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Dysmenorrhea remains a common health problem among adolescent girls and may interfere with their daily activities. This condition is not only associated with hormonal factors but is also influenced by dietary intake patterns and body fat distribution. This study employed an analytical observational design with a cross-sectional approach involving 207 adolescent girls selected using a stratified random sampling technique. Data collection was conducted using several instruments, including a Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) to assess magnesium intake, waist-to-hip ratio (WHR/RLPP) measurements using a measuring tape, and menstrual pain intensity assessed using a pain scale. The relationships between variables were analyzed using the Spearman correlation test with a significance level of p < 0.05. The results showed that magnesium intake demonstrated a significant inverse relationship with pain intensity, indicating that higher magnesium intake was associated with lower menstrual pain levels. In addition, WHR was also significantly associated with dysmenorrhea among adolescent girls. Overall, it can be concluded that magnesium intake and WHR are related to the occurrence of dysmenorrhea.

This study aims to analyze the influence of effective communication on the emotional intelligence of early childhood. Effective communication is the process of conveying clear, empathetic, and responsive messages between educators or parents and children, which plays a crucial role in shaping children's abilities to recognize, understand, and manage emotions. Emotional intelligence is an essential aspect of child development because it supports social adaptation, self-regulation, and positive interpersonal relationships. The research method used was a quantitative approach with a correlational design. The subjects were early childhood education institutions attending early childhood education institutions, with data collection techniques through observation, questionnaires, and documentation. Data were analyzed using statistical procedures to determine the relationship between the variables studied. The results showed a significant influence between effective communication and children's emotional intelligence. Children who receive good communication tend to have higher empathy skills, are able to control their emotions, and establish positive social relationships. In addition, effective communication helps children express their feelings appropriately and develop self-confidence. Thus, effective communication is an important factor in the development of emotional intelligence in early childhood. This research is expected to serve as a reference for educators and parents in improving the quality of interactions with children and supporting optimal child development.

This study analyzes the effect of capital structure and firm growth on firm value with dividend policy as a mediating variable in property and real estate companies listed on the Indonesia Stock Exchange for the period 2019-2024. The volatility of the property sector influenced by global and domestic economic conditions encourages the importance of understanding firm value formation mechanisms. The research method uses a quantitative approach with purposive sampling technique resulting in 66 observations from 11 companies during the research period. Data analysis uses Partial Least Squares-Structural Equation Modeling through SmartPLS application to test relationships between variables. The results show that capital structure and firm growth have no direct significant effect on firm value, but have a significant negative effect on dividend policy. Dividend policy has a significant positive effect on firm value and is able to fully mediate the effect of capital structure and firm growth on firm value with Variance Accounted For values of 151.6% and 90.4% respectively. These findings confirm the importance of dividend policy as a credible signaling mechanism regarding the company's ability to generate sustainable cash flows in creating value for shareholders amid the volatility of Indonesia's property sector.  

This study aims to analyze the influence of organizational culture on employee performance through job satisfaction at the Banda Aceh City Environmental, Sanitation, and Beautification Office. This study employs a quantitative approach using an associative method. The study population consisted of 44 civil servants, all of whom were included in the sample using a census method. Data collection was conducted via a questionnaire using a Likert scale, supplemented by observations and interviews. The data analysis techniques employed included path analysis, t-tests, the coefficient of determination (R²), and the Sobel test to examine the mediating role. The results of the study indicate that organizational culture has a positive and significant effect on employee performance, with a significance value of 0.004 and a calculated t-value of 3.014. Organizational culture also has a positive and significant effect on job satisfaction, with a p-value of 0.003 and a t-statistic of 3.940. Furthermore, job satisfaction has a positive and significant effect on employee performance with a significance value of 0.000 and a t-value of 5.174. A mediation test using the Sobel test indicates that job satisfaction significantly mediates the effect of organizational culture on employee performance with a t-value of 3.818 (>1.96). The coefficient of determination of 0.832 indicates that 83.2% of the variation in employee performance can be explained by organizational culture, job satisfaction, and their interaction, while the remainder is influenced by other variables outside the scope of this study. Thus, it can be concluded that organizational culture has a strong influence on improving employee performance, both directly and through job satisfaction as a mediating variable.

The purpose of this study is to examine how online promotion, product innovation, and brand image affect product competitiveness in Batam City's flower bucket equipment industry (CV Acmeteam). This study employs a quantitative methodology, gathering information from 100 respondents via questionnaires using Simple Random Sampling with Slovin formula from a population of 135 active customers. Data were analyzed through validity tests, reliability tests (Cronbach's Alpha = 0.750), classical assumption tests (normality, multicollinearity, heteroscedasticity), multiple linear regression, partial t-test, simultaneous F-test, and coefficient of determination (R²). Results show that all questionnaire items are valid and reliable. The normality test (Asymp. Sig. = 0.866 > 0.05) indicates normally distributed data, and no multicollinearity (VIF < 10) or heteroscedasticity (Sig. > 0.05) was detected. Regression analysis reveals that online promotion (β = 0.521, Sig. = 0.041), product innovation (β = 0.668, Sig. = 0.033), and brand image (β = 0.458, Sig. = 0.049) each significantly influence product competitiveness. Simultaneously, all three variables are significant (F = 9.876, Sig. = 0.000) and explain 44.9% (R² = 0.449) of product competitiveness variance. Product innovation is the strongest predictor. This study concludes that strong brand image, continuous product innovation, and effective digital marketing are essential pillars for enhancing product competitiveness. Business actors must optimize these three elements to compete effectively in an increasingly open creative industry market.

This study examines customer churn prediction in subscription-based telecommunications from a digital marketing perspective using machine learning. The analysis utilizes a secondary dataset of 7,043 customer records that simulate behavioral, contractual, and financial attributes commonly found in telecom services. Three classification algorithms Logistic Regression, Random Forest, and Gradient Boosting are applied to model churn behavior. Data preprocessing includes handling missing values, encoding categorical variables, and splitting data into training and testing sets. Model performance is evaluated using accuracy, recall, and ROC-AUC, with emphasis on recall due to its importance in identifying at-risk customers. The results show that Gradient Boosting achieves the highest overall performance with an ROC-AUC of 0.84, while Logistic Regression provides relatively higher recall. Key drivers of churn include short-term contracts, higher monthly charges, and lower service engagement. However, recall remains moderate, indicating limitations in capturing complex behavioral factors. These findings suggest the need to combine predictive models with behavioral insights and highlight the importance of early customer engagement and long-term retention strategies.

This study aims to examine the simultaneous and partial effects of the work environment and work-life balance on employee work stress at Hotel X. The research design is causal quantitative, with multiple linear regression analysis using SPSS 26.0 for Windows. The sample was obtained through purposive sampling (non-probability) of 120 respondents. The research subjects were employees working in shifts. The analysis results show that, (1) both variables simultaneously have a negative and significant effect on work stress, (2) the work environment has a negative and significant effect (sig. 0.002), and (3) work-life balance has a negative and significant effect (sig. 0.000). The work-life balance variable dominates its influence compared to the work environment, as seen from the lower significance value. These findings confirm that improving work-life balance and the work environment effectively reduces stress, especially for shift workers who are vulnerable to time imbalance. Based on the results, organizations are advised to optimize human resource management by maintaining a balance between job demands and employee conditions, as well as ensuring a proportional workload. Improvement in work-life balance can be achieved through flexible leave policies, adequate breaks between shifts, no overtime days except in emergencies, and minimizing personal time interruptions. These steps are expected to enhance employee well-being, retention, and productivity in the hospitality sector. Further research is recommended to explore different variables and methods, including comparing non-shift employees with the same variables, for more comprehensive insights.

Services in the health sector are a form of public service that must be implemented properly by the government. In the context of health services, the importance of effective and efficient implementation cannot be ignored because this has a direct impact on people's quality of life. In order for health services to achieve their goals, various requirements must be met, including the availability of adequate facilities and infrastructure, a harmonious relationship between patients and service providers, easy accessibility, and high quality. The aim of this research is to determine the description of the service quality of administrative staff. at the Kelapa Gading Community Health Center. The method used is descriptive with a quantitative approach which produces univariate results. This research was conducted at the Kelapa Gading Community Health Center with a total of 150 respondents. The variables in this research are Service Procedures, Completion Time, Service Costs, Service Products, Facilities and Infrastructure, Accreditation of Service Officers. The population in this study were all 1.216 outpatients with a sample of 150 respondents.

This study aims to examine the relationship between family support and depression levels among the elderly in Pejuang Village, Bekasi City, through a descriptive-narrative literature review. The review analyzed relevant scientific articles discussing family support, social support, and depression in older adults. Literature was selected based on the suitability of the elderly population, the presence of family or social support variables, and the measurement of depressive symptoms or depression levels. The analysis compared each article’s objectives, research design, respondent characteristics, instruments, findings, and conclusions. The results indicate that most studies found a relationship between family support or social support and depression among the elderly. Adequate family support, including emotional, instrumental, informational, and appraisal support, helps older adults feel cared for, valued, secure, and better able to adapt to the aging process. Preliminary findings at the Elderly Posyandu in Pejuang Village also show variations in family support and depression levels among elderly participants. Conversely, limited family support may increase loneliness, psychological distress, and depressive symptoms. Therefore, family support functions as a protective factor in reducing depression risk among older adults. Strengthening the involvement of families, health workers, and elderly posyandu cadres is necessary as a promotive and preventive strategy to maintain psychological well-being through education, early detection, and sustainable community-based assistance for vulnerable elderly groups living in community and family environments.

Smoking behavior is a modifiable risk factor for hypertension, with hypertension prevalence generally increasing alongside higher cigarette consumption and longer smoking duration. Research on hypertension prevalence among productive-age smokers in Indonesia using national-scale data remains scarce in Indonesian publications. This study aims to analyze factors influencing hypertension among productive-age smokers in Indonesia in 2015, utilizing data from the Indonesia Family Life Survey (IFLS) 2015. The research employs a quantitative design with an analytical observational approach using a cross-sectional study. The sample comprises 10,677 productive-age smokers in Indonesia, selected via multi-stage random sampling across 32 provinces in 2015. Independent variables include age, gender, employment status, work region, cigarettes smoked, smoking duration, and daily cigarette consumption, while the dependent variable is hypertension. Hypertension prevalence among productive-age smokers in Indonesia in 2015 reached 8.53%, with significant predictors including age ≥36 years, female gender, employment status, smoking intensity of 21–30 or >31 cigarettes/day, and smoking duration >16 years—reflecting multifactorial interactions of biological, behavioral, and socioeconomic factors. Accordingly, recommendations include routine screening at primary health centers for at-risk groups, tobacco control programs based on dose-duration, economic empowerment for the unemployed, intensive screening with lifestyle counseling by healthcare providers, and longitudinal designs for future causal studies.

The implementation of digital health information systems, such as e-Puskesmas, plays an important role in supporting electronic medical records in primary healthcare facilities. However, technical constraints, including network instability and system integration issues, may affect user satisfaction among healthcare workers. This study aims to analyze healthcare workers’ satisfaction in using e-Puskesmas based on the End User Computing Satisfaction (EUCS) method. This research employed a quantitative analytic approach with a cross-sectional design, involving 35 healthcare workers at Puskesmas Klangenan using total sampling. The variables consisted of five EUCS dimensions, namely content, accuracy, format, ease of use, and timeliness. Data were collected using a structured questionnaire with a Likert scale and analyzed using descriptive statistics and Spearman correlation test. The results showed that user satisfaction was categorized as very satisfied across all EUCS dimensions, with mean scores ranging from 4.11 to 4.47. All EUCS dimensions had a positive and significant relationship with user satisfaction (p < 0.05), with format and ease of use showing the strongest correlations. It can be concluded that the quality of system and information in e-Puskesmas significantly influences healthcare workers’ satisfaction, indicating the need for continuous system development to support optimal healthcare services.

Chronic Obstructive Pulmonary Disease is a chronic respiratory disease characterized by progressive and not fully reversible airflow limitation. Dyspnea is the primary symptom experienced by COPD patients and significantly affects their quality of life, especially among those hospitalized. This condition may lead to activity limitation, psychological distress, and decreased social functioning. This study aimed to determine the relationship between the level of dyspnea and the quality of life of COPD patients in the pulmonary inpatient ward of Cut Nyak Dhien General Hospital Meulaboh. This study employed an analytical design with a cross-sectional approach. The sample consisted of hospitalized COPD patients selected using purposive sampling. Dyspnea severity was measured using the Modified Medical Research Council (mMRC) scale, while quality of life was assessed using the St. George’s Respiratory Questionnaire (SGRQ). Data were analyzed using the Spearman correlation test to determine the relationship between variables.The results showed that most respondents experienced moderate to severe dyspnea and had poor quality of life. Statistical analysis revealed a significant relationship between dyspnea level and quality of life (p < 0.05) with a negative correlation.In conclusion, there is a significant relationship between dyspnea severity and quality of life in COPD patients, where higher dyspnea levels are associated with lower quality of life.

This study was conducted to determine the best log-linear model describing the relationship between gender, sleep duration, extracurricular activities, and student learning outcomes at SMAN 1 Kualuh Hulu. A log-linear analysis approach was used to identify interaction patterns among the variables and evaluate their contribution to student academic performance. The findings showed that the selected model adequately explained the structure of the observed data. A significant three-way interaction was identified between learning outcomes, sleep duration, and gender. The results indicated that insufficient sleep duration had a negative impact on student learning outcomes, and this effect varied by gender. Female students were found to be more vulnerable to decreased academic performance caused by sleep disturbances compared to male students. Meanwhile, extracurricular activities did not demonstrate a significant direct interaction with learning outcomes. This suggests that participation in extracurricular activities was not a major factor influencing differences in academic achievement among students at SMAN 1 Kualuh Hulu.

Problems: Based on data from the Batam City Health Office, the 3 Community Health Centers with the highest incidence of anemia include Sei Panas 15.7%, Sambau 10.24%, Nongsa 8.24%. Objective: This study aims to determine the relationship between maternal age and parity with the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Methods: This study used a descriptive correlation research design with a cross-sectional research design. The sampling technique used was Non Probability Sampling. Respondents in this study were 66 pregnant women. Results: Based on the Chi- Square test, the age variable obtained a P-value of 0.000 (ρ <0.05) and the parias variable with a P-value of 0.000 (ρ>0.05). This study shows that there is a relationship between age and the incidence of anemia in pregnant women and the relationship between parity and the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Conclusion: there is a relationship between age and parity of mothers with the incidence of anemia in pregnant women. Suggestion: It is hoped that prospective mothers understand the ideal safe age and parity in preparing for a healthy pregnancy in order to avoid anemia during pregnancy. And pregnant women must be diligent in consuming Fe tablets and also make 6 ANC visits during pregnancy so that pregnant women's health is monitored, especially their Hb levels.

This study aims to examine the effect of village apparatus capacity on accountability in village fund management, with the village financial system (SISKEUDES) as an intervening variable in Letti District, Southwest Maluku Regency. The research assessed whether the competence, knowledge, and administrative ability of village officials can improve transparent and accountable fund management. This study employed a quantitative approach using a saturated sampling technique, involving all 42 apparatus members as respondents. Data were collected through questionnaires and analyzed using multiple regression and the Sobel test to examine direct and indirect effects. The findings show that village apparatus capacity has a positive effect on village fund management accountability. This indicates that human resource capacity can support responsible planning, implementation, reporting, and evaluation of village funds. However, the village financial system does not significantly affect village fund management accountability. In addition, SISKEUDES does not function as an intervening variable in the relationship between village apparatus capacity and accountability. These results imply that strengthening human resource capacity remains more decisive than system use.

The financial performance of MSMEs is the result of a business's success in sustaining itself thru financial management. This research aims to provide information on the impact of financial literacy, payment gateways, and financial inclusion on the financial performance of MSMEs. This investigative activity involves two types of variables: independent variables consisting of financial literacy, payment gateways, and financial inclusion, while the financial performance of MSMEs is the dependent variable. Food and beverage MSMEs under the auspices of Rumah BUMN are the study population, totaling 337. The method for determining the sample size was determined using Slovin's formula, and sampling was conducted using specific criteria, resulting in a sample size of 77 respondents. The data analysis technique involves multiple linear regression analysis. This research activity found that each of the variables used, namely financial literacy, payment gateway, and financial inclusion, has a significant positive impact on the financial performance of MSMEs. The coefficient of determination shows that 91.3% of the variables of financial literacy, payment gateway, and financial inclusion are able to explain the financial performance variable of MSMEs.

The increasingly tight competition in the textile and garment industry has led to the optimal management of capital structure and microfinance to increase the value of the company. This study aims to analyze the influence of microfinance and capital structure on the value of the company with profitability as an intervening variable. The method used is a quantitative method with secondary data obtained from the financial reports of textile and garment companies registered in the Indonesian Financial Services Authority for the period 2020–2024. Data analysis was conducted using Structural Equivalence Modeling-Partial Least Square (SEM-PLS). The results of the study indicate that microfinance has a positive and significant effect on profitability and firm value. Meanwhile, capital structure has a positive but insignificant effect on profitability and a negative and insignificant effect on firm value. Profitability is proven to have a positive and significant effect on firm value, but is unable to mediate the influence of microfinance and capital structure on firm value. Thus, the findings of this study confirm that profitability fails to be an integrating variable.

This study was conducted to examine the extent to which product price and quality influence consumer interest in purchasing MMTC Tax. These two elements are believed to be the main considerations in the purchase decision-making process. This research applied a quantitative method using a survey technique, in which data was collected through the distribution of questionnaires to MMTC Tax service users. The data analysis technique used was multiple linear regression to measure the effect of each independent variable on the dependent variable. The findings show that both price and product quality have a positive and significant impact on purchasing interest. Together, these two factors were found to significantly influence consumers' willingness to make a purchase. Based on these results, it can be concluded that competitive pricing and superior product quality can drive an increase in the purchasing interest of MMTC Tax consumers.

Hotel Naripan is still facing challenges in ensuring its employees can have optimal ability and motivation. This occurs in employee performance which can be caused by the lack of training, the absence of rewards from the company. The purpose of this study is to analyze the effect of work ability and motivation on employee performance at the hotel, so that it can be an evaluation material for management to improve service quality and hotel competitiveness in the increasingly competitive hospitality industry. The research method used is quantitative. This method is used to study a specific population or sample with data collection through research instruments. The analysis carried out is quantitative and uses statistical techniques, with the main purpose of testing the hypothesis that has been previously formulated. The results of this research based on multiple linear regression tests, the value of the multiple linear regression coefficient of the work ability variable, has a positive value of 0.635, the value of the multiple linear regression coefficient of the independent variable work motivation, has a positive value of 0.043

Immunization is a preventive measure used to protect against Tuberculosis, Diphtheria, Pertussis, Polio, Hepatitis B, and Measles. Immunization administration must be continuous, comprehensive, and conducted according to standards to provide effective health protection. The objective of this study was to determine the correlation between paternal support and the immunization status of children aged 0 to 1 year in the Tamban Baru Community hEalth Center area, Kapuas Regency. This study used a cross-sectional correlation design. The independent variable was paternal support, and the dependent variable was immunization status. The sample was selected using total sampling technique, consisting of 50 respondents. Data collection was performed using a questionnaire. The results showed a significant correlation between paternal support and the immunization status of children aged 0 to 1 year, indicated by p = 0.000017 < 0.005; thus, the null hypothesis (H0) was rejected and the alternative hypothesis (H1) accepted. This means that there is a correlation between paternal support and the immunization status of children aged 0 to 1 year. It is recommended that that cross-sector collaboration and Community Health Center authorities enhance efforts so that every immunization officer provides health education, such as counseling about immunization, and that family involvement in spreading immunization programs is increased to achieve targeted coverage through cooperation with health professionals.