International Journal of Health Engineering and Technology

Development Of A Realtime IoT Smart Home Monitoring System Using ESP8266, ThingsBoard, And Telegram Bot

2026-05-29T01:51:36+00:00

The rapid advancement of Internet of Things (IoT) technology has significantly contributed to the development of intelligent automation systems for residential environments. This study aims to design and implement an IoT-based Smart Home system using the NodeMCU ESP8266 microcontroller for realtime monitoring and control applications. The proposed system integrates several hardware components, including the YF-S201 water flow sensor for monitoring water flow rate and total water consumption, the MQ2 gas sensor for gas leakage detection, a 3-channel relay module for household lighting control, and a buzzer alarm as an early warning mechanism. Furthermore, the system is integrated with ThingsBoard Cloud and Telegram Bot to support realtime monitoring, remote control, and automatic notification services through internet communication using the MQTT protocol. This research employed an experimental method with a prototype-based development approach involving system requirement analysis, hardware and software design, system integration, implementation, and performance testing. The system was implemented and tested at a residential environment located in North Lampung Regency, Indonesia. The testing process evaluated the performance of water monitoring, gas detection, notification delivery, and lighting control functionalities. The results demonstrated that the developed Smart Home system successfully performed realtime monitoring of water flow rate, total water usage, gas leakage conditions, and remote lighting control through cloud-based communication. The water flow sensor achieved an average reading of 8.82 liters per minute with cumulative water usage reaching 50 liters during testing. In addition, the MQ2 gas sensor successfully detected dangerous gas conditions and automatically activated the buzzer alarm while simultaneously sending warning notifications through Telegram Bot with a testing success rate of 100%. The relay module also successfully controlled all household lighting devices remotely through the ThingsBoard dashboard with stable MQTT communication and low delay response. Overall, the developed IoT-based Smart Home system demonstrated strong capability in improving household monitoring efficiency, environmental safety, and user convenience through intelligent realtime automation technology.

Analysis Of Financing Risk Optimization At XYZ Multifinance Company Through A Credit Score Clustering Approach

2026-06-09T02:02:43+00:00

This research a credit scoring model to optimize financing risk in Multifinance Company XYZ, which has a Non-Performing Financing (NPF) rate of 2.8%, exceeding the company’s target of 2%. The development is carried out using Oracle Development Suite with the CRISP-DM methodology, covering the stages of business understanding, data understanding, data preparation, modeling, evaluation, and deployment. The dataset consists of 250 customer records from the period 2015–2025, with 101 initial variables that are subsequently reduced to 14 predictive variables based on correlation analysis and credit scoring domain knowledge. A K-Nearest Neighbor (KNN) classification model with K = 3 is developed using Oracle Data Miner to classify borrower risk into three categories: LOW, MEDIUM, and HIGH. Testing results on 50 testing data show that the model achieves an accuracy of 98%, precision of 97.5%, and recall of 100% for the HIGH-risk class. A 5-fold cross-validation confirms the model’s consistency with a mean accuracy of 97.6% (±1.1%). Implementation using PL/SQL and Oracle Forms produces a real-time scoring system with a processing time of less than 5 seconds per application, compared to 5–7 days in the previous manual proces.

Designing A Geographic Information System Website For Tourism In Sukabumi Regency Using The Design Thinking Method

2026-07-02T12:12:19+00:00

The rapid development of digital technology has transformed the dissemination of tourism information, including weh-based tourim services. However, tourism information in Sukabumi Regency remains fragmented, with limited integration, an unattractive interface, and insufficient digital promotional media. This study aims to design the User Interface (UI) and User Experience (UX) of the Sukabumi Regency Tourism Geographic Information System (GIS) website using the Design Thinking method. The Design Thinking approach was selected because it emphasizes user needs through five stages: empathize, define, ideate, prototype, and test. Data were collected through interviews and observations involving tourists, administrators, and tourism managers to identify user needs and existing problems. The findings were analyzed using a User Journey Map and How Might We (HMW) framework to define design opportunities. Design solutions were then developed through mind maps, user flows, wireframes, and UI fundamentals, followed by the creation of an interactive prototype using Figma. The prototype was evaluated using the System Usability Scale (SUS) with fifteen respondents representing the three user groups. The evaluation produced an average SUS score of 69.8, which falls into Grade B, with a “Good” adjective rating and an “Acceptable” usability range. These findings indicate that the proposed website provides satisfactory usability, is easy to use, and effectively meets user needs.

Design And Development Of A Web-Based Event Organizer Management Application At CV. Cipta Abadi Organizer Using The Extreme Programming Method

2026-07-07T00:51:27+00:00

The increasing complexity of event organizer operations requires an integrated management application to improve administrative efficiency, coordination, and activity monitoring. This study aimed to design and develop a web-based Event Organizer Management application for CV. Cipta Abadi Organizer using the Extreme Programming (XP) method. This research employed a Research and Development approach with the Extreme Programming software development methodology. The population comprised all event management activities at CV. Cipta Abadi Organizer, while the sample focused on operational processes, including client management, vendor management, event scheduling, and event progress monitoring. Data were collected through observation and interviews, while data analysis was conducted by identifying user requirements, modeling the system using Unified Modeling Language (UML), implementing the application with Laravel and MySQL, and evaluating functionality through Test-Driven Development testing. The results indicate that the developed application successfully integrates client, vendor, event, rundown, and field log management, while all tested features function according to user requirements. It also improves data organization, operational coordination, and monitoring efficiency. In conclusion, the developed application is suitable for supporting integrated event organizer operational management and provides a practical digital solution for improving organizational performance.

Implementation Of An Internet Of Things (IoT)-Based Indoor Air Quality Monitoring System: A Case Study Of PT. Bianglala Metropolitan

2026-07-18T00:30:18+00:00

This research aims to develop an indoor air quality monitoring system using the ESP32-S3 equipped with gas, temperature, and humidity sensors. The introduction discusses the background of indoor air quality issues and the importance of real-time monitoring. The research objective is to design and implement a prototype device capable of efficiently detecting and monitoring air quality parameters. The methodology involves developing a prototype device by integrating gas, temperature, and humidity sensors into the ESP32-S3. Subsequently, testing is conducted to evaluate the prototype's performance in measuring and monitoring air quality indoors. The results indicate that the prototype successfully measures and monitors gas concentration, temperature, and humidity accurately. Monitoring data can be accessed in real-time through applications or web-based platforms. These findings suggest that the development of this system can be an effective solution for indoor air quality monitoring in various enclosed spaces. The conclusion of this research states that the implementation of gas, temperature, and humidity sensors in the development of an indoor air quality monitoring system using the ESP32-S3 has successfully achieved its intended goals. This system can serve as a foundation for further development to enhance monitoring and control of air quality in various indoor environments.

An Overview Of The Effect Of Online Gaming On The Grade Point Average (GPA) Of Faculty Of Medicine Students At YARSI University, Class Of 2023–2024, And Its Review From An Islamic Perspective

2026-05-31T23:07:22+00:00

The development of online gaming potentially triggers addictive behaviors that could disrupt time management and decrease the Cumulative Grade Point Average (GPA) of medical students under a rigorous curriculum. In Islam, gaming is permissible (mubah) as long as it is beneficial and does not neglect academic or religious duties. This study aims to determine the influence of online gaming on the GPA of Medical Students at YARSI University Class of 2023–2024 and its review from an Islamic perspective. This quantitative study with a survey design utilized a total sampling technique on active medical students of YARSI University Class of 2023–2024. A total of 272 respondents were obtained via an anonymous online questionnaire. Data were analyzed using the non-parametric Spearman Rank Correlation test. About 61.8% (168 students) of respondents were online gamers and 38.2% (104 students) were non-gamers. The average GPA was high (3.44 ± 0.29). The Spearman correlation test showed a correlation coefficient (r) = -0.053 with a significance value (p) = 0.496 (p>0.05). No significant difference was found in religious discipline between gamers and non-gamers. There is no statistically significant relationship between online gaming activities and the GPA of YARSI University medical students Class of 2023–2024 due to good self-regulation and time management. Based on the Islamic review, online gaming among respondents is categorized as mubah because it causes no harm or negligence (al-laghwu).

Spatial Modeling Of Proboscis Monkey (Nasalis larvatus) Habitat Suitability Using Maximum Entropy In Tabunganen District

2026-07-11T02:45:54+00:00

The proboscis monkey (Nasalis larvatus) is a primate endemic to Borneo Island that faces threats due to habitat degradation and fragmentation. This study aims to analyze environmental factors influencing the presence of proboscis monkeys and model their habitat suitability in Tabunganen District, Barito Kuala Regency. The study used 18 proboscis monkey presence points monitored by the South Kalimantan Natural Resources Conservation Agency in 2025 and seven environmental variables analyzed using the Maximum Entropy method. The model produced an Area Under Curve value of 0.936, indicating excellent predictive ability. Distance from rice fields contributed the largest contribution (64.7%), followed by distance from gardens (14.2%) and distance from rivers (9.3%). The modeling results indicate that most areas fall into the low suitability class, while habitats with moderate to high suitability are concentrated in mangrove areas, riparian vegetation, and areas adjacent to rivers. These findings can be used as a basis for habitat management and determining proboscis monkey conservation priorities in Tabunganen District.

Prototype Of An RFID-Based Door Lock System Using An ESP32 Microcontroller With Telegram Notifications

2026-07-14T01:33:40+00:00

Door security is an important aspect of restricting access and protecting assets from unauthorized use. This study aims to design and develop a door lock prototype based on the ESP32 microcontroller by integrating an RFID RC522 module, a 4×4 matrix keypad, a 16×2 I2C LCD, an SG90 servo motor, LEDs, a buzzer, and a Telegram Bot for monitoring and remote control. The system implements RFID card and keypad password authentication, equipped with an automatic blocking feature after three consecutive incorrect password attempts and real-time notifications via Telegram. Testing results showed that the ESP32 Expansion Board received an input voltage of 12.28 VDC and successfully distributed operating voltages to all components, including 3.2 VDC for the RFID RC522, 5 VDC for the 16×2 I2C LCD and SG90 servo motor, and approximately 3 VDC for the LEDs. The RFID module was able to read cards at a maximum distance of 4 cm, while the servo motor successfully opened the door for 5 seconds through RFID and keypad authentication, and 3 seconds through Telegram commands. All components operated according to the design, demonstrating that the system can enhance door access security, support real-time activity monitoring, and provide a practical and reliable Internet of Things (IoT)-based door security solution.

Overview Of The Level Of Knowledge About Anemia Among Pregnant Women In The Coastal Area Of Bengkulu City

2026-07-15T05:04:02+00:00

Anemia among pregnant women remains a significant health problem that can increase the risk of complications for both the mother and the fetus. One of the factors influencing the occurrence of anemia is the level of knowledge possessed by pregnant women. This study aimed to describe the level of knowledge about anemia among pregnant women in the coastal area of Bengkulu City. This research employed a quantitative descriptive design with a cross-sectional approach. The population consisted of all pregnant women in the first, second, and third trimesters who were registered in the working areas of Kandang Health Center, Padang Serai Health Center, and Pasar Ikan Health Center, totaling 738 individuals. A sample of 89 respondents was selected using purposive sampling. Data were collected through questionnaires and analyzed using univariate analysis presented in the form of frequency distributions. The results showed that most respondents were aged 20–35 years. The level of knowledge regarding anemia among pregnant women was predominantly in the good category, with 81 respondents (64.8%), followed by the moderate category with 41 respondents (32.8%), and the poor category with 3 respondents (2.4%). In conclusion, the level of knowledge about anemia among pregnant women in the coastal area of Bengkulu City was predominantly categorized as good.

Management Of Recurrent Aphthosal Stomatitis (SAR) Cases Through A Communication, Information And Education (KIE) Approach

2026-06-24T01:07:34+00:00

Recurrent aphthosis stomatitis (SAR) is a common inflammatory condition of the oral cavity characterized by a round or oval ulcer with a yellowish-white color with erythema edges and occurs repeatedly. SARs can be classified into 3 types based on their number and size, namely minor SAR, major SAR, and herpetiform SAR. Factors that can cause SAR are in the form of hematology, genetics, immunology and hormonal. To determine the management of cases of Recurrent Aphthosal Stomatitis (SAR) et causa stress and nutritional deficiency through the KIE approach. A 23-year-old man came with a complaint of canker sores on the buccal mucosa of the right upper jaw. The patient complained of canker sores since 3 days ago and the complaints recur about once every 2-3 months. On intraoral examination, there was an oval-shaped ulceration, clearly bordered, white base and surrounded by erythema halo, measuring 3x2 mm on the buccal mucosa of the right upper jaw and symptomatic. Patients are given multivitamin supplements and focus more on the provision of Communication, Information and Education (KIE). Patients are given information about the triggering factors that can cause SAR, namely due to psychological stress. Patients are also given education about oral hygiene, increasing mineral water consumption, consuming vegetables and fruits and managing stress. An approach through Communication, Information and Education (KIE) and psychological support for SAR sufferers due to stress factors is more effective, such as directing patients to manage their stress management with a healthier lifestyle and diet to accelerate the healing process of lesions. If needed, patients can be referred to a psychologist/psychiatrist for psychological support.

Analysis Of The Level Of Acceptance And Satisfaction Of QRIS Payment Technology Users Using TAM And EUCS

2026-07-02T12:14:54+00:00

The rapid development of digital payment technology has accelerated the adoption of the Indonesian Quick Response Code Standard (QRIS) as a practical and efficient payment method. Generation Z, particularly students, is one of the main user groups due to their high level of digital literacy and technology adoption. This study aims to analyze the acceptance of QRIS technology using the Technology Acceptance Model (TAM), evaluate user satisfaction through the End User Computing Satisfaction (EUCS) model, and examine the relationship between technology acceptance and user satisfaction among students at Nusa Putra University. A quantitative research approach was employed using Partial Least Squares-Structural Equation Modeling (PLS-SEM) with SmartPLS software. Data were collected through questionnaires distributed to 155 Generation Z students who had experience using QRIS. The findings indicate that both technology acceptance and user satisfaction are categorized as very high. Perceived Usefulness, Behavioral Intention, Accuracy, and Format significantly influence user satisfaction, whereas Perceived Ease of Use, Content, Ease of Use, and Timeliness show no significant effect. The model demonstrates moderate explanatory power of Behavioral Intention (R2=0,589) and strong explanatory power for User Satisfaction (R2=0,839). Furthermore, Behavioral Intention positively mediates the relationship between technology acceptance and user satisfaction.

Web-Based Decision Support System For Selecting The Best Field Work Practice Placement Using The Topsis Method

2026-07-12T03:02:55+00:00

The selection of an optimal internship placement represents a significant challenge for students and schools due to the large number of partner companies available and the diversity of evaluation criteria involved. This study develops a Decision Support System (DSS) to determine the best internship placement using the TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) method. The system was developed using PHP and MySQL technologies and is accessible through a web browser to facilitate user access and interaction. The study utilized data from 10 internship partner companies of SMK Islam Nusantara Comal in 2024, evaluated based on five criteria: distance, position quota, field suitability, facilities, and company reputation. The calculation results indicate that PT Laksana Manufacturing ranked first with a preference value of 0.7884. The developed system proved effective in supporting objective and efficient decision-making processes.

Development Of A Web-Based Machine Learning Application For Identifying Students’ Interests And Talents In Surabaya

2026-06-30T00:55:09+00:00

This study aims to develop a web-based machine learning application that can identify students’ interests and talents in Surabaya in a more accurate and systematic manner. A mixed-method approach was employed, combining quantitative and qualitative methods to obtain comprehensive results in the system development process. Data were collected from 100 high school students, covering academic performance, cognitive abilities, personality traits, and social skills. The data were then processed through preprocessing stages, including normalization, handling missing values, and outlier removal to ensure data quality for modeling. The dataset was split into 50% training data and 50% testing data to build and evaluate the model using the Random Forest algorithm, which operates through bootstrapping, random feature selection, and majority voting. Model evaluation was conducted using accuracy, precision, recall, and F1-score metrics, and further validated through cross-validation to ensure model generalization and reduce overfitting. The research variables include academic data, non-academic data, and psychometric test results as independent variables, while the dependent variables are major recommendations and user satisfaction levels. The evaluation results show that the system performs well with an accuracy of 83%, precision of 87.5%, recall of 80%, and F1-score of 88.52%. The system was developed using Vue.js, Express.js, and Python and can be accessed via both desktop and mobile devices. Overall, the system effectively assists students in identifying their potential and supports more structured educational planning.

Design And Construction Of A Web-Based Point Of Sale Application For The Bakso Cirawang Rayu Business Using The Extreme Programming Method

2026-07-07T00:49:27+00:00

Manual transaction management in culinary MSMEs still causes various obstacles, such as recording errors, transaction calculations, and sales data management. This study aims to design and build a web-based Point of Sale (POS) application at Bakso Cirawang Rayu using the Extreme Programming method. This study uses the Extreme Programming (XP) method in application development. The scope of the study focused on the process of recording orders, sales transactions, transaction history, sales reports, and estimating soup availability. The research instruments were in the form of interview guidelines, observations, and literature studies. Data were analyzed descriptively to identify user needs as a basis for system design. The results showed that the application was successfully developed with login features, dashboards, menu management, cashier management, sales transactions, reports, and soup availability estimation. Test results showed that all features functioned according to their functions, thus supporting the transaction process and sales data management. In conclusion, the web-based POS application developed using Extreme Programming was able to improve operational efficiency, reduce human error, and assist decision making at Bakso Cirawang Rayu.

The Effect Of Transformational Leadership On Employee Performance And Organizational Commitment

2026-07-17T07:18:19+00:00

Leadership plays an important role in determining organizational success in achieving its goals. In today’s dynamic business environment, organizations require adaptive leadership capable of improving employee performance and organizational commitment. This study aims to analyze the effect of transformational leadership on employee performance and organizational commitment. This study employed a qualitative approach using a literature review method. Data were collected from scientific sources, including books, national and international journals, and relevant academic publications. The selected literature was analyzed descriptively to identify patterns and relationships between transformational leadership, employee performance, and organizational commitment. The findings indicate that transformational leadership has a positive and significant effect on employee performance and organizational commitment. Through its four main dimensions, namely idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration, transformational leadership creates a conducive work environment and encourages employees to perform beyond expectations. The study also found that the influence of transformational leadership can occur directly or indirectly through mediating variables such as organizational commitment, employee engagement, employee empowerment, self-efficacy, and organizational citizenship behavior. In conclusion, transformational leadership is an effective strategy for improving employee performance, strengthening organizational commitment, and supporting sustainable organizational success.

Signalized Intersection Optimization Using PKJI 2023 And Webster For Emission Reduction

2026-06-18T00:50:30+00:00

This research is motivated by the increasing traffic volume in Bantul Regency, which has led to a decline in the performance of signalized intersections and an increase in motor vehicle emissions. The purpose of this study is to evaluate the performance of Klangon 3-way intersection, Sedayu 4-way intersection, and Pedes 4-way intersection and to analyze the effectiveness of optimization using PKJI 2023 and the Webster method on traffic performance and emissions. This study uses a quantitative, descriptive, evaluative approach. The study population is all vehicle flows at signalized intersections, while the sample is determined by purposive sampling based on high-volume intersections during peak hours. The research instruments include a CTMC survey, intersection inventory forms, and geometric measurements. Data analysis techniques are carried out using PKJI 2023 to calculate capacity, degree of saturation, delay, and queue length, as well as the Webster method for signal time optimization, followed by emission estimation based on the LAPI-ITB model. The results showed that the Webster method significantly reduced delays and queue lengths, while the combined scenario provided the best results, with a delay reduction of up to 66.29 percent and reduced emissions due to reduced vehicle idle time. The study concluded that signal optimization and intersection geometric improvements are effective in improving traffic performance while reducing vehicle emissions.

Regulatory Disharmony In Mining Downstream Policies: Ensuring Investment Certainty And Environmental Protection In Indonesia

2026-07-14T01:29:29+00:00

Indonesia's mining downstream (hilirisasi) policy, grounded in Law Number 3 of 2020 on Mineral and Coal Mining and Law Number 11 of 2020 on Job Creation, faces serious challenges stemming from regulatory disharmony that threatens investment certainty and weakens environmental protection. This study aims to analyze three main dimensions of such disharmony: first, the normative conflict between centralization of mining authority and regional government authority under Law No. 23 of 2014; second, the "green economy" paradox between promoting nickel downstream for the global electric vehicle supply chain and tangible ecological damage on the ground; third, the fragmentation of environmental responsibility following the establishment of Danantara as a Sovereign Wealth Fund. This research employs a normative juridical method with statutory, conceptual, and comparative approaches. The findings indicate that regulatory disharmony creates normative vacuums in local-level environmental oversight, generates risks of greenwashing in Indonesia's green economic diplomacy, and obscures the locus of responsibility between parent companies and operating subsidiaries for environmental compliance. This study recommends the establishment of an integrative legal instrument mandating ESG (Environmental, Social, and Governance) internalization as a precondition for business certainty, supported by multi-level oversight mechanisms that preserve meaningful regional roles.

Fruit Freshness Classification Based On A Custom Sequential Convolutional Neural Network

2026-06-21T02:12:56+00:00

To date, merchants and consumers in both traditional and modern markets generally still rely on direct visual observation to determine fruit freshness, a method that is highly subjective and often inconsistent. Deep Learning (DL) offers a relevant automation solution to this problem. This study applies a custom Sequential Convolutional Neural Network (CNN) architecture to simultaneously classify the type and freshness level of apples, bananas, and oranges into six classes. Using a Research and Development (R&D) approach, the model was trained on 8,400 images from Kaggle, divided into 80% training, 10% validation, and 10% testing data. The architecture consists of five convolutional layers (32 to 512 filters), reinforced with a 0.5 dropout rate and an EarlyStopping mechanism to prevent overfitting. The model achieved a test accuracy of 98.92% with a loss value of 0.1404. The trained model was integrated into a web application named "Know Your Fruits" using the Flask framework. Black Box Testing on 30 independent images from the internet showed that the application could adaptively predict fruit freshness across various backgrounds, with a misprediction rate of 6.67% caused by early-stage decay and geometric distortion from advanced rotting.

Factors Influencing Compliance With The Use Of Personal Protective Equipment By PT. Wiradijaya Workers In 2026

2026-06-12T00:46:00+00:00

Occupational safety and health is an important aspect in industries with high work risks, including the oil and gas sector. Compliance with the use of personal protective equipment (PPE) is one of the main efforts to prevent occupational accidents and diseases. This study aims to identify factors associated with PPE use compliance among workers at PT. Wiradijaya in 2026. The study used an analytical observational design with a cross-sectional approach involving 90 workers selected by total sampling. Data were collected using validated and reliable questionnaires. The variables studied included knowledge, attitudes, supervision, motivation, and PPE use compliance. Data analysis was performed using the Chi-Square test. The results showed that most respondents had high compliance in PPE use (55.6%), good knowledge (53.3%), good attitudes (71.1%), good supervision (67.8%), and high work motivation (58.9%). Bivariate analysis indicated significant relationships between knowledge and PPE compliance (p=0.022), attitude and PPE compliance (p=0.016), supervision and PPE compliance (p=0.001), and work motivation and PPE compliance (p=0.037). Supervision was identified as the strongest factor associated with compliance. It can be concluded that individual and organizational factors influence workers' PPE compliance. Strengthening supervision, continuous safety training, and increasing worker motivation are recommended to improve PPE use compliance in the workplace.

Improving Students' Knowledge About The Importance Of Physical Activity Through Health Counseling At Mts Al Madani Sasak Panjang Bogor School

2026-06-25T09:22:56+00:00

Lack of physical activity among adolescents is becoming an increasingly worrying global health problem. WHO data (2022) shows that more than 80% of adolescents worldwide are not physically active enough, while the 2018 Basic Health Research (Riskesdas) recorded that 33.5% of Indonesia's population aged ≥10 years were physically inactive, with West Java reaching 37.5%. This study aims to determine the increase in students' knowledge about the importance of physical activity through health education based on the Health Belief Model (HBM) at MTs Al Madani Sasak Panjang, Bogor Regency. The study used a descriptive qualitative approach with pre-test and post-test questionnaire instruments administered in May 2026 to 9th grade students. The results showed an increase in three HBM components: perceived susceptibility increased from 23 to 26, perceived severity from 27 to 28, and perceived barriers from 18 to 22. Meanwhile, perceived benefits did not change (remained at 44), indicating a ceiling effect because students already had a fairly good understanding of the benefits of physical activity before the intervention. The largest improvement occurred in the perceived barriers component, indicating students were increasingly aware of real barriers such as limited time, laziness, lack of facilities, and the influence of device use. It was concluded that HBM-based health education was effective in increasing students' awareness of the risks and barriers to physical activity. Schools are advised to make this program a routine and ongoing activity, with concrete strategies to address the identified barriers.

The Relationship Between Parental Involvement With Pain And Anxiety Levels Among Preschool Children During Invasive Procedures

2026-07-01T10:06:01+00:00

Hospitalization can be a stressful experience for children, especially when they undergo invasive procedures, which often cause pain and anxiety, which can impact their physical and psychological well-being. This can lead to trauma during hospitalization. This study aimed to identify the relationship between parental involvement and pain and anxiety levels in preschool children during invasive procedures. This study used a quantitative approach and research’s design was a cross-sectional survey. A total of 52 children aged 3-6 years (preschool) with non-oncology cases were treated at the Private Hospital “X” in Medan with purposive sampling. The instruments in this study were questionnaires and pain scale observation. Bivariate test used the non-parametric Spearman's Rho test. The results showed that there was no significant relationship between parental involvement and preschool children's pain level during invasive procedures and there was a significant relationship between parental involvement and anxiety level of preschool children undergoing invasive procedures. Parents' inability to provide appropriate support has the potential to worsen the child's emotional condition, which in turn increases the risk of failure of the procedure, prolongs the duration of the procedure, and adds to the psychological burden on health workers. It is recommended that further researchers conduct intervention studies to identify parental involvement during hospitalization.

Automatic Chicken Egg Hatching Using The Fuzzy Logic Control Method In An Effort To Increase Hatching Rates

2026-07-08T02:22:02+00:00

The process of hatching chicken eggs requires stable temperature and humidity control for optimal embryo development. This study aims to design and implement an automatic chicken egg hatching system based on Fuzzy Logic Control to control the temperature and humidity of the incubator adaptively. The study uses a design method with the Mamdani Fuzzy Logic approach. The object of the study is an automatic chicken egg hatching system, while the research sample is data from temperature and humidity sensor readings and actuator responses during the testing process. The research instruments consist of a DHT22 sensor, an ESP8266 microcontroller, a relay module, a heating lamp, a fan, a roller motor, an irrigation system, and a 16x2 LCD. Data analysis is carried out through functional testing of the system and evaluation of temperature and humidity control capabilities based on fuzzy inference results. The results of the study showed that the system was able to maintain the temperature in the range of 37.5–37.7°C with an average of 37.6°C and humidity in the range of 51.1–51.7% RH with an average of 51.44% RH, and run the actuator automatically according to the rules of Fuzzy Logic Mamdani. It was concluded that the system was able to maintain the stability of the incubator conditions so as to support the process of hatching chicken eggs automatically and adaptively.

Document File Security Using The Rsa Algorithm

2026-07-14T01:34:29+00:00

The rapid development of digital technology has increased the need for secure document storage and transmission, especially for confidential information. This study aims to develop a web-based document security application using the RSA (Rivest–Shamir–Adleman) algorithm to protect document contents from unauthorized access. The research method used is Research and Development (R&D) with the Software Development Life Cycle (SDLC) Waterfall model, consisting of planning, analysis, design, implementation, and testing stages. The application was developed using PHP and implemented to secure DOCX, PDF, and XLSX document formats with a maximum file size of 2 MB. The RSA algorithm was applied through encryption using a public key and decryption using a private key. System testing was performed using Black-box Testing and Avalanche Effect analysis to evaluate application performance. The results show that the application successfully encrypts and decrypts document files while maintaining the original document contents after the decryption process. The Avalanche Effect testing obtained an average value of 49.99%, indicating that the RSA algorithm provides adequate security in protecting document contents. Therefore, the developed application can be used as an alternative solution for securing confidential digital documents.

Impact Of A Transfer Of Knowledge And Skill Based Intervention On Caregivers’ Knowledge, Attitudes, And Practices In Badung Regency

2026-01-11T03:56:13+00:00

Early childhood is a critical period characterized by rapid growth and development, requiring adequate nutritional intake and appropriate caregiving practices. This study aimed to examine the effectiveness of the Transfer of Knowledge and Skill (TKS) model in improving caregivers’ knowledge, attitudes, and childcare practices related to nutrition. A quasi-experimental study was conducted from July to October 2025 in Canggu Village (North Kuta District) and Pererenan Village (Mengwi District). A total of 58 caregivers were divided into a control group receiving conventional caregiving and an intervention group receiving the Transfer of Knowledge and Skill model. Data were analyzed using independent samples t-tests for homogeneous data and Mann–Whitney tests for non-homogeneous data, with a significance level of α = 0.05. The results showed greater improvements in the intervention group compared to the control group, particularly in knowledge (113.2% vs. 41.5%) and attitudes (66.6% vs. 9.9%). Positive caregiving practices increased in both groups by 13.3%. No significant differences were found between groups before the intervention; however, significant differences in knowledge, attitudes, and practices were observed after the intervention (p < 0.05). The Transfer of Knowledge and Skill model is recommended as an effective approach to improving nutrition-related caregiving practices and preventing stunting in early childhood.

The Effect Of Service Quality On Inpatient Satisfaction At Syekh Yusuf Regional General Hospital, Gowa Regency

2026-06-03T08:52:26+00:00

Globally and nationally, patient satisfaction levels still fall short of SPM standards, especially in government hospitals. The decline in visits and patient satisfaction indicates a gap in healthcare service quality that needs to be addressed. This study aims to analyze the effect of service quality on inpatient satisfaction at Syekh Yusuf Regional Hospital, Gowa Regency. This study used a quantitative method with an observational analytical approach and a cross-sectional design. A total of 135 respondents were selected using purposive sampling. Data were collected through questionnaires and analyzed using chi-square and multiple linear regression. The results showed that all dimensions of service quality (SERVQUAL)—tangibles (p=0.039), reliability (p=0.002), responsiveness (p=0.016), assurance (p=0.000), and empathy (p=0.000)—had a positive and significant effect on patient satisfaction. The most dominant variable influencing patient satisfaction was assurance (β=0.285). Although the quality of inpatient services at Syekh Yusuf Regional Hospital was generally good (43%), improvements are still needed in several service aspects to optimize patient satisfaction and improve the quality of healthcare services.

The Effect Of Ergonomic And Physical Work Environment Factors On Musculoskeletal Disorders (Msds) In Batik Craftsmen In Danau Teluk District

2026-06-13T01:04:17+00:00

Musculoskeletal disorders (MSDs) are disorders of the muscular and skeletal systems commonly experienced by workers due to unergonomic work postures, repetitive movements, long work durations, and unsupportive physical work environments. Batik artisans are among the workers at risk of developing MSDs because batik-making activities are static, repetitive, and performed over long periods. This study aims to determine the influence of ergonomic and physical work environment factors on musculoskeletal disorders (MSDs) among batik artisans in Danau Teluk District. This study used a quantitative method with an observational analytical cross-sectional design. The study was conducted among batik artisans in Danau Teluk District, Jambi City, with a sample of 40 respondents using a total sampling technique. Data were collected through interviews, observations, temperature and lighting measurements, and assessment of work posture using the Rapid Upper Limb Assessment (RULA) method and MSD complaints using the Nordic Body Map (NBM). Data were analyzed using the Chi-Square test and logistic regression at a 95% confidence interval. The study showed that 17 respondents (42.5%) experienced high-grade MSDs. There was a relationship between work posture (p-value = 0.001), work duration (p-value = 0.000), repetitive motion (p-value = 0.000), and lighting (p-value = 0.000) and the incidence of MSDs. Meanwhile, temperature had no relationship with the incidence of MSDs (p-value = 0.131). The results of the multivariate analysis showed that work posture was the most influential factor on the incidence of MSDs with a p-value = 0.006 and Exp(B) = 64.000. Ergonomic and physical work environment factors influence the incidence of Musculoskeletal Disorders (MSDs) among batik artisans in Danau Teluk District. Work posture is the dominant factor influencing the incidence of MSDs in batik artisans.

The Relationship Between Vitamin D Intake In Toddlers Aged 6–24 Months And The Severity Of Stunting

2026-06-20T12:26:04+00:00

Stunting is one of the major nutritional problems in Indonesia, with a prevalence of 21.6% based on the 2022 Indonesian Nutritional Status Survey (SSGI). Vitamin D deficiency may contribute to impaired child growth and increased severity of stunting. To analyze the relationship between vitamin D intake and the severity of stunting among children aged 6–24 months in the working area of Bagu Public Health Center, Central Lombok Regency. Methods: T This study used a cross-sectional design involving 43 mothers with stunted and severely stunted toddlers selected through total sampling. Vitamin D intake was assessed using a 24-hour food recall method and analyzed with NutriSurvey 2007. Data were analyzed using Spearman’s Rank Correlation test with a significance level of α = 0.05. This study used a cross-sectional design involving 43 mothers with stunted and severely stunted toddlers selected through total sampling. Vitamin D intake was assessed using a 24-hour food recall method and analyzed with NutriSurvey 2007. Data were analyzed using Spearman’s Rank Correlation test with a significance level of α = 0.05. There was no significant relationship between vitamin D intake and the severity of stunting (p = 0.595; rₛ = 0.083). Most toddlers were aged 12 to <24 months (97.7%), male (58.1%), had received supplementary feeding programs (100%), and had a history of recurrent infections (67.4%). All toddlers had vitamin D deficiency (100%), with the main dietary sources derived from animal-based foods (74.4%). Vitamin D intake was not significantly associated with the severity of stunting among toddlers in the working area of Bagu Public Health Center, Central Lombok Regency.

Analysis Of Residential Environmental Health Factors And The Incidence Of Tuberculosis: A Cross-Sectional Study

2026-06-27T03:57:14+00:00

Pulmonary tuberculosis remains a major public health problem, particularly in areas where residential environmental conditions do not meet healthy housing standards. Poor ventilation, inadequate natural lighting, unsuitable humidity, overcrowding, and inappropriate room temperature may increase the risk of domestic tuberculosis transmission. This study aimed to analyze the relationship between residential environmental health factors and the incidence of pulmonary tuberculosis in Batu Belang Jaya Village, the working area of Muaradua Public Health Center, South Ogan Komering Ulu Regency. This study used an analytical quantitative design with a cross-sectional approach. The study population consisted of 1,002 heads of households, and 286 respondents were selected using simple random sampling. Data were collected through interviews, observation, and direct measurement of residential environmental conditions. House ventilation was measured using a measuring tape, natural lighting was measured using a digital lux meter, and air humidity and room temperature were measured using a digital thermo-hygrometer. Data were analyzed using the Chi-square test with a significance level of 0.05. The results showed that 84 respondents (29.4%) were identified as pulmonary tuberculosis cases. The Chi-square test showed significant relationships between pulmonary tuberculosis incidence and house ventilation (p = 0.015), natural lighting (p = 0.038), air humidity (p = 0.014), occupancy density (p = 0.012), and room temperature (p = 0.046). Residential environmental health factors were significantly associated with pulmonary tuberculosis incidence. Environmental surveillance and healthy housing interventions should be strengthened to reduce household transmission risk.

The Relationship Between Teachers' Self-Efficacy Regarding First Aid And Injury Management At SDIT Al Mumtaz West Kalimantan

2026-07-05T04:30:17+00:00

Injuries in school-aged children are a significant and frequent health problem in the school environment. Teachers, as first responders, play a crucial role in providing first aid to prevent further complications. However, teachers' self-efficacy in first aid and injury management remains a significant concern. The purpose of this study was to identify the relationship between teachers' self-efficacy regarding first aid and their injury management skills at SDIT Al Mumtaz, West Kalimantan. This study used a cross-sectional design with a sample of 62 teachers. Data collection was conducted using a valid and reliable questionnaire regarding self-efficacy and injury management skills. Statistical tests used descriptive statistics and the Spearman rank correlation test with a p-value of 0.05. Most teachers had moderate self-efficacy (61.3%) and fairly satisfactory injury management skills (65%). However, the correlation test showed no significant relationship between teachers' self-efficacy and injury management skills (p=0.418; r=-0.105). Self-efficacy is not the only factor that influences injury management skills. Improving teacher competency in administering first aid requires support through continuous training and practical experience so that self-efficacy evolves into consistent and effective capability.

The Effect Of Moringa Oleifera Leaf Extract On Fibroblast Cell Migration And Morphology In In Vitro Nih/3t3 Cell Line Culture

2026-07-10T02:01:24+00:00

Moringa oleifera leaves are widely recognized for containing flavonoid and phenolic compounds with the potential to promote wound healing by stimulating fibroblast activity. This study aimed to evaluate the effects of Moringa oleifera leaf extract on the migration and morphological changes of NIH/3T3 fibroblast cells using an in vitro wound model. The experiment employed the scratch wound healing assay with five extract concentrations (12.5, 25, 50, 100, and 200 µg/mL) and one untreated control group (Blank). Observations were conducted on days 0, 1, and 2 using an inverted microscope. Image quantification was performed with ImageJ, and non-parametric statistical analysis (Kruskal–Wallis test) was conducted using RStudio. The evaluated parameters included cell count, cell density in the peripheral wound area, and four cell morphometric parameters (solidity, circularity, roundness, and aspect ratio). The results demonstrated a significant difference in cell count among treatment groups (p = 0.00072), with the 50 and 100 µg/mL groups showing the most consistent increase in cell number on days 1 and 2. The solidity parameter also differed significantly among treatment groups at each observation time point (p = 0.0014), whereas circularity, roundness, and aspect ratio exhibited significant differences in pairwise group comparisons despite the overall Kruskal–Wallis test not reaching statistical significance. Cell density in the peripheral wound area did not differ significantly among groups (p = 0.24). The 200 µg/mL concentration consistently showed the lowest cell count and cell density on day 2, suggesting a potential cytotoxic effect at high doses. These findings support a biphasic (hormetic) dose–response pattern, with concentrations of 50–100 µg/mL providing the most consistent stimulation of fibroblast cell migration and morphological changes, closely resembling the activated healthy cell phenotype observed in the untreated control group.

Case Study: The Application Of Suction Therapy For Airway Clearance In Patients With Pneumonia In The Intensive Care Uni Of Hospital X

2026-07-15T05:02:50+00:00

Pneumonia remains one of the leading causes of respiratory disorders among critically ill patients admitted to the Intensive Care Unit (ICU). Pulmonary inflammation increases airway secretion production, leading to ineffective airway clearance, particularly in patients with decreased consciousness or artificial airways. Retained secretions may cause airway obstruction, impaired gas exchange, hypoxemia, and respiratory failure. Endotracheal suctioning is a nursing intervention aimed at maintaining airway patency by removing accumulated secretions. To describe the implementation of suctioning in managing ineffective airway clearance among patients with pneumonia admitted to the Intensive Care Unit of Hospital X. This study employed a descriptive case study design using the nursing process approach involving two patients diagnosed with pneumonia and ineffective airway clearance. Data were collected through family interviews, direct observation, physical examination, medical record review, and respiratory assessment before and after suctioning over two consecutive days. Respiratory rate, oxygen saturation, breath sounds, sputum volume, sputum characteristics, and patient responses were evaluated. The implementation of suctioning improved respiratory status in both patients. In the first patient, respiratory rate decreased from 24 to 22 breaths/minute, sputum production decreased from approximately 15 mL to 10 mL, rhonchi diminished, and oxygen saturation increased from 97% to 99%. In the second patient, respiratory rate decreased from 20 to 19 breaths/minute, sputum production decreased from approximately 10 mL to 5 mL, sputum became less viscous, rhonchi diminished, and oxygen saturation remained stable between 98% and 99%. Suctioning performed according to the standard operating procedure effectively maintains airway patency, reduces secretion retention, improves respiratory patterns, and enhances airway clearance in critically ill patients with pneumonia.

The Effectiveness Of Administering Turmeric And Tamarind Drink (Sinom) In Reducing The Intensity Of Primary Dysmenorrhea Pain In Adolescent Girls

2026-05-23T00:07:43+00:00

Primary dysmenorrhea is a gynecological complaint frequently experienced by adolescent girls and can disrupt their learning activities and quality of life. One non-pharmacological therapy that is developing in the community is the consumption of turmeric and tamarind drinks (sinom), which contain natural anti-inflammatory and analgesic compounds. This study aims to analyze the effectiveness of turmeric and tamarind drinks (sinom) on reducing the intensity of primary dysmenorrhea pain in adolescent girls at SMAN 1 Krucil. The study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 41 respondents selected using a purposive sampling technique according to inclusion and exclusion criteria. Pain intensity was measured using the Numeric Rating Scale (NRS), then analyzed using the Wilcoxon Signed-Rank Test. The results showed that before the intervention, the majority of respondents experienced moderate pain (63.4%) and severe pain (19.5%). After administration of sinom, the majority of respondents were in the mild pain category (56.1%), and the proportion of severe pain decreased to 7.3%. The Wilcoxon test showed a Z value of -5.165 with a p-value <0.001, indicating a significant decrease in primary dysmenorrhea pain intensity after administration of the turmeric and tamarind drink (sinom). These findings indicate that sinom is effective as an alternative non-pharmacological therapy in reducing primary dysmenorrhea pain in adolescent girls and has the potential to be developed as a locally-based health intervention that is easily accessible and safe to use.

The Effect Of Screen Time On Speech Delay In Children Aged 2–6 Years At The NTB Provincial General Hospital

2026-07-01T10:03:37+00:00

The increasing use of digital devices has raised concerns about the impact of excessive screen time on children's speech and language development. This study aimed to determine the association between screen time and speech delay among children aged 2–6 years at the Child Growth and Development Clinic of West Nusa Tenggara Provincial Hospital. A cross-sectional study was conducted involving 34 children. Data were collected using parent-administered questionnaires, while child development was assessed using the Denver Developmental Screening Test II (Denver II). Statistical analysis was performed using the Chi-square test and Fisher’s Exact test. Of the participants, 58.8% had high screen time exposure, and speech and language was the most frequently affected developmental domain (82.4%). However, no significant association was found between screen time and speech delay (p = 0.172). Likewise, daily screen time exposure and parenting patterns were not significantly associated with speech delay (p > 0.05). In conclusion, screen time was not significantly associated with speech delay among children aged 2–6 years in this study population.

The Relationship Between Sleep Hygiene Behavior And Sleep Quality In Male Adolescents At Mbs Al Amin Bojonegoro Middle School Based On Dorothea E Orem's Theory

2026-07-08T02:07:51+00:00

Adolescence is a period that is vulnerable to sleep quality disorders due to busy activities and less than optimal sleep hygiene implementation, especially in Islamic boarding school environments. This study aims to analyze the relationship between sleep hygiene behavior and sleep quality in male adolescents at SMP MBS Al Amin Bojonegoro based on Dorothea E. Orem's Self-Care Deficit theory. This study used a quantitative correlational analytic design with a cross-sectional approach. The study population was 66 students in grades VIII and IX, with a sample of 57 respondents selected using a simple random sampling technique. The research instrument used a sleep hygiene questionnaire and the Pittsburgh Sleep Quality Index (PSQI). Data analysis was carried out univariately and bivariately using the Spearman correlation test. The results showed that 52.6% of respondents had poor sleep hygiene behavior and 56.1% had poor sleep quality. Spearman analysis showed a significant relationship between sleep hygiene behavior and sleep quality (p = 0.000) with a strong correlation strength (r = 0.769). This study concludes that better sleep hygiene implementation is associated with better sleep quality, so strengthening self-care behavior needs to be optimized to improve the sleep quality of adolescents in Islamic boarding school environments.

Analysis Of The Internal Control System For Raw Material Inventory At UD Saudara Jaya

2026-07-12T03:06:33+00:00

Raw material inventory is a crucial component that determines the smoothness of the production process, thus requiring an effective internal control system. This study aims to analyze the internal control system for raw material inventory at UD Saudara Jaya based on the Committee of Sponsoring Organizations of the Treadway Commission (COSO) framework. The study used a qualitative approach with a case study type. The research informants consisted of the management, the head of the raw material department, the head of the production department, and the administration department selected using a purposive sampling technique. Data were collected through observation, structured interviews, and documentation, then analyzed using the Miles and Huberman model which includes data condensation, data presentation, and drawing conclusions with validity tests through source and technique triangulation. The results of the study indicate that the five components of internal control have been implemented, but there are still weaknesses in inventory recording, documentation of evaluation results, and the use of technology that is still simple. The conclusion of the study shows that the internal control system for raw material inventory at UD Saudara Jaya has been running quite well in supporting smooth operations, but still requires improvement through digitalization of recording, strengthening control documentation, and increasing the use of information technology.

Attitude And Peer Influence Associated With Drug Abuse Among Residents In West Baturaja District: A Cross-Sectional Study

2026-06-01T00:03:32+00:00

Drug abuse remains a public health problem that requires attention because it affects individual health, family stability, and community safety. This study aimed to analyze the association between attitude, peer influence, and drug abuse among residents in West Baturaja District. This study used a quantitative analytic design with a cross-sectional approach. The study was conducted in West Baturaja District, Ogan Komering Ulu Regency, South Sumatra, Indonesia, from February to April 2026. The sample consisted of 56 respondents selected using accidental sampling. Data were collected using a structured questionnaire and checklist, then analyzed using univariate analysis and Chi-square test with a significance level of 0.05. The results showed that 32 respondents (57.1%) were classified as positive for drug abuse, 27 respondents (48.2%) had negative attitudes, and 34 respondents (60.7%) were exposed to negative peer influence. The Chi-square test showed a significant association between attitude and drug abuse (p = 0.028) and between peer influence and drug abuse (p = 0.001). This study concludes that attitude and peer influence are significantly associated with drug abuse among residents in West Baturaja District. Community-based prevention should strengthen protective attitudes, peer control, family supervision, and continuous health education.

Management Of Grade II Tooth Mobility Associated With Chronic Periodontitis Using A Fiber-Reinforced Composite Resin Extracoronal Splint: A Case Report

2026-06-12T13:41:22+00:00

Chronic periodontitis is defined as an inflammatory condition of the periodontal tissues caused by specific subgingival microorganisms, resulting in the progressive destruction of the periodontal ligament and supporting tissues of the teeth. The primary clinical characteristic of chronic periodontitis is detectable clinical attachment loss, often accompanied by periodontal pocket formation and changes in the density and height of the alveolar bone. This condition may lead to pathological tooth migration, resulting in diastema formation and increased tooth mobility, which can ultimately cause tooth loss. Increased tooth mobility may negatively affect masticatory function, aesthetics, and patient comfort. One of the treatment modalities used to stabilize mobile teeth is splinting. Splinting combined with occlusal adjustment is intended to reduce and control the progression of tooth mobility. Case Report: A 54-year-old female patient presented to Soelastri Dental Hospital with a chief complaint of mobility of the lower anterior teeth that had been present for approximately six months. The patient reported that the teeth felt loose during mastication, particularly when contacting the maxillary teeth. Intraoral examination revealed Grade 2 tooth mobility in teeth 32, 31, 41, and 42. Bleeding on probing was observed in the mandibular anterior region. Periodontal pocket depths around teeth 32, 31, 41, and 42 ranged from 5 to 6 mm. Radiographic examination demonstrated alveolar bone loss associated with these teeth. Management of this case involved the placement of a fiber-reinforced composite splint extending from teeth 33 to 43. Fiber splinting was selected because of its advantages, including high mechanical strength, excellent adhesive properties, biocompatibility, satisfactory esthetics, and ease of clinical application. Evaluation one week after splint placement showed favorable outcomes, with no signs of gingival inflammation or food impaction in the splinted area, as well as satisfactory occlusal relationships.

The Effect Of Educational Videos About Anemia On The Knowledge Of Pregnant Women In The Working Area Of Telaga Dewa Public Health Center, Bengkulu City

2026-06-19T00:28:04+00:00

Anemia in pregnant women remains a significant health problem that can increase the risk of complications for both mother and fetus. Low levels of knowledge among pregnant women are one of the contributing factors to the occurrence of anemia. Therefore, effective educational media are needed, one of which is video-based education. This study aimed to determine the effect of an educational video about anemia on improving the knowledge of pregnant women at Telaga Dewa Public Health Center, Bengkulu City. This study used a pre-experimental design with a one-group pretest-posttest approach. A total of 107 pregnant women were selected using purposive sampling technique. Data were collected using a questionnaire to measure the level of knowledge before and after the intervention. Data analysis was conducted using normality test and paired t-test. The results showed that before the intervention, most respondents had a moderate level of knowledge with a mean score of 21.03. After receiving education through video, all respondents were categorized as having good knowledge with the mean score increasing to 26.79. The normality test indicated that the data were normally distributed (p=0.178 > 0.05). The paired t-test showed a significance value of 0.000 (<0.05) with a mean difference of -5.757, indicating a significant increase in knowledge after the intervention. In conclusion, educational videos about anemia are effective in improving the knowledge of pregnant women and can be used as an alternative method of delivering health education to prevent anemia during pregnancy.

Effectiveness Of Finger Appliance Combined With A Z-Spring In The Management Of Maxillary Multiple Diastema And Midline Shift: A Case Report

2026-06-26T12:40:26+00:00

Malocclusion can affect both oral aesthetics and function, one manifestation of which is multiple diastema, defined as spaces between two or more adjacent teeth. This condition is often accompanied by a maxillary midline deviation, which may compromise dental aesthetics and occlusal harmony. The management of multiple diastema requires a multidisciplinary approach aimed at closing interdental spaces, correcting midline deviation, and eliminating etiological factors. Removable orthodontic appliances may serve as a viable treatment option because they are simple, easy to fabricate, and more cost-effective than fixed appliances. This case report aims to describe the management of maxillary multiple diastema associated with midline deviation using a removable orthodontic appliance in the form of an active plate. A 24-year-old female patient presented with spacing between the anterior teeth of the maxillary arch. Clinical examination and supporting analyses revealed a skeletal Class III relationship with a maxillary arch excess space of 1.6 mm. The treatment plan focused on the closure of multiple diastema and correction of the maxillary midline deviation using an active plate. Periodic activation of the appliance was performed to achieve tooth movement for space closure and midline correction. Evaluation after three months of treatment demonstrated successful closure of the multiple diastema and improvement of the maxillary midline while maintaining normal occlusal relationships. This case report concludes that removable orthodontic treatment using an active plate is effective for diastema closure and midline correction in selected mild-to-moderate cases, particularly in cooperative adult patients.

Relationship Between Education, Knowledge And Maternal Parity To Completeness Basic Immunization In Children At The Kalidoni Health Center Palembang

2026-07-10T01:59:01+00:00

Immunization is an effort to provide immunity to babies and children by injecting vaccines into the body in order to make antibodies to prevent certain diseases. Then, a vaccine is a material used to stimulate the formation of anti-substances that are entered into the body through injections (for example the vaccines of Bacillus Calmette Guerin (BCG), Diphtheria, Pertussis and Tetanus (DPT) and Measles and through the mouth (for example the polio vaccine). To determine the relationship among education, knowledge and maternal parity with the completeness of children basic immunization at the Kalidoni Palembang Health Center in 2023.This research is an analytic survey research with a cross sectional approach. The study population was children aged ≥9-24 months who visited the immunization polyclinic at the Kalidoni Health Center in Palembang with a sample of 56 respondents who were taken using a purposive sampling technique. The research variables included the independent variables which are education, knowledge and maternal parity and the dependent variable, namely the completeness of basic immunization for babies. Univariate and Bivariate data analysis. Based on the results of bivariate analysis using the Chi Square statistical test, it was found that on the mother's education variable ρ value = 0.001 (ρ ≤ 0.05), on the mother's knowledge variable ρ value = 0.001 (ρ ≤ 0.05) and on the maternal parity variable ρ value = 0.001 (ρ ≤ 0.05). From the results of the study there are three variables which are education, knowledge and maternal parity having a significant relationship with the completeness of children basic immunization. There are three variables which are education, knowledge and maternal parity having a significant relationship with the completeness of children basic immunization.

Implementation Of Oral Hygiene Using 0.2% Chlorhexidine Gluconate To Reduce The Risk Of Ventilator-Associated Pneumonia In Mechanically Ventilated Patients With Pneumonia In The Intensive Care Unit: A Case Study

2026-07-15T05:00:11+00:00

Ventilator-Associated Pneumonia (VAP) is one of the most common healthcare-associated infections in critically ill patients receiving mechanical ventilation for more than 48 hours. Bacterial colonization of the oral cavity and oropharynx contributes significantly to the development of VAP through microaspiration. Oral hygiene using 0.2% chlorhexidine gluconate is recommended as part of the Ventilator Care Bundle to reduce bacterial colonization and decrease the risk of VAP. To describe the implementation of oral hygiene using 0.2% chlorhexidine gluconate as a nursing intervention for preventing Ventilator-Associated Pneumonia in mechanically ventilated patients with pneumonia admitted to the Intensive Care Unit of RS X. A descriptive case study was conducted involving two mechanically ventilated patients diagnosed with pneumonia. Data were collected through family interviews, clinical observation, physical examination, medical record review, and assessment using the Clinical Pulmonary Infection Score (CPIS). Oral hygiene with 0.2% chlorhexidine gluconate was performed twice daily for three consecutive days according to the ICU standard operating procedure. The first patient demonstrated improved oral hygiene, decreased tracheal secretions, negative sputum culture, and a CPIS of 3, indicating a low risk of VAP. The second patient also showed improvement in oral hygiene; however, the CPIS remained 8 due to bronchopneumonia with Acute RespiratoryDistress Syndrome (ARDS), severe oxygenation impairment, and persistent pulmonary inflammation. These findings suggest that oral hygiene contributes to maintaining oral cleanliness and reducing bacterial colonization, although its effectiveness in reducing VAP risk is influenced by disease severity and the patient's clinical condition. Oral hygiene using 0.2% chlorhexidine gluconate is an effective nursing intervention for maintaining oral hygiene as part of VAP prevention. However, optimal outcomes require comprehensive implementation of the Ventilator Care Bundle and appropriate management of other clinical factors associated with VAP.

The Relationship Between Dietary Patterns And The Incidence Of Diabetes Mellitus At The Pereumeu Public Health Center, West Aceh Regency In 2026

2026-06-08T15:36:36+00:00

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by increased blood glucose levels due to impaired insulin secretion. One of the main modifiable risk factors is an unhealthy diet. In the working area of the Pereumeu Community Health Center, West Aceh Regency, the number of DM patient visits shows a fluctuating but still significant trend every year. To determine the relationship between diet and the incidence of Diabetes Mellitus at the Pereumeu Community Health Center, West Aceh Regency in 2026. Quantitative research with a correlational design using a cross-sectional approach. The study was conducted in March-April 2026 with a population of patients who checked themselves. The research sample was obtained as many as 42 respondents selected using a purposive sampling technique. Data collection was carried out using a diet questionnaire and an observation sheet for blood glucose laboratory results. Data analysis used descriptive analysis for univariate and the Chi-Square test for bivariate (p = 0.05). The results of univariate analysis showed that the majority of respondents were male (61.9%), worked as self-employed (52.4%), had a good diet as many as 26 respondents (61.9%), and respondents who did not experience DM as many as 26 people (61.9%). The results of the Chi-Square bivariate test showed a p-value = 0.001 (p <0.05), which means there is a statistically significant relationship between diet and the incidence of Diabetes Mellitus. Diet has a significant relationship with the incidence of Diabetes Mellitus at the Pereumeu Community Health Center. It is hoped that health agencies will improve healthy diet management education programs for local communities in order to reduce the mortality rate of DM.

Analysis Of The Implementation Of The Foster Parents Movement To Prevent Stunting (GENTING) Program In East Seram District, 2025–2026

2026-06-14T10:13:59+00:00

Stunting remains a serious nutritional challenge in Seram Bagian Timur (SBT) District, with a prevalence of 27.5% in 2023 — well above the national average. In response, the Gerakan Orang Tua Asuh Cegah Stunting (GENTING) program was socialized in SBT in January 2025, targeting 218 at-risk families across 15 sub-districts. This study aims to analyze the early implementation of the GENTING program in SBT District in 2025-2026 using an Input-Process-Output (IPO) framework. A descriptive quantitative approach was applied using secondary data, comprising the 2024 stunting-risk family recapitulation, field verification and validation (verval) results, and Orang Tua Asuh (OTA) distribution records as of June 9, 2026. Three key findings emerged: first, there were significant inconsistencies between planned targets and verval results across sub-districts, with deviations ranging from -75% to +460% of initial targets; second, OTA assistance coverage reached only 9.0% of 211 verified beneficiaries, with 7 sub-districts receiving no assistance at all; third, 95% of distributed aid consisted of nutritional support despite 24.6% of target families lacking adequate sanitation facilities, alongside inconsistencies in aid values, some falling below the national minimum standard of IDR 15,000 per day. It is concluded that the early implementation of GENTING in SBT faces three structural problems: data accuracy in planning, geographic disparity in aid distribution, and suboptimal matching of aid type to beneficiary risk profiles.

Comparison Of Isotonic Beverage And Mineral Water Consumption On Archery Score And Hydration Status Of Archery UKM Athletes At State University Of Surabaya

2026-07-01T10:01:36+00:00

Archery is a precision sport that requires high concentration and postural stability, so hydration status may potentially affect athlete performance. This study aimed to compare the effects of isotonic drink and mineral water consumption on archery scores and hydration status, as measured by urine specific gravity (USG), among archery athletes of Universitas Negeri Surabaya. This quasi-experimental study used a crossover design involving 20 active athletes who received both interventions alternately. Fluid was administered at 150 mL every 10 minutes during the training and scoring sessions, with a total volume of 1,050 mL. Archery performance was assessed using the World Archery Federation scoring sheet, while hydration status was measured using USG reagent strips. Data were analyzed using the Wilcoxon Signed Rank Test. Results showed no significant difference in archery scores between mineral water and isotonic drink consumption (p=0.070). Isotonic drink significantly decreased USG (p=0.001), while mineral water did not (p=0.088). However, the change in USG between the two interventions also did not differ significantly (p=0.062). It is concluded that there were no significant differences in archery scores or in hydration status change between mineral water and isotonic drink consumption. Nevertheless, isotonic drink consumption showed a significant decrease in urine specific gravity within its own group.

Cost-Effectiveness Analysis Of The Medical Check-Up Program In Early Detection Of Non-Communicable Diseases (NCDs) At The Main Clinic Of The DPR RI

2026-07-11T02:56:25+00:00

The DPR RI Main Clinic organizes a Medical Check-Up (MCU) program for employees of the Secretariat General (Setjen) of the DPR RI as an effort to early detect non-communicable diseases (PTM). DEDICATION 2024 Program data (n=1,063) showed a very high prevalence of NCDs: 89.6% of participants had at least one clinical disorder, with a predominance of central obesity (69.0%), hypertension (60.7%), and dyslipidemia (52.6%). Even though the MCU program budget ranges from IDR 1.3 million to IDR 2.5 million per participant, there has never been a formal economic study that calculates the cost efficiency per case of NCDs detected. Analyze the cost-effectiveness of the MCU program in early detection of NCDs at the DPR RI Main Clinic, including calculating the Average Cost-Effectiveness Ratio (ACER), Incremental Cost-Effectiveness Ratio (ICER), and Return on Investment (ROI) in preventing NCDs for four MCU package scenarios (Plan I–IV). Research using mixed methods approach with sequential explanatory design. The quantitative component is descriptive-analytic retrospective based on secondary data from MCU echelon II–IV medical records (n=208, total sampling), 2024 DEDICATION data (n=1,063), and 2022–2024 clinic financial reports. Unit cost calculations use the Activity-Based Costing (ABC) method. The qualitative component uses semi-structured in-depth interviews with 9 key informants based on Edward III's (1980) policy implementation framework. This research will produce ACER, ICER, and ROI values for the four MCU scenarios, as well as identify the implementation factors that have the most influence on program efficiency. Projections of budget requirements for the expansion of the MCU to 2,786 active employees of the Secretariat General of the DPR RI will also be produced based on an economics of scale analysis. Expected The MCU Main Clinic Program of the DPR RI is hypothesized to be cost-effective with an ACER value below the WHO willingness-to-pay (WTP) threshold of 1× Indonesia's GDP per capita (Rp. 66 million/case). Scenarios with greater participant coverage are predicted to produce lower ACER due to the economies of scale effect. The results of the research will be the basis for recommendations for MCU policies that are efficient, high quality and fair for all employees of the Secretariat General of the DPR RI.

Self-Concept Disturbances As A Psychosocial Issue In Women With Breast Cancer: A Literature Review

2026-06-12T13:36:20+00:00

Breast cancer is a chronic disease that causes not only physical problems but also psychosocial distress in women. Physical changes resulting from mastectomy, chemotherapy, and radiation therapy can affect patients’ self-concept through body image disturbances, decreased self-esteem, anxiety, and a crisis of feminine identity. These conditions can impact patients’ quality of life and treatment adherence. This literature review aims to analyze self-concept disturbances in women with breast cancer based on recent research. This study employed a narrative literature review method. Articles were obtained through searches on Google Scholar, PubMed, GARUDA, ScienceDirect, and Scopus using the keywords “breast cancer,” “self-concept,” “body image,” “kanker payudara,” and “konsep diri.” The articles used were full-text articles in Indonesian and English from the period 2021–2026. A total of 15 articles that met the inclusion criteria were analyzed narratively through data reduction, theme categorization, and synthesis of research results. The review findings indicate that self-concept disturbances in breast cancer patients are characterized by negative body image, reduced self-confidence, depression, anxiety, and difficulty accepting bodily changes. Influencing factors include age, psychological condition, cancer stage, family support, partner support, and social stigma. Psychosocial interventions such as counseling, support groups, and Cognitive Behavioral Therapy are effective in helping to improve patients’ self-acceptance. Disturbed self-concept is a significant psychosocial issue among women with breast cancer that affects patients’ quality of life and treatment process. A holistic, multidisciplinary, and biopsychosocial approach to healthcare is necessary to help improve the psychological adaptation and well-being of breast cancer patients.

Analysis Of Cpu And Memory Usage In Monitoring-Based Operating Systems Using Python

2026-07-02T11:57:34+00:00

Monitoring computer resource usage, particularly the central processing unit (CPU) and memory, is a crucial aspect in maintaining the performance and stability of an operating system. This study aims to analyze CPU and memory usage in real-time using the Python programming language as the primary tool. The method used involves collecting system resource usage data through Python libraries, such as psutil, followed by data processing and visualization to obtain an overview of usage patterns. The results show that Python is capable of providing accurate and efficient information regarding CPU and memory usage conditions, thus providing a basis for decision-making to optimize system performance. Furthermore, the developed monitoring system is flexible, easy to use, and can be implemented on various operating system platforms. Therefore, this study is expected to contribute to the development of a simple yet effective resource monitoring system. (Monitoring computer resource usage, particularly the central processing unit (CPU) and memory, is a crucial aspect in maintaining the performance and stability of an operating system. This study aims to analyze CPU, and memory usage in real time using the Python programming language as the primary tool. The method used involves collecting system resource usage data through Python libraries, such as psutil, followed by data processing and visualization to obtain an overview of usage patterns. The results show that Python is capable of providing accurate and efficient information regarding CPU and memory usage conditions, thus providing a basis for decision-making to optimize system performance. Furthermore, the developed monitoring system is flexible, easy to use, and can be implemented on various operating system platforms. Thus, this research is expected to contribute to the development of a simple yet effective resource monitoring system.

Management Of Path Of Insertion In Fixed Prosthodontic For Mesially Tilted Mandibular Second Molars : A Literature Review

2026-07-10T01:50:06+00:00

The loss of posterior teeth that is not promptly rehabilitated may result in tooth movement toward the edentulous space, leading to tilting of the abutment teeth. One of the most common conditions is mesial tilting of the mandibular second molar following the loss of the mandibular first molar, which may disrupt occlusal relationships, affect abutment alignment, and create difficulties in achieving an ideal path of insertion during fixed prosthodontic treatment. An inappropriate path of insertion may increase the complexity of tooth preparation and compromise the long-term success of the restoration. This study aimed to review the management of path of insertion in fixed prosthodontic treatment involving mesially tilted mandibular second molars through a literature review approach. The literature search was conducted using Google Scholar, PubMed, and ScienceDirect for articles published between 2016 and 2026. The findings indicated that successful management of path of insertion depends on proper abutment evaluation based on biomechanical principles and Ante's Law, as well as the selection of an appropriate treatment strategy according to the clinical condition. Several treatment options, including modified tooth preparation using a proximal half crown, orthodontic uprighting, non-rigid connector, and telescopic crown, have been reported to improve the path of insertion in selected cases. In conclusion, selecting an appropriate treatment strategy based on clinical conditions and biomechanical principles may help achieve an optimal path of insertion, thereby supporting the long-term success of fixed prosthodontic treatment.

Development Of Analysis Methods Based On Scientific Approach And Risk-Based Approach In The Pharmaceutical Industry: Narrative Review

2026-05-20T11:36:38+00:00

The development of analytical methods and quality systems in the pharmaceutical industry is now shifting from the conventional trial and error approach to a systematic, scientific, and risk-based approach to meet international regulatory demands. This article aims to examine the effectiveness of implementing the concepts of Analytical Quality by Design (AQbD), Quality by Design (QbD), and various risk management instruments in improving product quality and operational efficiency in the pharmaceutical industry. Methods: This study is the result of a literature review of 15 scientific journals discussing analytical method development, process validation, product stability, and operational risk management. The analysis shows that the application of AQbD and QbD through parameters such as Analytical Target Profile (ATP) and Design of Experiments (DoE) can increase the robustness of analytical methods and reduce the risk of failures such as Out of Specification (OOS). The use of risk management tools such as Failure Mode and Effect Analysis (FMEA) has proven effective in identifying cross-contamination risks and distribution process failures. The integration of scientific and risk-based approaches has a significant positive impact in ensuring quality consistency, accelerating time-to-market, and supporting compliance with ICH guidelines (Q8, Q9, Q10, Q14).

The Relationship Between Inter-Dialytic Weight Gain (IDWG) and Post-Dialysis Blood Pressure Changes in Hemodialysis Patients at Prof. Dr. Margono Sookarjo Hospital

2026-06-08T15:31:11+00:00

Chronic Kidney Disease (CKD) is a progressive chronic disease that may damage the function of kidneys and affect the stability of fluids and electrolytes in our body that will impact on our body’s system. A usual alternative therapy that has been done to CKD’s patients is Hemodialysis (HD). Inter-Dialytic Weight Gain (IDWG) is an increase in volume which is manifested by an increase in body weight as a basis for discovering the amount of incoming fluids within interdialytic process. IDWG and changes in post dialysis blood pressure are closely related to each other because in hemodialysis process, there is a diffusion exchange of dialysis fluids and dirty fluids in patient’s body so that it may provide clinical manifestations of blood pressures’ changes after hemodialysis process. To discover the relationship between Inter-Dialytic Weight Gain (IDWG) and the changes in post dialysis blood pressure among hemodialysis patients at Prof. Dr. Margono Soekarjo Regional Public Hospital. This research is an analytic observational research and using cross sectional approach. Sampling method with purposive sampling by the amount of 41 patients, and then the results were analyzed for its significance by using Somers’D test. The result of Somers’D test to discover the significance between variables were resulting in p value = 0,000(p<0,05) dan r = 0,746 for the relationship between IDWG and Changes in Post Dialysis Blood Pressure. There is a relationship between Inter-Dialytic Weight Gain and changes in post dialysis blood pressure among hemodialysis patients at Prof. Dr. Margono Soekarjo Regional Public Hospital, Purwokerto.

The Effect Of Substituting Inulin Flour, Mocaf (Modified Cassava Flour), And Stevia Sugar (Stevia Rebaudiana) On Fiber Content, Acceptability, And Nutritional Economic Value In Crispy Brownies

2026-06-13T13:55:21+00:00

Obesity is a major health problem associated with unhealthy dietary patterns, including excessive consumption of high-calorie and low-fiber snacks. Therefore, the development of healthier snack alternatives is needed to help increase fiber intake and reduce the risk of obesity-related diseases. This study aims to determine the effect of substituting mocaf flour, inulin flour, and stevia sugar on the organoleptic quality, nutritional content, and economic value of brownies crispy as a high-fiber snack alternative for individuals with obesity. This study was a laboratory experimental research using a Completely Randomized Design (CRD) consisting of one control formula (F0) and four modified formulas (F1, F2, F3, and F4). The panelists consisted of 3 expert panelists for the preliminary test and 30 untrained adult panelists aged 19–29 years for the hedonic test. Data were analyzed using the Shapiro-Wilk, Kruskal-Wallis, and Mann-Whitney tests. The results showed no significant differences in aroma, color, and texture characteristics among the formulas (p>0.05), while significant differences were found in taste, aftertaste, and overall acceptance (p<0.05). The selected formula met the BPOM requirements for a high-fiber claim and fulfilled 10–15% of the daily Recommended Dietary Allowance (RDA) per serving, indicating its potential as a healthier snack alternative for adults with obesity.

The Relationship Between Knowledge Of Iron (Fe) Tablet Consumption Practices And The Incidence Of Anemia Among Pregnant Women In The Working Area Of Telaga Dewa Community Health Center, Bengkulu City

2026-06-21T02:16:58+00:00

Anemia in pregnant women remains a health issue that can have adverse effects on both the mother and the fetus. One preventive measure against anemia is the proper consumption of iron tablets; however, the success of this effort is influenced by the level of knowledge pregnant women have regarding the proper consumption of iron tablets. The research question of this study is whether there is a relationship between knowledge regarding the proper consumption of iron tablets and the incidence of anemia among pregnant women in the service area of the Telaga Dewa Community Health Center, Bengkulu City. This study aims to determine the relationship between knowledge regarding the proper consumption of iron tablets and the incidence of anemia in pregnant women. This study employed a quantitative method with a descriptive-analytical design using a cross-sectional approach. The study population consisted of 378 pregnant women, with a sample of 45 respondents selected using purposive sampling. Data were collected using a questionnaire and hemoglobin level tests, then analyzed univariately and bivariately using the chi-square test. The results showed that of the 18 respondents with good knowledge, 16 (88.9%) were not anemic and 2 (11.1%) were anemic. Of the 11 respondents with adequate knowledge, 4 respondents (36.4%) were not anemic and 7 respondents (63.6%) were anemic. Of the 16 respondents with poor knowledge, 4 respondents (25.0%) were not anemic and 12 respondents (75.0%) were anemic. Overall, 24 respondents (46.7%) were not anemic, and 21 respondents (53.3%) were anemic. The chi-square test yielded a p-value of 0.000 (p<0.05), indicating a significant association between knowledge of how to take iron tablets and the incidence of anemia in pregnant women.

Analysis Of Sea Surface Temperature Trends And Their Relationship With The Indian Ocean Dipole (IOD) In The Southern Waters Of Java During The 2000–2025 Period

2026-06-29T22:01:10+00:00

Sea Surface Temperature (SST) is a key oceanographic parameter that regulates heat exchange between the atmosphere and the ocean; however, the current trend of global warming threatens thermal stability in tropical regions. This study aims to analyze long-term SST warming trends and identify their response and temporal relationship with the Indian Ocean Dipole (IOD) phenomenon in the southern waters of Java. A quantitative approach was applied using GLORYS12v1 ocean reanalysis data for the period 2000–2025, which were statistically analyzed using the Mann–Kendall test, Sen’s Slope estimator, and lag correlation analysis. The results indicate a highly significant increasing trend in annual SST (Z = 3.791; p = 0.000) with a warming rate of +0.0295°C/year. The highest mean SST occurred during the MAM season (29.17°C), while the lowest was observed during the JJA season (27.16°C). Regarding the IOD phenomenon, the Dipole Mode Index (DMI) and SST anomalies exhibited an inverse relationship with a correlation coefficient of r = −0.47 at a 0-month lag. Positive IOD phases were associated with SST cooling anomalies of up to −0.356°C, whereas negative IOD phases warmed the waters by up to 0.996°C. The consistent warming trend, combined with strong seasonal variability and a relatively weak response to IOD phases, suggests that SST dynamics are not solely controlled by the IOD. The findings demonstrate that the southern waters of Java have experienced significant ocean warming over the last two decades, while IOD variability plays a role in temporally modulating SST changes.

Determinants Of Fruit And Vegetable Consumption Based On The Health Belief Model In Students Of Dharma Karya Junior High School, South Tangerang City, Banten

2026-07-06T22:28:18+00:00

Fruit and vegetable consumption among adolescents in Indonesia is still relatively low and has the potential to cause various health problems in the future. This study aims to describe the determinants of fruit and vegetable consumption based on the Health Belief Model (HBM) in junior high school students of Dharma Karya UT in South Tangerang City, Banten. The study used a descriptive method with a quantitative approach. The study sample consisted of 50 students selected using a total sampling technique. Data collection was conducted using a pre-test questionnaire that measured five HBM constructs: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy. Data analysis was conducted descriptively using frequency distributions, percentages, and average values. The results showed that the majority of respondents had good fruit and vegetable consumption behavior at 56.0%. In the HBM construct, perceived benefits had the highest percentage at 82.0%, followed by self-efficacy at 75.2%, perceived severity at 70.3%, and perceived susceptibility at 66.8%. Meanwhile, perceived barriers had the lowest percentage at 52.0%, indicating that there are still obstacles in getting used to consuming fruits and vegetables among adolescents. The conclusion of this study shows that the determinants of fruit and vegetable consumption based on the Health Belief Model in Dharma Karya UT Middle School students are generally in the quite good category, but perceived barriers are still a factor that needs attention in efforts to increase fruit and vegetable consumption among adolescents.

Analysis Of The Effect Of Service Quality On Patient Satisfaction At The Obstetrics And Gynecology (Maternal And Child Health–Family Planning) Outpatient Clinic Of Daya Regional General Hospital, Makassar City

2026-07-17T07:16:51+00:00

Service quality is an important factor in improving hospital services and patient satisfaction. This study aimed to analyze the effect of service quality on patient satisfaction at the Obgyn Clinic (KIA-KB) at RSUD Daya Makassar City. This study used a quantitative method with an observational analytic approach and cross-sectional design. A total of 150 respondents were selected using purposive sampling. Data were collected using a SERVQUAL-based questionnaire consisting of tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using chi-square test and multiple linear regression. The results showed that tangibles (p=0.001) and assurance (p=0.000) had a significant effect on patient satisfaction. Reliability (p=0.934), responsiveness (p=0.569), and empathy (p=0.578) had no significant effect. Simultaneously, service quality affected patient satisfaction (F=9.269; p<0.001). Assurance was the most dominant factor (β=0.285). It was concluded that service quality significantly influences patient satisfaction in the Obstetrics and Gynecology (KIA-KB) Clinic at Daya Regional Hospital, Makassar City. Improving service assurance and facilities needs to be prioritized to enhance patient satisfaction.

Efficacy Of Articaine And Lidocaine For Local Anesthesia In Tooth Extraction: A Systematic Review

2026-05-28T02:06:40+00:00

Pain is one of the main obstacles in tooth extraction procedures; therefore, effective local anesthesia is required to improve patient comfort during the procedure. Lidocaine is the most commonly used local anesthetic in dentistry, while articaine has increasingly been used because it is claimed to have better tissue diffusion ability and a longer duration of action. This systematic review aimed to determine the effectiveness of articaine compared with lidocaine as a local anesthetic in tooth extraction procedures. The method used was the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) with article searches conducted through the ScienceDirect, PubMed, and Scopus databases using the keywords “Lidocaine AND Articaine AND Tooth Extraction.” The inclusion criteria included randomized controlled trial (RCT) articles, articles published in English between 2015 and 2025, and studies discussing the use of lidocaine and articaine in tooth extraction procedures. From the search results, 797 articles were identified, and after the selection process, 6 articles met the inclusion criteria. The review results showed that articaine has several advantages over lidocaine, including no need for additional injection volume, faster onset of action, longer anesthetic duration, and lower intraoperative and postoperative pain complaints. Based on these findings, it can be concluded that articaine is a more effective local anesthetic than lidocaine for tooth extraction procedures.

Antioxidant Activity And Tirosinase Inhibition Extract Of Red Shoot Leaves (Syzygium myrtifolium)

2026-06-12T13:18:09+00:00

Skin aging is a natural process accelerated by free radical exposure, UV radiation, and environmental pollution, necessitating effective and safe anti-aging agents. This study aimed to evaluate the potential of red shoot leaves ethanol extract (Syzygium myrtifolium) as anti-aging through antioxidant activity and tirosinase enzyme inhibition assays in vitro. Extraction was performed by maceration using 70% ethanol (1:10) for 12 hours, centrifuged, sonicated, and concentrated using a rotary evaporator. Phytochemical skrining identified flavonoids, alkaloids, saponins, tannins, and triterpenoids. DPPH antioxidant assay showed inhibition percentages of 96.17–99.49% at concentrations of 200-800 ppm. Tirosinase inhibition test resulted in 82.54% inhibition. These results demonstrate that red shoot leaves extract has dual anti-aging potential through antioxidant protection and melanogenesis inhibition mechanisms. This study provides scientific basis for developing anti-aging cream formulations based on safe and sustainable local natural ingredients

Scoping Review: The Effectiveness Of Sanitation Interventions In Addressing Waterborne Diseases In Vulnerable Communities

2026-06-17T23:02:33+00:00

Waterborne diseases remain a serious public health concern in vulnerable communities, particularly in areas with inadequate sanitation. WHO reported approximately 505,000 diarrhea-related deaths annually due to unsafe drinking water. Indonesia's 2023 Health Survey showed diarrhea prevalence of 4.3% across all age groups. This scoping review aims to critically map and evaluate the effectiveness of various sanitation interventions in combating waterborne diseases in vulnerable communities based on current scientific evidence. The scoping review followed the Arksey and O'Malley (2005) framework, strengthened with JBI guidance, and reported using PRISMA-ScR guidelines. Searches were conducted through Google Scholar, PubMed, and Scopus (2020-2025). Sixteen articles were analyzed using descriptive thematic analysis. Multi-component sanitation interventions combining behavioral change with infrastructure provision demonstrated higher effectiveness than single interventions. Point-of-use water treatment reduced diarrhea risk by up to 50%, while handwashing with soap reduced risk by 30%. CLTS/STBM programs significantly improved latrine coverage and reduced diarrhea prevalence. Intervention effectiveness was moderated by seasonal variation, geographic context, and community participation levels. Multi-component approaches integrating behavioral change, infrastructure improvement, and institutional strengthening proved most effective. Significant research gaps exist regarding long-term sustainability, cost-effectiveness analysis, and climate change adaptation.

The Relationship Between Parenting Styles And Anxiety Levels In Children Aged 3-6 Years During Hospitalization

2026-07-01T10:06:59+00:00

Hospitalization is a stressful experience for children, especially when they have to undergo disruptive procedures, which often cause anxiety that affects the child's physical and mental health. This can create a traumatic experience related to hospitalization. This study aims to identify the relationship between parenting styles and anxiety levels in preschool-aged children during hospitalization. The method used in this study is quantitative with a cross-sectional survey design. A total of 52 children aged between 3-6 years (preschool) who were treated at Private Hospital "X" Medan were selected through a purposive sampling technique. A questionnaire was used as the research instrument. Bivariate analysis was conducted using the non-parametric Spearman's Rho test. The findings of this study indicate a significant relationship between parental parenting styles and preschoolers' anxiety levels during hospitalization. Parenting styles significantly influence preschoolers' anxiety levels during hospitalization. Children who receive supportive, democratic, and affectionate parenting styles tend to have better coping mechanisms, resulting in lower anxiety levels than children with less appropriate parenting styles. It is recommended that further researchers conduct intervention studies to identify parenting patterns and add variables of children's coping mechanisms during hospitalization.

Workload-Based Pharmacy Staffing Needs Analysis Using WISN At Kimia Farma South Sumatra Pharmacy

2026-07-09T16:28:39+00:00

The availability of pharmaceutical personnel aligned with workload is essential for maintaining service quality, operational efficiency, and patient safety in retail pharmacies. This study aimed to analyze pharmaceutical staffing needs based on workload using the Workload Indicator of Staffing Needs (WISN) method in four Kimia Farma pharmacies in South Sumatra. A mixed-methods design was employed. Data were collected through focus group discussions, work sampling observations using a stopwatch, structured interviews, and secondary data, including patient visit reports and attendance records. Staffing requirements were calculated based on available working time, workload components, and allowance factors. The WISN ratios were 1.07458 at Sudirman Pharmacy, 1.16508 at Rosarum Pharmacy, 0.99705 at Symphoni Pharmacy, and 1.00414 at Rama Pharmacy. These findings indicate that staffing levels were generally adequate, although workload pressure varied across pharmacies. Support activities, particularly stock-taking, accounted for the largest proportion of working time and substantially influenced workload distribution. The findings demonstrate that staffing adequacy should be evaluated not only by workforce numbers or prescription volume but also by actual workload distribution. The WISN method provides an objective basis for pharmaceutical workforce planning and supports task redistribution, workflow simplification, enhanced administrative support, and improved information system utilization to optimize staffing efficiency in retail pharmacies.

Distribution of Diphtheria Cases by Population Density and Access to Health Centers in East Java Province, 2022–2024

2026-04-29T03:09:47+00:00

Diphtheria remains a re-emerging public health threat in Indonesia, with East Java Province consistently reporting the highest national case burden. This study aimed to describe the spatial distribution of diphtheria cases in relation to population density and healthy home coverage across all 38 districts and cities of East Java Province from 2022 to 2024. An ecological study design with a temporal-spatial approach was employed using secondary data sourced from the East Java Provincial Health Profile for the period 2022–2024. Data were analyzed and visualized using Quantum GIS version 3.34.3 through choropleth and spatial overlay mapping techniques. A total of 909 diphtheria cases were recorded over the study period, with annual increases culminating in 397 cases in 2024. Sidoarjo Regency (74 cases), Surabaya City (68 cases), and Blitar Regency (66 cases) recorded the highest cumulative case counts. Spatial overlay analysis revealed that districts and cities classified with high population density tended to exhibit higher diphtheria case burdens, while areas with low healthy home coverage most notably Bangkalan Regency also showed elevated case counts. Conversely, Madiun City, which had the highest healthy home coverage, recorded only 7 cases throughout the study period. These findings indicate that population density and healthy home access are associated with the geographic distribution of diphtheria incidence, underscoring the need for territory-based, multi-sectoral prevention and control strategies in high-risk districts.

Exploration Of The Potential Of Phaleria Macrocarpa Against Colon Cancer Using A Network Pharmacology Approach Network Pharmacology-Based Exploration of Phaleria Against Colon Cancer

2026-06-13T01:05:35+00:00

Colon cancer is one of the leading causes of cancer-related mortality worldwide. Phaleria macrocarpa contains various bioactive secondary metabolites with potential anticancer activity. This study aimed to identify the potential molecular targets of Phaleria macrocarpa against colon cancer using a network pharmacology approach. Compound data were collected from LC-MS/MS-based studies and screened using pkCSM. Protein targets were predicted using SuperPred and compared with colon cancer-related proteins obtained from GeneCards. Protein interaction and network topology analyses were performed using STRING-DB, Cytoscape, and CytoNCA. The results identified 10 overlapping target proteins, namely TLR4, GLS, MAP2K2, LDHA, STAT3, NFKB1, PTGS1, GSK3B, STAT1, and SLC2A1. Network analysis revealed that NFKB1 were the key targets with the highest centrality values. These findings suggest that Phaleria macrocarpa may inhibit colon cancer progression through multiple molecular targets and biological pathways.

Physical Activity, Sleep Quality, And Gadget Use As Risk Factors For Anemia In Adolescent Girls: A Systematic Literature Review

2026-06-20T12:40:54+00:00

Anemia among adolescent girls remains a significant public health problem because it can adversely affect growth, learning capacity, productivity, and future reproductive health. In addition to nutritional factors, modern lifestyle changes—including physical activity, sleep quality, and gadget use—are increasingly recognized as potential contributors to anemia risk. This study aimed to synthesize scientific evidence regarding the association of physical activity, sleep quality, and gadget use with anemia among adolescent girls. This study aimed to analyze and synthesize scientific evidence regarding the association of physical activity, sleep quality, and gadget use with anemia among adolescent girls and to identify the underlying mechanisms linking these factors to anemia. This study employed a Systematic Literature Review (SLR) following the PRISMA 2020 guidelines. Literature searches were conducted in the PubMed, Scopus, ScienceDirect, ProQuest, Google Scholar, and Garuda databases for articles published between 2020 and 2025. Studies were selected based on predefined inclusion and exclusion criteria, assessed for methodological quality, and analyzed using narrative synthesis and thematic analysis. A total of 25 articles met the eligibility criteria and were included in the final synthesis. The review findings indicated that unbalanced physical activity, poor sleep quality, and excessive gadget use were associated with an increased risk of anemia among adolescent girls. Both insufficient and excessive physical activity without adequate nutritional support may affect hemoglobin levels. Poor sleep quality was linked to impaired iron metabolism and hemoglobin synthesis, while excessive gadget use indirectly contributed to anemia through increased screen time, sedentary behavior, and reduced sleep quality. These findings suggest that these three lifestyle factors interact and collectively influence the risk of anemia. In conclusion, preventing anemia among adolescent girls requires a comprehensive approach that addresses not only nutritional factors but also healthy physical activity, adequate sleep, and responsible gadget use. The findings provide evidence for developing adolescent health programs and future research on lifestyle determinants of anemia.

Analysis Of Generation Z’s Online Medication Purchasing Behavior

2026-06-27T03:59:46+00:00

The digital age has transformed the way Generation Z (Gen Z) accesses healthcare services, including obtaining medications. The phenomenon of “kereta kuning” purchasing medications through e-commerce platforms and social media has become a significant trend due to its convenience, privacy, and competitive prices. However, this convenience poses serious health risks. This article aims to provide a narrative review of online medication purchasing behavior among Gen Z and its impact on patient safety. We conducted a literature review by collecting scientific journals from leading platforms such as Google Scholar, CrossRef, and PubMed in English. Analysis of the literature reveals that low digital health literacy and a tendency to self-diagnose based on viral content are driving Gen Z to consume prescription medications without medical supervision. Key risks include the circulation of substandard or counterfeit drugs, a lack of accurate dosage information, and the absence of pharmacists in clinical screening. Although digital access offers efficiency, without strict regulations and adaptive education tailored to Gen Z’s lifestyle, this trend could become a public health “disaster” in the future.

Effectiveness Of Building Openings In Achieving Thermal Comfort In Semi-Outdoor Spaces: A Case Study Of Taman Dayu Hotel, Indonesia

2026-07-05T04:31:59+00:00

Thermal comfort in tropical hospitality buildings presents significant challenges due to persistently high temperatures and humidity levels. Semi-outdoor spaces, frequently integrated into hotel designs, rely primarily on natural ventilation and spatial openness to regulate environmental conditions. However, the effectiveness of building openings in supporting passive thermal performance varies depending on configuration, orientation, and airflow continuity. This study investigates the relationship between building opening configurations and measured thermal conditions across different spatial typologies at Taman Dayu Hotel, Indonesia. A field-based mixed-method approach was employed, combining quantitative environmental measurements with qualitative architectural analysis. Air temperature and relative humidity were recorded in indoor, semi-outdoor, and outdoor spaces, while opening size, distribution, cross-ventilation potential, and shading conditions were documented through direct observation. Comparative analysis was conducted to evaluate how spatial permeability and airflow pathways influence thermal performance. The findings indicate that semi-outdoor spaces with opposing openings and unobstructed airflow paths exhibit more stable and moderate thermal conditions compared to spaces with single-sided openings. Cross-ventilated corridors and restaurant areas demonstrate improved passive performance, while fully open zones without adequate radiation control record higher temperatures despite large opening areas. The results emphasize that opening size alone does not ensure thermal moderation; rather, effective airflow continuity, spatial configuration, and integration of shading strategies are critical in achieving passive thermal performance. This study provides empirical evidence supporting the optimization of opening design strategies in tropical hospitality architecture to reduce reliance on mechanical cooling systems.

The Relationship Between Therapeutic Communication And The Anxiety Levels Of Families Of Patients In The Intensive Care Unit

2026-07-11T02:42:24+00:00

Families of patients receiving treatment in the Intensive Care Unit (ICU) often experience anxiety due to the patient's critical condition and the uncertainty surrounding the treatment process. This study aimed to analyze the relationship between nurses' therapeutic communication and the anxiety levels of patients' families in the ICU of Kotamobagu Regional General Hospital. The study employed an analytical correlational design with a cross-sectional approach involving 43 respondents selected using a purposive sampling technique. Data were collected using the Therapeutic Communication Questionnaire and the Hamilton Anxiety Rating Scale (HARS), and were analyzed using the Pearson Product Moment correlation test. The results showed that nurses' therapeutic communication was categorized as good, with a mean score of 92.99, while the family anxiety level was categorized as moderate, with a mean score of 47.46. There was a strong and significant negative relationship between nurses' therapeutic communication and family anxiety levels (r = -0.721; p = 0.000), indicating that better therapeutic communication provided by nurses was associated with lower anxiety levels among patients' families in the ICU.

Development Of A TOGAF-Based Target Operating Model For Enterprise Architecture: Integration Of Governance, IT Assets, IT Services, And Architect Competencies Through COBIT Alignment

2026-06-11T06:45:21+00:00

Effective Enterprise Architecture (EA) practices require a framework that not only defines the architecture technically, but also integrates governance, IT asset management, IT services, and architect competencies into a structured ecosystem. This study proposes a TOGAF-based Enterprise Architecture Target Operating Model (TOM) linked to COBIT as an IT governance framework. The developed TOM encompasses five main dimensions: (1) the purpose of developing an architecture aligned with organizational strategy, (2) a comprehensive architectural landscape encompassing business, application, data, and technology domains, (3) the role and competencies of enterprise architects, (4) the role of the architecture board/committee in providing strategic direction, and (5) the linkage of the architecture cycle with the organizational budgeting cycle. Alignment between TOGAF and COBIT is built through mapping enterprise goals, alignment goals, and IT goals into EA processes, so that EA capabilities become measurable and auditable. This study uses a descriptive qualitative approach with a systematic literature review and framework analysis. The results of the study show that the integration of TOGAF-COBIT in TOM EA is able to increase the effectiveness of EA practices, ensure that the resulting architecture is aligned with the organization's strategic objectives, and strengthen overall IT governance.

Stroke Prevention With Direct Oral Anticoagulants (Doac) Versus Warfarin In Patients With Non-Valvular Atrial Fibrillation (Nvaf): A Real-World Cohort Meta-Analysis

2026-07-01T10:04:47+00:00

Atrial fibrillation, particularly NVAF, is a major risk factor for stroke and systemic embolism, yet real-world evidence on the effectiveness and safety of DOACs versus warfarin remains limited. This systematic review and meta-analysis compared the effectiveness and safety outcomes of direct oral anticoagulants (DOACs) vs for stroke prevention in patients with NVAF. This review followed PRISMA guidelines. Cohort studies published in the past 10 years were identified from PubMed, Scopus, and Google Scholar, with study quality assessed using the Newcastle–Ottawa Scale. Pooled hazard ratios for the effectiveness and safety of DOACs versus warfarin in NVAF were calculated using a random-effects model in RevMan 5.4.1. A total of 12 studies were included in this meta-analysis. Compared with warfarin, DOACs significantly reduced the risk of stroke or systemic embolism (HR = 0.76, 95% CI: 0.67–0.87), ischemic stroke (HR = 0.70, 95% CI: 0.54–0.92), and hemorrhagic stroke (HR = 0.62, 95% CI: 0.45–0.86). All-cause mortality was numerically lower with DOACs but not statistically significant (HR = 0.82, 95% CI: 0.66–1.01). For safety outcomes, DOACs were associated with a lower risk of major bleeding (HR = 0.81, 95% CI: 0.65–1.00) and intracranial hemorrhage (HR = 0.57, 95% CI: 0.50–0.65), while gastrointestinal bleeding did not differ significantly between groups (HR = 1.09, 95% CI: 0.62–1.90). Based on real-world cohort evidence, DOACs demonstrate superior effectiveness in reducing stroke and systemic embolism and a more favorable safety profile compared with warfarin in patients with NVAF.

Explainable AI-Based Diabetes Mellitus Risk Prediction Using Naive Bayes and Support Vector Machine

2026-07-08T02:13:08+00:00

Diabetes Mellitus (DM) is a chronic metabolic disease that continues to increase globally and requires effective early detection to reduce the risk of serious complications. Machine learning has been widely adopted as an approach for predicting diabetes risk; however, most existing models are still black-box in nature, making them difficult to interpret and less useful for clinical decision-making. In addition, the problem of class imbalance in medical datasets often causes models to be biased toward the majority class, reducing their sensitivity in detecting high-risk patients. This study aims to develop and compare diabetes risk prediction models using the Naive Bayes and Support Vector Machine (SVM) algorithms with an Explainable Artificial Intelligence (XAI) approach. Class imbalance was addressed using the Synthetic Minority Over-sampling Technique (SMOTE) applied to the training data. Interpretability was analyzed using SHAP (SHapley Additive exPlanations) for global feature importance and LIME (Local Interpretable Model-agnostic Explanations) for local instance-level explanations. The dataset used was the Diabetes Health Indicators Dataset from the BRFSS 2015 survey, publicly available on Kaggle, with a sample of 50,000 records and 22 variables. Evaluation results showed that SVM achieved an accuracy of 84.17%, while Naive Bayes achieved a higher recall of 77.76%, indicating better sensitivity in detecting diabetes cases. SHAP analysis identified GenHlth, HighBP, BMI, HighChol, and Age as the most influential risk factors globally, while LIME provided individual-level explanations. This research contributes a prediction model that is not only accurate but also transparent and clinically interpretable.

Analysis Of Factors Associated With Occupational Fatigue Among Motorcycle Workshop Workers In Jambi City, 2026

2026-07-13T12:22:21+00:00

Occupational fatigue is a common occupational health problem that may reduce productivity and increase the risk of workplace accidents, particularly among motorcycle workshop workers who are exposed to physically demanding tasks and unfavorable working conditions. This study aimed to analyze factors associated with occupational fatigue among motorcycle workshop workers in Jambi City. A quantitative cross-sectional study was conducted involving 46 workers selected using simple random sampling. Data were collected through questionnaires, observation, anthropometric measurements, and the Industrial Fatigue Research Committee (IFRC) Subjective Self-Rating Test. Data were analyzed using univariate and Chi-square analyses at a 95% confidence level. The results showed that 58.7% of respondents experienced occupational fatigue. Age, length of service, smoking habits, and work environment were significantly associated with occupational fatigue, with age demonstrating the strongest association. These findings indicate that both individual and workplace factors contribute to occupational fatigue. Improving workplace conditions and strengthening occupational health promotion programs are recommended to reduce fatigue and enhance workers' health, safety, and productivity.

The Relationship Between Early Initiation Of Breastfeeding (EIB) And Exclusive Breastfeeding History With Stunting Severity Among Children Under Five At "X" Public Health Center Indragiri Hilir

2026-06-03T08:51:01+00:00

Stunting remains a significant chronic nutritional challenge in Indonesia. Early Initiation of Breastfeeding (EIB) and Exclusive Breastfeeding (EBF) are critical interventions that support child growth and serve as foundational strategies for stunting prevention. This study aims to investigate the relationship between a history of EIB and EBF and the severity of stunting (classified as stunted and severely stunted) among affected children under five within the catchment area of Public Health Center "X" in Indragiri Hilir Regency.An observational analytic design with a cross-sectional approach was employed, utilizing secondary data from the 2025 Stunting Audit. The study population consisted of 45 stunted children under five, selected through a total sampling technique. Data were analyzed using the Chi-Square test with a 95% confidence level (α=0,05) and the calculation of Odds Ratios (OR).The results indicated that the majority of respondents were categorized as severely stunted (66.7%), had a history of EIB (55.6%), and received EBF (55.6%). No significant correlation was found between a history of EIB and stunting severity (p=0,670; OR=1,313; 95%CI=0,373–4,616). Conversely, a significant association was observed between EBF and stunting severity (p=0,034; OR=0,250; 95%CI=0,067–0,931). These findings suggest that exclusive breastfeeding serves as a protective factor against increased stunting severity, whereas EIB did not demonstrate a significant relationship in this specific population. Consequently, enhancing EBF coverage must be prioritized as a pivotal component of stunting prevention and control programs.

Success Rate And Survival Of Resin-Bonded Fixed Dental Prostheses In The Anterior Region: A Literature Review

2026-06-12T13:42:31+00:00

Loss of anterior teeth may affect mastication, phonetics, esthetics, and the patient’s quality of life, thereby requiring appropriate rehabilitation. One of the treatment options widely used is resin-bonded fixed dental prosthesis (RBFDP) due to its minimally invasive and conservative nature, as well as its favorable esthetic outcomes. This literature review aims to evaluate the success and survival rates of RBFDPs in the anterior region based on recent scientific publications. This study employed a qualitative descriptive approach through literature searches in PubMed, Google Scholar, ScienceDirect, and Wiley Online Library databases using articles published between 2020 and 2026. Article selection was carried out based on predetermined inclusion and exclusion criteria, and the data were analyzed descriptively. RBFDPs demonstrate high success and survival rates in the anterior region, particularly in ceramic-based restorations and cantilever designs. Factors influencing success include the type of material, retainer design, quality of adhesion, occlusal conditions, patient oral hygiene, and the clinical techniques applied. The most commonly reported complications are debonding and retainer fracture. RBFDPs represent an effective and conservative rehabilitation option capable of providing favorable long-term functional and esthetic outcomes in cases of anterior tooth loss.

Literature Review: The Relationship Between Dietary Patterns, Physical Activity, And Medication Compliance With The Increase In Blood Sugar Levels In Diabetes Mellitus Patients

2026-06-20T12:24:58+00:00

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia due to impaired insulin secretion or action. Blood glucose control in patients with type 2 diabetes mellitus is influenced by various factors, including dietary patterns, physical activity, medication adherence, as well as psychosocial factors such as stress and family support. This study used a literature review method by searching scientific articles through Google Scholar, PubMed, and ScienceDirect within the publication period of 2022–2026. Selected articles focused on the relationship between diet, physical activity, and medication adherence with blood glucose levels in patients with type 2 diabetes mellitus. The review findings indicate that most studies show a significant relationship between dietary patterns, physical activity, and medication adherence with blood glucose levels. Physical activity and dietary adherence contribute to better glycemic control, while medication adherence shows inconsistent results. Other factors such as family support, stress levels, and smoking habits also influence blood glucose stability. Blood glucose control in diabetes mellitus is multifactorial. Proper diet and regular physical activity improve insulin sensitivity and glucose metabolism. Medication adherence is important, but not always directly associated with glycemic control due to the influence of individual and lifestyle factors. Dietary patterns, physical activity, and medication adherence play important roles in controlling blood glucose levels in patients with type 2 diabetes mellitus, although results are not always consistent. Diabetes management requires a comprehensive approach including lifestyle modification and psychosocial support.

Comparison Of CNN, Resnet 50, And Vgg 16 For Pneumonia Classification Using Transfer Learning

2026-06-26T12:57:32+00:00

Pneumonia is one of the leading causes of death from infectious diseases worldwide, making rapid and accurate radiological diagnosis crucial for successful medical treatment. This study implemented and compared three deep learning architectures—a custom Convolutional Neural Network (CNN), ResNet50, and VGG16—for binary classification of chest X-ray images into Normal and Pneumonia categories. The Chest X-ray Pneumonia dataset from Kaggle (5,863 images) was used with an 80/10/10 (train/validation/test) data split and data augmentation to address class imbalance. ResNet50 with transfer learning from ImageNet weights achieved the best performance: 95.1% accuracy, 92.3% precision, 96.7% recall, 94.4% F1-score, and 97.5% AUC-ROC, outperforming the custom CNN (89.4% accuracy, 95.2% AUC) and VGG16 (93.7% accuracy, 96.1% AUC). Statistical analysis confirmed that the performance difference between ResNet50 and the custom CNN was statistically significant (p < 0.05). The results showed that residual learning on ResNet50 effectively addressed the vanishing gradient problem in deep networks and achieved clinically relevant classification accuracy, supporting its potential integration into computer-aided diagnosis (CAD) systems.

The Effect Of Strenghts-Based Leadership On Work Engagement: The Mediating Role Of Strenghts Use Among Healthcare Professionals

2026-07-10T02:00:15+00:00

In a very competitive business environment, particularly in the healthcare sector, human resources are now among the most crucial aspects influencing an organization's performance. Healthcare employees are required to show the best performance and excellent levels of work engagement to ensure patient safety and the quality of healthcare treatments. According to Schaufeli et al. (2002), work engagement is a positive, rewarding psychological condition characterized by vitality, devotion, and absorption in one's work. 200 responders were chosen through the use of purposeful sampling. Data were gathered by distributing questionnaires, and SEM-PLS was used for analysis. The results show that work engagement is positively and significantly impacted by strengths-based leadership. Furthermore, the use of strengths is positively and significantly impacted by strengths-based leadership, and work engagement is positively and significantly impacted by strengths use. Additionally, the findings show that the relationship between strengths-based leadership and work engagement is positively and significantly mediated by strengths utilization. These results imply that healthcare professionals' work engagement can be improved both directly and indirectly by adopting leadership methods that emphasize identifying and utilizing people' abilities. According to this study, healthcare organizations should encourage strengths-based leadership techniques in order to maximize the potential of healthcare workers, which will improve job engagement and raise the standard of healthcare services.

Implementation Of Two-Hourly Repositioning For The Prevention Of Pressure Injury In Two Patients With Ischemic Stroke And Pneumonia In The Intensive Care Unit (ICU): A Case Study

2026-07-15T05:01:15+00:00

Pressure injury remains an important patient safety indicator and continues to pose a significant challenge in healthcare, particularly among patients with limited mobility. Patients with ischemic stroke complicated by pneumonia are at high risk of developing pressure injuries due to prolonged immobility, physical weakness, and reduced activity tolerance. In the ICU of Hospital X, five cases of pressure injury were reported between January and December 2025. Furthermore, from January to May 2026, a total of 146 bedridden patients were identified as being at risk for pressure injury based on the COMHON Index. Repositioning every two hours is a recommended nursing intervention for preventing pressure injuries. To analyze the implementation of nursing care through two-hourly repositioning as an intervention to prevent the risk of pressure injury in two patients with ischemic stroke and pneumonia. This study employed a case study design using the nursing care process involving two patients with ischemic stroke complicated by pneumonia who were at risk of developing pressure injury. Patient assessment was conducted using the COMHON Index, followed by the implementation of two-hourly repositioning and regular skin condition monitoring throughout the course of care. Two-hourly repositioning was successfully implemented according to the planned nursing interventions. During the two-day observation period, neither patient developed a pressure injury, and skin integrity was maintained. In the patient classified as high risk, blanchable erythema was observed over the sacral area but improved following regular repositioning and continuous skin assessment. Two-hourly repositioning is an effective nursing intervention that supports the prevention of pressure injury in patients with ischemic stroke and pneumonia. This intervention should be implemented consistently and accompanied by regular skin assessment to maintain skin integrity.

Evaluation Of Time Control Of Drainage Channel Project Using Earned Value Method (Case Study: Rehabilitation of Drainage Channels in Ngronggo Village, Kediri City)

2026-05-21T04:36:29+00:00

The success of a construction project is influenced by the management of three main components: cost, time, and quality. Time control is an important aspect so that project implementation can run according to the planned schedule. This study aims to evaluate the time performance of the Drainage Channel Rehabilitation Project in Ngronggo Village, Kediri City using the Earned Value method. The Earned Value method is used to analyze project performance by comparing the planned schedule with the work progress that has been achieved during project implementation. The parameters used in this study include the Budgeted Cost of Work Scheduled (BCWS), Budgeted Cost of Work Performed (BCWP), Schedule Variance (SV), and Schedule Performance Index (SPI). The results of the analysis show that the Schedule Variance (SV) value is negative, indicating that the project implementation has been delayed compared to the planned schedule. In addition, the Schedule Performance Index (SPI) value obtained is less than 1 (SPI <1), indicating that the project's time performance is running poorly. Based on the analysis of the estimated project completion time usingEstimate to Completion(ETC) and Estimate At Completion (EAC), the estimated project completion time is 16 weeks, while the project's planned duration is 13 weeks. Therefore, it can be concluded that the project is 3 weeks behind schedule.

Evolving Anti-VEGF Therapy For Diabetic Retinopathy: Current Evidence, Durability Strategies, And Future Directions

2026-06-09T02:01:40+00:00

Diabetic retinopathy (DR) remains one of the leading causes of vision impairment and blindness among working-age adults worldwide. The introduction of anti-vascular endothelial growth factor (anti-VEGF) therapy has significantly transformed the management of DR by effectively reducing retinal vascular permeability, inhibiting neovascularization, and improving visual outcomes. This article reviews the evolving role of anti-VEGF agents in the treatment of diabetic retinopathy, highlighting current clinical evidence regarding their efficacy, safety, and comparative performance. Particular attention is given to durability strategies designed to reduce treatment burden, including treat-and-extend regimens, high-dose formulations, sustained-release delivery systems, and emerging long-acting therapeutic approaches. The review also discusses the limitations of existing therapies, such as the need for frequent intravitreal injections, patient adherence challenges, and variability in treatment response. Furthermore, future directions are explored, including novel molecular targets, gene-based therapies, combination treatments, and advancements in personalized medicine supported by artificial intelligence and predictive biomarkers. The findings indicate that while anti-VEGF therapy remains the cornerstone of contemporary diabetic retinopathy management, ongoing innovations aimed at enhancing treatment durability and individualized care have the potential to improve long-term outcomes and reduce the global burden of diabetic eye disease.

Development Of A Smart Fire Fighting Robot Based On Arduino Uno With A Fire Detection System And Hybrid Manual-Automatic Control

2026-06-15T02:51:26+00:00

Fire is one of the disasters that can cause material losses and casualties if not handled quickly. This study aims to design and develop a Smart Fire Fighting Robot based on Arduino Uno with a fire detection system and hybrid manual-automatic control. The system uses flame sensors to detect fire sources, an infrared temperature sensor for heat validation, DC motors for movement, a servo motor to direct the nozzle, and a water pump for extinguishing. The robot can operate in automatic mode to detect, approach, and extinguish fire autonomously, as well as in manual mode controlled via Bluetooth to improve operational flexibility. The test results show that the system is able to detect fire accurately, navigate toward the fire source, and extinguish fire effectively in small-scale fire simulations. This system is expected to support fire mitigation efforts and reduce risks to humans during emergency situations.

Climate Change And Respiratory Health Among School-Age Children: A Narrative Review

2026-06-23T23:26:28+00:00

Climate change represents a significant global health threat, particularly for school-age children who exhibit greater physiological vulnerability. This narrative review aims to synthesize current scientific evidence on the impact of climate change on respiratory health among school-age children, covering exposure mechanisms, affected respiratory conditions, and public health implications. A literature search was conducted across PubMed/MEDLINE, Google Scholar, and ScienceDirect databases, yielding 15 articles published between 2021 and 2026 that met the pre-defined inclusion criteria. Evidence from the included studies indicates that climate change affects children's respiratory health through four primary pathways: (1) increased concentrations of air pollutants such as PM2.5 and ozone, (2) prolonged pollen seasons and elevated allergen exposure, (3) increased wildfire frequency and associated smoke exposure, and (4) extreme temperature and humidity changes. The most affected conditions include asthma, allergic rhinitis, acute respiratory infections, and pneumonia. Climate change consistently worsens respiratory health outcomes in school-age children, and integrated adaptation and mitigation policies are urgently needed, including air quality monitoring in school environments and climate-informed health education.

Registration Officers' Perception Towards The Implementation Of The Electronic Medical Record System At RSAD TK.II Udayana, Denpasar City

2026-07-01T10:02:38+00:00

The implementation of electronic medical records in all health care facilities is required to implement an electronic-based medical record system, as regulated in the Minister of Health Regulation Number 24 of 2022 concerning Medical Records. The purpose of this study was to determine the perceptions of registration officers regarding the implementation of the electronic medical record system at RSAD Level II Udayana, Denpasar City. This study used a qualitative approach with an in-depth interview method based on the Technology Acceptance Model (TAM) theory, which includes perceptions of ease of use, perceptions of benefits, attitudes toward use, and intentions to use the electronic medical record system. The results showed that the electronic medical record system was considered relatively easy to use after going through the adaptation and training process, and provided benefits in the form of increased work efficiency. Officers' attitudes toward using the system tended to be positive because they felt comfortable and helped in their work, and their intention to continue using the system was also high, driven by policies and developments in digital technology, despite technical obstacles such as internet network disruptions. From this study, it can be concluded that the acceptance of the electronic medical record system is influenced by a combination of ease of use, perceived benefits, and organizational and infrastructure support. Therefore, system quality improvement and ongoing training are needed to optimize implementation.

Effectiveness Of Red Ginger Herbal Beverage As A Biomarker-Based Occupational Health Intervention On Blood Lactic Acid Levels Among Trans Metro Pekanbaru Bus Drivers With Low Back Pain

2026-07-07T00:52:28+00:00

Low back pain (LBP) is one of the most common musculoskeletal disorders among transportation workers, particularly bus drivers. Prolonged sitting posture, non-ergonomic working conditions, and continuous exposure to whole-body vibration contribute to impaired muscle perfusion and increased anaerobic metabolism, resulting in elevated blood lactate levels. Red ginger (Zingiber officinale var. rubrum) contains bioactive compounds such as gingerol and shogaol, which possess anti-inflammatory, antioxidant, and vasodilatory properties that may facilitate lactate clearance and reduce muscle pain. To evaluate the effectiveness of red ginger beverage on blood lactate levels among bus drivers with low back pain. This study used a quasi-experimental design with a pretest-posttest control group approach. A total of 60 Trans Metro Pekanbaru bus drivers with LBP were divided into an intervention group (n=30) and a control group (n=30). The intervention group received a red ginger beverage containing 10 g of red ginger in 100 mL of solution, while the control group received a beverage without the active components of red ginger. Blood lactate levels were measured before and after the intervention using the Accutrend® Plus device. Data normality was assessed using the Shapiro–Wilk test. Within-group differences were analyzed using the Wilcoxon signed-rank test, while between-group differences were analyzed using the independent t-test and Mann–Whitney test. Before the intervention, mean blood lactate levels were relatively comparable between the intervention group and the control group, with values of 3.01±0.65 mmol/L and 2.98±0.66 mmol/L, respectively. There was no significant difference in baseline blood lactate levels between the two groups (p=0.841 by Mann–Whitney test). After the intervention, blood lactate levels decreased in both groups. The intervention group showed a greater reduction, from 3.01±0.65 mmol/L to 1.99±0.31 mmol/L, with a mean decrease of 1.02±0.45 mmol/L. In the control group, blood lactate levels decreased from 2.98±0.66 mmol/L to 2.59±0.58 mmol/L, with a mean decrease of 0.39±0.22 mmol/L. The Mann–Whitney test showed a significant difference in post-intervention blood lactate levels between the intervention and control groups (p<0.001), with lower lactate levels observed in the intervention group. The administration of red ginger beverage had an effect on reducing blood lactate levels among TMP bus drivers with low back pain. The reduction in blood lactate levels was greater in the intervention group than in the control group, suggesting that red ginger beverage has the potential to be used as a supportive non-pharmacological intervention to reduce muscle pain among bus drivers with low back pain.

Analysis Of Factors Associated With Quality Of Work Life Among Tofu Factory Workers In Jambi City

2026-07-18T00:31:24+00:00

Quality of Work Life (QWL) is an important aspect that influences worker well-being, satisfaction, and productivity. Workers in the tofu industry face various working conditions that potentially affect the quality of work life. This study aims to analyze factors related to the Quality of Work Life of tofu factory workers in Jambi City in 2026. This study used a quantitative design with a cross-sectional approach. The study population was 45 workers and the entire population was sampled using a total sampling technique. The variables studied included salary, work fatigue, length of service, physical workload, mental workload, and work environment. Data analysis was carried out univariately and bivariately using the Chi-Square test with a 95% confidence level. The results showed that most workers had a low Quality of Work Life. Bivariate analysis showed that salary and length of service were significantly related to Quality of Work Life, while work fatigue, physical workload, mental workload, and work environment did not show a significant relationship. It can be concluded that compensation and work experience are factors that play a role in the quality of work life of tofu factory workers. Therefore, efforts are needed to improve workers' welfare by providing better compensation and managing human resources that can improve the quality of work life.

The Effect Of Brisk Walking Exercise On Blood Pressure In Elderly Hypertension In The Working Area Of The Gajah Ii Community Health Center

2026-05-31T23:41:47+00:00

Hypertension is a non-communicable disease that often occurs in the elderly and can cause serious complications if not properly controlled. One non-pharmacological therapy that can be done is brisk walking exercise. This study aims to determine the effect of brisk walking exercise on blood pressure in elderly people with hypertension in the Gajah II Community Health Center work area. The study used a quasi-experimental design with a pretest-posttest approach with a control group. The study sample consisted of 36 respondents who were divided into an intervention group and a control group using a total sampling technique. The intervention group was given brisk walking exercise for 20–30 minutes three times a week for two weeks, while the control group was only given health education. Blood pressure was measured using a digital sphygmomanometer before and after the intervention. Data analysis used a paired sample t-test and an independent sample t-test. The results showed that the average systolic blood pressure in the intervention group decreased from 174.06 mmHg to 128.67 mmHg and diastolic from 101.39 mmHg to 83.11 mmHg. Statistical tests showed a significant effect of brisk walking exercise on reducing blood pressure, with a p-value of 0.001 for systolic and 0.011 for diastolic blood pressure. It was concluded that brisk walking exercise is effective as a non-pharmacological therapy to help control blood pressure in elderly hypertensive patients.

The Relationship Between Work Posture And Repetitive Movements With Musculoskeletal Disorders (MSDs) Among Management Department Employees At Prof. Dr. H. M. Chatib Quzwain Regional General Hospital, Sarolangun

2026-06-12T13:40:27+00:00

Musculoskeletal Disorders (MSDs) are musculoskeletal system disorders affecting muscles, joints, tendons, and supporting tissues that may arise due to non-ergonomic working postures and repetitive occupational activities. Hospital management employees are considered a high-risk group for MSDs because their work predominantly involves prolonged sitting and extensive computer use. This study was conducted to examine the association between work posture and repetitive movements with the occurrence of Musculoskeletal Disorders (MSDs) among management employees at Prof. Dr. H.M. Chatib Quzwain Regional Hospital, Sarolangun. An analytical observational study with a cross-sectional design was employed. The study involved 31 respondents selected through purposive sampling. Data were obtained using the Nordic Body Map (NBM) questionnaire to identify MSD complaints, the Rapid Upper Limb Assessment (RULA) method to evaluate work posture, and direct observation to assess repetitive work activities. Data analysis was carried out using univariate and bivariate techniques with the Chi-Square test at a 95% confidence level. The findings revealed that 58.1% of respondents experienced moderate MSD complaints, 80.6% demonstrated high-risk work postures, and 54.8% engaged in repetitive work activities categorized as risky. The bivariate analysis showed that work posture was not significantly related to MSD occurrence (p = 0.656), whereas repetitive movements had a significant association with MSDs (p = 0.022). These findings indicate that repetitive work activities play a more substantial role in the development of MSDs than work posture among hospital management employees. Therefore, the implementation of ergonomic workplace practices and adequate rest periods is recommended to minimize the risk of MSDs.

The Role Of Periapical Radiography In Identifying Channel Configurations Type II Vertucci Root In The First Premolar Tooth Of The Maxim

2026-06-18T00:52:58+00:00

The first premolar maxillary has a complex diversity of root canal configurations. Identification of the proper root canal configuration greatly determines the success of endodontic treatment. Periapical radiography remains an easily accessible and useful examination to detect the possibility of more than one root canal through radiograph retrieval with the principle of Same Lingual Opposite Buccal, i.e. horizontal angulation changes and canal shadow variation analysis. To report the role of periapical radiography in identifying the configuration of the Vertucci root canal type II in the first premolar of the maxillary and its implications for endodontic management. A 39-year-old male came in with a complaint of cavities in the first premolar tooth of the left maxillary (Tooth 24). Initial periapical radiographs show the suspicion of the presence of more than one root canal. Taking radiographs with angulation variations helps to clarify the relationship of the root canal, which appears to be separate in the coronal and middle part of the root and then merge before reaching the apex, according to the Vertucci type II configuration. The radiography findings were used as a basis for determining treatment strategies and were confirmed on postoperative radiographs. Periapical radiography with angulation variations and SLOB principles remains valuable in detecting type II Vertucci configurations and aiding in the planning and implementation of more accurate root canal treatments.

Effectiveness Of Ventilatory Support Implementation To Address Ineffective Breathing Patterns In Children With Anaphylactic Shock Diagnosis At Porsea Regional General Hospital

2026-06-26T12:38:56+00:00

Effectiveness of implementing ventilation support to address inefective breathing patterns with a diagnosis o anaphylactive shock in the room porsea regional hospital toba. Anaphylactic shock is an allergic reaction that can cause loss of consciousness or even death, this condition occurs when the patient is allergic to food, drugs, insect venom. This scientific objective aims to reduce ineffective breathing patterns by implementing nursing with the application of ventilation support in hospitals with anaphylactic shock. The method used to conduct Nursing Care is by approaching through data collection, analyzing data, and drawing conclusions. The results of this study show that the application of ventilation support can have an effect on overcoming ineffective breathing patterns in anaphylactic shock patients. So the conclusion of Nursing Care given to clients during the three days of treatment application of ventilation support can have an influence on reducing ineffective breathing patterns namely reduced tightness and breathing back to stable. It is recommended to give the family a semi-fowler position and use loose clothes if there is tightness in the child.

The Effectiveness Of Guided Imagery Relaxation Therapy In Reducing Anxiety Levels In Pre-Operative Patients In The Marwah Inpatient Ward, Bakti Timah Hospital, Pangkalpinang

2026-07-02T12:05:24+00:00

Anxiety is a psychological response often experienced by patients before undergoing surgery and can affect their physical and psychological readiness. This study aims to determine the effectiveness of guided imagery relaxation therapy in reducing anxiety levels in preoperative patients in the Marwah Inpatient Ward, Bakti Timah Hospital, Pangkalpinang. The study used a descriptive method with a case study approach. The subjects consisted of three preoperative patients experiencing anxiety and were selected based on inclusion criteria. Data collection was carried out using a nursing assessment format, observation sheets, the Hamilton Anxiety Rating Scale (HARS), documentation, and the Standard Operating Procedures for guided imagery therapy. Data analysis was carried out descriptively by comparing the patient's condition before and after the intervention for 3x24 hours. The results showed that all patients experienced a decrease in HARS scores, namely Mrs. A from 24 to 15, Mr. B from 22 to 14, and Mrs. C from 26 to 16. In addition, patients showed a decrease in fear, increased comfort, better sleep quality, and improved vital signs. It was concluded that guided imagery relaxation therapy was effective in helping to reduce anxiety levels and increase patient readiness in facing surgery so that it could be applied as a non-pharmacological nursing intervention in pre-operative patients.

Effectiveness Of Preoperative Education Using Digital Leaflet And Motion Media On Oncology Surgery Patients' Knowledge Of Surgical Procedures At Pku Muhammadiyah Hospital Yogyakarta

2026-07-10T01:55:25+00:00

Patients' lack of knowledge regarding surgical procedures may lead to anxiety, fear, and unpreparedness in facing surgical interventions. Preoperative education is one of the strategies used to improve patients' understanding and preparedness before surgery. The use of educational media, such as digital leaflets and motion media, is expected to enhance oncology surgery patients' knowledge regarding surgical procedures. This study aimed to determine the effectiveness of preoperative education using digital leaflets and motion media on oncology surgery patients' knowledge of surgical procedures at PKU Muhammadiyah Hospital Yogyakarta. This study employed a quantitative approach with a quasi-experimental design using a pretest-posttest with two-group design. A total of 30 respondents were selected using purposive sampling and divided into two groups: the digital leaflet group and the motion media group. Data were collected using an oncology surgery patient knowledge questionnaire and analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test with a significance level of 0.05. The results showed that education using digital leaflet media increased the mean knowledge score from 3.73 ± 1.49 to 5.47 ± 1.25 (p = 0.001). In the motion media group, the mean knowledge score increased from 4.07 ± 1.53 to 6.60 ± 1.40 (p = 0.001). The Mann–Whitney U Test showed a p-value of 0.032, indicating a significant difference in effectiveness between the two educational media. Motion media demonstrated greater improvement in patient knowledge, with a mean rank of 18.87 compared with 12.13 for digital leaflet media. Preoperative education using both digital leaflet and motion media was effective in improving oncology surgery patients' knowledge regarding surgical procedures. However, motion media proved to be more effective than digital leaflets in enhancing patients' understanding of surgical procedures.

Effectiveness Of Action Observation Therapy In Improving Apraxia And Functional Outcomes In Post-Stroke Patients: A Systematic Review

2026-07-15T04:58:49+00:00

Apraxia is a higher-order motor disorder commonly observed after stroke, characterized by impaired motor planning despite preserved motor strength. Conventional rehabilitation often fails to adequately address this deficit. Action observation therapy (AOT), based on the mirror neuron system, has emerged as a potential intervention targeting motor planning mechanisms. To evaluate the effectiveness of action observation therapy in improving apraxia severity and functional performance in post-stroke patients. A systematic review was conducted following PRISMA guidelines. Literature searches were performed in PubMed, Cochrane Library, and ScienceDirect. Randomized controlled trials evaluating AOT in stroke patients were included. Due to heterogeneity in outcome measures, a qualitative synthesis was performed. Five studies were included. Two studies directly assessed apraxia and demonstrated significant improvements in praxis-related outcomes following AOT. All studies reported improved motor function and functional performance, with greater gains observed in AOT groups compared to conventional rehabilitation. However, findings related to manual dexterity were inconsistent across studies. AOT may enhance motor recovery by facilitating motor planning through activation of shared neural pathways involved in action observation and execution. While evidence supports its benefit in both apraxia-specific and general stroke populations, variability in study design and outcomes limits definitive conclusions.Action observation therapy shows potential in improving apraxia and functional outcomes after stroke, but further high-quality studies are needed to confirm its effectiveness.

Analysis Of Potential Hazards And Ergonomic Risks During Manual Handling Activities In The Medical Equipment Warehouse Of Pelabuhan Ratu Regional General Hospital

2026-06-08T15:34:01+00:00

Logistics management activities in hospitals have complex work characteristics and often involve intensive physical workloads. This study aims to identify potential ergonomic hazards, analyze risk levels, and formulate risk control recommendations for manual material handling (MMH) activities at the Medical Devices Warehouse Installation of RSUD Pelabuhan Ratu. The implementation methods utilized during this residency included direct field observations and structured interviews with warehouse staff. The root cause analysis was qualitatively conducted using a fishbone diagram with 4M+1E parameters (man, method, material, machine, environment) , followed by problem prioritization using the USG (Urgency, Seriousness, Growth) method and intervention strategy formulation through SWOT analysis. The assessment findings revealed significant potential ergonomic risks due to piles of large and heavy medical equipment being handled manually without mechanical lifting equipment (such as forklifts or hand stackers). Limitations in narrow storage spaces, the absence of OSH (Occupational Safety and Health) signages, and the lack of a specific recording system for musculoskeletal disorders (MSDs) further aggravated the risk level. Based on the USG matrix, the most urgent primary issues are the high intensity of manual heavy lifting and the low awareness among employees regarding proper ergonomic working postures. The SWOT analysis positioned the organization in Quadrant I (Aggressive Strategy). Consequently, the SO (Strength-Opportunity) strategy is recommended to optimize management support by developing an integrated manual handling system with the hospital's OSH programs, conducting regular training and socialization on proper lifting techniques, installing educational OSH signs, and strengthening progressive supervision and evaluation to minimize musculoskeletal injuries among warehouse workers.

Analysis Of Challenges And Implementation Of Digital Health Policy Transformation: A Literature Review

2026-06-13T14:00:20+00:00

The acceleration of global health digitalization offers significant potential to improve public care quality; however, its practical execution frequently encounters multidimensional barriers and threatens to widen the digital health divide. Objective: This study aims to comprehensively evaluate the policy typologies, service modalities, contemporary challenges, and real-world implications of international digital health implementations. Method: Utilizing a Systematic Literature Review (SLR) design aligned with PRISMA 2020 guidelines, literature searches were performed across PubMed, ScienceDirect, and Google Scholar databases for articles published between 2022 and 2026. Applying rigorous selection via the PICOS framework, 8 core articles were retrieved for extraction using thematic analysis. Results: The synthesis reveals that macro-level policies successfully diversified digital services into administrative (e-prescription), remote clinical care (Remote Patient Monitoring), and preventive governance (Digital Proximity Tracing). Instrumentally, e-health effectively reduces operational costs, enhances clinical quality, and bridges access gaps for marginalized groups, such as coastal and migrant populations. Nevertheless, the transition is severely hindered by fragmented data interoperability, insufficient digital literacy among professionals, ethical issues concerning AI algorithmic biases, and policy blindness toward technological determinism, which drives social exclusion. Conclusion: Integrating social determinants into digital health architecture is vital for establishing an equitable public health ecosystem. Policymakers must devise equity-centered regulations and system standardization, while medical institutions are urged to adopt structured literacy training to minimize internal resistance.

Overview Of Environmental Conditions That Have The Potential To Become A Breeding Place For Mosquitoes That Cause Dengue Hemorrhagic Fever (Dhf) In Cikulak Village, Cirebon Regency

2026-06-23T23:50:45+00:00

Mosquitoes are a vector of disease that plays a role in the spread of various infectious diseases, such as dengue fever (DHF), malaria, chikungunya, and filariasis. Environmental conditions such as stagnant water, open water reservoirs, and garbage accumulation can serve as breeding grounds for mosquitoes and increase the risk of disease transmission. This study aims to identify environmental conditions that have the potential to become mosquito breeding grounds in Cikulak Village, Cirebon Regency. The study used a descriptive observational design with a cross-sectional approach and was conducted in Cikulak Village, Cirebon Regency, from February to March 2026. The results revealed the presence of rarely cleaned bathtubs containing mosquito larvae, used containers that collect rainwater, stagnant water around houses, and garbage accumulation in residential areas. These conditions have the potential to become mosquito breeding grounds. Therefore, the environmental conditions in Cikulak Village still have the potential to become mosquito breeding grounds, requiring environmental management efforts and increased public awareness to prevent mosquito breeding.

Factors Associated With Work Fatigue Among Fire Department Officers In Jambi City

2026-07-11T02:46:55+00:00

Work fatigue is an occupational health issue that can reduce productivity, elevate the risk of workplace accidents, and threaten worker safety, particularly in high-risk occupations such as firefighting. This study examined the factors associated with work fatigue among officers of the Jambi City Fire Department, covering age, length of service, body mass index, smoking habits, workload, sleep quality, and heat exposure. A cross-sectional quantitative design was applied, involving all officers who met the inclusion criteria through a total sampling technique, yielding 192 respondents. Data were collected using standardized questionnaires and analyzed through univariate and bivariate chi-Square tests at a significance level of 0.05. The findings showed that 86.5% of respondents experienced a high level of work fatigue. No significant association was found between age (p=0.145), length of service (p=0.099), or body mass index (p=0.509) and work fatigue, whereas smoking behavior (p=0.018; PR=1.163), workload (p=0.025; PR=1.154), sleep quality (p=0.001; PR=1.218), and heat exposure (p=0.019; PR=1.195) were significantly associated with it. These four factors are therefore the main determinants of work fatigue among firefighters, and the institution is expected to design interventions addressing sleep management, workload distribution, smoking-cessation support, and heat-exposure control in the workplace.

An Overview of Online Loan (Pinjol) Usage Among Medical Students of Universitas YARSI, Cohorts 2023–2024, and Its Review from an Islamic Perspective

2026-05-31T23:04:12+00:00

The increasing accessibility of online loan (pinjol) services has influenced financial behavior among students, potentially leading to consumptive habits and financial risks. Among medical students with demanding academic responsibilities, the use of online loans may impact financial stability and decision-making. From an Islamic perspective, financial transactions must comply with Sharia principles, avoiding elements such as riba (usury), gharar (uncertainty), maysir (gambling), and zhulm (injustice). This study aims to analyze the overview of online loan usage among Medical Students of Universitas YARSI Cohorts 2023–2024 and examine it from an Islamic perspective. This study used a quantitative survey design with a total sampling technique involving active medical students of Universitas YARSI Cohorts 2023–2024 who met the inclusion criteria. Data were collected through an anonymous online questionnaire distributed via Google Forms using Likert-scale (1–5) questions. The variables measured included economic factors, social factors, consumptive behavior, ease of access, and financial impact. The instrument was tested for validity and reliability prior to data collection. The findings indicate that the main factors influencing online loan usage among students are ease of access and consumptive lifestyle, both showing significant relationships with usage behavior. Economic and social factors were not significantly associated. Online loan usage is linked to higher consumptive behavior and has implications for students’ financial conditions, including potential financial burden. Students generally perceive online loans as a practical and quick financial solution. Some respondents exhibit repeated usage patterns, indicating a risk of dependency. Awareness of the risks and intention to reduce usage were observed among a portion of students. Differences were also found in understanding online loans as riba, with non-users demonstrating better awareness. Online loan usage among YARSI medical students is primarily driven by convenience and consumptive behavior, with notable impacts on financial management. From an Islamic perspective, online loans are permissible only if they adhere to Sharia principles. However, most conventional online lending practices involve elements of riba and are therefore not permissible, highlighting the need for greater financial literacy and caution among students.

The Effect Of Supplementary Food Supply (PMT) Supervision Local For Pregnant Women With Chronic Energy Deficiency (CED) On The Nutritional Status Of The Mother

2026-06-12T13:32:20+00:00

Chronic energy deficiency (CED) in pregnant women is a major public health challenge. Globally, the WHO reports that approximately 38 million pregnant women experience malnutrition each year, including CED, which contributes to an increased risk of maternal and neonatal mortality. In Indonesia, based on 2018 Riskesdas data, the prevalence of CED in pregnant women reached 17.3% (Ministry of Health of the Republic of Indonesia, 2023b). CED in pregnant women, identified by an upper arm circumference (LILA) of less than 23.5 cm, has serious impacts on maternal and fetal health, such as increasing the risk of low birth weight (LBW), premature birth, hypothyroidism, and stunting (Supadmi et al., 2020). This problem poses a major challenge in efforts to reduce maternal and infant mortality and improve the quality of public health. This study aims to determine the effect of local supplementary feeding (PMT) assistance for pregnant women with chronic energy deficiency (CED) on maternal nutritional status. This research was conducted in May 2026. This type of research is quantitative research using a Pre-Experimental design with a one group pretest posttest design approach . The sampling technique was carried out using a purposive sampling method . The sample used in this study was 18 respondents. The instruments used were questionnaires and PMT assistance sheets. The average nutritional intake before assistance was 42.3 calories and after assistance was 73.4 calories, while the LiLA measurement before assistance was 22.3cm and after assistance was 23.3cm. There is an effect of local supplementary feeding assistance (PMT) for pregnant women with chronic energy deficiency (KEK) in the work area of the Sindang Danau Health Center UPT on maternal nutritional status, with an increase in nutritional intake between 20.9 calories to 38.6 calories and an increase in LiLA size between 0.5 cm to 1.6 cm.

Case Journal “Bronchopneumonia In Adult Patients”

2026-06-25T09:25:19+00:00

Bronchopneumonia is a lower respiratory tract infection characterized by inflammation of the bronchioles and alveoli caused by microbial infection. It remains a significant cause of morbidity and mortality, particularly among older adults and individuals with underlying risk factors. This case journal aimed to describe the clinical manifestations, diagnostic approach, and management of bronchopneumonia in an adult patient. A case report method was employed using data obtained from medical records, including history taking, physical examination, laboratory investigations, radiological findings, and therapeutic evaluation during hospitalization. A 58-year-old male presented with shortness of breath, productive cough with yellowish sputum, fever, and chest pain during coughing. Physical examination revealed tachypnea, coarse crackles, increased tactile fremitus, and dullness to percussion over the right lower lung field. Laboratory investigations demonstrated leukocytosis and elevated C-reactive protein levels, while chest radiography showed multiple patchy infiltrates in both lower lung fields. The patient was diagnosed with bronchopneumonia and treated with antibiotics, oxygen supplementation, mucolytic therapy, and supportive management. Accurate diagnosis and appropriate management contributed to clinical improvement and reduced the risk of complications associated with bronchopneumonia.

The Effectiveness Of Oxytocin Massage On Breast Milk Letdown In Postpartum Mothers In The Delivery Room Of Ampelgading Community Health Center

2026-07-02T11:56:30+00:00

Babies get all the nutrients they need to grow and develop optimally from breast milk, making it the ideal food source. Breast milk secretion issues are frequent among new moms, especially in the first few days after giving birth. One non-pharmacological approach to increasing milk production and secretion is oxytocin massage, which works by stimulating the release of the hormone oxytocin. In 2025, the goal of 80% was not met at Ampelgading Public Health Center, Ampelgading District, where the coverage of exclusive breastfeeding remained at 72%. The purpose of this research was to find out whether postpartum women could increase their milk production by massaging their breasts with oxytocin. The researchers in this study used a one-group pretest-posttest design based on previous research. Thirty pregnant women who had just given birth were randomly selected using the complete sampling technique. For three days, we monitored the secretion of breast milk both before and after performing an oxytocin massage. The Wilcoxon-marked assessment test was used to evaluate the data, with a significance level of α = 0.05 being used. According to the data, the majority of participants were between 26 and 30 years old, had experienced a termination of employment, had a minimum of Junior High School Education, were unemployed, and were among the youngest participants (10 respondents; 33.3%). After receiving oxytocin massage, the average amount of breast milk released increased from 6.93 cc to 24.83 cc. Statistically significant changes in breast milk secretion were seen before and after oxytocin massage administration, as indicated by a p value of 0.000 (p < 0.05) on the Wilcoxon Signed Rank test. Postpartum women who get an oxytocin massage report an increase in their milk production. Midwives may advise oxytocin massage as a postpartum intervention to help the mother secrete more breast milk.

Patient Satisfaction Level With The Use Of The Mobile JKN Application For Outpatient Registration At Bhayangkara Hospital Denpasar

2026-07-09T06:32:17+00:00

In an effort to improve healthcare services, the Mobile JKN application was introduced to facilitate patients in accessing registration and various healthcare facility services. Evaluation is necessary to determine the level of user satisfaction with the Mobile JKN application. One method that can be used to measure user satisfaction is the SERVQUAL method, which measures service quality based on users’ perceptions and expectations of the services provided. This study used a descriptive method with a quantitative approach. The sample consisted of 85 respondents selected using a simple random sampling technique. The research instrument was a Likert scale questionnaire based on the five SERVQUAL dimensions, namely tangible, reliability, responsiveness, assurance, and empathy. Data were analyzed descriptively to determine the level of patient satisfaction with the services provided. The results showed that the level of patient satisfaction was categorized as very satisfied. The highest score was found in the tangible dimension with a Patient Satisfaction Index (PSI) of 91%, while the lowest score was in the responsiveness dimension with a PSI of 84%. The reliability dimension obtained a PSI of 87%, the assurance dimension 86%, and the empathy dimension 86%. These findings indicate that the application has facilitated the registration process; however, several aspects still need improvement, particularly in responsiveness and the speed of service within the application.

The Relationship Between Ultra-Processed Food Consumption And Obesity In Adolescent: A Narrative Review

2026-05-12T22:21:23+00:00

The rising global prevalence of obesity is a public health issue, with dietary factors increasingly recognized as root to its development. Ultra-processed foods (UPFs), a common modern diet, are characterized by high industrial processing with high energy density but poor in essential nutrients. This literature review aims to synthesize current evidence regarding the relationship between the consumption of UPFs and the incidence of obesity in adolescents. It investigates the consistency of this association, underlying mechanisms, and variations across populations. A systematic search was conducted using relevant keywords and search terms related to ultra-processed foods, food processing, obesity, weight gain, body mass index, and adolescents. Epidemiological studies employing diverse methodologies, including cohort and cross- sectional designs, consistently suggest a positive association between higher UPF intake and increased risk of overweight and obesity in adults and children. Potential mechanisms underlying this association are the energy density and palatability of UPFs, their impact on appetite and satiety, and their substitution for more nutrient-dense with minimal process. Strong evidence suggests UPF consumption is a significant risk factor for obesity development. Public health strategies should prioritize reducing ultra- processed food consumption via labeling, guidelines, and promotion of minimally processed foods, while further research strengthens causal inference and effective interventions.

Characteristics And Acceptability Of Crispy Noodles Made With Corn (Zea Mays L.) And Inulin Flour Substitutes

2026-06-08T12:48:43+00:00

Obesity is a growing nutritional problem, including in Indonesia. The habit of consuming high-calorie, low-fiber foods such as noodles contributes to the risk of obesity. Corn silk, often considered waste, is rich in fiber, flavonoids, saponins, tannins, beta-carotene, and other vitamins that are beneficial to health. Corn silk is produced in abundance; specifically, for every 5 tons of corn, 3.5% consists of corn silk. The potential for utilizing this byproduct can be combined with inulin flour, which is high in fiber content and has prebiotic properties. This study aims to determine the effect of substituting corn silk flour and inulin flour on the acceptability of crispy noodle products. The research design used was a pure experimental design with a completely randomized design (CRD), consisting of 3 formulations: one control formulation (F0) and two modified formulations (F1, F2). The panelists were 30 adults aged 18 years and older. The acceptability test results showed that the modified formula most preferred by the panelists was F1. There were significant differences in color, taste, texture, and aftertaste characteristics (p ≤ 0.05). Thus, the substitution of corn silk flour and inulin flour in crispy noodle products is still sensorially acceptable, with F1 as the best modified treatment formula.

The Role Of Midwives In Achieving Complete Neonatal Visits In East Kasiruta District In 2026

2026-06-29T21:50:56+00:00

Neonatal mortality remains a significant public health challenge in Indonesia, accounting for the largest proportion of under-five deaths. Complete neonatal visits are essential to monitor newborn health, detect complications early, and provide appropriate health education to families. Midwives play a crucial role in ensuring the successful implementation of neonatal healthcare services at the community level.This study aimed to explore the role of midwives in the implementation of complete neonatal visits in East Kasiruta District in 2026.This study employed a qualitative observational design with a descriptive approach. Informants were selected using purposive sampling and consisted of mothers with infants aged 28 days to 11 months living in East Kasiruta District. Data were collected through structured questionnaires and interviews conducted from January 5 to January 10, 2026. The data were analyzed descriptively through data reduction, data presentation, and conclusion drawing. The findings revealed that all informants were aware of complete neonatal visits and generally understood their purpose in monitoring newborn health. Midwives were identified as the primary source of information regarding neonatal care, with four out of five informants obtaining information directly from village midwives. All informants reported receiving neonatal home visits during the first 28 days after birth; however, the frequency of visits varied from one to three visits. The study also identified additional factors influencing neonatal visit utilization, including husband support and local cultural traditions that discourage newborns from leaving the house before the age of 40 days. Midwives play a vital role in promoting and implementing complete neonatal visits in East Kasiruta District. However, improving neonatal healthcare coverage requires strengthening midwives’ outreach activities and increasing family and community awareness to overcome social and cultural barriers.

Application Of Technology Acceptance Model (TAM) To Analyze Alfagift Application Acceptance In Sukabumi Regency

2026-07-11T02:43:17+00:00

This study aims to analyze the acceptance of the Alfagift application in Sukabumi Regency using the Technology Acceptance Model (TAM) developed by Davis (1989). This quantitative research involved 100 application users as respondents, with data collected through a Google Form–based questionnaire and analyzed using SmartPLS 4 to examine validity, reliability, and structural relationships among the main variables: Perceived Usefulness (PU), Perceived Ease of Use (PEU), Attitude Toward Using (ATU), Behavioral Intention to Use (BI), and Actual System Use (AU). The descriptive analysis results indicate that the mean scores of all variables exceed 4.30 on a 5-point Likert scale, with PEU showing the highest mean value (4.56), suggesting that perceived ease of use is the most dominant factor in application acceptance. Convergent validity and reliability tests (Cronbach's Alpha > 0.7; Composite Reliability > 0.7; AVE > 0.5) confirm the adequacy of the measurement instrument, although one indicator (PEU3) was found to be invalid. Hypothesis testing demonstrates that PU and PEU have positive and significant effects on ATU and BI, and BI significantly influences AU, in line with the classical TAM framework. Although the R-square values for BI (0.431) and AU (0.279) indicate weak to moderate explanatory power, the findings provide empirical contributions to the development of Alfamart's omnichannel retailing strategies, the enhancement of digital literacy in Sukabumi, and the body of TAM literature on local mobile commerce applications. Practical implications include optimizing intuitive features to improve user adoption.

Maternal Age, Parity, And Hemoglobin Levels Associated With The Incidence Of Low Birth Weight

2026-07-15T05:04:54+00:00

Low Birth Weight (LBW) is a health problem that contributes to high neonatal mortality rates. Factors thought to influence the incidence of LBW include maternal age, parity, and hemoglobin levels. This study aims to determine the relationship between maternal age, parity, and hemoglobin levels with the incidence of LBW at the Jimbaran 1 Sub-Health Center in 2025. This study used an analytical design with a cross-sectional approach, with a sample of 205 respondents selected using a simple random sampling technique. The data used were secondary data from a maternal cohort and analyzed using the Spearman Rank test. The results showed that most respondents were at a non-risk age (83.4%), had a non-risk parity (63.4%), and did not experience anemia (64.4%). The incidence of LBW was 13.7%. The analysis showed a significant relationship between maternal age and the incidence of LBW (p=0.017) and hemoglobin levels with the incidence of LBW (p=0.003). Meanwhile, parity did not have a significant relationship with the incidence of LBW (p=0.682). The conclusion of this study is that maternal age and hemoglobin levels are associated with the incidence of low birth weight (LBW). It is recommended that healthcare professionals increase efforts to prevent anemia and educate about healthy reproductive ages to reduce the incidence of low birth weight (LBW).

An Accelerometer Sensor-Based Digital Twin Framework For Structural Health Monitoring Of Cultural Heritage Buildings: A Case Study Of Jakarta Cathedral

2026-06-17T22:51:27+00:00

The maintenance of cultural heritage buildings is gradually shifting from a curative approach toward preventive conservation supported by digital technologies. Although Heritage Building Information Modeling (HBIM) has been widely adopted, the resulting models are generally static and incapable of integrating real-time structural monitoring data. This study employs a qualitative case study approach combined with a literature review. The literature review was conducted to identify variables, subvariables, and indicators, which were subsequently validated by experts. In addition, benchmarking of previous frameworks was carried out to understand existing structures and methodologies. Based on these findings, a framework was developed according to the research requirements and further validated by experts to ensure its reliability and practical applicability. This study proposes a Digital Twin (DT) framework for cultural heritage buildings by integrating geometric building models, historical information, and dynamic data obtained from accelerometer sensors. The framework consists of four main layers: the information source layer, the BIM model layer, the integration layer, and the application layer for visualization and decision-making support. The framework was implemented in the Jakarta Cathedral to evaluate the integration of sensor data into the HBIM environment. Expert validation results indicate that the proposed framework provides a systematic approach to supporting preventive conservation for cultural heritage buildings with complex geometries.

Application Of Transportation Method In Optimizing The Cost Of Equal Distribution Of Zakat Fitrah In Ngaglik District, Sleman, Yogyakarta

2026-06-15T03:06:09+00:00

Zakat is a form of worship that can bring many benefits to Muslims, especially zakat fitrah. However, several problems remain frequently encountered in the implementation of zakat fitrah, one of which is the distribution of varying amounts of rice in each region. To address this issue, it is necessary to equalize the distribution of zakat fitrah. This can be achieved by distributing zakat fitrah to regions receiving more rice, especially those receiving less. To achieve this, it is necessary to find an effective method to make the distribution process more efficient. One method that can be used is transportation, which will make the allocation of goods more effective in terms of labor, time, and costs. In the case of zakat fitrah, each region acts as both a source and a destination. The source supply is based on the amount of zakat fitrah received, while the destination demand is based on the number of zakat recipients in each region. This study uses data from hamlets in Ngaglik sub-district, Sleman, Yogyakarta. The solution to the equitable distribution of zakat fitrah is solved using a transportation model with the North-West Center method, the Least Cost method, and the Vogel Approach Method (VAM) which is useful for analyzing initial feasibility. The minimum solution of the three methods is obtained by the Least Cost Method; Modified Distribution (MODI) to analyze the optimum solution. From the calculation of the transportation method, the optimum cost is obtained at Rp. 972,350.00; zakat fitrah recipients receive the same amount of 5.6 kg per head of family; and the determination of zakat fitrah delivery from one region to another.

Determining Procurement Strategy Alternatives Through The Identification And Assessment Of Delay Risks In Procurement Activities For Public School Construction Projects In DKI Jakarta Province

2026-06-23T23:30:17+00:00

Public school building construction projects in DKI Jakarta Province are one of the government’s strategic programs to improve the quality of educational facilities. In their implementation, the construction procurement process plays an important role in determining project success, particularly in terms of timely completion. However, various activities within the procurement process have the potential to create delay risks that may affect overall project performance. This study aims to identify activities in the construction procurement process that have the potential to cause delays and to assess delay risks based on two main dimensions, namely risk impact and likelihood of occurrence. The research method used is descriptive qualitative with a case study approach. Data collection techniques include observation, survey (Likert-scale questionnaire), document study, and archive analysis. The research respondents consist of parties directly involved in the construction procurement process. Data analysis is conducted using descriptive qualitative analysis and risk analysis to determine the level of risk for each procurement activity. The results of this study are expected to provide an overview of critical activities in the procurement process that have the potential to cause delays and serve as a basis for improving construction procurement management in public school building projects in DKI Jakarta Province. Based on the results of the risk analysis, the highest-risk factors are identified and selected, and procurement strategies are then formulated to minimize the risk of delays in public school building construction projects in DKI Jakarta Province.

Evaluation Of Budget Planning And Identification Of Dominant Work In The Building C Construction Project Of Husada Health College, Jombang

2026-05-21T04:11:32+00:00

Budget planning is one of the important stages in the implementation of a construction project because it is related to cost control and the feasibility of project implementation. The availability of adequate educational facilities and infrastructure is an important factor in supporting an effective and quality learning process. Along with the increasing number of students at STIKES Husada Jombang, the need for study space and supporting facilities is also increasing. Therefore, Building C STIKES Husada Jombang, which originally consisted of one floor, is planned to be renovated into two floors to meet the increasing need for space. This study aims to determine the amount of the Budget Plan (RAB) for the construction of Building C STIKES Husada Jombang and to determine the type of work that has the largest cost in the project. The method used in this study is the 2024 Work Unit Price Analysis (AHSP) published by the Ministry of Public Works and Public Housing (PUPR). The data used are in the form of working drawings which are then calculated using unit price analysis to obtain the total cost of the construction work. Based on the results of the analysis of the calculation of the volume of work and the analysis of the unit price of work, the total Budget Plan (RAB) for the construction of Building C of STIKES Husada Jombang was obtained at Rp 1,305,078,971.12. The results of the analysis show that the work on frames, doors, and windows is the work with the largest cost, namely Rp 283,155,850.00, followed by structural work of Rp 281,668,931.12

Analysis Of Dominant Risks Affecting Time Performance Based On The Work Breakdown Structure (WBS) Of Deep Soil Mixing (DSM) Works

2026-06-23T23:22:20+00:00

Deep Soil Mixing (DSM) work is a soil improvement method widely used in construction projects on soft soil. Although effective in improving the geotechnical characteristics of the soil, DSM implementation still faces various risks that have the potential to cause project delays. This study aims to identify and analyze the dominant risks that affect the time performance of DSM work based on the Work Breakdown Structure (WBS) approach. The study used a mixed method, namely a qualitative approach for the preparation and validation of the WBS through the Delphi method involving five experienced experts in the field of Soil Improvement, and a quantitative approach for risk analysis using the Severity Index (SI). The results of the study produced a WBS structure for DSM work up to Level 6 consisting of work packages, implementation methods, activities, and resources. Based on the risk mapping in the WBS, 51 risk variables were identified that have the potential to affect the time performance of the project. The risk analysis showed that there were 12 dominant risks with a high risk category. The main risks include Unconfined Compressive Strength (UCS) results that do not meet specifications, low labor quality, curing wait time, variability in soil conditions, working platform instability, delays in material delivery, and equipment damage. The results of the study show that the implementation of WBS-based risk management can help systematically identify risks and support improved time performance in DSM work.

Design Of A Drinking Water Feasibility Identification System Using The Random Forest Algorithm And Principal Component Analysis (PCA)

2026-06-18T00:52:07+00:00

Clean and safe drinking water is a basic need for society. Based on clean water statistical data from Statistic Indonesia (BPS), the average percentage of households in West Kalimantan Province with access to safe drinking water sources in urban areas was 89.21%, while in rural areas it was 77.76% in 2023. With a population growth that outpaces the available reserves of safe drinking water, there is a clear need to monitor and analyze water quality more carefully and on a data-driven basis. This research aims to design and implement a drinking water suitability classification system using the Random Forest method as the main classification algorithm, with Principal Component Analysis (PCA) serving as the data dimensionality reduction technique. The interactive visualization was built using Python and Streamlit, taking into account User Interface (UI) and User Experience (UX) aspects, which are divided into two access levels: Public Access (for the community) and Officer Access (for agencies). Water quality data is identified based on standards from the Ministry of Health (Permenkes No. 492/MENKES/PER/IV/2010), reduced in dimensionality using PCA, and subsequently classified for its suitability using Random Forest. The test results demonstrate that this system is capable of classifying the suitability status with an accuracy of 95.35%. to ensure the model does not experience overfitting, K-Fold Cross-Validation (5-Fold) testing was conducted, yielding an average accuracy of 94.94% and proving the model’s stability. Furthermore, the User Acceptance Testing (UAT) results indicate an excellent level of user acceptance regarding the bulk upload feature and the monitoring of drinking water quality in a fast, accurate, and data-driven manner.

Effect Of Cutting Parameters On Tool LifeTin CoatedCarbide In Turning Dry Machining Of TEW 6582 Steel By Aplication Metode Taguchi

2026-06-25T09:26:48+00:00

The tool life limit is determined by the tool wear dimension. The tool life will increase as the tool wear increases. Turning experiments were carried out by varying the cutting speed, cutting depth, feed and cutting angle of the tool, while the tool life was evaluated based on the tool flank wear criteria. The purpose of the study was to determine the magnitude of the tool life in dry machining of TEW 6582 steel with various cutting conditions. To study the tool life, 9 cutting conditions were first determined, namely cutting speed 200 m/min, 250 m/min, 300 m/min; feed 0.15 mm/r, 0.2 mm/r, 0.25 mm/r and cutting depth 1 mm, 1.5 mm, 2 mm. Edge wear (VB) 0.1 mm, 0.3 mm and 0.5 mm and measured using an optical microscope. Experimental data were processed and analyzed using the Taguchi L9 method (34). Cutting speed has a significant effect on tool life, where increasing cutting speed substantially reduces tool life. Depth of cut and feed rate also contribute to tool wear, although to a lesser extent than cutting speed. The results show that the optimum cutting conditions are obtained by dry machining at a cutting speed of 200 m/min, a depth of cut of 1.0 mm, a feed of 0.15 mm/r and a tool geometry of 6o. This cutting condition gives a tool life of 2.456 second (40.9 minutes). When this cutting condition is carried out with wet machining, it is found that the tool life is 2.591 second (43.1 minutes). So the difference in tool life between dry and wet machining is not significant so that dry machining is feasible for the manufacturing industry.

Analysis Of The Marketing Channel Efficiency Of Fresh Fruit Bunches (FFB) Among Smallholder Farmers In Gunung Ambat Village, Sei Bingai District, Langkat Regency

2026-07-14T01:43:37+00:00

This study aimed to analyze the marketing channels of fresh fruit bunches (FFB) of oil palm (Elaeis guineensis Jacq.) in Gunung Ambat Village, Sei Bingai District, Langkat Regency, and analyze the marketing efficiency of fresh fruit bunches (FFB) of oil palm in Gunung Ambat Village, Sei Bingai District, Langkat Regency. The research was conducted in Gunung Ambat Village using a purposive method for site selection. A total of 42 oil palm farmers were selected as respondents using the simple random sampling method. The data were analyzed using descriptive and quantitative approaches, including marketing channel analysis, marketing margin, Farmer’s Share, marketing efficiency, and the cost-benefit ratio. The results showed that there were two marketing channels, namely Channel I (Farmers → Collecting Traders → PT Putra Grup Agribisnis) and Channel II (Farmers → PT Putra Grup Agribisnis). A total of 32 farmers (76.19%) used Channel I, while 10 farmers (23.81%) used Channel II. The marketing margin in Channel I was IDR 200/kg, whereas Channel II had a marketing margin of IDR 0/kg. The Farmer’s Share values were 93.33% for Channel I and 100% for Channel II. The marketing efficiency values were 4.17% for Channel I and 3.00% for Channel II, indicating that both channels were efficient because their efficiency values were below 50%. The cost-benefit ratio in Channel I was 0.60, whereas the ratio for Channel II was not calculated because farmers sold FFB directly to PT Putra Grup Agribisnis without any marketing intermediary. Based on the overall analysis, Channel II was found to be the more efficient marketing channel due to its shorter marketing chain, lower marketing margin, and higher Farmer’s Share.

Improving The Availability Of Automatic Surface Grinding Machines Through A3 Problem Solving, SMED, And Spare Part Control In The Manufacturing Industry

2026-06-25T09:24:20+00:00

Machine availability is a critical indicator for assessing production asset readiness. This study aims to improve the availability of an automatic surface grinding machine in a tooling area of an electronic component manufacturing company using the A3 problem-solving approach. Machine Operation Data from April-June 2024 showed an initial availability of 34.3%, with an average actual running time of 18,287 minutes against an average planned production time of 53,238 minutes. Breakdown analysis identified two dominant losses: stop waiting operator at 15,135 minutes and stop waiting spare part at 7,680 minutes, contributing 22,815 minutes (93.6%-94.0%) of the total breakdown time. This research employed a descriptive quantitative case study through problem clarification, problem breakdown, target setting, root cause analysis, countermeasure development, implementation, and result monitoring. The main countermeasures included allocating supporting manpower during early-shift setup, reviewing process planning, preparing Single Minute Exchange of Dies (SMED) implementation, coordinating machine component improvement, and establishing a spare part list with minimum stock control. The monitoring result showed that the average availability during September-November 2024 reached 58.7%, an improvement of 24.4 percentage points from the baseline. Stop waiting operator decreased to an average of 4,490 minutes and stop waiting spare part decreased to 0 minutes in the after period. The findings indicate that A3 problem solving combined with changeover and spare part control can significantly improve machine readiness. This study contributes to data-driven continuous improvement practices for enhancing manufacturing equipment performance.

Analysis Of The Effect Of Excess Air On Boiler Combustion Efficiency At PT PLN Nusantara Power Paiton Unit 9

2026-06-04T03:31:51+00:00

Boiler combustion efficiency is one of the important factors affecting the performance and operational reliability of steam power plants. One of the parameters that significantly influences combustion efficiency is excess air, which refers to the amount of air supplied exceeding the theoretical combustion requirement. This study aims to analyze the effect of excess air on boiler combustion efficiency at PT PLN Nusantara Power Paiton Unit 9. The research method used is a descriptive quantitative approach through field observations and operational data analysis obtained from the Distributed Control System (DCS). The analyzed parameters include oxygen content (O₂), excess air, boiler load, flue gas temperature, air flow, fuel flow, heat loss, and combustion efficiency. The results show that increasing excess air causes higher heat loss due to the increasing amount of heat carried away by flue gas, resulting in decreased boiler combustion efficiency. At low boiler loads, excess air tends to increase because the combustion process becomes less stable and requires additional air to maintain flame stability. Meanwhile, optimal excess air conditions provide more stable combustion, lower heat loss, and higher combustion efficiency. Therefore, controlling excess air properly is essential to maintain optimal boiler performance, improve operational efficiency, and reduce energy losses in the power generation system.

Design And Development Of An ESP32-Based Transporter Robot For Lightweight Goods Using The Arduino IDE

2026-05-23T00:11:36+00:00

This research develops a transporter robot controlled by a wireless joystick for light cargo transportation applications. The system uses the ESP32 microcontroller to process commands from the joystick via a wireless connection, which then controls the DC motor to drive the robot wheels using PWM signals, and a servo motor to operate the gripper that lifts light items up to 300 grams. The robot is equipped with BTS7960 drivers for the DC motors and L293D drivers for the servo motor. The robot’s power source is a 18650 battery, which supports operation for 50-65 minutes. The method used is Research and Development (R&D), focusing on the design, implementation, and testing of the transporter robot. Testing was conducted to evaluate the robot's ability to transport items, movement stability, and response to joystick commands. The test results show the robot can move at a speed of 0.6 m/s and turn with precision. The gripper can lift items up to 280 grams stably, and the robot has a fast joystick response time of less than one second. The contribution of this research is the development of an efficient wireless-controlled transporter robot, with applications in light cargo transportation in confined environments, such as industries and warehouses. The simple and efficient system makes this robot a practical solution for improving operational efficiency in various applications.

Evaluation Of Risk-Based Leadership Systems, Communication Systems, And Decision-Making Processes To Improve Project Time Performance In Indonesian Construction MSME Contractors

2026-06-17T22:46:22+00:00

The construction service industry at the Micro, Small, and Medium Enterprise (MSME) level in Indonesia plays an important role in supporting national development. However, MSME construction companies still face various challenges in achieving project time performance. Project delays in MSME construction companies are generally influenced by weak leadership systems, ineffective communication systems, and suboptimal decision-making processes during project implementation. Therefore, this study aims to analyze the influence of leadership systems, communication systems, and decision-making processes on project time performance, as well as to develop a relationship model among these variables in MSME construction service companies in Indonesia. This study employed a quantitative approach using a survey method through questionnaire distribution to MSME construction service companies in Indonesia. Data analysis was conducted using the Structural Equation Modeling–Partial Least Square (SEM-PLS) method to examine the relationships among the research variables. The independent variables in this study consist of leadership systems, communication systems, and decision-making processes, while the dependent variable is project time performance. The results indicate that leadership systems, communication systems, and decisionmaking processes have a positive and significant effect on project time performance in MSME construction service companies. The communication system was identified as the most dominant variable in improving work coordination, accelerating project information delivery, and reducing the potential for project delays in the field. This study also produced a structural relationship model describing the interaction between leadership systems, communication systems, and decision-making processes in improvingconstruction project time performance within MSME companies. The resulting model demonstrates that the implementation of effective leadership systems, supported by effective communication systems and fast and accurate decision-making processes, can improve the timeliness of construction project completion. The novelty of this study lies in the development of an integrative model that simultaneously connects leadership systems, communication systems, and decisionmaking processes within the context of MSME construction service companies in Indonesia, which remains relatively underexplored in previous studies. This research is expected to serve as a reference for MSME construction companies in improving project performance, particularly in terms of project time performance

The Effect Of Noise In Ship Engine Rooms On The Safety And Health Of Ship Crews In The Engine Section

2026-05-21T04:08:15+00:00

The ship's engine room is an area with the highest noise level that threatens the safety and health of the crew, with exposure of 95-108 dB exceeding the NAB 85 dBA (Per.13/Men/X/2011). Objective: To analyze the effect of noise on the safety and health of engine crew. Method: Descriptive quantitative research with simple linear regression. Population and Sample: 36 engine crew from the Marine Practice program of Surabaya Maritime Polytechnic, purposive sampling. Instruments and Analysis: Sound level meter, Likert questionnaire, SPSS for regression (Y=12.490+0.441X), t-test, R². Results: Noise has a significant effect (t-count=2.346>2.034, sig=0.025<0.05), explaining 37% of the variation in risk. Conclusion: Engine room noise increases the risk of deafness, stress, and accidents; PPE and engine maintenance are required.

Prototype Of A Three-Phase Voltage Monitoring System For Induction Motor Protection Based On Arduino Esp32 With Telegram Notifications

2026-06-13T13:51:09+00:00

The three-phase electrical power distribution system is the main system widely used in industrial installations, including the Waste Water Treatment Plant (WWTP) at Rasuna Epicentrum, South Jakarta. The voltage stability of each phase significantly affects the performance of induction motors and control systems. This research aims to design and develop a three-phase voltage monitoring prototype system based on the ESP32 microcontroller using the PZEM-004T sensor to detect voltage and current in each phase. The measurement results are displayed on a 2004 Blue Backlight LCD, accompanied by visual and audio indicators in the form of LEDs and a buzzer. In addition, the system is equipped with an automatic notification feature via Telegram Bot, which provides real-time alerts when abnormalities such as overvoltage, undervoltage, voltage unbalance, or phase loss occur. The research method consists of several stages, including literature study, hardware and software design, system assembly, on-site testing at the WWTP, and data analysis. The test results show that the system can measure voltage on each phase with an average error of ±1.8% compared to standard measuring instruments. The system successfully sends Telegram notifications within an average delay of 2.3 seconds after detecting anomalies. Based on the experimental results, the developed system is proven to be accurate, responsive, and efficient for real-time three-phase voltage monitoring. Therefore, this prototype can serve as an alternative IoT-based electrical monitoring system applicable to support operational and maintenance activities in industrial systems such as WWTP.

Mapping Of Aboveground Biomass Estimation Based On Vegetation Index In Banjarbaru City

2026-07-06T22:25:16+00:00

Climate change increases the importance of aboveground biomass information as an indicator of carbon stocks and a basis for urban vegetation management. This study aims to determine the best model for estimating aboveground biomass using Sentinel-2 imagery-based vegetation indices and to map biomass distribution in Banjarbaru City. The study uses a quantitative approach with remote sensing-based spatial analysis. The study population is all woody vegetation in Banjarbaru City, while the sample consists of 45 plots determined using stratified random sampling. The research instruments include Diameter at Breast Height (DHT), tree height, Global Positioning System (GPS), and Sentinel-2B Level-2A imagery. Data analysis was carried out through biomass calculations using allometric equations, Pearson correlation analysis, linear, exponential, polynomial, and power regressions, regression assumption testing, model validation using SA, SR, RMSE, bias, and chi-square, and spatial mapping. The results showed that the Linear SAVI model was the best model with the equation B = -287.341 + 517.644 SAVI and an R² value of 0.905. In conclusion, the Linear SAVI model is able to provide accurate and representative biomass estimates, while the application of masking improves the quality of biomass mapping, thereby supporting carbon inventory and green open space planning.