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According to the International Agency for Cancer Registry (IACR), breast cancer is the most common cancer among women after lung cancer, and continues to be frequently diagnosed worldwide. In 2022, more than 2.32 million new cases of breast cancer were reported globally, while Indonesia recorded 65,858 cases (16.6% of all cancers). Therefore, adolescent girls need to have adequate knowledge and a positive attitude toward breast self-examination (BSE/SADARI) as part of reproductive health awareness and preventive efforts. This study aims to examine the relationship between knowledge and attitudes regarding SADARI among 10th-grade female students at MAN (State Islamic Senior High School) 3 Sleman. This study employed a quantitative correlational approach with a cross-sectional design, involving a sample of 66 respondents. Data were collected using a questionnaire containing questions related to BSE. The Spearman Rank test showed a p-value of 0.606, which is greater than 0.05 (p > 0.05). This indicates that there is no significant relationship between the level of knowledge and attitudes toward BSE among 10th-grade female students at MAN 3 Sleman. In addition, the correlation coefficient (r) was 0.065, indicating a very weak relationship between knowledge and attitudes. There is no significant relationship between knowledge and attitudes regarding BSE among 10th-grade female students at MAN 3 Sleman. Schools and healthcare providers are encouraged to enhance structured and continuous BSE education and incorporate educational media during health counseling to foster positive attitudes.

Anxiety disorders are common mental health problems among adolescents, particularly high school students who face academic demands, social pressure, and emotional changes. Family support, sleep quality, and academic stress are considered factors related to students’ anxiety levels. This study aimed to examine the relationship between family support, sleep quality, academic stress, and anxiety disorders among students of SMAN 1 Sumbawa Besar. An analytical study with a cross-sectional design was conducted involving 114 students selected through stratified random sampling. Data were collected using the Perceived Social Support–Family (PSS-Fa), Pittsburgh Sleep Quality Index (PSQI), Educational Stress Scale for Adolescence (ESSA), and Depression Anxiety Stress Scale (DASS-42). Bivariate analysis was performed using the chi-square test, while multivariate analysis employed binary logistic regression. Bivariate results indicated significant associations between family support, sleep quality, academic stress, and anxiety disorders (p < 0.05). However, multivariate analysis revealed that only family support and sleep quality were significantly associated with anxiety disorders, while academic stress was not significant after controlling for other variables. These findings suggest that anxiety prevention efforts should prioritize strengthening family support and improving sleep quality, alongside academic stress management within the school environment.

This study aims to analyze the relationship between caffeine consumption and sleep duration on VO₂Max levels among soccer school (SSB) students in Surabaya. VO₂Max is a key indicator of cardiorespiratory fitness and athletic performance. This research employed a quantitative cross-sectional design with an analytical observational approach. A total of 162 SSB students were included as research participants from several soccer schools in Surabaya. Data were collected using the Food Frequency Questionnaire (FFQ) to assess caffeine intake and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep duration, and were analyzed using the Chi-Square test. The results revealed a significant relationship between caffeine consumption and sleep duration with VO₂Max (p<0.001). Students with higher caffeine consumption (≥3.5) and adequate sleep duration (≥7 hours) tended to have better VO₂Max values compared to those with lower caffeine intake and insufficient sleep. These findings indicate that appropriate caffeine consumption and adequate sleep duration play an important role in improving cardiorespiratory fitness. Therefore, proper education on healthy lifestyle habits is essential to optimize the performance of young athletes.

This study aims to analyze the effectiveness of legal capacity-building for Temporary Land Deed Officials (PPATS) in the preparation of land deeds in Aceh Besar Regency, Aceh Province. The research employs an empirical juridical method with a qualitative approach, utilizing data collection techniques including interviews, observation, and document analysis. This approach enables a comprehensive examination of both the normative framework and its practical implementation in the field. The findings indicate that the effectiveness of capacity-building for PPATS remains suboptimal, as the existing programs are largely administrative, incidental, and insufficient in addressing substantive legal aspects. Several factors influence this condition, including the non-legal educational background of PPATS, prevailing community legal culture, limitations in training programs, weak institutional coordination, and social pressures encountered in the practice of land deed preparation. These challenges contribute to a low level of material competence and legal prudence among PPATS in carrying out their duties. Accordingly, there is a need for a more sustainable, contextual, and competency-based capacity-building model to enhance the professionalism of PPATS. Such an approach is essential to strengthen their substantive legal understanding, improve the quality of land deeds, and ultimately support the realization of legal certainty in land administration services.

Fiqh learning education activities play an important role in improving early childhood worship awareness, particularly in understanding the pillars of Islam as the foundation of Islamic teachings. This study was motivated by the low level of children’s understanding of the pillars of Islam, which was caused by learning methods that were less engaging and less interactive. Therefore, this study aims to improve the understanding, habituation, and worship awareness of early childhood through the use of a simple, communicative, and easy-to-understand lecture method at TPQ Al-Hidayah, Pacar Kembang, Surabaya. This study employed a Participatory Action Research (PAR) approach consisting of several stages, namely problem identification, learning planning using the lecture method, implementation of activities, evaluation, and joint reflection to enhance learning effectiveness. The results showed that fiqh learning through the lecture method had a positive impact on improving children’s understanding of the pillars of Islam, developing worship habits, and fostering full awareness in carrying out daily worship practices. Thus, the lecture method is considered effective in enhancing understanding and worship awareness among early childhood learners.

Social Studies (IPS) learning in elementary schools plays an essential role in developing students’ critical thinking skills and civic attitudes as part of 21st-century competencies. However, in practice, IPS learning is still commonly teacher-centered and lacks contextual learning experiences, resulting in low student engagement and limited development of higher-order thinking skills. This study aims to analyze the implementation of Project-Based Learning (PjBL) in IPS learning to enhance critical thinking skills and civic attitudes of grade VI students at SDN Prekbun. The research employed a qualitative approach with a case study design. Data were collected through classroom observations, semi-structured interviews with teachers, students, school principals, and parents, as well as documentation of learning activities. Data analysis was conducted using the interactive model of Miles and Huberman, including data reduction, data display, and conclusion drawing and verification. The findings indicate that the implementation of PjBL effectively enhances students’ active participation, critical thinking skills in analyzing social issues, and civic attitudes such as responsibility, cooperation, and social awareness. Learning becomes more meaningful as students are directly involved in contextual, collaborative, and problem-based project activities. Despite these positive outcomes, several challenges were identified, including limited learning facilities, time management constraints, and variations in students’ confidence levels. This study implies that PjBL is an effective instructional model for strengthening character education and developing 21st-century skills in elementary social studies learning

Chronic kidney disease is one of the global health problems that requires long-term therapy, one of which is through hemodialysis. According to the World Health Organization (WHO), adherence to treatment and diet is a key factor in improving the quality of life for patients with chronic diseases. An appropriate diet plays an important role in controlling electrolyte levels, fluids, and toxic substances in the body. This study aims to describe the knowledge and dietary compliance of patients undergoing hemodialysis at Santa Elisabeth Hospital Medan in 2025.This research used a descriptive quantitative design with a cross-sectional approach. The sample consisted of 36 patients selected using purposive sampling techniques. The research instrument was a questionnaire developed based on dietary guidelines for hemodialysis patients according to WHO and the Indonesian Ministry of Health standards. The results showed that among the 36 hemodialysis patients, 15 respondents (41.7%) had a good level of knowledge, 14 respondents (38.9%) had a moderate level, and 7 respondents (19.4%) had a low level of knowledge. Regarding dietary compliance, 13 respondents (36.1%) were compliant, 18 respondents (50.0%) were moderately compliant, and 3 respondents (13.9%) were non-compliant. There was a tendency showing that higher knowledge levels were positively correlated with better dietary compliance, in line with WHO’s principle that health education is an essential intervention in managing chronic diseases. This study recommends strengthening ongoing educational programs by healthcare professionals, particularly in delivering accurate and easy-to-understand information about diet management for hemodialysis patients.

Chronic kidney disease is one of the global health problems that requires long-term therapy, one of which is through hemodialysis. According to the World Health Organization (WHO), adherence to treatment and diet is a key factor in improving the quality of life for patients with chronic diseases. An appropriate diet plays an important role in controlling electrolyte levels, fluids, and toxic substances in the body. This study aims to describe the knowledge and dietary compliance of patients undergoing hemodialysis at Santa Elisabeth Hospital Medan in 2025.This research used a descriptive quantitative design with a cross-sectional approach. The sample consisted of 36 patients selected using purposive sampling techniques. The research instrument was a questionnaire developed based on dietary guidelines for hemodialysis patients according to WHO and the Indonesian Ministry of Health standards. The results showed that among the 36 hemodialysis patients, 15 respondents (41.7%) had a good level of knowledge, 14 respondents (38.9%) had a moderate level, and 7 respondents (19.4%) had a low level of knowledge. Regarding dietary compliance, 13 respondents (36.1%) were compliant, 18 respondents (50.0%) were moderately compliant, and 3 respondents (13.9%) were non-compliant. There was a tendency showing that higher knowledge levels were positively correlated with better dietary compliance, in line with WHO’s principle that health education is an essential intervention in managing chronic diseases. This study recommends strengthening ongoing educational programs by healthcare professionals, particularly in delivering accurate and easy-to-understand information about diet management for hemodialysis patients.

The transition from paper-based to Computer-Based Test (CBT) in the Academic Potential Test (TPA) for state university entrance selections has significantly transformed the educational assessment landscape. This conceptual study aims to evaluate the instruments of CBT-based TPA, focusing on validity, reliability, fairness, and technological infrastructure constraints. Employing a systematic literature review approach, this research synthesizes various foundational theories of educational measurement, specifically Item Response Theory (IRT) and Computerized Adaptive Testing (CAT), alongside contemporary empirical findings from the last five years. The findings indicate that while CBT offers enhanced administrative efficiency and rapid grading, the validity of the instruments is frequently challenged by item exposure and the diverse digital literacy levels of test-takers. Furthermore, infrastructural disparities among regions pose a significant threat to testing fairness. The implication of this study suggests the urgent need for a dynamic item bank generation system and the implementation of adaptive testing to mitigate cheating and ensure equitable assessment. Future educational policies must bridge the digital divide before uniformly mandating CBT. Ultimately, this review provides a comprehensive framework for test developers to refine CBT TPA instruments, ensuring they genuinely measure academic potential rather than technological proficiency.

This study aims to analyze the relationship between self-control and the moral development of students at Medan State University. Self-control is an individual's ability to control emotions, impulses, and behavior to align with prevailing moral norms and values ​​in both academic and social settings. This study employed quantitative methods, collecting data through questionnaires distributed to students. The research instrument was used to measure students' levels of self-control and their moral development, as reflected in their attitudes of responsibility, honesty, discipline, and ethical behavior on campus. The data obtained were analyzed to determine the relationship between the two variables. The results showed that students' levels of self-control were considered good and had a positive relationship with moral development. This suggests that students with better self-control tend to display behaviors consistent with prevailing moral values ​​and norms. Therefore, self-control plays a crucial role in the moral development of students, necessitating ongoing efforts by universities to support the development of self-control through character development and academic activities oriented toward moral values.

Healthcare-Associated Infections (HAIs) remain a major global challenge in healthcare services, contributing significantly to increased morbidity, mortality, and healthcare costs. Nurses’ compliance with the use of Personal Protective Equipment (PPE) is a critical component in infection prevention and control programs. Supervision by Infection Prevention and Control Nurses (IPCNs) is considered a key factor in improving compliance. This study aimed to analyze the relationship between IPCN supervision and nurses’ compliance with PPE usage in inpatient wards at Grha Permata Ibu Hospital, Depok, in 2025. This study employed a quantitative approach using a correlational analytic design with a cross-sectional method. The population consisted of all 56 nurses working in four inpatient wards, and total sampling was applied. Data were collected using a structured IPCN supervision questionnaire and direct observation checklists of PPE compliance. Data analysis included univariate and bivariate analysis using the Chi-square test. The results revealed that most respondents perceived IPCN supervision as moderate (58.9%), while the majority demonstrated compliance with PPE usage (62.5%). Bivariate analysis indicated a statistically significant relationship between IPCN supervision and PPE compliance (p = 0.001). Nurses receiving high-level IPCN supervision were 33.85 times more likely to comply with PPE usage compared to those receiving moderate supervision. In conclusion, IPCN supervision plays a crucial role in enhancing nurses’ compliance with PPE usage. Strengthening IPCN supervisory functions through structured monitoring, continuous education, and consistent evaluation is strongly recommended to improve patient and healthcare worker safety and to reduce the incidence of HAIs in hospital settings.

In the current digital era, social media has become an open space filled with streams of information, including invalid ones. Santri, as the future generation of the ummah, are required to have critical thinking skills to filter, analyze, and make wise decisions. Islamic boarding schools as traditional Islamic educational institutions are faced with the challenge to remain relevant amidst technological developments. This study aims to: 1) Find out the strategies of Pondok Pesantren Daruttaqwa III Gresik in improving students’ critical thinking skills toward social media developments, 2) Identify supporting and inhibiting factors in the implementation of the strategy, 3) Understand the role of Pondok Pesantren Daruttaqwa III in integrating traditional values with modern approaches to sharpen students’ critical thinking skills. This research uses a qualitative method with a case study approach. Data were collected through observation, interviews, and documentation. The data analysis includes data collection, data reduction, data presentation, and drawing conclusions. The results show that the strategies include: 1) Integration of digital literacy and critical thinking in the formal education curriculum, 2) Character building and supervision in the dormitory environment as a key strategy, 3) Strengthening through extracurricular activities, awareness campaigns, and limited training. Supporting factors include strong leadership, dedication from teachers and administrators, presence of traditional Islamic values as ethical foundations, and increased student awareness. Obstacles include time limitations, lack of structured materials, varying digital literacy levels, and the rapid evolution of social media. The pesantren has successfully integrated Islamic values such as tabayyun, adab, amanah, and husnudzon with modern approaches.

The steady increase in divorce cases in Indonesia suggests that many couples begin married life without adequate emotional, financial, or intellectual readiness. In response, the government encourages premarital education as a preventive initiative designed to equip future spouses with the skills needed to manage potential domestic difficulties. Viewed through the lens of maqāṣid al-sharī‘ah, this initiative supports the essential goals of Islamic law, namely the promotion of well-being at the personal, family, community, and national levels. This study argues that premarital education reflects the core principles of Islamic legal ethics and functions as a normative expression of the sharī‘ah. Using a normative-theoretical legal framework combined with a maqāṣid al-sharī‘ah analysis, the research engages Qur’anic and Hadith texts, classical and modern fiqh discussions, uṣūl al-fiqh, Indonesian regulatory provisions on premarital counseling, and scholarly works on Islamic Family Law. The results show that major triggers of marital breakdown emotional instability, financial pressure, recurring disputes, and limited understanding of marital responsibilities can be reduced through structured premarital education. These programs strengthen spiritual awareness, emotional resilience, communication skills, conflict-resolution abilities, and economic management. Consequently, premarital education becomes a strategic mechanism for nurturing harmonious households and reinforcing the framework of Islamic Family Law in Indonesia, positioning it as a sharī‘ah oriented tool vital for contemporary social welfare.  

In the current digital era, social media has become an open space filled with streams of information, including invalid ones. Santri, as the future generation of the ummah, are required to have critical thinking skills to filter, analyze, and make wise decisions. Islamic boarding schools as traditional Islamic educational institutions are faced with the challenge to remain relevant amidst technological developments. This study aims to: 1) Find out the strategies of Pondok Pesantren Daruttaqwa III Gresik in improving students’ critical thinking skills toward social media developments, 2) Identify supporting and inhibiting factors in the implementation of the strategy, 3) Understand the role of Pondok Pesantren Daruttaqwa III in integrating traditional values with modern approaches to sharpen students’ critical thinking skills. This research uses a qualitative method with a case study approach. Data were collected through observation, interviews, and documentation. The data analysis includes data collection, data reduction, data presentation, and drawing conclusions. The results show that the strategies include: 1) Integration of digital literacy and critical thinking in the formal education curriculum, 2) Character building and supervision in the dormitory environment as a key strategy, 3) Strengthening through extracurricular activities, awareness campaigns, and limited training. Supporting factors include strong leadership, dedication from teachers and administrators, presence of traditional Islamic values as ethical foundations, and increased student awareness. Obstacles include time limitations, lack of structured materials, varying digital literacy levels, and the rapid evolution of social media. The pesantren has successfully integrated Islamic values such as tabayyun, adab, amanah, and husnudzon with modern approaches.

Primary dysmenorrhea is a common reproductive health problem among adolescents and women of reproductive age, significantly affecting quality of life and academic productivity. Psychological stress and dietary patterns are considered important contributing factors influencing the incidence and severity of menstrual pain. This study aimed to analyze the relationship between stress levels and dietary intake with the occurrence of primary dysmenorrhea in adolescents and women of reproductive age. A literature review was conducted using articles published between 2015 and 2025 retrieved from Scopus, PubMed, and Google Scholar. Studies meeting the inclusion criteria were analyzed descriptively and narratively. The findings showed that the prevalence of primary dysmenorrhea ranged from 54.4% to 90.6%. Higher stress levels were significantly associated with increased risk and intensity of menstrual pain (OR up to 4.03). Frequent consumption of sugary foods, fast food, and pro-inflammatory dietary patterns was linked to higher incidence and severity of dysmenorrhea (OR up to 4.8), whereas adequate intake of fruits, vegetables, iron, calcium, and magnesium demonstrated protective effects. Primary dysmenorrhea is multifactorial and significantly associated with stress and dietary intake; therefore, integrated stress management and nutritional education interventions are recommended in adolescent reproductive health programs.

This study analyzes the Public Relations communication strategy of PT Kereta Api Indonesia (Persero) Daerah Operasi 8 Surabaya in socializing the Access by KAI digital application to the Surabaya community. Using a descriptive qualitative approach, data were collected through in-depth interviews with PR staff and Railfans Surabaya community members, participatory observation of socialization activities, and documentation of digital publications. Data analysis followed the interactive model of Miles, Huberman, and Saldana (2014). The findings reveal that PR communication strategies are implemented through a synergy of push communication, pull communication, and pass communication, supported by Two-Way Symmetrical Communication principles developed by Grunig and Hunt (1984). Push communication disseminates official information via social media platforms; pull communication attracts audiences through visually compelling and educational content; while pass communication emphasizes two-way engagement that builds public trust and loyalty. The study demonstrates that public engagement, interactive dialogue, and message adaptation to local audience characteristics positively contribute to increasing public understanding and acceptance of the Access by KAI application. The integration of these three strategies creates a holistic communication ecosystem that effectively bridges the gap between digital innovation and user behavior. Future research is recommended to examine similar strategies in other operational regions or employ quantitative approaches to measure adoption levels.

The implementation of active learning models such as Problem-Based Learning (PBL) and Project-Based Learning (PjBL) at the junior high school level is often constrained by the complexity of instructional time management. This study aims to examine the role of the principal’s instructional leadership in addressing time management dilemmas in the implementation of active learning at SMP Negeri 6 Panyabungan. A qualitative approach with a descriptive method was employed in this study. Data were collected through non-participant observation and in-depth interviews with key informants, namely the school principal and an Islamic Religious Education (PAI) teacher selected as representatives of field conditions. The findings reveal three main results. First, teachers’ time management constraints are caused by weak control of learning activity transitions, noisy classroom conditions during group division, and low initial student learning readiness. Second, the principal implemented several concrete interventions, including the adoption of block scheduling, clinical supervision focused on classroom management, and the optimization of the Subject Teacher Forum (MGMP) or school learning community. Third, these interventions improved teachers’ instructional efficiency, strengthened classroom activity control, and created a more structured active learning process. However, sustainability challenges remain, particularly resistance from senior teachers who tend to prefer conventional teaching methods. This study concludes that adaptive and solution-oriented instructional leadership is a key factor in addressing the complexity of time management constraints in active learning implementation.

This research is motivated by the low level of awareness among some students regarding maintaining a clean school environment and proper waste management. SMP IT Khairunnas,Bengkulu City, implemented a clean environment program as an effort to build students'environmental awareness through cleaning activities, waste sorting, and environmental management.school actively. This study aims to analyze the process of the environmental cleanup program in exploring students' awareness of waste management, identifying supporting and inhibiting factors of the program, and explaining the impact of the program on students' daily behavior in maintaining a clean school environment. This study uses a qualitative approach with fieldresearch. Data collection techniques were carried out through observation, interviews, and documentation. The primary data sources in this study were the principal, teachers, and students of SMP IT Khairunnas, Bengkulu City.Data analysis used the Miles and Huberman model which includes data reduction, data presentation, and conclusion drawing. Data validity was carried out through technical triangulation and source triangulation. The results of the study indicate that the environmental cleanup program at SMP IT Khairunnas, Bengkulu City was implemented through class duty activities, mutual cooperation, sorting organic and inorganic waste, waste banks, and environmental education activities.

This study focuses on examining the effect of using the cooperative learning model type Teams Games Tournament (TGT) assisted by Kahoot in optimizing students’ problem-solving skills. The research method applied was Classroom Action Research (CAR), conducted through several cycles with stages including planning, action implementation, observation, and reflection. The subjects of this study were students of class X.B at SMA Negeri 2 Singaraja. The results of the study indicate a significant improvement in students’ problem-solving abilities after the implementation of the TGT model assisted by Kahoot. In cycle II, the students’ average score reached 88.15, with a learning mastery level of 84.21%. Therefore, it can be concluded that the majority of students had met the minimum learning mastery indicators. In addition, the learning process became more active, interactive, and enjoyable, which increased student engagement in the classroom. In conclusion, the cooperative learning model Teams Games Tournament (TGT) assisted by the Kahoot application has a positive impact on improving students’ problem-solving abilities. Therefore, the use of game-based digital learning models and media is recommended to enhance the quality of both the learning process and learning outcomes.

The Ten Scholars per Village Scholarship Program is a policy of the Government of Bojonegoro Regency aimed at improving access to and equity in higher education for rural communities through tuition fee (UKT) assistance. This study aims to analyze the effectiveness of the program implementation in Kepohbaru District using a descriptive qualitative approach and five effectiveness indicators proposed by Campbell J.P., namely program success, target achievement, satisfaction with the program, input and output levels, and goal attainment. Data were collected through interviews, observations, and documentation involving the Education Office, sub-district and village governments, scholarship recipient students, and the parents of scholarship recipients as informants. Data analysis was conducted based on Sugiyono’s model, including data reduction, data display, and conclusion drawing/verification, with validity tested through triangulation. The results show that the program has been implemented sustainably and contributes to supporting the continuity of higher education for rural students. Target achievement has been administratively fulfilled, although equity and quota distribution remain challenges. The level of satisfaction among recipients and parents is relatively good; however, there are still obstacles related to information dissemination and administrative processes. In terms of input and output indicators, the program is considered fairly effective as it consistently distributes financial assistance. Overall, the program is fairly effective in increasing access to and continuity of higher education, although improvements are still needed in terms of equity and implementation quality.