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Knee septic arthritis is an orthopedic emergency that requires prompt and appropriate management to prevent permanent joint damage and systemic complications. Inflammatory markers such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are commonly used for diagnosis and monitoring of treatment response; however, their prognostic value after surgical debridement remains variable. This systematic review aimed to evaluate the role of ESR, CRP, and platelet count as prognostic indicators following irrigation and/or surgical debridement in patients with knee septic arthritis. A literature search was conducted in January using PubMed, Google Scholar, ScienceDirect, Wiley Online Library, SpringerLink, and Semantic Scholar, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study quality was assessed using the National Heart, Lung, and Blood Institute (NHLBI) tools. Fifteen studies meeting the inclusion criteria were qualitatively analyzed. The findings indicate that elevated preoperative CRP levels and delayed postoperative CRP reduction are associated with unfavorable clinical outcomes, including failure of infection eradication and the need for repeat debridement. Although ESR is consistently elevated during the acute phase, its slower decline limits its short-term prognostic utility. Platelet count may increase as part of the systemic inflammatory response but shows inconsistent prognostic value.

Abstract. This study aims to describe students’ motivation toward online learning at Universitas Negeri Medan and to identify the underlying reasons for such motivation. The research employed a descriptive qualitative design, utilizing the ARCS (Attention, Relevance, Confidence, Satisfaction) motivational model and Expectancy-Value Theory as the theoretical frameworks. Data were collected through an online questionnaire distributed to 34 English Education students and semi-structured interviews with 5 purposively selected participants. The results indicated that all four components of the ARCS model were in the moderate category, with mean scores of 3.16 for Attention, 3.29 for Relevance, 3.20 for Confidence and 3.20 for Satisfaction. While students appreciated the flexibility and accessibility of online materials (high utility value), they frequently experienced boredom and mental fatigue due to limited social interaction and the "artificial" nature of screen based learning (high cost and low intrinsic value). The study concludes that students remain motivated primarily due to professional aspirations rather than engaging instructional designs. These findings suggest that educators should implement more interactive strategies to enhance student engagement in digital environments.

A building feasibility evaluation study is an important step to ensure the safety, comfort, and sustainability of building functions, especially in public service facilities. This activity was carried out at the PLN ULP Praya office building, Central Lombok Regency, West Nusa Tenggara, which has been operating since 1985. The purpose of this study was to determine the level of building feasibility based on structural, architectural, utility, safety, and health aspects of the building. The methods used included visual inspection, field measurements, hammer tests, and analysis of the condition of building elements based on building feasibility inspection standards. The inspection results showed that the building suffered severe damage characterized by foundation subsidence, large cracks in the walls, reinforcement corrosion, concrete peeling, and damage to the roof frame. The structural strength value obtained was below the construction feasibility standard so that the building was declared structurally unfit for function. Although several supporting aspects such as lighting, drainage, and sanitation systems still functioned quite well, the damaged condition of the main structure has the potential to endanger the safety of users. Therefore, rebuilding the building structure is recommended as the safest solution to ensure the safety, stability, and sustainability of the building's function in the future.

The Indonesian hospitality industry is currently facing a post-pandemic "profitability paradox," a phenomenon where increased occupancy rates do not guarantee a proportional increase in net profit margins due to persistent operational cost inflation. This study aims to evaluate operational cost efficiency strategies and their impact on profitability across three star-rated hotels with contrasting locational and market characteristics: @Hom Hotel Kudus (Central Java), Grand Verona Samarinda (East Kalimantan), and FUGO Hotel Banjarmasin (South Kalimantan). This research adopts a descriptive qualitative approach with a comparative multiple-case study design. Data were collected through in-depth interviews with top management, participant observation, and financial document analysis. The results reveal that geographical characteristics and market segments are the primary determinants in selecting efficiency strategies. (1) Hom Hotel Kudus, located in a secondary industrial area, implements Lean Operations strategies through workforce multi-skilling to address market price sensitivity. (2) Grand Verona Samarinda, in the East Kalimantan business hub, focuses on Supply Chain Engineering by localizing raw materials to mitigate high logistical costs. (3) FUGO Hotel Banjarmasin, in the lifestyle segment, adopts Technology-Driven Efficiency to suppress utility costs without degrading the guest experience. The study concludes that sustainable profitability is achieved not through aggressive cost-cutting, but through strategic cost management adaptive to local contexts. These findings provide a new managerial framework for the hospitality industry to shift from a revenue-centric orientation to value optimization.

Production is a fundamental component of economic activity that plays a strategic role in achieving human well-being. From an Islamic economic perspective, production is understood not only as a technical process aimed at creating or increasing the utility value of goods and services, but also as a manifestation of human responsibility as leaders on this earth. Using an Islamic economic interpretation of the verses of the Qur'an and hadith, this study aims to examine the concept of production in depth from an Islamic economic perspective. Using a descriptive-analytical approach, this research technique utilizes a literature review to examine Islamic economic literature and relevant interpretations, in addition to primary sources such as the Qur'an and hadith. The results show that the Qur'an and hadith provide a framework for production that integrates moral, social, and spiritual values ​​into economic activities, utilizes natural resources optimally and sustainably, and produces halal goods and services. Along with material gain, Islamic manufacturing aims to promote social justice, individual well-being, and ecological harmony. Therefore, the concept of production from an Islamic economic perspective makes economic activity a form of worship and a tool for developing well-being that adheres to the principles of Islamic law.

This study aims to examine the judge's considerations in rendering decisions in aggravated theft cases at the Medan District Court, with an emphasis on the balance between legal and non-legal aspects in realizing substantive justice. The issue of disparate sentencing that frequently arises is the main background of this study. The methods used are an integrated normative legal approach and an empirical legal approach. The normative approach is used to examine the provisions of Article 363 of the Criminal Code (KUHP) and the legal principles that govern the judge's considerations, while the empirical approach is carried out through direct observation of the trial process and analysis of the judge's decision. The results of the study indicate that the judge in case Number 1110/Pid. B/2025/PN Medan not only complied with legal aspects such as fulfilling the elements of the crime, evidence, and the application of the principle of legality, but also considered non-legal aspects such as the socio-economic conditions, age, and motives of the defendant. These considerations demonstrate the application of the principles of criminal individualization and proportional justice. In addition, the judge also considered moral values ​​and social benefits in his decision, which is in line with Gustav Radbruch's theory of three basic legal values: justice, legal certainty, and utility. This study concludes that the thinking patterns of judges at the Medan District Court reflect a shift toward substantive and restorative justice paradigms. It is recommended that the Supreme Court strengthen integrated sentencing guidelines to avoid disparities in sentencing and encourage the adoption of a rehabilitative approach for offenders with low economic motivations.

The selection process for students eligible for the National Selection Based on Achievement (SNBP) requires objective and structured assessment because it involves various academic and non-academic criteria. This study aims to develop a Decision Support System (DSS) to determine the ranking of SNBP eligible students at SMAN 8 Surabaya using the Additive Ratio Assessment (ARAS) method. The ARAS method is used to evaluate student alternatives based on their report card scores for semesters 1-5, academic ability tests (TKA), academic achievements, non-academic achievements, discipline, organizational activity, and attendance through a normalization process to obtain relative Ki values. The results of the study show that the system is capable of producing objective student rankings with relative utility values (Ki) ranging from 95.15 to 89.38, where the highest value indicates the best alternative from all alternatives. The application of ARAS-based DSS can improve the efficiency, transparency, and consistency of the SNBP student selection process.

Best graduate selection is crucial for academic achievement and contributes to the accreditation value of the institution. Instituto Profissional de Canossa (IPDC) is a higher education institution founded by the Canossian Sisters in Timor-Leste. To improve the effectiveness of assessment and decision-making processes, an information system is needed to assist in selecting the best graduates based on multiple criteria. This research develops a web-based Decision Support System (DSS) using the Multi-Attribute Utility Theory (MAUT) method. MAUT is a multi-criteria decision-making method that evaluates alternatives based on their utility scores across several criteria. The study uses four main criteria: attendance, academic performance, ethics, and discipline. The system is implemented as a web application for universal access. The MAUT calculation results provide valid and accurate recommendations for the best graduates. System testing showed that the application successfully ranked candidates based on defined weights and criteria, providing objective and consistent selection results.

The enforcement of election criminal law plays a crucial role in safeguarding democratic integrity and upholding the principle of popular sovereignty. Law Number 7 of 2017 establishes the Integrated Law Enforcement Center (Sentra Gakkumdu) as a coordinated mechanism involving the Election Supervisory Body, the Police, and the Prosecution Service in addressing election crimes. However, in practice, the Gakkumdu system has not fully ensured a balanced realization of legal certainty, substantive justice, and legal utility. This study aims to analyze the problems of election criminal law enforcement within the Gakkumdu system, examine the relevance of the Restorative Justice approach in election law, and formulate a reconstruction of election criminal law enforcement based on this approach. This research employs normative legal research using statutory, conceptual, legal philosophy, and legal policy approaches. The findings indicate that the weaknesses in election criminal law enforcement arise from institutional fragmentation, normative ambiguity, and a legal culture dominated by legalistic and sectoral perspectives. The Restorative Justice approach is considered relevant as it prioritizes substantive justice and the restoration of democratic values. Therefore, reconstructing election criminal law enforcement based on Restorative Justice is essential to strengthening democratic legitimacy and public trust in elections in Indonesia.

This study investigates the levels of asprosin and irisin in patients with type 2 diabetes mellitus (T2DM) and diabetic nephropathy (DN), and evaluates their relationships with insulin resistance, glycemic control, and renal function. Additionally, it explores their diagnostic performance as potential non-invasive biomarkers for the early detection of DN using ROC curve analysis. A controlled prospective study was conducted involving 130 participants, categorized into healthy controls, T2DM patients, and T2DM with DN. Serum asprosin, irisin, and insulin levels were measured using ELISA, while biochemical and renal parameters such as fasting blood glucose, HbA1c, creatinine, urea, and eGFR were assessed using standard spectrophotometric techniques. ROC analysis was employed to assess the diagnostic accuracy of asprosin and irisin. Asprosin levels were significantly elevated, while irisin levels were markedly reduced in DN patients compared to T2DM and control groups (p < 0.001). Moreover, DN patients exhibited higher levels of fasting glucose, HbA1c, HOMA-IR, creatinine, and urea, with lower eGFR, indicating substantial renal dysfunction. ROC analysis revealed that asprosin had an AUC of 0.910 (95% CI: 0.839–0.981), with 90.0% sensitivity and 88.9% specificity at a cutoff value of 11.27 ng/mL. Irisin showed an AUC of 0.886 (95% CI: 0.812–0.960), with 95.0% sensitivity and 71.1% specificity at a 158.25 ng/mL cutoff. Asprosin and irisin are strongly associated with insulin resistance and renal impairment in patients with T2DM and DN. Their high diagnostic performance supports their utility as promising non-invasive biomarkers for the early detection and monitoring of diabetic nephropathy progression.

This study compares the effectiveness of MAUT (Multi-Attribute Utility Theory), SMART (Simple Multi-Attribute Rating Technique), and WASPAS (Weighted Aggregated Sum Product Assessment) methods in a decision support system for determining the best employees at Sisilia Boutique. The quality of human resources is crucial in the retail business, but performance evaluation is often influenced by subjectivity. To address this, a multi-criteria-based decision support system is needed. MAUT translates preferences into a numerical scale, SMART calculates the average value of attributes based on weights, while WASPAS combines weighted summation (WSM) and weighted multiplication (WPM) for more balanced results. Employee performance data from Sisilia Boutique in June 2025, including attendance, store layout, customer service, and discipline, were used as the research object. The comparison results show consistency in the highest (K3) and lowest (K7) ratings across the three methods, with differences in the middle ratings. WASPAS offers a more balanced distribution of final scores, making it a comprehensive alternative for performance evaluation.