Publication Search

Anxiety is an emotional response to uncertainty or threats that cause feelings of anxiety, worry, excessive tension, which are continuous and can interfere with the patient's process of action and healing, therefore it is necessary to have good and correct therapeutic communication, to build a relationship of mutual trust, empathy, support and help the patient in problem solving. This study aims to identify the Relationship between Nurse Therapeutic Communication and Anxiety Level in Preoperative Patients at Santa Elisabeth Hospital Medan in 2024. The research design uses correlational with a cross sectional approach, purposive sampling technique with a sample of 64 respondents. The instruments used were the nurse therapeutic communication questionnaire and the anxiety questionnaire. The results of the study showed that the majority of therapeutic communication among nurses in the inpatient room of Santa Elisabeth Hospital Medan was in the good category as many as 34 respondents (53.1%), and the level of anxiety of preoperative patients was majority in the medium category as many as 30 respondents (46.9%). The spearman rank statistical test on SPSS obtained a P-Value = 0.000 which means that there is a relationship between the therapeutic communication of nurses and the level of patient anxiety at Santa Elisabeth Hospital Medan. It is expected that the nurses in Pauline's room will further improve therapeutic communication to pre-operative patients.

This study aims to analyze Article 445 paragraph (1) of the Indonesian Criminal Code (KUHP) Number 1 of 2023, which regulates the criminal act of eloping with a young woman. The provision is considered to be in tension with the social and cultural realities of Indonesian society, particularly the people of Lombok who practice the merariq tradition. Merariq is an ancestral customary practice within marriage rituals involving the consensual elopement of the prospective bride as an integral part of the marriage process. This research uses Lawrence M. Friedman’s legal system theory, which examines three main components of law: (1) the substance of law—normative provisions contained in legislation; (2) the structure of law institutions and law enforcement agencies; and (3) the legal culture values, attitudes, and behavior of society toward law. This study is a normative legal research that treats law as norms, principles, doctrines, and rules. The primary legal material is Article 445 paragraph (1) of the Indonesian Criminal Code. The findings indicate that, from the perspective of legal substance, the article remains ambiguous. Its formulation potentially conflicts with Indonesia’s legal culture, which in practice prioritizes familial and traditional mechanisms for resolving private conflicts. Based on these findings, this study recommends a reformulation of the legal substance to make it more responsive to the socio-cultural context. The reformulation should be grounded in the principles of ultimum remedium and restorative justice, providing space for customary law and local culture as legitimate mechanisms to resolve private disputes. This approach is expected to reduce the disproportionate use of imprisonment and position criminal sanctions as a last resort in law enforcement.

This study discusses the relationship between administrative discretion and public service quality within the framework of street-level bureaucracy theory. In public administration practice, implementing officials are often faced with tensions between compliance with formal rules and the dynamic needs of the community. These conditions make discretion an important instrument for adjusting policies to the realities on the ground. This study uses a literature review of various studies from 2010 to 2025 to identify patterns, dynamics, and implications of the use of discretion by implementing bureaucrats. The results of the study show that discretion allows the bureaucracy to be more adaptive, empathetic, and responsive to citizens' needs. However, without strong oversight and administrative ethics, discretion can lead to bias, injustice, and opportunities for abuse of authority. Factors such as public service motivation, professional competence, organizational culture, and political pressure have a significant influence on how discretion is applied. Thus, improving the quality of public services requires a balance between administrative control and professional trust through accountability systems, ethical oversight, and adaptive but law-based policies.

The 2024 regional elections in Jambi City sparked internal conflict within the Golkar Party when the recommendations of the Regional Representative Council II did not align with the Central Executive Board's decision regarding the mayoral candidate. The tension was successfully resolved through the implementation of procedural leadership based on the party's statutes and regulations, as well as a tiered nomination mechanism. This study aims to understand the role of procedural leadership in restoring solidarity and maintaining organizational stability after a nomination conflict. Using a qualitative approach with case studies, the study collected data through in-depth interviews and documentation with informants selected through purposive and snowball sampling. Data analysis was conducted using the Miles & Huberman model through data reduction, presentation, and conclusion drawing. The results show that procedural mechanisms, the use of surveys, and the exemplary behavior of charismatic figures particularly the chair of the DPD IIplay an important role in alleviating cadre disappointment. This study confirms that procedural leadership is a key instrument in maintaining the solidarity of the Golkar Party and recommends strengthening internal communication and balancing surveys with regional aspirations.

The phenomenon of cockfighting still persists in various communities in Indonesia as a cultural practice, entertainment, and symbol of certain social identities. However, this practice raises serious issues when analyzed from the perspectives of modern bioethics, animal welfare, public health, and normative religious values, particularly maqāṣid al-sharī‘ah. This study aims to examine the ethical conflicts that arise from cockfighting by analyzing the biological and physiological impacts on animals, violations of animal welfare principles, and tensions between local cultural legitimacy and universal ethical standards. This research uses a descriptive-qualitative approach based on a review of relevant scientific literature, including national and international publications in the fields of bioethics, animal welfare, animal health, and law. The results of the study show that cockfighting systematically causes severe physical injury, extreme biological stress, behavioral disorders, and an increased risk of zoonotic disease transmission, so it can be categorized as a form of organized animal cruelty. From a bioethical and maqāṣid al-sharī‘ah perspective, this practice contradicts the principles of respect for life, non-maleficence, and protection of life and public welfare. The lack of legal protection focused on animal welfare reinforces the urgency of a transformative approach through regulatory reformulation, public education, and the development of non-violent cultural alternatives. This study is expected to serve as a scientific and ethical basis for policy formulation and contextual and sustainable animal protection efforts.  

Indonesia’s rich religious, ethnic, and cultural diversity has long been accompanied by challenges related to socio-religious conflict. One important yet often overlooked dimension is intra-religious tension, illustrated by the differing perspectives of Nahdlatul Ulama (NU) and Muhammadiyah—the two largest Islamic organizations in the country. This study examines how these organizations manage their doctrinal differences (khilafiyah) and uphold tolerance as an expression of the First Principle of Pancasila. Using a qualitative literature review, the research analyzes organizational documents, scholarly works, and academic articles concerning both groups. Findings show that their divergence stems primarily from distinct methodological frameworks. NU follows the Aswaja tradition, accommodating local culture through the concept of Islam Nusantara, adhering to classical jurisprudential schools, and applying the maxim al-muhafadzah. In contrast, Muhammadiyah employs the Manhaj Tarjih and a Tajdid (renewal) approach centered on purification and modernization, forming the basis of its Progressive Islam vision. Despite differences in jurisprudential practice, both organizations share a commitment to moderation (wasathiyyah). NU expresses tolerance through its principles of Tawassuth, Tawazun, Tasamuh, and the Trilogy of Brotherhood, whereas Muhammadiyah emphasizes justice and respect for diversity in its Guidelines for Islamic Life. Their mutual acceptance of Pancasila—as Darul Ahdi wa Syahadah for Muhammadiyah and the foundation of Ukhuwah Wathaniyah for NU—demonstrates that internal Islamic pluralism can strengthen, rather than weaken, national unity.

Human behavior and psychological conflict often become central elements in literary works, especially in drama, where characters are shaped through tension, pride, emotion, and social expectation. Shakespeare’s Coriolanus presents a character whose sense of pride, identity, and honor creates ongoing conflict with the society around him. This study aims to analyze the forms of narcissism expressed by Coriolanus using Otto Kernberg’s fourfold theory: healthy, grandiose, vulnerable, and malignant. A qualitative descriptive method was applied through textual analysis and library research, focusing on key scenes that reveal his psychological development. The results show that grandiose narcissism is the most dominant type (36%), as seen in scenes where Coriolanus belittles the plebeians and rejects their approval, reflecting his rigid superiority as a Roman patrician. Healthy narcissism appears least (10%), found only in early moments such as his genuine pride after the battle at Corioles before political pressure intensifies his arrogance. Meanwhile, vulnerable and malignant narcissism each appear at 27%, shown when he collapses into shame after public rejection and later seeks revenge by joining Aufidius. These findings illustrate that Coriolanus’s downfall is shaped by the progression of his narcissism from pride to contempt, fragility, and destruction.

This study examines the solidity of the National Mandate Party (PAN) in Merangin Regency during the 2024 Simultaneous Local Elections, which unfolded amid notable political dynamics and differing preferences between the party’s central and regional structures. Party solidity is analyzed using Firman Noor’s theory of party solidity, focusing on procedural leadership represented by two key indicators: decision-making mechanisms and the role of charismatic leadership. The study aims to understand how these indicators influence PAN Merangin’s organizational stability throughout the process of determining political support. Using a qualitative case study approach, data were collected through in-depth interviews, documentation, and media reports, then analyzed using the Miles and Huberman interactive model consisting of data reduction, data display, and conclusion drawing. The findings reveal that although PAN Merangin formally implemented decision-making procedures according to the party’s statutes (AD/ART), the practice remained dominated by top-down communication from the central board (DPP), limiting regional participation in strategic political decisions. Meanwhile, the charismatic leadership of the PAN Merangin Chairman played a crucial role in maintaining organizational cohesion, reducing internal tensions, and ensuring cadre loyalty to central decisions. These results suggest the need to strengthen two-way structural communication and enhance the capacity of local party leaders to reinforce party solidity in future political contests.

This research examines the complex dynamics of Islam-West interactions through a historical-analytical approach, focusing on the evolution of these relations from medieval encounters to contemporary developments. Using qualitative methods through extensive literature review and critical discourse analysis, this study analyzes the multifaceted nature of Islam-West relations across historical periods, contemporary contexts, and emerging paradigms of engagement. Findings reveal that Islam-West interactions have evolved through distinct historical phases: medieval encounters characterized by both intellectual exchange and military conflicts, colonial experiences that created lasting power asymmetries, and contemporary dynamics shaped by geopolitical tensions, migration patterns, and globalization. The research identifies three major contemporary challenges: persistent Orientalist and Islamophobic discourses, geopolitical conflicts intensifying civilizational narratives, and internal diversity within both civilizational spheres that complicates unified engagement. The study proposes a transformative model of Islam-West relations founded on shared ethical values, contextual understanding of religious texts, collaborative approaches to global challenges, and recognition of internal pluralism within both traditions. This research contributes to intercultural understanding by offering a nuanced historical perspective on Islam-West relations and establishing a theoretical framework for constructive engagement in an increasingly interconnected world

Digital transformation is reshaping the way economic value is created, exchanged, and governed across borders. This study aims to analyze how digital transformation redefines the paradigm of business law in the era of globalization, as well as the interaction between business law and global regulatory politics in responding to the challenges of the digital economy. A normative legal approach is employed, grounded in the analysis of digital business law regulations within the global political-economic system. Data is collected through literature review of statutory frameworks, international policy instruments, and scholarly works. The findings reveal that digital transformation not only changes how transactions are conducted, but also reconfigures the locus of economic power through the control of data, algorithms, and digital platform infrastructure. Consequently, the legal paradigm shifts from merely regulating market actors’ behavior to designing a digital justice architecture that emphasizes accountability, algorithmic transparency, interoperability, and contestability. At the global level, the interaction between business law and digital regulatory politics reflects ongoing tensions between market openness and data sovereignty producing regulatory pluralism while simultaneously encouraging convergence toward principles of fair, adaptive, and responsive digital governance. This study concludes that business law in the digital era must serve not only as a regulatoryinstrument governing transactions, but as an architect of the global economic order one that safeguards innovative growth without compromising market fairness and fundamental rights, while enabling the strengthening of adaptive national regulatory frameworks aligned with evolving global dynamics.

Development financing systems in various developing countries, including Indonesia, have been tested by repeated global crises, such as the 2008 financial crisis, the COVID-19 pandemic, and geopolitical tensions since 2020. The economy is highly dependent on external funding, such as foreign loans and foreign direct investment (FDI), making it vulnerable to disruptions and uncertainty in capital flows. This article examines the strategic role of domestic savings as a stabilizer in maintaining the resilience of development financing using a desk study approach. The literature review shows that mobilizing domestic savings through conventional and Islamic financial institutions is crucial for encouraging long-term investment, reducing dependence on external financing, and strengthening national fiscal independence. In the Islamic economy, the rise of yield-based savings instruments, productive waqf, and retail sukuk has helped expand a stable and equitable domestic funding base. Furthermore, this article finds that digital transformation, fiscal incentive policies, and financial literacy are key to increasing public participation in productive savings. Therefore, increasing domestic savings is an economic tool and a national defense strategy in facing ongoing global crises.

The Church in indonesia now plays an increasingly broad role in society, but also faces various complex challenges. These challenges come not only from outside, such as discrimination and social pressure, but also from within; such as limited resources and a reluctance to change. Therefore, the Church needs to understand these various issues in order to formulate ministry strategies that are relevant, contextual, and able to addres the needs of a diverse society. The Church is called to be a forum for the brotherhood of God’s people from various cultural backgrounds, while also bearing witness that unity in diversity is a tangible manifestation of God’s love in the world. However, cultural diversity can also create tension if not managed wisely. The inculturation of local cultures, such as Torok in Manggarai culture, has profound meaning. Torok is not merely a series of literary words, but has a profound meaning that reflects the identity of the Manggarai people in their relationship with themselves, others, nature, and God Himself as creator. As a poetic prayer, Torok serves as an expression of the totality of human life and a means to cultivate the values of brotherhood. The Church does not intend to implement rigid uniformity in matters that do not concern the core of the faith or the welfare of the faithful. On the contrary, the Church respects and strives to preserve the cultural riches that are characteristic of various tribes and nations.

Indonesia’s diversity in ethnicity, culture, religion, and language demands an approach that can simultaneously address intellectual, spiritual, and national dimensions. The integration of philosophy, Pancasila, and theology becomes essential in responding to this complex reality. Philosophy strengthens critical and reflective thinking, helping individuals interpret differences with awareness and avoid hasty judgments, which is crucial in reducing social tension and fostering dialogue. Pancasila, as the nation’s ideological foundation, provides an ethical-political framework that guarantees unity, freedom, and justice for all citizens regardless of background. Theology complements these foundations by offering transcendental ethics and spiritual guidance that shape compassionate attitudes toward others and the environment. A contextual and inclusive theological perspective supports religion’s role as a source of enlightenment and encourages interfaith solidarity in a pluralistic society. When these three elements are integrated into education, public policy, and social culture, they help form a society that is intellectually critical, socially inclusive, and spiritually resilient. Core values such as empathy, justice, equality, and shared responsibility can develop more strongly in daily interactions. Although challenges such as identity crises, misinformation, and online intolerance remain, collaboration between the state and civil society is needed to maintain an inclusive public sphere. Through strengthening philosophical education, deepening appreciation of Pancasila, and advancing contextual theology, Indonesia can build a just and harmonious society.

This study aims to analyze the role of mass media in influencing the escalation of social conflict in society. Mass media, both conventional and digital, have significant power in shaping public opinion and influencing public perceptions of sensitive social issues. In the context of Indonesia's pluralistic society, non-objective and provocative reporting can accelerate the rise of social tensions and exacerbate intergroup conflict. This study uses a qualitative descriptive approach with a literature review method, drawing on sources from various scientific journals, books, and previous research reports. The results indicate that media can act as both a trigger and a mitigator of conflict, depending on how information is presented to the public. Media that prioritizes the principles of peace journalism can help create cross-group communication, foster empathy, and strengthen social solidarity. Conversely, biased and sensational media can exacerbate differences and lead to social disintegration. Therefore, media practitioners require moral responsibility, professional ethics, and social awareness to ensure their function remains oriented toward truth, justice, and peace. Thus, mass media holds a strategic position in building social harmony amidst the diversity of Indonesian society.

Left ventricular hypertrophy (LVH) can be identified through both electrocardiography (ECG) and echocardiography, with echocardiography recognized as the gold standard for the assessment of LVH. This imaging modality determines the presence of LVH by evaluating the left ventricular mass index (LVMI). For diagnostic purposes, LVH is defined in males as a left ventricular mass index greater than 115 g/m² and in females as greater than 95 g/m². Despite the high accuracy of echocardiography in diagnosing LVH, access to this examination is not universal across all healthcare facilities. Consequently, electrocardiography, a widely available, non-invasive, and cost-effective diagnostic tool, serves as an alternative for the diagnosis of LVH. Several criteria exist for the electrocardiographic assessment of LVH, including the Sokolow-Lyon and Cornell voltage criteria. However, the sensitivity of these electrocardiographic methods remains relatively low, with reported sensitivities of 17% for the Sokolow-Lyon criteria and 35% for the Cornell criteria. In left ventricular hypertrophy, the interstitium experiences changes characterized by fibrosis and other deposits. These alterations can reduce the expression of hypertrophic myocardial tension and limit the diagnostic capabilities of surface electrocardiograms. Additionally, several factors influence electrical tension, including variations in chest wall thickness, heart muscle activity, the distance of the electrode from the left ventricle, and lung activity. The presence of these limiting factors can increase the rate of false negatives in diagnosis. In 2017, Peguero and Lo Presti introduced novel criteria for the diagnosis of LVH, defined by evaluating the deepest S wave and summing it with the S wave in lead V4. According to these new criteria, LVH is identified as ≥ 2.8 mV in men and ≥ 2.3 mV in women. The Peguero-Lo Presti criteria demonstrate improved sensitivity when compared to traditional criteria such as Sokolow-Lyon and Cornell, offering enhanced diagnostic accuracy.

Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of experiencing intradialytic complications, one of which is hypertension. Management of hypertension in hemodialysis units is generally pharmacological, although non-pharmacological interventions may serve as an effective, simple, and safe complementary option. One such technique is Benson relaxation, which combines controlled deep breathing with spiritual elements to reduce sympathetic activity and promote relaxation. This case study to determine the effect of Benson relaxation therapy on blood pressure of intradialytic hypertension patients at RSUD Batang. The case study design was a case study involving 5 CKD patients undergoing hemodialysis. The intervention was performed by guiding patients to practice Benson relaxation for about 10–15 minutes, with blood pressure measured before and after the intervention using a digital sphygmomanometer. The results showed a decrease in blood pressure in most respondents. The average systolic blood pressure decreased from 153.4 mmHg to 145.6 mmHg, while diastolic pressure decreased from 92.4 mmHg to 87.6 mmHg. In addition to physiological improvement, patients also reported subjective relief such as reduced dizziness, palpitations, and tension. In conclusion, Benson relaxation therapy proved effective in reducing blood pressure among intradialytic hypertension patients. This intervention can be recommended as a complementary non-pharmacological therapy in nursing care to improve comfort in hemodialysis patients.  

This article explores the strategic role of bilateral diplomacy between Indonesia and the Philippines in strengthening ASEAN unity amidst regional political challenges. Using a qualitative research approach with descriptive analysis, it examines how diplomatic cooperation on security, conflict resolution, and economic collaboration has contributed to regional stability and integration. The study highlights Indonesia's role in mediating internal conflicts in the Philippines and joint efforts in maritime security. Despite geopolitical tensions and domestic political changes, the bilateral relationship remains crucial for ASEAN's resilience and cohesion. The findings emphasize the importance of sustained diplomatic engagement for fostering regional solidarity and addressing emerging global challenges.

Work activities in workshops often require static and repetitive body positions, such as bending over, lifting heavy loads, or reaching into narrow areas of vehicles. These habits can gradually cause muscle tension and lead to neck and lower back pain. Given the high risk, physiotherapy counseling on occupational safety and health (OSH) and ergonomics was conducted to provide practical understanding to B-Garage, Batu City workshop workers. The counseling was delivered interactively through material presentations, direct discussions, and demonstrations of stretching exercises that can be easily applied in daily activities. The results of the activity showed a very significant increase in knowledge; participants who initially did not understand the principles of ergonomics and musculoskeletal pain prevention were able to identify work risks and practice stretching exercises correctly after the education session. This change was clearly evident from the post-test results, which showed a significant overall improvement compared to the pre-test. These findings indicate that physical therapy education not only enhances knowledge but also promotes behavioral changes toward safer, more comfortable, and more productive work patterns.

This study aims to reveal and describe the dramatic structure of the Retna Paniti play as performed by Mariyanto, a puppeteer from Ngawonggo, Klaten. The research was conducted because the performance presents a distinctive dramatic form that differs from the conventional structure of the Surakarta-style pakeliran. This study employs a qualitative approach with a descriptive-analytical method, focusing on the analysis of scene sequences and the interrelation among dramatic elements. Data were collected through literature review, observation of the 2018 performance recording, and in-depth interviews with informants familiar with Mariyanto’s puppetry style. The findings indicate that the dramatic structure of Retna Paniti in Mariyanto’s version follows a pattern close to Freytag’s Pyramid theory, yet adapted to the folk puppetry tradition of the Ngawonggo substyle. The performance opens with the battle scene between Gatotkaca and Baladewa, creating immediate tension, which contrasts with the Surakarta-style convention that typically begins with the jejer scene. The dramatic flow progresses from exposition to falling action and culminates in the achievement of harmony. The central theme emphasizes ethical values concerning harmony, loyalty, and self-control in social life, maintaining its relevance in contemporary society.

This study aims to analyze the narrative dissonance in the corporate communication of the Aqua brand, especially in the context of the crisis of meaning that arises between claims of natural purity and technical findings related to the use of borewells in the production process. Using a qualitative approach through content and narrative analysis, the study integrates two main theoretical frameworks: the Narrative Paradigm (Fisher, 1984) and Image Repair Theory (Benoit, 1995). The analysis focused on how companies are building, maintaining, and renegotiating their corporate narrative amid public pressure and consumer expectations. The results show that the legitimacy crisis arises due to the symbolic mismatch between the narrative of "purity" communicated and the operational reality revealed to the public. This tension triggered a strategic response from the company in the form of public clarification, transparency of the production process, and repositioning of messages to restore consumer image and trust. This study confirms the importance of narrative coherence and reflexivity in corporate communications, especially in an era of digital openness that demands accountability and consistency between symbolic messages and tangible practices. These findings contribute to the study of crisis communication and brand image restoration strategies, as well as a reference for companies in designing ethical, transparent, and sustainable communication to maintain legitimacy and credibility in the eyes of the public.