JOS - UNSOED (Jurnal Online Soedirman - Universitas Jenderal Soedirman)
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Model-Model Asuhan Spiritual untuk Praktik Mandiri Keperawatan: Sebuah Practice-Oriented Conceptual Article
Praktik mandiri keperawatan perorangan memerlukan kerangka konseptual yang jelas, aplikatif, dan mampu menegaskan identitas profesional perawat. Artikel konseptual berorientasi praktik ini bertujuan untuk menyintesis dan memetakan berbagai model asuhan spiritual yang relevan sebagai pedoman praktik mandiri keperawatan. Melalui telaah kritis terhadap literatur keperawatan, spiritual care, dan praktik keperawatan lanjut, artikel ini mengidentifikasi karakteristik utama model-model asuhan spiritual serta menjelaskan implikasinya dalam asesmen, relasi terapeutik, pengambilan keputusan klinis, dan refleksi profesional perawat praktik mandiri. Artikel ini menegaskan bahwa model-model asuhan spiritual tidak hanya berfungsi sebagai pendekatan pendukung, tetapi sebagai kerangka praktik yang memperkuat kualitas, legitimasi, dan keberlanjutan praktik mandiri keperawatan
Surrogate Mothers: A Radical Feminist Perspective and Regulation in Indonesia
A surrogate mother is a woman who agrees to carry a child for a married couple in exchange for compensation. The practice of surrogacy occurs in various countries around the world, both openly and secretly. The purpose of this study is to analyze the practice of surrogate motherhood from the perspective of radical feminist theory and its regulation in Indonesian legislation. The method used is non-doctrinal, with primary data obtained from interviews with informants selected freely and secondary data. The findings of this paper show that radical feminism criticizes and rejects the practice of surrogacy, which is considered to create destructive divisions among women based on social and economic class. The regulation of surrogacy in Indonesian legislation includes the Health Law of 2009 (Amendment 2023), which has not yet been regulated, the MUI fatwa, which prohibits it, and civil law, which considers surrogacy agreements invalid. This article is expected to provide women with a perspective on the practice of surrogacy, which is not always a way out of economic problems, and on the fact that Indonesian legislation does not yet have a strong legal basis for regulating the practice of surrogacy. his study highlights the structural vulnerability experienced by surrogate mothers within patriarchal and capitalist frameworks. It also emphasizes the urgency of establishing clearer and more comprehensive legal regulations to ensure the protection of women’s rights and the legal status of children born through surrogacy practices in Indonesia
Advancing the Protection of Child Victims of Crime: A Comparative Study of Indonesia and the Philippines
The protection of children as victims of crime remains one of the major challenges in modern child protection legal framework systems, particularly in developing states such as Indonesia and the Philippines. Although both states have constitutional commitments and national policies aimed at safeguarding children’s rights, the implementation of protection for child victims often encounters structural, cultural, and institutional obstacles. This article examines the role of child protection legal framework in strengthening the protection of child victims through a comparative analysis of legal frameworks, policies, and law enforcement practices in both states. The study employs a comparative legal research method by analyzing relevant legislation, jurisprudence, and public policies on child protection. The findings indicate that Indonesia and the Philippines both possess a strong legal foundation for child protection, as reflected in the Child Protection Law of 2002 (amendment 2014 and 2016) and the Philippines’ Republic Act No. 7610 of 1992. However, the effectiveness of implementation remains limited due to inadequate inter-agency coordination, resource constraints, and a lack of sensitivity among law enforcement officials toward child victims. This study underscores that child protection legal framework plays a crucial role not only as a normative regulatory instrument but also as a means of social engineering that promotes justice and the well-being of child victims of crime. The main recommendations include strengthening institutional capacity, enhancing training for law enforcement personnel, and harmonizing cross-sectoral policies to achieve more effective and sustainable child protection
Global Norms and Constitutional Law in Indonesia and Pakistan
The interaction between international legal norms and national constitutional law has become increasingly complex, particularly in countries with strong ideological and religious foundations. This study aims to analyze the process of legal adaptation of global norms within the constitutional systems of Indonesia and Pakistan and to identify the social, political, and religious factors that influence their legitimacy and effectiveness. This study employs a comparative legal analysis, focusing on constitutional provisions, statutory regulations, and relevant legal doctrines in Indonesia and Pakistan. The findings reveal that Indonesia adopts a dialogical– inclusive model, in which universal human rights values are contextualized through Pancasila and the principle of Divinity as normative filters, whereas Pakistan adopts a defensive–theological model that positions Sharia as the ultimate boundary of legal supremacy over global norms. Social, political, cultural, and religious values play a significant role in determining the degree of legitimacy and the practical effectiveness of international norms within each domestic context. This study concludes that the effectiveness of implementing international norms largely depends on a state’s ability to balance global commitments with the authenticity of its local values
Financial Incentive Policy to Encourage Circular Economy of MSMEs in Rural Areas
This study aims to analyze various financial incentive policies that can be utilized to promote the implementation of circular economy practices among Micro, Small, and Medium Enterprises (MSMEs) in rural areas. Using a descriptive qualitative approach based on literature review, the research examines the effectiveness of various incentive mechanisms such as tax subsidies, low-interest microcredit, revolving village funds, and public-private partnerships implemented in Indonesia and ASEAN countries. The study also evaluates the challenges faced in the implementation of these policies and identifies the prerequisites for the successful deployment of financial incentives in supporting circular economy innovations among rural MSMEs. Findings indicate that appropriately designed financial incentives not only enhance MSMEs' interest in adopting circular business models but also strengthen multisectoral collaboration toward achieving sustainable rural economic development. This research provides practical recommendations on effective incentive policy design and underscores the crucial role of fiscal policies and institutional collaborations in accelerating the transition to a circular economy
Mental and Emotional Changes in the Elderly: A Literature Review
Emotional and mental changes in the elderly represent a psychological adaptation process that occurs with aging, encompassing shifts in thinking, emotional responses, and social interactions. A deeper understanding of this topic is essential for designing effective interventions aimed at improving the quality of life of older adults. Elderly individuals are vulnerable to experiencing issues such as excessive anxiety, profound sadness, loneliness, guilt, and decreased self-esteem. These conditions may be triggered by internal factors, including neurobiological changes and chronic stress, as well as external factors, such as age discrimination and social isolation. Such changes significantly impact various dimensions of the elderly’s quality of life, including physical, psychological, social, and spiritual aspects. Therefore, a holistic approach that involves the active role of the family in providing emotional and social support is crucial. Non-pharmacological interventions, such as cognitive behavioral therapy (CBT), meditation, and physical activity, have been proven effective in preventing and managing mental health problems in older adults and in promoting overall well-being
Effect of Level 1 Progressive Mobilization Therapy on Oxygen Saturation in Patients Diagnosed with Respiratory Failure in ICU of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City
Level 1 progressive mobilization therapy is a non-pharmacological therapy using a complementary approach that can affect oxygen saturation. The purpose of this study was to determine the effect of level 1 progressive mobilization therapy on oxygen saturation in patients diagnosed with respiratory failure in the ICU of Prof. Dr. H. Aloei Saboe Regional Hospital, Gorontalo City. This study is a quantitative study with a quasi-experimental design using a one-group pre-post test design approach . which only involved one treatment group, namely the group of patients diagnosed with respiratory failure who were given level 1 progressive mobilization therapy intervention. The study population was 51 patients with an accidental sampling technique with a sample size of 45 patients. This research instrument used the SOP for level 1 progressive mobilization and an oxygen saturation observation sheet. Data analysis used the Wilcoxont-test. The results of the study obtained a p-value of 0.000 (α <0.05) meaning that there was an effect of level 1 progressive mobilization therapy on oxygen saturation in patients with respiratory failure at Prof. Dr. H. Aloei Saboe Regional Hospital, Gorontalo City. Level 1 progressive mobilization plays a crucial role in improving respiratory function, accelerating recovery, and maintaining the body's overall physiological balance. This research is expected to serve as a reference for providing nursing care, particularly level 1 progressive mobilization exercises for patients diagnosed with respiratory failure, as an effort to prevent decreased oxygen saturation
Acute Toxicity Test of Tamarillo Fruit Ethanol Extract (Solanum betaceum Cav.) on the Levels of Liver Transaminase Enzymes in Male Wistar Rats
Indonesians traditionally utilize tamarillo for its various health benefits. However, the lipophilic compounds it contains have the potential to cause hepatotoxicity and increase transaminase enzymes, namely SGPT and SGOT enzymes. The study aimed to test the toxicity of tamarillo ethanol extract acutely on SGPT and SGOT levels in male Wistar white rats. The study used a post-test only experimental design with a control group design. Fifteen rats were randomly divided into five treatment groups. Group K1 as a control was given distilled water, group K2 was given paracetamol 2.5 g/kgBW, while groups K3, K4, and K5 were each given tamarillo ethanol extract in single doses of 200, 400, and 600 mg/kgBW. After 24 hours, rat blood serum samples were taken through the orbital sinus to measure SGPT and SGOT levels using the UV test method. The results showed that the average SGPT levels increased in the K2 group by 295.34±13.31 U/L and K5 by 93.67±19.03 U/L. Meanwhile, the average SGOT levels increased in the K2 group by 874±25.06 U/L, K4 by 164.67±7.57 U/L and K5 by 213.34±13.50 U/L. The One-Way ANOVA test showed a significance value of p=0.000 in the K2 and K5 groups for SGPT, while SGOT in the K2, K4 and K5 groups. Administration of tamarillo ethanol extract can cause liver damage at doses of 400 mg/kgBW and 600 mg/kgBW
Molecular Mechanisms and Clinical Effects of Medicinal Plants in Modulating Oxidative Stress: A Systematic Review from Athletic Performance to Vital Organ Protection
Oxidative stress constitutes a major pathophysiological mechanism in conditions ranging from exercise-induced muscle fatigue to chronic organ damage including diabetic nephropathy and ischemic stroke. Medicinal plants offer therapeutic potential through bioactive compounds that modulate cellular defense pathways. This systematic review evaluated the molecular mechanisms and clinical efficacy of medicinal plants (Kaempferia galanga, Nigella sativa, Panax ginseng, and other herbal formulations) in managing oxidative stress across diverse health contexts. A comprehensive literature search was conducted using reputable databases. Studies measuring oxidative stress biomarkers (MDA, SOD) and cellular signaling pathways (Nrf2, NF-κB, PI3K/AKT) were included. Results showed that N. sativa and K. galanga supplementation in athletes significantly reduced MDA levels and inflammatory cytokines (IL-6), accelerating post-exercise recovery. Bioactive compounds including Ginsenoside Ro and Kaempferide demonstrated organ-protective effects through Nrf2/HO-1 activation, autophagy promotion, and mitochondrial protection in ocular and renal tissues. These findings indicate that medicinal plants exert cytoprotective effects by activating endogenous antioxidant systems. The therapeutic spectrum spanning athletic performance enhancement to chronic organ protection underscores the translational potential of herbal interventions as promising antioxidant agents
The Effect of Giving Ciplukan (Physalis angulata L.) Extract on Serum Albumin Levels of Diabetes Model Rats
Background : Diabetes mellitus is a chronic metabolic disease that frequently leads to microvascular complications, including diabetic nephropathy. This condition is characterized by renal damage that increases urinary albumin loss, which subsequently affects serum albumin levels. Physalis angulata L. is known to possess antioxidant, anti-inflammatory, and antifibrotic properties. Objective : This study aimed to determine the effect of Physalis angulata L. extract at doses of 75 mg/kgBW, 150 mg/kgBW, and 300 mg/kgBW on serum albumin levels in a diabetic rat model. Methodology : This study used stored biological materials in the form of serum samples obtained from a previous experimental study involving male Wistar rats. Diabetes had been induced using STZ-NA, and the rats had been divided into five groups: a healthy control group, a diabetic control group, and three diabetic groups receiving Physalis angulata L. extract at doses of 75 mg/kgBW, 150 mg/kgBW, and 300 mg/kgBW. Serum albumin levels were measured using the Bromocresol Green method. Data analysis was performed using Welch ANOVA. Results : The results show that serum albumin levels in the healthy control group, diabetic control group, and treatment groups remain within the normal range of 3.0-5.0 g/dL. Welch ANOVA indicates no statistically significant difference in serum albumin levels among the groups with p-value=0.496 (p > 0.05). Conclusion : In conclusion, administration of Physalis angulata L. extract at doses of 75 mg/kgBW, 150 mg/kgBW, and 300 mg/kgBW does not affect serum albumin levels in diabetic rats