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The purpose of this research is to examine how Medan State University students' financial management is affected by the widespread practice of online gambling.  The increasingly accessible online gambling phenomena has led to a number of issues, particularly with regard to the personal financial situation of students.  60 students were chosen as a sample for this study, which used a quantitative approach with a survey methodology.  With the use of SPSS 25 software and basic linear regression, data analysis was completed. The purpose of this research is to examine how Medan State University students' financial management is affected by the widespread practice of online gambling.  The increasingly accessible online gambling phenomena has led to a number of issues, particularly with regard to the personal financial situation of students.  60 students were chosen as a sample for this study, which used a quantitative approach with a survey methodology.  With the use of SPSS 25 software and basic linear regression, data analysis was completed.

This study explores the effect of varying proportions of mocaf flour and tofu dregs flour on the physical and chemical characteristics of gluten-free cookies. The study was conducted using a Completely Randomized Design (CRD) with one factor: the proportion of mocaf flour and tofu dregs flour. The treatment levels were as follows: 45g mocaf flour + 15g tofu dregs flour, 30g mocaf flour + 30g tofu dregs flour, and 15g mocaf flour + 45g tofu dregs flour. Sensory evaluations (taste, aroma, appearance, and texture) and chemical analyses (moisture, protein, fat, and ash content) were conducted. The results indicate that the proportion of mocaf flour and tofu dregs flour significantly affects panelists' acceptance in terms of taste, aroma, and appearance. The most preferred formulation was 30g mocaf flour + 30g tofu dregs flour, with sensory scores of 3.80 for taste, 3.20 for aroma, 4.28 for texture, and 3.61 for appearance. Proximate analysis revealed that the product contained 2.58% moisture, 1.63% ash, 25.27% protein, and 24.86% fat.

High-risk pregnancy is a pregnancy with a number of risk factors that can cause more serious risks or complications and disrupt the pregnancy process until the postpartum period which endangers the life of the mother and fetus, and occurs due to several factors including pregnancies that are too close together, pregnancies with a mother's age that is too young or old, or pregnancies with too frequent births. Too close pregnancy spacing is a pregnancy gap of <24 months (2 years) between the current pregnancy and the previous pregnancy. Based on the midwifery management method described by VARNEY and SOAP, this study aims to offer complete midwifery care services to Mrs. T, from pregnancy to the use of contraceptives, through a qualitative descriptive method with a case study approach. Research findings from the comprehensive midwifery care assessment that has been provided to Mrs. T aged 31 years, in pregnancy found problems spacing of less than 2 years. Mrs. T gave birth spontaneously at Siti Asiyah Bumiayu Hospital with severe preeclampsia. At By. Mrs. T visits I, II, III no problems were found. Mrs. T's postpartum. From 6 hours postpartum to 42 days postpartum, problems were found at the second visit, including hypertension and lower extremity oedema. Proper care from midwives during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby.

Preterm birth is a serious threat and a leading cause of neonatal morbidity and mortality in Indonesia. Preterm birth is caused by various factors induding hypertension, paristy, occupation, poor nutritional status, and maternal age during pregnancy. The purpose of this study was to determine the relationship between these faktors and preterm birth at the Pacitan community health Center. Method : The study population was all 420 mothers giving birth in 2023-2024 at the Puskesmas Pacitan, and the sample size was adjusted to the case, resulting in 74 pregnant women with 34 respondens in the case group and 34 in the control group. A retrospective cohorrt study with a case-control approschh was used. Statistical test used chi-square for bivariate test and multivariate tests with logistic regression to analyze categorial data and measure the strength of the relationship. The results of the statistical analysis are as follows: a bivariate test using chi-square analysis of factors affecting the incidence of prematurity revealed maternal age during pregnancy (p-value 0,022), occupation (p-value 0,173), parity (p-value 0,047), nutritional status (p-value 0,047), and hypertension (p-value 0,058). The results of the binary logistic regression test showed that maternal age during pregnancy, parity,and nutriitional status werw all significant (p = 0,000). A nagelkerke  R2 of 1.000 indicated that the model was able to explain 100% of the variation in the incidence of prematurity. Conclusion: there is a relationship between maternal age during pregnancy, parity, maternal nutritional, and hypertension with the incidence of prematurity. There is no relationship between occupation and the incidence of prematurity.

This study aims to analyze the influence of work environment and motivation on employee performance at the Gulkarmat Training Center in East Jakarta. The research sample consisted of 40 respondents taken using census techniques. Data were collected through a questionnaire using a Likert scale and analyzed with SPSS 27 using validity tests, reliability tests, classical assumption tests, multiple linear regression, t-tests, F-tests, and coefficients of determination. The results of the study indicate that partially, the work environment has a positive and significant effect on employee performance with a value of t count = 4.839 > t table = 2.021 and a significance of 0.000 < 0.05. Motivation also has a positive and significant effect on employee performance with t count = 4.840 > t table = 2.026 and a significance of 0.000 < 0.05. Simultaneously, the work environment and motivation have a significant effect on employee performance with F count = 151.448 > F table = 3.25 and a significance of 0.000 < 0.05. The coefficient of determination (R²) of 0.891 shows that 89.1% of employee performance variation is influenced by the work environment and motivation, while the remaining 10.9% is influenced by other factors outside this research model.  

Type 2 Diabetes Mellitus is a chronic metabolic disease with a continuously increasing global prevalence. Understanding the characteristics of patients is essential for early detection, clinical management, and prevention of complications. Objective: To identify the characteristics of patients with type 2 diabetes mellitus at Dukuh Kupang Primary Health Center, Surabaya, based on age, gender, routine check-ups, duration of illness, body mass index (BMI), and complications. Methods: This descriptive observational study employed a cross-sectional approach and was conducted from January to February 2025. A total of 30 respondents were selected using purposive sampling. Data were obtained from medical records and supplemented by questionnaires. Results: Most patients were aged >60 years (57%), female (60%), had a normal BMI (50%), and adhered to routine medical check-ups (97%). The majority had been diagnosed for more than 5 years (53%) and experienced complications (83%), with neuropathy being the most common type (73%). Conclusion: Patients with DM type 2 at Dukuh Kupang Health Center were predominantly elderly, female, had a normal BMI, and experienced neuropathic complications.

This study aims to provide an overview of comprehensive midwifery care in reducing maternal morbidity and mortality at the Paguyangan Health Center, Brebes Regency. According to WHO data in 2023, the maternal mortality rate was recorded at 4,129 per 100,000 live births, with the same rate in Indonesia and 335 per 100,000 in Central Java. In Brebes Regency, there were 54 cases of maternal death caused by various factors. This study used a case study method with a descriptive approach to analyze midwifery care during pregnancy, childbirth, postpartum, newborn care, and family planning programs. The results show that Mrs. Ny. N, aged 35 and with a history of multiparity, had a pregnancy with high-risk factors. Despite this, her delivery proceeded naturally with a spontaneous birth of a female baby, who cried loudly, weighing 3110 grams, and measuring 50 cm in length. During the postpartum period, no complications were found, uterine reflexes were normal, and lochia was physiologically appropriate. The baby was healthy and received hepatitis B immunization and vitamin K1. In the family planning program, the mother chose to use a 3-month injection contraception. The conclusion of this study is that despite the high-risk factors faced by the mother, comprehensive midwifery care can help minimize risks and improve the quality of care during pregnancy and childbirth.

Hypertension is one of the main health problems in the elderly that can reduce the quality of life and increase the risk of complications such as stroke and kidney failure. Hypertension treatment is not only through pharmacological therapy, but also non-pharmacological interventions such as hypertension exercise which has been proven effective in lowering blood pressure. This study aims to implement and evaluate the effect of hypertension exercise on reducing blood pressure in the elderly in the work area of ​​the Kampung Baru Health Center UPT. The method used is a case study of a 71-year-old elderly with blood pressure of 160/100 mmHg. The exercise intervention was carried out for seven consecutive days with blood pressure measurements taken before and after the intervention. The results showed a decrease in blood pressure and complaints of headaches, as well as an increase in patient knowledge about hypertension. Hypertension exercise has been proven to be an effective independent nursing intervention to lower blood pressure and improve the quality of life of the elderly.

Background Low back pain is a common complaint experienced by pregnant women, with a prevalence reaching 50% in the UK and Scandinavia and 70% in Australia. In Indonesia, the number of pregnant women in 2020 was recorded at 5,298,285 people, with 114,392 of them in North Sumatra. Physiological changes in pregnancy such as uterine enlargement, shifting center of gravity, weight gain, and the influence of the hormone relaxin can cause ligament stretching and muscle spasms that trigger back pain. Although the coverage of antenatal visits (K1 and K4) in North Sumatra has reached the national target, many pregnant women still complain of back pain, mainly due to low participation in prenatal classes. One non-pharmacological intervention proven to be beneficial in reducing back pain is prenatal exercise. This study aimed to determine the effect of prenatal exercise on back pain in pregnant women at the Tiga Juhar Community Health Center, STM Hulu District, Deli Serdang Regency in 2023. Method: This study used a pre-experimental design with a One Group Pre-test and Post-test design without a control group. The study sample consisted of 32 pregnant women who met the inclusion criteria. Back pain intensity data were collected before and after the prenatal exercise intervention, then analyzed using the Wilcoxon Signed Rank Test. Results: Before prenatal exercise, the majority of respondents experienced moderate back pain (53.1%). After the intervention, the majority of respondents experienced mild pain (59.4%). The Wilcoxon test results showed a p-value of 0.002 (<0.05), indicating a significant difference between back pain intensity before and after prenatal exercise.Conclusion: Prenatal exercise has been shown to significantly reduce back pain in pregnant women. Therefore, prenatal exercise can be recommended as an effective non-pharmacological intervention to improve maternal comfort during pregnancy.

The digitalization of learning media in the world of education is increasingly visible. The aim of this research is to analyze the strengthening of Citizenship Education learning through learning media. This research uses a qualitative research method with a literature study approach. Citizenship education is an important thing to study in order to understand how citizens carry out their roles, rights and responsibilities for the country. There are various studies that have proven the effectiveness of several learning media for PPKn, including Powtoon, Anchor Podcast, Android Applications, and Roleplay.

This study aims to examine the implementation of librarians' personal competencies within the framework of the 4B concept (Beauty, Brain, Behaviour, Brave) at the Regional Library of Tulungagung Regency. The 4B concept was initially popularized in the pageant world but has since evolved into an approach applicable to service-oriented professions, including librarianship. This research employs a descriptive qualitative approach, using in-depth interviews with three informants: the Head of the Library and Archives Service and two female librarians who also serve as division heads. The findings indicate that each element of the 4B concept is evidently manifested in the personal competencies of female librarians. The beauty aspect reflects not only physical appearance but also personal integrity and efforts to create an appealing service environment. Brain is demonstrated through mastery of knowledge and librarianship skills. Behaviour is reflected in professional attitudes, empathy, and work ethics in service interactions. Meanwhile, brave is embodied in the courage of female librarians to take on strategic roles, lead innovations, and face challenges in the public sphere. These findings reinforce the perspective that female librarians possess capabilities equal to their male counterparts in terms of professionalism and play an active role in challenging gender stereotypes in the library environment. This research contributes to the development of a humanistic and gender-equality-based librarian competency model.

Indonesia, with its rapid economic growth, is still haunted by persistent poverty problems. Inflation is like a parasite that sticks to economic growth, has the potential to worsen the poverty gap and hinder its overcoming. The aim of this research is to examine how economic growth and inflation in Indonesia affect the level of poverty in Indonesia. Panel data collected between 1994 and 2023 from 34 provinces in Indonesia is the data source. Multiple linear regression analysis is the technique used. The findings show that the number of poor people in Indonesia is not significantly affected by economic growth or inflation. Only 25.7% of the fluctuation in the number of poor people can be explained by the regression model, based on a coefficient of determination (R-square) of 0.257; the remaining 74.3% can be explained by other factors not taken into account in this study.

Krisis ekologis telah menarik perhatian besar di seluruh dunia. Gereja juga telah menyerukan tindakan nyata. Melalui ensiklik yang ditulis oleh Paus Fransiskus, disampaikan ajakan untuk melakukan transformasi positif sebagai tanggapan terhadap krisis ekologis. Penelitian ini bertujuan untuk mengkaji peran Gereja sebagai agen transformasi serta mengimplementasikan pemahaman atas Laudato si’ dalam tindakan konkret. Metode yang digunakan adalah studi pustaka dengan pendekatan deskriptif kualitatif, menelaah dokumen Gereja seperti Laudato si’ dan data sekunder lainnya. Hasil penelitian ini menunjukkan bahwa Gereja merupakan agen transformasi ekologis yang memiliki peran penting dalam memajukan kesejahteraan ekologis. Dalam Laudato si’, terdapat tiga aspek yang membentuk implikasi peran Gereja: pertobatan ekologis, liturgi, dan pendidikan iman, yang menumbuhkan kesadaran ekologis serta solidaritas terhadap para korban krisis ekologis. Gereja tidak hanya menjadi pembawa pesan, tetapi juga secara aktif berperan sebagai penggerak perubahan berkelanjutan.

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.

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.

Stroke is a major neurological disease that occurs in adults and the elderly, based on the high number of emergencies and the main cause of disability and death. The most common disorder in stroke is weakness or deficits in the musculoskeletal system such as parese or plegia. These conditions will cause various disorders in patients such as decreased muscle tone and strength, muscle weakness which if not treated immediately will lead to contractures, which ultimately cause impaired mobilization. Impaired fulfillment of daily activities and disability. Nursing actions to overcome physical mobility disorders are muscle strengthening exercises, especially in the upper extremities by holding a rubber ball. Purpose:  Help solve the problem of physical mobility disorders to increase muscle strength in stroke patients with rubber ball grasping exercises. Methods: By collecting data from interviews and observations using case studies and subjects in stroke patients with nursing problems. Results:  After performing the exercise of grasping a rubber ball for 2 times in 7 days there is an increase in muscle strength with a muscle strength value of 1/5 to 3/5. Conclusion: The action of grasping rubber ball exercises can increase muscle strength to overcome physical mobility disorders in stroke patients

Background: Ischemic stroke is an acquired brain injury caused by blockage of blood vessels or inadequate blood supply resulting in infarction or hemorrhage in the brain parenchyma. Stroke is ranked as the second leading cause of death in the world and is the largest contributor to disability, resulting in a significant economic burden. The problem that often arises in ischemic stroke patients is the presence of a problem in the limbs so that the individual's ability to move cannot be free and limited which is commonly referred to as the problem of physical mobility disorders. Ischemic stroke is part of cardiovascular disease which is classified as a catastrophic disease because it has a wide economic and social impact. Ischemic stroke can cause permanent disability which can certainly affect the productivity of the sufferer. Purpose: Knowing the results of the application of Range Of Motion (ROM) exercises on the patient's muscle strength. Methods: Using case studies and subjects by collecting data from interviews and observations on Ischemic Stroke patients with nursing problems of Physical Mobility Disorders. Results: after carrying out Range Of Motion (ROM) therapy nursing actions on a routine schedule twice a day morning and evening for 6 days with 15-20 minutes, it was found that there was an increase in muscle to 4 5 4 5. Conclusion: there is an increase in muscle strength in Ischemic Stroke patients after Range Of Motion (ROM) therapy.

Penelitian ini bertujuan menganalisis faktor-faktor yang menentukan efektivitas pengelolaan persediaan peralatan rumah tangga pada PT. Star Cosmos Cabang Semarang. Masalah utama yang dihadapi perusahaan adalah stockout berulang pada produk unggulan yang menyebabkan hilangnya penjualan dan menyebabkan konsumen ke pesaing. Pendekatan penelitian menggunakan deskriptif kualitatif dengan pengumpulan data melalui studi pustaka, wawancara, dokumentasi, serta triangulasi. Hasil penelitian menunjukkan bahwa efektivitas pengelolaan persediaan dipengaruhi oleh tiga faktor utama, yaitu fluktuasi permintaan, sistem informasi akuntansi, dan risiko kerusakan produk. Fluktuasi permintaan timbul akibat variasi musiman, promosi kompetitor, serta daya beli masyarakat. Sistem informasi akuntansi berbasis SAP/WMS mendukung pelacakan inventaris secara real time , namun masih mengalami kendala jaringan dan kesalahan input data. Risiko kerusakan produk muncul karena serangan rayap pada kemasan karton serta kondisi gudang yang kurang memadai. Kendala yang dibahas menjadi arsitektur, teknis, dan operasional. Kendala struktural meliputi koordinasi dengan pusat pabrik dan keterbatasan SDM. Kendala teknis terkait ketidakstabilan sistem dan kesalahan input data, sedangkan kendala operasional meliputi stockout , kerusakan barang, keterbatasan alat, dan lemahnya koordinasi internal. Upaya perbaikan dilakukan melalui penerapan FIFO, peningkatan sistem informasi, program pengendalian hama, serta penguatan komunikasi lintas divisi. Penelitian ini menunjukkan bahwa efektivitas pengelolaan persediaan masih perlu ditingkatkan melalui proyeksi permintaan yang akurat, penguatan infrastruktur teknologi, serta penerapan manajemen risiko yang komprehensif

This research positions tourism as a key driver for rural economic transformation via the Community-Based Ecotourism model. Lubuk Langkap Nature Tourism Village, South Bengkulu, has excellent natural assets (pristine), such as clear rivers and tropical forests, supported by good social capital. However, this potential is structurally constrained by a Severe Institutional Crisis within the Village-Owned Enterprise, marked by informal management, lack of standard accounting, and vulnerability to moral hazard risk (misconduct). The Main Thesis asserts that this institutional crisis is not merely a technical issue but a major root problem that weakens Social Capital, damages community Capability, and risks permanent environmental damage. The study uses in-depth strategic analysis focusing on the New Institutional Economics and an integrated SWOT framework, employing interpretive descriptive qualitative methods. The analysis formulates an integrated Community-Based Ecotourism development strategy within a Governance framework that is Strengthened by Risk a system designed to become more resilient when facing shocks (moral hazard risk). The Integrated Action Strategy includes: (1) Establishing Exclusive Village-Owned Enterprise Regulatory Control Rights over the entrance gate and Environmental Carrying Capacity; (2) Implementing a physical Daily Public Financial Dashboard to prevent misconduct; and (3) Legalizing Village Regulations (Perdes) on Conservation Zoning and Maximum Daily Visitor Limits. Implementing a Niche Premium Operational Business Plan (OBP), detailing a High Pricing Strategy (including a Conservation Fee) and a fair Proportional Revenue Sharing Formula, is key to achieving improved welfare and ecological sustainability in South Bengkulu.

Tedunan Beach in Seluma Regency, Bengkulu, holds exceptional potential as an ecotourism asset, attributed to its authentic and untouched natural landscape, featuring white sand stretches and a unique mangrove ecosystem. Sustainable tourism development, however, demands active participation and entrepreneurship from the local community, which is key to ensuring the equitable distribution of economic benefits and environmental preservation. This research aims to analyze the current community entrepreneurship models, identify challenges hindering business growth, and formulate strategic opportunities for development. Using a qualitative approach with a case study method, data was collected through in-depth interviews with business actors and community leaders, participant observation, and documentation studies. Findings indicate that community-based businesses have grown organically, albeit on a micro scale, encompassing fresh seafood culinary stalls, tourist hut rentals, and local guide services. Nevertheless, this growth is hampered by fundamental constraints: limited access to formal working capital, minimal promotion hindering market penetration, and a lack of professional training in financial management and tourism service standards. In response, an integrated development model is formulated recommending: increasing human resource capacity through business management and tourism awareness training, facilitating access to capital through partnerships, and strengthening digital-based promotion. In conclusion, Tedunan Beach tourism can be sustainable if supported by a comprehensive empowerment program that not only boosts economic income but also essentially fosters a sense of ownership and community responsibility towards the destination's preservation.