Abstract:Stroke is a condition in which brain function is rapidly disrupted and lasts for more than 24 hours due to an interruption of blood flow to the brain. Globally, the incidence and morbidity rates of stroke continue to increase.…
rease. The quality of life of acute and chronic stroke patients is influenced by post-stroke depression. Community resources (CR) and spiritual religious coping (SRC) factors are also related to the coping adaptation strategies of family caregivers for members who have experienced a stroke. Patients who experience post-stroke depression show a lower quality of life one year after stroke compared to those who do not experience it. This study is a quantitative research with an observational study design. The study was conducted from January to March 2024 in Kotamobagu City. The total population of stroke patients distributed across seven community health centers in Tomohon City is 200 patients. The sample was taken using total sampling method consisting of 200 family caregivers. The results were then analyzed using the Chi Square test with SPSS. All variables were significantly related to the coping adaptation strategies of family caregivers for members who had a stroke. Community resources (CR) were significantly related to caregiver coping strategies (p = 0.025), and spiritual religious coping (SRC) was also significantly related to coping strategies (p = 0.032). Community resources and spiritual religious coping among family caregivers of post-stroke patients are needed to increase motivation and reduce caregiver stress..
Abstract:Exclusive breastfeeding in West Sumatra is 74.16%. However, this percentage is still low from the target of the Indonesian Ministry of Health, which is 80%. The purpose of this study is to determine the relationship between…
een family support, knowledge and maternal anxiety levels with exclusive breastfeeding in the Pauh Health Center Working Area in 2024. The type of research is an analytical survey with a cross-sectional approach. The population is all mothers who have babies aged 6-12 months in the Pauh Health Center Working Area with a sample size of 40 respondents. The sample uses total sampling. The research period is February-July. The data collection technique using a questionnaire was analyzed using the Chi Square Test. The results of mothers who provide exclusive breastfeeding were 29 respondents (72.5%), 11 respondents (27.5) did not. The level of knowledge was good 16 respondents (40.0%), sufficient knowledge 12 respondents (30.0%) and less knowledge 12 respondents (30%). Not anxious 21 respondents (52.5%), mild moderate 12 respondents (32.5%) and severe-very severe 6 respondents (15%). Good family support for 22 respondents (55.0%) and poor support for 18 respondents (45%). There is a relationship between maternal knowledge and exclusive breastfeeding, p-value: 0.009 (<α: 0.05), there is no relationship between anxiety and exclusive breastfeeding with p-value: 0.288 there is no relationship between family support and exclusive breastfeeding (>α: 0.05) p-value: 0.377 (p>0.05). The conclusion is that there is a relationship between knowledge and exclusive breastfeeding, the level of anxiety and family support there is no relationship between exclusive breastfeeding. It is hoped that the importance of health workers to provide counseling regarding exclusive breastfeeding to mothers and families at the posyandu in Pisang sub-district, Pauh Health Center Working Area.
Abstract:This study aimed to identify risk factors associated with hypertension in Bonto Tallasa Village, Uluere Subdistrict, Bantaeng Regency, in 2025. The research examined three factors: family history, excessive sodium intake,…
, and stress. A quantitative case–control design was applied to 60 respondents (30 cases and 30 controls) selected through purposive sampling. The results showed that individuals with a family history of hypertension were about 26 times more likely to develop hypertension than those without such a history, indicating a strong and significant association. Excessive sodium intake increased the risk approximately 3.5 times and was statistically significant. Stress was associated with nearly double the risk, but this association was not statistically significant, possibly due to individual differences in coping mechanisms and measurement limitations of subjective stress levels. This suggests that stress may influence hypertension indirectly through behavioral or physiological pathways. In conclusion, family history and excessive sodium intake are significant predictors of hypertension, while stress contributes to an elevated yet statistically nonsignificant risk. Preventive strategies should emphasize sodium reduction, regular blood pressure monitoring, and effective stress management in daily life.
Abstract:Background: Gout arthritis is a degenerative disease commonly experienced by the elderly due to elevated uric acid levels in the blood. One safe non-pharmacological treatment alternative is the use of herbal remedies such…
h as soursop leaves (Annona muricata L), which contain active compounds like flavonoids and alkaloids that may reduce uric acid levels. Objective: To describe the effect of boiled soursop leaf water on reducing uric acid levels in elderly patients with gout arthritis in Karangjambu Village, Karangjambu Subdistrict, Purbalingga Regency. Method: This study employed a case study method. Subjects were given an intervention of 200 ml of boiled soursop leaf water daily (100 ml in the morning and 100 ml in the evening) for seven consecutive days. Uric acid levels were measured before and after the intervention. Results: After seven days of soursop leaf water administration, uric acid levels decreased from an average of 8.7–9.0 mg/dl to 5.5–5.8 mg/dl. This suggests that the active compounds in soursop leaves are effective in inhibiting xanthine oxidase and promoting uric acid excretion through urine. Conclusion: Boiled soursop leaf water is effective in lowering uric acid levels in elderly patients with gout arthritis and can serve as a safe and practical complementary non-pharmacological therapy within the community.
Abstract:Exposure to X-ray radiation in conventional radiology procedures can pose a health risk, especially for accompanying caregivers of pediatric patients who only bear the risk without gaining any benefit. This study aims to…
determine the estimated equivalent dose received by accompanying caregivers of pediatric patients and the safest points during conventional radiology examinations. The method used in this research is a field survey, involving the measurement of equivalent radiation doses inside and outside the examination room using a personal dosimeter, as well as measuring the radiation dose rate at 6 points using a surveymeter. The data was processed to obtain the highest and lowest values, as well as the percentage of equivalent dose obtained compared to the established Dose Limit Value (DLV). The results showed that the highest radiation dose received by accompanying caregivers inside the examination room reached 13,46 µSv, with a percentage of 0,27% relative to the DLV, while the lowest dose recorded was 1,12 µSv, with a percentage of 0,0224% relative to the DLV. Analysis of the radiation dose rate distribution revealed that the greater the distance of the measurement point from the radiation source (tube), the smaller the dose received. In conclusion, the radiation dose received by accompanying caregivers is still below the Dose Limit Value (DLV) for caregivers, which is 5.000 µSv. However, to minimize stochastic effects, the implementation of additional protective measures, such as the use of lead aprons and selecting safer locations within the examination room, is highly recommended. These findings are expected to serve as a guide in enhancing the safety of accompanying caregivers of pediatric patients in conventional radiology units.
Abstract:The challenges of modern education demand not only academic achievement but also the cultivation of students’ noble character. In this context, the role of principals in Integrated Islamic Senior High Schools (SMA IT) becomes…
becomes highly strategic. This study aims to analyze and describe the role and influence of principals’ Islamic integrative leadership on improving the performance of educational staff within SMA IT. A qualitative approach with a phenomenological method was employed. Data were obtained through in-depth interviews with principals and educational staff as well as participant observation. Analysis was conducted interactively through data reduction, presentation, and conclusion drawing. The findings show that Islamic integrative leadership which combines modern leadership models such as transformational, instructional, democratic, servant, and distributive leadership with Islamic values such as exemplary conduct (uswah hasanah), consultation (syura), trustworthiness (amanah), justice, and a clear vision significantly enhances the performance of educational staff. The integration of these values creates a work culture imbued with a spirit of worship, collaboration, and quality orientation. Educational staff become more motivated, loyal, and productive as they view their work as part of worship. This study concludes that Islamic integrative leadership is not merely a leadership style but an effective organizational culture foundation at SMA IT. Its implementation has been proven to empower educational staff, improve their performance, and support the achievement of sustainable Islamic educational goals. This leadership model is recommended for broader development in Islamic educational institutions.
Abstract:This study aims to analyze the patterns, characteristics, and effectiveness of educational supervision in inclusive school settings through a systematic literature review approach. The methodology used PRISMA 2020 with a…
literature search in five international databases for the period 2021-2025, resulting in 20 high-quality articles for analysis. The findings show the evolution of supervision models from a traditional hierarchical approach to a collaborative-transformational paradigm. Four effective supervision models were identified: transformational supervision, instructional leadership supervision, collaborative supervision, and distributed leadership model. The transformational supervision model showed significant changes in teachers' attitudes toward inclusive education, while instructional leadership had a 63.7% correlation with student academic achievement. Components of effective supervision include academic aspects through curriculum and IEP adaptation, professional aspects through teacher self-efficacy development, and organizational aspects through systematic management. Internal factors such as supervisor competence and an inclusive culture, as well as external factors such as policy support, determine successful implementation. Key challenges include issues of bullying, technological barriers, and the complexity of AI integration in supervision. The study recommends developing a contextual supervision model for Indonesia, taking into account local cultural characteristics and resource availability.
Abstract:This study aimed to obtain information about socio-demographic factors associated with HL of NCD patients in East Bolaang Mongondow Regency. The method used was quantitative method with cross sectional study design with…
a total sample of 383 NCD patients (purposive sampling) with stratified sampling technique. Data were collected using questionnaires both socio and demographics and HL of NCD patients. The results of this study were [education (p=0.023, OR=2.711); gender (p=0.017, OR=2.001); language (p=0.001, OR=1.013); age (p=0.020, OR=2.968); employment status (p=0.001, OR=1.248); residence (p=0.012, OR=2.068); personal health condition (p=0.031, OR=5.840); access to health information (p=0.020, OR=2.968). In the logistic regression test, the personal health condition factor was most associated with HL of NCD patients (p=0.010, OR=5.840). In conclusion, the study showed that socio-demographic factors (education, gender, language, age, employment status, residence, personal health condition and access to health information simultaneously or partially influenced the HL of patients with NCDs. The most dominant factor associated with HL of patients with NCDs was personal health conditions. The role of health workers provides many sources of information to develop and learn solutions and support for people with various types of NCDs.
Abstract:This study analyzes the challenges of food security and the policy responses of the government in achieving food self-sufficiency in South Sulawesi in 2025. The research aims to identify production-consumption gaps, distribution…
ribution bottlenecks, and the impacts of climate variability and agricultural policies on food availability, accessibility, and affordability. A mixed-methods approach was employed, combining qualitative and quantitative techniques through household surveys, in-depth interviews with farmers and policymakers, field observations, and secondary data from the Central Statistics Agency and the South Sulawesi Agricultural Department.
The results reveal persistent production deficits for rice and soybeans, while corn has reached a surplus, illustrating structural imbalances among staple commodities. Approximately 62% of respondents reported difficulties in transportation and storage due to inadequate infrastructure, contributing to post-harvest losses and unstable food prices. Government programs such as irrigation development, input subsidies, and farmer training have provided partial benefits, yet 57% of farmers indicated irregular access to such support. Moreover, climate shocks such as El Niño continue to depress yields and increase vulnerability among smallholder farmers. Conversely, social capital, manifested in farmer groups and cooperative networks, has played a significant role in sustaining household food availability and resilience.
The findings suggest that food security in South Sulawesi cannot be addressed solely through production increases. A multifaceted strategy is required, emphasizing rural infrastructure development, climate-smart agricultural innovation, institutional and irrigation reform, and community-based mechanisms that strengthen social capital. This integrative approach provides empirical evidence for policy design and contributes to the broader discourse on sustainable food self-sufficiency in Indonesia.
Abstract:Business activities are hard work to improve people's lives. Basically, the diverse needs of the community encourage people with various business activities which are then expected to be able to meet these needs. For economic…
nomic livelihoods, people need to identify potential and opportunities in the surrounding environment that will be used as business opportunities. The research method used is field research or using a qualitative approach. The results of the study are: a) The economic growth of business actors in Sungai Pauh Pusaka Village, West Langsa District, Langsa City with the many developments of business actors emerging in the village has an impact on the economic growth of the community, considering that the activities of micro, small and medium enterprises can change the economy for a community, but in 2020 economic growth experienced a decline of 87% caused by Covid-19, b) The main problem faced by business actors in Sungai Pauh Pusaka Village is the problem of decreasing turnover of their merchandise, this is caused by the Covid-19 Pandemic which has not ended.