Publication Search

Digital technology opens up great opportunities in the business world, especially online businesses. These opportunities are wide open to many people of various ages and backgrounds, especially young people, considering that their generation has the spirit to try various things, including starting a business. This community service activity aims to provide practical training to vocational high school students on how to start an online business. For two days, they were given an understanding of entrepreneurship, determining potential products, creating accounts on e-commerce, marketing strategies, simulations, and evaluations. This activity is expected to develop economic potential and independence from an early age, and be able to instill an entrepreneurial mindset that is adaptive to the development of the times.

The community service program titled Great Youth, Strong Mentality at Untung Suropati Catholic High School aimed to enhance students understanding and skills in managing stress and anxiety, which are increasingly prevalent among adolescents due to academic pressures, social dynamics, environmental changes, and excessive exposure to social media. These issues are exacerbated by a lack of knowledge about effective stress management strategies, such as relaxation techniques and emotional communication, as well as the stigma surrounding mental health that discourages adolescents from seeking help. The counseling was conducted using an interactive approach, comprising a 30-minute informative lecture to explain the concepts of stress and anxiety, small group discussions (5–7 students) to encourage reflection and sharing of experiences, and practical exercises on relaxation techniques, such as diaphragmatic breathing and mindfulness, to provide hands-on experience. Supporting materials, including visual presentations and interactive quizzes, were utilized to enhance student engagement. Post-event evaluation revealed significant improvements in the understanding of stress and anxiety among students in grades X, XI, and XII. Students demonstrated enthusiasm through active participation in discussions and practical sessions, as well as positive feedback on the supportive and stigma-free environment. The program successfully equipped students with practical skills for stress management and fostered a healthier learning environment. For sustainability, it is recommended to conduct similar programs regularly, integrate mental health education into the school curriculum or extracurricular activities, provide concise modules for students’ independent use, and collaborate with school counselors to monitor technique implementation and offer ongoing support to ensure long-term impact on students mental well-being.

This study investigates the verbal and visual signs embedded in the promotional posters of Midsommar (2019), a psychological horror film directed by Ari Aster. Drawing on Dyer’s (1982) theory of visual signs, Saussure’s semiotic model of the signifier and signified, and Cerrato’s (2012) theory of color symbolism, the research analyzes how linguistic and visual elements work together to convey layered meanings. Using a descriptive qualitative approach, five official film posters were examined to identify how signs construct thematic messages and emotional tones. The findings reveal that the posters deliberately juxtapose serene imagery with unsettling symbols, creating a tension between aesthetic beauty and psychological horror. Verbal cues such as taglines and titles signal themes of ritual, trauma, and emotional transformation, while visual signs—such as costume, color palette, facial expressions, and symbolic objects—reinforce the film’s narrative of cultural disorientation and personal collapse. Color symbolism, particularly the use of red, blue, and white, plays a key role in evoking mood and implying deeper psychological and ritualistic meanings. Overall, this study demonstrates that Midsommar’s posters function not only as promotional tools but also as rich semiotic texts that foreshadow the film’s ideological and emotional content, offering insight into how horror and beauty can coexist within cinematic visual culture.

Type 2 diabetes mellitus (T2DM), hypertension, anemia, nephrotic syndrome, and urinary tract infection (UTI) are interrelated clinical conditions frequently encountered in patients with chronic kidney disease (CKD). This case report presents a 33-year-old woman who was admitted with complaints of generalized weakness, accompanied by headache, generalized edema, and pruritus. Laboratory findings revealed hyperglycemia (>300 mg/dL), elevated blood pressure (210/120 mmHg), increased urea and creatinine levels, 2+ proteinuria, and microcytic hypochromic anemia (hemoglobin ranging from 7.9 to 9.9 g/dL). Urinalysis showed leukocyturia, hyaline casts, and bacteriuria. The patient was diagnosed with uncontrolled T2DM, hypertensive urgency, microcytic hypochromic anemia, nephrotic syndrome, and UTI. Management included basal-bolus insulin regimen, combined antihypertensive therapy, packed red cell transfusions, and supportive treatments. Throughout the hospitalization, improvements were observed in hemoglobin levels and blood pressure, although subjective symptoms such as fatigue and headache remained fluctuating. This case highlights the importance of comprehensive and multidisciplinary management in patients with complex multisystem chronic conditions to prevent complications and improve clinical outcomes.

Background: Myxoid liposarcoma is a malignant tumor composed of uniform, partially round to oval cells with lipoblast, in the myxoid stroma with branching capillaries. Very rarely presents as a primary neoplasm of the subcutis or retroperitoneum. Myxoid liposarcoma in the retroperitoneum is the most common metastases. Case description: We reported a case of  Mr M, male, 48 years old, came to the hospital. Private in the city of Medan on April 19 2021 with complaints of upper left abdominal pain, nausea (+), vomiting (-), fever. vital sign, general condition: compos mentis, temperature: 36 ℃, Pulse: 80 x/min. Breathing: 20x/min, Blood pressure: 120/80 mmHg. Previously, a gastric biopsy was performed on suspicion of gastric carcinoma and a histopathological examination was carried out with the results of a gastric adenoma. Subsequently, an exploratory laparotomy was performed with tumor debulking and the tissue was sent to the H. Adam Malik Hospital unit. On macroscopic examination, the tissue was split in a state of 16 cm x 12 cm x 7 cm, yellowish-gray in color, chewy consistency. The of cutting, a solid mass of white, yellow, and brown color appears, the consistency is chewy and brittle. With a tissue-weight of 800 grams then labeled O/1260/21. On microscopic examination of the tumor mass, it appears that the tumor mass is mostly arranged in solid sheets, consisting of round, relatively uniform cells, arranged back to back. Round and oval nuclei with increased N/C ratio, coarse chromatin, eosinophilic cytoplasm. Among them are lipoblast cells with spider web and small signet ring lipoblast. Atypical mitoses are relatively easy to find > 19 mitoses / 10 LPB. Proliferative and congested blood vessels, necrotic masses <50% are also seen. Immunohistochemical examination was carried out with S100 positive staining results on the nuclear membrane and cytoplasm of tumor cells with a proportion of more than 70% moderate to strong intensity. Conclusion: Based on macroscopic and microscopic examination this patient was diagnosed with High grade myxoid round cell liposarcoma grade III with ICD-O 8852/3.

Poromas are benign neoplasms composed of epithelial cells that show tubular differentiation, which arises from the intraepidermal part of the eccrine of the sweat glands. This lesion can resemble melanoma or non melanoma.1,2 Case description We reported a case of eccrine poroma in a man, Mr. ES, 50 years old, with complaints of a lump in the head of the temporal region of the region. On macroscopic examination, a blackish-brown scalp tissue size 2x1x0.5 was received, the surface was uneven, the consistency was springy. Microscopic examination of squamous epithelial coating with round, oval, monotone, smooth chromatin, eosinophilic cytoplasm appear. In the sub-epithelium, there is a mass of tumors consisting of proliferative eccrine glands, in groups forming islands, with cuboidal coatings, with round, oval, monotonous nuclei, fine chromatin, eosinophilic cytoplasm. The stroma consists of fibrous connective tissue and blood vessels. The sebaceous glands, hair follicles and infiltration of lymphocyte cells appear. Discussion and conclusions: Based on the results of histopathological examination, it can be concluded as eccrine poroma. In this case electrosurgery is performed, removal with the help of a carbon dioxide laser, or excision surgery can be performed.

Clinical autopsy is an important procedure in the medical world to determine the exact cause of death and evaluate the quality of medical services. In Indonesia, its implementation is still limited due to various legal, social, and ethical obstacles. This article discusses the position of clinical autopsy from the perspective of pathology and medicolegal forensics and examines the relevant legal framework for health in Indonesia. This study aims to encourage the implementation of autopsy legally, professionally, and ethically through a multidisciplinary approach. In conclusion, regulatory reform and enhanced education are needed to support the implementation of clinical autopsies that are legally valid and beneficial for both the medical and legal fields.

Sharp trauma is an abnormality in the body caused by the contact of objects whose surface is able to slice so that tissue continuity disappears. It is usually caused by knives, swords, scissors, razors, axes and others. The types of wounds due to sharp violence that can be identified are stab wounds, iris wounds and also stab wounds. All of these types of injuries can endanger the victim's life and cause death for the victim. Every case of persecution or violence against life that causes death must be medically examined. This must be done to help the police as law enforcers in uncovering murder cases based on forensic medical science. This examination includes an examination of the outside of the victim's body and also an examination of the victim's internal organs. The results will be used as valid evidence used in the judicial process. Case description: A case was reported, a male corpse, known, with the initials DR, with the suspected death of elements of a criminal act.Conclusion From the results of the examination, the cause of death of the victim was a stab wound to the left chest that penetrated the heart and heart sac due to sharp violence that resulted in bleeding and tissue damage..

Burn injuries are complex tissue damage often accompanied by serious complications such as infection, systemic inflammation, and organ dysfunction. Effective burn management requires a comprehensive multidisciplinary approach, including infection control, local wound care, nutritional support, and regenerative therapy. Along with advances in science and technology, various novel treatment modalities have been developed to accelerate healing, reduce scarring, and improve patients’ quality of life. This study aims to evaluate the effectiveness and clinical prospects of the latest burn treatment modalities through a review of relevant literature from 2021 to 2025. This research employed a descriptive qualitative literature review method, analyzing 10 relevant scientific articles obtained from academic databases such as PubMed, ScienceDirect, and Google Scholar. The reviewed modalities include stem cell therapy, Platelet Rich Plasma (PRP), silver nanoparticles, nanofiber and hydrogel-based dressings, natural extracts such as aloe vera and binahong, as well as advanced technologies like smart dressings and low-level laser therapy. The results indicate that regenerative and smart technology-based approaches significantly enhance epithelialization, reduce infection, and improve tissue repair. Natural therapies also show promising potential as safe, affordable, and effective treatment alternatives. In conclusion, the integration of biological therapy, phytotherapy, and modern technology represents a promising direction in contemporary burn care. Further large-scale clinical research is needed to confirm the long-term safety and effectiveness of each modality.

Komunikasi antara orang tua dan remaja mengenai kesehatan seksual dan reproduksi masih menghadapi berbagai hambatan, mulai dari norma budaya hingga keterbatasan pengetahuan orang tua. Ketidakterbukaan dalam komunikasi keluarga dapat berdampak negatif terhadap perkembangan kognitif dan perilaku seksual remaja. Penelitian ini bertujuan untuk menganalisis secara sistematis temuan-temuan empiris terbaru terkait pengaruh komunikasi orang tua–remaja terhadap keterampilan berpikir kritis, sikap terhadap seksualitas, pengambilan keputusan, dan akses informasi remaja. Metode yang digunakan adalah kajian literatur integratif terhadap 14 artikel jurnal internasional bereputasi yang diterbitkan pada rentang tahun 2020–2025. Hasil kajian menunjukkan bahwa komunikasi yang terbuka, empatik, dan berbasis nilai dalam keluarga berkontribusi positif terhadap kemampuan reflektif remaja serta sikap dan perilaku seksual yang sehat. Sebaliknya, komunikasi yang normatif dan satu arah cenderung memperkuat stigma dan membatasi kapasitas remaja dalam mengambil keputusan yang tepat. Kajian ini merekomendasikan pentingnya intervensi berbasis keluarga yang memperkuat kapasitas komunikasi orang tua, dengan dukungan pendekatan digital yang adaptif dan kolaborasi lintas sektor untuk menciptakan lingkungan yang mendukung kesehatan reproduksi remaja.

Micro, Small, and Medium Enterprises (MSMEs) play a strategic role in Indonesia’s economy, including in the garment industry. The subject of this study is MSME X, located in Cimahi City, which specializes in the production of knitted clothing. This research aims to identify production problems, analyze the causes of defects, and design improvement strategies using the Six Sigma method with the DMAIC (Define, Measure, Analyze, Improve, Control) approach. In the Define stage, the main problems are identified through the Critical to Quality (CTQ) approach, which reveals three major types of defects: button defects (39%), stitching defects (32%), and fabric or pattern defects (29%). Next, the Measure stage is conducted to assess process performance using quality indicators. The calculation results show a Defects per Million Opportunities (DPMO) value of 10,968.95 and a Sigma Level of 3.79, indicating room for improvement. The Analyze stage utilizes Pareto and Fishbone diagrams to identify root causes. The Improve stage applies Failure Mode and Effect Analysis (FMEA) to determine improvement priorities. The Control stage involves the use of Statistical Process Control (SPC), regular inspections, and an incentive system. This approach is expected to reduce defect rates and sustainably improve production efficiency.

This study proposes a hybrid approach combining Frequent Itemset Mining (FIM) and Algorithms and Genetic Algorithm for product layout optimization with a case study at PT. MPI Pharmacy. The FIM Algorithms is employed to extract association rules from 1,000 beauty product sales transactions, while the Genetic Algorithm is utilized to perform product placement based on these rules generated, with storage space constraints. Implementation results demonstrate that this hybrid approach successfully identifies 18 key association rules (support >15, confidence >80%) and proposes an optimal layout configuration model that reduces customer travel distance by 25 compared to conventional layouts used by MPI Pharmacy. The Genetic Algorithm solves complex rule-based optimization problems for product placement, which are limited by traditional market basket analysis (MBA) approaches that rely solely on association rules. This hybrid sistem not only improves pharmacy operational efficiency at PT MPI (reducing service time by 18) but also increases cross-selling opportunities by 22. Hence, inventory operations management impproved efficiently. The research findings contribute to the field of retail space optimization by effectively integrating association rule mining and evolutionary computation.  

The coastal area of Manado City, particularly the estuary of the Bailang River in Bunaken District, frequently experiences inundation due to the complex interaction between river discharge and tidal fluctuations. This study aims to analyze the spatial distribution and extent of flooding resulting from the combination of river discharge and tides, as well as to evaluate mitigation strategies based on numerical modeling results. A two-dimensional hydrodynamic model was developed using MIKE 21 Flow Model FM HD, utilizing topographic and bathymetric data from DEMNAS and BATNAS, along with 2023 river discharge and tidal data. Simulations were conducted for existing conditions, minimum discharge with maximum tide, and maximum discharge with maximum tide. The results show that tidal influence significantly contributes to the increase in flood extent and duration, especially when high river discharge coincides with peak tidal conditions. The most affected areas are Kelurahan Molas and Tumumpa, located along the riverbanks and near the fish auction port, with inundation covering up to 4.973 hectares and water depths exceeding 0.5 meters. Recommended mitigation strategies include river normalization and the implementation of a real-time hydrodynamic early warning system. This study supports flood risk management and coastal spatial planning, serving as a technical reference for local government policy-making.

This study analyzes the flexural behavior of reinforced geopolymer concrete beams through numerical simulation based on the Finite Element Method (FEM) using ANSYS software, comparing it with conventional reinforced concrete beams. The background of this research focuses on the need for environmentally friendly construction materials, considering the high CO₂ emissions from Portland cement production. The numerical model was developed based on parameters and loading schemes from previous experimental studies, utilizing SOLID65 elements for concrete, LINK180 for steel reinforcement, and SOLID185 for supports. Simulation results show that the flexural behaviour of geopolymer beams is comparable to conventional beams in terms of load-deflection relationships, flexural capacity, and crack patterns, with deviations from experimental data generally below 10%. The patterns and propagation of cracks also exhibited similarities, starting from the tensile zone at mid-span. Furthermore, the analysis demonstrates consistency with the analytical approach based on SNI 2847:2019. This research supports the validity of using geopolymer concrete as a sustainable structural material alternative and shows that the FEM numerical method is effective in evaluating the flexural performance of concrete structural elements.

Hypertension is a common health problem in the elderly that is often unrealized, so it requires effective education to improve blood pressure management. This study aims to determine the effect of DASH diet education on knowledge and compliance with blood pressure control in hypertensive elderly at the Surabaya Elderly Posyandu. A quasi-experimental method with a pretest-posttest design and a control group involved 40 elderly hypertensive respondents who were divided into intervention and control groups. The intervention group received DASH diet education through counseling, leaflets, and 1x/week discussions for 4 weeks. Results showed a significant improvement in p=0.000 knowledge and p=0.000 blood pressure control adherence in the intervention group, while the control group showed no significant change. Systolic and diastolic blood pressure in the intervention group also decreased significantly (158.2/94.3 to 139.7/84.5 mmHg), with 55% of respondents achieving normal blood pressure, compared to 10% in the control group. Conclusion: DASH diet education is effective in improving knowledge, compliance, and controlling blood pressure in hypertensive elderly. Similar educational programs are recommended to be implemented continuously in primary health services for more optimal hypertension management.

This study aimed to evaluate the antioxidant activity and total phenolic content of methanolic extract and column chromatography fractions of Lantana camara L. leaves. Antioxidant activity was assessed using the DPPH (2,2-diphenyl-1-picrylhydrazyl) radical scavenging method, while total phenolic content was determined by the Folin–Ciocalteu assay. The methanolic extract exhibited strong antioxidant activity (IC₅₀ = 23.25 mg/L) and a total phenolic content of 2927.4 mg/L gallic acid equivalents (GAE). Fractionation yielded nine fractions (A–I), among which Fraction E demonstrated the highest antioxidant activity (IC₅₀ = 11.58 mg/L) and the greatest phenolic content (5200 mg/L GAE). A strong negative correlation (R² = 0.9485) was observed between phenolic content and IC₅₀ values, indicating that phenolic compounds are the major contributors to the antioxidant activity. These findings highlight L. camara leaves as a promising natural source of antioxidants and support their potential application in the development of functional foods and plant-based pharmaceutical formulations.

Sectio caesarea is one of the surgical delivery methods performed when normal delivery is not possible. Although this procedure is considered safe, prospective patients often experience high stress due to fear of surgery, interventions such as religious music therapy that have spiritual value can calm emotions. This study aims to determine the effect of religious music therapy on stress levels in pre-section caesarean patients at RSUD dr. Tjitrowardojo Purworejo. This study used a quasi-experimental design with a non-randomized control group pretest-posttest design approach. The study sample was 30 patients who were divided into two groups, namely 15 people as the intervention group and 15 people as the control group. The research instruments were music therapy and stress level questionnaires. To analyze the data, the Wilcoxon Signed Rank Test and the Mann-Whitney Test were used.. The results showed a significant decrease in patient stress levels after listening to religious music. The average stress score before the intervention was higher than after the intervention, and the statistical test showed a p value <0.05, which means that religious music therapy has a significant effect on reducing stress. Religious music therapy can reduce stress levels in pre-cesarean section patients. This intervention can be used as part of anesthesia maintenance to improve patient comfort and mental readiness before surgery.

The diversity of cultural preferences among students creates interesting communication dynamics in the scope of friendship on campus. Using descriptive qualitative research with an ethnographic approach, this study aims to find out how students who are fans of popular culture (Korean and Japanese) and local culture (Javanese) negotiate their cultural identity. Through participatory observation and interviews conducted with three informants, the results showed the existence of openness, adaptation, and the tendency of functional biculturalism. So that intercultural communication can take place harmoniously and support the formation of a flexible multicultural identity.

This research uses a qualitative method aimed at examining how the integration of local arts and culture into elementary school learning can enhance students’ national identity. In the rapid era of globalization, preserving local culture becomes essential as a foundation in shaping the nation’s character. Through a case study approach in several elementary schools in Indonesia, it was found that incorporating elements of traditional arts such as dance, regional music, folklore, and local crafts into subjects like Indonesian Language, Arts and Culture, and Civics Education had a positive impact on students’ understanding and appreciation of their cultural heritage. Teachers act as creative facilitators by connecting lesson materials with local wisdom, making the learning process more meaningful and contextual. The results show that students become more proud of their own culture, develop a stronger sense of historical awareness, and foster a deeper love for their country. Therefore, integrating local arts and culture not only enriches the learning process but also serves as an effective strategy in building national identity from an early age.

This study aims to evaluate the effectiveness of digital learning media in enhancing elementary school students’ learning interest within the context of technological advancement in education. Digital media such as interactive videos, educational animations, and learning applications are increasingly integrated into teaching processes as a response to the demand for more innovative and adaptive education. This research discusses how digital learning media can stimulate students’ intrinsic motivation, strengthen engagement, and create a more enjoyable and contextual learning experience. The findings indicate that digital media holds significant potential to improve the quality of primary education by presenting content in an engaging and easily comprehensible manner. Despite technical challenges such as limited device availability and internet access, conceptually, digital learning media can serve as a strategic solution in reforming teaching methods in the digital age.