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Congestive heart failure (CHF) is a cardiovascular disease that frequently causes shortness of breath (dyspnea) and negatively impacts patients’ quality of life. The management of dyspnea involves not only pharmacological approaches but also nonpharmacological interventions, one of which is handheld fan therapy, which works by stimulating sensory receptors in the facial area. This study aims to describe the effect of handheld fan therapy on reducing shortness of breath in patients with CHF. This study employed a descriptive design using a case report method on a single 63-year-old female patient diagnosed with CHF. The intervention was conducted over four days, involving the use of a handheld fan for 10 minutes, held at a distance of 15–30 cm from the face and directed toward the nose and mouth. Measurements were taken before and after the intervention using respiratory rate and oxygen saturation as parameters. The results showed a gradual decrease in respiratory rate from 24 breaths/minute to 18 breaths/minute, as well as an increase in oxygen saturation from 91% to 96% during the intervention period. These findings indicate an improvement in breathing patterns and increased respiratory efficiency in the patient. Handheld fan therapy is effective as a nonpharmacological intervention for reducing shortness of breath and improving oxygenation in patients with CHF. This intervention is safe, easy to use, and can be implemented as a complementary therapy in nursing practice.

This study was designed to create a visual communication medium in the form of a video mapping depicting the institutional change process from the Nahdlatul Ulama Institute of Technology and Science (ITSNU) Pasuruan to the Nahdlatul Ulama University of Pasuruan (UNU Pasuruan). This institutional status change represents a strategic moment that needs to be communicated to the public through a creative and engaging media approach. The research approach used the Research and Development (R&D) method, referring to Sugiyono's development framework, which consists of ten stages: identification of potential and problems, data collection, product design, design validation, design refinement, product testing, product refinement, implementation trials, final product revisions, and mass production (if necessary). Data collection techniques included in-depth interviews, field observations, documentation studies, and validation by media and content experts. The research output is a video mapping product, approximately 7 minutes in length, that has undergone a validation process and is deemed suitable as a means of communicating institutional change. This product is expected to serve both as a visual archive and as a more effective and communicative institutional promotion instrument.

The problem lies in the load lock from the wheel arm, the BLDC motor whose distance cannot be adjusted, and the flywheel whose movement is less smooth than the original design. The purpose of refining the design is to obtain smooth movement and the position of the load lock from the wheel arm, the BLDC motor that can be adjusted to be ergonomic and optimal. The method of refining the design and manufacture of the rear shock breaker spring type electric bicycle through the stages of working load analysis, the need for the distance of the load setting position and the BLDC motor, calculating the construction strength, manufacturing components, assembling components, and evaluating the results of the shock breaker manufacture. The results of refining the design and manufacture of the rear shock breaker spring type electric bicycle show that the movement of the load lock position from the wheel arm and the BLDC motor is smooth, the flywheel must be balanced, the dimensions of the shock breaker device are 120 cm long, 49.5 cm wide, 155 cm high, 120 rpm rotation speed, 2 cm shock breaker movement distance, and 1.5 cm sideways movement deviation which implies being able to provide adequate damping for electric bicycle riders well.

This research aims to critically examine the ethical integration of artificial intelligence (AI) in education through the perspective of maqāṣid al-sharīʿah, emphasizing the alignment between technological innovation and Islamic moral principles. The methods used are a systematic literature review and thematic content analysis against peer-reviewed publications for the period 2015–2025, which discuss the application of AI in primary, secondary, and higher education. The study identified dominant ethical issues, such as data privacy, algorithmic bias, accountability, human agency, and moral development, which were then mapped to Islamic ethical goals, including ʿadl (justice), amānah (belief), karāmah al-insān (human dignity), and ḥifẓ al-ʿaql (protection of reason). The results of the analysis show that the adoption of AI in education often emphasizes efficiency, personalization, and predictive analytics, but has the potential to reduce learners' autonomy and ethical reasoning. The mapping of maqāṣid al-sharīʿah shows a strong normative conformity, so that Islamic principles can be a moral foundation as well as a practical guide for AI governance. The research contribution is theoretical by bridging the literature on AI ethics and Islamic educational philosophy, as well as practical by offering an integrative framework for AI policymakers, educators, and developers. The integration of maqāṣid al-sharīʿah in AI governance ensures justice, trust, inclusivity, and the development of the whole human being (insān kāmil).

This study is motivated by the importance of financial and asset management strategies in supporting the operational effectiveness of the Regional Disaster Management Agency (BPBD) of Central Sulawesi, which plays a strategic role in disaster mitigation, preparedness, emergency response, and post-disaster recovery. The main problems addressed are how financial and asset management strategies are implemented, to what extent they affect operational effectiveness. The objectives of this research are to analyze the applied strategies, assess their influence on operational effectiveness, and identify challenges as well as relevant solutions.The literature review refers to public financial management theories, regional asset management, and previous studies highlighting the relationship between financial governance, accountability, and public sector performance. This study employs a quantitative approach with a descriptive design. Data were collected through literature study, observation, interviews, and questionnaires distributed to BPBD staff in finance and asset divisions. The analysis included validity and reliability tests, along with multiple linear regression to examine the effect of independent variables on operational effectiveness. The findings show that BPBD Central Sulawesi’s financial management strategy in 2024 achieved a realization rate of 89–100% in most programs, although imbalances were found in certain activities such as the disaster management system arrangement, which only reached 38%. In terms of asset management, fixed assets dominate with a book value of IDR 19.6 billion, with significant growth in equipment and machinery. Regression analysis results indicate an R² value of 0.817, meaning that 81.7% of operational effectiveness is influenced by financial and asset management strategies, while the remaining 18.3% is explained by other factors.The study concludes that financial and asset management strategies significantly affect BPBD’s operational effectiveness. Nevertheless, challenges such as limited human resources, inadequate information systems, and discrepancies in budget realization require solutions through capacity building, technology utilization, and improved planning mechanisms to optimize disaster management effectiveness.

Pasien CHF sering mengalami intoleransi aktivitas akibat kelelahan dan sesak napas. Salah satu intervensi untuk mengatasi masalah tersebut adalah mobilisasi dini. Tujuan penerapan mobilisasi dini ini adalah untuk menganalisis efektifitas mobilisasi dini terhadap tekanan darah, denyut nadi dan saturasi oksigen. Metode penelitian ini menggunakan Studi Kasus. Jumlah responden penerapan ini berjumlah 2 pasien terbagi menjadi pasien intervensi dan pasien kontrol. Hasil penerapan menunjukkan setelah dilakukan mobilisasi dini kepada pasien intervensi didapatkan peningkatan tekanan sistolik sebesar 10 mmHg dan diastolik sebesar 10 mmHg. Sedangkan pasien kontrol terjadi peningkatan tekanan sistolik sebesar 10 mmHg, namun tekanan diastolik tetap. Denyut nadi pada pasien intervensi mengalami peningkatan 18x/menit. Sedangkan pasien kontrol terjadi peningkatan 23x/menit. Saturasi oksigen pada pasien intervensi mengalami kenaikan 5% dan pasien kontrol tidak mengalami kenaikan pada saturasi oksigen. Jadi dapat disimpulkan dari penerapan ini bahwa ada pengaruh mobilisasi dini terhadap tekanan darah, denyut nadi dan saturasi oksigen di ruangan krisan RSUD Arifin Achmad. Disarankan kepada perawat dan pihak rumah sakit agar tetap dapat mengembangkan penerapan mobilisasi dini menjadikan intervensi ini sebagai rujukan asuhan keperawatan dalam mengendalikan status hemodinamik.  

Heart failure or congestive heart failure (CHF) is a condition where the heart is unable to pump blood optimally to meet the body's metabolic needs, resulting in symptoms such as shortness of breath, excessive fatigue, and edema (Majid, 2017). According to WHO data in 2023, CHF is one of the main causes of death with a total of 17.5 million deaths from a total of 58 million cases recorded worldwide. This paper aims to describe and provide an overview of nursing care for patient Mr. H who experiences cardiovascular system disorders in the form of CHF in the Dahlia room of Dr. Soeselo Regional Hospital, Tegal Regency in accordance with nursing practice standards. The method used is a descriptive method through a case study with data collection techniques using interviews and observations. From the results of the case review, the main complaint experienced by the patient was shortness of breath which was quite disruptive to daily activities. Based on this condition, four main nursing diagnoses were found, namely ineffective airway clearance, hypervolemia, activity intolerance, and knowledge deficits related to the disease and self-care. The interventions provided are based on theoretical references in the Indonesian Nursing Diagnosis Standards (IDHS) and the Indonesian Nursing Outcome Standards (SLHS), and are tailored to the patient's actual condition. The implemented action plan is expected to help reduce symptoms, improve the patient's ability to function, and provide a better understanding of CHF so that the patient can actively participate in the care process.

Employing a qualitative methodology that integrated video content analysis and interviews with both the curator and viewers of the YouTube channel @hippiearab, this research aims to elucidate the distinctive narrative approach utilized in the propagation of religious tenets. The central discovery of this inquiry highlights that a direct, relatable to daily life, and captivating storytelling mode simplifies the comprehension of religious doctrines for the audience. Furthermore, the application of everyday language within the content has demonstrated its efficacy in forging a robust emotional bond between the content creator and the video recipients. This study underscores the pivotal role of online media, notably YouTube, as an influential tool for instilling spiritual values in younger generations within the context of their ordinary existence.

Nonlinear dynamical systems represent a fundamental area of study in applied mathematics due to their relevance across various disciplines, including physics, biology, and engineering. Their inherent complexity, characterized by phenomena such as bifurcation, chaos, and sensitivity to parameter variations, often limits the effectiveness of traditional manual analysis, particularly when addressing high-dimensional or computationally intensive models. This study aims to address these challenges by applying computational modeling and numerical simulation techniques to analyze the stability of nonlinear dynamical systems. The research employs analytical methods, including equilibrium point identification and linearization, which are then validated and extended through the fourth-order Runge-Kutta numerical method. Simulations were conducted to visualize equilibrium points, phase portraits, and parameter-driven bifurcation phenomena. The findings demonstrate a strong correspondence between analytical and numerical approaches, with minimal error margins (≤1%) observed in equilibrium point estimation, thus confirming the reliability of computational methods. Moreover, the bifurcation analysis revealed critical transitions such as pitchfork and Hopf bifurcations, which indicate sudden shifts from stability to instability behaviors that are difficult to capture through manual calculations alone. The integration of computational approaches provides clear advantages, offering systematic exploration of parameter spaces and detailed visualizations of system dynamics, thereby expanding the scope of stability analysis. In conclusion, this study emphasizes that computational modeling is not only an effective complement to analytical methods but also a necessary strategy for advancing the understanding of nonlinear dynamical systems in applied mathematics.  

Congestive Heart Failure (CHF) is a chronic condition that causes impaired heart function in pumping blood, which can reduce oxygen levels in the body. The increasing incidence of CHF in Indonesia requires appropriate treatment to improve patient health status. One of the evidence-based practice (EBP) interventions that can be applied is the provision of a semi-Fowler position to increase oxygen saturation in CHF patients. This study aims to determine the effectiveness of providing a semi-Fowler position in increasing oxygen saturation in CHF patients undergoing treatment in the inpatient room of Siti Fatimah Hospital, South Sumatra Province. This study uses a qualitative approach with a descriptive case study method on three CHF patients who meet the inclusion and exclusion criteria. Data were collected through interviews, observations, and oxygen saturation measurements using an oximeter before and after the semi-Fowler position intervention for three days. The results showed an increase in oxygen saturation after the application of the semi-Fowler position in all respondents. In Mr. M, there was an increase in average oxygen saturation of 6%, in Mr. N by 3.3%, and in Mrs. N by 4.7%.

A paragraph is the smallest unit in written discourse which has an important role in building text cohesion and coherence. However, a lack of understandiag of the structure and function of paragraphs often becomes an obstacle in writing, especially in the context of learning Indonesian at the high school level. This research aims to analyze the structure and function of paragraphs in various types of text, such as narrative, descriptive and expository, and identify patterns that support communication effectiveness. This research uses a qualitative method with a content analysis approach. Data were obtained from five Indonesian high school level textbooks chosen randomly. The analysis focuses on paragraph structure (subject, predicate, object) and characteristics of text types. The research instrument includes guidelines for paragraph structure analysis, classification of text types, and criteria for effective paragraphs. The research results show that each type of text has a unique paragraph structure and function pattern, in accordance with its communication objectives. Narrative paragraphs support the storyline, descriptive create images, and expository convey factual information logically. In conclusion, understanding the structure and function of paragraphs can improve students' writing skills. This research recommends strengthening learning strategies that focus on analyzing paragraph structure and text variety to improve students' writing skills effectively.

Activities to improve children's creativity through cheerful garden activities (learning while playing outdoors) in Pasinan village, Lekok sub-district, this activity was carried out for approximately five times and for its implementation on Saturdays and Sundays each meeting discussed a different topic. For the first activity in the ceria park, namely making a pigura made from used cardboard with decorations made from tree branches and origami. Providing material about the design of the craft form to be made and making changes to the design of the craft form so that the results obtained can channel the strengths of this cheerful garden program such as minimizing expenses, attracting customer attention by increasing product visuals, and maximizing the ergonomic value of the products created. This community service uses the PAR method and is able to improve the expertise and skills of children in Pasinan village, therefore the expertise possessed by everyone can undergo social change based on involvement in a related activity. The PAR method in community service activities is an activity that has a very significant impact because it focuses on improvement and change.

Congestive Heart Failure (CHF) is a medical condition that affects various body systems and causes the heart to be unable to pump blood properly to meet metabolic needs. To increase oxygen levels in CHF patients, one approach is to change body position. This study used a descriptive method to evaluate the impact of the semi-Fowler position on oxygen levels. This study involved 10 patients in the ICU Room of RSUD Ir. Soekarno Sukoharjo, with the semi-Fowler position at a 45° angle applied for 15 minutes after eating at 13:00, from 23 to 25 May 2023. Patients who met the inclusion criteria were those with oxygen saturation <95%, while patients who refused or experienced complications were not included. The instruments used included the SOP for the 45° semi-Fowler position and the Mindray PM 60 oximeter. The results showed that the 45° semi-Fowler position could increase oxygen saturation by around 2%, with a variation in increase between 2% and 4%. In conclusion, the 45° semi-Fowler position can increase oxygen levels by around 3-4% in CHF patients, as well as help reduce shortness of breath.    

Qiroah as one of the branches of tajweed science plays an important role in ensuring that every santri can read the Qur'an with tartib, correctly, and beautifully. The learning model developed in this service aims to provide santri with an understanding of the importance of tone and tartil when reading the Qur'an, using phonetic to improve the ability to control the santri's voice, and build santri confidence through reading the Qur'an in public with a good and correct tone. The research method used as the basis for this community service is Asset Based Community Development (ABCD) where TPQ students who already have an interest in reading the Qur'an can be developed to beautify the reading accompanied by tajweed science. The results of this community service inform to make some adjustments improve the quality of teaching and learning at TPQ Nurul Hidayah. The theory of phonetics and phonology can be implemented in Qiro'ah education.

Congestive Heart Failure (CHF) is a condition where the heart function is disturbed and is unable to pump enough blood that causes the heart to not provide oxygen to meet the needs of the tissue so that the patient experiences shortness of breath or dyspnea. Objective: To implement a nursing intervention for providing a Semi-fowler position to increase the oxygen saturation on the Congestive Heart Failure patient with dyspnea. Method: This study was a case report (case report) with nursing intervention providing Semi-fowler position, was carried out for 3 times on different days. Results: The oxygen saturation before granted a semi-fowler position on the first and second observations were 94% then on the third observations were 95%. Later after 3 times provided a semi-fowler position, the oxygen saturation up to 98% at the first-time observation and 99% at the second and on the third observation. Conclusion: there is an increase in oxygen saturation on the Congestive Heart Failure patient with dyspnea after 2 times given a semi-fowler position on a different day.

Active growth and development monitoring for early detection growth gaps (malnutrition or poor nutritional status, short children), developmental growth gaps (speech delays) and mental and emotional distortions of children (concentration disorders and hyperactivity). The purpose of this community service is to increase public knowledge about normal toddler growth and development, educate mothers about the importance of stimulating toddler growth and development. A survey conducted by the Community Service team, especially mothers with young children, said the lack of education was caused by the posyandu, especially in terms of toddler growth and development. How to spread this service with discussions, questions and answers, and checking the weight of toddlers. The service is carried out at the Connectrejo Village Hall with secondary targets for mothers who have toddlers. After the counseling activities, participants understand how to monitor the growth and development of toddlers and can monitor the ideal weight of toddlers.

Heart failure is a pathophysiological condition where the heart's function as a pump is no longer able to meet the need for blood throughout the body for tissue metabolism (Price, 2015). This situation causes a decrease in cardiac output which can cause comfort problems based on clinical manifestations such as tightness, pain, heart palpitations, a feeling of coldness in the peripheral area, even swelling, muscle stiffness, numbness, and other subjective feelings felt by the patient himself. is defined as a disturbance of comfort because it is difficult for someone to determine the feeling they are experiencing so that the use of the word comfort is more appropriate to describe the feelings experienced by the patient so it is appropriate that in this condition there is a disturbance of comfort in the patient (Potter & Perry, 2014). The aim of this study was to determine the effect of hydro-aromatherapy on comfort in Heart Failure patients. This research method is a quasi-experimental pre test and post test with two groups, namely the intervention and control groups. Research data collection was carried out during September 2023 at the Integrated Heart Center (PJT) RSUP.H. Adam Malik Medan. The number of respondents with a diagnosis of CHF that met the study inclusion and exclusion criteria was 32 patients. In the intervention group, they were given a warm water foot soak mixed with aromatherapy oil, while in the control group they only soaked their feet in warm water. Measurement of comfort level uses the "daisy comfort scale" or the numerical daisy comfort intensity scale (Kolcaba, 2000). The results of this study showed that there was a significant difference in effect on increasing comfort levels (p<0.005) in the intervention group by soaking feet in warm water mixed with aromatherapy oil (p=0.000). Conclusion: The results of this study indicate that soaking feet in warm water mixed with aromatherapy oils in heart failure patients can increase comfort.

Research on the Identification of Drug Related Problems (DRPS) has been carried out in Congestive Heart Failure (CHF) patients at the Outpatient Installation of RSUD dr. Soekardjo City of Tasikmalaya used a descriptive method of medical record data of CHF patients retrospectively. This study aims to determine the frequency and categories of DRPs that occur based on the Pharmaceutical Care Network Europe V9.0 classification. The results showed that out of 80 patients, 288 DRPs were found consisting of 4 symptoms (indications) that were not treated (1.4%), adverse drug events may occur as much as 1 event (0.3%), inappropriate drug combinations or drug interactions as many as 279 events (96.9%), and the dose was too high in 4 incidents (1.4%), so that it can be concluded that the categories of causes and problems of DRPs that most often occur in RSUD dr. Soekardjo City of Tasikmalaya in 2022, namely drug interactions.

So it very well may be gathered that the land enlistment action interestingly brought about a declaration of confirmation of rights as an authentication of land allocates as of now have rights and a testament of proprietorship rights to condo units. Revelation is a validation of proof of rights as implied in Article 19 Paragraph (2) letter c of the UUPA for land rights, the chiefs rights, waqf rights, property rights over space units and security rights, all of which has been recorded in the land book concerned. ATR/BPN 1/2021 specifies that the execution of land enrollment which incorporates land enlistment interestingly and upkeep of land enlistment information should be possible electronically which will later be for this situation, the execution of land enrollment like estimating, planning, and clearing is as yet dependent on Article 19 section 2 of the UUPA, just the authoritative land enrollment testament delivered alludes to Permen ATR/BPN Number 1 of 2021 so this electronic land authentication doesn’t cancel or supplant the capacity of customary land endorsement (paper) which can likewise be a legitimate lawful proof of land proprietorship in the legal interaction. Both electronic and traditional testaments have a similar situation under the watchful eye of the law or can turn out to be lawfully substantial proof dependent on Article 5 passage 2 of the ITE Law.

Hypertiroidism that continues into a thyroid storm is one of the rarest complication to be found in Indonesia. The pathogenesis of thyroid storm hasn’t been identified, but this condition is suspected as a result of the free thyroid hormones that escalates after a thyroidectomy or I-131 therapy, infection, acute stress, non-tiroid surgery, parturition, and overmanipulated thyroid glands. Thyroid storm is an emergency condition that can happened to a hyperthyroidism patients that needs a specific and fast management. If this condition is being treated correctly, the mortality rate of patient could be decreased, therefore a case of a 63 years old woman with the loss of consciousness with hyperthyroidism goiter node as the trigger factor that leads into a thyroid storm, happens with a congestive heart failure and pneumonia. The assessment with Burch-Wartofsky obtained a score of 55, then treated with the right diagnostic assessment and treatment. After the treatment, that patient’s condition was getting better day by day, but the patient’s family later decided to bring the patient home in the third day of treatment.