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Preoperative anxiety is one of the psychological problems that patients often experience and can affect physiological stability, response to anesthesia, and the postoperative recovery process. High levels of anxiety in patients leading up to surgery can have negative impacts, both physically and emotionally. One of the interventions that can be done to reduce anxiety is therapeutic communication by nurses. Therapeutic communication has an important role in creating a relationship of mutual trust, providing a sense of security, and helping patients understand the medical procedures to be undertaken. However, there are still conditions where therapeutic communication has not been implemented optimally. This study aims to determine the relationship between nurses' therapeutic communication and the level of anxiety of preoperative patients at RSI Pekajangan. The study used a quantitative approach with a correlational design and involved 72 respondents who were selected through purposive sampling techniques. The research instruments included a therapeutic communication questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data analysis was carried out using the Spearman Rank test. The results showed that most respondents rated therapeutic communication in the categories of good (81.9%) and moderate anxiety (72.2%). Statistical tests showed a significant relationship between nurses' therapeutic communication and preoperative patients' anxiety levels (p = 0.027) and moderate correlation strength (r = -0.260). The conclusion of this study confirms that therapeutic communication plays a role in lowering patients' anxiety, so it is recommended that nurses improve therapeutic communication skills as part of pre-surgical interventions.

This community service program was designed to empower residents of RW 06 Kalibaru, North Jakarta, by transforming local organic waste—such as sawdust and seashells—into a high-value commodity: oyster mushrooms. The training began with a needs assessment to ensure the relevance of the materials, followed by the application of the Adult Education (POD) approach, integrating theoretical and practical learning. The theoretical sessions provided participants with insights into economic prospects, nutritional benefits, and business opportunities, while the practical sessions developed technical skills in substrate preparation, sterilization, inoculation, and mushroom maintenance. The program was reinforced through participatory discussions, demonstrations, and simulations to ensure effective skill transfer. Monitoring and evaluation were conducted via Focus Group Discussions, and continuous mentoring was carried out through field visits, online communication, and the formation of farmer groups as collaborative platforms. As a result, participants demonstrated a significant improvement in knowledge and technical skills, accompanied by greater awareness of the economic potential of previously discarded waste. This initiative not only serves as an innovative solution to environmental problems but also acts as a catalyst for the application of the circular economy, creating micro-enterprise opportunities and strengthening community economic independence. The synergy between universities, the local community, and industry partners is a key factor in sustaining the program, with recommendations for expanding training on product diversification, marketing strategies, and policy support to accelerate business development. Additionally, the success of the program has opened new avenues for sustainable entrepreneurship, particularly in communities with limited resources. The involvement of local stakeholders—such as community leaders and small businesses—has been instrumental in fostering a sense of ownership and shared responsibility for the program's success. The use of organic waste as a resource for mushroom cultivation also aligns with broader environmental goals, such as reducing waste and promoting sustainable practices.

The Community Service Program (Kuliah Kerja Nyata / KKN) of Universitas Tidar Group 23 in Giriwetan Village, Grabag District, Magelang Regency, was conducted for one month (July 3–August 3, 2025) with the aim of strengthening students’ interest in pursuing higher education at SD Negeri Giriwetan. This topic is important due to the low motivation of students in rural areas, influenced by economic limitations, lack of information, and insufficient environmental support. The study employed a qualitative method through observation, interviews, and documentation to describe the process and impact of the program. Activities included coloring and creating environmental-themed posters, song creation training using Artificial Intelligence (AI), and developing a “Tree of Hopes” containing students’ aspirations. The results indicate an increase in learning motivation, awareness of the importance of education, and interest in technology. The program proved effective through its creative and participatory approach, despite limitations in time and scope. These findings highlight the importance of sustaining similar structured programs to achieve broader and long-term impacts. Furthermore, the program was not only beneficial for students but also had a positive effect on teachers and the surrounding community. Teachers gained exposure to innovative teaching methods and technology-based learning media that can be adapted in future classes. Parents and community leaders became more aware of the role of family and environment in supporting children’s education. The collaboration between university students and local stakeholders created a sense of collective responsibility in shaping the younger generation. In addition, the integration of Artificial Intelligence as a learning tool sparked curiosity among students and introduced them to the relevance of technology in daily life. Although challenges such as limited facilities and short implementation time persisted, the program successfully demonstrated that creativity and participatory engagement could overcome such barriers.

Conventional robotic surgical systems, while offering enhanced dexterity and 3D visualization, suffer from a critical limitation: the absence of tactile sensation. This sensory disconnect can lead to inadvertent tissue damage from excessive force application and complicates delicate maneuvers that rely on the surgeon's sense of touch. This research proposes and validates a novel surgical robotic system architecture designed to bridge this sensory gap by integrating high-fidelity 3D visual input with accurate, real-time force feedback from tactile sensors mounted on the end-effector. To rigorously evaluate this innovation, a structured comparative methodology was employed. A cohort of surgeons performed standardized surgical tasks, including suturing and tissue manipulation, on realistic soft-tissue phantoms. The performance of a conventional (visual-only) system was benchmarked against that of the proposed (visual-haptic) system. A comprehensive dataset was collected, which included objective metrics such as task completion time, precision deviation from the ideal tool path, and the magnitude of applied forces. Concurrently, subjective evaluations from the participating surgeons were gathered to assess perceived control, cognitive workload, and overall task confidence. The test data revealed statistically significant improvements when using the visual-haptic system. Participants not only completed tasks with greater speed and accuracy but also applied considerably lower and more consistent forces. The analysis underscores that haptic feedback, enabled by advanced sensor fusion, not only restores a crucial 'sense of touch' to the surgeon but also reduces the incidence of excessive force application, potentially minimizing tissue trauma and improving patient recovery. These findings confirm the hypothesis that haptic-visual integration constitutes a new paradigm in robotic surgery, shifting the paradigm from purely visual guidance to a more intuitive, multi-sensory surgical experience. This study also discusses future challenges and opportunities, including the potential for AI-driven partial autonomy, such as creating virtual safety boundaries or automating sub-tasks, and the development of next-generation sensor technologies to further enhance clinical outcomes.

This study aims to identify, describe, and analyze the organizational communication strategy implemented by the Chairman of the Youth Organization Sub Unit 032 of Jatiasih District in increasing member loyalty. The phenomenon behind this study is the fluctuation in the presence of members in organizational activities and the challenge of maintaining active youth participation in the digital era. Members' loyalty is seen as a determining factor for the success of an organization in carrying out social, cultural, and community programs. The research method used is qualitative with a descriptive approach. Data was collected through in-depth interviews, direct observation of Karang Taruna activities, and documentation of organizational archives. The research informants were selected using purposive sampling techniques, including the Chairman of the Youth Organization and members who actively participated. Data analysis is carried out using an interactive model that includes collection, reduction, data presentation, and conclusion drawn. The results of the study show that the communication strategy of the Chairman of the Youth Organization is democratic, participatory, and interpersonal. The communication media used is in the form of WhatsApp Groups for quick coordination and face-to-face meetings to strengthen emotional bonds between members. The Chair also utilizes informal strategies such as casual conversations and non-formal social interactions to get closer to members. This strategy has a positive effect on member loyalty indicators, such as compliance, responsibility, active participation, and a sense of belonging to the organization. This study concludes that effective, open, empathetic, and adaptive communication to the needs of members is the main factor in strengthening the loyalty of youth organizations. These findings are expected to make an academic contribution to the study of community-based organizational communication and practical benefits for Karang Taruna administrators and similar organizations in managing membership dynamics at the local level.

This study aims to enhance the utilization of One Media Digital tvOne by employing Instagram as a strategic communication tool. Instagram was chosen because of its strong visual and interactive characteristics as well as its large active user base in Indonesia, making it highly relevant in the context of strengthening the branding of digital television media. The focus of this research is to explore how tvOne leverages Instagram to reinforce its branding, increase audience participation, and build emotional closeness with its followers. The research adopts a descriptive qualitative approach with data collection techniques including in-depth interviews, participatory observation, and documentation. The informants consist of the tvOne social media team responsible for managing the official account, as well as active Instagram users who represent the primary audience. Two main theories support the analysis: Uses and Gratifications Theory, which emphasizes audience motives and satisfaction in media consumption, and Brand Awareness Theory, which relates to efforts in building awareness and audience loyalty toward a brand. The findings reveal that tvOne applies a consistent communication strategy through engaging visual content and the use of Instagram features such as reels, stories, and live streaming, combined with an interactive communication style. These strategies have proven effective in enhancing brand awareness, reinforcing a positive image, and cultivating audience loyalty. Personal approaches through direct interactions also foster a sense of emotional involvement among followers of the @tvonenews account. Thus, Instagram serves not only as an entertainment platform but also as a strategic communication device that continuously strengthens tvOne’s digital branding.

This study aims to explore the positive perceptions of Office Management grade X students regarding the use of the Instagram account @osissmksandikta in efforts to enhance the image of SMK Sandikta. The background of this research is based on the importance of social media as a means of public communication in the digital era, particularly in building the reputation of educational institutions among the younger generation. The OSIS Instagram account is viewed as the school’s representation in delivering information, promoting activities, and creating emotional engagement between the student organization and both internal and external audiences. The research employed a qualitative descriptive approach. Data collection techniques included in-depth interviews, participatory observation, and documentation to obtain comprehensive findings. The informants consisted of one key informant, namely the OSIS advisor, and three main informants who were Office Management grade X students. Informants were selected purposively, considering their direct involvement with the OSIS Instagram account. The findings reveal that the @osissmksandikta Instagram account is perceived as effective in building a positive school image through the presentation of engaging visual content, a communication style suited to student characteristics, and the provision of relevant, easily accessible information. The account also fosters a sense of involvement and pride since its management is carried out alternately by OSIS members, thereby strengthening collective ownership. Furthermore, active student participation in responding to content reinforces the relationship between the school and its students. The study concludes that the use of Instagram can serve as an effective medium for enhancing a school’s positive image if managed consistently, interactively, and in alignment with the needs and preferences of the target audience. This finding is expected to contribute to the development of school communication strategies through social media.

This study investigates the meanings associated with the song “Scaredy Cat” by Ian DPR, focusing on connotative and denotative aspects through a semantic perspective. Using qualitative research methods, this work builds on existing research related to figurative language. The findings highlight the complex interaction between the song's literal meaning and its deeper emotional implications, which collectively enhance its impact. Denotative aspects provide a clear understanding of the songwriter's experience, while connotative elements invite deeper engagement with themes of fear, anxiety, and vulnerability. This research reveals that figurative language, such as metaphors and imagery, contributes to the layered interpretation of songs. This complexity not only strengthens the emotional bond between the artist and the audience but also encourages listeners to reflect on their own feelings and experiences. The importance of language in music as a means of expressing human emotions is emphasized. By combining empathetic language and figurative language, songwriters can create a sense of release and emotional connection. The results align with previous research on the importance of figurative language in enhancing lyrical meaning and emotional resonance. Further research is recommended to explore the relationship between semantics and emotional expression across various music genres.

The process of managing, creating, or organizing something in the best way to achieve the best or ideal results is called optimization. Optimization aims to maximize or minimize certain values ​​to produce effective, successful results consistent with desired goals. You can communicate and interact with people you've never met in person using social media sites like Facebook. Online friendships can even be formed. Social media platforms like Facebook. Social media should be used with caution because almost everyone uses it. Facebook can be used for entertainment, education, promotion, and information sharing, all of which can be beneficial if done correctly. Everyone who uses Facebook should be aware of communication ethics, maintain their privacy, and refrain from sharing offensive content to maintain the security and usability of the platform. The implementation involves socialization methods and question-and-answer sessions with mothers at a social gathering. April 15, 2025. This activity took place at a resident's home. In addition to providing optimization training, the activity also aimed to improve communication between the village head and residents through the active involvement of participants. The goal was also to create a positive discussion atmosphere to improve community well-being and foster a stronger sense of togetherness and trust for future village growth. This will allow for identification of existing communication barriers and collaborative work to find solutions.

This study aims to examine and analyze the performance of employees at the Village Office of Bottopenno, Majauleng District, Wajo Regency. The research employed a descriptive analysis method with a total population and sample of 27 employees, all of whom were designated as respondents. Data collection techniques included observation, documentation, and questionnaires distributed to the employees. The collected data were then analyzed using quantitative descriptive analysis to provide a clear picture of employee performance conditions. The findings indicate that employees at the Bottopenno Village Office are able to position and apply their abilities effectively in carrying out the tasks assigned by their superiors. Employees not only complete tasks according to instructions but also demonstrate a high sense of responsibility in handling every duty. This is reflected in the alignment between the work targets set and the outcomes achieved. The performance of employees also meets expectations in terms of discipline, timeliness, and the quality of public services provided. Overall, the performance of the Bottopenno Village Office employees can be categorized as very good. Their work results are in line with the expectations of their superiors and with established regulations, thereby fostering a conducive work environment and ensuring optimal public services. Consequently, the performance of village officials has been running effectively and is expected to continue improving to support the achievement of sustainable village governance goals.

Student motivation is crucial to success in learning a foreign language. This study focuses on analyzing the motivation of students studying Indonesian as a foreign language in the Bipas in-country learning program at Udayana University in Bali. Specifically, the study is aimed at investigating the motivations of foreign students learning Indonesian in the program, and whether students' learning motivation shifts by the end of the course. The study involved 38 foreign students and five Indonesian lecturers during the Spring 2024 semester as respondents, and applied an explanatory sequential mixed methods design which consists of two phases, namely a quantitative phase and a qualitative phase to collect data. The results show that, despite strong support from the Balinese community for using the Indonesian language, students' motivation shifted from instrumental to integrative at the end of the course. Integrative motivation, which is prevalent, is defined as a desire to connect with the culture and community. Instrumental motivation ,on the other hand,  such as the expectation that learning Indonesian will open up career opportunities or improve social status, remains relatively low. To increase overall motivation, the learning programme should combine the two types of motivation, strengthening the sense of social connection and emphasising the practical value and tangible benefits of learning Indonesian.

Digital technology has significantly shifted communication patterns among the residents of RT 02 RW 08 Bangetayu, transitioning from traditional face-to-face interactions to digital spaces, particularly through Facebook groups. This study employs a qualitative method, utilizing observation, in-depth interviews with nine informants, and digital content analysis to explore this transformation. The findings show that, while direct communication still exists, digital interactions have become dominant due to their speed, expressive freedom, and coordination efficiency. This shift is largely driven by increased accessibility to digital platforms, the rise of digital culture, and the comfort of communicating without facing traditional social barriers. Residents are more inclined to engage online as it provides a sense of convenience and a platform for sharing opinions freely. However, the study also highlights a paradox where online participation has surged, while face-to-face conversations have declined, leading to challenges in maintaining social cohesion within the community. The study suggests that while digital communication offers many advantages, it is essential to find a balance between online and offline interactions to preserve the strong community ties that are fostered through personal, direct engagement. The implications of this research call for efforts to promote a hybrid communication model that integrates both digital and face-to-face interactions for the benefit of community building and social harmony

Discipline is a crucial aspect of education that plays a significant role in shaping students’ character and sense of responsibility. However, the manual discipline assessment process at SDIP Baitul Maal presents several issues, such as inaccurate data, limited analysis capabilities, and difficulty for teachers and parents to monitor students effectively. With the advancement of information technology, digital systems offer a potential solution to improve the efficiency and objectivity of the evaluation process. This study aims to design and develop a web-based application for assessing student discipline by implementing the K-Means Clustering method optimized with the Elbow method. The system is designed to cluster students based on numerical data such as attendance, tardiness, neatness, and rule violations, allowing for more accurate classification of discipline levels. The results show that the system successfully groups students into clusters automatically and provides informative visualizations of the outcomes. Additionally, the system facilitates real-time monitoring and evaluation by school staff and parents through a user-friendly interface. Therefore, the application of the K-Means Elbow method proves effective in supporting decision-making within the educational environment. This research is expected to contribute to the digital transformation of school management and enhance the quality of student character development.

Background : Appendectomy is a surgical procedure to remove the appendix which is done as soon as possible to reduce the risk of perforation. Nursing problems that arise after appendectomy is acute pain. Objectives: Gaining real experience and knowledge and being able to document the application of deep breathing relaxation techniques is an appropriate non-pharmacological action in reducing pain scale. Method: this type of scientific paper uses a descriptive method with a descriptive case study approach with a case study approach to explore the problem of nursing care carried out on two patients carried out on June 15 - 20 2021. Results: from the results of nursing care to Mrs "S" and Mr "M" with a nursing diagnosis in the first patient, namely acute pain related to physical injury agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), impaired sense of comfort related to symptoms of the disease ( pain), impaired physical mobility related to decreased muscle strength (pain), and the second patient's diagnosis was acute pain related to physical injuring agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), discomfort related to symptoms of disease (pain), anxiety related to situational crises, lack of exposure to information, impaired physical mobility associated with decreased muscle strength (pain). The interventions in both patients were: identification of location, characteristics, duration, frequency, quality and intensity of pain, identification of pain scale, identification of non-verbal pain responses. The evaluation of the first patient had a pain intensity scale of 6 (moderate), and the second patient a pain scale of 7 (severe). The results of the study in the Surgery Room of the Palembang Bari Regional General Hospital after the deep breathing relaxation technique was carried out in the first patient on a pain scale of 6 (moderate) to 3 (mild), and the second patient pain scale of 7 (severe) to 4 (moderate). Conclusion: Progress notes to both patients on the application of deep breathing relaxation techniques to reduce pain intensity. The results of the nursing evaluation of the problem were partially resolved.

Sexual violence is any act of humiliating, insulting, attacking, and/or other acts against a person's body, sexual desires and/or reproductive function by force. This form of sexual violence can occur in everyday interactions among teenagers, including when they start having relationships with the opposite sex. This can be minimized in various ways, one of which is by providing motivation for teenagers to prevent acts of sexual violence. Motivation given to teenagers can be in the form of learning media, one of which is digital poster media. Digital poster media is more effective as an outreach medium because it helps stimulate the sense of sight, the visual aspect of poster images makes it easier to receive information. The aim of this research is to determine the development of digital poster media in preventing sexual violence against teenagers at Senior High School 5 Surakarta. This research method uses Research and Development (R&D), with the ADDIE model being developed in 5 stages, namely (Analysis, Design, Development, Implementation, Evaluation). The results of this research obtained an assessment of digital poster media from material experts 96%, media experts 67%, small scale trials 83.3%, and field trials 83.83%, so it can be concluded that the media developed is "very feasible" to be used in preventing sexual violence against teenagers at Senior High School 5 Surakarta

The waqf mushaf program in Garut Village, Kopo District, Serang Regency, Banten, was part of the Student Community Service (KKM) initiative aimed at supporting religious education in the area. This activity arose from the identified need for Qur’anic manuscripts in local institutions, which significantly limited the effectiveness of Qur’anic learning. The program involved several stages: preparation, identifying the needs of the community, fundraising, the distribution of mushaf to madrasahs and Qur’anic centers, and evaluation. A participatory approach was employed, where the community actively participated as both donors and beneficiaries. This approach not only facilitated the smooth execution of the program but also ensured a sense of ownership and responsibility among the local people. The program received strong support, with high levels of community participation in fundraising and distribution activities. The results showed a marked improvement in access to Qur’anic learning, as teachers and students now had better resources to facilitate their study of the Qur'an. The distribution of mushaf not only enhanced the quality of education but also fostered a greater awareness of waqf as an important Islamic social instrument. Through this initiative, the community gained a deeper understanding of the value of waqf in contributing to religious education and promoting social welfare

This study aims to examine the role of Islamic Religious Education (PAI) in shaping students’ character in the digital era at SMK Negeri 1 Binjai. The research employed a descriptive qualitative method with a phenomenological approach. Data were collected through classroom observations, religious activities, interviews with PAI teachers, and questionnaires distributed to 50 tenth-grade students. The findings reveal that PAI plays a crucial role in instilling key character values, including discipline, honesty, responsibility, religiosity, and digital ethics. PAI teachers utilized interactive media, educational videos, and digital Qur’an applications, which enhanced students’ enthusiasm and facilitated better understanding of the subject matter. Based on the questionnaire results, 83% of students stated that PAI improved their discipline, 77% reported being more cautious in using social media, and 87% acknowledged that PAI fostered a greater sense of responsibility toward themselves and others. However, 60% of students still struggled to control their gadget usage, particularly for entertainment and online games. This indicates the need for continuous guidance and supervision from both teachers and parents. Overall, the study emphasizes that the effectiveness of PAI in the digital era depends on teachers’ competence in integrating technology, the role of exemplary behavior, and strong collaboration between schools and families. Therefore, PAI not only serves as a medium for delivering religious values but also as a vital instrument for shaping Islamic character, enabling students to face moral and social challenges in the digital age.

Introducing a sense of tolerance from an early age, especially in preschool, is crucial for building a harmonious society. This article discusses the importance of instilling the values ​​of tolerance and mutual respect among children, particularly in the context of religious diversity. The study, conducted at Telkom Kindergarten in Gorontalo, involved seven students aged 5-6 years. The data collection technique used a Guttman scale questionnaire with intervals (Yes-No). The results showed that 85% of children had demonstrated tolerant attitudes, which include accepting differences, respecting others, and appreciating the religion or beliefs of others. However, there were still 15% of children who were not fully tolerant. Therefore, it is recommended to further develop social tolerance skills in early childhood through various structured and systematic approaches, such as modeling, habituation, storytelling, outdoor activities, singing, and providing appropriate rewards and consequences. It is important to build strong synergy between parents and teachers in formal educational institutions to guide children in developing a tolerant character. In addition, efforts need to be made to increase students' awareness of good behavior, and parents' use of democratic education also plays a crucial role in developing tolerance skills in early childhood.

Hypertension is one of the major health problems often experienced by the elderly, with complaints of headaches predominantly in the nape and forehead area. This complaint, if not optimally managed, can reduce the quality of life of the elderly and risk worsening overall health conditions. Non-pharmacological interventions such as warm compresses are one of the nursing interventions that are safe, effective, easy to implement, have minimal side effects and can be done independently at home. Objective: This study aims to determine the effectiveness of providing warm compresses in reducing the intensity of headaches in elderly with hypertension. Method: The method used is a descriptive case study with a nursing process approach that includes assessment, diagnosis, intervention, implementation, and comprehensive evaluation. Subjects: The subjects in this study were two elderly people aged 60–75 years with hypertension and a pain scale between 3–7 who were given warm compresses for six consecutive days at the same time each day. Results: The results of the study showed that after the intervention, there was a significant decrease in the pain scale. In the first subject, the pain scale decreased from 7 to 3, while in the second subject, it decreased from 6 to 3. Both subjects also reported a sense of comfort, body relaxation, and improved sleep quality after warm compress therapy. Recommendation: Based on these findings, warm compress is recommended as a non-pharmacological nursing action that can be used independently or in primary health care to help reduce headaches in elderly people with hypertension effectively and sustainably.

This study aims to explore the implementation of unity-based marketing management in enhancing consumer loyalty among university students at the Seblak Bujangan culinary microenterprise. As one of the local SMEs located near Sultan Ageng Tirtayasa University, Seblak Bujangan integrates the value of unity—derived from the Third Principle of Pancasila—into its marketing strategy, not only to attract customers but also to create a social space that strengthens community bonds. The research employs a descriptive qualitative method involving interviews, observations, and documentation to gain a deep understanding of marketing practices and their social implications. Findings reveal that Seblak Bujangan has successfully transformed from a simple food stall into a social hub for students by combining friendly service, a comfortable atmosphere, and creative digital marketing such as Instagram and TikTok promotions. The sense of togetherness and inclusivity fosters strong emotional attachment, leading to customer loyalty manifested through repeat visits and positive word-of-mouth. The study concludes that marketing strategies grounded in social and national values can enhance consumer engagement while contributing to social harmony. This approach provides new insights into value-based marketing for SMEs, showing that economic and social functions can coexist to create sustainable consumer relationships.