Publication Search

In the planning of removable partial dentures (RPD), design is a crucial factor that must be tailored to each patient’s clinical condition, while one of the main challenges in RPD design is anatomical variation in the oral cavity such as torus palatinus, which may affect retention, stability, and patient comfort. This report aims to discuss the design considerations of acrylic resin RPD in patients with torus palatinus, particularly in determining optimal design modifications. A 42-year-old female patient presented with complaints of difficulty chewing due to the loss of several teeth in both the maxilla and mandible. Intraoral examination revealed missing teeth 15, 11, and 25, with healthy mucosal and periodontal conditions, and a nodular torus palatinus measuring approximately 2.5 × 2 cm was identified along the midline of the palate. RPD design planning in this case requires an individualized approach, particularly in the selection of the major connector and base adaptation to avoid pressure on the torus area, and design modifications were implemented to improve load distribution and patient comfort. The use of a U-shaped major connector with relief over the torus area effectively avoids direct contact, thereby enhancing comfort, preventing mucosal irritation, and supporting masticatory function.

In the field of education, cheating remains a critical issue of academic dishonesty. This phenomenon does not merely affect students' grades but also obstructs the development of core character values, including integrity, responsibility, and independence in the pursuit of knowledge. This article aims to analyze the factors influencing cheating behavior and evaluate various forms of intervention from the perspective of early detection of problematic behavior. This study employs a literature review method, examining 20 relevant scientific articles published between 2021 and 2026. The findings reveal that cheating behavior is influenced by internal factors such as self-efficacy, self-control, self-confidence, religiosity, and self-esteem as well as external factors, including peer conformity, parental pressure, the learning environment, and evaluation systems. Effective interventions include group counseling services, classical guidance, modifications to evaluation systems, and the utilization of Artificial Intelligence-based technology to detect potential academic fraud. Consequently, efforts to prevent cheating behavior require a multidimensional approach involving students, teachers, parents, and school policies to cultivate an academic culture of integrity.

This study aims to examine the application of a modified direct learning strategy combined with the demonstration method to improve students' cognitive abilities. The direct learning strategy is an approach that emphasizes the systematic and gradual delivery of material, so that students can understand concepts in a more structured manner. However, in practice, this strategy needs to be modified to be more engaging and appropriate to the characteristics of students. The demonstration method is used as a form of reinforcement in the learning process, where students not only receive information verbally but also directly observe the processes, events, or concepts being studied. This allows students to gain a more concrete and meaningful learning experience. Modifications to the learning strategy are carried out through adjustments to models, methods, media, and learning facilities and infrastructure to optimally support the achievement of learning objectives. Students' cognitive abilities are the main focus of this study, which include aspects of knowledge, understanding, application, analysis, evaluation, and creation according to Bloom's taxonomy. With the implementation of appropriate learning strategies, students are expected to be able to develop more active and critical thinking skills. The results of the study indicate that a modified direct learning strategy with the demonstration method has the potential to significantly improve students' cognitive abilities. Therefore, this approach can be used as an alternative, effective learning strategy to create a more interactive, engaging, and meaningful learning process.

Chronic Coronary Syndrome (CCS) is a contemporary term that replaces stable coronary artery disease (CAD) and describes a spectrum of clinical conditions resulting from chronic abnormalities of the coronary arteries. This condition is characterized by a mismatch between myocardial oxygen supply and demand that is transient and reversible, commonly presenting as stable angina pectoris. CCS contributes significantly to global cardiovascular morbidity and mortality, including in Indonesia. The underlying pathophysiology primarily involves atherosclerosis and microvascular dysfunction leading to myocardial ischemia. Diagnosis is established through comprehensive history taking, physical examination, and both invasive and non-invasive investigations such as electrocardiography, stress testing, and cardiac imaging. Risk stratification using pre-test probability plays a crucial role in guiding further diagnostic evaluation. The management of CCS aims to relieve symptoms and prevent adverse cardiovascular events through pharmacological and non-pharmacological approaches, as well as revascularization when indicated. Pharmacological therapy includes antianginal agents, antiplatelet drugs, and lipid-lowering agents, while lifestyle modifications such as smoking cessation, healthy diet, and regular physical activity are essential in preventing disease progression. With accurate diagnosis and comprehensive management, the morbidity and mortality associated with CCS can be reduced.

This study aims to analyze the effectiveness of play-based methods in Physical Education, Sports, and Health (PJOK) learning for sixth-grade students at Pelangi Elementary School. The background of this study is the decline in movement motivation in upper-grade students due to excessive focus on academic workload. The research method used is descriptive qualitative with data collection techniques in the form of participatory observation and in-depth interviews with key informants. The results of the study indicate that the integration of structured games in the Lesson Implementation Plan (RPP) can improve motor coordination and students' social values. In addition, modifications to game tools and rules provide creative solutions to overcome the limitations of existing facilities. The conclusion of the study confirms that the play-based approach functions not only as a recreational activity but also as an effective formal instructional method to achieve curriculum targets holistically, supporting students' physical and social development simultaneously. This approach is expected to be implemented more widely in schools to improve the quality of PJOK learning.

Criminal law policy in Indonesia saw significant modifications with the adoption of the new Criminal Code (KUHP), particularly with regard to the regulation of cohabitation and adultery. Because it directly affects people's private life and may have an impact on human rights protection, this arrangement has sparked discussion in the community. This study intends to investigate the application of the penal provisions of adultery and cohabitation in the new penal Code and examine its consequences for the protection of human rights. The research method applied was normative legal research with a legislative, conceptual, and human rights approach. The study's findings show that the regulation and implementation of laws relating to adultery and promiscuity can lead to issues in law enforcement, particularly those relating to the right to privacy, the proportionality of punishment principle, and the potential for actual abuse of power. The conclusion of this study underlines the necessity for the judicial implementation of the law and geared towards the protection of human rights, as well as the examination of criminal law policies to be in line with the ideals of the rule of law, democracy, and respect for individual freedom.

Globalization has brought significant impacts across various sectors of life, including language and literature. Rapid flows of information, intercultural interactions, and the dominance of international languages such as English have triggered changes, adaptations, and even identity confusion in the use of local languages and the development of literary works. This paper explores the influence of globalization on the evolution of language and literature, both in the context of preservation and creativity. Language undergoes modifications in structure and vocabulary as a result of cultural interaction and technological advancement, while literature evolves in terms of genres and media, as reflected in the emergence of digital literature and literacy phenomena on social media platforms. On the other hand, globalization also provides opportunities for local literary works to reach international audiences through translation and digital media. Using a descriptive and analytical approach, this paper highlights the challenges and opportunities arising from the intersection of globalization, language, and literature, as well as their significance in formulating strategies to maintain cultural identity through language and literary expression.

Globalization has brought significant impacts across various sectors of life, including language and literature. Rapid flows of information, intercultural interactions, and the dominance of international languages such as English have triggered changes, adaptations, and even identity confusion in the use of local languages and the development of literary works. This paper explores the influence of globalization on the evolution of language and literature, both in the context of preservation and creativity. Language undergoes modifications in structure and vocabulary as a result of cultural interaction and technological advancement, while literature evolves in terms of genres and media, as reflected in the emergence of digital literature and literacy phenomena on social media platforms. On the other hand, globalization also provides opportunities for local literary works to reach international audiences through translation and digital media. Using a descriptive and analytical approach, this paper highlights the challenges and opportunities arising from the intersection of globalization, language, and literature, as well as their significance in formulating strategies to maintain cultural identity through language and literary expression.

The global reliance on wheat flour has prompted the food industry to seek sustainable local substitutes. Sweet potato (Ipomoea batatas L.) emerges as a potential candidate due to its substantial starch content and beneficial bioactive compounds. This study explores innovations in sweet potato flour processing, emphasizing physical, chemical, and enzymatic modifications to enhance its functional properties. The research methods include hydrothermal treatments and fermentation (Modified Sweet Potato Flour/MOSPEF) and their impact on dough rheology and glycemic response. The findings indicate that modified sweet potato flour can effectively replace wheat flour by 30-50% in bakery items and up to 100% in gluten-free formulations without significantly altering sensory traits. This innovation represents a strategic step toward national food sovereignty and improved nutritional quality in the modern food industry, healthier and more nutritious. The use of modified sweet potato flour is expected to strengthen food security and provide economic benefits for local farmers and the domestic food industry.

The Soxhlet extraction method uses repeated heating and solvent circulation to separate substances from mixtures, producing more extract faster than maceration with less solvent. However, this method requires pure solvents and is not suitable for thermolabile compounds as they can be degraded by heat. Soxhlet extraction is more effective for limited quantities of dry and fine herbal materials. This method is widely used to extract phytochemical compounds such as flavonoids, tannins, and curcumin, and has potential in cosmetic raw materials, herbal medicines, and antioxidant products. Although it uses more energy, this technique is efficient and continuous. Modern innovations such as combining it with Ultrasonic Assisted Extraction (UAE) or environmentally friendly microextraction are expected to increase extraction efficiency while reducing the use of organic solvents. Modifications to Soxhlet, including automation and assistive technologies such as high pressure, ultrasound, and microwaves, open up opportunities for commercialization and further research with more optimal results and more practical operations. The modified Soxhlet is considered a “panacea” in extraction due to the significant performance improvements achieved.

This study analyzes the legal framework and social implications of the modification licensing process in customary buildings. Modifications are often carried out in response to modernization, material changes, and contemporary functional needs, which have the potential to clash with efforts to preserve cultural values and local wisdom. Using a qualitative approach with case studies in several indigenous villages in Indonesia, data was collected through in-depth interviews, observations, and review of licensing documents and related policies. The results of the study show that there is a tension between formal licensing laws (such as Building Permits/IMB) and customary laws that apply in local communities. An effective licensing process requires intensive dialogue and collaboration between local government authorities, customary institutions, and building owners to ensure modifications still respect the values contained in cultural heritage. The study recommends a flexible and consultation-based licensing framework that harmoniously integrates positive legal aspects and customary norms, while promoting community awareness and participation in heritage conservation.

This literature study evaluates the accuracy of the Slope Mass Rating (SMR) method for coal mine slope stability in Indonesia through a systematic descriptive synthesis of 25 empirical studies from 2020 to 2025. The objectives of the study were to identify the level of SMR prediction accuracy, factors affecting the method's performance, and modifications required for local Indonesian conditions. The research method involved a systematic search with inclusion criteria for empirical studies reporting SMR and/or Safety Factor (SF) values ​​for coal mines and associated slopes in Indonesia. Quantitative analysis showed a range of reported SMR values ​​between 41 and 96 with a median of 72, while SF values ​​ranged from 1.137 to 4.09 for normal operational conditions. The synthesis results indicated that SMR provides a consistent stability classification for initial slope design and failure mode identification (planar, wedge, toppling), with historical validation showing a correlation of up to 91.23% between SMR-based hazard zoning and actual field events in some cases. Key limitations include dependence on discontinuity data quality, sensitivity to groundwater conditions and tropical weathering, and variation in the interpretation of adjustment factors F1-F4. Modifications such as NAAF23 and integration with numerical modeling have been shown to improve prediction reliability. It is recommended that coal mining practitioners combine SMR with kinematic analysis and limit equilibrium modeling as standard operating procedures, and develop adjustment factors specific to Indonesian geological conditions. Further research should focus on standardizing parameter reporting and cross-site quantitative validation to enable more robust statistical meta-analyses.  

Importance of gut microbiota during neurodevelopment has increased, as has the potential relationship between the gut microbiota and (ASD). Complex associations between gut microbiota and ASD are explored here, including significant pathways such as immune modulation, neurotransmitter control, and gut-brain axis signaling. Based on available data, individuals with ASD possess distinctive microbial signatures that are characterized by reduced diversity and altered abundance of specific bacterial species. Such modifications could be related to symptoms of the behavioral nature, neuroinflammatory, as well as gastrointestinal. ASD growth as well as severity could be influenced by the composition of microbiome, depending on genetic, nutrition, microbial exposure during the earliest phases, as well as antibiotic use. Additional therapies based on the microbiome that presented the potential to alleviate the symptoms related to ASD include the use of probiotics, prebiotics, diet modification, as well as fecal microbiota transplantation (FMT). Still, establishing the causal associations, standardizing the procedure of handling the patients, as well as solving the problem related to the manipulation of microbiome, are still challenging activities, though. Large-scale, long-term studies need to be the core agenda of subsequent research, so that specific microbial signatures associated with ASD will be clearly defined, as well as tailored therapies that address the microbiome will be developed. Understanding more about the role that the microbiota plays during ASD may open up the diagnosis as well as the therapy based on the entirely new concepts, something that will ultimately benefit the patients who possess the disorder.

Hyperkeratotic hand dermatitis (HHD) is a chronic hand eczema subtype marked by thick hyperkeratotic plaques, painful fissures, and minimal erythema or vesiculation.It is diagnostically challenging due to overlap with palmoplantar psoriasis and keratoderma and is strongly linked to repeated irritant exposure in wet work. A 60-year-old male taro leaf farmer presented with itching and burning on the palms and backs of both hands, spreading to the forearms for 2–3 weeks. Examination revealed papules, hyperpigmented plaques, erythematous macules, irregular scaling, and about 1 cm palmar fissures on both hands. The working diagnosis was chronic hyperkeratotic hand dermatitis. Initial treatment included oral cetirizine, topical betamethasone valerate, and Vaseline gel, plus education on using long rubber gloves at work. HHD results from skin barrier dysfunction and keratinocyte hyperproliferation caused by repeated irritant exposure. In this case, exposure to taro leaves and prolonged rubber glove use likely maintained irritation and occlusion. Differential diagnoses include palmoplantar psoriasis, contact dermatitis, and tinea manuum. Management involves potent corticosteroids, antihistamines, occlusive emollients, and occupational modifications such as replacing gloves and limiting occlusion time. Identifying occupational factors in HHD is essential. Effective management requires combined topical therapy, symptom control, and strict workplace modifications, along with patient education and allergy screening if needed.

This Community Service Program (PKM) aims to support the achievement of Sustainable Development Goal (SDG) No. 3 (Good Health and Well-Being) by raising public awareness of the importance of a healthy lifestyle. The program was conducted in Pari Island, Kepulauan Seribu, involving 30 participants from the local community. The activities included health screenings such as blood glucose measurement, blood pressure monitoring, and uric acid level testing, as well as health education on adopting a healthy lifestyle, including balanced nutrition and regular physical exercise. Through this initiative, participants gained a better understanding of how to maintain their health and prevent non-communicable diseases such as diabetes, hypertension, and uric acid disorders. The health screening results indicated that some participants had elevated blood glucose and blood pressure levels, highlighting the need for further intervention through education and lifestyle modifications. Increased awareness was evident from participants' enthusiasm during the health education sessions and interactive discussions with the facilitators. Overall, this program successfully enhanced community knowledge and awareness regarding the importance of a healthy lifestyle while also providing a concrete initial step through early health screenings. It is hoped that this program serves as a starting point for fostering a healthier and more prosperous community in Pari Island, supporting the achievement of SDG No. 3.

Hypertension is one of the most common non-communicable diseases, with a high incidence rate that has become a major global health concern. It is often referred to as a “silent killer” because many patients are unaware of their condition until serious complications arise. In Indonesia, the prevalence of hypertension is relatively high, yet many sufferers remain undiagnosed or do not receive proper medical treatment. Several risk factors contribute to hypertension, including age, heredity, high-salt diet, obesity, lack of physical activity, and unhealthy lifestyles such as smoking and alcohol consumption. Without proper management, hypertension may lead to severe complications such as stroke, heart failure, and chronic kidney disease. Management of hypertension generally involves pharmacological therapy, such as the administration of antihypertensive drugs, as well as non-pharmacological interventions through lifestyle modifications. Nurses play a crucial role in patient education, monitoring, and preventing complications through comprehensive nursing care. The purpose of this study is to describe the nursing care provided to Mr. R, who experienced a cardiovascular system disorder, namely hypertension, in the Dahlia Ward of RSUD dr. Soeselo, Tegal Regency. The research method used was descriptive with a case study approach, allowing for a systematic and clear presentation of the patient’s condition. The case findings showed that the patient’s main complaint was a headache radiating to the nape of the neck. Based on nursing assessment, two nursing diagnoses were identified: acute pain and lack of knowledge regarding the disease and its management. Interventions were determined using national standards such as SDKI, SLKI, and SIKI, which are expected to reduce symptoms and improve the patient’s understanding of hypertension.

This study aimed to examine the relationships among mindset, anxiety, and the achievement of the Assessment of Regional Education Standardization (ASPD) results among ninth-grade students in public junior high schools in Yogyakarta City. Using a quantitative survey approach, the study involved 871 students selected through stratified random sampling based on the TPM stage 1 test scores from schools categorized into high, medium, and low strata for the 2022/2023 academic year. Data were collected using a questionnaire instrument, validated by two expert validators, and construct validity was confirmed through standardized loading factors, showing all items to be valid. Reliability was measured using Cronbach's Alpha, yielding 0.508 for mindset and 0.724 for anxiety. Data analysis employed Structural Equation Modelling (SEM) in R Studio, with model fit assessed through RMSEA, GFI, AGFI, and CFI criteria. Results revealed that the mindset measurement model demonstrated an excellent fit, and the anxiety measurement model also fit the data well after minor modifications. Structural model testing confirmed a good overall fit. Findings indicated that anxiety directly influenced ASPD achievement, with higher anxiety associated with lower results. Mindset did not have a direct effect on ASPD outcomes but negatively influenced anxiety, meaning a stronger growth mindset led to lower anxiety levels. Furthermore, mindset indirectly affected ASPD achievement through its impact on anxiety, demonstrating that fostering a growth mindset can enhance students’ performance by reducing anxiety.

A 60-year-old male patient presented with the chief complaint of numbness in both legs, which had been experienced for the past two years and had worsened over the last three months. This complaint was accompanied by persistent fatigue, even without engaging in strenuous physical activity. In addition, the patient reported frequent urination, especially at night (nocturia), and excessive thirst that had occurred for the past five years. The patient denied symptoms such as fever or disturbances in bowel movements. Regarding his medical history, the patient regularly consumed Glimepiride as part of his treatment for diabetes mellitus. Primary data were obtained through auto-anamnesis and physical examination during a home visit. During the visit, the family physician also completed the family folder and patient records to comprehensively document the patient’s health condition. Case assessment was carried out based on an initial holistic diagnosis, followed by continuous monitoring and final evaluation using both quantitative and qualitative approaches. The interventions provided included health education for the patient and his family regarding the causes and pathophysiology of diabetes mellitus. The physician also emphasized lifestyle modifications, such as adopting a balanced diet, engaging in light but regular physical activity, and maintaining adherence to prescribed medication. Furthermore, the patient was educated on the long-term management of diabetes mellitus and the importance of regular medical check-ups. The family physician also explained the potential complications that could arise, such as neuropathy, nephropathy, and retinopathy, so that the patient would be more compliant with treatment and preventive efforts. This comprehensive approach was expected to improve the patient’s quality of life while preventing further disease progression.

This study presents a modal analysis of Pertamina EP Cepu’s closed drain pump 510-P9002, which operates in the condensate–water treatment unit of the Jambaran Tiung Biru field. Field vibration measurements conducted in August 2024 indicated a fundamental frequency of 25 Hz, corresponding to 1×RPM of the driving motor, with maximum amplitudes reaching 13.46 mm/s. Such excessive vibration poses risks of mechanical damage, reduced equipment service life, and potential operational failure. To address this issue, finite element analysis (FEA) was employed to examine the dynamic response of the pump, determine its natural frequencies, and identify possible resonance conditions. A CAD model of the pump–vessel assembly was developed, meshed, and analyzed under actual boundary conditions. The results showed several natural frequencies ranging between 23.16 and 26.65 Hz, which are close to the excitation frequency, suggesting a very high likelihood of resonance. Various structural modifications were then evaluated, including a half casing and two types of full casings. Among these, the full casing B design provided additional stiffness in the motor support area; however, none of the modifications effectively reduced vibration within the internal components. Based on these findings, the study recommends the implementation of a dynamic vibration absorber (DVA) tuned to the excitation frequency, along with the redesign of structural components to shift natural frequencies away from operating excitation. These solutions are expected to improve operational stability, extend equipment lifespan, and enhance overall system reliability. The outcomes of this research provide important insights for managing vibration issues in pump systems operating under similar conditions, particularly in the oil and gas industry where continuous, stable operation is critical.

The development of automotive technology drives innovation in vehicle support components, including the continuously variable transmission (CVT) system, which plays a crucial role in transmitting engine torque and power to the wheels. One of the main elements in this system is the clutch lining and clutch housing, whose performance significantly impacts motorcycle performance. However, the standard pattern on these components is often not optimal in maximizing power delivery. Therefore, this study was conducted to analyze the effect of modifying the grooves of the clutch lining and clutch housing on engine torque in a 110 cc motorcycle. The research method used an experimental approach by varying the modification pattern on the clutch lining and clutch housing. The test motorcycle with a capacity of 110 cc was tested using a dyno test to measure torque and power at various engine speeds. Each modification variation was then compared with standard conditions to evaluate the resulting performance differences. The results showed that the pattern modifications on the clutch lining and clutch housing significantly increased torque. Several modification variations were able to significantly increase torque at medium to high speeds, thus providing better engine response and more efficient power delivery. Thus, this research contributes to the development of more optimal CVT component designs and has the potential to improve motorcycle performance, especially in the small capacity vehicle segment.