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INDONESIA
Eduvest - Journal of Universal Studies
ISSN : 27753735     EISSN : 27753727     DOI : 10.36418
Eduvest - Journal of Universal Studies is a double blind peer-reviewed academic journal and open access to multidiciplinary fields. The journal is published monthly by Green Publisher Indonesia. Eduvest - Journal of Universal Studies provides a means for sustained discussion of relevant issues that fall within the focus and scopes of the journal which can be examined empirically. This journal publishes research articles multidisciplinary sciences, which includes: Humanities and social sciences, contemporary political science, Educational sciences, religious sciences and philosophy, economics, Engineering sciences, Health sciences, medical sciences, design arts sciences and media. Published articles are from critical and comprehensive research, studies or scientific studies on important and current issues or reviews of scientific books.
Articles 3,206 Documents
The Competencies Of Nurses And Midwives In Implementing The 10 LMKM In The Postpartum Inpatient Ward At “X” Hospital In South Tangerang City Hikmah Kurniasari; Sumijatun Sumijatun; Nurmala Dewi Ria Lestari
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53031

Abstract

Background: Ten Steps to Successful Breastfeeding (10 LMKM) places nurses and midwives as key actors in supporting the success of exclusive breastfeeding in hospitals, especially maternity care units that have not yet reached the 100% target. Competencies that include knowledge, clinical skills, and behavior of health workers are needed to support the sustainability of the 10 LMKM, but it is not yet known how the competencies of nurses and midwives in implementing the 10 LMKM in the postpartum inpatient room of “X” Hospital, South Tangerang City. Methods: This study is a qualitative study with a case study approach, using in-depth interviews with 3 managerial staff and 6 postpartum mothers, Focus Group Discussions with 3 nurses and 3 midwives, observation, and document review. Data analysis uses the Miles and Hubberman model with triangulation of sources and methods, processed thematically using NVivo software. Results: Adequate clinical knowledge and skills are technical in nature, reactive and unstructured educational practices, gaps between written policies and field practice, documentation of breastfeeding support care not yet a priority, and the need for independent information media and standardized educational materials. This situation has impacted breastfeeding education achievement, which has not yet reached 100%. Conclusions and recommendations: Nurses' and midwives' competencies are still technically oriented and require strengthening policy integration, proactive education, and monitoring systems to support the comprehensive implementation of the 10 LMKMs. This necessitates policy strengthening, ongoing training, systematic documentation, and monitoring.
Nerve Transfer Surgery: A Systematic Review of Current Practices, Outcomes, and Future Directions Muhammad Hagi; Firdath Rubenzani; Fakhrul Hendra; Mulyadi Mulyadi
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53124

Abstract

Peripheral nerve injuries remain a significant clinical challenge because they can result in permanent motor and sensory dysfunction, reduced independence, and impaired quality of life. Nerve transfer surgery has emerged as an advanced reconstructive approach that redirects functional donor nerves to damaged recipient nerves to restore neurological function. This study aimed to systematically review current practices, clinical outcomes, influencing factors, and future directions of nerve transfer surgery across various neurological conditions. A systematic review method was applied following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Relevant studies were identified from scientific databases, including PubMed, Scopus, ScienceDirect, and Web of Science, based on predefined inclusion and exclusion criteria. The findings indicated that nerve transfer surgery provided significant improvements in motor recovery, sensory restoration, and functional performance, particularly in patients with brachial plexus injuries, spinal cord injuries, facial paralysis, and complex peripheral nerve injuries. However, successful outcomes were strongly influenced by surgical timing, injury severity, donor nerve selection, surgeon expertise, and postoperative rehabilitation. The review also highlighted that objective functional improvements did not always correspond with patient-reported recovery, indicating the need for comprehensive outcome assessments. In conclusion, nerve transfer surgery represents a transformative advancement in peripheral nerve reconstruction; however, further large-scale clinical studies and innovative regenerative strategies are required to optimize long-term functional outcomes and expand its clinical applications.
Combination of Low-Dose Methotrexate and Cyclosporine in a Patient with Generalized Pustular Psoriasis: A Case Report Labitta Pachira Aquaira; Nurrachmat Mulianto; Elsita Lisnawati; Hillary Fungestu Yoedyanto
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53148

Abstract

Generalized pustular psoriasis (GPP) is a rare and life-threatening chronic inflammatory skin disease characterized by sterile pustules and systemic inflammation, associated with substantial disease burden due to frequent flares. Limited guidelines and suboptimal treatment outcomes have led to various therapeutic approaches, including combination therapy.  This case report aims to describe the use of low-dose methotrexate and cyclosporine combination in a GPP patient and evaluate the clinical response achieved.  A 40-year-old woman presented with painful pustules distributed throughout the entire body accompanied by a burning sensation. She had undergone methotrexate therapy for 1 year before self-cessation due to insignificant improvement. Dermatological examination revealed generalized multiple pustules on an erythematous base, some confluent and covered by scales. Histopathological examination showed abundant neutrophils in the superficial epidermal layer along with focal neutrophils and mild spongiosis, supporting the diagnosis of GPP. The patient was given methotrexate 7.5 mg weekly and cyclosporine 100 mg daily for 5 weeks, showing significant clinical improvement, then maintained with methotrexate 7.5 mg weekly monotherapy. Combination therapy for GPP, particularly methotrexate and cyclosporine, has demonstrated faster and better clinical responses compared to monotherapy, with response rates of 70–90%. Cyclosporine provides rapid disease control, while methotrexate offers sustained immunomodulation. Both agents carry risks of adverse effects, necessitating careful dose selection and close monitoring. This case report demonstrates that low-dose methotrexate and cyclosporine combination is effective in managing refractory GPP with significant clinical improvement after 5 weeks of therapy, making it a promising therapeutic option for severe and refractory GPP cases.
Developing a Value-Focused Thinking and Analytic Hierarchy Process-Based Strategic Decision-Making Framework for Managing High Salt Content Crude Oil in Refinery Operations Fakhrul Ferdian; Utomo Sarjono Putro
Eduvest - Journal of Universal Studies Vol. 6 No. 6 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i6.53158

Abstract

The government's policy to maximize domestic crude oil absorption has placed a Refinery in Indonesia in a complex strategic position, particularly due to the increasing requirement to process high-salt-content crude oil. This condition introduces significant risks to equipment reliability, process stability, and operational efficiency, requiring more robust and structured decision-making capabilities. This study aims to identify key barriers in strategic decision-making, develop an improved framework, and evaluate its effectiveness in addressing the high-salt crude challenge. A mixed-methods sequential exploratory approach is applied, combining qualitative analysis — including SWOT, Five-Why, interviews, focus group discussions, and Value Focused Thinking (VFT) — with quantitative evaluation using the Analytic Hierarchy Process (AHP). VFT is used to define decision objectives and generate strategic alternatives, while AHP structures decision criteria, assigns weights, and prioritizes alternatives. The results show that the key barriers to decision-making are predominantly systemic, including governance inconsistency and lack of integrated evaluation criteria. The developed VFT–AHP-based framework introduces four main decision criteria, namely Operational Excellence, Process Stability, Economic Performance, and Strategic Feasibility, and evaluates four strategic alternatives. The AHP results indicate that new desalter installation is the highest-ranked alternative (32.9%). Sensitivity analysis demonstrates that the ranking is robust under ±20% variation in criteria weights, confirming model stability. Furthermore, the proposed framework improves decision clarity, consistency, and transparency by transforming a fragmented and binary decision process into a structured multi-criteria evaluation system. Management validation confirms that the framework is practical to implement and enhances accountability and defensibility under regulatory and audit scrutiny.
Comparison Between Efficacy Outcomes Of Covalent Versus Non Covalent Bruton Tyrosine Kinase (Btk) Inhibitor Treatments For Double-Exposed Chronic Lyhmpocitic Leukemia And Small Lymphocitic Lymphoma Patients: A Systematic Review Ogek Dwi Shavitri; Bgs Gde Ariesta Darmahendra; I Gusti Sri Agung Jaya Kusumadewi
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53189

Abstract

Background: Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) is a mature B-cell malignancy. Covalent Bruton tyrosine kinase inhibitors (cBTKis) such as ibrutinib, acalabrutinib, and zanubrutinib have improved outcomes but are limited by resistance mutations at the BTK C481 site. Non-covalent BTK inhibitors (ncBTKis) like pirtobrutinib were developed to overcome this resistance. This review compares clinical outcomes between covalent and non-covalent BTK inhibitors in CLL/SLL. Methods: A systematic search of MEDLINE, CENTRAL, and EMBASE identified studies within the last 10 years evaluating cBTKis and ncBTKis in CLL/SLL. Eligible studies reported efficacy outcomes, including complete response (CR), partial response (PR), stable disease (SD), and progressive disease (PD). Quality was assessed using the Newcastle–Ottawa Scale.Results: Four studies involving 137 patients met inclusion criteria. Among ncBTKis, pirtobrutinib showed 70% PR and 11% SD, while nemtabrutinib showed 25% PR without CR. Covalent BTKi combinations achieved higher CR rates: ibrutinib + venetoclax (CR 55%, PR 45%) and acalabrutinib + obinutuzumab (CR 50%). PD rates were inconsistently reported.Conclusion: Covalent BTKi-based combinations produced deeper responses than ncBTKi monotherapy, likely due to synergistic mechanisms and earlier treatment lines. Non-covalent BTKis remain valuable for patients with cBTKi resistance but achieve limited CRs when used alone. Future trials combining ncBTKis with BCL-2 inhibitors or anti-CD20 antibodies may enhance remission depth and durability in refractory CLL/SLL.
Analysis of Factors Influencing the Implementation of China’s Belt and Road Initiative Projects in Sri Lanka Muhammad Dimas Audi Nurapraja
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53214

Abstract

The Belt and Road Initiative (BRI) is China’s foreign policy program launched by President Xi Jinping in 2013. Sri Lanka has become one of the significant BRI partner countries due to its strategic location, particularly the Colombo Port and the Hambantota region, which are important points along international maritime trade routes. This research aims to analyze the factors influencing the implementation of China’s BRI program in Sri Lanka and examine its implications for Sri Lanka’s national development. The study employs a qualitative approach using secondary data analysis through library research. The theoretical framework applied in this research is dependency theory. The findings reveal two interrelated dimensions of interests: (1) China’s interests in Sri Lanka, including transportation infrastructure development, energy cooperation, and soft power projection; and (2) Sri Lanka’s interests in China, including foreign direct investment, infrastructure development, connectivity enhancement, and technology transfer. The implementation of the BRI in Sri Lanka demonstrates the relevance of dependency theory in explaining the dynamics of bilateral relations between developed and developing countries in the contemporary era.
The Influence of Cross-Generational Leadership Styles on the Performance of Generation Z Employees Through Employee Engagement, Job Satisfaction, and Organizational Culture as Intervening Variables in the Coal Mining Industry at PT Khotai Makmur Insan Abadi Kutai Kartanegara Fitri Windasari; Gurawan Dayona Ismail; Ridlwan Muttaqin; Pras Rendy; Irving Ignatius Paul Luntungan
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53285

Abstract

Employee performance refers to the level of success achieved by employees in completing their tasks, as reflected in the quality and quantity of work outcomes according to their roles, responsibilities, and organizational standards. This study aims to examine the effect of leadership styles on Generation Z employee performance, with employee engagement, job satisfaction, and organizational culture as intervening variables. The research employed a quantitative method with descriptive and verification approaches. The data sources consisted of primary and secondary data. Data were collected through interviews, questionnaires, and observations from a population of 135 employees. The sampling technique used was non-probability sampling with a purposive sampling method. The analytical tools used in this study were SPSS 25 for descriptive analysis and SmartPLS 4 for verification analysis. The measurement model (outer model) was evaluated using convergent validity, discriminant validity, Average Variance Extracted (AVE), composite reliability, and Cronbach’s alpha. The structural model (inner model) was assessed using the coefficient of determination (R²) and predictive relevance (Q²). The results showed that leadership styles had positive and significant effects on employee engagement, job satisfaction, and organizational culture. Employee engagement and job satisfaction significantly influenced employee performance, whereas leadership styles and organizational culture did not have a direct significant effect on employee performance. Furthermore, organizational culture did not mediate the relationship between leadership styles and employee performance. In contrast, employee engagement and job satisfaction successfully mediated the effect of leadership styles on employee performance.
Analysis Of Critical Success Factors In Penetration Testing Delivery Projects At Pt. Abcd Using A Fuzzy Delphi Method Zulfirman Zulfirman; Ruri Agung Wahyuono
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53305

Abstract

The success of penetration testing project delivery is influenced not only by technical factors but also by an organization’s ability to manage critical operational and managerial elements in an integrated manner. In the case of PT. ABCD, recurring challenges such as dynamic scope changes and suboptimal resource coordination highlight the absence of a validated Critical Success Factors (CSFs) framework. Therefore, this study aims to identify, validate, and prioritize the key determinants that contribute to successful penetration testing project delivery. The research began with a comprehensive synthesis of multidisciplinary literature from project management, information technology, agile practices, and cybersecurity domains, which was then combined with internal organizational lessons learned. This hybrid approach produced 11 preliminary CSF candidates. To ensure the robustness of the research instrument, classical statistical tests were applied, namely Pearson Product Moment validity testing and Cronbach’s Alpha reliability analysis, which confirmed the consistency and adequacy of the measurement tool. Subsequently, the CSF candidates were evaluated by 21 experts representing Project Management Office, Sales & Business, and Technical/Pentester functions. The Fuzzy Delphi Method was employed to accommodate uncertainty in expert judgment, utilizing triangular fuzzy numbers, expert agreement levels, threshold distance (d) for consensus measurement, and alpha-cut defuzzification for final selection. The results indicate that 10 of the 11 CSFs achieved strong consensus, meeting the criteria of EA ≥ 75%, d ≤ 0.2, and alpha-cut ≥ 0.75. The final prioritization shows that communication effectiveness, stakeholder coordination, technical team readiness, and adaptive management are the most influential success factors.
Immersive Quiet Rooms for Children with ADHD: Color, Geometry, and Gaze Based Simulation Nanda Supriyono; Popi Puspitasari
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53338

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition characterized by difficulties in maintaining attention, regulating sensory responses, and managing behavioral impulses. Environmental design has increasingly been recognized as a supportive intervention that can influence emotional regulation and cognitive performance among children with ADHD. This study explores the design of immersive quiet rooms through the integration of color, geometric elements, and gaze-based simulation to create a calming and adaptive environment for children with ADHD. The research employs a design simulation approach by examining how spatial configurations, visual stimuli, and interactive environmental features affect children’s attention patterns and sensory experiences. A virtual immersive environment was developed to evaluate the impact of different color schemes, geometric compositions, and visual focal points using gaze-based interaction analysis. The findings indicate that carefully selected soft color palettes, balanced geometric patterns, and controlled visual stimuli contribute to improved sensory comfort and reduced visual distraction. The gaze-based simulation demonstrates that specific spatial arrangements and visual elements can guide attention toward calming areas while minimizing overstimulation. This study highlights the potential of immersive quiet rooms as an evidence-based environmental strategy to support children with ADHD by integrating architectural design principles with digital simulation technologies. The proposed approach provides new insights into designing therapeutic learning and relaxation spaces that are responsive to children’s sensory needs and cognitive characteristics.
The Effect of Profitability and Exchange Rates on Stock Prices, with Earnings Per Share as an Intervening Variable, at Islamic Banks in Indonesia Lia Siti Maziddah; Henny Medyawati
Eduvest - Journal of Universal Studies Vol. 6 No. 7 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i7.53351

Abstract

Stock prices are among the main indicators used to assess the performance of Islamic banks. However, stock prices of Islamic banks continue to exhibit volatility despite the sustainable growth of the Islamic banking industry in Indonesia. This condition indicates the potential influence of internal and external factors that may affect stock price movements. This study aimed to analyze the effects of profitability and exchange rates on stock prices, with earnings per share (EPS) as an intervening variable, in Islamic banks listed on the Indonesia Stock Exchange during the 2018–2024 period. Profitability was measured using return on assets (ROA) and return on equity (ROE). This study employed a quantitative approach with a purposive sampling method based on two criteria: Islamic banks that had been continuously listed on the Indonesia Stock Exchange from the second quarter of 2018 to the fourth quarter of 2024 and those that had consistently published financial reports throughout the research period. The data used were secondary data obtained from Yahoo Finance, financial reports available on the official websites of each bank, and the Bank Indonesia (BI) website. The data were analyzed using multiple linear regression analysis and the Sobel test. The results indicated that ROE had a significant effect on EPS, whereas ROA and exchange rates had no significant effect on EPS. EPS had a significant effect on stock prices, while ROA, ROE, and exchange rates had no significant direct effects on stock prices.

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