Nusantara Hasana Journal

HUBUNGAN PERSONAL HYGIENE DENGAN KEPUTIHAN PADA IBU RUMAH TANGGA DI DESA PURWOGONDO KALINYAMATAN

Indah Ayu Sundari, Dewi Hartinah, Edi Wibowo — Sat, 30 Aug 2025 00:00:00 -0400

This study aims to identify personal hygiene in housewives; identify the incidence of vaginal discharge in housewives; and analyze the relationship between personal hygiene and the incidence of vaginal discharge in housewives. Most housewives, 71.6% of respondents, reported poor personal hygiene. This indicates that personal hygiene, particularly genital hygiene, is still not optimal. While 59.1% of respondents experienced normal vaginal discharge, the incidence of abnormal vaginal discharge remained quite high at 40.9%. This suggests that vaginal discharge remains a reproductive health issue that requires greater attention. A significant correlation was found between personal hygiene and vaginal discharge among housewives in Purwogondo Kalinyamatan Village, with a p-value of 0.003 and a correlation value of r = -0.314. This indicates a low-moderate negative correlation, meaning that better personal hygiene reduces the likelihood of abnormal vaginal discharge.

HUBUNGAN PEMBERIAN EDUKASI SWAMEDIKASI OBAT ANTINYERI DENGAN KEPUASAN PASIEN DI APOTEK BLUNYAH FARMA

Vita Angraini, Ria Etikasari, Muhammad Khudzaifi — Sat, 30 Aug 2025 00:00:00 -0400

Self-medication, particularly for pain, is becoming increasingly common. However, most patients still lack adequate understanding of the types of medications, dosages, and potential risks. Therefore, education provided by pharmacists plays a crucial role in improving patient understanding and satisfaction with the rational use of painkillers. This study aimed to determine the relationship between self-medication education on painkillers and patient satisfaction at Blunyah Farma Pharmacy, Sleman Regency, Yogyakarta. The study used a quantitative observational method with a cross-sectional design. The independent variable was self-medication education on painkillers, while the dependent variable was patient satisfaction. Data were collected through questionnaires completed directly by patients purchasing painkillers. The study sample consisted of 300 respondents from a total population of 1,200, with a margin of error of 5%. The results showed that the majority of respondents received high levels of education (57.7%) and expressed very high levels of satisfaction with the services they received (40.3%). A Spearman Rank correlation test using SPSS version 22 showed a very strong and significant relationship between the two variables, with a correlation coefficient of 0.941 and a significance level of 0.000 (<0.05). Therefore, the better the quality of education provided, the higher the patient satisfaction level.

POTENSI PEMANFAATAN LIMBAH DAGING BUAH SEMU JAMBU METE (Anacardium occidentale) SEBAGAI SELAI

Slamet Mardiyanto Rahayu, Luis Da Costa — Sat, 30 Aug 2025 00:00:00 -0400

Cashew pseudo-fruit jam is a food product made from the flesh of the cashew pseudo-fruit processed into jam. Cashew, also known as monkey apple, is a fruit with a unique shape and a sweet, slightly astringent taste. Cashew pseudo-fruit jam can be a potential alternative cashew fruit processing to increase the fruit's economic value, especially in areas where many people cultivate cashew.

ANALISIS FAKTOR YANG MEMPENGARUHI KESEHATAN KEUANGAN PERUSAHAAN ASURANSI PRUDENTIAL

Sat, 30 Aug 2025 00:00:00 -0400

The financial health of an insurance company is a crucial aspect that must be ensured to maintain its ability to manage risks. The insurance industry plays a significant role in economic growth through risk transfer mechanisms. This study aims to analyze the factors influencing the financial health of Prudential Insurance Company during the 2023–2024 period. The method used is factor analysis, a multivariate statistical method designed to identify the underlying structure among financial variables. The analysis results show that two main factors explain 99.2% of the data variance. The first factor is influenced by premium income (X1), claims and benefits paid (X2), and operating expenses (X5). The second factor is influenced by technical reserves (X3) and investment income (X4). These findings highlight the importance of managing premiums, improving operational efficiency, controlling claims, and optimizing assets and investments to maintain the company's financial health. With the right approach, Prudential is expected to maintain its financial stability and competitive position in the insurance industry.

APPLICATION OF PEAK OVER THRESHOLD METHOD FOR VALUE AT RISK ESTIMATION IN PROPERTY INSURANCE

Marisa Marisa — Sat, 30 Aug 2025 00:00:00 -0400

Insurance companies, as providers of financial protection services, must manage risks accurately to avoid misestimating potential losses that could jeopardize financial stability. The magnitude of potential loss incurred by the insurer due to policyholder claims is commonly referred to as claim severity. A widely used risk measurement tool is Value at Risk (VaR), which estimates the maximum potential loss under the assumption of normally distributed data. However, in reality, claim amounts often exhibit extreme behavior very large values that occur with low frequency rendering conventional methods insufficient for accurate risk estimation. To address this, the present study employs Extreme Value Theory (EVT) with the Peak Over Threshold (POT) approach to model the distribution of extreme claim values. The POT method produces a Generalized Pareto Distribution (GPD), which effectively captures the heavy-tailed nature of the data. Extreme values are identified by selecting several candidate thresholds (u) using a mean excess function plot. The most appropriate threshold is then determined through the Kolmogorov–Smirnov test to ensure a good fit with the GPD. This optimal threshold is subsequently used to estimate the Value at Risk based on property insurance claim data from 2010 to 2016.

PENGARUH AIR KELAPA MUDA TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI: TINJAUAN NARATIF

Dessy Abdullah, Syifa Maharani — Sat, 30 Aug 2025 00:00:00 -0400

Hypertension is a major risk factor for global cardiovascular disease, and non-pharmacological interventions are increasingly considered in its management. Young coconut water (Cocos nucifera)—a natural beverage rich in potassium and other minerals—is often used by the public as an alternative therapy due to its affordability and safety. This narrative review aims to evaluate the latest literature evidence (2019–2024) on the effect of regular consumption of young coconut water on lowering blood pressure in hypertensive patients. A literature search was conducted in PubMed and Google Scholar databases using the keywords “hypertension” and “young coconut water” (including publications published between 2019–2024). The selected articles were reviewed qualitatively. Several experimental/quasi-experimental studies reported significant reductions in systolic (SBP) and/or diastolic (DDBP) blood pressure after consuming 150–300 ml of young coconut water per day for 1–6 weeks. The mean BP decreased from 145.8 to 135.3 mmHg (p=0.0002) and DBP from 93.7 to 86.9 mmHg (p<0.00001) in the intervention group compared to the control group. The mechanism of this decrease is associated with the high potassium content and diuretic effect of young coconut water, which increases sodium excretion and suppresses the renin–angiotensin–aldosterone system (RAAS). Regular consumption of young coconut water is effective in helping lower blood pressure in hypertensive patients, with the advantages of low cost and a good safety profile. These findings support the potential of young coconut water as a non-pharmacological adjunct therapy in the management of hypertension.

PENGELOLAAN ASET TANAH PEMERINTAH DAERAH KOTA KUPANG DALAM PERSPEKTIF KEPASTIAN HUKUM DAN KEMANFAATAN HUKUM

Pauto Wirawan Neno, Kotan Y. Stefanus, Markus Y. Hage — Sat, 30 Aug 2025 00:00:00 -0400

This study aims to find out the Management of Land Assets Owned by the Kupang City Government; find out the Management of Land Assets of the Kupang City Regional Government from the Perspective of Legal Certainty; find out the Management of Land Assets of the Kupang City Regional Government from the Perspective of Legal Benefits. The type of research conducted is normative legal research (normative legal research method). The normative legal research method is library legal research conducted by examining library materials or secondary data alone. The research results show that (1) Management of regional assets in the form of Kupang City Regional Government Land Assets is carried out based on laws and regulations in three Regulatory Periods, namely: a) Regulation of the Minister of Home Affairs Number 17 of 2007 concerning Technical Guidelines for Management of Regional Property; b) Regulation of the Minister of Home Affairs Number 19 of 2016 concerning Guidelines for Management of Regional Property; and c) Regulation of the Minister of Home Affairs Number 7 of 2024 concerning Amendments to Regulation of the Minister of Home Affairs Number 19 of 2016 concerning Guidelines for Management of Regional Property. (2) From the perspective of legal certainty, the Management of Land Assets of the Kupang City Regional Government has not fully met the value of legal certainty. (3) From the perspective of legal benefits. The Management of Land Assets of the Kupang City Regional Government has not fully met the value of legal benefits.

PENGARUH TERAPI FOOT MASSAGE TERHADAP TEKANAN DARAH PADA PASIEN HIPERTENSI DI DESA WUKIRSARI PATI

Afifah Nur Cahya Putri Ajeng, Sukesih Sukesih, Heny Siswanti — Sat, 30 Aug 2025 00:00:00 -0400

Hypertension is a growing global health problem, characterized by systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. It is often called "The Silent Killer" because its symptoms are subtle. This disease has the potential to cause serious complications such as heart disease, stroke, and kidney failure. Factors such as unhealthy diet, lack of physical activity, and increasing age contribute to the increasing prevalence of hypertension, as reported by the WHO and the Ministry of Health. This condition requires a comprehensive treatment approach, using both pharmacological and non-pharmacological therapies. One non-pharmacological alternative that is attracting attention is foot massage therapy. This therapy is based on the principle of stimulating acupuncture points in the feet, which can improve blood circulation, relieve muscle tension, and reduce stress hormones such as cortisol and norepinephrine. With its deep relaxation effect, foot massage not only has the potential to lower blood pressure but also improves sleep quality and reduces anxiety, thereby improving the overall quality of life for hypertensive patients. Several previous studies support the effectiveness of this therapy in significantly lowering systolic and diastolic blood pressure. This study aims to test the effect of foot massage therapy on blood pressure in hypertensive patients in Wukirsari Village, Tambakromo District, Pati Regency. The research design used was observational with a pre-test and post-test control method. The intervention group received 20 minutes of foot massage therapy every evening, while the control group received education about hypertension. Blood pressure measurements were conducted using a sphygmomanometer with systematic recording according to standard operating procedures, thus obtaining valid data regarding differences in blood pressure before and after the intervention. Methodologically, this study involved 35 hypertensive patients selected purposively based on predetermined inclusion and exclusion criteria. Primary data were collected through direct observation, interviews, and recording of blood pressure measurements, while secondary data were obtained from official sources such as community health centers (Puskesmas) and the Health Office. Data analysis was conducted descriptively to describe the parameters of each variable, and inferentially using t-tests (paired and independent) to test for significant differences between the intervention and control groups. The study results are expected to provide a strong scientific basis for the application of foot massage therapy as an alternative or complementary treatment for hypertension, while also opening opportunities for further research in this area.

KHITAN PEREMPUAN DALAM PERSPEKTIF ETIKA KEDOKTERAN, REGULASI MEDIS DAN HUKUM ISLAM DI INDONESIA

Amalia Yuliana Shakira, Mutiara Anissa — Sat, 30 Aug 2025 00:00:00 -0400

Female circumcision or Female Genital Mutilation (FGM) remains a prevalent traditional practice in Indonesia despite having no medical benefits and potentially causing various health complications. This study aims to analyze the practice of female circumcision from three main perspectives: medical ethics, medical regulations, and Islamic law in Indonesia. The research methodology employed a systematic literature review of 20 selected articles from PubMed, ScienceDirect, and Google Scholar databases published between 2015-2025. The results indicate that female circumcision causes various negative impacts including bleeding, infections, psychological trauma, and obstetric complications. Regulatory-wise, Indonesia has revoked the permission for this practice through Ministry of Health Regulation No. 6/2014, but its implementation still faces challenges due to socio-cultural factors and diverse religious interpretations. From the Islamic law perspective, the study found no consensus among scholars regarding the obligation of female circumcision, and the practice is more driven by tradition than strong religious doctrines. This study concludes the need for a multidisciplinary approach integrating health, legal, and socio-cultural aspects to effectively address the issue of female circumcision.

EFEKTIVITAS TERAPI MUSIK SEBAGAI PENDEKATAN NON-FARMAKOLOGIS PADA PASIEN DENGAN GANGGUAN KECEMASAN

Yurnalis Yurnalis, Mutiara Anissa — Sat, 30 Aug 2025 00:00:00 -0400

Anxiety disorders are one of the most common mental health problems that have a significant impact on an individual's quality of life and productivity. In addition to pharmacological therapy and psychotherapy, music therapy is beginning to be widely used as a non-pharmacological approach to reduce anxiety and improve emotional well-being. This study aimed to evaluate the effectiveness of music therapy as a mental health support intervention in patients with anxiety disorders through a systematic literature review. This study used a systematic literature review method with meta-synthesis, analyzing 21 qualitative and quantitative studies selected from PubMed, EBSCO, and Google Scholar databases (period 2015–2024). Inclusion criteria include studies with a population of patients with anxiety disorders, music therapy interventions, as well as reports of anxiety or quality of life outcomes. Of the 1,463 articles screened, 21 studies were included in the analysis. Results showed that music therapy, both actively (playing or singing) and receptive (listening), was consistently effective in lowering anxiety levels, improving sleep quality, mood, and improving social function in various population groups, including medical patients, college students, and the elderly. Meta-analyses showed high effectiveness of music therapy (effect size Hedges' g >1), with additional benefits in the form of increased motivation and emotional regulation. The combination of music therapy with other interventions such as pharmacotherapy, CBT, or mindfulness improves clinical outcomes. Music therapy is an effective, safe, easy, and affordable non-pharmacological approach to overcome anxiety disorders and improve mental health. The integration of music therapy in mental health services deserves to be considered as part of a comprehensive approach. Further research is needed for protocol optimization and exploration of neurophysiological mechanisms of music therapy in various populations.

EDUKASI KESEHATAN BERBASIS VIDEO MOTION KONSUMSI REALFOOD MENINGKATKAN KEYAKINAN DIRI REMAJA OVERWEIGHT

Sinta Novia Dewi, Diana Tri Lestari, Yulisetyaningrum Yulisetyaningrum — Sat, 30 Aug 2025 00:00:00 -0400

Self-confidence is one of the most important aspects of a person's personality, lack of self-confidence causes many problems for that person. Self-confidence among adolescents is related to external factors such as body weight. The tendency to gain weight can reduce adolescent self-confidence, especially when adolescents compare themselves to a good body image. In 2022, the problem of low self-confidence among adolescents in Indonesia was quite high, with the results of 15.5 million (34.9%) adolescents experiencing low self-confidence and 2.45 million (5.5%) adolescents experiencing mental disorders. Efforts that can be made to reduce the number of overweight in Indonesia include detecting cases of obesity as early as possible. The purpose of this study was to analyze the effect of education using motion video media on real food consumption on the self-confidence of the control group and the intervention group of overweight adolescents. The research design in this study used a Quasi-experiment. The time approach in this study used a cross-sectional approach. The independent variable in this study was the motion video of real food, while the dependent variable was the self-confidence of overweight adolescents. The location of the study was MA Sabilul Ulum Mayong. Based on the difference test of 2 unpaired groups using the Mann Whitney test, there was a P-value of 0.00, which means <0.05. So Ho is rejected and Ha is accepted, it can be concluded that there is a significant difference in changes in answers between the intervention group and the control group.

HUBUNGAN FAKTOR-FAKTOR YANG MEMPENGARUHI TINGKAT KEPATUHAN IBU TERHADAP PEMBERIAN IMUNISASI DASAR PADABAYI DI PUSKESMAS ANDALAS

Safara Innas, Melya Susanti, Mashdarul Ma’arif — Sat, 30 Aug 2025 00:00:00 -0400

Immunization is one of the most effective and efficient public health strategies for preventing various diseases, such as polio, smallpox, tuberculosis, hepatitis B, diphtheria, measles, rubella, CRS, tetanus,pneumonia, and meningitis. However, maternal compliance with immunization is often influenced by several factors, such as lack of knowledge, awareness, timing of immunization, immunization side effects, maternal education, beliefs, and attitudes. This research to determine correlation of factors affecting level of maternal compliance with providing primary immunization of infants at Andalas Health Center. This research is based on pediatric and immunology. The research was conducted in April – December 2024. It uses an unpaired categorical analytic design with 74 respondents selected through consecutive sampling. The data were analyzed univariately in the form of frequency distributions and bivariately using the chi-square test. The characteristics of mothers based on age were mostly 20-35 years as much as 49 person (66,2%), high school education as much as 45 person (60.8%) and employment status is not working as much as 54 person (73.0%). The highest level of compliance was obedient as much as 59 person (79.7%), good knowledge as much as 56 person (75.7%), self efficacy was sure as much as 61 person (82.4%), easy access to services as much as 64 person (86.5%), supportive family support as much as 45 person (60.8%) and supportive health workers as much as 58 person (78,4%). There is a significant correlation between knowledge, education, self efficacy, access to services, family support, health worker support on the level of maternal compliance with primary immunization at the Andalas Health Center with a p-value <0.05. While there is no significant correlation between employment status with p-value 0.493 (>0.05). There is a correlation between knowledge, education, self-efficacy, access to services, family support, health worker support on the level of maternal compliance with primary immunization.

LITERATURE REVIEW ANALISIS PERMINTAAN KB DI KOTA PADANG (STUDI KASUS RUMAH TANGGA MISKIN)

Maryetti , Dessy Abdullah — Sat, 30 Aug 2025 00:00:00 -0400

The Family Planning (FP) program aims to control population growth and improve family welfare. Despite the government's subsidized FP services, participation from low-income households in Padang City remains limited. The demand for FP services among low-income households is hindered by various factors, with economic conditions being the primary obstacle. This article employs a literature review approach to analyze the factors influencing the demand for the FP program among low-income households in Padang City. Data were collected from various sources, including journal articles, government reports, and previous research relevant to this topic. The analysis was conducted by organizing the findings into key themes: economic, social, cultural factors, and government policies. Economic factors were identified as the primary barrier to access for low-income households to FP services. Indirect costs such as transportation and limited healthcare facilities were significant obstacles. Additionally, social and cultural factors, including community norms that place value on having many children, further hindered the adoption of the FP program. Although government policies have provided subsidies, they have not been fully effective due to a lack of understanding regarding the variety of contraceptive methods available. The findings suggest that, although various policies have been implemented, the challenges faced by low-income households in Padang City are more complex and require a more holistic approach. To increase participation, more inclusive policies are needed that consider social and cultural factors, along with improving the accessibility of FP services in remote areas.

AROMATHERAPY AS A NON-PHARMACOLOGICAL INTERVENTION FOR ANXIETY REDUCTION IN UNIVERSITY STUDENTS: A LITERATURE REVIEW

Delvi Jasyanti, Dessy Abdullah, Betty Fitriyasti — Sat, 30 Aug 2025 00:00:00 -0400

University students face various psychological challenges, one of which is anxiety. Anxiety can interfere with their academic performance and daily activities. Non-pharmacological therapies, such as aromatherapy, have been explored as potential treatments for reducing anxiety. This study employs a literature review approach to examine the impact of aromatherapy on anxiety reduction among university students. Articles were collected using Google Scholar, following the PICO-S framework. The review included studies published in the last five years in Indonesian, focusing on the effects of aromatherapy on anxiety in students. A total of six studies were selected, and all indicated that aromatherapy had a significant effect in reducing anxiety levels in university students. Essential oils such as lavender and peppermint were commonly used and showed positive outcomes. Aromatherapy is an effective non-pharmacological intervention for anxiety, providing an alternative to pharmacological treatments. The results suggest that essential oils can help alleviate the stress and anxiety caused by academic pressures, with lavender and peppermint being particularly effective. Further research is recommended to explore the long-term effects and other essential oils in this context. Aromatherapy has been proven to be an effective therapy for reducing anxiety in university students, offering a natural, side-effect-free alternative to medication.

HUBUNGAN BURNOUT DENGAN KUALITAS TIDUR MAHASISWA TINGKAT AKHIR FAKULTAS KEDOKTERAN UNIVERSITAS BAITURRAHMAH

Intan Sesri Winarni , Melya Susanti, Revivo Rinda Pratama — Sat, 30 Aug 2025 00:00:00 -0400

Final-year medical students are often exposed to substantial academic demands, the obligation to complete a thesis, and the transition to professional practice. These conditions may trigger burnout, characterized by physical and psychological exhaustion resulting from chronic stress. Burnout can affect multiple aspects of life, particularly sleep quality, which plays a crucial role in maintaining cognitive function, physical health, and psychological well-being. This study aimed to evaluate the association between burnout and sleep quality among final-year medical students at the Faculty of Medicine, Universitas Baiturrahmah. An analytical observational study with a cross-sectional design was conducted. Primary data were collected from 55 respondents using questionnaires. Univariate analysis was presented in frequency distributions, while the chi-square test was employed to examine the association between variables. Among the participants, 33 students (60.0%) were identified as experiencing burnout, while poor sleep quality was reported in 41 students (74.5%). Statistical analysis demonstrated a significant association between burnout and sleep quality (p = 0.032; p < 0.05). Burnout is significantly associated with poor sleep quality among final-year medical students. These findings highlight the need for preventive strategies that integrate stress management and interventions targeting sleep quality.

MEKANISME PENSINYALAN VASCULAR ENDOTHELIAL GROWTH FACTOR DALAM PERKEMBANGAN DAN PENYEBARAN KANKER

Sat, 30 Aug 2025 00:00:00 -0400

Vascular Endothelial Growth Factor (VEGF) is a key mediator in the process of angiogenesis, playing a crucial role in the development and spread of malignant tumors. VEGF consists of several isoforms, primarily VEGF-A, which exert their effects through receptors VEGFR-1, VEGFR-2, and VEGFR-3, as well as co-receptors neuropilin-1 and -2. Activation of VEGF signaling pathways stimulates endothelial cell proliferation, migration, and survival, increases vascular permeability, and facilitates the formation and invasion of tumor-associated blood vessels. VEGF expression is regulated by various factors, including hypoxia via HIF-1α activation, oncogenes such as KRAS and Src, and the suppression of tumor suppressor genes such as p53 and PTEN. Additionally, several growth factors including EGF, PDGF, and IGF contribute to the regulation of VEGF. VEGF signaling also promotes tumor invasion by activating proteolytic enzymes such as MMP-2, MMP-9, and uPA, which degrade the basement membrane. Due to its central role in angiogenesis and tumor invasion, VEGF is a strategic target in anti-angiogenic therapies for various types of cancer. A comprehensive understanding of the structure, function, and regulation of VEGF is essential for the development of more effective molecular therapies.

REMAJA ANTI HOAKS KESEHATAN: EDUKASI FAKTA VS MITOS OBAT DAN HERBAL UNTUK MENINGKATKAN LITERASI KESEHATAN DIGITAL

Dessy Abdullah, Rinita Amelia — Sat, 30 Aug 2025 00:00:00 -0400

In the digital era, health hoaxes pose a serious challenge to society, especially adolescents. Misinformation about medicines and herbal products can lead to incorrect health decisions. This community service activity aims to improve adolescent health literacy through myth- and fact-based education related to medicines and herbs. The activities included interactive seminars, group discussions, and educational quizzes. The results showed an increase in participants' understanding of distinguishing between valid and invalid information. This effort is expected to shape adolescents into agents of change in combating health hoaxes in their communities.

PEMODELAN PREMI ASURANSI BERDASARKAN DATA SEVERITY MENGGUNAKAN MODEL LOGNORMAL

Sat, 30 Aug 2025 00:00:00 -0400

The insurance industry in Indonesia requires reliable quantitative approaches to accurately determine premium rates and manage claim risks effectively. This study aims to model pure insurance premiums based on claim severity data using the lognormal regression approach. The data used consist of historical individual claim amounts (severity) obtained from a general insurance company in Indonesia, covering the period from 2009 to 2015. Initial data exploration revealed that the distribution of claim values is positively skewed, indicating the suitability of lognormal modeling. Three models were evaluated: Generalized Linear Model (GLM) with Gamma distribution, GLM with Inverse Gaussian distribution, and linear regression with lognormal transformation. Model selection was based on the Akaike Information Criterion (AIC) and Bayesian Information Criterion (BIC). The results show that the lognormal model had the lowest AIC and BIC values, indicating superior performance compared to the other models. The selected model was then used to forecast pure premiums for the next 12 months, followed by the calculation of commercial premiums with a 30% loading factor. The prediction results show a consistent and proportional upward trend in premiums, demonstrating the model’s effectiveness in capturing historical claim patterns and supporting data-driven premium setting.

BAYI TABUNG SEBAGAI SOLUSI INFERTILITAS PADA PASANGAN SAH: KAJIAN LITERATUR MEDIS DAN ETIS

Resti Rahmadika Akbar, Annisa Nazwa Wiedy, Insil Pendri Hariyani, Mutiara Anissa — Sat, 30 Aug 2025 00:00:00 -0400

In Vitro Fertilization (IVF) is an assisted reproductive technology that offers a significant solution for legally married couples experiencing infertility. This study aims to examine the medical, ethical, legal, and religious dimensions of IVF, including the use of emerging technologies such as Polygenic Embryo Screening (PES) and the practice of surrogacy. Medically, IVF is effective in addressing various infertility factors, yet it carries risks such as Ovarian Hyperstimulation Syndrome (OHSS), preeclampsia, and metabolic disorders, along with long-term health implications for offspring. Ethically, IVF raises debates regarding the moral status of embryos, the adequacy of informed consent, and concerns about eugenics through embryo selection. Legally, the lack of global harmonization in regulating surrogacy and gamete donation creates challenges in protecting the legal rights of children and intended parents. From an Islamic perspective, IVF is permissible if performed within a valid marriage using the couple’s own gametes, with strict prohibition against third-party involvement to preserve lineage and marital integrity. This study highlights the need for ethical and culturally sensitive regulatory frameworks and recommends further research on long-term health impacts of IVF, the effectiveness of informed consent, and global policy development for PES and surrogacy practices.

PENGARUH PEMBERIAN INFORMASI OBAT TERHADAP TINGKAT KEPATUHAN PENGGUNAAN ANTIBIOTIKA PADA PASIEN PNEUMONIA DI RS PKU MUHAMMADIYAH GUBUG

Triana Aprilyya, Zaenal Fanani , Galih Kurniawan — Sat, 30 Aug 2025 00:00:00 -0400

Pneumonia is a lower respiratory tract infection that remains a major cause of morbidity and mortality, especially in developing countries like Indonesia. The success of pneumonia therapy depends heavily on patient compliance in using antibiotics appropriately. However, patient compliance with antibiotic treatment remains low, which risks relapse and antibiotic resistance. One important factor that can improve understanding is presenting drug information accurately and clearly. This study aims to determine the effect of providing drug information on the level of antibiotic compliance in pneumonia patients at PKU Muhammadiyah Gubug Hospital. This study used a quasi-experimental method with a non-equivalent control group design, involving two groups of pneumonia patients: those before and after receiving drug information intervention using leaflets. Compliance levels were measured using the MARS (Medication Adherence Rating Scale) questionnaire before and after the intervention. The results of the study will compare the significance of antibiotic compliance levels in the pre- and post-intervention groups (p < 0.05) using the Wilcoxon Signed Rank Test. Patients who were provided with information showed a better understanding of the importance of completing antibiotic therapy as recommended. In conclusion, providing effective drug information can improve patient adherence to antibiotic use, contributing to successful therapy and preventing resistance. These results can serve as a basis for developing drug information intervention programs in hospitals

KAJIAN TEORITIS GLAUKOMA: DASAR TEORITIS UNTUK PENDEKATAN DIAGNOSTIK DAN TERAPI

Mutiara Anissa, Yuliza Birman, Naima Lassie — Sat, 30 Aug 2025 00:00:00 -0400

Glaucoma is a group of chronic eye diseases characterized by optic nerve damage and increased intraocular pressure (IOP), and is the second leading cause of blindness in the world after cataracts. This article aims to review the basic theories of glaucoma including definition, epidemiology, classification, pathophysiology, clinical manifestations, diagnosis, management, complications, and prognosis. The main management involves IOP-lowering therapy, either medication through eye drops or surgical interventions such as trabeculectomy. Early detection and adherence to therapy are very important in preventing disease progression and reducing the risk of blindness. This review provides a comprehensive theoretical understanding as a basis for optimal glaucoma management.

INTENSITAS NYERI PADA ARTHRITIS: TINJAUAN SISTEMIK LITERATUR

Yuliza Birman, Putri Sinthya Nirwana, Yuri Haiga — Sat, 30 Aug 2025 00:00:00 -0400

Arthritis is an inflammation of the joints characterized by pain as the main symptom. The most common types are osteoarthritis (OA), rheumatoid arthritis (RA), and gout arthritis (GA). One way to assess the intensity of pain is by using the Visual Analogue Scale (VAS). This study is a systematic literature review aimed at reviewing the differences in pain intensity among types of arthritis based on previous studies. The results show that pain intensity in RA is classified as mild to moderate (VAS ±3.4), OA is moderate to severe (VAS 4–6), and GA is severe during the acute phase (VAS 7–9). Factors such as age, gender, and psychological conditions also influence pain perception. Understanding this is essential to support appropriate management and improve the quality of life for patients.

PERTIMBANGAN ETIKA DALAM DISTRIBUSI ORGAN TRANSPLANTASI: TINJAUAN LITERATUR TERHADAP PRINSIP KEADILAN DAN PRIORITAS MEDIS

Alya Syab Baiturrahmi, Mutiara Anissa, Dessy Abdullah, Anita Darmayanti — Sat, 30 Aug 2025 00:00:00 -0400

Organ transplantation is a vital medical solution that faces complex ethical dilemmas in the distribution of limited organs. This study aims to explore and analyze ethical considerations in the distribution of transplanted organs, focusing on the principles of justice and medical priority through a systematic literature review. The search methodology was conducted in the PubMed, ScienceDirect, and Google Scholar databases using the keywords "ethical considerations," "organ transplantation," "justice principles," and "medical priority" for articles published between 2015 and 2025. The principle of distributive justice in organ transplantation integrates multiple criteria that include medical urgency, likelihood of success, age, and healthy lifestyle, while rejecting discriminatory criteria such as economic status or gender. Medical priority influences transplant decisions through systems such as MELD, which emphasize medical urgency but create a dilemma between saving the most critical patients versus optimizing long-term success. Consensus across perspectives indicates that organ transplantation is ethically and religiously acceptable under certain conditions by fulfilling the principles of autonomy, beneficence, non-maleficence, and justice. The findings indicate the need for a framework that harmonizes principles of distributive justice with medical priorities within the context of local cultural and religious values. Practical implications include developing more comprehensive organ distribution guidelines, enhancing the capacity of healthcare professionals in ethical decision-making, and strengthening regulatory systems that accommodate multi-criteria complexity without compromising the principle of justice.

FORMULASI SEDIAAN LIP BALM KULIT MANGGIS (Garcinia mangostana L.) SEBAGAI ANTIOKSIDAN

Sakna Binta Munaya, Endang Setyowati, Fahrudin Arif — Sat, 30 Aug 2025 00:00:00 -0400

Lip balm is a cosmetic preparation designed to help protect, nourish, and moisturize the lips. This study utilizes mangosteen peel extract (Garcinia mangostana L.), which is rich in antioxidants, as the active ingredient in lip balm formulations. The aim of the study is to evaluate the physical quality and antioxidant activity of five lip balm formulas containing varying concentrations of mangosteen peel extract (10%, 15%, 20%, 25%) and one comparison formula containing 10% vitamin C. Physical quality tests included organoleptic evaluation, homogeneity test, and pH measurement. In addition, antioxidant activity was assessed using the DPPH method, along with skin irritation and user preference tests. The results showed that all lip balm formulas exhibited good organoleptic characteristics and homogeneity, with pH values ranging from (4.5 to 6.5). Irritation tests revealed no negative skin reactions. User preference tests indicated that Formulas F3 and F4 were the most favored in terms of texture, aroma, and comfort of use. The highest antioxidant activity was observed in Formula F5 (IC₅₀ = 46.6 µg/mL), followed by F4 (64.3 µg/mL), F3 (101 µg/mL), F2 (112 µg/mL), and F1 (113 µg/mL). These findings demonstrate that mangosteen peel extract can be successfully formulated into lip balm products that meet physical quality standards and exhibit significant antioxidant activity. The formula containing 25% extract (F4) showed the most optimal overall performance among the tested formulations.

PEMANFAATAN TERAPI SHIATSU SEBAGAI TINDAKAN PREVENTIF CEDERA OTOT

Sat, 30 Aug 2025 00:00:00 -0400

Shiatsu therapy is a complementary treatment approach rooted in Japanese tradition, based on the principle of applying pressure to specific points on the body to stimulate energy flow, improve health, and support well-being. This study aims to explore the effect of shiatsu therapy on reducing the risk of injury. This study utilized a qualitative methodology, conducting a literature review of journals published between 2015 and 2025 related to shiatsu therapy. The search employed the keywords "shiatsu massage," "shiatsu for muscle injury," and "effect of shiatsu." Findings from the literature were synthesized and presented in narrative form The findings indicate that shiatsu therapy may reduce the risk of injury by decreasing muscle tension, enhancing flexibility, and increasing range of motion. Furthermore, shiatsu therapy is associated with psychological benefits, including reduced stress and improved sleep quality, both of which are crucial for recovery. Therefore, shiatsu therapy represents a potential strategy for injury prevention and comprehensive health maintenance.

PEMAHAMAN LITERASI KEUANGAN TERHADAP LAPORAN KEUANGAN UMKM DI DESA SUNGAI DUREN

Nurfitri Martaliah, Ilham Wisnu Herlambang, Trias Yudana — Sat, 30 Aug 2025 00:00:00 -0400

This study aims to investigate the extent of understanding among Micro, Small, and Medium Enterprises (UMKM) regarding the role and benefits of financial reports. Although financial reports are vital for business continuity, many UMKM still do not understand and apply them properly. This study employed a descriptive qualitative approach by conducting in-depth interviews with eight UMKM in Sungai Duren Village engaged in the culinary, craft, and service sectors. The research findings indicate that the majority of UMKM only record basic transactions and have not yet prepared formal financial reports. The main causes of this low understanding are a lack of accounting education, limited training, and the perception that financial reports are only relevant for large companies. Relevant mentoring and education are needed so that UMKM can understand and utilize financial reports to develop their businesses.

HISTOLOGI PENUAAN KULIT AKIBAT PHOTOAGING: ARTIKEL REVIEW

Sat, 30 Aug 2025 00:00:00 -0400

Photoaging is a complex skin aging process that results from prolonged exposure to ultraviolet (UV) light, leading to notable histological changes. This type of damage can affect both the epidermis and dermis layers of the skin. The purpose of this review article is to highlight and summarize the recent findings from the past five years concerning the histology associated with photoaging and the molecular mechanisms that contribute to this skin damage. The methodology employed involved a thorough literature review of articles published between 2020 and 2025. Journals were identified using targeted keywords, including "photoaging," "skin aging," "histology," and "actinic elastosis." The findings from this search are presented in a narrative format. The study found that UV exposure causes photoaging of the skin with damage to the epidermis and dermis. Photoaging causes structural and functional changes in the skin and causes gene mutations leading to skin carcinogenesis.

PENINGKATAN KAPASITAS KEPRIBADIAN DAN PUBLIC SPEAKING BAGI KELOMPOK SADAR WISATA, PELAKU USAHA, DAN PEMUDA PEGIAT WISATA DALAM MEMPERKENALKAN PRODUK PARIWISATA DI KABUPATEN BANGKA BELITUNG

Sat, 30 Aug 2025 00:00:00 -0400

Public speaking is the skill of speaking in public to convey a message effectively, while personality development aims to improve internal and external aspects of oneself to be able to adapt and achieve one's best potential. Through community service activities carried out by the Bangka Regency Tourism Office, participants from tourism awareness groups, business actors, and young tourism activists were given training that included improving effective communication skills and personality development. The methods used included discussions, role-plays, and non-verbal communication exercises, which aimed to overcome obstacles such as nervousness and fear when speaking in public and increase participants' confidence in introducing regional tourism potential. The training results showed that participants were able to improve their competence, motivation, and confidence in promoting tourism products in Bangka Belitung and are expected to become a model for tourism human resource training in other regions. The community service activities organized by the Bangka Regency Tourism Office were successful and received a positive response from the participants. The material on effective communication, public speaking, and personality development presented at Gedung Juang, Bangka Regency, improved participants' competence and motivation in promoting the region's tourism potential. Through various methods such as discussions, role-plays, and non-verbal language exercises, participants became more confident and able to navigate complex communication situations in the tourism industry. It is hoped that similar activities can continue to be implemented sustainably to support the improvement of tourism human resources and local economic growth in Bangka Belitung.

HUBUNGAN KUALITAS PELAYANAN APOTEK DENGAN TINGKAT KEPUASAN KONSUMEN DI APOTEK BLUNYAH FARMA YOGYAKARTA

Adel Meisita Putri, Endang Setyowati , Galih Kurniawan — Sat, 30 Aug 2025 00:00:00 -0400

Pharmaceutical services play an important role in the healthcare system, not only in drug dispensing but also in providing information and education. Suboptimal pharmacy service quality may affect customer satisfaction. This study aimed to determine the relationship between pharmacy service quality and customer satisfaction at Blunyah Farma Pharmacy Yogyakarta. This study used a quantitative approach with a cross-sectional design. A total of 300 respondents were selected using purposive sampling. Data were collected through closed-ended questionnaires consisting of 20 items for each variable: service quality and customer satisfaction. Data were analyzed using univariate and bivariate methods with the Pearson correlation test. The quality of pharmacy services was in the good to very good category, with the highest score in the prescription review aspect 90.84% and the lowest in drug information service/PIO 60.04%. Customer satisfaction was in the very satisfied category, with the highest score in the empathy dimension (91.97%) and the lowest in the responsiveness dimension 81.73%. The Pearson test results indicated a positive and significant relationship between service quality and customer satisfaction r = 0.342; p = 0.000 with a moderate correlation strength. There is a positive and significant relationship between pharmacy service quality and customer satisfaction at Blunyah Farma Pharmacy Yogyakarta. The better the service quality, the higher the customer satisfaction tends to be.

UJI AKTIVITAS ANTIOKSIDAN EKSTRAK BIJI KAPUK RANDU (Ceiba pentandra (L) Gaertn) DENGAN METODE DPPH

Ariyanis Salma, Endang Setyowati, Fahrudin Arif — Sat, 30 Aug 2025 00:00:00 -0400

Kapuk randu (Ceiba pentandra (L). Gaertn) is a plant that is widely found in Indonesia and has long been used in traditional medicine. The seeds of this plant are known to contain various secondary metabolite compounds such as alkaloids, flavonoids, saponins, tannins and phenolics that have the potential to be antioxidants. This study aims to identify the compounds contained in randu kapok seeds and evaluate their potential antioxidant activity. The research method involves the extraction of kapuk seeds using maceration with 70% ethanol solvent. Furthermore, qualitative phytochemical screening is carried out to identify groups of compounds such as alkaloids, saponins, flavonoids, tannins, and phenolics. The antioxidant activity test was carried out using the DPPH method with concentration variations of 40, 80, 120, 160, and 200 ppm. The results of phytochemical screening showed that randu kapok seed extract was positive for alkaloid and flavonoid compounds. Antioxidant activity testing yielded an average IC50 value of 276.5 μg/mL. Based on categorization, the IC50 value indicates that randu kapuk seed extract has very weak antioxidant activity.

AKTIVITAS ANTIBAKTERI DAN UJI KARAKTERISTIK FISIK CLAY MASK EKSTRAK BUAH PARIJOTO (Medinilla speciosa Blume) Terhadap Bakteri Staphylococcus aureus

Alya Narulita, Muhammad Nurul Fadel, Emma Jayanti Besan — Sat, 30 Aug 2025 00:00:00 -0400

Natural ingredients are used as an alternative to the use of synthetic drugs and antibiotics, due to the small side effects caused compared to synthetic drugs. Parijoto fruit (Medinilla speciosa Blume) has many benefits, one of which is as an acne-causing antibacterial with the content of flavonoid compounds, tannins, and saponins. The use of natural ingredients of parijoto fruit in the form of clay mask preparations was chosen because it has advantages and is popular among teenagers compared to other types of masks. This study aims to determine the effectiveness of clay mask preparation with 70% ethanol extract of parijoto fruit in inhibiting the activity of Staphylococus aaureus bacteria using the disc diffusion method. Parijoto fruit is extracted using the maceration method with 70% ethanol solvent to obtain a thick extract, then physical characteristics tests and antibacterial tests are carried out on clay mask preparations. Antibacterial testing of parijoto fruit extract used disc diffusion method with concentrations of 10%, 15%, and 20%. The results of the study showed that 70% ethanol extract clay mask preparations of parijoto fruit had moderate to strong antibacterial effectiveness against S. aureus in formulas F1 (10%), F2 (15%), and F3 (20%) with consecutive inhibition zones of 6.3 mm, 14.1 mm, 15.3 mm. The concentration of F3 (20%) showed the most optimal activity in inhibiting acne-causing S.aureus bacteria.

PERSISTENT STAPEDIAL ARTERY SEBAGAI ANOMALI VASKULAR TELINGA TENGAH: SEBUAH TINJAUAN LITERATUR

Sat, 30 Aug 2025 00:00:00 -0400

Persistent Stapedial Artery (PSA) is a rare vascular anomaly of the middle ear that results from the failure of the stapedial artery to regress during embryonic development. Despite often being asymptomatic, PSA has significant clinical implications, particularly in middle ear surgery, where it increases the risk of intraoperative bleeding and nerve injury. This review was conducted through a systematic search of PubMed, Scopus, and Google Scholar using the keywords “persistent stapedial artery,” “middle ear,” and “vascular anomaly.” Included articles comprised case reports, case series, and literature reviews from the past 10 years addressing embryology, clinical manifestations, diagnosis, and management of PSA. The findings indicate that PSA can be identified across different age groups, most often incidentally through temporal bone imaging or otologic procedures. In symptomatic cases, clinical features may include pulsatile tinnitus and conductive hearing loss. Temporal bone CT typically demonstrates the absence of the foramen spinosum and the presence of abnormal vascular channels in the tympanic cavity. Management varies, ranging from observation in asymptomatic cases to surgical intervention in patients with symptoms or complications. Although rare, recognition of PSA is critical to prevent intraoperative complications. Further studies are required to clarify the prevalence and define optimal therapeutic strategies. Meanwhile, heightened awareness among otolaryngologists and radiologists can improve diagnostic accuracy and patient safety.

KAJIAN LITERATUR: HUBUNGAN PEMBELAJARAN ANATOMI KLINIS TERINTEGRASI BEDAH DENGAN KOMPETENSI OPERATIF MAHASISWA KEDOKTERAN

Nadia Purnama Dewi, Yuliza Birman, Ade Teti Vani — Sat, 30 Aug 2025 00:00:00 -0400

To improve students' operative skills, clinical anatomy instruction is crucial in medical education. An approach that integrates anatomy and surgical practice is considered more effective than the conventional method that separates the two. Previous research findings may not be entirely consistent. This study employed a Systematic Literature Review (SLR) with thematic analysis, encompassing quantitative and qualitative studies from the last five years from reputable databases. The selected articles addressed clinical anatomy in a surgical context and its impact on the operative skills of medical students. When clinical anatomy is integrated into surgical education, patients' understanding of applicable anatomy and basic technical skills, including procedures such as cricothyroidotomy, appendectomy, and dissection, improves. Simulation, surgical procedures using experimental animals, and virtual reality technology are all methods that can facilitate learning. These techniques enhance anatomical accuracy, dissection skills, and clinical decision-making based on body structures. The quality of the facilitator, continuity of education, and practice tools (including wet labs and VR/AR) are all factors that influence effectiveness. Challenges include limited time, limited instructional resources, and variations in approaches across institutions. The integration of clinical anatomy into surgical education is recommended to bridge the gap between theory and clinical skills, with a systematic curriculum grounded in real- world practice and simulation.

MEKANISME PATOFISIOLOGIS DAN TATA LAKSANA KLINIS PUBERTAS PREKOKS: SEBUAH TINJAUAN TERINTEGRASI

Melya Susanti — Sat, 30 Aug 2025 00:00:00 -0400

Precocious Puberty: Etiology, Psychosocial Impact, and Management Puberty is a complex biological process characterized by activation of the hypothalamic–pituitary–gonadal (HPG) axis, resulting in both physical and psychosocial changes. Precocious puberty (PP) is defined as the onset of pubertal signs before the age of 8 years in girls and 9 years in boys. This condition is classified into central precocious puberty (CPP), caused by premature activation of the HPG axis, and peripheral precocious puberty (PPP), which occurs independently of gonadotropin stimulation. Globally, the prevalence of PP has been rising, particularly among girls, with epidemiological studies from Denmark to various Asian countries reporting similar trends. Contributing factors include genetic variations (such as mutations in MKRN3 and DLK1), dysregulation of KNDy neurons, epigenetic mechanisms, obesity, nutritional patterns, exposure to endocrine-disrupting chemicals, and psychosocial stress. The consequences of PP extend beyond accelerated growth and compromised adult height prediction, encompassing psychosocial dimensions such as heightened anxiety, reduced selfesteem, social stigma, and difficulties in academic performance and peer relationships. Early diagnosis and appropriate management—particularly the use of gonadotropin-releasing hormone (GnRH) agonists in CPP—have proven effective in delaying pubertal progression and mitigating long-term sequelae. Given the increasing prevalence, a comprehensive understanding of the etiology, clinical consequences, and management strategies for PP is essential for both clinicians and researchers.

KORELASI INDEKS MASSA TUBUH DENGAN KEKUATAN GENGGAMAN TANGAN PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS BAITURRAHMAH

Suharni Suharni, Daffa Putra Dianto, Alief Dhuha — Sat, 30 Aug 2025 00:00:00 -0400

Body Mass Index (BMI) is a primary anthropometric parameter used to quantify an individual's nutritional status by assessing body mass relative to height. Handgrip strength has been identified as a significant indicator that reflects overall physical fitness and is associated with various health outcomes. This study aims to examine the relationship between BMI and handgrip strength among medical students of the Faculty of Medicine, Baiturrahmah University, class of 2024. This study employed an analytical observational design with a cross-sectional approach. Samples were selected using a systematic random sampling technique. A total of 46 participants were included in the study. Handgrip strength was measured using a Camry EH101. Data analysis was conducted using SPSS version 27.0, and Spearman’s correlation test was utilized to assess the relationship between BMI and handgrip strength. The result of the study conclude that The majority of participants were female, totaling 38 individuals (82.6%). The most common age among participants was 19 years, with 27 individuals (58.7%). The mean BMI for male participants was 25.71 kg/m², while for female participants it was 22.13 kg/m². The overall mean BMI for all participants was 22.76 kg/m². The average handgrip strength among male participants was 40.82 kg, compared to 27.90 kg for female participants, with an overall mean handgrip strength of 30.14 kg. The predominant BMI classification for both male and female participants was within the normal range. Regarding handgrip strength classification, the majority of male participants (62.5%) fell within the 40–49.9 kg category, while most female participants (60.5%) were classified within the 20–29.9 kg range. A significant positive correlation was found between BMI and handgrip strength in female participants (r = 0.728, p = 0.001) and in the overall participant group (r = 0.714, p = 0.001), whereas no significant correlation was observed among male participants (r = 0.359, p = 0.389). Therefore, it can be concluded that There is a strong and significant positive correlation between BMI and handgrip strength among the medical students of the Faculty of Medicine, Baiturrahmah University, class of 2024.

COMPARATIVE ANALYSIS OF THE APPLICATION OF FEATURE SELECTION IN RANDOM FOREST REGRESSION FOR STOCK PRICE PREDICTION

Emil Agusalim Habi Talib, Alvina Felicia Watratan, Saharuddin Saharuddin — Sat, 30 Aug 2025 00:00:00 -0400

The rapid development of information technology and data mining has encouraged the use of machine learning algorithms in various fields, including the financial sector and capital markets. One of the main challenges in stock price prediction is the large number of available variables, not all relevant to the target variable, potentially reducing accuracy and causing overfitting. This study aims to analyze the benefits of applying feature selection in improving the performance of the Random Forest Regression algorithm for stock price prediction. The dataset used in this research consists of ten years of historical stock price data from PT Aneka Tambang Tbk (ANTM). The research was conducted using an experimental approach by developing two models: (1) Random Forest Regression without feature selection and (2) Random Forest Regression with feature selection using the Spearman Correlation method. Model performance was evaluated using Mean Absolute Error (MAE), Mean Squared Error (MSE), Root Mean Square Error (RMSE), Coefficient of Determination (R²), and Mean Absolute Percentage Error (MAPE). The experimental results show that the model with feature selection achieved better performance, with improvements in all evaluation metrics, such as reduced error values (MAE: 26.22; RMSE: 51.82; MAPE: 1.32%) and increased R² (0.9895). These findings confirm that integrating feature selection with Random Forest Regression can improve prediction accuracy, reduce model complexity, and minimize overfitting risk. Therefore, feature selection plays a significant role in enhancing the effectiveness of machine learning models in stock price prediction.

RASIONALITAS PENGGUNAAN ANTIPSIKOTIK PADA PASIEN GANGGUAN BIPOLAR DISORDER DI RSUD DR. LOEKMONO HADI KUDUS PERIODE JANUARI-JUNI 2024

Nila Khumaela Sofwatussuba, Endang Setyowati, Emma Jayanti Besan — Sat, 30 Aug 2025 00:00:00 -0400

Mental disorders around the world according to WHO (World Health Organization) data have the highest number of bipolar sufferers as many as 60 million people. The Indonesian Association of Psychiatric Specialists (PDSKJI) revealed that Bipolar disorder in Indonesia covers around 0.3% to 1.5%. Antipsychotics can have a major effect on overcoming manic episodes, preventing recurrence and treating major depressive disorders. The purpose of this study is to determine the rationality of the use of antipsychotics in bipolar disorder patients at dr. Loekmono Hadi Kudus Hospital. The data analysis method used a non-experimental design with retrospective descriptive analysis with research materials in the form of patient medical records. The results of data collection were 95 selected patients, the majority of bipolar patients were women (76.8%), vulnerable 25-34 years old (27.4%), high school education/equivalent (36.8%), had other jobs (33.7%), used BPJS payment type (96.8%), used single antipsychotic drugs (73.7%), antipsychotics that were often used were quetiapine (24.2%). The results of the evaluation were indicated, the patient was right, the drug was 100% right, and the dose was 98.9% right. The use of antipsychotic drugs in patients with bipolar disorder at dr. Loekmono Hadi Kudus Hospital for the period January – June 2024 can be said to be rational because it is in accordance with the pharmacotherapy handbook 9 th edition and the VA/DoD Clinical Practice Guideline for Management of Bipolar Disorder.

HUBUNGAN INDEKS MASA TUBUH (IMT) DENGAN KEJADIAN HEMOROID DI BAGIAN BEDAH RSI SITI RAHMAH

Ahmad Dzaki, Melya Susanti, Zukhri Zainun — Sat, 30 Aug 2025 00:00:00 -0400

Hemorrhoids are localized dilations of vascular structures caused by the migration or pathological hypertrophy of the pads in the submucosal layer of the lower rectum. In the United States, hemorrhoids are the fourth most common outpatient gastrointestinal diagnosis, accounting for 3.3 million outpatient visits annually. According to Basic Health Research (Riskesdas) data in 2018, approximately 12.5 million Indonesians suffer from hemorrhoidal disease. Factors commonly associated with an increased risk of hemorrhoids include constipation, a low-fiber diet, high body mass index (BMI), pregnancy, and a sedentary lifestyle. This study aims to determine the relationship between body mass index (BMI) and the occurrence of hemorrhoids in the surgical department of RSI Siti Rahmah Padang during the period January 2022 to August 2023. This research employed an observational analytic method with a cross-sectional design. The study sample consisted of patients from the surgical clinic of RSI Siti Rahmah Padang within the specified period who were diagnosed with hemorrhoids, selected using a simple random sampling technique. Data were obtained from the medical records of 166 patients who met the inclusion criteria and were analyzed using the chi-square test. The results showed that the highest incidence of hemorrhoids occurred in adults, with 23 cases (51.1%). Based on gender distribution, females accounted for 27 cases (60%). Regarding BMI, the majority of patients were classified as overweight, with 22 individuals (48.9%) suffering from hemorrhoids. Data analysis demonstrated a significant relationship between BMI and the incidence of hemorrhoids (p = 0.000).

ANALISIS KEBUTUHAN PEMAHAMAN BUDAYA DIGITAL PADA GENERASI X DAN BABY BOOMERS

Gendro Salim, Ahsanun Naseh Khudori, M. Syauqi Harris — Sat, 30 Aug 2025 00:00:00 -0400

During 2 (two) decades of assisting entrepreneurs in running their businesses, researchers have interacted with hundreds of entrepreneurs, most of whom are Baby Boomers born between 1946-1964 and Generation X born between 1965-1980, requiring a customized approach because these two generations have characteristics, preferences. Where it is precisely this generation that is very behind with digitalization and technology. Their desire for transformation is not supported by their ability to absorb information so quickly, with unfamiliar jargon. Coupled with the ability of digital actors, who also cannot explain analogies that can be accepted by this generation. In the context of writing this journal, the researcher tried an empathetic approach, collecting data with questionnaires from the clients of the researcher, so as to illustrate the unrest. What priorities must be done, in order to break this deadlock, so as to provide a wider perspective to the community, in order to improve the capabilities of both parties, both service providers and recipients of digital services. In this journal, the researcher specializes in Understanding Digital Culture in Baby Boomers and Generation X.

KORELASI SKOR MONTREAL COGNITIVE ASSESSMENT VERSI INDONESIA (MoCA-Ina) DENGAN TINGKAT KERENTAAN PASIEN LANSIA

Fredia Heppy, Tati Khairina, Annisa Syazatul Isny — Sat, 30 Aug 2025 00:00:00 -0400

Cognitive impairment has frequently been found as a geriatric syndrome in the elderly. It is vary from mild cognitive impairment to severe dementia. In cases of dementia, cognitive impairment has been found concomitanly with decreasing of daily activities characterized by dependence on the environment. Caring for dementia patients will increase many sector health burdens, indeed preventive actions are needed by managing risk factors such as frailty levels and finding new cases of cognitive impairment earlier with sensitive screening instruments. The Montreal Cognitive Assessment (MoCA) is a superior instrument for detecting mild cognitive impairment. The study aims to examine the correlation of MoCA-Ina scores with the frailty status of elderly patients. This study is an observational analytic study with a cross-sectional study design. The research subjects were taken using consecutive techniques. Based on the analytical formula for correlative numerical data, a sample of 95 subjects was obtained. The results of this study using Spearmen's rho correlation analysis has been obtained a significant relationship between MoCA-Ina scores and frailty levels with p = 0.000 and moderate correlation with correlation coefficient of r = -0.455. The study concluded that there was a moderate correlation between MoCA-Ina scores and the frailty levels of elderly subjects.

HUBUNGAN DIABETES MELITUS DENGAN KOLELITIASIS: TINJAUAN LITERARUR BERDASARKAN JUMLAH DAN UKURAN BATU

Yuliza Birman, Ahmad Fajar Bahri, Rosmaini Bahri — Sat, 30 Aug 2025 00:00:00 -0400

Diabetes mellitus (DM) and cholelithiasis are two conditions with increasing global prevalence. Several studies have indicated a significant association between DM and both the incidence and severity of cholelithiasis, particularly in relation to the number and size of gallstones. Objective: This article aims to review the literature regarding the pathophysiological mechanisms, epidemiological evidence, and morphological characteristics of gallstones in patients with diabetes mellitus. Methods: A literature search was conducted using electronic databases (PubMed, Google Scholar, ScienceDirect) for articles published within the last 10 years, using keywords such as “diabetes mellitus,” “cholelithiasis,” “gallstone size,” and “gallstone number.” Results: DM contributes to gallstone formation through impaired gallbladder motility due to autonomic neuropathy, bile supersaturation from dyslipidemia, and increased mucin expression that enhances cholesterol crystal nucleation. Patients with DM tend to develop multiple and/or larger gallstones, which are closely associated with a higher risk of complications such as cholecystitis and pancreatitis. Conclusion: Diabetes mellitus is strongly associated with an increased incidence and severity of cholelithiasis. Routine gallbladder screening is recommended for diabetic patients, particularly those with poor glycemic control, to prevent serious hepatobiliary complications.

PENGARUH VARIASI FORMULASI TEH CELUP DAUN TEH HIJAU (Camellia sinensis) KOMBINASI SERAI (Cymbopogon nardus) DAN JAHE (Zingiber officinale) TERHADAP KADAR FLAVONOID

Athifa Afra Aulia Haq, Endang Setyowati, Bintari Tri Sukoharjanti — Sat, 30 Aug 2025 00:00:00 -0400

Excess free radicals can trigger oxidative stress and contribute to degenerative diseases. Flavonoids, as natural antioxidants, neutralize free radicals and are therefore important in the development of functional beverages. This study aimed to evaluate sensory characteristics, panelist preference, and flavonoid content, and to determine the optimal formulation of tea bags containing green tea leaves (Camellia sinensis), lemongrass (Cymbopogon nardus), and ginger (Zingiber officinale). Four formulations were prepared: F1 (100% green tea), F2 (70:15:15), F3 (50:25:25), and F4 (30:35:35). Flavonoid content was determined by UV-Vis spectrophotometry, while sensory properties were assessed through organoleptic and hedonic tests. Panelists were aged 18–59 years, regular tea drinkers, with normal sensory ability, while exclusion criteria included pregnancy, breastfeeding, allergies, medication use. Results showed that F4 had the highest flavonoid content (49.397 ± 3.258 mg QE/L), followed by F3 (32.677 ± 3.703 mg QE/L), F2 (13.877 ± 1.960 mg QE/L), and F1 (11.117 ± 1.502 mg QE/L). Statistical analysis confirmed significant effects of formulation on flavonoid content and sensory attributes of color, aroma, and taste (p < 0.05). F4 was identified as the optimal formulation with superior flavonoid content and panelist acceptance.

HUBUNGAN STATUS GIZI DENGAN KOMPLIKASI DIABETES MELITUS TIPE 2 DI RUMAH SAKIT ISLAM SITI RAHMAH

Pera Siska, Melya Susanti, Ferry Iskandar Kahrisma — Sat, 30 Aug 2025 00:00:00 -0400

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder with an increasing prevalence worldwide and is a major contributor to both microvascular and macrovascular complications. Nutritional status, particularly obesity, is considered to play a key role in the pathogenesis of these complications through mechanisms involving insulin resistance, chronic inflammation, and atherogenic dyslipidemia. However, locally based evidence on the association between nutritional status and T2DM complications remains limited. This research to evaluate the relationship between nutritional status, as measured by body mass index (BMI), and the types of T2DM complications among patients hospitalized at RSI Siti Rahmah Padang. This observational analytic study with a cross-sectional design included 65 T2DM patients with complications admitted between 2019 and 2021. Nutritional status was classified according to the WHO Western Pacific Region criteria, while complications were categorized into macroangiopathy, microangiopathy, and combined forms. Data were analyzed using the Kruskal–Wallis test with a significance level of p<0.05. Most patients were classified as having normal nutritional status (33.8%), followed by class I obesity (26.2%) and overweight (24.6%). Macroangiopathy was the most common complication (50.8%), followed by microangiopathy (46.2%) and combined complications (3.1%). Statistical analysis showed no significant association between nutritional status and the types of complications (p=0.052). BMI-based nutritional status was not significantly associated with the types of T2DM complications. Central adiposity indicators, such as waist circumference, may provide a more accurate measure of risk. Further studies with larger sample sizes are recommended.

DARI MASJID KE MEDIA: STRATEGI DAKWAH DIGITAL BERBASIS DATA DAN KONTEN KREATIF PEMUDA MUHAMMADIYAH JAWA TIMUR

Sat, 30 Aug 2025 00:00:00 -0400

Digital transformation in Islamic preaching (dakwah) has become an urgent necessity in the information disruption era. Pemuda Muhammadiyah of East Java, as an active religious youth organization, has strategic potential in utilizing information technology to expand its dakwah outreach. This community service program aimed to strengthen digital dakwah capacity through the development of an information system and training in digital content creation. The method used was a participatory qualitative approach involving the service team, PMM students, and Pemuda Muhammadiyah cadres. Activities included mosque data collection, data input into the pwpmjatim.org website, and the creation of video tutorials on data input and content editing using the Canva application. The results indicate that the program successfully increased cadre involvement in managing mosque information and producing digital dakwah content. Moreover, the mosque database system serves as a synergistic platform for data-driven dakwah. The program concludes that integrating information technology into community-based dakwah movements is essential, alongside expanding the coverage and ensuring program sustainability. Strengthening digital literacy among youth cadres is a crucial foundation for building an adaptive and competitive Muhammadiyah dakwah ecosystem.

PENGARUH TERAPI FOOT MASSAGE TERHADAP KADAR GULA DARAH PADA PASIEN DIABETES MELITUS TIPE 2

Alina Dwita Anggarini, Sukesih Sukesih, Sukarmin Sukarmin — Sat, 30 Aug 2025 00:00:00 -0400

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease characterized by hyperglycemia due to impaired insulin secretion and action. Uncontrolled blood sugar levels increase the risk of various complications. One complementary intervention that can help lower blood sugar levels is foot massage, a foot massage technique that involves pressure and manipulation to stimulate nerve points, improve blood circulation, activate the parasympathetic nervous system, and provide a relaxing effect. This study aims to determine the effect of foot massage on blood sugar levels in patients with T2DM. This study used a quasi-experimental design with a pre-test post-test control group design. A total of 40 respondents were divided into two groups: 20 respondents in the intervention group who were given foot massage for 10 consecutive days (15 minutes per session), and 20 respondents in the control group who only received health education. Blood sugar levels were measured before and after the intervention. In the intervention group, the average blood sugar level decreased by 14.90 mg/dL with a p value of 0.042 (p < 0.05), indicating a statistically significant decrease. In the control group, the average decrease was 27.15 mg/dL with a p value of 0.056 (p > 0.05), which means it is not significant. These results indicate that foot massage has a real effect in reducing blood sugar levels in patients with Type 2 DM. Foot massage is effectively used as a complementary therapy to help reduce blood sugar levels in patients with Type 2 DM. This therapy can be integrated into health services or done independently at home with the guidance of health workers.

PENGARUH LATIHAN FISIK DAN VIRTUAL REALITY BERBASIS GAMES TERHADAP EFIKASI DIRI PASIEN STROKE DI RSUD BLORA

Ika Puji Eviyanti, Diana Tri Lestari, Ashri Maulida Rahmawati — Sat, 30 Aug 2025 00:00:00 -0400

Stroke is a leading cause of disability and death worldwide, including in Indonesia, impacting motor function decline and low patient self-efficacy. Conventional physical exercise is physically beneficial but is often considered monotonous, while game-based Virtual Reality (VR) offers interactive, fun, and motivating exercises. This study aims to determine the effect of a combination of physical exercise and VR on the self-efficacy of stroke patients. Self-efficacy, according to Bandura, is the belief in one's ability to complete a task. The combination of physical exercise and game-based VR is expected to provide a synergistic effect, increasing patient motivation and engagement. The research method used a quantitative quasi-experimental design with two groups: intervention (physical exercise + VR) and control (physical exercise only). The sample consisted of 35 stroke patients at Blora Regional Hospital, drawn by total sampling. The intervention was carried out for 7 days, 6 times a day, for 10 minutes per session. Self-efficacy was measured before and after the intervention using a questionnaire. Data analysis used the Wilcoxon and Mann-Whitney tests because the data were not normally distributed. The results showed that the intervention group experienced a significant increase in self-efficacy from moderate to high (p=0.001), while the control group showed no significant increase (p=0.076). Comparison between groups showed a significant difference (p=0.001), with higher scores in the intervention group. Game-based VR effectively increased self-efficacy through gradual success experiences, intrinsic motivation, and immediate feedback. Conventional physical exercise helped maintain motor function but had less impact on psychological aspects without the support of motivational stimulation. These results support the integration of VR in stroke rehabilitation programs. The combination of physical exercise and game-based VR effectively increased self-efficacy in stroke patients significantly compared to physical exercise alone. Recommendations provided include the implementation of game-based VR in nursing practice, further research with a larger sample size and intervention duration, and family support in implementing exercises to accelerate patient recovery.

PENGARUH PEMBERIAN EDUKASI PENCEGAHAN KEPUTIHAN MENGGUNAKAN MEDIA AUDIO VISUAL TERHADAP PENGETAHUAN REMAJA PUTRI DI SMK NU MIFTAHUL FALAH KUDUS

Zulfa Laila Khoirun Nisa, Dwi Astuti, Nasriyah Nasriyah — Sat, 30 Aug 2025 00:00:00 -0400

Leucorrhea is a reproductive health problem frequently experienced by adolescent girls and may lead to complications if not prevented early. The lack of knowledge regarding leucorrhea prevention highlights the importance of health education using engaging methods, one of which is audiovisual media. This study aimed to analyze the effect of leucorrhea prevention education using audiovisual media on the knowledge of adolescent girls at SMK NU Miftahul Falah Kudus. This was a pre-experimental study with a one-group pretest–posttest design. The sample consisted of 60 respondents selected through purposive sampling. The research instrument was a knowledge questionnaire that had been tested for validity and reliability. Data were analyzed using a paired t-test. The results showed a significant difference with a p-value < 0.001. Education using audiovisual media is effective in improving adolescent girls’ knowledge about leucorrhea prevention. This medium can be recommended as an alternative in reproductive health promotion programs in schools.

FORMULASI MASKER GEL LIDAH BUAYA (Aloe Vera) UNTUK PENGENDALIAN BAKTERI Propionibacterium acnes

Irvan Shahrul Hidayat, Muhammad Nurul Fadel, Intan Adevia Rosnarita — Sat, 30 Aug 2025 00:00:00 -0400

Acne (Acne vulgaris) is a common skin problem, especially among adolescents, with a prevalence reaching 80-85% in Indonesia. One of the main causes of acne is the bacteria Propionibacterium acnes. Acne treatment usually uses synthetic antibiotics, but long-term use can cause side effects and bacterial resistance. Alternative natural treatments are needed to address this problem. Aloe vera is known to have antibacterial, anti-inflammatory, and cell regeneration-accelerating properties, making it potentially useful in skin care products. The active ingredients of aloe vera, such as anthraquinones, saponins, and flavonoids, are effective in inhibiting the growth of Propionibacterium acnes. Peel-off gel masks were chosen as topical preparations because they are practical, have a cooling effect, and can increase the penetration of active ingredients. This study aims to develop a gel mask formulation with aloe vera extract and test its effectiveness in inhibiting the growth of Propionibacterium acnes bacteria. This study used a laboratory experimental method with a post-test only control group design. The formulas used included various concentrations of aloe vera extract (5%, 10%, and 15%) and a positive control using 1% clindamycin. Evaluation of the preparations included organoleptic tests, homogeneity, pH, viscosity, spreadability, adhesion, drying time, and antibacterial activity testing using the disc diffusion method. Antibacterial effectiveness testing was divided into 5 treatment groups. The inhibition zone test against Propionibacterium acnes was conducted to assess the effectiveness of each formulation. The test data were analyzed using the One Way ANOVA statistical method with SPSS 25 software to determine significant differences between groups. Antibacterial testing was conducted by disc diffusion. The results of the study on the aloe vera extract peel-off gel mask formulation showed good organoleptic physical quality, homogeneity, adhesiveness, and drying time of the preparation, while the viscosity and spreadability tests did not meet the requirements, and the pH test on formula F3 did not meet the pH requirements for mouthwash preparations. In the antibacterial activity test of the peel-off gel mask preparation, the inhibition zone values were obtained at F0 2.23 mm; F1 4.8 mm; F2 6 mm; F3 7.2 mm; and the positive control 33.5 mm.

TINGKAT KEPATUHAN PENGGUNAAN ALLOPURINOL 100 MG TERHADAP KUALITAS HIDUP PASIEN GOUT DI DESA DONOREJO, KARANG TENGAH, DEMAK, JAWA TENGAH

Ayu Aprilia Atika Sari, Eko Retnowati, Fahrudin Arif — Sat, 30 Aug 2025 00:00:00 -0400

Gout is a metabolic disorder that results in chronic accumulation of excess uric acid in the blood/hyperuricemia, resulting in the accumulation and formation of uric acid crystals abnormally in the intra-articular space. One of the risk factors that can cause an increase in the incidence of morbidity and mortality of gout sufferers is patient non-compliance in taking anti-gout medication. Anti-gout treatment must be carried out routinely to improve the patient's quality of life. This research to analyze the level of compliance with the use of allopurinol 100 mg on the quality of life of gout patients in Donorejo Village, Karang Tengah, Demak, Central Java. This study is a non-experimental observational study with a cross-sectional research approach. The sample in this study were gout sufferers in the last 3 months, namely June - August 2025 in Donorejo Village, Karang Tengah, Demak, Central Java, namely 105 respondent samples. The sampling technique in this study used a total sampling approach. The data used in the study were primary data in the form of MMAS-8 and WHOQOL-BREF questionnaires, as well as secondary data in the form of medical records of gout patients. Bivariate analysis was performed using the Chi-square (x2) test. Post-test medication adherence showed that the majority of respondents had a high level of medication adherence, with 77 respondents (73.3%). The post-test Chi-square test obtained a P-value of 0.000, indicating that Ho was rejected and Ha was accepted. This indicates a relationship between adherence to 100 mg allopurinol and the quality of life of gout patients in Donorejo Village, Karang Tengah, Demak, Central Java. The Odd Ratio value obtained was 57.061, indicating that adherence to 100 mg allopurinol in compliant gout patients had a 57.061 times better quality of life than non-compliant gout patients.

EVALUASI PENGGUNAAN OBAT ANTI HIPERTENSI TERHADAP PASIEN DI KLINIK TELAGA MEDIKA GUBUG

Kadamsih Kadamsih, Endang Setyowati , Ulviani Yulia Husna — Sat, 30 Aug 2025 00:00:00 -0400

Hypertension is a condition of blood pressure that is higher than normal, which can damage vital organs such as the heart, blood vessels, and kidneys. If left untreated, this condition increases the risk of heart attack, stroke, kidney failure, and death. The effectiveness of antihypertensive drugs is determined by their ability to lower blood pressure, generally 7–13 mmHg systole and 4–8 mmHg diastole to achieve blood pressure targets. This study aims to determine the rationality of anti-hypertension which is assessed in terms of the right dosage, indications, patients, and drugs at Telaga Medika Gubug Clinic. This study is a type of observational research (non-experimental) with a descriptive research design using the retrospective cohort method. The approach was carried out retrospectively with a research time of June 1, 2025 The research location was carried out at the Telaga Medika Gubug Clinic, with a total sampling of 155 respondents according to the inclusion and exclusion criteria. For data analysis using frequency distribution. Based on the results of the research on the characteristics of hypertension patients at Telaga Medika Gubug Clinic, the majority age frequency was 51-60 years, namely 81 respondents (52.3%), the gender of the respondent was mostly female, 110 respondents (71.0%), the education of the majority of respondents was high school, namely 54 respondents (34.8%) and the majority of respondents were farmers, 60 respondents (38.7%), the pattern of use of amlodipin as the most antihypertensive drugs (46.36%) and metformin as the most comorbidities (45.97%). All patients are right, namely the right indication, the right patient, and the right dose, but the accuracy of the drug is only 76.8%. The use of antihypertensive drugs at Telaga Medika Gubug Clinic was declared rational, for the accuracy of indications, patients, and dosages while for the accuracy of drugs was only 76.8%.

KARAKTERISTIK RAVELLING RESISTANCE, MOISTURE SENSITIVITY, DAN WORKABILITY LASTON AC-WC DENGAN BAHAN TAMBAH POLIVINIL KLORIDA (PVC)

Ayu Kamila Khanza, Michael Michael, Helmi Maulana Ramadan — Sat, 30 Aug 2025 00:00:00 -0400

This study aims to evaluate the effect of 4% waste addition on the characteristics of the asphalt concrete wearing course (AC-WC) mixture, including raveling resistance, moisture sensitivity, and workability. The study used a dry mix method with 60/70 penetration asphalt, according to the 2018 General Specification of Bina Marga Division 6. The results showed an increase in mixture performance in the Tensile Strength Ratio (TSR) value increasing from 95.10% to 99.86%, and Cantabro Loss decreasing from 5.16% to 3.47%. Workability testing showed that the Void in Mix (VIM) value in the PVC mixture was higher than the control in each impact variation (5–100), indicating that the control was easier to compact. VIM increased in the 5th impact from 14.530% to 15.316% and in the 100th from 3.409% to 4.617%, indicating a slight decrease in compaction ease. This condition occurs because PVC has a relatively high melting point and a rigid molecular structure, so during the compaction process, the PVC particles do not fully soften with the flow of asphalt, which causes more air voids to remain. Overall, the addition of PVC has been shown to effectively increase wear resistance and moisture resistance, with a slight increase in compaction ease.

ANALISIS RISIKO KECELAKAAN KERJA MENGGUNAKAN METODE HAZARD IDENTIFICATION, RISK ASSESMENT AND DETERMINING CONTROL (HIRADC) PADA PROYEK PEMBANGUNAN MASJID RAYA AL-BAKRIE BANDAR LAMPUNG

Elian Zhafira, Rajiman Rajiman — Sat, 30 Aug 2025 00:00:00 -0400

One of the challenges in construction activities is occupational safety. Every work process often involves the use of heavy equipment, heavy and dangerous building materials, and the height of the building structure, which can increase the risk of work accidents. The number of work accidents in the last five years shows a reasonably high increase, with 32% of work accidents in Indonesia coming from the construction sector. This study aims to identify potential hazards and risks of work accidents, conduct risk assessments, and provide control efforts for the dangers in the Al-Bakrie Grand Mosque construction project in Bandar Lampung. The method used is HIRADC (Hazard Identification, Risk Assessment, and Determining Control). The hazard identification is based on literature studies, field observations, and interviews. Risk assessments are carried out to determine how high the risk is by filling out questionnaires by respondents, namely the frequency level questionnaire and the severity level questionnaire. The questionnaire was then processed using the severity index method and risk matrix sourced from PUPR Regulation No. 10 of 2021. The results of the analysis show that 35 hazard variables have the potential to cause work accidents. The risk assessment results obtained a low-risk category of 31 (88%) and a medium-risk category of 4 (12%). Control efforts must be carried out to eliminate or even reduce the risk of work accidents in the project by the control hierarchy, namely elimination, substitution, technical control, administrative control, and personal protective equipment (PPE).

ANALISIS KEDALAMAN GERUSAN LOKAL BERDASARKAN DEBIT TERUKUR (STUDI KASUS: JEMBATAN WAY BILLU)

Indri Rahmandhani Fitriana, M. Gilang Indra Mardika, Afriyanti Indi Mustari — Sat, 30 Aug 2025 00:00:00 -0400

A threat to the sustainability of the bridge is flooding, which can cause damage, especially in the form of local erosion of the abutment. Erosion that occurs due to the presence of structures or buildings in the river is known as local erosion. This study aims to determine the maximum depth of local abrasion around the bridge abutment at the time of measured discharge using HEC-RAS software. The object of this research is the dimensions of the Way Billu Bridge with the dimensions of a new bridge after experiencing damage due to flooding on December 9, 2021. The velocity data collection method is carried out using a current meter with an average flow velocity of 0.225 m/s. The calculation of measured discharge using the mean section method resulted in a discharge of 2,413 m3/s. The sedimentation velocity produced from upstream, downstream, and river basins is 0.025 m/s, 0.017 m/s, 0.017 m/s. The results show that the depth of local erosion at the measured discharge is a total erosion depth of 0.08 m.

IMPLEMENTATION OF DECISION SUPPORT SYSTEM(DSS) FOR BUDGET PLANNING AND CONTROL: BRIDGING GOOD GOVERNANCE AND UNQUALIFIED OPINIONS (WTP) IN LOCAL GOVERNMENT

Husmaruddin Husmaruddin, Satriawaty Mallu, Salju Salju — Sat, 30 Aug 2025 00:00:00 -0400

This research evaluates how the implementation of a Decision Support System (DSS) can improve good governance and the achievement of WTP in regional finance, with implications for policy design and public resource management. Using a phased mixed design, this study first measures the impact of DSS adoption on budget accuracy, expenditure control, and WTP achievement through panel data in several districts/cities. Furthermore, policy-oriented case analysis was conducted to identify governance mechanisms, data governance practices, and capacity building needs that enable the sustainable use of DSS. Data sources included local government budget reports, Supreme Audit Agency (BPK) audit reports, budget documents, and interviews with stakeholders. Metrics included DSS maturity (level of integration, data quality, analytical coverage), deviation reduction, control strength, and WTP status. The findings show that DSS maturity is positively related to budget deviation reduction and increased alignment between planning and implementation, thereby increasing the chances of achieving WTP. Policy implications include a DSS governance framework; ensuring data interoperability in the regional IT ecosystem; capacity investment; and aligning DSS outputs with the audit process. Limitations relate to data availability and constraints in transferring findings across regional contexts. This paper contributes to the public financial management literature by linking advanced information systems to governance quality and external reporting standards, and offers a roadmap for local governments seeking to improve financial transparency and accountability