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COPD is a condition characterized by airflow obstruction that cannot be completely corrected. This limitation generally worsens over time and is associated with abnormal permeability to noxious particles or gases, resulting in narrowing of the airways, increased mucus secretion, and changes in the vascular system. The increase in chest expansion capacity is caused by the activity of respiratory muscle contraction. The activity of the respiratory muscles plays a role in chest expansion, which also affects lung growth. It is stated that the strength of the respiratory muscles decreases with age. Loss of intercostal muscle mass and strength are factors that reduce the ability of chest wall presence or development. This study used a case report design research method. Physiotherapy management for COPD is increasingly focused on exercise-based rehabilitation, both in outpatient and inpatient settings. Some therapies such as breathing exercises, thoracic expansion exercises and muscle release.

Social media has proven to be an effective tool for health promotion, particularly in rapidly and widely disseminating information and encouraging behavioral changes. This study is a literature review aiming to evaluate the role of social media in digital-based health promotion interventions over the past five years (2019–2024). Articles were collected from Google Scholar, PubMed, and Garuda databases, focusing on interventions conducted in Indonesia or those with global relevance. The review of nine articles revealed that platforms like Instagram, WhatsApp, and Facebook are effective in improving health knowledge and behaviors, especially among adolescents and mothers. Strategies involving visual and interactive content, along with collaborations with digital influencers, significantly increased audience engagement. However, key challenges identified include low digital literacy, the spread of invalid information, and a lack of standardized evaluation for intervention effectiveness. This study recommends enhancing healthcare professionals' capacity in utilizing social media and strengthening public digital literacy to support sustainable health promotion efforts.

This community empowerment activity was carried out in Kassi Village, Rumbia District, Jeneponto Regency. Kassi Village is located in a highland area and has agricultural and plantation land that includes secondary crops and horticulture. Kassi Village also has attractive tourism potential and an art studio that showcases various traditional dances. This wealth of resources supports the growth of Micro and Small Enterprises (MSEs) in Kassi Village, with 89 MSEs recorded in 2022. However, this abundance of natural potential has not yet contributed significantly to the MSEs, which tend to remain stagnant. To address this issue, the Tim PKM provided optimization services for Micro and Small Enterprises (MSEs) through a business workshop program. The method used in this community empowerment effort is a capacity building method with a participatory approach. The results of this activity showed that the problems faced by business actors were effectively resolved through intensive training and the formation of the Baji Kassi Community to optimize the performance of MSEs in Kassi Village by providing consultation services.

One of the main challenges faced by prospective educators is the limited understanding and application of Positive Discipline in the educational process, which hampers optimal character development in students. This community service program aims to enhance the capacity of Primary School Teacher Education (PGSD) students at Universitas Terbuka (UT) Jayapura through Smart Education training on the implementation of Positive Discipline as a strategy to build students’ integrity, responsibility, and independence. The activity was conducted using a participatory approach through workshops, interactive discussions, and case study simulations. The results showed an 85% increase in participants’ understanding of Positive Discipline concepts, as well as improved skills in applying such approaches in educational settings. Post-training evaluations also revealed positive changes in participants’ thinking patterns regarding educational communication and the importance of early character education. This program contributes significantly to preparing future teachers who are oriented toward character development and a more humanistic school culture.

This research analyzes the effectiveness of People's Business Credit (KUR) financing in facilitating the development of Rukun Jaya Trading Business, a micro, small, and medium enterprise (MSME) specializing in the processing of kupang skin into animal feed. The rationale for this study is grounded in the pivotal role that micro, small, and medium enterprises (MSMEs) play in the Indonesian economy, alongside the persistent financial constraints they encounter challenges that the People's Business Credit (KUR) program seeks to address as a government-backed financing initiative.The objective of this study is to assess the degree to which the People's Business Credit (KUR) contributes to the advancement of the enterprise. A descriptive qualitative methodology is employed, utilizing data collection techniques such as interviews, observations, and document analysis.The findings indicate that KUR financing has proven effective in enhancing working capital, improving operational efficiency, and strengthening the enterprise's capacity to fulfill its credit obligations all of which contribute to the achievement of sustainable business growth. The implications of this study are intended to offer strategic insights for business owners in making informed decisions, assist financial institutions in enhancing the effectiveness of KUR distribution, and support government efforts in designing more targeted and impactful policies for MSME development.

This study examines the sustainable business strategies of Ichinogami, a creative MSME based in Jakarta, Indonesia, that specializes in environmentally friendly papercraft. Using a qualitative case study approach, this research explores how Ichinogami aligns its practices with the principles of the green economy and circular economy, contributing to the national agenda for sustainable MSMEs. The findings reveal that Ichinogami integrates eco-certified materials, digital innovation, and a cradle-to-cradle product design model that promotes waste reduction and material reuse. Additionally, the company employs an inclusive business model that emphasizes community empowerment, education, and cultural promotion through creative workshops and community-based marketing. Ichinogami’s strategic use of digital platforms and multi-channel distribution has also allowed it to maintain relevance in a competitive market while fostering customer loyalty and environmental awareness. The research highlights Ichinogami's role in promoting low-carbon entrepreneurship and its ability to scale environmental impact through product innovation and community collaboration. The study concludes that Ichinogami is a model for sustainable microenterprise development, though it must continue to address challenges such as limited production capacity and international market penetration.

The implementation of regional autonomy in Indonesia is often assessed through fiscal independence as a measure of a region's capacity to manage its own finances. However, in practice, many regions—including Raja Ampat Regency—remain heavily reliant on central government transfers, highlighting the weakness of local fiscal capacity. This study aims to evaluate the financial capability of the region and examine the dynamics of fiscal relations between the central and local governments in Raja Ampat Regency, Southwest Papua Province. A descriptive quantitative approach was employed, utilizing secondary data from 2020 to 2024. The evaluation is based on five key indicators: the Degree of Fiscal Decentralization (DDF), Degree of Fiscal Autonomy (DOF), Fiscal Need (KbF), Fiscal Capacity (KaF), and the Fiscal Independence Ratio. The analysis reveals that Raja Ampat's fiscal independence is critically low, with an average DDF of only 19.45% and a DOF of merely 1.89%. The region’s high per capita fiscal need (10.45) is not matched by sufficient fiscal capacity (5.85), indicating a significant fiscal deficit. Furthermore, the persistently negative fiscal independence ratio reinforces its strong dependence on central government support. The existing fiscal relationship is characterized as instructive, with central intervention remaining dominant. A reformulation of fiscal policy that is more context-sensitive and equitable is urgently needed to support archipelagic regions such as Raja Ampat in achieving sustainable fiscal independence.

The growing elderly population in Indonesia has created structural challenges in the health care system. One of the crucial challenges arises in the aspect of medical decision-making that becomes increasingly complex, along with the decline in cognitive capacity, comorbidities, and chronic diseases that accompany this age group. Problems arise when elderly patients refuse medical treatment, while doctors have ethical and professional obligations to save lives. This condition is complicated by social pressure from families and collective cultural values that often ignore the right to individual autonomy. As a result, doctors are in a vulnerable position legally and ethically, especially when there are no regulations that explicitly and technically regulate the limits of professional responsibility. This study aims to analyze the form of legal protection for doctors in the face of refusal of medical action by elderly patients. The method used is normative juridical, with statutory and conceptual approaches. The results show that there are no specific rules regarding the mechanism of informed refusal, evaluation of the decision-making capacity of elderly patients, and the limits of legal responsibility of doctors. This creates legal uncertainty, even when doctors have acted according to professional standards and medical ethics. This study recommends the establishment of technical regulations that strictly regulate the procedures for refusal of medical action by elderly patients. Legal protection for doctors is not only a professional guarantee, but also an integral part of a health system that is fair, sustainable, and ensures legal certainty in modern medical practice.

This study examines the implementation of restorative justice approaches in handling sexual violence cases after the enactment of Law Number 12 of 2022 concerning Sexual Violence Crimes (UU TPKS). Through a qualitative approach with empirical juridical design, the research was conducted using in-depth interviews with informants from the Legal Resource Center for Gender Justice and Human Rights (LRC-KJHAM) in Semarang and literature review. The findings reveal inconsistencies in the implementation of Article 23 of UU TPKS, which prohibits out-of-court settlements except for juvenile offenders. Law enforcement officers, particularly the police, still employ peaceful settlement approaches based on older regulations that contradict UU TPKS. This condition negatively impacts victims who often do not receive proper justice and recovery, and even experience revictimization. This research recommends that the government promptly develop more operational derivative regulations and enhance the capacity of law enforcement officers to adopt a victim-centered perspective.

This study aims to describe and analyze the strategies implemented by the Environmental Agency (DLH) of Karimun Regency in managing waste and to evaluate the effectiveness of these implementations in the field. Employing a qualitative descriptive approach, data were collected through in-depth interviews, observations, and document reviews. Findings reveal that DLH Karimun has developed and executed key strategies, including the formulation of the Regional Waste Management Master Plan (RIPSD), optimization of Temporary Waste Disposal Sites (TPS) with 3R principles, active collaboration with waste banks and community groups, and community-based education and socialization efforts. However, operational challenges persist, particularly in waste transportation fleet distribution, handling of the Sememal Final Disposal Site (TPA), and monitoring and evaluation mechanisms that remain suboptimal. Additional challenges include limited human resources and funding, low public awareness, and regulatory conflicts impacting strategic decision-making. Nevertheless, the strategies implemented have contributed to improvements in environmental cleanliness across several sub-districts and increased volumes of processed waste through recycling initiatives. Community involvement through schools, youth organizations, family welfare groups, mutual cooperation activities, and waste banks proved critical to success. The study recommends the adoption of digital-based waste management systems (smart waste management), capacity building for DLH personnel, community empowerment, and revision of local regulations to support sustainable waste management. This will enhance the effectiveness and sustainability of DLH Karimun’s waste management strategies moving forward. The findings provide valuable insights for policy formulation and practical implementation in similar regional contexts.

Sexual harassment against children in Islamic boarding schools is a serious issue that demands special attention, particularly in the context of legal protection for victims. This study aims to analyze the position and role of child victims in the dynamics of sexual harassment crimes within pesantren, as well as to identify forms of legal protection that can be provided through a victimological approach. One of the cases highlighted in this research occurred at Bani Ma’mun Islamic Boarding School, located in Gembor Udik Village, Cikande Sub-district, Serang Regency, which illustrates the weak protection afforded to children in religious educational environments. By employing an empirical juridical method and referring to secondary data such as legislation, legal documents, and academic literature, this study finds that child victims often do not receive optimal protection, either in the criminal justice process or in terms of psychosocial support. The victimological perspective emphasizes the importance of fulfilling victims' rights, including the right to security, physical and mental rehabilitation, and social reintegration. In this context, protection efforts should not only focus on imposing sanctions on perpetrators but also include the formulation of policies oriented toward the recovery of victims. Therefore, this study recommends strengthening institutional capacity within pesantren to develop and implement comprehensive child protection mechanisms, including regulatory reform and more responsive law enforcement toward victims of sexual crimes. This research is expected to contribute to the development of a legal framework that is more victim-oriented within Indonesia’s criminal justice system.

This study discusses the role of Motor Vehicle Tax (PKB) and Motor Vehicle Transfer Tax (BBNKB) in supporting the increase in Regional Original Revenue (PAD) of East Java Province for the period 2020 to 2024. This study uses a descriptive quantitative approach. The data used are secondary data obtained from the government. The study results indicate that PKB consistently contributes significantly to PAD, with an average of 43.78%, which falls into the category of highly contributing. Meanwhile, BBNKB shows a fairly stable contribution of 22.74%, categorized as moderately contributing. Both types of taxes serve as the backbone of local revenue, particularly in the context of fiscal autonomy and strengthening local development capacity. This study recommends the need to optimize local tax strategies, including improving service delivery and taxpayer compliance, to ensure that PAD revenue continues to grow sustainably.

MSME actors in Indonesia still face various obstacles in business management, especially in the aspects of marketing and financial bookkeeping. This condition has a direct impact on the low level of bankability of MSMEs to access financing from banking institutions, especially Islamic banks. This activity aims to provide assistance to MSME actors, especially Toko Cipta Swara Elektronik, to be able to prepare basic financial statements and implement simple digital marketing strategies. The method used in this activity is the ABCD (Audience, Behavior, Condition, Degree) approach, with the implementation in the form of lectures, discussions, hands-on practice, and simulations. The results of the activity show that partners are able to prepare two types of basic financial statements (cash flow and profit and loss), design digital marketing strategies through social media, and understand the requirements for applying for Islamic bank financing. This assistance has proven to be effective in increasing the capacity of partners administratively and strategically, as well as opening up greater opportunities to access sharia financing services.

The juvenile criminal justice system in Indonesia has been reformed through the enactment of Law No. 11/2012 on Juvenile Criminal Justice Sistem (UU SPPA), but its implementation is still ineffective. This study aims to examine the ineffectiveness of the implementation of diversion and the imbalance between restorative aspects and the protection of children's rights in a repressive justice system. This type of research is normative, with statutory, conceptual and comparative approaches. The results of the study showed that limited understanding of the apparatus, lack of institutional support, and the still strong paradigm of punishment were the main obstacles. In conclusion, the reform has not fully reflected the principles of restorative justice and child protection. The author recommends strengthening the capacity of officials, cross-sector collaboration, and revitalizing the role of the community in supporting the implementation of diversion and the protection of children's rights as a whole.

This study aims to determine the influence of Profitability, Liquidity, Sales Growth, and Operating Capacity on Financial Distribution on the clothing and luxury goods sub-sector listed on the Indonesia Stock Exchange for the 2019-2023 period. The sampling technique used is  Non Probability Sampling with a sample of 9 companies in the clothing and luxury goods sub-sector listed on the Indonesia Stock Exchange for the 2019-2023 period. In this study, a multiple linear regression method was carried out assisted by the SPSS version 29 program and Microsoft Excel 2010. The results showed that (1) Profitability had no effect on Financial Distress, (2) Liquidity had an effect on Financial Distress, (3) Sales Growth had no effect on Financial Distress, (4) Operating Capacity had an effect on Financial Distress.

Self reminder is a reminder for yourself that is very much needed to keep thinking positively and avoid all kinds of negative thoughts so that life seems much more beautiful and happy to be grateful for. This study aims to elaborate on the self reminder applied by a young man named Emanuel Omedetho Jermias (EOJ). This study is a case study using qualitative research methods. Data were collected by conducting direct observation and interviews with the research subjects. Data were analyzed using three main steps, namely data reduction, data presentation, and drawing conclusions. The results of the study showed that the self reminder applied by EOJ was to use time productively, build daily habits, and reflect on oneself before going to bed. The benefits felt from self reminders are self-control, increasing self-motivation, accepting oneself as you are, and building self-confidence. This study is expected to have implications for young people to apply self reminders in order to increase their capacity which can be beneficial for individuals and in the social environment.

This study examines technological innovation in environmental policy in Pelalawan Regency, Riau, a region known for its abundant forest resources but facing serious environmental pressures due to forest degradation, land fires, and industrial pollution. The primary objective of this research is to identify policy innovations that can enhance environmental management and support sustainable development that harmonizes economic and ecological aspects. The methodology employed is a qualitative approach with a case study design, involving interviews, participatory observation, and document analysis. The findings indicate that the implementation of technologies such as Internet of Things (IoT)-based air quality sensors and Geographic Information Systems (GIS) has improved the effectiveness of environmental management. However, challenges such as limited human resource capacity, uneven technological infrastructure, and bureaucratic resistance continue to hinder innovation implementation. This study recommends strengthening digital infrastructure, revitalizing the licensing system, and fostering multi-stakeholder collaboration as strategic steps toward improved environmental governance. With an inclusive and sustainable approach, Pelalawan Regency has the potential to become a model for sustainable development in Indonesia.

This study aims to analyze the level of efficiency and effectiveness in managing tax revenues in Indonesia and its contribution to national economic development. Taxes are the primary source of state funding and play a crucial role in supporting development programs and welfare distribution. However, there remains a gap between tax potential and realization, indicating the need to evaluate the current tax administration system. This research adopts a descriptive quantitative approach using secondary data from DJP, BPS, and the Ministry of Finance covering the 2019–2023 period. The findings show that tax collection effectiveness has been relatively high in the last two years, as indicated by revenue realization exceeding targets. Nevertheless, efficiency remains low due to suboptimal digital systems and limitations in human resource capacity. Effectiveness is also strongly influenced by information technology and the performance of tax officials. The study concludes that tax reform focused on digitalization and transparency must be strengthened to support sustainable economic development. These findings have important implications for future fiscal policies and suggest opportunities for further research using mixed-method approaches.

Gender-based violence against women and children is a serious problem in Indonesia that reflects the inequality of social structures and the weakness of legal implementation. This study aims to examine the extent to which the Indonesian legal system is able to provide fair, equal, and gender-responsive protection to victims of violence, as well as assess the challenges in its application. The type of research used is a normative-critical study with a Feminist Legal Theory approach. The results of the analysis show that although there are regulatory advances such as the TPKS Law and the Presidential Instruction on Gender Mainstreaming, their application is still biased, not victim-friendly, and lacks a gender perspective. In conclusion, the law in Indonesia has not fully guaranteed substantive justice for victims. Therefore, it is recommended that legal reforms based on victims' experiences, increasing the capacity of law enforcement officials, and strengthening victim service institutions to encourage inclusive and transformative justice.

The phenomenon of overcriminalization in Indonesia reflects the excessive use of criminal law against actions that should not be classified as crimes. This study aims to identify the criminogenic factors behind overcriminalization and to evaluate the urgency of reforming criminal policy. Using a normative-juridical and criminological approach, the research reveals that overcriminalization is driven by ambiguous legal norms, weak law enforcement capacity, cultural bias, and the lack of restorative justice mechanisms. As a result, vulnerable groups—such as minors, youth drug users, and the economically disadvantaged—are often subjected to disproportionate criminalization. The study concludes that the criminal justice system must return to the principle of ultimum remedium. A comprehensive legal reform is recommended through interdisciplinary methods, inclusive public participation in legislation, and the strengthening of humanistic and contextual legal education.