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The COVID-19 pandemic emerged as a global health crisis that revealed China's political strategies in intricate ways. This study examines the political aspects of China's response to the outbreak, focusing on its information management, domestic policies, and international diplomacy. By analyzing narratives surrounding the virus's origins and its global spread, the research also assessed the pandemic's impact on Indo-China relations[1] across diplomatic and economic dimensions. The pandemic period also coincided with a sharp deterioration in bilateral trust between India and China, highlighted by the Galwan Valley clash and subsequent tensions along the Line of Actual Control, which deepened strategic mistrust and hardened India’s policy stance. The findings illuminate how political maneuvering has redefined China's geopolitical standing during this crisis, providing insights into the evolving landscape of Indo-Pacific relations. By uncovering these complexities, this study contributes to a nuanced understanding of health geopolitics and the underlying power dynamics.    

Surveillance for diarrhea at the district level in Indonesia is still affected by the fragmented nature of the District Health Information System (DHIS) and Early Warning and Response System (EWARS), inconsistent reporting, patchy data interoperability, and the resulting public health delays. Although there are systems in place like the DHIS and EWARS, the persistent use of hybrid systems that combine manual and digital data entry, as well as the different skill levels of users, continues to produce issues of incompleteness, untimely reporting, and inaccurate data. The present study investigated the deficiencies in surveillance reporting of diarrhea cases, the surveillance data to determine the degree of integration and also investigated the health workers perceptions of the barriers to effective reporting. A mixed methods approach was adopted in this study where we investigated quantitatively the DHIS and routine diarrhea reports submitted for the entire year of 2023, and combined that with qualitative, in-depth interviews with the relevant surveillance officers, program managers, and district staff. The quantitative analysis indicated gaps in reporting about 55% in terms of completeness, and consistency of reporting and also significant differences were found between the manual register, DHIS, and EWARS whereby the integration of these systems was found to be low. The qualitative analysis pointed to the combination of disconnected workflows, limited cross-system interoperability, inadequate system training, excessive workloads, and weak organizational feedback, as the main barriers to effective reporting. The combination of these two datasets illustrates the fact that both system deficiencies and organizational factors are primary drivers of the reporting. Closing the gaps will require system level changes in the interoperability of reporting systems, simplified reporting workflows, training, reporting, and reporting feedback loops.

The Baduy tribe is an indigenous community in Banten Province divided into two main groups, namely Inner Baduy and Outer Baduy, with varying levels of adherence to customary law and exposure to modernization. This article examines various government policies that affect the survival and identity of the Baduy tribe. These policies include the recognition of customary rights through Lebak Regency Regulation No. 32 of 2001, the designation of Kanekes Village as customary land, and the designation of the Baduy area as a tourist destination. Although these policies aim to protect the rights and preserve the culture of the Baduy, their implementation has created a dilemma. On the one hand, tourism opens up new economic opportunities and raises cultural awareness. On the other hand, the influx of tourists triggers significant social, cultural, economic, and environmental changes, especially among the Outer Baduy, including the adoption of modern technology, shifts in consumption patterns, and increased environmental pollution. Thus, preservation policies have ironically become drivers of change that undermine the Baduy community's original identity.

Gender mainstreaming (PUG) is a development strategy that integrates gender equality as a key principle in planning and budgeting. The city of Semarang has adopted this approach in various policy documents; however, its implementation still faces significant challenges. This study aims to evaluate the achievement of the seven prerequisites for PUG according to the guidelines from the Ministry of PPPA, including commitment, policies, institutional frameworks, resources, sex-disaggregated data, gender analysis tools (GAP and GBS), and community participation. The research utilizes a descriptive qualitative approach, employing in-depth interviews, document studies, and questionnaires. Key informants include local government organizations (OPDs) and civil society representatives. Data analysis is carried out using Miles & Huberman's interactive model with thematic analysis. The findings show that normative prerequisites such as policies and institutional frameworks are in place, but implementation remains weak, particularly in the use of sex-disaggregated data and the application of GAP-GBS. Supporting factors for success include leadership commitment from specific OPDs and the existence of cross-sector coordination forums, while the main obstacles are limited human resource capacity and insufficient gender-responsive budget allocation. This study reinforces the relevance of policy implementation theory in bridging the gap between normative frameworks and operational practices. Recommendations include ongoing training, mainstreaming sex-disaggregated data, and technical regulations that all OPDs must follow to enhance the effectiveness of PUG.

Physical mobility impairment refers to limited physical movements from one or more extremities independently, this condition can lead to significant difficulties in movement and the inability to perform daily activities. This study aims to apply acupressure therapy to address physical mobility impairment in Mrs. N, a patient diagnosed with ischemic stroke and left-sided hemiparesis at Mardi Rahayu Hospital, Kudus. The method used in this study is a case study involving nursing care and the implementation of interventions, including assessment, diagnosis, planning, implementation, and evaluation, as well as the application of acupressure therapy. The result of the case study acupressure therapy intervention for 7 days at a frequency of once daily for 15 minutes, it was effective in addressing the problem of physical mobility impairment in the patient with ischemic stroke and sinistra hemiparesis, as indicated by increased muscle strenght. The conclusion from this acupressure therapy is that before the intervention, it improved to    and after the intervention . It is expected that this acupressure therapy can be applied and integrated into the provision of medical-surgical nursing care for patients with ischemic stroke and sinistra hemiparesis.  

This study aims to examine the validity and reliability of user satisfaction measurement for the Electronic Medical Record (EMR) system using the End User Computing Satisfaction (EUCS) approach. The five dimensions analyzed include content, accuracy, format, ease of use, and timeliness. Data were collected from 55 respondents, who were medical records staff at Dr. Moewardi General Hospital. The results show that all dimensions have Cronbach's Alpha values above 0.80, indicating a high level of reliability. The corrected item-total correlations also confirm strong construct validity. These findings demonstrate that the instrument used to measure user satisfaction with the EMR system is both valid and reliable, and can serve as a basis for continuous evaluation and development of health information systems.

Psoriasis is a chronic inflammatory disease that attacks the skin and can occur at any age with various clinical variations. The diagnosis is generally made clinically, but in atypical cases a biopsy is required for confirmation. The combination of clinical and histopathological examination provides more accurate diagnosis results. This study aims to assess the suitability of clinical diagnosis and histopathological examination results in psoriasis vulgaris in Semarang Regency. This cross-sectional observational study was conducted by the department of dermatology, venereology and aesthetics at Diponegoro University. A total of 10 samples were clinically diagnosed as psoriasis vulgaris or other morphological types of psoriasis vulgaris at a Dermatology Polyclinic in Semarang Regency, over a period of 2 years. The clinical manifestations of 10 cases with a clinical diagnosis of psoriasis vulgaris assessed from the typical predilection and the presence of scaly plaques tended to be consistent with the histopathological diagnosis but were not statistically significant. Concordance between clinical diagnosis and histopathological diagnosis was observed in 8 (80%) cases and discordance in 2 (20%) cases. Based on the research results, it can be concluded that there is a high level of agreement (80%) between clinical diagnosis and histopathological features in cases of psoriasis vulgaris.

Nevus pigmentosus is a benign skin lesion that originates from the proliferation of melanocytes and has the potential to develop into melanoma, one of the most dangerous skin cancers. This study aims to evaluate the level of knowledge, attitudes and behavior of the people of Ngaliyan District regarding nevus pigmentosus. The design of this research is descriptive observational with a quantitative approach. Data was collected through questionnaires from 40 respondents using techniques convenience sampling. The results showed that 50% of respondents had good knowledge, 55% had a positive attitude, but only 47.5% had good behavior towards preventing and treating nevus pigmentosus. No significant relationship was found between age and gender on behavior, as well as between knowledge and attitudes on behavior. These findings indicate the need for increased education and health promotion to encourage better preventive actions in society.

This research aims to analyze students' errors in solving quadratic equation questions based on the Kastolan classification with test instrument questions adapted to the cognitive level of Bloom's Taxonomy. The subjects of this research were six students of class IX MTsS Simpang Tanjung Nan IV. The type of research used is descriptive qualitative. Instruments include questions, interview guidelines and documentation. Based on this research, conceptual errors were found with a percentage of 58.3%, procedural errors with a percentage of 33%, and technical errors with a percentage of 25%. The dominant errors found are conceptual errors, the teacher's role is needed in preventing and overcoming these errors.

This research aims to determine the increase in mathematical problem solving abilities in permutation material through the problem based learning (PBL) learning model. This research is classroom action research (PTK) with research subjects being students of class XI TPM 2 SMK Negeri 1 Madiun, totaling 34 students. In this research, the instruments used were problem-solving ability tests and observation sheets. In this research there are two cycles, where each cycle consists of planning, implementation, observation and reflection which follows the Lewin model procedure. In this study, the minimum learning completeness obtained was >75%. The analysis technique used in this research is descriptive qualitative which is adapted to the Hiles and Huberman technique, including data collection, data reduction, drawing conclusions and verification. The results of this research show that there is an increase in problem solving abilities using the problem based learning (PBL) learning model. This can be seen from the number of students who have achieved the very good problem solving ability category, namely 15.63% in the pre-cycle, then increasing to 25 % in cycle 1, and then increased in cycle 2, namely 53%, and in cycle 2 learning completion had reached 84.38%.  

This study aims to examine the relationship between workload and performance of medical support staff at PKU Muhammadiyah Sukoharjo Hospital. The healthcare system is constantly growing, and medical support staff play a vital role in ensuring quality care. However, an excessive workload can negatively impact employee performance. This quantitative research employs a cross-sectional approach and includes 76 medical support staff as respondents. The workload was measured using indicators such as job conditions, time usage, and target achievement, while performance was assessed based on work quality, quantity, collaboration, responsibility, and initiative. Data were collected through questionnaires and analyzed using the Kruskal-Wallis statistical test. The findings show that 6.6% of the staff experience a heavy workload, 48.7% a moderate workload, and 44.7% a light workload. In terms of performance, 1.3% have poor performance, 25% moderate, and 73.7% good. The statistical analysis reveals a significant relationship between workload and performance (p-value = 0.001), indicating that higher workloads lead to decreased performance. This study highlights the importance of managing workload effectively to maintain employee performance in medical support services.

A clot or bleeding in the brain causes a stroke or a cerebral vascular disease that damages the nervous system. Patients suffering from strokes may have physical, mental, sensory, and intellectual disabilities that impede their interaction with the environment and prevent them from performing daily activities and quality of life. This research determines the correlation between the disability level and the quality of life of patients suffering from stroke treated at the Kedungmundu Public Healt Care. The quatitative research applied a cross sectional approach and collected the samples from 67 respondents using proposive sampling. The applied measuring tools were mRS and SSQOL. The Spearmen Rank statistical test obtained a p-value of 0,000. The result accepts Ha, indicating a significant  correlation between  the disability level and the quality of life of the post-stroke patient with a value of r = -0,542. The value indicates a moderate and negative correlation between the level of disability and the life quality of post-stroke patients. The research result suggest the implementation of the intervention to lower the disability level because it influences post-stroke patients with low quality life.

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N  The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.  

This research will focus on one of the original Javanese arts in the form of East Javanese style shadow puppet performance “Sumantri Gugur” puppeteer Ki Puguh Prasetyo as oral literature. Dasamuka's journey in fighting for his love ambition for Dewi Citrawati allows researchers to know more deeply about Dasamuka's personality traits. The aim of this research is to describe the personality structure, mental problems and consequences of the actions of the Dasamuka characters. The theory used in this research is Ludwig Klages' theory of personality psychology. The method used in this research is descriptive qualitative, with video documentation of shadow puppet performance “Sumantri Gugur” puppeteer Ki Puguh Prasetyo which will be broadcast live in 2023 as the main source. The aim of using this method is to be able to present data in the form of descriptions, not in the form of numbers. Data collection was carried out using listening and transcription techniques.  The results and discussion of this research are that the character Dasamuka is included in the temperament group sanguinis, with various negative desires to justify various means to fight for an ambition. In order to justify any means, the character Dasamuka will face the consequences of his own actions.  

This research will focus on one of the original Javanese arts in the form of East Javanese style shadow puppet performance “Sumantri Gugur” puppeteer Ki Puguh Prasetyo as oral literature. Dasamuka's journey in fighting for his love ambition for Dewi Citrawati allows researchers to know more deeply about Dasamuka's personality traits. The aim of this research is to describe the personality structure, mental problems and consequences of the actions of the Dasamuka characters. The theory used in this research is Ludwig Klages' theory of personality psychology. The method used in this research is descriptive qualitative, with video documentation of shadow puppet performance “Sumantri Gugur” puppeteer Ki Puguh Prasetyo which will be broadcast live in 2023 as the main source. The aim of using this method is to be able to present data in the form of descriptions, not in the form of numbers. Data collection was carried out using listening and transcription techniques.  The results and discussion of this research are that the character Dasamuka is included in the temperament group sanguinis, with various negative desires to justify various means to fight for an ambition. In order to justify any means, the character Dasamuka will face the consequences of his own actions.  

This research examines the liability of notaries for authentic deeds under the UUJN. While the UUJN does not specifically regulate criminal sanctions for notaries, the Criminal Code can be applied. Violations by notaries can lead to lawsuits against the Ministry of Law and Human Rights. The UUJN regulates the guidance and supervision of notaries by the Notary Supervisory Council and MKN. The primary focus of this research is the final decision of the Regional Notary Supervisory Council regarding administrative sanctions as outlined in Article 73 of the UUJN. The research methodology employed is a normative juridical legal research approach. The legal materials utilized in this research include primary legal materials, secondary legal materials, and tertiary legal materials. The results of the research indicate that the legal protection efforts of the community, particularly those who feel harmed by notaries in the context of notarial acts that indicate criminal acts, are carried out through a form of reactive protection, namely the filing of complaints with the Notary Supervisory Panel. The evidence presented to the Regional Notary Supervisory Panel, the district courts in civil cases for compensation and law enforcement officials (Police) in criminal cases, demonstrates the existence of evidence that can be used to support claims of criminal acts by Notaries. However, the Decision of the Regional Notary Supervisory Panel only imposes Administrative Decisions on Notaries who indicate criminal acts with verbal or written warnings.

Cancer is a non-communicable disease characterized by the presence of abnormal cells/tissues that are malignant, grow quickly and uncontrollably and can spread to other places in the patient's body. Cancer cells are malignant and can invade and damage the function of the tissue. Digestive cancer, also called gastrointestinal cancer, attacks the organs of the digestive system. Digestive cancer also includes gastrointestinal cancer, liver cancer, stomach cancer, colorectal cancer, and pancreatic cancer. Risk factors for digestive cancers are varied because many different organs can be affected. Some factors that contribute to cancer throughout the digestive system include age, heavy drinking (alcohol), smoking, and diabetes sufferers. This type of liver cancer is cancer that grows in liver cells. Liver cancer is a type of cancer that ranks second as the cancer that causes the most deaths in the world. Gastric cancer is a group of malignant diseases that have multifactorial causes, namely genetic, lifestyle and environmental factors. The symptoms caused by stomach cancer are initially not as typical as the symptoms of general digestive complaints. The diagnosis of colorectal cancer can be carried out in stages, including through an appropriate history, physical examination, and supporting examinations in the form of laboratory examinations, both from clinical laboratories and anatomical pathology laboratories. The etiology of colorectal cancer is currently still unknown. Symptoms of colorectal cancer are varied and non-specific. The main complaints of patients with colorectal cancer relate to the size and location of the tumor. Tumors in the right colon, where the contents of the colon are fluid, tend to remain hidden until they are very advanced.

The concept of paradigm in natural sciences was introduced by Thomas Kuhn, who considered that the development of natural science paradigms, occurred in revolutionary way. This means that there is a relationship of mutual replacement between one paradigm and another. Meanwhile, social scientist, such as George Ritzer, consider paradigm not to be those introduced by Thomas Kuhn. Ritzer considers that paradigm in social sciences can be seen in divergent relation (difference views). As the result, difference view of exemplar (various findings recognized in particular paradigm), subject matters (the main issues being studied), theory (explanation or abstraction of phenomena) and methods (the rules for interpret phenomena) can be very diverse and cause debate.    

Stunting merupakan permasalah gizi global termasuk di negara Indonesia yang memerlukan penanganan secara sistematis dan menyeluruh dari bidang keperawatan. Tenaga kesehatan dan pendidikan kesehatan turut berperan dalam penanggulangan masalah stunting, STIKES Telogorejo melaksanakan upaya promotif, preventif, dan tatalaksana lanjut pada temuan kasus stunting untuk mencapai tujuan dan cita-cita SDGs. Sebuah program yang digagas oleh STIKES Telogorejo yaitu POHON RANTING KAYU yang merupakan akronim dari Pola asuh, Hygiene, Hipnosis, Optimalkan sehat, Ngerti Gizi, Gerakan Anti Stunting Kelurahan Karangayu bertujuan untuk menurunkan angka stunting di wilayah Kelurahan Karangayu Kota Semarang. Metode yang digunakan yaitu melaksanakan upaya promotif, preventif, kuratif, dan maintenance dengan membentuk tim penanggungjawab khusus seperti Satgas Ranting Kayu dan Tim Kinclong. Upaya promotif dilakukan dengan sosialisasi & edukasi, Upaya preventif dilakukan dengan pelatihan kepada kader. Upaya kuratif dilakukan oleh Satgas Ranting Kayu, Tim Kinclong, dan hipnoterapis. Hasil Program POHON Ranting Kayu yang bersinergi dengan program lainnya baik dari pemerintah maupun pihak lain telah menurunkan angka stunting sebesar 73% di wilayah Kelurahan Karangayu. Berbagai upaya promotif dan preventif yang telah diberikan juga berpotensi mencegah temuan kasus baru.

This research aims to determine the influence of the physical work environment, work discipline and work stress on employee performance at the UD Bunga Mas brown sugar factory. The variables used in this research are Physical Work Environment (X1), Work Discipline (X2), Work Stress (X3), and Employee Performance (Y). The research location is the UD Bunga Mas Brown Sugar Factory which is located in Karanglo Hamlet, Tales Village RT 01 RW 04 Ngadiluwih District, Kediri Regency. By using data collection techniques in the form of interviews, questionnaires and observations.Meanwhile, the analysis used uses quantitative methods with multiple linear regression tools using the SPSS version 25.0 software program. Based on tests carried out by partial linear regression analysis, it shows that the Physical Work Environment (X1) has a negative and insignificant effect on Employee Performance (Y) and Work Discipline (X2) has a positive and insignificant effect on Employee Performance (Y). Meanwhile, the Job Stress variable (X3) has a negative and significant influence on Employee Performance (Y). This shows a significant value for variable X1 0.116 > 0.05, variable X2 0.538 > 0.05, and X3 0.000 < 0.05. Partially, the Physical Work Environment (X1), Work Discipline (X2), and Work Stress (X3) have a positive and significant effect on Employee Performance (Y) at the UD Bunga Mas Brown Sugar Factory.