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Diabetes mellitus type 2 is a chronic metabolic disorder that frequently affects elderly patients and is often accompanied by multiple comorbidities. The increasing prevalence of diabetes in the aging population contributes to higher morbidity and mortality, especially when complicated by geriatric syndromes, electrolyte imbalances, and infections such as pneumonia. This study aims to present a case of type 2 diabetes mellitus in an elderly patient with associated geriatric problems, electrolyte disturbances, and pneumonia. The method used is a descriptive case report based on clinical findings, laboratory examinations, and radiological assessment. A 76-year-old male presented with generalized weakness, weight loss, decreased appetite, respiratory symptoms, and functional decline. Physical examination and laboratory findings revealed uncontrolled diabetes, electrolyte imbalance, hypoalbuminemia, and signs of infection. Chest radiography confirmed pneumonia. Management included pharmacological therapy such as antibiotics, fluid and electrolyte correction, and supportive care, along with non-pharmacological interventions including dietary regulation and monitoring. The findings highlight the complexity of managing elderly patients with multiple comorbid conditions, emphasizing the need for a comprehensive and multidisciplinary approach. Early detection and appropriate management are essential to improve clinical outcomes and prevent further complications in geriatric patients with diabetes mellitus.

Vertigo is a clinical symptom that is often found and can be related to vestibular disorders or systemic conditions such as hypertension. The case report described a 58-year-old female patient who came in with complaints of dizziness that disappeared from 12 hours before admission to the hospital, accompanied by double vision, nausea, severe headache, flatulence, and stiffness of the left shoulder. Physical examination showed increased blood pressure and bidirectional nystagmus on neurological examination. Laboratory tests show mild electrolyte abnormalities and increased cholesterol. The patient was diagnosed with uncontrolled vestibular vertigo et causa hypertension and received intravenous fluid therapy, symptomatic therapy, antihypertensive therapy, and vestibular suppressants. Clinical improvements were obtained during follow-up. Education related to blood pressure control, medication adherence, and lifestyle changes such as low-salt diet settings and stress management is also provided to patients. In addition, periodic monitoring is required to prevent recurrence and further complications. This case emphasizes the importance of identifying hypertension as a contributing factor to vertigo as well as comprehensive management to improve patient outcomes and improve the quality of life of patients.

This research is grounded in the significant role of the madrasah principal in shaping students’ discipline and religious character as part of the goals of Islamic education. MTsN 4 Karawang was selected as the research site because it has various routine programs focused on habituation and character development. However, the implementation of these programs is not free from challenges. Therefore, a deeper study is needed to understand the leadership strategies applied by the principal in managing student discipline and religious activities at the school. The purpose of this study is to describe the leadership strategies used by the madrasah principal to improve student discipline, explain the principal’s role in developing students’ religious character, and identify the supporting and inhibiting factors in implementing these strategies. This study uses a qualitative method with data collected through observations, interviews, and documentation. The main informant of the research is the school principal. The collected data were reduced, presented in narrative form, and analyzed to identify patterns and meanings from the field findings. The results show that the principal applies transformational and participatory leadership through role modeling, religious habituation, and the involvement of teachers and students in monitoring discipline. The main supporting factors come from teacher collaboration, the student council (OSIS), and effective communication with parents

This study aims to analyze the management of Islamic Religious Education (PAI) learning as an effort to improve students’ discipline in performing congregational prayers at SDN 188 Simangambat. Learning management in PAI includes planning, implementation, and evaluation strategies carried out by teachers to instill religious values and develop students’ awareness of the importance of praying together. This research uses a qualitative approach with descriptive methods to describe the role of PAI learning management in shaping students’ prayer discipline. The results indicate that effective PAI learning management can encourage students to perform congregational prayers regularly through teacher guidance, habituation programs, and a supportive school environment. Teachers play an important role as educators and role models in building students’ responsibility and obedience in carrying out religious activities. The implementation of structured learning activities, monitoring, and evaluation contributes to improving students’ discipline and spiritual character. Therefore, proper management of PAI learning is an important factor in developing students’ religious habits and strengthening Islamic character education in elementary schools.

This study focuses on examining the effectiveness of the metacognitive guidance approach in mathematics education using the Systematic Literature Review (SLR) method. Metacognitive strategies are considered a relevant approach in 21st-century education because they encourage students to plan, monitor, and evaluate their thinking processes independently. The literature search was conducted via Google Scholar using appropriate keywords and yielded 306 articles in the initial stage. Subsequently, the selection process followed the PRISMA flowchart, including the removal of duplicate articles, screening based on titles and abstracts, and eligibility assessment through full-text review. From these stages, 12 articles meeting the inclusion criteria were selected as the basis for analysis. The study’s findings indicate that metacognitive guidance has a positive impact on mathematics learning, particularly on students’ problem-solving skills, critical thinking, mathematical literacy, and learning outcomes. This approach also enhances metacognitive awareness, enabling students to be more focused in selecting strategies, monitoring the learning process, and evaluating the results. Thus, this strategy is worthy of integration by teachers to strengthen the quality of learning and higher-order thinking skills.

This study aims to describe the implementation of supervision management as an effort to improve the quality of education at SMAN 1 Panyabungan. Supervision is one of the functions of education management that plays an important role in improving the quality of the learning process, teacher competence, and the effectiveness of school management. This study uses a qualitative approach with a descriptive method. Data was obtained through observation, interviews, and documentation involving school principals, teachers, and education staff. The results of the study show that supervision management at SMAN 1 Panyabungan is carried out through the stages of planning, implementation, evaluation, and follow-up in a structured manner. The planning stage is carried out by preparing a supervision program according to the needs of the school, implementation is carried out through monitoring and teacher coaching activities, evaluation is carried out by assessing the results of supervision, while the follow-up is in the form of continuous improvement and development. Supervision activities have been proven to have a positive impact on improving teacher professionalism, learning quality, and achieving educational goals in schools. These findings confirm that effective supervision management can be one of the important strategies in improving the quality of education in a sustainable manner, while strengthening the role of school principals as quality improvement-oriented educational leaders.

Ballast water plays a crucial role in maintaining ship stability during shipping, but it also carries environmental and human health risks due to the heavy metals it carries. This study aims to examine the health risks posed by exposure to heavy metals in ballast water and to assess the effectiveness of management practices implemented in the maritime industry. Using a literature review method, this study examines various scientific sources related to the content of heavy metals such as lead (Pb), cadmium (Cd), copper (Cu), and zinc (Zn) in ballast water, as well as their impacts on human health and marine ecosystems. The results indicate that heavy metals in ballast water can cause long-term toxic effects such as neurological disorders, kidney damage, and respiratory and reproductive disorders. The greatest risk is experienced by maritime workers who are directly exposed through inhalation or skin contact during the ballast water sampling and processing process. To minimize these risks, strict work safety protocols, improved ballast water treatment technology, and regular monitoring of heavy metal levels are required. Thus, this study emphasizes the importance of strengthening ballast water management policies and practices that are oriented towards human health and environmental sustainability.  

This study aims to examine the role of management psychology in improving work motivation in organizations through a literature study approach. Data were obtained from various scientific sources relevant to the topics of management psychology, work motivation, and organizations. The results of the study indicate that management psychology plays a significant role in understanding individual and group behavior in the workplace through psychological aspects such as needs, attitudes, emotions, and personality. Work motivation is a key factor influencing employee performance, which is influenced by both internal and external factors, including rewards, work relationships, environmental conditions, and opportunities for self-development. Various motivational theories such as Maslow's Hierarchy of Needs, Alderfer's ERG, Mcclelland's Needs, And Vroom's expectancy theory provide a foundation for understanding the dynamics of work motivation. In addition, the implementation of the performance management cycle, which includes planning, monitoring, evaluation, and rewarding, has proven effective in improving employee morale.

Penelitian ini menganalisis pengaruh topologi star terhadap performa jaringan komputer di era digital, di mana akses internet Indonesia mencapai 72,78% menurut BPS (2024), menuntut infrastruktur andal dan efisien. Tujuan utama adalah mengevaluasi keunggulan seperti kemudahan pemeliharaan, performa stabil, serta keamanan terpusat, sekaligus keterbatasan kritis berupa single point of failure, biaya kabel tinggi, dan skalabilitas terbatas, dengan mitigasi melalui protokol redundansi FHRP. Metode yang digunakan adalah studi kepustakaan digital melalui analisis literatur dari jurnal, e-book, dan sumber daring. Hasil menunjukkan topologi star unggul untuk LAN skala kecil-menengah dengan throughput tinggi dan deteksi kesalahan mudah, meskipun rentan kegagalan pusat; integrasi FHRP berhasil meminimalkan downtime di bawah 1% serta mencapai uptime 99,9%. Secara keseluruhan, topologi star dikombinasikan redundansi menjadi solusi optimal untuk lingkungan enterprise modern, dengan saran penggunaan switch stackable, monitoring SNMP, dan VLAN untuk meningkatkan skalabilitas serta keamanan.

Penelitian ini menganalisis pengaruh topologi star terhadap performa jaringan komputer di era digital, di mana akses internet Indonesia mencapai 72,78% menurut BPS (2024), menuntut infrastruktur andal dan efisien. Tujuan utama adalah mengevaluasi keunggulan seperti kemudahan pemeliharaan, performa stabil, serta keamanan terpusat, sekaligus keterbatasan kritis berupa single point of failure, biaya kabel tinggi, dan skalabilitas terbatas, dengan mitigasi melalui protokol redundansi FHRP. Metode yang digunakan adalah studi kepustakaan digital melalui analisis literatur dari jurnal, e-book, dan sumber daring. Hasil menunjukkan topologi star unggul untuk LAN skala kecil-menengah dengan throughput tinggi dan deteksi kesalahan mudah, meskipun rentan kegagalan pusat; integrasi FHRP berhasil meminimalkan downtime di bawah 1% serta mencapai uptime 99,9%. Secara keseluruhan, topologi star dikombinasikan redundansi menjadi solusi optimal untuk lingkungan enterprise modern, dengan saran penggunaan switch stackable, monitoring SNMP, dan VLAN untuk meningkatkan skalabilitas serta keamanan.

This study aims to evaluate the implementation of Palangka Raya City Regional Regulation Number 9 of 2024 concerning Tourism Villages at the Sei Batu tourist attraction in Sei Gohong Village, with a primary focus on facility maintenance and the development of the local community’s creative economy. In addition, this study seeks to understand the extent to which the policy is able to encourage community participation in managing tourism potential in a sustainable manner. The research employs a descriptive qualitative approach through field observations, in-depth interviews, and documentation, with informants purposively selected from management, local government, and community elements. The results indicate that the implementation of the policy has not been optimal, as reflected in weak communication among stakeholders, limited human and financial resources, low commitment among implementers, and ineffective institutional coordination. Furthermore, the lack of regular monitoring and evaluation has also slowed the achievement of policy objectives. This condition has led to neglected tourism facilities and the underdevelopment of local creative economy products as part of community empowerment efforts. These findings indicate a gap between the formulated policy and the reality of its implementation in the field. Therefore, comprehensive improvements are needed in aspects of communication, resources, disposition, and bureaucratic structure, accompanied by enhanced collaboration among relevant stakeholders, so that the objectives of community-based tourism development can be achieved sustainably and provide tangible benefits to the local community

The development of information technology encourages government agencies to switch from manual systems to digital systems that are more efficient and accurate. One important aspect of office administration is recording the absence of village officials, which is often done conventionally so it is prone to errors, data manipulation, and takes longer in the recapitulation process. Based on these problems, this research designs and implements a Qr-Code based attendance system at the Palatta Village Government Office. The design of this system is to provide a faster, more accurate and transparent attendance solution by utilizing Qr-Code technology which is integrated into a web-based application. The system is built with main features such as user login, Qr-Code scanning, attendance history, as well as an admin dashboard to manage data and generate reports. The results of implementation and testing using the Black Box method show that all functions run as required. Testing on users also shows that the system is easy to use, speeds up the attendance process, and helps admins in monitoring and recapitulating data. Thus, this Qr-Code attendance system is suitable to be implemented as a substitute for manual methods to increase work efficiency and discipline in the village office environment.

The Free Nutritious Meal Program (MBG) is a strategic initiative by the Indonesian government to address the long-standing issues of malnutrition and stunting, which have significantly hindered human resource (HR) development in Indonesia. The program aims to improve children's nutrition and reduce stunting by providing free nutritious meals, particularly in areas with limited access to healthy food. This study aims to analyze the legal framework of MBG, its effectiveness in achieving its goals, and its impact on national development. Using a qualitative approach, the study analyzes the implementation of MBG through document analysis, interviews with relevant stakeholders, and field observations. The findings highlight challenges within the program, including imbalanced food distribution, inadequate infrastructure in remote areas, and suboptimal food quality control, which resulted in several food poisoning incidents in 2025. Nevertheless, the program has a positive economic impact by empowering micro, small, and medium enterprises (MSMEs) involved in food supply. The study suggests strengthening the monitoring system, improving budget management, and better coordination between government sectors and communities to maximize the success of MBG. It also emphasizes the importance of nutrition education campaigns to support the program's goals. Overall, MBG is a crucial step toward creating a healthier and more productive generation, supporting the achievement of Indonesia's Golden Generation by 2045..

This study aims to describe the implementation of the Project-Based Learning (PjBL) model in creative dance learning. It also analyzes the results of creative dance projects produced by grade XI students of SMA Negeri 14 Semarang. This study uses a descriptive qualitative approach with data collection techniques including observation, interviews, and documentation. The research subjects consist of one Cultural Arts teacher and students of grade XI. Data analysis employs the interactive model of Miles and Huberman, including data reduction, data display, and conclusion drawing. The results show that the implementation of PjBL is conducted through seven systematic stages: project determination, planning, scheduling, exploration and movement creation, monitoring, project presentation, and reflection. Students demonstrate active involvement in group discussions, movement exploration, and collaboration. Each group successfully produces creative dance work with diverse themes, reflecting the development of creativity and critical thinking skills. This study highlights students creative processes at each stage of the project, which has not been widely explored in previous studies.

The development of a student's personality, particularly during classroom interaction, is heavily influenced by their level of self-confidence. A lack of self-assurance often leads to public speaking anxiety, which subsequently restricts student engagement and diminishes academic performance. This phenomenon is frequently identified among tenth-grade Vocational High School (SMK) students who are navigating a period of environmental transition. This research focuses on enhancing the self-confidence of Grade X SMK students struggling with speech-related anxiety through the implementation of group guidance services utilizing role-playing methods. The study follows a Guidance and Counseling Action Research (GCAR) design conducted over two cycles, consisting of preparatory, executive, monitoring, and evaluative phases. The participants were tenth-grade students with low self-confidence profiles as determined by questionnaires and field observations. Data were analyzed using a descriptive quantitative approach to compare performance levels before and after the intervention. The results demonstrate that group guidance integrated with role-playing is an effective strategy for optimizing student self-confidence, as shown by the consistent upward trend in scores throughout the cycles. These findings suggest that this technique serves as a strategic instrument for school counselors to mitigate social anxiety among students. 

The steering gear is a vital component in ship operations, functioning to control the ship’s direction accurately. The reliability of this system highly depends on the performance of the hydraulic system, where the mechanical seal plays a key role in maintaining system pressure and preventing oil leakage. This study aims to identify the main factors causing mechanical seal damage and analyze its impact on the performance efficiency of the steering gear AHTS Logindo Stamina. Qualitative data were obtained through participatory observation and in-depth interviews with the second engineer. Meanwhile, quantitative data were gathered by measuring technical parameters such as oil pressure, operating temperature, and rudder movement time, which were then compared with SOLAS standards. This damage results in oil leakage through the mechanical seal gap, abnormal noise in the hydraulic system, and a significant decrease in working pressure of -25,86%. The operational impacts include the occurrence of steering gear failure alarms, decreased hydraulic efficiency of 25.87%, and the risk of system failure that could endanger ship maneuverability. This study recommends preventive maintenance through oil quality monitoring, environmental condition control in the steering gear room, and periodic mechanical seal replacement in accordance with operational standards to maintaining optimal steering system performance.

This literature study examines the process of self-regulation in transforming compliance with school rules originating from external pressure into behavioral regularity emerging from personal awareness, and its impact on the effectiveness of student learning outcomes. Using a qualitative approach with content analysis method, this study synthesizes relevant literature to build a theoretical framework on how self-regulation facilitates the internalization of disciplinary values. The findings reveal that self-regulation occurs through a series of interconnected stages including goal setting, strategy planning, self-monitoring, evaluation, and adjustment. The success of this process is determined by internal motivation, appropriate environmental support, positive direct experiences, and healthy emotional management. Strong self-regulation directly impacts learning outcome effectiveness through improved cognitive strategies, strengthened intrinsic motivation, enhanced time and environment management, and developed capacity to constructively cope with failure. Learning outcomes achieved through self-regulation processes are characterized by lasting understanding, knowledge transfer ability, and the formation of lifelong learning dispositions. Schools and teachers play strategic roles in strengthening self-regulation through curriculum design that supports autonomy, formative feedback, role modeling, and collaboration with parents. This study contributes theoretically by positioning self-regulation as the central mechanism bridging external influences and internal disposition formation.

This study aims to analyze the optimization of regional expenditure in the education sector of Surabaya City for the 2025 fiscal year in supporting regional development. The research uses a descriptive qualitative approach through observation, interviews, and documentation studies conducted at the Surabaya City Education Office. Data were obtained from relevant stakeholders involved in education budget management and supported by official documents related to policies and the implementation of education programs. The results show that the management of education expenditure has been aligned with the Regional Medium-Term Development Plan (RPJMD) and applies the money follow program principle, which prioritizes programs based on community needs and development priorities. Programs such as Regional School Operational Assistance (BOPDA), educational assistance for students, school infrastructure development, and community-based learning innovations have contributed to expanding access to education, improving the equity of educational services, and reducing dropout rates. In addition, the use of monitoring systems, periodic evaluation, and the involvement of multiple stakeholders in supervision has strengthened transparency and accountability in budget management. However, several challenges remain, including limited implementation time, procurement constraints, and economic conditions such as inflation. Overall, education expenditure in Surabaya has been managed relatively well in terms of effectiveness, efficiency, and accountability while still requiring continuous improvement

Undernutrition among children under five remains a significant public health challenge in Indonesia, including in Ogan Ilir District. This condition can adversely affect growth, cognitive development, and immune function. This study aimed to determine the risk factors associated with undernutrition among children under five in the working area of Seri Tanjung Public Health Center, Ogan Ilir District, in 2025. This was an analytical study with a cross-sectional design. A total of 95 children under five were selected using cluster sampling. Data were collected through structured interviews using a questionnaire and anthropometric measurements of weight-for-age (W/A), then analyzed using the Chi-Square test with a significance level of 0.05. The results showed that economic status (p=0.012; OR=3.25; 95%CI=1.29–8.20), environmental sanitation (p=0.021; OR=2.98; 95%CI=1.18–7.53), infectious diseases (p=0.004; OR=3.85; 95%CI=1.55–9.58), and maternal health history (p=0.037; OR=2.67; 95%CI=1.06–6.74) were significantly associated with undernutrition. The strongest influencing factor was infectious diseases. This study recommends strengthening infection prevention efforts, improving environmental sanitation, providing nutrition education for families, and monitoring maternal health during pregnancy to reduce the prevalence of undernutrition among children under five.

Object detection plays a crucial role in intelligent transportation systems, particularly for outdoor traffic monitoring applications that require accurate and real-time performance under limited computational resources. Recent developments in YOLO-based architectures have introduced multiple model variants; however, their practical performance under constrained training conditions remains insufficiently explored. This study presents a comparative evaluation of YOLOv5, YOLOv7, and YOLOv8 for outdoor traffic object detection using a real-world dataset and identical experimental settings. The main objective of this research is to analyze the robustness and detection quality of different YOLO variants when trained with a limited number of epochs, reflecting practical deployment scenarios. All models were trained and evaluated using the same dataset, preprocessing pipeline, and hardware configuration to ensure a fair comparison. Performance evaluation was conducted using multiple metrics, including precision, recall, mAP@50, Precision–Recall curves, area under the curve (AUC), and peak F1-score. Experimental results indicate that YOLOv5 outperformed YOLOv7 and YOLOv8 in terms of overall detection stability and robustness. The merged Precision–Recall analysis shows that YOLOv5 achieved a higher effective AUC and superior mAP@50, reflecting better global detection performance. In addition, YOLOv5 exhibited a higher peak F1-score, indicating a more balanced trade-off between precision and recall. In contrast, YOLOv7 and YOLOv8 showed performance degradation under limited training conditions despite their more advanced architectures. These findings suggest that YOLOv5 remains a reliable and efficient solution for outdoor traffic object detection, particularly in resource-constrained environments. The study highlights the importance of comprehensive evaluation metrics and practical experimental settings when selecting object detection models for real-world applications.