Publication Search

Menstrual cycle abnormalities are one of the reproductive health problems that are commonly experienced by adolescent girls, especially in the early days after menarche. These disorders can affect quality of life, including discomfort during activities, risk of anemia, and potential fertility disorders. A preliminary study at SMA Negeri 4 Pandeglang showed that 7 out of 10 grade XI students experienced menstrual cycle abnormalities, while there was no special program related to reproductive health in schools. This study aims to analyze factors related to menstrual cycle abnormalities, namely stress levels, diet, and physical activity. The research design used was quantitative with a Cross Sectional approach, involving 70 respondents who were selected through the Purposive Sampling technique. Data collection was carried out through a structured questionnaire and analyzed using the Chi-Square statistical test. The results of the analysis showed that there was a significant relationship between stress (p=0.011), diet (p=0.021), and physical activity (p=0.015) with menstrual cycle abnormalities. These findings confirm the importance of educational interventions in the school setting to improve adolescents' understanding of reproductive health and encourage healthy lifestyles. This research is expected to be the basis for the development of more comprehensive promotive and preventive programs in supporting the welfare of adolescent girls.

Clean and Healthy Behavior (CHB) is an essential aspect of improving public health, particularly among school-aged children. At SDN 104 Kendari, there are still challenges related to students’ behavior, especially the habit of buying snacks from unregulated vendors near the school, which increases the risk of exposure to foodborne diseases. This study aims to examine the effect of health education on students’ knowledge of CHB. The research employed a quantitative approach with a quasi-experimental design using a one-group pre-test and post-test method. The sample consisted of 42 students, selected through stratified random sampling to ensure representation across different classes and initial knowledge levels. The research instruments included pre-test and post-test questionnaires to measure students’ knowledge, complemented by educational videos designed to be engaging and informative, enhancing students’ understanding of CHB principles. Results indicated that prior to the educational intervention, the majority of students’ knowledge was categorized as sufficient (57.1%) and good (42.9%). Following the intervention, there was a significant increase in knowledge, with 69% of students categorized as good, reflecting improved understanding of CHB principles. Statistical analysis using a paired sample t-test revealed a significant effect of the educational intervention on students’ knowledge of CHB (p-value <0.05). These findings highlight that health education through video media is an effective strategy to enhance students’ knowledge of CHB and promote healthy behaviors within the school environment. The implementation of audiovisual-based educational programs can be recommended as part of ongoing school health activities and sustainable promotive-preventive efforts.

The purpose of this study was to gain a better understanding of how the operational budget planning process is applied to the Mebel Serba Usaha (Mebel Serba Usaha) business, which falls into the micro, small, and medium-sized business category. A quantitative descriptive approach was used, collecting data through direct interviews and observing business activities. The obtained data was then examined to determine costs. Furthermore, sales records over the past four years were evaluated for their use. The analysis revealed that Mebel Serba Usaha has never created an operational budget. This situation makes it difficult for the company to manage its finances, which ultimately impacts performance and profitability. The study shows that an operational budget is a crucial tool for more targeted financial management. Operational budget planning helps companies develop long-term business plans and organize and monitor expenses. The results of this study also emphasize that the absence of a budget tends to make companies lack a clear reference point for determining sales targets and controlling production costs. With structured budget planning, companies can more easily identify spending priorities, estimate cash flow, and assess the efficiency of resource use. Furthermore, implementing an operational budget can improve managerial discipline because every financial decision is based on careful planning, not just on immediate needs. Another benefit is increased transparency in fund management, thereby minimizing the risk of waste or misallocation of costs. Therefore, this study provides a practical contribution in the form of recommendations on the importance of implementing an operational budget for micro, small, and medium enterprises, particularly in maintaining sustainability and increasing competitiveness amidst increasingly fierce business competition.This research is expected to be a reference for other MSMEs in developing a more effective and sustainable financial system.

Diarrhea remains a major public health problem among children in Indonesia, with a high prevalence that impacts morbidity, mortality, and child development. One of the key risk factors is non-compliance with hygiene practices, particularly handwashing behavior. This study aimed to determine the relationship between handwashing compliance and diarrhea cases among children treated in the Pediatric Ward of Dahlia, RSUD Dr. H. Soewondo Kendal. The research employed a quantitative analytic method with a cross-sectional design, involving a total sampling of 39 child respondents aged 5–10 years who met the inclusion criteria. Data were collected using a handwashing compliance questionnaire and a diarrhea incidence questionnaire, and analyzed using Spearman’s Rank Correlation test. The results showed that most respondents were in the moderately compliant (53.8%) and compliant (43.6%) categories for handwashing, while the incidence of diarrhea remained relatively high at 51.3%. Bivariate analysis indicated a significant negative relationship between handwashing compliance and diarrhea cases (ρ = -0.538; p = 0.000), meaning that the higher the level of handwashing compliance, the lower the incidence of diarrhea. In conclusion, handwashing compliance is an important protective factor in reducing the risk of diarrhea among children. These findings emphasize the need for continuous education for children and parents regarding proper handwashing practices, as well as the integration of Clean and Healthy Living Behavior (PHBS) promotion into healthcare and educational services to prevent diarrhea from an early age

This study aims to analyze the influence of financial technology, risk tolerance, return expectation, and financial literacy on student investment decisions, with a specific focus on students of the Faculty of Economics and Business, Budi Luhur University, Jakarta. The increasing growth of young investors in Indonesia, particularly from Generation Z, emphasizes the urgency of understanding the behavioral and technological factors that shape their financial decision-making. The research employed a quantitative approach using purposive sampling by distributing online questionnaires to 100 executive class students, calculated using Slovin’s formula. Data collection was supported by literature reviews and documentation, while analysis was conducted using multiple linear regression with the help of SPSS version 26 and Microsoft Excel 2019. The results reveal that financial technology, return expectation, and financial literacy each have a positive and significant effect on student investment decisions. In contrast, risk tolerance shows a significant negative effect, suggesting that higher risk tolerance does not necessarily translate into better decision-making among students. These findings highlight the complex interplay of behavioral and cognitive factors in shaping investment choices. The study contributes to the field of behavioral finance and provides practical implications for financial education, suggesting the need for stronger integration of financial literacy programs and responsible fintech usage among young investors. In conclusion, enhancing financial knowledge and aligning return expectations are critical strategies to improve rational investment behavior in the digital era.

Nosocomial infections continue to be a critical challenge in healthcare settings, often emerging within two to four days after patients begin receiving treatment. Such infections not only prolong hospital stays but also increase morbidity, mortality, and healthcare costs. One of the most effective strategies for preventing nosocomial infections is ensuring strict adherence to handwashing procedures by nurses, who play a central role in direct patient care. This study aimed to evaluate nurses' adherence to handwashing procedures and to examine the relationship between the presence of role models and this adherence. A quantitative research method with a cross-sectional design was employed, involving 103 purposively selected respondents. Data collection was carried out using a structured questionnaire, and analysis was performed using the Spearman correlation test. The results indicated that the majority of respondents were between 26 and 45 years old and predominantly female. Findings revealed that most nurses rated role models as good (80.6%), which was consistent with their high level of handwashing compliance (80.6%). Statistical analysis demonstrated a significant relationship between the presence of role models and adherence to handwashing procedures (p = 0.000; r = 0.235), although the correlation was categorized as weak. These results highlight the importance of role modeling in promoting good clinical practices. Strengthening positive role models in clinical environments can serve as an effective strategy to improve hand hygiene adherence among nurses, thereby reducing the risk of nosocomial infections and enhancing patient safety.

Hypertension is one of the most common non-communicable diseases, posing serious health risks such as heart disease, stroke, and kidney failure. The increasing prevalence of hypertension is mainly due to limited public knowledge about the risks associated with the condition and the importance of consistent, long-term medication adherence to prevent complications. This study aims to examine the relationship between the level of knowledge about hypertension and medication adherence among hypertensive patients. A quantitative research method with a descriptive correlational design was employed. Purposive sampling was used to select respondents, and the data were analyzed using the Chi-Square test. The results showed that the majority of respondents were female (53%), aged between 46 and 64 years (74%), had an elementary school education level (42%), worked as housewives (51%), and had been diagnosed with hypertension for an average of 7 to 10 years (46%). Statistical analysis revealed a p-value of 0.000 (α < 0.05), indicating a significant relationship between the patients’ knowledge level and their adherence to antihypertensive medication. This finding emphasizes the need for continuous health education and counseling to enhance patients’ understanding of hypertension and its management. Effective communication and support strategies are essential in improving medication adherence, which is crucial for preventing hypertension-related complications and improving the quality of life for patients. These results provide valuable insights for healthcare providers to develop targeted interventions.

Phlebitis is one of the most common complications that occur as a result of intravenous infusion, especially in pediatric patients. This condition is characterized by inflammation of the vein wall, which can cause pain, redness, and swelling around the puncture site. The high incidence of phlebitis in children requires serious attention because it can prolong hospitalization, increase healthcare costs, and reduce the overall quality of care. This study aimed to identify the factors associated with the occurrence of phlebitis in pediatric patients at RSUI Harapan Anda, Tegal City. This research employed a correlational analytic design with a cross-sectional approach. The sample consisted of 46 pediatric patients undergoing intravenous therapy in the inpatient ward, selected using purposive sampling. The research instrument was an observation sheet that included independent variables such as age, chronic illness, duration of infusion, infusion site, type of infusion fluid, and nurses’ skills. The dependent variable was the incidence of phlebitis. Data were analyzed using the chi-square test to determine the relationships between variables. The results showed that most patients were in the toddler age group (1–3 years), had chronic illnesses, underwent infusion for more than 72 hours, had high-risk puncture sites, used hypotonic fluids, and were treated by nurses with insufficient skills. Statistical analysis revealed significant associations between all independent variables and the occurrence of phlebitis. These findings highlight the importance of improving nurses’ competence through continuous training, strict monitoring of infusion duration and fluid type, as well as special attention to high-risk pediatric patients. Such efforts are expected to reduce the incidence of phlebitis and improve the quality of nursing care in hospitals.

Hypertension is a chronic condition with a high prevalence among the elderly population and is often overlooked despite its potential to cause severe complications, including cardiovascular disease, stroke, and kidney damage. Effective management of hypertension requires not only pharmacological treatment but also patient adherence to prescribed therapies, which is closely linked to their knowledge and understanding of the disease. This study aims to analyze the relationship between knowledge levels and medication adherence among elderly hypertension patients at Sari Asih Hospital in Tangerang. A quantitative approach with a cross-sectional design was employed, and a total of 80 respondents were selected using non-probability sampling techniques. Data were collected using structured questionnaires that assessed both knowledge about hypertension and adherence to medication regimens. Statistical analysis was conducted using Kendall’s tau correlation, which revealed a strong and significant relationship between knowledge and medication adherence (τ = 0.759, p = 0.000). These findings indicate that elderly patients with higher levels of knowledge about hypertension are more likely to adhere to their medication schedules consistently, thereby reducing the risk of complications. The results underscore the importance of continuous health education and counseling for elderly patients to strengthen their awareness and self-management skills. In conclusion, increasing knowledge through targeted health promotion programs can play a vital role in improving adherence to hypertension treatment and ultimately enhancing patient outcomes.

Patient safety is a critical component of healthcare services, particularly as it directly impacts patient outcomes and the quality of hospital care. Nurses, as the frontline health professionals, play an essential role in implementing patient safety standards. This study aimed to analyze the relationship between nurses’ knowledge and attitudes toward the implementation of patient safety at Baitul Hikmah General Hospital Kendal. A descriptive correlational design with a cross-sectional approach was employed. The study recruited 78 nurses using a total sampling technique, and data were collected through questionnaires that had been previously tested for validity and reliability. The results indicated that the majority of nurses demonstrated good levels of knowledge and attitudes, which were reflected in their adherence to patient safety practices. Bivariate analysis using the Spearman Rho test revealed a significant relationship between nurses’ knowledge (p-value = 0.008; r = 1.000) and attitudes (p-value = 0.008; r = 0.297) with the implementation of patient safety. These findings suggest that better knowledge and positive attitudes among nurses significantly contribute to the proper implementation of patient safety protocols. Consequently, continuous education, training, and awareness programs are necessary to strengthen nurses’ knowledge and attitudes, thereby improving the quality of healthcare services and minimizing risks to patient safety in hospital settings.

Hypertension, often referred to as high blood pressure, is a major global health problem that significantly increases the risk of atherosclerotic cardiovascular disease, heart failure, stroke, and kidney failure. Various complementary and alternative therapies have been explored to support conventional treatments in reducing blood pressure, one of which is smile therapy. This study aimed to analyze the effect of smile therapy on blood pressure among hypertensive patients at RSUI Harapan Anda Tegal. The research employed a quantitative approach with a quasi-experimental design using a one-group pretest-posttest method. A total of sixty hypertensive patients were selected through exhaustive sampling. Data were collected before and after the intervention and analyzed using the Wilcoxon test to determine the statistical significance of changes in blood pressure. The demographic characteristics of participants showed that most were in their early to mid-forties (36 individuals, 60%), predominantly female (38 individuals, 63.3%), with a junior high school education or below (25 individuals, 41.7%), and unemployed (41 individuals, 71.7%). The findings indicated that prior to the intervention, 41 participants (68.3%) had uncontrolled blood pressure. After undergoing smile therapy, 48 participants (80%) demonstrated improvement with more stable blood pressure levels. Statistical analysis revealed a significant effect of smile therapy on reducing blood pressure with a p-value of 0.000. These results suggest that smile therapy can serve as an effective, simple, and low-cost complementary intervention to help hypertensive patients manage their condition and improve overall health outcomes

This study aims to reveal the representation of adolescents’ emotional crisis in the music video 0X1=LOVESONG (I Know I Love You) by the South Korean boy group TOMORROW X TOGETHER. Using Roland Barthes’ semiotic approach, the research analyzes the denotative, connotative, and mythical meanings of the visual elements presented in the music video. The main focus is on how emotional crises such as loneliness, instability, alienation, and inner escape are represented through visual symbols such as a dark and messy room, a burning car, and a character standing alone in an open field. The research employed a qualitative descriptive method with a critical paradigm, analyzing eight key scenes in the music video that most strongly depict emotional struggles. The scenes were selected based on their symbolic intensity and relevance to adolescent psychological issues. Data analysis was conducted by interpreting visual signs through Barthes’ concepts of denotation, connotation, and myth. The findings reveal that the music video symbolically narrates the psychological struggles of adolescents who are not only physically isolated but also emotionally detached. The visual symbols construct new meanings that represent the social reality of modern youth, burdened by environmental pressures, societal expectations, and the quest for self-identity. Through the myths it creates, the music video functions not only as a medium of entertainment but also as a reflection and critique of adolescents’ psychological vulnerability. Thus, this study contributes to the understanding of emotional representation in popular media, particularly in audio-visual forms such as music videos, while enriching perspectives on how media constructs the narrative of adolescent emotional crises.

Adolescence is a period marked by a tendency to imitate behaviors associated with adulthood, including risky behaviors such as smoking. Smoking is a common habit among adolescents and can have negative long-term effects on health. This study aims to examine the relationship between parental supervision and family history with smoking habits in adolescents in Lemah Putih Village. The study used a quantitative approach with a cross-sectional design and involved 144 adolescents selected through purposive sampling. The instruments used were questionnaires on adolescent smoking behavior, the level of parental supervision, and family history of smoking. The results showed that the majority of respondents were in the late adolescent age group (17-20 years) at 51.4%, mostly male (87.5%), and had a high school education level (53.5%). About 50.7% of respondents had a high level of parental supervision, while 61.8% had a family history of smoking. Moderate smoking behavior was found in 45.1% of respondents. Data analysis revealed a significant relationship between parental supervision and adolescent smoking behavior, as well as a connection between family history of smoking and smoking habits in adolescents in Lemah Putih Village. Therefore, strict parental supervision and awareness of family history play an important role in reducing smoking behavior in adolescents. It is expected that the findings of this study will provide insights for parents and relevant parties to pay more attention to supervising their children and reduce smoking habits among adolescents.

Craniotomy is a medical procedure to open the skull in order to repair and assess damage to the brain, which can cause fever due to thermoregulatory disturbances in the central nervous system. Monitoring the body temperature of post-craniotomy patients is crucial, as hyperthermia can increase the risk of complications. One non-pharmacological therapy to reduce fever is the use of ice gel compresses. This study aims to compare the effect of ice gel compress placement between the chest and armpit on body temperature changes in post-craniotomy patients in the ICU of RSI Sultan Agung Semarang. This research uses a pre-experimental design with a two-group pretest-posttest design, involving 22 respondents selected through total sampling technique. Data were collected using observation sheets, and statistical analysis was performed using the Paired Samples Test. The analysis results showed that the p-value for the chest was 0.867 (p > 0.05) and for the armpit was 0.199 (p > 0.05), indicating no significant difference in body temperature before and after the ice gel compress at both locations in relation to the body temperature changes of post-craniotomy patients. In conclusion, the application of ice gel compresses to the chest and armpit locations did not show a significant effect on reducing body temperature in post-craniotomy patients.

This study investigates the factors influencing financial distress in plantation sub-sector companies in Indonesia. The data collection method involves a literature study and documentation, while the data analysis techniques encompass classical assumption tests (normality, multicollinearity, autocorrelation, and heteroscedasticity), multiple linear regression analysis, and hypothesis testing (partial, simultaneous, and coefficient of determination). The findings reveal that leverage, liquidity, and profitability both simultaneously and partially have a positive and significant effect on financial distress. These results offer valuable insights into the factors that affect financial distress in the plantation sub-sector, providing a clearer understanding for investors and company management. This study emphasizes the importance of managing leverage, liquidity, and profitability effectively to avoid financial distress, which could disrupt the operational continuity of companies. Additionally, the study serves as a reference for making informed decisions related to financial stability and strategic planning, assisting in mitigating the risks associated with financial distress. By managing these financial factors, companies can improve their resilience and sustainability in the face of challenges, contributing to long-term business success. Furthermore, understanding the role of financial management in preventing financial distress is essential for plantation companies to maintain stable growth. As companies face various financial pressures, the study highlights how proactive financial strategies can help ensure sustained performance and profitability, ultimately supporting their competitive advantage in the industry.

The development of transportation infrastructure in Indonesia continues to be prioritized to enhance regional connectivity, including the maintenance and replacement of bridges that have exceeded their service life. The Semut Bridge in Surabaya, originally a three-span reinforced concrete girder bridge, has experienced structural deterioration due to corrosion and the presence of a central pier obstructing river flow. These conditions have reduced hydraulic capacity, increased sedimentation risk, and heightened the potential for flooding. This study redesigns the Semut Bridge by converting the existing structure into a single-span Howe truss steel bridge. The load analysis refers to SNI 1725 using the Load and Resistance Factor Design (LRFD) method, while structural modeling was carried out both manually and with SAP2000 software. The planning includes the vehicle deck slab, composite girders, main truss members, connections, elastomeric bearings, and abutments. The results show that the bridge deck uses a 20 cm thick reinforced concrete slab with a one-way reinforcement system. Composite girders employ WF profiles, connections use shear connector studs with 25 mm diameter, and the main truss members adopt WF 900×300×16×38 profiles. The total concrete volume required is 282.6 m³, and the estimated steel demand reaches 122,383.79 kg. The single-span design eliminates the central pier, thereby improving river flow capacity while providing a structurally efficient, durable, and easily maintained solution.

Patient safety is one of the main components in determining the quality of hospital services. Every hospital is required to minimize incidents that may harm patients. Among various patient safety incidents, falls in children rank second after medication errors, making them a serious issue that requires attention. This study aims to evaluate the relationship between nurses’ motivation and compliance in conducting fall risk assessments with the incidence of falls among pediatric patients in the inpatient ward of QIM Hospital Batang. This study employed a descriptive quantitative design with a correlational approach. A total of 44 nurses who met the inclusion criteria were recruited as respondents. Research instruments included a motivation questionnaire, an observation sheet on compliance, and records of patient fall incidents. Data were analyzed using the Spearman Rank test to measure the strength of the relationship between variables. The findings showed that most respondents (84.1%) had a high level of motivation, and all nurses (100%) demonstrated full compliance in performing fall risk assessments according to standard operating procedures. During the study period, no cases of pediatric falls were reported in the inpatient ward, indicating the effectiveness of fall risk assessment implementation. Statistical analysis produced a p-value of 0.011, indicating a significant relationship between motivation and nurses’ compliance. These findings emphasize that work motivation plays an important role in maintaining nurses’ consistency in adhering to safety procedures. Motivation can be enhanced through managerial support, continuous training, and the establishment of a strong patient safety culture, thereby reducing the risk of falls and improving the overall quality of healthcare services.

This study explains the analysis of the relationship between nurses' knowledge and compliance in implementing fall risk prevention in the inpatient ward of RSI Sultan Agung Banjarbaru. Fall risk is one of the most common patient safety incidents in hospitals, with significant impacts on the physical, psychological, and financial conditions of patients. Data from RSI Sultan Agung Banjarbaru in 2024 recorded three fall incidents, while a preliminary survey showed that 40% of nurses had insufficient knowledge of fall risk prevention and 60% were not compliant with existing preventive procedures. This study aims to determine the relationship between nurses' knowledge and compliance in reducing patient fall risk. The study design used a quantitative approach with a cross-sectional method, involving 97 nurses selected through simple random sampling. The instruments used were questionnaires designed to measure nurses' knowledge and compliance. Data were analyzed using Somers’ D test. The results showed that the majority of nurses had good knowledge (87.6%) and high compliance (90.7%). Additionally, a very strong and significant relationship was found between nurses' knowledge and compliance in implementing fall risk prevention (Somers’ D = 0.844; p = 0.000). This indicates that good knowledge of fall risk prevention procedures is strongly related to nurses' compliance in applying preventive measures. Therefore, it is essential for hospitals to provide ongoing education and training to enhance patient safety. With improved knowledge and compliance among nurses, fall risks are expected to be minimized, and patient safety can be better maintained.

Shrimp is a food ingredient that has perishable characteristics, so it requires proper handling to maintain product quality and safety. This study aims to understand the application of the quality system in frozen shrimp processing based on the principle of Hazard Analysis Critical Control Point (HACCP) at PT Dachan Mustika Aurora Tarakan. The research was carried out during the period from July to December 2024 with a qualitative descriptive approach. The results of the study show that the frozen shrimp processing system has followed the principles and stages of HACCP in general, starting from the receipt of raw materials, temperature checks, organoleptic tests, laboratory tests, processing with temperature control, washing, sorting, packaging, to storage in cold storage. However, there are still critical points at the Metal Detector washing and inspection stages, with the potential for significant danger in the form of metal chip contamination. The quality control process is carried out in layers to ensure that the final product meets national and international standards. The implementation of HACCP has consistently proven to be effective in improving food safety, maintaining the quality of frozen shrimp, and strengthening the competitiveness of products in the export market. These findings provide recommendations for the seafood processing industry to strengthen surveillance systems at critical points and improve personnel training to minimize the risk of contamination and ensure the sustainability of product quality.

Acute myocardial infarction is a leading cause of death both in Indonesia and globally, with incidence rates remaining quite high. This disease is closely associated with various modifiable risk factors, including hypertension, diabetes mellitus, dyslipidemia, obesity, and smoking. Various literature reviews confirm that patients with myocardial infarction often have complex clinical conditions, especially when comorbidities worsen the prognosis and increase the burden on healthcare services. This study reviews the latest national literature on risk factors, clinical profiles, nursing management, prognostic predictors, and non-pharmacological interventions such as relaxation techniques. The analysis demonstrates the need for a comprehensive and integrative approach to the management of myocardial infarction patients. This includes early detection using clinical risk scores, intensive nursing interventions in severe cases such as Killip III NSTEMI, and the use of simple prognostic tools that are easily implemented in healthcare facilities. A supportive approach also plays a crucial role in improving patient comfort and adherence to therapy. The integration of these strategies is expected to improve clinical outcomes, reduce morbidity and mortality, and enhance patients' overall quality of life. This study emphasizes the importance of updating local evidence-based clinical practices tailored to the needs of the Indonesian healthcare system, so that the management of myocardial infarction does not only focus on medical therapy, but also on aspects of prevention, non-pharmacological interventions, and ongoing care.