Hasanuddin University

Introduction Recurrent hydatidiform mole is an uncommon gestational trophoblastic disease but is clinically important. Although a single molar pregnancy is generally well understood, consecutive recurrences remain rare and raise concerns regarding the underlying genetic predisposition, with implications for malignant progression and future reproductive outcomes. Case Illustration A 26-year-old woman presented with one month of vaginal bleeding with clots, lower abdominal pain, severe nausea, dizziness, and weakness. She had undergone three prior curettages (one miscarriage and two molar pregnancies). Inspection detected anemia, uterine enlargement, lower abdominal tenderness and visible tissue on the cervix. Ultrasound revealed a classic “snowstorm” pattern. Transfusion stabilized the patient, who had evacuation curretage. The patient was then referred to a tertiary care center for genetic identification and serial β-hCG surveillance. Discussion The risk of hydatidiform mole in subsequent pregnancies is known to increase in cases of previous hydatidiform mole. Recurrences occur in 1.3%-2% of women who have had hydatidiform mole and rise to 15% in women who have had two consecutive hydatidiform mole. It is more common in those of reproductive age (15-45 years) and in multiparous. Approximately 10% of all cases are prone to malignant transformation. Conclusion This case underscores the importance of considering recurrent cases of hydatidiform mole in woman with early pregnancy bleeding and prior molar history. Early ultrasonographic evaluation, histopathological confirmation, and prompt evacuation are essential to reduce morbidity. Careful postevacuation surveillance is critical to detect persistent trophoblastic disease and prevent malignant progression.

Father support is an important determinant of breastfeeding success; however, evidence regarding its effects on exclusive breastfeeding (EBF) duration and maternal breastfeeding self-efficacy remains limited. This systematic review and meta-analysis evaluated the effectiveness of paternal support interventions on these outcomes. This review followed PRISMA 2020 guidelines. Searches were conducted in Scopus, Web of Science, PubMed, and Cochrane Library for studies published between January 2010 and October 2025. Eligible studies included randomized controlled trials or quasi-experimental designs involving postpartum mothers and fathers, father-focused support interventions, standard care comparators, and outcomes related to EBF duration or breastfeeding self-efficacy. Risk of bias was assessed using the Cochrane Handbook. Random-effects models were applied using risk ratios and standardized mean differences. Six studies involving 716 participants were included. Paternal support interventions increased early breastfeeding initiation by 17% (RR = 1.17; 95% CI: 1.02–1.34), which was not statistically significant at 1 month (RR = 1.30; 95% CI: 0.94–1.81), at four months it was 2.67 times (RR = 2.67; 95% CI: 1.29–5.52), and the effect at six months postpartum did not reach statistical significance (RR = 1.53; 95% CI: 0.99–2.38). Overall breastfeeding success increased by 41% (RR = 1.41; 95% CI: 1.17–1.69). Breastfeeding self-efficacy showed a positive trend compared with usual care (SMD = 1.06; 95% CI: −0.12 to 2.24; P = 0.08). Paternal support interventions are associated with improved early initiation and exclusive breastfeeding duration at four months and showed a positive trend toward increased maternal self-efficacy.

Generational differences in interpreting digital communication symbols, including emoji, slang, and memes, create significant communication barriers between Generation Z/Alpha and older generations, with potentially serious social and legal consequences. This study examines how such gaps produce blind spots in which concerning online behaviors, including cyberbullying, can develop undetected by adult authority figures. Using Netflix’s limited series Adolescence (2025) as a case study, this research employs qualitative content analysis of the film’s portrayal of digital communication alongside quantitative analysis of social media discussions about the series to identify patterns of symbolic misinterpretation across generational lines.Three key areas of intergenerational misinterpretation were identified: context-dependent emoji usage, rapidly evolving digital slang, and generation-specific cultural references embedded in memes. These communicative gaps systematically prevent adult authority figures from recognizing warning signs of concerning online behavior, reduce opportunities for timely intervention, and risk the misinterpretation of digital evidence in legal contexts. This study contributes to digital literacy literature by characterizing the specific mechanisms through which intergenerational communication failures occur. By mapping these communicative spaces, it establishes an empirical and theoretical foundation for developing targeted educational interventions in family and institutional settings, as well as informing future prevention strategies for online risk behaviors.

Permasalahan perlindungan hak perempuan dalam perkara cerai talak yang disertai kekerasan dalam rumah tangga menunjukkan adanya ketidaksesuaian antara norma hukum yang berlaku dan praktik penyelesaiannya di pengadilan. Penelitian ini berfokus pada dua rumusan masalah, yaitu bentuk perlindungan hak perempuan yang diberikan dalam perkara tersebut serta efektivitas penerapannya dalam praktik peradilan agama. Penelitian menggunakan metode hukum empiris dengan pendekatan sociolegal untuk mengkaji implementasi aturan hukum dalam konteks faktual. Prosedur pengumpulan data dilakukan melalui wawancara mendalam dengan hakim dan aparatur pengadilan, pengamatan langsung terhadap proses persidangan, serta penelaahan dokumen putusan cerai talak yang relevan. Data yang diperoleh dianalisis secara kualitatif melalui tahap pengelompokan, penafsiran, dan penarikan makna berdasarkan keterkaitan antara temuan lapangan dan ketentuan peraturan perundang-undangan. Hasil penelitian menunjukkan bahwa perlindungan hak perempuan diwujudkan dalam bentuk pemberian hak ekonomi, penetapan kewajiban nafkah, serta penerapan pedoman mengadili perkara perempuan berhadapan dengan hukum. Namun demikian, efektivitasnya masih dipengaruhi oleh keterbatasan pembuktian dan struktur kewenangan peradilan yang membatasi integrasi aspek kekerasan secara menyeluruh dalam pertimbangan putusan. Penelitian ini menyimpulkan bahwa perlindungan hak perempuan dalam perkara cerai talak telah dijalankan secara normatif, tetapi pelaksanaannya belum sepenuhnya menjamin perlindungan yang komprehensif bagi korban kekerasan dalam rumah tangga.

Fixed asset management is a crucial component in supporting the performance of local governments. However, the Polewali Mandar Regency Government still faces obstacles in managing assets conventionally, such as the risk of recording errors, duplicate data, and difficulties in field data verification which is time-consuming. This study aims to design and build a Web-Based Fixed Asset Management Information System integrated with Quick Response Code (QR Code) technology as a digital solution for real-time asset data collection, tracking, and monitoring. The approach taken for system development is known as the Waterfall approach, encompassing the phases of analyzing requirements, system design, execution, evaluation, and ongoing support. The creation of the system was carried out utilizing the PHP coding language, the MySQL database system, and Tailwind CSS to achieve a mobile-friendly interface. Data collection techniques were conducted through observation, interviews, and literature studies at the General Affairs Division of the Regional Secretariat of Polewali Mandar Regency. The result of this research is a fixed asset management information system featuring the generation of unique QR Code labels for each asset, category and location management, and reporting features divided into three access levels: Admin, Operator, and Verificator. Based on the system testing results, an average score of above 4.00 was obtained for indicators of ease of use (user-friendly), access speed, and information accuracy. In conclusion, the implementation of this QR Code-based system is proven to increase the efficiency of the asset identification process in the field, minimize manual input errors, and improve accountability in regional asset management in Polewali Mandar Regency.

Background: Thoraco-omphalopagus conjoined twins present extreme surgical and ethical complexity due to shared thoracoabdominal structures, most notably the liver and chest wall. While hepatic separation has been widely emphasized, the role of chest wall reconstruction as a determinant of postoperative physiological viability remains underreported. Aim: Thoraco-omphalopagus conjoined twins represent one of the most complex congenital anomalies due to shared thoracoabdominal structures and the need for multidisciplinary decision-making. This report aims to describe the preoperative multidisciplinary evaluation and ethical considerations in the management of thoraco-omphalopagus conjoined twins. Presentation of Case: We report thoraco-omphalopagus conjoined twins diagnosed antenatally and delivered at a tertiary referral center. Postnatal evaluation revealed a shared sternum, contiguous rib cage, common diaphragm, and extensively fused liver with complex vascular interconnections. Imaging using contrast-enhanced CT and CT angiography was performed to delineate the anatomy and assess feasibility of separation. Multidisciplinary evaluation involving pediatric surgery, hepatobiliary surgery, neonatology, radiology, intensive care, and clinical ethics guided management. Due to neonatal pneumonia and physiological instability, definitive surgical separation had not yet been performed at the time of reporting. Discussion: This case highlights the importance of comprehensive preoperative evaluation in thoraco-omphalopagus twins, particularly regarding hepatic vascular anatomy, chest wall integrity, and postoperative respiratory mechanics. Multidisciplinary collaboration and ethical deliberation were essential in balancing surgical feasibility with patient safety and anticipated quality of life. Conclusion: Thoraco-omphalopagus twin management requires careful integration of anatomical evaluation, multidisciplinary planning, and ethical decision-making. Reporting preoperative assessment and planning may contribute valuable insights for future surgical management of similar cases.

Masalah stunting masih menjadi fokus utama pembangunan kesehatan di Indonesia karena berpengaruh terhadap kualitas sumber daya manusia di masa depan. Meskipun kebijakan nasional telah diarahkan untuk menurunkan angka stunting, beberapa wilayah seperti Desa Ujung Labuang, Kabupaten Pinrang, masih menghadapi tantangan dalam implementasi di lapangan. Berdasarkan data BKKBN (2025), tercatat 13 anak balita mengalami stunting di Desa Ujung Labuang. Kondisi tersebut mencerminkan masih perlunya upaya berkelanjutan dalam peningkatan pengetahuan dan perubahan perilaku masyarakat terkait gizi anak. Sehubungan dengan hal tersebut, kegiatan sosialisasi ini diselenggarakan sebagai upaya strategis untuk meningkatkan pemahaman dan kesadaran masyarakat mengenai pencegahan dan penanganan stunting. Metode yang digunakan meliputi sosialisasi langsung melalui pemaparan materi dan diskusi interaktif dengan sasaran masyarakat yang memiliki anak balita, terutama yang terindikasi stunting. Evaluasi keberhasilan dilakukan melalui observasi keterlibatan peserta dan pengumpulan umpan balik pasca kegiatan. Hasil evaluasi terhadap 33 peserta sosialisasi pencegahan dan penanganan stunting, secara umum terdapat peningkatan pengetahuan pada mayoritas peserta. Hasil akumulasi dari empat aspek penilaian menunjukkan bahwa sebanyak 27 peserta (81,8%) mengalami peningkatan pengetahuan, sedangkan 6 peserta (18,2%) memiliki pengetahuan yang relatif tetap. Antusiasme peserta terlihat dari keaktifan dalam bertanya, berdiskusi, serta memberikan tanggapan positif terhadap materi yang disampaikan. Dengan demikian, kegiatan ini diharapkan dapat menjadi langkah awal dalam membangun kesadaran kolektif masyarakat desa untuk berperan aktif dalam pencegahan stunting secara berkelanjutan.

Anak dengan Down Syndrome lebih rentan mengalami masalah kesehatan gigi dan mulut seperti karies, gingivitis, maloklusi, dan keterlambatan erupsi gigi. Kondisi ini diperparah oleh keterbatasan motorik serta rendahnya pemahaman anak dan orang tua dalam menjaga kebersihan gigi dan mulut. Kegiatan ini bertujuan untuk meningkatkan literasi kesehatan gigi dan mulut pada anak Down Syndrome melalui media buku Augmented Reality (AR) 3D sebagai sarana edukasi interaktif dalam Gerakan Literasi Digital. Kegiatan dilaksanakan pada Juli - September 2025 di Rumah Singgah Komunitas Orang Tua Anak dengan Down Syndrome (KOADS), Makassar. Tahapan kegiatan meliputi: (1) survei dengan melakukan pemeriksaan gigi dan mulut serta melakukan pre-test kuesioner; (2) pembuatan buku AR; (3) post-test kuesioner dalam rangka pengumpulan data dan dampak dari buku AR; dan (4) pendampingan interaktif oleh residen (PPDGS). Hasil pre-test menunjukkan rata-rata skor 7,6 dan meningkat menjadi 18,3 pada post-test. Anak menunjukkan antusiasme lebih tinggi dalam belajar, sementara orang tua merasa terbantu dalam mendampingi anak menyikat gigi. Pemeriksaan gigi juga menemukan kasus karies yang dapat ditindaklanjuti. Penggunaan buku AR 3D terbukti efektif meningkatkan pemahaman serta partisipasi anak dan orang tua.