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Alfia Aulia; Kasja Eki Waluyo; Abdul Azis

JURNAL ILMIAH PENDIDIKAN KEBUDAYAAN DAN AGAMA 2026 CV. ALIM'SPUBLISHING

The purpose of this research is to study the role of Generation Z in spreading religious moderationvalues through social media, and to identify the challenges and opportunities they face in the digital era.Generation Z grows up in an environment closely tied to digital technology advancement, making social media aprimary platform for their religious and social expression. Creating creative visual content, such as memes andshort videos, is a relevant form of expression used to preach and effectively spread messages of tolerance. Adescriptive qualitative method based on literature study was used comprehensively in this research. Variousscientific literatures and previous journal articles served as the main data sources. The study shows that althoughsocial media offers broad opportunities for attractive and inclusive moderate preaching, there are still majorchallenges. These include the massive spread of hoaxes, disinformation, increased polarization in the virtualpublic space, and the real threat of digital extremism. Therefore, improving digital literacy combined withcomprehensive religious literacy is crucial. This aims to shape Generation Z to think critically, act wisely infiltering information, and ultimately become active agents of peace both in the real world and in the digitalecosystem.

Yohana Maritza Fatma Ayu Widyoputri; Adestien Amalia Luthfi Nafisah

DHARMA EKONOMI 2026 sekolah Tinggi Ilmu Ekonomi Dharmaputra Semarang

Digital transformation has reshaped the landscape of MSMEs in Indonesia, particularly those managed by Generation Z. This study aims to analyze key success factors of Generation Z MSMEs in building sustainable digital business ecosystems. The research employs a systematic literature review methodology by analyzing various academic sources, industry reports, and related publications from 2019-2024. Findings reveal five primary success factors: adaptive digital technology adoption, high digital literacy, social media utilization as marketing strategy, collaboration within digital ecosystems, and business sustainability orientation. Generation Z MSMEs demonstrate advantages in leveraging e-commerce platforms, digital payments, and data analytics for decision-making. Research implications provide strategic recommendations for MSME practitioners, policymakers, and stakeholders in developing ecosystems that support sustainable digital business growth, while emphasizing the importance of digital infrastructure and business mentoring aligned with digital native generation characteristics.

Adesta Dermawan Wicaksono; Syamsul Hadi; Asset Cahya Wardhana; Ajang Deng Arok; Atem Juacg Kelei Juach

Manufaktur: Publikasi Sub Rumpun Ilmu Keteknikan Industri 2025 Asosiasi Riset Ilmu Teknik Indonesia

The problem faced is the decline in the performance of a 650 liter/minute centrifugal pump due to wear on components, especially the impeller, rolling bearings, and mechanical seals in supplying process water and clean water in industrial production systems. The planning objective is to obtain a maintenance schedule for a 650 liter/minute centrifugal pump for the operational period of 2026 and the ratio between maintenance costs and profits generated by the machine. The maintenance planning method includes collecting maintenance data from previous maintenance periods, reviewing centrifugal pump specifications, applying the inspection, replace, repair, and overhaul (IRRO) approach, estimating the age and price of components that are expected to be damaged, estimating the cost and duration of dismantling and installing components that have been repaired in accordance with the provisions of the requirements for usable components or replacement parts, scheduling maintenance and repairs, estimating maintenance and repair costs for the 2026 period, and determining the ratio of maintenance costs to profits. The planning results are in the form of a maintenance schedule for the 2026 period worth IDR 4,290,000,-, a maintenance cost to profit ratio of 7.44% and the implications indicate that the machine is still suitable for use and prospective for operations in the next few years.  

Mesioye, Ayobami E.; Falade, Adesola M.; Akinola, Kayode E.

Journal of Computing Theories and Applications 2025 Universitas Dian Nuswantoro

The use of Search-Based Software Engineering (SBSE) for optimizing software architecture has evolved from fully automated to interactive approaches, integrating human expertise. However, current interactive tools face limitations: they typically support only single decision-makers, confine architects to passive roles, and induce significant cognitive fatigue from repetitive evaluations. These issues disconnect them from modern, team-based software development, where collaboration and consensus are crucial. To address these shortcomings, we propose "ArchEvolve," a novel framework designed to facilitate collaborative, multi-architect decision-making. ArchEvolve employs a cooperative coevolutionary model that concurrently evolves a population of candidate architectures and distinct populations representing each architect's unique preferences. This structure guides the search towards high-quality consensus solutions that accommodate diverse, often conflicting, stakeholder viewpoints. An integrated Artificial Neural Network (ANN) serves as a preference learning module, trained on explicit team feedback to act as a surrogate evaluator. This active learning cycle substantially reduces the number of required human interactions and alleviates user fatigue. Empirical evaluation on two industrial case studies (E-Commerce System and Healthcare Management System) compared ArchEvolve to a state-of-the-art interactive baseline. Results indicate that ArchEvolve achieves statistically significant improvements in both solution quality and consensus-building. The preference learning module demonstrated over 90% accuracy in predicting team ratings and reduced human evaluations by up to 46% without compromising final solution quality. ArchEvolve provides a practical, scalable framework supporting collaborative, consensus-driven architectural design, making interactive optimization a more viable and efficient tool for real-world software engineering teams by intelligently integrating cooperative coevolutionary search with a preference learning surrogate.

Efbertias Sitorus; Pantas Simanjutak; Lince Romauli Panataria; Meylin Kristina Saragih; Rio Adesta Hutauruk

Tumbuhan : Publikasi Ilmu Sosiologi Pertanian Dan Ilmu Kehutanan 2025 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

This study aims to determine the effect of cow manure and liquid organic fertilizer eco farming on the growth and production of shallots (Allium ascalonicum L.). This research method uses a Factorial Randomized Block Design (RAK) consisting of 2 factors. The first factor is cow manure (P) consisting of 4 treatment levels, namely: P0 = Control (Without Compost), P1 = 0.5 kg/plot (5 tons/ha), P2 = 1.0 kg/plot (10 tons/ha) and P3 = 1.5 kg/plot (15 tons/ha). The second factor: Eco Farming consists of 3 treatment levels: C1 = 150 ml/plot, C2 = 250 ml/plot, and C3 = 350 ml/plot. The study's results showed that the provision of cow manure significantly affected plant height, number of leaves, wet weight of tubers per sample, and wet weight of tubers per plot. Providing eco farming impacts plant height, number of leaves, dry weight of tubers per sample, and wet weight of tubers per plot. The interaction between cow manure and eco farming had no significant effect on plant height, number of leaves, dry weight of tubers per sample, and wet weight of tubers per plot.

Ades Sulfiah; Achmad Nashrudin Priatna; April Laksana; Noerma Kurnia Fajarwati; Meiby Zulfikar

Jurnal Riset Rumpun Ilmu Pendidikan 2025 Lembaga Pengembangan Kinerja Dosen

The SENABUNG Serang Volunteer Community has various humanitarian programs to help the poor, street children, and other communities in need. This study aims to determine the communication strategy of the SENABUNG Serang Volunteer Community in increasing its presence in the community, as well as to analyze the obstacles faced. The research method uses a descriptive qualitative approach with the Resource Mobilization theory. Data were obtained through interviews, observation, and documentation. Data validity techniques use source triangulation to ensure the validity of the research findings. The results show that the existence of the SENABUNG community is built through the mobilization of five types of resources, namely human, material, organizational, socio-cultural, and moral resources. The community has succeeded in mobilizing volunteers, collecting donations, building social networks, and gaining moral legitimacy from the community. However, this study also found internal obstacles such as limited volunteers and time, inadequate equipment, unstable morale and transportation facilities, as well as external obstacles such as dependence on donations and digital security threats. Despite these successes, the study highlights significant challenges. Internally, the community struggles with a limited number of volunteers, which affects the sustainability of its programs. Moreover, the volunteers' time commitment is often restricted, limiting their capacity to engage fully. Additionally, inadequate equipment and unstable morale present further hurdles. Externally, the community's reliance on donations for funding leaves it vulnerable to fluctuations in contributions, and digital security threats pose risks to the integrity of the information shared across platforms.

Adesty Lasally; Mirna Diansyah

Gemawisata: Jurnal Ilmiah Pariwisata 2025 Sekolah Tinggi Ilmu Ekonomi Pariwisata Indonesia

Based on the researcher’s observations at The Westlake Resort Yogyakarta, particularly in the Food and Beverage Product Department within the Pastry Section, several issues and challenges were identified, namely the absence of a clearly established Standard Operating Procedure (SOP). It was therefore concluded that the SOP in the Pastry Section at The Westlake Resort Yogyakarta has not been properly designed or implemented. In order to determine in detail the design of the SOP to be applied in the Pastry Section, a study was conducted under the title “Designing Standard Operating Procedures (SOP) for Raw Materials and Product Quality: A Case Study of the Pastry Section at The Westlake Resort Yogyakarta.” The research employed a qualitative method with a descriptive approach. Sampling was carried out using purposive sampling with a non-probability technique, while data collection techniques included observation and interviews. Data analysis was conducted through four stages: data collection, data reduction, data presentation, and conclusion drawing. The results of the data analysis indicated that the SOP in the Pastry Section at The Westlake Resort Yogyakarta had not yet been established, and the proposed SOP design had not been fully implemented, nor did it meet the job description indicators of the pastry section as outlined by Suhardjito (2006), particularly in terms of raw materials and product quality. The study concludes that although the staff in the Pastry Section at The Westlake Resort Yogyakarta have SOPs in place, they do not fully comply with the specified indicators. Certain aspects, such as product quality and workplace hygiene, have not been consistently applied, thereby necessitating an evaluation and the formal establishment of SOPs.

Fatima Abid Ali Sliman

Jurnal Publikasi Ekonomi dan Akuntansi 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

The proposed research will focus on defining the effects of the strategic audit aspects instrengthening the institutional performance of the Iraqi General Cement Company. The research targetedfour important dimensions that are strategic position of the institution, the internal environment, theexternal environment, and the stakeholder, and how these dimensions would be associated with variousdimensions of performance such as learning and growth, internal operations and customer satisfaction,financial performance, and environmental performance. The research methodology employed adescriptive and analytical approach, utilizing statistical methods such as SPSS V.25 and AMOS V.23 totest the study's hypotheses. The findings indicated that both the external environment and the involvementof the stakeholders had the most significant positive impacts on both the financial and the environmentalperformance of the company, whereas the internal environment was found to have solid effects oninternal activities and on customer satisfaction. The average effect on learning and development was alsorecorded on the strategic position. The findings of the study indicated that as a way of sustaininginstitutional performance, a combined consideration of strategic alignment, overall institutional processadvancement and the partnership with stakeholders should be implemented.

Imam syahri ramdhani; Safitri Fauziah Rahayu; Brynita Dayu Adesti

Imajinasi : Jurnal Ilmu Pengetahuan, Seni, dan Teknologi 2025 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

Today's cafe interiors are not only required to be comfortable, but must also have a strong visual appeal. Aesthetics and function are two important aspects that complement each other in creating a space that supports social interaction and reflects the character of the cafe itself. This study examines how design elements such as color, lighting, materials, and spatial arrangement can shape the visitor experience without ignoring the main function of the room. Using a descriptive qualitative method, this study explores examples of cafe interior designs in Indonesia that have successfully combined aesthetic values and functional needs. From the results of the analysis, it can be seen that the success of a cafe in attracting customers is greatly influenced by the balance between an attractive visual appearance and the comfort of using the space. These findings are expected to be a reference for designers and cafe owners in creating a functional space that also has strong visual characteristics.

Mutiara Adesa Madani; Melva Zainil

Perspektif: Jurnal Pendidikan dan Ilmu Bahasa 2025 STAI YPIQ BAUBAU, SULAWESI TENGGARA

Reading is a basic language skill that plays a crucial role in the learning process at the elementary level. However, many students in grade V of elementary schools still face difficulties in reading comprehension. This study aims to analyze the effectiveness of audiovisual media in improving reading skills of fifth grade students. The research method used is Systematic Literature Review (SLR), by analyzing various national journals and studies published within the last five years. The results of the literature review indicate that audiovisual media significantly enhances students' interest, focus, and comprehension in reading activities. In conclusion, audiovisual media is proven to be a practical and innovative tool to support reading instruction, and its implementation is recommended to improve literacy outcomes in elementary education.

andri budiman

REDOMINATE : Jurnal Teologi dan Pendidikan Agama Kristiani 2025 Sekolah Tinggi Teologia Kerusso Indonesia

AbstractWith humility and example, servants of Christ will further build faith, provide a positive impactthrough exemplary repentance, spiritually and morally, and provide growth in faith accompanied byexample for cell group members. Applying humility and the example of a servant of Christ canpositively impact the cell group members where they are, both in society, the church, and theenvironment. That is why humility and the example of a servant of Christ are absolute things forevery true believer, and this is a critical topic to discuss and apply. The research method used is adescriptive qualitative research method. From the research results, it was found that the applicationof humility and the example of servants of Christ is nothing new. Since the Old Testament, humilityand being an example of a servant of God have been emphasized. In the New Testament, the LordJesus Christ, the Son of God and who became the Son of Man, always gives teaching, testimony, andcalls and shows learning to His disciples with humility and a dignified example. In general, humilityand the example of Christ can have a positive and more substantial impact than words alone. Theauthority and power of a servant of Christ, with humility and example, are very relevant to themembers of the cell group they teach or lead.

Ades Sulfiah; Dian Utami Amalia; Fahisatul Jannah; Samsiah Nurhasanah; Yeni Febriyanti +1 more

Konsensus : Jurnal Ilmu Pertahanan, Hukum dan Ilmu Komunikasi 2025 Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

This research analyzes the public relations communication strategy implemented by Pratama Bina Medika Clinic in building brand awareness as a new health facility. This study uses a qualitative method with a descriptive approach with data collection techniques using interviews and literature studies to determine the effectiveness of direct marketing strategies (direct selling), word of mouth communication (WOM), and digital marketing in introducing health services (clinics) to the public. The research results show that the direct selling strategy through visits to posyandu is effective in building personal relationships with the community, increasing trust, and expanding brand awareness. WOM communication, both directly and via social media, supports the dissemination of wider and more reliable information. The use of digital marketing through social media platforms such as TikTok and Instagram expands the reach of information and facilitates interaction with the public. This holistic approach has succeeded in creating a positive image of the clinic as a provider of quality and affordable health services, while increasing public trust in the services offered.

Sicha Adestiya Silvia Dewi; Mu’arifuddin Mu’arifuddin

Jurnal Ilmu Sosial, Bahasa dan Pendidikan 2024 Pusat Riset dan Inovasi Nasional

Training management is a crucial component in organizing training programs and contributes to creating effective training. This study aims to describe the identification of training needs, training methods, training management strategies, and training success indicators at Sanggar Seni Greget in Semarang. The research method employed is descriptive qualitative research. The research subjects include the founder, the head, the secretary, and staff in the field of dance. The research informants consist of an instructor and two training participants. Data collection techniques include interviews, observations, and documentation. Data validity techniques utilize source triangulation and method triangulation. Data analysis encompasses data collection, data reduction, data presentation, and conclusion drawing. The research findings indicate that the identification of training needs at Sanggar Seni Greget involves organizational analysis, job task analysis, and individual analysis. The training methods used are demonstrations, lectures, and simulations. The training management strategy design includes planning, resource management, organizing, training development, promotion, implementation, and evaluation. The success indicators of the training are measured through goal achievement, skill and knowledge enhancement, behavioral changes, participant satisfaction, and productivity.

Adesca Happy Yonafee; Niken Purwidiani; Any Sutiadiningsih; Sri Handajani

Jurnal Ilmu Sosial, Bahasa dan Pendidikan 2024 Pusat Riset dan Inovasi Nasional

This research is an experiment in making otak-otak cakalang and ear mushroom as a product innovation. This researcher aims to determine; 1) the results of sensory quality including color, aroma, density, taste, and liking; 2) the content of water content, protein, fat, ash and fiber. This research is an experimental research with a factor pattern of comparison of the amount of ear mushrooms and skipjack with 3 treatments, namely (1:5), (1:3), (1:2) with sensory quality assessment by 5 trained panelists and 35 semi trained. Data analysis using Single Anova (one way). The results showed: 1)  The proportion of ear mushroom and skipjack fish affects the aroma, taste, density but has no effect on the color of otak-otak cakalang. Otak-otak cakalang made from skipjack and ear mushrooms produce cream-colored products, savory fish aroma, and have a dense density. Products that are well received by panelists are 100:200 ratio which is the amount of 100 grams of ear mushrooms and 200 grams of tuna and, 2) The nutritional content of otak-otak cakalang shows that it has a content per 100 grams of water content of 28.96%, protein 13.87%, fat 4.51%, ash content 0.31% and fiber 2.35%.

Igbinovia Igbinovia; Edokpolor Nestor; Ohiwerei Wisdom Omogbai; Ibhadode Adesua; Festus, Oloruntoba O. +1 more

International Journal of Public Health 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

The study investigated how Cola nitida affects the sweat concentrations of sodium (Na), potassium (K), and chloride (Cl) in male and female subjects. Sixty healthy participants (30 males, 30 females) aged 18–28 years, with varying body weights (underweight, normal weight, overweight), were selected. Subjects were exposed to three conditions: normal chamber temperature (27°C, 70% RH), raised temperature (37°C, 90% RH), and exercise at normal temperature (27°C, 70% RH) while riding a bicycle ergometer at 750J/min for 20 minutes. Prior to the experiment, 0.5g/kg body weight of Cola nitida was consumed, followed by a 90-minute rest. Sweat samples were collected to measure ion concentrations. Results showed no significant changes in sodium (Na) concentrations between males and females under normal and raised temperature conditions. However, under exercise conditions, there was a significant increase in sweat Na in female underweight subjects compared to males. Regarding chloride (Cl), there was no significant difference between males and females under all conditions. For potassium (K), significant increases were observed in the sweat of female underweight subjects compared to males in normal, raised temperature, and exercise conditions. Conversely, decreases in sweat potassium were noted in female normal weight subjects under normal conditions and overweight subjects under raised temperature and exercise conditions compared to males.

Igbinovia Igbinovia; Edokpolor Nestor; Ohiwerei Wisdom Omogbai; Festus, Oloruntoba O.; Ibhadode Adesua +1 more

International Journal of Health and Social Behavior 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

How Cola nitida could affect the urine calcium and magnesium concentrations of the male human subjects in comparison to the female counterpart were focused on. Sixty subjects (males=30 and females=30) and unaccustomed to Cola nut eating were involved. Their age range was between 18 and 28years. Three (3) sub-categories were involved: underweight=10, normal weight=10 and overweight=10. Hypertensive, renal and any subject with cardio-pulmonary-related conditions were exempted from the study. The normal chamber temperature, (RT=270C and RH=70%), the raised chamber temperature (RT =370C and RH=90%) were studied. Sequel to the foregoing, the subjects sat quietly in the sweat chamber for 20 minutes. The third experimental condition was the normal chamber temperature with exercise (RT=270C and RH=70%) and the subjects rode a bicycle ergometer at 750J/minute for 20 minutes. All of these happened prior to the consumption Cola nitida. Ahead of the experimentation in the sweat chamber, the subject urinated in a container in order for the timed urine volume to be measured and urine was again taken at the end of the experimentation that was also measured in order to obtain the actual urine volume within the given period. Thereafter, the urinary flow rate was calculated. The urine calcium and magnesium concentrations were likewise estimated. 0.5g/kg body weight of Cola nitida was given to each subject and chewed as a bolus. After swallowing, 50ml of deionized water was given to each subject to drink and the subject was allowed to rest for 90 minutes before being brought into the sweat chamber. The results showed that in respect to urine Ca ions concentration, no significant change was observed in a comparison between the males and females after the ingestion of Cola nitida under normal, raised temperature and exercise experimental conditions. As regards urine Mg ions concentration, no significant change was observed in a comparison between the males and females after the ingestion of Cola nitida under normal and exercise experimental conditions. However, there was a significant increase in Mg ions concentration in the female UW and NW subjects compared to the males after the consumption of Cola nitida under raised temperature condition.

Adesty Adesty; Muchriana Muchran

Proceeding of the International Conference on Economics, Accounting, and Taxation 2024 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

This study aims to analyze the adaptation of accounting practices in Indonesia and Malaysia within the context of globalization, focusing on the cultural differences that influence the implementation of accounting standards. In the era of globalization, companies in both countries face challenges in enhancing transparency and accountability in their financial reports. The research method employed is qualitative analysis, gathering data from relevant literature, interviews with accounting professionals, and case studies of companies in both countries. The findings of the study reveal that, while Indonesia and Malaysia are working to adopt International Financial Reporting Standards (IFRS), there are significant differences in how the two countries apply accounting practices. In Indonesia, accounting practices are still influenced by local cultural values and a more flexible legal system, while Malaysia demonstrates a higher and more consistent level of IFRS adoption. These findings emphasize the importance of considering cultural and legal contexts in adapting accounting practices. This research makes a significant contribution to stakeholders, including companies and regulators, in understanding the challenges and opportunities in improving accounting practices in the era of globalization. Additionally, it identifies the need for better training and education for accounting professionals in both countries. Therefore, this study is expected to serve as a reference for future research on the adaptation of accounting practices in developing countries.

Afriyadi Afriyadi; Masayu Vrisaliani; Natasya Saffa Adesti; Raja Fitriana; Suci Alya +1 more

Kajian Ekonomi dan Akuntansi Terapan 2024 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Poverty is a common problem that continues to be faced by every region in the world, especially in remote areas, which causes an increase in poverty rates. To overcome the impact of the COVID-19 pandemic, serious efforts are needed to stop its spread, which must be supported by all levels of society by complying with government regulations. Because poverty reflects the inability to meet needs, poverty data is an important indicator in social analysis, especially for policy makers. This research aims to describe and analyze the role and policies that have been implemented by the Tanjungpinang City Government in efforts to reduce poverty. This research uses qualitative methods with literature study as a data collection technique. The conclusion that can be obtained from this research is that a comprehensive evaluation of these programs shows a reduction in the number of poor people and an increase in welfare as a result of the various initiatives implemented. Integrated health, education, skills training and social assistance programs have also helped in providing holistic solutions in overcoming the problem of poverty.

Adessa Putri Rashesa; Irvanly D Sihombing; Nurahma Fauziah; Salsa Nur Maulida; Tania Amable Padang

Jurnal Bisnis Kreatif dan Inovatif 2024 Asosiasi Riset Ilmu Manajemen dan Bisnis Indonesia

Pagi Farm is a Bogor regional company unit that cultivates various vegetables, one of which is bok choy vegetables for the bok choy vegetable needs of the community and as a stakeholder in the downstream supply chain activities for pak choy vegetables. This research aims to analyze the supply chain network for hydroponic bok choy vegetables to increase income. The research data used comes from primary data from conducting interviews with PT. Morning Congregational Blessing. R/C analysis to determine the feasibility of PT's Pakcoy Hydroponics vegetable business. Morning Congregational Blessing. The results of the research can be concluded that the bok choy supply chain at PT Pagi Berkah Berjamaah (Pagi Farm) is through PT Pagi Berkah Berjamaah (Pagi Farm) then to collectors then distributed to supermarkets and then to consumers. Based on the R/C analysis, the R/C results were > 1,68, which means that pak choy farming is feasible and profitable.

Faridah Derang; Regina Ona Adesta

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2024 International Forum of Researchers and Lecturers

With a scar from a caesarean section operation sectio caesarea cause pain to the patient so the patient tends to just lie down, therefore postpartum mothers with a history sectio caesarea early mobilization care is needed. On mother sectio caesarea allowed to get out of bed no later than 24-48 hours after giving birth. one way to reduce pain in mothers after surgery sectio caesarea is by doing reflexology massage therapy. The purpose of this case study is to find out adaptation of pain levels in post-mothers sectio caesarea after reflexology massage therapy. The method used in this case study case study design with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using Numerik rating scale (NRS). The case study results show that on average pain level of the two patients after being given therapeutic intervention reflexology massage for 2x8 hours, namely experiencing changes from severe pain to moderate pain and the patient looks more comfortable and relaxed. The conclusion of this case study shows that there are changes that occur after it is given reflexology therapy intervention for the two patients and experienced a decrease in the pain scale so that both patients are able to adapt to the pain what they feel.