Publication Search

Child abuse is a problem that requires special attention in determining the sanctions that will be borne by the child perpetrator considering that children are a gift from God Almighty whose dignity and honor must be maintained. The methods used in this study are Normative Juridical and Empirical Juridical. The sources of this study were the Head of Sub-unit 1 of the PPA Unit and Lecturers at the Criminal Law Section of the Faculty of Law, University of Lampung. The data obtained were analyzed qualitatively. The results of this study are: (1) The implementation of diversion at the Bandar Lampung Police is in accordance with the provisions contained in Article 7 paragraph (1) of Law Number 11 of 2012 concerning the Juvenile Criminal Justice System that at the level of investigation, prosecution, and examination of cases of children, diversion must be attempted, but it has not been running optimally.. (2) The inhibiting factors for the implementation of diversion as a resolution of criminal cases of child abuse at the Bandar Lampung Police are: lack of public trust in the diversion rules, lack of Bapas personnel, difficulty in bringing together the related parties, and several internal and external factors.

Pelvic organ prolapse is a disease that combines a group of disorders of the ligamentous apparatus of the uterus and vagina, leading to prolapse and prolapse of the internal genital organs, manifested by displacement of the genitals to the vaginal inlet or prolapse beyond its redistribution. A case has been reported from a female patient aged 53 years with complaints of lumps coming out of the vagina. The complaint begins with discomfort and feels like there is a burden on the pelvis. The complaints felt by the patient were aggravated when squatting and lifting heavy objects that made the lump come out of the vagina, the lump decreased when sitting and lying down. On physical examination, it was found that the uterine mass came out of the vaginal introitus in a round shape of pink, the distal part of the uterine prolapse decreased by 1.6 cm from the hymen and no more than TVL (Total Vaginal Length) by 2 cm. Management in patients with operative measures is the laparotomy with total hysterectomy.

A 68-year-old man came to the polyclinic at a type A hospital in West Sumatra with complaints of pain in the right eye since 3 weeks before coming to the hospital. Anamnesis and physical examination were performed on the patient and a diagnosis of phacolytic glaucoma was established. This article aims to report a case of phacolytic glaucoma which is a rare case of secondary open-angle glaucoma.

The impetus driving this investigation is fundamentally that a trilingual curriculum is essential to prepare students for global competitiveness due to their mastery of English. and Arabic. This research aims to explore the execution, evaluation, and find out the difficulties and obstacles in the trilingual program based on holistic education at Daarul Huda Islamic Boarding School Sukoharjo. This research method is descriptive qualitative. This study employs various data gathering methods including interviews, observations, documentation, and surveys. The technique for analyzing data entails three phases: data reduction, data representation, and conclusion drawing. The findings of this research reveal that the execution of the trilingual program manifests as the use of English in English classes. The assessment of the bilingual program, based on a holistic educational approach, incorporates practice, training, and enrichment activities. Challenges and hurdles faced include students’ incomplete comprehension of the learning process conducted in English. This research concludes that the execution of a holistic education-oriented bilingual program is achieved through the application of three distinct curricula featuring diverse methodologies, the recruitment of educators proficient in English, and the incorporation of mixed languages during instruction. Teacher evaluations are performed through monthly meetings organized by school administration, while student evaluations occur through daily assignment reviews, mid-term exams, and final examinations. The challenges encountered include varying student capabilities, diverse family support levels, and some students’ lack of understanding regarding the advantages of language education.

Colorectal cancer is a malignant epithelial tumor originating from colorectal mucosa. Clinicopathology factors including age, gender, location, histopathological type, differentiation, depth of invasion, lymph node metastasis, and lymphovascular invasion are known affect the prognosis. This study aims to determine the clinicopathological characteristics of colorectal cancer at Anatomical Pathology Laboratory RSUP. Dr. M. Djamil Padang in 2017-2020 This study was descriptive observational with total sampling technique from medical records. Samples included all colorectal cancer patients in 2017-2020 who were fulfilled inclusion criteria, with total 251 samples. The results showed that the most patiens were female (52.2%), the age group were > 50 years (66.1%), mostly located in the rectosigmoid (71.7%). Most of the histopathological types were adenocarcinoma (79.7%), with low grade differentiation (88.8%). More than a half of tumor invasion was at T3 (58.2%). Mainly metastatic status to lymph nodes was Nx (54.2%) and lymphovascular invasion were positive in 60% samples that included the lymphovascular invasion examination. The conclusion of this study is most of colorectal cancer in Anatomical Pathology Laboratory RSUP. Dr. M. Djamil Padang in 2017-2020 are in advanced stage, Early detection needs to be done so that colorectal cancer can be diagnosed at an early stage.

Anemia in pregnant women is a serious health problem in Indonesia, with a prevalence of 48.9% based on the 2018 Riskesdas data. This condition can have negative impacts on the health of both the mother and the fetus, such as increased risks of premature birth, low birth weight babies, and maternal and infant mortality. Anemia in pregnant women is generally caused by deficiencies in iron, folic acid, and vitamin B12. This community service activity aims to educate the public about preventing anemia among pregnant women, conducted at the Dahlia Posyandu in the working area of Puskesmas Ariodillah Palembang. The activities include outreach on the signs, symptoms, causes, and prevention of anemia, as well as hemoglobin (Hb) level examinations for early detection of anemia. The methods used are interactive socialization and health examinations, involving posyandu cadres and the surrounding community. The examination results indicate that no pregnant women were found to be anemic, and participants’ knowledge of anemia increased by 95% after attending the outreach. This activity is expected to raise public awareness of the importance of anemia prevention and health during pregnancy. Recommendations for follow-up programs include ongoing education, improving access to health services, and attention to the health of the elderly in the area.

This study aims to find out and analyze the obstacles in the process of investigating sexual violence against women with disabilities in the jurisdiction of the Ende Resort Police This research is an empirical juridical research, with field study data collection techniques with interview studies and literature studies. The data obtained were then presented in a qualitative descriptive manner. The results of this study show that: (1) the obstacles experienced by the Ende Resort Police investigators come from various factors such as Legal Factors, namely the unavailability of examination operational standards for people with disabilities; Factors of Law Enforcement Officials, lack of understanding of the apparatus regarding disabilities, limited investigation budget, difficulty in finding witnesses; Facilities and Infrastructure factors, lack of accessibility of buildings and rooms and unavailability of sign language interpreters; Community Factor, the community is less cooperative and the perpetrator escapes. (2) Efforts made include: capacity training for investigating officers, provision of facilities and infrastructure, submission of additional fees, cooperation with the ranks of the Police in finding escaped criminal offenders, and approaches through socialization to the community.

The examination of a criminal case in the judicial process is essentially aimed at finding the material truth of the case. Along with the increase in criminal cases with various motives and modes, science is needed to support the interests of law enforcers. Forensic medicine or also known as judicial medicine is becoming increasingly important for the judicial process to obtain justice.  This research discusses evidence in the crime of persecution from the point of view of forensic law. In this research, the author uses normative legal research methods using legal sources from primary legal materials in the form of environmental law legislation and secondary legal materials in the form of books and articles on waste management. The conclusion obtained in this paper is that Visum et Repertum is one of the valid evidence in the process of proving persecution cases, the role of forensic doctors can be as Visum et Repertum makers and doctors as expert witnesses.

Impaired cognitive function is still a serious health problem that can cause psychological and socio-economic impacts in the form of social isolation and financial difficulties, delayed mobility, and worsening of other symptoms as well as reducing quality of life. As a basis for elderly health services, it is hoped that healthy elderly people will remain healthy. by optimizing physical, mental, cognitive and spiritual functions, through promotive and preventive efforts, including elderly empowerment activities. This counseling aims to assess cognitive function using the Mini Mental State Examination (MMSE) in the elderly at Posyandu for the elderly RW 8 Tanjung Rejo, Malang City. The method given is an examination using the Mini Mental State Examination (MMSE) questionnaire. The counseling process went smoothly. The results of the examination showed that the majority of elderly people had normal cognitive conditions. A good lifestyle can reduce the risk of dementia.

Sanitation workers play a vital role in maintaining environmental cleanliness. However, many of them neglect their personal hygiene. Sanitation workers are professions that regularly wear closed shoes for long periods,the humid, hot, and dirty work environment promotes fungal infections in toenails, known as onychomycosis. The purpose of this study is to analyze the presence of the fungus Trichophyton rubrum on the toenails of the sanitation workers of the Surabaya Environmental Service Department. This study is a descriptive laboratory observation. The research was conducted from February 23 to March 13, 2024. Sample collection took place at Surabaya Environmental Service Department, and the study carried out at Mycology Laboratory of the Medical Laboratory Technology Department, Poltekkes Kemenkes Surabaya. The samples in this study consisted of toenails from 30 sanitation workers members. The examination was conducted using the culture method on SDA media, incubated for 7-14 days, followed by macroscopic and microscopic observations. The results showed that 2 samples were positive for Trichophyton rubrum (6.7%), 23 samples were positive for Aspergillus sp., (76.7%), 4 samples were positive for Rhizopus sp., (13.3%), and 1 sample was positive for Penicillium sp., (3.3%). The conclusion is, out of 30 samples, 2 individuals (6.7%) tested positive for Trichophyton rubrum, while the remaining 28 samples (93.3%) tested negative for Trichophyton rubrum.

The Elderly is a stage where organs reach a process of decreasing size and function over time. The elderly's ability to carry out daily activities and measure independence can be done with an Activity Daily Living (ADL) examination. ADL is an activity carried out routinely daily and included in the main activities of self-care. ADL is one of the benchmarks for assessing functional capacity by asking questions about daily activities. The purpose of the examination was to find out and identify the number of elderly people with a level of independence and dependence in the KNDJH Wonokoyo nursing home. The method used is to carry out physiotherapy examinations regarding ADL using the Katz index instrument. The results obtained mostly have a level of total independence to the lightest dependence. However, some elderly people have a level of mild dependence to full dependence.

Expert systems are one type of computer technology that is being used by a used in the medical field to assist physicians in patient examinations is expert systems.The goal of this is to improve patient care both now and in the future.system with expertise  is an application that replicates how an expert would reason to solve a particular problem or acts similarly to an expert due to its understanding of a knowledge base that has to be processed and its ability to solve problems. An expert system's diagnosis of epilepsy leads to the creation of a system that can offer individuals with the condition a consultation service for the purpose of diagnosing the condition and providing information on treatment options. This is demonstrated by the development of numerous technologies that facilitate the work of numerous parties. One of them is computer-related and uses Expert System Science to assist in the diagnosis of epilepsy. The Certainty Factor approach is employed in this study. Thirteen symptoms and three different forms of epilepsy—general, partial, and secondary—were used in this investigation. The study's findings indicate that, based on the chosen symptoms, the most accurate diagnosis is Partial Primary, Partial Secondary, with a confidence level of 74%, and the most accurate diagnosis is Generalized Epilepsy, with a confidence level of 99%.    

This writing aims to provide an understanding to the public that patients as people who need health services at the Hospital need to get optimal services from all fields including the fulfillment of patient rights as recipients of hospital services. In order for health services to patients to take place properly, the fulfillment of patient rights at the Hospital must also be implemented so that there are no problems with health service actions to patients such as cases of malpractice or negligence.  This writing uses a normative legal research approach method (normative legal research method). The normative legal research method is a library legal research conducted by examining library materials or secondary data.Thus, the patient's right as a recipient of medical services is to obtain information on medical services to find out the results of the examination/diagnosis that have been carried out by the medical team and has the right to know what actions the patient must receive.    

This study uses empirical juridical research, which is research with field data as the main source of data, such as the results of interviews and observations, with the aim of analyzing and describing the law enforcement model for cases of corruption in the development funds of the Waigete Health Center. as well as identifying and analyzing factors that hinder law enforcement in the case of corruption of the Waigete Health Center development funds. The results of the discussion in this study show that, (1). The Waigete  Health Center uses the Due Process Model which emphasizes the need to ensure that every individual has the right to be treated fairly and has access to an independent court including investigation, prosecution, and fair justice. and the right to appeal, but with strict legal procedures, this model slows down the process of resolving cases.  The crime eradication process focuses more on the interests of the rights of suspects than on the public interest, so according to researchers in the process of resolving corruption cases, this model is not appropriate to use because it emphasizes justice and human rights but also has the potential to slow down the legal process. (2). The factors that hinder law enforcement in handling corruption cases of the Waigete Health Center development fund consist of two factors, namely internal factors, namely the lack of prosecutors who slow down the law enforcement process and reduce the effectiveness of case handling, and external factors, namely the slow examination process and the loss calculation process so as to hinder law enforcement.

Hypertension is one of the main cardiovascular risk factors which is the main cause of death in the world, especially in the elderly. Maximizing the utilization of elderly health posts is one strategy in controlling hypertension in the elderly, but the limited knowledge and skills of elderly health cadres, especially in managing hypertension, make the implementation of elderly health posts less than optimal. Sumur Gunung Elderly Health Post is one of the elderly health posts that routinely runs in Sumurejo Village, but services are still limited to measuring blood pressure, weight, and height, educational services still depend on the health center, there is no exercise, and there are no special provisions for the PMT menu. This is due to the limited knowledge and skills of the cadres. The results of BP examinations on 20 elderly people registered at the Sumur Gunung Elderly Posyandu showed that 35% (7 out of 20 elderly people) had blood pressure > 140/90 mmHg. The questionnaire results showed that 46% of elderly people had not regulated their diet, 75% of elderly people had a habit of drinking coffee, 80% of elderly people had not limited the amount of salt consumed, 50% of elderly people smoked, 60% of elderly people did not know how to treat hypertension. Based on this background, the STIKES Kesdam IV/Diponegoro Community Service Team carried out an activity entitled "IbM Empowerment of Antihypertension Cadres at the Sumur Gunung Elderly Posyandu". The activities included field visits, refreshing cadres, mentoring posyandu, hypertension education, and utilization of cucumber infusion water. The target outputs were to achieve increased knowledge and skills of cadres so that they were empowered in efforts to control hypertension, publication of community service results in national journals, and electronic media. The results of this activity obtained 35% of elderly people were detected to have blood pressure > 140/90 mmHg, there was an increase in knowledge and skills of cadres in implementing elderly posyandu according to standards, and the use of cucumber infused water to reduce hypertension in the elderly.

Coumarin, a key bioactive compound in cinnamon, is known for its anticoagulant, antibiotic, and anti-carcinogenic properties. This study investigates the potential of cinnamon (Cinnamomum burmanni) extract as a natural anticoagulant using both the Lee-White method, for visual observation of clotting time, and blood smear analysis for microscopic evaluation. The research aims to assess the effectiveness of the extract in preventing blood coagulation compared to untreated blood samples. Results demonstrated that blood without any anticoagulant clotted within an average time of 5 minutes and 33 seconds. In contrast, blood treated with cinnamon extract did not exhibit coagulation, indicating a significant anticoagulant effect. Microscopic examination further supported these findings, as the blood cells in the treated samples appeared separated, with no visible aggregation or linkage between the cells. These findings suggest that cinnamon extract has strong potential as a natural anticoagulant, offering a safer and more accessible alternative to synthetic anticoagulants. Further research could explore its applications in medical treatments, particularly in conditions requiring blood thinning or clot prevention. This study highlights the potential of cinnamon as a valuable bioactive agent in the field of biomedical science, especially for anticoagulation therapies.

Criminal law enforcement in Indonesia involves different procedures between civil society and the military, especially at the investigation stage. In the military context, Law Number 31 of 1997 concerning Military Justice stipulates investigative authority involving superiors who have the right to punish (ANKUM), military police, and prosecutors. However, there is debate regarding ANKUM's authority in investigations, especially regarding professionalism and fairness, because ANKUM does not always have adequate investigative expertise. This research aims to analyze ANKUM's authority in the process of investigating military criminal cases, as well as the challenges of internal conflicts of interest that may arise. The research method used is normative juridical with an analytical and statutory approach. The research results show that ANKUM has an important role in the investigation process, including conducting preliminary examinations, receiving reports, and carrying out detentions. However, ANKUM often faces internal conflicts of interest and limitations in exercising its authority, which can affect the fairness and professionalism of the legal process. The Military Discipline Advisory and Supervision Council (DPPDM) functions to supervise and provide consideration of ANKUM's authority. This research suggests the need for stricter supervision and improvement of the functions of the DPPDM to ensure fair and professional law enforcement.

Good nutritional status of toddlers plays an important role in growth and development, especially in the golden period in the first five years. The purpose of this activity is to increase mothers' knowledge of the nutritional status of toddlers so that it can reduce the incidence of malnutrition or undernutrition in toddlers. This community service activity was carried out in Kp. Kali Keranjang, Kedungsoka Village, Puloampel District, Serang Regency by weighing toddlers, providing counseling to parents/caregivers of toddlers, This community service activity was attended by 30-35 toddlers. Through education about balanced nutrition, there has been an increase in mothers' knowledge about balanced nutrition in toddlers. Increased knowledge about balanced nutrition and food selection may be followed by changes in behavior. Nutrition counseling with the lecture method and ongoing nutritional status examinations are one of the learning approaches by providing a set of knowledge and skills needed to be able to determine the right behavioral choices to improve the nutritional status of their toddlers.

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.

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.