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The phenomenon of tedong petarung in Toraja has generated controversy due to its shift from the traditional tedong silaga, which historically formed part of Torajan customary rituals. This practice has evolved into entertainment and competition frequently associated with gambling activities. This study aims to analyze tedong petarung as a form of cultural distortion from the perspectives of customary law and criminal law, as well as to examine the limits of customary culture recognition within the national legal system. This research employs a normative legal method using statutory, conceptual, and sociological approaches. Legal materials were collected through library research consisting of legislation, legal literature, journals, and related documents. The study finds that tedong silaga possesses legitimacy as part of Torajan customary culture containing social, symbolic, and spiritual values. However, modern tedong petarung practices demonstrate a shift toward commercialization and gambling, obscuring the philosophical values of the original tradition. From a criminal law perspective, such practices potentially fulfill the elements of gambling offenses under Indonesian positive law. This study concludes that recognition of customary culture must remain aligned with public order, morality, and national law.

Background: Trigeminal neuralgia (TN) is often associated with neurovascular compression in the trigeminal nerve root entry zone, necessitating the simultaneous visualisation of nerves and blood vessels. Fusion of 3D SPACE and 3D TOF MRA images provides an integrated neurovascular view; however, not all hospitals have fusion software. This study developed a MATLAB-based image fusion method as an alternative and evaluated its equivalence to hospital-based fusion software.Methods: This study employed a descriptive quantitative research design, conducted in November 2025 at Diponegoro National Hospital and Dr Kariadi General Hospital in Semarang. A total of 16 brain MRI datasets (3D SPACE and 3D TOF MRA) were fused using hospital software and the MATLAB fusion application (MATLAB R2025b GUI). The fusion results were assessed by specialist radiologists. Diagnostic performance metrics (sensitivity, specificity, NDP, NDN, accuracy) were calculated, and paired differences were tested using the McNemar test. Intra-observer reliability was assessed using percentage agreement and Cohen’s Kappa.Results: MATLAB fusion yielded a sensitivity of 90.91%, specificity of 80.00%, NDP of 90.91%, NDN of 80.00%, and accuracy of 87.50%; the McNemar test (p=1.000) indicated no significant difference. Intra-observer reliability was very good (percent agreement 94%; Kappa 0.875). These findings indicate that MATLAB-based fusion is equivalent to hospital software fusion on the study data and has the potential to serve as an alternative in facilities without fusion software, provided that registration standardisation and user training are in place.

Diabetic ketoacidosis (DKA) is a life-threatening acute metabolic complication of diabetes mellitus characterized by hyperglycemia, metabolic acidosis, and ketosis due to absolute or relative insulin deficiency. DKA may present as the initial manifestation of previously undiagnosed diabetes, particularly in young adults. We report a case of a 27-year-old male who presented with decreased consciousness preceded by shortness of breath. The patient had a three-month history of polyuria, polydipsia, polyphagia, and significant weight loss. Physical examination revealed a Glasgow Coma Scale score of 9 and signs of dehydration. Laboratory findings showed severe hyperglycemia (426 mg/dL), elevated HbA1c (8.5%), leukocytosis, and severe metabolic acidosis (pH 6.8; HCO₃⁻ 5.8 mmol/L). The diagnosis of DKA was established based on clinical and laboratory criteria. Management included aggressive fluid resuscitation, continuous intravenous insulin infusion, electrolyte correction, and antibiotic therapy for suspected infection. The patient showed gradual clinical improvement. This case highlights the importance of early recognition, identification of precipitating factors, and prompt management to reduce morbidity and mortality associated with DKA.

This study examines the evolving landscape of racket sports and its implications for injury patterns among diverse athlete populations. Over the past decade, traditional sports such as tennis and badminton have remained popular, while emerging sports like padel, pickleball, and beach tennis have experienced rapid growth, attracting participants across a wide age spectrum. However, the high-speed, repetitive, and multidirectional demands of these sports increase the risk of musculoskeletal injuries, making it essential to understand their epidemiology for effective prevention. This systematic literature review followed PRISMA 2020 guidelines, analyzing peer-reviewed studies published between January 2020 and early 2025 from databases including PubMed, ScienceDirect, Europe PMC, and Open Alex. A total of 22 studies met the inclusion criteria, comprising randomized controlled trials, cohort studies, and cross-sectional surveys. Methodological quality was assessed using the Cochrane Risk of Bias Tool (RoB 2) and the Newcastle-Ottawa Scale (NOS). The findings reveal significant variation in injury prevalence across sports, ranging from 34.2% in recreational pickleball to 92% in competitive padel. Badminton injuries were predominantly acute and affected the lower limbs, while tennis showed a higher incidence of overuse injuries in the upper limbs and trunk. Padel players frequently experienced elbow overuse injuries, with higher rates reported among females. In contrast, pickleball injuries were largely associated with falls among older adults. Preventive interventions involving supervised, sport-specific functional training and structured warm-up programs were found to be most effective. In conclusion, injury burden in racket sports is substantial and influenced by both intrinsic and extrinsic factors, highlighting the need for targeted, sport-specific prevention strategies.

With growing antimicrobial resistance becoming a major health concern, there is an urgent need to explore alternative treatment options. This study examined the efficacy of copper sulfate pentahydrate (CSP) against eight microorganisms commonly implicated in vaginal infections. We tested three Candida species (C. albicans, C. glabrata, and C. tropicalis) along with five bacterial species, including Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Gardnerella vaginalis, and Pseudomonas aeruginosa. The agar dilution test was performed at concentrations ranging from 0.0001M to 0.7M of CSP. We obtained an effect of CSP antimicrobial, which was concentration-dependent. Concentrations low ( ≤ 0.007M) did not influence growth significantly. We observed partial growth inhibition at medium concentrations (0.05-0.07M, equivalent to approximately 780 -1092 µg/ml) of the solution. The growth of bacteria and yeasts was fully inhibited at 0.05M and 0.07M, respectively. The dose required to kill the organisms (not merely inhibit their growth) was 0.25M (approximately 2014 µg/ml) across all microorganisms used, and we verified this by observing no growth when samples were inoculated into fresh media. These findings have indicated that CSP possesses good antimicrobial efficacy against typical vaginal pathogens at doses that may be applied in topical therapies. However, some additional research is required, especially the research that will investigate the toxicity on human cells and the production of suitable formulations to be used clinically.

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia resulting from impaired insulin secretion, insulin action, or both. Globally, DM continues to pose a growing health challenge, particularly type 2 DM, which is closely associated with insulin resistance. In this condition, body cells fail to respond effectively to insulin, so even though the pancreas initially produces sufficient or excessive amounts of insulin, its effectiveness gradually declines. Over time, pancreatic beta-cell function deteriorates, further exacerbating chronic hyperglycemia. This persistent condition may lead to long-term complications, including nephropathy, retinopathy, neuropathy, and cardiovascular diseases, through mechanisms such as oxidative stress, inflammation, and the formation of advanced glycation end products (AGEs). The prevalence of type 2 DM is expected to continue rising, including in Indonesia, highlighting the need for comprehensive management strategies. An important aspect of DM management is the assessment of health-related quality of life. Quality of life reflects an individual’s perception of their health status within social and cultural contexts. This can be evaluated using generic instruments such as the WHOQOL-BREF questionnaire. In this case report, the quality of life of a patient with type 2 DM was assessed using the WHOQOL-BREF to provide a comprehensive understanding of the disease’s impact on the patient’s daily life.

The transportation of tiger shrimp postlarvae (Penaeus monodon) in aquaculture practice is a critical stage as it may induce physiological stress that directly reduces survival rate. Salinity, as a water quality parameter closely associated with osmoregulatory processes, is a key determinant of success in closed wet system transportation. The present study was designed to examine how varying salinity concentrations influence the survival percentage of PL 10 tiger shrimp postlarvae subjected to closed wet transport conditions, as well as to identify the most suitable salinity range for such transport. A Completely Randomized Design (CRD) was employed with five salinity levels as treatments — 10, 15, 20, 25, and 30 ppt — each replicated five times. Each experimental unit contained 1,500 postlarvae in 1 L of oxygenated water packed in plastic bags and transported for approximately 3 hours. The main parameter observed was survival rate (SR), while supporting parameters included temperature, dissolved oxygen (DO), and pH. Statistical evaluation included the Kolmogorov–Smirnov normality test, Levene’s test for variance homogeneity, one-way analysis of variance (ANOVA), and Duncan’s Multiple Range Test (DMRT) at a significance level of α = 0.05. Results showed that salinity differences had a highly significant effect on postlarvae survival rate (Sig. = 0.000 < 0.05). The 25 ppt salinity treatment produced the highest survival rate of 99.64%, while 10 ppt resulted in the lowest at 63.78%. The measured water quality variables — temperature, dissolved oxygen, and pH — did not exert a statistically significant effect on postlarvae survival throughout the transport period.

Digital transformation in the public sector has significantly driven service innovations, particularly in pension administration for Civil Servants (ASN). This study aims to analyze the development of digital-based public service innovations in pension administration while identifying the benefits and challenges associated with their implementation. The research employs a Systematic Literature Review (SLR) method by examining relevant scholarly articles from national journals focusing on the digitalization of public services and pension systems. The literature selection process was conducted systematically to identify, evaluate, and synthesize key findings related to digital pension service innovations. The results indicate that digitalization through applications and electronic platforms enhances administrative efficiency, accelerates data verification, and improves the speed of pension fund disbursement. It also strengthens transparency and accountability while simplifying bureaucratic procedures and expanding service accessibility for retirees. However, several challenges remain, including low digital literacy among retirees, limited access to technological devices, and insufficient public awareness regarding digital service usage. The findings suggest that the success of digital-based public service innovations depends not only on technological availability but also on human resource readiness, institutional capacity, and the level of public acceptance. Therefore, a comprehensive strategy is required, including improving digital literacy, strengthening information technology infrastructure, and optimizing communication efforts to ensure effective adoption.

Entamoeba histolytica is an intestinal protozoan that can cause diarrhea through fecal–oral transmission due to the consumption of food or water contaminated with parasitic cysts. Based on data from the Badan Pusat Statistik in 2017–2019, Simpang Keramat District, particularly Paya Leupah Village, still had limited access to clean water and low ownership of permanent sanitary latrines, which may increase the risk of environmental contamination. This study aimed to analyze the characteristics of dug wells and the risk factors associated with Entamoeba histolytica contamination in community well water. An observational analytic study with a cross-sectional design was conducted on 50 dug wells selected using purposive sampling. Data were obtained through field observations and laboratory examinations of well water samples. The results showed that most wells had distances to septic tanks that did not meet health standards (58%) and inadequate well floor conditions (82%), while the majority of wells had depths that fulfilled the recommended standard (76%). All well water samples tested negative for Entamoeba histolytica cysts; therefore, the association between risk factors and contamination could not be determined.

This article discusses the relationship between parenting styles and adolescents’ social behavior. Adolescence is a developmental stage characterized by increasing social demands, making the role of the family, particularly parents, crucial in shaping adolescents’ social adjustment. This study employed a literature review method by examining relevant textbooks and national and international journal articles related to parenting styles and adolescents’ social behavior. The findings indicate that parenting styles have a significant influence on adolescents’ social behavior. Authoritative or democratic parenting is identified as the most effective style in promoting positive social behaviors, such as empathy, cooperation, social concern, and adaptive social skills. In contrast, authoritarian and permissive parenting styles are associated with various social behavior problems, including aggression, social anxiety, and low social competence. Furthermore, the relationship between parenting styles and adolescents’ social behavior is mediated by internal psychological factors, such as self-control and emotional intelligence. Therefore, warm, responsive, and consistent parenting practices are essential to support optimal social development in adolescents.

For criminal justice systems, the growing number of young people involved in drug-related crimes is a serious problem, especially when it comes to striking a balance between law enforcement and child protection and rehabilitation. By contrasting viewpoints from Islamic law and Indonesian positive law, this study investigates the use of restorative justice in the processing of adolescent drug cases in Tanjung Jabung Barat Regency, Jambi. The study used a qualitative socio-legal methodology that integrates normative legal analysis with empirical field data gathered via observations, interviews, and document analysis involving law enforcement personnel, rehabilitation facilities, families, and community people. The results show that diversionary measures required by Law No. 11 of 2012 regulating the Juvenile Criminal Justice System are the main means by which restorative justice is applied in juvenile drug cases. In order to guarantee that children are not subjected to punitive detention but rather have options for recovery and social reintegration, these systems prioritize mediation, rehabilitation, and community involvement. From the standpoint of Islamic law, restorative justice is consistent with fundamental tenets like tawbah (repentance), islah (reconciliation), and the protection of human welfare, all of which place an emphasis on moral reform and the preservation of children's dignity. These ideas support the adoption of restorative measures in the resolution of adolescent drug offenses in Tanjung Jabung Barat, a sociocultural setting where Malay-Islamic beliefs have a significant impact on community life. The report does, however, also point out a number of difficulties, such as the lack of rehabilitation facilities, the societal stigma associated with juvenile offenders, and the inconsistent use of diversion by law enforcement. The study comes to the conclusion that a framework for handling juvenile drug cases that prioritizes the rehabilitation and future well-being of children is both culturally sensitive and legally sound when restorative justice ideas are integrated with Islamic legal values and Indonesian statutory law.

State finances rely heavily on tax revenues, yet tax avoidance remains a persistent obstacle that can reduce government income. This practice is commonly associated with internal corporate conditions. Therefore, this research examines how profitability, leverage, firm size, and capital intensity relate to tax avoidance behavior. Employing a descriptive design with a Systematic Literature Review (SLR), the study evaluates ten empirical articles published between 2021 and 2025 in Sinta and Scopus indexed journals. The analysis indicates that the influence of these internal factors varies across studies. Profitability and leverage demonstrate contradictory effects, as strong earnings and higher debt may stimulate aggressive tax planning through tax shields, but may also restrain avoidance to preserve corporate image. Firm size likewise presents inconsistent results due to regulatory and public attention. In contrast, capital intensity generally shows minimal influence because investments in fixed assets are directed toward operational efficiency. These findings provide valuable considerations for policymakers to strengthen tax deduction regulations and encourage responsible corporate tax compliance.

This study evaluates the effectiveness of the Free Nutritious Meal Program (MBG) in improving students' cognitive abilities based on nutritional status in Brangsong Village, Indonesia. The research used a mixed-methods approach, combining quantitative and qualitative designs. Quantitative data were collected from 30 student beneficiaries via questionnaires and analyzed using descriptive statistics and Pearson correlation coefficients. Qualitative data were gathered through in-depth interviews with managers of the Nutrition Fulfillment Service Unit (SPPG), school authorities, students, and parents, and analyzed thematically. The results show a positive and significant relationship between nutritional status and academic achievement, but no significant relationship with students' cognitive ability. Nutrient intake, however, was positively and significantly associated with both cognitive ability and academic achievement. The strongest relationship was observed between cognitive ability and academic achievement. These findings suggest that the MBG program effectively supports academic achievement by improving nutrient intake and cognitive ability. However, its impact on students’ nutritional status has not been uniformly distributed.

This study aims to analyze the role of Islamic Religious Counselors as street-level bureaucrats in implementing Islamic Community Guidance policies in Batang Regency. The study used a mixed-methods approach with a sequential explanatory design, beginning with the collection and analysis of quantitative data and then deepening with qualitative data. Quantitative data were obtained from 53 respondents using a questionnaire that was tested for validity and reliability. In contrast, qualitative data were collected through in-depth interviews, observations, and documentation with religious counselors, Ministry of Religious Affairs officials, the KUA (Office of Religious Affairs), and the community. Data analysis was conducted descriptively and analytically using Michael Lipsky's street-level bureaucracy theory as an analytical framework. The study's results indicate that the role of Islamic Religious Extension Workers as street-level bureaucrats is positively and strongly associated with the successful implementation of the Islamic Community Guidance policy (r = 0.826; p < 0.01). Qualitative findings revealed that extension workers exercise discretion in the form of community assistance, adjustments to extension methods, strategic flexibility, and responsiveness to socio-religious issues at the local level. This study confirms that the effectiveness of Islamic Community Guidance policies is not determined solely by formal policy design but is highly dependent on the capacity, flexibility, and discretion of Islamic Religious Counselors, the implementing actors at the field level. These findings provide theoretical contributions to the development of street-level bureaucracy studies in the context of religious policy, as well as practical implications for formulating more contextual and responsive policies.

Exclusive breastfeeding (EBF) is essential for infant growth and immunity during the first six months of life. Despite its benefits, many primiparous mothers face challenges in maintaining EBF due to lack of experience, stress, and insufficient support. Husband support has been identified as a crucial social factor that can influence a mother’s confidence and success in breastfeeding. This study aimed to examine the relationship between husband support and the success of exclusive breastfeeding among primiparous mothers in the Kalibaru Public Health Center area. A cross-sectional correlational design was employed, with 90 primiparous mothers selected through purposive sampling. Data were collected using structured questionnaires measuring husband support, including emotional, informational, and instrumental dimensions, and exclusive breastfeeding practice, following the World Health Organization (WHO) definition. Descriptive statistics summarized participants’ demographic characteristics and levels of support, while inferential analysis using the Chi-square test and Pearson correlation determined the association between husband support and EBF success. The results indicated that higher levels of husband support were significantly associated with successful exclusive breastfeeding among primiparous mothers (p < 0.05). Among the types of support, emotional and informational support were particularly influential in enhancing maternal confidence and overcoming breastfeeding challenges. These findings suggest that encouraging husband involvement through prenatal education, counseling, and family-based interventions can improve EBF rates. In conclusion, husband support plays a vital role in the successful practice of exclusive breastfeeding among first-time mothers. Health programs should actively involve fathers to provide emotional, informational, and practical support, thereby promoting optimal breastfeeding outcomes and infant health in the community.

Indonesia ranks second in the world and Bandar Lampung City is the region with the highest TB incidence in Lampung Province with a treatment success rate that is still below the national target. This study aims to analyze the risk factors associated with the incidence of pulmonary TB in the Kedaton Community Health Center Working Area of ​​Bandar Lampung City using a quantitative analytical study with a case-control design. The study sample consisted of 40 cases (smear-positive pulmonary TB patients) and 40 controls (closest neighbors without TB) taken using a consecutive sampling technique, where data were collected through interviews, observations, and measurements using questionnaires and physical measuring instruments at home. The results of the bivariate analysis showed that employment status (p = 0.024) and bedroom ventilation (p = 0.040) had a significant relationship with the incidence of pulmonary TB, while the results of the multivariate analysis using multiple logistic regression showed that gender (p = 0.015) and bedroom ventilation (p = 0.009) were significantly related variables. The conclusion of this study determined that bedroom ventilation was the most dominant variable associated with pulmonary TB incidence, with inadequate ventilation having a 3.91-fold increased risk (OR=3.91; 95%CI=1.41-10.94) compared to adequate ventilation after controlling for gender.

The development of digital technology has increased the popularity of online games among adolescents. Excessive intensity of online gaming may have negative effects on health, particularly sleep quality and aggressive behavior. This study aimed to determine the relationship between the intensity of online gaming and sleep quality as well as aggressive behavior among tenth-grade students at SMAN 38 South Jakarta in 2025. This research is quantitative associative method with a correlational analytic design using a cross-sectional approach. The population in the study was 145 students, with a sample of 117 respondents selected using random sampling. Data analysis was conducted using the Chi-Square test. The results showed a significant relationship between the intensity of online gaming and sleep quality with a p-value of 0.001 (p < 0.05), as well as a significant relationship between the intensity of online gaming and aggressive behavior with a p-value of 0.001 (p < 0.05). Therefore, the null hypothesis (H0) was rejected and (Ha) was accepted. In conclusion, higher intensity of online gaming is associated with poorer sleep quality and increased aggressive behavior among adolescents. It is expected that adolescents can manage and limit their online gaming time wisely to reduce its negative impact on health and behavior.

This study was conducted to examine how social media influences Fear of Missing Out (FOMO) behavior among its users. The research employs a qualitative method with a literature review approach by analyzing and reviewing 20 previous research journals related to FOMO behavior in social media users. The reviewed journals were published. The findings indicate that FOMO behavior is driven by high-intensity social media use, in which increased frequency and duration of use are associated with higher levels of anxiety and fear of missing information and social experiences. Continuous exposure to content and activities shared by other users encourages social comparison, which contributes to increased anxiety, self-dissatisfaction, and difficulties in emotional regulation, particularly among individuals with low self-esteem. These conditions may lead to dependence on social validation and promote increasingly addictive patterns of social media use, which in the long term can reduce self-control and negatively affect psychological well-being. When self-esteem is low and psychological well-being is disrupted, individuals may experience heightened pessimism and an increased risk of engaging in self-harm behaviors. Overall, the findings suggest that self-regulation and self-determination serve as preventive factors against FOMO behavior and its psychological and mental health impacts; therefore, strengthening self-regulation and self-determination is essential to prevent FOMO.

The development of digital technology, particularly social media, has brought significant changes to human social interaction patterns. Although the ease of digital communication offers various advantages, in reality, it does not always reduce feelings of loneliness. This study aims to analyze the relationship between the intensity of social media use and loneliness levels among students in the digital era. The method used in this research is a quantitative approach with a correlational design, involving 120 active students as the sample. To measure the variable of social media use intensity, the Social Media Intensity Scale was used, while loneliness levels were measured using the UCLA Loneliness Scale. The data analysis results showed a significant positive relationship between the intensity of social media use and loneliness levels among students. This means that the higher the intensity of students' social media use, the higher the loneliness they feel. These findings provide important insight that, despite social media facilitating easier interactions, excessive use does not always positively affect the quality of social relationships. On the contrary, high social media use intensity can be associated with greater feelings of loneliness, indicating the need for a deeper understanding of the impact of social media use on individuals' emotional well-being.

This study aims to analyze the influence of parenting styles on the emotional development of early childhood based on a literature review. Emotional development is a crucial aspect of character formation, emotional regulation, and children’s social skills in daily life. The research method employed is a literature review, which involves examining relevant sources such as academic journals, books, and research The methodology utilizes a synthesis of peer-reviewed journals and relevant publications concerning the impact of caregiving styles on early childhood emotional maturity The reviewed literature was analyzed descriptively to identify patterns and trends in previous research findings. The results of the literature review indicate that parenting styles have a significant influence on children’s emotional development. Democratic (authoritative) parenting is consistently found to have the most positive impact on children’s emotional development, including better emotional regulation, self-confidence, independence, empathy, and social competence. Children raised with democratic parenting tend to express their emotions in a healthy manner and adapt well to social environments. In contrast, authoritarian, permissive, and neglectful parenting styles are often associated with emotional difficulties, such as low social skills, poor self-control, and challenges in managing emotions. Based on these findings, it can be concluded that democratic parenting plays a vital role in supporting optimal emotional development in early childhood