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This article explores the integration of epigenetics and Christian restoration theology as a new framework for understanding trauma and human restoration holistically. Epigenetics demonstrates that life experiences, particularly trauma, can influence gene expression without altering DNA structure and may even be transmitted across generations. Meanwhile, Christian restoration theology emphasizes the grace of God as a power that restores humanity completely in spiritual, psychological, relational, and embodied dimensions. This study employs a qualitative library research approach by examining recent scientific and theological literature relevant to trauma, epigenetic change, restoration, and Christian understandings of grace. The findings reveal that trauma leaves measurable biological imprints within the body, yet epigenetic changes remain reversible through healthy relationships, therapeutic interventions, and spiritual practices. These results indicate that human restoration should not be viewed only as an inward spiritual experience, but also as a holistic process involving psychological healing and biological renewal. Therefore, grace can be understood as a transformative power that works comprehensively within the spiritual, psychological, and biological dimensions of human existence, opening possibilities for intergenerational healing and renewed life for contemporary theological reflection.

Vector-borne infectious diseases remain a public health concern, particularly in tropical regions such as Indonesia. Sanitation clinics at public health centers (Puskesmas) play a role in identifying environmental risk factors and planning interventions to support vector-borne disease control. This study aimed to evaluate the performance of sanitation clinics in environmental intervention planning. The method used was a literature review of scientific articles, journals, and related documents published between 2015-2025. Data were analyzed descriptively to identify forms of environmental interventions and their effectiveness. The results showed that sanitation clinics play an important role in environmental health counseling, sanitation inspections, health education, and environmental intervention planning. However, their implementation still faces challenges, including limited numbers of sanitarians, inadequate facilities and infrastructure, and suboptimal environmental interventions. Nevertheless, sanitation clinics continue to contribute to the prevention of environment-based diseases and vector control. Therefore, strengthening resources and improving the quality of intervention planning are necessary to enhance the effectiveness of sanitation clinic programs.

The background of this research is the fluctuation in the number of customers at Karunia Printing Digital Services in Maumere throughout 2025, as well as the existence of customer complaints regarding service quality and product quality. These issues indicate that customer loyalty has not yet been fully optimized. This research aimed to determine the influence of service quality and product quality on customer loyalty at Karunia Printing Digital Services in Maumere. This research used a quantitative approach using a survey method. The population of this research consisted of all customers of Karunia Printing Digital Services in Maumere. Data were collected through questionnaires, observations, interviews, and documentation. The data analysis techniques included descriptive analysis, validity testing, reliability testing, multiple linear regression analysis, t-test, F-test, and coefficient of determination (R²) using SPSS software. The results of the research indicated that service quality had a positive and significant effect on customer loyalty. Product quality also had a positive and significant effect on customer loyalty. Furthermore, service quality and product quality simultaneously had a positive and significant effect on customer loyalty at Karunia Printing Digital Services in Maumere. These findings suggested that the better the service quality and product quality provided, the higher the level of customer loyalty. Keywords: Service Quality, Product Quality, Customer Loyalty

This study aims to analyze the impact of the split and identify reconciliation efforts between the BNKP Jemaat Kasih Karunia and the BNKP Jemaat Hilifalagötanö in Tetegawa’ai Village, Mazo District, South Nias, using the Appreciative Inquiry (AI) method. The conflict between the two congregations began with differences of opinion regarding church construction and the selection of pastors, which led to the separation of the congregations in 2014. This study uses a mixed method approach, combining qualitative analysis through in-depth interviews with BPMJ, SNK, and the Head of the Commission, and quantitative analysis through questionnaires to 36 respondents. The results show that the majority of the congregations understand reconciliation as a process of restoring broken relationships, emphasizing values ​​such as making peace, forgiveness, brotherhood, as well as friendly, caring, and empathetic attitudes. Respondents consider reconciliation efforts very necessary, including through mediation, cooperation between congregations, and the wise involvement of leaders and government officials. Qualitative findings strengthen the quantitative results by confirming that appreciation for positive values, open dialogue, and active collaboration are key factors in the reconciliation process. This research confirms that the Appreciative Inquiry method is effective in rebuilding congregational harmony, strengthening fellowship, and providing a practical model for other church communities in managing similar conflicts.

Hypertension has become a chronic disease known as the silent killer because it often does not show symptoms but can cause serious complications such as stroke, heart disease, and kidney failure. According to WHO, hypertension is one of the leading causes of death worldwide and its prevalence continues to rise. Sleep disturbances can increase sympathetic nervous system activity and stress hormones, which impact blood pressure elevation. Depression is characterized by prolonged feelings of sadness, loss of interest, and decreased energy. Physiologically, depression can increase stress hormones and cause autonomic nervous system imbalance, leading to elevated blood pressure. To determine the relationship between sleep pattern disturbances and depression levels with blood pressure in hypertensive patients in the outpatient department of RS Permata Medika Semarang. Quantitative research with a correlational design using a cross-sectional approach. The sampling technique used was consecutive sampling with a sample size of 79 respondents. The instruments used are the PSQI questionnaire for sleep pattern disturbances and the DASS-42 for depression levels. Ethics test no 03/EC-LPPM/UWHS/II-2026. Data analysis used the Spearman Rank test. The research results show that there is a significant relationship between sleep pattern disturbances and blood pressure in hypertensive patients (p=0.000; rho=0.826). Respondents with poor sleep patterns mostly have high blood pressure, indicating a very strong and positive relationship, where the worse the sleep pattern, the more uncontrolled the blood pressure tends to be. Additionally, there is a significant relationship between the level of depression and blood pressure (p=0.000; rho=0.808). Respondents with severe and very severe depression mostly have high blood pressure, which means that the higher the level of depression, the more the blood pressure increases or becomes uncontrolled. There is a relationship between sleep pattern disturbances and depression levels with blood pressure in hypertensive patients in the outpatient department of Permata Medika Hospital Semarang.

The tempe chip industry in Sanan Village, Malang City, represents a culturally embedded small and medium enterprise (SME) cluster that has contributed to the local economy for decades. However, intensifying intra-cluster competition, soybean price volatility, and shifting consumer behavior have placed increasing pressure on the competitiveness of businesses in this area. This study aims to analyze the marketing strategy implemented by Keripik Tempe Dua Karunia — one of the pioneering enterprises in Sanan Village that has been operating since 1980 — and to identify the marketing strategy factors that contribute to enhancing its competitive advantage. A qualitative descriptive approach was employed through field observation, in-depth interviews with the business owner, and documentation analysis. The analysis is grounded in the 4P marketing mix framework — Product, Price, Place, and Promotion. The findings reveal that Dua Karunia builds its competitiveness through four strategic pillars: (1) product differentiation through multi-flavor diversification and consumer-driven customization; (2) cost-based pricing that is adaptively managed through shrinkflation tactics in response to raw material price fluctuations; (3) multi-channel distribution that integrates direct outlet sales with digital platforms (Shopee and WhatsApp); and (4) long-established word-of-mouth reputation-based promotion reinforced by active e-commerce presence. This study concludes that the consistent integration of all four marketing mix elements, supported by family-based operational flexibility and the cultural heritage value embedded in the product, constitutes the primary source of sustained competitive advantage for Dua Karunia amid increasingly intense cluster competition. These findings carry practical implications for similar SMEs seeking to design adaptive, competitiveness-oriented marketing strategies.

Acute Respiratory Tract Infection (ARI) is a global health problem that significantly contributes to high morbidity and mortality rates. The goal of this activity is to educate residents about preventing ARI, so that they have a good understanding of the disease and are able to take preventive measures independently. The program included information on ARI, simple inhalation therapy, and proper waste disposal. Prior to the health promotion on ARI prevention, 70% of residents had poor knowledge about the disease. After the activity, there was a significant increase in knowledge, with 90% of residents demonstrating a good level of understanding. This improvement indicates a positive shift in public awareness regarding ARI prevention. The activity successfully emphasized the importance of prevention efforts for ARI, focusing on promoting Clean and Healthy Living Behaviors (PHBS). Educating the community about ARI prevention is crucial in reducing the incidence of the disease. Regular health promotion activities, particularly those targeting community participation and practical steps for prevention, are vital for enhancing public health and preventing ARI, which remains a major cause of illness and death worldwide. The results highlight the effectiveness of health education in raising awareness and improving knowledge on preventing ARI.

Etos kerja dan kewirausahaan ialah aspek penting dalam membangun kesejahteraan individu dan masyarakat, namun dalam praktiknya belum sepenuhnya berlandaskan nilai-nilai keislaman. Oleh karena itu, diperlukan pemahaman yang lebih mendalam mengenai konsep kerja dan kewirausahaan yang bersumber dari ajaran Islam. Artikel ini bertujuan untuk mengkaji konsep etos kerja dan kewirausahaan berdasarkan tafsir al-Qur’an dan hadits Nabi sebagai landasan moral dan spiritual dalam aktivitas ekonomi. Studi ini memakai metode kualitatif dengan pendekatan studi kepustakaan melalui penelaahan berbagai literatur berupa buku tafsir, kitab hadits, serta artikel jurnal ilmiah yang relevan dengan tema penelitian. Data yang diperoleh kemudian dianalisis secara deskriptif dan tematik untuk menemukan nilai-nilai utama yang terkandung dalam ajaran Islam terkait aktivitas kerja dan usaha. Hasil kajian memperlihatkan bahwa Islam menekankan nilai kerja keras, kejujuran, tanggung jawab, kemandirian, disiplin, serta orientasi keberkahan sebagai prinsip utama dalam bekerja dan berwirausaha. Kesimpulannya, etos kerja dan kewirausahaan dalam perspektif Islam tidak hanya berorientasi pada pencapaian materi, melainkan juga pada pembentukan akhlak mulia sekaligus kepatuhan kepada Allah sebagai tujuan utama kehidupan.

This study examines the utilization of Aloe vera as a herbal medicine by the community of Sobawagoli Village, Indonesia. The research aims to document local knowledge related to the processing, application, and perceived benefits of Aloe vera in traditional healthcare practices. A qualitative descriptive approach with a case study design was employed. Data were collected through direct field observations, in-depth interviews with community members, and documentation of preparation methods. The findings reveal that Aloe vera is widely used for both internal and external treatments, including digestive disorders, internal heat, hypertension, burns, skin inflammation, and natural skin and hair care. The plant is processed through simple methods such as boiling, blending, and direct topical application, reflecting the accessibility and practicality of herbal medicine in rural settings. Community perceptions toward Aloe vera are highly positive, viewing it as a safe, effective, and culturally embedded alternative to chemical medicines. These practices are supported by empirical experiences and align with recent scientific studies highlighting the therapeutic properties of Aloe vera. The study underscores the importance of preserving indigenous herbal knowledge and integrating it with modern health education to promote sustainable, community-based healthcare systems.

This study aims to analyze the mechanism for managing ship crew position mutations at the Class I Harbor Master and Port Authority (KSOP) Office in Dumai, conducted by PT. Samudera Sarana Karunia Dumai. As a shipping agency, PT. Samudera Sarana Karunia plays a vital role in ensuring the administrative legality of personnel changes on board. The research method employed is descriptive qualitative, utilizing data collection techniques such as field observations and library research by reviewing maritime regulations and human resource management theories. The results indicate that the mutation mechanism involves several stages: application submission, competency document verification, institutional approval, and the sign-on/sign-off process in the seafarer's discharge book. Despite established procedures, several obstacles were identified, including administrative delays, incomplete supporting documents, and a lack of understanding among crew members regarding the applicable mutation procedures. These issues lead to operational time inefficiencies for the vessel at the port. The study concludes that strengthening coordination between the agency and the crew, along with meticulous document validation, is essential to streamline the position mutation process and support the vessel's seaworthiness.

The retail industry generates an extremely large and continuously growing volume of transactional data along with the advancement of digital technology, thereby requiring sophisticated and systematic data analysis approaches to support effective and evidence-based business decision-making. This study aims to analyze retail sales data by utilizing the Retail Sales Dataset obtained from the Kaggle platform, which consists of 100,000 transaction records and broadly represents the characteristics of retail transactions. The main focus of this study is to classify product categories and predict customer segments, including the identification of high-spending customers (high spenders), based on demographic attributes such as age and gender, as well as various transaction-related features. The research methodology includes data preprocessing, label encoding, and feature engineering to generate additional variables, including Age_Group, Is_Holiday, and Spender_Group, which are expected to enhance the predictive capability of the models. Several machine learning algorithms, namely Decision Tree, Random Forest, and XGBoost, were implemented and evaluated to compare their respective performance. The experimental results indicate that multiclass product category classification achieves relatively low accuracy, ranging from 27% to 34%. These findings suggest the high complexity of retail data and highlight the need for further model optimization, class balancing techniques, and feature refinement to improve predictive performance in future studies.

This study examines the implementation of Servant Leadership within GMIM Syalom Lelema and its influence on congregational attendance in worship fellowship. Rooted in the theological model of leadership exemplified by Jesus Christ, Servant Leadership emphasizes humility, empathy, presence, and service as core leadership values. Using a qualitative case-study approach, data were collected through observations, interviews, and documentation to understand the relational dynamics between church leaders and congregational participation. The findings reveal that the congregation highly values leaders—pastors, elders, and deacons—who demonstrate genuine care, pastoral presence, and willingness to serve. Acts of pastoral visitation, listening to members’ struggles, and showing humility significantly strengthen emotional and spiritual bonds within the community, resulting in higher attendance and engagement in various worship activities. Conversely, leaders who lack servant-like attitudes tend to receive weaker responses from the congregation, which negatively impacts their participation in worship. The study concludes that Servant Leadership is not merely a theological ideal but a practical necessity within the communal culture of GMIM Syalom Lelema. The model effectively fosters stronger relationships, increases congregational commitment, and enhances the vitality of church fellowship. Keywords: Servant Leadership, Pastoral Ministry, Worship Attendance, Ecclesial Leadership, GMIM Syalom Lelema.

The rapid growth of e-commerce has increased the strategic role of freight forwarding and delivery service companies in maintaining the efficiency of supply chains. However, the increasing complexity of delivery processes also raises various operational risks, such as package damage, loss, delivery delays, and distribution errors. This study aims to analyze the implementation of risk management in freight forwarding companies operating in Brebes Regency and to assess the effectiveness of the risk management practices applied. This research employs a descriptive qualitative approach, with data collected through in-depth interviews, observations, documentation, and questionnaires. Informants were selected using purposive sampling, involving company management, operational staff, couriers, and customer service personnel. Data analysis was conducted using the Miles and Huberman interactive model and supported by average risk score analysis. The results show that most aspects of risk management fall into the high and very good categories, with an overall average score of 3.89. This indicates that the company has implemented risk management effectively, particularly in incident evaluation, risk measurement, and cooperation with insurance providers. Nevertheless, improvements are still needed in reducing the frequency of operational risks and enhancing the use of digital technology for risk monitoring to ensure a more comprehensive and sustainable risk management system.

This research is aimed at examining the operational strategies carried out by PT. Samudera Sarana Karunia Dumai in ensuring the smooth operation of the Mt. Meghna Trader ship at Pelindo Dumai Port. The main focus of the research is directed at the identification and assessment of the effectiveness of operational strategies which include the planning, implementation, and control stages of various activities such as loading and unloading, logistics, coordination with relevant parties at the port, and operational risk management. This research also includes consideration of external factors, including port regulations, market conditions, available infrastructure, and supply chain dynamics. In addition, this study emphasizes the importance of continuous performance evaluation to ensure that ship operations can run according to safety standards, time efficiency, and procedural accuracy. A qualitative approach with a case study design is used and reinforced by quantitative data to get a more comprehensive analytical picture. Data was obtained through in-depth interviews, direct observations in the field, review of operational documents, and surveys involving internal and external parties who play a role in supporting the operational process of ships at the port.

The rapid advancement of information technology has increased the adoption of digital service applications, including AxisNet as Axis’s official platform for purchasing data packages, checking balances, and accessing promotional features. However, varying levels of user satisfaction particularly among users in Purwokerto highlight the need for a comprehensive evaluation of the application's service quality. This study aims to measure user satisfaction with AxisNet by applying the End User Computing Satisfaction (EUCS) model, which consists of five key dimensions: content, accuracy, format, timeliness, and ease of use. Data were collected from 114 respondents through a structured questionnaire and analyzed using IBM SPSS, including validity testing, reliability testing, and simultaneous testing. The results indicate that all instruments are valid and reliable. Simultaneously, the five EUCS dimensions significantly influence user satisfaction. Partially, the dimensions of content, accuracy, timeliness, and ease of use demonstrate a positive effect, while the format dimension shows a negative effect, suggesting that improvements are needed in the application's visual design. These findings provide empirical insight into the factors shaping user satisfaction with AxisNet and serve as a strategic reference for enhancing the quality and effectiveness of digital service applications.

This material provides an in-depth overview of the fundamental distinctions between Islamic banks and conventional banks, covering their underlying principles, contract types, operational mechanisms, legal frameworks, and organizational structures. Islamic banks operate based on Islamic values derived from the Qur’an, Hadith, and the rulings of the National Sharia Council (DSN-MUI), emphasizing strict prohibitions on riba, gharar, and maysir. Contracts such as wadiah, mudharabah, musyarakah, murabahah, ijarah, salam, and istishna’ are applied to promote fairness and profit-sharing. In contrast, conventional banks rely on positive law and interest-based systems as their primary source of income. Legally, Islamic banks are supervised by the Sharia Supervisory Board (DPS) to ensure compliance with sharia principles, while conventional banks adhere solely to general financial regulations set by authorities like the Financial Services Authority (OJK) and Bank Indonesia. The operations of Islamic banks include fund mobilization, financing, and financial services without the use of interest, whereas conventional banks earn revenue from the interest spread between deposits and loans. Although both bank types share a similar organizational structure, Islamic banks incorporate an additional layer of sharia oversight. Overall, Islamic banks aim to balance profitability with ethical and spiritual values (falah), while conventional banks primarily focus on maximizing financial returns. This material highlights Islamic banking as an ethical alternative within modern financial practices, promoting justice, sustainability, and broader economic well-being.

An autoimmune condition that targets the joints is rheumatoid arthritis. The joints and surrounding tissues are inflamed due to this disease. Symptoms of this arthritis include joint stiffness, edema, and persistent discomfort. Women are more likely to suffer from rheumatoid arthritis than men, especially those between the ages of 40 and 75. Chronic pain is a sensory or affective experience that lasts >3 months, has mild to severe intensity, and can begin suddenly or gradually. This is related to real or functional tissue damage. To minimize the chronic pain experienced by rheumatoid arthritis patients, this case study aims to assess the effectiveness of cutaneous stimulation, also known as skin stimulation (foot massage). The nursing care method provided to patients with rheumatoid arthritis who complained of discomfort during five morning sessions using skin stimulation therapy (Foot Massage) is described in this case study using descriptive methodology. The application questionnaire was used to measure pain levels before and after the procedure, and the Rheumatoid Arthritis Pain Scale (Raps) was used to evaluate the results. After five sessions, the patient's pain level decreased, according to the case study findings. Conclusion: Discomfort is reduced by applying cutaneous stimulation (foot massage). Since foot massage helps alleviate pain, it can be used as an intervention for RA patients experiencing chronic pain.

This study examines the role of the hula-hula authority within the Batak Toba kinship system, known as Dalihan na tolu, and its relevance to the theological understanding of blessings. In Batak tradition, hula-hula is viewed as "Debata na tarida" (the visible God) and is considered a source of blessings in various social and ritual contexts, especially through the practice of giving ulos. However, Christian doctrinal theology asserts that blessings are solely a gift from God, independent of any specific social structure or tradition. Using a qualitative research method through literature study, this paper explores the intersection and tension between Batak customs and Christian theology. The findings show that while the authority of hula-hula enriches the values of social harmony and kinship ethics, this understanding risks overshadowing the biblical truth that God is the sole source of blessings. Therefore, the church is called to reaffirm God's authority while also respecting cultural values. This study highlights the tension between tradition and theology, which should be addressed with wisdom to allow both to coexist harmoniously.

Preoperative anxiety is one of the psychological problems that patients often experience and can affect physiological stability, response to anesthesia, and the postoperative recovery process. High levels of anxiety in patients leading up to surgery can have negative impacts, both physically and emotionally. One of the interventions that can be done to reduce anxiety is therapeutic communication by nurses. Therapeutic communication has an important role in creating a relationship of mutual trust, providing a sense of security, and helping patients understand the medical procedures to be undertaken. However, there are still conditions where therapeutic communication has not been implemented optimally. This study aims to determine the relationship between nurses' therapeutic communication and the level of anxiety of preoperative patients at RSI Pekajangan. The study used a quantitative approach with a correlational design and involved 72 respondents who were selected through purposive sampling techniques. The research instruments included a therapeutic communication questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data analysis was carried out using the Spearman Rank test. The results showed that most respondents rated therapeutic communication in the categories of good (81.9%) and moderate anxiety (72.2%). Statistical tests showed a significant relationship between nurses' therapeutic communication and preoperative patients' anxiety levels (p = 0.027) and moderate correlation strength (r = -0.260). The conclusion of this study confirms that therapeutic communication plays a role in lowering patients' anxiety, so it is recommended that nurses improve therapeutic communication skills as part of pre-surgical interventions.

Kaloran Village is an area characterized by steep slope topography that makes it vulnerable to landslides, especially during the rainy season with high rainfall intensity. Although the landslide risk level in this village is still relatively low and has never caused any casualties, the potential for material losses and psychosocial impacts that may arise still need to be seriously anticipated. Disaster risk reduction efforts in Kaloran Village are carried out through the Disaster Resilient Village Work Program (Destana), which aims to increase the capacity and capability of the community in facing disaster threats. The program implementation method consists of three main stages: preparation through focus group discussions (FGDs) and interviews with stakeholders, preparation of the Destana document containing mitigation strategies and steps, and community empowerment through socialization activities and preparedness training. The results of the study indicate that Kaloran Village is categorized as a Medium Resilient Village with a resilience score of 68.97. This achievement serves as an important basis for strengthening the village preparedness system, which is followed up with the establishment of the Disaster Risk Reduction Forum (FPRB) "Kaloran Tangguh Rescue" as a community coordination forum. In addition, evacuation route maps were produced, which serve as technical guidance in the event of a disaster, and the development of the Destana (Disaster Preparedness and Disaster Management) and Contingency Plan (Renkon) documents, which serve as official guidelines for disaster mitigation and management efforts at the village level. This program demonstrates that active community participation, collaboration between stakeholders, and the development of strategic documents can strengthen village preparedness for the threat of landslides.