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This study aims to describe the implementation of discipline values and the obstacles faced at MI Darul Hikmah Agung Jaya. Using a descriptive qualitative approach, data were collected from teachers, students, and parents through interviews, observations, and documentation, then analyzed through data reduction, display, and conclusion drawing. Data validity was ensured by triangulation of techniques and sources. The findings show that teachers instill discipline values through two main techniques. First, external control, in which teachers give warnings, threats, or punishment to undisciplined students and provide rewards or praise to those who obey the rules. For example, students who consistently complete homework may receive additional grades or verbal appreciation. Second, teachers also become role models, demonstrating punctuality, neat appearance, polite language, and respectful attitudes, thereby fostering discipline by example. Furthermore, teachers apply cooperative control, emphasizing collaboration and agreements between teachers and students. This approach promotes tolerance, respect, and responsibility by involving students in creating and maintaining classroom rules. However, some obstacles were identified. Teachers were sometimes less assertive in enforcing discipline, and limited variation in teaching methods led to student boredom. In addition, inadequate attention, motivation, and parental support negatively influenced students’ discipline, resulting in lateness, incomplete assignments, and other undisciplined behaviors.

This study investigates the ritual of worshipping the God of Fortune, particularly Kongco Han Tan Kong, as practiced by the Chinese-Indonesian community in Sentul, Bogor, where Bio Dewa Rejeki serves as the central site of ritual performance. Viewed through an anthropolinguistic lens, the research explores the interplay between language and cultural practices within the ritual, employing an ethnographic approach to examine the meanings, symbols, and values embedded in it, as well as their role in shaping communal identity. Beyond its religious dimension, the ritual reflects complex social and cultural dynamics, functioning as a mechanism for reinforcing solidarity and fostering identity amidst rapid social change. Statistical data indicate a significant rise in visitors to Bio Dewa Rejeki during the Lunar New Year celebration, averaging 5,000 daily visitors, thereby highlighting its strong appeal and integrative role within the local community while also attracting interest from non-Chinese participants seeking spiritual experience. Data collection is conducted through participant observation and in-depth interviews with organizers and participants over several months, providing a comprehensive understanding of the ritual’s implementation, symbolic meanings, and perceived significance in daily life. The findings are expected to contribute to a broader understanding of the interrelationship between language, culture, and religious practice within the Chinese-Indonesian community, underscoring the central role of language and communication in shaping spiritual experience and communal identity.

This study aims to describe the implementation of Islamic character education at MTsN 1 Bandar Lampung and analyze its role in overcoming students' moral decadence. It uses a qualitative descriptive approach with data collected through in-depth interviews with five respondents. The focus of the interviews was on five key aspects: the implementation of character education, the core values instilled, the effectiveness of the program, challenges faced, and suggestions for improvement. The study finds that Islamic character education at MTsN 1 Bandar Lampung is integrated through the habituation of worship, the application of Islamic values-based discipline, teacher examples, the integration of character education materials into the curriculum, and the support of counseling services. The five key character values emphasized are honesty, discipline, responsibility, social care, and politeness. The program is considered quite effective in reducing disciplinary violations and enhancing students' moral awareness. However, the program faces challenges, such as the influence of social media, peer pressure, limited learning time, and insufficient teacher training. These challenges hinder the full potential of the program, but despite these barriers, it has still managed to positively impact the students' moral development. The study concludes that Islamic character education can significantly contribute to addressing moral decadence among students, though continuous efforts to address challenges are necessary to further improve its impact.

Chat Generative Pretrained Transformer (ChatGPT) has rapidly gained popularity and is increasingly utilized across various fields, including education, where it plays a significant role as a supporting tool for academic tasks. In the educational context, ChatGPT can assist students in preparing and completing a wide range of assignments, providing quick access to structured information and alternative perspectives. This study was designed to explore the views of both students and lecturers on the integration of ChatGPT in academic activities, specifically as a support system for handling student assignments. Employing a descriptive qualitative approach, data were collected through interviews with 5 students and 6 lecturers from the Business Education Study Program at the State University of Surabaya. The findings reveal contrasting yet complementary perspectives. From the students’ point of view, ChatGPT offers considerable benefits, particularly in enhancing independence, efficiency, and time management when working on lecture assignments. However, these advantages are accompanied by drawbacks, such as decreased creativity, reduced critical thinking, and diminished interest in consulting traditional learning resources like books. On the other hand, lecturers acknowledge the usefulness of ChatGPT in simplifying student work and accelerating the completion of assignments but express concerns regarding the overreliance on artificial intelligence, which could potentially hinder the development of essential academic skills. Overall, the research suggests that while ChatGPT presents valuable opportunities to enhance learning processes, it must be applied thoughtfully, with careful guidance from educators to balance efficiency with the cultivation of creativity, critical thinking, and academic integrity.

Low back pain (LBP) is one of the most common musculoskeletal disorders and significantly impacts functional activities and patients’ quality of life. Non-pharmacological approaches such as hydrotherapy and William flexion exercise are widely used to reduce pain. Objective: This study aimed to determine the effect of combining hydrotherapy and William flexion exercise on reducing pain in patients with myogenic low back pain. Methods: This research applied a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 20 respondents aged 40–60 years who met the inclusion criteria. The intervention was conducted over 12 sessions within one month at Biara OSF Magdalena Daemen BSB. Pain levels were measured using the Visual Analog Scale (VAS) before and after the intervention. Data were analyzed using the Paired Sample t-Test. Results: The findings revealed a significant reduction in pain levels. The mean pretest score of 43.36 increased to 79.45 in the posttest with a difference of 36.09 points. Statistical testing showed p = 0.001 (< 0.05), indicating that the combination of hydrotherapy and William flexion exercise had a significant effect on reducing low back pain. Hydrotherapy contributed to muscle relaxation and improved circulation, while William flexion exercise strengthened lumbar flexor muscles. Conclusion: The combination of hydrotherapy and William flexion exercise is effective in reducing myogenic low back pain. This approach can be considered a safe, applicable, and beneficial non-pharmacological rehabilitation strategy to improve patients’ quality of life.

Background: According to the 2020 Ministry of Health Profile, fever accounts for 7.3% of infant deaths in Indonesia. Fever is a common complaint in children, with 20–40% of parents reporting their child's illness each year. Approximately 19–30% of patients visiting doctors are children, and fever is one of the primary complaints. If not treated promptly, fever can lead to complications such as seizures and decreased consciousness. Fever management can be done through pharmacological (antipyretic, NSAID, diazepam) or non-pharmacological measures, one of which is by applying compresses. Objective: To determine the effectiveness of dry warm compresses and water tepid sponge compresses on reducing body temperature in pediatric patients at Pati Islamic Hospital. Method: Quantitative research with a quasi-experimental two-group pre–post test design using a purposive sampling technique. Results: The application of water tepid sponge compresses showed a significant decrease in temperature with an average difference of 1.2°C, while dry warm compresses only reduced the temperature by a difference of 0.2°C. Conclusion: Water tepid sponge compresses are more effective than dry warm compresses in reducing body temperature in children with fever at Pati Islamic Hospital.

The Emergency Department (ED) is the first destination for patients in emergency situations. One of the key healthcare providers in delivering services to patients is the nurse. The quality of hospital services is partly influenced by the workload of nurses. This condition can trigger work-related stress, necessitating research to determine whether there is a relationship between workload and service quality among nursing staff in the ED of RSUD dr. Doris Sylvanus Palangka Raya. This study aims to identify the relationship between workload and service quality among nursing staff in the ED of RSUD dr. Doris Sylvanus Palangka Raya. Method: This correlational study employed a cross-sectional approach to examine the relationship between workload and service quality among 40 nursing staff members, using total sampling and Chi-Square test. Data were collected using a workload questionnaire and a service quality questionnaire. Results: The Chi-Square test analysis yielded a p-value = 0.028, indicating a significance level of p < 0.05. Therefore, H1 was accepted, showing a significant relationship between workload and service quality, with a substantial degree of association. Conclusion: The study demonstrates a significant relationship between workload and service quality among nursing staff in the ED of RSUD dr. Doris Sylvanus Palangka Raya.

The role of forensic anthropology is to identify the unknown skeletal remains to assiss in criminal investigation. Age estimation is one of the essential aspects of individual identification. Geometric morphometric is a technique to quantify the morphological of an object using the Cartesian coordinates of anatomical landmarks. There were no studies doing on the T12 vertebra for identification purposes using geometric morphometric techniques. This is an analytic observational study with a retrospective cross sectional study design. Samples were taken from 100 CT scan images at Radiology departemetnt of Dr Kariadi hospital. The age groups as independent variable, while both centroid size which represent the size and Principal component (PCs) which represent the size as the dependent variable. The differences between age group were analyzed using one way ANOVA test. There was a significant difference between age groups in the size of the T12 vertebra with p value = 0.003 (p<0.05). There was no significant difference in size between age groups in size, with p value = 0,149 (p>0,05). Using the Geometric morphometric approach, the vertebra T12 showed significant difference in size.  

Lead apron is a type of personal protective equipment in the form of an apron and made of lead which is designed to protect the body from the dangers of radiation. Menurut Keputusan Menteri Kesehatan Republik Indonesia Nomor 1250/MENKES/SK/XII/2009 regarding Quality Control Guidelines to protect the density and physical condition of the lead apron, testing is required once a year and may be carried out before one year if necessary. To maintain the quality of the lead apron, it needs to be stored in a good manner and avoid stacking and folding it. Because it can cause damage which will reduce its function as radiation protection equipment. Lead apron storage should be stored flat without folds or on a special shelf. The aim of this research is to test lead aprons in the Radiology Installation of Regional Hospitals Mangusada Badung to determine the feasibility of the lead apron. The type of research used is descriptive quantitative research with a survey approach, observation, namely by carrying out testing, measurement and documentation. This research was conducted in July. The results of this study indicate that lead apron testing in the Radiology Installation of Regional Hospitals Mangusada Badung What has been done is that the four lead aprons are still in good condition and still suitable for use.

Tuberculosis is one of world health problem, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, And Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a  complaint of yellowish discoloration of sclera, nausea and vomitting after three days of initiation of ATD theraphy. The patient has been diagnosed with Tuberculosis relaps and has been taking ATD since June 2024. Patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and imbalance electrolyte. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and  different AT regimen was prescribed.

Mortalitas dan morbiditas pada wanita merupakan masalah yang perlu mendapatkan perhatian yang cukup serius, terutama di negara berkembang dan memiliki iklim tropis layaknya Negara Indonesia. Personal hygiene dan sanitasi berada pada nomor 3 dan kesehatan reproduksi berada pada nomor 8 dalam 10 faktor resiko utama penyebab kesakitan kematian pada usia remaja. Remaja pada masa pubertas mengalami perubahan fisik yang ditandai dengan terjadinya menstruasi. Saat menstruasi jika personal hygiene buruk bisa mengakibatkan infeksi saluran reproduksi (ISR), infeksi saluran kemih (ISK), penyakit radang panggul (PRP), dan kemungkinan terburuknya bisa menyebabkan kanker serviks. Salah satu cara untuk menghindari masalah tersebut yaitu dengan melakukan praktik perilaku personal hygiene saat menstruasi. Penelitian ini bertujuan untuk mengetahui gambaran perilaku personal hygiene pada remaja putri di SMP Negeri 4 Surakarta. Jenis penelitian ini adalah deskriptif kuantitatif dengan menggunakan metode pengambilan sampel secara non propability sampling dengan pengambilan sampel menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa sebanyak 48 responden (63,3%) berperilaku baik, sedangkan responden yang berperilaku buruk berjumlah 28 responden (36,8). Temuan ini menunjukkan gambaran perilaku yang baik.

Background: Menstruation is the result of a complex interaction that involves the hormonal system and body organs, namely the hypothalamus, pituitary, ovaries and uterus. Things that affect the age of menarche are nutritional status, diet, family economic status, and sports activities.BMI is determined by body weight and height. The impact if young women experience early menarche, which is less than 12 years old, is at risk of developing breast cancer and ovarian cancer To find out the relationship between body mass index values ​​and the age of menarche in young women at Abulyatama Middle School, Aceh Besar district in 2023. This research method is analytic with a cross sectional study design. Using Independent Variables and dependent variables. Sampling technique Random sampling.Data analysis using Chi Square. Results The showed that out of 30 respondents whose body mass index was underweight, 13 respondents (43.3%) had overweight nutritional status, 10 respondents (33.3%) and normal nutritional status, 7 respondents (23.3%). Conclusion: the relationship between body mass index values ​​and menarche age in young women at Abulyatama Junior High School, Aceh Besar District. Based on the test results using Chi Square, it is known that P Value = 0.013, then Ho is rejected, Ha is accepted.

Burns can cause infection, hinder healing, and increase the risk of long-term complications. Staphylococcus aureus and Pseudomonas aeruginosa often infect burn wounds in general, infections are treated with antibiotics, but continued use of antibiotics can cause bacterial resistance. Binahong leaves (Anredera cordifolia) have potential as a substitute for antibiotics because of their antibacterial properties from active compounds such as alkaloids, polyphenols, tannins, saponins and ascorbic acid. This research aims to activate the antibacterial ability of binahong leaf ethanol extract against S. aureus and P. aeruginosa. This research uses an experimental method with a control group design using diffusion and dilution methods at varying concentrations. Statistical analysis of the inhibition zone showed that there was a significance difference of <0.05 between treatment groups. In the solid diluted method, S. aureus obtained an MIC value of 10.5% and a MBC of 11.5%, whereas P. aeruginosa had an MIC of 14.5% and a MBC of 15%. The results showed that the ethanol extract of binahong leaves was more sensitive to S. aureus than P. aeruginosa.  

The level of healthcare quality is determined by the extent to which societal or individual requirements for healthcare are met in alignment with high professional benchmarks, while ensuring prudent resource utilization and impact within government and societal constraints. In addition, it must be delivered in a safe and satisfactory manner to patients, following ethical standards and best practices. Quality indicators of health services in hospitals have challenges in improving the overall quality of health services. In the Cardiac Poly Outpatient Unit at Kendari City Hospital, it is necessary to know the strategies used in improving service quality. The purpose of this study is to ascertain the Strategy for Improving the Quality of Health Services in the Cardiac Poly Outpatient Unit at Kendari City Hospital in 2024. The research methodology used is qualitative and descriptive, using the Phenomenal model to investigate various phenomena in Kendari City Hospital with data collection techniques, namely field observations at the research location and also in-depth interviews with informants who have been determined. The results showed that the quality strategy of health services provided by the Kendari City Hospital is quite good, especially in the Cardiac Poly Outpatient Unit. However, considering the importance of health services, it must always be improved so that the quality of health services received by the community is always maintained. There are still many things that must be considered, for example, the problem of waiting rooms that must be added to the seats for visitors and the speed of service that must still be improved.

Background : Appendectomy is a surgical procedure to remove the appendix which is done as soon as possible to reduce the risk of perforation. Nursing problems that arise after appendectomy is acute pain. Objectives: Gaining real experience and knowledge and being able to document the application of deep breathing relaxation techniques is an appropriate non-pharmacological action in reducing pain scale. Method: this type of scientific paper uses a descriptive method with a descriptive case study approach with a case study approach to explore the problem of nursing care carried out on two patients carried out on June 15 - 20 2021. Results: from the results of nursing care to Mrs "S" and Mr "M" with a nursing diagnosis in the first patient, namely acute pain related to physical injury agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), impaired sense of comfort related to symptoms of the disease ( pain), impaired physical mobility related to decreased muscle strength (pain), and the second patient's diagnosis was acute pain related to physical injuring agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), discomfort related to symptoms of disease (pain), anxiety related to situational crises, lack of exposure to information, impaired physical mobility associated with decreased muscle strength (pain). The interventions in both patients were: identification of location, characteristics, duration, frequency, quality and intensity of pain, identification of pain scale, identification of non-verbal pain responses. The evaluation of the first patient had a pain intensity scale of 6 (moderate), and the second patient a pain scale of 7 (severe). The results of the study in the Surgery Room of the Palembang Bari Regional General Hospital after the deep breathing relaxation technique was carried out in the first patient on a pain scale of 6 (moderate) to 3 (mild), and the second patient pain scale of 7 (severe) to 4 (moderate). Conclusion: Progress notes to both patients on the application of deep breathing relaxation techniques to reduce pain intensity. The results of the nursing evaluation of the problem were partially resolved.

Background: Dysmenorrhea, characterized by pain around the abdomen, waist, and lower back, arises due to increased prostaglandin hormone levels during menstruation. If left untreated, this pain will disrupt the daily activities and academic performance of adolescent girls. Management can be achieved through the use of acupressure and listening to the recitation of the Qur'an, both of which are safe and effective in alleviating pain, promoting relaxation, and obtaining the blessings of Allah SWT. The objectives of the research: This study aims to evaluate the impact of acupressure therapy with Ar-Rahman murottal on the reduction of dysmenorrheic pain in students of SMP Negeri 2 Giriwoyo Methods: This research employs a quasi-experimental design with a pretest-posttest non-equivalent control group approach. The study sample consists of 36 respondents selected through a purposive sampling technique. Data analysis was performed using the Mann-Whitney test to compare the treatment and control groups. Results: he dysmenorrhea pain scale in the treatment group significantly decreased compared to the control group, with a P-value of 0.016 < α 0.05. Acupressure therapy combined with the recitation of Surah Ar-Rahman was effective in reducing dysmenorrhea pain in female students at SMP Negeri 2 Giriwoyo. Summary: This study concludes that acupressure therapy combined with the recitation of Surah Ar-Rahman can be an effective alternative for alleviating dysmenorrhea pain in adolescent girls.

Sexual violence is any act of humiliating, insulting, attacking, and/or other acts against a person's body, sexual desires and/or reproductive function by force. This form of sexual violence can occur in everyday interactions among teenagers, including when they start having relationships with the opposite sex. This can be minimized in various ways, one of which is by providing motivation for teenagers to prevent acts of sexual violence. Motivation given to teenagers can be in the form of learning media, one of which is digital poster media. Digital poster media is more effective as an outreach medium because it helps stimulate the sense of sight, the visual aspect of poster images makes it easier to receive information. The aim of this research is to determine the development of digital poster media in preventing sexual violence against teenagers at Senior High School 5 Surakarta. This research method uses Research and Development (R&D), with the ADDIE model being developed in 5 stages, namely (Analysis, Design, Development, Implementation, Evaluation). The results of this research obtained an assessment of digital poster media from material experts 96%, media experts 67%, small scale trials 83.3%, and field trials 83.83%, so it can be concluded that the media developed is "very feasible" to be used in preventing sexual violence against teenagers at Senior High School 5 Surakarta

Pregnancy is a unique natural condition because although it is not a disease, it often causes complications due to various anatomical and physiological changes in the mother's body. Pregnant women who suffer from anemia can have an impact on the fetus, such as premature birth, the risk of low birth weight (LBW), fetal abnormalities, and increased risk of fetal distress. In general, the causes of anemia in pregnancy are iron deficiency and acute bleeding or even the interaction of both. The purpose of this study was to determine the difference in the effectiveness of giving red spinach juice and Ambon bananas on Hb levels in pregnant women in the third trimester. The design used in this study was a quantitative inferential study including the pre-experimental type with two group pretest-posttest. Based on the time of data collection, it included the cross-sectional type, sourced from primary and secondary data. An assessment of the difference in increasing HB levels was carried out before and after treatment (Pretest and Postest two Group Design). Data analysis consisted of univariate and bivariate analysis. The results of the analysis showed an effect in giving red spinach juice and Ambon bananas. It is hoped that the Health Center will facilitate health workers (midwives) in providing information on providing guava juice with red spinach leaf juice as an alternative for preventing and managing anemia during pregnancy in the Health Center's work area.    

Central Java Province targets a 16% reduction in stunting by 2023, with the prevalence having been reduced from 31.2% in 2018(Riskesdas, 2018) to 20.8% in 2022 (SSGI). The causes of stunting in Central Java include a lack of knowledge about balanced nutrition, proper parenting, and lack of access to proper drinking water and sanitation. This study aims to determine the implementation of the Central Java Provincial Health Office strategy in reducing stunting rates. The study used a qualitative design with descriptive methods and in-depth interviews, involving samples from the Health Office, TP-PKK, and Head of Puskesmas through snowball sampling techniques. The results showed that implementation at the Puskesmas level has not been optimal, with low community participation. Semarang City has many stunting reduction programs, in contrast to Brebes Regency. The overall provincial target has been achieved, but operational funding constraints hinder optimal program implementation.

Premature rupture of membranes (KPD) is the rupture of the membranes before there are signs of labor, and after waiting for an hour the signs of labor have not yet begun. The time from when the membranes rupture until uterine contractions occur is called premature rupture of membranes. Factors that are closely related to PROM include infection, socio-economic factors, blood type factors, smoking behavior, history of PROM, incompetent cervix and intrauterine enhancement that is high or excessively high, fetal disproportion, multigravidity, multiple pregnancies, previous history of PROM , polyhydramnios, trauma, age and parity. The danger of premature rupture of membranes is the possibility of infection in the uterus and premature birth which can increase morbidity and mortality for mother and baby. Premature rupture of membranes causes a direct connection between the outside world and the space in the uterus, making it easier for infection to occur. The aim of this study is to determine the relationship between age and parity with the incidence of premature rupture of membranes in women giving birth at Harapan Bunda Hospital, Batam City in 2023. This research design uses analytical observational with a cross sectional approach, where data is taken using secondary data with a sample size of 65 people. The processing technique uses the chi-square test. The data obtained from the results of statistical tests is with p-value for age = 0.028 and for parity p-value = 0.039. The conclusion of this research is that the majority of mothers give birth at a non-risk age (20-35) and at a parity that is not at risk (2-3). There is a relationship between the age and parity of mothers giving birth and the incidence of KPD at Harapan Bunda Hospital, Batam City in 2023. With the p-value is 0.028 for age and the p-value is 0.039 for parity so that the p-value < α (0.05).