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Leprosy is a chronic infectious disease caused by Mycobacterium leprae, an obligate intracellular bacterium that affects the skin, peripheral nerves, upper respiratory mucosa, and eyes. Type 2 diabetes mellitus (T2DM) is a comorbidity that can worsen the course of leprosy. The female patient, Mrs. D, aged 55 years came to the emergency room of Cut Meutia Hospital with the main complaint of red bumps accompanied by pain on the face, hands, chest, and back since 3 days ago and additional complaints such as fever, joint pain, and numbness and loss of feeling in the legs, weakness, frequent thirst, and frequent urination. Dermatologic status is obtained in the facial region in the form of erythema nodules with firm boundaries with numular size, multiple. Laboratory examination showed anemia and leukocytosis. The therapy given was MDT MB package, ferrous sulfate 1x325 mg and PRC transfusion 3 kolf. Complaints arose acutely after the patient resumed taking MDT (multidrug therapy) leprosy drugs which had previously been stopped for more than 3 months. Based on the time of onset of symptoms, history of leprosy treatment, and the manifestation of systemic inflammatory lesions with signs of neurotropism, it can be suspected that the patient is experiencing a type 2 leprosy reaction or Erythema Nodosum Leprosum (ENL).

Strengthening 21st century character and skill education is an important demand in today's learning transformation. Game-Based Learning (GBL)-based approaches such as Ludo are believed to present a learning process that is meaningful, fun, while forming positive values. This study aims to review and compare the results of previous studies on the application of GBL in the development of character and skills in the 21st century, especially in Arabic language learning. The method used is a simple systematic literature review of 12 scientific articles published in 2015–2025 obtained from selected scientific databases. The analysis was conducted based on three main dimensions: the game medium, the focus of learning (characters, 4Cs, vocabulary), and the method approach. The results of the study show that GBL is generally effective in improving vocabulary mastery and fostering collaboration, communication, and character values of students. Ludo media in particular has proven to be relevant as a means of value-based learning and interaction. However, studies that explicitly integrate Ludo-based GBL in Arabic language learning are still limited. This research is expected to be a conceptual basis for the development of innovative learning media that is integrative and in accordance with the challenges of 21st century education.

This study aims to explore the role of digital storytelling (DST) as a 21st-century learning strategy in strengthening character education. The rapid development of digital technology and the growing emphasis on student-centered learning have made DST a relevant pedagogical approach that integrates creativity, critical thinking, collaboration, and communication with values-based education. Using a simple systematic literature review (SLR) approach, this study analyzed eight peer-reviewed journal articles published between 2020 and 2024, obtained from international academic databases Scopus. Thematic content analysis was used to synthesize findings and map the contribution of DST to 21st-century learning competencies and character development. The results identified eight key themes: increased student engagement, improved collaboration and communication, enhanced critical thinking and decision-making, creativity and multimodal expression, self-reflection and identity building, empathy and social awareness, interdisciplinary and authentic learning, and the formation of moral values. These findings support constructivist and experiential learning theories and suggest that DST not only enhances cognitive skills but also facilitates affective and ethical development. The study concludes that DST can be a transformative instructional tool in modern education. Practical implications include integrating DST into curricula across disciplines and levels, and equipping educators with training in digital pedagogy and reflective teaching design. Further research is recommended to explore DST implementation in primary and secondary schools and to evaluate its impact using mixed methods.

This systematic literature review examines the relationship between learning styles and learning media in optimizing 21st-century skills among Diploma Three (D3) vocational students. Through systematic analysis of 74 relevant national and international journal articles published between 2018 and 2024 from Scopus database, this study reveals that the alignment between learning styles (visual, auditory, kinesthetic) and learning media significantly influences the development of critical thinking, creativity, communication, and collaboration skills. Technology-based media such as interactive videos, learning management systems (LMS), and virtual simulations effectively accommodate diverse learning preferences while enhancing students' motivation and engagement in the learning process. The findings indicate that e-modules integrating problem-based learning (PBL) demonstrate effectiveness rates of 65-85% in improving critical thinking skills. This research concludes that the integration of learning styles with digital-based learning media serves as an effective strategy to produce competent and adaptive vocational graduates who are well-prepared to face the challenges of Industry 4.0 and Society 5.0.

This Community Service Program aimed to enhance the productivity of broomstick craftsmen in Karang Rejo Village by innovating a coconut leaf separator tool and developing an online sales module. Traditionally, the separation process was manual, labor-intensive, and time-consuming, limiting production and income. The team designed a simple yet effective tool that increased daily output from 1–5 bundles to 6–7 bundles. Additionally, a digital sales module using platforms like Shopee was introduced to expand market reach. As a result, the local community improved production efficiency and gained new knowledge in modern marketing strategies. This program not only empowers the community economically and technologically but also promotes environmental sustainability by utilizing coconut leaves as economic resources. By applying appropriate technology and a digital approach, this initiative serves as a replicable model of village empowerment through local innovation, contributing to long-term economic growth and ecological awareness in rural areas.

This applied scientific work is entitled "Design of Automatic Smart Berthing System Based on Arduino". Ships are a comfortable alternative transportation. Currently, ship development is needed so that they can operate properly. During the docking process, ship accidents often occur in ports both nationally and internationally. Therefore, a better development or safety is needed that can be given to ships during the docking process. This tool uses the Arduino Nano microcontroller as the main control and an ultrasonic sensor as a distance counter to prevent accidents. This applied scientific work aims to realize and facilitate work on the ship by abandoning manual methods. Berthing is the location of the ship's mooring or security, the area around the ship where the anchor is thrown, the ship's residence, employing the ship's crew and positioning the ship in the desired place. This scientific paper uses experimental research as its research method. The use of experimental research methods in educational research will be faced with problems concerning research subjects. Experimental research is also research that is carried out intentionally by researchers by providing certain treatments to research subjects in order to create a tool or design that is expected by the researcher.

The purpose of this assistance is to introduce and provide basic knowledge about hijaiyah letters, both in the form of readings and the basic forms of these letters. This assistance was carried out due to the lack of interest in reading and writing the Qur'an in Korong Simpang Tiga due to the Covid-19 situation and conditions that hit at that time. This assistance is carried out using the Particitpatory Action Research (PAR) method with the initial stage, namely by providing a general description by writing the hijaiyah letter shape on the blackboard, then introducing the reading by singing the song "hijaiyah letters". The next stage is to sing together by pointing one by one to the hijaiyah letters sung. The results of assistance in the first stage were obtained by children who previously did not know the hijaiyah letters, becoming aware of the hijaiyah letter shape by visualizing the shape of the letter on the blackboard. Then it was obtained that children who previously had little interest in learning the Qur'an became eager to learn by using the method of singing with the song "hijaiyah letters" and giving an idea of the shape of the hijaiyah letters. Then with the method of singing as well as visualizing the shape of the letters, it makes children who do not understand the differences between hijaiyah letters understand the differences between letters with one another. In using this method, children are also obtained who memorize and can write back the hijaiyah letters requested by the author.

The purpose of mentoring students in Islamic Date lessons through youtube learning media about the prophet's sirah nabawiyah Prophet Muhammad SAW at Ponpes Thawalib Padang so that students better understand and remember more about the prophet Muhammad's sirah nabawiyah. By using youtube as a learning medium, students are more interested in listening and paying attention in carrying out the learning process. This assistance is carried out using the first stage of Participatory Action Research (PAR) method, conducting questions and answers or reviewing students' memories of the Prophet Muhammad SAW what students previously knew before watching youtube, then watching youtube sirah nabawiyah about the Prophet Muhammad SAW, then conducting discussions or questions and answers with students asking things related to what they have watched Finally, draw conclusions from what they have watched, which is asked from one of the students or several students to draw conclusions, then concluded more clearly by the teacher so that the students understand more about the Prophet Muhammad SAW. As for the results of the assistance that has been carried out in the first stage, there is a response given by the students to the questions given about the understanding of students who previously knew about the Prophet Muhammad SAW,  After watching the youtube sirah nabawiyah about Prophet Muhammad SAW, students and teachers had a discussion about what had been watched so that questions arose given by students to what they had understood. Finally, make conclusions about the Prophet Muhammad SAW through watching YouTube that has been watched with students. By using YouTube, students are more interested in knowing the nabawiyah sirah about the Prophet Muhammad SAW.

World Health Organization (WHO) mencatat pada tahun 2014 jumlah penderita kusta sebanyak 213.899 penemuan kasus baru kusta terdeteksi di seluruh dunia dengan kasus tertinggi berada di regional Asia Tenggara yakni sebesar 154.834 kasus. Prevalensi kusta pada awal 2015 didapatkan sebesar 0,31 per 100.000 penduduk. Indonesia menduduki peringkat ketiga Negara dengan endemik kusta terbanyak setelah India dan Brazil, profil kesehatan Republik Indonesia mencatat angka penemuan kasus baru kusta pada tahun 2013 sebanyak 16.856 kasus. Sebesar 83,4% kasus di antaranya merupakan tipe Multy Basiler dan 35,7% kasus berjenis kelamin perempuan.

Penderita kusta tahun 2015 di Kota Surabaya tertinggi pertama adalah Kecamatan Kenjeran, disusul Kecamatan Semampir, dan Kecamatan Tandes. Ada beberapa faktor risiko yang memengaruhi kejadian kusta, salah satunya adalah tingkat ekonomi. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat penghasilan dengan kejadian kusta. Jenis penelitian observasional analitik dengan rancangan penelitian case control  matching untuk mengetahui hubungan tingkat penghasilan dengan kejadian penyakit kusta MB pada warga yang tinggal di wilayah Kecamatan Kenjeran, Semampir dan Tandes. Penelitian ini dilakukan antara bulan Januari-April 2017. Jumlah responden kasus sebanyak 28 orang dan kontrol sebanyak 28 orang, Pengumpulan data dilakukan dengan cara wawancara dan penelusuran rekam medis. Analisis bivariat dilakukan dengan menggunakan SPSS 16. Hasilnya didapatkan P value 0.003 < 0.05 menunjukkan bahwa ada hubungan antara tingkat penghasilan dengan kejadian kusta dengan nilai OR 5.200 (1.427-18.948). Simpulan : Terdapat hubungan antara tingkat penghasilan dengan kejadian kusta di Kecamatan Kenjeran, Tandes dan Semampir. Responden yang memiliki tingkat penghasilan rendah berisiko 5.2 kali terkena kusta dibandingkan responden berpenghasilan tinggi.

Setiap orang yang sakit pasti sangat membutuhkan dukungan dari keluarga mereka agar bisa memotivasinya untuk sembuh, masih ada juga yang memiliki dukugan keluarga yang kurang tetapi dia memiliki kemampuan untuk melakukan perawatan dirinya sendiri. Penelitian ini bertujuan untuk mengetahui Hubungan Dukungan Keluarga, Pengetahuan, terhadap Perawatan Diri Penderita Kusta. Penelitian ini menggunakan metode korelasional dengan pendekatan Cross sectional menggunakan kuesioner. Sampel diambil menggunakan tekhnik total sampling dengan jumlah sampel sebanyak 27 responden. Pengumpulan data menggunakan kuesioner yang diisi oleh responden serta wawancara yang menggunakan metode cek list dan analisis data menggunakan uji statistik Chi-Square. Hasil penelitian menunjukkan bahwa semakin banyak keluarga yang mendukung maka akan semakin baik pula penderita kusta melakukan perawatan diri, dan semakin tinggi pengetahuan seseorang akan semakin baik pula sesseorang melakukan perawatan diri dengan hasil uji statistik didapatkan nilai p=0,05 (p<0,05) sehingga dapat disimpulkan terdapat hubungan antara dukungan keluarga, penegetahuan terhadap perawatan diri penderita kusta.