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Hypertension in the elderly requires long-term treatment to prevent cardiovascular consequences. Adherence to antihypertensive medication is crucial for blood pressure management. Adherence to antihypertensive medication is a crucial aspect in hypertension management. Poor adherence can lead to uncontrolled blood pressure, thereby increasing the risk of cardiovascular problems, including stroke, myocardial infarction, and heart failure. This study aims to determine the correlation between adherence to antihypertensive medication and blood pressure in the elderly at the Ronggo Husada Primary Inpatient Clinic in Malang. This study used a cross-sectional design. The cohort consisted of 52 geriatric patients with hypertension who consistently visited the Ronggo Husada Primary Inpatient Clinic in Malang. The sample consisted of 40 patients. The sampling method used was purposive sampling. Research factors included medication adherence and blood pressure. Data collection was conducted through a questionnaire. This study was conducted at the Ronggo Husada Primary Inpatient Clinic in Malang on November 6, 2025. Data processing used the Chi-square test. The analysis included univariate and bivariate analyses, using the Chi-square test. The results showed that more than 50% of elderly participants demonstrated moderate adherence to antihypertensive medication (18 individuals (45%). Nearly 50% of elderly participants suffered from stage I hypertension (14 individuals (35%), and stage II hypertension (11 individuals (27.5%). Statistical analysis using the Chi-square test showed a significant correlation between adherence to antihypertensive medication and blood pressure in the elderly, with a p-value of 0.000, which is below the alpha threshold of 0.05 (5%). Elderly individuals who demonstrated strong adherence had better blood pressure regulation compared to those with poor adherence. These results emphasize the importance of adherence to therapy in the management of hypertension in the elderly.    

The right to health is a fundamental human right that remains inherent to prisoners. This study aims to examine the legal protection of prisoners' right to health care as regulated in Law Number 22 of 2022 on Corrections, as well as its implementation in correctional institutions. The research uses a normative juridical method with statutory and conceptual approaches. The findings show that Law Number 22 of 2022 formally guarantees prisoners' access to health services, including mental health care and special protection for vulnerable groups such as women, the elderly, and persons with disabilities. Key provisions in Articles 10, 11, 12, and 14 establish the state's obligation to provide adequate health services equivalent to community standards. However, in practice, the realization of this right faces several obstacles including: (1) overcapacity of correctional facilities exceeding 180% of ideal capacity, (2) limited medical personnel with many institutions lacking permanent doctors, (3) inadequate health facilities and medicine supplies, (4) complicated referral procedures causing delays in emergency treatment, and (5) insufficient budget allocation. Strengthening technical regulations, improving infrastructure, enhancing cross-sectoral collaboration, and implementing effective oversight mechanisms are essential to ensure effective protection of prisoners' health rights as mandated by the constitution and international human rights standards.

Long-term treatment adherence is critical for schizophrenia patients, yet non-adherence remains a significant global challenge, contributing to relapse, re-hospitalization, and increased healthcare costs. Understanding the underlying multidimensional factors is crucial for developing effective interventions. This systematic literature review aims to identify and categorize the dominant factors contributing to medication non-adherence among schizophrenia patients, based on current quantitative evidence (2019-2024). A systematic search of Google Scholar and PubMed targeted quantitative cross-sectional studies using the PICOST framework. Article selection followed PRISMA guidelines, and quality was assessed using the JBI Critical Appraisal Checklist. Seven articles were included in the final narrative synthesis. The synthesis confirms that non-adherence is multifactorial. Identified factors were categorized into three groups: (1) Patient-related factors (e.g., poor illness insight, feeling cured, treatment fatigue); (2) Treatment-related factors (e.g., medication side effects, therapy duration); and (3) System and social factors (e.g., low family support, stigma, poor therapeutic alliance). Non-adherence is a complex issue arising from the interplay of patient, treatment, and social factors. Low family support and poor patient knowledge consistently emerge as key determinants. Interventions require a holistic approach extending beyond pharmacotherapy, focusing on comprehensive psychosocial education for patients and families, active side-effect management, and strengthening the family's role in care.

Background: Sexually Transmitted Infections (STIs) represent a global public health challenge. The increasing number of Sexually Transmitted Infection (STI) cases is a serious concern worldwide. A lack of education or minimal knowledge, along with risky behavior, contributes significantly to the high STI rates, particularly among the young age group. Purposes: The objective of this study is to conduct a comprehensive analysis of the major types of Sexually Transmitted Infections (STIs)—namely Gonorrhea, Hepatitis B, HIV/AIDS, Syphilis, and HPV—by identifying their risk factors and determining the most effective prevention strategies. Method:The researchers employed a literature review method. The data search process was conducted systematically on Google Scholar, limiting sources only to articles available in full text and having open access. Results: The literature review concludes that the factors of knowledge, attitude, behavior, and age significantly influence an individual's risk of contracting Sexually Transmitted Infections (STIs). Therefore, prevention efforts must be carried out comprehensively, encompassing promotive (awareness enhancement), preventive (prevention), curative (treatment), and rehabilitative (recovery) activities. Practically, this prevention must include sexual health education, adoption of safe sexual behavior, implementation of routine health checks (screening), and vaccination (specifically for Hepatitis B and HPV). Conclusion: Overall, controlling the spread of STIs requires active and collaborative roles from all parties—including the government, health workers, and the community. The main key to suppressing the spread and burden of STI diseases in the community is through improving appropriate sexual health education, improving access to health services, and periodic health screening.  

Drug abuse constitutes a serious threat to public health, social stability, and national security. This study examines law enforcement mechanisms against drug abuse under Indonesian Law Number 35 of 2009 on Narcotics and evaluates preventive measures implemented to combat this phenomenon. Employing a normative juridical approach through a comprehensive literature review, this research analyses the implementation of both penal and non-penal approaches in addressing narcotics-related offences. The findings reveal that law enforcement practices predominantly emphasise punitive measures, despite legislative provisions accommodating rehabilitation for drug users. The dual approach integrating criminal sanctions with social and health services remains suboptimal due to institutional constraints, limited rehabilitation facilities, inadequate training for law enforcement personnel, and weak inter-agency coordination. Preventive efforts through education, family empowerment, school-based programs, community engagement, and media campaigns have been implemented but continue to face challenges, including social stigma and insufficient public awareness. This study recommends strengthening restorative justice implementation, expanding rehabilitation service capacity, and enhancing cross-sectoral collaboration to build societal resilience against drug abuse while ensuring that users receive appropriate treatment rather than mere criminalisation.

The extract of Carica papaya L. leaves contains phytochemical compounds such as flavonoids, alkaloids, phenolics, and saponins that play a role in biological activities, including antioxidants, anti-inflammatory, analgesic, and modulation of the nervous system. This study aims to evaluate the effects of fresh papaya leaf extract on the central nervous system (CNS) and autonomic nervous system based on varying extract concentrations. The study used test animals with treatment groups consisting of negative control, positive control, and extracts at concentrations of 4%, 8%, and 16%. Parameters observed included parasympathomimetic (PSM), parasympatholytic (PSL), sympathomimetic (SM), sympatholytic (SL), analeptic effects (ANA), CNS stimulation (SSSP), CNS depression (DSSP), and muscle relaxation (RO). The results showed that the 16% concentration produced the highest PSM activity (46.82%) and dominant CNS stimulation (38.59%), while DSSP and RO decreased at higher concentrations. This phenomenon indicates that increasing the extract concentration does not always enhance CNS depression, but rather leads to stimulation. These findings support the potential of papaya leaf extract as a neuroprotective and multifunctional agent. Further research is needed to confirm its molecular mechanisms and clinical effectiveness as a phytotherapy candidate.

The use of laminated bamboo columns as alternative building materials has attracted increasing attention, particularly as a substitute for wood in construction. Bamboo lamination techniques enable the production of structural materials with tailored mechanical properties. Numerous previous studies have investigated the compressive strength of laminated bamboo short columns subjected to various treatments. This study aims to evaluate the compressive strength and failure patterns of laminated bamboo short columns under compression loading. The experimental program included physical and mechanical characterization of bamboo, followed by compression testing of laminated bamboo short columns with dimensions of 10 cm × 10 cm × 30 cm. Three treatment variations were examined: untreated laminated columns, epoxy resin–coated columns, and steel plate–reinforced columns. The results indicate that untreated laminated bamboo columns exhibited an average compressive strength of 28.044 MPa, with cracking concentrated at the top of the column. Epoxy resin–coated laminated bamboo columns achieved an average compressive strength of 28.774 MPa, showing crack formation distributed across several regions of the column. Steel plate–reinforced columns demonstrated the highest average compressive strength of 31.138 MPa, with failure localized in the region between the steel plates. These findings provide valuable insights into the effectiveness of different treatment methods in enhancing the compressive performance and failure characteristics of laminated bamboo columns.

Rice is a staple food for nearly two-thirds of the world's population, including Indonesians. Rice generally has a high glycemic index (GI) and cannot be consumed by diabetics.  Pratanak rice has a low GI, so it is recommended for diabetics. The study aimed to evaluate the effect of parboiled rice on the amount of LAB (Lactic Acid Bacteria), pH, and SCFA (Short-Chain Fatty Acids) of diabetic experimental animals. The research method consisted of 6 groups of rats with groups 1 (Cr and Mg fortified parboiled rice), 2 (Cr, Mg and cinnamon fortified parboiled rice), 3 (nonfortified parboiled rice), 4 (ciherang rice), 5 (standard feed for healthy rats), 6 (diabetic rats). All groups of rats were adapted for 3 days with standard feed and treatment for 14 days. LAB, pH, and SCFA were analyzed, statistical tests using One Way Anova if significantly different, followed by DMRT test. Giving chromium, magnesium, and cinnamon fortified rice gave a significant difference in the amount of LAB, pH, and SCFA feces between the treatment group and the control group. Thus, pre-cooked rice fortified with Cr, Mg, and cinnamon has the potential to be a healthier food option for individuals with diabetes.

Wheat has limited nutritional content, therefore fortification with other ingredients is required to complement these nutrients, one of which is fortification with pineapple peel flour and chicken bones in noodle products. Thus, this study was conducted to investigate the impact of adding chicken bone and pineapple peel flours on the characteristics of wheat flour noodles, with the goal of developing a product enriched in fiber and minerals, and exhibiting acceptable sensory qualities. The research design used a completely randomized design (CRD) with 2 experimental factors, namely pineapple peel flour concentration (0%,3%,5%) and chicken bone flour concentration (0%,5%,10%) with triplicate replication. Based on the optimal treatment by Zeleny method, sample N1T3 emerged as the most favorable formulation. This sample exhibited the following chemical profile: a moisture content of 8.77%, an ash content of 4.52%, a protein content of 14.45%, a fat content of 1.52%, and a fiber content of 0.4%. Furthermore, sensory evaluation of Sample C yielded scores of 3.11 for color, 3.11 for aroma, 3.00 for taste, 2.89 for texture, and 2.89 for overall acceptance.

This study investigates how puzzle games affect the fine motor development of young children. This study uses a quantitative approach and a quasi-experimental design. The study involved 30 children aged between 4 and 6 years who were divided into two groups: an experimental group and a control group. The experimental group received an intervention in the form of puzzle-playing activities for four weeks, with an interval of two to three times a week. On the other hand, the control group did not receive any special treatment for routine learning activities. To collect data, standardized fine motor skills test instruments were used. These included eye-hand coordination, finger movement control, precision, and the ability to assemble and copy shapes. A t-test was used to analyze the data to determine the difference in results between the two groups. The results of the study showed that the experimental group and the control group differed significantly. Compared to children who did not receive treatment, children who were involved in puzzle-playing activities showed greater improvement in all fine motor indicators. The results show that puzzle games can be used effectively as a learning tool to help the fine motor development of early childhood develop well.

The purpose of this study was to determine how puzzle games affect the problem-solving abilities of early childhood children. This study used quantitative methods and a quasi-experimental design. The study involved children aged 4 to 6 years from various early childhood education institutions (PAUD). Purposive sampling was used to collect samples. Data were collected through pre-tests and post-tests of problem-solving abilities and observations of children's behavior while playing puzzles. Logical thinking, creativity, concentration, focus, use of problem-solving strategies, and willingness to learn were all metrics used for assessment. To determine the differences in abilities before and after treatment, the collected data were analyzed statistically. The results of the study showed that puzzle game intervention improved children's problem-solving abilities. Children learned to identify problems, make plans for solutions, and work independently. In addition, it was proven that puzzle games as a learning medium were more effective with the help and guidance of teachers and parents. According to this study, puzzle games are an effective tool for developing the cognitive, social, and emotional abilities of early childhood.

Oil palm (Elaeis guineensis Jacq.) is an important plantation commodity that makes a significant contribution to Indonesia's economy. One of the macro nutrients that plays a role in supporting plant growth is potassium (K), which is involved in various physiological processes. The effectiveness of nutrient utilization is not only determined by the amount of fertilizer applied but also influenced by the application method, especially during the early seedling phase. This study aims to examine the growth response of oil palm seedlings to variations in KCl fertilizer doses and different fertilizer application methods during the pre-nursery phase. The experiment was arranged using a Factorial Randomized Block Design (RBD) with two treatment factors, namely KCl fertilizer dose and fertilizer application method, each with three replications. The KCl doses consisted of five levels, while the application methods included watering, broadcasting, and localized application (pocket). The observation data were analyzed using analysis of variance and followed by Duncan Multiple Range Test (DMRT) at a 5% level if there were significant differences. The results of the study showed that there was no interaction between the dose of KCl fertilizer and its application method on all observed oil palm seedling growth parameters.

PT. Hamparan Mulya operates in the coal mining industry and applies an open-pit extraction system. In this mining method, managing surface water particularly rainwater is essential to ensure smooth operations. An effective drainage system is required to prevent runoff water from contaminating nearby rivers, lakes, and surrounding ecosystems. One practical approach used in mining operations is the construction of settling ponds, which function as treatment units for water collected in the sump before it is released into natural waterways. This study aims to identify the appropriate storage capacity for the settling pond and sump by analyzing rainfall data using the Log Pearson Type III method. The analysis produced a design rainfall value of 507.16 mm/day and a rainfall intensity of 56.94 mm/hour. With a catchment area of 14 km², the resulting runoff discharge reaches 30,782.16 m³/hour. Based on these parameters, the settling pond must be engineered to accommodate a total discharge of 30,782.16 m³/hour.

Post-harvest handling of chili in Indonesia is still largely done manually, requiring a relatively long processing time and producing products with a non-uniform level of fineness. This condition impacts low production efficiency and the quality of processed chili. Therefore, the application of appropriate technology in the form of a chili flour machine is needed to increase production capacity and consistency. This study aims to analyze the effect of the number of blades and mesh size on the production capacity of a disk mill type FFC 15 chili flour machine. The research method used was an experiment with a factorial design, involving two variations in the number of blades, namely three and four blades, and three variations in mesh size, namely 0.5 mm, 1 mm, and 3 mm. Each treatment combination was carried out three times. The results showed that the number of blades and mesh size had a significant effect on the machine's production capacity. The best treatment combination was obtained by using four blades with a mesh size of 3 mm, which resulted in a production capacity of 6.84 kg/hour and a Composite Desirability value of 0.983. These results indicate that proper arrangement of machine components can increase the efficiency of post-harvest chili processing.  

This study aims to evaluate the effectiveness of the green water system in the nursery phase of Nile tilapia Oreochromis niloticus by observing growth performance, water quality, and survival rate. The experiment was conducted for 21 days using 450-liter circular tanks with two treatments: green water and clear water systems. The green water system was established by adding plankton starter to stimulate algal growth, while the clear water system used clean water with routine siphoning. Observations included absolute length, absolute weight, water quality parameters pH, temperature, dissolved oxygen, nitrite, and phosphate, and survival rate. The results indicate that the green water system provided superior nursery performance compared to clear water. Tilapia seeds reared in green water exhibited higher growth in length and weight, more stable water quality, and a greater survival rate 90% than those in the clear water system 80%. These improvements are attributed to the presence of microalgae, which serve as natural feed as well as bioremediation agents that reduce ammonia, nitrite, and phosphate toxicity. Therefore, the green water system proves to be more effective, economical, and environmentally friendly for tilapia nursery culture compared to the clear water system.

Adolescent girls often complain of dysmenorrhea, or discomfort during menstruation, which can range from mild to severe and interfere with daily activities, especially learning. To prevent this disease from lowering the quality of life of adolescents, it must be treated. Education about dysmenorrhea and its treatment is one of the actions that can be taken. The study used a pre-experimental design approach, a quantitative research design, and a single-group pre-test-post-test research plan without a control group design. Using a proportional stratified random sampling approach, 57 female students of class X formed a research sample. The use of films on dysmenorrhea for health education serves as an independent variable of the study. Adolescent girls' knowledge and attitudes about dysmenorrhea function as a study-dependent variable. The validity and reliability of these instruments are checked. Univariate and bivariate analysis were used as data analysis methods in this study. The Wilcoxon Signed Rank Test is used for hypothesis testing. It was determined that health education using dysmenorrhea film had an impact on the knowledge and attitudes of adolescent girls about the treatment of dysmenorrhea based on the findings of the Wilcoxon Signed Rank Test (Asymp.) with a value of 2-tailed 0.000 (p<0.05). The findings of the study showed that among grade 10 students at SMA Negeri 13 Selatan Halamahera, health education through dysmenorrhea films had an impact on the knowledge and attitudes of adolescent girls about the treatment of dysmenorrhea.

“Hallyu” (the Korean Wave) refers to the popularity of everything originating from Korea. Aims to examine the description of students’ K-Pop celebrity worship behavior before and after receiving group counseling with the Cognitive Restructuring technique, analyze the differences in students’ behavior, and test the effect of the counseling on reducing celebrity worship tendencies. The findings are expected to provide theoretical contributions to the field of guidance and counseling, particularly regarding the application of Cognitive Restructuring to mitigate obsessive behaviors, as well as practical benefits for school counselors and institutions in helping students reduce celebrity worship tendencies so they can remain focused on academic and social development. The research employed an experimental method with a One-Group Pretest–Posttest design. The subjects consisted of eight tenth-grade students at SMK Negeri 1 Kuantan Mudik who were identified as having a high level of K-Pop celebrity worship. The instrument used was a 19-item K-Pop celebrity worship scale that had been tested for validity and reliability. Data were analyzed using the Wilcoxon test and N-Gain calculations to determine treatment effectiveness. The results showed that prior to receiving group counseling with Cognitive Restructuring techniques, most students were categorized as having high or moderate levels of celebrity worship. After the intervention, all students experienced a decrease in celebrity worship behavior, falling into the low category. This demonstrates that group counseling using Cognitive Restructuring is effective in helping students shift irrational thinking patterns toward more rational ones, enabling them to control excessive celebrity worship behavior.  

The plastic recycling industry generates wastewater that poses a potential threat to aquatic environments if not managed optimally. Performance evaluation of Wastewater Treatment Plants (WWTP) is typically conducted partially by comparing outlet parameters against effluent standards, often failing to depict water quality conditions holistically. Therefore, this study employs the Water Quality Index (WQI) approach using the Canadian Council of Ministers of the Environment (CCME) method to evaluate the performance of PT X's WWTP in East Java. This research utilized secondary data from inlet and outlet wastewater quality tests over 23 months (January 2024–November 2025), covering 10 parameters. Analysis was conducted by calculating removal efficiency and determining factors F1 (scope), F2 (frequency), and F3 (amplitude) as the basis for the WQI-CCME calculation. The results indicate that the WWTP achieved high efficiency (>80%) in reducing dominant parameters such as TSS, TDS, BOD, and COD. However, violations of effluent standards were still observed in certain parameters. The obtained WQI-CCME value was 69,30, categorized as "Fair" with a moderate level of violation. These findings demonstrate that although the WWTP meets regulatory standards, the WQI-CCME approach provides a more comprehensive assessment of performance. Optimization of advanced treatment units is recommended to improve effluent quality and sustainable WWTP performance.                                                                   

Depression is one of the mental health problems that often arise in patients with chronic diseases, such as diabetes mellitus, hypertension, and chronic kidney failure. This condition not only impacts the patient's quality of life, but also affects the treatment process and the burden on the family. However, mental health literacy in the community is still low, so targeted preventive and curative efforts are needed. The Community Service Program (PKM) aims to improve people's mental health through educational interventions with scientific booklet media that are easy to understand and apply. The activity method is carried out in a participatory manner, including the preparation stage, socialization, educational implementation, and evaluation. Education is provided to the community with a focus on preventing depression through a healthy lifestyle, stress management skills, and early intervention efforts by seeking professional support. Evaluation is carried out through pre-post tests, observations, and group discussions. The results of the activity showed an increase in public knowledge about depression, a change in attitudes to be more open in expressing feelings, as well as practical skills in relaxation, maintaining sleep patterns, and building social support. Participants also better understand the importance of seeking professional help when depressive symptoms are getting worse. The conclusion of this PKM is that the scientific booklet has proven to be effective as a preventive and curative educational intervention medium, and can be an innovative strategy in improving the mental health of people affected by chronic diseases.

Dysmenorrhea, which is common in adolescent girls, is a painful menstrual cycle that frequently interferes with daily activities, both in the classroom and in social situations. Dysmenorrhea is a common condition that needs particular care as a reproductive health concern, notably among young people. Both pharmacological and non-pharmacological approaches can be used to treat dysmenorrhea. The use of warm water compresses is a simple, inexpensive, and effective non-pharmacological approach. By increasing blood vessel dilatation, enhancing blood circulation, lowering muscular tension, and lowering pain perceptions, warm water compresses aid in alleviating dysmenorrhea symptoms. The objective of this study is to assess the impact of warm compresses on the severity of dysmenorrhea pain scales in teenage girls at the Buntalo Community Health Center. The design of this trial was pre-experimental, using a one-group pretest-posttest technique. Using a purposive sampling method, a sample of 20 respondents was chosen. The Wilcoxon test was used to conduct the data analysis. According to the data, there was a statistically significant reduction in pain intensity, with a Z value of -4.065 and a p-value of 0.000 (p < 0.05). The average pain scale decreased from 2.95 to 1.80. Based on these findings, it is reasonable to conclude that warm water compresses are helpful in alleviating dysmenorrhea pain in young women. One of the suggestions for non-pharmacological treatments to help alleviate dysmenorrhea symptoms in adolescents is anticipated to be the outcome of this research.