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THE RELATIONSHIP BETWEEN KNOWLEDGE, ANXIETY LEVEL, AND FAMILY SUPPORT WITH EXCLUSIVE BREASTFEEDING IN THE COMMUNITY HEALTH CENTER PAUH WORK AREA

Dian Furwasyih, Hardiana, Novi, Novria Hesti, Sunesni, Devi Syarief
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&#8230; 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.

NURSING CARE FOR MS. Y WITH SELF-CARE DEFICIT WITH FOCUS ON TOOTH BRUSHING ACTIONS AT DR. R. M SOEDJARWADI MENTAL HOSPITAL, KLATEN

Hanif, Talitha Salsabila Putri
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&#8230; 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.

ANALYSIS OF ACCOUNTING IMPLEMENTATION IN MSMEs IN BOGOR REGENCY

Nasution, Yan Noviar, Herman, Herman
Abstract: This research aims to determine whether the application of accounting in MSMEs in Bogor Regency is in accordance with SAK EMKM. This research uses a qualitative method with a case study approach. The data used in this research&#8230; search is primary data obtained through observation and interviews as well as documentation data and secondary data sourced from MSMEs owners in Bogor Regency. The results of the research show that the application of accounting in MSMEs is not in accordance with the application of SAK EMKM because the preparation of financial reports in MSME companies has not been implemented fully or has not been optimal, as can be seen in the table of application of MSMEs Accounting where the CALK section is not in accordance with the SAK EMKM method.

CORRELATION BETWEEN NEUTROPHIL LYMPHOCYTE RATIO AND LIPID PROFILE IN ADULT PATIENT WITH OBESITY IN PRODIA TANGERANG CLINICAL LABORATORY

Sari, Lia Dwi, Anak Agung Ayu Eka Cahyani, Ika Setya Purwanti
Abstract: Obesity is a condition of abnormal or excessive fat accumulation which can be a risk factor for dyslipidemia. Uncontrolled dyslipidemia can directly cause endothelial dysfunction by increasing the production of free radicals,&#8230; cals, causing Low Density Lipoprotein (LDL) oxidation and stimulating the release of inflammatory factors that can cause inflammation. Neutrophils and macrophages are the first leucocytes to appear in the early response to inflammation, so the neutrophil-lymphocyte ratio can be useful for evaluating the prognosis of inflammation as an early detector and as a marker of inflammation that can be detected simply and efficiently.  This study aims to determine the correlation between Neutrophil-Lymphocyte Ratio (NLR) and Lipid Profile in adult patients with obesity in Prodia Tangerang Clinical laboratory. This study is an analytical study with a cross-sectional approach and used purposive sampling technique. The research sample data was taken from secondary data from patient medical records. The p-value obtained using Rank Spearman correlation from the comparation of neutrophil-lymphocyte ratio with each lipid profile value is total cholesterol (p=0.003), LDL cholesterol (p=0.013), High Density Lipoprotein (HDL) cholesterol (p=0.375) and tryglicerides (p=0.316). This study found a relationship between the neutrophil-lymphocyte ratio with total cholesterol dan LDL cholesterol, but there was no relationship between the neutrophil-lymphocyte ratio with HDL cholesterol and tryglicerides in obese adult patient in Prodia Tangerang Clinical Laboratory.

CORRELATION BETWEEN HS-CRP LEVELS AND ERYTHROCYTE SEDIMENTATION RATE VALUES IN PEDIATRIC PATIENTS WITH FEVER

Kusumawardani, Oktaviana Putri Cipta, Cahyani, Anak Agung Ayu Eka, Andini, Ni Komang Sukra
Abstract: Fever is the most common disease in children. Fever in children can be found in various conditions such as infection, inflammation, or other unknown causes. One of the laboratory tests that can be used is the hs-CRP and&#8230; erythrocyte sedimentation rate examination. The purpose of this study was to determine the relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric febrile patients. The research method was observational with a cross-sectional method using secondary data of 62 samples. Data analysis used the Spearman's rho test. The results of the study showed that most of the pediatric patients who experienced fever were male (59.7%), and the age of the child was 5 years (21%). In pediatric patients with fever, the average hs-CRP level was 19.34 mg/l, and the erythrocyte sedimentation rate was 32.73 mm/hour. The results of the correlation test using the Spearman's rho test method obtained p = 0.001 with r = 0.575, so it can be concluded that there is a moderate and positive relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric patients with fever.

MARRIAGE AS A RESPONSE TO PREMARITAL PREGNANCY: SOCIO-CULTURAL CONFINEMENT, LEGAL PLURALISM, AND RELIGIOUS PRAGMATISM IN NORTH HALMAHERA

Bakence, Lutfi, Sultan, Lomba, DL, Rahmatiah, Ridwan, Saleh
Abstract: Marriage involving pregnant women outside wedlock remains a critical socio-cultural and legal phenomenon in Indonesia, particularly in North Halmahera where family honor, religious authority, and customary law strongly influence&#8230; nfluence communal life. This study aimed to explore how such marriages are understood, legitimized, and practiced by families, community leaders, and legal institutions. Using a qualitative case study approach, data were collected through in-depth interviews with religious leaders, adat leaders, government officials, parents, and young women, complemented by participant observation and document analysis, and analyzed with an interactive model of reduction, display, and conclusion drawing. The findings reveal that marriage is primarily arranged to safeguard family honor, with communities regarding it as the only socially acceptable corrective measure, while religious leaders across traditions adopt pragmatic interpretations, invoking public interest or redemption to justify the practice, and customary rituals together with state dispensations further reinforce its legitimacy. Although marriage resolves immediate stigma and reintegrates families socially, it simultaneously generates long-term vulnerabilities, including interrupted education, economic dependence, marital instability, psychological stress, and increased maternal and neonatal health risks. This study contributes to the sociology of law and religion by demonstrating how socio-cultural confinement, Islamic legal pluralism, and adat practices converge in eastern Indonesia, while underscoring the urgent need for holistic interventions that integrate sexuality education, family communication, religious engagement, and legal reform to protect women and children more effectively.

THE EFFECT OF GIVING GREEN BETEL LEAF EXTRACT ON THE GROWTH OF Bacteroides IN VAGINAL SECRET CULTURE

Nuraini, Deswinda Fadhilah, Yanti, Ni Luh Gede Puspita, Parwati, Putu Ayu, Prihatiningsih, Diah
Abstract: Green betel leaves contain compounds that can treat vaginal discharge, especially those caused by bacteria. To determine the effect of green betel leaf extract on the growth of Bacteroides in vaginal secretion cultures,&#8230; this study used a quantitative experimental method, where vaginal secretion samples were taken from the subjects and then tested quantitatively. There were two data collection techniques used in this study: using a questionnaire and testing vaginal secretion samples with green betel leaf extract. The test for using was diffusion (paper disc) for the antibacterial test. The media used was MHA. The positive control used was a blank disc, the extract concentration series used were 20%, 25% and 30%. The diameter of the inhibition zone was observed and then analyzed. The results of the t-test analysis showed that the significance value was 0.00 <0.05, so H0 was rejected Ha was accepted or it could be concluded that there was a difference in the effect of giving green betel leaf extract on the growth of Bacteroides in vaginal secretion culture. Antibacterial activity test of green betel leaves (Piper betle L) against Bacteroides bacteria that cause Bacterial Vaginosis, namely resistant at a concentration of 20%, intermediate at a concentration of 25% and sensitive at a concentration of 30%. Green betel leaf extract (Piper betle L) has inhibitory power against Bacteroides bacteria that cause Bacterial Vaginosis. Can increase the concentration series of methanol extract of green betel leaves, find the minimum bactericidal concentration (MBC) and the maximum inhibitory concentration (MIC) of green betel leaf extract against Bacteroides bacteria that cause Bacterial Vaginosis

IMPLEMENTATION OF SCHOOL BOARDING SERVICE QUALITY ON ACADEMIC ACHIEVEMENT AT ISLAMIC JUNIOR HIGH SCHOOLS IN RIAU ISLANDS PROVINCE

Sofwatillah, Sofwatillah, Anwar, Kasful, MY, Mahmud, Asrulla
Abstract: Education is a fundamental pillar in shaping a superior and character-driven generation, with boarding schools providing a unique 24-hour integrated learning and living environment that acts in loco parentis. This study&#8230; examines the implementation of service quality in Islamic boarding schools in the Riau Islands Province and its influence on academic achievement, focusing on SMPIT Assakinah Tanjung Pinang, SMPS Al-Himmah Karimun, and SMP BP Tahfidz Attaubah Batam. Service quality in this context is defined as a student-centered paradigm that integrates academic, pastoral, and social dimensions. Drawing on perspectives from Crosby, Sallis, and Brewster, quality is measured by responsiveness to needs, continuous improvement, and the integration of academic rigor, pastoral care, and co-curricular enrichment. Academic achievement, as described by Bloom, is shaped by cognitive, affective, and environmental factors, where the structured environment of boarding schools can maximize outcomes. This research employed a qualitative case study approach with data gathered through observation, interviews, and documentation, analyzed using an interactive model. Findings reveal that service quality is implemented through four stages: (1) conceptualization with a vision integrating national and diniyah curricula; (2) implementation involving active learning, dormitory services, extracurricular programs, and Islamic character building; (3) improvement via SWOT-based evaluation, facility upgrades, teacher development, and digitalization; and (4) continuous evaluation for relevance and effectiveness. The study concludes that comprehensive, integrated service quality is a decisive factor for success in boarding schools. Effective service quality fosters both academic achievement and the development of religious, independent, and morally sound students. By applying Total Quality Management principles, Islamic boarding schools can establish an optimal educational ecosystem, producing a superior and globally competitive generation rooted in Islamic values.

PLATFORM-EMBEDDED ENFORCEMENT IN CRYPTOCURRENCY REGULATION: RETHINKING TAXATION AND ANTI-MONEY LAUNDERING IN INDONESIA’S CROSS-BORDER LEGAL CONTEXT

Muyassar, Asyam Shobir, Fitrijanto, Arief, Nurhidayah, Jessika
Abstract: The rapid growth of cryptocurrency transactions presents both opportunities for innovation and risks of cross-border financial crime, including tax evasion and money laundering, which challenge the effectiveness of traditional&#8230; tional regulation. This study aims to analyze the effectiveness of platform-based law enforcement particularly the implementation of the Travel Rule, CARF, and KYC in the Indonesian context. The research employs a qualitative multi-site case study method with data triangulation from international literature (FATF, OECD, IMF, Chainalysis, Cambridge) and national regulations (OJK, PPATK, DJP). The findings indicate that cryptocurrency platforms serve as key actors in detection and enforcement; however, their effectiveness is constrained by the sunrise problem, the migration of illicit activities into DeFi and OTC ecosystems, and legal sovereignty tensions arising from the dominance of global platforms. This study introduces the concept of Platform-Embedded Enforcement as a novel theoretical framework, integrating monitoring and enforcement mechanisms directly into platform architectures, thereby enabling compliance to be enforced automatically, in real time, and across jurisdictions. These findings contribute to the development of more adaptive, holistic, and effective cryptocurrency regulation in emerging markets.

CORRELATION BETWEEN DENGUE ANTIBODIES IGM AND IGG WITH LYMPHOCYTE COUNT IN PATIENTS WITH SUSPECTED DENGUE FEVER

Priyandari, Damar Ajeng, Yanti, Ni Luh Gede Puspita, Muliawati, Ni Kadek
Abstract: Dengue Hemorrhagic Fever (DHF) is a disease caused by the Dengue virus transmitted to humans through the bite of the Aedes aegypti and Aedes albocpitus mosquitoes. One of the laboratory tests that can help diagnose Dengue&#8230; e fever includes Dengue IgM and IgG Antigens and hematology tests. The number of lymphocytes plays a role in the body's immune system and is one of the parameters found in hematology tests. This study aims to determine the relationship between Dengue IgM and IgG antibodies and the number of lymphocytes in patients suspected of having Dengue fever at the Prodia Sunter Clinical Laboratory for the period 2021-2024. The research method is observational with cross-sectional using secondary data of 104 samples. Data analysis uses Spearman rank. The results of the study showed that most of the suspected Dengue fever patients were male, 56 patients (53.8%) with the highest age at 19-59 years as many as 53 patients (51.0%) and the duration of fever was mostly experienced on the 3rd day of fever 29 patients (27.9%). The results of the Dengue antigen IgM examination in suspected Dengue fever patients were negative for 89 patients (85.6%) and the Dengue antigen IgG was negative for 64 patients (61.5%). The number of lymphocytes was within normal limits for 44 patients (42.3%). The results of the IgM correlation test obtained p = 0.005 with r 0.271, so the hypothesis was accepted, it can be concluded that there is a weak correlation between Dengue IgM antibodies and the number of lymphocytes and the results of the IgG correlation test obtained p = 0.043 with r 0.198, so the hypothesis was accepted, it can be concluded that there is a weak correlation between Dengue IgG antibodies and the number of lymphocytes in suspected Dengue fever patients.