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Islamic microfinance institutions (IMFIs) in Indonesia have experienced notable progress in line with the growing public interest in Islamic economic principles. However, the competition between Islamic and conventional microfinance sectors is becoming increasingly intense. The LKMS BTM Artha Surya Cooperative, located in Tegal Regency, is currently facing pressure due to this competitive environment and must formulate an effective strategy to sustain and grow its business. This study aims to formulate a strategy using the Blue Ocean Strategy framework as an alternative to overcoming business rivalry. A qualitative approach was employed, gathering primary data through interviews and field observations at BTM Artha Surya Tegal, supported by secondary sources from relevant literature. The findings reveal that BTM Artha Surya has undergone transformation into Baitul Tanwil Muhammadiyah (BTM) Artha Surya and now provides various Sharia-compliant financing services. This research further elaborates on the murabahah financing process, including the recognition, measurement, and disclosure practices implemented in the financial statements of BTM Artha Surya Tegal.

Village economic empowerment through the One Village One Product (OVOP) concept can improve community welfare. Tegal Village, Bogor Regency, has the potential of Moringa leaves (Moringa oleifera), which are rich in nutrients and can be used as healthy food to help prevent stunting. This study aims to develop Moringa leaf-based cookies as an innovative OVOP product to improve the village economy and address stunting. The method used is Participatory Action Research (PAR), involving PKK women in cookie-making training, and an experimental approach to find the best formulation. The results show that Moringa leaf cookies have high nutritional value, a crunchy texture, a pleasant taste, and good market potential. This activity also enhances women's skills in processing local ingredients into high-value products. With this innovation, the community gains both nutritional benefits and new business opportunities through MSME development. This product is expected to become a sustainable village flagship and support efforts to reduce stunting rates. The results demonstrate local resource-based innovation as an effective solution for improving community welfare and health.

Tegalwaru Village in Ciampea District, Bogor Regency, possesses substantial potential for sustainable Micro, Small, and Medium Enterprise (MSME) development, yet faces challenges in marketing and digital adoption. This study aims to analyze the progress of MSMEs in Tegalwaru, focusing on production, marketing strategies, and ecotourism integration to enhance economic growth. Using a qualitative descriptive approach, data was collected through in-depth interviews with MSME actors, field observations, and document analysis. Findings indicate that while MSMEs have advanced in product diversification and production capacity, their growth is hindered by limited digital marketing skills and inadequate access to capital. Conversely, the village’s rich natural and cultural resources present significant opportunities for ecotourism, which could synergize with MSMEs to boost local income sustainably. The study highlights the need for targeted interventions, including digital literacy training, improved financing access, and collaborative efforts among MSMEs, local government, and tourism stakeholders. By strengthening these aspects, Tegalwaru can achieve holistic MSME development, fostering economic resilience and community welfare. The research underscores the importance of integrating MSMEs with ecotourism as a strategy for inclusive and sustainable rural development.

Community behavior is the most important role to prevent and break the chain of DHF disease transmission by eradicating DHF mosquito larvae by conducting Mosquito Nest Eradication (PSN) activities through 3M Plus. The role of jumantik cadres is very important in changing people's behavior towards Mosquito Nest Eradication (PSN). The purpose of this study was to analyze the relationship between the role of jumantik cadres and dengue prevention behavior in Pacul Village, Talang Subdistrict, Tegal Regency. This type of research is descriptive correlation with cross sectional approach. The sample was 92 respondents using proportional simple random sampling technique. Data collection used a questionnaire of the role of the jumantik cadre and a questionnaire of Dengue Fever prevention behavior made by the researcher. Rank Spearman correlation test obtained a p value of 0.000 (P <0.05). Indicates that Ho is rejected and Ha is accepted. So it can be concluded that there is a significant relationship between the role of jumantik cadres and dengue prevention behavior in Pacul Village, Talang Subdistrict, Tegal Regency.

Bronchopneumonia is an inflammation of the lung parenchyma that extends to the bronchioles, which can be understood as inflammation of the lung tissue with direct spread through the respiratory tract to the bronchi (Hapsari et al., 2022). The purpose of this writing is to understand the nursing care process for Mrs. S with respiratory system disorders: bronchopneumonia in Dahlia Ward, RSUD dr. Soeselo Tegal Regency. This writing method uses a descriptive approach with a nursing process approach. The results of the nursing care found that the patient had shortness of breath, productive cough, and ronchi sounds; the patient and family were unaware of the disease. The nursing diagnoses identified were ineffective airway clearance and knowledge deficit. Interventions were carried out based on SIKI (Indonesian Standard for Nursing Care) and implementation was based on the designed interventions. Evaluation of the two diagnoses revealed that one diagnosis, the knowledge deficit, was resolved, while the issue of ineffective airway clearance was partially resolved. The results of the nursing care were consistent with the theory. This writing is expected to improve skills in providing nursing care.

Long jump is one of the branches of athletics. As we know, athletics involves physical activities or exercises that consist of natural movements such as walking, jumping, and throwing. Various methods in athletics have been practiced since the early history of humankind. History indicates that in ancient classical times, athletics was conducted in an organized and structured manner, and over time, its programs underwent changes and improvements based on healthy ideas. Today, athletics is a complex sport that includes various tests based on the requirements of its implementation. Observation results show that a long jump athlete is required to achieve maximum jumps (distance), which is measured from the take-off board to the nearest point of landing. Preliminary studies revealed that students were not achieving optimal results in long jump performances. The evident obstacles include a lack of facilities and infrastructure to support long jump training and a shortage of qualified teachers to instruct physical education. As a result, the training techniques used appear monotonous and boring for the students. Thus, the research question posed is: what is the effect of modifying the take-off board on the results of the squat-style long jump among students of SDN 06 Tegalsari, Ampelgading District, Pemalang Regency? The method used in this study is the experimental method. Theoretically, the definition of an experiment according to Umar (2018:161) is "a trial in which each step of the action has been defined in such a way that information related to or required for the problem being investigated can be collected.

Cholelithiasis or gallostones is a digestive tract disease caused by the accumulation of solid mass deposits in the vesica fellea ar gallbladder. The purpose of this paper is to find out and provide nursing care to Mr. S with cholelithiasis is the dahlia ward of dr. Soeselo hospital, Tegal Regency according to nursing standards. The methods used were interviews, medical history, physical examinations and laboratory examination results and diagnoses to create basic assessment data. From the case review, it was found that the patient’s main complaint was shortness of breath. The nursing problems found were hypervolemia and knowledge deficit. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and could be implemented.

Pleural effusion is an excessive accumulation of fluid in the pleural cavity, which causes disruption to the respiratory system. This condition can inhibit lung function and cause severe shortness of breath and chest pain. This study aims to apply nursing care to Mr. B who was diagnosed with pleural effusion in the hospital. B who was diagnosed with pleural effusion at RSUD dr. Soeselo, Tegal Regency. The research method used was a case study with a nursing approach consisting of assessment, nursing diagnosis, intervention, implementation, and evaluation. Based on the evaluation results, the interventions carried out such as the installation of Water Seal Drainage (WSD), oxygen administration, and health education are effective in improving the quality of breathing and reducing the symptoms experienced by patients. It is hoped that this study can be a reference in the management of patients with pleural effusion in the clinical environment.

Bronchopneumonia is an inflammatory condition of the lung parenchyma caused by microorganisms. Microorganisms enter the lungs through the respiratory tract into the bronchioles and alveoli and stimulate epithelial cells to produce mucus, causing accumulation of secretions in the alveoli (Utami et al., 2023). According to data from (WHO, 2022) In 2019, 740,180 people died from bronchopneumonia, which caused 14% of deaths in children under 5 years. The number of bronchopneumonia cases in children in developing countries is 82% higher compared to 0.5% cases in developed countries (Syahrinisya et al., 2024). The purpose of this writing is for the author to be able to create and apply nursing care to Patient. K with respiratory system disorders: bronchopneumonia at dr. Soeselo, Regional Hospital, Tegal Regency. The method used is that the nurse will collect basic data in the form of assessment from interviews, physical examination, observation, laboratory examination results and diagnosis. From the case review, it was found that the main complaint was that the client's mother stated that her child was coughing up phlegm. There were three diagnoses found, namely ineffective airway clearance, anxiety, knowledge deficit. Interventions are structured based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

A fracture or what is called a broken bone is an event that often occurs due to trauma or physical exertion which can cause disability and even complications (Appley & Solomon, 2021). The signs and symptoms in fracture patients include pain. The purpose of this writing is to find out and provide nursing care to An. E with musculoskeletal system disorders: post-operative open reduction internal fixation right clavicle fracture in the rose room 2 RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that An's main complaint was. E complains of pain. There were two diagnoses found, namely acute pain, impaired skin and tissue integrity. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

Post partum is the period after giving birth or also known as the postpartum period, namely the period needed for the uterine organs to recover to their pre-pregnancy state, the postpartum period starts from the birth of the baby and lasts for 6 weeks or 42 days (Saudah & Certainlya, 2023). The purpose of this writing is to find out and provide nursing care to Mrs. A with spontaneous post partum in the Nusa Indah room at Dr. RSUD. Soeselo, Tegal Regency. The methods used are descriptive methods and data collection methods. From the case review, it was found that the client's main complaint was that there were no complaints of occasional pain. There were two nursing diagnoses found, namely risk of infection and knowledge deficit. Interventions are structured based on theory on the SDKI, SLKI, and SIKI as well as on the client's condition and can be implemented.

Abdominal pain is a general term for any symptom of a disease that affects the area between the chest and pelvis (abdominal wall) depending on the severity, duration and location of the pain. The purpose of this paper is to find out and provide nursing care for Ms. S with digestive system disorders: abdominal pain in the dahlia ward of dr. Soeselo hospital, Tegal Regency according to nursing standards. The data collection techniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the client’s main complaint was abdominal pain in the upper left side, P: pasin when eating spicy food (pain decreases when lying down), Q: like being pressed, R: upper left abdomen quadrant 2, S: pain scale 5, T: continuous. The nursing problems found were acute pain, nausea and knowledge deficit. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Tumor is a disease that is currently one of the health problems that causes death, soft tissue tumor or soft tissue tumor is an abnormal lump that is formed due to the growth of new cells (Irsal et al., 2020). The signs and symptoms in soft tissue tumor patients include pain due to the surgical process. The purpose of this writing is to find out and provide nursing care to Mr. A with a medical diagnosis post-operative soft tissue tumor (STT) left flank in the rose room 2 RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that Mr. A complains of pain. Three diagnoses were found, namely acute pain, impaired physical mobility and knowledge deficit. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.    

Atypical endometrial hyperplasia which is an endometrial charismatic lesion triggered by estrogen in endometrial tissue with a relative deficiency of the imbalanced effect of progesterone deviation (Hum reprod, 2019). The purpose of this paper is to find out and provide nursing care to Mrs. S with post-laparotomy surgery indications of atypical endometrial hyperplasia in the Nusa Indah room of Dr. Soeselo Hospital, Tegal Regency. The method used is a descriptive method and data collection method. From the case review, it was found that the client's main complaint was post-operative abdominal pain. There are two nursing diagnoses found, namely acute pain and risk of infection. Interventions are arranged based on the theory of SDKI, SLKI, and SIKI as well as on the client's condition and can be implemented.      

Diabetes mellitus, also called diabetes, is a serious disease caused by the inability of the pancreas to produce insulin effectively, leading to an increase in blood glucose. In recent years, the number of diabetes cases has increased (Masturoh & Anggita, 2018). According to WHO data, Indonesia occupies 7th position in the world with 10 million people suffering from diabetes and it is estimated that there will be 21.3 million people in 2021. Because it is the only country in Southeast Asia with the highest number of diabetes mellitus sufferers, Indonesia contributing to the increasing prevalence of diabetes in Southeast Asia (Anisah et al., 2023). The purpose of this writing is to find out and provide nursing care to Mrs. D with endocrine system disorders: diabetes mellitus in the kemuning ward of RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The method used is descriptive and data collection methods. From case observation, it was found that the main complaint was weakness. There were three diagnoses found, namely instability of blood glucose levels, acute pain and knowledge deficit. Interventions are structured based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

Fever or hyperthermia is a natural response of the body to fight infections that enter the body and is a sign of an illness. It is said to have a fever if the body temperature exceeds normal body temperature, namely reaching > 37.5°C. The cause of hyperthermia can be due to infectious and non-infectious factors. The World Health Organization (WHO) states that the number of fever cases worldwide ranges between 16 and 33 million, with 500 to 600 thousand deaths per year. The aim of this scientific paper is to provide nursing care to patients with hyperthermia at Dr Soeselo Regional Hospital, Tegal Regency. As a result of the assessment, the patient complained of fever accompanied by coughing, his body temperature reached 39.1°C. Nursing problems that arise are hyperthermia, anxiety and knowledge deficit.

Caesarean section (CS) delivery is a surgical process to deliver a fetus through an incision in the abdominal wall and uterine wall. The purpose of this paper is to determine and provide nursing care for Mrs. Swith post-operative cesarean section indications of fetal distress in the Nusa Indah ward of dr. Soeselo hospital, Tegal Regency in accordance with nursing standards. The method used is descriptive with a case study approach. The data collection tchniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the client’s main complaint was pain in the surgical stitches, P: pain when moving, Q: pain like being pressed, R: pain in the surgical stitches, S: scale 5, T: intermittent. The nursing problems found were acute pain, impaired skin/tissue integrity and knowledge deficit. Interventions were arranged based on the theory in DKI, SLKI and SIKI as well as on the client’s condition and could be implemented.  

The post partum period is divided into three, namely early puerperium (immediate puerperium) or recovery period 0-24 hours after delivery, immediate puerperium (later puerperium) or recovery period 1-7 days after delivery and remote puerperium (later puerperium) or the period to recover and be completely healthy (Rohmah et al, 2022). The purpose of this paper is to find out and provide nursing care to Mrs. S with postpartum in the Nusa Indah ward, dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies, library studies and literature. From the case review, it was found that the patient’s main complaint was pain in the stitches in the birth canal, P: pain when moving, Q: pain like being pressed, R: pain in the stitches in the birth canal, S: pain scale 5, T: intermittent. There were 2 diagnoses found, namely labor pain and knowledge deficit. Interventions are designed based on the theories in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Inguinal hernia is a condition where an organ protrudes into a cavity through a thin or weak part of the wall. The small intestine is usually the organ that enters the cavity, causing the protrusion. In 2018, hernia ranked 8th in Indonesia with a total of 18,145 cases or around 1.05%. The number of hernia cases in Central Java is estimated to be over 500, or approximately 1.01% of cases. If an inguinal hernia is not treated promptly, it will continue to grow and exert significant pressure on the surrounding tissues. A common consequence of untreated hernia is that it will enlarge and interfere with the patient's daily activities. One of the complications of hernia is swelling around the lump. One of the treatments for hernia is surgery. The writer is expected to provide optimal nursing care for patient. S, who has experienced a right lateral inguinal hernia post- operatively following herniorraphy in Mawar 2 ward of dr. Soeselo Regional Hospital, Tegal Regency.

Fractures can lead to disabilities in individuals, which may result from trauma due to accident (Ramadhan & Pristianto, 2022)s. The purpose of this paper is to develop and apply nursing care for Mrs. M, who underwent post-operative hemiarthroplasty for a femoral neck fracture, in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. This paper utilizes a descriptive method with a focus on the nursing process approach. The results of the nursing care show that the patient reports pain at the surgical site on the upper right leg, post-operative hemiarthroplasty, with pain described as a pulling sensation in the upper right leg, at a pain scale of 6, and continuous. The client states that she can only lie in bed, with all post-operative activities being assisted by family members. She also reports that she has not received health education on early mobilization and has limited understanding of early immobilization. The nursing diagnoses identified are acute pain, impaired physical mobility, and knowledge deficit. Interventions were based on the SIKI (Nursing Care Standards) and implementation followed the planned interventions. Upon evaluation, one diagnosis—knowledge deficit—was resolved, acute pain was partially resolved, and impaired physical mobility remained unresolved. The results of the nursing care are consistent with the theory. This paper aims to improve skills in providing nursing care.