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This study aimed to describe the characteristics and contributing factors of autistic disorder in early childhood. The study employed a qualitative approach using a case study method involving a 5-year-1-month-old boy diagnosed with severe autistic disorder. Data were collected through observation, interviews, and psychological assessments using the Vineland Social Maturity Scale (VSMS) and Childhood Autism Rating Scale (CARS). The findings revealed that the participant experienced significant impairments in social interaction, communication, repetitive behavior, emotional regulation, and adaptive functioning. The participant demonstrated poor eye contact, severe speech delay, stereotyped behaviors such as flapping, hyperactivity, tantrums, and restricted interests in specific objects. VSMS results indicated significant delays in social maturity, while CARS results categorized the participant as having severe autism. Biological factors, including prenatal, perinatal, and postnatal complications, were suspected to contribute to the development of autistic disorder. Environmental factors, particularly inconsistent responses from family members and therapists toward tantrum behaviors, also influenced the participant’s behavioral development. This study highlights the importance of consistent, structured interventions and collaboration between families and therapists in supporting children with autistic disorder.

Religious tolerance is an essential value that should be introduced from an early age, especially in Indonesia as a multicultural country with diverse ethnic, cultural, and religious backgrounds. Early childhood education (ECE) has an important role in fostering tolerant attitudes through meaningful learning experiences. One effective medium is local wisdom-based storybooks, which integrate cultural values and social norms into narratives accessible to children. This study aims to analyze religious tolerance values contained in local wisdom storybooks and their relevance to multicultural education in ECE. The research uses a qualitative approach with content analysis. Data sources include Indonesian folktales such as Bawang Merah dan Bawang Putih, Malin Kundang, Si Pitung, Lutung Kasarung, and Timun Mas. Data were collected through documentation and systematic reading, then analyzed using the Miles and Huberman model involving data reduction, data display, and conclusion drawing. The findings show that these storybooks contain values of respect for differences, empathy, solidarity, cooperation, and peaceful conflict resolution. These values support multicultural education in ECE through storytelling, discussions, role-playing, and culturally responsive learning activities. The study concludes that local wisdom storybooks are authentic and culturally relevant resources for developing children’s multicultural competence and religious tolerance from an early age.

The Early Childhood Education (PAUD) curriculum plays an important role in shaping young children’s learning experiences. However, in practice, there are still several challenges, such as a lack of meaningful learning and the suboptimal integration of nationalism values. Therefore, curriculum innovation is needed to incorporate approaches that align with children’s characteristics.This study aims to analyze and develop the concept of transforming the PAUD curriculum based on a multisensory music approach as an effort to strengthen nationalism values in early childhood. The method used is a library research approach by reviewing various sources, including scientific journals, books, and relevant previous studies. The data analysis technique is conducted descriptively and qualitatively through processes of organizing, categorizing, and interpreting data.The results of the study indicate that a multisensory music-based approach can enhance children’s engagement, participation, and understanding in learning. The integration of audio, visual, and kinesthetic elements has proven effective in stimulating children’s motor, cognitive, and affective development. In addition, the use of audio-visual media helps children understand nationalism values in a more concrete and meaningful way.In conclusion, transforming the PAUD curriculum through a multisensory music-based approach is an effective strategy to create enjoyable and holistic learning experiences while strengthening the internalization of nationalism values from an early age.

Implementing Standard Operating Procedures (SOPs) for fall risk is a crucial component of pediatric patient safety in inpatient wards. However, nurses' implementation of SOPs is not always optimal, especially for patients at high risk of falling. Inappropriate SOP implementation has the potential to increase fall risk incidents in hospitals. To describe the results of observations of nurses implementing SOPs for fall risk and efforts to improve implementation through resocialization, supervision, and strengthening the oversight system. This case study is an observational study of nurses implementing SOPs for fall risk in the Alfarisi Ward, Jakarta Islamic Hospital, Sukapura. Observations were conducted on nurses providing nursing interventions to two pediatric patients: one with a low risk of falling and one with a high risk of falling. Activities included observation of nurses' practice, resocialization of SOPs for fall risk, three- day implementation supervision, development of a supervision schedule, and proposals for SOP revisions based on evidence-based practice. Data collection used observation sheets, fall risk assessment instruments, and nursing documentation. After three days of resocialization and supervision, the implementation of SOPs for fall risk in low-risk patients was in accordance with the SOPs. However, in high-risk patients, SOP implementation is still limited to displaying yellow triangle signs and locking bed rails, while other interventions have not been optimally implemented. These findings form the basis for developing a structured supervision schedule. Nurses' implementation of fall risk SOPs is optimal in low-risk patients, but not optimal in high-risk patients. Resocialization, ongoing supervision, developing a supervision schedule, and proposing SOP revisions are important strategies for improving nurse compliance and pediatric patient safety.

Implementing Standard Operating Procedures (SOPs) for fall risk is a crucial component of pediatric patient safety in inpatient wards. However, nurses' implementation of SOPs is not always optimal, especially for patients at high risk of falling. Inappropriate SOP implementation has the potential to increase fall risk incidents in hospitals. To describe the results of observations of nurses implementing SOPs for fall risk and efforts to improve implementation through resocialization, supervision, and strengthening the oversight system. This case study is an observational study of nurses implementing SOPs for fall risk in the Alfarisi Ward, Jakarta Islamic Hospital, Sukapura. Observations were conducted on nurses providing nursing interventions to two pediatric patients: one with a low risk of falling and one with a high risk of falling. Activities included observation of nurses' practice, resocialization of SOPs for fall risk, three- day implementation supervision, development of a supervision schedule, and proposals for SOP revisions based on evidence-based practice. Data collection used observation sheets, fall risk assessment instruments, and nursing documentation. After three days of resocialization and supervision, the implementation of SOPs for fall risk in low-risk patients was in accordance with the SOPs. However, in high-risk patients, SOP implementation is still limited to displaying yellow triangle signs and locking bed rails, while other interventions have not been optimally implemented. These findings form the basis for developing a structured supervision schedule. Nurses' implementation of fall risk SOPs is optimal in low-risk patients, but not optimal in high-risk patients. Resocialization, ongoing supervision, developing a supervision schedule, and proposing SOP revisions are important strategies for improving nurse compliance and pediatric patient safety.

This study is motivated by the importance of understanding the visual characteristics of drawings produced by children aged 10–11 years within the context of non-formal learning. Children’s drawings not only represent objects but also reflect stages of visual development and learning experiences. This research draws upon theories of children’s artistic development and visual analysis in fine arts. The study employs a descriptive qualitative method with a visual analysis approach. The subjects consist of children aged 10–11 years who participate in private drawing lessons. Data were collected through observation, documentation of students’ artworks, and brief interviews with the instructor. The findings indicate that variations in drawing outcomes are influenced by the duration of learning, practice habits, and the teaching methods applied. Furthermore, the study reveals that children’s ability to produce simple realistic drawings is shaped by their learning experiences and instructional guidance during the learning process, resulting in diverse visual characteristics that remain within a developmental stage.

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by impairments in social interaction, communication difficulties, and restricted and repetitive behaviors. In addition to these core symptoms, children with ASD often experience gastrointestinal disturbances that are thought to be related to the gut–brain axis. One non-pharmacological intervention that has been widely studied to reduce ASD symptoms is the gluten-free casein-free (GFCF) diet. However, evidence regarding its effectiveness in improving behavioral symptoms remains inconsistent. This study aims to review previous research on the impact of gluten and casein consumption on behavioral symptoms in children with ASD using a narrative literature review approach. Literature searches were conducted in PubMed, ScienceDirect, and Google Scholar for articles published between 2014 and 2024 using the keywords Autism Spectrum Disorder (ASD), behavior, GFCF diet, gluten, and casein. The review results indicate that most studies report potential benefits of the GFCF diet in improving certain behavioral symptoms in children with ASD, particularly hyperactivity, behavioral problems, stereotypical behavior, attention, and cognitive function. Some studies also show improvements in autism evaluation scores after dietary implementation over a specific period. However, findings remain inconsistent due to differences in study design, sample size, intervention duration, dietary adherence, and the heterogeneity of ASD characteristics among children. In conclusion, the GFCF diet has potential as a complementary intervention to improve certain behavioral symptoms in children with ASD, but further high-quality studies with larger samples are needed to confirm its effectiveness more consistently.

Family communication plays a crucial role in shaping the character and behavior of adolescents, especially in facing social challenges such as online gambling. This study aims to determine how parental communication patterns influence adolescents' involvement in online gambling activities in Lalang Village, Rana Mese District, East Manggarai Regency. Furthermore, this study also identifies various efforts made by parents to address this problem. The method used was a descriptive qualitative approach, with data collection through interviews, observation, and documentation. The results indicate four family communication patterns implemented by parents: pluralistic, consensual, protective, and laissez-faire. The pluralistic pattern is characterized by open communication and equal discussion, which encourages children to avoid online gambling. The consensual pattern combines warm communication with an emphasis on shared values. Conversely, the protective pattern tends to be dominant, where parents supervise without providing space for dialogue, resulting in children becoming withdrawn. The laissez-faire pattern, with minimal communication, makes children feel free to engage in gambling. This study uses the symbolic interaction theory, namely mind, self, and society. In addition to communication patterns, this study also found that parents undertake various efforts, such as limiting digital device use, providing advice, and increasing supervision of their children's social environment. These efforts demonstrate that their effectiveness is highly dependent on the quality of communication within the family.

. Malnutrition rates among children remain quite high, according to 2024 national statistics, which indicate that good eating habits in accordance with balanced nutritional needs are not yet ideal. Children's eating habits, dietary diversity, and parental understanding all impact their nutritional status. To promote optimal growth and development in children, it is crucial to monitor and establish appropriate eating habits from an early age. The aim of this study was to determine the relationship between eating habits and nutritional status of preschool-aged children. This study used a cross-sectional analytical design and quantitative methodology. Purposeful sampling was used to select a sample of 33 children from the 50 children in the study population. The study was conducted between September 22 and October 1, 2025. A Food Frequency Questionnaire (FFQ) was used to examine dietary patterns, while nutritional status was measured through weighing using a digital scale. Based on the findings, 22 children (66.7%) had a healthy diet, while 11 children (33.3%) had a poor diet. The Chi-Square statistical test showed a p value of 0.008 (p < 0.05), indicating a relationship between eating habits and nutritional status in preschool children at Taman Annisa Miruek Kindergarten, Aceh Besar Regency. According to balanced nutrition guidelines, parents should regularly assess their children's growth and focus more on the diversity and balance of their food intake. To improve children's nutritional status as much as possible, schools are required to collaborate with health workers to educate parents and children about nutrition.

Children with intellectual disabilities experience limitations in intellectual functioning and adaptive abilities, which impact their independence in daily activities, including buttoning clothes. This skill requires fine motor coordination, concentration, and a proper understanding of task sequences. This case study aims to determine the effectiveness of button board play therapy in improving fine motor skills in children with intellectual disabilities. The method used was descriptive with a case study approach involving two children with moderate intellectual disabilities aged 8 and 9 years at SLB Bhakti Luhur Maumere. Data were collected through interviews, observations, and documentation. The intervention consisted of button board play therapy conducted for 6 days, with a duration of 15–30 minutes per day, implemented gradually and repeatedly. The results showed that before the intervention, both children were unable to button their clothes independently. After the intervention, there was an improvement in their ability, as the children began to button some buttons (2–3 buttons) with better motor coordination, although they still required assistance and supervision. In conclusion, button board play therapy is effective in gradually improving fine motor skills and independence in children with intellectual disabilities. It is recommended that the intervention be carried out consistently and involve parents to achieve optimal results.

 Dental and oral health is an essential part of overall bodily health. The high prevalence of caries and cavities in children is generally caused by a lack of tooth-brushing skills. Incorrect techniques and improper duration cause food residue to remain, which ultimately triggers the demineralization of the tooth enamel. This socialization activity aims to provide education on the importance of brushing teeth with correct and effective techniques for elementary school students. The activity was conducted at SDIT Al-Azhar Kediri City, using a practical and interactive simulation approach; starting with a PowerPoint presentation, followed by a demonstration of proper tooth-brushing techniques using teaching aids. There were 84 children involved in this activity, and the results showed that approximately 90% of the participants could correctly answer the questions provided. Consequently, this socialization activity successfully increased the participants' knowledge and understanding of maintaining dental and oral health

 Dental and oral health is an essential part of overall bodily health. The high prevalence of caries and cavities in children is generally caused by a lack of tooth-brushing skills. Incorrect techniques and improper duration cause food residue to remain, which ultimately triggers the demineralization of the tooth enamel. This socialization activity aims to provide education on the importance of brushing teeth with correct and effective techniques for elementary school students. The activity was conducted at SDIT Al-Azhar Kediri City, using a practical and interactive simulation approach; starting with a PowerPoint presentation, followed by a demonstration of proper tooth-brushing techniques using teaching aids. There were 84 children involved in this activity, and the results showed that approximately 90% of the participants could correctly answer the questions provided. Consequently, this socialization activity successfully increased the participants' knowledge and understanding of maintaining dental and oral health

The development of social media in the digital era has significantly changed children’s social interaction patterns. Besides providing benefits such as easier access to information and opportunities for creativity, social media also brings negative impacts on children’s psychological, social, and moral development. This study aims to analyze the restriction of social media use among children from the perspective of Jürgen Habermas, especially regarding the concepts of the public sphere, communicative rationality, and the colonization of the lifeworld. This research uses a literature study method with a qualitative descriptive approach through the collection and analysis of relevant scientific articles. Data validity was strengthened through inclusion and exclusion criteria as well as source triangulation. The findings indicate that social media use among children has an ambivalent impact. Positive effects can emerge when there is strong parental supervision, while weak supervision increases the risk of exposure to harmful content, psychological problems, and reduced quality of social interaction. Restricting social media use through time regulation, content control, and digital education is considered important for protecting children’s development. From Habermas’s perspective, children are vulnerable in the digital public sphere because of their limited communicative rationality. Therefore, restrictions are viewed as efforts to protect children’s values and rationality from distortion by the digital media system.

The use of social media can have both positive and negative impacts on children. Proper use can enhance insight, knowledge, and increase learning motivation. However, excessive use can disrupt study time, reduce awareness of the importance of learning, and result in low learning motivation. To determine the relationship between the duration of social media use and the learning motivation of school-aged children at SDN Gisikdrono 03, Semarang City. This study uses a quantitative method with probability sampling technique, specifically stratified random sampling. The sample in this study consisted of 122 respondents. The instrument in the study used a questionnaire on the duration of social media use and learning motivation. Data analysis used the Spearman rank test. There is a relationship between the duration of social media use and the learning motivation of school-aged children at SDN Gisikdrono 03 Semarang City, with a p-value of 0.000 < 0.05, leading to the rejection of H0 and acceptance of Ha, with a correlation value of -0.636, which falls into the strong category with a negative duration, indicating an inverse relationship. This means that the longer the duration of social media use, the lower the learning motivation. Conclusion: There is a significant relationship between the duration of social media use and learning motivation, where the longer the duration of social media use, the lower the learning motivation.

Thalassemia is a chronic genetic disease that requires long-term treatment and affects children's quality of life physically, psychologically, socially, and academically due to chronic anemia and regular blood transfusion needs. This study aimed to determine factors influencing the quality of life of children with thalassemia at Rumah Sakit Anak dan Bunda Harapan Kita. A descriptive design with a cross sectional approach was used, involving 41 respondents through total sampling. Data were collected using the Pediatric Quality of Life Inventory (PedsQL 4.0 Generic Core Scale) and respondent characteristics including age, gender, socioeconomic status, parental education, and frequency of blood transfusions. Data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results showed most respondents were under ten years old, female, from families with socioeconomic status below the minimum wage, had parents with high school or higher education, and received blood transfusions every three weeks. Bivariate analysis indicated only the frequency of blood transfusions was significantly associated with quality of life, while other variables were not. Thus, transfusion frequency is the main factor influencing quality of life in children with thalassemia.

The development of fine motor skills in elementary school-aged children is crucial for academic achievement and daily activities. However, some children still experience delays in fine motor skills due to lack of stimulation, a lack of varied teaching methods, and the impact of technology use and learning after the pandemic. This study aims to improve fine motor skills in elementary school children through Educational Activities Using LEGO Bricks. The method used is a play-based learning approach integrated into thematic learning. The activities were conducted in several structured sessions, including an introduction, core activities, and reflection and evaluation. Participants were elementary school students who actively participated in LEGO assembly activities both individually and in groups. The results showed improvements in fine motor skills, evident in improvements in hand-eye coordination, accuracy, concentration, and manipulative abilities. Students also demonstrated great enthusiasm and progress in creativity when creating various types of works. The discussion indicates that playing with LEGO is beneficial for training small muscles in the hands through pinching, pressing, and arranging activities, as well as supporting cognitive development and a passion for learning. In other words, the LEGO Brick Educational Play Movement has proven to be an innovative and fun learning medium, as well as effective in developing the fine motor skills of elementary school students.

Tinea favosa is a rare but destructive form of chronic dermatophytosis fungal infection. It is marked by the development of scutules (yellowish, cup-like crusts) and can lead to permanent cicatricial alopecia if not treated appropriately. Although its prevalence is decreasing globally, sporadic cases are still common in areas with poor sanitation. Trichophyton schoenleinii is the primary medical cause of Tinea favosa, but it can also be caused by Trichophyton violaceum or Microsporum gypseum. This report discusses a case involving a 7-year-old boy who exhibited classic clinical signs of favus. Diagnostic procedures included a physical examination, direct microscopic examination with 10-20% KOH solution, and culture on Sabouraud Dextrose Agar (SDA) to identify the fungal species. Microscopic examination revealed branching and fragmented hyphae (arthrospores) and air tunnels within the hair shaft. Culture confirmed Trichophyton schoenleinii as the primary etiologic agent. The patient was treated with oral griseofulvin combined with ketoconazole cream for 8–12 weeks. Follow-up showed resolution of the crusts and cessation of the inflammatory process, although areas of fibrosis showed permanent hair loss.

The Juvenile Criminal Justice System (SPPA) in Indonesia is a manifestation of special protection for children in conflict with the law, prioritizing the principles of restorative justice and diversion. This study aims to analyze the implementation of the SPPA based on Law Number 11 of 2012 concerning the Juvenile Criminal Justice System and to identify the legal challenges that arise in its practice. The research method used is normative legal with a legislative and conceptual approach. The results of the study show that although the regulations mandate diversion efforts as a top priority in resolving juvenile cases, there are still obstacles in its implementation, both in terms of the readiness of law enforcement officials, limited supporting facilities, and the perception of the community, which still tends to expect a retributive (punitive) approach. In addition, the protection of children's rights during the judicial process is often not optimally fulfilled. This analysis concludes that strengthening inter-agency coordination and increasing law enforcement officials' understanding of restorative justice are key to the effectiveness of this system. Further regulatory harmonization and strengthening the role of the Correctional Center in overseeing the diversion process are needed to ensure that the best interests of the child remain the top priority at every stage of the judicial process

This study examines the influence of work discipline, employee motivation, and work environment on employee performance at the Office of Women Empowerment, Child Protection, Population Control, and Family Planning (DP3AP2KB) of Batam City. The research applies a quantitative approach with an associative design to determine the relationship and influence among variables. Data were collected from all employees using a structured questionnaire that had been tested for validity and reliability to ensure the accuracy of the research instrument. The analysis technique used is multiple linear regression to evaluate both partial and simultaneous effects of the independent variables on employee performance. The findings indicate that work discipline, motivation, and work environment collectively contribute significantly to improving employee performance. Individually, each variable also shows a meaningful and positive effect, reflecting the importance of both internal and external factors in shaping employee outcomes and productivity. These results imply that strengthening discipline, enhancing employee motivation, and creating a supportive, comfortable, and conducive work environment are essential strategies for improving organizational performance and achieving institutional goals effectively. Therefore, organizations are encouraged to implement policies and programs that support employee development, maintain a positive work atmosphere, and improve overall work quality in a sustainable manner.

Fiqh learning education activities play an important role in improving early childhood worship awareness, particularly in understanding the pillars of Islam as the foundation of Islamic teachings. This study was motivated by the low level of children’s understanding of the pillars of Islam, which was caused by learning methods that were less engaging and less interactive. Therefore, this study aims to improve the understanding, habituation, and worship awareness of early childhood through the use of a simple, communicative, and easy-to-understand lecture method at TPQ Al-Hidayah, Pacar Kembang, Surabaya. This study employed a Participatory Action Research (PAR) approach consisting of several stages, namely problem identification, learning planning using the lecture method, implementation of activities, evaluation, and joint reflection to enhance learning effectiveness. The results showed that fiqh learning through the lecture method had a positive impact on improving children’s understanding of the pillars of Islam, developing worship habits, and fostering full awareness in carrying out daily worship practices. Thus, the lecture method is considered effective in enhancing understanding and worship awareness among early childhood learners.