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Indonesia is the fourth country in the world with the largest population. This problem can be a burden on the state in national development dan economic growth. To see the relationship of husbdan support dan trust of patients with the use of IUD contraception in the village of Patam Lestari Mentarau Puskesmas working area of Batam City. Methods this study is a quantitative study, using observational analytical design with cross sectional approach. The population in this study is PUS who use MKJP contraception in the working area of Patam Lestari Mentarau Health Center Batam City. The number of samples was 73 PUS dan using cluster rdanom sampling technique. Data collection tools using observation sheets dan questionnaires. Data analysis using chi-square test. Result most of PUS who get husband’s support with IUD contraceptive use are 41 people (91.1 %), while PUS who believe in IUD contraceptive use are 36 people (97.3%), the results of chi square statistical test for Husband’s support obtained p-value 0.000 < 0.05 dan for patient trust obtained p value 0.000 < 0.05. There is a significant relationship between the husband support dan the trust of patients with the use of IUD contraception in the village of Patam Lestari Mentarau Puskesmas working area Batam.

Background: Globally, stunting in children under five years old in 2022 is around 22.3% or 148 million children under 5 years old. In Southeast Asia alone, the prevalence of stunting is 26.4% or 14.4 million. Objective: This study was to determine the correlation complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Methods: This research is a quantitative study observational analytic design with a case control approach. The sample is 42 toddlers and using purposive sampling technique. Data collection tools use observation sheets and the chi-square test. Findings: The results of the chi square statistical test obtained a p-value of 0.005 <0.05 (OR = 6.400 (95% CI (1.654 - 24.770)). There is a significant relationship between complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Implication: Complete basic immunization has a significant impact on the growth and development of toddlers

The manufacturing process of dies and punches requires high precision to produce components that are exactly in accordance with the given design specifications. Every step in the manufacture of dies and punches must be carried out carefully to ensure that the final result meets the quality and safety standards required in the industry. The manufacture of dies requires extra precision.  These are not just molds, but tools that are capable of providing consistent shape and precision in every molding operation. Punches, an equally important counterpart, are designed to fit dies and provide clean and precise cuts on the processed material.  This process not only produces tools but also demonstrates a dedication to technical excellence and precision. Every step is taken diligently, from initial conception to implementation on the production line. In the world of manufacturing, dies and punches are about transforming ideas into solid reality, playing a crucial role in supporting the advancement of modern industry.

The manufacturing process of dies and punches requires high precision to produce components that are exactly in accordance with the given design specifications. Every step in the manufacture of dies and punches must be carried out carefully to ensure that the final result meets the quality and safety standards required in the industry. The manufacture of dies requires extra precision.  These are not just molds, but tools that are capable of providing consistent shape and precision in every molding operation. Punches, an equally important counterpart, are designed to fit dies and provide clean and precise cuts on the processed material.  This process not only produces tools but also demonstrates a dedication to technical excellence and precision. Every step is taken diligently, from initial conception to implementation on the production line. In the world of manufacturing, dies and punches are about transforming ideas into solid reality, playing a crucial role in supporting the advancement of modern industry.

The purpose of this study was to analyze the effect of mental workload on employee performance, the effect of work stress on employee performance, the work environment on employee performance and to analyze the effect of mental workload, work stress, and work environment simultaneously on the performance of employees of PT. Nutrisius Sari Persada. This research design uses quantitative methods with an associative approach and data collection techniques of library research and field research. Data analysis techniques using descriptive statistical analysis techniques using data processing tools Structural Equation Modeling (SEM) with SmartPLS software by testing mental workload variables (X1), work stress (X2), work environment (X3) and employee performance (Y). The results of this study indicate that the mental workload variable (X1) on employee performance (Y) has a T-test value of (2.013> 1.96) and P values of (0.045 < 0.05), the work stress variable (X2) has a T-test value of (10.237> 1.96) and P values of (0, 000 < 0.05), the work environment variable (X3) has a T-test value of (2.013> 1.96) and P values of (0.045 < 0.05), so it can be concluded that the mental workload variable (X1), work stress (X2) and the work environment (X3) have an influence on employee performance (Y). While simultaneously mental workload (X1), work stress (X2) and work environment (X3) variables on employee performance (Y). The results of the analysis of the coefficient of determination (R2) obtained a value (Adjusted Rsquare) of 0.973, meaning that all independent variables are declared strong with a value of 97% and the remaining 3% is influenced by other variables outside the Mental Workload, Work Stress and Work Environment variables.

This study investigates the use of experimental statistical analysis as an instructional approach to enhance students’ understanding of variable relationships in science learning. Many students tend to memorize experimental results without comprehending the underlying relationships between variables, resulting in limited analytical reasoning and superficial understanding. To address this issue, the present study explores how integrating basic statistical tools-such as mean, correlation, and regression-into experimental activities can strengthen conceptual comprehension, analytical reasoning, and scientific literacy. Grounded in constructivist and inquiry-based learning frameworks, the research emphasizes active engagement, where students participate in data collection, analysis, and interpretation to draw evidence-based conclusions. The study employed a quasi-experimental design involving science students divided into experimental and control groups. Both groups conducted similar laboratory experiments, but only the experimental group received explicit instruction in statistical analysis. Data were collected through pre-tests and post-tests to measure changes in students’ understanding of variable relationships. The results indicated a 25% improvement in the experimental group’s comprehension and reasoning ability compared to the control group. Students who applied statistical analysis demonstrated greater proficiency in interpreting data, identifying causal patterns, and connecting theoretical knowledge to experimental findings. In contrast, students taught through traditional narrative-based instruction showed minimal gains and relied heavily on memorization. The findings highlight the effectiveness of integrating statistical reasoning in promoting critical thinking, problem-solving, and scientific reasoning skills.

Cancer is a chronic disease that not only affects physical conditions but also imposes a significant psychological burden on both cancer patients and cancer survivors. Various mental health problems, such as anxiety, depression, stress, and psychological distress, are frequently experienced throughout the processes of diagnosis, treatment, and the survivorship phase. One psychological intervention that has developed and been widely studied is expressive writing, which allows individuals to freely express their thoughts and emotions through writing. This study aims to examine the effectiveness of expressive writing interventions on the mental health of cancer patients and cancer survivors using a literature review method. The article search process was conducted in international databases (ScienceDirect, PubMed, and SpringerLink) and a national database (Garuda), covering publications from 2020 to 2025. Article selection was carried out using PRISMA guidelines, and methodological quality assessment was conducted using the Critical Appraisal tools from the Joanna Briggs Institute (JBI). Based on the selection results, nine articles met the eligibility criteria for analysis. The review findings indicate that most studies report positive effects of expressive writing in reducing anxiety, depression, stress, and psychological distress, as well as improving quality of life, positive affect, self-efficacy, and posttraumatic growth. However, the effectiveness of this intervention varies depending on individual characteristics, clinical context, writing structure and focus, intervention duration, and cultural appropriateness. Therefore, expressive writing has the potential to serve as an effective, flexible, and low-cost supportive intervention in cancer care, particularly when it is designed contextually and adaptively in accordance with patients’ psychological needs.

This community service activity aims to provide outreach and training related to the use of Artificial Intelligence (AI) in developing engaging, interactive, and effective learning tools for teachers in TKIT, SDIT, and SMPIT Darut Tauhid in Grobogan Regency. This service was carried out on June 11, 2025, using a qualitative approach through various methods, including presentations, interactive discussions, workshops, and direct practice in the use of AI technology. This activity emphasized improving teachers' skills in integrating AI technology into the learning process so that it can support the creation of a more innovative learning atmosphere and suit the needs of students in the digital era. The results of the activity showed a significant increase, both in terms of efficiency and quality. Teachers were able to save up to 70% of time preparing learning tools, produce more varied and engaging learning media, and show higher motivation in adopting digital technology to support the teaching and learning process. The three main tools introduced, namely ChatGPT, Claude, and Canva Magic Design, have been proven to help teachers in creating materials, designing media, and managing learning more effectively. The positive response from training participants also confirmed that the use of AI has significant potential for wider implementation in Islamic educational institutions. Therefore, this activity not only contributes to improving teacher competency but also opens up opportunities for developing technology-based learning models relevant to future educational challenges.

This community service program is designed to enhance the competence of English teachers at SMP N 33 Purworejo in utilizing Artificial Intelligence (AI)-based learning media, particularly deep learning technology. In the digital era, many teachers still face limitations in integrating intelligent technology into classroom activities, which affects the effectiveness of learning. The program was carried out in four stages: the provision of basic materials on AI and deep learning, technical training on the use of AI applications, practical development of learning media, and mentoring combined with evaluation. The results of this activity show an increase in teachers’ understanding and skills in operating AI tools, with each participant producing at least one AI-based learning media product. Through workshops, teachers learned to use applications such as chatbots, speech-to-text, text-to-speech, and AI-assisted language tools to enrich students’ learning experiences. In addition, teachers were guided to design contextual media tailored to curriculum goals and student needs. Mentoring ensured that the products created were tested, improved, and ready to be applied in the classroom. The novelty of this activity lies in its focus on practical implementation of deep learning in junior high school English teaching, positioning teachers not only as users but also as creators of innovative media. Beyond technical competence, this program fosters collaboration among teachers to sustain innovation. In the long term, the outcomes are expected to improve students’ engagement, motivation, and communication skills, and contribute to the establishment of a digital learning ecosystem that supports interactive, effective, and future-oriented education.

This community service program is designed to enhance the competence of English teachers at SMP N 33 Purworejo in utilizing Artificial Intelligence (AI)-based learning media, particularly deep learning technology. In the digital era, many teachers still face limitations in integrating intelligent technology into classroom activities, which affects the effectiveness of learning. The program was carried out in four stages: the provision of basic materials on AI and deep learning, technical training on the use of AI applications, practical development of learning media, and mentoring combined with evaluation. The results of this activity show an increase in teachers’ understanding and skills in operating AI tools, with each participant producing at least one AI-based learning media product. Through workshops, teachers learned to use applications such as chatbots, speech-to-text, text-to-speech, and AI-assisted language tools to enrich students’ learning experiences. In addition, teachers were guided to design contextual media tailored to curriculum goals and student needs. Mentoring ensured that the products created were tested, improved, and ready to be applied in the classroom. The novelty of this activity lies in its focus on practical implementation of deep learning in junior high school English teaching, positioning teachers not only as users but also as creators of innovative media. Beyond technical competence, this program fosters collaboration among teachers to sustain innovation. In the long term, the outcomes are expected to improve students’ engagement, motivation, and communication skills, and contribute to the establishment of a digital learning ecosystem that supports interactive, effective, and future-oriented education.

Indonesian people's understanding of immunization and early detection is still different, so babies and toddlers have not received immunizations in health services. Husband's support has an important role in providing support and motivation so that mothers come to every posyandu activity. Data from the 2020 Indonesian Health Profile shows that diarrhea is the second largest contributor to death after pneumonia (lung infection) in babies aged 29 days - 11 months, namely 9.8% and in the group of toddlers aged 12-59 months, 4.5% of total deaths. . The aim of the research is to determine the relationship between maternal knowledge and husband's support with the provision of Rotavirus immunization in Merjosari Village, Malang City. The research design is an analytical method with a cross sectional approach which was carried out on a sample of 80 respondents in Merjosari Village, Malang City. The data collection tools used were a mother's knowledge questionnaire with 17 question items, a husband's support questionnaire with 12 statement items. The results of research on maternal knowledge showed that of the 80 respondents, the majority of mothers' knowledge was good with 52 respondents (65%) being given rotavirus immunization. The results of the Chi-Square test in this study show that there is a relationship between maternal knowledge and immunization for babies in Merjosaroi Village, Malang City with a value of p=0.000; 0.05.  The results of research on husband's support showed that of the 80 respondents, the majority supported rotavirus immunization, 61 respondents (76.3%). The results of the Chi-Square test in this study show that there is a relationship between saumi support and immunization for babies in Merjosaroi Village, Malang City with a value of p=0.001; 0.05. Based on the results of this research, community health centers and cadres can carry out the activities needed to increase mothers' knowledge about rotavirus immunization and husband support, such as providing counseling to mothers, holding programs that demonstrate immunization activities and encouraging mothers to come to the posyandu for immunization.

The rapid development of information technology in the digital era has transformed the way organizations conduct their business activities. Information systems are now viewed not merely as operational support tools but as strategic elements capable of providing added value, increasing efficiency, and strengthening a company's competitiveness. In the context of PT XYZ, a company engaged in inspection and certification services, the use of information technology has become a crucial part of daily work processes. However, the implementation of information systems at the branch level still faces several obstacles. Data and process integration is not yet fully optimized, while alignment between the systems used and business needs has also not been achieved. This condition has the potential to hinder the company from providing fast, accurate, and innovative services. Therefore, appropriate and sustainable strategic planning of information systems is necessary. This study uses the Ward and Peppard framework enriched with Value Chain analysis to identify value-added activities, SWOT to identify strengths, weaknesses, opportunities, and threats, and PEST to map external factors affecting the business. In addition, the McFarlan Strategic Grid is used to prioritize the application portfolio that aligns with the company's long-term goals. The results of this research are expected to be able to produce an information system strategy design that not only supports operational efficiency, but also encourages service innovation and increases the competitiveness of PT XYZ in the inspection and certification services industry.

The rapid growth of e-commerce has reshaped promotional strategies, shifting them from traditional methods to more interactive approaches. Among these, the introduction of Cash on Delivery (COD) and live streaming features on platforms such as Shopee has gained increasing attention as tools to influence consumer behavior. This study aims to investigate the effect of COD and live streaming on consumer purchase decisions at the thrift hat store Trouble.Caps in Bekasi City. A quantitative research design was employed with 100 respondents selected using a saturated sampling technique, ensuring that all available participants were included. Data were gathered through observation, questionnaires, and interviews, and subsequently analyzed using validity and reliability tests, classical assumption testing, t-tests, f-tests, and the coefficient of determination, assisted by SPSS version 25. The results reveal that both COD and live streaming exert significant partial effects on purchase decisions, each showing a significance value of 0.000. Furthermore, simultaneous testing indicates that these variables collectively influence consumer decisions, with an R Square value of 0.751. This implies that 75.1% of the variation in purchase decisions is explained by COD and live streaming, while the remaining 24.9% is influenced by other factors. The findings underscore the strategic importance of integrating COD and live streaming as complementary features to build consumer trust, enhance interactivity, and increase purchase intention in online retail businesses.

Fractures are conditions of discontinuation of bone or cartilage, either partially or completely, which often require surgical treatment. One of the commonly used procedures is Open Reduction Internal Fixation (ORIF), which is an open surgical procedure with the installation of fixation tools such as pins, screws, and plates to repair broken bones. This procedure generally causes postoperative pain that needs to be treated effectively. Pain management can be done through pharmacological and non-pharmacological approaches. Lavender aromatherapy is one of the non-pharmacological methods that has the potential to provide a relaxing and analgesic effect. This study aims to determine the effect of lavender aromatherapy on the level of pain in patients after ORIF surgery. The research method uses a qualitative approach with a Quasi Experiment design. The sampling technique was carried out in total sampling with a total of 28 respondents post-operative ORIF patients at Dr. H. Soewondo Kendal Hospital. The data were analyzed using the Wilcoxon test to determine the difference in pain levels before and after the administration of aromatherapy. The results showed a p value of 0.000, which indicated a significant influence between the administration of lavender aromatherapy on the reduction of the patient's pain level. The conclusion of this study is that lavender aromatherapy is effective in reducing the intensity of postoperative pain of ORIF, so that it can be used as an alternative to nonpharmacological therapy in postoperative pain management. This study recommends the integration of aromatherapy in nursing practice to improve patient comfort.

Creative thinking skills are fundamental competencies to be nurtured in 21st-century learning, especially within science education. One promising approach to developing these skills is the use of an Etno-STEM integrated E-Module implemented through the Project-Based Learning (PjBL) model. The Etno-STEM integration seeks to link local wisdom and culture with the domains of science, technology, engineering, and mathematics, thereby creating meaningful, contextualized learning experiences. This study aims to investigate the impact of implementing an Etno-STEM integrated E-Module through PjBL on students’ creative thinking skills. The research employed a quasi-experimental design with two classes: an experimental group using the Etno-STEM integrated E-Module and a control group using cooperative learning strategies. Research instruments comprised both test and non-test tools. The test instrument included objective-reasoned questions aligned with four creative thinking indicators—fluency, flexibility, originality, and elaboration—while the non-test instrument involved structured observation sheets to monitor learning implementation. Data analysis demonstrated that the Etno-STEM integrated E-Module using the PjBL model significantly improved students’ creative thinking skills compared to conventional approaches. This finding highlights the potential of combining local wisdom with innovative instructional models as an effective and culturally responsive strategy for advancing science learning aligned with 21st-century educational demands.

This study aims to examine the influence of three main factors—Campus Environment (X1), Learning Media (X2), and Campus Facilities (X3)—on Student Learning Motivation (Y) at the Faculty of Economics and Business, Budi Luhur University, South Jakarta. The research employed a quantitative design with a probability sampling approach using simple random sampling to ensure each student had an equal chance of being selected. Data were collected through structured questionnaires distributed to regular students of the Class of 2023, with a total sample size of 85 respondents. Descriptive analysis was conducted to summarize the primary data, while multiple linear regression analysis using SPSS version 22 served as the main analytical tool. The regression equation obtained was Y = 28.218 + 0.580X1 + 0.656X2 + 0.147X3 + €, indicating that each independent variable contributes differently to student learning motivation. The results demonstrate that the Campus Environment has a significant partial effect on Student Learning Motivation, highlighting the importance of a conducive academic and social atmosphere. Learning Media also shows a significant partial effect, suggesting that effective and innovative instructional tools can enhance student engagement and drive. Meanwhile, Campus Facilities have a positive but not significant partial effect, implying that while facilities support learning, other factors may play a stronger role. These findings underscore the need for universities to optimize both environmental and pedagogical aspects to boost student motivation and performance.

This study examines the implementation of care governance in environmental public administration by highlighting the role of non-human actors. Based on Actor–Network Theory (ANT), exploratory qualitative research was conducted in the densely populated area of Tanjungpinang (April–June 2025). In environmental management, success is determined not only by technical skills, but also by the capacity of citizens to manage digital documents, spatial data, and technological infrastructure. Through interviews, observations, and document analysis. This approach was chosen because it allows for in-depth exploration of complex, contextual, and previously unstudied social phenomena, especially in the context of care governance to involve the relationship between humans and non-human objects in the local government ecosystem. Findings show that flood sensors, digital SOPs, inter-agency WhatsApp groups, and monitoring dashboards function as actors that trigger, direct, and accelerate coordination and decision-making. The integration of sensors and dashboards automates early warnings and the distribution of instructions, enabling rapid response. Implications: digital systems need to be designed as administrative actors with ethics, accountability, and capacity building. This study concludes that the implementation of care governance in environmental public administration at the local level cannot be separated from the active role of non-human actors such as flood sensors, digital documents, and online communication systems. Findings show that entities Findings show that these entities function not only as technical tools, but also as an integral part of a decision-making network capable of directing, accelerating, and streamlining administrative responses to environmental situations.

This community service research aimed to empower elementary school children’s creativity through fun, educational, and environmentally friendly activities. Conducted at Bimbel Arsal in Tolokan Village, the project focused on ecoprinting training on tote bags using local natural resources. The activity followed a three-stage implementation process: preparation, execution, and reflection. The preparation stage included coordination with tutoring teachers and the gathering of tools and materials. During the execution stage, children were introduced to ecoprinting and practiced the pounding technique with guidance from the KKN team. The reflection stage involved discussions, a question-and-answer session, and product evaluation. The results showed that the children successfully learned ecoprinting techniques, understood the environmental benefits, and expressed their creativity through unique and beautiful ecoprint designs on tote bags. Although challenges arose—such as difficulties selecting natural materials with strong color yields and technical issues during the beating process—the activity proceeded smoothly, thanks to the children’s enthusiasm, support from the tutoring center, and careful planning. Ultimately, the project proved effective in enhancing the children’s creativity, self-confidence, and environmental awareness. This activity not only empowered children but also contributed to promoting sustainable practices and fostering environmental consciousness among young learners. The success of the program highlights the importance of creative, hands-on learning activities in promoting both personal development and environmental responsibility.

Artificial Intelligence (AI) has significantly transformed the design industry by introducing innovative tools that enhance efficiency, creativity, and personalization in the design process. This article explores the impact of AI technologies on the practice of modern designers, from the early stages of idea generation to the final execution of projects. By analyzing case studies, conducting surveys, and reviewing recent literature, the study reveals that AI functions not only as a tool but also as a collaborator that expands the boundaries of human creativity. It allows designers to explore new possibilities and push the limits of traditional design processes. However, the integration of AI into design practices also raises important ethical and professional challenges, such as concerns about job displacement, data privacy, and the potential loss of human touch in the creative process. Despite these concerns, the findings highlight that embracing AI is crucial for designers to remain competitive and sustain their careers in the rapidly evolving digital era. Adapting to AI technologies, understanding their capabilities, and effectively incorporating them into creative workflows will enable designers to stay relevant and thrive in a landscape where technology continues to reshape the industry. This study provides insights into the evolving relationship between human designers and AI, offering recommendations for future research and practice in the field of design.

The rapid advancement of digital collaboration platforms has reshaped the way organizations manage communication, motivation, and performance. Microsoft Teams, as one of the most widely adopted tools, provides integrated features for real-time messaging, virtual meetings, and document sharing that enable employees to collaborate more effectively. This study aims to explore the impact of Microsoft Teams on communication, motivation, and employee performance at the Pratama Tax Service Office (KPP) in Langsa. A quantitative research design was applied using a survey method, with data collected through pretest and posttest questionnaires. The study involved a total population of 89 employees, of which 81 valid responses were analyzed. Data processing was carried out with SPSS version 25 to compare employee conditions before and after the use of Microsoft Teams. The findings reveal that the adoption of Microsoft Teams contributes to more effective communication, enhances employee motivation by simplifying coordination and task management, and improves overall performance. These results highlight the potential of digital collaboration platforms to strengthen organizational effectiveness, particularly in government institutions that require efficiency, transparency, and adaptability in their operations. The study further implies that maximizing the use of digital platforms can support long-term organizational goals in the context of ongoing digital transformation.