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The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

Psychological assessment is an important tool in guidance and counseling practice that aims to gain an in-depth understanding of an individual's psychological state. However, its implementation can pose ethical challenges, particularly in relation to confidentiality and objectivity. This article critically examines how professionals in guidance and counseling can maintain their integrity when applying the ethical principles of their profession. It draws on theories on professional ethics and also explores the advantages and limitations of psychological assessment and its implications for counseling services. The analysis shows that maintaining professionalism depends on a high level of ethical awareness, as well as supervision and self-reflection of counselors.

The purpose of this study is to analyze teachers’ understanding of authentic assessment. The assessment process seeks to evaluate whether educational goals have been met, thus highlighting the important role of evaluation in the education sector. Effective and comprehensive evaluation is conducted on an ongoing basis, providing educators with a comprehensive view of student learning achievement and progress. Each subject emphasizes the importance of ongoing assessment, which is aligned with broader educational goals and outcomes. This article serves as a literature review intended to explore the features of 21st century learning and their implications for assessment, specifically authentic assessment. Given globalization and rapid technological advancements, the educational paradigm has shifted from a teacher-centered approach to a student-centered approach. Learning in the 21st century prioritizes the enhancement of critical thinking, creativity, collaboration, and communication skills (often referred to as the 4Cs). Therefore, conventional assessment is considered inadequate to measure learning outcomes that are complex and contextual. This study explores various relevant scientific sources to formulate a comprehensive understanding of authentic assessment as an approach that is in line with the characteristics of 21st century learning. Authentic assessment emphasizes real, contextual processes and products, and provides meaningful learning experiences. The findings of this study recommend that teachers need to design assessments that are integrated with the learning process, encourage active student involvement, and assess abilities holistically. This study is expected to be a guide for education professionals in creating assessment methods that are in line with 21st century requirements.

This study aims to analyze the strategy of natural science laboratory management in improving the quality of practicums in senior high schools. This study uses a literature review approach by examining various academic sources related to laboratory management. The results of the analysis indicate that effective laboratory management includes five main strategies, namely management of equipment, materials, data, laboratory personnel training, and cost budgeting. The success of implementing this strategy depends on the implementation of supporting factors such as work safety, infrastructure quality, personnel capabilities and excellent data management systems. However, there are still many obstacles, including limited facilities and infrastructure, lack of professionals, inadequate budgets, and optimal planning and implementation of practices. Comprehensive improvements in laboratory management are expected to enable learning science to be implemented in a more optimal and sustainable manner.

Continuity of care in midwifery is a series of continuous and comprehensive service activities ranging from pregnancy, childbirth, postpartum, newborn services and family planning services that connect women's health needs, especially and the personal circumstances of each individual. Comprehensive care is an examination that is carried out in complete with simple laboratory examinations and counseling. Comprehensive midwifery care includes places for continuous examination activities, including pregnancy midwifery care, childbirth midwifery care, postpartum midwifery care and newborn midwifery care and birth control acceptors. Pregnancy care prioritizes continuity of care is very important for women to get services from the same professional or from a small team of professionals, because that way the development of their condition will be monitored at all times and they will also become trusting and open because they feel that they already know the caregiver. The type of research used is descriptive, with a case study (Case Study), the sample used is Mrs. AS. After taking care of her, she has provided comprehensive obstetric care starting from pregnant women, childbirth, postpartum, babies and the results are normal pregnancy, normal childbirth, normal babies, and up to family planning. There is no gap between theory and case in the Comprehensive Midwifery Care for Mrs. AS and By.Mrs. AS in Kandangan Village.

The enactment of Law No. 17 of 2023 on Health marks a significant reform in Indonesia's health legal system, revoking and replacing several previous laws, including Law No. 38 of 2014 on Nursing. This decision carries various implications for nursing practice, particularly concerning professional authority, competency standards, and legal protection for nurses in performing their duties. This study employs a qualitative approach through literature review methods involving legal documents, scientific journals, and expert opinions to analyze the regulatory impact of Law No. 17 of 2023 on the nursing profession. The findings indicate that the new law integrates the role of nurses into a more unified national health service system while formally recognizing the autonomy of nurses as professional healthcare providers. Nevertheless, the repeal of the Nursing Law is considered to create normative gaps, particularly in the technical regulation of nursing practices, ethical codes, and professional sanction mechanisms. This condition highlights the urgency for implementing regulations (government regulations or ministerial decrees) that can adequately accommodate the needs and legal protection of the nursing profession. Therefore, it is essential for stakeholders, including professional organizations and nursing education institutions, to actively engage in responding to these regulatory dynamics. This study is expected to contribute academically to the discourse on the development of health law that is more inclusive of all health professionals, particularly nurses.

Healthcare professionals are vulnerable to professional burnout and decreased motivation. In addition to these two things, life satisfaction is also an important aspect that needs attention. An important factor that influences professional burnout, employee motivation and life satisfaction is organizational culture. Organizational culture as a value system believed by all members of the organization, which is learned, applied and developed continuously, functions as an adhesive system, and can be used as a reference for behavior in the organization to achieve organizational goals that have been implemented. This study aims to analyze the effect of Organizational Culture on Life Satisfaction through professional burnout, and employee motivation as intervening variables in XXX Hospital. This research method is quantitative explanatory research. The sample in this study were health professionals of XXX Hospital totaling 74 respondents. Data collection using questionnaires and analysis techniques using SEM-PLS through the SmartPls application.The results showed that Organizational Culture directly and indirectly affects life satisfaction through professional burnout, and employee motivation as an intervening variable in health professionals at XXX Hospital. These results in theoretical implications support the theory and previous research. Managerially, it is expected to provide input for XXX Hospital management to strengthen organizational culture. These efforts can help reduce the level of professional burnout, increase employee motivation and ultimately increase the life satisfaction of health professionals. There is an influence of organizational culture on professional burnout, employee motivation and life satisfaction in healthcare professionals at XXX Hospital.

This study examines PERHUMAS's strategies in managing its reputation as a leading organization in public relations, amidst the dynamics brought by the emergence of the IPRA and PR Indonesia. Using a descriptive qualitative approach, the research relies on in-depth interviews and observations involving relevant informants. In the identification and planning phase, PERHUMAS utilizes social media, media monitoring, and media listening while collaborating with other parties. Their strategies are based on the organization's vision, mission, values, and code of ethics. Daily activities include routine monitoring, while long-term efforts position PERHUMAS as a benchmark for public relations practices and an educator for PR professionals. The action and communication phase involves programs such as national and international forums, accreditation, competency development, and positive image-building campaigns. PERHUMAS prioritizes transparent, structured, and sustainable communication. In the evaluation phase, the focus is on impact and feedback using the AMEC Integrated Evaluation Framework and Customer Satisfaction Index surveys. These results assist in measuring success and refining reputation management strategies.

Baby blues syndrome is a common condition experienced by mothers after childbirth and can negatively impact both the mother and her baby. Several contributing factors include lack of mental preparedness due to young maternal age and limited parenting experience, as well as the number of children a mother has. This study aimed to identify the factors associated with the occurrence of baby blues syndrome at the Teling Community Health Center in Manado. This was an observational analytic study using a cross-sectional design. The sampling technique applied was simple random sampling with a total of 59 respondents. Data collection was conducted using the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. Data were analyzed using the SPSS program and the Chi-Square test at a significance level of α = 0.05. The results revealed a significant relationship between maternal age and the occurrence of baby blues syndrome (P-value = 0.000 < α 0.05), as well as between parity and baby blues syndrome (P-value = 0.008 < α 0.05). In conclusion, maternal age and parity are significantly correlated with the occurrence of baby blues syndrome at the Teling Health Center. It is recommended that nurses, as healthcare providers, address not only the physical needs of postpartum mothers but also their psychological well-being. Early identification of emotional disturbances and collaboration with other healthcare professionals in providing counseling and promoting bonding between mother and baby during the postpartum period are essential to ensure optimal maternal mental health and healthy infant development

Background: Low Birth Weight Infants (LBW), defined as babies born weighing less than 2,500 grams, are one of the leading causes of neonatal mortality in Indonesia. The lack of postpartum mothers’ knowledge about LBW care contributes to the low survival rate of these infants. WHO data (2022) shows that 15% of babies worldwide are born with LBW, while in Indonesia, the figure reaches 7.1% (Ministry of Health RI, 2023). Objective: This activity aims to enhance postpartum mothers' capacity in caring for LBW infants through structured and practice-based health education. Methods: The community service was conducted on May 7, 2025, at RSUD Padjonga Dg Ngalle, Takalar. The method included a pre-test, delivery of educational material, practical sessions, and a post-test. Thirty postpartum mothers participated under the guidance of lecturers and health professionals. Evaluation focused on participants' knowledge, practical skills, and behavioral changes.Results: The results showed a significant increase in participants’ knowledge (from 26.7% to 83.3% answering more than 80% of the post-test questions correctly). Around 90% of participants were able to correctly perform kangaroo mother care techniques. Moreover, 85% of participants reported increased confidence in caring for their LBW babies at home after the session. Conclusion: This health education activity was effective in improving the knowledge, skills, and confidence of postpartum mothers in caring for LBW infants. The program supports efforts to reduce neonatal mortality and empowers mothers as the primary caregivers in home-based neonatal care.

Pain is one of the main problems often experienced by patients during treatment in hospitals, including in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. High levels of pain can affect comfort, quality of rest, and slow the patient's healing process. Various non-pharmacological interventions have been developed to help reduce pain, one of which is music therapy, which works through distraction and relaxation mechanisms. This study aims to analyze the effectiveness of music therapy in reducing pain levels in patients in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. The research method used a quasi-experimental design with a pretest-posttest approach without a control group. The study sample consisted of 47 patients who met the inclusion criteria and were selected using a purposive sampling technique. The research instrument used a Numerical Rating Scale (NRS) to measure the patient's pain levels before and after the intervention. The music therapy process was carried out by playing relaxation music for a certain period according to the research procedure. Data analysis was carried out using a paired t-test to determine the difference in pain levels before and after music therapy. The results showed an average decrease in pain levels of 1.79 with a standard deviation of 1.05. The t-test results yielded a t-value of 9.017 with a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that music therapy is effective in reducing pain perception in hospitalized patients. In conclusion, music therapy can be used as an alternative non-pharmacological intervention that is easily implemented by healthcare professionals to improve patient comfort and quality of care in hospitals.  

Indonesia’s high disaster risk needs health professionals equipped with strong interprofessional collaboration skills in disaster management. Interprofessional Education (IPE) through disaster response simulations is a strategic approach to enhance collaborative competencies among health sciences students. This study aims to explore health sciences students’ perceptions of IPE implementation during disaster response simulations at Syiah Kuala University and its impact on developing collaborative competencies. A qualitative descriptive design was employed. Participants included students from medical, nursing, psychology and dentistry study programs who participated in the disaster response simulation. Data were collected using in-depth interviews, and observation before, during and after the simulation. Findings revealed positive perceptions toward IPE implementation through simulation, which effectively improved understanding of professional roles, communication skills, team coordination, and disaster preparedness. Key facilitators included realistic scenarios, experienced facilitators, and reflective debriefing sessions. Challenges identified were differences in professional backgrounds, confusion in simulation role and limited simulation time. In conclusion, practical integration via disaster response simulation significantly enhances collaborative competencies among health sciences students.

Blood pressure is a crucial factor in the circulatory system of the human body. It refers to the amount of force exerted by the blood on the inner walls of the arteries when it is pumped throughout the circulatory system. Blood pressure can be measured using a device known as a digital sphygmomanometer, which determines systolic pressure, diastolic pressure, and beats per minute (BPM) of the human heart. As technology evolves, the digital sphygmomanometer has been enhanced with features such as the Internet of Things (IoT). IoT in healthcare refers to the use of information technology to enable remote health monitoring by healthcare professionals. A digital sphygmomanometer equipped with IoT facilitates the exchange of diagnostic information, treatment decisions, and prevention of diseases and injuries. This IoT-based digital sphygmomanometer is designed using the ESP32 microcontroller. A DC motor is used to apply pressure to the cuff, and a solenoid valve is used to release air from the cuff. The MPX5700AP sensor detects systolic and diastolic blood pressure, as well as BPM. The system also includes a motor driver to control the DC motor and solenoid, a Nextion LCD display to show blood pressure results, and a web server to display and store measurement data. The percentage of measurement error for systolic pressure ranges from the smallest error of 3% to the highest error of 25%. For diastolic pressure, the error ranges from 4% to 36%. As for BPM, the smallest error recorded is 13.6%, and the highest is 70.2%. This device helps patients monitor their systolic pressure, diastolic pressure, and BPM, with results saved and monitored through a database system.

The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

This study addresses the development of Uno card-based learning media to support vocabulary acquisition among eighth-grade students. It focuses on two main issues: the effectiveness of the media in enhancing vocabulary comprehension and the challenges encountered during its development, particularly in relation to learning motivation. The primary goal is to evaluate the extent to which this media aids vocabulary learning and to identify any obstacles in the development process. The research follows the ADDIE model—Analysis, Design, Development, Implementation, and Evaluation. To ensure the validity of the learning media, expert validation was conducted by media, content, and educational professionals. Additionally, student questionnaires were distributed to assess the media’s effectiveness. The validation results showed that the content expert gave a score of 83%, the media expert 81%, and student responses reached 88%, indicating strong acceptance and usability. The effectiveness of the media was further supported by the pre-test and post-test results, with a Normalized Gain score of 61.01%, categorized as "effective." These findings suggest that Uno card-based media is both a valid and effective tool for vocabulary instruction in Arabic language learning at the junior high school level.

Based on various studies and studies, the LGBT phenomenon in Indonesia, especially in the Pekanbaru area, is still often viewed negatively because it is considered contrary to local social and cultural norms. Several factors that influence the emergence of LGBT sexual orientation include childhood experiences, the influence of the social environment, and conditions within the family. Psychological interventions such as group counseling with the Rational Emotive Behavior Therapy (REBT) approach combined with religious values, such as in Islamic counseling, have proven effective in reducing inner conflict, increasing the ability to manage emotions, and encouraging acceptance and self-confidence of LGBT individuals. This approach also helps replace irrational thought patterns and strengthens emotional resilience, although cultural and social challenges are still major obstacles. On the other hand, the importance of multicultural competence for professionals is also highly emphasized in dealing with issues related to LGBT and their emotional health. Education about sexuality and increasing public understanding of diversity are considered important to reduce stigma and discrimination against the LGBT community. Overall, the results of this study indicate the need for an appropriate psychological approach and educational efforts to create social acceptance and improve the welfare of LGBT individuals.    

The metaverse is emerging as a digital ecosystem that is transforming the way people interact, work and do business. However, its rapid growth poses challenges to environmental, economic and social sustainability. This research explores the interplay between linguistics, environmental economics and human resource management (HRM) in supporting sustainability in the metaverse. Using a mixed-methods approach, this research analyses: (1) the role of linguistic strategies in shaping sustainability discourse in virtual environments, (2) the economic impact of green initiatives in metaverse-based ecosystems, and (3) the contribution of HRM in implementing sustainable work practices in the digital world. The results show that strategic ecological communication, economic incentives for virtual carbon neutrality and green HR policies play an important role in achieving sustainability in the metaverse. This study provides insights for policy makers, companies and HR professionals to use the metaverse as an environmentally and socially sustainable space.

AI has been widely used in various nations, especially in the economy, healthcare, and law. However, its current state is limited to weak AI, lacking full awareness and control. Some countries use AI to assist legal professionals in analyzing legal documents and in helping judges with research during court proceedings. Thus, exploring AI's role and regulation in making civil case decisions within Indonesian law is crucial. This study relies on secondary data and normative legal methods. Findings suggest weak AI is promising for crafting judgments in Indonesian civil cases due to its focus on formal truth. Implementing regulations, possibly Supreme Court Regulations (PERMA), is necessary for the possible use of AI in Indonesia's court proceedings. These rules should define, classify, and limit AI, ensuring legal reliability in its application.

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by elevated blood glucose levels due to insulin resistance or impaired insulin secretion. Optimal dietary management plays a crucial role in maintaining blood glucose stability. This study analyzes an optimal control model of dietary patterns in the treatment of T2DM using the Runge-Kutta 4th Order (RK4) method. Simulation results show that optimal regulation of calorie intake and glycemic index significantly helps maintain blood glucose levels within the normal range. This study is expected to serve as a reference for medical professionals and nutritionists in designing diet strategies based on mathematical models to enhance the effectiveness of T2DM treatment.

This study aims to examine the role of gratitude in enhancing the psychological well-being of healthcare workers during times of crisis, particularly within the context of the COVID-19 pandemic. Using a qualitative approach through literature review and thematic analysis, the study finds that gratitude positively contributes to aspects of psychological well-being such as self-acceptance, life purpose, personal growth, and positive relationships with others. Gratitude also functions as an adaptive coping mechanism that strengthens the mental resilience of healthcare workers in facing work-related stress and high emotional risks. These findings highlight the importance of gratitude-based psychological interventions to support the mental health of healthcare professionals during crises.