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The International Community Service Seminar on the Application of Artificial Intelligence (AI) for students of SMA Muhammadiyah Program Khusus Kotabarat Surakarta was conducted to enhance digital literacy and provide practical understanding of AI utilization in daily life and learning activities. The program aimed to introduce basic concepts of artificial intelligence, its functions, benefits, and challenges in modern education. Through presentations, interactive discussions, and quizzes, participants were exposed to real-life applications of AI such as digital assistants, personalized learning systems, and time management tools. The seminar involved participants from Indonesia and Malaysia, creating a cross-cultural learning environment that enriched the discussion. Both students and teachers gained improved understanding of how AI can support adaptive and effective learning processes. The activity highlighted the importance of responsible technology use in education. Integrating AI into learning environments was found to improve creativity, efficiency, and engagement among participants while also supporting teachers in administrative and instructional tasks.

Hypertension is a non-communicable disease that is still a major health problem in Batam City. This study aims to determine the relationship between energy, carbohydrate, fat, protein, and sodium intake with the incidence of hypertension in the elderly at the Sei Langkai Public Health Center, Batam City. This type of study is observational with a cross-sectional design. A sample of 73 elderly people was selected using a purposive sampling technique based on predetermined inclusion and exclusion criteria. The results showed that the majority of elderly participants had adequate energy intake (54.8%) and carbohydrate intake (57.5%), while inadequate intake was observed for fat (56.2%), protein (52.1%), and sodium (79.5%). In addition, 54.8% of the participants were found to have hypertension. Statistical analysis revealed significant associations between energy intake (p=0.020), carbohydrate intake (p=0.004), fat intake (p=0.009), and protein intake (p=0.015) and the incidence of hypertension among the elderly. However, no significant association was found between sodium intake (p=0.300) and the incidence of hypertension among the elderly. It can be concluded that energy, carbohydrate, fat, and protein intake were significantly associated with the incidence of hypertension among the elderly, whereas sodium intake was not. The elderly are advised to implement a healthy and balanced dietary intake.

Stunting remains a persistent nutritional challenge that threatens human capital development in Indonesia. This study examines the effects of exclusive breastfeeding, female education, sanitation, access to safe drinking water, inadequate food consumption, and poverty on stunting prevalence across 34 provinces in Indonesia during 2017–2024. The study employs a random-effects Panel EGLS estimator with Panel Corrected Standard Errors (PCSE) to address heteroskedasticity and cross-sectional dependence in provincial panel data. The findings reveal that exclusive breastfeeding, female education, and adequate sanitation significantly reduce stunting prevalence, while poverty significantly increases it. Interestingly, inadequate food consumption is negatively associated with stunting prevalence, potentially reflecting the contribution of government nutritional assistance and social protection programs. In contrast, access to safe drinking water does not show a statistically significant effect. Among the explanatory variables, female education is strongly associated with reductions in stunting. These findings highlight the importance of strengthening women’s education, improving sanitation quality, and expanding poverty-alleviation and nutrition-sensitive interventions to accelerate reductions in stunting and support the achievement of Sustainable Development Goal 2 in Indonesia.

The completeness of nursing care documentation serves as a primary indicator of hospital service quality and remains a critical component of patient safety, clinical communication, and legal accountability. Despite its importance, empirical evidence from various healthcare facilities indicates that nursing records are frequently suboptimal, incomplete, or inconsistent. This study aims to analyze the complex interrelationships between burnout and coaching on the completeness of nursing care documentation, specifically examining the role of nursing competence as a mediating (intervening) variable at the Dr. Chasbullah Abdulmadjid General Hospital in Bekasi City. Utilizing a quantitative research framework with a cross-sectional design, this study sampled practicing nurses stationed across inpatient and intensive care units. Primary data were gathered through a validated, structured questionnaire designed to measure psychological burnout, the frequency of clinical coaching, perceived professional competence, and the objective completeness of documentation. The data were subjected to rigorous analysis using Structural Equation Modeling–Partial Least Squares (SEM-PLS) to test the hypothesized pathways within the conceptual model. The results demonstrated that burnout exerts a significant negative influence on both nursing competence and the quality of documentation, suggesting that emotional exhaustion hinders professional performance. Conversely, systematic coaching was found to have a significant positive impact, directly improving both competence levels and documentation adherence. Critically, the analysis confirmed that nursing competence acts as a vital intervening variable; it effectively mediates and strengthens the influence of both burnout reduction and coaching interventions on the overall completeness of nursing care records. This study concludes that proactive burnout management and the institutionalization of structured coaching programs are essential strategic priorities. By addressing these factors, hospital management can enhance individual nurse competence, thereby ensuring high-quality, comprehensive nursing documentation that supports patient safety and institutional integrity.

Effective communication is essential for teamwork effectiveness in healthcare, particularly in inpatient units where patient care requires coordination among multiple professionals. Internal data from Hospital X showed that more than 50% of medical incidents in the last two years were related to miscommunication among healthcare workers. In addition, the 2024 employee satisfaction survey reported that workplace communication satisfaction was only 62%, below the hospital target of 75%. This study aimed to examine the influence of effective communication on teamwork effectiveness with interprofessional collaboration as an intervening variable at Hospital X.This study used a quantitative cross-sectional design involving 226 healthcare workers, including doctors, nurses, and medical support staff. Data were analyzed using the Three-Box Method and PLS-SEM. The findings revealed that effective communication significantly influenced teamwork effectiveness both directly and indirectly through interprofessional collaboration. Interprofessional collaboration also acted as a significant mediating variable between communication and teamwork effectiveness. These results indicate that communication is a key foundation for strengthening collaboration and improving teamwork in hospitals. Therefore, hospitals should enhance communication training and interprofessional collaboration programs to improve healthcare quality and patient safety

This research investigates the effect of the amount of MSMEs, the number of buildings, and GRDP on regional tax revenue in selected cities and regencies in South Sulawesi, driven by the inconsistency between the growth of economic potential and the realization of tax revenue, where increases in MSMEs, buildings, and GRDP are not always followed by higher tax receipts. The study aims to analyze the effect of these variables and identify the most significant factors contributing to regional fiscal capacity. A quantitative approach is employed using panel data that combine time series and cross-sectional data from 2015-2024, analyzed through panel data regression with model selection based on Chow, Hausman, and Lagrange Multiplier test. The results show that partially, MSMEs and the number of buildings do not have a significant effect on tax revenue, while GRDP has a positive significant impact; however, simultaneously, all variables significantly influence tax revenue, as indicated by a high Adjusted R-squared value. These findings suggest that economic growth, as proxied by GRDP, plays a more dominant role in increasing tax revenue compared to the mere increase in the number of MSMEs and buildings, implying that optimizing tax revenue requires not only expanding economic potential but also enhancing tax compliance, administrative efficiency, and the quality of economic growth.

Low-grade fibromyxoid sarcoma (LGFMS) is a rare soft tissue tumor with deceptively benign histological features but significant potential for local recurrence and distant metastasis. Pelvic LGFMS is extremely uncommon and may mimic gynecological malignancies, leading to diagnostic challenges. This report describes a 39-year-old woman presenting with progressive abdominal enlargement, bloating, early satiety, and dyspnea. Physical and ultrasonographic examinations suggested a malignant ovarian tumor. The patient underwent exploratory laparotomy without preoperative CT scan evaluation. Intraoperatively, multiple solid masses involving the intestines, mesentery, omentum, peritoneum, and ovaries were identified, with the largest measuring 20 × 15 cm. Histopathological examination confirmed the diagnosis of LGFMS. The absence of preoperative cross-sectional imaging contributed to diagnostic difficulty in this case. CT scan and MRI are important for evaluating tumor origin, tissue characteristics, and involvement of surrounding structures. Definitive diagnosis requires histopathology supported by immunohistochemistry, particularly MUC4, and molecular confirmation when available. Comprehensive diagnostic evaluation is essential to avoid misdiagnosis, optimize management, and improve long-term outcomes in patients with pelvic LGFMS.

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

This study conducts a systematic review of literature concerning the role of Management Information Systems (MIS) in managing Umrah pilgrim data across Indonesia. Employing a Systematic Literature Review (SLR) guided by the PRISMA protocol, the study examined and synthesized 24 peer-reviewed articles published between 2019 and 2026, drawn from Google Scholar, SINTA, and nationally accredited journal portals. Findings indicate that MIS adoption has yielded notable improvements in operational efficiency, data reliability, service transparency, and the overall quality of managerial decision-making within Umrah travel organizations. Web-based MIS remains the predominant technological approach, offering integrated modules for pilgrim registration, document handling, financial tracking, and departure scheduling. At the national level, government-initiated platforms such as SISKOHAT and SISKOPATUH have demonstrated tangible contributions to the administration of Hajj and Umrah services. Nevertheless, persistent obstacles continue to hinder full-scale adoption, including inadequate digital infrastructure in certain regions, inconsistent internet connectivity, and gaps in human resource competencies for operating digital systems. The study argues that embracing MIS is no longer optional for Umrah travel operators; rather, it constitutes a strategic necessity. Future research is encouraged to investigate long-term implementation outcomes, cross-system comparisons, and data security considerations within the broader digital landscape of pilgrimage service management.

Typhoid fever remains a significant diagnostic challenge, particularly regarding the interpretation of Widal test results which are often affected by antibody persistence. This study aims to analyze the variations in Widal antibody titers among students at Universitas Muhammadiyah Purwokerto, focusing on the time interval since their last confirmed infection. Using a cross-sectional design, serum samples from 24 students were analyzed through the semi-quantitative slide agglutination technique to detect Salmonella typhi O and H agglutinins. The findings indicated that anti-Salmonella O titers could persist up to 1:320 in individuals with an infection history of more than one year. In contrast, anti-Salmonella H was only identified in more recent infections (less than a year) with a lower titer of 1:80, and was undetectable in samples from infections exceeding one year. These results demonstrate that O antigens remain detectable in the blood significantly longer than H antigens. This study suggests that the duration since the last infection is a critical factor in the screening and validation of Widal test results. Accurate identification of these titer variations is essential for clinical laboratory technologists to provide more precise diagnostic data and support effective clinical management.

Technological developments have brought significant changes to various aspects of human life, including church life. These changes also impact intergenerational relationships within the congregation. This paper aims to examine the challenges faced by church leaders at GEKISIA Depok in serving Generation X, Millennials, and Generation Z, and to examine the relevance of the theological principle of Romans 12:2 in addressing these challenges. Ultimately, the author observes that differences in generational characteristics influence communication patterns, ministry models, and congregational expectations of church leadership. Therefore, church leaders in the digital age are required to be adaptive, transformative, and remain rooted in biblical values. Romans 12:2 serves as an important theological foundation for Christian leaders to experience a renewed mindset so they can serve according to God's will without being influenced by worldly patterns. Furthermore, the challenge of cross-generational leadership is not merely practical in nature, but also theological. Each generation brings different experiences, values, and perspectives in understanding faith and spirituality. Generation X tends to value institutional stability and loyalty, while Millennials are more oriented toward authentic experience and community. Generation Z, having grown up entirely in the digital age, communicates and expresses faith in ways that differ greatly from previous generations. In this context, church leaders are called to become bridges between generations, rather than simply following trends or rigidly preserving tradition.

Typhoid fever remains a significant diagnostic challenge, particularly regarding the interpretation of Widal test results which are often affected by antibody persistence. This study aims to analyze the variations in Widal antibody titers among students at Universitas Muhammadiyah Purwokerto, focusing on the time interval since their last confirmed infection. Using a cross-sectional design, serum samples from 24 students were analyzed through the semi-quantitative slide agglutination technique to detect Salmonella typhi O and H agglutinins. The findings indicated that anti-Salmonella O titers could persist up to 1:320 in individuals with an infection history of more than one year. In contrast, anti-Salmonella H was only identified in more recent infections (less than a year) with a lower titer of 1:80, and was undetectable in samples from infections exceeding one year. These results demonstrate that O antigens remain detectable in the blood significantly longer than H antigens. This study suggests that the duration since the last infection is a critical factor in the screening and validation of Widal test results. Accurate identification of these titer variations is essential for clinical laboratory technologists to provide more precise diagnostic data and support effective clinical management.

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

The development of digital technology and internet penetration are driving changes in consumer behavior and demanding that MSMEs not only adapt but also understand the operational motives and marketing channel integration strategies to face competition in the digital era. This study aims to examine the operational motives and technical adaptation processes of Micro, Small, and Medium Enterprises (MSMEs) in Bali in integrating online and offline marketing channels through an omnichannel strategy to respond to intense market competition in the digital era. This descriptive qualitative research uses a multiple case study approach in three different MSME sectors: goods maintenance services, creative services, and fashion retail. Data collection was conducted through direct observation, in-depth interviews, and a review of digital activities, then analyzed through single-case and cross-case stages. The results show that MSMEs optimize digital channels as instruments to expand reach and trigger consumer emotional engagement through a visual storytelling approach, while physical stores are crucially maintained as points of sensory validation. Functional integration has been proven to accommodate the shift in consumer behavior towards a hybrid decision-making pattern. In this pattern, consumers conduct information searches and initial evaluations online, but tend to shift to offline interactions to validate quality and finalize transactions to minimize purchase risk. In conclusion, cross-channel operational synergy has proven essential in boosting the competitive advantage of MSMEs.

Therapeutic adherence is a fundamental cornerstone in managing Type 2 Diabetes Mellitus (DM) to maintain stable blood glucose levels and prevent chronic complications. Family support serves as a significant external determinant influencing the development of long-term patient adherence behaviors. This quantitative study, utilizing a correlational analytic design with a cross-sectional approach, aimed to analyze the relationship between family support and therapeutic adherence levels among Type 2 DM patients at Royal Prima Hospital, Jambi City. Through total sampling, 92 respondents were enrolled as the study sample. Data were collected via questionnaires and analyzed using the Chi-Square test. Univariate analysis revealed that the majority of respondents received moderate family support (46.7%) and demonstrated adherent behavior (62.0%). Bivariate analysis yielded a Pearson Chi-Square value of 17.186 with a p-value of 0,000 (α < 0,05), leading to the rejection of H0 and the acceptance of Ha. In conclusion, there is a statistically significant relationship between family support and therapeutic adherence levels among Type 2 DM patients at Royal Prima Hospital, Jambi City, indicating that more optimal family support is directly proportional to increased therapeutic adherence.

Food waste is an important indicator in evaluating the effectiveness of food service management, especially in institutional settings such as Islamic boarding schools. High levels of food waste can be influenced by several factors, including food taste and satisfaction with food service. This study aimed to analyze the relationship between food taste and food service satisfaction with food waste among students at Al-Hasyimi Islamic Boarding School Sukolilo Bancar. This research used a quantitative method with a cross-sectional design. The population consisted of 127 female students, with 98 respondents selected using stratified random sampling. Data were collected using the Comstock form to measure food waste and questionnaires to assess food taste and food service satisfaction. Data analysis was conducted using univariate and bivariate analysis with the Spearman Correlation test. The results showed a significant relationship between food taste and food waste (p=0.000), as well as between food service satisfaction and food waste (p=0.000).

Adolescents are considered a vulnerable group to nutritional problems because they experience rapid physical growth accompanied by lifestyle changes and unhealthy eating habits. The increasing prevalence of overweight and obesity among teenagers has become a major public health concern that requires serious attention. This study was conducted to examine the relationship between peer influence, the frequency of eating out, and fast-food consumption habits with the incidence of overweight among students at SMAN 1 Surabaya. The research applied a quantitative approach using an analytical observational design with a cross-sectional method. A total of 81 students participated in the study and were selected through proportional random sampling. Data were collected using questionnaires, SQ-FFQ forms, and anthropometric measurements, then analyzed using the Chi-Square statistical test. The findings revealed significant associations between peer influence, eating out frequency, and fast-food consumption habits with the occurrence of overweight among adolescents. Students who more frequently consumed meals outside the home and regularly ate fast food showed a greater tendency to experience overweight and obesity. These results indicate that social environments and modern dietary patterns contribute to the increasing prevalence of overweight among adolescents. Therefore, nutrition education and healthy lifestyle promotion should be strengthened through the involvement of schools, families, and peer groups.

The implementation of Electronic Medical Records (EMR) is a key component of healthcare digital transformation, as mandated by the Minister of Health Regulation Number 24 of 2022. EMR is expected to enhance efficiency, accuracy, and the quality of nursing services. However, its implementation at M Hospital continues to face challenges, particularly in terms of infrastructure readiness and the digital literacy of nursing staff. This study aims to analyze the effects of infrastructure readiness and digital literacy on the implementation of nursing EMR, with perceived usefulness as an intervening variable. A quantitative cross-sectional design was employed, involving all nurses at M Hospital, with a total sample of 100 respondents using total sampling. Data were collected through structured questionnaires and analyzed using SEM-PLS. The results indicate that infrastructure readiness and digital literacy have both direct and indirect effects on EMR implementation through perceived usefulness (p < 0.05). Among the independent variables, infrastructure readiness demonstrates the strongest influence. These findings support existing theories and prior research. From a managerial perspective, the results highlight the importance of improving infrastructure to optimize EMR implementation. In conclusion, infrastructure readiness and digital literacy significantly influence the successful implementation of nursing EMR, with perceived usefulness acting as a key mediating factor.

This study was conducted in response to the increasingly complex nutritional issues among adolescents, reflected in the coexistence of undernutrition and overnutrition within the same population, which are closely associated with dietary consumption patterns. The research aimed to investigate the relationship between diet quality and the nutritional status of students at SMAN 9 Surabaya. A quantitative approach with a cross-sectional design was employed, involving 85 participants selected based on the estimated sample requirement for correlation analysis. Dietary intake data were collected using two non-consecutive 24-hour food recalls and subsequently assessed using the Diet Quality Index for Adolescents (DQI-A). Nutritional status was determined through BMI-for-age calculations in accordance with the World Health Organization standards. Data analysis was performed using correlational testing and Chi-Square analysis to identify differences in proportions. The findings revealed that the respondents’ diet quality remained suboptimal, while most students were categorized as having normal nutritional status, although cases of undernutrition and overnutrition were still identified. A significant association was found between diet quality and nutritional status (p = 0.001), indicating that better diet quality tended to be linked with normal nutritional status. Based on the DQI-A components, dietary quality demonstrated a significant relationship with nutritional status (p = 0.007), whereas dietary diversity (p = 0.597) and dietary equilibrium (p = 0.507) showed no significant associations. These findings highlight that diet quality, particularly food selection patterns, plays an important role in determining adolescent nutritional status. Therefore, improving nutritional conditions requires more intensive nutrition education interventions focusing on healthy food choices, increased fruit and vegetable consumption, and controlled intake of sugar, salt, and fat, supported consistently by both individuals and the school environment.

Background: Acute respiratory infection (ARI) remains a major public health concern, particularly in primary care settings. Lifestyle factors such as dietary patterns and physical activity are increasingly recognized as potential contributors to respiratory health. Objective: This study aimed to examine the association between dietary patterns, physical activity, and ARI among primary care patients in East Halmahera, Indonesia. Methods: A cross-sectional study was conducted at a primary health care facility in East Halmahera, Indonesia, from January to February 2026, involving 106 respondents selected using a total sampling technique. Data were collected using structured questionnaires and medical records. Variables included sociodemographic characteristics, dietary patterns, physical activity, and ARI status. Data were analyzed using descriptive statistics and Chi-square tests with a significance level of p < 0.05. Results: The prevalence of ARI among respondents was 77.4%. Bivariate analysis showed that dietary patterns (p = 0.006) and physical activity (p = 0.015) were significantly associated with ARI. In contrast, age, gender, marital status, education level, employment status, smoking, and alcohol consumption were not significantly associated with ARI (p > 0.05). Conclusion: Dietary patterns and physical activity were significantly associated with ARI among primary care patients in East Halmahera. These findings highlight the importance of lifestyle-related factors in addressing respiratory infections at the primary care level.