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The development of information technology has had a major impact on how Generation Z students in Banten obtain information. This situation requires digital literacy skills that are not only technical in nature, but also involve critical thinking and digital ethics. The purpose of this study is to explore the relationship between digital literacy and understanding of Pancasila values among Generation Z students in Banten, as well as to identify factors that support, hinder, and strategies to strengthen Pancasila-based character in the digital world. The method used in this study is qualitative with a literature study approach supported by observations on campus and interviews with students. The findings show that students' digital literacy is in the good category, but it is not yet fully in line with their understanding of Pancasila values. The impact of negative information, such as hoaxes and hedonistic culture, is a major obstacle to national character. Supporting factors include the role of stakeholders in providing space for learning media ethics. This study highlights the importance of integrating Pancasila values into digital literacy through an adaptable Pancasila Education curriculum, the development of educational content, and collaboration between stakeholders. The implications of this study indicate the need to strengthen students' character so that they can become ethical, responsible digital citizens who reflect the values of Pancasila. 

This research is motivated by the importance of creating enjoyable learning so that early childhood learning interests can develop better, especially in Pembina State Kindergarten, Dungingi District. The purpose of this study was to determine the effect of the use of interactive learning media on children's learning interests and describe changes in their learning behavior when activities are carried out without media and with interactive media. This study used a quantitative approach with a quasi-experimental method through conventional learning and learning using interactive media in the form of coloring activities. Data were obtained through observations by assessing aspects of enjoyment, focus, activeness, and enthusiasm during the activity. The results showed that children's learning interests in conventional learning only reached an average score of 6 and tended to be low, while in learning using interactive media, it increased significantly to an average score of 13.1. This change was seen from the increase in children's enthusiasm, better ability to focus, and their more active involvement during the learning process. The findings of this study confirm that interactive learning media has an important role in attracting children's attention and creating a more lively and meaningful learning atmosphere, thereby increasing early childhood learning interests

The problem in this study is to determine what is the effect of the number tube game on the symbolic thinking ability of 4-5 year olds. The aim is to reveal whether there is a number tube game on the symbolic thinking ability of 4-5 year old children at Menara Laut State Kindergarten, Leato Utara Village, Dumbo Raya District, Gorontalo City. The type of research used is a quantitative experiment. The subject of this study is how to determine the effect of the number tube game. The method used in this study is the observation and documentation method. Based on the results of the observation, it was found that the symbolic thinking ability in recognizing numbers in children has not developed optimally. Although teachers have tried to introduce numbers, most children still have difficulty in naming, ordering, and writing numbers. Children also need teacher assistance to understand numbers 1-10 and distinguish between certain numbers such as 6 and 9. Therefore, a more effective and fun learning strategy is needed to help children understand the concept of numbers symbolically. In this case, it can be concluded that improvements through the application of the number tube game. This game was chosen because it is simple, easy to use, and in accordance with the characteristics of early childhood. Through a play-while-learning approach, children are expected to be able to recognize numbers more easily.  

This study aims to determine the relationship between parenting styles and children's discipline in playgroups at the Anisa Early Childhood Education Center (KB PAUD). The research background is based on the important role of parents in shaping children's discipline from an early age. This study used a quantitative method with a correlational approach. The study population was all 40 parents and children in playgroups at the Anisa Early Childhood Education Center (KB PAUD). Data were collected through a questionnaire using a Likert scale, then analyzed using the Pearson Product Moment correlation test. The results showed that parenting styles were classified as high, with the majority of parents implementing a democratic parenting style characterized by open communication and consistent discipline. Children's discipline levels were also classified as high. The correlation test obtained an r value of 0.724 with a significance level of 0.000 (p < 0.05), indicating a positive and significant relationship between parenting styles and children's discipline. Therefore, the better the parenting styles implemented by parents, the higher the children's discipline levels.

Facilities and infrastructure play a crucial role in enhancing the quality of learning in Playgroup (Kelompok Bermain). This study aims to examine the influence of the availability and management of facilities and infrastructure on the effectiveness of early childhood learning processes. A quantitative research method was employed using surveys with questionnaires distributed to teachers and administrators of Playgroups. The collected data were analyzed through descriptive statistics and regression analysis to determine the relationship between facilities and infrastructure and learning quality. The findings indicate that adequate facilities such as comfortable classrooms and educational aids significantly improve children's learning motivation and the smoothness of the learning process. Well-equipped environments enable teachers to deliver lessons more effectively, thus positively impacting children's learning outcomes. In conclusion, improving and maintaining facilities and infrastructure should be a priority for Playgroup managers to ensure optimal learning quality and support the holistic development of young children.

This study aims to understand and explain in depth the role of teachers in the care of children aged 3–5 years at the Siti Hajar Kindergarten and its influence on child development. This study used a qualitative approach with the aim of obtaining a comprehensive picture of the interactions between teachers and children in daily care activities. Data were obtained through observation, interviews, and documentation that describe care practices in the TPA environment. The results show that teachers have a very important role, including as guides in learning activities, mediators in children's social and emotional development, motivators to foster interest in learning, role models of positive behavior, and communication bridges between children and parents. These roles contribute significantly to character formation, social skills development, increased learning motivation, and children's emotional well-being. Despite facing various obstacles, such as limited facilities and challenges in maintaining children's concentration, teachers continue to strive to provide optimal care through enjoyable learning strategies and active communication with parents. This study recommends increasing teacher capacity and strengthening collaboration between educational institutions and families to support the sustainable growth and development of early childhood.  

This study analyzes bottled water consumer traits and the market share of various brands over five years at the University of Udayana using the Markov chain method. Primary data from questionnaires show most consumers are female informatics students in dorms, consuming over 2 liters daily, mostly purchasing from stores. Decisions consider quality and brand, influenced by TV ads over peer recommendations. Market share in period 1: Aqua led with 52%, followed by Le Minerale (28%), Club (13%), Cleo (7%), and others (0%). In period 2, Aqua maintained 52%, Le Minerale rose to 36%, while Club and Cleo declined to 2% and 3%. Period 3 saw Aqua at 49%, Le Minerale at 33%, and Club/Cleo at 2% and 1%. In period 4, Aqua led with 45%, Le Minerale at 31%, and Club/Cleo/others at 2%, 1%, and 7%. Finally, in period 5, Aqua remained at 41%, Le Minerale fell to 28%, while others decreased to 6%, and Club/Cleo remained at 2% and 1%.

This research has a purpose to determine the effect of online transaction security on purchasing decisions through the Shopee application. The respondents consisted of 74 students from the Digital Business Study Program at Universitas Amikom Purwokerto who actively use Shopee. This research employed a quantitative descriptive method with simple linear regression analysis. The results indicate that online transaction security has a positive and significant effect on purchasing decisions, with a regression coefficient of 0.887 and a significance value of 0.000. The coefficient of determination of 35.2% shows that transaction security contributes to purchasing decisions, while the remaining percentage is influenced by other factors. The higher the level of security perceived by consumers during online transactions, the greater the likelihood of making a purchase. These findings highlight the importance of improving security systems and information transparency on e-commerce platforms such as Shopee to create a safe, comfortable, and trustworthy shopping experience for users.

Learning Indonesian language and literature in elementary schools plays an important role in shaping students' character through the integration of literary works based on local culture. Lampung poetry as a representation of local wisdom contains educational values, such as religiosity, respect for parents, polite language, mutual cooperation, and environmental awareness. This study aims to describe the educational values ​​and local wisdom in Lampung poetry and their relevance to the character formation of elementary school students. The research method used is a literature review by analyzing references in the form of scientific articles, textbooks, Lampung poetry texts, and previous research results related to character education, regional literature, and local wisdom-based learning. The results of the study indicate that Lampung poetry is effective as a literary learning medium to instill character values, especially those in line with the dimensions of the Pancasila Student Profile, namely faith and piety, mutual cooperation, creativity, and global diversity. Practical implementation can be done through literary appreciation activities, reflective discussions on cultural values, and assignments to write poetry based on students' local experiences. The conclusion of this study confirms that systematically integrating Lampung poetry into Indonesian language learning has significant potential to strengthen students' character education while preserving local culture amidst the challenges of globalization.  

This study presents a comprehensive analysis of reconstruction strategies for mental health services in post-conflict regions of the Middle East, based on a meta-synthesis of 87 policies and intervention programs issued between 2010 and 2023. The findings indicate that 73.4 percent of initiatives did not meet their intended targets due to infrastructural limitations, resulting in a service dropout rate of 62.8 percent. The implementation of the Stepped Care Model shows a 47.2 percent improvement in service access (p = 0.001), while the integration of mental health services into primary health care systems increases overall coverage by 56.3 percent (p = 0.001). Task shifting to community health workers enhances efficiency by 38.9 percent (p = 0.01) with a cost-effectiveness ratio of 1 to 2.7, and community-based programs demonstrate a sustainability rate of 71.2 percent compared to 43.5 percent in conventional approaches. These findings build upon the work of Hamamra et al. (2025) and Werner et al. (2023) on post-conflict mental health interventions and show that hybrid models combining formal and informal structures yield better performance, with an effect size (Cohen's d) of 0.82. The main contribution of this study lies in identifying adaptive implementation patterns that align with resource limitations, socio-cultural dynamics, and systemic reconstruction needs in post-conflict settings.

This study critically examines the effectiveness of early intervention programs in addressing war-related trauma in the Middle East by meta-synthesizing forty-seven interventions implemented between 2010 and 2024. The analysis demonstrates that cognitive behavioral therapy (CBT) based interventions achieved a success rate of 78.3 percent with p value less than 0.001 in reducing post-traumatic stress disorder symptoms, with an effect size of d equal to 0.86 indicating substantial therapeutic strength. Group based interventions showed higher effectiveness (83.2 percent) than individual approaches (71.5 percent), and programs involving family support yielded better recovery outcomes (84.7 percent) than those without family involvement (69.3 percent). Regression analysis identified three primary predictors of successful intervention outcomes, namely intervention duration (beta 0.42, p value less than 0.001), therapist cultural competence (beta 0.38, p value less than 0.001), and the integration of social support systems (beta 0.35, p value less than 0.001). These findings expand on prior studies by Ennis et al. (2020) and Mawar et al. (2025), which were limited to evaluating CBT effectiveness, and also reinforce the significance of cultural dimensions and social support systems as critical determinants. In contrast to the meta analysis by Nocon et al. (2017), which reported an effectiveness rate of 65 percent for individual interventions, the present study reveals the superiority of group based approaches in communal Middle Eastern societies. The novelty of this study lies in its comprehensive identification of culturally sensitive determinants of early intervention success and the formulation of an integrative model positioning family support as an essential component in protocols for war-related trauma care.

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

Hypertension is a chronic disease that shows blood pressure above normal limits and is a global health problem and is a risk factor for cardiovascular disease. Treatment adherence is defined as the patient's level of willingness and the extent to which they strive and behave to follow medical directives, regulations, or recommendations provided by healthcare professionals in an effort to assist the patient's recovery. Adherence to taking medication allows patients to keep their blood pressure stable in order to avoid complications. This study aims to see the compliance of hypertension drug patients at the Heart Poly of Santa Elisabeth Hospital Medan in 2024. The research method used is a descriptive approach. The population in this study is 178 people, the number of samples is 82 people. Sampling technique with accidental sampling technique. The results of the study showed that from 82 respondents, the data obtained that the most age respondents were 38-53 years old with a total of 36 respondents (47.6%), the data on the most gender respondents were women as many as 48 respondents (48.5%), the data on the most education respondents was education as many as 32 respondents (39%), the data on the most respondents suffering from hypertension was 2 years of hypertension as many as 24 respondents (29.3%). The picture of the level of drug compliance of hypertension patients at the Heart Polyclinic of Santa Elisabeth Hospital Medan in 2024 is at a moderate level of 31 respondents (37.8%).

Healthcare Associated Infections (HAIs) are serious occurrences and problems that are often found in all hospital facilities. HAIs cause extended hospitalization, permanent disability, increased treatment costs, and death. Hand Hygiene has an important role in the prevention and control of HAIs. This study aims to see the compliance of nurses' hand hygiene and nurses' knowledge of healthcare associated infections (HAIs) in the intensive care unit of Santa Elisabeth Hospital Medan in 2024. The type of research design used was descriptive with a sampling technique using a total of 31 respondents. Based on the results of the study, it was found that most nurses were obedient in carrying out hand hygiene (83.9%) and knowledge that is about the prevention of HAIs was found to be a large number of nurses who had high knowledge (67.7%). It is hoped that nurses maintain compliance in performing hand hygiene so that HAIs do not occur.

Background: Cardiac catheterization is the most widely used diagnostic and hemodynamic intervention procedure in the world for the treatment of coronary heart disease (CHD). Cardiac catheterization can cause anxiety in patients who will undergo it. Objective: To analyze the factors that influence the anxiety of patients who will undergo cardiac catheterization. Method: This study is a descriptive analytical study with a cross-sectional approach conducted at Murni Teguh Memorial Hospital Medan. The study population was 40 people, and all of them were used as samples (total sampling). The research instrument was a questionnaire. Data analysis was carried out univariately and bivariately using the Chi-Square test with a significance level of 95% (= 0.05). Results: This study shows that there is a significant influence between knowledge, family support, past experience, and education level on the anxiety of patients who will undergo cardiac catheterization at Murni Teguh Hospital Medan. This is proven by the chi square test with p values for each knowledge (p = 0.000); family support (p = 0.002); past experience (p = 0.003); and education (p=0.003) which are all less than 0.005. Conclusion: Cardiac catheterization patient anxiety is influenced by knowledge, family support, past experience, and education level. Suggestion: It is recommended that further researchers increase the number of samples and independent variables, considering that many factors influence patient anxiety before cardiac catheterization/angiography

This meta-review comprehensively examines the effectiveness of social reintegration programs designed for trauma survivors living in territories under foreign occupation in the Middle East, through a systematic analysis of 47 empirical studies with a total of 12,487 participants published between 2010 and 2024. The synthesis indicates that program success rates reached 73.8 percent with a 95 percent confidence interval (70.2–77.4), supported by a strong effect size in reducing PTSD symptoms with a Cohen's d value of 0.82. When effectiveness was compared across intervention approaches, community-based programs demonstrated a more substantial impact, with a correlation of r=0.67 (p<0.001), compared with individual interventions, which yielded a correlation of r=0.43 (p<0.01).

Background: Diabetes mellitus is a chronic metabolic disorder caused by inadequate insulin action. Poor disease control can lead to complications such as neuropathy, commonly marked by tingling or sensory loss. Effective prevention requires structured management through the five pillars of diabetes care. This case study describes the application of these pillars in a patient with hyperglycemia. Case: A 58-year-old male with diabetes mellitus presented with reduced sensation in the feet, abdominal discomfort, and consistently elevated blood glucose levels. The patient had limited disease knowledge and misconceptions related to diabetes self-management. Intervention: Education on the five pillars of diabetes was provided using a structured approach consisting of three self-care pillars and two collaborative pillars. Leaflet-based educational materials developed by the author were used to facilitate understanding for both the patient and family. Results: Following the intervention, the patient demonstrated increased knowledge, awareness, and improved ability to manage hyperglycemia. The family also showed enhanced understanding and support for diabetes care. Conclusion: Nurse-led education using the five pillars of diabetes effectively improves knowledge, awareness, and self-management abilities in individuals with diabetes mellitus, contributing to better glycemic control and prevention of complications.

First aid is the initial action taken quickly and accurately for someone who has experienced an injury. One way to improve knowledge about injury management is by providing education or counseling. This study aims to determine the relationship between first aid counseling experience and knowledge of the PRICE technique for first aid for minor injuries. The study design was correlational. The study population was 68 members of the Indonesian Red Cross (Rural Red Cross), with 30 respondents selected using a purposive sampling technique. Data were collected using a questionnaire and analyzed using the Spearman's rho test. The Spearman's rho test yielded a p-value of 0.000 (α: 0.05) with an r (correlation strength) of 0.796, indicating a significant relationship between counseling experience and knowledge of the PRICE technique for first aid for minor injuries. Experience is a valuable learning experience that can enhance one's knowledge in dealing with health problems encountered in the surrounding environment. It is recommended that respondents increase their experience in various ways to address health problems that frequently occur in daily life.

Character development and organizational skills for students are essential aspects of the development of student organizations, including outdoor enthusiast groups. This activity aims to provide socialization on motivation, leadership, and organizational management to prospective members of MAPALA Surya Rimba at Muhammadiyah University of Purworejo. The community service activity was conducted on November 15, 2025, at 07:30 WIB, at the campus of Muhammadiyah University of Purworejo. This event is part of the 27th basic training (Diklatsar) series of MAPALA Surya Rimba. The methods used in this activity include interactive lectures, discussions, case studies, and organizational simulations. The results of the activity showed an increase in participants' understanding of achievement motivation, organizational management, roles of members, and basic coordination skills within an organization. Additionally, this activity triggered participants' awareness to build character, discipline, responsibility, teamwork, and to reflect the professional attitude of MAPALA members. This activity has the potential to be developed into a continuous development program to strengthen leadership quality and organizational management within MAPALA Surya Rimba.

Let G=(V(G),E(G)) be a connected graph and c be a coloring of the graph G. Let ∏={S_1,S_2,...,S_k }, where S_i is the class of colors in G which is colored i with 1≤i≤k. The representation of v with respect to Π is called a color code, denoted c_Π (v) is a k-element ordered pair, that is, c_∏ (v)=(d(v,S_1 ),d(v,S_2 ),...,d(v,S_k )), where d(v,S_i )=min{d(v,x)∣x ϵ S_i } for 1≤i≤k. If each vertex in G has a different color code then c is called a location coloring. The minimum number of colors used in the location coloring of a graph G is called the Location chromatic number with