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Lina Sinaulan, Ramlani; Saputra, Rahmat; Sugeng Sugeng

IJLS (International Journal of Law and Society) 2025 Asosiasi Penelitian dan Pengajar Ilmu Hukum Indonesia

This study examines the role of the Constitutional Court of Indonesia (Mahkamah Konstitusi/MK) as a positive legislator through the lens of the living constitution approach, which conceptualizes the constitution as a dynamic and evolving document responding to social and political change. The main problem addressed is the extent to which the MK’s judicial activism in interpreting and even creating new legal norms aligns with constitutional principles, democratic legitimacy, and the balance of powers between the judiciary and the legislature. The objective of the research is to analyze how the MK’s progressive interpretations have transformed it from a negative legislator—which merely annuls unconstitutional laws—into a positive legislator that effectively fills legal gaps and constructs new constitutional meanings. Using a normative juridical method combined with case study analysis, this research explores key constitutional decisions, focusing on cases where the MK extended its interpretive authority beyond mere judicial review. The findings reveal that the MK, through the living constitution approach, justifies its role as a positive legislator by invoking principles of constitutional morality, justice, and responsiveness to societal evolution. However, this judicial creativity also generates tension with legislative supremacy and may risk overstepping the boundaries of judicial function. The synthesis of findings suggests that the MK’s transformation embodies the dynamic interplay between constitutional text and social context, reinforcing the adaptability of Indonesian constitutionalism. The study concludes that while the MK’s position as a positive legislator under the living constitution paradigm strengthens constitutional justice and protects citizens’ rights, it must remain anchored in checks and balances to prevent judicial overreach and preserve democratic legitimacy.

Maulana, Mohamad Riski; Pratiwi, Rizka Sobriyani; Aizza, Dianatul; Sulasih, Sulasih

Jurnal Ekonomi, Bisnis dan Manajemen (EBISMEN) 2025 FEB Universitas Maritim Semarang

This study aims to examine the role of implementing Environmental, Social, and Governance (ESG) principles in supporting the transition toward a green economy in Indonesia from the perspective of Islamic banking. The research employs a qualitative approach using a library research method, reviewing academic literature published between 2020 and 2025. Data were analyzed through thematic content analysis to identify the alignment between ESG dimensions and maqashid shariah, as well as the challenges and opportunities of ESG implementation within Islamic banking institutions. The findings reveal that ESG application in Islamic banking remains partial, with greater emphasis on the environmental dimension through instruments such as green sukuk and green financing. The social and governance aspects have not yet been fully integrated into sustainability strategies. Nevertheless, integrating ESG with maqashid shariah strengthens the role of Islamic banks as agents of change in sustainable development. The study highlights the importance of establishing specific regulations, transparent reporting systems, and sharia-compliant green financial innovations to enhance the contribution of Islamic banking to Indonesia’s green economy.

Safira Annisa Pratiwi Manik; Endang Asliana; Evi Yuniarti

Jurnal Kendali Akuntansi 2025 International Forum of Researchers and Lecturers

This study examines in depth the risk factors influencing financial statement fraud in the Indonesian banking sector by employing the Fraud Hexagon framework. This framework comprises six core elements—pressure, opportunity, rationalization, capability, arrogance, and collusion—each representing potential drivers of fraudulent behavior. The study also aims to assess whether institutional investor involvement can serve as a moderating factor capable of reducing the likelihood of fraud. The research uses secondary data derived from the annual reports of banks listed on the Indonesia Stock Exchange (IDX) for the period 2020–2023. Logistic regression analysis is employed to examine the relationships between the Fraud Hexagon variables and financial statement fraud, as well as to test the moderating role of institutional ownership. The findings reveal that, among the six elements of the Fraud Hexagon, only auditor changes (representing rationalization) and political connections (representing collusion) have a significant effect on financial statement fraud. The other elements—pressure, opportunity, capability, and arrogance—do not show a significant impact. Furthermore, institutional investor involvement is found not to moderate the relationship between the Fraud Hexagon elements and financial statement fraud, indicating that external monitoring through institutional ownership remains ineffective in the context of Indonesian banking. These results underscore the importance of closer supervision of rationalization and collusion factors, as well as the need for stronger internal control mechanisms to prevent fraudulent financial reporting. The study’s findings are expected to provide valuable insights for regulators, banking management, and other stakeholders in their efforts to enhance fraud prevention measures in the financial sector.  

Nabila Raudatun Nisya; Syukriadi Syukriadi; Nurul Amna

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

The early childhood period, commonly referred to as the Golden Age, is considered the most critical stage of development, during which rapid advancement in various domains, including language ability, is observed. This study examined how parental communication patterns influence the language development of children in Gla Meunasah Baro Village. Krueng Barona Jaya Subdistrict, Aceh Besar District. An analytic quantitative method was applied, using a cross-sectional design. The study involved a total of 115 parents, and the researcher selected 89 respondents as the sample using purposive sampling. The researcher collected data through questionnaires measured on an ordinal scale and then analyzed the information using univariate and bivariate techniques, including the Chi-Square test. The analysis showed that most respondents, consisting of 85 parents (95.5%), applied good communication patterns, while 3 respondents (3.4%) were classified as moderate, and 1 respondent (1.15%) as poor. In addition, 84 children (94.4%) were identified as not being at risk of language delay, while 5 children (5.6%) were considered potentially at risk. Bivariate analysis revealed a significant relationship between parental communication patterns and early childhood language development, as indicated by a ρ value of 0.015 (< α = 0.05). It is suggested that communication with children be carried out in an open, attentive, and reciprocal manner so that their language development can be maximally supported and the risk of delays minimized.

Rahmah Devi Syahputri; Fatma Dwi Jati; Muhammad Asrin Jazuli

Jurnal Nuansa : Publikasi Ilmu Manajemen dan Ekonomi Syariah 2025 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Solid financial performance is a crucial foundation for companies to achieve long-term success. In the banking context, financial health assessments are essential, as they directly relate to the stability of the national financial system. Therefore, the Financial Services Authority (OJK) has established standards for evaluating bank soundness using the RGEC method, which includes four key aspects: Risk Profile, Good Corporate Governance (GCG), Earnings, and Capital. This study aims to analyze the soundness level of PT Bank Central Asia Tbk (BCA) during the 2020–2024 period using the RGEC approach. The assessment is conducted by evaluating financial ratios such as Non-Performing Loan (NPL), Loan to Deposit Ratio (LDR), Good Corporate Governance (GCG), Return on Assets (ROA), Net Interest Margin (NIM), and Capital Adequacy Ratio (CAR). The analysis results show that BCA achieved a "very healthy" rating (PK-1) in all RGEC aspects. This reflects BCA's ability to effectively manage risk, implement sound corporate governance principles, and maintain strong profitability and capital. These findings strengthen BCA's position as one of the best-performing banks in Indonesia and demonstrate the company's commitment to maintaining financial stability and customer trust.

Suryani Suryani; Afif D. Alba; Nelli Roza

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Hypertension is a "silent disease" with a high prevalence that can be triggered by modifiable risk factors such as stress and smoking. Sei Langkai Community Health Center shows the highest hypertension service rate (20.12%) in Batam City with Sei Langkai Village having 50% of hypertension sufferers from the health center's working area. The purpose of this study was to analyze the relationship between stress and smoking with the incidence of hypertension in Sei Langkai Village, the Working Area of ​​UPTD Sei Langkai Community Health Center, Batam City. This research method is an analytical observational study with a cross-sectional design. The accessible population is residents aged >17 years in RW 17 RT 05 Sei Langkai Village (334 people). A sample of 75 respondents was selected using a cluster random sampling technique. Data collection used the Perceived Stress Scale (PSS) questionnaire to measure stress and the Fagerstrom Test for Nicotine Dependence (FTND) to measure smoking dependence, as well as blood pressure observations. Data analysis used the chi-square test and Spearman correlation. The results showed a significant association between stress and hypertension (p=0.001; PR=5.688; 95% CI: 2.200-14.705). Of the 47 respondents experiencing stress, 87.2% had hypertension. There was a significant association between smoking and hypertension (p<0.001; r=0.585). Of the 28 respondents with heavy smoking habits, 96.4% had hypertension. The study concluded that stress and smoking are significantly associated with hypertension. Respondents with stress had a 5.688-fold higher risk of developing hypertension. The more severe the smoking habits, the higher the risk of hypertension.

Ali Jwaid Hasan; Omer Adeeb Qassim

Jurnal Publikasi Ekonomi dan Akuntansi 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

The efficiency of investment decisions is one of the core axes in the success of organizations and the sustainability of their business, especially in light of the dynamic and complex business environment. In this context, the integrated role of both accounting and financial management systems is highlighted, as the harmony between them is a key pillar in providing accurate, real-time, and analytical data that supports the investment decision maker and reduces the degree of uncertainty and risks associated with investments. This research aims to analyze the impact of the integration between accounting systems and financial management on the quality and efficiency of investment decisions within institutions, with a focus on the nature of the causal relationship between the two variables. A conceptual model has been built that illustrates the interaction between the financial information generated by the accounting system and the analytical tools provided by the financial department, which contributes to raising the efficiency of strategic decisions related to investment. To achieve the objectives of the study, a descriptive-analytical approach supported by a standard analysis using a simple linear regression model was adopted on field data extracted from an intentional sample of financial officials in the banking and investment sector. The results showed that there is a statistically significant positive effect of the integration of accounting and financial management systems in enhancing the efficiency of investment decisions, as the model showed that integration contributes more than 50% to the explanation of changes in the quality of investment decisions. The study reached a number of important findings, the most prominent of which is that the lack of integration or poor coordination between accounting and financial management leads to delays in decisions or making them based on incomplete or contradictory information. Effective integration enables organizations to allocate resources more efficiently and evaluate investment alternatives in a thoughtful manner. The study concluded with a set of recommendations, most notably the need to develop the digital infrastructure of accounting and financial systems, adopt a unified system for data exchange, enhance the culture of teamwork between accounting and financial management units, in addition to activating the use of predictive financial analysis techniques to raise the level of accuracy in investment decisions.

Odang, Maria Wildiyanti; Pati Sanga, Konstantinus; De Romario, Fransiscus

Jurnal Projemen UNIPA 2025 Universitas Nusa Nipa Maumere

The purpose of this study is to analyze the effectiveness of loan distribution at KSP Kopdit Pintu Air Kewapante Branch. This study is a descriptive qualitative research using data collection techniques such as observation, interviews, and documentation. The data analysis techniques used are data collection, data reduction, data display, and conclusion drawing. The results of this study show that the effectiveness of loan distribution at KSP Kopdit Pintu Air Kewapante Branch can be seen from several aspects, including loan granting procedures, risk management, and its impact on members. KSP Kopdit Pintu Air Kewapante Branch has implemented good procedures in loan distribution, but there needs to be improvement in risk management and supervision of loans granted. This is important to ensure the sustainability of the cooperative and the welfare of its members. Loan distribution at KSP Kopdit Pintu Air Kewapante Branch can be said to be quite effective if the distribution procedures are followed properly, credit risks are managed appropriately, and the impact on members is positive. It is important to continue to conduct regular evaluations and improvements to ensure that loan distribution continues to provide optimal benefits for members and the cooperative.

Vella Nevyta, Puan; Widiasih, Esti; Anggraeni Noviasari, Nina

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Menstrual cycle disorders can negatively impact athletic performance. A combination of irregular eating patterns and intense training can increase the risk of such disturbances. Factors influencing menstrual cycle irregularities include nutritional status, physical activity, dietary habits, stress levels, smoking, hormonal medication use, and endocrine disorders. A study conducted in Semarang found that 28.8% of female athletes experienced menstrual cycle issues. This research aims to investigate how physical activity and food intake affect menstrual cycle disorders among adolescent volleyball athletes in Kudus Regency. The methodology employed was an observational analytical study with a cross-sectional approach, selecting 46 respondents using purposive sampling techniques. The IPAQ and SQFFQ questionnaires were used as research instruments. Data were analyzed using bivariate analysis with the Chi-Square test. The results indicated that the majority of athletes had a high level of physical activity (76.1%), while 50% were categorized as having severe food intake deficits. Additionally, 78.3% of athletes experienced menstrual cycle disturbances, which included 36 individuals. Bivariate analysis revealed that physical activity influenced the menstrual cycle of adolescent volleyball athletes (p-value = 0.045), and dietary intake also had an effect (p-value = 0.000). Therefore, both physical activity and eating patterns significantly impact menstrual cycle disorders among adolescent volleyball athletes.

Fahruzi Sirait; Hafizhah Mardivta; Nailatun Nadrah; Nadya Fitriyani; Baginda Restu Al Ghazali

Sevaka : Hasil Kegiatan Layanan Masyarakat 2025 STIKES Columbia Asia Medan

Infertility in women is a reproductive health issue that requires early intervention to prevent long-term effects. With the advancement of technology, electronic medical records data can be utilized to assist in the diagnosis and classification of infertility risks. This study aims to classify the risk of infertility in female patients using the Naive Bayes algorithm based on medical record data, which includes factors such as age, health history, and medical test results. The data used in this study were obtained from hospitals and health clinics focused on managing infertility patients. The methods applied include data preprocessing, applying the Naive Bayes algorithm for classification, and evaluating the model using accuracy, precision, recall, and F1-score metrics. The results of the study show that the Naive Bayes algorithm provides fairly accurate classification in predicting infertility risks. The analysis-generated graph shows the distribution of infertility risks, with 60% of patients having a positive risk (1) and 40% having a negative risk (0). This study also suggests implementing the classification results in the form of counseling for patients to increase awareness and encourage early preventive actions. Thus, the Naive Bayes algorithm can be an effective tool in assisting healthcare providers in data-driven decision-making to address infertility risks in female patients.

Huwaida, Aspiya; Upayarto, Budi

Teknik: Jurnal Ilmu Teknik dan Informatika 2025 LPPM Sekolah Tinggi Ilmu Ekonomi - Studi Ekonomi Modern

The research aims to develop a system for Zhafirah Cosmetics Store to address operational issues such as manual transaction recording, lack of transaction receipts, and time-consuming documentation processes. A desktop-based sales and purchase information system was developed using a descriptive research method, with data collected through observation and interviews, system analysis conducted using the PIECES framework, and system development following the waterfall model. The implementation results show that the system effectively accelerates transaction recording, minimizes input errors, and generates accurate and efficient reports. It also simplifies the management of product, supplier, and transaction data, thereby supporting managerial decision-making. System testing was conducted using Black Box Testing and User Acceptance Testing (UAT), with UAT results showing an average score of 88.67%, categorized as “Very Good,” indicating strong user acceptance. The implication of this research is an improvement in operational effectiveness and a reduction in data loss risk through the digitization of the store’s business processes.

Denis Pangulili; Asda Rauf; Yanti Saleh

Botani : Publikasi Ilmu Tanaman dan Agribisnis 2025 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

This research analyzes land cover changes in the Langge Sub-watershed, Tapa District, Bone Bolango Regency, over five years from 2019 to 2023. Population growth and increasing land needs are driving significant land use changes. The method used in this study is a quantitative approach with spatial analysis using Sentinel-2 satellite imagery. The analysis results show significant changes in land cover, with water body areas decreasing from 28.50 ha to 21.69 ha, settlements dropping from 55.45 ha to 52.02 ha, and secondary forests experiencing a drastic decline from 462.83 ha to 319.13 ha. Meanwhile, dryland areas increased from 172.24 ha to 227.17 ha, and shrubland experienced a significant increase from 121.07 ha to 247.91 ha. The decline in secondary forest cover is a significant concern because it negatively impacts environmental quality and potentially increases the risk of disasters such as floods and erosion. This research underscores the importance of sustainable management for maintaining ecosystem function and minimizing the negative impacts of land cover change.

Maria Gustiana Wanda; Maria Goreti Mao Tokan; Thresia Winarti

Jurnal Projemen UNIPA 2025 Universitas Nusa Nipa Maumere

SMA Negeri 1 Maumere as one of the secondary education institutions continues to show development through improving the curriculum, infrastructure, and extracurricular programs. However, the tuition payment system that is still carried out manually poses various challenges in managing school financial administration. This study aims to analyze the effectiveness of the manual tuition payment system using the SWOT approach to identify the strengths, weaknesses, opportunities, and threats that affect the process. The results of the analysis show that although manual systems have been in use for a long time and are easy for financial officers to understand, they are still vulnerable to recording errors, process delays, and the risk of inaccurate data accumulation. In addition, the study found that the evaluation of this manual system makes an important contribution to the development of management science, especially in understanding the dynamics of administrative control and decision-making processes. The findings of the study recommend the development of a technology-based tuition payment system, such as online payments or integrated applications, as a solution to improve the efficiency, accuracy, and quality of administrative services at SMA Negeri 1 Maumere..

Era Adhaini; Nur Azizah

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background: Perineal rupture is a common complication in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the possibility of perineal tissue tears. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum hemorrhage is still the main cause of 40% of maternal deaths. Purpose: This study aims to determine the relationship between birth weight and the incidence of perineal rupture in normal deliveries at the Independent Midwife Practice of Lusi Marbun, Simalungun Regency in 2022. Method: This study used an observational analytical design with a case-control approach. A sample of 30 mothers giving birth was selected using the total sampling method. Data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. Results: The study showed that the majority of infants had a birth weight <4000 grams (63.3%), and the majority of mothers experienced second-degree perineal rupture (70%). Bivariate analysis showed a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). Conclusion: There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the infant's birth weight, the higher the risk of perineal rupture in the mother during labor. It is important for health workers to detect fetal weight early, provide nutritional education during pregnancy, and optimally prepare for labor to minimize the risk of complications.

Nasywa Febrianti N.; Neneng Miskiyah; Divianto, Divianto

Jurnal Ilmiah Ekonomi, Akuntansi, dan Pajak 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

This study aims to analyze the financial risk of PT Smartfren Telecom Tbk during the 2014–2023 period, focusing on both short-term and long-term liquidity aspects. The analysis employs financial ratios as measurement tools to assess the company’s financial stability and its ability to fulfill financial obligations within their respective time frames. The ratios used include the current ratio, quick ratio, interest coverage ratio, and cash flow-to-debt ratio. The results indicate that the company faces significant challenges in maintaining short-term liquidity, as reflected in the consistently low values of the current and quick ratios throughout the observation period. This condition suggests a limited ability of the company to meet its short-term obligations using available assets. In terms of long-term liquidity, although there are efforts to strengthen the capital structure, the company still encounters difficulties in meeting its long-term debt obligations. This is evident from the low interest coverage ratio and cash flow-to-debt ratio. Therefore, improving operational efficiency, implementing more effective cash management, and undertaking financial restructuring are essential measures to strengthen the company’s liquidity position sustainably.

Huwiani Huwiani; Rani Safitri

Medical Laboratory Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Several things contribute to the rise in Indonesia's Maternal Mortality Rate (AKI), one of which is how moms behave and think while they are pregnant. If pregnant women don't follow the recommended schedule for antenatal care (ANC) exams, a number of pregnancy issues may go unnoticed at an early stage, which may have an impact on the pregnancy process, childbirth, the postpartum period, and the health of the child being born. As a result, midwife visits play a key role in improving pregnant women's adherence to ANC tests via education, mentorship, and close supervision. The goal of this study is to assess the impact of midwife appointments on pregnant women's adherence to ANC exams at the Rumbalibunga Tidore Health Center UPT. With a cross-sectional research design, this study employs a quantitative methodology. This research focuses on 66 pregnant women who are enrolled in the Rumbalibungan Health Center UPT's working area in Tidore. Total sampling, which utilizes the entire population as a research sample, is the method employed. The chi-square test was used in bivariate analysis to investigate the impact of midwife visits on antenatal care (ANC) examination compliance, while univariate analysis was performed to describe the frequency and percentage distribution of each variable. The majority of participants, or 51.5%, had not followed the recommended antenatal care (ANC) exams, according to the data. After a midwife's visit to the home, which served as an intervention, there was an increase in the compliance of pregnant women in having ANC tests. The chi-square test yielded a p-value of 0.021 (p < 0.05) in the statistical analysis, indicating that the midwife's home visit has a substantial impact on adherence to the ANC examination. According to the study's findings, the UPT Puskesmas may enhance its coaching operations to the community by providing frequent home visits and health education, particularly to expectant mothers and women of reproductive age. The instruction covers pregnancy preparation, the value of antenatal care (ANC) exams, the optimum time to begin pregnancy exams, and the timeline for follow-up exams. Consequently, it is hoped that pregnant women will adhere to the service standards established for pregnancy tests, which call for at least four tests throughout the course of the pregnancy.

Adila Permatasari; Dudang Gojali

Kajian Ekonomi dan Akuntansi Terapan 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Islamic banking plays a crucial role in providing financing in accordance with Islamic principles, including through the Home Ownership Credit (KPR) product. This study aims to analyze the implementation of the Murabahah and Musyarakah Mutanaqishah (MMQ) contracts in the iB Hijrah KPR financing product at Bank Muamalat KCP Rancaekek. The Murabahah contract is implemented through a sale and purchase mechanism, where the bank purchases the house the customer needs and resells it with an agreed profit margin, thus providing price certainty and a simple process. Meanwhile, the MMQ contract is based on a partnership between the bank and the customer with a concept of joint ownership that gradually decreases, thus creating flexibility and a more balanced risk sharing. This study uses a qualitative descriptive approach with data collection techniques through literature studies, interviews, and observations. The results of the analysis show that the majority of customers prefer the Murabahah contract due to its simplicity, although in the long term, MMQ is seen as more economical and fair. Thus, both contracts are equally relevant to support Sharia-based home ownership. This research is expected to contribute to Islamic banking in improving service quality, strengthening Islamic financial literacy, and encouraging innovation in competitive and sustainable financing products.

Wahyuni Wahyuni; Tut Rayani Aksohini Wijayanti

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background: Premarital sexual activity among adolescent girls constitutes a significant reproductive health issue, as it is linked to a higher likelihood of unintended pregnancy, sexually transmitted diseases, and negative psychosocial outcomes. Understanding the determinants of such behavior requires a contextual approach, particularly in Indonesia’s island regions, where social and cultural dynamics may differ. Objective: This research sought to identify determinants related to premarital sexual behavior among female students enrolled at State Senior High School 13 in Tidore Kepulauan City. Methods: A quantitative analytical approach employing a cross-sectional design was implemented. A total of 120 female adolescents were recruited using a simple random sampling technique. Data were obtained through structured self-administered questionnaires and statistically analyzed using the Chi-square test, with a significance threshold of 0.05. Results: The analysis demonstrated that reproductive health knowledge, attitudes toward premarital sexual activity, peer-related influence, and parental involvement showed significant associations with premarital sexual behavior (p < 0.05). Female adolescents who had inadequate knowledge, permissive attitudes, strong peer pressure, and limited parental support exhibited a greater tendency toward engaging in risky premarital sexual practices. Conclusion: Premarital sexual behavior among adolescent girls is influenced by a combination of personal and social determinants. Therefore, integrated promotive and preventive strategies involving both schools and families are essential to mitigate the risk of premarital sexual behavior among female adolescents.

Fahima Abubakar; Raden Maria Veronika Widiatrilupi

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Preeclampsia is a life-threatening obstetric complication and a major contributor to maternal mortality worldwide, accounting for 10–15% of all maternal deaths. In Indonesia, postpartum hemorrhage remains the leading cause of maternal death, contributing to approximately 30% of cases. Hypertension during pregnancy accompanied by proteinuria not only endangers maternal health but also increases the risk of postpartum hemorrhage. Therefore, understanding the relationship between the severity of preeclampsia and the incidence of postpartum hemorrhage is crucial for developing effective prevention and management strategies, especially at the primary healthcare level. This study aims to analyze the relationship between the gradation of preeclampsia severity and the occurrence of postpartum hemorrhage among mothers giving birth at the Tepeleo Inpatient Health Center UPTD. The research used a quantitative cross-sectional design involving 30 respondents selected through purposive sampling. Data collected included demographic characteristics, severity of preeclampsia, clinical parameters such as blood pressure and proteinuria, mode of delivery, and types of postpartum hemorrhage. Data were analyzed using descriptive statistics and the Chi-Square test with a 95% confidence level. The results showed that most respondents were aged 20–35 years (63.3%), had secondary education, and were multiparous (43.3%). Mild preeclampsia accounted for 73.3%, while severe cases were 26.7%. Uterine atony was the most common cause of hemorrhage (56.7%). Statistical analysis revealed a significant relationship between preeclampsia severity and postpartum hemorrhage (p = 0.007).

Helina Helmy; Adam Irwansyah Fauzi; Enro Sujiton

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Mycobacterium tuberculosis is characterized by a thick, mycolic acid–rich cell wall that confers hydrophobicity, chemical resistance, and environmental stability, making cell wall biosynthesis inhibitors a major therapeutic target. Tuberculosis is not only a medical condition but also a social disease linked to high population density, malnutrition, and limited healthcare access. In 2023, Kedaton District was identified as the most densely populated area in Bandar Lampung, increasing the likelihood of pulmonary TB smear-positive (TB.Paru BTA+) transmission. Aerosol spread is highly distance-dependent: direct exposure within 0–1 meter poses very high risk, and WHO reports indicate that exposure <1 meter for ≥15 minutes in enclosed spaces significantly elevates infection risk, extending up to 5–10 meters without ventilation. This study employed spatial analysis to measure inter-household distances among 75 TB.Paru BTA(+) patients using Euclidean distance and smartphone-based field surveys. The method proved suitable for small-scale studies with high data accuracy, though resource-intensive for larger populations. Findings revealed some households only 3 meters apart, but this observation was not yet statistically significant to confirm transmission dynamics.