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Open fractures are serious orthopedic injuries with a high risk of infection and soft tissue complications. A 20-year-old male patient presented to the Emergency Department with severe pain in his left leg and wrist, accompanied by a laceration on his face, following a traffic accident. Physical examination revealed deformity and an open wound on the left leg, along with severe swelling and tenderness. Radiographic results showed an open fracture of the proximal third of the left tibia and fibula, an open fracture of the left pedal metatarsal, a closed fracture of the distal phalanx of the third digit of the left foot, and a closed fracture of the distal third of the left radius with distal radioulnar joint dislocation. Based on the Gustilo–Anderson classification, the case was categorized as type IIIB. The patient received initial management including debridement, broad-spectrum antibiotics, analgesics, and splinting. Surgical intervention was performed in stages, comprising Open Reduction External Fixation (OREF) for the tibia–fibula and left foot, followed by Open Reduction Internal Fixation (ORIF) for the distal left radius. Postoperative evaluation showed clinical improvement with reduced pain, decreased edema, and improved extremity function. This case emphasizes the importance of rapid and appropriate management of multiple open fractures to prevent infection, maintain bone stability, and accelerate the healing process.

Seagrass beds are coastal ecosystems that have important ecological functions as a provider of habitat, food sources, protection, and reproductive areas for various marine life including Echinoderms. This study aims to analyze the diversity of Echinoderms and their relationship with seagrass distribution in Kiama Beach, Melonguane District, Talaud Islands Regency. The research was conducted in the intertidal zone at three stations using the exploration method with purposive sampling technique. Each station is divided into three plot installation zones measuring 4 × 4 meters, with observations made at low tide. Environmental parameters (temperature and pH), type and number of Echinoderm individuals, and seagrass species were recorded and analyzed using the Shannon-Wiener diversity index and product moment correlations. The results showed that the Echinoderma community consists of two classes and five species: Archaster typicus, Linckia laevigata, Culcita novagueniae, Holothuroidea scabra, and Holothuroidea forskali, with the Asteroidea class dominating (75%). The diversity index (H') value was relatively low at all stations with a range of 0.6261–0.6631. Seagrass beds consist of five species, namely Halophila ovalis, Cymodocea rotundata, Thalassia hemprichii, Halodule uninervis, and Syringodium isoetifolium, with the highest abundance found in Halophila ovalis. Correlation results showed a strong to very strong relationship between the abundance of Echinoderms and certain seagrass types (r = 0.77–0.99) as well as a strong correlation at the overall level of the station (r = 0.74). This study confirms that the presence and abundance of Echinoderms is greatly influenced by the density and composition of seagrass species. These findings provide important baseline data for the management and conservation of seagrass beds as a support for the sustainability of coastal biodiversity.  

This research aims to describe the forms and functions of expressive speech acts found in the film “Perayaan Mati Rasa” by Umay Shahab. This film was chosen because it showcases various forms of emotional expression that reflect the reality of everyday communication. The method used is descriptive qualitative. The data, consisting of the characters' utterances in the film, were collected thru observation and note-taking techniques, then analyzed using Chaer's theory of speech acts. The research results indicate that there are six types of expressive speech acts in this film: expressing gratitude, apologizing, praising, showing sympathy, expressing anger/disappointment, and praying/hoping. Each type of speech act has a different social function, such as building emotional closeness, improving social relationships, expressing empathy, and affirming moral values in interactions between characters. This finding suggests that the film “Perayaan Mati Rasa” not only represents emotional conflict but also depicts the dynamics of human communication laden with social and psychological values. The results of this research are expected to serve as a reference in pragmatic studies and discourse analysis, particularly in the analysis of expressive speech acts in literary works or film media.

This study aims to analyze the effect of the use of Health Information Media in the form of leaflets on the level of patient knowledge about influenza in pharmacies Ngudi Waluyo, Ungaran. Leaflet Media is used as an educational tool to improve patient understanding related to influenza, including aspects of causes, symptoms, complications, and management and treatment. The type of research used is quasi experiment with pre-test and post-test design, involving 94 respondents who meet the inclusion criteria. Data analysis was conducted using the Wilcoxon statistical test to determine the difference in the level of knowledge of patients before and after education. The results showed a significant increase in the level of knowledge of patients after obtaining education using leaflets. Before being given education, respondents with a good knowledge level category were 56.7%, and increased to 96.8% after providing education, with a value of p = 0.001 (p < 0.05) which showed a significant difference between the two measurements. Thus, the Health Information media in the form of leaflets proved effective in increasing patient knowledge about influenza and can be used as an alternative educational media that is simple, practical, and efficient in supporting pharmaceutical services in pharmaceutical service facilities.

Health care facilities are places used for promotive, preventive, curative, and rehabilitative health services carried out by the government and the community. Calculating the germ count on door handles of healthcare facilities is very important, because patients are not aware that the door handles contain and transmit germs that cause infections. This study aims to determine the percentage of germ contamination on door handles of healthcare facilities at X Hospital and X Community Health Center. The type of research conducted is descriptive quantitative with an observational case report approach. This study is a frequency distribution in tabular form using a percentage formula. The number of samples used by the researchers was 8 samples, using 4 sampling points at the Hospital and 4 sampling points at the Community Health Center (Puskesmas): the Emergency Room, Main Door, Pharmacy Room, and Laboratory Room. Data collection by conducting laboratory tests on door handle swab samples was then examined using the ALT method. The results showed that the percentage of door handles that did not meet ALT standards was 3 samples (75%) at X Hospital. Meanwhile, on door handles at health facilities Puskesmas. The percentage of door handles at Puskesmas was obtained 4 samples (100%) at X  Puskesmas. Door handles at health facilities do not meet the standards of the Republic of Indonesia's Minister of Health Decree No. 1204 / MENKES / SK / X / 2004, the decision Ho was accepted H1 was rejected.

The Indonesian Naval Academy (AAL) as a military educational institution requires a large electricity supply to support its operational activities, including in the Sapudi Building of the Engineering Department. This study aims to design a solar energy system to supply the electricity needs for lighting in the building. The method used is Research and Development (R&D) with the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). Data collection was conducted through direct observation of building conditions, electrical equipment, and solar radiation intensity data in Surabaya. The research results show that the total electricity requirement for lighting in the Sapudi Building is 4.686 kW with a total of 143 lights (96 neon lights and 47 light bulbs). Based on calculations with an average solar radiation of 5.00 kWh/m²/day, the designed system requires 41 units of Solar PV Lesso HPM 550W panel type with 21.3% efficiency and 9 units of Panasonic LC-P12100NA batteries with a capacity of 100Ah arranged in 3 series and 3 parallel configurations. This study proves that the utilization of solar energy can be an efficient and sustainable alternative solution to reduce dependence on conventional electricity in the AAL environment, while supporting the implementation of renewable energy in Indonesian military institutions.

This study aims to determine (1) the forms of legal protection that exist in Indonesia in protecting children from negative visual and verbal content in online games, and (2) the legal responsibility of online game electronic system organizers for exposure to negative visual and verbal content in children. The type of research used is normative juridical with a statutory and conceptual approach. The data used are secondary data obtained through document studies, with qualitative descriptive analysis techniques. The results of the study show that legal protection for children from negative visual and verbal impacts in online games is regulated through various regulations, including Law Number 35 of 2014 concerning Child Protection, Law Number 11 of 2008 concerning Electronic Information and Transactions, Government Regulation Number 71 of 2019 concerning the Implementation of Electronic Systems and Transactions, and Regulation of the Minister of Communication and Information Technology Number 5 of 2021 and Number 2 of 2024. However, its implementation still faces obstacles such as weak age verification, non-objective independent classification, and easily circumvented language filtering. The legal responsibility of online game electronic system organizers for negative visual and verbal content on children can result in administrative or criminal sanctions, according to the Child Protection Law and iRegulation of ithe Minister iof Communication and Information Technology Number 5 of 2021.

Tourism is a type of business in the service sector. As a business, it requires the formulation of an appropriate marketing strategy to ensure its sustainability. The purpose of this study was to determine the marketing strategy of Mekarbuana Tourism to increase visitor interest. The study was conducted with Mekarbuana Tourism managers, using descriptive qualitative research through a SWOT analysis. The results showed that Mekarbuana Tourism's marketing strategy needs to be developed using a diversification strategy through various programs and policies such as digital promotion, training and mentoring for managers in developing tourism products, and developing educational tourism. Cooperation between institutions is also necessary for the strategy to be implemented effectively. Mekarbuana Tourism managers need a joint commitment with tourism awareness groups, village officials, and the Karawang Regency government to support their efforts to increase visitor interest.

The purpose of this study was to determine the differences in routine blood in COVID-19 suspected patients who were confirmed positive and negative who were treated at the Emergency Room of Sultan Suriansyah Hospital Banjarmasin in the period January-June 2022. This study used naso-oropharyngeal swab samples for RT-PCR examination of COVID-19 and hematology analyzer for routine blood tests. This type of research is an analytic survey research with a comparative design. The population of this study were suspected patients admitted to the emergency room with a total sample size of 196 patients who performed RT-PCR tests and performed routine blood tests at the beginning of the treatment period using purposive sampling method. Routine blood results in positive patients mostly obtained leukocytes at normal limits 64.1%, neutrophilia 59.0%, lymphopenia 64.1% increased NLR 66.7% and platelets at normal limits 56.4%. While in negative patients, leukocytes were obtained at normal limits of 46.6%, neutrophilia 61.0%, lymphopenia 61.0% increased NLR 73.7% and platelets at normal limits 64.4.4%. Based on the results of the unpaired T-test statistical test, it is known that there are significant differences between positive and negative patients, namely in the parameters of leukocytes sig. 0.028, neutrophils sig. 0.043 and platelets sig. 0,005. From the results of the unpaired t-test statistical test on routine blood between positive and negative COVID-19 patients, it was found that there were significant differences in the parameters of leukocytes, neutrophils and platelets, while those that were not different were the parameters of lymphocytes and NLR.

This research aims to design and develop a web-based public complaints application aimed at improving the quality of public services at the Wanokaka Sub-district Office. This application was developed to facilitate the public in submitting various types of service-related complaints, while also providing a mechanism for monitoring the resolution status in a more transparent and accountable manner. The development method used was the System Development Life Cycle (SDLC), which includes the stages of needs analysis, system design, implementation, and functional testing. The resulting system includes key features such as a complaint form, status notifications, complaint history, and a dedicated dashboard for officers to manage and follow up on reports. The results indicate that this application not only accelerates the complaint handling process but also improves the effectiveness of communication between the public and the sub-district. With this application, the complaints process becomes more structured and responsive, and is expected to increase public trust in the quality of public services in Wanokaka Sub-district.

Educational evaluation is crucial for assessing student success and the effectiveness of educational programs. Formative and summative evaluations have distinct objectives. Formative evaluation focuses on the ongoing learning process, while summative evaluation aims to assess the final learning outcomes. The Scriven model combines both types of evaluation to improve student learning outcomes. This article discusses the application of the Scriven model to improve Islamic Religious Education (PAI) learning outcomes at Ngrukeman Elementary School, Bantul. This study emphasizes the importance of evaluation in shaping students' character, developing their thinking, and enhancing social awareness. Educational evaluation aims to assess not only cognitive aspects but also affective and psychomotor aspects. With effective evaluation, teachers can identify students' strengths and weaknesses and design better learning. This contributes to improved student achievement and the overall quality of education. In this way, educational evaluation becomes a highly effective tool for improving and optimizing the learning process, ultimately supporting the achievement of comprehensive educational goals.

Islamic da'wah organizations play a strategic role in developing, nurturing, and sustaining religious values within society. The development of da'wah organizations is not only related to strengthening religious understanding but also encompasses managerial dimensions, human resource development, and adaptation to social dynamics. This study aims to identify and analyze the types of development implemented within da'wah organizations, as well as their implications for the effectiveness of da'wah movements in the community. This research employs a qualitative method using a literature study approach, through the examination of scholarly works, institutional documents, and previous research. The findings reveal three main forms of development within da'wah organizations: (1) Religious development, which includes strengthening the understanding of Islamic teachings, internalizing moral values, and enhancing members’ spiritual capacity; (2) Managerial and organizational development, focused on institutional structuring, program management, and da'wah strategy development; and (3) Social community development, which involves empowering the community through education, social services, and activities that foster a religious and civilized society. In conclusion, the development of da'wah organizations requires a comprehensive and sustainable approach to effectively respond to social changes and strengthen the organization’s contribution to character building and the advancement of Islamic civilization.

Guidance and counseling is assistance provided to students, either individually or in groups, so they can become more independent and develop optimally in various areas such as personal relationships, social relationships, learning, and careers. This assistance is provided through several types of services and activities in accordance with applicable regulations. Observation and interviews are among the methods used by guidance and counseling teachers to gather information in carrying out their duties at school. Guidance and counseling services at SMPN 2 Telukjambe Timur run smoothly. Guidance and counseling teachers play a creative, innovative, interactive, and communicative role in carrying out their duties. In addition, guidance and counseling teachers are also supported by the presence of Islamic Religious Education (PAI) teachers. The partnership between guidance and counseling teachers is very good and very important, because both have the same goal: to shape good character in students at school.

Management of household waste in Final Disposal Sites (TPA) faces a serious problem, where most of the waste accumulates and is difficult to decompose due to its complex nature. This condition substantially inhibits natural decomposition processes and limits the effectiveness of recycling efforts. Pre-processing operations, such as sorting and crushing, which are still dominated by manual methods, are proven to be inefficient, high-risk, and require large allocations of land resources and manpower. Therefore, automated technological innovation is needed to facilitate the efficient separation of organic components from inorganic materials (packaging). This research was conducted to determine the design and structural strength analysis of a hammer mill type depackaging machine, carried out using Solidworks software. Structural analysis simulation utilizes Finite Element Analysis (FEA) to determine the structural strength of the machine. The specifications of the hammer mill type depackaging machine include a capacity of 3000 kg/hour, a hammer mill input power of 12 KW, and a rotational speed of 2500 rpm with a torque of 34.54 Nm. Meanwhile, the screw conveyor input power is 0.75 KW and the rotational speed is 20 rpm. The FEA simulation analysis results for the hammer mill type depackaging machine showed that the maximum Von Mises stress value recorded is 3,022×10^7   N⁄m^2 , the maximum displacement value measured is very minimal, namely 2,793×10^(-1)  mm, and the Factor of Safety (FOS) obtained is 8.3. This FOS value significantly exceeds the required minimum safety limit (>3), confirming that the machine design has optimal reliability, fatigue resistance, and structural integrity for operation under intensive working conditions at the TPA. The conclusion of this study indicates that the engineering design of this hammer mill type depackaging machine is safe and meets structural technical requirements to proceed to the implementation phase, potentially becoming a sustainable technological solution in improving the efficiency of waste pre-processing.

This material provides an in-depth overview of the fundamental distinctions between Islamic banks and conventional banks, covering their underlying principles, contract types, operational mechanisms, legal frameworks, and organizational structures. Islamic banks operate based on Islamic values derived from the Qur’an, Hadith, and the rulings of the National Sharia Council (DSN-MUI), emphasizing strict prohibitions on riba, gharar, and maysir. Contracts such as wadiah, mudharabah, musyarakah, murabahah, ijarah, salam, and istishna’ are applied to promote fairness and profit-sharing. In contrast, conventional banks rely on positive law and interest-based systems as their primary source of income. Legally, Islamic banks are supervised by the Sharia Supervisory Board (DPS) to ensure compliance with sharia principles, while conventional banks adhere solely to general financial regulations set by authorities like the Financial Services Authority (OJK) and Bank Indonesia. The operations of Islamic banks include fund mobilization, financing, and financial services without the use of interest, whereas conventional banks earn revenue from the interest spread between deposits and loans. Although both bank types share a similar organizational structure, Islamic banks incorporate an additional layer of sharia oversight. Overall, Islamic banks aim to balance profitability with ethical and spiritual values (falah), while conventional banks primarily focus on maximizing financial returns. This material highlights Islamic banking as an ethical alternative within modern financial practices, promoting justice, sustainability, and broader economic well-being.

This study aims to synthesize the relationship between learning styles and instructional media in optimizing 21st-century skills among Diploma Three (D3) vocational students. The research employed a simple literature review method by analyzing 20 national and international journal articles published between 2018 and 2024. The results reveal that the alignment between learning styles (visual, auditory, kinesthetic) and the types of instructional media significantly influences the development of critical thinking, creativity, communication, and collaboration skills. Technology-based media, such as interactive videos, learning management systems (LMS), and virtual simulations, effectively accommodate diverse learning preferences while enhancing students’ motivation and engagement. Furthermore, integrating such media not only supports individual learning needs but also fosters a more dynamic and inclusive educational environment. The study concludes that integrating learning styles with digital-based media serves as an effective strategy to produce competent and adaptive vocational graduates who are well-prepared to face the challenges of Industry 4.0 and Society 5.0.

Nutrition services are an essential component in hospital healthcare systems, directly supporting patient recovery through timely and clinically appropriate nutrition. This study aimed to analyze the timeliness of meal distribution, diet appropriateness, diet types, patient satisfaction, and factors supporting efficient nutrition service at Hospital X. A descriptive quantitative observational design was employed, involving 35 inpatients, observing meal delivery, menu accuracy, and staff performance. Results showed that the majority of diet-receiving patients were male (60%), aged 20–45 years (34.3%), with most staying 2 days (60%). Meal distribution was timely: 94.3% for breakfast, 97.1% for lunch, and 100% for afternoon snacks and dinner. The most common diets were TKTP (High Calorie High Protein, 22.9%) and DMRG (Low Salt Diet, 17.1%), and all patients received diets according to medical indications (100%). Patient satisfaction regarding meal timeliness, diet appropriateness, taste, food temperature, and staff performance was mostly satisfied to very satisfied, with minor dissatisfaction (5.7%) only during breakfast due to distribution delays. Despite limited personnel, service efficiency was achieved through clear task division, effective communication, work discipline, supporting systems, and active supervision. In conclusion, nutrition services at Hospital X are effective, efficient, timely, diet-appropriate, support patient recovery, and comply with hospital service standards. The alternative hypothesis (H1) is accepted, and the null hypothesis (H0) is rejected

This study analyzes the language variations among migrant students at the Faculty of language and Arts, Universitas Negeri Padang. Language variation arisesbnot only from the diversity of speakers but also from sicial interaction activities. The use of first languages and local dialects influences their language use, resulting in diverse language forms incluiding inddonesian, regional languages, and colloquial vvarieties. This researchaims to describe the types of language variations and the factors causing these variations. Using a qualitative descriptive approach with observation, recording, and note-taking techniques, the study finds that language variation among migrant students is influenced by social and situational factors, including environmental and kinship contexts. The findings contribute to sociolinguistic understanding of lasnguage use in multiculturar campus environments.

This study aims to determine the effect of advertising and promotion on consumer purchasing decisions at Lazada online store. The type of research used is causal quantitative with the study conducted in Bogor City over six months (December 2019–May 2020). The population of this research is all Lazada consumers in Bogor, with an unknown total number, while the sample was taken using accidental sampling technique with 100 respondents. Data were analyzed using multiple linear regression. The results show that: (1) partially, advertising has a significant effect on purchasing decisions (tcount 7.423 > ttable 1.984; sig. 0.000 < 0.05), while promotion has no significant effect (tcount 1.718 < ttable 1.981; sig. 0.089 > 0.05); (2) simultaneously, advertising and promotion have a significant effect on purchasing decisions (Fcount 27.791 > Ftable 2.696; sig. 0.000 < 0.05); (3) the adjusted R² value is 0.351, indicating that 35.1% of purchasing decisions are influenced by advertising and promotion, while the remaining 64.9% are influenced by other factors not examined; (4) the most dominant variable is advertising, with a regression coefficient of 0.594.

Salam Pacific Indonesia Lines is a company included in the largest domestic shipping industry in the field of logistics and sea transportation services with a focus on inter-island container transportation in Indonesia using ships. This paper aims to determine how the container utilization strategy in improving logistics efficiency by PT. Salam Pacific Indonesia Lines Medan Branch. The process begins with selecting the right type of container, standardization and consolidation of cargo, integration of digital logistics systems, and optimization of routes and modes of transportation. In compiling this paper, the author applies several methods, including field studies or direct observations in the field, and library studies or literature reviews. The goal is to understand more deeply how PT. Salam Pacific Indonesia Lines Medan branch implements a container utilization strategy to improve efficiency in logistics activities. The obstacles faced in handling this are fleet and vehicle constraints, limited promotion and adjustment of application technology, traffic congestion, and weather and safety factors. In addition, inefficiencies in the distribution process, lack of good cooperation and coordination, and technological limitations are obstacles in optimizing container use. Good coordination can improve the service of goods delivery activities so that they can run smoothly, safely and efficiently.