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Non-hemorrhagic stroke occurs due to blockage of blood flow to the brain by a thrombus or embolus. The blockage results in focal neurological disorders that affect the musculoskeletal system, namely weakness in the extremities, which gives rise to nursing problems of impaired physical mobility. To overcome the problem of impaired physical mobility, rubber ball grip exercises (ball squeezing) are given. These exercises have been shown to increase muscle strength, prevent joint stiffness, and improve blood circulation. This scientific paper was conducted to determine the description of nursing care for non-hemorrhagic stroke patients with nursing problems of impaired physical mobility. During the meeting, the nurse provided rubber ball grip exercises (ball squeezing) for 10-15 minutes for 3 times in 24 hours. Evaluation of these actions showed that the patient who initially experienced weakness in the upper extremities with muscle strength 2-3 and after being given rubber ball grip exercises (ball squeezing), the problem of impaired physical mobility was resolved, as evidenced by the patient being able to perform therapy, the extremities feeling slightly lighter, and muscle strength 4. Therefore, it is recommended that non-hemorrhagic stroke patients be given rubber ball grip exercises (ball squeezing) to overcome impaired physical mobility.

The circulation of illegal cigarettes constitutes a serious problem that results in state financial losses and disrupts legal certainty in the excise sector. Although criminal provisions related to the circulation of illegal cigarettes have been explicitly regulated in statutory laws, law enforcement practices demonstrate a tendency to apply administrative sanctions rather than criminal sanctions. This study aims to analyze the regulation of criminal law concerning illegal cigarette circulation and to examine the implications of the dominance of administrative sanctions on the effectiveness of criminal law. The research employs a normative juridical method using statutory and conceptual approaches through library research on primary and secondary legal materials. The findings indicate that the main problem does not lie in the absence or contradiction of legal norms, but in the emergence of vague norms at the implementation level due to inconsistent application of criminal sanctions. This condition weakens legal certainty, reduces the deterrent effect of criminal law, and undermines the protection of public interests. This study emphasizes the importance of consistent application of criminal sanctions to ensure that criminal law functions effectively in addressing illegal cigarette circulation.

This study discusses the implementation of the Think Pair Share (TPS) strategy in Islamic Religious Education (PAI) learning in Grade VII of MTs Cerdas Murni, with a focus on its definition, steps, and advantages and disadvantages. This study uses a qualitative method with a phenomenological approach. The data used consist of primary data obtained through interviews and direct observation, as well as secondary data from books and journals. Data collection techniques include observation, interviews, and documentation, while data analysis is carried out through data reduction, data presentation, and verification. Data validity is tested using lingering techniques, triangulation, and negative cases. The results show that TPS is an effective cooperative learning strategy to increase student interaction and engagement. The steps in TPS include the stages of think, pair, and share. The advantage of this strategy is that it increases overall student participation, because each student is actively involved. However, the disadvantage is that it requires a relatively longer time to implement. Teachers have implemented TPS effectively, from greetings and prayers to build morals, to explaining prayer etiquette and dhikr, which enhance students' understanding, cooperation, and courage. TPS is suitable for material that requires in-depth understanding but needs to be adapted to the students' circumstances, such as using mixed methods for practical materials. Another advantage is increased student courage and critical thinking, despite challenges related to student readiness and facilities.

The growing pressure on urban drainage systems caused by blockages and environmental pollution highlights the importance of developing sustainable filtration materials. This study explores the use of coffee waste as an environmentally friendly filler integrated into polyester fabric (PE 24S) to create a green filtration medium for drainage applications. The research focuses on developing and characterizing the composite material through macro-photographic morphology analysis, tensile strength testing, and antibacterial evaluation. The findings demonstrate that polyester fabric modified with coffee waste shows a tensile strength of 54.024 ± 5.498 MPa, elongation of 111.128 ± 6.915%, and a Young’s modulus of 0.486 ± 0.543 MPa, indicating improved flexibility and sufficient mechanical durability for drainage system use. Additionally, antibacterial testing reveals that the composite material can inhibit microbial growth due to the presence of natural bioactive compounds found in coffee waste. Overall, the results suggest that coffee waste–enhanced polyester fabric offers a sustainable and mechanically reliable alternative for environmentally friendly drainage infrastructure while supporting circular economy practices.

This research is motivated by the importance of studying pronouns in literary works because pronouns play a role in building cohesion and the meaning of stories. This research aims to describe the form and function of pronouns in the short stories Thank You for Today, Sad Stories on Sunday 4.0, and Uncle Gordi by Yoga Zen in the digital media of Ruang Sastra. This study uses a qualitative descriptive method with a morphological approach. The data source was in the form of three short stories by Yoga Zen, while the research data was in the form of words containing pronouns. The data collection technique is carried out through reading, listening, and recording techniques. The results of the study showed the existence of persona pronouns, pointer pronouns, and questioner pronouns. Persona pronouns include first, second, and third personas in the singular or plural. Pointer pronouns include general pointers, places, and concerns, while questioner pronouns include questioners people, causes, places, and circumstances. The use of pronouns in the three short stories serves to build story cohesion, strengthen the storytelling point of view, and describe the psychological condition of the characters.

This community service was carried out at the Sebesi Island Coconut Brown Sugar Artisans Group, South Lampung Regency, which faced the problem of low product competitiveness due to the use of conventional plastic packaging that was simple, unattractive, and environmentally unfriendly. This topic was chosen because it is relevant to the issue of the plastic waste crisis and the urgency of implementing a circular economy in island regions that are vulnerable to environmental pollution. The objective of this activity was to improve the hard and soft skills of partners through the innovation of environmentally friendly packaging designs based on local materials, while also increasing the economic value of coconut brown sugar products. The community service was carried out using a participatory approach through socialization, training, co-design of packaging, and assistance with production and marketing for 40 partners consisting of brown sugar craftsmen, BUMDes administrators, and local natural material weavers. The results of the activity showed an increase in the partners' skills in product design and packaging, strengthening of soft skills in the form of confidence and marketing readiness, as well as an increase in the selling value and image of the product in the local market. This activity confirms that environmentally friendly packaging innovation based on local resources is an effective strategy in empowering MSMEs as well as implementing a circular economy at the village level.

The Tapal Kuda Air Salobar Food Court is one of the culinary areas that plays an important role in supporting tourism and social activities in Ambon City. This area offers a variety of local culinary specialties from Maluku which are an attraction for the community and tourists. However, the increase in the number of visitors and the activities of traders have not been fully balanced by the conditions of adequate spatial planning, facilities, and area management systems. This study aims to analyze the existing condition of the Tapal Kuda Air Salobar Food Court from the aspects of spatial planning, waste management, supporting facilities, as well as the potential and challenges of its development as a culinary tourism destination. This study uses a descriptive qualitative approach with data collection methods in the form of field observations and in-depth interviews with key informants, namely area managers, traders, and visitors. The data obtained are analyzed thematically to identify the main problems and potential development of the area. The results of the study indicate that the spatial planning of the Tapal Kuda Air Salobar Food Court has not been able to accommodate the increase in visitor and trader activities due to the lack of clear zoning, limited circulation routes, and spatial planning that develops without integrated planning. Furthermore, waste management in this area is not yet systematic and sustainable, as evidenced by limited trash bins, a lack of waste sorting, and poorly scheduled waste collection. Limited supporting facilities, such as seating and sanitation facilities, also impact the comfort and quality of the visitor experience, especially during peak visitor periods. Nevertheless, the Tapal Kuda Air Salobar Food Court has significant potential as a culinary tourism destination based on local cuisine and a social space, which can be developed through spatial planning, facility improvements, and more integrated area management. This study concludes that the revitalization of the Tapal Kuda Air Salobar Food Court requires a comprehensive approach, emphasizing spatial planning improvements, strengthening waste management, and enhancing the quality of facilities and area management to support the sustainability of culinary tourism and the quality of public spaces in Ambon City.

Emergency conditions refer to situations that require immediate intervention because they have the potential to threaten life, impair organ function, or cause disability if not managed promptly and appropriately. Status epilepticus is a neurological emergency defined by seizures lasting five minutes or longer, or by repeated seizures without regaining consciousness between episodes. Status epilepticus can develop in individuals both with and without a previous diagnosis of epilepsy and may result from a wide range of causes, such as metabolic abnormalities, infections of the central nervous system, stroke, head injury, sudden discontinuation of antiepileptic medications, and alcohol intoxication or withdrawal. Clinically, this condition is classified into convulsive and non-convulsive status epilepticus. The diagnosis is primarily clinical and must be established rapidly, while electroencephalography plays an important role, particularly in cases of non-convulsive status epilepticus. Management emphasizes initial stabilization of the airway, breathing, and circulation, after which benzodiazepines are given as first-line treatment, including intramuscular midazolam, intravenous lorazepam, or intravenous diazepam. Status epilepticus represents the most severe form of seizure activity, characterized by continuous, unremitting seizures accompanied by strong muscle contractions, respiratory compromise, and widespread abnormal electrical activity in the brain. If not treated promptly, the risk of permanent brain tissue damage increases and the condition may ultimately lead to death.

The Soxhlet extraction method uses repeated heating and solvent circulation to separate substances from mixtures, producing more extract faster than maceration with less solvent. However, this method requires pure solvents and is not suitable for thermolabile compounds as they can be degraded by heat. Soxhlet extraction is more effective for limited quantities of dry and fine herbal materials. This method is widely used to extract phytochemical compounds such as flavonoids, tannins, and curcumin, and has potential in cosmetic raw materials, herbal medicines, and antioxidant products. Although it uses more energy, this technique is efficient and continuous. Modern innovations such as combining it with Ultrasonic Assisted Extraction (UAE) or environmentally friendly microextraction are expected to increase extraction efficiency while reducing the use of organic solvents. Modifications to Soxhlet, including automation and assistive technologies such as high pressure, ultrasound, and microwaves, open up opportunities for commercialization and further research with more optimal results and more practical operations. The modified Soxhlet is considered a “panacea” in extraction due to the significant performance improvements achieved.

Gas turbine generators play an important role in providing electrical energy, especially in the maritime sector, but they are vulnerable to disturbances such as overcurrent and undervoltage, which can cause equipment damage. This study aims to design and test an automatic protection system based on the ESP32 microcontroller with the INA219 sensor to detect current and voltage, as well as a relay as a circuit breaker. The method used is an experimental approach including static and dynamic testing, both with and without a 5W AC lamp load as a simulation of real loading conditions. Test results show that the average sensor reading error is 2.65% for current and 1.76% for voltage, which is still within the ±3% tolerance limit. The system is able to disconnect the load when any parameter exceeds the protection threshold, although there are slight inconsistencies in the relay response due to sensor reading fluctuations. In conclusion, this automatic protection system is proven to be 85% accurate and responsive in maintaining the operational reliability of the gas turbine generator, making it applicable as a preventive solution against electrical disturbances in marine environments.

The increasing consumption of plastic, particularly single-use packaging, has led to a significant rise in household plastic waste, which poses a potential threat to environmental sustainability. One type of waste that remains underutilized is metallic plastic packaging. This Community Service activity aimed to enhance community knowledge and skills in processing metallic plastic packaging waste into handicraft products with functional value and economic potential. The activity was conducted in collaboration with the Family Welfare and Empowerment Group (PKK) of Ngringo Village, Karanganyar, involving 15 participants. The methods employed included a preliminary survey, educational outreach, hands-on practical training, and continuous mentoring. The effectiveness of the program was evaluated using pre-test and post-test assessments analyzed through the normalized gain (N-gain) method. The results demonstrated an improvement in participants’ knowledge and skills following the training, with an average N-gain value of 0.68, which falls within the moderate-to-high category. These findings indicate that the metallic plastic packaging waste processing training was effective in enhancing community capacity. Furthermore, the activity not only contributed to reducing plastic waste generation but also promoted the implementation of circular economy principles.

Curriculum and education is an inseparable relationship because the curriculum is very important in education, if there is no curriculum then education will not be realized because the curriculum is a guideline for the maintenance of education in addition to that the curriculum is always adapted to the existing situation and circumstances. One of the educational institutions that are active in applying K-13 is MA Putri 1 Al-Amien Prenduan, where this institution is under the umbrella of Al-Amien Prenduan Pesantren Pondok. Pondok Pesantren Al-Amien Prenduan is composed of 4 parent institutions, namely Tarbiyatul Banaat Diniyah Al-Amien (TIBDA), Madrasah Tsanawiyah Al-Amien (MTsA) accredited status in 2005, Madrasah Aliyah Al-Amien (MAA) accredited status in 2004, Madrasah Aliyah Skills (MAK), and the Middle School of Information Technology (SMK IT) established in 2008. This study uses a qualitative-descriptive approach. As for the data collection technique in this research, it is using methods of interview, observation and documentation. The interview method used is a structured interview to extract detailed data from the source. From the findings in the field obtained based on the results of interviews, documentation, and observations can be concluded into several points: 1) the K13 learning plan in improving student performance performed by the teacher is by first mapping the KD by establishing the theme that is in the teacher's book. 2) K13 learning process in improving student learning performance more emphasizes cognitive aspects with emotional, and psychomotor support. 3) Authentically evaluate in K13 learning to improve this student’s learning performance using various techniques and starting instruments

The goal of continuous midwifery care is to use the SOAP documentation technique to provide comprehensive care to pregnant women up to birth control according to care standards. From May 2 - July 14, 2025, Mrs.C, G2P1A0, 32 years old received continuous midwifery care from pregnancy until get contraception methods, starting at 34 weeks of gestation. The mother complained of back pain during prenatal check-ups. The labor process went smoothly. With the assistance of a midwife, the baby was born on June 10, 2025. Birth weight: 3000 grams; length: 50 cm; head circumference: 34 cm; chest circumference: 33 cm; received Hb0 vaccine two hours after birth, eye ointment, and vitamin K shortly thereafter. The baby did not experience any problems or complaints during the first visit. Mrs. C received four visits during the postpartum period. The mother did not feel anything during the first visit up to the following visits. She continued to breastfeed exclusively, and her vital signs and fundal height returned to normal. The mother used a three-month injectable contraceptive so as not to interfere with the exclusive breastfeeding program. Mrs.C has received continuous midwifery care during pregnancy and contraceptive use, and her health is normal. It is expected that the midwife will be able to provide continuous midwifery care so that in the event of an emergency, it can be immediately identified and promptly handled.

Urban waste management remains a major challenge in achieving a clean and sustainable environment, including in Bontoduri Sub-district, Makassar City. Waste banks, as a community-based waste management model, have significant potential to reduce waste generation while creating economic value. However, in practice, the role of waste banks has not been fully optimized due to limitations in institutional capacity, community participation, and managerial practices. This community service activity aimed to strengthen the role of waste banks in promoting a clean and economically valuable environment through participatory and community empowerment approaches. The methods employed included preparation, environmental education and socialization, waste bank management training, institutional mentoring, and activity evaluation. The program involved approximately 30 participants consisting of waste bank managers, local government representatives, and community members. The results indicated an increase in community awareness and understanding of waste segregation, improved managerial and administrative capacities of waste bank operators, and enhanced community participation in waste-saving activities. In addition, waste banks contributed to generating added economic value from household waste and reducing the volume of waste disposed of into the environment and landfills. This activity concludes that strengthening the role of waste banks through education, training, and continuous mentoring can serve as an effective strategy to support sustainable urban waste management based on circular economy principles.

Formalin is a hazardous chemical that is banned from use in food, but is still found in imported fruit. Traders have an important role in preventing the circulation of food with formaldehyde, so the knowledge of traders about the dangers of formaldehyde needs to be studied. Objective: This study aims to determine the knowledge of traders and formalin content in imported fruit sold in X Market, Palembang City in 2025. Methods: This study used a quantitative approach with a descriptive design. The population in this study were all imported fruit traders in X Market totaling 9 people who served as respondents. The fruit samples tested were 24 samples consisting of apples, pears, and grapes. Data were collected through questionnaires and laboratory tests using formalin test kit. Results: The results showed that all traders (100%) had a good level of knowledge about formalin. Of the 24 fruit samples tested, 21 samples (87.5%) did not contain formalin and 3 samples (12.5%) showed positive results, all of which were from grapes. Conclusion: The majority of traders had good knowledge about formaldehyde, but formaldehyde was still found in some imported fruits, especially grapes.

The waste problem in Karanglewas Village, Kutasari District, Purbalingga Regency, continues to increase alongside agricultural, trade, and MSME activities, while the management system remains conventional, without sorting, resulting in environmental pollution and limited landfill capacity. This community service program aims to implement the Integrated Independent Waste Sorting and Processing Tool (PLASMA-T) as an innovative solution that processes organic waste into compost and melts plastic waste into paving blocks that are useful and economical. The activities are carried out in stages, including problem identification, socialization, technical training, operational trials, evaluation of results, and the handover of the equipment to the Mitra Sejahtera TPS, with ongoing assistance so that the community can operate the equipment independently. The expected outcomes include a reduction in waste volume at the TPS, increased community awareness and skills in waste management, and the creation of new business opportunities through compost and paving block products. Thus, this program not only addresses environmental issues but also strengthens the village's circular economy and has the potential to serve as a model for other regions.

The analysis methods used in this study include a case study on the use of closed-loop recycling and an evaluation of biopolymer performance across various industries, both of which are important components in the transformation of the manufacturing industry toward a circular economy. The research findings indicate that recycled materials can reduce carbon emissions by thirty to fifty percent and save production costs by fifteen to twenty-five percent. Artificial intelligence-based sorting technology improves sorting efficiency to 95 percent, and closed-loop recycling maintains the mechanical properties of materials up to 90 percent after four cycles. The degradation rate of biopolymers like PLA and PHA reaches 60-80% within six months, although production costs are still 2-3 times higher. The integrated approach increases resource efficiency by 45% and reduces waste by 60%. To achieve successful implementation, Extended Producer Responsibility (EPR) policies, strategic infrastructure investments, and collaboration from various parties thru the triple helix model must work together.

This research explores the impact of Cache Aware optimizations on signal processing pipelines in High Throughput computing systems. The growing demand for efficient memory management in modern computing systems, especially for data-intensive applications such as artificial intelligence (AI) and multimedia processing, necessitates the development of optimized memory hierarchies. Traditional memory systems often suffer from memory bottlenecks, significantly reducing the performance of these systems. This study investigates how memory hierarchy optimizations, particularly cache line aware optimization, dependency-aware caching, and adaptive cache replacement algorithms, can mitigate these challenges and improve system performance. Through analytical modeling and experimental benchmarking, this work evaluates various memory hierarchy configurations, including processing-in-memory (PIM) and three-dimensional integrated circuits (3D ICs), comparing them to conventional systems. The results demonstrate that Cache Aware optimizations lead to a reduction in memory access latency by up to 30%, while throughput improved by up to 40%. Additionally, cache hit rates increased by 25%, and energy consumption was reduced by up to 20%, highlighting the effectiveness of optimized memory management. The research contributes to the field by providing valuable insights into the design and implementation of efficient signal processing pipelines. It also identifies key challenges, including the need for dynamic occupancy mechanisms and DAG-aware scheduling algorithms, and suggests potential areas for future research, such as the exploration of collaborative caching approaches and further optimization of cache-adaptive algorithms. This work lays the foundation for more efficient, high-performance computing systems that can handle large datasets and complex tasks in real-time applications.

Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of peripheral vertigo, characterized by brief episodes of vertigo due to otoconia displacement. Although most previous studies have focused on intrinsic factors such as age, gender, osteoporosis, and metabolic disorders, evidence regarding the role of environmental factors, particularly occupational noise exposure, is limited. Chronic noise has the potential to affect vestibular function through both sensory and vascular mechanisms. This study aims to narratively review the effect of occupational noise exposure on the risk of BPPV by integrating clinical, epidemiological, and experimental findings. The method used is a literature-based narrative review of the PubMed, Scopus, Web of Science, and Google Scholar databases without year restrictions, using the keywords "BPPV", "occupational noise exposure", "vestibular dysfunction", "VEMP", and "otoconia displacement". The search results obtained 25 relevant articles linking BPPV to otolith, hormonal, vascular, lifestyle factors, and occupational noise exposure. The results indicate that chronic noise can cause sensory damage (otoconia and vestibular hair cells), vascular disorders (hypertension, cardiovascular disorders, and inner ear microvascular circulation disorders), and exacerbate lifestyle comorbidities (sedentary lifestyle, osteoporosis, hypertension, diabetes). The discussion confirms that these multifactorial mechanisms explain the susceptibility of industrial workers to BPPV despite normal hearing function. The conclusion of this study is that workplace noise exposure has been shown to play a significant role as a risk factor for BPPV, therefore, prevention strategies, vestibular health monitoring, and healthy lifestyle interventions need to be optimized in occupational health programs.

The increasing prevalence of metabolic syndrome and chronic kidney disease underscores the need for simple, low-cost, and community-applicable screening indicators. This study aimed to evaluate the association between basic anthropometric parameters and blood pressure, metabolic indicators, and renal function among adults in the Badui Luar community. A cross-sectional design was employed involving 41 participants who underwent anthropometric assessment, biochemical measurements, and blood pressure evaluation. Pearson correlation analysis was used to examine linear associations between variables. The results demonstrated that neck circumference exhibited significant correlations with dyslipidemia components, including LDL (r = 0.377), TC/HDL ratio (r = 0.516), and HDL (r = –0.433), indicating cervical adiposity as a strong marker of atherogenic risk. Calf circumference showed protective correlations with fasting glucose (r = –0.352) and eGFR (r = 0.322), suggesting the metabolic relevance of peripheral muscle mass in glycemic regulation and renal status. Body mass index showed a weak correlation with systolic blood pressure (r = 0.149), whereas waist and hip circumferences exhibited mild, clinically insignificant correlations with triglycerides and total cholesterol. Overall, these findings highlight that simple anthropometric measures—particularly neck and calf circumference—may serve as early indicators of cardiometabolic and renal risk in community-based screening. Further longitudinal studies with larger and more heterogeneous populations are required to validate these associations and determine the predictive power of anthropometric indicators.