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Learning Transformation Geometry (TG) needs a more informal approach to concern situational problems. This study aims to develop actionable knowledge of TG in the form of design related to context and yet general enough to use digital manipulative activities in new situations. We propose such knowledge in the form of conjectured Local Instructional Theory (LIT) in the framework of design research methodological framework. The designed learning activities were based on Realistic Mathematics Education (RME) principles and used batik as the context and van Hiele's mode of geometric thought. In addition, the CorelDraw software is used as a tool to transform batik-making activities into a digital manipulative environment. The design consists of a pre-assessment and four learning activities. The data were analyzed retrospectively in accordance with the HLT. The analysis of the data described above and the justification of the processes during the teaching experiment indicate a compelling trajectory for students learning transformation geometry for this specific context and the prospect for future studies.

Teachers play a crucial role in disseminating knowledge in educational settings, typically adhering to a credulist-testimonial approach outlined in pedagogical literature. Consequently, students often acquire knowledge through this method, potentially leading to discrepancies between their conceptual understanding and the intended educational objectives. This study investigates the phenomenon of learning obstacles encountered by junior high school students, with a particular emphasis on mathematics education. It is part of a series of Didactical Design Research (DDR) projects aimed at developing effective instructional materials. Employing an interpretive paradigm within the DDR framework, the study adopts a qualitative approach utilizing hermeneutic phenomenology design. Various research tools such as diagnostic assessments, interview guidelines, observation sheets, and audio recordings are employed. Data analysis is conducted using the Constant Comparative Method (CCM). The findings highlight ontogenic, didactic, and epistemological obstacles students face, stemming from factors such as a lack of interest in mathematics, ineffective material presentation, and misconceptions regarding set concepts. These results underscore the importance of educators employing effective teaching strategies to help students overcome these obstacles and succeed in their mathematics lessons.

The present study aims to examine the implementation of a stepwise inquiry approach to improving communication skills and scientific attitudes. Stepwise inquiry comprises structured inquiry, guided inquiry, and open inquiry. The variables measured were communication skills and scientific attitudes. The construct used to measure communication skills involved written, verbal, and social communication skills, along with scientific attitude indicators including curiosity, openness of mind, objectivity, honesty in reporting results, responsibility, and mutual respect. The design of the study employed a posttest-only control group design with an experimental class of 20 students and a control class of 21 students. The effect of stepwise inquiry implementation was analyzed using MANOVA. The results reveal that the classes implementing stepwise inquiry had higher scores for communication skills and scientific attitudes than those undertaking expository approaches. The implementation of stepwise inquiry significantly affects the scores of scientific communication and attitude skills based on MANOVA analysis. The involvement of students independently in the investigation process increases their ability to construct knowledge and build arguments, in addition to increasing their motivation for learning. This established motivation enables the formation of positive attitudes, such as scientific attitudes, in the students.

Teaching approaches in some school are still concentrating on memorizing. Teachers have to make the learning is meaningful for the students. One of the alternative tools is by using Brain-Based Learning. The purpose of this study is to investigate the effect of Brain-Based Learning on students' concept mastery in learning electric circuit for 8th-grade students. The method used in this research was experimental research. The research design that used is pretest and posttest design. The sample was taken by random sampling in class. Participants were 49 students at one of International Secondary School in Bandung, West Java, Indonesia. Experiment group learns with Brain-Based Learning (N=26) while the control group learning with lectured based learning (N=23). The results of students' concept mastery that learned using Brain-Based Learning is better than students' concept mastery that learned using lectured-based learning. The improvement of students' concept mastery can be noticed by independent t-test with significant 0.003. Based on the analysis of students' concept mastery results, the N-Gain score in experiment group is 0.43 which categorized as a medium improvement while in the control group is 0.25 which categorized as a low improvement. Based on these results showed that Brain-Based Learning can be an alternative tool to improve students' concept mastery significantly.

An in-depth analysis of today's online biochemistry learning is required to ensure better learning in the future. As a skill that students need to enter the world of work, critical thinking remains a goal in higher education. To develop critical thinking, students need to self-regulate by developing their self-regulated learning (SRL). This study aims to analyze students' critical thinking and SRL during online biochemistry learning. The research sample comprises 54 University of Mataram students. The data on critical thinking and SRL were gathered using tests and questionnaires. Supporting data were collected from observations on the Moodle platform, which was used as a learning tool during the learning process, and free-response data. The results revealed low average scores for three components of the students' critical thinking in online biochemistry learning, namely hypothesis testing, developing conclusions and argument analysis. Among the indicators, metacognitive skill had the highest average score and help seeking had the lowest average score in the SRL measurement. Students' low critical thinking in online biochemistry learning may be caused by a lack of student-student interaction.

The implementation of KKNI curriculum in Indonesia requires meaningful learning--so does the biochemistry learning. In the mean time, biochemistry learning is constrained by the fact that its implementation and assessment have yet to be integrated with classroom learning and laboratory works. The Orientation/Decision/Do/Discuss/Reflect (OD3R) method seeks to integrate the elements and makes biochemistry learning meaningful. The implementation of the OD3R method in 4 universities in Indonesia (N = 216) shows that this method can help students to integrate information obtained from lectures by writing good laboratory reports, improve practical skills, and improving students' scientific attitudes. Each stage in the OD3R method meets cognitive, affective, and psychomotor domains in the biochemistry learning. More details on the OD3R method and its assessment are described in this paper.

Biochemistry subject had problem in learning and teaching, especially in laboratory work. We explored laboratory learning implementation in Biochemistry subject. Participants of this research were 195 students who took biochemistry subject and 4 lecturers of biochemistry in three universities in Indonesia. We obtained data using questionnaires and free response data. Questionnaires of students' analysis showed there were two statements that obtained very positive perception, five statements that obtained positive perception and ten statements with negative perception. Biochemistry lecturers' questionnaire analysis showed seven statements that had been implemented and nine statements had not been implemented. Free response data indicated that effective learning in the laboratory was affected by several aspects which were pre-lab stage that could increase the students' motivation, lab-work stage with complete tools and materials as well as better ability of the assistants, and post-lab stage that could give feedback to the experiments' report and chances for the students to present their investigation results.

Copyright of Plexus Medical Journal (PMJ) is the property of Sebelas Maret University, Faculty of Medicine / Universitas Sebelas Maret, Fakultas Kedokteran and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This research examines the legal approach to abortion in Indonesia, focusing on the significant conflict between the Indonesian Criminal Code's provisions on abortion and the stance of the Reproductive Health Law. The study aims to understand the implications of this legal contradiction on women's reproductive health and rights, and propose potential solutions to harmonize the legal framework. It employs a comparative legal analysis method, investigating the origins, interpretations, and effects of the respective laws, with data collected from legal documents, scholarly articles, and databases. The findings reveal that the existing legal contradiction potentially contributes to unsafe abortion practices, leading to adverse health consequences and undermining women's rights. The study proposes amendments to align the Criminal Code with the Reproductive Health Law, policy reforms, and cultural initiatives based on international best practices and scholarly recommendations. The research emphasizes the need for comprehensive reproductive health services that respect women's rights and protect their health, thereby advocating for a safer and more inclusive environment in Indonesia. [ABSTRACT FROM AUTHOR]

We have developed an OD3R method that can be applied on Biochemistry learning. This OD3R consists of 5 phases: orientation, decision, do, discuss, and reflect to connect lessons in the class with practice in the laboratory. Implementation of OD3R method was done in 2 universities in Yogyakarta to increase critical thinking skill and practical skill of the students. The critical thinking skills were assessed using modified Hoyo rubric according to student's ability in writing laboratory work report. Practical skill was assessed using a rubric with 6 practical skill categories: procedural skill, manipulative skill, observation skill, drawing skill, interpretation skill, and presentation skill. Implementation result shows that OD3R method can increase critical thinking skill and practical skill of the students. OD3R method is a learning method that is centered on the students and can be recommended to train thinking skill and practical skill of students in University.

This study aims to investigate the effectiveness of using e-module teaching materials in history education. This study is development research conducted using direct observation techniques and the distribution of questionnaire surveys to the research location, in this case, SMA Srijaya Negara Palembang. The development of teaching materials was conducted using the Rowntree model, which comprises three stages: planning, development, and evaluation. The criteria utilized included the success rate and students' achievement in learning activities. The research findings indicate that the utilization of case-based learning e-modules is valid and suitable for history education in classrooms. This is supported by assessments from three validators of the materials, media and language aspects of the e-module, categorized as highly valid (4.4); individual assessments as valid (4.1); and small group assessments as highly valid (4.2). Moreover, there is a noticeable improvement in the students' learning outcomes, classified as valid (88.0), with an effectiveness score of N-gain reaching 0.80, falling into the high or very effective category. [ABSTRACT FROM AUTHOR]

Indonesia is an archipelagic country that provides important nesting and foraging habitats for the critically endangered hawksbill turtle (Eretmochelys imbricata). Although many studies have investigated this migratory species globally, there is a lack of information on the population structure and geographic boundary of this species in Indonesia. This study aims to investigate the genetic diversity and population structure of six nesting sites in the Java Sea region of Indonesia. The control region (d-loop) sequence (818 bp) was obtained from 152 individuals, resulting in 20 haplotypes. This study revealed 13 new haplotypes, 12 of which were rare and observed only in a single sampling location. Results showed that the Indonesian population shares haplotypes with rookeries from Peninsular Malaysia and Australia, as indicated by EiIP08 and EiIP49. The haplotype diversity (h) was highest at the more northern rookery sites (Segama Besar Island, Kimar Island, East Belitung, Penambun Island) (h: 0.6033 - 0.9167; 4 - 9 haplotypes) compared to the other two rookeries located in the Seribu Archipelago (Tidung Island and Harapan Island) (h: 0.3354 - 0.5965; 3 - 6 haplotypes). Furthermore, population structure analysis showed a pan-mixed population between Tidung Island and Harapan Island (FST: 0.003, P > 0.05) but significant population structure across all other rookery sites (FST: 0.083 - 0.486, P < 0.05), resulting in five newly identified Management Units (MUs) in this area. This study showed the presence of a complex population structure with local haplotypes and narrow population boundaries for rookeries in relatively close proximity within the Java Sea, prompting local management and highlighting the need for more research on hawksbill turtle populations in Indonesia. [ABSTRACT FROM AUTHOR]

The issue of plastic pollution in the marine environment is a matter of great concern. Our research presents pioneering findings on sub-surface microplastics in the Indonesian archipelagic waters. Data on microplastic presence in sub-surface water in the Indonesian Archipelagic Water is crucial for expanding our understanding of microplastic distribution from the surface to the bottom layers of the ocean, a research area that has been relatively overlooked. We discovered microplastic particles at 5 m depth below the surface through simultaneous pump method. The highest concentration of microplastics was discovered in Ambon, followed by North Java and North Sulawesi. In contrast, the lowest abundance of microplastics was detected in the Maluku Sea. These findings are consistent with prior studies establishing a relationship between human activity-as indicated by population density-and microplastic pollution. However, our results indicate that levels of microplastics in Ambon were significantly higher than those found in other sampled areas, particularly compared to North Java, which boasts the highest population density in Indonesia. This disparity is likely due to a faster seawater flushing rate and shorter water residence time in North Java relative to Ambon. The origins and pathways through which these microplastics are introduced into Indonesian archipelagic waters remain uncertain. Based on particle composition (52.73% fibers and 51.38% size <500 µm), it appears that they may result from either larger plastic items being broken down during transportation over long distances by prevailing currents from input from coastal areas or as a byproduct of local activities. Additional research is necessary to gain a comprehensive understanding of microplastic in water columns. This includes investigating the fate of microplastics and examining their impact on marine organisms within this treasured ecosystem. Moreover, it is important to develop methods for mapping the worldwide distribution of microplastics. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Tackling dementia stigma is a policy priority. In Indonesia, we have little insight into the general public's knowledge and attitudes about dementia. METHODS: Cross‐sectional study of 4430 Indonesian adults recruited from Jakarta and North Sumatra, Indonesia. Measures included dementia knowledge and attitudes. RESULTS: A total of 86.3% (n = 3,803) of adults had not heard of the terms dementia or Alzheimer's disease, and commonly viewed dementia as a normal part of aging. Being older, incorrect knowledge about etiology, not having heard of the terms dementia and/or Alzheimer's disease, having less than primary education, and being from North Sumatra were associated with more negative attitudes (p‐values < 0.05). DISCUSSION: Misconceptions and lack of awareness about dementia are common in Indonesia. Attitudes tended not to be negative, but our research highlights factors associated with dementia attitudes. Future research should use this information to better tailor and target potential anti‐stigma strategies. Highlights: Most Indonesians had not heard of the terms dementia and/or Alzheimer's disease and thought it was caused by normal aging.The majority of participants held mixed or positive attitudes towards dementia.A series of demographic factors alongside poor awareness were associated with negative attitudes towards dementia. [ABSTRACT FROM AUTHOR]

Background: The Dementia Severity Rating Scale (DSRS) is an informant report, dementia staging tool that is quick to administer and has previous been shown to differentiate between people with dementia and healthy controls. However, it is not clear how accurate the tool is screening against diagnostic criteria in middle-income settings. Methods: Embedded within the STRiDE programme, older adults (aged ≥65 years) and their informants were randomly recruited from four sites across Indonesia and South Africa. All informants were asked to complete DSRS. We report the tool's psychometric properties and accuracy against the 10/66 short diagnostic algorithm. Results: Between September and December 2021, data was collected from 2110 older adults in Indonesia and 408 in South Africa. Overall, the DSRS scores significantly differed between those with and without dementia, as identified on the 10/66 short algorithm (p <.05). The difference between groups remained significant after controlling for key factors related to older adult and informant demographics. A score >2 on the DSRS had the greatest agreement with the 10/66 short algorithm and had excellent discriminative properties in both Indonesia (Area Under Curve (AUC) =.75, 95% CIs =.72–.77) and South Africa (AUC =.82, 95% CIs =.76–.88). Conclusions: The DSRS has potential as a screening tool for dementia in middle-income countries, with high sensitivity and specificity against a standardized diagnostic algorithm. [ABSTRACT FROM AUTHOR]

Immunization is a way to increase a person's immunity, to prevent exposure to Preventable Diseases by Vaccine. There are two types of immunizations that are given when a baby is born: basic and optional. Basic immunization is given when the child is 0-24 months old. Optional immunizations are immunizations that are not included in government immunization programs but are important for infants in Indonesia since Indonesia has several endemics. Currently, immunizations that have been carried out in Indonesia are still experiencing some obstacles. Where the parents of the baby still lack knowledge about basic and optional immunizations. In addition, parents still lack information about the right time to immunize their child. This research aims to develop a reminder system for parents through two approaches: a reminder system and a chatbot to give information related immunization. The reminder system is web-based and uses WhatsApp gateway to provide reminders to parents. The creation of this system starts from extracting knowledge about immunization supplied by Indonesian Pediatric Association (IDAI) which modeled into rules. Then, an immunization reminder schedule will be given through WhatsApp app to the parents at the right time (can be set 1-2 days before) based on these rules. Testing on the system is carried out using four test cases and validated by a pediatrician. The system can help parents remember immunization schedules through WhatsApp and can find out information about the immunizations through chatbot with Telegram app. [ABSTRACT FROM AUTHOR]

This research was conducted on industrial agriculture in Indonesia. Risk analysis was carried out based on previous research. One source of risk was obtained, namely raw materials that did not meet specifications, which was then proposed to be mitigated by evaluating supplier performance. This activity involves a lot of data, requiring efficient and effective data storage and access. The level in the simulation layout includes analysing system needs, using problem diagrams, compiling activity diagrams, deciding subprocesses, and filtering information. The analysis is carried out by comparing the use of supply chains with Blockchain and without Blockchain, which is then obtained to determine whether there is an increase. A sequentially stored data scenario describes a situation when the transaction process is in progress and is stored sequentially according to the process that occurs. Storing data in groups explains a problem when a transaction has been completed and stored in groups with similar data, making it easier to track specific data. In this regard, a simulation will be carried out using a website, namely a blockchain demo. The design stage starts with identifying system requirements, creating use case diagrams, compiling activity diagrams, determining subprocesses, and selecting information. The simulation results obtained will be analysed to determine the feasibility of Blockchain as a means of supporting risk mitigation related to data using aspects, including security, trust, traceability, sustainability, and costs. [ABSTRACT FROM AUTHOR]

Purpose: In the case of money laundering (ML) originating from the predicate crime of corruption, law enforcers find it difficult to prove all or the existence of a predicate crime on assets that produce assets. This paper aims to analyze ML in corruption cases in Indonesia. Design/methodology/approach: This research uses qualitative descriptive methods. This research discusses the law enforcement of corruption which coincides with the crime of ML. Findings: New findings were discovered where against the corruption case which was carried out concurrently with the crime of money laundering, the value of which was Rp. 1bn and above and has been handled by investigators from the Corruption Eradication Commission (KPK), so the prosecution process is carried out by the public prosecutor from the KPK to continue the trial to the Corruption Court. With respect to cases of criminal acts of corruption, which were carried out concurrently with ML crimes, the value of which was Rp. 1bn and below and had been handled by the prosecutor's investigators from the start, the prosecution process was carried out by the public prosecutor from the prosecutor's office to continue the trial to the corruption court. Originality/value: To the best of the authors' knowledge, this is the first study to use normative perspective on ML in corruption cases (white-collar crime). In contrast to previous studies that take fraud in general as an object of research, researchers are now interested in focusing more research on detecting suspected ML crimes: a case study on corruption cases in Indonesia. [ABSTRACT FROM AUTHOR]

Background: Stunting is a major public health problem in many developing countries including Indonesia and several ethnic groups have a very high prevalence of stunting which is caused by socio-cultural factors in the family. Objective: This study aims to review family social and cultural factors in relation to stunting. Method: This research uses a systematic review using the PRISMA method. There are 5 steps in this method namely determining the literature topic, searching for sources, selecting relevant sources, grouping and analyzing, and summarizing published research articles on family social culture on stunting published between 2018-2022 in the online article databases PubMed, Proquest, Scopus, Google Scholar and Sciencedirect. Data collection techniques by entering keywords in the database, keywords used: family social culture, intervention AND family environment risk of stunting*social demographics OR health education OR family empowerment OR maternal nutritional behavior OR family empowerment AND stunting. Screening consists of title, abstract, year of research, and methods used. Next, sorting the articles according to the predetermined inclusion criteria. The inclusion criteria in this study are: (1) Quantitative type of research with primary data; (2) Contains research results on socio-cultural factors that influence stunting in children; (3) the year the research was published in the last five years (2018-2022), (4) the sample used was families (children), (5) the text of the article was in English. A total of 18 of 1,544 articles met the inclusion criteria for this review material. Results: This study shows that from the 18 selected articles it was found that stunting is caused by socio-cultural and family demographics, family nutritional behavior, and the family environment at risk of stunting. In addition, a model of health education and family empowerment based on family socio-culture was obtained. Conclusion: This study found that family social culture is a significant determinant of stunting. Therefore, further research needs to be carried out to complete our understanding of the complexity of the stunting problem. [ABSTRACT FROM AUTHOR]

In today's competitive business environment, firms are continuously seeking for methods to acquire a competitive advantage and assure long-term success by using proven techniques, such as concentrating on establishing client loyalty. Companies that develop great customer loyalty can not only boost client retention but also generate growth and profitability. The purpose of this investigation was to investigate and examine 1) the impact of service quality on customer satisfaction, 2) the impacts of customer satisfaction on customer loyalty, 3) the impact of service quality on customer loyalty, and 4) the effect of service quality on loyalty through customer satisfaction. This study employed a descriptive research design using quantitative methodologies. The study includes 80 respondents chosen at random from clients of PT Multicom Persada Internasional Jakarta and other cities in Indonesia. As a consequence, with a score of 0.293, customer satisfaction was determined to have a positive influence on customer loyalty. Furthermore, with a score of 0.690, service quality was found to have a positive influence on customer satisfaction. Service quality has a positive impact on customer loyalty of 0.261, and service quality influences customer loyalty through customer satisfaction, yielding a value of 0.203. [ABSTRACT FROM AUTHOR]

The purpose of this study was to collect preliminary data for the design of real-time and integrated performance assessments in science practicum at two public universities and two private universities in Eastern Indonesia. The case study design and quantitative and qualitative approaches were adopted in this study. Cluster random sampling technique was used to select four universities, 376 participants respectively from university students and lecturers, four vice deans, four heads of study programs, four heads of laboratories, and four teaching assistants. Data were gathered through questionnaires, in-depth interviews, and observations. The chi-square test was used to analyze the data descriptively. Findings indicated that a performance assessment was not carried out since standard measurement instruments that provided real-time and integrated feedback had not been developed. There was no significant difference (p > 0.05) between public and private universities on the science practicum assessment, implying that both public and private universities still used paper-based practicum assessments. There was also no significant difference between the responses of university students and lecturers on practicum performance assessments (p > 0.05). University students' experience in assessing science practicums was similar to those of lecturers', which suggests that practicum of performance assessments was not real-time and integrated with feedback. This study recommends developing a real-time and integrated performance assessment with automated feedback on the science practicum, in order to provide continuous improvement of students and monitoring their learning progress. [ABSTRACT FROM AUTHOR]

Healthcare workers (HCWs) are on the frontlines of the COVID-19 pandemic, putting them at a higher risk of infection and disease than non-HCWs. We analysed the effects of government policies for the public and for HCWs on the likelihood of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection and mortality among HCWs during the first 8 months of the pandemic in Jakarta province, the capital city and COVID-19 hotspot in Indonesia. We conducted a retrospective cohort study using secondary data from the Jakarta provincial government from March to October 2020, which included sociodemographic characteristics, symptoms, comorbidities and COVID-19 diagnosis history for all cases. A generalized linear mixed-effect regression model was used to determine the effect of each month on the odds ratio (OR) of COVID-19 cases and deaths for HCW compared with non-HCW, assuming that monthly trends were influenced by varying government policies. A total of 894,487 suspected and confirmed COVID-19 cases in health facilities in Jakarta province were analysed. The OR of confirmed cases for HCW was 2.04 (95% CI 2.00–2.08; p <.001) compared to non-HCW. Despite this higher OR for infection, the case fatality rate (2.32 per 100) and OR (1.02, 95% CI 0.93–1.11; p =.65) of COVID-19 deaths for HCW were similar to those of non-HCW. We observed a trend towards a lower number of COVID-19 patients in hospitals and lower odds of COVID-19 cases among HCWs during the April-to-July 2020 phase compared to the August-to-October phase. This chronologically aligned with more extensive policies to support hospital-based, community-based and well-being-related actions to protect HCW. HCW had higher odds of having SARS-CoV-2 infection, yet similar odds of death from COVID-19, as compared to non-HCW. Government policies with collective efforts to prevent hospital overcapacity during high transmission and burden periods of the pandemic should be prioritized. Healthcare workers (HCWs) had higher exposure and odds of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection than non-HCWs but a similar risk of death, consistent with previous studies. Government policies favouring reduced workloads of HCW and interventions to promote resilience can be achieved through combined hospital-based, community-based and well-being-related approaches. Studies to identify the patterns and trends of COVID-19 cases and deaths, hospital admissions and policy dynamics are important to promote evidence-based decision-making by the government. [ABSTRACT FROM AUTHOR]

Background: Many people with dementia are reliant on family caregivers to provide daily care to maintain quality of life and dignity. As a result, caregivers can experience increased burden, poorer health outcomes and increased stigma. To date, the experiences of caregivers of people with dementia has not been explored within an Indonesian context. Aims: This study aims to understand the experience of caregivers of people with dementia in Indonesia and better understanding of the stigma associated with dementia. Materials and Methods: This qualitative study is embedded within the Strengthening Responses to Dementia in Developing Countries project. Focus Group Discussions were held with dementia caregivers residing in Jakarta, Indonesia. Inductive thematic analysis was used to analyse the transcripts. Results: Nineteen caregivers of people with dementia participated in the Focus Group Discussions. Themes identified included: (1) Understanding of dementia, (2) Reaction to care, and (3) Seeking a diagnosis. Discussion: A perceived lack of understanding about dementia amongst the caregivers, ultimately shaped caregivers experience of care. This included negative reactions to care leading to internalised stigma (e.g., fear and shame). Misconceptions that dementia was due to spiritual and mystical reasons were particularly stigmatising. Conclusion: In Indonesia, families are providing care to people with dementia in an environment in which there is a lack of understanding that can lead to misdiagnosis, feelings of fear and shame. Efforts to raise address stigma and misunderstanding among the general public and healthcare professionals could be of particular value to support people with dementia and reduce the fear and shame that they can experience. [ABSTRACT FROM AUTHOR]

The increasing demand for animal protein, particularly meat, requires a thoughtful approach to selecting the type of meat-producing animal to achieve maximum yields. This is crucial to maintain food security. This study aimed to evaluate and compare some skull osteometries. A total of 60 each of Balami, Uda, and Yankasa sheep (30 adult males and 30 adult females) were used in this study. The skulls were macerated using a hot water technique. Then 7 parameters were measured using a digital Vernier caliper. The obtained data were analyzed using ANOVA (p < 0.05). The result of this study was that the mean foramen magnum height (FMH) was highest, medium, and lowest in the Balami (2.1 ± 0.1 cm), Uda (1.9 ± 0.1 cm), and Yankasa (1.8 ± 0.0 cm) breeds, respectively, and vice versa in the foramen magnum index (FMI). The foramen magnum width (FMW) was similar in Balami and Uda but higher than in Yankasa (1.8 ± 0.1 cm). The FMH, FMW, and FMI were similar within sexes of the same breeds in Balami, Uda, and Yankasa. The mean dental length (DL), oral palatal length (OPL), and length of the upper molar row (LUM) were highest and lowest in Balami and Yankasa, respectively, while the mean length of the upper premolar row (LUP) was highest and lowest in Balami and Uda, respectively. The (DL), (OPL), (LUM), and (LUP) were higher in males than females in Balami and vice versa in Uda and Yankasa. In conclusion, craniometric values, including foramen magnum and dental osteometry, of indigenous Nigerian sheep breeds were used to compare them to other breeds and among themselves. It could also guide oral surgery and assist in identifying sheep breeds through comparative study. [ABSTRACT FROM AUTHOR]

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study used a two-step system generalized method of moment (GMM) and spatial aspects to analyze Indonesia's trade margins of a rubber product to export destination countries over the period 2009–2018. The study unraveled the role of non-tariff measures such as sanitary and phytosanitary (SPS), technical barriers to trade (TBT), and gravity factors in determining rubber trade margins. Our empirical strategies revealed that sanitary and phytosanitary policies negatively affect trade margins, while the technical barrier to trade and foreign direct investment (FDI) asserts a positive impact on trade margins. However, the economics of scale, port, and contiguity increases extensive margin and reduces intensive, population size, distance, and language barrier reduce extensive margin and increase intensive margin. Further evidence revealed that high population size and port quality accompanied by high FDI and distance increases extensive margin and reduces intensive margin. High economics of scale accompanied by distance, port quality, FDI, and population size reduces both trade margins. Our empirical strategy from the spatial analysis does not give overall significant results on each variable as only economies of scale and population size seem to have a spatial influence on trade margins. The study, therefore, recommends that innovation both in terms of technology, like industrial innovation in the field of rubber processing and certification related to rubber commodities, needs to be increased to intensify and expand Indonesia's rubber market share. [ABSTRACT FROM AUTHOR]

The practice of policy transfer has been known since 315 BC, but conceptually it has been increasingly discussed by policy experts in the world in the last 30 years. In the Indonesian context, the application of policy transfers has been increasingly adopted by policymakers in the last ten years or so. In practice, policy transfer is an alternative that makes it easier for policymakers to make new policies. Policy transfer facilitates learning of good policy practices from various initiating countries so as to minimize failure. The transfer process is easier to build when a network or relationship is established between the actors acting as the source of the transfer, the recipient of the transfer, or other related parties. This study analyzes the implementation of policy transfers that have occurred in Indonesia in the last ten years (2012-2022) through 4 stages of Systematic Literature Review, namely 1) Pre-SLR; 2) Identification, 3) Screening, and 4) Eligibility. There were 31 selected publications which were further analyzed based on three criteria: 1) Fields/areas where policy transfer was applied, 2) Research methods conducted, and 3) Policy transfer analysis. Topics related to the analysis of policy transfers produce 5 sub-topics that can be studied further, namely: Transfer products, Transfer Loci, Policy Actors, Forms of Transfers, and Transfer Processes. [ABSTRACT FROM AUTHOR]

Diarrhea remains one of the major contributors of under five children mortality worldwide. IDHS 2017 data show that 6-23 month-old children have the highest diarrhea prevalence. The objective of this research is to analyze the association of child feeding practices (early initiation of breastfeeding, continued breastfeeding, bottle feeding, MDD, MMF, MAD); sanitation hygiene (source of drinking water, treatment of drinking water, toilet facility, handwashing facility); healthcare utilization factors (immunization status, vitamin A in the last 6 months); and socio-demographic factors (maternal age, maternal education, maternal working status, economic status, residence) with diarrhea incidence in 6-23 month-old children in Indonesia. This cross-sectional study included a total of 4,030 children aged 6-23 months from IDHS 2017. Chi-square test and multiple logistic regression were applied to analyze factors associated with diarrhea. It was found that the prevalence of diarrhea was 19.8% in 2017. Bivariate analysis shows that diarrhea was significantly associated with continued breastfeeding, bottle feeding, toilet facility, source of drinking water, maternal age, economic status, and place of residence. Furthermore, multivariate analysis results in some variables have a statistically significant association with diarrhea, which are the use of bottle feeding, non-improved toilet facility, maternal age 15-29 years, and low maternal education. The dominant factor associated with diarrhea was toilet facility (OR=1.500, 95% CI 1.262-1.784). Healthy latrines utilization, cleaning baby bottle properly, and enhancing health education for mothers are pivotal to prevent diarrhea and maintain children's health at 6-23 months. [ABSTRACT FROM AUTHOR]

Southeast Sulawesi as one of the coffee-producing regions in Indonesia needs to increase its production and marketing in the increasing world demand for coffee. However, the low quality and product promotion as well as other marketing factors have caused Southeast Sulawesi Coffee to be unable to compete at the national level. The aims of this research are as follows: 1. Find out what factors influence the marketing decisions of the coffee agroindustry in Southeast Sulawesi. 2. Find an effective strategy in the marketing decision making process for the coffee agroindustry in Southeast Sulawesi. The approach method that uses the Fuzzy Analytic Network Process (FANP) as a weight of interest in the decision support system. SWOT analysis is combined with the FANP method to determine the most appropriate development strategy for the coffee agroindustry. From the results of the SWOT and FANP analysis, it was found that the best development strategy is to provide training to employees according to the field, and a strategy to make product variations while taking into account consumer desires. [ABSTRACT FROM AUTHOR]

Objective: This study describes the newest deoxyribonucleic acid (DNA) barcoding Asian redtail catfish (Hemibagrus nemurus) in the Progo River, Magelang, Central Java, Indonesia. Materials and Methods: Ten fish were caught in the Progo River, Magelang, Central Java, Indonesia. The polymerase chain reaction was the molecular diagnosis to detect the sequences of DNA of Cytochrome Oxidase I compared to National Center for Biotechnology Information data (GenBank). Results: The results showed that the percent identity was not 100% with H. nemurus data from other locations (GenBank), including Indonesia. The closest percent identity was H. nemurus from Java Island (Accession ID: MK312566.1) with 97.6% similarity. The genetic mutation that happened might be due to environmental change (pollution) in the Progo River recently. Conclusions: This study showed a genetic mutation in H. nemurus from Progo River may be caused by environmental change. Low pollution exposure levels may not be detrimental (lethal) to fish. However, it can affect fish fertility, which leads to population degradation (gene variation). Attention must be increased for fish survival in the future. [ABSTRACT FROM AUTHOR]

This study presents the first comprehensive analysis of anthropogenic debris on the riverbanks of the Ciliwung River, covering upstream to downstream areas. The mean of debris found in each measurement was 32.79 ± 15.38 items/m2 with a weight of 106.00 ± 50.23 g/m2. Plastic debris accounted for over 50 % of all litter items identified and represents 55 % by weight, signifying a significantly high prevalence compared to global studies examining litter along riverbanks. The majority of the plastics found originated from Single-use applications and were predominantly made from Styrofoam. This investigation demonstrated the importance of actions to reduce single use applications and to improve waste management strategies. This can be achieved through proactive initiatives coupled with adaptable approaches, such as implementing effective urban planning and enhancing waste collection capacity. • Macro litter on riverbanks remains largely understudied in Global South. • Litter is more abundant upstream than downstream. • Riverbank litter observed was up to 30 times greater than global research. • Macro litter accumulates in regions with limited waste management practices. • 4.95–18.82 tons of litter could be carried from the Ciliwung Riverbank into the sea. [ABSTRACT FROM AUTHOR]

Along with the development of information technology, the concept and implementation of knowledge sharing began to be discussed in various organizations at various scales. In the 21st century, the success of organizations is very dependent on the knowledge they have and how to utilize the existing knowledge. The purpose of this study is to determine the implementation of knowledge sharing by information organizations in Indonesia. The method used in this research is Systematic Literature Review (SLR) to journal articles published in 2018-2021. There are four Research Question (RQ) determined in this study. The final result obtained from this research is that qualitative research methods are widely used to discuss the process of implementing knowledge sharing by information organizations in Indonesia. The process of implementing knowledge sharing can be done through discussions, learning presentations, lectures, joint studies or FGDs, online talk shows, making videos, and others. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the effects of leadership styles on counterproductive work behavior, quality of working life, and psychological empowerment. The target population was employees in SOE Islamic banks in Malang Raya, Indonesia. A proportional random sampling was used to obtain a sample size of 160 from the 310 bank employees. SEM-PLS, a measurement and structural equation model was employed to explain the relationship between variables. The results showed that transformational leadership could reduce employee counterproductive work behavior through quality of work-life, while transactional leadership increases this behavior. Furthermore, the quality of work-life cannot mediate the effect of transactional leadership on counterproductive work behavior, while psychological empowerment cannot moderate the impact of transformational leadership on quality of work-life [ABSTRACT FROM AUTHOR]

Purpose: This study aims to investigate the link between corporate governance (CG) and organisational growth in Indonesian Islamic banks. Moreover, this research exposes the root causes of stagnancy in Indonesian Islamic banks from a governance perspective. Design/methodology/approach: This study used quantitative data such as secondary and primary data. This study used panel data analysis and examined managers' perspectives of CG elements to show Islamic banking growth in Indonesia. The panel data set was extracted from 24 Indonesian Islamic banks' annual reports from 2016 to 2018. Findings: This study found that the number of Sharia supervisory boards, board commissioners' meetings, board quality, incentive and compensation significantly and positively affected Islamic banks' growth in Indonesia. Meanwhile, board independence was significant but negatively impacted Indonesian Islamic banks' growth. Research limitations/implications: This study contributes to enhancing the growth of Islamic banks in Indonesia and helps find the solution to Islamic banks' problems. Hence, this study contributes to Islamic banks' literature and banking policies, stakeholders, regulators and government. Originality/value: Most studies have examined the growth of Islamic banking only from the financial and economic perspectives, while studies undertaken from the perspective of organisational growth and governance are still limited. [ABSTRACT FROM AUTHOR]

This study evaluates the efficacy and safety of oral triiodothyronine on time to extubation for infants less than 5 months undergoing heart surgery in Indonesia, and primarily relates to patients in emerging programs with high malnutrition and mortality. In this randomized, double-blind, placebo-controlled trial, oral triiodothyronine (T3, Tetronine®) 1 μg/kg-body weight/dose or placebo (saccharum lactis) was administered via nasogastric tube every 6 h for 60 h to treatment group. A total of 120 patients were randomized into T3 (61 patients) and placebo (59 patients) groups. The majority of the patients had moderate to severe malnutrition (55.83%) with a high post-operative mortality rate of 23.3%. The T3 group showed significantly higher serum FT3 levels from 1 until 48 h post cross-clamp removal (p < 0.0001), lower incidence of low cardiac output syndrome at both 6 h (28 [45.9%] vs. 39 [66.1%] patients, p = 0.03, OR 2.3, 95% CI: 1.10–4.81) and 12 h after cross-clamp removal (25 [41.7%] vs. 36 [63.2%], p = 0.02, OR 2.40, 95% CI: 1.14–5.05). Although not statistically significant, the treatment group had shorter median (IQR) intubation time (2.59 [1.25–5.24] vs. 3.77 [1.28–6.64] days, p = 0.16, HR 1.36, 95% CI: 0.88–2.09)] and lower mortality (10 [16.4%] vs. 18 [30.5%], p = 0.07]. Patients with Aristotle score < 10.0 (low risk) receiving T3 had faster extubation than placebo patients (p = 0.021, HR of 1.90, 95% CI: 1.10–3.28) and were significantly less likely to require CPR or experience infection (p = 0.027, OR 8.56, 95% CI:0.99–73.9 and p = 0.022, OR 4.09 95% CI: 1.16–14.4, respectively). Oral T3 supplementation reduced overall incidence of low cardiac output syndrome and significantly reduced the time to extubation in low-risk patients. Therefore, prophylactic oral T3 administration may be beneficial in these patients. Trial Registration: ClinicalTrials.gov NCT02222532. [ABSTRACT FROM AUTHOR]

Objectives. What are the Predictors of Intracranial Aneurysm (IA) Rupture based on angiographic findings among patients in Indonesia's Population Based on Angiographic Findings. Materials and Methods. We conducted a cross-sectional study on subjects with IA not caused by congenital aetiologies or other vascular malformations with cerebral angiography performed from January 2017 to January 2021. Demographic data and aneurysm profile, which include aneurysm count, size, location, and rupture event, were collected. The correlation between risk factors and IA rupture events was determined using bivariate and multivariate analysis. Results. From 100 angiography data (33 males and 67 females), the mean subject age is 51.94 ± 10.78. We observe a total of 121 IAs from all subjects. Most of the IAs are in the anterior circulation (104 aneurysms, 85.96%), have small size (77 aneurysms, 63.64%), and are found in ruptured conditions (90 aneurysms, 74.38%). Males have a greater aneurysm count (1.36 ± 0.74 vs. 1.13 ± 0.55 , p = 0.036) and larger aneurysm size (p = 0.002). Aneurysm size is significantly correlated with its location (p = 0.008). Medium size (p = 0.019 ; OR 2.62, 95% CI 1.08-6.36) and location other than the internal carotid artery are associated with increased rupture event. Multivariate analysis revealed that gender (p = 0.031 ; aOR 5.37, 95% CI 1.17-24.70) is a significant risk factor of IA rupture event. Conclusion. IA profiling will enable clinicians to determine the risk of rupture and treatment plans for the Indonesian population. Further studies with a larger sample size are required to confirm these findings. [ABSTRACT FROM AUTHOR]

In the information era of borderless internet development and massive unlimited data access, especially in science and technology, one of which requires researchers and lecturers to rectify innovation, the quality, and quantity of research in Indonesia. This research examines the importance of empirically proving the success of the ResearchGate social media platform derived from Usability as a medium for indexing scientific paper publications that are needed for academic researchers these days. The following study is causality type research with a quantitative approach. The final sampling only involved 70 respondents who fulfilled the proviso's active ResearchGate account of at least one month. This research assesses Usability using a statistical inferential, i.e., linear regression analysis. These results concluded that generally, determinant Usability consists of Learnability, Memorability, Efficiency, and Errors, which have no implication partially, but Satisfaction has implication toward Usability. Still, Usability has substance simultaneously with a strong enough contribution score of 63.7 percent in ability ResearchGate indexing scientific paper publication. [ABSTRACT FROM AUTHOR]

Tourism industry has occupied a strategic position in the country's economic growth. The factors that trigger the high performance of companies engaged in this industry are very crucial. The purpose of this study is to test the correlation of transformational leadership (TL), political skill (PS), organizational culture (OC), and employee performance (EP), and to investigate the role of OC as a mediation variable. The samples consisted of 110 respondents from Tourism Company in Indonesia. The sample was determined by Slovin formula. The data were collected through questionnaire instruments. The current study employed quantitative method. To test the hypotheses, PLS (Partial Least Square) was applied in analyzing the data. This study found that TL and OC, PS and OC and EP were positive and significance. The mediation test also justified that OC could mediate TL on EP and PS on EP. However, it is also indicated that TL did not affect EP. This study has the important implications for managers such as encouraging high EP in the tourism sector by strengthening OC (such as adaptive, collaborative, flexible, and team oriented), by enhancing the PS (such as understanding others, having high social skill, and increasing an ability to influence others). These findings confirmed and contrasted to the previous studies conducted. [ABSTRACT FROM AUTHOR]

Cross‐cultural adaptation is an important part of using validated questionnaires across countries and settings. Here we describe the cross‐cultural process adopted in the STRiDE (STrengthening Responses to dementia in DEveloping countries) program. We adopted a cross‐cultural adaptation process including forward translation, back translations, and cognitive interviews of the STRiDE toolkit. In total, 50 older adults and 41 carers across sites in Indonesia and South Africa participated in cognitive interviews; field notes and verbatim quotes are reported. We describe the cross‐cultural adaptation process of the STRiDE toolkit. During the process, issues were identified with the translated toolkit, including aspects related to cultural appropriateness, terminology equivalence, and timings. The data demonstrate that a rigorous, yet pragmatic, cross‐cultural adaptation process can be achieved even with limited resources. Our process should help the design and conduct of future dementia research in various contexts. [ABSTRACT FROM AUTHOR]

Coral reef structural form is widely considered a key factor with respect to the availability of shelter and foraging spaces for fishes and invertebrates. However, anthropogenic stressors are damaging coral reefs and the structural complexity they provide for millions of marine species. It is therefore important to assess the effect of coral reef structural form on fish diversity, especially in the coral reefs within the world's hyper-diverse Coral Triangle region. This study examined the relationship between rugosity (as a proxy for complexity of form in coral reef habitat) and fish communities in three marine reserves around Lombok Island (Gili Matra, Gili Sula, and Gita Nada) in Indonesia. Data on fish (taxonomic identification, trophic guild, and abundance) and habitat rugosity were collected at six stations in each reserve using three 50 m transects at each station. Data were analysed through analysis of variance and non-metric multidimensional scaling. The results showed that species richness and abundance were strongly correlated with coral reef habitat rugosity. There was also a statistically significant relationship between three trophic guilds (corallivores, planktivores, and omnivores) and coral reef habitat rugosity. This study strongly supports the view that the fine-scale rugosity of coral reef habitat is a critical factor in maintaining abundant and diverse reef fish communities. We did not examine the mechanisms by which coral reef habitat rugosity impact fish communities, but others have found that this is likely due to increased nursery and foraging habitat availability. [ABSTRACT FROM AUTHOR]

Evidence from middle-income countries indicates high and increasing prevalence of dementia and need for services. However, there has been little investment in care, treatment or support for people living with dementia and their carers. The Strengthening Responses to Dementia in Developing Countries (STRiDE) project aims to build both research capacity and evidence on dementia care and services in Brazil, Indonesia, India, Jamaica, Kenya, Mexico and South Africa. This article presents the Theory of Change (ToC) approach we used to co-design our research project and to develop a strategic direction for dementia care, treatment and support, with stakeholders. ToC makes explicit the process underlying how a programme will achieve its impact. We developed ToCs in each country and across the STRiDE project with researchers, practitioners, people living with dementia, carers and policymakers at different levels of government. This involved (1) an initial ToC workshop with all project partners (43 participants); (2) ToC workshops in each STRiDE country (22–49 participants in each); (3) comparison between country-specific and overall project ToCs; (4) review of ToCs in light of WHO dementia guidelines and action plan and (5) a final review. Our experiences suggest ToC is an effective way to generate a shared vision for dementia care, treatment and support among diverse stakeholders. However, the project contribution should be clearly delineated and use additional strategies to ensure appropriate participation from people living with dementia and their carers in the ToC process. [ABSTRACT FROM AUTHOR]

Background: Cognitive stimulation therapy (CST) is a psychosocial intervention for people with dementia and can benefit cognition and quality of life. A touch-screen individualised CST (iCST) application has been developed to improve on accessibility and provide increased interactivity. This study aimed to explore the attitudes of people with dementia, carers and healthcare professionals in Indonesia towards the iCST application and related technology. Methods: Four focus groups were organised: one comprising family carers (n = 3), two comprising people with dementia and family carers (n = 12) and one made up of family carers and home care workers (n = 3). Participants discussed the uses of technology, tried out the iCST application and completed a usability and acceptability questionnaire. Furthermore, 21 healthcare professionals attended an expert meeting to discuss the potential of implementing the iCST application in the community. Results: Attitudes towards technology were positive but lack of experience, difficulties with operating devices and a limited infrastructure to support technology were described as barriers. The iCST application was seen as an interesting tool to support mental stimulation. Compared with people with dementia, carers were more willing to use the application and rated its usability higher. Healthcare professionals were positive about the interactive features of the application and judged that it could be useful within the family context. Discussion: Low-cost and low-infrastructure technology like iCST can meet the needs for stimulation of people with dementia in Indonesia and other countries. By understanding the attitudes of people with dementia and carers towards IT and their willingness to adopt technology like the iCST application, we are better placed to overcome potential obstacles to its implementation. It appears that systemic changes are needed to facilitate wider use of IT particularly in dementia care. These include needs to empower end users, strengthen access and connectivity to technology, and improve diagnostic support. [ABSTRACT FROM AUTHOR]

Environmental DNA (eDNA) metabarcoding is an evolving tool that can provide broader assessments of marine biodiversity than conventional visual census methods. The outputs of this approach are, therefore, crucial to provide data for conservation priorities and to support fisheries management. We conducted a study using eDNA metabarcoding to understand the distribution of marine biodiversity across Indonesia and to investigate the abundance of three major phyla that comprise a majority of marine biodiversity. In this study, a total of 13,819,634 reads corresponding to 23,252 unique sequences belonging to the phyla Chordata, Mollusca, and Echinodermata were generated from COI amplicons obtained from 92 seawater eDNA samples collected from nine locations and 17 sites. Beta diversity differed significantly across locations (PERMANOVA: p < 0.05) based on Bray–Curtis and Jaccard indices. Taxa of interest were not distributed equally and there were no discernible patterns detected across the sampling area. This might be due to the highly variable percentage of sequenced species between families, preventing robust estimation of species richness. Overall, 45% of reads were identified to species level while 55% were classified as unidentified taxa. Interestingly, the percentage of unidentified taxa was similar between two locations with distinct characteristics representing eastern and western extremities of the sampling region. Despite a relatively poor rate of assignment to species level, our results highlight unprecedented levels of marine biodiversity and strong differences in species composition. This further supports the contention that the eDNA approach is a sensitive method that can provide useful data, in particular to detect changes in species composition. Importantly, this method is clearly advantageous to evaluate marine biodiversity on a large scale and can provide data to support region-wide coral reef management strategies. Knowing species diversity and the degree to which various taxa are distributed is a fundamental for advancing our knowledge of marine ecology and can play an important role in forecasting population dynamics and evolution as well as in refining conservation practices. [ABSTRACT FROM AUTHOR]

The elderly population is vulnerable to stress due to complex changes in their mobilization crisis, sedentary lifestyle, and adaptation preparedness. Adequate entertainment and support from the social environment like elderly integrated healthcare centers is urgently required for this population. This study aimed to show the stress reduction effect of ice breaking games conducted in integrated healthcare centers among the elderly. This quasi experimental study used one group pretest-posttest design and conducted in all active integrated healthcare centers in Denpasar City, Bali, Indonesia. Seventy four participants who met the inclusion criteria were chosen by multistage cluster sampling. The participants engaged in the group based ice breaking game that consisted of word guessing, movement copying and physical dexterity game. Stress level was measured by the alpha amylase saliva concentration before and after the intervention. Wilcoxon test applied to measure the stress level difference before and after the intervention. The result showed a decrease in stress scores of 17.88 KU/L. The group based ice breaking games reduced the stress level significantly (p=0.000). This study concluded that younger age was correlated with a higher reduction of stress level. This game provided stress relief activities by serving a space for the elderly in enjoying togetherness with their peer, engaging in healthy competition, and participating in the game, hence they could put more focus on the game rather than their life stressors and reduced the stress level eventually. [ABSTRACT FROM AUTHOR]

BackgroundThere is a limited data in Indonesia regarding the stroke knowledge and medication adherence among stroke survivors.ObjectiveTo assess the level of stroke knowledge and medication adherence along with their relationship among stroke survivors.SettingTwo tertiary-care hospitals in Surabaya, East Java, Indonesia.MethodsA prospective, cross-sectional study was conducted among 215 stroke survivors. Stroke Knowledge Test and the Morisky Green Levine Adherence Scale questionnaires were used to evaluate stroke knowledge and medication adherence, respectively. Binary logistic regression was performed to assess the rela tionship between stroke knowledge and medication adherence. Main outcome measuresRelationship between stroke knowledge and medication adherence.ResultsA total of 215 patients with mean age of 56.34 ± 8.69 years were recruited into this study. Mean Stroke Knowledge Test score was 7.89 ± 3.38 with 76.7% had low level of stroke knowledge. Mean Morisky Green Levine Adherence Scale was 3.05 ± 1.11 with 52.1% had low to medium medication adherence. Education and duration of stroke correlated with stroke knowledge level (Spearman's correlation coefficient: 0.307, p = 0.001 and 0.128, p = 0.041, respectively). Age and disability correlated with medication adherence (Spearman's correlation coefficient: 0.169; p = 0.013 and 0.171; p = 0.012), respectively. After adjustment for covariates, stroke knowledge level was independently associated with medication adherence (adjusted OR: 4.37, 95% CI 2.00-9.53; p < 0.001).ConclusionStroke knowledge was low among Indonesian stroke survivors and independently related to medication adherence. Attempts should be made to increase stroke knowledge which may improve medication adherence among stroke survivors. [ABSTRACT FROM AUTHOR]