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A medical record is a file that contains document records regarding the patient's identity, examination, treatment, actions, and other services that have been provided to the patient. Pratama Clinic as a health service provider must have a competitive advantage and be competitive in terms of the quality of the health services provided. Pratama Halyna Clinic is located in Gajahan, Kebongembong, Kec. Pagerruyung, Kendal Regency, Central Java. In this clinic, there are several polyclinics, namely, general, Kia / birth control, elderly, childbirth, and circumcision. To carry out data recapitulation to find out the number of patients who visited and the polyclinics that were frequently visited, the operator carried out manual calculations, namely by opening the data in the form of paper regarding patient recaps for that month which was then carried out by manual counting. Based on these observations and observations, we, the staff, propose creating a patient data recording system.

The term Pancasila originates from the Sanskrit word "panca" meaning five and "sila" which generally means principles. Thus, the term Pancasila refers to five fundamental principles. This research methodology employs qualitative methods, which analyze and describe with an emphasis on process and meaning in order to understand various occurrences around us by the research subjects, such as behaviors, actions, and attitudes that interpret the meaning of the data, thus aiding in understanding social life. It is essential to maintain a balance between accepting the influence of foreign cultures and preserving the values of Pancasila as the cultural identity of Indonesia. Furthermore, instilling a sense of patriotism and nationalism in the younger generation is also crucial in addressing the negative impacts of foreign cultures. Pancasila serves as the foundation of the Indonesian state and also functions as a guiding principle for society, containing the most fundamental ideas and concepts about good living. The influx of foreign cultures that alter the lifestyle and habits of society poses a significant threat to Indonesian society

Life in the modern era is characterized by rapid lifestyle changes, including the 'skena' trend that becomes an integral part of student culture at the University of Jember. This research aims to analyze the lifestyle trend "skena" in the socio-cultural framework in the modern era, with a focus on Jember University students as a case study. A qualitative approach is used to collect and analyze data through in-depth interviews and participatory observations. The results show that the 'skena' trend reflects patterns of behavior, values, and norms that develop in student society. Social and cultural factors such as technology, globalization, identity, and self-expression play an important role in shaping and influencing these trends. This research provides an in-depth understanding of the phenomenon of "skena" and its implications for student culture at the University of Jember and provides a foundation for further research on lifestyle trends in the socio-cultural context.

Pancasila education plays a crucial role in shaping a strong and robust sense of citizenship identity. This article discusses the urgency and positive impact of implementing Pancasila education in the context of fostering citizenship identity in Indonesia. Through theoretical approaches and practical analyses, this article highlights the contribution of Pancasila education in imparting fundamental values such as justice, unity, and mutual cooperation to the younger generation. Pancasila education not only teaches knowledge about the basic concepts of the state but also fosters a sense of nationalism and love for the homeland. By strengthening citizenship identity, society becomes more aware of its rights and obligations as members of the nation, and is ready to actively participate in nation-building. This article also summarizes several effective strategies in implementing Pancasila education at various educational levels to enhance the understanding and awareness of citizenship among the younger generation.

. Pancasila education plays a very important role in efforts to achieve the national mission to shape the nation's personality amid the challenges of the current globalization era. The value of character towards Pancasila Education is increasingly fading, especially among the younger generation such as students and college students. The purpose of this study is to provide a clear picture in building the character of special students in the current era of globalization. The research method used is a literature study method sourced from journals, the next method is a qualitative method with data collection techniques through observation. The results of this study indicate that Pancasila education has an important role in building and developing the character of students so that later it will produce a young generation that is noble and critical. The impact of the phenomenon of globalization can actually cause the decline of the nation's identity, so it is increasingly important to include Pancasila education in the curriculum. This research contributes to raising awareness of the importance of Pancasila education as a means to strengthen and maintain national identity in the face of increasing globalization.

Healthcare services, conflicts often arise between doctors and patients, involving allegations of medical criminal actions. Health laws are designed to provide greater certainty in the administration of healthcare services and to offer protection for both the public and healthcare resources. This research adopts a normative juridical approach, employing qualitative descriptive methodology. Medical professionals may face criminal charges for engaging in illegal abortions, performing reconstructive and aesthetic plastic surgery with the intent to alter someone's identity, refusing healthcare services in emergency situations, committing negligence, and practicing Without a License (STR) and/or Practice Permit (SIP). Medical professionals are obliged to adhere to professional standards, service standards, and operational procedure standards, while upholding the values of professional ethics and exerting their best efforts (Inspanning Verbintenis). Dispute resolution should initially take place through restorative justice mechanisms, utilizing alternative methods outside the court.

The rapid evolution of smart cities, driven by the integration of technologies such as the Internet of Things (IoT) and blockchain, has brought about significant advancements in urban infrastructure and services. However, these developments also introduce new cybersecurity challenges. Introduction: Smart cities are increasingly vulnerable to cyber threats due to the extensive use of interconnected devices and systems. A key security concern is the management of digital identities, which is essential for maintaining the integrity and reliability of city services. Literature Review: Traditional centralized identity management systems face significant security issues, including a single point of failure, data breaches, and limited user control over personal information. In contrast, decentralized solutions, particularly blockchain-based systems, offer enhanced security through their distributed nature, eliminating vulnerabilities associated with centralized models. Materials and Method: This research focuses on blockchain technology’s application in smart city identity management. A decentralized framework is proposed, leveraging cryptographic techniques, consensus mechanisms, and smart contracts to ensure data security, integrity, and privacy. Results and Discussion: The implementation of blockchain for identity management significantly improves attack tolerance, data integrity, and transparency. The decentralized approach mitigates the risks associated with central authorities, ensuring that user data remains secure and verifiable. However, scalability, interoperability, and regulatory compliance challenges remain. Blockchain solutions must be optimized for large-scale smart city applications and aligned with legal standards to achieve widespread adoption. Future research should focus on overcoming these challenges to create a more secure and resilient smart city infrastructure.

The purpose of this study is to investigate how religious education influences the development of a person's character in their early adult years. A person's identity, moral independence, and life values are formed during the crucial developmental stage of early adulthood, which has a big influence on their future. This study examines the role that Christian Religious Education plays in promoting character development that embodies Christian values like love, honesty, responsibility, and integrity using a qualitative research approach based on a literature review. According to the findings, Christian Religious Education is crucial for raising people's moral consciousness, establishing spiritual principles, and assisting them in overcoming social obstacles. Christian Religious Education helps people develop a Christ-centered identity, improves their capacity for responsible decision-making, and promotes engagement in worthwhile social activities by teaching them God's Word. This study does, however, also point out a number of issues that could compromise the efficacy of character education, including the impact of digital media and social settings. According to the study's findings, Christian religious education plays a vital role in forming morally pure and motivated young adults. To foster an atmosphere that encourages character development, families, educational institutions, and society must work together. It is anticipated that the results will offer useful insights for creating more pertinent and successful Christian Religious Education initiatives.

Pancasila education plays a very important role in efforts to achieve the national mission to shape the nation's personality amid the challenges of the current globalization era. The value of character towards Pancasila Education is increasingly fading, especially among the younger generation such as students and college students. The purpose of this study is to provide a clear picture in building the character of special students in the current era of globalization. The research method used is a literature study method sourced from journals, the next method is a qualitative method with data collection techniques through observation. The results of this study indicate that Pancasila education has an important role in building and developing the character of students so that later it will produce a young generation that is noble and critical. The impact of the phenomenon of globalization can actually cause the decline of the nation's identity, so it is increasingly important to include Pancasila education in the curriculum. This research contributes to raising awareness of the importance of Pancasila education as a means to strengthen and maintain national identity in the face of increasing globalization.

The rapid development of smart city initiatives has significantly increased the adoption of Internet of Things (IoT) technologies to enhance urban services, infrastructure efficiency, and quality of life. However, the large-scale deployment of interconnected IoT devices also introduces critical cybersecurity challenges, including unauthorized access, data breaches, and system vulnerabilities. This study aims to develop an integrated IoT security management model to improve cybersecurity resilience in smart city environments. The research adopts a Design Science Research (DSR) approach, which involves problem identification, literature analysis, model design, implementation, and evaluation. The proposed model incorporates key security components such as Identity and Access Management (IAM), device authentication, secure communication through encryption, firmware and patch management, and continuous monitoring with intrusion detection mechanisms. The model is evaluated through simulation in smart city scenarios, including transportation systems, environmental monitoring, and energy management. The results demonstrate significant improvements in security performance, with increases in threat detection rate, vulnerability reduction, access control effectiveness, and system stability under attack conditions. Quantitative analysis shows improvements of up to 37% compared to conventional approaches, indicating the effectiveness of the proposed model in mitigating IoT-related cybersecurity risks. This study contributes by providing a comprehensive and scalable framework for IoT device security management, which can be applied to enhance the reliability and sustainability of smart city systems. Future research is recommended to validate the model in real-world implementations and integrate advanced technologies such as artificial intelligence for predictive threat detection.

Toxic leadership in church contexts is not merely an organizational problem; it can become a psychospiritual wound when pastoral authority is used to shame, silence, manipulate, or control congregants in the name of God. This article examines pastoral counseling for congregants who experience inner wounds caused by toxic leadership in the church. The study addresses a gap in previous research: leadership studies have clarified the concepts of abusive supervision and destructive leadership. In contrast, religious trauma research has described spiritual abuse, yet fewer works have developed a constructive pastoral counseling synthesis that integrates both fields. Using a conceptual and integrative literature review design, this article draws on peer-reviewed studies on toxic leadership, spiritual abuse, institutional betrayal, moral injury, trauma-informed care, and spiritually integrated psychotherapy. The synthesis proposes that pastoral counseling in this context must be trauma-informed, spiritually competent, ecclesially accountable, and clinically humble. Three findings are advanced: toxic church leadership wounds identity, agency, and God-image; pastoral counseling must begin with safety, validation, narrative reconstruction, and protection of conscience; and recovery requires individual care and institutional repair through accountability, referral pathways, and anti-retaliatory church culture. The article concludes that pastoral counseling is most constructive when it becomes a ministry of truth-telling, non-coercive accompaniment, and communal restoration rather than a tool for preserving abusive systems.

Final-year university students occupy a fragile transitional space between academic completion and an uncertain future. This article examines future anxiety among final-year students as a multidimensional phenomenon encompassing academic pressure, employability uncertainty, identity formation, family expectations, spiritual struggle, and consequential life decisions under limited control. It employs a constructive conceptual literature review, synthesizing scholarship on university student mental health, career anxiety, career construction and career self-management, religious coping, and contemporary pastoral care. The analysis develops a pastoral accompaniment framework that neither reduces anxiety to a private psychological symptom nor replaces professional mental health or career services. Three constructive findings are proposed: first, future anxiety should be understood as a vocational-existential crisis intensified by final-year transitions; second, pastoral accompaniment contributes through relational presence, meaning-making, spiritual discernment, and referral-aware care; and third, an integrated model should combine stabilization, vocational reframing, and agency-building within accountable communities. The article concludes that pastoral accompaniment is most responsible when it is theologically grounded, psychologically informed, ethically bounded, and collaborative. Its main contribution is a practical-conceptual framework for campus ministries, theological schools, and Christian higher education institutions seeking to accompany final-year students without fabricating empirical claims or spiritualizing distress.

Advances in digital technology in the current Industry 4.0 era have changed and influenced several aspects of human life. Suppose the Indonesian people do not want the identity and character of their community and their cultural riches to be lost at the hands of globalization. In that case, the community must have a robust defence mechanism. One way to build a defense system is through education. Technology and education are two things that cannot be separated. Pesantren is the oldest Islamic education and broadcasting institution in Indonesia. This research aims to examine and formulate the implications of the shift in orientation and value systems of Islamic boarding schools at the modern Islamic boarding school Nurussalam Sidogede (South Sumatra), the modern Islamic boarding school Darul A'mal (Metro Lampung), the Al-Hikmah Islamic boarding school (Bandar Lampung) and the modern Islamic boarding school Al -Muhajirin (Cikarang Bekasi) with an AGIL approach. This research uses a descriptive qualitative approach. The primary data used in this research is sourced from the author's interviews with the Islamic boarding school. The results show that there are several similarity and differences between the transformative Islamic boarding school and non-transformative Islamic boarding school groups in terms of variables or indicators, namely Adaptation (A), Integration (I), Goal (G), and Latent Patten (L).

The era of globalization brings changes by causing religion, which was originally a public issue, to turn into a privacy issue. The development of religion which has become a private matter makes teenagers as identity seekers tend to implement it. The purpose of this activity is to preserve Walisongo so that it is not eliminated from the historical facts of the spread of Islam. The method applied in this service is Participatory Action Research (PAR). The results of this service activity have a positive impact on teenagers because know more about the nine saints of God who spread Islam in the archipelago and increase their understanding of the character of the saints and their struggles. The impact of getting to know the teenagers in Bebekan Tengah Village, Taman District, Sidoarjo Regency increased their admiration for the walisongo struggle which resulted in an increase in pilgrimages to the walisongo graves.

This article addresses the pastoral problem of congregants who experience persistent feelings of worthlessness, a condition that often appears at the intersection of shame, fragile self-worth, social isolation, and distorted religious interpretation. The objective is to construct a Christian pastoral counseling framework that is biblically grounded, psychologically informed, and ecclesially accountable. This study uses a qualitative constructive literature design through critical synthesis of recent journal articles and classical pastoral counseling. The analysis identifies four main findings. First, worthlessness should not be reduced to moral weakness or lack of faith because it involves psychological, relational, and spiritual dynamics. Second, churches may either intensify shame through stigma and spiritual reductionism or become restorative communities through hospitality, lament, and safe accompaniment. Third, pastoral counseling requires a movement from empathic assessment, validation, and narrative clarification toward theological reframing of identity in Christ. Fourth, responsible pastoral care includes collaboration with mental health professionals when risk, trauma, or clinical symptoms exceed pastoral competence. The implication is a constructive model in which pastoral counseling helps congregants reinterpret self-worth through grace, embodied community, and disciplined referral rather than through advice-giving or doctrinal correction alone.

This article constructs a Christian pastoral counseling framework for congregants who experience trauma caused by social rejection. Social rejection within family, peer, workplace, or church communities may wound identity, belonging, agency, and spiritual meaning; however, pastoral responses often remain either overly moralistic or merely consolatory. The objective of this study is to formulate a trauma-informed and theologically accountable model of pastoral counseling that can be used by local church ministers without replacing professional mental health care. This study uses a qualitative constructive literature review by synthesizing recent studies on trauma-informed care, social exclusion, religious coping, chaplaincy, and pastoral theology published before 2024. The analysis identifies five core findings: trauma from social rejection is primarily relational; pastoral care must begin with safety, consent, and validation; theological interpretation should resist victim-blaming; congregational belonging is part of recovery; and referral ethics are necessary when symptoms exceed pastoral competence. The proposed model integrates safe presence, narrative listening, theological reconstruction, communal restoration, and clinical referral. The implication is that churches need a pastoral counseling culture that protects wounded congregants from retraumatization while sustaining spiritual hope, relational repair, and responsible interdisciplinary collaboration.

Simalungun is one of the ethnic groups that maintains aspects of its culture. Ahap, which has become an identity for the Simalungun people, initially had positive aims and had a positive impact. According to the Simalungun people, Ahap has enormous power to determine human behavior. GKPS Tarutung is proof of the large number of Simaungun people who live in an area where the majority of the population is the Toba Batak tribe. Ahap became an important factor in the history of the founding of the Simalungun Protestant Christian Church (GKPS) Tarutung. The research aims to find out the meaning of Ahap for the Simalungun people of the Tarutung diaspora and to what extent the value of Ahap is in the history of the founding of GKPS in Tarung. The approach used by the author in completing this paper is to use a descriptive approach, namely writing that describes the actual situation of the object under study. According to the actual situation during direct research, the data collected is not in the form of numbers but the data comes from manuscripts, interviews, field notes, personal documents, memos and other documents. According to St. Mardinus Sinaga, SH, Ahap as the initial trigger for the formation of the PKSTS Organization. This is evident from the fact that the PKSTS organization was started by a meeting between two young men from the Simarmata clan and the Purba clan, who talked about relatives and family from the Simalungun tribe.

This research explains the procedure for implementing electronic mortgage registration and discusses legal protection for creditors in mortgage registration through SKMHT in the event of the principal's death. This normative legal research utilizes a prescriptive approach based on legislation, cases, and conceptual analysis Primary data sources include relevant laws and regulations related to mortgages, supplemented by interviews with Notaries and PPAT, as well as secondary legal materials such as books, legal research papers, and previous studies in the form of journals, theses, and dissertations related to the research. Data collection techniques are carried out through interviews, observations, and literature studies Meanwhile, the analysis technique used by the author is qualitative model. The research results indicate that electronic registration of Mortgage Rights is carried out by interested parties through the website https://mitra.atr.bpn.go.id. However, in practice, there are still shortcomings in electronic Mortgage Rights registration, particularly when it is registered using SKMHT (Power of Attorney to Burden Mortgage Rights), and then the certificate owner passes away, the registration of Mortgage Rights cannot be continued. The solution to this problem is to add an optional refinement formulation in the Electronic Mortgage Rights System that allows for the replacement of the Identity Card Number (NIK) of the grantor with the NIK of the recipient if the Mortgage Rights are registered first with a SKMHT.

  Pancasila, as the basis of the Republic of Indonesia, has a very important role in shaping the identity and character of the nation. However, challenges arise in deeply implementing the values ​​of Pancasila, especially among high school students. This study aims to identify challenges in realizing Pancasila as an entity and identity of the Indonesian nation, as well as seeing how the profile of Pancasila students is reflected in 21st century education at SMA N 2 Medan. The research methods used were participant observation, interviews, and document analysis. The results of the study show that understanding and appreciation of Pancasila values ​​among SMA N 2 Medan students is still limited, with the lack of relevance of Pancasila values ​​in the context of students' daily lives being one of the main challenges. This research provides a deeper understanding of the role of Pancasila in 21st century education and provides a basis for developing more effective learning strategies to raise the profile of Pancasila students in the future.      

  Pancasila, as the basis of the Republic of Indonesia, has a very important role in shaping the identity and character of the nation. However, challenges arise in deeply implementing the values ​​of Pancasila, especially among high school students. This study aims to identify challenges in realizing Pancasila as an entity and identity of the Indonesian nation, as well as seeing how the profile of Pancasila students is reflected in 21st century education at SMA N 2 Medan. The research methods used were participant observation, interviews, and document analysis. The results of the study show that understanding and appreciation of Pancasila values ​​among SMA N 2 Medan students is still limited, with the lack of relevance of Pancasila values ​​in the context of students' daily lives being one of the main challenges. This research provides a deeper understanding of the role of Pancasila in 21st century education and provides a basis for developing more effective learning strategies to raise the profile of Pancasila students in the future.