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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.

This research addresses a paradoxical phenomenon in Lampung Province's Micro and Small Industry (MSI) sector (2018-2022), where high technology adoption is accompanied by declining business units and income inequality. The objective is to evaluate technical efficiency and productivity changes across 15 regencies/cities using the Variable Returns to Scale (VRS) Data Envelopment Analysis (DEA) model and the Malmquist Productivity Index (MPI). Results show an average technical efficiency of 0.838, indicating a 16.2% room for output improvement. Mesuji Regency serves as the benchmark with perfect efficiency. The main inefficiency stems from labor slack (averaging 3,458 people per region), reflecting disguised unemployment. The Malmquist index records an asymmetric productivity growth of 2.1% annually, entirely driven by technological progress (3.5%), while internal managerial efficiency contracted (-1.4%). Consequently, technology adoption requires structural intervention; regional governments must prioritize vocational training and basic managerial strengthening to reduce labor slack and break the MSI inefficiency cycle.

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

The purpose of this writing is to analyze Article 14 of Law Number 31 of 1999 jo. Law Number 20 of 2001 concerning the Eradication of Corruption has a delegative character, because its enactment depends on the provisions of other laws that expressly declare a violation as a criminal act of corruption. The construction of these norms in practice gives rise to ambivalence in law enforcement, especially when various acts that are detrimental to state finances occur in strategic sectors that are not explicitly qualified as corruption crimes in sectoral laws. This condition has the potential to create a legal vacuum and hinder the effectiveness of eradicating corruption as an extraordinary crime. This study aims to analyze the practice of implementing Article 14 of the Law on the Eradication of Corruption and examine these provisions from the perspective of legal certainty, justice, and criminal law policy. The research method used is normative legal research with a legislative approach and a case approach. Research data was obtained through literature studies on primary, secondary, and tertiary legal materials that were analyzed qualitatively. The results of the study show that the delegative and limiting nature of Article 14 has implications for the low predictability of the law and opens up ambivalence between norms and law enforcement practices. In reality, law enforcement officials often apply the Corruption Crime Law to acts that are normatively outside the scope of Article 14, taking into account the existence of state financial losses and the interests of substantive justice. Therefore, Article 14 needs to be interpreted systemically and progressively and supported by the reformulation of norms and harmonization of laws and regulations to be in line with the dynamics and complexity of modern corruption crimes.

This article examines honor killing in North Africa as a form of gender-based violence rooted in family honor, patriarchal control, and social change that has not yet produced a stable new order. The research employs normative legal methods through statutory, case, and comparative criminal law approaches across three representative jurisdictions, namely Egypt, Morocco, and Tunisia. The primary legal materials include criminal provisions on homicide, adultery, mitigating excuses, and the protection of women, with particular attention to Article 237 of the Egyptian Penal Code, Articles 418 and 491 of the Moroccan Penal Code, the repeal history of Article 207 of the Tunisian Penal Code, Article 236 of the Tunisian Penal Code, and Law No. 58 of 2017 on Eliminating Violence Against Women. The findings show that honor in this region operates as a social mechanism for regulating women’s bodies, sexuality, mobility, and life choices, reinforced by community pressure, reputational stigma, and family-based moral legitimacy. Social transition does not remove this logic; instead, it reshapes conflict and diversifies forms of control, ranging from threats, confinement, coercion, and the criminalization of sexual morality to homicide itself. On the legal plane, Egypt and Morocco still retain norms that soften criminal responses in certain situations linked to adultery, whereas Tunisia has moved in a more progressive direction by abolishing explicit mitigation and strengthening protection for women, even though the regulation of sexual morality has not been fully abandoned.

The progress of the era accompanying the growth of Generation Z has made it easier and faster for Generation Z to socialize. In this digital era, people are likely to use Indonesian that does not conform to the rules. Sometimes, code-mixing occurs among Generation Z. This study was conducted to determine whether the digital era really has a significant influence on the language competence of Generation Z. This study, which uses a quantitative descriptive method, is expected to be one of many studies discussing the language skills of Generation Z. To that end, this study distributed questionnaires to 108 people from Generation Z. The results show that the level of influence of the digital era is moderate, while the language competence of the respondents is quite good, with an average score of 28.04. These findings indicate that even though Generation Z actively uses digital media and is often exposed to non-standard language on social media, their Indonesian language skills are still fairly well maintained. Therefore, the digital era does not significantly reduce language competence, although good language awareness is still necessary to prevent the quality of Indonesian from falling.

This study aims to develop and implement an artificial intelligence-based reading learning application using Deep Learning technology to enhance the literacy skills of eighth-grade junior high school students. The research employed the Kemmis & McTaggart Classroom Action Research model combined with a mixed-methods approach. Data collection involved pretests and posttests, complemented by observations, interviews, and questionnaires. The findings revealed that the use of this application significantly improved students' reading comprehension, question-answering skills, and overall engagement in the learning process. Key features of the application, such as adaptive learning technology, allowed for real-time adjustments to the difficulty level of the material, which catered to each student’s individual learning pace. Additionally, the provision of instant feedback enhanced the learning experience by helping students understand their progress and areas for improvement. These results suggest that the application is an effective tool in fostering literacy development and aligns with the goals of the Independent Curriculum. Consequently, this Deep Learning-based application offers a promising innovation for improving student literacy skills in the digital age. 

Good governance has become a crucial framework for improving public sector effectiveness, accountability, and responsiveness to citizens’ needs. In Indonesia, decentralization policies since 1999 have devolved significant authority and resources to local governments, creating both opportunities and challenges in implementing good governance principles. This study examines administrative reform efforts in Indonesian local governments, focusing on progress, challenges, and key success factors. Using a multiple case study design, the research analyzed reform initiatives in six district/city governments with diverse contexts. Data were collected through document analysis, semi-structured interviews with government officials, civil society representatives, and citizens, as well as direct observation of administrative processes conducted between March and November 2024. The study assessed six core principles of good governance: participation, transparency, accountability, effectiveness and efficiency, equity and inclusiveness, and rule of law. The findings reveal variations in implementation across regions, with high-performing governments demonstrating strong leadership commitment, systematic planning, active citizen engagement, and effective monitoring mechanisms. However, challenges persist, including limited capacity, bureaucratic resistance, weak accountability enforcement, and low public participation. Key success factors include visionary leadership, capacity development, strategic partnerships, and institutional strengthening. Policy recommendations emphasize enhancing local capacity, accountability systems, citizen participation, and performance evaluation. Good governance has become a crucial framework for improving public sector effectiveness, accountability, and responsiveness to citizens’ needs. In Indonesia, decentralization policies since 1999 have devolved significant authority and resources to local governments, creating both opportunities and challenges in implementing good governance principles. This study examines administrative reform efforts in Indonesian local governments, focusing on progress, challenges, and key success factors. Using a multiple case study design, the research analyzed reform initiatives in six district/city governments with diverse contexts. Data were collected through document analysis, semi-structured interviews with government officials, civil society representatives, and citizens, as well as direct observation of administrative processes conducted between March and November 2024. The study assessed six core principles of good governance: participation, transparency, accountability, effectiveness and efficiency, equity and inclusiveness, and rule of law. The findings reveal variations in implementation across regions, with high-performing governments demonstrating strong leadership commitment, systematic planning, active citizen engagement, and effective monitoring mechanisms. However, challenges persist, including limited capacity, bureaucratic resistance, weak accountability enforcement, and low public participation. Key success factors include visionary leadership, capacity development, strategic partnerships, and institutional strengthening. Policy recommendations emphasize enhancing local capacity, accountability systems, citizen participation, and performance evaluation.

This study investigates collaborative governance in road infrastructure repair in Pekanbaru City, Riau Province, driven by the urgent need to address the high number of damaged roads and the limitations of local government capabilities. Utilizing a qualitative method with a descriptive approach, data were gathered from interviews with five stakeholders, field observations, and supporting documents. The study applies collaborative governance theory by Emerson and Nabatchi to analyze road repair efforts in Pekanbaru, highlighting effective collaborative dynamics. Key findings reveal the establishment of a Coordination Team, role clarity, trust, and commitment among stakeholders as factors of success. Essential contributing elements include shared cooperation needs, consequential incentives, leadership support, and sufficient resources. However, challenges such as a volatile political climate, unequal information distribution, and power imbalances pose barriers to collaboration. Overall, the study concludes that collaborative governance in Pekanbaru's road infrastructure enhancement has yielded positive outcomes but calls for improvements in transparency, communication strategies, and the establishment of an integrated information system for effective progress monitoring. Additionally, independent oversight mechanisms are recommended to sustain equitable role distribution and responsibilities among all parties involved.

The issue of illegal parking in the Pasar Jambi area remains unresolved despite various enforcement efforts carried out by the Jambi City Transportation Agency. Non-compliant parking practices, such as the presence of unauthorized parking attendants, the imposition of fees beyond official rates, and the lack of use of official attributes, indicate a discrepancy between established standards and actual field conditions. This study aims to analyze the effectiveness of the Transportation Agency’s supervision in controlling illegal parking in the Pasar Jambi area by applying George R. Terry’s supervision theory indicators. The research employs a qualitative method with a case study approach, using data collection techniques including observation, interviews, and documentation. The findings reveal that supervision has been implemented through stages of setting standards, measuring performance, comparing implementation with standards, and taking corrective actions. However, the effectiveness of supervision is still not optimal. This is reflected in the persistent gap between standards and practices in the field, the limited number of supervisory personnel, and corrective actions that have not been consistently effective in creating a deterrent effect. Although enforcement has been carried out progressively through warnings, guidance, and direct actions, violations continue to occur repeatedly. The implications of this study highlight the need to strengthen consistency in supervision, enforce stricter sanctions, and enhance resource capacity so that supervision is not merely administrative but can create sustainable parking order.

The digital transformation of public administration represents a critical pathway toward modernizing governance, enhancing service delivery, and improving transparency in Indonesian government agencies. This study examines the current state of digital transformation initiatives across various levels of government in Indonesia, identifying key challenges and opportunities in implementing digital technologies within bureaucratic structures. Through a convergent parallel mixed-methods design combining surveys of 245 government officials from 32 agencies and in-depth interviews with 28 digital transformation leaders, this research reveals that while Indonesian government agencies have made significant progress, substantial barriers remain including limited digital infrastructure in remote regions, resistance to organizational change, insufficient digital literacy among civil servants, and inadequate legal frameworks. The overall mean maturity score was 2.87 (SD = 0.74), placing the average agency in the 'developing' category, with only 6% reaching the 'optimizing' level. The study identifies critical success factors: strong leadership commitment (β = 0.38, p < 0.001), citizen-centric design, comprehensive change management, and effective public-private partnerships. Findings indicate that successful digital transformation requires not merely technological adoption but fundamental organizational restructuring and cultural shifts toward data-driven decision-making and collaborative governance. Policy recommendations address digital infrastructure investment, human capital development, governance reform, and shared platform utilization. This research contributes to theoretical understanding of digital government in developing nations and provides practical guidance for policymakers navigating the complexities of public sector digitalization.

Inflectional morphemes are of great importance in linguistic analysis, especially when applied to speech delivered in various contexts. We explore the complexity of inflectional morphemes through an analysis of Linda McMahon’s Speech script titled “Our Department’s Final Mission.” Inflectional morphemes are also known as grammatical morphemes, as their primary function is to provide grammatical information about a word without altering its core meaning or lexical category. These inflectional morphemes include possessive morphemes (-‘s/s’), plural morphemes (-s/es), third-person singular present morphemes (-s), past morphemes(-d/ed), present/progressive particles (-ing), past participle (-en), comparative particles (-er), and superlative particles (-est). Therefore, this study focuses on understanding the types of inflectional morphemes used in Linda McMahon’s speech script. The main theory of inflectional morphemes is based on an understanding of grammatical function, affixation processes, and categories in the language system. The researcher identified 7 categories of inflectional morphemes. The result showed that 99 inflectional morphemes were found in Linda McMahon’s speech script. There were 46 plural morphemes (-s), 26 present/progressive particle morphemes (-ing), 19 past tense morphemes (-ed), 4 possessive morphemes (-‘s/s’), 2 third-person singular present morphemes (-s),1 comparative morpheme (-er), and 1 superlative morpheme (-est). It can be conclude that the most dominant category in the analysis is the plural morpheme (-s) and the least dominant is the comparative (-er) and superlative (-est) morpheme. Its is hoped that this study can provide solutions in determining the types of inflectional morphemes in a speech script.

This study aims to improve student learning outcomes in Natural and Social Sciences (IPAS), specifically on the topic of changes in the state of matter, by implementing the Project Based Learning (PjBL) model in Grade IV of SD GP Berea Tondano. The research followed a cyclical procedure consisting of planning, implementation, observation, and reflection. This study employed a classroom action research design and was conducted during the odd semester of the 2025/2026 academic year. Data were collected through observation, testing, and documentation techniques, with 15 fourth-grade students serving as the research subjects. The findings revealed significant improvements across teacher activity, student activity, and learning completeness. Teacher performance in managing instruction improved notably, with an average observation score of 73 (good) in Cycle I, rising to 93 (excellent) in Cycle II. Student engagement in the learning process likewise increased, from an average of 68.26 (good) in Cycle I to 86.53 (excellent) in Cycle II. Student learning completeness also showed marked progress, with the average score reaching 46.77 (satisfactory) in Cycle I and advancing to 100 (excellent) in Cycle II. These results demonstrate that the implementation of the Project Based Learning (PjBL) model is effective in enhancing both student creativity and learning outcomes on the topic of changes in the state of matter.

Immature permanent teeth with open apices and pulpal necrosis present a significant challenge in endodontic treatment. Apexification procedures have been developed to stimulate the formation of a hard tissue barrier at the apex, thereby allowing adequate obturation. Objective: This case report aims to describe the evaluation of apexification treatment based on radiographic findings. Case Report: An 8-year-old boy accompanied by his mother presented to PKU Muhammadiyah Surakarta Hospital with a history of a fall one week earlier. The affected tooth had previously received a temporary restoration from another dentist. According to the patient’s mother, medication had been placed in tooth to devitalize the pulp prior to temporary filling. Clinical examination revealed that tooth 11 exhibited a fracture involving approximately half of the crown and extending into the pulp chamber. Discussion: Initial radiographic examination in 2018 indicated that immature teeth have lower structural resistance compared with mature teeth; therefore, endodontic intervention such as apexification is required to establish apical barrier and adequate obturation. The material used for apexification in this case was a combining calcium hydroxide and iodoform. In contrast to the initial stage, radiographic evaluation in 2024 demonstrated that root development had progressed to stage V. According to Cvek’s classification of root development, stage V (Cvek stage V) represents a condition in which root development is fully completed. Conclusion: Based on long-term clinical and radiographic evaluation in this case, apexification treatment proved effective in stimulating the formation of an apical barrier and supporting root maturation in immature permanent teeth.

Hypertension is a non-communicable disease that can lead to cardiovascular complications and requires both pharmacological and non-pharmacological management. One of the non-pharmacological therapies that can be applied is warm water foot soaking and progressive muscle relaxation, which may help reduce blood pressure through peripheral vasodilation, stimulation of the parasympathetic nervous system, and decreased sympathetic nervous system activity. This study aimed to analyze the implementation of nursing care through warm water foot soaking therapy and progressive muscle relaxation to reduce blood pressure in patients with hypertension. The method used was a case study with a pre-experimental design using a one group pre-test post-testapproach involving three hypertensive patients, with the intervention administered once daily for three days. The results showed a decrease in blood pressure in all patients. The average systolic reduction was 5.3 mmHg, 12.3 mmHg, and 5.6 mmHg, while the diastolic reduction was 1.6 mmHg, 2.6 mmHg, and 4 mmHg, respectively. In addition, all patients reported a reduction in pain scale. It can be concluded that warm water foot soaking therapy combined with progressive muscle relaxation is effective as a complementary nursing intervention to help reduce blood pressure in patients with hypertension.

Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic respiratory disease primarily caused by smoking and is one of the leading causes of death worldwide. In Pekanbaru City, 4,226 cases (5.7%) have been recorded, indicating a significant public health concern. Therefore, more effective prevention efforts are needed to reduce the incidence and impact of COPD in the community. The purpose of this study is to determine the relationship between the degree of smoking and the severity level of Chronic Obstructive Pulmonary Disease (COPD) at Garuda Public Health Center, Pekanbaru. This study uses a quantitative approach with a descriptive correlational design and a cross-sectional method. The results showed that among COPD patients with a mild smoking degree, 14 respondents (13.6%) had mild COPD severity, 31 respondents (30.1%) had moderate COPD severity, and 17 respondents (16.5%) had severe COPD. Meanwhile, among patients with a moderate smoking degree, 10 respondents (9.7%) had mild COPD severity, 11 respondents (10.7%) had moderate COPD severity, and 20 respondents (19.4%) had severe COPD. The chi-square test result showed a p-value of 0.04, which is less than 0.05, indicating a statistically significant relationship between smoking degree and the severity of COPD. There is a significant relationship between the degree of smoking and the severity of COPD. Patients with higher smoking degrees tend to have more severe COPD. It is recommended that healthcare workers enhance education and smoking cessation programs to prevent and reduce the severity of COPD in the community.

Being able to solve problems is a key part of learning math. Many students still haven't fully understood this skill, especially when it comes to Statistics. This happens because the teaching methods haven't fully supported students in being more involved, and technology isn't being used as effectively as it could be in the lessons. So, this study was done to look at how using the Discovery Learning method along with the Photomath app affects students' ability to solve math problems. The study took place at SMPN 2 Gondangwetan during the 2024/2025 school year. It used a quasi-experimental method with a nonequivalent control group setup. The study included two groups of eighth-grade students, with each group having 30 students. Class VIII-A was the control group, and Class VIII-B was the experimental group. Data was gathered using written exams given before and after the teaching program. The pretests showed that the data followed a normal distribution but had unequal variances, so the Mann–Whitney U test was chosen to check the hypothesis. The analysis found a significance level of 0.003, which is below 0.05, showing there was a true difference between the two groups. The biggest progress was seen in the experimental group, especially in the areas of evaluating and making conclusions, which went up from 3% to 81%. So, it's clear that using the Discovery Learning model along with the Photomath app has a big positive impact on helping students improve their math problem-solving skills.  

Achilles tendon rupture is a common lower extremity injury that significantly affects functional mobility and gait performance. Post-operative patients frequently experience pain, edema, limited range of motion (ROM), muscle weakness, and impaired ambulation. Physiotherapy rehabilitation plays a crucial role in restoring tissue integrity and functional capacity. This case study aimed to analyze the effectiveness of combined electrotherapy modalities and therapeutic exercises in a post-operative left Achilles tendon rupture patient. The intervention included ultrasound therapy, Transcutaneous Electrical Nerve Stimulation (TENS), infrared therapy, dry needling combined with Percutaneous Electrical Nerve Stimulation (PENS), and progressive therapeutic exercises such as isometric training and calf raises. Clinical outcomes were evaluated through ROM measurement, Manual Muscle Testing (MMT), edema observation, and gait analysis across four therapy sessions. Results demonstrated gradual improvement in dorsiflexion and plantarflexion ROM, reduction of edema, increased gastrocnemius-soleus muscle strength, and restoration of independent ambulation without assistive devices. The multimodal physiotherapy approach appears to support tendon healing, enhance neuromuscular activation, and accelerate functional recovery during the subacute post-operative phase.

Maternal mortality remains a major global health concern and an important indicator of health system performance. The World Health Organization reported in 2023 that approximately 290,000 maternal deaths occurred worldwide, highlighting persistent challenges in maternal health services. In the ASEAN region, the maternal mortality rate in 2023 was recorded at 16.85 per 1,000 live births. In Indonesia, the Maternal Mortality Rate in 2023 reached 189 per 100,000 live births according to the Ministry of Health of the Republic of Indonesia. Significant progress has been observed in Central Java Province, where the rate decreased from the United Nations Sustainable Development Goals target of 226 per 100,000 live births to 88.11 per 100,000 live births in 2023. At the district level, Brebes Regency recorded 54 cases per 100,000 live births in 2023 and reported 54 maternal deaths in 2024. Meanwhile, the Kaliwadas Community Health Center reported no maternal deaths during 2023 and 2024, indicating relatively effective maternal health services at the local level.

The adoption of Maritime Autonomous Surface Ships (MASS) under the IMO MASS Code represents the most consequential redefinition of the Officer of the Watch (OOW) role in the history of modern seafaring. While autonomous navigation technologies progressively assume operational functions traditionally performed by human officers, the decision-making competencies, supervisory responsibilities, and COLREGs compliance challenges that arise at the human-autonomy interface remain empirically undercharacterized — particularly in the complex, high-traffic, and archipelagic shipping environments of Southeast Asia. This study investigates autonomous navigation decision-making and the evolving OOW role in the context of MASS integration within Indonesian shipping corridors. Employing a qualitative research design, data were generated through semi-structured interviews with senior deck officers, maritime education experts, and maritime regulatory practitioners, supplemented by systematic document analysis of IMO MASS Code provisions and Indonesian domestic shipping regulatory frameworks. Analysis proceeded through thematic analysis, cross-group comparison, and narrative synthesis. Findings reveal that OOW competency frameworks face four structurally unresolved challenges under MASS integration: situational awareness degradation in remote supervisory roles, COLREGs interpretive ambiguity in human-autonomy encounter scenarios, institutional unpreparedness in maritime education curricula, and regulatory gaps in Indonesian domestic MASS governance. The study argues for the urgent development of a MASS-competent OOW framework that integrates autonomous systems literacy, adaptive decision-making training, and regulatory alignment within Indonesian maritime education and policy.