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Inguinal hernia is a common abdominal hernia occurring in the groin region and generally requires surgical management, with postoperative pain control being an important aspect of patient recovery. This case reports a 55-year-old male presenting with a left groin mass for 6 months, which was initially reducible but subsequently became difficult to reduce, accompanied by severe pain and activity limitation. Physical examination revealed a left inguinal mass measuring approximately 3.03 × 2.17 cm, with firm consistency, well-defined borders, immobility, and tenderness, while ultrasonography demonstrated dilation of the left inguinal canal after provocation; based on these findings, a diagnosis of left inguinal hernia with ASA physical status II was established. The patient was managed with herniorrhaphy under regional anesthesia using a subarachnoid block, followed by ultrasound-guided ilioinguinal and iliohypogastric nerve blocks with levobupivacaine and pehacain for postoperative analgesia. Intraoperatively, the patient remained hemodynamically stable, and postoperatively, pain intensity decreased gradually from a VAS score of 6 to 2 within 24 hours and reached 0 on the second postoperative day without significant complaints. This case demonstrates that regional anesthesia combined with ultrasound-guided peripheral nerve block may support postoperative pain control after herniorrhaphy, maintain clinical stability, and improve patient comfort during recovery.

Perimenopause is an important phase in a woman's life characterized by extensive hormonal changes as the ovaries gradually lose their function. During this period, the body experiences significant hormonal fluctuations, particularly a decrease in estrogen and progesterone production, which can cause various physical discomforts such as fatigue. One way to overcome fatigue is through low-impact exercise. This exercise is a light, safe activity that can improve physical fitness and enhance the body's endurance, thereby potentially reducing fatigue levels in perimenopausal women. This study used a descriptive method with a case study approach conducted on two perimenopausal women, Mrs. T and Mrs. N. The results of the nursing care showed that after six sessions of low-impact exercise over two weeks, the fatigue levels of both respondents decreased, as evidenced by their Fatigue Assessment Scale (FAS) scores. Mrs. S's FAS score decreased from 28 to 23, while Mrs. N's decreased from 30 to 27. The symptoms experienced by Mrs. T decreased on the third day and further decreased on the sixth day. For Mrs. N, symptoms decreased on the third day and further decreased on the fifth day. The results of this study indicate that low-impact exercise is effective as an intervention for fatigue issues in perimenopausal women.

Hypertension is a non-communicable disease often referred to as a silent killer because it generally does not present noticeable symptoms. Several risk factors contribute to the development of hypertension, including high body mass index (BMI) and low levels of physical activity. However, data regarding the association between BMI, physical activity, and hypertension at Pakuan Baru Public Health Center, Jambi City, remain limited. Therefore, this study aimed to determine the relationship between body mass index and physical activity with hypertension among adults at Pakuan Baru Public Health Center, Jambi City. This study employed a quantitative approach with a cross-sectional design. The research was conducted at Pakuan Baru Public Health Center, Jambi City, from November 19 to December 6, 2025. The study population consisted of all adult patients with hypertension at Pakuan Baru Public Health Center, totaling 2,797 individuals. A sample of 93 respondents was selected using an accidental sampling technique. Data were collected using observation sheets through measurements of height and weight to calculate BMI, as well as the Global Physical Activity Questionnaire (GPAQ). Data analysis was performed using univariate and bivariate analyses with the chi-square statistical test. The univariate analysis showed that 27 respondents (29.0%) were classified as severely obese, 42 respondents (45.2%) had a low level of physical activity, and 28 respondents (30.1%) were categorized as having stage 2 hypertension at Pakuan Baru Public Health Center, Jambi City. The bivariate analysis revealed a significant relationship between body mass index and physical activity with blood pressure among patients with hypertension (p = 0.000). It is expected that healthcare providers at Pakuan Baru Public Health Center will continue to provide education regarding the importance of controlling body mass index and engaging in regular physical activity, as these factors contribute to increased blood pressure among patients with hypertension.

Modern higher education faces significant challenges regarding character crisis and moral degradation amidst mass digitalization. This study aims to analyze the mechanism of internalizing ethical values from Ibn Jama’ah's book Tadzkirat al-Sāmi‘ wa al-Mutakallim among STIT Riyadhussholihiin students as a response to contemporary moral issues]. The research employs a qualitative descriptive-analytical approach, combining field research and library research through content analysis, observation, and in-depth interviews. The findings reveal that the internalization process occurs systematically through stages of value transformation, transaction, and transinternalization. Key ethical values internalized include soul purification (tazkiyatun nafs), sincerity of intention, time management, and adab toward educators. The success of this internalization relies heavily on the synergy between students' intrinsic awareness, lecturers' role modeling (uswah hasanah), and a conducive campus ecosystem. The implication of this study is the provision of a practical strategy for Islamic higher education institutions to produce graduates who are khair al-barīyah—individuals who possess broad knowledge, fear of Allah, and leadership integrity.

The purpose of this research is to study the role of Generation Z in spreading religious moderationvalues through social media, and to identify the challenges and opportunities they face in the digital era.Generation Z grows up in an environment closely tied to digital technology advancement, making social media aprimary platform for their religious and social expression. Creating creative visual content, such as memes andshort videos, is a relevant form of expression used to preach and effectively spread messages of tolerance. Adescriptive qualitative method based on literature study was used comprehensively in this research. Variousscientific literatures and previous journal articles served as the main data sources. The study shows that althoughsocial media offers broad opportunities for attractive and inclusive moderate preaching, there are still majorchallenges. These include the massive spread of hoaxes, disinformation, increased polarization in the virtualpublic space, and the real threat of digital extremism. Therefore, improving digital literacy combined withcomprehensive religious literacy is crucial. This aims to shape Generation Z to think critically, act wisely infiltering information, and ultimately become active agents of peace both in the real world and in the digitalecosystem.

Korosi pada material stainless steel dalam lingkungan basa dan temperatur tinggi menjadi salah satu faktor yang memengaruhi umur pakai peralatan pada sistem netralisasi minyak sawit. Penelitian ini bertujuan menganalisis pengaruh temperatur dan kecepatan pengadukan terhadap laju korosi serta membandingkan ketahanan korosi baja tahan karat SS304 dan SS316 dalam larutan NaOH 1 M. Pengujian dilakukan menggunakan metode weight loss berdasarkan standar ASTM G31–72 selama 49 hari dengan variasi temperatur 70°C, 90°C, dan 110°C serta kecepatan pengadukan 100 rpm, 200 rpm, dan 300 rpm. Laju korosi dihitung berdasarkan kehilangan massa spesimen dan dianalisis menggunakan klasifikasi ketahanan korosi. Hasil penelitian menunjukkan bahwa peningkatan temperatur dan kecepatan pengadukan menyebabkan peningkatan laju korosi pada kedua material. Nilai laju korosi tertinggi diperoleh pada SS304 sebesar 0,0247 mm/tahun pada kondisi 110°C dan 300 rpm, sedangkan nilai terendah diperoleh pada SS316 sebesar 0,0124 mm/tahun pada kondisi 70°C dan 100 rpm. Secara umum, SS316 menunjukkan ketahanan korosi yang lebih baik dibandingkan SS304 karena kemampuan mempertahankan lapisan pasif yang lebih tinggi. Berdasarkan klasifikasi ketahanan korosi, sebagian besar kondisi pengujian berada pada kategori sangat baik sehingga kedua material masih layak digunakan pada sistem netralisasi minyak sawit, dengan SS316 lebih direkomendasikan untuk kondisi operasi yang lebih agresif.

The dynamics of the global coffee industry during the 2024–2026 period were characterized by significant fluctuations that placed Starbucks in a vulnerable position due to multidimensional reputation crises, ranging from geopolitical sentiments to industrial relations tensions. This study aims to analyze the effectiveness of Public Relations (PR) management strategies and integrated media models in restoring brand equity post-crisis. The research method applied is descriptive qualitative with a conceptual analysis approach, relying on digital literature studies and the collection of secondary data from international reputation research firm reports and credible mass media documentation. The research results indicate that the drastic decline in the Brand Strength Index was successfully mitigated through a strategic narrative transition from service efficiency toward the reinforcement of the original "The Third Place" identity. The utilization of data-driven Owned Media channels through loyalty applications proved to be the most crucial instrument in maintaining consumer retention amidst the global boycott. The research conclusion emphasizes that brand resilience in the era of digital volatility depends not only on rhetoric but on the synchronization between adaptive leadership, operational transparency, and the integration of an agile PESO communication model. This study provides a theoretical contribution regarding the importance of managing "reputation capital" through consistent sustainability commitments to maintain a balance between profitability and corporate communication ethics in an increasingly polarized global market

This study is motivated by the escalation of mass protests in Pati Regency throughout 2025, triggered by significant increases in Land and Building Tax (PBB-P2) rates and prolonged agrarian disputes in the Kendeng Mountains region. These socio-political tensions indicate weaknesses in public communication governance between local government authorities and local communities. This conceptual article employs an integrative literature review combined with a descriptive-analytical approach to secondary data derived from media transcripts, fiscal policy documents, and legal studies on public order management. The findings reveal that the protests were fundamentally driven by a public communication crisis rather than merely fiscal or agrarian policy issues. The implementation of coercive one-way communication and confrontational rhetoric by government elites undermined relational trust and threatened the communal dignity of citizens. Furthermore, post-crisis apology strategies were perceived as insufficiently authentic when not accompanied by substantive corrective actions. The study concludes that the formal legal validity of local regulations does not guarantee successful implementation without obtaining a community's Social License to Operate (SLO). Therefore, this article proposes the Symmetrical Community Engagement (SCE) framework as a new paradigm for repositioning public sector public relations toward a proactive and participatory approach from the pre-legislative stage to support democratic governance

The phenomenon of radical transparency in the Bottled Drinking Water (AMDK) industry in 2025 triggered a reputation crisis and a massive erosion of customer loyalty. This crisis began with negative sentiment on social media that led to surprise inspections by regulatory authorities of the industry leader's "Mountain Spring" claim. The unpreparedness of the communication infrastructure in presenting technical data in real time led to a decline in brand image and a significant correction in market share to a critical figure of 47.4%. This article aims to formulate a conceptual framework for adaptive and data-driven PR presentation techniques through the integration of real-time data visualization and narrative reframing strategies. The method used is a descriptive conceptual analysis by evaluating the chronology of incidents and PR responses during the crisis. The analysis results show that unidirectional communication patterns and static presentation materials are deemed to fail to face viral and spontaneous public audits in the digital space. As a theoretical and practical contribution, this article proposes a new model, The Spontaneous Technical Presentation Model, and recommendations for the development of a Crisis Presentation Kit for the FMCG industry. Through a theoretical approach that expands the theory of Image Restoration, this study confirms that corporate image restoration in the digital era is highly dependent on the precision and transparency of visual data presented during field qualification

The low coverage of exclusive breastfeeding is still a public health challenge because it has a direct impact on infant health. Factors that cause low coverage of breastfeeding include problems in the breastfeeding process, economic conditions, environmental support, and socio-cultural aspects. Milk production is influenced by the hormone prolactin, while milk production is influenced by the hormone oxytocin. One of the interventions that has been proven to help with breast milk production is oxytocin massage. Based on this, this community service activity was carried out as an effort to increase breast milk production in breastfeeding mothers. The method of the activity is in the form of health counseling to pregnant women in the third trimester with educational media in the form of presentation materials. The activity was complemented by discussions, questions and answers, and demonstrations of the right oxytocin massage techniques to strengthen participants' understanding. The implementation of the activity went well and received enthusiasm from the participants. The results of the activity showed an increase in pregnant women's knowledge about the importance of exclusive breastfeeding and skills in performing oxytocin massage. Thus, this activity is expected to support the increase in exclusive breastfeeding coverage through the empowerment of pregnant and lactating women, as well as a promotive-preventive strategy in maintaining the health of babies in a sustainable manner.

This research deconstructs the manipulative architecture in the propaganda trilogy of the Japanese Army in 1942, namely Nippon Tjahaja Asia, Nippon Pelindoeng Asia, and Nippon Leader Asia, which have often been reduced to mere political euphemisms. With a descriptive-qualitative design, this study integrates Malcolm Coulthard and Alison Johnson's parameter-based Forensic Linguistics as the grand theory, as well as the three-dimensional model of Norman Fairclough's Critical Discourse Analysis (AWK) as an operational analysis instrument. The results of the analysis show that lexical manipulation through the messianic triptych "Light, Protector, Leader" and the use of assertive clauses without copula are engineered to produce false consciousness. Forensic Linguistic Parameters confirm the existence of a planned mens rea (malicious intent) from Sendenbu, with an extreme disparity between commissive speech in the form of a promise of protection and military actus reus in the form of romusha slavery and logistical seizure. This condition fulfills the elements of mass deception. Furthermore, the doctrinal repetition of the slogan is a form of linguistic coercion that exploits power asymmetry to castrate the people's critical reasoning. In conclusion, the invasion of Japanese fascism in Indonesia did not only take place through military equations, but also through a cognitive dictatorship based on language fabrication. This study is relevant as a historical mirror for detecting the anatomy of structural lies in the contemporary post-truth era.

Children with Autism Spectrum Disorder (ASD) face unique challenges in building attachment relationships, due to ASD children experiencing impairments in communication, social interaction, and emotional regulation. This study aims to identify effective intervention strategies to improve the quality of attachment between parents and children with ASD through a Systematic Literature Review (SLR) approach. The review findings indicate that several interventions have proven effective in enhancing attachment between parents or primary caregivers and children with ASD, including the following interventions: DIR/Floortime, Focused Playtime Intervention (FPI), Parent-Child Interaction Therapy (PCIT), Circle of Security (COS), Positive Behavior Support (PBS), play training, massage therapy, and psychoeducation. The results of these interventions show that changes occur before and after the intervention, including strengthening two-way communication, increasing parental sensitivity, and improving the child's emotional responses. These findings have practical implications for parents, educators, and therapists in designing attachment-based approaches to support the social and emotional development of children with ASD. Responsive and supportive designing attachment-based approaches to support the social and emotional development of children with ASD. Responsive and supportive relationship-based interventions can build secure attachments between children with ASD and their parents and serve as an important reference in attachment-based parenting and therapy practices.

separating and shredding organic and inorganic waste. This study aims to analyze the process of shredding household waste using the Computational Fluid Dynamics–Discrete Element Method (CFD-DEM) and determine the optimal operational parameters based on variations in rotor speed. The research method uses numerical simulation with SolidWorks 2024 software for geometric modeling and Ansys Rocky 2023 R1 for CFD-DEM simulation. The rotor speed variations used are 1000 RPM, 2500 RPM, and 4000 RPM with a mass flow rate of 4 tons/hour and a simulation duration of 2 seconds. The parameters analyzed included particle mass flow rate, shredding characteristics, and power consumption. The simulation results showed that a speed of 1000 RPM produced the most optimal performance with a maximum capacity of ±4 tons/hour and a stable shredding response compared to other variations. At 2500 RPM, there were high fluctuations with low capacity (±0.6 tons/hour), while at 4000 RPM, the capacity was moderate (±1.1 tons/hour) but still did not exceed the performance of 1000 RPM. Based on these results, it can be concluded that a rotor speed parameter of 1000 RPM is the most effective condition for improving the grinding efficiency and production capacity of a hammer mill-type Depackaging machine based on CFD-DEM simulation.

The rapid development of information and communication technology in the digital era has brought massive disruptions to all aspects of human life, including the educational paradigm and societal morality. Generation Z, as digital natives who grow up alongside these technological advancements, faces significant vulnerabilities regarding character degradation and moral decadence due to boundless exposure to global information. This research aims to critically analyze the strategic role of Islamic Religious Education in shaping and fortifying the character of Generation Z amidst the complexities of the digital landscape. The method used in this study is a qualitative literature review, which systematically synthesizes and analyzes twenty relevant academic sources. The findings indicate that Islamic Religious Education serves as an irreplaceable moral compass by internalizing the fundamental values of Tawhid and prophetic ethics. Furthermore, the integration of modern digital pedagogy with classical Islamic traditions, accompanied by the teacher's role as a moral exemplar (mu'addib), is crucial for effective character building. In conclusion, a collaborative educational ecosystem involving the family, school, and society is mandatory to ensure the continuous moral resilience of the younger generation in facing future technological disruptions.

This study aims to analyze the implementation of cross-sector education based on community participation as an effort to achieve the Sustainable Development Goals (SDGs) in Watangsono Village, Wonogiri. This research employed a descriptive qualitative approach by collecting data through participatory observation, documentation, and Focus Group Discussions (FGD) involving key stakeholders in the village. The results show that the implementation of cross-sector educational programs covering education, health, economy, and environment has a significant impact on improving community knowledge, skills, and awareness. Community participation was reflected through active involvement in various practical activities, such as anti-bullying education, digital literacy training, stunting prevention through local food processing, herbal plant utilization, natural pesticide production, family health massage practices, and strengthening local economic capacity. The participatory and applicative approach encourages two-way knowledge transfer and strengthens community capacity in managing local resources sustainably. Despite challenges such as limited resources and time constraints, the program demonstrates positive contributions to supporting SDGs achievement at the village level. Therefore, cross-sector education based on community participation can serve as an effective strategy in empowering rural communities and fostering sustainable development.

This research aims to analyze the role and impact of PT Batujaya Bersama Sejahtera (PT BBS) on the socio-economic conditions of the community in Walandano Village, Balaesang Tanjung District. The background of this study is driven by the massive expansion of the mining industry in Central Sulawesi, which triggers a structural shift from traditional agriculture to an industrial economy. This study employs a qualitative method with data collection techniques including in-depth interviews, observation, and documentation. The findings indicate that PT BBS plays a significant role in local economic development by providing employment opportunities, increasing household income, and improving public infrastructure such as roads and jetties. However, the study also identifies social disruptions, including public protests regarding land issues and environmental concerns like dust and noise pollution. The implications of this research suggest that the company must strengthen its Corporate Social Responsibility (CSR) programs by focusing on sustainable community empowerment and more transparent communication to mitigate social risks. These findings contribute to the literature on regional economic development and social change in coastal mining areas.

Injectable contraception remains one of the most widely used family planning methods among couples of reproductive age. However, the success of this method is strongly influenced by the level of knowledge and attitudes of acceptors, which in practice are often still inadequate. This study aimed to evaluate the effectiveness of injectable contraceptive educational videos in improving the knowledge and attitudes of injectable contraceptive acceptors at TPMB Siti Juhariyah. The study employed a quantitative approach with a quasi-experimental one-group pretest–posttest design. A total of 30 injectable contraceptive acceptors were selected as samples using purposive sampling techniques. The intervention consisted of providing an educational video on injectable contraception, followed by the assessment of participants’ knowledge and attitudes before and after the intervention using structured questionnaires. Data were analyzed using statistical tests to determine differences between pretest and posttest scores. The results showed a significant increase in acceptors’ knowledge, which shifted from moderate and low categories to a good category after the educational video intervention. In addition, the acceptors’ attitudes toward the use of injectable contraception also demonstrated a significant positive change. Based on these findings, it can be concluded that injectable contraceptive educational videos are effective in improving the knowledge and attitudes of acceptors. Therefore, educational videos can be utilized as a supportive counseling medium in family planning services to enhance the quality of contraceptive care in independent midwifery practices.

This study focused on addressing the problem of low self-confidence among seventh-grade students at SMP In Tana Toraja. The issue was identified through several behaviors, such as difficulty in voicing opinions, lack of courage to stand in front of the class, and minimal participation during the learning process. To address the identified issue, the study was designed to enhance students’ self-confidence through group guidance activities incorporating the sociodrama technique. This investigation adopted a Guidance and Counseling Action Research approach implemented across two consecutive cycles, each involving planning, action implementation, observation, and reflection. The participants consisted of 30 students, while data were collected through questionnaires and observation instruments. The results indicated that students’ self-confidence developed progressively over time. In the initial condition, most students were still classified in the low-confidence category, but improvement began to appear in cycle one and became more significant in cycle two. These changes were reflected in students’ increased confidence in performing, better communication skills, and stronger active participation in group activities. The sociodrama technique provides direct social interaction experiences that help students develop their self-confidence. Based on the results, the use of group counseling activities incorporating sociodrama emerges as a viable strategy for school counselors to support the development of students’ self-confidence.

This study aimed to analyze the effect of infant massage on growth and development among infants attending Puskesmas Bongo II. Infant massage is recognized as a form of sensory stimulation that enhances neural function, improves blood circulation, and strengthens maternal–infant bonding, thereby potentially supporting optimal physical growth and developmental progress. This research employed an analytic cross-sectional design involving infants aged 0–12 months, with a total sample of 50 infants selected using purposive sampling based on predefined inclusion criteria. Information regarding infant massage practices was collected through structured maternal interviews and categorized into routine massage (≥3 times per week) and non-routine massage. Infant growth was assessed using the weight-for-age (W/A) indicator based on WHO growth standards, while development was measured using the Developmental Pre-Screening Questionnaire (KPSP). Data were analyzed using the chi-square test with a 95% confidence level (p < 0.05). The results showed that infants who received routine massage demonstrated significantly better growth status and developmental outcomes compared to those who did not receive massage routinely. These findings suggest that infant massage is a simple, safe, and practical intervention that can be recommended to support growth and development and may be integrated into maternal and child health services at Puskesmas Bongo II.

This research is entitled The Influence of Japanese Pop Culture on Children’s Toys Trends in Indonesia, 1980-2010. The study employs the historical method, which consists of four stages: heuristics, source criticism, interpretation, and historiography.John Fiske’s (2011) theory of popular culture and  Joseph Nye’s concept of soft power is used to analyze how Japanese popular culture, particularly through entertainment media and toy products, was disseminated persuasively and received by Indonesian children. Since the early 1990s, mass media such as television and children’s magazines have played an important role in introducing Japanese anime and characters, which subsequently encouraged the emergence of toy trends based on Japanese popular culture. The object of this research focuses on children’s toys influenced by Japanese popular culture that circulated in Indonesia between 1980 and 2010, including Tamiya, Beyblade, Tamagotchi, Crush Gear, B-Daman, and yo-yo. These toys not only developed as commercial products, but also contributed to the formation of children’s play patterns, communities, and social identities. However, during the period from 2008 to 2010, these toy trends began to decline due to the advancement of digital technology, changes in children’s consumption patterns, broadcast censorship policies implemented by Indonesian Broadcasting Commission (KPI), and increasing competition from popular culture of other countries such as Korea, the United States, and China. This condition reflects a shift in children’s play culture from physical toys to more modern forms of digital entertainment.