Publication Search

Patient safety culture is a critical component in healthcare organizations, reflecting the values, attitudes, competencies, and behavioral patterns that ensure safe patient care. This study aims to analyze the influence of knowledge and work environment on patient safety culture, with attitude serving as an intervening variable. A quantitative approach with an explanatory causal design was employed, involving 118 nurses as respondents selected through total population sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling with Partial Least Squares. The findings reveal that both knowledge and work environment have a significant direct effect on patient safety culture. Additionally, knowledge and work environment significantly influence attitudes, while attitudes themselves have a significant effect on patient safety culture. However, attitude does not mediate the relationship between knowledge and patient safety culture, but it does mediate the influence of the work environment on patient safety culture. These results indicate that improving nurses’ knowledge and creating a supportive work environment are essential strategies for strengthening patient safety culture. The study also highlights the importance of fostering positive attitudes through organizational support and conducive working conditions. The implications suggest that hospital management should focus on continuous training programs, enhancing workplace conditions, and developing systems that promote positive behavioral attitudes among healthcare workers to improve overall patient safety outcomes.

Inguinal hernia is a common abdominal hernia occurring in the groin region and generally requires surgical management, with postoperative pain control being an important aspect of patient recovery. This case reports a 55-year-old male presenting with a left groin mass for 6 months, which was initially reducible but subsequently became difficult to reduce, accompanied by severe pain and activity limitation. Physical examination revealed a left inguinal mass measuring approximately 3.03 × 2.17 cm, with firm consistency, well-defined borders, immobility, and tenderness, while ultrasonography demonstrated dilation of the left inguinal canal after provocation; based on these findings, a diagnosis of left inguinal hernia with ASA physical status II was established. The patient was managed with herniorrhaphy under regional anesthesia using a subarachnoid block, followed by ultrasound-guided ilioinguinal and iliohypogastric nerve blocks with levobupivacaine and pehacain for postoperative analgesia. Intraoperatively, the patient remained hemodynamically stable, and postoperatively, pain intensity decreased gradually from a VAS score of 6 to 2 within 24 hours and reached 0 on the second postoperative day without significant complaints. This case demonstrates that regional anesthesia combined with ultrasound-guided peripheral nerve block may support postoperative pain control after herniorrhaphy, maintain clinical stability, and improve patient comfort during recovery.

Vertigo is a clinical symptom that is often found and can be related to vestibular disorders or systemic conditions such as hypertension. The case report described a 58-year-old female patient who came in with complaints of dizziness that disappeared from 12 hours before admission to the hospital, accompanied by double vision, nausea, severe headache, flatulence, and stiffness of the left shoulder. Physical examination showed increased blood pressure and bidirectional nystagmus on neurological examination. Laboratory tests show mild electrolyte abnormalities and increased cholesterol. The patient was diagnosed with uncontrolled vestibular vertigo et causa hypertension and received intravenous fluid therapy, symptomatic therapy, antihypertensive therapy, and vestibular suppressants. Clinical improvements were obtained during follow-up. Education related to blood pressure control, medication adherence, and lifestyle changes such as low-salt diet settings and stress management is also provided to patients. In addition, periodic monitoring is required to prevent recurrence and further complications. This case emphasizes the importance of identifying hypertension as a contributing factor to vertigo as well as comprehensive management to improve patient outcomes and improve the quality of life of patients.

Floods are the most frequent hydrometeorological disasters in Indonesia and significantly contribute to increased trauma cases and disruption of healthcare services, particularly in vulnerable regions such as Aceh Province. These conditions are exacerbated by limited resources, damaged health facilities, and restricted access to referral centers. This study aims to examine the implementation of early emergency surgical management during flood disasters based on damage control surgery principles and international guidelines. A descriptive qualitative approach was employed through a literature review combined with field observations conducted during the emergency response phase of flood disasters in Bireuen Regency. Data were collected from direct clinical observations, brief interviews with healthcare providers, and documentation of trauma cases requiring early surgical intervention. The results indicate that effective patient stabilization can be achieved despite limited resources through airway, breathing, and circulation (ABC) management, hemorrhage control, wound irrigation, and fracture immobilization using simple and improvised equipment. Approximately 90% of patients were successfully stabilized prior to referral to definitive healthcare facilities. In conclusion, adaptive and timely application of damage control surgery principles plays a crucial role in saving lives and strengthening emergency surgical response during flood disasters.

Indonesia ranks 36th among countries most prone to natural disasters, with 216 earthquakes recorded by BNPB between 2009 and 2019. Aceh is one of the high-risk regions, having experienced major disasters such as floods, earthquakes, and the 2004 tsunami. These conditions highlight the importance of knowledge of basic life support (BLS), which is essential for managing respiratory arrest, cardiac arrest, and airway obstruction in emergency situations. This study aimed to determine the level of basic life support knowledge among health workers at the North Lhoksukon Health Center, Aceh. A descriptive observational method with a survey approach was used to provide a general overview of respondents’ characteristics. The study applied univariate analysis and involved a total sample of 139 health workers. The results showed that most respondents had a good level of knowledge (116 people; 83.5%), followed by sufficient knowledge (13 people; 9.4%) and poor knowledge (10 people; 7.2%). These findings indicate that while the majority of health workers demonstrate good understanding, there is still a need for improvement among those in the sufficient and poor categories. Therefore, it is recommended that institutions provide regular BLS training to maintain and enhance the knowledge of health workers.

Dysmenorrhea remains a common health problem among adolescent girls and may interfere with their daily activities. This condition is not only associated with hormonal factors but is also influenced by dietary intake patterns and body fat distribution. This study employed an analytical observational design with a cross-sectional approach involving 207 adolescent girls selected using a stratified random sampling technique. Data collection was conducted using several instruments, including a Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) to assess magnesium intake, waist-to-hip ratio (WHR/RLPP) measurements using a measuring tape, and menstrual pain intensity assessed using a pain scale. The relationships between variables were analyzed using the Spearman correlation test with a significance level of p < 0.05. The results showed that magnesium intake demonstrated a significant inverse relationship with pain intensity, indicating that higher magnesium intake was associated with lower menstrual pain levels. In addition, WHR was also significantly associated with dysmenorrhea among adolescent girls. Overall, it can be concluded that magnesium intake and WHR are related to the occurrence of dysmenorrhea.

Ventricular septal defect (VSD) is a congenital heart defect characterized by a gap in the interventricular septum, with a prevalence of 20–30% of all cases of congenital heart disease. Based on their location, VSD is divided into perimembrane, muscular, and subarterial. This case report discusses a patient who came to the emergency room of Cut Meutia Hospital with good consciousness (GCS E4M6V5) and complained of shortness of breath, cough, nausea, and chest pain spreading to the neck and hands. The anamnesis showed chronic symptoms in the form of coughing up phlegm for two weeks, accompanied by throbbing headaches, dizziness, flatulence, and sleep disturbances. Physical examination showed vital signs of TD 140/90 mmHg, HR 86 x/min, RR 23 x/min, SpO₂ 37%, and temperature 37°C.  Supporting examinations in the form of chest X-rays showed cardiomegaly of the pulmonary segment, while ECG showed rhythmic sinuses with LAD axis, T-inverted in AVL, V1, V2, RsR' in V2, positive Cornell criteria, anterolateral myocardial infarction, RBBB, and LVH. Echocardiography shows the presence of a bidirectional shunt with a dominant right-to-left shunt. This case confirms the importance of comprehensive diagnosis through clinical and supporting examinations to determine optimal management in patients with VSD, as well as prevent further complications.

Chili (Capsicum annuum L) ) is one of the most important horticultural commodities widely consumed in Indonesia and has high economic value. To maintain productivity and prevent pest attacks, farmers commonly apply chemical pesticides intensively. However, excessive and improper pesticide application can leave harmful residues on the surface and within the tissues of chili fruits. The accumulation of these residues not only poses health risks to consumers but also contributes to environmental pollution, particularly in wastewater generated from chili washing activities. This study aims to reduce pesticide residues of Cherizeb and Emacel in chili washing water using the photolysis methodassisted by a ZnO/zeolite catalyst. Zinc oxide (ZnO) acts as a photocatalyst activated by ultraviolet (UV) light to produce reactive hydroxyl radicals (•OH) capable of decomposing complex organic compounds into simpler compounds such as CO₂ and H₂O. Meanwhile, zeolite is used as a catalyst support due to its large surface area and high adsorption capacity, allowing adsorption and photocatalytic processes to occur simultaneously. The results showed that the photolysis method using the ZnO/zeolite catalyst significantly reduced pesticide residues, with optimum degradation efficiencies of 85.66% for Cherizeb using 0.8 g ZnO/zeolite under UV irradiation for 60 minutes, and 83.97% for Emacel using 0.8 g ZnO/zeolite under UV irradiation for 75 minutes. The samples were characterized using Fourier Transform Infrared Spectroscopy (FTIR) to identify functional groups, indicating the disappearance of specific organic functional groups. Pesticide residues on chili samples were analyzed using UV-Vis spectrophotometry to determine concentrations before and after treatment. X-Ray Diffraction (XRD) analysis confirmed that the crystalline structure of the catalyst remained stable after the photolysis process. Based on these findings, the ZnO/zeolite catalyst is proven to be effective in reducing pesticide residues through photocatalytic degradation and has the potential to be applied as a safe, efficient, and environmentally friendly post-harvest technology to improve the quality of agricultural products.

Diabetes mellitus type 2 is a chronic metabolic disorder that frequently affects elderly patients and is often accompanied by multiple comorbidities. The increasing prevalence of diabetes in the aging population contributes to higher morbidity and mortality, especially when complicated by geriatric syndromes, electrolyte imbalances, and infections such as pneumonia. This study aims to present a case of type 2 diabetes mellitus in an elderly patient with associated geriatric problems, electrolyte disturbances, and pneumonia. The method used is a descriptive case report based on clinical findings, laboratory examinations, and radiological assessment. A 76-year-old male presented with generalized weakness, weight loss, decreased appetite, respiratory symptoms, and functional decline. Physical examination and laboratory findings revealed uncontrolled diabetes, electrolyte imbalance, hypoalbuminemia, and signs of infection. Chest radiography confirmed pneumonia. Management included pharmacological therapy such as antibiotics, fluid and electrolyte correction, and supportive care, along with non-pharmacological interventions including dietary regulation and monitoring. The findings highlight the complexity of managing elderly patients with multiple comorbid conditions, emphasizing the need for a comprehensive and multidisciplinary approach. Early detection and appropriate management are essential to improve clinical outcomes and prevent further complications in geriatric patients with diabetes mellitus.

This community service program aims to empower students. The lack of digital business literacy and knowledge about Islamic entrepreneurship in Islamic-based schools, as well as the application of sharia business principles, are the main drivers of this program. The activity implementation technique uses the Participatory Action Research (PAR) methodology. Problem identification, needs analysis, preparation of materials and instruments, pre-testing, training in Islamic business ethics and entrepreneurship theory, digital business practices, mentoring, post-testing, and program evaluation are some of the steps included in the activity. A total of 60 12th-grade students and ten instructors participated in this activity. The results showed that students' knowledge of sharia-based digital business, digital marketing skills, and entrepreneurial drive all increased. Student interest in starting a business increased by 78%, and participants' understanding of digital literacy increased by 85%. Furthermore, the program successfully instilled the ideals of Islamic entrepreneurship, such as accountability, honesty, and trustworthiness, as well as the prohibition of usury in digital business operations. In addition to encouraging the development of an Islamic digital business community within the educational environment, this community service program helps students develop personalities with noble morals, creativity, and adaptability.

Financial literacy and family readiness are crucial aspects of building a community's economic and social well-being. Poor public understanding of family financial management, financial planning, and mental and social readiness in family life can trigger various economic problems and family conflict. This community service activity aims to improve the community's understanding of financial literacy and family readiness in Madiredo Village, Pujon District, through an educational workshop. The methods used in this activity were surveys and participant observation. Surveys were conducted before and after the workshop to measure participants' level of understanding regarding personal financial management, family financial planning, financial risk management, and readiness to build a harmonious household. Participatory observation was conducted throughout the workshop to determine participants' level of participation, enthusiasm, and interaction with the material presented by students from the Raden Rahmat Islamic University of Malang's Community Service Program (KKN-T). The results of the activity indicate an increase in community understanding of the importance of saving, prioritizing needs, managing family finances, and readiness to face the responsibilities of family life. This workshop is expected to be the first step in sustainably improving the quality of economic and social life in the village community

Bullying and child harassment in the school environment are serious problems that can negatively affect students’ mental health, self-confidence, and academic achievement. Therefore, preventive efforts are needed through educational activities to increase students’ knowledge and awareness about the dangers of Bullying and child harassment. This activity aims to improve students’ understanding of Bullying and child harassment prevention through the Community Service Program (KKN) at SMAN 1 Koto Kampar Hulu. The method used was a descriptive quantitative approach with a one group pre-test post-test design involving 54 students as participants. The instrument used was a questionnaire administered before and after the educational session. The educational materials included the definition, types, impacts, and prevention efforts related to Bullying and child harassment in the school environment. The results showed an increase in students’ knowledge and awareness regarding the importance of preventing Bullying and child harassment in schools. Therefore, educational programs conducted through the KKN activity can be one of the efforts to create a safe and Bullying-free school environment.

Community service is an integral part of the Tri Dharma of Higher Education, aimed at providing tangible contributions to society. This activity was carried out in the form of a training program for the development of paripurna mosque imams across Pekanbaru City, focusing on improving the competencies of imams in both religious practices and the understanding of Islamic economics. The background of this activity is based on the existing gaps in imam quality, the lack of integrated training programs, and the increasing demands placed on the role of imams in society. The methods used in this program included observation, interviews, and the implementation of direct training sessions in mosques. The results of the activity indicate an improvement in participants’ understanding of the strategic role of imams as well as their literacy in Islamic economics. In addition, this program also strengthened the role of mosques as centers of worship, education, social engagement, and community-based economic development.This activity is expected to serve as an initial step toward developing professional, ethical, and competent mosque imams who are capable of addressing the challenges of modern society.

Strengthening the capacity of micro, small, and medium enterprises (MSMEs) is a strategic effort to enhance business competitiveness and sustainability, particularly within the Pamulang MSME Friends (SUP) community. This community service activity aims to improve MSMEs’ financial management capabilities and increase production efficiency through the development of a joint production house. The main challenges faced by partners include limited financial literacy, the absence of systematic financial transaction records, and inadequate production facilities. The implementation of the program was carried out through training activities, mentoring in the use of the APIK financial recording application, and facilitation in designing a collaborative production house model. The results indicate an improvement in MSMEs’ understanding of financial management, including the ability to record transactions systematically, separate business and personal finances, and calculate production costs more accurately. Furthermore, the establishment of a joint production house contributes to greater cost efficiency, increased production capacity, improved product quality, and stronger collaboration among MSME actors. Therefore, this activity contributes to creating a more structured, efficient, and sustainable MSME ecosystem that supports long-term business development.

Primary education is crucial for child development, especially at the elementary school level. Children begin to acquire various basic knowledge that will shape their cognitive, social, and emotional abilities. However, reality shows that schools can also become sites of aggressive behavior in the form of bullying. According to the Ministry of Women’s Empowerment and Child Protection (2023), cases of bullying in elementary schools have shown an increasing trend over the past five years. The purpose of this activity is to broaden students' understanding of bullying and its impacts, foster empathy and mutual respect, and strengthen the roles of teachers and parents in creating a safe and inclusive school environment. Findings indicate the presence of students who still lack understanding regarding types of bullying, with a high category showing that some individuals remain frequent targets of bullying. This may be caused by factors such as physical differences, social status, family background, or weak social support from peers. This condition indicates that schools still need to implement preventive and intervention approaches to protect students who are vulnerable to bullying.

This research examines how families and communities play a role in instilling the value of tolerance through multicultural education. As a country rich in ethnic, religious, cultural and linguistic diversity, Indonesia needs an attitude of mutual respect so that social life continues to run in peace and harmony. Therefore, it is important to introduce the value of tolerance from an early age through the child's closest environment, such as family, community and school. In everyday life, the family is the first place where children receive education about tolerance through providing understanding, habituating positive behavior, example from parents, and monitoring children's attitudes. On the other hand, society also has a contribution as a learning environment that introduces children to diversity through social interaction and various joint activities. Schools also play a role in forming a tolerant character by implementing multicultural education in a planned and sustainable manner. This research uses a literature study method by examining various scientific sources related to multicultural education and instilling the value of tolerance. Based on the results of the study, it is known that cooperation between family, school and community has a very important role in shaping children's character so that they are able to appreciate differences, live side by side in harmony, and maintain unity in the life of a diverse society.

This study aims to analyze the influence of effective communication on the emotional intelligence of early childhood. Effective communication is the process of conveying clear, empathetic, and responsive messages between educators or parents and children, which plays a crucial role in shaping children's abilities to recognize, understand, and manage emotions. Emotional intelligence is an essential aspect of child development because it supports social adaptation, self-regulation, and positive interpersonal relationships. The research method used was a quantitative approach with a correlational design. The subjects were early childhood education institutions attending early childhood education institutions, with data collection techniques through observation, questionnaires, and documentation. Data were analyzed using statistical procedures to determine the relationship between the variables studied. The results showed a significant influence between effective communication and children's emotional intelligence. Children who receive good communication tend to have higher empathy skills, are able to control their emotions, and establish positive social relationships. In addition, effective communication helps children express their feelings appropriately and develop self-confidence. Thus, effective communication is an important factor in the development of emotional intelligence in early childhood. This research is expected to serve as a reference for educators and parents in improving the quality of interactions with children and supporting optimal child development.

This study, entitled "Developing Emotional Control Skills in Early Childhood Education (PAUD) Duyun in Bungabali Village, Pantar Timur District," found that children still struggle to manage their emotions, such as irritability, excessive crying, and difficulty interacting positively with peers. Therefore, effective and enjoyable efforts are needed to help children control their emotions, one of which is through storytelling. This study aims to develop children's emotional control through the application of storytelling to early childhood education at PAUD Duyun. The research method used is a descriptive (exploratory) approach, based on objective observation of a social phenomenon. In this case, the research compiles or creates a clearer picture while data is collected and parts are tested. The results are expected to demonstrate that the application of storytelling can improve children's ability to recognize, express, and control emotions more positively. Furthermore, storytelling activities can also create a fun and interactive learning environment, making it easier for children to understand the emotional values ​​conveyed.

The rapid development of digital media, particularly YouTube, has encouraged personal branding practices among content creators in the gaming sector. This study analyzes how Tobias Justin constructs his personal branding through the Jess No Limit YouTube channel using Montoya's (2002) eight-component personal branding theory, namely specialization, leadership, personality, distinctiveness, visibility, unity, persistence, and goodwill. Employing a qualitative descriptive approach with a case study design, data were collected through online observation of 15 videos published between 2023 and 2025, digital documentation, and digital footprint analysis. Data were analyzed using Miles and Huberman's (1994) interactive model. Findings reveal that Tobias Justin's personal branding is built through consistent specialization in Mobile Legends gameplay, an authentic and humble personal narrative, a relaxed yet persuasive communication style, and sustained positive audience engagement. Audiences actively reinforce his image as a professional, inspiring figure, demonstrating that personal branding is a dialectical process involving creator presentation and collective audience validation. This study concludes that effective digital creator branding is shaped by value consistency, technical competence, and strategic audience relationship management, not mere popularity. Comparative research across gaming creators or platforms is recommended to extend generalizability.

This research focuses on the vocational interest and readiness to enter the workforce of students in the Light Automotive Engineering (TKRO) program at SMK Negeri 2 Sungai Penuh. The purpose of this study is to determine the relationship between students' vocational interest and their readiness to enter the workforce. This type of research is a descriptive study with a correlational approach. The study involved 64 students enrolled in Light Automotive Engineering (TKRO). The sample size taken for this research was 39 students, selected through stratified random sampling using the Taro Yamane formula. Questionnaires that have been declared valid and reliable were utilized to collect data regarding the students' vocational interest and their readiness to enter the workforce. The data analysis was conducted using the Product Moment correlation formula. The results of the data analysis indicate a positive and significant relationship between vocational interest and the readiness to enter the workforce among Light Automotive Engineering (TKRO) students at SMK Negeri 2 Sungai Penuh, with a correlation coefficient of 0.442 (greater than 0.316) and a significance coefficient of 2.9982 (greater than 2.02269) at a 5% significance level.