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Early complementary feeding is associated with digestive disorders in infants, including constipation. This literature review aims to explore the relationship between the timing of complementary food (MP-ASI) introduction and the incidence of constipation in infants aged 6–12 months. Using a qualitative descriptive method, the review includes 9 research articles published between 2013 and 2023 from databases such as Google Scholar, PubMed, and ScienceDirect. The findings show that early MP-ASI (before 6 months of age) significantly increases the risk of constipation due to the immaturity of the infant's gastrointestinal system and low dietary fiber intake. Most studies highlight the physiological limitations of the infant's digestive system under six months and the importance of appropriate food timing and content. The implication of this review supports WHO and national health guidelines recommending complementary feeding initiation at 6 months of age. It also emphasizes the need for health education at the community level to prevent functional constipation in early life through correct feeding practices.

Sugar level disease or commonly called diabetes mellitus is a degenerative disease that rarely heals, often affecting health so that the quality of life can decrease. The purpose of writing this study is to find out what demographic relationship factors have an impact on the Quality of Life of Patients with Sugar Mellitus Disease or also known as Diabetes Mellitus at Hospital X. This quantitative research uses a research design on the cross sectional method. The research sample totaling 47 respondents was selected through total sampling techniques. Data was collected through the WHOQol-Bref survey instrument. The data analysis in this study applied the kendal test and the Chi-Square  test to test the relationship between the variables studied. After the research was carried out, a result was obtained that showed demographic factors, namely the age factor to the quality of life had a relationship and as seen from the kendal test with a value of Sig. 0.003 which was below 0.05), other demographic factors there were gender factors that had a relationship with quality of life which was shown through the chi-square test where  the Continuity Correction value sig = 0.022 < 0.05), In addition to demographic factors of age and gender, there are also demographic factors that have a relationship with quality of life, namely the work factor shown in the Chi-square  Test with a value of Continuity Correction sig = 0.008 < 0.05), and there are demographic factors, namely education factors and marital status factors that are not related to the quality of life of people with sugar level disease or diabetes mellitus. For the education factor shown in the kendal test where the sig value = 0.871 > 0.05), and marital status is shown in the Chi-square test based on the Pearson Chi-Square Sig value = 0.594 > 0.05), there are also demographic factors that have a relationship with quality of life, namely the long-suffering factor shown by the Chisquare test with the Pearson Chi-Square Sig value = 0.014 < 0.05). To break the chain of diabetes mellitus, actions are carried out for health workers to be able to anticipate, including periodic socialization to the community about the dangers of diabetes mellitus so that it can help people improve their quality of life by maintaining a healthy diet.

Iron-deficiency anemia during pregnancy remains a major public health concern in developing countries. This study aims to evaluate the effectiveness of iron and folic acid supplementation, known as iron tablets, in reducing the risk of anemia among pregnant women. A descriptive qualitative literature review method was employed by analyzing nine eligible studies published between 2013 and 2023. Articles were selected from databases including Google Scholar, PubMed, and ScienceDirect using specific keywords. The findings suggest that regular consumption of iron tablets, particularly starting in the second trimester and meeting the minimum recommended dose of 90 tablets, is effective in improving hemoglobin levels and lowering anemia prevalence. However, compliance remains a significant challenge, influenced by side effects, maternal knowledge, and social support. The review highlights the need for behavior-based interventions and family involvement to enhance adherence. The implication of this review supports the integration of targeted health education and follow-up strategies within antenatal care services to reduce anemia-related risks in pregnancy.

Childbirth is a natural physiological process, but it is often accompanied by intense pain, especially during the first stage, the cervical dilation phase. This pain arises from uterine contractions, cervical dilation, and fetal pressure on the pelvic structures. For primiparous mothers, this experience of childbirth is a first-time experience that can cause anxiety, tension, and even trauma if not managed properly. The research design used in this study was a quasi-experimental study with a two-group pretest-posttest. The sample size in this study was 38 participants: 19 in the intervention group and 19 in the control group, using a simple random sampling technique. The data analysis used was the t-dependent and t-independent tests. The results of the study obtained the characteristics of the intervention group respondents, most of the respondents were aged 30-35 years as many as 8 people (40.1%), parity of 2 children as many as 8 people (38.5%), and education level was high school as many as 14 people (73.7%). While in the control group most of the respondents were aged 30-35 years as many as 7 people (32.8%), parity of 2 children) as many as 9 people (40.5%), and education level was high school as many as 18 people (94.7%). The intensity of pain in the intervention group before effleurage massage was an average of 6.26 and after an average of 5.74 while in the control group before massage was an average of 6.97 and after an average of 5.83. The results of the dependent t-test of pain intensity before and after effleurage massage in the intervention group obtained a P value of 0.000 and in the control group before and after massage obtained a P value of 0.006. The results of the independent t-test can be concluded that there is a significant difference after the effleurage massage method was carried out in the intervention group, namely a P value of 0.001. From the results of this study, it is known that there is an effect of the effleurage massage method on reducing the intensity of labor pain in the active phase of the first stage of labor in mothers inpartu. Therefore, it is recommended that midwives apply the effleurage massage method as an intervention to reduce pain in the care of mothers in normal labor.   Keywords: ,   

Formalin is a 37% formaldehyde solution in water, commonly misused as a food preservative despite its toxicity and prohibition in food products. This study aimed to determine the presence and levels of formalin in wet noodles sold at Peunayong Market, Banda Aceh, using visible spectrophotometry. A descriptive design was applied to three randomly selected samples. Qualitative tests using multiple reagents (Schiff, Schryver, KMnO₄, and a test kit) showed negative results for formalin presence. However, quantitative analysis with Spectroquant Prove 300 revealed that all samples contained formalin levels exceeding the acceptable standard. The concentrations ranged from 0.7433 mg/L to 0.8766 mg/L, indicating that the products are unsafe for consumption. These findings underline the need for stricter monitoring and improved food safety awareness among producers and consumers in traditional markets.

Advances in science and technology have significantly improved and facilitated the work of health professionals. One example is the transition from manual medical records to Electronic Medical Records (EMDR). At Mitra Sejati Hospital, the implementation of EMR still uses manual and electronic methods, so it is not in accordance with the Minister of Health Regulation Number 24 in 2022. This study aims to analyze the implementation of EMR in the mitra sejati hospital on the regulation. The research method used is descriptive qualitative, with observations made using checklist sheets to evaluate the SIMRS application. The research subjects included doctors, nurses, radiology, IT officers, and medical record officers, each represented by one participant. The results of the study showed that the implementation of EMR at Mitra Sejati Hospital was in accordance with the Minister of Health Regulation Number 24 in 2022 about filling in clinical information, inputting financing claim data, and storing EMR. However, the implementation of patient registration, EMR data distribution, information processing, quality assurance, and transfer of EMR contents were not fully in accordance. This discrepancy indicates that the implementation of EMR in the hospital was not fully in accordance with the regulations. To address this gap, special efforts are needed to improve technical systems and staff training, so that it can ensure full compliance with regulations and optimize the function of the EMR.

Hospital Information Sistems (HIS) integrating Decision Support Sistem (DSS) modules have been proposed to enhance operational efficiency and clinical decision-making in hospital settings. This study conducted a systematic literature review of 80 empirical articles published between January 2020 and May 2025, following PRISMA guidelines, to examine how DSS integration within HIS supports managerial and clinical decisions. Findings indicate that DSS integration improves patient registration speed by an average of 25, reduces medication errors by up to 15, and facilitates resource allocation and performance monitoring via analytic dashboards. Organizational resistance and inadequate IT infrastructure remain significant barriers. These results underscore the importance of designing user-friendly dashboards, implementing transparent inference engines, and adopting comprehensive change management strategies. The study extends the Technology Acceptance Model with a perceived risk construct and offers practical recommendations for developers and hospital managers aiming to optimize HIS–DSS implementation.

Introduction Maternal Mortality Rate (MMR) is one of the indicators to determine the quality of maternal health services in Indonesia. Obstetric complications greatly affect MMR, including long first stage of labor. Moxa therapy is a traditional therapy that uses mugwort plants (artemisia vulgaris) to provide warmth to acupuncture points in the body. The goal is to stimulate energy circulation (QI) and blood. Method This study aims to determine the differences before and after intervention related to the duration of labor of inpartu mothers after giving mugwort moxa. This study is a pre-experimental study with a one group pretest-posttest study design conducted on inpartu mothers in the first stage. Results The calculated value obtained from the calculation using the T-test was 0.015, so the calculated t value <0.05 (0.15 <0.05) so it can be said that moxa therapy affects the duration of the first stage of labor. The conclusion of this study is that there is a significant relationship between mugwort moxa therapy and the duration of labor of inpartu mothers in the first stage of labor at the Malang Regional Health Facility. Mugwort moxa therapy tends to shorten the duration of the first stage of labor.

Hemolitic anemia is a condition of anemia caused a shortened lifespan of eritrocytes due to an increase in a rate of eritrocytes destruction higer than eritrocytes production in the bone marrow. Congenital Citomegalovirus Infection (CMV) is one of the most common viral infections that causes congenital infections. CMV is transmitted by contact with an individual who carries CMV infection. Approximatelly 90% of congenitally infected infants develop symptoms at birth. Jaundice, petechiae, and hepatosplenomegaly are the three most common sequences in infants. Congenital CMV infection can be diagnosed by isolating the virus by urine and saliva within first three weeks of life. Case Description A 24-day-old baby comes with jaundice all the body since the age of 14 days. Innitially Indah Afriwanty Simatupang, Ricke Loesnihari. Congenital Citomegalovirus Infection., light carried out at hospital but there was no change, the the patient was referred to Adam Malik Hospital. From the examination it was found thrombocytopenia, metabolic acidosis, increased SGOT and SGPT, increased total bilirubin and direct bilirubin, decreased procalcitonin, positive anti CMV IgG, and positive IgG CMV (Avidity). CONCLUSION Based on the history of physical and laboratory examination, its supports the diagnosis of Congenital Cytomegalovirus Infectios.

Pregnancy is divided into three stages: the first trimester, second trimester, and third trimester. During pregnancy, the body undergoes various changes that can cause discomfort. Common discomforts experienced by pregnant women include varicose veins, back pain, muscle and joint aches, and lower back pain. These discomforts can be alleviated through pregnancy exercise (prenatal yoga or maternity gymnastics). The purpose of this study was to examine the relationship between pregnant women’s knowledge about the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center. The research design used was descriptive quantitative. The population consisted of 35 pregnant women in May 2025, with a total sampling technique. Data were collected using a questionnaire and analyzed using univariate analysis. The results showed that 36 respondents (50.0%) had moderate knowledge, 25 respondents (34.7%) had poor knowledge, and 11 respondents (15.3%) had good knowledge about pregnancy exercise. Overall, most pregnant women had a moderate level of knowledge. Based on the Spearman Rank statistical test with a 95% confidence level, the P-value was 0.000 (< 0.05), indicating a statistically significant relationship. The conclusion of this study is that there is a relationship between pregnant women's knowledge of the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center.

Exclusive breastfeeding plays a crucial role in reducing neonatal mortality rates, preventing growth disorders, and enhancing immunological resilience. However, adherence to exclusive breastfeeding practices remains below the targeted level. This study aims to analyze the relationship between maternal characteristics, knowledge, and family support with the success of exclusive breastfeeding in infants. A cross-sectional design was used, conducted at the UPTD Sawang Health Center, South Aceh Regency, during February–March 2025. The population consisted of all mothers with infants aged 7–12 months visiting the health center, totaling 120 individuals. A sample of 97 respondents was selected using purposive sampling. Data were collected through a structured questionnaire, followed by data processing that included response completeness checks, variable coding, and data entry. Data analysis comprised univariate analysis to present the frequency distribution of maternal characteristics and knowledge, and bivariate analysis using the Chi-Square (χ²) test with a significance level of α=0.05 to test the hypotheses. The results showed that maternal employment was significantly associated with the success of exclusive breastfeeding (p < 0.001), whereas maternal education (p = 0.566), income (p = 0.915), maternal knowledge (p = 0.351), and family support (p = 0.252) were not significantly related. In conclusion, maternal employment has a significant relationship with exclusive breastfeeding success

Composite materials are produced by combining two or more different materials, to achieve mechanical properties superior to those of the individual components. One example of a natural fiber-based composite is the composite made from the skin fiber of the lantung wood (Artocarpus elasticus). This study aims to analyze the effect of alkali immerse durations (60 minutes, 90 minutes, and 120 minutes) and fiber weight fractions (5%, 10%, and 15%) on the impact strength of the composite, using lantung wood bark fibers as the control due to their inherent mechanical strength. The experiment was conducted by varying the independent variables, such as alkali immerse duration and fiber weight fraction, and dependent variables including fiber orientation and NaOH concentration (horizontal orientation, 10%). The research method used in this research is design of experimental (DOE) method. Impact testing was performed using a Charpy impact tester, and the resulting data were analyzed quantitatively to evaluate the relationships among the variables. Although the benefits of natural fibers are well-known, there is still a lack of empirical data regarding the effects of alkali immerse duration and fiber weight fraction on the impact strength of the composites. The study purpose is to fill this gap by systematically analyzing the effects of alkali immerse duration and fiber weight fraction on the mechanical performance of lantung wood bark fiber-based composites. The research result show that a 120-minute immerse duration yields an impact value of 0.029 J/mm², while a 10% fiber weight fraction results in an impact value of 0.033 J/mm². The research contributes to the optimization of fabrication parameters, particularly in the automotive sector, such as in the production of lightweight components like rear wheel mudguard for motorcycles.

Non-Communicable Diseases (NCDs) are the leading cause of death globally. The Posbindu PTM program serves as an initiative for early detection and prevention of NCDs through community empowerment. This study aims to analyze the factors influencing the utilization of the Posbindu PTM program in the working area of Palibelo Health Center, Bima Regency. This quantitative research used a cross-sectional approach, involving 100 purposively selected respondents. Data were analyzed using the chi-square test. The results showed that education level and knowledge significantly affected the utilization of Posbindu services (p < 0.05). Respondents with higher education and better knowledge were more likely to use Posbindu services actively. However, lack of information and inadequate socialization were identified as major barriers to optimal utilization. Strengthening public health education and promotion is essential to enhance community participation in the Posbindu PTM program.

This study aims to examine the perspectives of students from the Islamic Family Law (HKI) Study Program regarding Ministerial Regulation of Education, Culture, Research, and Technology (Permendikbudristek) No. 30 of 2021 concerning the Prevention and Handling of Sexual Violence in Higher Education Institutions. Particular focus is given to Article 5 paragraph 2, which contains the phrase “without the victim’s consent,” a clause that has sparked considerable public debate. This qualitative field research was conducted at the Faculty of Sharia, UIN Sjech M. Djamil Djambek Bukittinggi, involving 17 final-semester students selected using a snowball sampling technique. Data were collected through in-depth interviews and documentation, then analyzed using thematic analysis. The findings indicate that most students had limited understanding of the regulation due to the lack of socialization and outreach within the university. Moreover, the majority expressed concern over the phrase “without the victim’s consent,” which they viewed as ambiguous and potentially legitimizing consensual sexual relations outside of marriage—a practice prohibited in Islamic law. While the students supported the need for legal protection against sexual violence, they called for the revision of the regulation to align more closely with the principles of fiqh and Islamic jurisprudence. Thus, the effective implementation of this policy within Islamic higher education institutions requires the harmonization of state law and Islamic values.

This thesis discusses efforts to increase students’ interest in learning Mathematics through the use of concrete media among third-grade students at SDN 110/1 Tenam. The purpose of the study is to improve students’ interest in learning Mathematics by using concrete media with these third-grade students. The results of the study show an increase in learning activities that indicate student interest during Cycle I and Cycle II. In Cycle I, all student learning activities were still at percentages below 70%, with ratings categorized as poor and adequate. Meanwhile, in Cycle II, the increase in student learning activities was shown by all activities reaching percentages above 74%, which means they exceeded the predetermined Learning Objectives Achievement Criteria (KKTP) and were rated good and very good. In addition, improved learning outcomes, as evidence of increased student interest, also showed a significant rise. In Cycle I, students’ learning outcomes did not meet the Learning Objectives Achievement Criteria (KKTP), with a class average of 68.9%, whereas in Cycle II, overall class mastery reached 82.3%. This improvement in learning outcomes indicates that students showed fairly good interest when learning with concrete media.

Abstrak. Osteoporosis is a degenerative bone disease characterized by a decrease in bone mass and strength, particularly in postmenopausal women. Traditional plant-based therapy presents an attractive alternative given the rich local bioactive potential and limited access to pharmacological treatments. One important biochemical indicator in bone regeneration is the level of alkaline phosphatase (ALP). The aim of this study is to evaluate the potential of various Indonesian traditional medicinal plants as bioactive agents in the prevention of osteoporosis, with an emphasis on increasing ALP levels. This method employed a literature search by collecting several scientific articles discussing the anti-osteoporosis activity of traditional medicinal plants through in vitro, in vivo, and clinical observation studies. The results obtained show that traditional medicinal plants such as Turmeric (Curcuma longa), Black pepper (Piper nigrum), Bromelain (Ananas comosus), Papaya (Carica papaya), Japanese knotweed (Reynoutria japonica Houtt.), Veratrum nigrum, Sickle senna (Cassia tora), Red ginger (Zingiber officinale var. rubrum), Clove (Syzygium aromaticum L.), White turmeric (Curcuma zeadoaria), and Celery (Apium graveolens) are capable of reducing the number of osteoclasts and promoting bone formation. These findings consistently demonstrate a positive role in bone health through increased ALP levels. Indonesian traditional medicinal plants hold great potential as evidence-based anti-osteoporosis agents, particularly through enhancing ALP levels and osteoblast activity. This literature review supports the development of local herbal therapy as a promotive and preventive alternative against osteoporosis.

This study rigorously investigates the Ulul Albab spiritual leadership construct and its impact on psychological well-being among campus da'wah activists, employing a Confirmatory Factor Analysis (CFA) approach grounded in both theoretical integration and empirical data. The inquiry draws upon a meta-analysis of 47 quantitative studies encompassing a total of 12,847 respondents from leading universities in Indonesia, Malaysia, and Brunei Darussalam, spanning the years 2018 to 2024. This methodological scope enhances the external validity of the findings. The CFA results confirm that the Ulul Albab spiritual leadership model exhibits a robust level of model fit, as indicated by optimal statistical indices (χ²/df = 2.34; CFI = 0.956; TLI = 0.943; RMSEA = 0.047; SRMR = 0.039), suggesting strong coherence between the theoretical construct and field data. The three core dimensions conceptualized in this model are statistically validated through high factor loadings: intellectual spirituality (0.847), Islamic transformational leadership (0.823), and emotional-spiritual intelligence (0.791), each serving as integral pillars of the Ulul Albab paradigm. Furthermore, structural regression analysis reveals a significant effect of Ulul Albab spiritual leadership on the psychological well-being of da'wah activists (β = 0.673; p < 0.001; R² = 0.453), thereby affirming the model's predictive strength in fostering individual potential rooted in Islamic spiritual values. These findings reinforce the theoretical propositions advanced by Garden, M. (2004), Fry (2003), and Zohar and Marshall (2000) regarding the significance of spiritual leadership within organizational dynamics. However, this study offers a novel conceptual contribution through the epistemological synthesis of the Ulul Albab construct, integrating intellectual and spiritual intelligence within a holistic Islamic framework. Unlike Western-based models of spiritual leadership proposed by Fry and Nisiewicz (2020), the Ulul Albab construct demonstrates a notable advantage in the dimension of intellectual spirituality, as evidenced by its higher factor loading (0.847 compared to 0.634), underscoring the imperative of balancing dzikir and fikir as both ethical and cognitive foundations in contemporary Islamic leadership.

The patient, MA, a 2-year-4-month-old boy, was brought by his mother to Simpang Keuramat Primary Health Center with complaints of itchy scalp for the past 4 months. On the itchy area, white scales were observed. Initially, it was only itching, but two weeks later, the parents noticed white patches on the scalp that became thicker and more scaly. The itching was intermittent and worsened with sweating. At first, only a few hairs were broken, but over time it progressed into a round area of hair loss with well-defined borders. The patient bathes twice daily and shampoos every other day. Towels, pillows, and combs used by the patient were not shared with other family members. According to the patient's parents, the child often plays with stray cats around the house. Primary data were obtained through allo-anamnesis, physical examination, home visits, completion of the family folder, and patient records. Assessment was conducted based on the initial holistic diagnosis, process, and outcome of the visits, both quantitatively and qualitatively. Interventions included educating the patient about the causes of tinea capitis, emphasizing the importance of skin hygiene, and explaining that the disease is highly contagious. Therefore, patients were advised to avoid sharing clothing and towels with family members as a preventive measure against transmission.

Nutritional problems among elementary school-aged children remain a critical public health issue in Indonesia. A lack of family understanding regarding the importance of balanced nutrition is one of the key contributing factors to the high rates of stunting and malnutrition. This community service activity aims to improve family awareness of children's nutrition through an educational approach tailored to the families’ social, economic, and cultural characteristics. The program was conducted at SD Inpres Laikang, involving 60 families. The methods included identification of family characteristics, focus group discussions (FGDs), interactive lectures, and pre-and post-test evaluations. The results showed an improvement in nutritional understanding among 87% of participants, along with healthier dietary behavior changes at home. This approach adapts the principles of the Harvard Public Health Nutrition Model, which views the family as a systemic unit in shaping children's eating habits. Education based on family characteristics has proven effective and relevant in supporting sustainable nutrition literacy improvement.

This study examines the application of material criminal law and the judge's legal considerations in two corruption cases: Central Jakarta District Court Decisions No. 3/Pid.Sus-TPK/2025/PN Jkt.Pst. and No. 21/Pid.Sus-TPK/2025/PN Jkt.Pst. Conducted within the jurisdiction of the Supreme Court of the Republic of Indonesia, the research uses literature review methods, including laws, court decisions, and related legal literature. The study adopts a descriptive approach to analyze and present findings. Results indicate differing views between the public prosecutor and the panel of judges. The Public Prosecutor believes the defendant is proven guilty under Article 2(1) of Law No. 31/1999 on the Eradication of Corruption (amended by Law No. 20/2001), in conjunction with Article 55(1) of the Criminal Code, Law No. 46/2009 on the Corruption Court, and Law No. 8/1981 on Criminal Procedure. However, a dissenting opinion emerged among the judges. One judge disagreed with the majority, arguing that Judex Facti incorrectly applied the law. The judge emphasized that in cases with alternative charges, the court must evaluate all charges collectively rather than selectively, as in subsidiary charges. Therefore, the judge believed that the charge meeting the legal elements revealed in court should be selected based on comprehensive evaluation. This dissent highlights the legal complexity and interpretive challenges in corruption trials under Indonesian law.