Publication Search

Anxiety is an emotional condition that causes feelings of discomfort, helplessness, and uncertainty, often without a clear reason. Among breast cancer (carcinoma mammae) patients, anxiety commonly arises due to treatment processes, physical changes, and uncertainty regarding recovery. Spirituality, which involves belief in God Almighty and connection with transcendental aspects, is believed to help individuals cope with uncertain and challenging situations, including serious illness. This study aimed to determine the relationship between spiritual level and anxiety level among breast cancer patients in Semarang. The research used a quantitative correlational design with a sample of 110 respondents selected through purposive sampling based on inclusion criteria. The instruments employed were the Depression Anxiety Stress Scale (DASS-42) to assess anxiety levels and the Daily Spiritual Experience Scale (DSES) to measure spirituality. Data were analyzed using the Chi-Square test to examine the relationship between variables. The results showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between spirituality level and anxiety level in breast cancer patients. The findings suggest that higher levels of spirituality are associated with lower anxiety levels. Therefore, interventions that support and strengthen spiritual aspects may be effective in reducing anxiety among breast cancer patients. This study recommends that healthcare professionals incorporate spiritual approaches as part of holistic care to improve psychological well-being in patients undergoing cancer treatment.

Nurses are healthcare workers who have a high workload because they are in direct contact with patients 24 hours a day. Complex tasks, limited manpower, and high service demands often cause work stress. Unresolved stress can affect nurses' health, reduce performance, and even impact patient safety. This study aims to investigate the relationship between stress levels and workloads among nurses at Semarang General Hospital. The study design employs a cross-sectional approach with a quantitative methodology. The study population consists of all nurses in the inpatient ward of Semarang General Hospital, with a sample size of 80 respondents selected using proportional random sampling. The research instruments used the Perceived Stress Scale (PSS-10) questionnaire to measure stress and the NASA-TLX questionnaire to measure workload. Data analysis was conducted using the Spearman Rank test. The results of the study show that most nurses are in the moderate stress category (65%), while the highest workload is in the high category (58.8%). Bivariate analysis yielded a p-value of 0.001 (p < 0.05) with a correlation coefficient of r = 0.412, indicating a significant positive relationship between stress levels and nurses' workload. The higher the workload of nurses, the higher the stress levels they experience. Hospitals are encouraged to implement effective workload management, including proportional task distribution, additional staff, and stress management programs for nurses.

Diabetes Mellitus is a metabolic disorder marked by hyperglycemia resulting from the body's failure to synthesize insulin. Nutritional therapy is effective in controlling glucose levels by providing low glycemic index and high in antioxidant foods, including sweet potatoes and red beans. The primary objective of this study was to elucidate the influence of wheat flour replacement with composite flour consisting of sweet potato and red bean flour on anthocyanin content and the sensory preferences of muffins. A single-factor completely randomized approach was used in this experimental investigation. The treatment involved substituting wheat flour with a composite flour consisting of sweet potato and red bean flours, in the following ratios: 30:20:50 (F1), 30:35:35 (F2), 30:50:20 (F3), and 100:0:0 (F0, control). Anthocyanin content was analyzed using the differential pH method, while sensory preferences were evaluated by 30 semi-trained panelists using a hedonic scale test. The results showed that substituting wheat flour with composite flour high in sweet potato content increased anthocyanin levels. However, the substitution of wheat flour generally reduced the overall sensory preference for muffins. Despite this, formulations with a higher proportion of sweet potato flour improved the preference scores. In conclusion, the substitution of wheat flour with composite flour rich in sweet potato increased anthocyanin content and improved sensory preferences for color, aroma, and taste in muffins

This study aims to determine the level of problematic smartphone use (PSU) and revenge sleep procrastination (RBP) among MTs/SMP students in District X, while also examining the relationship between the two variables. The problem of excessive smartphone use among adolescents is increasingly important to study because it can impact sleep quality, learning concentration, and mental health. This research approach uses a quantitative correlational method with data collection through a bold questionnaire (Google Form). The research sample consisted of 103 MTs/SMP students in District X who were selected using an incidental sampling technique. The RBP variable measurement scale was developed by the researcher with reference to aspects proposed by Kroese et al. (2014). Meanwhile, the PSU Scale was developed based on dimensions formulated by Foerster et al. (2015), including withdrawal, desire, loss of control, dependence on peers, and negative life consequences. The results of the correlation analysis showed that PSU had a very strong positive relationship with RBP (r = 0.833) and was statistically significant (p < 0.000). This means that the higher a person's tendency to experience problematic smartphone use, the greater the likelihood of revenge bedtime delay. Among the dimensions of PSU, withdrawal showed the highest correlation with RBP (r = 0.831). This was followed by negative life consequences (r = 0.778), craving (r = 0.577), loss of control (r = 0.489), and dependence on peers (r = 0.333). Overall, this study concludes that PSU plays a significant role in increasing RBP trends among students. These findings highlight the urgent need for awareness and intervention programs to reduce excessive smartphone use among adolescents. Therefore, the results of this study are expected to serve as a reference for schools and parents in designing strategies to prevent the negative impacts of smartphone use on adolescents.

Exclusive breastfeeding is a key strategy to improve child health and nutrition, yet its practice in Indonesia remains suboptimal. This study aimed to analyze the relationship between husbands’ knowledge about exclusive breastfeeding and mothers’ motivation to breastfeed in Ie Masen Kayee Adang Village, Syiah Kuala District, Banda Aceh City. Using a cross-sectional design, data were collected from 50 husbands whose wives were breastfeeding infants aged 0–12 months through questionnaires distributed directly and via Google Form. The instrument’s validity and reliability were tested and met the required standards. Data were analyzed using the Chi-Square test. The results showed that most husbands had a high level of knowledge (68%), and most mothers demonstrated high motivation to breastfeed (64%). The Chi-Square analysis indicated a significant relationship between husbands’ knowledge and mothers’ motivation (p = 0.039). These findings suggest that involving husbands as active partners in health promotion and breastfeeding education programs can increase maternal motivation and improve exclusive breastfeeding practices. This study highlights the importance of family-centered interventions to strengthen breastfeeding support and enhance maternal and child health outcomes.

This research uses a quantitative approach with a survey method involving employees of PT Sepulsa Technology Indonesia. At this start, 60 respondents were taken as samples. The study uses SmartPLS 4.0 statistics to test the hypothesis. The results of the analysis showed that the workload variable has a negative and non-significant influence on the turnover intention, the work stress has a positive and significant influence upon the turnover intentions, the working environment has a negative and insignificant effect on turnover intention, the load of work, work stres, and the work environment have a significant simultaneous influence over the turnover intention. This research has the accuracy of research objects that are carried out only by employees of PT. Sepulsa Technology Indonesia. The innovation in this research combines variables of workload, work stress, and work environment against the turnover intention of employees of PT. Sepulsa Technology Indonesia.

Burns can cause infection, hinder healing, and increase the risk of long-term complications. Staphylococcus aureus and Pseudomonas aeruginosa often infect burn wounds in general, infections are treated with antibiotics, but continued use of antibiotics can cause bacterial resistance. Binahong leaves (Anredera cordifolia) have potential as a substitute for antibiotics because of their antibacterial properties from active compounds such as alkaloids, polyphenols, tannins, saponins and ascorbic acid. This research aims to activate the antibacterial ability of binahong leaf ethanol extract against S. aureus and P. aeruginosa. This research uses an experimental method with a control group design using diffusion and dilution methods at varying concentrations. Statistical analysis of the inhibition zone showed that there was a significance difference of <0.05 between treatment groups. In the solid diluted method, S. aureus obtained an MIC value of 10.5% and a MBC of 11.5%, whereas P. aeruginosa had an MIC of 14.5% and a MBC of 15%. The results showed that the ethanol extract of binahong leaves was more sensitive to S. aureus than P. aeruginosa.  

Studi ini dimaksudkan untuk mengevaluasi pengaruh tingkat bunga terhadap ekspansi ekonomi serta implikasinya pada pilihan investasi di Indonesia. Tingkat bunga, sebagai alat utama dalam strategi moneter, secara langsung membentuk perilaku investasi melalui perubahan ongkos modal, sedangkan ekspansi ekonomi menunjukkan kemampuan suatu negara untuk menghasilkan barang dan jasa secara berkelanjutan. Dengan menerapkan pendekatan Tinjauan Literatur Sistematis (SLR), penelitian ini memeriksa artikel, buku akademik, dan sumber daring terpercaya yang terbit dalam lima tahun terakhir, dengan fokus pada interaksi dinamis antara tingkat bunga, ekspansi ekonomi, dan investasi. Temuan studi mengindikasikan bahwa peningkatan tingkat bunga dapat mempertahankan stabilitas mata uang dan mengurangi tekanan inflasi, namun cenderung menghambat investasi akibat naiknya ongkos modal. Sebaliknya, tingkat bunga yang lebih rendah mendorong investasi melalui pendanaan yang lebih terjangkau, yang berpotensi berkontribusi pada peningkatan ekspansi ekonomi. Ekspansi ekonomi yang kuat meningkatkan kepercayaan investor, sehingga merangsang investasi domestik maupun luar negeri yang pada akhirnya memperkuat perluasan ekonomi melalui penyediaan modal untuk sektor industri, infrastruktur, dan bidang produktif lainnya. Penelitian ini menegaskan adanya keterkaitan timbal balik antara tingkat bunga, ekspansi ekonomi, dan investasi, serta menekankan perlunya strategi moneter yang seimbang untuk menjaga stabilitas makroekonomi sambil menciptakan lingkungan investasi yang mendukung.

Marine conservation areas play a crucial role in maintaining the sustainability of aquatic ecosystems and fishery resources. However, many fishing vessels still violate regulations by entering and exploiting conservation areas without permission. This study aims to analyze the compliance level of fishing vessels with conservation regulations in the Anambas Islands, identify the factors contributing to non-compliance, and evaluate the effectiveness of the imposed sanctions. The research employs a qualitative and quantitative descriptive approach, utilizing SWOT analysis to assess internal and external factors affecting compliance. Data were collected through vessel movement monitoring using the Vessel Monitoring System (VMS), interviews with fishery inspectors, and analysis of relevant policy documents. The findings indicate that many fishing vessels fail to comply with conservation regulations, mainly due to fish migration into conservation areas, deliberate violations by business operators seeking higher profits, and a lack of understanding among captains regarding conservation boundaries. Additionally, limited human resources and monitoring facilities hinder effective law enforcement. Although sanctions are regulated under Government Regulation No. 85 of 2021, their effectiveness remains low, as evidenced by recurring violations. Therefore, strengthening supervision, optimizing monitoring technology, and raising fishermen’s awareness of conservation regulations are necessary to enhance compliance among fishing vessels and preserve marine ecosystems.

Tujuan dari penelitian ini adalah untuk menganalisis pengaruh rasio profitabilitas, dengan menggunakan variabel ROA (tingkat pengembalian asset) dan ROE (tingkat pengembalian ekuitas) terhadap keputusan investasi yang akan diukur dengan PBV (rasio harga terhadap nilai buku) pada beberapa perusahaan properti yang terdaftar di Bursa Efek Indonesia, 2020-2024. Penelitian ini menggunakan metode regresi linier berganda pada data sekunder yang didapatkan dari laporan kinerja keuangan dan data yang tersedia di pasar modal. Hasil penelitian mengatakan bahwasanya baik ROA maupun ROE tidak memiliki pengaruh yang signifikan terhadap PBV, baik secara parsial maupun simultan. Koefisien determinasi (R²) berada di angka 10,5%, yang menunjukkan bahwa sejauh mana variabel profitabilitas menjelaskan variasi PBV cukup kecil, sementara sisanya dipengaruhi oleh berbagai faktor lain di luar model. Hasil atas penelitian ini menunjukkan bahwa keputusan investasi pada bisnis properti tidak semata-mata hanya dipengaruhi oleh profitabilitas perusahaan saja, tetapi juga ada beberapa faktor eksternal lain seperti kondisi ekonomi, peluang industri, dan sentiment lainnya. Oleh sebab itu, penelitian ini memberikan saran agar variabel lain yang lebih komprehensif dan terstruktur harus dimasukkan dalam analisis agar dapat memberikan penjelasan yang lebih jelas tentang faktor apa saja yang mempengaruhi keputusan berinvestasi di sektor properti.

Anxiety is a common phenomenon that is a universal cause of poor academic performance among students worldwide. Anxiety can also have an impact on student learning. Bold learning carried out during the Covid-19 pandemic caused anxiety or pressure for some students which could result in confusion, decrease the ability to direct attention, decrease memory, and interfere with students' concentration. The purpose of this study was to describe the level of anxiety in the pre-clinical group of FK Unpatti, age, gender, place of residence, consuming alcoholic beverages. This research is a descriptive study using a cross-sectional approach which was conducted in September 2021. The number of respondents collected was 535 respondents based on total sampling. The analysis used is univariate analysis. The data obtained using the Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. The results of this study were obtained mostly in unhurried conditions based on the batch of 2020 (32.8%), class of 2019 (22.5%), class of 2018 (26.2%) and class of 2017 (18.5%). Based on age, namely at 17 years (1.2%), at 18 years (37.9%), at 19-20 years (28.3%), at 21 years (25.1%) and at 22 years ( 7.5%). Based on gender male (26.9%) and female (73.1%). Based on the place of residence with parents (50.8%) and not with parents (49.2%). Based on consuming alcoholic beverages (2.8%) and not consuming alcoholic beverages (97.2%). Research shows that there are variations in the level of anxiety in pre-clinical students of FK Unpatti who take courageous learning.

Assistance funds from the APBN through the West Sumba Regency APBD can be allocated to funds through the Village Financial System application. This financial system has been widely used by all village offices. However, the budget is used by the reports reported to the financial system. The purpose of the researcher is to assess the level of satisfaction with the utilization and documentation of financial resources. This study is conducted through the distribution of questionnaires to relevant respondents. Based primarily on the responses gathered from the questionnaires, the researcher employs the SPSS software as a tool for statistical data analysis. The results of the test found that all test results were valid, namely for reliable test values of 0.789, 0.779, and 0.805 through Cronbach Alpha. 

Quality healthcare services are a crucial factor in improving patient satisfaction and are an indicator of the success of healthcare facilities. Based on the results of the 2024 Semester I Public Satisfaction Survey (January–June), Melati Community Health Center (Puskesmas Melati) achieved a satisfaction score of 80.84%. This score indicates good service quality, but remains below the established Minimum Service Standards (SPM), which is more than 90%. This condition requires a comprehensive evaluation of the relationship between service quality and patient satisfaction levels. Therefore, this study was conducted to determine the extent to which healthcare service quality influences patient satisfaction at Melati Community Health Center, Kapuas Regency. The study used a quantitative approach with a cross-sectional design. The study population was all 985 patients who visited Melati Community Health Center, Kapuas Regency in January 2025. The study sample was determined at 285 respondents through random sampling techniques to obtain representative data. The research instrument was a structured questionnaire that assessed the dimensions of service quality and patient satisfaction levels. Data analysis was performed using the Spearman Rank test to determine the relationship between variables. The results of the study showed that the majority of patients rated the quality of health services as very good (26.6%). In addition, the majority of patients also expressed satisfaction with the health services provided (30.9%). Statistical tests proved a significant relationship between service quality and patient satisfaction levels (p = 0.000 < 0.05) with a correlation coefficient of 0.693. This means there is a strong and positive relationship, so that the better the service quality, the higher the patient satisfaction. The conclusion of this study emphasizes the importance of improving the quality of health services at the Melati Community Health Center. Aspects that need attention are improving physical appearance (tangibles), simplifying service procedures, and strengthening the competence and empathy of staff.

This study aims to explain the effectiveness of using ChatGPT version 3.5 on advanced writing production in Tendances A2, Unit 7, Learning 2, with the topic “Demander une autorisation” (Requesting Permission) for fourth-semester students of the French Language Education Program at Unimed. The issue addressed in this study is the lack of students' mastery of vocabulary and sentence structure, as well as the fact that ChatGPT has never been used as a learning medium in the advanced writing course. This issue is reflected in the students’ pre-test score, which was 32—still below the minimum passing score (KKM) of 75. The method employed in this research is an experimental method using a one-group pre-test and post-test design. The sampling technique used is purposive sampling. The study population consisted of all 17 students from Class B of the 2023 academic year. To analyze the effectiveness of the media used, several stages were carried out: pre-test, treatment, and post-test. 

Bronchial asthma is a chronic respiratory disease that significantly impacts the quality of life of sufferers. The severity and level of asthma control are important factors in determining a patient's condition. Data from the Pulmonary Clinic of Dr. H. Moch. Ansari Saleh Regional General Hospital (RSUD) show an increase in the number of asthma patients every year, necessitating further analysis of the factors that influence the quality of life of sufferers. This study aims to analyze the relationship between severity and control levels and the quality of life of bronchial asthma patients. This study used an observational analytical design with a cross-sectional approach. The study sample consisted of 47 respondents selected using a purposive sampling method according to the inclusion criteria. The instruments used included a severity questionnaire based on the Global Initiative for Asthma (GINA) guidelines, the Asthma Control Test (ACT), and the Mini Asthma Quality of Life Questionnaire (Mini-AQLQ). Data analysis was performed using the Kendall's Tau-b test with a significance level of 0.05. The results showed that the majority of respondents were female (53.2%) and aged 31–45 years (36.2%). The highest asthma severity was mild persistent (29.8%), while the most dominant level of control was fully controlled (38.3%). The quality of life of the respondents was mostly in the moderate category (38.3%). Statistical tests showed a significant relationship between severity and quality of life (p = 0.003) and between control and quality of life (p = 0.001). It can be concluded that the higher the level of asthma severity, the lower the patient's quality of life tends to be, while better asthma control is associated with a better quality of life. These results emphasize the importance of early detection, optimal asthma control, and regular monitoring by healthcare professionals to improve patients' quality of life.

Myofascial pain syndrome (MPS) is a condition characterized by muscle or fascia pain, involving sensory, motor, or autonomic functions, linked to myofascial trigger points (MTrPs). Motor symptoms can include muscle weakness, limited movement, and stiffness. Sensory symptoms may involve tenderness, referred pain, hyperalgesia, or allodynia, while autonomic symptoms include sweating, changes in skin temperature, and salivation. MPS occurs due to increased sympathetic nervous system activity, which worsens pain. Physical therapy is vital in improving movement and function, with Active Exercise Therapy being a recommended treatment. MPS affects 36% of 431 patients, with pain intensity often developing within a week, and in Indonesia, it reaches 40% within a year. MPS is more common in females than males. Active Exercise Therapy, which can be performed at home or work, is essential for preventing MPS. On July 31, 2025, a community service activity was held at RT VIII Tanjung Mas Village, Semarang Utara, with 29 participants. The event included blood pressure checks, blood sugar tests, BMI measurements, and counseling on the importance of exercise therapy to prevent muscle fatigue, particularly in the neck area. The therapy, focusing on improving tendon and ligament strength and muscle strength, helps maintain joint stability and increase the range of motion. Strength training includes isotonic exercises and progressive resistance training, tailored to each individual's needs. The event provided education on managing muscle pain and fatigue through targeted exercise routines and home programs. These initiatives emphasize muscle recovery, physical health, and overall wellness, ensuring participants can manage and prevent MPS effectively. The event highlighted the critical role of regular physical activity in improving quality of life and preventing long-term musculoskeletal pain.

The purpose of this study was to determine: 1) the effect of mocaf flour substitution on the level of likeability of elephant ear cake; 2) the effect of addition of carrot puree on the level of likeability of elephant ear cake; 3) the effect of the interaction between mocaf flour substitution and the addition of carrot puree on the level of likeability of elephant ear cake; and 4) the nutritional value of the best elephant ear cake product based on the results of chemical tests. This study is an experimental research type with a 3 x 2 factorial design with 6 treatments. The data collection technique in this study was in the form of observations carried out by 3 trained panelists, 31 semi-trained panelists, and 19 untrained panelists with data collection instruments using a hedonic test assessment sheet with criteria for color, aroma, crispiness, taste, and overall. The data analysis technique used was two-way ANOVA assisted by SPSS version 22 software and continued with Duncan's follow-up test if a significant interaction was found. The results showed that 1) mocaf flour substitution affected on the level of likeability of elephant ear cake in terms of crispiness and taste; 2) the addition of carrot puree did not have a significant effect on all aspects of preference; 3) the interaction between the two only affected the crispiness; and 4) the best nutritional content of elephant ear cake was obtained from 4.81% fat, 1.25% ash, 7.88% protein, 1.02% water, 82.01% carbohydrate, 2.82% fiber, and 86.50 mg/100g beta-carotene

This study was conducted to analyze the effect of occupational safety and health (OHS) training, OHS compliance, and leadership style on the workplace accident rate among employees of PT. XYZ. Workplace accidents remain a significant problem in the industrial sector, thus this study seeks to provide a deeper understanding of the factors that can reduce this risk. The research method used was a quantitative survey approach, where primary data were obtained by distributing questionnaires to 40 respondents selected using a non-probability sampling technique with a purposive sampling method. The analysis techniques used in this study were descriptive analysis and multiple linear regression with the help of SPSS software version 25. The use of regression analysis allows researchers to determine the strength and direction of the relationship between independent and dependent variables. The results show that OHS compliance has a significant influence on the workplace accident rate. This confirms that compliance with occupational safety and health procedures can minimize the risk of accidents. Meanwhile, OHS training and leadership style did not show a significant influence on workplace accidents. This finding indicates that training programs and leadership style may not directly reduce workplace accidents unless they are consistently implemented and supported by strong compliance. Thus, OHS compliance is a key factor in creating a safe and productive work environment. This research provides a practical contribution for companies to focus safety management policies more on improving worker compliance with OHS regulations. Furthermore, the results of this study can serve as a reference for further research in different industrial contexts.

This study aims to describe the mathematical literacy skills of vocational high school students in solving statistics problems with the help of Microsoft Excel based on digital literacy levels, which are grouped into high, medium, and low. The background of this study is based on the importance of mathematical literacy in dealing with everyday problems and the demands of the world of work, as well as the increasing need for digital literacy mastery in the information technology era. Both are essential competencies that support each other, especially in technology-based mathematics learning. The research approach used is descriptive qualitative with a purposive sampling technique, where the selection of subjects is based on the results of the digital literacy questionnaire, equivalence of mathematics scores, and adequate communication skills to support the interview process. The research instruments include a digital literacy questionnaire, a mathematical literacy test in the form of descriptive questions completed using Microsoft Excel, and interview guidelines that have been validated by experts. The data collection procedure was carried out through tests and in-depth interviews, while data analysis included the stages of data reduction, data presentation, and drawing conclusions. The results of the study indicate differences in students' mathematical literacy skills based on their digital literacy levels. Students with high digital literacy are able to master mathematical literacy indicators well, including communication, mathematization, problem-solving strategies, and reasoning and argumentation. They can optimally utilize Microsoft Excel features to present data, perform calculations, and draw logical conclusions. Students with moderate digital literacy demonstrate fairly good mastery, but still experience difficulties in aspects of problem-solving strategies and in-depth reasoning. Based on these findings, it can be concluded that digital literacy plays a crucial role in supporting students' mathematical literacy abilities.  

Stunting is a growth failure condition in toddlers caused by chronic malnutrition, particularly during the critical first 1,000 days of life. This condition is influenced by various factors, including maternal education and feeding practices. This study aims to analyze the relationship between maternal education level and feeding patterns with the incidence of stunting among toddlers in the working area of the Pekauman Community Health Center, Banjarmasin City. The research employed a quantitative design with a cross-sectional approach. The population consisted of mothers with toddlers, with 66 respondents selected through accidental sampling. Data collection was carried out using structured questionnaires and documentation studies related to children’s nutritional status. Data analysis was performed using univariate and bivariate methods, with the Spearman Rho test applied at a 0.05 significance level. The findings revealed a significant relationship between maternal education level and stunting incidence (p = 0.009), suggesting that lower levels of maternal education were associated with higher stunting rates. Conversely, feeding patterns did not show a statistically significant relationship with stunting (p = 0.081), although descriptive data indicated that inappropriate feeding practices were common among respondents. The majority of mothers in this study had basic education (elementary to junior high school), and a considerable number of toddlers were found to be stunted. Based on these results, it can be concluded that maternal education level plays an essential role in influencing stunting, while feeding patterns require further investigation with larger samples. The study recommends strengthening nutrition education and counseling programs for mothers, particularly those with low educational backgrounds, alongside regular monitoring of child growth and development by health professionals. Additionally, government efforts to expand access to health and nutrition information through easily accessible media are expected to contribute to stunting prevention and reduction strategies.