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Background: Schizophrenia is a serious chronic mental disorder that can affect thinking, perception, feelings, and behavior. Patients with undifferentiated schizophrenia are at risk of experiencing the nursing problem of risk of violent behavior (RPK) due to their inability to control emotions and anger. Based on data from the medical records of RSJD dr. Amino Gondohutomo, Central Java Province, from August to October 2025, the risk of violent behavior was the highest nursing diagnosis in the Gatotkaca Ward, reaching 56.5%–77% of all inpatients. Objective: To perform nursing care on Tn. K with the main problem of risk of violent behavior due to undifferentiated schizophrenia at RSJD dr. Amino Gondohutomo, Central Java Province. Methods: This study used a descriptive method with a nursing process approach. Data collection was carried out through interviews, observation, documentation studies, and literature review. Nursing care was provided from November 18 to 22, 2025. Results: Assessment findings on Tn. K (19 years old) with undifferentiated schizophrenia and a history of physical abuse, parental rejection, and family violence revealed four nursing problems: risk of violent behavior (core problem), sensory perceptual disorder: auditory and visual hallucinations, self-concept disorder: low self-esteem, and self-care deficit. Implementation was carried out through nursing strategies (SP) 1 to 4 for risk of violent behavior (physical, medication, verbal, and spiritual control), SP 1 and SP 3 for self-care deficit, and SP 1 to SP 2 for sensory perceptual disorder: hallucinations. All implementation stages were optimally achieved. Conclusion: Nursing evaluation showed that the client was able to achieve cognitive, affective, and psychomotor goals in all implemented SPs. Collaboration with ward nurses was carried out to continue SP 3 and SP 4 for hallucinations and the entire low self-esteem intervention due to time constraints.

Background: Schizophrenia is a psychiatric disorder characterized by positive psychotic symptoms (such as hallucinations) and negative symptoms accompanied by cognitive decline. Auditory hallucinations represent the most common positive symptom, occurring in more than 75% of patients with schizophrenia. Objective: This study aimed to describe the comprehensive nursing care for Mr. F with a primary problem of perceptual sensory disorder: auditory hallucinations due to undifferentiated schizophrenia at Gatot Kaca Ward, RSJD dr. Amino Gondohutomo, Central Java Province. Method: This study used a descriptive method with a nursing process approach, including assessment, nursing diagnosis, intervention planning, implementation, and evaluation. Data collection was carried out through interview, observation, and literature study. Results: Nursing problems identified were: perceptual sensory disorder (auditory hallucinations) as the core problem, social isolation (withdrawal) as the causa, risk of violent behavior as the effect, and self-care deficit as an accompanying problem. Nursing interventions were conducted using the implementation strategy (SP) 1, 2, and 3 for hallucinations and SP 1 for self-care deficit. Conclusion: After 4 days of nursing implementation, 2 out of 4 nursing diagnoses were resolved: perceptual sensory disorder (auditory hallucinations) and self-care deficit, while social isolation (withdrawal) and risk of violent behavior remained unresolved. Patients with hallucinations are expected to be able to control hallucinations using the methods that have been taught.

Patients with ANSD may have hearing thresholds that vary from normal to severe hearing loss, but they often have difficulty understanding speech, especially in noisy environments. This condition can be caused by various factors, including genetic mutations (such as in the OTOF gene), preterm birth, perinatal hypoxia, and hyperbilirubinemia. Some adult patients have been reported to develop ANSD following autoimmune disorders such as sensorimotor neuropathy or after chemotherapy with ototoxic agents such as cisplatin. Diagnosis of Auditory Neuropathy Spectrum Disorder (ANSD) begins with a comprehensive medical history to identify risk factors that play a role. A history of preterm birth, severe hyperbilirubinemia requiring exchange transfusion, perinatal hypoxia, ventilator use, and a family history of infection or genetic disorders are major risk factors. In addition, patients or parents often report delayed speech development, inability to understand speech (especially in noisy environments), or a discrepancy between previous hearing test results and the child’s behavioral response. The gold standard for diagnosing ANSD is a combination of: (1) positive OAE and/or CM, (2) absent or abnormal ABR, and (3) absent acoustic reflex. This diagnosis is established only if there is evidence that the cochlea is functioning normally but there is a disruption in auditory nerve transmission. Routine monitoring is conducted to assess hearing and language development and adjust devices and therapy methods according to the patient’s needs. Counseling and education for families are also crucial components to provide optimal support at home and improve the patient’s quality of life. A comprehensive multidisciplinary approach is essential to ensure effective management of ANSD and achieve the best possible outcomes.

Financial reporting integrity is heavily reliant on audit quality. This research explores the effect of auditor attributes, specifically integrity and professional background, on audit standards in Timor-Leste. Quantitative data was collected from a survey of 60 auditors and analyzed using descriptive statistics, correlation analysis, and multiple linear regression techniques. The findings suggest that auditor ethics has a substantial positive impact on audit quality, indicating that conformity to professional ethical guidelines is vital for enhancing audit results. In contrast, experience in auditing does not demonstrate a statistically significant impact on the quality of audits. Visualization through scatter plots further supports the notion that the relationship between ethics and audit quality is more robust than that of other auditor characteristics. Strengthening ethical standards in the auditing profession is crucial to enhancing audit quality, as these findings demonstrate. This study contributes to the body of research on auditing behavior by presenting empirical findings from a developing institutional setting. The findings also have practical implications for policymakers and auditing bodies in Timor-Leste.

The Application Of Hallucination Management Using The Shutting-Out Technique For The Control Of Auditory Hallucinations In Schizophrenia Patients In The Angruk Ward Of Prof. Dr. Margono Soekarjo General Hospital, Purwokerto. Schizophrenia is a severe mental disorder often accompanied by auditory hallucinations. Auditory hallucinations may cause patients to talk to themselves, appear restless, and experience difficulty in controlling responses to internal stimuli. One non-pharmacological nursing intervention that can be applied is the rebuking technique, a strategy used to firmly reject or dismiss hallucinatory voices. This study aimed to examine the application of the rebuking technique in controlling auditory hallucinations in patients with schizophrenia. This research employed a descriptive case study design using a nursing process approach and was conducted from February 17 to 19, 2026, on a patient diagnosed with schizophrenia experiencing auditory hallucinations. The intervention was implemented over three days, with one session per day lasting approximately 15–20 minutes. The results showed an improvement in the patient’s ability to recognize and control hallucinations, as indicated by a reduction in self-talking behavior, increased awareness of hallucination onset, and the ability to independently apply the rebuking technique. In conclusion, the rebuking technique is an effective nursing intervention to assist patients with schizophrenia in controlling auditory hallucinations.

This study examines the application of Transparent Artificial Intelligence (AI) for fraud detection in public welfare programs using publicly available administrative data. Persistent challenges in welfare governance such as misallocation, fraud, and data inaccuracy necessitate analytical frameworks that are both effective and explainable. The research aims to design and evaluate an interpretable anomaly detection system capable of identifying irregularities in welfare distribution while maintaining transparency and accountability. Methodologically, the study employs two unsupervised models Isolation Forest and Local Outlier Factor (LOF) to detect anomalies in sub-district-level welfare data, incorporating features such as population size, number of beneficiaries, and coverage ratio. An Explainable AI (XAI) framework integrating surrogate Random Forests, Permutation Feature Importance (PFI), and local linear surrogates (LIME-like) is applied to ensure interpretability of both global and local model behaviors. Findings reveal that receivers per 1000 population and percentage coverage are dominant determinants of anomaly scores. Fifteen administrative units were flagged for potential inconsistencies suggesting over- or under-reporting of beneficiaries. Cross-validation between IF and LOF models confirmed consistency in identifying anomalous regions. The integrated XAI explanations enhance transparency, enabling policymakers and auditors to trace the rationale behind detected anomalies. In conclusion, the proposed Transparent AI framework demonstrates that combining anomaly detection with interpretability tools can strengthen accountability and fairness in welfare administration. It offers a reproducible, ethical, and data-driven approach to social program monitoring, reinforcing public trust and supporting responsible AI governance.

This study presents ReflectAI, a web-based system designed to automate the creation of teaching materials tailored to students' learning styles using behavior data from a Learning Management System (LMS). Student digital activity data—such as logins, material access, forum participation, assignment submission, and quiz results—are extracted and processed using a Hierarchical Clustering algorithm to categorize students into three learning styles: visual, auditory, and kinesthetic. Based on the clustering results, the system automatically generates personalized learning modules using generative AI (ChatGPT API), aligned with each student's learning preferences. Employing a data-driven system development approach, the system was tested with data from 230 students in a mathematics course. The results show diverse learning style distributions and relevant, tailored content generation. ReflectAI is designed to reduce teachers’ administrative workload and enhance personalized and adaptive learning. This system contributes to educational transformation through deep, data-driven technology integration.

This study aims to describe the implementation of multisensory strategies in improving the early reading skills and comprehension of dyslexic children in grade 2 of Bugel 2 Public Elementary School. The subject of the study was a student with dyslexia characteristics who had shown difficulties in phonological aspects, letter recognition, reading syllables, and reading comprehension. The method used was direct observation using an early reading test instrument, a comprehension test, and a learning behavior observation sheet. The results showed that the implementation of multisensory strategies (Visual-Auditory-Kinesthetic-Tactile) through letter tracing activities, reading with the help of sounds, arranging letter cards, and reading together exercises was able to improve reading accuracy, strengthen letter-sound relationships, and foster students' self-confidence. Thus, multisensory strategies were proven effective in helping dyslexic children master early reading skills and comprehend simple texts. This study provides an important contribution to the development of more inclusive and effective teaching methods, especially for students with dyslexia, who require a more holistic and comprehensive approach to improve their literacy skills. As a suggestion, the implementation of this strategy can be expanded by involving more students and considering variations in the types of texts and teaching materials used.

This research is motivated by the gap between the standard prayer readings of Khoiru Ummah Islamic Junior High School Malang and the diverse practices of students due to differences in background. The absence of a specific time allocation for talaqqi becomes a challenge in standardization efforts. The purpose of this study is to describe the implementation steps of the guided habituation method through the Jahr technique (loud reading) in congregational Dhuha Prayer as a pedagogical solution. This study uses a qualitative research approach with a case study design. Data were collected through non-participant observation, in-depth interviews with the Principal and Islamic Education Teachers, and Focus Group Discussions (FGD) with students, and document analysis. The results show that the implementation of this method follows the habit loop flow (trigger, routine, reward) from a behavioristic perspective. The Jahr technique functions as an effective auditory stimulus (talaqqi) in helping students memorize standard readings, supported by the fiqh-pedagogical justification of Jahr li at-ta'lim. Despite its effectiveness, challenges were identified in the consistency of student responses (passive) and the lack of systematic post-prayer reinforcement. It was concluded that the guided habituation method through the Dhuha Prayer Session is a practical pedagogical model that can be implemented to standardize practical worship in schools.

Schizophrenia is a complex psychiatric disorder that disrupts cognition, emotion, perception, and behavior, significantly affecting daily functioning and social interaction. Paranoid schizophrenia, a well-recognized subtype, is characterized by persistent paranoid delusions, frequently accompanied by hallucinations—most commonly auditory—and other perceptual disturbances, often leading to unpredictable or aggressive behaviors. A 34-year-old male patient, Mr. A, was brought to Cut Meutia General Hospital on February 9, 2024, by his father and the village chief due to episodes of aggression. The patient reported that his behavior occurred because a creature was controlling his body and disturbing him. His family indicated that he had experienced similar episodes in the past and had previously been hospitalized for the same condition. Based on established clinical guidelines, he was diagnosed with paranoid schizophrenia. Pharmacological management was initiated, including risperidone, clozapine, lodemer injection, diazepam injection, divalproex, and trihexyphenidyl, targeting psychotic symptoms, agitation, and behavioral disturbances, with the aim of stabilizing his mental state, preventing further aggressive episodes, and supporting overall functional recovery.

In the learning process, there are various important aspects that must be considered, especially by teachers as transmitters of knowledge. The success of learning depends heavily on the teacher's ability to manage the classroom to create a safe, comfortable, and enjoyable learning atmosphere. Therefore, teachers need to choose the right learning method so that learning objectives can be achieved effectively. One method that can be used is Outdoor Learning, which is learning outside the classroom that provides opportunities for students to develop talents and creativity more broadly through direct experience in the open air. Management of the learning environment is also a crucial factor in supporting learning success. Several things that need to be considered include understanding the nature and development of student intelligence, getting to know students individually, utilizing student behavior in organizing learning, and developing critical thinking, creativity, and problem-solving skills. In addition, teachers need to create an attractive classroom, utilize the environment as a learning resource, provide constructive feedback, and differentiate between students' physical and mental activities. The learning environment itself consists of indoor and outdoor environments. The indoor environment includes school facilities such as classrooms, libraries, laboratories, and auditoriums. Meanwhile, the outdoor environment includes places outside the school that can be used as learning resources, such as museums, mosques, monuments, and fields. Prospective teachers need to understand the importance of managing the learning environment and understand the various types and benefits of learning environments to support an effective learning process.  

This study examines in depth the risk factors influencing financial statement fraud in the Indonesian banking sector by employing the Fraud Hexagon framework. This framework comprises six core elements—pressure, opportunity, rationalization, capability, arrogance, and collusion—each representing potential drivers of fraudulent behavior. The study also aims to assess whether institutional investor involvement can serve as a moderating factor capable of reducing the likelihood of fraud. The research uses secondary data derived from the annual reports of banks listed on the Indonesia Stock Exchange (IDX) for the period 2020–2023. Logistic regression analysis is employed to examine the relationships between the Fraud Hexagon variables and financial statement fraud, as well as to test the moderating role of institutional ownership. The findings reveal that, among the six elements of the Fraud Hexagon, only auditor changes (representing rationalization) and political connections (representing collusion) have a significant effect on financial statement fraud. The other elements—pressure, opportunity, capability, and arrogance—do not show a significant impact. Furthermore, institutional investor involvement is found not to moderate the relationship between the Fraud Hexagon elements and financial statement fraud, indicating that external monitoring through institutional ownership remains ineffective in the context of Indonesian banking. These results underscore the importance of closer supervision of rationalization and collusion factors, as well as the need for stronger internal control mechanisms to prevent fraudulent financial reporting. The study’s findings are expected to provide valuable insights for regulators, banking management, and other stakeholders in their efforts to enhance fraud prevention measures in the financial sector.  

Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being the most common symptom. This study aims to describe the nursing care process for patients with paranoid schizophrenia experiencing sensory perception disturbances, specifically auditory hallucinations. The research applied a descriptive case study design conducted in Dewaruci Ward, RSJD dr. Amino Gondohutomo, Central Java Province, from October to December 2024. Data were collected through interviews, direct observation, and medical record review, then analyzed using thematic analysis based on Miles and Huberman’s framework. The findings revealed that the patient was able to gradually reduce the intensity of auditory hallucinations and showed improvement in social interactions after nursing interventions, including identification of hallucinations, distraction techniques, therapeutic communication, and collaboration in pharmacological treatment. Family involvement also played an essential role in supporting the patient’s recovery process. This study implies that comprehensive nursing care based on bio-psycho-socio-spiritual approaches and family participation is effective in managing hallucinations and enhancing patient outcomes.

Adapting to students’ learning styles is a key factor in enhancing the effectiveness of higher education, particularly in Informatics programs where learning preferences vary widely. This study aims to segment students based on their learning styles using the K-Means clustering algorithm, guided by the VARK model (Visual, Auditory, Read/Write, Kinesthetic). Data were collected from 130 Informatics students, including information on their learning preferences, and processed through normalization techniques. The optimal number of clusters was determined using the Elbow Method and Silhouette Score, and subsequent cluster interpretation was conducted. The results identified three dominant clusters, each representing distinct learning behavior patterns. These clusters were analyzed to recommend tailored instructional strategies for each group. Specifically, Visual learners were found to benefit from graphic-heavy materials, Auditory learners preferred lectures and discussions, Read/Write learners thrived on written content and detailed notes, while Kinesthetic learners responded best to hands-on activities. The findings support the development of adaptive, data-driven teaching approaches that align with the actual learning tendencies of students in Informatics. Moreover, the study demonstrates that the K-Means method is effective in systematically identifying student learning profiles, which can be used to inform instructional improvements. This personalized approach to teaching could significantly enhance learning outcomes by providing students with the most effective educational experiences tailored to their individual learning styles

Mental health is an important aspect that supports quality of life, including a state of well-being related to happiness, satisfaction, achievement, optimism, and dynamic hope according to life situations (Fitri, 2025; Herlina et al., 2024). Schizophrenia is a severe mental disorder characterized by an inability to communicate, impaired perception of reality (illusions and hallucinations), and loss of self-confidence, included in the category of psychosis (Mardiana et al., 2024). The purpose of writing this scientific paper is to find out and implement psychiatric nursing care for Mr. R, with the main problem of sensory perception disorders: auditory hallucinations due to schizophrenia that are not detailed in the Hudowol Room of Dr. Amino Gondohutomo Mental Hospital, Central Java Province. The method used is a descriptive approach with a case study. The case review results showed that the client heard male and female voices saying negative things and often talked to himself. The problem tree identified sensory perception disorders: auditory hallucinations as the core problem, accompanied by self-care deficits, social isolation, and the risk of violent behavior. Interventions are designed based on implementation strategy guidelines for clients and families, implemented, and evaluated as documented evidence

Auditory hallucinations are one of the main symptoms experienced by patients with schizophrenia. Non-pharmacological interventions, such as spiritual therapy, serve as important alternatives to support treatment. One increasingly used method is the recitation of Qur’anic verses (murottal therapy), which provides psychological and spiritual calming effects.  To determine the impact of murottal audio therapy of Surah Ar-Rahman on the intensity of auditory hallucinations in patients with schizophrenia at Gramesia Nursing Home, Cirebon.  This scientific paper is presented in the form of a nursing care report focusing on the application of murottal audio therapy using Surah Ar-Rahman as an intervention.  Before the therapy, the patient experienced moderate auditory hallucinations, accompanied by intense emotional reactions and difficulty controlling behavior. After undergoing murottal audio therapy, there was a decrease in hallucination intensity and improvement in the patient’s emotional condition. Murottal audio therapy of Surah Ar-Rahman is effective as a non-pharmacological approach to reduce auditory hallucinations and support psychological recovery in patients with schizophrenia. Following the intervention, patients reported a significant decrease in the intensity of their hallucinations. Emotional reactions were notably less intense, and patients displayed improved emotional regulation and greater behavioral control. The results suggest that murottal audio therapy using Surah Ar-Rahman is an effective non-pharmacological intervention that not only reduces the intensity of auditory hallucinations but also plays a supportive role in the psychological recovery of patients with schizophrenia. The findings emphasize the importance of integrating spiritual therapies into comprehensive treatment plans, as they offer a holistic approach to managing schizophrenia. This intervention can complement traditional pharmacological treatments, providing patients with a sense of spiritual calm and emotional stability, which can enhance their overall mental health and well-being.

This study aims to analyze the influence of Profitability, Liquidity, Leverage, Opinion Shopping, and Public Accounting Firm (KAP) Size on Going Concern Audit Opinion in property and real estate sector companies listed on the Indonesia Stock Exchange (IDX) for the 2020–2024 period. The audit opinion going concern is an important issue because it reflects the company's ability to maintain its business continuity in the midst of economic uncertainty and increasingly complex market dynamics. The research population includes all companies in the property and real estate sectors on the IDX, with sample selection using purposive sampling techniques that resulted in 60 companies as the object of the study. The collected data was analyzed using the logistic regression method to test the influence of each independent variable on the audit opinion going concern. The results of the study show that profitability has a negative and significant effect on the audit opinion of going concern, which means that the higher the level of profitability of the company, the less likely the auditor to give an audit opinion of going concern. Furthermore, Opinion Shopping has been proven to have a positive and significant effect on going concern audit opinions, so that the practice of seeking alternative auditor opinions has the potential to increase the risk of issuing going concern opinions. Meanwhile, the variables Liquidity, Leverage, and KAP Size did not show a significant influence on the audit opinion going concern. These findings confirm that certain financial performance factors as well as management behavior in seeking auditor opinions have an important role in determining audit opinion going concern, while other factors such as the size of the KAP are not necessarily determinative.

Learning to Understand the Content of Recited Poetry is a crucial aspect of literature instruction at the junior high school level. However, field observations indicate that many students struggle to appreciate poetry due to its imaginative and multi-interpretative language (Afiana et al., 2022). This study aims to improve the skill of understanding poetry content through the implementation of a modeling-based learning model using poetry recitation videos for seventh-grade students at SMP Negeri 7 Cilacap. This research adopts a quantitative approach, with subjects consisting of seventh-grade students selected based on their initial achievement, which did not meet the standard of learning mastery. The instruments used include a poetry comprehension skills test and non-test instruments such as observation, interviews, journals, and documentation. The data were analyzed using both descriptive quantitative and qualitative methods. The results indicate that the modeling learning model combined with poetry recitation videos significantly enhanced students' ability to understand the content of poetry. The average score increased from 74.78 to 78.6, exceeding the Minimum Mastery Criteria (KKTP). Improvements were observed in the ability to identify the theme, message, feeling, tone and atmosphere, as well as in the ability to summarize the overall content of the poem. Additionally, there was a positive change in student behavior, with learners becoming more active, confident, and enthusiastic during the learning process. The video presentations played an important role in enthusiastic during the learning process. The video presentations played an important role in stimulating students’ auditory perception and imagination (Arlindo et al., 2022), while the modeling approach encouraged both cognitive and affective engagement (Musfiroh & Kanzunnudin, 2022). These findings affirm that instructional strategies integrating inductive approaches and audio-visual media are effective in enhancing students’ literary appreciation competencies (Sayoga & Nurlatifah, 2023). This study provides practical insights for teachers in designing engaging and effective poetry lessons and recommends further research to examine the effectiveness of similar strategies in broader educational contexts (Utomo et al., 2023).

This research investigates the factors contributing to low understanding of environmental degradation among sixth-grade students at SDN 12 Padang Koto Gadang. The study aims to identify internal and external factors affecting students' comprehension of environmental issues within the IPAS (Natural and Social Sciences) curriculum. Using a qualitative descriptive approach, data were collected through in-depth interviews with the class teacher, classroom observations, and document analysis of lesson plans and student assessment records. The findings reveal that internal factors include low learning motivation, where students perceive environmental materials as mere memorization tasks, and a significant mismatch between students' kinesthetic-visual learning styles (78%) and the predominantly auditory-lecture teaching methods. External factors encompass conventional teaching approaches dominating 85% of classroom time, limited technological infrastructure, and insufficient interactive learning resources. A paradoxical finding shows that while 70% of students claim environmental concern, only 23% consistently practice eco-friendly behaviors, indicating a substantial gap between cognitive knowledge and behavioral application. The study recommends implementing a hybrid learning model combining Problem-Based Learning with local contexts, utilizing simple nature-based media, and establishing strategic community partnerships. These findings contribute to developing more adaptive and contextual teaching methods aligned with Merdeka Curriculum principles for elementary environmental education.

Paranoid schizophrenia is a condition of mental and behavioral disorders characterized by impaired thoughts, perceptions, feelings and consciousness of the patient is fully conscious and intellectually can still be maintained. According to WHO, the prevalence of schizophrenia in 2021 reached 24 million people, and the prevalence of schizophrenia experiencing from 2019-2021 has increased by 54%. Patient Mr. Mr. Z said he was brought to Cut Meutia Hospital because he had a fight with his wife, and he had divorced his 3 wives. The patient said he did not want to eat because there was dirt in his food. The patient said that he heard whispering voices from his wife. The patient said he wanted to divorce his wife but she kept pursuing him. The patient said that he was beaten by his wife's brother. The patient said that he was taken for breaking the glass of a woman's house who insisted on having him. The patient said that he was a Messenger of Allah and he was upset because his power was taken away by a woman. The patient broke the glass because he was taking revenge on the woman who first broke the glass of his house and cellphone. The patient also said that he was given a lethal injection yesterday and his hand now hurts. Fluent speech, verbal and relevant contact, euthymic mood and dulled affect. The patient was given psychopharmacological therapy in the form of anti-psychotic drugs and the family was also given education about supportive therapy to the patient.