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Narcotics are substances or drugs, whether synthetic or semi-synthetic, derived from plants or non-plant materials that have the potential to cause disturbances or changes in human consciousness. Their use may result in loss of sensation, impaired taste, and, in more severe cases, strong dependency or addiction. While narcotics have undeniable benefits in the fields of medicine, healthcare, and scientific development—particularly in pain management and research—their misuse carries significant risks for both individuals and society. This study adopts a normative legal approach by analyzing existing regulations, statutory provisions, and relevant academic literature regarding narcotics and crime. The findings reveal that narcotics abuse is often closely linked to criminal behavior, as drug dependence can negatively influence psychological stability, decision-making, and social conduct, potentially driving individuals to engage in unlawful acts. Furthermore, crime is a relative concept shaped by context, culture, and societal norms, which means its connection with narcotics requires multidimensional analysis. Law enforcement efforts against narcotics-related crimes have been continuously pursued by authorities through preventive, repressive, and judicial measures, with various court rulings highlighting the gravity of the problem. However, legal enforcement alone is insufficient; a holistic strategy is needed that combines strict law enforcement with rehabilitation, psychological support, and community education. Such a comprehensive approach is expected to reduce narcotics misuse, prevent recidivism, and minimize its destructive impacts. Ultimately, this research seeks to provide deeper insights into the dynamic relationship between narcotics abuse and crime, while offering practical recommendations to achieve more effective solutions for protecting individuals, strengthening social resilience, and promoting public welfare

The Emergency Department (ED) plays a pivotal role as the frontline of hospital services, requiring rapid and accurate response to ensure patient safety and optimal care outcomes. This study aims to analyze the influence of nurse competence and inter-team coordination on the effectiveness of patient transfers from ED to inpatient units, with nurse work motivation as a mediating variable. A quantitative approach was employed with hypothesis testing using path analysis (Structural Equation Modeling - SEM). The study was conducted at Graha Juanda Hospital, Bekasi, involving a sample of 55 nurses selected through total sampling from both the ED and inpatient departments.Primary data were collected through structured questionnaires, and data analysis was performed using SPSS 26 The results demonstrate that nurse competence and team coordination significantly affect service effectiveness, both directly and indirectly through work motivation. The findings also indicate that low work motivation—linked to factors such as limited professional development opportunities and unbalanced workloads—contributes to delays in transferring patients to inpatient care, with the average Length of Stay (LOS) exceeding six hours.The study concludes that improving nurse competence, strengthening inter-team coordination, and enhancing nurse motivation are critical strategies to improve the quality and timeliness of emergency services. This integrated internal performance approach is vital for reducing LOS in the ED and ensuring seamless, patient-centered care transitions.

This study aims to evaluate the financial condition of four private banks, namely Bank Mega, Bank JTrust, Bank Danamon, and Bank Panin listed on the Indonesia Stock Exchange during the period 2015 to 2024. The analysis uses the Risk-Based Bank Rating (RBBR) approach with a quantitative method, where the data source is derived from published annual financial statements. The sampling technique was carried out by purposive sampling with the criteria of financial statements available for the last 10 years and the fluctuations in profits in the last three years. The bank's health assessment is carried out through four main aspects. First, the risk profile is measured using non-performing loan (NPL) ratios and liquidity levels through the Loan to Deposit Ratio (LDR). Second, Good Corporate Governance (GCG) is evaluated based on regulatory compliance and transparency reporting. Third, profitability which includes the return on asset ratio (ROA) and net interest margin (Net Interest Margin / NIM). Fourth, the capital aspect is analyzed through the Capital Adequacy Ratio (CAR). The results of the study show that in general, the four banks are in a healthy condition, especially in terms of capital and governance, which reflects the bank's ability to meet the minimum capital requirements and maintain management practices in accordance with banking industry standards. However, significant differences were found in the risk and profitability aspects. Banks that have less than optimal risk management tend to experience an increase in NPLs, while banks that are more efficient in managing operational costs are able to maintain ROA and NIM at a more stable level. In addition, external factors such as global economic conditions, monetary policy, interest rates, and interbank competition also affect financial performance.

The Maternal Mortality Rate (MMR) remains a key indicator in assessing maternal health in Indonesia. Prolonged labor, particularly in the first stage, contributes to the high MMR. Prolonged labor can increase the risk of complications for both mother and baby. Birthballs are a non-pharmacological method used to help accelerate labor by increasing comfort, reducing pain, and accelerating cervical dilation. This method is increasingly popular because it does not involve medication and is safer for pregnant women. This study aims to determine the effect of birthball use on the progress of first-stage labor in women giving birth at the Cantika Clinic, Deli Tua District, Deli Serdang Regency in 2022. The study design used a Quasi Experiment with a Two Group Design. The study sample consisted of 20 respondents divided into two groups: an intervention group using a birthball and a control group not using a birthball, each consisting of 10 respondents. Data were analyzed using the Mann-Whitney test. The results of the study showed that the group using the birthball had an average duration of the first stage of labor of 7 hours, while the group not using the birthball had an average duration of 8 hours and 40 minutes. The results of the statistical analysis showed a p value = 0.029 (<0.05), which means there is a significant effect of the use of the birthball on the progress of the first stage of labor. The conclusion of this study is that the use of the birthball can accelerate the process of the first stage of labor, so it is recommended to be implemented as a non-pharmacological intervention that can support a smoother and more comfortable delivery for pregnant women.  

Background: HIV/AIDS is an infectious disease that attacks the immune system and is a global health problem. Pregnant women are among the vulnerable groups for HIV infection, so HIV testing during pregnancy is an important step in preventing mother-to-child transmission. However, the utilization of HIV testing by pregnant women is still low in various regions, including at the Peureulak Community Health Center, East Aceh Regency. HIV testing in pregnant women can reduce the risk of vertical transmission and provide an opportunity for appropriate treatment. Objective: This study aims to analyze the relationship between pregnant women's knowledge about HIV/AIDS and the utilization of HIV testing at the Peureulak Community Health Center. Methods: This study used an observational analytical design with a cross-sectional approach. The study sample consisted of 50 pregnant women selected by purposive sampling. Data were collected through a questionnaire consisting of questions about knowledge about HIV/AIDS and utilization of HIV testing. The collected data were analyzed using the chi-square test to see the relationship between the two variables. Results: The results showed that the majority of pregnant women had insufficient knowledge about HIV/AIDS (56%). Utilization of HIV testing is also still low, with 52% of pregnant women not undergoing testing during pregnancy. Bivariate analysis showed a significant association between pregnant women's knowledge of HIV/AIDS and their utilization of HIV testing (p = 0.002). Mothers with good knowledge were more likely to undergo HIV testing (72.7%) than mothers with poor knowledge (28.6%). Conclusion: Good knowledge of HIV/AIDS influences the utilization of HIV testing by pregnant women. Further education is needed to increase pregnant women's awareness of the importance of HIV testing to prevent transmission to the baby.  

Criminal liability, also known as "criminal responsibility," is a legal assessment that is made after all elements of a criminal act are met or evidence of a criminal act is proven. The purpose of this assessment is to determine whether the defendant can be held accountable for the criminal act committed. This study specifically focuses on criminal liability for the perpetrator of murder who is a person with paranoid schizophrenia, as well as the factors that influence the act of murder. The approaches used in this study are normative juridical and empirical juridical juridical The research involved the Judge of the Gedong Tataan District Court and a Psychiatrist at the Regional Psychiatric Hospital of the University of Lampung as the main speakers. Data collection was carried out through literature studies and field studies to obtain a comprehensive picture related to the legal, medical, psychological, and social aspects of the case being studied. The results of the study show that the defendant, even though it is legally proven that he committed a criminal act as stated in Decision No. 105/Pid.B/2023/PN.Gdt, is bound by the provisions of Article 5 letter a juncto Article 44 Paragraph (3) of Law Number 23 of 2004 concerning the elimination of domestic violence. However, based on judicial, medical, and psychological considerations, the defendant cannot be criminally held liable for his actions for excused reasons related to mental disorders. Factors that affect this act of murder include psychological aspects, psychological conditions, mental health, traumatic experiences, and the social and family environment in which the perpetrator grew up. The analysis shows the importance of an integrative understanding between criminal law, psychiatry, and social conditions in determining criminal liability.

Background: Anemia in pregnancy is a public health problem that can increase the risk of serious complications, such as premature birth, maternal and infant mortality, and impaired fetal growth and development. One effort to prevent anemia is by consuming iron tablets (iron supplements). However, the success of this intervention is greatly influenced by the behavior of pregnant women in consuming these tablets, which includes knowledge, attitudes, and actions. If pregnant women have a good understanding and attitude, and implement iron tablet consumption appropriately, the risk of anemia can be reduced. Objective: This study aims to determine the relationship between iron consumption behavior (based on knowledge, attitudes, and actions) with the incidence of anemia in pregnant women at the Kuala Bangka Community Health Center, North Labuhan Batu Regency, in 2022. Method: This study used a descriptive analytical design with a cross-sectional approach. The study sample consisted of 20 pregnant women selected by purposive sampling. Data were collected through a questionnaire covering knowledge, attitudes, and actions of pregnant women regarding iron consumption, as well as the incidence of anemia. Data were analyzed using the Chi-Square test. Results: The majority of respondents had sufficient knowledge (45%), insufficient attitudes (70%), and insufficient iron consumption actions (70%). Moderate anemia was found in 70% of respondents. Bivariate analysis showed a significant relationship between knowledge (p=0.005), attitudes (p=0.001), and practices (p=0.000) and the incidence of anemia in pregnant women. Conclusion: There is a significant relationship between iron consumption behavior (knowledge, attitudes, and practices) and the incidence of anemia in pregnant women. Increased education and support for pregnant women regarding the importance of proper iron consumption to prevent anemia during pregnancy is needed.

Preeclampsia is one of the most serious complications in pregnancy, characterized by hypertension and proteinuria, and it poses a significant risk of maternal and fetal morbidity and mortality if not detected and managed promptly. Early detection is crucial, yet clinical diagnosis often faces challenges due to the variability of symptoms and uncertainty in medical decision-making. To address this issue, this study aims to develop an expert system for diagnosing preeclampsia by employing the Dempster-Shafer method, which is known for its ability to handle uncertainty and incomplete information in complex domains such as healthcare. A case study was conducted at Bidadari General Hospital, where data on clinical symptoms and patient medical records were collected and analyzed. The development process of the expert system followed systematic stages, including knowledge acquisition from obstetrics specialists, designing the knowledge base, constructing inference rules, and integrating the Dempster-Shafer algorithm for decision support. The system was subsequently tested using real-case scenarios of pregnant women suspected of having preeclampsia. Evaluation results demonstrated that the system achieved an accuracy rate of 92% in differentiating between preeclampsia and eclampsia, based on belief and plausibility measures combined with symptom analysis. These findings indicate that the proposed system can effectively support medical personnel by providing diagnostic recommendations with a high degree of reliability. In addition, the system offers efficiency in the clinical workflow by minimizing diagnostic errors and reducing delays in treatment initiation. Therefore, this expert system has the potential to become a valuable clinical decision support tool for early detection, risk assessment, and management of preeclampsia. Future development may focus on expanding the knowledge base, integrating real-time patient monitoring data, and enhancing usability to ensure broader applicability in diverse healthcare settings.

The relocation of the National Capital (IKN) through Law Number 3 of 2022 raises the potential for serious issues related to the land rights of local communities, particularly indigenous communities who have long inhabited and utilized the area. In the context of IKN development, community rights often clash with the interests of the state and investors, thus creating the risk of violations of basic rights, including land rights, which are an important part of their social, cultural, and economic identity. Notaries, as public officials, have a strategic role in ensuring that every process of transferring land rights is carried out legally, fairly, and in accordance with legal provisions. This study aims to analyze the extent to which the IKN Law protects the rights of local communities and how the role of notaries in notarial practice can ensure justice for the parties involved. The research method used is normative juridical with a qualitative approach through a review of regulations, legal doctrine, and an analysis of notarial practices relevant to IKN development. The results show that although the IKN Law contains general norms regarding respect for the rights of local communities, the legal protection provided is still weak and has not been accompanied by adequate technical regulations. The role of notaries in this context has also been suboptimal due to limited scope of authority and the lack of specific guidelines for overseeing the transfer of land rights in the new capital development area. This research emphasizes the need to strengthen derivative regulations and optimize the role of notaries to serve as a crucial instrument in ensuring legal certainty, justice, and the protection of the rights of indigenous communities during the new capital development.

In recent years, Micro, Small, and Medium Enterprises (MSMEs) have increasingly positioned themselves as one of the main pillars of the Indonesian economy, contributing significantly to employment opportunities, income distribution, and economic resilience. In the local context, Cifest Cikarang Selatan represents a dynamic marketplace where various MSMEs operate and directly interact with consumers. An interesting phenomenon emerges during holiday periods, when consumer behavior shows significant changes, especially in terms of purchasing methods and preferences between online and offline channels. This study aims to explore the transformation of consumer behavior, focusing on the comparative analysis of online and offline purchases, and to evaluate its broader implications for the sustainability and competitiveness of MSMEs operating at Cifest. The research adopts a descriptive and analytical approach, using both recent statistical data and supporting literature to provide a comprehensive understanding of the digital era’s influence on shopping patterns. The findings reveal that online purchases continue to grow rapidly due to convenience, wider product access, and promotional offers that attract customers. However, offline purchases remain relevant, particularly for consumers who value direct product inspection, immediate ownership, and social interaction within traditional marketplaces. For MSMEs, this shift presents both challenges and opportunities. Those that rely solely on conventional offline strategies risk losing competitiveness, while those able to integrate digital platforms with traditional sales methods demonstrate greater adaptability and potential for growth. Overall, this study concludes that the sustainability of MSMEs in Cifest Cikarang Selatan depends largely on their ability to embrace digital transformation without neglecting the strengths of offline interactions. By leveraging both channels strategically, MSMEs can not only survive but also thrive in the increasingly competitive market landscape shaped by evolving consumer behavior.

According to the circular letter from the Head of the Inspectorate General (KaIT) regarding the review of mining accident cases in September 2024 and the review of mining accidents in the third quarter of 2024, the percentage of accidents occurring in workshops reached 16.13%. Over the past five years, the Plant Department of PT Saptaindra Sejati Jobsite Sera has experienced two major incidents classified as Lost Time Injury (LTI) resulting from working with lifting equipment on undercarriage components. The purpose of this study is to identify risks, analyze risk levels, and provide recommendations for risk control in the overhaul work of the PC210-10M0 undercarriage. This research applies the HIRADC method by identifying potential hazards through calculations of likelihood and severity levels to obtain the risk level using a risk matrix. Control measures are then carried out through administrative actions such as documentation and the use of personal protective equipment (PPE). The results of this study indicate a decrease in risk levels after implementing risk controls—from extreme risk to medium risk, and from high risk to low risk. Suggestions from this study include the need to develop updated HIRADC for each section, actively conduct socialization regarding Job Safety Analysis (JSA) before work, and perform inspections as well as observations related to work behavior.

This paper explores the transformative influence of artificial intelligence (AI) on the accounting profession, particularly within the Accountant General of the Federation (OAGF). The research investigates how AI-driven innovations are reshaping traditional accounting practices and redefining the role of accountants. By conducting a systematic literature review, this study identifies three primary dimensions of AI’s impact: the automation of repetitive tasks such as data entry, transaction processing, and reconciliation; enhanced data analytics capabilities, which include predictive modeling and real-time decision support; and the evolution of accountants' roles toward more strategic and value-added activities, such as financial advisory and risk management. The automation of routine processes through AI allows accountants to focus on higher-level tasks that require judgment, creativity, and expertise, ultimately enhancing the overall efficiency of the accounting function. Furthermore, AI’s advanced data analytics tools provide more accurate insights, enabling accountants to offer more effective financial guidance and make more informed decisions. As AI reduces the time spent on manual processes, accounting professionals can improve their role in advising on business strategy, improving risk management, and identifying new growth opportunities. The study’s findings underscore the importance of embracing AI in the accounting profession, not only to improve operational efficiency, reduce costs, and scale operations but also to enable accountants to stay competitive in a rapidly evolving technological landscape. The paper concludes by emphasizing that adopting AI is essential for accountants to remain relevant and continue providing valuable contributions to their organizations. Future research should focus on the long-term implications of AI on accounting ethics and the development of necessary skills for accounting professionals to thrive in the age of AI.

This study examines the institutional discourse and administrative practices of the Secretariat of the Regional People’s Representative Council (DPRD) in the newly established province of Southwest Papua, Indonesia. Utilizing a qualitative content analysis approach, the research analyzes a corpus of official documents produced between 2022 and 2025, with particular attention to how the principles of good governance—transparency, accountability, participation, and effectiveness—are reflected and operationalized in a transitional bureaucratic setting. The findings reveal that while procedural transparency and organizational effectiveness are relatively well-articulated in formal documents, mechanisms for accountability and citizen participation remain underdeveloped and largely symbolic. This indicates that the new administrative structures are still in the process of consolidating practices that meaningfully incorporate civic engagement. The study further identifies significant patterns of institutional isomorphism, wherein bureaucratic templates, legal frameworks, and administrative routines from older provincial governments are mimicked and reproduced. Although such imitation provides a sense of stability and legitimacy, it may come at the expense of local relevance and the incorporation of context-specific innovations. In particular, reliance on inherited bureaucratic models risks marginalizing indigenous governance traditions and community-driven practices that could enhance inclusivity and responsiveness. The analysis underscores the performative and symbolic dimensions of governance during periods of institutional formation, highlighting the tension between adopting established administrative norms and fostering context-sensitive practices tailored to the realities of frontier provinces. Methodologically, the study demonstrates the value of document analysis in capturing governance dynamics where field access is limited, politically sensitive, or constrained by security issues. The study concludes by offering practical recommendations: strengthening participatory frameworks to ensure more substantive public involvement, integrating indigenous governance values to enhance legitimacy, and designing flexible policy models that can adapt to the unique sociopolitical challenges of Southwest Papua. In doing so, the research contributes both to the broader scholarship on governance in post-conflict and frontier regions and to the practical debates on institutional development in Indonesia’s newest province.

This study examines disaster mitigation efforts in minimizing disaster risk in Manado City and identifies the key challenges as well as the strategies implemented by the Regional Disaster Management Agency (BPBD: Badan Penanggulangan Bencana Daerah). Employing a qualitative descriptive approach, data were collected through interviews, direct observations, and document analysis, with the Head of BPBD serving as the primary informant. The analysis was conducted using Miles et al.’s (2014) interactive model, which consists of data condensation, data display, and conclusion drawing, thereby ensuring systematic interpretation of findings.The results indicate that disaster mitigation efforts in Manado consist of both passive and active strategies. Passive measures include strengthening institutional frameworks, enhancing governance capacity, integrating disaster management planning into regional development programs, and advancing education and research to support long-term disaster risk reduction. In contrast, active mitigation emphasizes community-based actions, such as the installation of disaster warning signs, the provision of basic disaster training for officials and volunteers, the establishment of temporary evacuation shelters, and the implementation of both structural interventions (e.g., drainage construction, flood control) and non-structural measures (e.g., socialization, counseling, and public campaigns). Despite these initiatives, several challenges persist. Limited public awareness, inadequate infrastructure and facilities, a shortage of skilled human resources, weak planning and socialization, complex disaster causes, and environmental vulnerabilities all reduce the overall effectiveness of disaster risk reduction efforts. To address these obstacles, BPBD Manado fosters collaboration with various stakeholders, including government institutions, academia, non-governmental organizations, and local community groups. Moreover, the agency emphasizes the use of disaster risk assessments and hazard mapping as evidence-based foundations for policy formulation and implementation.

Hypertension is a Non-Communicable Disease (NCD) whose prevalence continues to increase from year to year, especially in the elderly. This condition is a serious challenge in the field of public health because hypertension can increase the risk of cardiovascular disease, stroke, and kidney failure if not properly managed. The high incidence of hypertension in the community, especially in Grujugan Hamlet, RT. 07–10, Bantul Village, has become a concern in community-based promotive and preventive efforts. Therefore, this community service activity aims to increase the knowledge and awareness of the elderly about hypertension through a direct screening and health education approach. The implementation method includes blood pressure checks (initial screening), counseling using educational media such as leaflets, posters, and interactive presentations, and evaluation of understanding through filling out pre- and post-tests. A total of 24 elderly people participated as respondents in this activity. The screening results showed that the majority of participants (62.5%) were in the Hypertension Level 2 category, while the other 8.3% were in the Hypertension Crisis category. Before the education, pre-test results showed that 58.3% of elderly people had low knowledge about hypertension. However, after the education, 75% experienced an increase to a high level of knowledge. Statistical analysis using the Wilcoxon Signed Rank test showed a significant difference between pre-test and post-test scores (p < 0.001), indicating that the health education provided was effective in improving participants' understanding. This activity has had a positive impact on improving health literacy and can serve as the basis for developing sustainable, community-based, participatory hypertension prevention programs.

This study analyzes the role of the Manado City Regional Disaster Management Agency (BPBD) in managing natural disasters and examines the challenges faced, along with efforts to overcome them. A qualitative descriptive approach was used, with data collected through interviews, observations, and documentation involving key informants, such as the Head of BPBD Manado City. The data were processed using Miles et al.’s (2014) interactive analysis model, which includes data condensation, data display, and conclusion drawing. The findings reveal that BPBD plays three primary roles in disaster management. First, as a coordinator, BPBD acts as a command center, ensuring effective collaboration between government agencies, military (TNI), police, NGOs, and volunteers during disaster events. Second, as a regulator, BPBD formulates administrative and technical policies, including disaster management plans based on risk assessments and stakeholder-driven frameworks. Third, as an executor, BPBD directly implements activities in disaster management, including preparedness, emergency response, and post-disaster recovery, with an Incident Commander maintaining operational control during emergencies. Challenges faced by BPBD include low public discipline, limited awareness of disaster risks, inadequate equipment, and insufficient human resources in both quality and quantity. To address these issues, BPBD has initiated several efforts, including capacity building through training programs, promoting community-based disaster management, and establishing partnerships with national and international institutions such as UNDP and FAO. These efforts highlight the significance of an integrated, participatory, and coordinated disaster management system at the local government level. The study underscores the need for continued improvement in disaster management capabilities and community involvement.

This study aims to analyze the role of authenticity in branding communication conducted by Key Opinion Leaders (KOLs) and its impact on consumer trust, emotional engagement, and brand loyalty. Employing a library research approach, data were collected from scholarly literature published between 2021 and 2025 relevant to authenticity, brand communication, and KOL-based marketing. The analysis reveals that authenticity serves as a key element linking brand values to positive audience perceptions, which subsequently influence brand equity and purchase intention. Furthermore, this research highlights that authenticity in digital marketing is not merely a rhetorical claim but a relational practice that shapes how consumers evaluate credibility and trustworthiness. Strategic communication practices such as narrative storytelling, transparent sponsorship disclosure, and value alignment significantly strengthen the credibility of both KOLs and the brands they represent. Authentic storytelling allows audiences to connect with the personal experiences of KOLs, thereby enhancing identification and fostering long-term engagement with the brand. However, this study also identifies several challenges in maintaining authenticity, including risks of over-commercialization, inconsistencies in message delivery, and misalignment between KOL identity and brand values. When audiences perceive exaggerated promotional tactics or lack of transparency, their trust can diminish, ultimately weakening brand loyalty. Therefore, the sustainability of authenticity requires continuous monitoring, adaptive strategies, and consistent ethical practices in brand communication. The findings affirm that authenticity is both a strategic differentiator and a fragile asset, requiring deliberate and sustained management in the competitive digital marketplace. By recognizing authenticity as a multidimensional construct—encompassing transparency, value congruence, and emotional resonance—brands and KOLs can collaboratively enhance audience engagement while preserving credibility. This research contributes to the development of more effective branding communication strategies through KOLs and offers practical guidance for marketers to navigate authenticity challenges in an era dominated by digital interactions and consumer skepticism.

Nutritional issues among toddlers continue to be a pressing public health challenge in Indonesia, including in Kelurahan Pekan Kuala, where although anthropometric data have been systematically collected through the e-PPGBM application, they have not been thoroughly explored in terms of clustering patterns that may provide deeper insights. This study seeks to classify toddler nutritional status by applying the K-Means Clustering method to anthropometric indicators such as age, weight, height, and weight-to-height index. A dataset consisting of 648 entries recorded between January and March 2025 was processed using MATLAB R2014b with cluster variations set at 5, 7, and 9. The analysis revealed that the majority of toddlers were categorized as having good nutritional status, while a portion of the sample was identified as undernourished and some at risk of overnutrition, indicating the diverse nutritional challenges faced by this community. Furthermore, testing the variance across cluster configurations demonstrated that the 9-cluster model yielded the lowest variance score of 0.20, thereby representing the most optimal solution since it produced more homogeneous, balanced, and stable clusters compared to other configurations. These outcomes highlight the importance of data-driven approaches in public health planning, as the clustering results not only provide a clearer picture of nutritional distribution among toddlers but also serve as a foundation for more evidence-based and targeted intervention strategies. By offering a more granular understanding of nutritional variations, this research is expected to support local health authorities in developing customized nutrition programs, allocating resources more effectively, and ultimately improving child health outcomes in Kelurahan Pekan Kuala and similar communities across Indonesia, where malnutrition and overnutrition risks continue to coexist.

ST-Elevation Myocardial Infarction (STEMI) is one of the manifestations of acute coronary syndrome (ACS) and is a leading cause of disability and death worldwide. The mortality rate for STEMI is reported to reach 6%–14% of all ACS deaths. Reperfusion therapy is the primary treatment, with fibrinolytics an important option, especially in healthcare facilities that do not have the capacity to perform primary Percutaneous Coronary Intervention (PCI) in less than 12 hours. The success of fibrinolytics is influenced by various risk factors, such as hypertension, dyslipidemia, diabetes mellitus, a history of heart disease, and the duration of the attack. This study aims to determine the relationship between these factors and the success rate of fibrinolytics in STEMI patients. This study used a retrospective descriptive design with a cross-sectional method. The sampling technique used total sampling of patients diagnosed with STEMI and receiving fibrinolytic therapy according to inclusion and exclusion criteria at Dr. Fauziah Hospital. Statistical analysis was performed using the Chi-Square correlation test to assess the relationship between clinical variables and fibrinolytic success. The results showed no significant association between hyperglycemia (p = 0.823), hypertension (p = 0.240), or a history of heart disease (p = 0.704) and fibrinolytic success. Similarly, the onset of stroke variable did not show a significant association with reperfusion outcomes. In conclusion, classic risk factors such as hyperglycemia, hypertension, and a history of heart disease were not associated with fibrinolytic success in STEMI patients at Dr. Fauziah Hospital. These results suggest that fibrinolytic success is likely influenced by other factors, such as timing of drug administration, protocol adherence, and individual variation in response to therapy. Further research with a larger sample size and a prospective design is recommended to strengthen these findings.

The purpose of this study is to identify the variables that affect profit growth.  Profit growth is the study's dependent variable, and premium income, claim payments, risk-based capital, and investment returns are its independent variables.  Information was gathered from insurance firms that were listed between 2019 and 2023 on the Indonesia Stock Exchange.  Ten businesses that satisfied specific requirements made up the study's sample.  To get a complete picture of the link between one variable and another, multiple linear regression analysis was employed as the study approach, with a 5% confidence level.  The factors Premium Income, Claim Payments, Risk-Based Capital, and Investment Returns all had a somewhat significant impact on Profit Growth, according to the partial test results. The factors Premium Income, Claim Payments, Risk-Based Capital, and Investment Returns all had a substantial impact on Profit Growth at the same time, according to the results of the simultaneous test.  It is anticipated that other businesses listed on the BEI will use the study's findings as a guide to focus more on financial ratios in order to boost their profits.