Publication Search

Chronic Coronary Syndrome (CCS) is a contemporary term that replaces stable coronary artery disease (CAD) and describes a spectrum of clinical conditions resulting from chronic abnormalities of the coronary arteries. This condition is characterized by a mismatch between myocardial oxygen supply and demand that is transient and reversible, commonly presenting as stable angina pectoris. CCS contributes significantly to global cardiovascular morbidity and mortality, including in Indonesia. The underlying pathophysiology primarily involves atherosclerosis and microvascular dysfunction leading to myocardial ischemia. Diagnosis is established through comprehensive history taking, physical examination, and both invasive and non-invasive investigations such as electrocardiography, stress testing, and cardiac imaging. Risk stratification using pre-test probability plays a crucial role in guiding further diagnostic evaluation. The management of CCS aims to relieve symptoms and prevent adverse cardiovascular events through pharmacological and non-pharmacological approaches, as well as revascularization when indicated. Pharmacological therapy includes antianginal agents, antiplatelet drugs, and lipid-lowering agents, while lifestyle modifications such as smoking cessation, healthy diet, and regular physical activity are essential in preventing disease progression. With accurate diagnosis and comprehensive management, the morbidity and mortality associated with CCS can be reduced.

Chronic Obstructive Pulmonary Disease is a chronic respiratory disease characterized by progressive and not fully reversible airflow limitation. Dyspnea is the primary symptom experienced by COPD patients and significantly affects their quality of life, especially among those hospitalized. This condition may lead to activity limitation, psychological distress, and decreased social functioning. This study aimed to determine the relationship between the level of dyspnea and the quality of life of COPD patients in the pulmonary inpatient ward of Cut Nyak Dhien General Hospital Meulaboh. This study employed an analytical design with a cross-sectional approach. The sample consisted of hospitalized COPD patients selected using purposive sampling. Dyspnea severity was measured using the Modified Medical Research Council (mMRC) scale, while quality of life was assessed using the St. George’s Respiratory Questionnaire (SGRQ). Data were analyzed using the Spearman correlation test to determine the relationship between variables.The results showed that most respondents experienced moderate to severe dyspnea and had poor quality of life. Statistical analysis revealed a significant relationship between dyspnea level and quality of life (p < 0.05) with a negative correlation.In conclusion, there is a significant relationship between dyspnea severity and quality of life in COPD patients, where higher dyspnea levels are associated with lower quality of life.

Atrophic rhinitis or ozena is a chronic infection of the nasal cavity characterized by progressive atrophy of the nasal mucosa and turbinate bones accompanied by the formation of foul-smelling nasal crusts. This condition is more commonly found in females, particularly during puberty, and is frequently associated with populations of low socioeconomic status and poor environmental sanitation. The exact etiology of atrophic rhinitis remains unclear; however, several factors are believed to contribute, including chronic infection by *Klebsiella ozaenae*, vitamin A and iron deficiency, chronic sinusitis, hormonal imbalance, collagen diseases, trauma, and genetic predisposition. Common clinical manifestations include nasal obstruction, thick greenish nasal discharge, crust formation, epistaxis, anosmia, and *foetor ex nasi*, which is often more noticeable to people around the patient. Anterior rhinoscopy typically reveals widened nasal cavities, turbinate atrophy, thin and dry nasal mucosa, as well as purulent secretions and greenish crusts. Diagnosis is established through history taking, ENT physical examination, and supporting investigations such as microbiological culture, histopathological examination, radiological imaging, and paranasal sinus CT-scan. Management may be conservative with antibiotics, nasal irrigation, nasal drops, vitamin A supplementation, and iron preparations, or surgical in severe cases or those unresponsive to conservative therapy.

Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

This study examines the directing approach in portraying the process of character formation through a video feature titled “Ballet: Repetitive Steps, a Formed Self.” The research is grounded in the phenomenon of instant culture in contemporary digital society, which tends to prioritize rapid outcomes over gradual processes. The objective of this study is to explore how directing strategies can construct repetitive ballet training as a meaningful visual narrative that reflects discipline, consistency, and perseverance. This research employs a qualitative descriptive method with a practice-based approach, where data are collected through observation, documentation, and the creative production process. The findings indicate that directing elements, including shot composition, rhythm, and audio-visual integration, play a significant role in transforming repetitive movements into a dynamic and progressive narrative. Repetition is not merely presented as a technical exercise but as a symbolic process of character development. The study also reveals that visual storytelling can effectively communicate reflective meanings and engage audiences emotionally. The implication of this research suggests that audiovisual works, particularly video features, can serve as a medium to challenge instant-oriented perspectives by emphasizing the value of process in personal development.

This study discusses the dialogue between Christian faith and Karl Marx’s atheism as well as its relevance to the lives of contemporary Christians. The rise of atheism in modern society is closely related to secularization, scientific progress, social inequality, and criticism of religious institutions that are considered unable to answer humanitarian problems. Karl Marx viewed religion as an ideological instrument that often legitimized oppression and alienated humans from their true existence. Through his famous statement that “religion is the opium of the people,” Marx criticized forms of religiosity that merely comfort human suffering without striving for social liberation. This research employs a qualitative method with a literature review approach by examining various philosophical, theological, and social sources related to Marx’s atheism and the Catholic Church’s teachings. The findings reveal that Marx’s criticism of religion should not merely be understood as a rejection of God, but also as a moral challenge for the Church to continuously renew itself in carrying out its mission amid social realities. In response, the Catholic Church, especially through the teachings of the Second Vatican Council, views atheism not only as a doctrinal challenge but also as an opportunity for dialogue and self-reflection. The study concludes that authentic Christian faith is not an escape from worldly realities but a spiritual force that encourages believers to uphold justice, solidarity, and human dignity. Therefore, Marx’s criticism can become a reflective instrument for Christians to embody a more contextual, humanistic, and socially engaged faith in the modern world.

Preeclampsia remains a major contributor to maternal morbidity and mortality, particularly in developing countries such as Indonesia. Early detection and integrated management at the primary healthcare level are essential to prevent disease progression and improve maternal outcomes.  Modifiable risk factors such as maternal obesity, inadequate calcium intake, and poor clinical management contribute significantly to disease progression (WHO, 2021; Zhang et al., 2020). This study aimed to evaluate the effectiveness of an Integrated Maternal Health Model (IMHM) combining risk assessment, nutritional intervention, and clinical management for early prevention and control of preeclampsia in primary healthcare settings. A quasi-experimental cohort study was conducted among 104 pregnant women, consisting of 52 preeclamptic and 52 normotensive participants in community health centers in Medan, Indonesia. Data were collected across four antenatal visits, including blood pressure measurements, proteinuria (dipstick), calcium intake, supplementation adherence, and antihypertensive therapy. Statistical analyses included bivariate and longitudinal tests. The results showed that maternal obesity, history of preeclampsia, and hypertension were significant risk factors. Adequate calcium intake demonstrated a protective effect against preeclampsia (p < 0.05), consistent with recent evidence indicating that calcium supplementation can reduce the risk of preeclampsia by up to 49%. However, calcium supplementation did not significantly influence blood pressure among normotensive pregnant women. Antihypertensive therapy, particularly intensive nifedipine regimens, showed significant differences in blood pressure patterns across visits (p < 0.05). In addition, proteinuria levels significantly decreased over time (p < 0.001), indicating improvement in renal function. In conclusion, the IMHM is effective in improving maternal outcomes through a multi-component approach integrating clinical, nutritional, and monitoring strategies. This model provides a practical and scalable framework for early prevention and management of preeclampsia in primary healthcare settings.

This research aims to design and develop a simple Dino-themed game based on a microcontroller, with the display using an I2C LCD. The game is inspired by the offline Dino game on Google Chrome, adapted to run on an Arduino Uno microcontroller. The research method used is Research and Development (R&D), consisting of stages such as needs analysis, system design, simulation using Wokwi, hardware assembly, programming, and testing. The system uses push buttons as input and a 16x2 I2C LCD as the output display. The testing results show that the system can respond quickly to user input and display character movement and score updates dynamically on the LCD screen. Although the graphical capability of the LCD is limited, the game runs well and successfully demonstrates the basic concepts of microcontroller programming as well as interactive input-output processing. Further development is recommended to enhance the graphical interface and add features such as sound effects and progressive difficulty levels.

Human resources (HR) are an important factor in determining the success of a business because they play a role in increasing productivity, service quality, and company competitiveness. In an era of increasingly intense business competition, companies are required to have a competitive, professional workforce that is capable of adapting to technological developments and customer needs. This paper aims to identify competitive human resource development strategies at Helen Cempaka Bakery and their impact on business progress. The method used in this paper is a descriptive method with a literature study approach and observation of the business conditions at Helen Cempaka Bakery. The results of the discussion show that human resource development strategies at Helen Cempaka Bakery are implemented through job training, guidance and supervision, motivation, improvement of work discipline, teamwork development, and the use of modern technology and equipment. In addition, indicators of competitive human resources include ability, expertise, knowledge, and good work attitudes. Human resource development has a positive impact on improving employee performance quality, business productivity, service quality, and customer satisfaction. Therefore, continuous human resource development is highly necessary so that Helen Cempaka Bakery can maintain competitiveness and continue to grow amid business competition.

Heart failure is a clinical syndrome characterized by shortness of breath and fatigue resulting from structural or functional abnormalities of the heart.  Acute Decompensated Heart Failure (ADHF), also known as decompensated heart failure, is a condition of worsening chronic heart failure that can occur acutely, subacutely, or insidiously, with symptoms progressively worsening over several days or weeks. A 1-year-old male patient presented to the Dermatology Clinic at Cut Meutia General Hospital with the chief complaint of A 60-year-old female patient was brought to the Cut Meutia Emergency Department with the complaint of shortness of breath that had worsened 1 day prior to admission; the shortness of breath worsened during light activity and when the patient was lying down. She also complained of swelling in both legs for one week prior to admission, which had progressively worsened. On examination, skin turgor was slow to return in the left and right lower extremities; palpation of the neck revealed jugular vein distension. Inspection showed a normal chest contour; auscultation of the lungs revealed rhonchi. Cardiac percussion revealed enlargement of the upper, left, and right borders of the heart, as well as the cardiac border at the level of the waist. Auscultation revealed a murmur at the fourth intercostal space on the left side. Examination of the lower extremities revealed pitting edema on both the left and right sides.  Supportive X-ray examination revealed severe cardiomegaly. An ECG revealed sinus rhythm, an irregular rate of 80 beats per minute, LAD axis, P wave not identifiable, PR interval 0.20 seconds, QRS complex 0.6 seconds, inverted T waves in I and AVL, LVH (+), RVH (-), PVCs, AF, and lateral ischemia. Echocardiography revealed severe aortic stenosis due to RHD and an LVEF of 21%. The patient has been prescribed furosemide, warfarin, bisoprolol, and spironolactone.

This study aims to analyze exegetically and socio-historically the text of Deuteronomy 21:10–14 concerning the treatment of female war captives in ancient Israel. This passage has often been debated as it is perceived to reflect a patriarchal system, thus requiring a comprehensive interpretation to understand its original intent. This research employs a qualitative approach based on library research, utilizing textual exegesis, historical-critical, and literary analysis of the Hebrew text, as well as an examination of the Ancient Near Eastern context. The findings reveal that the legal structure of the text is progressive and regulatory in nature, not legitimizing exploitation but rather restricting male behavior through specific procedures, including a mourning period and a process of social transition for the captive woman. The analysis of Hebrew terminology highlights symbolic meanings related to status transformation, purification, and recognition of the woman's humanity. In its socio-historical context, this law differs significantly from common practices in the Ancient Near East, which often exploited war captives, by imposing limitations on economic and social exploitation and providing a degree of protection. Theologically, the text reflects the function of the Mosaic law as a regulatory framework that introduces justice and humanity within a complex social reality. Therefore, Deuteronomy 21:10–14 is best understood as an ethical effort to limit inhumane practices rather than to endorse them.

This study aims to improve students’ learning outcomes through the implementation of the cooperative learning model of Student Teams Achievement Division (STAD) in the Pancasila Education subject for class VIII A at SMP Muhammadiyah Singaraja. This research employed a Classroom Action Research (CAR) design conducted in two cycles. Each cycle consisted of four stages: planning, action, observation, and reflection. The research subjects were 29 students of class VIII A. Data were collected using learning achievement tests and observation sheets. The collected data were analyzed using descriptive quantitative techniques to evaluate students’ academic progress during each cycle. The findings indicate that the implementation of the STAD learning model contributed positively to improving students’ learning outcomes, participation, and engagement in classroom activities. Therefore, the STAD cooperative learning model can be considered an effective instructional strategy for enhancing learning achievement in Pancasila Education.

The rapid development of modern science and technology has brought major transformations to various aspects of human life, including education, communication, economics, health, and social interaction. Nevertheless, this progress often creates a gap between scientific advancement and spiritual or moral values, particularly when viewed from an Islamic perspective. This study aims to analyze the relationship between modern science and Islamic teachings, while also exploring relevant forms of integration between the two in responding to contemporary life challenges. The research employs a qualitative approach through a comprehensive literature review of books, scientific journals, and other academic sources related to science and Islam. The findings indicate that Islam is fundamentally not opposed to science; instead, Islamic teachings encourage critical thinking, intellectual development, and the pursuit of knowledge for the benefit of humanity. Furthermore, the integration of scientific knowledge and Islamic values is considered essential in maintaining balance between technological progress, ethical responsibility, and human morality. Therefore, continuous and contextual efforts are needed to harmonize science and religion so that both can contribute optimally to the development of a more humane, ethical, and spiritually grounded civilization.

This study aims to analyze the role of the principal in evaluating the Qur’an reading program using the Batiq Izzati method at RA Al-Izzah in Serang City. The principal holds a strategic responsibility in ensuring the quality of education, including the implementation of religious programs that play a crucial role in shaping Islamic character in early childhood. The Batiq Izzati method is an internally developed approach by the Al-Izzah Foundation, designed to facilitate Qur’an reading through a gradual, enjoyable, and child-friendly method. This research employs a descriptive qualitative approach, using data collection techniques such as observation, interviews, and documentation. The findings indicate that the principal has fulfilled eight key leadership roles; however, the evaluation process is not yet optimal due to limited time and insufficient parental involvement. Evaluations are conducted daily by teachers and periodically by the principal to determine students' progress through different levels (jilid). Supporting factors include competent teachers, adequate facilities, and a structured evaluation system, while inhibiting factors involve time constraints and limited human resources. This study recommends strengthening the principal's role in continuous evaluation and fostering better collaboration between the school and parents to enhance the program's effectiveness. 

Introduction: Dengue fever is a viral infection transmitted through the bite of infected female Aedes aegypti mosquito, caused by four dengue virus serotypes (DEN-1 to DEN-4), with clinical manifestations ranging from asymptomatic to severe disease and may be accompanied by warning sign. Concurrent infections, such as acute diarrhea, may worsen outcomes, particularly in children. Case Report: A nine-month-old female presented with a five-day history of intermittent fever and watery diarrhea. Additional symptoms included vomiting, lethargy, and decreased appetite. Physical examination showed a moderately ill appearance and sunken eyes. Laboratory findings revealed positive dengue IgM, negative dengue IgG, thrombocytopenia (22,000/µL), and hematocrit of 37%. The patient was diagnosed with dengue fever with warning sign and acute diarrhea. Management included intravenous crystalloid fluids, antipyretics, antibiotics, H2 receptor antagonists, and zinc supplementation. Conclusion: Dengue with warning sign and concurrent acute diarrhea in children increases the risk of morbidity and mortality. Early and appropriate management is essential to prevent disease progression and improve clinical outcomes.

The governance of natural resources (NR) in Indonesia remains marked by structural inequalities that favor large corporations, while indigenous and local communities are marginalized from access, management rights, and equitable benefit-sharing. Although the Constitution and several laws mandate social justice and ecological sustainability, NR governance practices tend to focus on exploitation and investment acceleration, sacrificing environmental protection and meaningful public participation. This study employs a normative juridical approach to analyze weaknesses in sectoral regulations, overlapping authorities, and their implications for the rights of local communities. Drawing on Satjipto Rahardjo’s progressive justice theory, it offers a reformulation of the concept of “controlled by the state” in Article 33 of the 1945 Constitution as a trustee mandate, rather than a monopoly, placing humans, the environment, and justice as the primary orientation. The proposed legal transformation strategies include revising NR regulations, implementing the Free, Prior, and Informed Consent (FPIC) principle, strengthening community-based management models, recognizing the rights of nature, and establishing participatory oversight mechanisms. This approach is expected to dismantle unequal power relations and direct NR governance toward ecological sustainability, community empowerment, and intergenerational benefit equity.

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.

The low achievement of students in the subject of Islamic Religious Education (PAI) indicates the urgency of pedagogical innovations that can simultaneously escalate engagement and academic performance. In relation to this, this study aims to analyze the effectiveness of implementing the Problem-Based Learning (PBL) model in optimizing the learning outcomes of Islamic Religious Education (PAI) for 11th-grade students at SMAS Nurul Hikmah Jonggol. This study applies the Classroom Action Research (CAR) design based on the Kemmis and McTaggart model, conducted in two cycles, where each cycle includes the phases of planning, action implementation, observation, and reflection. The subjects of the study consisted of 36 students, with data collection instruments in the form of learning outcome tests and instructional activity observation instruments. Data analysis was conducted using a mixed-methods approach; quantitative data were descriptively processed to calculate the class average and the percentage of classical learning completeness, while qualitative data were explored to represent the degree of participation and engagement of students during the learning process. The research results confirm a significant improvement in learning outcomes following the implementation of the PBL model. This is reflected in the fluctuation of the average class score, which increased from 72 at the pre-cycle stage to 80 in Cycle I, and reached 92 in Cycle II. In line with this, the percentage of classical learning completeness also experienced a progressive increase from 66.6% to 86.1% in Cycle I, and up to 97.2% by the end of Cycle II. These findings demonstrate that the PBL model is effective in stimulating learning outcomes, active participation, critical thinking skills, and collaborative skills in PAI learning. Based on this empirical evidence, PBL can be positioned as an innovative and contextual alternative learning strategy to continuously improve the instructional quality of PAI at the secondary education level.

This research is prompted by legal complications within civil procedural law, specifically regarding the failure of judges to identify formal defects in special powers of attorney during the preliminary stages of trial. The central focus of this study examines Decision Number 14/Pdt.G/2025/PN Kba, in which a lawsuit was declared inadmissible (Niet Ontvankelijke Verklaard) only after a seven-month litigation process that had already progressed through evidentiary hearings and local inspections. The objective is to evaluate the effectiveness of the dominus litis principle in empowering judges to provide procedural guidance for lawsuit amendments, while testing its alignment with the principles of simple, fast, and low-cost justice. Employing a normative legal research method with statutory and case-based approaches, the legal materials are analyzed qualitatively using the legal syllogism technique. The findings indicate that the application of the dominus litis principle in the a quo case remains ineffective due to the judges' passive and formalistic tendencies. Such an approach neglects the ex-officio authority mandated under Articles 119 and 132 of the HIR. This ineffectiveness results in significant judicial inefficiency, causing undue loss of time and financial resources for justice seekers. Consequently, this study recommends strengthening rigorous initial screening mechanisms by the panel of judges at the first hearing. This preventive measure is essential to curb the waste of judicial resources and ensure the realization of substantial justice for all disputing parties.

Leprosy remains a significant public health problem in various developing countries, including Indonesia. This disease is caused by Mycobacterium leprae, which attacks the skin and peripheral nerves and can cause long-term physical, psychological, and social impacts if not treated early and adequately. Health-seeking behavior in leprosy patients is also influenced by structural factors such as the availability of health facilities, distance, transportation costs, and the quality of communication between health workers and patients. Research in various endemic countries confirms that friendly, accessible primary health care services that provide comprehensive education can improve early detection and therapy adherence. Patient SA, an 11-year-old child diagnosed with multibacillary (MB) leprosy and has been undergoing treatment for four months. The progression of the disease to MB indicates limitations in early symptom recognition and the family's health-seeking behavior, which may be influenced by low perceptions of disease susceptibility and severity, lack of knowledge, and barriers to accessing health services. However, after the diagnosis was confirmed and education provided by health workers, positive behavioral changes occurred, indicated by the patient's adherence to routine therapy as recommended.