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The research aims to determine red onion plants' growth and production response (Allium cepa L.) on Planting Distance Treatment and Eco enzyme Concentration. This study used a Randomized Block Design (RBD) with two treatment factors. The first factor is the Planting Distance treatment consisting of 3 levels, namely J1 = 15 cm x 15 cm, J2 = 20 cm x 15 cm, and J3 = 25 cm x 15 cm. The second factor is the Eco enzyme Concentration, consisting of 3 levels, namely E1 = 0.8 ml ee / 240 ml water, E2 = 1.6 ml ee / 240 ml water, and E3 = 2.4 ml ee / 240 ml water. The study results showed that the Planting Distance treatment significantly affected root length and tuber diameter per sample. However, they had no significant effect on fresh tuber weight on the growth and production of shallots. The Eco enzyme concentration treatment had no significant effect on all observation treatments. The interaction between Planting Distance and the Eco enzyme concentration had no significant effect on all observation treatments.

Acne vulgaris is one of the most prevalent dermatological disorders in Indonesia, often affecting adolescents and young adults. This condition not only causes visible skin lesions but also has a profound impact on psychological well-being, leading to decreased confidence and reduced quality of life. Effective management of acne vulgaris requires consistent use of prescribed medications, with doxycycline being one of the commonly recommended systemic antibiotics. This study aimed to evaluate the level of patient adherence to doxycycline therapy for acne vulgaris at Roels Clinic, Ponorogo, during the period of March to April 2025, and to identify factors that may influence this adherence. A descriptive research design was utilized, employing a structured questionnaire distributed to patients who met specific inclusion criteria. The adherence level was assessed using a 5-point Likert scale, and the average percentage was computed and classified into compliance categories. The findings revealed that among 50 respondents, 70.6% demonstrated a “fairly high” level of adherence to doxycycline treatment. These results suggest that most patients follow the prescribed regimen appropriately. High adherence is expected to improve therapeutic outcomes, accelerate recovery, and minimize the potential for antibiotic resistance, which remains a growing concern in dermatological and public health settings.

Al–Mg–Si aluminum alloys are widely utilized in engineering applications due to their low density, excellent corrosion resistance, and mechanical properties that can be modified through heat treatment. This study investigates the effect of homogenization on the microstructure and hardness of Al–Mg–Si alloys produced by the squeeze casting process. The experimental procedure involved alloy melting, squeeze casting at 76 MPa using preheated metal molds, followed by homogenization at 400 °C for 4 hours. Microstructural characterization was performed using optical microscopy to examine the dendritic morphology and measure the secondary dendrite arm spacing (SDAS). Mechanical properties were evaluated through Vickers microhardness and Rockwell macrohardness testing. The results show that homogenization increases the SDAS from 32.59 μm to 36.88 μm and decreases the volume fraction of interdendritic phases from 15.51% to 13.57%. Furthermore, microhardness decreased from 50.22 VHN to 38.58 VHN, while macrohardness decreased from 54.60 HRE to 46.64 HRE. These reductions are attributed to the partial dissolution of Mg₂Si precipitates into the aluminum matrix during homogenization. Overall, this research provides valuable insight into the optimization of initial heat treatment parameters for Al–Mg–Si alloys produced by squeeze casting. The findings highlight the role of homogenization in improving microstructural uniformity and preparing the alloy for subsequent deformation processes such as cold rolling and extrusion, particularly for structural components used in mining and heavy transportation industries.

Antibiotic resistance has emerged as one of the most critical challenges in modern healthcare. Pathogenic bacteria that were once susceptible to antibiotics have developed survival mechanisms, making infections increasingly difficult to treat. Understanding and combating this issue requires advanced tools, with microscopy playing a pivotal role. Microscopes enable researchers to observe bacterial morphological changes, biofilm formation, and antibiotic-bacteria interactions at molecular levels. Various microscopy techniques – including light microscopy, electron microscopy, and fluorescence microscopy – have significantly contributed to both research and clinical diagnostics. Through a literature review approach, this article examines how microscopy facilitates antibiotic resistance studies and supports the development of more effective treatment strategies.

The study used a pseudo-experimental design with a posttest-only control group design pattern. The population included the entire class VII, and the sample was randomly selected of two equivalent parallel classes, totaling 22 students each. The experimental class received the discovery learning treatment, while the control class used conventional methods. The research instrument is in the form of learning outcome tests in the form of objectives and essays that have been tested for validity and reliability. Data were analyzed through normality test, homogeneity test, and t-test of two independent samples at a significance level of 0.05. The results showed significant differences between the two groups. The average posttest score of the experimental class was 80.68 higher than the control class of 72.72. The analysis of the t-test yielded a t_hitung value of 2.74 greater than t_tabel 2.01, which means that the null hypothesis was rejected. The frequency distribution in the experimental class also showed a concentration of scores in the high category, while the control class was more dominant in the medium category. These findings confirm that discovery learning not only improves cognitive learning outcomes, but also encourages students' active engagement, motivation, and critical thinking skills. This study concludes that the implementation of discovery learning is effective in improving science learning outcomes in the classification of living things. Implicitly, teachers are advised to integrate this approach as an alternative to student-centered science learning strategies.

Fungal infections are a common health problem in tropical regions, including Indonesia, since humid conditions support microbial growth. Candida tropicalis is a pathogenic species frequently identified as the cause of both superficial and systemic candidiasis. The rising resistance to synthetic antifungal agents such as fluconazole and ketoconazole highlights the need for safer and more effective alternative therapies. Propolis, a resinous substance produced by Trigona sp. bees from various plant sources, contains flavonoids, phenolics, and terpenoids with important biological activities, including antimicrobial and antifungal effects. This study aimed to evaluate the effectiveness of ethanol extract of propolis from Balikpapan against the growth of Candida tropicalis using the disk diffusion method. Phytochemical screening revealed the presence of alkaloids, flavonoids, phenolics, tannins, and terpenoids in the extract. Antifungal activity testing showed that concentrations of 80%, 90%, and 100% significantly inhibited fungal growth, with the largest inhibition zone of 27.93 mm observed at 100% concentration. Statistical analysis using ANOVA confirmed significant differences among treatments. Thus, ethanol extract of Trigona sp. propolis from Balikpapan demonstrates strong potential as a natural antifungal agent. These findings support the use of propolis as a natural-based therapeutic alternative for fungal infections and contribute to the development of herbal pharmaceutical products.

Hypertension is a growing health problem, especially among the elderly and low-educated communities. Hypertension continues to emerge as a critical public health challenge, with increasing incidence and uneven impact, particularly affecting the elderly population and low-educated communities. In response to this situation, a community-based study was conducted in Plumpung Hamlet, Galengdowo Village, with the main objective of increasing residents' knowledge and awareness of primary prevention strategies and self-management of hypertension. The intervention method applied was multimodal, including interactive health lectures, distribution of leaflets designed with easy-to-understand language and clear visuals, and provision of free blood pressure checks that served as a screening tool and immediate awareness. This research design used a participatory approach with pre-test and post-test instruments to measure quantitative changes in participants' understanding, accompanied by blood pressure monitoring activities to evaluate the impact of education on physical health indicators. The evaluation results showed the program's significant success, marked by a 57.69% increase in comprehension scores between the pre-test and post-test sessions, while also showing an improvement trend in the blood pressure values of most participants after completing the entire education series. These findings clearly affirm the fundamental role of sustainable and accessible health education as an effective community-based intervention to mitigate hypertension risk factors and ultimately improve holistic quality of life. The implications of this study highlight the urgency of implementing regular, structured, and targeted education programs, especially those targeting the most vulnerable demographic groups, as a long-term health investment to prevent morbidity and complications from hypertension.  

In the healthcare sector, patient revisit intention serves as an important measure of hospital success, influencing financial stability, operational effectiveness, and long-term patient retention. With increasing competition, hospitals must strengthen trust, improve service quality, and maintain a positive institutional image to retain patients. This study focuses on the declining number of non-BPJS (non-insured) patients at Cinta Kasih Tzu Chi Hospital, Cengkareng, which impacts revenue sustainability. The research aims to assess how trust and customer perceived value affect revisit intention, and whether hospital image moderates these relationships. A quantitative approach was applied using a structured questionnaire distributed to 95 non-BPJS outpatients who had previously sought treatment more than once. Data were analyzed through Structural Equation Modeling (SEM) using the Partial Least Squares (PLS) method via SmartPLS software. The findings reveal that both trust and perceived value significantly and positively influence revisit intention, implying that patients with strong trust and satisfaction tend to return. Although hospital image directly influences revisit intention, it does not significantly moderate the link between perceived value and revisit intention. Therefore, hospitals are advised to enhance patient trust and perceived value while sustaining a credible institutional image to strengthen loyalty among non-BPJS patients

Bottled Drinking Water (AMDK) “VOCA” is produced by the Teaching Factory Water Treatment, Vocational School of Diponegoro University, to meet the hydration needs of the academic community. However, several issues have been identified, such as packaging defects, uneven product distribution, and stock shortages during peak demand, particularly at large-scale campus events. These issues may affect consumer satisfaction with the VOCA product. This study aims to analyze the influence of product availability, distribution, and product quality on consumer satisfaction. The research uses a quantitative approach with a survey method involving respondents who have consumed VOCA. The sampling technique applied was purposive sampling, and the data were analyzed using multiple linear regression. The results show that all three variables—product availability, distribution, and product quality—have a positive and significant effect on consumer satisfaction, both partially and simultaneously. Among them, product quality is the most dominant factor. These findings highlight the importance of consistently maintaining product quality, improving distribution systems, and ensuring stock availability to meet consumer expectations and enhance the competitiveness of VOCA on campus.

Hypertension is a condition where blood pressure is persistently above the normal limit. This condition is a risk factor that can cause damage to vital organs, including the heart, brain, retina, kidneys, aorta, and peripheral blood vessels. This case study aims to describe the implementation of these management efforts in a 45-year-old female patient with hypertension in Blang Dalam Geunteng Village, Nisam District, North Aceh. Mrs. H, a 45-year-old woman, came to the General Clinic of Nisam Community Health Center with a primary complaint of headache since one week before the visit. The headache felt like a throbbing pain throughout the head and was intermittent. This complaint was quite disruptive to the patient's daily activities, especially when doing light household chores. In addition, the patient complained of a throbbing sensation in both eyes that began to be felt simultaneously with the onset of the headache. This complaint appeared mainly when waking up in the morning. The patient has a history of hypertension that has been diagnosed since 2024. Family history shows that the patient's biological mother also suffered from hypertension and one of the patient's siblings was also diagnosed with high blood pressure but had not started treatment. Physical examination showed a blood pressure of 150/90 mmHg. Data were collected through anamnesis, physical examination, supporting procedures, home visits, and family documentation. The holistic assessment included quantitative and qualitative aspects of the initial visit, the process, and the outcome of the visit. Interventions included hypertension education, medication adherence, a healthy lifestyle, and family support for blood pressure management and lifestyle. This case study demonstrates the importance of a holistic and continuous family medicine approach in the management of patients with grade II hypertension, particularly those with familial risk factors.

This study aims to determine the effect of cow manure and liquid organic fertilizer eco farming on the growth and production of shallots (Allium ascalonicum L.). This research method uses a Factorial Randomized Block Design (RAK) consisting of 2 factors. The first factor is cow manure (P) consisting of 4 treatment levels, namely: P0 = Control (Without Compost), P1 = 0.5 kg/plot (5 tons/ha), P2 = 1.0 kg/plot (10 tons/ha) and P3 = 1.5 kg/plot (15 tons/ha). The second factor: Eco Farming consists of 3 treatment levels: C1 = 150 ml/plot, C2 = 250 ml/plot, and C3 = 350 ml/plot. The study's results showed that the provision of cow manure significantly affected plant height, number of leaves, wet weight of tubers per sample, and wet weight of tubers per plot. Providing eco farming impacts plant height, number of leaves, dry weight of tubers per sample, and wet weight of tubers per plot. The interaction between cow manure and eco farming had no significant effect on plant height, number of leaves, dry weight of tubers per sample, and wet weight of tubers per plot.

Cardiac arrest is a medical emergency that results in the sudden cessation of heart function, leading to more than 7 million deaths worldwide annually. In Indonesia, its prevalence is not well-documented. Ischemic heart disease is the primary cause, with other risk factors like hypertension, diabetes, obesity, and smoking also contributing. Clinical signs include loss of responsiveness, impaired breathing, and the absence of a pulse. Diagnosis is based on history, physical examination, electrocardiography, laboratory tests, and imaging to determine the underlying cause. Treatment follows the 2020 American Heart Association (AHA) guidelines, starting with basic life support (BLS), followed by Advanced Cardiac Life Support (ACLS). ACLS includes high-quality cardiopulmonary resuscitation (CPR), early defibrillation for shockable rhythms, epinephrine administration, and airway management through intubation. Once Return of Spontaneous Circulation (ROSC) is achieved, post-cardiac arrest care is crucial, including hemodynamic stabilization, Targeted Temperature Management (TTM), and critical care to prevent recurrence and neurological damage. A clear understanding of cardiac arrest's diagnosis, risk factors, and management is vital for reducing mortality. Adherence to AHA guidelines, especially rapid resuscitation, improves survival rates, making continuous CPR education essential for healthcare providers and the public.

The purpose of this study was to determine the effect of Potassium Fertilizer and Chicken Manure on the Growth, Production and Potassium Absorption of Sweet Corn Plants. This study used a Randomized Block Design (RAK) consisting of 2 factors. The first factor is Potassium Fertilizer (K) consisting of 4 levels, namely:K0 = Control (Without fertilizer), K1 = 7.2 g/plot, K2 = 14.4 g/plot, K3 = 21.6 g/plot. The second factor of Chicken Manure Fertilizer (C) consists of 3 treatment levels, namely: C1 = 2160 g/plot, C2 = 2880 g/plot, C3 = 3600 g/plot. The results of this study indicate thatPotassium fertilizer treatment had a significant effect onplant height, weight of cobs with husks per plant, weight of cobs per plot.The treatment of chicken manure has a significant effect onplant height, weight of cobs with husks per plant, and weight of cobs per plot.The interaction between potassium fertilizer and chicken manure had no significant effect on all observation parameters.

The research aims to determine red onion plants' growth and production response (Allium cepa L.) on Planting Distance Treatment and Eco enzyme Concentration. This study used a Randomized Block Design (RBD) with two treatment factors. The first factor is the Planting Distance treatment consisting of 3 levels, namely J1 = 15 cm x 15 cm, J2 = 20 cm x 15 cm, and J3 = 25 cm x 15 cm. The second factor is the Eco enzyme Concentration, consisting of 3 levels, namely E1 = 0.8 ml ee / 240 ml water, E2 = 1.6 ml ee / 240 ml water, and E3 = 2.4 ml ee / 240 ml water. The study results showed that the Planting Distance treatment significantly affected root length and tuber diameter per sample. However, they had no significant effect on fresh tuber weight on the growth and production of shallots. The Eco enzyme concentration treatment had no significant effect on all observation treatments. The interaction between Planting Distance and the Eco enzyme concentration had no significant effect on all observation treatments.

Back discomfort is a common musculoskeletal complaint among pregnant women, particularly in the third trimester, caused by biomechanical and physiological changes during pregnancy. This condition can interfere with daily activities, reduce sleep quality, and decrease overall comfort. Pharmacological treatments during pregnancy are limited due to safety concerns, making non-pharmacological therapies essential in primary healthcare. One alternative is the use of warm ginger compresses, which combine the benefits of heat therapy with the anti-inflammatory properties of ginger. This study aimed to examine the effect of warm ginger compresses on reducing back pain intensity in third-trimester pregnant women at the Jailolo Community Health Centre. The research used a pre-experimental one-group pretest–posttest design. The sample consisted of 16 pregnant women selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The treatment involved applying warm ginger compresses to the lower back following a standardized procedure. Data analysis was conducted using univariate and bivariate methods with the Wilcoxon signed-rank test. The results showed a significant reduction in back pain intensity after the intervention (p < 0.05). These findings indicate that warm ginger compresses are an effective, safe, and simple non-pharmacological method for reducing back pain in third-trimester pregnant women.

Chronic Kidney Disease (CKD) is a medical condition that requires renal replacement therapy such as hemodialysis. Patient compliance with this therapy is essential to prevent complications and maintain quality of life. Patient motivation, both intrinsic and extrinsic, plays a significant role in determining the level of compliance. This study aims to examine the relationship between patient motivation and compliance with hemodialysis treatment in CKD patients at RSI PKU Muhammadiyah Pekajangan Pekalongan. This research uses a quantitative correlational design with purposive sampling, involving 67 respondents from a population of CKD patients undergoing hemodialysis, with an average of 80 patients per month. The instruments used were patient motivation questionnaires and hemodialysis compliance questionnaires. The results showed that most respondents had good motivation (74.6%) and positive compliance (76.1%). Bivariate analysis using the Spearman Rank test revealed a significant relationship between motivation and compliance (p = 0.000) with a strong correlation (r = 0.685). This study suggests nursing interventions that focus on enhancing patient motivation to support long-term therapy success. The limitations of this study include the cross-sectional design, which cannot prove causal relationships, and the potential social bias in the self-report instruments.

Cancer is a chronic disease that not only affects physical conditions but also imposes a significant psychological burden on both cancer patients and cancer survivors. Various mental health problems, such as anxiety, depression, stress, and psychological distress, are frequently experienced throughout the processes of diagnosis, treatment, and the survivorship phase. One psychological intervention that has developed and been widely studied is expressive writing, which allows individuals to freely express their thoughts and emotions through writing. This study aims to examine the effectiveness of expressive writing interventions on the mental health of cancer patients and cancer survivors using a literature review method. The article search process was conducted in international databases (ScienceDirect, PubMed, and SpringerLink) and a national database (Garuda), covering publications from 2020 to 2025. Article selection was carried out using PRISMA guidelines, and methodological quality assessment was conducted using the Critical Appraisal tools from the Joanna Briggs Institute (JBI). Based on the selection results, nine articles met the eligibility criteria for analysis. The review findings indicate that most studies report positive effects of expressive writing in reducing anxiety, depression, stress, and psychological distress, as well as improving quality of life, positive affect, self-efficacy, and posttraumatic growth. However, the effectiveness of this intervention varies depending on individual characteristics, clinical context, writing structure and focus, intervention duration, and cultural appropriateness. Therefore, expressive writing has the potential to serve as an effective, flexible, and low-cost supportive intervention in cancer care, particularly when it is designed contextually and adaptively in accordance with patients’ psychological needs.

The aim of this research is to determine the assistance of parents using child therapy in regulating emotions when accompanying children to study at home. This research was conducted at the homes of 3 families who had children aged 4-7 years and the parents could not control their emotions when accompanying their children to study at home. The object of this research is parental assistance in the child's learning process at home. The data collection techniques used were observation, interviews and image documentation. The research method using data analysis is an interactive model. The research results showed that by being given Filial Therapy treatment, namely regulatory skills, setting boundaries, attentive listening, and focused play with children for 1 month, the informants were able to carry out Filial Therapy in a flexible and integrated manner. By applying Filial Therapy skills, parents become better able to regulate emotions, namely by reassessing cognitive and expression abilities. The assistance provided by parents is through filial therapy, parents accompany children to play and are directly involved in the game, there must be communication with parents, children are given the freedom to play, so that it will regulate parents' emotions in accompanying children to study at home.

Children with special needs (ABK) often face various challenges that require extra attention and support from their families. This study aims to determine the role of families in supporting the welfare of ABK at SLB Kasih Ibu in Dolok Masihul District. The research method used is qualitative descriptive research. Data collection was conducted through interviews, observation, and documentation. There were nine informants in this study. The results showed that the family plays a role in improving the welfare of children with special needs through several main aspects, namely: family resilience, which includes physical, social, and psychological resilience, which is fulfilled through basic needs, religious values, communication, commitment, and emotional management. The family provides personal support in the form of information, emotional support, education, and daily assistance. Good family relationships with effective communication and positive reinforcement, as well as the lack of community capacity in serving children with special needs. The welfare of children with special needs is fulfilled through basic needs, care, nurturing, and guidance from their families. Families also play a role in meeting the basic needs of children with special needs and protecting them from violence, discrimination, and unfair treatment, thereby creating a safe and supportive environment for the optimal development of children with special needs..

This study analyzes the representation of the meaning of strong women in the main character, Tari, in the film Bolehkah Sekali Saja Ku Menangis using Roland Barthes' semiotic theory. The film emotionally depicts Tari’s life journey, from psychological pressure and harsh treatment within the family to the long process of rediscovering her true identity. Despite emotional wounds, Tari shows resilience and strength to rise. This study aims to identify how the meaning of a strong woman is constructed through cinematic elements such as visuals, dialogues, body expressions, and symbols in the film. Using a qualitative approach with Barthes' semiotic theory, the analysis focuses on the relationship between signs, denotative meaning, and connotative meaning in key scenes. Data was collected through in-depth observation and sign analysis of scenes that portray Tari's struggle, perseverance, and emotional transformation. The findings show that Tari represents a strong woman not only through physical endurance but also emotional resilience, self-empowerment, mental health awareness, and the courage to seek support. The film delivers a message about the importance of mental strength and women's courage in fighting for their rights and freedom. This study is expected to enrich the study of the representation of strong women in the media.