significance value of p<0.001 for both variables in the intervention group, indicating a very strong influence of the RANGGA method. In contrast, although the control group experienced an improvement, the variation in scores remained higher and the improvement was not as significant as the intervention group. The RANGGA method is significantly effective in improving the emergency competence of the UKS Team through an experiential learning approach. It is recommended for school institutions to integrate simulation and role play methods in the UKS training curriculum to ensure optimal emergency response readiness.

Primary dysmenorrhea frequently disrupts the academic and daily activities of adolescent girls. This study evaluated the effectiveness of a 5-minute warm compress application in reducing menstrual pain intensity. A quasi-experimental study with a one-group pretest-posttest design was conducted on 42 female students of SMAN 28 Batam selected through purposive sampling. Participants applied a warm compress (40–45 °C) to the lower abdomen for 5 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank test. Before the intervention, 42.9% of participants reported severe pain (NRS 7–10). After the 5-minute application, the severe pain category disappeared entirely (0%), with 57.1% of subjects shifting to the mild pain category (NRS 1–3). Statistical analysis showed a significant reduction in dysmenorrhea intensity (p < 0.001). A 5-minute warm compress application is a rapid and effective non-pharmacological intervention for relieving primary dysmenorrhea in adolescents. Its practicality makes this method a feasible self-care strategy to implement in school settings.