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This research was motivated by the low mathematics learning outcomes of MA Negeri 1 Serang students. So it is necessary to implement learning media that helps improve students' mathematics learning outcomes. One of the learning media used is Matrix Domino Cards. This research aims to determine the learning outcomes of students who received treatment using domino matrices and students who were not given learning treatment using domino matrices. The research results show that the learning outcomes of students who were treated using matrix domino card media were higher than the learning outcomes of students without using matrix domino card media. The results of statistical tests show that students' interest in learning using domino matrix media in the experimental class obtained an average = 67.78 and standard deviation = 20.88, while learning without using domino matrix media in the experimental class obtained data on the average interest in learning of participants students = 49.72 and standard deviation = 15.48, then after carrying out the t test the results were obtained that tcount > ttable, namely 1.80 > 0.354. Hypothesis testing results obtained were tcount > ttable, so ha was accepted, meaning there was an increase in student learning outcomes using domino matrix learning media in class XI MA Negeri 1 Serang Academic Year 2022/2023.

This study examines the utilization of Aloe vera as a herbal medicine by the community of Sobawagoli Village, Indonesia. The research aims to document local knowledge related to the processing, application, and perceived benefits of Aloe vera in traditional healthcare practices. A qualitative descriptive approach with a case study design was employed. Data were collected through direct field observations, in-depth interviews with community members, and documentation of preparation methods. The findings reveal that Aloe vera is widely used for both internal and external treatments, including digestive disorders, internal heat, hypertension, burns, skin inflammation, and natural skin and hair care. The plant is processed through simple methods such as boiling, blending, and direct topical application, reflecting the accessibility and practicality of herbal medicine in rural settings. Community perceptions toward Aloe vera are highly positive, viewing it as a safe, effective, and culturally embedded alternative to chemical medicines. These practices are supported by empirical experiences and align with recent scientific studies highlighting the therapeutic properties of Aloe vera. The study underscores the importance of preserving indigenous herbal knowledge and integrating it with modern health education to promote sustainable, community-based healthcare systems.

Oral candidiasis pseudomembranous is an infection of the oral cavity caused by microorganisms such as fungi, specifically due to the overgrowth of Candida albicans. It frequently manifests in individuals with impaired local or systemic immunity, or those with specific behavioral risk factors. Predisposing factors, such as habitual alcohol consumption and smoking, play a significant role in reducing the resilience of the oral mucosa and altering the balance of the normal oral flora. This case report aims to examine the correlation between behavioral risk factors and the development of pseudomembranous oral candidiasis. A 22-year-old male was reported to have a lesion consisting of thick, raised, whitish plaques that were non-scrapable and asymptomatic. The patient had an unhealthy lifestyle, including alcohol consumption and smoking two packs per day, along with poor oral hygiene. To confirm the suspicion of oral thrush, a potassium hydroxide (KOH) examination was performed, which revealed the presence of Candida albicans. This led to therapeutic management using Nystatin (Candistatin) and Chlorhexidine, complemented by mechanical treatment with a tongue scraper. Pseudomembranous oral candidiasis in this 22-year-old male patient is a classic example in which local behavioral risk factors and lifestyle act as the main triggers of infection.

Crackers are snacks that are popular with various age groups, but generally have a relatively low calcium content so they do not contribute to meeting daily mineral needs. Therefore, food product innovations are needed to increase their nutritional value, one of which is by utilizing purebred chicken egg shells as a natural source of calcium. This study aims to analyze the effect of purebred chicken eggshell flour substitution on the acceptability of crackers and determine the best formulation as a high-calcium snack. The research method used an experimental design with a Complete Random Design (RAL) consisting of four treatments, namely P0 (100:0), P1 (90:10), P2 (85:15), and P3 (80:20). The testing is carried out qualitatively through organoleptic tests which include color, aroma, taste, and texture. The data was analyzed using the one-way ANOVA test and followed by the Post Hoc Kruskal-Wallis test if there were significant differences. The results showed that the best formulation was found in the P1 treatment with a 10% substitution of eggshell flour. Overall, the substitution of purebred chicken eggshell flour had no significant effect on the acceptability of crackers.

Canker sores are an inflammation of the oral tissues, generally caused by bacterial and fungal infections. They can cause pain and discomfort and reduce the sufferer's quality of life. Treatment for canker sores has been dominated by synthetic drugs, but they are less popular among the public, especially children, due to discomfort and concerns about side effects. Therefore, we need safer and more easily accepted alternative treatments based on culturally derived materials. This study is to investigate the potential of pineapple and melon stems formulated in the form of gummy candy nanosimplicia as a complementary therapy in the treatment of canker sores. The research method was carried out through a literature review by collecting scientific articles from the PubMed, ScienceDirect, and Google Scholar databases, then analyzed using VOSviewer software to map emerging research trends and potential. The analysis results indicate that there are approximately 600 articles discussing the active metabolite content in pineapple and melon stems that have antibacterial and antifungal activity, as well as the development of innovative preparations such as gummy candy as a delivery medium for bioactive compounds. The implications of this study indicate that the combination of pineapple stem and melon nanosimplisia has the potential to be developed as a safe, attractive, and effective natural herbal candy product for the prevention and treatment of mouth ulcers, especially in children.

Background: Recurrent Aphthous Stomatitis (RAS) is one of the most frequently encountered oral mucosal conditions. Although RAS has been extensively considered clinically and through research, ulcer occurrence remains unavoidable, and most treatment approaches are primarily symptomatic. Objective: To identify anxiety as a predisposing factor in patients with minor RAS. Case Report: A 24-year-old female patient presented to Soelastri Dental and Oral Hospital with a complaint of an ulcer on the right upper lip. The patient reported pain and a burning sensation for the past four days. The pain worsened when consuming hot food or beverages. The patient had experienced similar episodes previously but had never sought treatment for this condition. Intraoral examination revealed a single shallow ulcer with an oval shape, regular margins, a yellowish-white base surrounded by an erythematous halo, measuring 3 × 2 mm on the right upper lip, and was symptomatic. Case Management: The treatment provided focused primarily on Communication, Information, and Education (CIE). The patient was informed about the predisposing factor experienced, which may contribute to the occurrence of RAS, namely anxiety. The patient also received education regarding maintaining oral hygiene, consuming fruits and vegetables, increasing water intake, eating more regularly, attending a follow-up visit seven days after treatment, and managing anxiety. Conclusion: In this case, RAS management was focused on eliminating predisposing factors, particularly anxiety, which was strongly suspected to be the triggering factor for minor RAS in this patient.

Plastic waste has become one of the main environmental problems due to its nature, which is difficult to decompose naturally and can cause environmental pollution. One alternative waste treatment method that can be applied is to use a plastic melter to melt and recycle plastic waste into useful products. However, the design of plastic melters often lacks consideration of structural strength and safety aspects during the operation process. This study aims to design and engineer a plastic melter using the Finite Element Analysis (FEA) simulation approach to analyze structural resistance to thermal and mechanical loads that occur during the operation process. The research method was carried out through 3D design modeling of plastic melter components using Solidworks software, followed by analysis with FEA simulation on the main component, namely the melting tube. The parameters analyzed include the distribution of von Mises stress, the amount of displacement, and the safety factor. The analysis results show that the analyzed components experience von Mises stress distribution and displacement that are still below the material tolerance limits, with safety factor values above the recommended safety limits. Thus, the resulting plastic melter design is declared safe and can proceed to the manufacturing process. Therefore, the plastic melter design is safe, strong, and feasible to be realized as an effective and sustainable plastic waste processing technology solution.

HIV/AIDS is still a global health problem that impacts not only the physical condition, but also the social and emotional aspects of people living with HIV/AIDS (PLWHA), such as stigma, discrimination, anxiety and social pressure which can reduce the comfort of life. Social support plays an important role in helping PLWHA adapt to the disease, increasing treatment compliance, and maintaining a sense of comfort. This research aims to analyze the relationship between social support and comfort for PLWHA in the Semarang City Peer Support Group (KDS). The research used a quantitative approach with a correlational design through a survey method of 74 PLWHA who were actively undergoing treatment, using an accidental sampling technique. The research instruments included a social support questionnaire and a comfort questionnaire, while data analysis was carried out using the Spearman Rank correlation test. The results of the study showed that there was a significant positive relationship between social support and comfort in PLWHA (r = 0.394; p = 0.001), which indicated that the higher the social support received, the better the level of comfort felt. These findings emphasize the important role of social support as part of a holistic nursing approach, so that nurses and health workers are expected to be able to integrate social support-based interventions in an effort to increase the comfort of PLWHA.

Background: Ovarian cancer is one of the most lethal cancers affecting women and requires long-term treatment such as chemotherapy. The chemotherapy process often causes various physical and psychological side effects that may reduce patients’ motivation to undergo treatment consistently. Family support plays an essential role in enhancing motivation, treatment adherence, and patients’ readiness to face therapy. Aims: This study aims to determine the influence of family support on the motivation of ovarian cancer patients undergoing chemotherapy. Methods: This research was conducted at the Darussalam and Ma’wa Buildings of RSI Sultan Agung Semarang. The study used a descriptive correlational design with a cross-sectional approach. A total population of 47 ovarian cancer patients undergoing chemotherapy from January to April was obtained. The sampling technique used was Total Sampling. The bivariate analysis was performed using the Spearman Rank Correlation test. Results: The analysis showed that most respondents had low levels of family support (44.7%) and moderate levels of motivation (36.2%). The Spearman test indicated a correlation value of r = 0.678 with a p-value = 0.000 (p < 0.05), indicating a strong and significant relationship between family support and patient motivation in undergoing chemotherapy. Conclusion: There is a significant influence between family support and the motivation of ovarian cancer patients undergoing chemotherapy.

Generalized pustular psoriasis (GPP) is a severe inflammatory form of psoriasis characterized by widespread sterile pustular eruptions. Pro-inflammatory mediators released during chronic inflammation may contribute to comorbidities, including type 2 diabetes mellitus (T2DM). A 65-year-old woman presented with pustular eruptions over almost the entire body for seven days, accompanied by burning sensation and pruritus. Some pustules coalesced forming “lakes of pus,” while others appeared as erythematous plaques with coarse white scales. The patient had a history of T2DM. Based on clinical findings, the patient was diagnosed with GPP. She was hospitalized for seven days and followed up weekly until week 10. Inflammatory mediators such as Th-1, TNF-α, IL-6, IL-7, IL-8, IL-17, and IL-23 in psoriasis may inhibit insulin receptor signaling and glucose uptake, leading to insulin resistance and increased blood glucose levels. The duration of treatment until remission in psoriasis patients with T2DM tends to be longer than in non-diabetic patients. In patients with comorbidities, low-dose methotrexate (5–7.5 mg/week) was administered. The coexistence of GPP and T2DM may lead to more severe exacerbations, prolonged treatment duration, and reduced quality of life, posing challenges in management.

Clean water quality is an important factor in supporting public health. In Kaliwader Village, Bener District, Purworejo Regency, drilled well water is used as the main source of clean water, however, based on initial testing, discrepancies were still found in several water quality parameters, particularly turbidity. The Community Service Lecture (KPM) activity of the Al-Qur'an Science University (UNSIQ) aims to improve the quality of drilled well water through the implementation of a water filtration system combined with a venturi aerator and providing education to the community about clean water management. The method used is a descriptive method with an observational approach, including water sampling, laboratory testing at the Regional Health Laboratory UPT, and the implementation of a Malang sand-based filtration unit with venturi aeration. The test results showed that the water turbidity level before treatment reached 8 NTU, exceeding the established quality standards. After the implementation of the filtration system and venturi aerator, the physical quality of the water improved, marked by a decrease in turbidity and an increase in water clarity. Chemical and microbiological parameters were generally within safe limits according to the Regulation of the Minister of Health of the Republic of Indonesia Number 2 of 2023. This activity demonstrated that the application of simple technology by UNSIQ KPM students can play an effective role in improving the quality of drilled well water and supporting the provision of more adequate clean water for the people of Kaliwader Village.

Stroke is one of the non-communicable diseases that is the leading cause of disability and death in the world. Clinical factors such as hypertension, diabetes mellitus, body mass index (BMI), and unhealthy lifestyle are known to contribute to the incidence of stroke. Oe-Cusse Referral Hospital serves as the main referral center in the treatment of stroke cases, but data on contributing clinical factors and medical treatment and rehabilitation strategies are still limited. This study aims to analyze the clinical factors that contribute to the incidence of stroke and describe medical treatment and rehabilitation strategies in stroke patients at Oe-Cusse Referral Hospital.This study is a quantitative study with a cross-sectional observational design. The research sample amounted to 50 stroke patients who were treated in the January-November 2025 period, selected using purposive sampling techniques. Data were collected through medical records and questionnaires related to medical treatment and rehabilitation. Data analysis was carried out using the SPSS program, including descriptive analysis and logistic regression to see the relationship between clinical factors (hypertension, diabetes mellitus, lifestyle, BMI, and other factors) and stroke incidence. The results of the descriptive analysis showed that the average age of stroke patients was 56.2 ± 9.8 years, with an age range of 39–78 years. The average BMI of the patient was 27.5 ± 3.1 kg/m² which indicates a tendency to be overweight. The average systolic blood pressure of the patient was 150 ± 18 mmHg, indicating the predominance of hypertension in stroke patients. The average length of rehabilitation lasted 6.3 ± 1.8 weeks. Logistic regression analysis showed a significant relationship between clinical factors, especially hypertension, BMI, and diabetes mellitus, and stroke incidence. Clinical factors such as hypertension, high BMI, and diabetes mellitus contribute significantly to the incidence of stroke at Oe-Cusse Referral Hospital.

This study investigates biomass-derived surface engineering of AISI 1020 steel for electromedical applications using galam wood charcoal and chicken bone waste as carburizing media. Surface modification is required to improve the mechanical performance of low-carbon steel, particularly in applications that demand high wear resistance and long-term durability. A pack carburizing approach was applied using various ratios of biomass-derived media at a treatment temperature of 800 °C for 2 hours. Chemical composition was analyzed using Optical Emission Spectroscopy (OES), surface hardness was evaluated using Micro Vickers hardness testing, and microstructural characteristics were observed using optical microscopy. The results show a significant increase in surface carbon content with increasing fractions of chicken bone powder, indicating its effectiveness as a carbon donor and diffusion promoter. The surface hardness increased from approximately 150 HV in the untreated condition to a maximum of about 860 HV in the treated specimen. Microstructural observations revealed the formation of a distinct carburized layer with increasing thickness and uniformity, consistent with enhanced carbon diffusion and surface strengthening. These findings demonstrate that biomass-derived surface engineering provides an effective and sustainable approach for improving the surface properties of low-carbon steel. The proposed method offers strong potential for environmentally friendly manufacturing of durable and reliable electromedical components.

Japanese kale (Brassica oleracea) is a leafy vegetable with high nutritional and economic value and strong potential for development through intensive cultivation systems, including polybag-based cultivation. Fertilization is an important factor determining plant growth success. This study aimed to analyze differences in the effects of cattle-manure compost fertilizer and NPK Mutiara fertilizer on the vegetative growth of Japanese kale, as well as to evaluate their roles in maintaining growing media fertility. The research employed a quantitative experimental approach using a single-factor Completely Randomized Design (CRD), namely fertilizer type. Treatments consisted of cattle-manure compost fertilizer and NPK Mutiara fertilizer, each with twelve replications, resulting in twenty-four experimental units. Observed parameters included plant height, leaf width, and growing media pH. The results showed that NPK Mutiara fertilizer produced better plant height and leaf width than compost fertilizer, particularly during the vegetative phase. This advantage was associated with the rapid availability of macronutrients such as nitrogen, phosphorus, and potassium for plant uptake. Meanwhile, cattle-manure compost fertilizer contributed to stabilizing growing media pH and improving soil physical and biological conditions. pH values in both treatments remained within the optimal range and did not limit plant growth. Therefore, NPK Mutiara fertilizer is more effective for short-term vegetative growth enhancement, whereas compost fertilizer supports sustainable growing media fertility.

Tuberculosis (TB) is a chronic, infectious disease caused by the bacterium Mycobacterium tuberculosis. Primary infection occurs upon first exposure to bacillary tuberculosis, which often occurs in childhood, hence the term "childhood TB." The diagnosis of TB is usually made through a history that includes complaints of persistent cough, weight loss, fever, and weakness, along with a chest X-ray that shows typical abnormalities of pulmonary TB. In this case, a 21-month-old girl presented with a worsening, persistent cough accompanied by weight loss. The patient's mother reported that her child frequently had fevers and appeared weak. After a physical examination and supporting tests, the patient was diagnosed with TB. The patient was given pharmacological therapy in the form of anti-tuberculosis drugs (OAT), and parents were educated about the importance of adherence to TB treatment as prescribed by the doctor. Furthermore, providing a balanced, nutritious diet is recommended to support successful treatment.

This study aims to provide learning for hair dressing beginners in performing smoothing treatments on sensitive hair. The technique of using Hair Mask plays an important role in creating the illusion of firm eye folds, thus giving the impression of larger and more expressive eyes. This study uses an experimental method with a quantitative approach involving 4 models with sensitive and damaged hair to be assessed by 16 AKS Ibu Kartini Makeup students. The results of the study showed that the use of Hair Masks on sensitive hair is very necessary to coat the hair pigment before being exposed to smoothing cosmetics. These results can be proven that the success of student practice using Hair Masks is worth (X2) 31% compared to before using Hair Masks (X1) with an average value of 55%. It turns out that this technique is more effective and efficient in increasing success in smoothing because it reduces the risk of hair breakage. (p-value = 0.014). From this study it can be concluded that the use of Hair Masks on smoothing sensitive/damaged hair. This lesson makes a fairly good contribution to AKS Ibu Kartini students to be able to improve skills in smoothing sensitive hair.

This study aims to determine the effectiveness of using vlogs as a Project Based Learning (PBL) media in the Fantasy Makeup course to enhance students’ soft skills, particularly in communication, public speaking, creativity, and problem solving. This research employed a pre-experimental design with a one group pre-test and post-test design. The sample consisted of 25 students selected through a census sampling technique, in which the entire population was used as the research sample. Data were collected through observation and questionnaires administered in two stages: a pre-test before the implementation of the learning model and a post-test afterward. The data were analyzed using a Paired Sample T-Test to identify the mean differences in students’ soft skill scores before and after the learning treatment. The results showed a significant improvement in communication, public speaking, creativity, and problem-solving abilities after the implementation of the vlog-based PBL model. Therefore, the use of vlogs is proven to be an effective and innovative learning medium to strengthen students’ soft skills in the context of the Fantasy Makeup course.

Background: Effective communication is an importat component in improving patient safety in hospitals. Ineffective communication can lead to misperceptions, errors in treatment, and an increased risk of medication errors. Therefore, supervision is necessary to ensure that nurses’ communication meets standards. This study aims to determine the relationship between supervision and the implementation of effective communication by nurses at Sultan Agung Islamic Hospital in Semarang. Method: This study used an analytical quantitative design with a cross-sectional approach. The study sample consisted of 94 nurse practitioners, selected using total sampling technique. The reearch instruments were a supervision questionnire and an obervation sheet on effective communication based on the SBAR method. Data analysis used Pearson product moment rank correlation test to determine the relationship between the two variables. Results: The results show that most nurses have effective communication in the “fair” category, with 70 respondents (74,5%), and supervision in the “moderate” category, with 75 respondents (79,8%). The Pearson product moment test obtained a p-value of 0.025 (< 0.05), which means hat there is a relationship, and r = 0.232, which indicates a weak relationship, and r = 0.232, which indicates a weak relationship and a positive direction. Conclusion: There is a Relationship Between supervision and the implementation of effective communication by nurses

Hajj savings are an important Islamic banking product designed to assist Muslims in preparing for hajj expenses in a systematic and Sharia-compliant manner. As a trust-based fund, hajj savings require proper accounting treatment to ensure transparency, accountability, and compliance with Sharia accounting standards. This study aims to analyze the implementation of trust fund accounting in the Hajj Savings Program at Bank Syariah Indonesia (BSI) KCP Tegal Slawi. This research employs a qualitative descriptive approach using observation, documentation, and interviews conducted during an internship period at the research location. The data were analyzed by comparing accounting practices applied by the bank with relevant Sharia accounting standards, particularly PSAK 105 and PSAK 101. The results indicate that the hajj savings at BSI KCP Tegal Slawi are managed under a mudharabah contract and are recognized as temporary syirkah funds rather than bank income. The processes of recognition, measurement, presentation, and disclosure have generally been implemented in accordance with Sharia accounting principles. However, limitations were found in the level of accounting understanding among operational staff. This study implies that strengthening Sharia accounting literacy among bank employees is essential to enhance accountability and maintain customer trust in managing hajj funds.  

Electrolytes are essential minerals that play a critical role in various physiological processes within the body, including the maintenance of fluid balance, proper neuromuscular function, and the transmission of nerve impulses. They are vital for the stability of the heart and other crucial organs. When electrolyte levels become imbalanced, as seen in conditions such as hyponatremia (low sodium), hypernatremia (high sodium), hypokalemia (low potassium), hyperkalemia (high potassium), and hypocalcemia (low calcium), serious health issues can arise. These imbalances can result from factors like malnutrition, excessive losses through the kidneys or gastrointestinal tract, hormonal disorders, and certain systemic diseases. Understanding the underlying pathophysiological mechanisms and clinical manifestations of these disturbances is essential for effective diagnosis and treatment. Healthcare providers must identify the root causes of electrolyte imbalances while assessing their severity to implement appropriate management strategies. This often involves gradually correcting electrolyte levels to mitigate the risk of life-threatening complications such as arrhythmias, cerebral edema, and neurological impairment. By fostering a comprehensive understanding of electrolyte imbalances, healthcare professionals can improve diagnostic accuracy and therapeutic effectiveness, ultimately leading to better patient outcomes. This knowledge is crucial in minimizing morbidity and mortality associated with these disruptive conditions, ensuring that individuals receive prompt and effective care to restore balance and maintain overall health.