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The effectiveness of hypertension prevention in communities depends critically on individuals’ knowledge of risk factors and their attitudes toward healthy behaviors. This study examines the relationship between mothers’ knowledge and attitudes toward hypertension prevention behavior in South Polongbangkeng District, Takalar Regency, 2026. An observational analytic quantitative design with a cross-sectional approach was employed. A total of 200 mothers were selected as respondents. Data were collected using structured questionnaires assessing knowledge, attitude, and hypertension prevention behavior, then analyzed using chi-square test at a significance level of α = 0.05. Results showed that the majority of respondents had good knowledge (89.0%), good attitudes (91.0%), and good hypertension prevention behavior (77.0%). Statistical tests revealed a significant association between mothers’ knowledge and hypertension prevention behavior (p = 0.000) and between mothers’ attitudes and hypertension prevention behavior (p = 0.000). It is concluded that mothers’ knowledge and attitudes are significantly associated with hypertension prevention behavior. Health workers are recommended to strengthen health education and promotion programs targeting mothers to support hypertension prevention in the community.

Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus and transmitted through the bite of the Aedes aegypti mosquito. According to the WHO, 40% of the world's population is at risk of dengue fever, with a significant increase in cases in the last two decades, especially in 2019. After declining during the Covid-19 pandemic, cases surged again in 2023, including in previously unaffected areas. In Indonesia, Ministry of Health data shows an increasing trend in cases, with 186,324 cases and 1,120 deaths by week 35 of 2024. Environmental factors and community behavior influence the spread of dengue-causing mosquitoes. This study aims to determine the relationship between these factors and the incidence of dengue fever in Central Lampung Regency. This study aims to determine the relationship between environmental factors and community behavior with the incidence of Dengue Hemorrhagic Fever (DHF) in Central Lampung Regency. This study is an observational analytical study using a case control study design. The research instruments used were questionnaires and observation sheets. The data analysis technique used the chi square test. From the results of the study it is known that out of 9 variables, 4 variables have a relationship with the incidence of DHF, namely the availability of container covers (p value = 0.023 <0.05), frequency of container drainage (p value = 0.001 <0.05), the presence of larvae in containers (p value = 0.006 <0.05), and respondent attitudes (p value = 0.023 <0.05). Based on research in Central Lampung Regency, of the nine variables examined, four were shown to be associated with the incidence of Dengue Hemorrhagic Fever (DHF). Therefore, it is crucial to raise public awareness and routinely implement Dengue Prevention (PSN) or 3M, both independently and collectively. Dengue prevention needs to be carried out not only through sanctions (punishment), but also through a promotive and preventive approach involving individuals, communities, environmental policies, and supervision from relevant agencies. These efforts must be comprehensive and sustainable, involving all levels of society.

Based on data from FAO (Food and Agriculture Organization of The United Nations), it has been predicted that the aquaculture subsector will become one of the most relied-upon resources in the future, especially in meeting food needs, fish-based nutritional needs, and empowering the global community's economy (FAO, 2016). Catfish is a type of freshwater fish that can grow and develop well because it can be cultivated in limited land areas (Marsela, 2018). The frequency of feeding is one of the important factors that need to be considered in catfish farming. To determine the effect of different feeding frequencies on the absolute weight of dumbo catfish, a study was conducted using an experimental design called the Completely Randomized Design (CRD), with 3 treatments and a total of 8 replications. The test treatments were as follows: Treatment 1 (feeding twice a day), Treatment 2 (feeding three times a day), and Treatment 3 (feeding four times a day). The results of the ANOVA test showed a significant value of 0.000 (P < 0.05), indicating a significant difference in each of the different feeding frequencies. The analysis of the Least Significant Difference (LSD) test at a 5% significance level also showed that the relationship between each treatment had a significant value of 0.000 (P < 0.05). The average absolute weight of the fish for Treatment 1 was 12.99 grams, for Treatment 2 was 15.03 grams, and for Treatment 3 was 17.03 grams. The highest growth in the absolute weight of dumbo catfish fry occurred in Treatment 3 (feeding four times a day).

This reseacrch aims to reveal the metaphusical meaning within the Penti ceremony as a form of thanksgiving to God (Mori Kraeng) in the Kuleng Waga Tribe community, Mano Village, Easr Manggarai. The Penti ceremony is a hereditary customary rite that marks the end of the harvest season and server as a religious momentum to renew the relationship between humans, nature, ancestors, and God. From a metaphysical perspective, Penti reflects the awareness of the existential interconnectedness between creatures and the Creator, as developed in the philosophy of Aristotle and Thomas Aquinas concerning actus assendi and participatio entis. Through a qualitative approach and cultur hermeneutics, this study interprets the symbols and ritual actions of Penti as a concrete expression of the ontological relationship between sreation and the Transcendent. The result of the study show that Penti contains three main metaphysical dimensions: first, the ontological dimension regarding human awareness of existence and dependence on God; Second, the perticipatory dimension concerning the role of ancestors as a spiritual bridge between humans and God; Third, the eschatological dimension regarding the hope for the ultimate perfection of life in God. Thus, Penti not only holds cultural value but also carries profound theological and metaphysical meaning.

Healthcare institutions worldwide are undergoing digital transformation to improve efficiency and patient experiences. While many studies focus on clinical applications of information technology (IT), its impact on administrative service quality remains limited, even though administrative services are patients’ primary point of contact. This study examines how IT adoption influences administrative service quality in Indonesian healthcare institutions, focusing on relationships between IT implementation levels and service quality dimensions, as well as mediating and moderating factors. Using a mixed-methods sequential explanatory design, quantitative data were collected from 385 patients and 127 administrative staff across 24 hospitals, supported by 32 in-depth interviews. Service quality was measured using SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy. The findings show significant positive relationships between IT adoption and all service quality dimensions, with the strongest effects on reliability and responsiveness. Staff digital competency and system usability partially mediate these relationships, while implementation quality acts as a key moderating factor. Well-implemented systems yield substantially higher service improvements than poorly implemented ones. Most patients prefer digital services when functioning properly, although many report frustration when systems fail or staff lack competency. This study highlights the importance of effective IT implementation to enhance administrative service quality and offers practical insights for healthcare management.

This study aims to analyze the influence of internal company factors, including company size, networking capital, operating efficiency, liquidity, and leverage, on financial performance, proxied by Return on Assets. The research population includes 40 food & beverage subsector companies listed on the Indonesia Stock Exchange during the 2019–2024 period. Using purposive sampling, 17 sample companies were selected, yielding a total of 102 data observations. This study adopts a quantitative approach, using secondary data obtained from the company's annual financial statements. Data analysis was performed using multiple linear regression to identify partial and simultaneous influences between variables. Empirical findings show that not all internal factors exert a uniform influence on financial performance, as some variables have been shown to have a significant influence, while others do not show a statistically significant relationship. These results have important implications for managers and investors in formulating internal management strategies to drive sustainable profitability

Patient satisfaction is a key requirement for successful hospital services, influenced by factors such as mismatched expectations, nurses' personal behavior, high costs, and an unsupportive environment. Nurses' therapeutic communication plays a crucial role in increasing satisfaction in the inpatient ward by building trust and reducing misunderstandings in multicultural patients. Objective: To determine the relationship between nurses' therapeutic communication and patient satisfaction in the Inpatient Ward of Khidmat Sehat Afiat (KiSA) Regional General Hospital, Depok City in 2025. Method: A quantitative, analytical correlational study with a cross-sectional approach. The adult patient population was 120 people from August to October 2025, with a sample of 97 respondents via simple random sampling (with a 5% dropout rate). Data were collected using a questionnaire at KiSA Regional General Hospital, Depok (October-November 2025), and analyzed using chi-square for categorical variables. Results: 87.6% of nurses used good therapeutic communication; patient satisfaction was 79.3% satisfied, 27.3% quite satisfied, and 0% dissatisfied. The chi-square test yielded a p-value of 0.008 <0.05, indicating a significant relationship. Conclusion: There is a relationship between nurses' therapeutic communication and patient satisfaction levels in the Asoka Inpatient Ward of KiSA Regional General Hospital. Suggestion: Nurses should improve their skills through active listening, verbal empathy, information clarification, self-evaluation, and shift discussions for multicultural patients in Depok.

Dental caries is a health problem that can occur across all age groups, with children being particularly vulnerable. This study aimed to investigate the association between fluoride concentrations in dug well water and tooth-brushing practices with the incidence of dental caries among children aged 6–10 years in RT 5, Waplau Village. A quantitative approach with a cross-sectional design was applied. The study involved 64 respondents selected through purposive sampling. Data were analyzed using univariate and bivariate methods, supported by chi-square statistical testing. The results demonstrated a significant relationship between fluoride levels and dental caries (p = 0.013; p < 0.05). Additionally, tooth-brushing habits were significantly associated with the occurrence of dental caries in children (p = 0.001; p < 0.05). In summary, the fluoride content in the well water used by respondents was within acceptable limits, and tooth-brushing behavior contributed to the development of dental caries among children in RT 5, Waplau Village.

Leadership constitutes a critical determinant of organizational efficiency, yet the relationship between leadership styles and administrative effectiveness remains incompletely understood, particularly across different institutional contexts. This comparative study examines how transformational, transactional, and laissez-faire leadership styles influence administrative efficiency in public and private sector institutions in Indonesia. Using a mixed-methods approach, quantitative data were collected from 428 employees across 28 public institutions and 24 private organizations through validated survey instruments; qualitative data were gathered through 36 semi-structured interviews with organizational leaders and managers. Results reveal significant positive relationships between transformational leadership and administrative efficiency in both sectors (β = 0.54, p < 0.001 for public; β = 0.48, p < 0.001 for private), with transactional leadership showing moderate positive effects (β = 0.32 public; β = 0.38 private) and laissez-faire leadership demonstrating negative relationships (β = −0.28 public; β = −0.24 private). Leadership styles collectively explain 52% of efficiency variance. Mediation analysis reveals that organizational culture (28%), employee engagement (35%), and trust in leadership (22%) partially mediate transformational leadership's effects, together accounting for 62% of total indirect effects. Sector differences emerged qualitatively: transformational leadership leverages public service motivation in public institutions, while transactional leadership's performance accountability resonates more strongly in private organizations. The study contributes theoretical understanding of leadership effectiveness across institutional contexts and provides practical guidance for developing contextually appropriate leadership development programs.

The research conducted this time aims to analyze both directive and expressive speech acts in the drama script 'Ayahku Pulang' by Usmar Ismail. The background factor of this research is to investigate the relationship between the dialogues of the characters in the drama script and the concepts of directive speech acts and expressive speech acts in the process of social interaction. The purpose of this research is to significantly contribute to the field of pragmatics and speech acts, to find out the frequency of the existence of directive and expressive speech acts in the drama script, and to provide references and new data analysis in pragmatics. The research was conducted by referring to a qualitative descriptive approach and a theoretical approach using a pragmatic approach. The data collection process was conducted using the listening and note-taking methods, and subsequent data analysis employed the distribution method. Based on the analysis carried out, data were obtained for 28 directive speech acts and 31 expressive speech acts, which will then be classified in more detail according to their types. It is hoped that this research will be beneficial both from a scientific and societal perspective, enriching the literature on pragmatic studies, helping to improve public understanding of speech acts, and raising awareness of the importance of analyzing drama scripts as a representation of everyday social interactions in society.

The customary forest of Sub-Tribe Afsya, Bariat Village, South Sorong Regency, Southwest Papua is a lowland tropical rainforest of approximately 2,500 hectares managed under the indigenous "Sasi Adat" system. This study aimed to determine bird species diversity, evenness of distribution, and the relationship between bird communities and vegetation structure. Research was conducted in January 2026 using a combination of line transect and point count methods along five 1,000-meter transects, observed in the morning (06:00–10:00 WIT) and afternoon (15:30–18:00 WIT). Data were analyzed using the Shannon–Wiener Diversity Index (H’), Simpson's Dominance Index (D), Evenness Index (E), and vegetation Important Value Index (IVI). The study recorded 30 bird species from 16 families with 492 individuals, including 12 Papua-endemic species protected under Minister of Environment and Forestry Regulation No. P.106/2018. H’ values ranged from 1.197 to 2.472 (moderate to high); dominance was low to moderate; and evenness ranged from 0.668 to 0.933, with most transects showing high evenness (E > 0.75). Vegetation was dominated by damar trees (Agathis labillardierei) and fruiting trees synergistically supporting frugivore, insectivore, and nectarivore bird guilds. The Sasi Adat management system demonstrably contributes to habitat quality, rendering this forest of significant conservation value for Southwest Papua's avifauna.

This study aims to analyze the role of the Protocol Division in supporting the activities and performance of regional leaders, particularly from the functional and interpersonal aspects in local government administration. The study employs a qualitative approach using Qualitative Secondary Analysis (QSA) through a review of literature, policy documents, and relevant previous research on protocol functions within government organizations. The analysis is grounded in organizational role theory and managerial role concepts. The results indicate that the Protocol Division plays a strategic role in supporting the effectiveness of regional leaders’ duties through two main dimensions. First, the functional role, which includes managing the regional leader’s activity agenda, organizing protocol-related events, arranging official ceremonies, and coordinating with regional apparatus and relevant institutions to ensure smooth implementation of government activities. Second, the interpersonal role, which encompasses acting as a communication liaison between the regional leader and various stakeholders, facilitating inter-agency working relationships, and supporting the representative function of the regional leader in official and community social events. The findings suggest that the successful execution of regional leaders’ activities is influenced not only by the leaders’ own leadership capacity but also by the effectiveness of organizational support from units that assist leadership, such as the Protocol Division. This role contributes to enhancing coordination effectiveness, ensuring smooth implementation of government activities, and strengthening the image and authority of regional leaders in performing their leadership functions. Therefore, strengthening institutional capacity, improving human resource competencies, and utilizing information technology in managing leadership activities are crucial factors in optimizing the role of the Protocol Division in local governance.

This study examines the dynamics of Islamic civilization and cultural expressions in Southeast Asia through a comparative analysis of Muslim communities in Indonesia and Thailand. Southeast Asia represents a unique region where Islam has interacted with diverse local traditions, producing distinctive cultural forms and civilizational patterns. The research aims to explore how Islamic values, cultural traditions, and historical experiences shape the development of Muslim societies in both countries.Using a qualitative comparative approach, this study analyzes historical sources, academic literature, and socio-cultural practices within Muslim communities in Indonesia and Thailand. The research focuses on three main aspects: the historical development of Islam, the interaction between Islamic teachings and local cultures, and the role of cultural practices in shaping contemporary Muslim identity.  The findings reveal that Islamic civilization in Southeast Asia is characterized by adaptability, cultural negotiation, and pluralistic expressions. In Indonesia, Islamic cultural expressions tend to be more institutionalized and integrated within national cultural frameworks, while in Thailand, Muslim communities maintain strong cultural identities through local traditions and religious institutions despite existing within a predominantly Buddhist society.  This study contributes to the broader discourse on Islamic civilization by demonstrating that cultural diversity and local adaptation play significant roles in shaping Muslim societies in Southeast Asia. Understanding these dynamics provides deeper insight into the relationship between religion, culture, and civilization in pluralistic societies.

Abstraks Tujuan penelitian ini adalah untuk mengidentifikasi faktor-faktor yang mempengaruhi kinerja kerja di Puskesmas Lasem, khususnya dengan melihat iklim kerja, disiplin kerja, dan motivasi karyawan. Output karyawan merupakan variabel dependen dalam analisis ini, dengan ketiga faktor tersebut sebagai variabel independen. Penelitian ini terutama didasarkan pada tanggapan kuesioner, dan menggunakan data primer. Informasi pribadi subjek penelitian menjadi dasar penelitian ini. Sampel yang digunakan berjumlah 85 orang. Proses pengambilan sampel menggunakan sampel jenuh. Penelitian ini menggunakan analisis regresi linier berganda sebagai pendekatan analisis datanya. Hasil penelitian memperlihatkan adanya hubungan positif dan signifikan secara statistik antara variabel lingkungan kerja dan kinerja karyawan, serta hubungan positif dan tidak signifikan secara statistik antara variabel disiplin kerja dan kinerja karyawan.   Abstact The purpose of this research is to identify the factors that affect job performance at the Lasem District Health Center, specifically looking at the workplace climate, work discipline, and employee motivation. Employee output is the dependent variable in this analysis, with the aforementioned three factors serving as independent ones. Primarily based on responses to a questionnaire, this study draws on primary data. Research subjects' personal information is what the research relies on. Using a sample size of 85 people. The sampling process makes use of saturated samples. The research used multiple linear regression analysis as its data analysis approach. The study found that there is a positive and statistically significant relationship between the work environment variable and employee performance, as well as a positive and statistically insignificant relationship between the work discipline variable and employee performance.

The reform of Indonesia’s criminal law through Law Number 1 of 2023 concerning the Criminal Code (KUHP) marks a fundamental shift in the national criminal justice system, particularly through the formal recognition of the living law as law that lives within society. This article analyzes the correlation between living law and the principle of legality within the context of national criminal law reform. The study employs a normative juridical method with statutory, conceptual, and comparative approaches to examine how the 2023 Criminal Code seeks to balance legal certainty with substantive justice. The findings indicate that the regulation of the principle of legality in Article 1 of the KUHP remains the primary foundation for ensuring the protection of individual rights and preventing arbitrary state actions. However, the recognition of living law under Article 2 of the KUHP expands the sources of criminal law beyond written statutes to include social values living within the community, insofar as they are consistent with Pancasila, general legal principles, and human rights. The relationship between the principle of legality and living law in the 2023 KUHP is not antagonistic but rather complementary and harmonious. Living law enriches the legality principle substantively through moral and social justice dimensions, while the legality principle serves as a normative safeguard to maintain legal certainty and prevent the abuse of power. Therefore, the integration of both principles reflects a new paradigm of Indonesian criminal law that is pluralistic, just, and civilized, reaffirming the nation’s legal politics grounded in Pancasila values and the principles of a democratic rule of law.

The development of information and communication technology has significantly transformed consumer behavior, particularly in the process of searching for information prior to making a purchase. One rapidly growing phenomenon is Electronic Word-of-Mouth (eWOM), which refers to informal communication among consumers through digital platforms such as social media, online forums, and product review websites. eWOM is considered more credible than traditional advertising because it originates from real user experiences. This study aims to analyze the impact of eWOM on consumer purchase intention with trust as a mediating variable. A quantitative approach with a cross-sectional survey design was employed, involving active users of digital platforms who accessed product reviews before purchasing. Data were collected via online questionnaires and analyzed using multiple regression and mediation testing (Baron and Kenny approach with Sobel test). The findings reveal that eWOM has a positive and significant effect on consumer trust (β = 0.72) and directly influences purchase intention (β = 0.31). Trust demonstrates a stronger effect on purchase intention (β = 0.56) and serves as a significant mediator in the relationship between eWOM and purchase intention (indirect effect = 0.40). These results highlight that the quality, credibility, and consistency of eWOM information are crucial in building consumer trust, which subsequently enhances purchase intention. Theoretically, this study enriches digital marketing literature, while practically it provides implications for companies to manage online reviews transparently and foster consumer trust to drive purchasing decisions.

This study aims to examine the theological meaning of love for the poor in the apostolic exhortation Dilexi Te and to reflect on its relevance within the context of Indonesia’s pluralistic society. The research employs a qualitative method with a literature study approach, using Dilexi Te as the primary source, supported by relevant theological and social literature. The findings reveal that love for the poor in Dilexi Te is not merely a charitable act but constitutes the core of Christian faith, inseparable from one’s relationship with God. This love is integral, encompassing spiritual, moral, and structural dimensions, and calls for active engagement in promoting social justice and addressing the root causes of poverty. Theologically, solidarity with the poor is grounded in the mystery of Christ’s incarnation and the principle of the preferential option for the poor. In the Indonesian context of diversity, this teaching holds strong relevance as a foundation for fostering interreligious solidarity, strengthening social cohesion, and encouraging both the Church and society to work toward a more just, inclusive, and humane social order. Therefore, this study highlights that theological reflection on love for the poor is not merely normative but also carries concrete social implications in a pluralistic society.

Chronic Kidney Disease (CKD) is a growing global health concern that significantly affects patients’ quality of life. At Bhakti Asih General Hospital, Tangerang, the number of hemodialysis patients increased by 20.42% and dialysis procedures by 25.06% between 2023 and 2024. Despite this service expansion, preliminary findings revealed that 32% of patients reported poor quality of life, 31% experienced low engagement in care, 34% demonstrated low self-efficacy particularly in dietary and fluid management and 32% faced accessibility barriers. These findings indicate a gap between increased service volume and patient-centered outcomes. This study aimed to analyze the effects of patient engagement and self-efficacy on the quality of life of hemodialysis patients, with healthcare accessibility as a mediating variable. A quantitative cross-sectional design was employed. Active hemodialysis patients were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Structural Equation Modeling (SEM).The results demonstrated that patient engagement and self-efficacy had significant positive effects on quality of life, both directly and indirectly through accessibility. Accessibility also significantly influenced quality of life and strengthened the relationships between patient engagement, self-efficacy, and quality of life.These findings highlight the importance of integrating patient engagement strategies, strengthening self-efficacy through education, and improving service accessibility to enhance quality of life among hemodialysis patients

Hypertension has become a chronic disease known as the silent killer because it often does not show symptoms but can cause serious complications such as stroke, heart disease, and kidney failure. According to WHO, hypertension is one of the leading causes of death worldwide and its prevalence continues to rise. Sleep disturbances can increase sympathetic nervous system activity and stress hormones, which impact blood pressure elevation. Depression is characterized by prolonged feelings of sadness, loss of interest, and decreased energy. Physiologically, depression can increase stress hormones and cause autonomic nervous system imbalance, leading to elevated blood pressure. To determine the relationship between sleep pattern disturbances and depression levels with blood pressure in hypertensive patients in the outpatient department of RS Permata Medika Semarang. Quantitative research with a correlational design using a cross-sectional approach. The sampling technique used was consecutive sampling with a sample size of 79 respondents. The instruments used are the PSQI questionnaire for sleep pattern disturbances and the DASS-42 for depression levels. Ethics test no 03/EC-LPPM/UWHS/II-2026. Data analysis used the Spearman Rank test. The research results show that there is a significant relationship between sleep pattern disturbances and blood pressure in hypertensive patients (p=0.000; rho=0.826). Respondents with poor sleep patterns mostly have high blood pressure, indicating a very strong and positive relationship, where the worse the sleep pattern, the more uncontrolled the blood pressure tends to be. Additionally, there is a significant relationship between the level of depression and blood pressure (p=0.000; rho=0.808). Respondents with severe and very severe depression mostly have high blood pressure, which means that the higher the level of depression, the more the blood pressure increases or becomes uncontrolled. There is a relationship between sleep pattern disturbances and depression levels with blood pressure in hypertensive patients in the outpatient department of Permata Medika Hospital Semarang.

This study aims to analyze the role of digital transformation in strengthening competitive advantage and resilience of highland tourism villages in Central Java. Highland tourism villages face increasing competition, environmental vulnerability, and market uncertainty, requiring adaptive and innovation-driven strategies. Digital transformation is considered a strategic instrument to enhance destination competitiveness, expand market access, and improve institutional resilience. This research employs a quantitative approach using Structural Equation Modeling (SEM-PLS) to examine the relationships among digital transformation, competitive advantage, and tourism village resilience. The study was conducted in selected highland tourism villages in Central Java, including [insert village names if needed]. Data were collected through structured questionnaires distributed to tourism village managers, local stakeholders, and community representatives. The findings indicate that digital transformation has a significant positive effect on competitive advantage and resilience. Furthermore, competitive advantage partially mediates the relationship between digital transformation and tourism village resilience. These results suggest that digital adoption, digital marketing integration, and digital governance practices are critical in strengthening sustainable tourism development in highland areas. The study contributes to the literature on digital tourism transformation and provides managerial implications for policymakers and tourism village managers in developing adaptive and resilient tourism ecosystems.