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Supraventricular tachycardia (SVT) is one of the most common arrhythmias in the pediatric population, often resulting from re-entry mechanisms involving accessory pathways or dual atrioventricular nodal physiology. Although generally well tolerated in children with structurally normal hearts, its management can be challenging, particularly in recurrent or persistent cases. This study is a case report describing a pediatric patient with hemodynamically stable SVT treated at Dr. Wahidin Sudirohusodo Hospital. Data were collected retrospectively from medical records, including history taking, physical examination, and supporting investigations such as serial electrocardiography (ECG), laboratory tests, chest radiography, and transthoracic echocardiography. Management was conducted according to current clinical guidelines, including vagal maneuvers, pharmacological therapy with beta-blockers and antiarrhythmic agents (amiodarone), and monitoring of treatment response based on clinical evaluation and ECG, along with identification and treatment of underlying triggers. We report a case of a 10-year-old female presenting with suspected SVT and pericarditis, who experienced episodes of narrow QRS complex tachycardia that were successfully converted to sinus rhythm following amiodarone administration. Echocardiographic evaluation revealed mild to moderate tricuspid regurgitation with preserved ventricular function. Laboratory and radiological findings suggested an underlying inflammatory process, which was considered a triggering factor. This case highlights the importance of a comprehensive approach in the diagnosis and management of pediatric SVT, including addressing underlying conditions and ensuring continuous monitoring to prevent recurrence.

The rapid growth of Indonesia’s digital economy has created opportunities while simultaneously increasing the risk of monopolistic practices and unfair business competition. To address these issues, the Business Competition Supervisory Commission (KPPU) introduced behavioral remedies as an alternative dispute settlement mechanism. This study aims to analyze the effectiveness of behavioral remedies in cases of market control and abuse of dominant position. The research employs a doctrinal legal method. Effectiveness is assessed through two main indicators, namely the restoration of market conditions and the prevention of repeated violations. The findings show that this mechanism is generally effective in restoring competition and preventing recurrence, as demonstrated in several KPPU cases, including Case No. 04/KPPU-I/2024. However, its effectiveness remains conditional, as the mechanism is reactive, does not impose fines, and is monitored only for a relatively short period. Moreover, although KPPU Regulation No. 2 of 2023 regulates this mechanism, it does not provide sufficient legal explanation regarding the classification of articles that are permitted. Therefore, stronger monitoring and more detailed legal clarification are required to ensure the sustainable effectiveness of this mechanism in maintaining fair competition.

This study evaluates the retrofit design of the Semat weir on the Kali Gawe in Jepara Regency. The retrofit aims to adjust the weir’s hydraulic capacity to accommodate estimated flood discharges while ensuring the structure’s stability under applied loads. In the agricultural context, adequate water availability for irrigation directly affects crop yields; conversely, the rainy season often increases river flow and flood risk. Irrigation structures such as weirs are therefore required to raise river water levels to divert flow into irrigation channels and to regulate water distribution. Flood discharge estimates were derived from precipitation data and watershed (drainage basin) characteristics. Flood hydrograph planning is a critical design step for the weir. Log-Pearson Type III analysis was used to determine probable precipitation values for several recurrence intervals. Those design precipitation values were then converted into design flood discharges using synthetic unit hydrograph methods, specifically the Snyder, Nakayasu, and Gamma HSS approaches. Employing the Gamma synthetic unit hydrograph for the 50-year return period (Q50) produced a design flood discharge of 2,536.52 m³/s for that recurrence interval. Structural stability analyses of the redesigned weir indicate safety factors well above customary thresholds: overturning resistance factor = 11.6 (required ≥ 1.5), sliding resistance factor = 4.80 (required ≥ 2.0), and piping (internal erosion) factor = infinite (required ≥ 4). All evaluated stability parameters therefore satisfy standard safety criteria.

Medication adherence among pulmonary TB patients is crucial to prevent recurrence and ensurecomplete recovery. Patient knowledge of tuberculosis treatment and adherence to prescribed dosages andadministration methods are key components to successful treatment. This study aimed to determine therelationship between knowledge and medication adherence in pulmonary TB patients at Harapan Anda IslamicHospital, Tegal City. This study used a quantitative cross-sectional design. A sample size of 60 pulmonary TBpatients at Harapan Anda Islamic Hospital, Tegal City, was selected through purposive sampling. Data werecollected using a knowledge questionnaire and a medication adherence questionnaire. Data were analyzed usingthe chi-square test. Based on the analysis results, it was found that of the 60 patients with pulmonary TB atHarapan Anda Islamic Hospital, Tegal City, most were in the early elderly age (46-55 years), most were malebecause they were men, the majority were married, most had graduated from high school and most had privateemployment status. The level of compliance with taking medication in patients with pulmonary TB at HarapanAnda Islamic Hospital, Tegal City was in the high category. There was a relationship between the level ofknowledge and compliance with taking medication in patients with pulmonary TB at Harapan Anda IslamicHospital, Tegal City. There was a relationship between the level of knowledge and compliance with takingmedication in patients with pulmonary TB at Harapan Anda Islamic Hospital, Tegal City. Patients who had goodknowledge tended to be more compliant in undergoing treatment. These results serve as input for health servicesto provide health service programs to improve knowledge and compliance with taking medication in patients withpulmonary TB better.

The concept of restorative justice is being explored as an alternative approach to resolving conservation violations caused by ignorance, as demonstrated in the I Nyoman Sukena case in Indonesia. This research aims to examine the potential of restorative justice to deal with such cases more humanely and effectively. A normative juridical method was used, focusing on legal regulations and case analysis relating to wildlife conservation. The results show that restorative justice, which emphasizes dialogue and education, can prevent recurrence and foster public awareness of protected species without imposing strict criminal sanctions. This approach, which is in line with Indonesian values, can reduce the burden on the judiciary and support conservation goals.

Thyroid cancer is the most common endocrine malignancy, with a steadily increasing incidence rate. Although the overall survival rate is relatively high, the risk of recurrence after definitive treatment such as Radioactive Iodine (RAI) therapy remains a significant clinical challenge. Predicting recurrence risk is crucial for optimizing monitoring strategies and interventions. With advances in technology, machine learning (ML) approaches are increasingly utilized to support medical predictions, including the recurrence of thyroid cancer. This study aims to evaluate the performance of four classification algorithms—Logistic Regression, XGBClassifier, Random Forest Classifier, and Voting Classifier—in predicting thyroid cancer recurrence using the Thyroid Cancer Recurrence After RAI Therapy dataset, which consists of 383 patient records and 13 key clinical attributes. The evaluation was conducted using accuracy, precision, recall, F1-score, and area under the curve (AUC) metrics. The results show that the XGBClassifier is the best-performing model with an accuracy of 97.4% and an AUC of 0.95, demonstrating superior performance in handling the minority class. This research is expected to contribute to the development of more effective machine learning–based clinical decision support systems for predicting thyroid cancer recurrence after therapy.

Background: Hernia is a common surgical problem in children. Usually it requires surgical intervention and one complication of hernial surgery is recurrence of the hernia. Aim of study: To identify the predictive risk factors for recurrence of the hernia and make efforts to avoid the recurrence. Patient and methods: This is a prospective study conducted in Baquba teaching hospital for the period from the 1st of Jan. 2020 to the thirty of June 2024, included (188) cases. Open Herniotomy done for all of them. 163 patients (86.7%) were male and 25 patients (13.2%) female. 104 (55.3%) cases in right side and 82 case (43.6%) in left side and only (2) patients (1.06%) have bilateral inguinal hernia. Result: The age of the patient range from one month up to (14) years. Mean age was (3.12) years. Follow up period for one year for all patients to detect the recurrence. 7 patients (3.7%) develop recurrent hernia. 3 patients less than one year, 3 patients from 6-10 years and one patient is more than 11 years. 18 (9.57%) have thin sac and 3 (16.6%)of them develop hernia while those with normal wall thickness only one patient (0.58%) develop hernia. 15 patients (7.79%) have wide neck sac more than 1.5cm 2 (13.3%)of them develop hernia and only one patient (0.57%) with narrow sac neck less than 1.5cm develop hernia. Conclusion: Thin wall hernia sac and wide neck hernia sac more than 1.5cm are more predictive risk factors for developing recurrent inguinal hernia in children.

Dental caries is one of the most common dental health problems worldwide, caused by bacterial activity in the mouth, notably Streptococcus mutans. This bacterium plays a crucial role in tooth demineralization, ultimately leading to tooth decay. The management of dental caries is typically performed through medical procedures, such as dental fillings; however, this method does not prevent the recurrence of caries. One alternative that has gained attention is the use of herbal plants. This article explores using herbal plants as an alternative inhibitor of Streptococcus mutans bacteria in treating dental caries. The writing of this article employs a narrative analysis approach by collecting secondary data from various previous studies. The exploration results show that 33 herbal plants are used as therapies for addressing dental caries, with five plants being the most commonly used: betel leaf, Lantana camara, lime, celery, and ginger. Using herbal plants to inhibit Streptococcus mutans offers promising potential for developing more natural, safe, and affordable treatment methods.    

Background: The frequency of hypertension continues to increase in line with the low compliance of hypertension sufferers in carrying out their treatment, one of which is a hypertension diet. Family support plays a crucial role in increasing self-confidence, motivation, and life satisfaction of hypertension sufferers. Family involvement in health education programs helps patients with their needs met, understanding when to seek medical help, and support for treatment compliance, which can prevent recurrence and serious complications due to hypertension. In addition, compliance with a hypertension diet is very important to keep blood pressure stable. A good understanding of the benefits of diet and the role of family and health workers in providing support can increase diet compliance. Conversely, low understanding can reduce awareness of the importance of diet, potentially causing ongoing complications. Therefore, hypertension management strategies must involve family support and education about the right diet to achieve optimal health outcomes. This study was conducted to analyze the Relationship Between Family Support and Diet Compliance in the Elderly in Controlling Hypertension at the Kedungmundu Health Center. Methods: This study uses a quantitative method with a correlational approach. Data were collected through demographic questionnaires, family support, and hypertension diet compliance, with a study sample consisting of 90 people using random sampling techniques. Somers' D test was chosen as the statistical analysis method for this research data. Results: Based on the study, it was found that some respondents received quite good family support, with a total of 57 people (63.3%) and were quite compliant with dietary compliance as many as 57 people (63.3%). The results of the Somers' D test showed that the significance value of p = 0.000 <α (0.05), so H0 was rejected. Conclusion: Based on the data analysis, the conclusion obtained is that there is a relationship between family support and dietary compliance in the elderly in controlling hypertension at the Kedungmundu Health Center, Semarang City.

Misconduct is an act that violates applicable legal provisions and contravenes professional norms. In the context of banking, violations of financial discipline and professional standards can have a serious impact on the financial stability and reputation of the institution. This research analyzes violations of financial discipline law committed by employees in lending at Bank BRI, based on a case study of Decision No. 10/G/2013/PHI/PN.KPG. These violations included non-compliance with lending procedures, abuse of authority, and violation of professional ethical standards set by the bank. This research uses a normative juridical approach, which focuses on the study of applicable legal norms through the analysis of legal documents and related literature. In its decision, the panel of judges considered evidence and witness testimony that showed negligence and non-compliance by the Account Officer. The implementation of sanctions for these violations is expected to provide a deterrent effect and improve compliance with financial discipline and professional standards. The study also identifies the steps taken by Bank BRI to improve its supervisory system and training for employees to prevent the recurrence of similar violations in the future. This study makes an important contribution to understanding the dynamics of financial discipline law violations in the banking sector and the remedial measures that need to be taken.

Self-management refers to an individual's ability to control aspects of himself, including physical, emotional, mental, and behavioral. Adherence to medication in Pulmonary Tuberculosis Patients is essential because, if not done regularly, it can cause drug resistance, recurrence of the disease, and even death. This study aims to determine the relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center. This research is a type of quantitative research; the research design uses cross-sectional. The sample in this study consisted of 67 respondents, and the sampling technique used was accidental sampling. Data collection used a questionnaire on self-care activities and medication adherence, and data analysis was conducted using the Spearman rank test.The results of the study showed that most respondents had good self-management which was 80.6%, and some respondents had very compliant medication adherence, which was 85.1%. Statistical tests showed a relationship between the self-management variable and medication adherence (p-value 0.001). Conclusion: There is a relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center, Subang Regency. It is hoped that researchers can further explore appropriate efforts or actions for adherence to taking pulmonary tuberculosis drugs.

ABSTRACT This study aims to analyze the efforts of the non-governmental organization Kakak Foundation and to describe the inhibiting factors of the efforts of the non-governmental organization Yayasan Kepedulian untuk Anak (Kakak Foundation) in protecting the right to protection of child victims of sexual violence in Surakarta City. This research is a descriptive qualitative research. With data sources obtained from informants, documents, and places of events. The sampling technique was used with purposive sampling. Data collection techniques used interviews, observation, and documentation studies. The data validity test uses triangulation of methods and data sources. While data analysis techniques with data collection, data reduction, data presentation, and conclusion drawing. The results of this study are 1) Efforts of Non-Governmental Organization Kakak Foundation in protecting the right to protection of child victims of sexual violence in Surakarta City from the elaboration of laws and regulations related to the right to protection of child victims of sexual violence consists of 7 rights, namely (a) the right to the provision of information on protection rights and facilities, (b) the right to provide access to information on the implementation of protection, (c) the right to protection from the threat or violence of the perpetrator and other parties and the recurrence of violence, (d) the right to protection of identity confidentiality, (e) the right to protection from the attitude and behavior of law enforcement officers who humiliate victims, (f) the right to protection from loss of employment, job transfer, education, or political access, and, (g) the right to protection of the victim and/or reporter from criminal prosecution or civil lawsuit for the crime of sexual violence that has been reported. 2) The inhibiting factors are (a) difficulty in obtaining information on child victims of sexual violence, (b) pressure and threats made by the perpetrator, (c) the victim's unstable mental and psychological condition, and (d) many considerations for the victim if they have to take legal action. Keywords: Rights, Child Victims of Sexual Violence, Foundation

Patient adherence to tuberculosis (TB) treatment is crucial for achieving a cure, preventing transmission, and avoiding cases of drug resistance. TB treatment typically involves using antibiotics for 6-9 months. Consistent compliance during this period is essential to ensure the eradication of the bacteria that cause TB. Non-compliance can result in disease recurrence and the development of drug resistance. Many factors can influence patient compliance, including drug side effects, lack of social support, patient knowledge about the disease, economic factors, and accessibility of health services. This study aims to provide an overview of the level of patient compliance in tuberculosis treatment at the Pekanbaru City Health Center. This research is a descriptive study with a cross-sectional method conducted on 37 respondents using a survey method via questionnaire. The result of the research found that 54.1% of respondents at the Pekanbaru City Health Center had a moderate level of compliance with TB treatment.

Fatal occupational accidents in the mineral mining industry are a crucial issue that requires special attention. This research aims to analyze in-depth the factors causing fatal occupational accidents in mineral mines using a case study approach. Through detailed investigation of a specific fatal occupational accident incident, this research explores the roles of human, technical, and environmental factors that contribute to the occurrence of the accident. By uncovering the complexity of interactions among these factors, this research is expected to provide valuable insights for the mineral mining industry in efforts to improve occupational safety and health, as well as to prevent the recurrence of similar tragedies in the future.

Stress in patients with gastritis recurrence is a physiological problem felt by early adults when they experience relapses of gastritis. Management of stress in patients with gastritis recurrence in early adulthood can be overcome with complementary therapy, namely breathing meditation therapy. Breathing meditation therapy itself is an activity that aims to achieve mental calm by focusing your breathing so you can relax your mind and body. This study aims to determine the effect of providing breathing meditation therapy on the stress levels of patients with gastritis recurrence in early adulthood in the Rw 001 Ragamukti Tajurhalang Bogor environment. In this research, the method used is pre-experimental quantitative research with a one group pretest – posttest design. The sample consisted of 15 early adults suffering from recurrent gastritis in the Rw 001 Tajurhalang Bogor area who were selected using a purposive sampling technique using a questionnaire with a Likert measuring scale. This research uses the Wilcoxon Signed Rank test with a significant value of α=(<0.05). The test results from this research were that most respondents experienced a decrease in stress levels as evidenced by the presence of a percentage in the mild stress range of 9 people (60.0%), while respondents who experienced moderate levels of stress were 6 people (40.0%) with an average value of The average (mean) stress level after receiving breathing meditation therapy was 8.47. Indicating that the ρ value = <.001, where the ρ value was less than 0.05, so the null hypothesis (H0) was rejected, so the alternative hypothesis was accepted (Ha).

Family is the closest person to the patient who has an important role in the patient's recovery. Families are needed to treat people with mental disorders with a positive attitude, can provide support for the growth of hope and optimism. The role of the family in trying to prevent recurrence can be done by providing motivation, being a good listener, providing recreation, and being responsible for treatment and care. This type of research is quasi-experimental with one group pretest design. The sampling method in this study is purposive sampling. Respondents in this study were family members who became caregivers for people with mental disorders at Naimata Hospital with a total of 52 respondents. Data analysis in this study used the T-Test. The research was conducted at Naimata Mental Hospital Kupang City. Data collection will be carried out in August - October 2023. The results showed no relationship between knowledge and attitudes with TB prevention behavior with a p value of > 0.05.  Conclusion: there is an effect of Booklet giving to Caregivers on changes in the perception of Caregiver Burden on ODGJ RS Jiwa Naimata Kota Kupang.

Recurrent hypertension is a repeated increase in high blood pressure above 140/90 mmHg. Factors that can cause a recurrence of high blood pressure include: consuming unhealthy foods, consuming caffeine and smoking, rarely exercising, not maintaining body weight, consuming fatty foods, consuming foods high in fat and consuming unlimited alcohol. To prevent the recurrence of high blood pressure, patients should keep the following in mind: Get enough rest, change to a healthy diet, exercise, avoid alcohol, avoid stress, and handle the daily workload. The capacity to manage oneself and be positive, such as managing emotional intensity and reactivity, is important for preventing recurrence of hypertension and managing blood pressure. The aim of this study is to identify factors related to the prevention of hypertension recurrence in hypertensive patients. This type of research involves observational analysis with a cross-sectional research design. The study population consisted of 71 hypertensive patients who lived in the Wua Wua Community Health Center working area. The research results show the value of P = 0.263 < a = 0.05. This means that knowledge about high blood pressure and recurrence prevention is irrelevant. The research results show a value of P = 0.002< a = 0.05. This means that there is a link between treating hypertension and preventing recurrence. The research was conducted for 61 days.

Radiotherapy is a treatment for cancer using high-energy radiation, usually X-rays. The type and amount of radiation received is calculated by oncologists and medical physicists to destroy cancer cells, these cells are abnormal cells. This stops the cancer cells from dividing properly and as a result the cancer cells are destroyed. This treatment is planned to protect healthy tissue as much as possible from radiation which has destructive properties, however some healthy tissue can be affected which will later cause side effects. Radiotherapy uses a Linear Accelerato (LINAC) device in its treatment. The LINAC can produce two beams, namely photons and electrons. Photon beams are usually used to illuminate tumors in deeper tissue in the body, for example breast cancer, cervical cancer and nasopharyngeal cancer, while electron beams are used for cancer therapy in surface tumors. The role of radiotherapy in the treatment of breast cancer has a long and controversial history. One of the first clinical trials ever conducted, it began in 1949, and remains the subject of new trials still being initiated today. Early trials clearly showed that radiotherapy reduced local recurrence, with a relative risk reduction now known to be approximately 70%, but a reduction in recurrence rates did not translate into a reduction in mortality. Theories explaining this difference are numerous, including the detrimental effects of radiotherapy on immune function.

Dyspepsia includes a collection of clinical symptoms consisting of discomfort or persistent (episodic) or recurrence in the upper abdomen. Dyspepsia can be influenced by several factors, including increased gastric acid secretion, diet, and environmental factors, as well as psychological factors such as stress. This research aims to determine the use of dyspepsia medication at the Puskesmas Pamarayan. The type of research used in this research is descriptive observational with a purposive sampling method. The population in this study was 230 dyspepsia patients who visited the Puskesmas Pamarayan. The sample in this study was 31 respondents who had been determined using the Slovin formula with an error tolerance limit of 5%. Data were analyzed descriptively using rationality guidelines which include correct diagnosis, correct drug selection, correct dose, correct time interval, alertness to side effects, and correct information. The results of the study showed that the treatment of dyspepsia at the Puskesmas Pamarayan was rational.

Introduction: Older adult with hypertension often experience several problems, one of which is disturbed sleep patterns. Disorders of sleep patterns experienced by the elderly have an impact on the recurrence of the disease, therefore the problem of sleep quality in the elderly must be addressed immediately One of them is providing foot massage reflexology Methods: This study uses a descriptive research design with a case study approach. This research is a study of the application of foot reflexology in the elderly with hypertension with nursing problems with sleep pattern disorders Result: The results of the study at the beginning of the study, on 3 Mey 2023 it was known that the respondent had problems with sleep patterns with a PSQI score of 18. Based on the evaluation results on 5 Mey 2023, it can be concluded that there was an increase in the quality of sleep of respondents with a PSQI score of 9 by giving intervention for 3 days starting from 3-5 Mey 2023 Discussion: Providing an effective foot massage reflexology intervention to overcome the problem of sleep pattern disorders in the elderly with hypertension, foot massage reflexology can relax the body so that sleep will feel more restful, foot massage reflexology intervention is recommended to be given every bedtime.