Abstract:The last phase that assesses the efficiency of law enforcement in the Indonesian legal system is the execution of civil decisions. Despite having a solid legal foundation thanks to the Reglement Buitengewesten (RBg) and…
the Herzien Inlandsch Reglement (HIR), its execution frequently encounters a number of challenges. The purpose of this study is to examine how civil judgments are carried out, including the legal foundation, several forms of execution (such as real, payment of money, and vacating), stages of implementation (such as aanmaning, execution seizure, and forceful execution), and practical challenges. Normative juridical study using a conceptual and statutory approach is the methodology employed. The study's findings show that the primary causes of execution failure are non-legal barriers like social opposition and a lack of official backing, as well as legal barriers like verzet, derden verzet, and ambiguous verdicts. Effective, efficient, and equitable execution of civil judgments requires systemic change and interagency cooperation.
Abstract:Menstrual pain or dysmenorrhea can cause disruption of daily activities in teenage girls, lessen concentration, and even affect their academic achievement. Lemon aromatherapy is a non-pharmacological method used to reduce…
e dysmenorrhea pain by giving relaxation and analgesic effects with its active compounds, such as limonene and linalool. Based on the data from the World Health Organization (WHO), around 90% of women experience dysmenorrhea, and 10–15% of them suffer from severe dysmenorrhea that requires intervention. This study aims to determine the effect of lemon aromatherapy in reducing the level of dysmenorrhea pain among girls. This study was a quantitative research with a quasi-experimental approach using a one-group pretest-posttest design. The population was all seventh and eighth-grade female students of SMP Negeri 1 Simpang Tiga, Aceh Besar, who experienced dysmenorrhea. A total of 15 respondents were selected using purposive sampling. The study was conducted from May 29 to June 21, 2025. The intervention was carried out by giving lemon aromatherapy on the first to third day of menstruation, once a day intake for about 15 minutes. The pain level was assessed using the Numerical Rating Scale (NRS). The data were analyzed using the Paired Samples T-Test. The results showed that most respondents experienced moderate pain (93.3%) before receiving the treatment, and a small proportion experienced severe pain (6.7%). After receiving lemon aromatherapy, the pain level decreased to mild pain (46.7%) and moderate pain (53.3%). The mean pain score before intervention was 3.07 and decreased to 2.53 after intervention, with a difference of 0.54. The statistical analysis obtained a p-value of 0.001 (p < 0.05), indicating that there was a significant effect of lemon aromatherapy on reducing dysmenorrhea pain. Thus, based on the findings, this study recommends that teenage girls use lemon aromatherapy as an alternative independent treatment to reduce menstrual pain complaints.
Abstract:Background: Cardiovascular disease (CVD) continues to be the predominant cause of global mortality. Polypill techniques that integrate various cardiovascular drugs into a single formulation have emerged as a potential method…
thod for primary prevention, especially in intermediate-risk populations.
Objective: To systematically review and synthesize evidence regarding the efficacy and safety of polypill formulations (comprising antihypertensive medications, statins, with or without aspirin) in comparison to standard care or placebo for the primary prevention of major adverse cardiovascular events (MACE) in intermediate-risk populations.
Methods: We conducted systematic review and meta-analysis in accordance with PRISMA 2020 standards (Systematic Review Registration: PROSPERO CRD420251184718). Various databases (PubMed, Cochrane Library, ScienceDirect, Scopus) were examined for original research published from January 2015 to October 2024. Studies were eligible if they assessed polypill therapies in individuals aged 30 to 70 years with intermediate cardiovascular risk (10-20% 10-year risk), reported composite major adverse cardiovascular events (MACE) outcomes, and included a minimum follow-up of 6 months. Two independent reviewers conducted screening, data extraction, and risk of bias evaluation utilizing the Cochrane RoB 2.0 tool.
Results: Of the 161 records discovered, 4 randomized controlled studies (HOPE-3, TIPS-3, PolyIran, PolyPars) with 31,501 people fulfilled the inclusion criteria. Polypill therapies showed a substantial decrease in composite MACE relative to control groups (pooled HR 0.67 (95% CI 0.60-0.75, p<0.001). Individual trial hazard ratios varied from 0.50 (PolyPars) to 0.66 (PolyIran) and 0.79 (TIPS-3) with moderate heterogeneity (I²=35.2%, p=0.20). Polypills were generally well- tolerated, with a safety profile consistent with the individual components. Medication adherence was enhanced with the polypill in comparison to multiple-pill regimens.
Conclusions: Polypill techniques markedly reduce major adverse cardiovascular events (MACE) in intermediate-risk patients for primary cardiovascular prevention, achieving around a 33% relative risk reduction. The fixed-dose combination strategy provides benefits in compliance and ease of use. These findings hold significant implications for healthcare systems in low-to-
middle-income nations, such as Indonesia, where the burden of cardiovascular disease is substantial and access to long-term cardiovascular drugs is frequently hindered by cost and complexity.
Abstract:Electronic Medical Records (EMR) are designed to improve service quality, documentation accuracy, and administrative efficiency, including reimbursement through the Indonesian Case-Based Groups (INA-CBGs). However, incomplete…
plete medical assessments remain a challenge, potentially leading to service gaps and reduced hospital claims. This qualitative descriptive study was conducted at Dharma Yadnya General Hospital, Denpasar, which has fully implemented EMR since 2024. Data were obtained through in-depth interviews with five informants: two medical record officers, the head of the emergency nursing unit, the head of the inpatient nursing unit, and the head of the medical record department. Data analysis used the 3M framework: Man, Method, and Material. From the Man aspect, heavy workloads of doctors and the lack of administrative support staff often caused delays and incomplete documentation. From the Method aspect, although Standard Operating Procedures (SOPs) and system reminders existed, monitoring relied mainly on manual follow-ups via WhatsApp groups, limiting effectiveness. From the Material aspect, the EMR system was user-friendly and supported by weekly vendor maintenance, but occasional network disruptions and insufficient administrative staff still hampered real-time documentation. Incomplete medical assessments in EMR directly affect INA-CBGs claims, especially when comorbidities, complications, or procedures are not recorded, resulting in under-coding and reduced reimbursement. Strengthening human resources, enforcing SOPs, and improving system support are essential to ensure documentation completeness, service quality, and financial sustainability
Abstract:Background: According to WHO (2022), there are 24 million people suffering from schizophrenia, with 3,980 of them at risk of violent behavior. The risk of violent behavior is an angry response that can manifest physically…
y or verbally. If not addressed promptly, the risk of violent behavior can endanger both the individual and others. This condition poses a serious challenge as it can disrupt the patient’s recovery process and create anxiety in the surrounding environment. Therefore, appropriate nursing interventions are needed—not only to calm the patient but also to enhance the patient’s ability to control their emotions. One of the interventions that can be applied is the deep breathing relaxation technique. Objective: To describe the nursing care from assessment to evaluation for Mrs. A with a risk of violent behavior, focusing on the deep breathing relaxation intervention. Method: This scientific paper uses a descriptive research method in the form of a case study. Results: After three days of nursing interventions for patient with a risk of violent behavior using deep breathing relaxation, the client showed reduced tension and was able to control her emotions well. Conclusion: Deep breathing relaxation for patient was effective in reducing the risk of violent behavior.
Abstract:Hypertension is a non-communicable disease indicated by high blood pressure above 140/90 mmHg. This condition leads to major complications if treatment is not received. As a result, managing health is essential to control…
rol hypertension. The study aims to investigate the relationship between self-care and the decrease in blood pressure among hypertensive patients in Sukamakmur Public Health Center. The population was 110 hypertensive patients, and 86 respondents were selected as the sample using a random sampling technique. The research was conducted from 15 to 21 April 2025. A quantitative correlational research design was used with a cross-sectional approach. The research instruments were the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure assessed using a digital sphygmomanometer. The data that was analyzed from the Chi-Square test analysis showed a p-value of 0.020 (p<0.05). This finding indicated a relationship between self-care management and blood pressure decline in hypertensive patients at the Sukamakmur Community Health Center. This study suggests that patients should be more active and consistently do self-care management to help maintain stable blood pressure levels.
Abstract:Stunting remains a major public health issue hindering the achievement of the Sustainable Development Goals (SDGs), particularly Goal 2 (Zero Hunger) and Goal 3 (Good Health and Well-Being). Previous studies have mostly…
focused on nutrition and health aspects, while this research addresses the research gap by analyzing policy strategies based on cross-sectoral collaboration at the village level. The purpose of this study is to identify and analyze stunting mitigation policy strategies within the framework of achieving the SDGs in Bayumundu Village, Kaduhejo District, Pandeglang Regency. This research employs Collaborative Governance theory (Ansell & Gash, 2008) and SWOT analysis (Rangkuti, 2018) to map internal–external factors and assess the quality of multi-stakeholder collaboration. The study uses a qualitative descriptive approach, collecting data through interviews, observation, and documentation, with triangulation for data validation. The findings indicate that the main strengths of the strategy are community awareness campaigns and available health infrastructure, while the greatest opportunity comes from national policy and government support. However, weaknesses such as limited community understanding and threats such as socio-economic inequality remain significant challenges. The study concludes that the success of stunting mitigation strategies is strongly determined by actor synergy, facilitative leadership at the village level, and the utilization of national policy opportunities. It recommends strengthening collaborative institutional design and leveraging health technologies to ensure program sustainability
Abstract:Background : Mental disorders are conditions in which individuals experience disturbances in psychological, social, and biological functions. One of the most common symptoms in patients with schizophrenia is visual hallucination,…
cination, which refers to the perception of seeing something that does not actually exist. This condition affects the patient’s ability to function and interact with their social environment. Appropriate nursing interventions are required to help patients manage their hallucinations. One such intervention is the talking technique, a distraction strategy that redirects the patient’s attention from hallucinations to real-life interaction. Objective : This study aims to determine the process of mental nursing care for patients with sensory perception disorders: visual hallucinations with a focus on conversation interventions at Dr. Soedjarwadi Klaten Regional Hospital. Method : The design of this study uses a case study method consisting of stages of assessment, determination of nursing diagnosis, planning, implementation, and evaluation. The subject in this study was Mr. P, a patient at the Dr. RM Soedjarwadi Klaten Regional Mental Hospital. Results : The results of the study showed that consistent implementation of conversational strategies during treatment can reduce the intensity of hallucinations, increase awareness of reality, and rebuild patients' social interaction abilities. Counclusion : Conversation intervention is an effective approach in treating visual hallucinations in mental disorders patients.
Abstract:Premenstrual Syndrome (PMS) includes physical, emotional, and behavioral symptoms pre-menstruation. These symptoms affect the daily activities of adolescent girls. Regular physical activity can increase endorphin production,…
ion, which may reduce PMS symptoms. This study aims to investigate the correlation between physical activity and PMS symptoms among girls in Abulyatama Senior High School. This study used a quantitative technique with a descriptive approach. The population consisted of all 41 adolescent girls at Abulyatama Senior High School who were also selected as the sample using a total sampling technique. The data collection from April 24th to May 5th, 2025. The Global Physical Activity Questionnaire (GPAQ) was used to measure physical activity level, while the Shortened Premenstrual Assessment Form (SPAF) was used to assess PMS symptoms. Data analysis used the Chi- Square test using univariate and bivariate analysis techniques. The results showed a correlation between physical activity and premenstrual syndrome with p = 0.018 correlation (p<0,05). These findings suggest there is a significant correlation between physical activity and reduced PMS symptoms among girls in Abulyatama Senior High School. This study suggests that the girls regularly do physical activity and use it as one non-pharmacological treatment to reduce PMS symptoms.
Abstract:Background: Mental disorders are conditions that affect a person's emotions, thought patterns, and behavior that can interfere with activities and social interactions. WHO (2022) notes that around 24 million people worldwide…
wide experience mental disorders, where more than 60% of sufferers experience self-care deficits. Self-care deficit is a condition when a person is unable to care for themselves optimally, this has a major impact on the individual's social and self-care functions, including in personal hygiene activities such as brushing their teeth. Where around 45% of patients with self-care deficits show reluctance to brush their teeth which increases the risk of oral disease and other systemic infections. Brushing teeth in patients with self-care deficits is needed to improve oral hygiene and the patient's ability to care for themselves personally. Objective: To determine nursing care from assessment to evaluation in miss Y with self-care deficits with a focus on brushing teeth. Method: The method used is the case study approach method. Results: After nursing care was carried out on miss Y with self-care deficits, it was proven to increase the miss Y's self-care ability, especially brushing their teeth. Conclusion: The act of brushing teeth is effective in increasing self-care awareness in miss Y with self-care deficits.