Digital Commons Network^™

Integrating Banjar Cultural Values Into Premarital Counseling: A Randomized Controlled Trial On Marital Readiness In Indonesia, Jarkawi Jarkawi, Eka Sri Handayani, Sri Ayatina Hayati, Rudi Haryadi, Akhmad Rizkhi Ridhani, Nazar Hasby, Nur Ananda Puteri

Buletin Konseling Inovatif

Marriage readiness is a critical factor in ensuring long-term relationship satisfaction and resilience. In Indonesia, challenges such as rising cases of domestic violence and marital instability highlight the urgent need for more effective premarital counseling programs. However, existing interventions often lack cultural sensitivity, particularly in multicultural societies like Indonesia, which encompasses over 300 ethnic groups. This study examines the effectiveness of a culturally-informed premarital counseling program based on Banjar marital customs in enhancing marital readiness. A randomized controlled trial (RCT) was conducted with 32 engaged individuals divided into an experimental group receiving Banjar-based counseling and a control group participating in …

The Role Of Personal Responsibility And Career Planning Among Adolescents In Indonesia: A Correlational Study, Irvan Handaka, Denik Wirawati, Aprilia Setyowati, Wahyu Nanda Eka Saputra, Diki Herdiansyah, Navy Glenda Triskova, Zela Septikasari, Norimune Kawai, Rafidah Aga Mohd Jaladin

Buletin Konseling Inovatif

Personal responsibility is an individual's ability to identify and regulate one's thoughts, feelings, and behaviors and the willingness to take responsibility for the choices and resulting social and personal outcomes. Through a quantitative correlational study, this study explores the role of personal responsibility and career planning in high school students/adolescents. A total of 465 adolescent subjects from Indonesia were sampled in this study. The data collection method used instruments tested for validity and reliability in measuring personal responsibility and career planning. Data analysis was conducted using descriptive statistics to describe the level of personal responsibility and career planning and inferential …

Hallo Kons: Web-Based Guidance And Counseling Services To Improve University Students’ Well-Being, Ratih Christiana, Silvia Yula Wardani, Suharni Suharni, Ibnu Mahmudi, Afara Dinan Sa'id Restu Aji, Shinta Rahmawati, Puspita Dwi, Alice Tonido Rivera

Buletin Konseling Inovatif

This study aims to develop 'Hallo Kons' which is an innovation of website-based guidance and counseling services to improve the well-being of students at Universitas PGRI Madiun (UNIPMA), which include four areas of guidance and counseling services, namely: personal, social, learning and career. The method in this study is research and development (R&D). The subjects of the study were website experts, UNIPMA counselors and students of UNIPMA. The data analysis used was qualitative and quantitative, with data collection techniques using assessment sheets filled out by 4 experts: consisting of 2 website experts and 2 experts in the field of guidance …

Development Of Mooc Content In Case-Method-Based Psychodynamic Counseling Courses As Online Learning Media, Rizka Apriani, Devy Probowati, Diniy Hidayatur Rahman, Faza Kasyiva Az-Zahra, Fauziah Ilmi Qonita, Nurul Ain Mohd Daud

Buletin Konseling Inovatif

The psychodynamic counseling course is one of the compulsory courses to provide students with an understanding of theories, concepts, and techniques based on psychodynamic views. With various existing goals, it shows that implementing this course requires technology-based media to support the optimal running of lectures. The MOOC (Massive Open Online Course) platform is an answer to implementing psychodynamic counseling courses with existing flexibility and accessibility. The purpose of this research is to develop content on the MOOC platform to improve the quality of learning by utilizing interactive technology and learning content can be presented dynamically using various media such as …

Keefektifan Teknik Cognitive Restructuring Untuk Meningkatkan Kejujuran Akademik Siswa Sekolah Menengah Atas, Kadek Sathya Gita Rismawan, I Ketut Gading, Luh Asli

Buletin Konseling Inovatif

A number of problems are seen as a result of poor academic honesty. This study aims to identify the efficiency of cognitive restructuring counseling in improving the academic honesty of senior high school students. By using A-B single subject reversal, the intervention was carried out by providing personal counseling using the cognitive restructuring technique. In collecting the data, we used Academic Honesty Psychological Scale, while the obtained data were analyzed using visual analysis. The findings indicate that individual counseling using cognitive restructuring is effective in enhancing students’ academic honesty. Also, positive self-perception and environment facilitate students to present high academic …

Instagram Sebagai Ruang Cyberbullying Untuk Memenuhi Kebutuhan Gaya Hidup Hedonis Siswa Sekolah Menengah Atas, Elcindi Lazuardin Zamzamima, Im Hambali, Rizka Apriani

Buletin Konseling Inovatif

Recently, social media has been an integral part of adolescents’ life, serving as a medium for their self-actualization. On the other hand, adolescents use social media for hostile activities, such as bullying. This study describes Instagram as a platform for cyberbullying as it allows students to demonstrate their hedonist lifestyle. In this study, we used a descriptive qualitative approach. For the data collection, we involved two senior high school students, who were selected through purposive sampling with the criteria of undertaking cyberbullying acts to fulfill their needs for a hedonist lifestyle. The data were collected through structured interviews and documentation. …

Development Of Guidebook For Rational Emotive Behavior Counseling To Improve Vocational High School Students’ Career Self-Efficacy, Imro’Atul Khasanah, Yuliati Hotifah, Indriyana Rachmawati, Augusto Da Costa

Buletin Konseling Inovatif

Career decision-making of vocational high school students is still something that does not receive serious attention and causes students to experience career decision difficulties. One of the causes of difficulty in making career decisions is students' lack of confidence in their abilities. This study aims to develop a guidebook for rational emotive behavior counseling (REBC) which is intended for school counselors. REBC counseling can help counselees to understand their cognitive conditions that lead to emotional disturbances so that counselees can change irrational thoughts and understand the consequences of their behavior. The guidebook that was developed contains material on career self-efficacy, …

Development Of Stress Management Guidebook To Prevent Academic Burnout On Vocational High School Students, Gihza Hasnutya Tahta, Arbin Janu Setiyowati, Nugraheni Warih Utami, Umi Safiul Ummah

Buletin Konseling Inovatif

Students must be aware of academic burnout, as it can reduce their learning achievement. This study aims to develop a stress management guidebook to prevent academic burnout in vocational high school students. This guidebook can be used by counselors as a reference in providing guidance services to vocational students who have problems related to academic burnout. This manual is equipped with an academic burnout scale to measure the level of student academic burnout. The development model in this study used the Borg and Gall development research design. In this study, we used five stages, consisting of pre-survey, product design, design …

Development Of Podcast-Based Irrational Belief Disputing Media To Increase Confidence Of Body Shaming Victims In High School Students, Rintiarni Restu Wulandari, Adi Atmoko, Diniy Hidayatur Rahman, Chea Lim, Septinda Rima Dewanti

Buletin Konseling Inovatif

This research and development aims to produce a podcast-based disputing irrational belief media to increase the self-confidence for victims of body shaming in high school students. This podcast is named the #PULIH podcast which is an audio visual medium and can be listened to independently through the Youtube platform. The #PULIH podcast consists of five episodes with different topics. Each episode discusses the aspect that will be changed, namely the perception of the physical by using the technique of disputing irrational belief. This research and development adapts the five stages of the Borg and Gall development model, namely the information …

Prevalence And Risk Factors And Efforts To Reduce Dengue Fever And Dengue Hemorrhagic Fever Infections At Pku Muhammadiyah Gamping Hospital, Yogyakarta, Kusbaryanto Kusbaryanto, Abdurrasyid Bin Abdurrahman, Ekorini Listiowati, Yusuf Alam Romadhon, Aisyah Rosyida

Media Kesehatan Masyarakat Indonesia

The incidence of Dengue Fever (DF) and Dengue Hemorrhagic Fever (DHF) has increased sharply in recent decades, making these infections endemic in several parts of the world. The purpose of this study was to analyze the prevalence, risk factors, and efforts to reduce DF and DHF infections at PKU Muhammadiyah Gamping Hospital, Yogyakarta. This study employed an observational cross-sectional design. The study sample consisted of patients diagnosed with DF or DHF at general hospitals in Yogyakarta between January 2019 and December 2023 who met the inclusion and exclusion criteria. Patients with a DF or DHF diagnosis but incomplete data were …

Relationships With Tax Authorities As A Determinant Of Tax Consultant Performance In Indonesia, Riana Sitawati, Oei Kezia Christina

Jurnal Akuntansi dan Keuangan Indonesia

Background: Tax consultants are central to supporting taxpayer compliance in Indonesia. While technical competence is essential, their performance also depends on constructive engagement with tax authorities, an aspect rarely examined in the Indonesian context. Methods: This study employed a quantitative survey of 158 licensed tax consultants in Indonesia. Data were analyzed using Structural Equation Modeling (SEM-PLS) to test the direct and mediating effects of technical skills and relationships with tax authorities on job performance. Findings: The results indicate that technical skills significantly improve both relationships with tax authorities and perceived job performance. Furthermore, relationships with tax authorities mediate the effect …

Full Call Auction And Market Liquidity: Lessons From Idx, Columbanus Teto, Zaäfri Ananto Husodo

Jurnal Akuntansi dan Keuangan Indonesia

Background: This study investigates the impact of the Full Call Auction mechanism implemented by the Indonesia Stock Exchange in 2024 on stocks listed under the Special Monitoring Board. The research aims to evaluate how the FCA affects market liquidity, particularly bid-ask spreads and trading volume, within the financial sector stocks. Methods: Employing a heterogeneous Difference-in-Differences approach, the analysis compares stock-level liquidity indicators before and after the FCA implementation. Findings: While overall treatment effects appear statistically insignificant, subgroup analysis reveals that stocks with longer exposure to the FCA exhibit significantly wider bid-ask spread and persistent reductions in trading volume. These findings …

Evaluation Of The Efficacy Of Injection Of Platelet-Rich Plasma For The Management Of “Peyronie’S Disease” And Erectile Dysfunction, Marwan Abdulaziz Ibrahim

Al-Qadisiyah Medical Journal

Abstract: This study evaluates and determines the therapeutic effects of platelet-rich plasma injection for the management of Peyronie’s disease and erectile dysfunction. Patients & Methods: From March 2021 until March 2022, a prospective study was conducted on 50 patients with Peyronie’s disease, erectile dysfunction, and penile curvature less than 60 degrees (mild to moderate penile curvature). All participants were subjected to 8 repeated injections of PRP weekly in the dominant penile plaque, with follow-up over 6 months of collected data that included orientation of curvature, injection technique, and the results in both quantitative (i.e., curvature estimations) and qualitative (erectile state …

Comparative Analysis Of Papillary Thyroid Carcinoma And Benign Lesions; Immunohistochemical Diagnostic Markers And Their Gene Expression Correlation, Esraah Alharris, Samah Alkhalidy, Dina Saleh

Al-Qadisiyah Medical Journal

Background: Papillary thyroid carcinoma (PTC) incidence has increased globally, but it is unclear if this was because of an improvement in the patient’s knowledge or if the tumor was incidentally discovered. The microscopical features of the nuclei are the gold standard for diagnosing PTC. Many immunohistochemical markers have been used to accurately diagnose PTC, such as CK-19, TTF-1, HBME-1, ret, and S-100. Objectives: To assess the incidence of PTC in the Al-Qadisiyah governorate and examine the expression of several markers by immunohistochemistry in thyroid tissue biopsies. Materials and Methods: Two hundred and twenty surgically resected Thyroid glands were implanted in …

Foundations Of Judicial Independence In Comparative Legal Systems And Its Impact On Achieving Criminal Justice, Zaeem Nasser Al-Shuaibi, Rashid Hamed Al-Balushi

Sultan Qaboos University Legal Studies Journal

This study investigates the foundations of judicial independence in comparative legal systems, particularly the rulings of Egypt’s Supreme Constitutional Court and relevant case law from the European Court of Human Rights. The significance of this study lies in shedding light on the principle of judicial independence as a fundamental pillar in ensuring justice, safeguarding fundamental rights and freedoms, and strengthening public confidence in the judicial system. The research problem of this study is centered on analyzing the extent to which the principle of judicial independence is achieved in the Omani judicial system and identifying the factors that positively or negatively …

The Sale In Death Illness A Comparative Study Between Palestinian Civil Law And The Journal Of Justice Judgements, Afif Muhammad Abu Kloob

Sultan Qaboos University Legal Studies Journal

This research addresses the issue of sales during death illness from a comparative perspective between Palestinian Civil Law and the Journal of justice judgements. The study aims to analyze the legal provisions concerning the validity of transactions made by a terminally ill patient and their impact on the rights of heirs. It examines the conditions necessary for the validity of sales during death illness under both legal systems and highlights the differences, particularly regarding the enforcement conditions and the approval required from heirs. The study concludes with a detailed comparison of the legal texts and analyzes the impact of these …

The Crime Of Disrupting Marital Bonds According To The Provisions Of The Jordanian Penal Code No.16 Of 1960 And Lts Amendments –An Analytical Study, Odai Turki Abed Alfattah Elfawair

Sultan Qaboos University Legal Studies Journal

The family relationship, particularly the marital bond, is among the most sacred relationships, serving as the foundation for the cohesion of strong families and communities. Accordingly, this study aims to highlight the importance of maintaining family and marital relationships within a secure and stable environment, which is a right for families, spouses, and society. It also aims to protect personal rights and public freedoms, ensuring they are worthy of criminal protection against all forms and patterns of undermining familial and marital bonds, which could potentially threaten society as a whole. The study employed a descriptive-analytical approach, focusing on describing and …

Balancing Diagnostic Sensitivity And Operational Efficiency In Mrsa Screening: A Study Of Pooled Multi-Site Swabs With And Without Viral Transport Media Using Genexpert®, Basem A. Jawa, Khulud A. Alhazmi, Khalid M. Alquthami, Ghazi S. Alkhaldi, Afnan O. Baharthi, Abdullah A. Marzogi, Saeed A. Badhdah, Eman A. Mulla, Daee M. Almalki, Atif A. Jahri, Ahmed A. Khan, Atiyah A. Alzahrany, Eman A. Bukhari, Tahani O. Roomy, Noha K. Alqurashi, Rehab G. Alqurashi, Rabab H. Moaminah, Fahd A. Alhejili, Majed M. Shaikh, Lamia H. Mohammed, Salwa N. Andejani, Mansour H. Alqasmi, Salman S. Alsharif, Fawaz F. Qasim, Ghadeer S. Areeshi, Abeer S. Alqarni, Baidaa S. Basudan

Journal of King Abdulaziz University: Medical Sciences

Methicillin-resistant Staphylococcus aureus (MRSA) remains a significant cause of healthcare-associated infections. Early identification of colonized individuals upon hospital admission is essential for effective infection control. This study aimed to evaluate the performance of pooled MRSA screening using the GeneXpert®system (Cepheid) under two conditions: with and without viral transport media (VTM). The goal was to assess the sensitivity of pooling strategies while minimizing reagent use, processing time, and laboratory workload. Swabs were collected from three anatomical sites, the axilla, groin, and nares, from newly admitted patients. Samples were pooled either with VTM or without VTM and then tested using the Xpert®MRSA …

Biofilm-Associated Infections: Mechanisms Of Formation, Resistance, And Emerging Therapeutic Strategies With Special Focus On Biofilm Inhibitors, Karem Ibrahem

Journal of King Abdulaziz University: Medical Sciences

Biofilms are complex, structured microbial communities enclosed within a self-produced extracellular matrix. This matrix allows them to adhere to a variety of surfaces, including medical devices and human tissues. The formation of biofilms poses a significant challenge in clinical settings due to their inherent resistance to antibiotics and to host immune defenses, thereby contributing to the persistence and chronicity of infections. In recent years, considerable attention has been directed towards the development of biofilm inhibitors as a promising therapeutic strategy to prevent biofilm formation, disrupt established biofilms, and enhance the susceptibility of biofilm-embedded bacteria to conventional antibiotics. The aim of …

Faktor-Faktor Yang Berhubungan Dengan Kualitas Hidup Pasien Geriatri Yang Menjalani Hemodialisis, Nurhidayat Mohammad, Czeresna Heriawan Soejono, Aida Lydia, Ikhwan Rinaldi, Muhammad Syafiq, Elizabeth Yasmine Wardoyo

Jurnal Penyakit Dalam Indonesia

Introduction. The decline in quality of life among geriatric patients undergoing hemodialysis has a negative impact on treatment adherence, physical functioning, dietary patterns, and mortality. This study was conducted to assess the quality of life of geriatric hemodialysis patients and its association with comorbidities, functional status, frailty, sarcopenia, nutritional status, depression, hemoglobin levels, hemodialysis vintage, vascular access, and hemodialysis adequacy.

Methods. This study employed a cross-sectional design with primary data collection. Consecutive sampling was used to recruit participants. The study was conducted at the hemodialysis units of Cipto Mangunkusumo National General Hospital (RSCM), Persahabatan National General Hospital (RSP), …

Rekam Medis Elektronik Berbasis Artificial Intelligence: Sudahkan Saatnya Digunakan?, Sukamto Koesnoe

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Korelasi Kadar Serum Vegf-A Dengan Rasio Albumin-Kreatinin Urin Pada Pasien Penyakit Ginjal Diabetik, Hannie Q. Syaiful, Drajad Priyono, Harnavi Harun, Arina W. Murni, Akmal M. Hanif, Eifel Faheri, Arnelis Arnelis, Vesri Yoga

Jurnal Penyakit Dalam Indonesia

Introduction. Diabetic kidney disease (DKD) is a major microvascular complication of diabetes mellitus, characterized by persistent albuminuria and a progressive decline in glomerular filtration rate (GFR), making it a leading cause of chronic kidney disease (CKD) and end-stage renal disease. Vascular endothelial growth factor-A (VEGF-A) is implicated in the pathogenesis of DKD, being overexpressed in the kidneys and contributing to increased vascular permeability, inflammation, and fibrosis. Albuminuria, an early indicator of renal damage in DKD, is a strong predictor of CKD progression and cardiovascular events. The urine albumin-to-creatinine ratio (UACR) is the recommended test for detecting and monitoring albuminuria. …

Kadar Transthyretin Plasma Pada Lanjut Usia Sarkopenia Dan Non-Sarkopenia, R. Ifan A. Fahrurozi, Rose D. Martini, Roza Mulyana, Arina W. Murni, Eva Decroli, Saptino Miro, Deka Viotra, Vesri Yoga

Jurnal Penyakit Dalam Indonesia

Introduction. Sarcopenia is a geriatric syndrome marked by an age-related decline in muscle mass, which is affected by protein intake. Transthyretin is a visceral protein used to evaluate nutritional status and acts as a positive regulator of muscle mass. This study aimed to assess the difference in plasma transthyretin levels between elderly groups with and without sarcopenia.

Methods. This was an analytical observational study with a cross-sectional approach. Subjects were elderly patients who visited the Internal Medicine Polyclinic of Dr. M. Djamil Hospital Padang and met the inclusion and exclusion criteria from August to September 2024. Subjects were …

Optimalisasi Rekam Medis Elektronik Berbasis Artificial Intelligence, Ikhwan Rinaldi, Wahyu Sulistiadi

Jurnal Penyakit Dalam Indonesia

Electronic medical records (EMRs) are essential to modern healthcare systems, yet their implementation continues to face challenges such as disruption of doctor–patient communication, administrative burden, and documentation structures misaligned with clinicians’ clinical reasoning processes. This narrative review aims to assess the limitations of conventional EMRs and examine the potential of artificial intelligence (AI) to improve documentation efficiency, accuracy, and overall clinical performance. The literature indicates that AI technologies, including machine learning, deep learning, and natural language processing, can automate documentation, streamline workflows, enhance decision support, and reduce physician burnout, thereby allowing clinicians to devote more attention to patient care. Nevertheless, …

Faktor Prediktif Post Dialysis Fatigue Sedang Pada Pasien Yang Menjalani Hemodialisis Reguler, Ivan Virnanda Amu, Maruhum Bonar H Marbun, Pringgodigdo Nugroho, Ikhwan Rinaldi, Hamzah Shatri, Nunuk Mardiana, Rudy Hidayat, Endang Susalit, Evy Yunihastuti, Dyah Purnamasari, Elizabeth Y. Wardoyo

Jurnal Penyakit Dalam Indonesia

Introduction. Fatigue is often found in patients with CKD-HD. Fatigue serves as an indicator of mortality and may be a viable target in a treatment strategy. Current research has not established the determinants of moderate PDF in individuals with CKD who are undergoing HD. Therefore, this study was conducted to prove the predictor factors of moderate PDF.

Methods. A retrospective cohort study in CKD-HD patients at Fatmawati Central General Hospital during the period of November-December 2024. The independent variables of this study are comorbidities, MIS, depression, intradialytic SBPV, dialysis vintage, UFG, IDWG, and anemia status. Primary data from …

Pengaruh Ivabradin Terhadap Variabilitas Detak Jantung Pada Gagal Jantung Dengan Fraksi Ejeksi Rendah Akibat Penyakit Jantung Koroner, Handy Kurnia, Charles Limantoro, Friska Anggraini Helena Silitonga, Andreas Arie Setiawan

Jurnal Penyakit Dalam Indonesia

Introduction. Heart failure is one of the major challenges in global health due to its significant contribution to morbidity and mortality. One of the pathophysiological aspects is autonomic nervous system dysfunction which can be monitored through heart rate variability (HRV) parameters. Ivabradine is a pharmacological agent that potentially improves the balance of sympathetic and parasympathetic tone. This study was designed to evaluate the impact of ivabradine administration on HRV parameters in heart failure with reduced ejection fraction (≤40%) due to coronary heart disease in Indonesian population.

Methods. This study used a quasi-experimental research type with a pretest and posttest …

Polisitemia Sekunder Pada Pasien Laki-Laki Muda Dengan Sindrom Nefrotik, Ariani Intan Wardhani, Pringgodigdo Nugroho, Ikhwan Rinaldi, Meilania Sarasawati, Monik Ediana Miranda, Agnes Stephanie Harahap

Jurnal Penyakit Dalam Indonesia

Polycythemia is a condition characterized by an abnormal increase in the total red blood cell mass and is classified into primary and secondary polycythemia. Secondary polycythemia occurs as a physiological response to tissue hypoxia or increased erythropoietin production, without intrinsic abnormalities in erythroid progenitor cells. This condition is rare, particularly when associated with nephrotic syndrome. This report aims to describe a case of secondary polycythemia associated with focal segmental glomerulosclerosis (FSGS). A 20-year-old man presented with generalized edema for five months prior to admission, accompanied by foamy urine. Physical examination revealed peripheral edema and minimal ascites. Laboratory investigations demonstrated massive …

Going Nuclear: Exploring Mtor’S Transcriptional Role In Regulating Estrogen Receptor Positive Breast Cancer, Alek S. Torres

NYMC Student Theses and Dissertations

Global changes in gene expression are orchestrated by an array of transcription factors regulated by both extracellular and intracellular signals. The mechanistic target of rapamycin (mTOR) is a protein kinase that ubiquitously mediates signaling networks across every cell type, in two active complexes, mTORC1 and mTORC2. By phosphorylating its downstream targets, these classically cytosolic complexes regulate protein homeostasis, metabolism, cell growth, proliferation and survival. However, evidence from prostate cancer studies reveals mTOR and its partners can occupy the nucleus, where its interaction with chromatin (in complex with transcription factors) has been shown to regulate gene expression at the level of …

Disruption Of Protein-Protein Interaction Hotspots In The C-Terminal Domain Of Mlh1 Confers Mismatch Repair Deficiency, Keri M. Fishwick, Diego Gomez Vieito, Giada Greco, Giulio Collotta, Marco Gatti, Anastasija A. Kulik, Raphaël Guérois, Ivan Corbeski, Ashutosh S. Phadte, Issam Senoussi, Petr Cejka, Anna Pluciennik, Antonio Porro, Alessandro A. Sartori

Department of Biochemistry and Molecular Biology Faculty Papers

MutLα, a heterodimer of MLH1 and PMS2, plays a key role in DNA mismatch repair (MMR), which maintains genomic stability by correcting replication errors. Loss of MLH1 function causes MMR deficiency (MMRd), leading to elevated mutation rates and increased cancer susceptibility. However, MMRd can offer a therapeutic advantage, as high tumour mutational burden enhances the efficacy of immune checkpoint inhibition. MMR also drives somatic expansion of CAG repeats linked to Huntington’s disease (HD) pathogenesis. The C-terminal domain (CTD) of MLH1 contains at least two distinct protein–protein interaction (PPI) sites. The S1 site supports heterodimerization with the PMS2 endonuclease, whereas the …

Occupational Resilience (Part 1): Origins And Significance To Health And Well-Being, Bernard A. Muriithi, Jyothi Gupta

Occupational Therapy Faculty Scholarship

Occupational resilience (OR) is a novel concept emerging in occupational therapy and occupational science, with significant implications for the field. However, its definition is still evolving and needs clarity and consensus. In this article, we offer a definition inspired by the real-life experiences of refugee immigrants who have been resettled in the United States of America (USA). We define OR as the ability to persist in an occupation, where the duration and intensity of engagement are the essential contributors. Therefore, we propose that three elements, occupation, intensity, and duration, constitute the nature of OR and shape how occupation impacts health, …