Abstract:This study aims to determine the influence of administrative modernization in taxation on the compliance of vehicle taxpayers at the SAMSAT Office in the Gorontalo City area. The modernization of tax administration is expected…
pected to increase service efficiency and convenience for taxpayers which can encourage increased compliance in fulfilling tax obligations. This study uses a quantitative method. Population in this study are all registered motor vehicle taxpayers as many as 144,490 taxpayers, with a sample of 100 respondents consisting of 83 two-wheeled vehicle taxpayers and 17 four-wheeled motor vehicle taxpayers. The sampling technique uses proportional random sampling. Data were collected through the distribution of questionnaires to taxpayers and analyzed using simple linear regression analysis and IBM SPSS 25. The results of the study show that the modernization of tax administration has a positive and significant effect on the compliance of motor vehicle taxpayers. This is evidenced by a t-calculated value of 2.514 > t-table of 1.98472 and a significance value of 0.014 < 0.05. The value of the regression coefficient of 0.129 indicates that every 1% increase in tax administration modernization will increase taxpayer compliance by 12.9%. In addition, a determination coefficient value (R2) of 0.061 indicates that 6.1% of the variation in taxpayer compliance can be explained by modernization of tax administration, while the remaining 93.9% is influenced by other factors outside of this study.
Abstract:Background: Diabetes mellitus is a chronic metabolic disorder caused by high levels of physical activity, high sugar consumption, reduced insulin production, and impaired insulin response or other hormones that inhibit insulin…
nsulin action. Based on IDF data, the prevalence of diabetes mellitus in Indonesia in 2024 is estimated to reach 11.3% of the population (approximately 20.4 million people). In addition, the Ministry of Health shows that in 2023, cases of diabetes mellitus will reach 11.7% and are predicted to continue to increase. High blood glucose levels, if left untreated, can cause various complications such as heart disease, stroke, nerve damage, and wound infections that can lead to amputation. One non-pharmacological treatment that can be given is by giving boiled moringa leaves, because moringa leaves contain antioxidants such as flavonoids, vitamins A, C, and E which can lower blood glucose levels. Objective: To determine the effect of Moringa leaf decoction on reducing blood glucose levels in diabetes mellitus patients in Sikampuh Village, Kroya District, Cilacap Regency. Method: The method used was a qualitative descriptive method with a case study approach. Results: Based on the research results, administering Moringa leaf decoction to blood glucose levels in diabetes mellitus patients for 7 days was proven to be effective in lowering blood glucose levels. Conclusion: Administering Moringa leaf decoction to diabetes mellitus patients for 7 days can lower blood glucose levels.
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: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:Early marriage remains a serious problem in Indonesia, impacting reproductive health, education, and the future of adolescents. One preventative measure is providing education about the risks of early marriage through engaging…
gaging learning media, such as educational videos. This study aims to determine the effect of educational videos on adolescents' knowledge and attitudes about the risks of early marriage at MAN 2 Padang City. This study used a pre-experimental, one-group pre-post test design. The population was 555 grade X students, with a sample size of 78. The sampling technique used systematic random sampling at MAN 2 Padang City was conducted from February to August 2025. Univariate and bivariate analyses used the Wilcoxon test. The results showed that the mean knowledge score before the program was 10.44. The mean knowledge score after the program was 13.47. The mean attitude score before the program was 31.23. The mean attitude score after the program was 34.15. There is an effect of educational video on knowledge (p=0.000). and attitudes in adolescents (p=0.000). Conclusion There is an effect of educational video on knowledge and attitudes in adolescents at MAN 2 Padang City. It is recommended that adolescents actively seek out and watch educational videos and that institutions implement BRUS programs in schools.
Abstract:This study aims to analyze the influence of Transformational Leadership, Work Climate, and Skill Variety on the effectiveness of teacher work teams at Integrated Islamic Junior High Schools in the Riau Islands Province.…
The research uses a quantitative approach with a survey method. The sample consists of 120 teachers selected through proportional stratified random sampling. The research instrument is a Likert-scale questionnaire that has been tested for validity and reliability. Data analysis was carried out using Spearman correlation tests and non-parametric regression with the aid of SPSS version 29.00. The results show that all independent variables are positively and significantly related to teacher work team effectiveness (Transformational Leadership: ρ = 0.757; Work Climate: ρ = 0.795; Skill Variety: ρ = 0.767; p < 0.05). Non-parametric regression testing indicates a significant simultaneous effect (ρ = 0.000). Partially, Transformational Leadership (p = 0.253; p = 0.000), Work Climate (ρ = 0.355; p = 0.000), and Skill Variety (ρ = 0.282; p = 0.000) significantly influence teacher work team effectiveness. Work climate is proven to be the dominant factor affecting team effectiveness. The implications of this study affirm that improving teacher work team effectiveness must be carried out holistically through strengthening school principals’ transformational leadership, creating a conducive work climate, and developing teachers’ skill variety.
Abstract:The purpose of this study was to describe how structured tasks from the Numbered Heads Together (NHT) cooperative learning model impacted the learning outcomes of grade X students at SMA Negeri 5 Seram Bagian Barat in the…
e 2024–2025 academic year. This study was experimental and only used a control group for the posttest. This study involved 75 students from three classes at SMA Negeri 5 Seram Bagian Barat. Class X2 (experimental class), consisting of 25 students, and class X3 (control class) were included in the randomly selected sample. According to statistical analysis of the data, the control class obtained a score of 65.60 with a standard deviation of 13.25, while the experimental class obtained a score of 75.00 with a standard deviation of 10.40. The completeness of the experimental class was 84.00%, while the control class was 44.00%. Based on the results of the study, the structured task approach influenced the learning outcomes of grade X students of SMA Negeri 5 Seram Bagian Barat on the topic of chemical bonds.
Abstract:Home birth selection is a complex decision influenced by various factors. This study aimed to determine the relationship between knowledge and antenatal care (ANC) visits with the decision-making of home birth in the working…
king area of Mapaddegat Public Health Center, Mentawai Islands Regency. This research was a descriptive analytic study with a case-control design, conducted from February to May 2025, involving mothers who gave birth and were recorded in the maternal cohort data from January 2023 to December 2024. A systematic random sampling technique was applied, consisting of 21 respondents in the case group and 42 respondents in the control group. Data were analyzed using univariate and bivariate analysis with the chi-square statistical test. The univariate results showed that 74.6% had high knowledge, and 57.2% had more than four ANC visits. The bivariate analysis revealed a significant relationship between knowledge (p = 0.011; OR = 5.455) and the number of ANC visits (p = 0.015; OR = 4.462) with the decision to give birth at home. It can be concluded that there is a relationship between knowledge and the number of ANC visits with home birth decision-making. It is recommended for the Mapaddegat Public Health Center staff to strengthen health promotion regarding delivery in health facilities and develop innovations to increase the coverage of facility-based deliveries.
Abstract:A complete medical record is a crucial part of healthcare delivery, serving as a communication tool between healthcare professionals, legal evidence, and the basis for evaluating and planning hospital services. The completeness…
eteness of medical record documentation, particularly in the emergency department, is an indicator of service quality that requires serious attention. The purpose of this study was to determine the percentage of completeness of identification, authentication, recording, and important reporting in the medical records of emergency patients diagnosed with hypertension at Wangaya Regional Hospital, Denpasar City. This study used a quantitative descriptive method. The population was all 330 medical records of emergency patients diagnosed with hypertension. A sample of 199 files was drawn using a probability sampling technique using a simple random sampling approach. The results showed that completeness of identification reached 100%, authentication reached 176 documents (88.44%), recording reached 174 documents (84.44%), and reporting reached 159 documents (79.90%). It can be concluded that identification had the highest level of completeness, while reporting had the lowest level of completeness. Researchers suggest that hospitals increase outreach and supervision of medical staff, especially in emergency installations, regarding the importance of completeness and timeliness of filling out medical record documents.
Abstract:This research was conducted in order to determine or to re-examine the performances of broiler chickens fed ration containing cinnamon bark powder (Cinnamomum burmannii). Eighty of CP 707 broiler chickens aged of 2 weeks…
ks were used and kept until 6 weeks old. Completely Randomized Design with 5 treatments and 4 replications each treatment was used in this study; the treatments used were, T0= 100% basal ration without cinnamon bark powder (CBP), T1= 99.5% basal ration + 0.5% CBP, T2= 99% basal ration + 1% CBP, T3= 98.5% basal ration + 1.5 % CBP, and T4= 98% basal ration + 2% CBP. The measurements taken were feed consumption, weight gain, feed conversion, and final body weight. The results of analysis of variance (ANOVA) and Duncan test showed that, giving cinnamon bark powder up to 2% in the ration had an effect on CP 707 broiler chickens aged 2-6 weeks; had a very significantly different effect (P<0.01) on body weight gained and so, on final body weight; and significantly different (P <0.05) on feed conversion, but not on feed consumption. In this study, the higher the level of CBP in the ration, the weight gained and final body weight decreased but feed conversion increased. Based on the results of the analysis and discussion, it can be concluded that giving cinnamon bark powder as a natural feed additive up to 2% in the feed did not improve the performance of CP 707 broiler chickens, because of weight gained and final body weight of the chickens decreased, while, feed conversion increased, which means that, economically it was not getting better.