https://nusantarahasanajournal.com/index.php/nhj/issue/feed Nusantara Hasana Journal 2026-07-03T23:23:58-04:00 Muhammad Habibullah Aminy nusantarahasana@gmail.com Open Journal Systems <p>Nusantara Hasana Journal (NHJ) is a Peer-Reviewed, Open Access journal that a scientific paper original articles of research and community engangement and review of the literature.</p> <p> </p> https://nusantarahasanajournal.com/index.php/nhj/article/view/2123 KEMISKINAN STRUKTURAL PADA PURNA PEKERJA MIGRAN PEREMPUAN : ANALISIS KEGAGALAN MOBILITAS EKONOMI PASCA MIGRASI BERULANG 2026-06-08T11:32:16-04:00 Ramlafatma Ramlafatma ramlafatma@uts.ac.id <p><em>International labor migration is viewed as an effective strategy for improving household economic well-being. For low-income families, working as migrant workers offers an alternative to earn higher incomes compared to job opportunities in their home regions. Job opportunities are available for women, particularly in the Middle East and parts of Asia. However, observations on the ground indicate that the repeated migration experienced by many former migrant women does not always lead to sustainable economic mobility after working abroad. This study aims to analyze the structural poverty experienced by former female migrants and the factors contributing to the failure of economic mobility following repeated migration. The research employed a descriptive qualitative method. The findings indicate that the failure of post-migration economic mobility is influenced by the predominant use of remittances for household consumption, limited access to productive capital, gender inequality in asset ownership, weak economic reintegration programs, low financial literacy, and limited social capital to support business development. These conditions result in repeated migration becoming a survival strategy rather than a means of economic transformation. These findings show that the poverty experienced by former female migrants cannot be understood merely as individual failure, but rather as a consequence of social, economic, and institutional structures that limit their opportunities for economic mobility. Therefore, more comprehensive and gender-sensitive reintegration policies are needed to support the long-term well-being of former female migrants.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Ramlafatma https://nusantarahasanajournal.com/index.php/nhj/article/view/2022 PERPUSTAKAAN SEBAGAI AGEN PENDIDIKAN SEPANJANG HAYAT MELALUI PROGRAM KELAS BAHASA ASING DI LEMBAGA PEMASYARAKATAN PEREMPUAN IIA BANDUNG 2026-06-08T11:32:51-04:00 Nathania Yustira nathania22008@mail.unpad.ac.id Saleha Rodiah nathania22008@mail.unpad.ac.id Fitri Perdana nathania22008@mail.unpad.ac.id <p><em>Lifelong education is a right for all from infancy to the end of life. It is closely associated with teaching and learning activities. The intellectual development program, particularly foreign language classes (English, German, and Mandarin) conducted in the library of the Class IIA Women’s Correctional Institution in Bandung, represents a form of non-formal education grounded in the principles of lifelong education. This study aims to examine the dynamics of lifelong education as manifested through foreign language learning programs facilitated by the library. The research employs a qualitative case study approach, with data collected through interviews, observations, and documentation. The findings indicate that the library supports lifelong education through educational activities by attempting to provide learning resources for inmates, despite their limited availability, fostering an intellectual atmosphere, offering adequate facilities and infrastructure, and supplying additional reading materials that encourage inmates to become lifelong learners. In this way, libraries in women's correctional institutions can become agents of lifelong education for inmates</em>.</p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Nathania Rahma Yustira https://nusantarahasanajournal.com/index.php/nhj/article/view/2124 PENGARUH TERAPI SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) TERHADAP RESILIENSI REMAJA USIA 15-18 TAHUN DI SMKN 3 KUDUS 2026-06-08T11:36:52-04:00 Hellen Novrida hellennovrida13@gmail.com Anny Rosiana Mashitoh annyrosiana@umkudus.ac.id Ashri Maulida arahmawati@umkudus.ac.id <p><em>Adolescence is a period characterized by significant physical, emotional, and social changes that make individuals vulnerable to stress and mental health problems. Low levels of resilience among adolescents can lead to anxiety, decreased motivation, poor academic performance, and an increased risk of negative behaviors. Therefore, resilience plays an important role in helping adolescents manage pressure, recover from adversity, and maintain healthy functioning. The Spiritual Emotional Freedom Technique (SEFT) is a relaxation method that combines tapping on the body's meridian points with affirmations and spiritual elements. SEFT has been shown to help reduce stress and anxiety while improving emotional balance. By regulating emotions and promoting a sense of calmness, SEFT has the potential to enhance adolescent resilience. The long-term objective of this study is to develop SEFT therapy as an effective intervention for improving adolescent resilience, thereby reducing stress, anxiety, and emotional mental health problems. The specific objectives include measuring changes in resilience before and after therapy in both intervention and control groups and analyzing the effect of SEFT on resilience improvement. This study employed a quantitative research approach with a pre–post test design involving 52 students selected through purposive sampling. SEFT therapy was administered through the stages of set-up, tune-in, and tapping, while resilience was measured using the Resilience Scale. Data were analyzed using the t-test to determine the effectiveness of the therapy.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Hellen Novrida https://nusantarahasanajournal.com/index.php/nhj/article/view/2120 MENINGKATKAN MATEMATIKA DASAR PADA ANAK USIA DINI DI TK SELUSAKA KABUPATEN SERAM BAGIAN BARAT DENGAN PEMANFAATAN BUAH LASA 2026-06-08T11:33:34-04:00 Gayatri Lessy gayatrilessy22@gmail.com Marissa Irmuply gayatrilessy22@gmail.com Sarah Supulatu gayatrilessy22@gmail.com Julenda Gorangamury gayatrilessy22@gmail.com <p><em>The low basic mathematics ability of children aged 4–5 years at TK Selusaka, West Seram Regency, is characterized by the inability to count in the correct sequence, failure to identify numbers accurately, and insufficient recognition of geometric shapes due to a lack of teaching aids. This study aims to describe and analyze efforts to improve early childhood basic mathematics ability through the utilization of lasa fruit (Castanopsis buruana Miq) as an innovative teaching aid based on local natural resources. A descriptive qualitative approach was employed, with data collected through participant observation, in-depth interviews with classroom teachers and the school principal, and documentation. The research subjects were 16 students aged 4–5 years at TK Selusaka. The study was conducted from May 9 to June 9, 2025, preceded by a one-week teacher training on making lasa-based teaching aids (May 19–23, 2025). Results indicate that the use of lasa fruit significantly improved children's basic mathematics ability, including: (1) recognition of numbers 1–10, with 7 out of 16 children beginning to write numerals; (2) sequential counting ability 1–10 improved in 10 out of 16 children; (3) understanding of simple addition and subtraction; and (4) recognition and grouping of geometric shapes. Use of lasa fruit also increased children's motivation, enthusiasm, and active participation. Challenges included the limited durability of organic material, hygiene concerns, and natural variation in fruit size. This study concludes that local natural resources such as lasa fruit have great potential as effective, economical, and contextual mathematics learning media for early childhood.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Gayatri Lessy https://nusantarahasanajournal.com/index.php/nhj/article/view/2127 DIPLOMASI DAN PATRIOTISME SULTAN SYARIF KASIM II: KAJIAN LITERATUR TERHADAP KONTRIBUSI EKONOMI DAN POLITIK BAGI KEMERDEKAAN REPUBLIK INDONESIA 2026-06-08T11:35:47-04:00 Rahmat Putra An-Nur rahmatputraa04@gmail.com Bunari Bunari rahmatputraa04@gmail.com Nurdiansyah Nurdiansyah rahmatputraa04@gmail.com <p><em>At the beginning of Indonesian independence, Sultan Syarif Kasim II donated all the wealth and territory of the Siak Kingdom to the newly established Republic of Indonesia. This research aims to: (1) analyze the form of political diplomacy of Sultan Syarif Kasim II in supporting the sovereignty of the Republic of Indonesia; (2) identify the economic contribution of Sultan Syarif Kasim II to the sustainability of the initial capital of the Republic of Indonesia government; and (3) evaluate the long-term impact of Sultan Syarif Kasim II's political and economic choices on strengthening Indonesia's position in the early days of independence. This research uses a historical research type with a literature study approach. (1) Sultan Syarif Kasim II's political diplomacy was realized through five main forms, namely political loyalty diplomacy, symbolic, inter-elite, and political survival; (2) the Sultan's economic contribution included the transfer of funds worth 13 million guilders along with the territory of the Siak Kingdom and its contents; and (3) the long-term impacts of this decision include strengthening the legitimacy of the Republic of Indonesia, forming the foundations of the local economy, and maintaining the Malay cultural heritage and historical identity of the Siak Sri Indrapura Sultanate to the present day.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Rahmat Putra An-Nur https://nusantarahasanajournal.com/index.php/nhj/article/view/2159 SEPSIS 2026-06-13T03:09:29-04:00 Yulson Yulson yulson@fk.unbrah.ac.id Ade Ariadi yulson@fk.unbrah.ac.id <p><em>Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. It remains one of the leading causes of morbidity and mortality worldwide, particularly among patients admitted to intensive care units. Sepsis can progress to septic shock, characterized by persistent hypotension, impaired tissue perfusion, and multiple organ failure if not promptly recognized and treated. Early diagnosis requires comprehensive clinical assessment, laboratory evaluation, and the use of screening tools such as the Sequential Organ Failure Assessment (SOFA) and quick SOFA (qSOFA) scores. The management of sepsis includes early fluid resuscitation, timely administration of empiric antibiotics, source control of infection, hemodynamic support, and continuous monitoring of organ function. Numerous studies have demonstrated that early recognition and adherence to evidence-based clinical guidelines significantly reduce mortality rates and improve patient outcomes. Therefore, increasing healthcare professionals’ awareness, implementing effective sepsis protocols, and promoting a multidisciplinary approach are essential to enhancing the quality of care and patient safety in sepsis management.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Yulson https://nusantarahasanajournal.com/index.php/nhj/article/view/2160 TERAPI GANGGUAN SOMATOFORM 2026-06-13T03:10:14-04:00 Sulistiana Dewi sulistianadewi@fk.unbrah.ac.id <p><em>Somatoform disorder is a group of mental health disorders characterized by persistent and recurrent physical symptoms that cannot be fully explained by an underlying medical condition. This condition often causes significant psychological distress, reduced quality of life, and increased utilization of healthcare services. The management of somatoform disorder aims to reduce symptoms, improve psychosocial functioning, and help patients understand the relationship between psychological factors and physical complaints. This paper discusses various therapeutic approaches used in the treatment of somatoform disorders through a literature review of scientific publications. The findings indicate that Cognitive Behavioral Therapy (CBT) is the most effective intervention for reducing symptom severity and health-related anxiety. In addition, psychodynamic therapy, mindfulness-based interventions, patient education, and collaborative care involving physicians and mental health professionals have demonstrated significant benefits. Pharmacological treatment may be considered in patients with comorbid conditions such as depression or anxiety disorders. A comprehensive, patient-centered therapeutic approach has been shown to improve quality of life and reduce patients’ dependence on repeated medical examinations. Therefore, early detection and appropriate management are essential to achieve optimal therapeutic outcomes in patients with somatoform disorders.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Nusantara Hasana Journal https://nusantarahasanajournal.com/index.php/nhj/article/view/2161 APENDISITIS PADA PASIEN ANAK: BUKTI TERKINI DALAM DIAGNOSIS DAN PENGOBAT 2026-06-13T03:11:20-04:00 Irsal Munandar irsalmunandar@fk.unbrah.ac.id Irwandi Irwandi irsalmunandar@fk.unbrah.ac.id <p><em>Appendicitis is a common surgical condition in pediatric patients, with a higher prevalence in males, accounting for approximately 55–60% of cases. Although its exact etiology remains unclear, luminal obstruction caused by fecaliths, lymphoid hyperplasia, or parasitic infestation is frequently considered a contributing factor. The classic clinical presentation includes gradually worsening periumbilical abdominal pain that migrates to the right lower quadrant within 24 hours, accompanied by fever, anorexia, nausea, and vomiting. However, infants and young children may present with atypical symptoms, making diagnosis more challenging. Several clinical risk scoring systems have been developed to improve diagnostic accuracy by incorporating clinical symptoms, physical examination findings, and laboratory results. Ultrasonography is the recommended imaging modality due to its low cost and absence of radiation exposure, with reported sensitivity ranging from 72.5% to 94.8% and specificity from 95% to 99%, depending on operator experience. In preschool-aged children, acute appendicitis is associated with a higher risk of complications, including surgical site infections and intra-abdominal abscess formation. The risk of appendiceal perforation increases when diagnosis and treatment are delayed. Management includes fluid resuscitation, pain control, antibiotic therapy, and appendectomy. In cases of perforated appendicitis, percutaneous drainage may be required. Hospital readmission is most commonly related to infection, bowel obstruction, or persistent abdominal pain.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Irsal Munandar https://nusantarahasanajournal.com/index.php/nhj/article/view/2146 MANAJEMEN NYERI 2026-06-11T09:47:00-04:00 Adji Mustiadji adji_mustiadji@fk.unbrah.ac.id <p><em>Pain management is a critical component of healthcare services aimed at reducing patient suffering, improving quality of life, and promoting recovery. Effective pain management requires a comprehensive assessment using standardized tools to identify the intensity, location, duration, and characteristics of pain. Management strategies involve both pharmacological and non-pharmacological approaches. Pharmacological interventions include the administration of analgesics, such as nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and adjuvant medications, tailored to the patient's condition and pain severity. Non-pharmacological methods, including relaxation techniques, distraction, music therapy, cognitive-behavioral interventions, and physical therapies, can complement medical treatment and enhance pain relief. Furthermore, multidisciplinary collaboration among physicians, nurses, pharmacists, and other healthcare professionals plays a vital role in ensuring effective and safe pain management. Continuous monitoring and patient education are also essential to optimize treatment outcomes and prevent complications associated with uncontrolled pain. Effective pain management contributes significantly to patient satisfaction, functional recovery, and overall healthcare quality.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Adji Mustiadji https://nusantarahasanajournal.com/index.php/nhj/article/view/2174 ANALISIS PENGARUH PENGANGGURAN TERBUKA, KEMISKINAN DAN INDEKS PEMBANGUNAN MANUSIA (IPM) TERHADAP PERTUMBUHAN EKONOMI DI PROVINSI NUSA TENGGARA BARAT TAHUN 2013-2024 2026-06-17T11:45:16-04:00 Al Muslimah muusliimmah@gmail.com Rosita Rosita rositamarhan@gmail.com Ahmad Suhendri ahmadasuhendri@unizar.ac.id <p><em>This study aims to analyze the effect of the open unemployment rate, poverty, and the Human Development Index (HDI) on economic growth in West Nusa Tenggara Province during the 2013–2024 period. The data used are secondary time series data obtained from the Central Bureau of Statistics. The analytical method employed is multiple linear regression, preceded by classical assumption tests including multicollinearity, heteroskedasticity, autocorrelation, and linearity. The results show that partially (t-test) and simultaneously (F-test), the variables of open unemploymeoverty, and HDI do not have a significant effect on economic growth. In terms of direction, open unemployment and poverty exhibit a positive relationship, while HDI shows a negative relationship; however, all variables are statistically insignificant. The Adjusted R-squared value of 0.108 indicates that the model explains only 10.8% of the variation in economic growth, while the remaining proportion is influenced by other factors outside the model. In conclusion, economic growth in West Nusa Tenggara Province during the study period is not significantly affected by open unemployment, poverty, and HDI. This suggests that regional economic growth is more influenced by other structural and macroeconomic factors, such as investment, government expenditure, and the dynamics of leading sectors.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Al Muslimah https://nusantarahasanajournal.com/index.php/nhj/article/view/2162 PENGARUH DIGITALISASI PENGGUNAAN QRIS TERHADAP PENINGKATAN OMZET PADA UMKM DI KOTA MATARAM 2026-06-13T03:11:55-04:00 Annisa Renda Lestari rendalestari17@gmail.com Triana Lidona Aprilani rendalestari17@gmail.com Muhammad Habibullah Aminy rendalestari17@gmail.com Hery Astika Putra rendalestari17@gmail.com <p><em>This</em><em> study aims to analyze the effect of digitalization through the use of the Quick Response Code Indonesian Standard (QRIS) on omzet growth among Micro, Small, and Medium Enterprises (MSMEs) in Mataram City. The research is motivated by the transition from cash-based to digital payment systems in response to technological advancement and the need for operational efficiency in business activities. QRIS is considered an innovation that enhances transaction efficiency, expands customer reach, and increases revenue for business actors. This research employed a quantitative method with an associative approach. The population consists of all MSMEs in Mataram city using QRIS, with the sample determined using the slovin formula at a 10% margin of error, resulting in 100 respondents. Data were collected through questionnaires using a likert scale, while data analysis included validity tests, reliability tests, classical assumption tests, simple linear regression analysis,t-test, and coefficient of determination (R<sup>2</sup>). The results indicate that the digital use of QRIS has a positive and significant effect on MSME omzet growth. This is supported by a t-value of 5.911, which is greater than the critical t-table value of 1.660, and a significance level of 0.000 (&lt; 0.05). The coefficient of determination (R²) is 0.257, meaning that 25.7% of the variation in MSME profits is explained by the QRIS usage variable, while the remaining 74.3% is influenced by other factors. Therefore, the adoption of QRIS as a digital payment tool significantly contributes to increasing MSME profits in Mataram City.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Annisa Renda Lestari https://nusantarahasanajournal.com/index.php/nhj/article/view/2135 GANGGUAN TIDUR DAN DAMPAKNYA TERHADAP KESEHATAN OTAK 2026-06-11T09:53:01-04:00 Shinta Brisma shintabri.sma@fk.unbrah.ac.id Dian Budianti Amalina shintabri.sma@fk.unbrah.ac.id <p><em>Sleep disorders are common health problems that can have significant effects on brain health. Conditions such as insomnia, obstructive sleep apnea, and circadian rhythm disorders are known to be associated with various neurological disorders. This article aims to further examine the relationship between sleep disorders and brain health, including the underlying biological mechanisms and their impact on cognitive function and neurological diseases. The method used in this study is a literature review by examining various relevant scientific sources. The results of the review indicate that sleep disturbances can affect brain function through several mechanisms, including disruption of memory consolidation processes, increased oxidative stress, inflammation, and impairment of metabolic waste clearance through the glymphatic system. In addition, sleep disorders are also associated with an increased risk of neurological diseases such as stroke, cognitive decline, and neurodegenerative disorders. In conclusion, poor sleep quality and the presence of sleep disorders can negatively affect brain health; therefore, maintaining healthy sleep patterns is important as a preventive effort against various neurological disorders.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Shinta Brisma https://nusantarahasanajournal.com/index.php/nhj/article/view/2176 ADAKAH HUBUNGAN ANTARA KEJADIAN NYERI SENDI LUTUT DENGAN TINGKAT KEMANDIRIAN LANSIA DI PANTI JOMPO? 2026-06-18T07:51:07-04:00 Erdanela Setiawati erdanelasetiawati@fk.unbrah.ac.id Budi Yulhasfi Febrianto budiyulhasfifebrianto@fk.unbrah.ac.id Amelia Fitri ameliafitri8856@gmail.com <p><em>The aging process causes degenerative changes that impact the decline in physical function of the elderly, one of which is knee joint pain. Knee joint pain can inhibit the physical activity of the elderly and potentially reduce the level of independence in carrying out daily activities. This study aims to determine the relationship between the incidence of knee joint pain and the level of independence in the elderly at the Kasih Sayang Ibu Batusangkar nursing home (PSTW). The method used is an observational analytical study with a cross-sectional design. The study population was all elderly living at the Kasih Sayang Ibu Batusangkar PSTW with a sample of 52 respondents. Measurement of knee joint pain was carried out using the Numeric Rating Scale (NRS), while the level of independence was assessed using the Modified Barthel Index. Univariate data analysis is presented in the form of a frequency distribution and bivariate analysis using the Fisher's Exact test. The results of this study are the majority of respondents experienced knee joint pain (82.7%) and most had a level of independence in the non-independent category (53.8%). The results of the bivariate analysis showed a significant relationship between the incidence of knee joint pain and the level of independence in the elderly at the Kasih Sayang Ibu Batusangkar Nursing Home (PSTW) with a p value of 0.008 (p &lt; 0.05). The conclusion of this study is that there is a relationship between the incidence of knee joint pain and the level of independence in the elderly at the Kasih Sayang Ibu Batusangkar Nursing Home (PSTW).</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Erdanela Setiawati https://nusantarahasanajournal.com/index.php/nhj/article/view/2166 PENGEMBANGAN MEDIA PEMBELAJARAN PAPAN PANTUL PORTABEL DENGAN MEKANISME ADAPTIF UNTUK MENGOPTIMALKAN KETERAMPILAN PUKULAN TENIS MEJA PADA EKSTRAKURIKULER TENIS MEJA 2026-06-15T08:57:36-04:00 Muhammad Zaky Al Ghifary zakyalghifary79315@gmail.com Alit Rahmat alitrahmat@upi.edu <p><em>This research is initiated by the constraints of static training media in physical education. The purpose is to develop and evaluate a portable rebound board learning media with adaptive angle and distance systems to optimize stroke skills for extracurricular students. The method employed is Research and Development (R&amp;D) following the ten-stage Borg and Gall design. The representative sample was selected using a purposive sampling technique targeting students aged 13–15 with motor coordination limitations. Data collection utilized structured Likert-scale questionnaires validated by learning material and sports product design experts. The results indicate that systematic refinements, reducing the sliding rail to 45 cm and increasing board thickness to 12 mm, successfully eliminated framework vibration. This developed learning media achieved a peak empirical feasibility score of 92% from expert panels. In conclusion, the adaptive rebound board serves as a highly feasible, stable, and valid instructional tool to facilitate independent stroke automation.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Muhammad Zaky Al Ghifary https://nusantarahasanajournal.com/index.php/nhj/article/view/2132 UNDESENSUS TESTIS (UDT) 2026-06-11T09:50:34-04:00 Abdul Raziq Jamil abdulraziqjamil@fk.unbrah.ac.id <p><em>Undescended testis (UDT), also known as cryptorchidism, is a congenital disorder of the male reproductive system characterized by the failure of one or both testes to descend into the scrotum. It is one of the most common urogenital abnormalities in male infants, particularly among those born prematurely. The etiology of UDT is multifactorial, involving genetic, hormonal, environmental, and anatomical factors that interfere with the normal process of testicular descent. Diagnosis is primarily based on medical history and physical examination, while imaging studies are reserved for selected cases. Untreated UDT may lead to several complications, including impaired fertility, testicular atrophy, inguinal hernia, testicular torsion, and an increased risk of testicular cancer later in life. This review aims to examine the epidemiology, pathophysiology, diagnosis, and management of UDT based on current scientific literature. The findings indicate that orchiopexy is the primary treatment of choice and should ideally be performed before 18 months of age to optimize reproductive function and reduce the risk of long-term complications. Hormonal therapy has a limited role and is not routinely recommended. Early detection and appropriate management are essential to improve prognosis and quality of life in patients with undescended testis.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Abdul Raziq Jamil https://nusantarahasanajournal.com/index.php/nhj/article/view/2133 DELIRIUM PADA LANJUT USIA 2026-06-11T09:51:25-04:00 Alimudiarnis Alimudiarnis alimudi.arnis@fk.unbrah.ac.id Boy Hutaperi alimudi.arnis@fk.unbrah.ac.id <p><em>Delirium is an acute neurocognitive syndrome commonly occurring in older adults and is characterized by disturbances in consciousness, attention, cognition, and behavior that develop rapidly and fluctuate throughout the day. This condition is frequently observed among hospitalized elderly patients, particularly those with chronic illnesses, neurological disorders, infections, or those recovering from surgery. Delirium is associated with increased morbidity, mortality, prolonged hospital stays, functional decline, and a higher risk of developing dementia in later life. This review aims to examine the risk factors, pathophysiology, diagnosis, and management of delirium in older adults based on current scientific literature. The method used was a literature review of relevant scientific journals. The findings indicate that the major risk factors for delirium include advanced age, pre-existing cognitive impairment, infection, dehydration, metabolic disturbances, the use of certain medications, and immobility. Diagnosis is established through clinical assessment focusing on acute changes in mental status and impaired attention. Management primarily involves identifying and treating the underlying causes, along with non-pharmacological interventions such as reorientation strategies, early mobilization, sleep optimization, and family support. Pharmacological treatment is reserved for selected cases with severe symptoms that threaten the safety of the patient or others. Early detection and comprehensive management are essential to reduce complications and improve the quality of life of older adults experiencing delirium.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Alimudiarnis https://nusantarahasanajournal.com/index.php/nhj/article/view/2134 OSTEOSARCOMA 2026-06-11T09:52:19-04:00 Jon Hadi jonh.adi@fk.unbrah.ac.id <p><em>Osteosarcoma is the most common primary malignant bone tumor in children and adolescents, particularly during periods of rapid growth. This tumor originates from mesenchymal cells that produce osteoid or immature bone matrix and commonly affects the metaphyseal regions of long bones, such as the distal femur, proximal tibia, and proximal humerus. The exact etiology of osteosarcoma remains unclear; however, genetic factors, radiation exposure, and certain bone disorders are known to increase the risk of its development. Clinical manifestations typically include progressive bone pain, localized swelling, limited joint movement, and, in some cases, pathological fractures. Diagnosis is established through clinical evaluation, physical examination, radiological imaging, and histopathological confirmation. The management of osteosarcoma requires a multidisciplinary approach involving neoadjuvant chemotherapy, surgical resection of the tumor, and adjuvant chemotherapy. Advances in surgical techniques and chemotherapy regimens have significantly improved patient survival rates. Prognosis is influenced by tumor size, location, response to chemotherapy, and the presence of metastases, particularly to the lungs. Early detection and appropriate treatment are essential to improve patient outcomes and quality of life.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Jon Hadi https://nusantarahasanajournal.com/index.php/nhj/article/view/2131 TATALAKSANA HEPATIC ENCEPHALOPATHY 2026-06-11T09:46:16-04:00 Lidia Dewi lydiadewi@fk.unbrah.ac.id Elvi Fitraneti lydiadewi@fk.unbrah.ac.id <p><em>Hepatic encephalopathy (HE) is a neuropsychiatric syndrome resulting from impaired liver function, most commonly occurring in patients with liver cirrhosis or acute liver failure. The condition is characterized by a broad spectrum of clinical manifestations, ranging from subtle cognitive impairment to altered consciousness and coma. The primary pathogenesis of HE is associated with the accumulation of ammonia and other neurotoxic substances that cannot be adequately metabolized by the diseased liver, leading to central nervous system dysfunction. This review aims to examine the current management strategies for hepatic encephalopathy based on recent scientific evidence. The method employed was a literature review of scientific journals addressing the diagnosis, treatment, and prevention of HE recurrence. The findings indicate that identifying and correcting precipitating factors, such as infections, gastrointestinal bleeding, constipation, electrolyte disturbances, and the use of certain medications, are fundamental components of management. Pharmacological therapy primarily involves lactulose as the first-line treatment to reduce ammonia levels, while rifaximin is commonly used as an adjunctive therapy to prevent recurrence. Adequate nutritional support, including appropriate protein intake, also plays a significant role in improving patient outcomes. In severe or recurrent cases, liver transplantation may serve as the definitive treatment option. A comprehensive and multidisciplinary approach to the management of hepatic encephalopathy can reduce morbidity, prevent recurrence, and improve patients’ quality of life.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Lidia Dewi https://nusantarahasanajournal.com/index.php/nhj/article/view/2136 ANALISIS PENGARUH MANAJEMEN RISIKO KREDIT TERHADAP KOLEKTIBILITAS KREDIT MODAL KERJA PADA BPR ABDI WARGA MULIA 2026-06-11T09:35:59-04:00 Jerry Rizaldi Putra jerry.rizaldy@gmail.com <p><em>This study aims to analyze the effect of credit risk management based on the 5C principles (Character, Capacity, Capital, Collateral, Condition) and the 3R principles (Return, Repayment, Risk Bearing Ability) on Non-Performing Loans (NPL) at BPR Abdi Warga Mulia. The research method used is a quantitative approach with multiple linear regression analysis. Data were obtained through questionnaires distributed to 100 respondents of working capital loan customers as well as documentation of non-performing loan reports.</em><em> The results show that partially, the variables Character (X1), Capacity (X2), Capital (X3), Return (X6), Repayment (X7), and Risk Bearing Ability (X8) have a significant effect on NPL with significance values &lt; 0.05. Meanwhile, Collateral (X4) and Condition (X5) do not significantly affect NPL (p &gt; 0.05). Simultaneously, the 5C and 3R principles significantly influence NPL with an F-statistic = 41.27 &gt; F-table = 2.12 and significance = 0.000. The coefficient of determination (R²) is 0.715, indicating that 71.5% of the variation in NPL can be explained by the 5C and 3R variables, while the remaining 28.5% is explained by other factors outside the research model.</em><em> It can be concluded that the application of credit risk management based on the 5C and 3R principles plays an important role in reducing the level of NPL at BPR Abdi Warga Mulia. Therefore, the bank needs to strengthen the assessment of character, business capacity, capital, and repayment discipline to maintain loan quality and minimize the potential occurrence of non-performing loans.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Jerry Rizaldi Putra https://nusantarahasanajournal.com/index.php/nhj/article/view/2139 PERDARAHAN SUBARACHNOID 2026-06-11T09:54:58-04:00 Asrizal Asril asrizal_asril@fk.unbrah.ac.id Reno Sari Caniago asrizal_asril@fk.unbrah.ac.id <p><em>Subarachnoid hemorrhage (SAH) is a neurological emergency characterized by bleeding into the subarachnoid space, most commonly caused by rupture of an intracranial aneurysm. This condition is associated with high morbidity and mortality rates and requires prompt diagnosis and management. Patients typically present with sudden severe headache, often described as “the worst headache of life,” accompanied by nausea, vomiting, decreased level of consciousness, neck stiffness, and focal neurological deficits. Diagnosis is established through clinical evaluation supported by neuroimaging, particularly non-contrast computed tomography (CT) scan, and may be followed by lumbar puncture or cerebral angiography if necessary. Early treatment focuses on stabilizing the patient, preventing rebleeding, managing intracranial pressure, and addressing complications such as vasospasm and hydrocephalus. Definitive management may involve surgical clipping or endovascular coiling of the aneurysm. Comprehensive and timely intervention is essential to improve patient outcomes and reduce the risk of long-term neurological disability.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Asrizal Asril https://nusantarahasanajournal.com/index.php/nhj/article/view/2143 EPIGLOTITIS 2026-06-11T09:57:06-04:00 Elfahmi Elfahmi elfahmi@fk.unbrah.ac.id <p><em>Epiglottitis is an acute and potentially life-threatening inflammation of the epiglottis and surrounding supraglottic structures that can lead to rapid airway obstruction. The condition is commonly caused by bacterial infection, particularly Haemophilus influenzae type b, although viral and fungal infections may also contribute. Epiglottitis can occur in both children and adults, with clinical manifestations including high fever, severe sore throat, dysphagia, drooling, muffled voice, stridor, and respiratory distress. Diagnosis is established through clinical evaluation supported by laryngoscopic examination and radiologic findings, while careful airway assessment remains the primary priority. Prompt management is essential and includes airway stabilization, oxygen therapy, intravenous antibiotics, corticosteroids, and supportive care. Early recognition and rapid intervention are crucial to prevent complications such as complete airway obstruction and respiratory failure.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Elfahmi https://nusantarahasanajournal.com/index.php/nhj/article/view/2149 GAYA REKTORIKA DENNY SUMARGO DALAM PODCAST “INI ORANG 5INTHINK!!? GW CAPEK NGOBROL SAMA DIA!!? (STUDI PADA CHANNEL YOUTUBE CURHAT BANG) 2026-06-11T09:37:04-04:00 Eva Kusnul Hidayah mi747@ummad.ac.id Khusnul Khotimah mi747@ummad.ac.id Yusfandri mi747@ummad.ac.id Amalia Sabrina Pawestri mi747@ummad.ac.id Malik Ibrahim mi747@ummad.ac.id <p>Penelitian ini bertujuan untuk menganalisis gaya retorika Denny Sumargo dalam podcast “Ini Orang 5inthink!!? Gw Capek Ngobrol Sama dia!!” pada kanal YouTube CURHAT BANG. Penelitian menggunakan pendekatan kualitatif dengan metode analisis retorika Aristoteles yang mencakup unsur ethos, pathos, dan logos, serta didukung teori gaya bahasa Gorys Keraf. Sumber data diperoleh dari tuturan verbal, ekspresi, dan interaksi komunikasi Denny Sumargo dalam podcast bersama Aldi Taher. Teknik pengumpulan data dilakukan melalui observasi, dokumentasi, dan transkripsi percakapan podcast, kemudian dianalisis menggunakan analisis wacana kritis Norman Fairclough. Hasil penelitian menunjukkan bahwa gaya retorika Denny Sumargo bersifat santai, spontan, komunikatif, dan mampu membangun kedekatan emosional dengan audiens. Unsur ethos terlihat dari kemampuannya mengontrol percakapan dan membangun kredibilitas sebagai host, pathos terlihat melalui penggunaan humor dan pembahasan emosional yang menyentuh audiens, sedangkan logos tampak dari cara Denny mengarahkan alur pembicaraan agar runtut dan mudah dipahami. Selain itu, penggunaan bahasa nonformal dan gaya komunikasi yang natural membuat podcast terasa lebih dekat dengan penonton, khususnya generasi muda. Penelitian ini menunjukkan bahwa retorika dalam podcast digital memiliki peran penting dalam menciptakan komunikasi yang efektif dan membangun keterlibatan audiens di media digital.</p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Eva Kusnul Hidayah https://nusantarahasanajournal.com/index.php/nhj/article/view/2183 KEJADIAN DRY EYE SYNDROME PASIEN PASCA OPERASI KATARAK METODE FAKOEMULSIFIKASI DI RUMAH SAKIT ISLAM (RSI) SITI RAHMAH PADANG TAHUN 2025 2026-06-21T21:52:50-04:00 Tangguh Ariwibawa rosmaini@fk.unbrah.ac.id Rosmaini Rosmaini rosmaini@fk.unbrah.ac.id Naima Lassie rosmaini@fk.unbrah.ac.id <p><em>This study aimed to determine the incidence of DES among patients who underwent phacoemulsification cataract surgery at RSI Siti Rahmah Padang in 2025. This study aimed to determine the incidence of DES among patients who underwent phacoemulsification cataract surgery at RSI Siti Rahmah Padang in 2025. This study used a descriptive observational method with a cross-sectional design. Data were collected from both primary and secondary sources. </em><em>Bottom of Form</em><em>The study population included adult patients diagnosed with DES after phacoemulsification cataract surgery. Participants were selected using sequential sampling based on predefined inclusion and exclusion criteria, resulting in a total sample of 58 patients.</em> <em>The highest incidence of DES was observed among patients aged 60–74 years (60.3%), females (60.3%), and those primarily engaged in indoor activities (62.1%). Unilateral DES was the most common presentation, affecting 60.3% of patients. Based on postoperative duration, DES occurred most frequently within 1–3 months after surgery, accounting for 70.7% of cases. Regarding severity, moderate DES was the predominant category, affecting 48.3% of patients. Nearly all patients (98.3%) received artificial tears as treatment. </em><em>ES following phacoemulsification cataract surgery at RSI Siti Rahmah Padang in 2025 was most frequently found in elderly patients aged 60–74 years, females, individuals with indoor activities, and those experiencing unilateral DES within 1–3 months after surgery. Moderate DES was the most common severity level, and almost all patients were treated with artificial tears therapy.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Tangguh Ariwibawa https://nusantarahasanajournal.com/index.php/nhj/article/view/2182 PENYULUHAN PENCEGAHAN HIPERURISEMIA PADA JAMAAH MASJID IHSAN DARUSSALAM, AIA PACAH KOTA PADANG 2026-06-20T09:33:05-04:00 Suharni Suharni suharni@fk.unbrah.ac.id Rosmaini Rosmaini rosmaini@fk.unbrah.ac.id Erdanella Setiawati suharni@fk.unbrah.ac.id Letvi Mona suharni@fk.unbrah.ac.id Yanti Fitri Yasa suharni@fk.unbrah.ac.id Muhammad Rizki Saputra suharni@fk.unbrah.ac.id <p><em>Hyperuricemia is a condition characterized by elevated serum uric acid levels, which serves as a primary risk factor for gout and is closely associated with cardiometabolic and renal disorders. Lifestyle factors, such as high-purine diets, obesity, alcohol consumption, physical inactivity, and a lack of routine health screenings, contribute significantly to the high incidence of hyperuricemia. This activity aimed to enhance the knowledge of the congregants at the Ihsan Darussalam Mosque, Aia Pacah, Padang City, regarding hyperuricemia prevention through community-based health counseling. The method employed was health counseling consisting of lectures and interactive discussions utilizing leaflets, complemented by personalized education for the participants. The results demonstrated an improvement in the participants' understanding of the definition of hyperuricemia, its risk factors, high-purine foods, as well as the importance of a healthy diet, physical activity, and routine health screenings. Community-based health counseling within a mosque environment has the potential to foster behavioral changes among congregants toward adopting a healthy lifestyle to prevent hyperuricemia and its complications.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Suharni https://nusantarahasanajournal.com/index.php/nhj/article/view/2155 STRATEGI KOMUNIKASI ORANG TUA DALAM MEMBANGUN KETERBUKAAN EMOSIONAL ANAK: ANALISIS KONTEN SKENARIO KELUARGA KIMBAB FAMILY DI YOUTUBE 2026-06-11T09:44:04-04:00 Siti Komala Mutiara mi747@ummad.ac.id Ferica Innestesya mi747@ummad.ac.id Anjas Aditya Hartono mi747@ummad.ac.id Muhammad Armahadi Rahmawan mi747@ummad.ac.idindo Malik Ibrahim mi747@ummad.ac.id <p><em>This study aims to analyze the verbal and non-verbal communication strategies used by Mama Gina and Appa Jay on the Kimbab Family YouTube channel, as well as to evaluate their alignment with the characteristics of authoritative parenting according to Diana Baumrind's theory. Using a descriptive qualitative approach, this study applies Klaus Krippendorff's qualitative content analysis method with an inductive category approach. The units of analysis include conversation transcripts and visual gestures from six main videos containing one-on-one deep talk interaction scenarios between the parents and their three children: Suji, Yunji, and Jio. The results indicate that verbal communication strategies are implemented through opinion stimulation, validation of negative emotions, and evaluation of sibling dynamics. These are reinforced by non-verbal cues such as eye-level contact, active listening, spatial proximity, and tactile touch (hugs and hand-holding) which effectively foster children's psychological safety. Theoretically, Mama Gina and Appa Jay's interpersonal communication practices highly align with Baumrind's authoritative parenting model, which successfully balances rational control and emotional responsiveness while respecting children's autonomy of thought in the digital space.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Siti Komala Mutiara https://nusantarahasanajournal.com/index.php/nhj/article/view/2153 KONTRUKSI REALITAS DI TENGAH KABUT ASAP: ANALISIS FRAMING KEBAKARAN HUTAN SUMATERA DI PROVINSI RIAU OLEH KOMPAS.COM DAN TRIBUN PEKANBARU.COM 2026-06-11T09:41:23-04:00 Farah Faza mi747@ummad.ac.id Erni Hartini mi747@ummad.ac.id Arief Vian mi747@ummad.ac.id Fadly Ardyan mi747@ummad.ac.id Bryan Alvian mi747@ummad.ac.id Aisyah Inas mi747@ummad.ac.id Richo Ilham mi747@ummad.ac.id Gianjar Wasito Adi mi747@ummad.ac.id Malik Ibrahim mi747@ummad.ac.id <p><em>This study analyzes the differences in the construction of the reality of forest and land fires (karhutla) in Riau Province between KOMPAS.com and Tribun Pekanbaru.com. The novelty of this study lies in the systematic comparison between media from two different hierarchical levels, which has not been widely done in studies of forest fire framing in Indonesia, as well as the explicit integration of framing analysis with Berger and Luckmann's theory of social reality construction. The study uses a qualitative approach with the framing analysis method of Zhongdang Pan and Gerald M. Kosicki's model, which dissects news texts into four structures: syntactic, script, thematic, and rhetorical. The primary data sources are eight news articles published between February and April 2026, selected purposively from both media. The analysis results show that KOMPAS.com frames karhutla as an ecological and environmental conservation issue triggered by natural factors such as dry weather and peat conditions, by emphasizing scientific data and the institutional resilience of Manggala Agni. In contrast, Tribun Pekanbaru.com frames forest and land fires as an ongoing, uncontrolled crisis, emphasizing the recurring cycle of fires, the failure of initial suppression efforts, and the direct impact on the lives of villagers. This difference in framing reflects the influence of each media outlet's geographic location, emotional proximity to the event, audience size, and editorial orientation. This study concludes that both media outlets direct readers toward a naturalization of the disaster and amplification of the heroic discourse of officials in the field, while simultaneously ignoring structural factors such as the role of corporations, land conversion, and weak law enforcement. Thus, the reality of forest fires is constructed differently depending on the media hierarchy, with KOMPAS.com tending to construct narratives from the perspective of central policy and official data, while constructing reality from the perspective of the community's direct experience amidst the haze.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Farah Faza https://nusantarahasanajournal.com/index.php/nhj/article/view/2150 KONTESTASI NARASI KEBIJAKAN PUBLIK DI MEDIA ONLINE TERHADAP PEMBERITAAN KLARIFIKASI PEMERINTAH ATAS KRITIK BEM UGM 2026-06-11T09:38:17-04:00 Ifazira Hawawi mi747@ummad.ac.id Hafizh Daffa Al-Fakhri mi747@ummad.ac.id Julius Christoforus Jae mi747@ummad.ac.id Alda Ayu Putri Astuti mi747@ummad.ac.id La Ode Muhammad Erdin mi747@ummad.ac.id Malik Ibrahim mi747@ummad.ac.id <p><em>This article examines the contestation of public policy narratives in online media through news coverage of government clarifications responding to BEM UGM's criticism. The study focuses on one issue cycle related to the Free Nutritious Meals policy and compares 13 online media outlets, each represented by one news text. Using Zhongdang Pan and Gerald M. Kosicki's framing model, the study analyzes syntactical, script, thematic, and rhetorical structures in the texts. This research applies a qualitative descriptive method within a constructivist paradigm. The findings show three dominant framing tendencies. First, several media place government clarification as an ethical reminder about how criticism should be delivered. Second, one cluster frames clarification as a technical and moral defense of the policy. Third, several media place student criticism, humanitarian concerns, and democratic freedom at the center of the narrative.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Ifazira Hawawi https://nusantarahasanajournal.com/index.php/nhj/article/view/2158 PENYULUHAN /PENGENDALIAN WABAH TANPA VAKSIN CA. SERVIKS BAGI PERSONIL POLRI/PNS DAN KELUARGA OLEH BIDDOKKES POLDA SUMBAR KESEHATAN DIGITAL 2026-06-13T03:08:08-04:00 Pimadella Fegita primadella@fk.unbrah.ac.id Chandra Adilla primadella@fk.unbrah.ac.id <p><em>In the era of digital health, a major challenge arises regarding the spread of misinformation about disease prevention. This counseling session, themed "Cervical Cancer Outbreak Control Without Vaccines" for Indonesian National Police (Polri) personnel, civil servants (PNS), and their families, organized by Biddokkes Polda Sumbar, aims to improve health literacy through myth-and-fact-based education. The activity was conducted using interactive seminars, group discussions, and educational quizzes that encouraged active participant engagement. The results demonstrated an increase in understanding of how to distinguish between valid information and hoaxes, particularly regarding the prevention of cervical cancer without vaccines. This effort is expected to empower Polri personnel, civil servants, and their families to act as agents of change in combating health hoaxes within their environments.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Primadella Fegita https://nusantarahasanajournal.com/index.php/nhj/article/view/2145 ATOPIC MARCH 2026-06-11T09:48:37-04:00 Fetria Faisal fetria_faisal@fk.unbrah.ac.id Hiddayaturrahmi Hiddayaturrahmi fetria_faisal@fk.unbrah.ac.id <p><em>Atopic March refers to the natural progression of allergic diseases that commonly begins in early childhood and develops sequentially into other atopic conditions later in life. The condition typically starts with atopic dermatitis in infancy, followed by food allergies, allergic rhinitis, and asthma during childhood. The pathogenesis of atopic march involves a complex interaction between genetic predisposition, immune dysregulation, environmental exposure, and skin barrier dysfunction. Impaired skin integrity facilitates allergen sensitization, leading to chronic inflammatory responses mediated predominantly by immunoglobulin E (IgE). Clinical manifestations vary depending on the stage of disease progression and may significantly affect the quality of life of affected individuals. Diagnosis is based on clinical history, physical examination, and allergy testing when indicated. Management focuses on early identification, avoidance of triggering allergens, skin barrier protection, pharmacological therapy, and patient education to prevent disease progression and reduce complications. Early intervention is essential to improve long-term outcomes and minimize the burden of allergic diseases.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Fetria Faisal https://nusantarahasanajournal.com/index.php/nhj/article/view/2144 HIV DALAM KEHAMILAN 2026-06-11T09:53:36-04:00 Helwinofira Helwinofira helwinofira@fk.unbrah.ac.id Soufni Morawati helwinofira@fk.unbrah.ac.id <p><em>Human Immunodeficiency Virus Infection in pregnancy is a global health problem that may increase morbidity and mortality risks for both mother and infant. Mother-to-child transmission of HIV can occur during pregnancy, delivery, or breastfeeding. Risk factors influencing transmission include high maternal viral load, lack of antiretroviral therapy, opportunistic infections, and certain obstetric conditions. Clinical manifestations in pregnant women with HIV vary from asymptomatic conditions to severe opportunistic infections due to immune system suppression. Diagnosis is established through serological testing and viral load examination to assess the severity of infection. Management of HIV in pregnancy focuses on optimal antiretroviral therapy, monitoring maternal and fetal conditions, and preventing vertical transmission. With early detection and adequate therapy, the risk of mother-to-child HIV transmission can be significantly reduced, thereby improving the quality of life of both mother and child.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Helwinofira https://nusantarahasanajournal.com/index.php/nhj/article/view/2140 ENDOFTALMITIS 2026-06-11T09:55:39-04:00 Hondrizal Hondrizal hondrizal@fk.unbrah.ac.id <p><em>Endophthalmitis is a severe intraocular inflammatory condition caused by microbial infection involving the vitreous and aqueous humor, which may lead to significant visual impairment or blindness if not treated promptly. This condition can occur as a result of postoperative complications, ocular trauma, endogenous hematogenous spread, or extension of adjacent ocular infections. The most common causative organisms include Gram-positive bacteria, Gram-negative bacteria, and fungi. Clinical manifestations typically include decreased visual acuity, ocular pain, redness, photophobia, hypopyon, and vitreous inflammation. Diagnosis is established through clinical examination supported by microbiological analysis of vitreous or aqueous samples. Early recognition and prompt management are essential to preserve visual function. Treatment commonly involves intravitreal antibiotic or antifungal injections, systemic antimicrobial therapy, and pars plana vitrectomy in severe cases. Prognosis depends on the causative organism, severity at presentation, and timeliness of intervention. Comprehensive management and early diagnosis significantly improve visual outcomes and reduce complications associated with endophthalmitis.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Hondrizal https://nusantarahasanajournal.com/index.php/nhj/article/view/2141 LARINGITIS 2026-06-11T09:56:26-04:00 Jenny Tri Yuspita Sari jennytriyuspitasari@fk.unbrah.ac.id <p><em>Laryngitis is an inflammation of the larynx that can be acute or chronic and is commonly caused by viral or bacterial infections, irritation, excessive voice use, as well as exposure to cigarette smoke or air pollution. This condition is frequently characterized by hoarseness, sore throat, cough, throat discomfort, and difficulty speaking. In some cases, laryngitis may also be accompanied by fever and respiratory distress, especially in children. Diagnosis is established through history taking, physical examination, and laryngoscopic evaluation when necessary to assess the condition of the vocal cords and laryngeal structures. Management of laryngitis depends on the underlying cause and includes voice rest, adequate hydration, symptomatic therapy, antibiotic administration in bacterial infections, and avoidance of irritant factors. The prognosis of laryngitis is generally good when treated appropriately; however, chronic laryngitis may lead to persistent voice disorders and requires further evaluation.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Jenny Tri Yuspita Sari https://nusantarahasanajournal.com/index.php/nhj/article/view/2138 GAMBARAN EFEK SAMPING PENAMBAHAN MORFIN INTRATEKAL PADA PASIEN SECTIO CAESAREA DENGAN ANESTESI SPINAL DI RUMAH SAKIT HERMINA PADANG TAHUN 2026 2026-06-11T09:54:23-04:00 Perdana Rizky dr.tiareza@gmail.com Tia Reza dr.tiareza@gmail.com Darmayanti Anita dr.tiareza@gmail.com <p><em>Cesarean section (CS) is an obstetric surgical procedure that has seen a significant global increase. Post-CS patients commonly experience moderate-to-severe acute pain at the abdominal wall and uterine incision sites. A multimodal analgesia strategy effectively utilized to provide long-lasting pain relief is the administration of intrathecal morphine as an adjuvant to spinal anesthesia. Although proven effective in extending the pain-free interval, the use of intrathecal morphine carries risks of specific side effects that necessitate routine monitoring. To determine the side effect profile of intrathecal morphine adjuvant among patients undergoing Cesarean section (CS) under spinal anesthesia at Hermina Hospital Padang in 2026. This was a quantitative descriptive study utilizing a cross-sectional design. The sample comprised patients undergoing CS under spinal anesthesia with intrathecal morphine adjuvant at Hermina Hospital Padang in 2026 who met the inclusion and exclusion criteria. Data collection instruments included observation sheets and medical records to evaluate demographic characteristics and the incidence of postoperative side effects. The minimum required sample size was 30 samples. Regarding patient characteristics, the majority fell within the healthy reproductive age range of 20–35 years, accounting for 28 individuals (84.84%), most were primiparous (54.53%), and a majority of 19 patients (57.57%) had no prior history of CS. The most predominant side effect observed among respondents was nausea and vomiting, occurring in 8 cases (24.24%), followed by pruritus in 7 cases (21.21%). Additionally, a concurrent combination of nausea-vomiting and pruritus was observed in 4 cases (12.12%). Severe side effects, such as somnolence, urinary retention, and respiratory depression, were entirely absent among all respondents in this study. <strong>Conclusion:</strong> The administration of intrathecal morphine as an adjuvant to spinal anesthesia in CS patients at Hermina Hospital Padang in 2026 was shown to be relatively safe. The most frequently occurring side effects were mild-to-moderate, namely nausea-vomiting and pruritus, with no severe adverse effects reported.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Perdana Rizky https://nusantarahasanajournal.com/index.php/nhj/article/view/2163 PENGARUH KUALITAS PELAYANAN TERHADAP TINGKAT KEPUASAN PELANGGAN APOTEK DI KABUPATEN JEPARA 2026-06-13T03:08:51-04:00 Kartikawati Kusumaningrum arumkartika355@gmail.com Ahmad Suriyadi Muslim arumkartika355@gmail.com Galih Kurniawan arumkartika355@gmail.com <p><em>Service quality is one of the important factors that greatly determines a company's success in retaining customers and increasing competitiveness. This study aims to determine the effect of service quality on customer satisfaction and its implications for purchasing decisions. This study uses a quantitative approach with a causal associative method. The research sample consisted of 400 respondents who were selected purposively according to the criteria of active consumers. The research instrument was a questionnaire with a Likert scale, while data analysis was performed using descriptive statistics and simple linear regression with the help of the SPSS application. Descriptive analysis results show that the average service quality score is in the high category with a value of 117.12 in the range of 85–124, while customer satisfaction has an average of 92.24 in the range of 67–100. The regression test proved that service quality had a positive and significant effect on customer satisfaction and impacted purchasing decisions, with a significance value of &lt;0.05. This indicates that the better the service provided, the higher the level of satisfaction and consumer interest in making purchases. The findings of this study have practical implications for management to maintain and improve service aspects, such as speed and accuracy of service, friendliness of staff, and completeness of supporting facilities. Service quality improvement strategies have proven to be an important factor in strengthening satisfaction and encouraging sustainable purchasing decisions.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Kartikawati Kusumaningrum https://nusantarahasanajournal.com/index.php/nhj/article/view/2177 EDUKASI 10 PESAN GIZI SEIMBANG SEBAGAI UPAYA PENINGKATAN PENGETAHUAN MASYARAKAT DI PUSKESMAS KOTO PANJANG IKUA KOTO KOTA PADANG 2026-06-18T07:51:56-04:00 Muhammad Rizki Saputra muhammadrizki_saputra@fk.unbrah.ac.id Bun Yurizali muhammadrizki_saputra@fk.unbrah.ac.id Rahma Triyana muhammadrizki_saputra@fk.unbrah.ac.id Ruhsyahadati Ruhsyahadati muhammadrizki_saputra@fk.unbrah.ac.id Nana Liana muhammadrizki_saputra@fk.unbrah.ac.id Rifkind Malik muhammadrizki_saputra@fk.unbrah.ac.id Roland Helmizar muhammadrizki_saputra@fk.unbrah.ac.id Suharni Suharni suharni@fk.unbrah.ac.id Sri Wahyuni suharni@fk.unbrah.ac.id Alif Dhuha suharni@fk.unbrah.ac.id <p><em>Nutritional problems remain one of the major public health challenges in Indonesia. Limited public knowledge regarding healthy eating patterns can increase the risk of various health problems among both children and adults. This community service activity aimed to improve community knowledge regarding the 10 Messages of Balanced Nutrition through health education. The activity was conducted at Koto Panjang Ikua Koto Primary Health Center, Padang City, involving 45 participants consisting of fathers, mothers, and children. The methods used included educational presentations and interactive question-and-answer sessions. The results showed that participants were highly enthusiastic throughout the activity. The high level of participation during discussions indicated increased interest and awareness of the importance of implementing balanced nutrition principles. This educational intervention successfully enhanced participants’ understanding of diverse food consumption, physical activity, clean and healthy living behaviors, and regular nutritional status monitoring. This community service activity is expected to contribute to improving healthy lifestyle behaviors and the overall health quality of the community.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Muhammad Rizki Saputra https://nusantarahasanajournal.com/index.php/nhj/article/view/2152 DUA MEDIA, DUA CERITA: KENAPA CNBC INDONESIA DAN BLOOMBERG TECHNOZ BERBEDA SAAT MELIPUT IHSG AMBRUK 2026 2026-06-11T09:40:31-04:00 Naufal Ilham Ramadhan mi747@ummad.ac.id Khusnul Nuril mi747@ummad.ac.id Fachri Juliansyah mi747@ummad.ac.id Syaida Salwa mi747@ummad.ac.id Devia Eka mi747@ummad.ac.id Zainul Mukarobin mi747@ummad.ac.id Ahmad Hakimudin Resa mi747@ummad.ac.id Dian Setyawan mi747@ummad.ac.id Tegar Bimantara mi747@ummad.ac.id Malik Ibrahim mi747@ummad.ac.id <p><em>This study aims to uncover the differences in media framing of the 2026 Indonesian Composite Stock Price Index (IHSG) crash between CNBC Indonesia and Bloomberg Technoz. Using Robert N. Entman's framing analysis model, which encompasses four dimensions (problem definition, causal interpretation, moral evaluation, and treatment recommendation), this study analyzed eight news articles published between January and April 2026. The findings reveal that CNBC Indonesia employs panic-driven framing characterized by hyperbolic and emotional diction such as "crash," "plummeted," and "blackout," tends to blame the government, and fails to provide concrete technical recommendations. In contrast, Bloomberg Technoz adopts data-driven framing based on fundamental and technical analysis, maintains a neutral and factual stance, and offers specific investment recommendations including price targets and risk management strategies. Despite their differences, both media acknowledge the severity of the crisis and implicitly criticize the government's communication transparency. This study contributes to extending Entman's framing model into the context of financial journalism in developing countries characterized by a massive retail investor base (26.12 million) with limited financial literacy.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Naufal Ilham Ramadhan https://nusantarahasanajournal.com/index.php/nhj/article/view/2154 ANTARA KRITIK DAN ANARKI: FRAMING TEMPO.CO DALAM PEMBERITAAN AKSI "INDONESIA GELAP" 2026-06-11T09:42:53-04:00 Nur Rohman mi747@ummad.ac.id Moch Zakki mi747@ummad.ac.id Siti Rodhiah mi747@ummad.ac.id Adventalia Dela Prasetya mi747@ummad.ac.id Safira mi747@ummad.ac.id Husein Abdullah mi747@ummad.ac.id Ahmadinejad Hilmi mi747@ummad.ac.id Eko Lutfi mi747@ummad.ac.id Amar Yazid mi747@ummad.ac.id Malik Ibrahim mi747@ummad.ac.id <p><em>This research is motivated by the “Indonesia Gelap” (Dark Indonesia) student protest movement in February 2025, one of the largest protest events after the inauguration of the new president. Research on media framing of post-election student protest actions remains very limited. This study aims to reveal how </em><a href="https://tempo.co/"><em>Tempo.co</em></a><em> framed the “Indonesia Gelap” movement using Erving Goffman’s dramaturgical theory, focusing on the concepts of front stage, back stage, impression management, definition of the situation, audience, and inauthenticity. This qualitative research employs dramaturgical analysis on four </em><a href="https://tempo.co/"><em>Tempo.co</em></a><em> news articles published in February 2025. The findings reveal a striking gap between the front stage performance of power actors and back stage realities, failed impression management, and inauthenticity that ultimately reinforces the “Indonesia Gelap” narrative. </em><a href="https://tempo.co/"><em>Tempo.co</em></a><em> consistently acts as a media outlet that exposes the back stage of power and sides with the public’s definition of the situation. This study concludes that </em><a href="https://tempo.co/"><em>Tempo.co</em></a><em> frames the protest as constructive social criticism rather than anarchy, and confirms the relevance of Goffman’s dramaturgical theory in analyzing media and power dynamics in contemporary Indonesia.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Nur Rohman https://nusantarahasanajournal.com/index.php/nhj/article/view/2142 EFUSI PLEURA DAN PNEUMOTHORAKS 2026-06-11T09:57:44-04:00 Sari Nikmawati sari_nikmawati@fk.unbrah.ac.id <p><em>Pleural Effusion and Pneumothorax are pleural cavity disorders that can cause respiratory impairment and decreased lung function. Pleural effusion occurs due to the accumulation of fluid within the pleural cavity and may be caused by heart failure, infection, malignancy, or other systemic diseases. Meanwhile, pneumothorax is a condition characterized by the presence of air in the pleural space leading to partial or complete lung collapse, and it may occur spontaneously, traumatically, or iatrogenically. Clinical manifestations of both conditions include shortness of breath, chest pain, cough, and decreased breath sounds on the affected side. Diagnosis is established through history taking, physical examination, and supporting investigations such as chest radiography, ultrasonography, or thoracic CT scan. Management depends on the underlying cause and severity of the disease, ranging from observation and medical therapy to thoracentesis, chest tube insertion, and surgical intervention. Early diagnosis and appropriate management are essential to prevent complications and improve patient outcomes.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Sari Nikmawati https://nusantarahasanajournal.com/index.php/nhj/article/view/2180 PENGARUH PERSEPSI KEMUDAHAN DAN TINGKAT LAYANAN TERHADAP PENGGUNAAN DOMPET DIGITAL PADA PEDAGANG DI PASAR ATAS SAROLANGUN 2026-06-21T21:54:38-04:00 Rini Wahyuni rniwhyuni0910@gmail.com Hansen Rusliani rniwhyuni0910@gmail.com Eri Nofriza rniwhyuni0910@gmail.com <p><em>The rapid development of digital technology has transformed the way people conduct transactions, making the use of digital wallets a popular payment alternative due to their convenience and efficiency. The purpose of this study was to determine whether perceptions of convenience and service level partially and simultaneously influence digital wallet use among merchants at Pasar Atas Sarolangun.. The research method used is quantitative with Multiple Linear Regression analysis as a data analysis technique with the help of SmartPLS software. The population in this study was 300 respondents, sample determination using the Slovin formula, so the sample in this study was 171 respondents and this research was conducted on Traders in the Upper Market of Sarolangun Regency. The results of the study indicate that the F test of the digital wallet usage variable can be influenced by the perceived ease of use (X1) and service level (X2) variables simultaneously. Partially, Perceived Ease has a significant effect on the use of digital wallets. Service Level has a significant effect on the use of digital wallets</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Rini Wahyuni https://nusantarahasanajournal.com/index.php/nhj/article/view/2181 PENGARUH PERSEPSI KEMUDAHAN, KEPERCAYAAN DAN RISIKO KEUANGAN PRIBADI TERHADAP KEPUTUSAN MAHASISWA MENGGUNAKAN E-WALLET DI KOTA JAMBI 2026-06-21T21:53:56-04:00 Affriliana Affriliana aaffriliana@gmail.com Nurlia Fusfita aaffriliana@gmail.com Nurrahma sari Putri aaffriliana@gmail.com <p><em>This research aims to examine how student’s decisions to use digital wallets in Jambi City are influence by their perceptions of ease of use, trust, and personal financial risk. The study applies a quantitative approach, where data were collected by distributing questionnaires to student who actively use digital wallet service. Data analysis in this research was conducted using the SEM-PLS technique. The finding reveal that perceived ease of use has a positive and significant effect on the decision to adopt e-wallets, with a coefficient value of 0,396. Trust also shows a positive and significant influence with a coefficient value of 0,477. In addition, personal financial risk demonstrates a positive and significant relationship with a coefficient value of 0,125. These results suggest that although student take potential risk into account, ease of use and trust play a more decisive role in shapping their decisions to utilize e-wallet service. Futhermore, this study supports the relevance of the Technology Acceptance Model in explaining decisions regarding the use of digital wallets, where perceptions of ease of use and trust are key factors in technology adoption, while personal financial risk encourage users to be more cautions when using digital services.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Affriliana https://nusantarahasanajournal.com/index.php/nhj/article/view/2185 PENGARUH ENDORSEMENT DAN PERSONAL BRANDING TERHADAP KEPUTUSAN PEMBELIAN PRODUK UMKM KULINER DI WILAYAH SIMPANG IV SIPIN, KECAMATAN TELANAIPURA KOTA JAMBI 2026-06-23T12:24:04-04:00 Rahma Alia ralia4264@gmail.com Maulana Yusuf ralia4264@gmail.com Hareastoma Hareastoma ralia4264@gmail.com <p><em>This study aims to analyze the influence of endorsement and personal branding on purchasing decisions for culinary MSME</em><em>s products in Simpang IV Sipin Village, Telanaipura District, Jambi City, both partially and simultaneously. The research is grounded in the phenomenon that culinary MSMEs increasingly rely on influencer endorsement and the personal branding of business owners in digital marketing, yet not all MSME applying these strategies experience a significant increase in sales, alongside inconsistencies found in previous studies. This research employs a quantitative associative-causal approach using multiple linear regression analysis. The sample consisted of 96 consumer respondents aged 18–35 years, selected through purposive sampling, with criteria of having purchased culinary MSME products at the research location and having been exposed to endorsement promotions on social media. The results yield the regression equation Y = 21.349 + 0.488X₁ + 0.225X₂. Partially, endorsement has a positive and significant effect on purchasing decisions (t-value 3.364 &gt; t-table 1.986; sig. 0.001 &lt; 0.05), while personal branding has a positive but not significant effect (t-value 1.539 &lt; t-table 1.986; sig. 0.091 &gt; 0.05). Simultaneously, both variables have a positive and significant effect on purchasing decisions (F-value 11.904 &gt; F-table 3.094; sig. 0.001 &lt; 0.05), with an Adjusted R Square of 0.187, or 18.7%. These findings indicate that endorsement is a more dominant factor than personal branding in driving culinary MSME</em><em>s consumers' purchasing decisions.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Rahma Alia https://nusantarahasanajournal.com/index.php/nhj/article/view/2195 UJI STABILITAS FISIK SEDIAAN FACE SPRAY EKSTRAK ETANOL 96% BIJI BUAH ALPUKAT (Persea Americana Mill) DENGAN VARIASI KONSENTRASI GLISERIN 2026-06-26T11:16:28-04:00 Anisa Eka Pafitri ekapafitrianisa@gmail.com Gigih Kenanga Sari gigihkenangasari@rocketmail.com Wahyu Purwanjani wahyupurwanjani24@gmail.com <p><em>Avocado seeds contain secondary metabolite compounds in the form of alkaloids, flavonoids, saponins, tannins, triterpenoids and steroids. To moisturize and protect the face, spray face spray. The natural ingredients of avocado seeds can be used as a face spray because they contain antioxidants. This study aimed to analyze physical stability of Persea Americana seed extract face spray preparation against variations in glycerin concentration carried out for 6 cycles. In this research, avocado seed extract was obtained using the maceration method and formulated into a face spray preparation with varying glycerin concentrations of 20%, 25% and 30%. The physical stability test of avocado seed extract was carried out using the cycling test method for 6 cycles. P. americana seed extract could be formulated as a face spray. Variations in glycerin concentration affected the results of stability tests on face spray preparations of P. americana seed extract. The F3 formulation had the best results in the face spray preparation of avocado seed extract. Avocado seed extract could be formulated in a face spray with a concentration of 30% to give the best results</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Anisa Eka Pafitri https://nusantarahasanajournal.com/index.php/nhj/article/view/2151 KOMUNIKASI VERBAL-NONVERBAL NADIA OMARA TERHADAP KONTEN KISAH HOROR WAWAK EPISODE IZIN PENUNGGU PART 351 MELALUI YOUTUBE 2026-06-11T09:39:44-04:00 Alfian Jallal Udin Assayuthi mi747@ummad.ac.id Setefanus Giofani mi747@ummad.ac.id Filifita Dinda Lestari mi747@ummad.ac.id Habibah Nur Jamilah mi747@ummad.ac.id Malik Ibrahim mi747@ummad.ac.id <p><em>This study aims to analyze the verbal and nonverbal communication styles used by Nadia Omara in the YouTube content Kisah Horor Wawak Episode Izin Penunggu Part 351. The research is based on communication theory, particularly verbal and nonverbal communication concepts, as well as digital storytelling approaches. A qualitative descriptive method was employed by analyzing the video transcript and observing communication elements such as diction, intonation, facial expressions, and gestures. The results show that Nadia Omara utilizes an expressive and persuasive communication style through the use of informal language, repetitive expressions, and dramatic narration. Nonverbal elements, including voice modulation, pauses, and facial expressions, play a crucial role in building tension and emotional engagement. The integration of verbal and nonverbal communication effectively strengthens storytelling and enhances audience immersion in horror narratives. This study highlights the importance of communication style in digital media content, particularly in creating engaging and emotionally impactful storytelling experiences.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Alfian Jallal Udin Assayuthi https://nusantarahasanajournal.com/index.php/nhj/article/view/2190 PERENCANAAN DAN PEMELIHARAAN SISTEM DRAINASE DALAM UPAYA MENGATASI GENANGAN AIR DI DESA BATU MBELIN, KABUPATEN DELI SERDANG 2026-06-25T11:37:03-04:00 Indi Rezki Uli Simanjuntak indirezki@polmed.ac.id Elian Zhafira indirezki@polmed.ac.id Lestari P Winata indirezki@polmed.ac.id <p><em>Batu Mbelin Village, located in Sibolangit District, Deli Serdang Regency, North Sumatra, has a problem of frequent water puddles in residential areas due to an inadequate drainage system. This community service activity aims to design a drainage system that suits the local hydrological conditions and provide assistance and education to the community regarding sustainable drainage maintenance. The methods used in this activity included field surveys and observations of existing conditions, drainage design based on rainfall and topographical data, and assistance to village officials and the community. The results of this activity include a drainage system design plan for Batu Mbelin Village recommended for construction to address water puddles. Additionally, the community and village officials showed enthusiasm and increased understanding of the importance of routine drainage maintenance. This activity is expected to be the first step toward achieving a sustainable drainage system and reducing the risk of water puddles in Batu Mbelin Village.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Indi Rezki Uli Simanjuntak https://nusantarahasanajournal.com/index.php/nhj/article/view/2189 KONSEP PEMBENTUKAN INDIVIDU DALAM PENDIDIKAN ISLAM DAN RELEVANSINYA DI ERA DIGITAL 2026-06-24T11:11:23-04:00 Mohamad Shabirin Shaddiq shabirin@unizar.ac.id Kholili Hasib kholilihasib@uiidalwa.ac.id <p><em>This study aims to analyze the concept of individual formation in Islamic education and its relevance in the digital era. The research is motivated by increasing moral and ethical issues among students due to the rapid development of digital technology, social media, and artificial intelligence. This study employs a qualitative approach using library research. Data were collected from relevant literature and analyzed using descriptive-qualitative techniques through data reduction, presentation, and interpretation. The findings show that individual formation is the core of Islamic education, aiming to develop human potential in intellectual, spiritual, moral, and social dimensions. This concept is integrated through four main frameworks: fitrah, ta’dib, akhlaq, and insan kamil. These elements form a holistic educational foundation that remains relevant in addressing digital era challenges through Islamic digital literacy based on moral awareness, responsibility, and proper conduct in technology use.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Mohamad Shabirin Shaddiq https://nusantarahasanajournal.com/index.php/nhj/article/view/2200 IMPLEMENTASI PERATURAN DESA NOMOR 9 TAHUN 2024 TENTANG PENGELOLAAN SAMPAH DI DESA SAGULING KECAMATAN BAREGBEG KABUPATEN CIAMIS 2026-06-27T10:51:24-04:00 Akmal Farizan akmalcms20@gmail.com Sirodjul Munir akmalcms20@gmail.com Regi Refian Garis akmalcms20@gmail.com <p><em>Waste management is essential for maintaining a clean and healthy environment. The village of Saguling has enacted Village Regulation No. 9 of 2024 on Waste Management. However, in its implementation, the Saguling Village Government has faced obstacles such as a lack of budget and land for the construction of a temporary waste disposal site, as well as low public awareness regarding waste management. This study aims to analyze the extent to which the implementation of Village Regulation No. 9 of 2024 on Waste Management in Saguling Village has been carried out. The research method used is qualitative descriptive, employing data collection techniques such as interviews, observation, and documentation, followed by data analysis techniques including data reduction, data presentation, and drawing conclusions. The research results indicate that the implementation of Village Regulation No. 9 of 2024 on Waste Management in Saguling Village has not yet been optimal. This is evident from the numerous indicators that remain suboptimal and technically hinder the Village Government in implementing waste management policies in Saguling Village. Despite facing obstacles in its implementation, the Saguling Village Government continues to work toward the successful implementation of waste management through public appeals, outreach, and engagement with the community.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Akmal Farizan https://nusantarahasanajournal.com/index.php/nhj/article/view/2201 PERAN SEKRETARIAT DEWAN PERWAKILAN RAKYAT DAERAH DALAM DISEMIANSI KEBIJAKAN DAERAH DI KABUPATEN PANGANDARAN 2026-06-27T10:49:51-04:00 Elin Nurlianti elinnurlianti@gmail.com Dini Yuliani elinnurlianti@gmail.com Ii Sujai elinnurlianti@gmail.com <p><em>Dissemination is an activity aimed at individuals and groups to raise their awareness of the importance of receiving, obtaining, and utilizing information. The Secretariat of the Pangandaran Regency Regional People’s Representative Council (DPRD), as a supporting element of the legislative institution, plays a strategic role in disseminating information on regional policies to the public. This study aims to examine the role of the DPRD Secretariat in the dissemination of regional policies and their implementation in Pangandaran Regency. The method used was descriptive qualitative research, employing data collection techniques such as observation, interviews, and documentation, as well as data analysis through data reduction, data presentation, and drawing conclusions. The results of the study indicate that the role of the Pangandaran Regency DPRD Secretariat has been carried out across all dimensions, though not yet optimally. This is due to the lack of structured standard operating procedures (SOPs), insufficient human resources, the public’s limited understanding of legal policies, and unequal public access to available information channels. Despite facing various obstacles, the DPRD Secretariat continues to strive to improve policy dissemination. Therefore, thorough preparation is necessary, taking into account all indicators that may influence the success of regional policy dissemination.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Elin Nurlianti https://nusantarahasanajournal.com/index.php/nhj/article/view/2197 PENGARUH PENDIDIKAN KESEHATAN REPRODUKSI MELALUI MEDIA AUDIOVISUAL DAN BOOKLET TERHADAP PENGETAHUAN REMAJA PUTRI TENTANG KEPUTIHAN DI FAKULTAS SAINS DAN KESEHATAN UNIVERSITAS ANDI SUDIRMAN TAHUN 2025 2026-06-27T10:49:04-04:00 Sumarni Sumarni sumarnimangiri1@gmail.com Andi Ria Metasari sumarnimangiri1@gmail.com Susilawati Susilawati sumarnimangiri1@gmail.com Sriwidyastuti Sriwidyastuti sumarnimangiri1@gmail.com <p><em>Adolescence is a transitional period from childhood to adulthood, marked by physical, emotional, and psychological changes. Reproductive health will impact reproductive health if not addressed promptly and effectively. One of the health problems in adolescents is vaginal discharge. Efforts to increase knowledge are carried out by providing health education. Health education is the activity of conveying information about health and instilling confidence so that the public can understand and carry out recommendations (Putinah, 2022). With current technological advances, the use of learning media has become more innovative and creative for learning, thus creating an effective and efficient learning model. Based on the results of the analysis using the Chi-Square statistical test, a P value of 0.000 &lt;P value of 0.05 was obtained. This means that the influence of reproductive health education through audiovisual media and booklets on adolescent girls' knowledge about vaginal discharge.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Sumarni https://nusantarahasanajournal.com/index.php/nhj/article/view/2196 PENGARUH DIABETES MELLITUS SELF MANAGEMENT TERHADAP RESIKO KOMPLIKASI PADA PENDERITA DIABETES MELLITUS DI PUKESMAS BAJOE 2026-06-27T10:47:20-04:00 Radiah Ilham dianradiah.dr@gmail.com Andi Satriana dianradiah.dr@gmail.com Dewi Mulfiyanti dianradiah.dr@gmail.com <p><em>Diabetes mellitus self-management refers to actions taken by an individual to independently control and manage the disease—including treatment measures and complication prevention—with the aim of reducing the incidence of vascular complications and neuropathy. This study employed a quasi-experimental design, specifically a one-group pretest-posttest design with a control group. A probability sampling method—specifically simple random sampling—was used to select 60 respondents. Data collection involved the use of the DSMQ questionnaire and an observation sheet. The Wilcoxon test results yielded a p-value of 0.009 (p &lt; 0.05), indicating a significant influence of diabetes mellitus self-management on the risk of complications at the Bajoe Bone Community Health Center (Puskesmas). Self-management practices should be implemented among diabetes mellitus patients to prevent the risk of complications. Nurses need to provide education on diabetes mellitus self-management to enable patients to independently manage their condition and avoid the risk of diabetes-related complications.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Radiah Ilham https://nusantarahasanajournal.com/index.php/nhj/article/view/2198 EFEKTIVITAS PELATIHAN KESELAMATAN KERJA DAN PENGGUNAAN ALAT SUNTIK AMAN (SAFETY NEEDLE) TERHADAP PENURUNAN ANGKA NEEDLESTICK INJURY (NSI) PADA PERAWAT NEONATUS: LITERATURE REVIEW 2026-06-27T10:48:33-04:00 Dewi Mulfiyanti dewwimulfiyanti@gmail.com Andi Satriana dewwimulfiyanti@gmail.com Rismayanti Yamin dewwimulfiyanti@gmail.com <p><em>Needlestick Injury (NSI) is a major occupational risk for healthcare workers, potentially leading to the transmission of infectious diseases such as hepatitis B, hepatitis C, and HIV. Neonatal nurses are at high risk due to the frequent use of sharp instruments in clinical procedures. This study aims to analyze the effectiveness of occupational safety training and the use of safe needles in reducing NSI rates. The method used was a literature review with the PRISMA approach. Articles were searched in the PubMed, ScienceDirect, and Google Scholar databases for the years 2014–2024. A total of 15 articles met the inclusion criteria and were analyzed qualitatively. The results showed that occupational safety training increased nurses' knowledge and compliance by 20–45% and reduced the incidence of NSI by 15–35%. The use of safety needles had a more significant impact, with a reduction of 30–60%. The combination of the two interventions resulted in the most optimal reduction of up to 65–80%. Thus, the implementation of continuous occupational safety training and the simultaneous use of safety needles are effective in reducing NSI rates.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Dewi Mulfitani https://nusantarahasanajournal.com/index.php/nhj/article/view/2199 LAYANAN PUBLIK KESEHATAN (BPJS KESEHATAN DAN PUSKESMAS) 2026-06-27T10:47:59-04:00 Awaayisyah Ananda Glory 2201010004@students.unis.ac.id Rara Alfaidah 2201010051@students.unis.ac.id Khoirunnisa Benny 2201010004@students.unis.ac.id Jidan Rizkian 2201010004@students.unis.ac.id Muhamad Ali Akbar 2201010004@students.unis.ac.id Irvan Arif Kurniawan 2201010004@students.unis.ac.id <p><em>This study examines the implementation of public health services in Indonesia through the synergy of the National Health Insurance program (JKN) administered by BPJS Kesehatan and community health centers (Puskesmas). Using a descriptive-analytical literature review approach, this article analyzes four key dimensions: service accessibility, facility distribution, healthcare workforce equity, and financing fairness. The findings indicate that the integration of BPJS Kesehatan and Puskesmas within the JKN framework has significantly expanded healthcare coverage and increased community visits to health facilities. However, drawing on Julian Tudor Hart’s Equity in Health Service theory (1971), also known as the Inverse Care Law, this study identifies persistent inequities in healthcare access, particularly in remote and underserved areas where infrastructure limitations and healthcare workforce shortages remain critical challenges. Digital innovations such as the Mobile JKN application, SIMPUS, and SATUSEHAT have broadened access by reducing barriers of time and distance, yet the digital divide risks creating new forms of inequity. Furthermore, low compliance with insurance premiums among informal sector workers threatens the sustainability of the gotong royong financing principle. This study concludes that while BPJS-Puskesmas synergy has advanced universal health coverage, strategic policy interventions are urgently needed to achieve substantive equity in health service quality and accessibility across Indonesia.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Awaayisyah Ananda Glory https://nusantarahasanajournal.com/index.php/nhj/article/view/2205 KORELASI KEJADIAN LOW BACK PAIN TERHADAP BERAT BEBAN KERJA PADA PEKERJA PEMETIK TEH DI PTPN VI KAYU ARO 2026-06-29T08:53:41-04:00 Jefri Henky neurosurg_henky@yahoo.co.id Eko Perdana Putra neurosurg_henky@yahoo.co.id Nabilah Luthfianazla neurosurg_henky@yahoo.co.id <p><em>Low back pain (LBP) is a very common health problem that can limit activity. There are several risk factors can influence the incidence of LBP, including individual characteristics such as age, gender, height, and bodyweight. In addition, occupational factors such as workload weight and work position can increase the risk of LBP. The weight of the load lifted can affect workers' health, such as causing pain or injury to the back. This study aims to determine the correlation between workload weight and the incidence of LBP among tea pickers at PTPN VI Kayu Aro. This type of research is a correlative analytic with a prospective cohort study design, with 62 samples using a consecutive sampling technique. Data collection was carried out by conducting interviews and assessing the work positions of tea pickers with the OWAS assessment form. Univariate data analysis is presented in the form of frequency distributions and percentages, while bivariate data analysis uses a contingency correlation test using the SPSS program version 22.0. Based on the results of the study, the most common age group is 36-45 years old, amounting to 22 people (35.5%), the most common gender is female, amounting to 46 people (74.2%), the average height is 167 cm, the average weight is 54 kg, as many as 46 people (74.2%) lift heavy category loads, the most workers work in category 2 work positions, namely 52 people (83.9%), most tea pickers experience LBP, namely 52 people (83.9%), there is a relationship between the weight of the workload and the incidence of LBP in PTPN Kayu Aro tea pickers with p value = 0.007 (p&lt;0.05).</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Jefri Henky https://nusantarahasanajournal.com/index.php/nhj/article/view/2204 PEMETAAN PERKEMBANGAN PENELITIAN KARAKTERISTIK PEKERJAAN, MOTIVASI KARYAWAN DAN MANAJEMEN SUMBER DAYA MANUSIA ISLAMI DALAM RANTAI NILAI HALAL: ANALISIS BIBLIOMETRIK BERBASIS SCOPUS 2026-06-29T00:00:46-04:00 Titin Windiasari windiasari@unizar.ac.id Selamat Riadi windiasari@unizar.ac.id Ahmad Ridho Hidayat windiasari@unizar.ac.id Vegalyra Novantini Samodra windiasari@unizar.ac.id <p><em>Research on job characteristics within the perspective of Islamic Human Resource Management (IHRM) has gained increasing attention as organizations seek to integrate Islamic values into human resource practices. Nevertheless, comprehensive mapping of the intellectual development of this research area remains limited. This study aims to examine publication trends, knowledge structures, research themes, and future research directions concerning job characteristics in the context of IHRM through a bibliometric approach. The dataset was retrieved from the database using relevant keywords and analyzed with VOSviewer to construct co-occurrence, co-authorship, and citation networks. The findings reveal a substantial growth in publications over the past five years, highlighting major research themes including work motivation, employee engagement, job satisfaction, Islamic work ethics, Islamic leadership, and digital transformation. The analysis further identifies emerging research opportunities related to artificial intelligence integration, halal human resource development, and the incorporation of maqashid sharia into job design. These findings contribute to the enrichment of theoretical development while providing valuable insights for researchers and practitioners in formulating future research agendas and advancing sustainable Islamic Human Resource Management practices.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Titin Windiasari https://nusantarahasanajournal.com/index.php/nhj/article/view/2206 REVITALISASI PERAN DEMONG ADAT DALAM TATA KELOLA PEMERINTAHAN DESA, DI DESA KENYABUR, KABUPATEN KETAPANG, KALIMANTAN BARAT 2026-06-30T03:15:54-04:00 Selestinus Dimas selestinusdimas11@gmail.com Indiati Indiati selestinusdimas11@gmail.com Muhammad Alwiadi Pane selestinusdimas11@gmail.com <p><em>The revitalization of indigenous institutions is a strategic approach to strengthening participatory village governance based on local wisdom. This study aims to analyze the revitalization of the Demong Adat's role in village governance in Kenyabur Village, Ketapang Regency, West Kalimantan, and to examine its contribution to cultural preservation, conflict resolution, and collaboration between customary institutions and the village government. A qualitative approach employing an ethnographic method was adopted. Data were collected through participant observation, in-depth interviews with the Demong Adat, village officials, customary leaders, community leaders, and indigenous community members, as well as document analysis. Data were analyzed using an interactive model consisting of data reduction, data display, and conclusion drawing, while credibility was ensured through source and method triangulation. The findings indicate that the Demong Adat continues to possess strong social legitimacy as the guardian of customary values, mediator in conflict resolution, preserver of cultural identity, and strategic partner of the village government in deliberative decision-making. These roles contribute to social cohesion, greater community participation, and stronger village governance through the integration of indigenous values into formal administrative practices. Nevertheless, several challenges remain, including limited leadership regeneration, weak coordination between customary institutions and the village government, and declining public confidence in the consistency of customary law enforcement. The study concludes that revitalizing the role of the Demong Adat is essential for promoting inclusive, collaborative, and sustainable village governance through institutional strengthening, transparent customary governance, leadership regeneration, and the integration of local wisdom into contemporary village administration.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Selestinus Dimas https://nusantarahasanajournal.com/index.php/nhj/article/view/2184 HUBUNGAN KEBIASAAN SARAPAN DAN PERAN ORANG TUA DALAM MENDORONG MAKANAN SEHAT TERHADAP STATUS BERAT BADAN PADA REMAJA DI MTS HASYIM ASY’ARI BANGSRI JEPARA 2026-06-23T12:25:06-04:00 Amelia Dwi Agustin damel4745@gmail.com Diana Tri Lestari damel4745@gmail.com Muhammad Purnomo damel4745@gmail.com <p><em>This study aims to determine the relationship between breakfast habits and the role of parents in encouraging healthy food consumption with weight status in adolescents at MTs Hasyim Asy'ari Bangsri Jepara. This study was conducted because adolescents are vulnerable to nutritional problems due to irregular eating patterns, the habit of skipping breakfast, and lack of family support in establishing healthy eating patterns. The study used an observational analytical method with a cross-sectional approach. The research sample was selected using a proportional random sampling technique. The independent variables in this study were breakfast habits and the role of parents in encouraging healthy food consumption, while the dependent variable was the adolescents' weight status. Data collection was carried out using questionnaires and weight and height measurements to determine BMI/U based on WHO standards. The results showed that the majority of respondents were female (64.7%) and most were 14 years old. The results of the Chi-Square test showed a significant relationship between breakfast habits and weight status in adolescents with a p-value of 0.001 (p&lt;0.05). Furthermore, there was a significant correlation between parental involvement in encouraging healthy food consumption and weight status in adolescents, with a p-value of 0.000 (p&lt;0.05). The study concluded that breakfast habits and parental involvement were significantly associated with weight status in adolescents.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Amelia Dwi Agustin https://nusantarahasanajournal.com/index.php/nhj/article/view/2209 PENGARUH KEPEMILIKAN MANAJERIAL, STRUKTUR MODAL, KEBIJAKAN DIVIDEN, DAN INVESTMENT OPPORTUNITY SET (IOS) TERHADAP NILAI PERUSAHAAN (Studi Pada Perusahaan Sub Sektor Farmasi Yang Terdaftar Di Bursa Efek Indonesia Tahun 2018-2023) 2026-07-01T09:42:26-04:00 Tiarma Yuliartika Hutauruk tiarmayh@gmail.com Mahatma Kufepaksi mahapaksi@gmail.com <p><em>Managerial ownership is a condition when managers own company shares, so managers act as both managers and shareholders who actively participate in decision-making. Capital structure is the financial proportion of a company between capital sourced from long-term debt and equity, which serves as a source of financing for the company. Dividend Policy is the company's decision regarding whether the profits earned will be distributed to shareholders as dividends or retained as retained earnings to finance future investments. Investment opportunity set generally describes the extent of investment opportunities available to a company. This study aims to determine the effect of managerial ownership, capital structure, dividend policy, and investment opportunity set on firm value. The population of this study consists of pharmaceutical companies listed on the Indonesia Stock Exchange from 2018 to 2023, with a sample of 9 companies selected using purposive sampling technique. The analysis method used is panel data regression analysis using Eviews 13. The research results show that capital structure, dividend policy, and investment opportunity set significantly positive affect the value of the company, while managerial ownership does not significantly affect the value of the company.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Tiarma Yuliartika Hutauruk https://nusantarahasanajournal.com/index.php/nhj/article/view/2214 FAKTOR PENENTU KEPUTUSAN PEMBELIAN PADA PRODUK PRIVATE LABEL DI INDOMARET FRESH SPBU SULTAN AGUNG KEDATON BANDAR LAMPUNG 2026-07-03T23:23:58-04:00 Muhammad Zaini Saputra zainisaputra2909@gmail.com Driya Wiryawan zainisaputra2909@gmail.com Mudji Rachmat Ramelan zainisaputra2909@gmail.com <p><em>Private label products have become an alternative offered by modern retailers because they are relatively more affordable while maintaining quality that can compete with national branded products. Consumers' purchasing decisions regarding private label products are influenced by several factors, including Advertising, Distribution Intensity, Price, Store Image, and Store Location. Therefore, this study aims to analyze the influence of these five variables on purchasing decisions for private label products at Indomaret Fresh SPBU Sultan Agung Kedaton Bandar Lampung. This study employed a quantitative approach using a survey method. The research sample consisted of 100 respondents who were consumers of private label products at Indomaret Fresh SPBU Sultan Agung Kedaton Bandar Lampung. Data were collected through questionnaires and analyzed using multiple linear regression analysis. The results indicate that Advertising, Distribution Intensity, Price, Store Image, and Store Location have a positive and significant effect on purchasing decisions for private label products. Among these variables, Price was found to be the most dominant factor influencing consumers’ purchasing decisions. These findings suggest that improving advertising quality, ensuring product availability, setting appropriate prices, maintaining a positive store image, and selecting a strategic store location can significantly enhance consumers’ purchasing decisions toward private label products.</em></p> 2026-06-30T00:00:00-04:00 Copyright (c) 2026 Muhammad Zaini Saputra