Publication Search

Pregnancy is frequently associated with discomforts such as back pain, edema, and postural changes that may interfere with daily activities. Approximately 50–70% of pregnant women experience back pain due to hormonal changes and increased body weight. The use of a Birth Ball is considered one of the non-pharmacological alternatives to alleviate these complaints, as it improves pelvic muscle flexibility and supports postural correction. Proper education is essential to ensure appropriate and effective utilization. This study aimed to evaluate the effectiveness of education using lecture and demonstration methods on the understanding of Birth Ball use among pregnant women. A pre-experimental design with a one-group pre-test post-test approach was applied. The sample consisted of 28 third-trimester pregnant women selected through purposive sampling. Findings revealed that the respondents’ understanding prior to education was 0%, which significantly increased to 96.43% following the intervention. Statistical analysis using the Wilcoxon Signed Rank Test yielded Z = -4.873 with p < 0.05, indicating a significant difference between pre- and post-education. It can be concluded that education delivered through lecture and demonstration methods is effective in enhancing pregnant women’s understanding of Birth Ball use.

This research analyzes the fundamental conflict between state regulation and Sharia principles regarding cryptocurrency in Indonesia, aiming to explore the views of Islamic scholars and the legal perspective in the Qur'an and its interpretations. Cryptocurrency has become a popular investment trend, especially among the youth. While the Bank Indonesia (BI) prohibits its use as a legal payment instrument, its trading activity is legalized as an investment asset under the supervision of OJK and BI. Conversely, the MUI Fatwa and the majority of scholars declare crypto transactions as forbidden (haram) due to the presence of elements prohibited in Islamic economics: riba (usury) and gharar (uncertainty). Gharar is linked to the extreme price volatility that encourages speculation (maysir) and the non-physical nature of crypto. Riba, on the other hand, is associated with the potential for unfair profit in lending and staking mechanisms. This prohibition is rooted in the interpretation of the Qur'an (QS. Al-Baqarah: 275 and QS. An-Nisa: 29), which strictly forbids riba and consuming others' wealth through bathil (unlawful) means. Consequently, although legally accepted as an investment asset, many scholars view crypto as violating the principles of justice and transparency in Islamic economics.

Hypertension is a non-communicable disease that can be life-threatening, especially in the elderly. According to the WHO, more than 15 million people aged 30–69 years die each year from non-communicable diseases. This study aims to analyze factors influencing the incidence of hypertension in the elderly, including smoking, stress levels, culture, diet, exercise, and coffee drinking habits. This research method used a quantitative approach with a cross-sectional design. The population was 738 elderly people, with a sample size of 259 elderly people, and random sampling was used. Data analysis was performed using univariate, bivariate using the Chi-Square test, and multivariate using the Pearson correlation test. The results of this study such as Smoking with hypertension: There is a significant influence (p = 0.002), stress level There is a significant influence (p = 0.002), Culture There is a significant influence (p = 0.010), Eating patterns with hypertension are significant (p = 0.049), Exercise There is a significant influence (p = 0.003), drinking coffee with a significant influence (p = 0.048). Multivariate analysis shows that culture (p = 0.003; r = 0.177) and coffee drinking habits (p = 0.022; r = 0.139) are the most influential factors on elderly hypertension, while other factors are not significant. This study shows that smoking, stress levels, culture, diet, exercise, and coffee consumption are significantly associated with hypertension in the elderly. However, a multivariate analysis revealed that cultural factors and coffee drinking habits were the most dominant factors influencing hypertension, while other factors had no significant effect after being controlled for. Therefore, efforts to prevent and control hypertension in the elderly need to focus on changing cultural practices that are less conducive to health and regulating coffee consumption, while still considering the implementation of a healthy lifestyle overall.

Nutritional problems among adolescent girls remain relatively high and can affect reproductive health, particularly before entering marriage. One of the factors suspected to be associated with nutritional status is the frequency of visits to adolescent health posts (Posyandu Remaja). This study aimed to determine the relationship between the frequency of visits to adolescent health posts and the nutritional status of adolescent girls in the working area of Dinoyo Public Health Center. The research design employed was correlational analytic with a cross-sectional approach. The sample consisted of 80 adolescent girls registered at adolescent health posts in the Dinoyo Public Health Center area, selected using total sampling technique. Data were collected using observation sheets and analyzed using the Spearman rank correlation test. The results showed that there was no significant relationship between the frequency of visits to adolescent health posts and the nutritional status of adolescent girls (r = -0.083, p = 0.462). It can be concluded that an increased frequency of visits to adolescent health posts does not directly correlate with improvements in the nutritional status of adolescent girls in the Dinoyo Public Health Center area.

Hypertension is a "silent disease" with a high prevalence that can be triggered by modifiable risk factors such as stress and smoking. Sei Langkai Community Health Center shows the highest hypertension service rate (20.12%) in Batam City with Sei Langkai Village having 50% of hypertension sufferers from the health center's working area. The purpose of this study was to analyze the relationship between stress and smoking with the incidence of hypertension in Sei Langkai Village, the Working Area of ​​UPTD Sei Langkai Community Health Center, Batam City. This research method is an analytical observational study with a cross-sectional design. The accessible population is residents aged >17 years in RW 17 RT 05 Sei Langkai Village (334 people). A sample of 75 respondents was selected using a cluster random sampling technique. Data collection used the Perceived Stress Scale (PSS) questionnaire to measure stress and the Fagerstrom Test for Nicotine Dependence (FTND) to measure smoking dependence, as well as blood pressure observations. Data analysis used the chi-square test and Spearman correlation. The results showed a significant association between stress and hypertension (p=0.001; PR=5.688; 95% CI: 2.200-14.705). Of the 47 respondents experiencing stress, 87.2% had hypertension. There was a significant association between smoking and hypertension (p<0.001; r=0.585). Of the 28 respondents with heavy smoking habits, 96.4% had hypertension. The study concluded that stress and smoking are significantly associated with hypertension. Respondents with stress had a 5.688-fold higher risk of developing hypertension. The more severe the smoking habits, the higher the risk of hypertension.

The efficiency of investment decisions is one of the core axes in the success of organizations and the sustainability of their business, especially in light of the dynamic and complex business environment. In this context, the integrated role of both accounting and financial management systems is highlighted, as the harmony between them is a key pillar in providing accurate, real-time, and analytical data that supports the investment decision maker and reduces the degree of uncertainty and risks associated with investments. This research aims to analyze the impact of the integration between accounting systems and financial management on the quality and efficiency of investment decisions within institutions, with a focus on the nature of the causal relationship between the two variables. A conceptual model has been built that illustrates the interaction between the financial information generated by the accounting system and the analytical tools provided by the financial department, which contributes to raising the efficiency of strategic decisions related to investment. To achieve the objectives of the study, a descriptive-analytical approach supported by a standard analysis using a simple linear regression model was adopted on field data extracted from an intentional sample of financial officials in the banking and investment sector. The results showed that there is a statistically significant positive effect of the integration of accounting and financial management systems in enhancing the efficiency of investment decisions, as the model showed that integration contributes more than 50% to the explanation of changes in the quality of investment decisions. The study reached a number of important findings, the most prominent of which is that the lack of integration or poor coordination between accounting and financial management leads to delays in decisions or making them based on incomplete or contradictory information. Effective integration enables organizations to allocate resources more efficiently and evaluate investment alternatives in a thoughtful manner. The study concluded with a set of recommendations, most notably the need to develop the digital infrastructure of accounting and financial systems, adopt a unified system for data exchange, enhance the culture of teamwork between accounting and financial management units, in addition to activating the use of predictive financial analysis techniques to raise the level of accuracy in investment decisions.

Inguinal hernia is one of the most common abdominal wall disorders, accounting for approximately 75% of all hernia cases, with 50% classified as lateral inguinal hernias, and it occurs more frequently in older adults. We report a 57-year-old male patient who was admitted to the hospital with a complaint of a lower abdominal mass. The mass initially appeared in the right inguinal region one year prior and subsequently developed in the left inguinal region two months later. The swelling progressively increased in size. Intermittent pain, predominantly on the left side, had been present for the past month without associated nausea, vomiting, or fever. Physical examination revealed a moderately ill general condition, stable vital signs, and a soft, tender mass in both inguinal regions. Based on the clinical history, physical examination, and supporting investigations, the patient was diagnosed with bilateral irreducible lateral inguinal hernia. The patient received intravenous Ringer’s lactate and intravenous ketorolac, followed by an elective herniorrhaphy using Lichtenstein Tension-Free Repair Technique under spinal anesthesia. The operation was completed successfully without intraoperative complications.

Labor is the process of expelling the products of conception, namely the fetus and placenta, after reaching full term and being viable in the womb. There are two types of delivery: normal delivery and caesarean section (SC). Caesarean section (SC) is a surgical procedure performed through an incision in the uterine wall to deliver the fetus. Caesarean delivery is indicate in cases of cephalopelvic disproportion, breech or transverse fetal position, fetal weight exceeding 4,000 grams, or maternal health conditions that may endanger the mother and fetus. One of the common complications following caesarean delivery is pain. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. An intervention that can be applied to reduce post SC pain is Guided Imagery Therapy. Guided imagery therapy is a non-pharmacological intervention aimed at reducing and controlling pain by creating pleasant and relacing thoughts, focusing on breathing, and visualizing positive scenarios. This study employed a descriptive case study design using the nursing process from assessment to evaluation. The study was conducted on two patients with moderate pain (pain scale 4-6) after SC at TK II Putri Hijau Hosiptal Medan. The results showed that after the application of guided imagery therapy for three days with a duration of 40 minutes per session, pain levels decreased to mild (pain scale 1-3). In ptient I, pain decreased from a score of 5 to 3, an in patient 2, from a score of 6 to 3. In conclusion, guided imagery therapy was successfully applied in reducing post -SC pain levels and can serve as a reference for further research on pain reduction following caesarean section.

This study investigates the relationship between business ethics and VAT implementation with the aim of assessing the combined effect of both on the financial performance of B2B companies. The main theories underlying this study are the Ability to Pay Theory, Stakeholder Theory, and Ratio Analysis Theory. The study uses a positive research philosophy approach and a quantitative case study design with a structured questionnaire involving 30 respondents from PT Bhinneka Mentari Dimensi or Bhinneka.Com, the oldest B2B e-Commerce company in Indonesia. Data analysis was conducted using SPSS using descriptive and inferential statistics. The results show that VAT implementation indirectly affects financial performance through business morality. This mediating role is associated with stakeholder theory and the ability to pay. The low direct effect of VAT is related to an efficient company structure, company size, and reliance on self-reported data. B2B companies should embed business ethics principles in their operations, with management implementing a framework to ensure accountability in tax reporting and practices. The originality of this study contributes to the literature by emphasizing the distinctive role of business ethics as a bridge in the relationship between VAT implementation and financial performance of B2B companies, shifting attention from general tax compliance to specific VAT mechanisms and incorporating ethical dimensions in financial analysis.

Introduction: Children of all ages can get tuberculosis (TB), an infectious disease. With 500,000 child TB cases annually and 40–50% of the population in poor nations being categorized as children, child TB is a significant disease to research. This study's main goal was to ascertain how nutritional status, contact history, and BCG immunization status related to childhood tuberculosis at Tidore Hospital in 2025.  Methods: This kind of study used a cross-sectional design and was analytically descriptive. In December 2025, there were 80 children with tuberculosis who visited the polyclinic on a regular basis, making up the study's population. Contact history has a significance level of 0.000 <0.05 and a t value of 3.564 > t table 1.665. This indicates that the Child TB variable is significantly impacted by the contact history variable to some extent. The t count value for immunization status is 4.055 > t table 1.665, with a significance of 0.000 <0.05. This indicates that the Child TB variable is significantly impacted by the Immunization Status variable to some extent. The Nutritional Status hypothesis was tested, and the results reveal a t value of 3.044 > t table of 1.665 with a significance of 0.000 <0.05. This indicates that the Child TB variable is significantly impacted by the Nutritional Status variable to some extent.So the advice for health workers is that it is hoped that they will be more active in providing counseling or KIE, putting up poster media, and providing leaflets related to TB in children.

Background: Premarital sexual activity among adolescent girls constitutes a significant reproductive health issue, as it is linked to a higher likelihood of unintended pregnancy, sexually transmitted diseases, and negative psychosocial outcomes. Understanding the determinants of such behavior requires a contextual approach, particularly in Indonesia’s island regions, where social and cultural dynamics may differ. Objective: This research sought to identify determinants related to premarital sexual behavior among female students enrolled at State Senior High School 13 in Tidore Kepulauan City. Methods: A quantitative analytical approach employing a cross-sectional design was implemented. A total of 120 female adolescents were recruited using a simple random sampling technique. Data were obtained through structured self-administered questionnaires and statistically analyzed using the Chi-square test, with a significance threshold of 0.05. Results: The analysis demonstrated that reproductive health knowledge, attitudes toward premarital sexual activity, peer-related influence, and parental involvement showed significant associations with premarital sexual behavior (p < 0.05). Female adolescents who had inadequate knowledge, permissive attitudes, strong peer pressure, and limited parental support exhibited a greater tendency toward engaging in risky premarital sexual practices. Conclusion: Premarital sexual behavior among adolescent girls is influenced by a combination of personal and social determinants. Therefore, integrated promotive and preventive strategies involving both schools and families are essential to mitigate the risk of premarital sexual behavior among female adolescents.

Refusal of Visual Inspection with Acetic Acid (VIA) examination remains a major challenge in cervical cancer early detection, particularly among women of reproductive age. This study aimed to analyze factors influencing refusal of VIA examination among women of reproductive age in Beringin Jaya Village, Oba Tengah District. A quantitative analytic study with a cross-sectional design was conducted involving 74 respondents. Data were collected using a structured questionnaire assessing educational level, knowledge, information, and the role of health workers. Data analysis included univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using ordinal logistic regression.The results showed that most respondents refused or hesitated to undergo VIA examination. Bivariate analysis demonstrated that educational level, information, and the role of health workers were associated with refusal of VIA examination, while knowledge level showed a tendency toward association. However, multivariate analysis revealed that only the role of health workers had a statistically significant effect on refusal of VIA examination. Educational level, knowledge, and information were not significant predictors after adjustment.These findings indicate that service-related factors, particularly the role of health workers, are more influential than individual factors in shaping decisions regarding VIA examination. Strengthening health workers’ roles through effective communication and interpersonal counseling is essential to improve VIA examination uptake.

This Community Service Program (KKN) was implemented as an effort to address the health and environmental risks associated with the use of chemical-based dishwashing soap. The program’s lack of knowledge and skills in making natural household products among women underpins the program’s implementation. The goal was to raise awareness and empower women through training in making environmentally friendly dishwashing soap. The program was conducted at the Women’s Witness Building and included outreach, demonstrations, hands-on practice, discussions, and the sharing of results. During the workshop, participants were taught how to make soap using simple ingredients such as baking soda, liquid soap, water, and the addition of glycerin, dyes, and fragrances. The results demonstrated high enthusiasm from the participants, reflected in their active involvement during the workshop and their understanding of the benefits of natural products. This activity not only improved the women’s skills but also encouraged a frugal, healthy, and environmentally conscious lifestyle.

The rapid expansion of digital platforms in higher education has paved the way for Virtual Exchange (VE) as a viable alternative to traditional student mobility programs. VE leverages online technologies to connect university students from diverse cultural and academic backgrounds, enabling cross-cultural communication and global collaboration without the financial and geographical barriers associated with physical exchanges. Despite its potential, challenges remain regarding student engagement, technological limitations, and reduced immersion compared to face-to-face interactions. This study aims to evaluate the effectiveness of VE in fostering intercultural awareness and teamwork skills among university students. A mixed-method approach was employed, combining quantitative surveys to measure intercultural competence and collaboration with qualitative interviews to explore students’ experiences in depth. The findings indicate that VE contributes significantly to the development of intercultural understanding, digital literacy, and teamwork, with students reporting enhanced awareness of cultural diversity and improved adaptability in online collaboration. Visual and statistical analyses highlight clear patterns in how VE facilitates skill development, while qualitative data emphasize both the benefits and obstacles students encounter, such as managing time zone differences and cultural nuances. The study concludes that VE represents an inclusive and scalable educational approach that complements traditional exchange programs, offering broader access to global learning opportunities while addressing issues of equity and accessibility. However, its limitations suggest that VE should be integrated strategically, potentially through hybrid models that balance virtual and physical mobility to maximize its impact.

Background: Stunting is a chronic nutritional problem in children under five years old caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). Exclusive breastfeeding and maternal nutritional knowledge are key factors that influence the incidence of stunting. Indonesia faces a high prevalence of stunting, which can impact the quality of human resources in the future if not addressed immediately. Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of ​​Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021. Method: This study used a case-control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and analyzed using the Chi-Square test. Results: The results showed a significant association between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant association between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant association. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

The initiative "FUN ENGLISH LISTENING FOR KIDS" at SD IT Nurul Fikri aims to enhance the English language proficiency of young learners through innovative methods. This project utilizes stereophonic styrofoam to introduce and reinforce English vocabulary among elementary school students. Under the guidance of fifth-semester students from the English Language Teaching Program at IAIN Palangka Raya, the project involves stages of introducing vocabulary, using styrofoam to associate sounds with vocabulary, and interactive sessions. This engaging learning method has successfully improved the English skills of elementary students at SD IT Nurul Fikri, demonstrating the potential of creative methods in language education.

Diarrhea remains a significant health problem among children, especially school-aged students. This study aims to identify factors associated with the occurrence of diarrhea in students. A literature review method was used by analyzing ten relevant scientific articles published within the last five years (2019–2024). Significant factors influencing diarrhea incidence include handwashing habits, environmental sanitation conditions such as availability of latrines and clean water, nutritional status, immunization, and health knowledge. The findings indicate that diarrhea prevention requires a multidimensional approach involving education on healthy behaviors, improvement of sanitation facilities, and family empowerment through nutrition and immunization. These results are expected to serve as a basis for schools, parents, and government in designing effective diarrhea prevention programs for students.

In addition to being programmatically successful in lowering TFR and slowing population growth rates, the Long-Term Contraceptive technique (MKJP) is an affordable technique of preventing conception. This study's objective was to examine variables associated with long-term contraceptive (MKJP) selection at the Motoboi Kecil Community Health Center. The study design is cross-sectional and the research methodology is quantitative. The investigation was carried out in the workspace of the Motoboi Kecil Community Health Center. 300 women of reproductive age made up the study's population, and a straightforward random selection procedure was used to choose 45 participants. A questionnaire was used to gather the data, which were then subjected to univariate and bivariate analysis using the Chi-Square statistical test. Age and MKJP choice did not correlate, according to the data (p-value = 0.09 > 0.05). The choice of MKJP was correlated with education (p-value = 0.003 < 0.05). The choice of MKJP was correlated with occupation (p-value = 0.003 < 0.05). The choice of MKJP and the husband's support are related, with a p value of 0.004 < 0.05. Parity and MKJP selection are related, with a p value of 0.003 < 0.05. Knowledge and MKJP selection are related, with a p-value of 0.003 < 0.05.

This study analyzes the dynamics of Non-Performing Loans (NPLs) in the Indonesian banking sector by examining both internal and external factors affecting financial stability. The variables included in the research are NPL, Loan to Deposit Ratio (LDR), lending interest rate, inflation, Household Debt to Income (HDTI), fintech lending, and Capital Adequacy Ratio (CAR). Using annual secondary data from 2005 to 2024, sourced from the World Bank and Statistics Indonesia (BPS), the study employs a Vector Autoregression (VAR) method. This method includes stationarity tests, optimal lag selection, cointegration tests, Impulse Response Function (IRF), and Forecast Error Variance Decomposition (FEVD). The results show that most variables demonstrate a dominant contribution from their own shocks, although interactions between variables remain significant. The IRF analysis reveals that CAR and HDTI are relatively stable and quickly return to equilibrium, while fintech lending, inflation, and NPLs show more volatile responses, making them more susceptible to external shocks. LDR and lending interest rates are sensitive in the short term but tend to stabilize over the long run. FEVD further indicates that inflation plays a significant role in driving NPL variations, while fintech lending is closely associated with CAR in the long term. The study concludes that the stability of Indonesia’s banking sector is influenced by both internal factors like CAR and LDR, as well as external factors such as inflation, fintech lending, and household debt. Thus, a coordinated approach involving monetary policy, macroprudential measures, and financial supervision is crucial to enhance the resilience of the banking sector against global and domestic economic shifts.

This study aims to discover the influence of teacher leadership and teacher communication skills on students' learning motivation in the Economics subject among tenth-grade students at SMA Negeri 1 Momunu, Buol Regency, Central Sulawesi Province. The study employed a quantitative approach using a descriptive study method. Primary data were collected by distributing questionnaires to tenth-grade students at SMA Negeri 1 Momunu, Buol Regency, Central Sulawesi Province. The total population consisted of 128 students, and a sample of 56 respondents was selected using simple random sampling. Data analysis was conducted using multiple linear regression with the assistance of SPSS 21 software. The results of the study indicate that: (1) Teacher leadership has a positive and significant influence on students' learning motivation in Economics subject; (2) Teacher communication skills also have a positive and significant influence on students' learning motivation; and (3) Teacher leadership and communication skills simultaneously have a significant influence on students learning motivation in the Economics subject. This is supported by the coefficient of determination (R Square) value of 0.458, which means that 45.8% of the variance in students' learning motivation can be explained by teacher leadership and communication skills. In other words, Improved teacher leadership and communication skills are positively associated with increased student motivation in learning the Economics subject among tenth-grade students at SMA Negeri 1 Momunu, Buol Regency, Central Sulawesi Province. Therefore, it is important for teachers to continuously develop their leadership qualities and communication abilities as integral components of an effective and motivating learning environment. The remaining 54.2% is influenced by other variables not examined in this study.