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Maternal reproductive health is a critical factor in reducing Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Data from Deli Tua Primary Health Center shows that K4 coverage reached only 78% with prenatal class participation at 40%, still below the national target. Low knowledge among pregnant women about reproductive health is one of the main causes. This Community Service Student Creativity Program (PKM-M) aims to improve reproductive health knowledge through innovative and interactive prenatal class improvement. The implementation method includes developing educational media (modules, posters, videos), conducting classes with participatory learning methods, and evaluation through pre-post tests. The program was conducted over 5 months targeting 30 pregnant women divided into 3 groups, each attending 6 sessions. Materials covered physiological changes during pregnancy, nutrition, reproductive hygiene, danger signs, childbirth preparation, and postpartum care. Results showed a knowledge score increase of 42.5% (from 58.3±12.4 to 83.1±8.7) with significance p<0.001. Participation reached 86.7% with satisfaction level of 4.3/5.0. The program proved effective in improving reproductive health knowledge and can be replicated in other primary health centers with local context adaptation.

Nyeri persalinan merupakan tantangan utama yang dihadapi ibu, khususnya pada kala I fase aktif. Penggunaan metode non-farmakologis seperti endorphin massage menjadi alternatif yang aman dan efektif untuk mengurangi nyeri tanpa efek samping. Penelitian ini bertujuan untuk mengkaji efektivitas endorphin massage dalam menurunkan intensitas nyeri pada ibu bersalin kala I fase aktif. Penelitian ini menggunakan desain kuasi-eksperimen dengan pendekatan pretest-posttest with control group. Sebanyak 12 responden dibagi menjadi dua kelompok: intervensi (diberikan endorphin massage) dan kontrol (perawatan standar). Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Analisis data dilakukan dengan uji paired t-test dan independent t-test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan bahwa rata-rata skor nyeri pada kelompok intervensi menurun signifikan dari 7,5 menjadi 4,0 (p = 0,000), sementara pada kelompok kontrol hanya turun dari 7,3 menjadi 7,0 dan tidak signifikan (p = 0,308). Uji independent t-test juga menunjukkan perbedaan bermakna antara kedua kelompok setelah intervensi (p = 0,000). Hasil ini menunjukkan bahwa endorphin massage terbukti efektif sebagai intervensi non-farmakologis untuk mengurangi nyeri persalinan. Teknik ini dapat diterapkan dalam praktik kebidanan sebagai metode yang aman, mudah, dan berpusat pada kenyamanan ibu.

The fundamental issue in sustainable tourism management that remains less than optimal can be seen from the limited involvement of local communities and the lack of integrated management of tourism potential in the Pura Maduwe Karang area. The purpose of this study is to analyze sustainable tourism management in the management of Pura Maduwe Karang. This research employs a qualitative approach with a case study method through observation, interviews, literature review, and documentation. The theoretical foundations used include the concepts of Sustainable Tourism, the Triple Bottom Line, and Tourism Impact Theory.The results show that the implementation of sustainable tourism management at Pura Maduwe Karang is still basic and has not been structured professionally. The socio-cultural aspect is relatively well preserved through customary roles and ceremonial activities; however, the economic aspect has not provided significant benefits for individuals in the local community, as contributions remain limited to collective interests of the traditional village. The environmental aspect is currently well maintained due to the temple’s sacred status but may decline if tourist numbers increase without proper management. The main constraints lie in the lack of promotion, facilities, and human resource capacity in management. This study emphasizes the importance of tourism management strategies that balance the dimensions of profit, people, and planet, and encourages collaboration among traditional villages, local governments, and communities to maintain the sustainability of the temple as both a cultural heritage site and a tourist destination.

This study aims to: (1) examine the effect of an entrepreneurship program using a Design thinking approach on the entrepreneurial spirit of Grade V students at UPT SPF SD Inpres Baraya 1, Makassar City, and (2) examine the effect of an entrepreneurship program using a Design thinking approach on student independence of Grade V students at UPT SPF SD Inpres Baraya 1, Makassar City. This research employed a quantitative approach with a quasi-experimental method using a Non-Equivalent Control Group Design. The research subjects consisted of two groups: an experimental group that received an entrepreneurship program based on Design thinking and a control group that did not receive the treatment. Data were collected using questionnaires measuring students’ entrepreneurial spirit and independence, supported by documentation. Data analysis was conducted using descriptive statistics, classical assumption tests, and hypothesis testing through an independent samples t-test. The results indicate that the entrepreneurship program using a design thinking approach had a significant positive effect on students’ entrepreneurial spirit and independence. The independent samples t-test revealed that the program significantly improved students’ entrepreneurial spirit (p = 0.002 < 0.05) compared to the control group. Likewise, a very significant effect was found on student independence, with a significance value of p = 0.001 < 0.05. These findings confirm that the application of a design thinking–based entrepreneurship program effectively enhances key entrepreneurial attributes, including creativity, initiative, responsibility, and independence among fifth-grade elementary school students.

Stunting remains a major nutritional problem in Indonesia, impacting the quality of human resources. One important factor contributing to stunting is child feeding practices, especially during the First 1,000 Days of Life. Objective: This study aims to analyze the relationship between child feeding practices and stunting in toddlers. Method: This study used a cross-sectional design conducted in the Oesao Community Health Center (Puskesmas Oesao) working area. The sample was 30 toddlers aged 6–59 months selected using a purposive sampling technique. Child feeding practices were measured using a structured questionnaire, while stunting status was determined based on the WHO standard length/height-for-age (PB/U or TB/U) index. Data analysis was performed univariately and bivariately using the Chi-Square test. Results: The results showed that most toddlers with inadequate feeding practices experienced stunting. Bivariate analysis showed a significant relationship between child feeding practices and stunting (p < 0.05). Conclusion: Child feeding practices are significantly associated with stunting in toddlers. It is necessary to increase nutritional education and support families in feeding children as an effort to prevent stunting.

This study aims to determine the influence of work discipline (variable X1) and work culture (variable X2) on employee performance (variable Y). The research method used is a descriptive and verifiable method with a quantitative approach. Data collection techniques include observation, interviews, documentation, and literature studies to obtain comprehensive and relevant data for the purpose of the research. Data analysis techniques are carried out systematically, starting from the data compilation process, data tabulation, to the hypothesis testing stage. Data analysis uses multiple linear regression to determine the influence of each independent variable on the dependent variable. The results showed that the determination coefficient (R²) value was 69.8%, which means that work discipline and work culture simultaneously have a significant effect on employee performance. Meanwhile, 30.2% of employee performance was influenced by other factors outside of the study, such as motivation, work ability, leadership, personality, job satisfaction, work environment, and employee loyalty. Thus, it can be concluded that improving work discipline and a positive work culture plays an important role in improving.

Schizophrenia is a chronic mental disorder that requires long-term medication adherence to prevent relapse and improve patients’ quality of life. Caregivers play a crucial role in encouraging medication adherence through emotional, informational, instrumental, and supervisory support. This descriptive quantitative study with a cross-sectional design aimed to describe caregiver support and medication adherence among schizophrenia patients at the South Denpasar Public Health Center. A total of 100 respondents, who were family members or caregivers of schizophrenia patients, were selected using a consecutive sampling technique. Data were collected through structured interviews using questionnaires and analyzed descriptively. The results showed that most caregivers provided good support (63%), particularly in accompanying patients during medication intake, actively interacting with them, and following health workers’ recommendations. Furthermore, patients’ medication adherence was mostly in the moderate (45%) and good (35%) categories. These findings indicate that caregiver support plays a significant role in improving medication adherence among schizophrenia patients. Strengthening caregiver knowledge and optimizing health education by healthcare workers are essential to further enhance adherence.

Stunting is a serious health problem that affects the physical and cognitive development of children, especially in toddlers aged 0-24 months, with a prevalence that remains high in Indonesia. Community service at the Kapasa Health Centre aims to provide health education to mothers as a strategic step to prevent stunting, using interactive methods and counselling on balanced nutrition and the importance of monitoring child growth. The program has been successful in improving maternal knowledge, with the average score increasing from 34% before the program to 78% after education, demonstrating its effectiveness in changing knowledge of child nutrition. The interactive approach encourages participant engagement, allowing mothers to actively discuss and ask questions, while visual materials reinforce understanding. To effectively combat stunting, education must be complemented by greater knowledge of nutritious foods and by parental monitoring of child growth. Collaboration with local health authorities and community organizations is critical to sustaining these efforts and ensuring that important information reaches more families. Continuous evaluation and adaptive strategies will be essential to expanding the program's reach and effectiveness, ultimately encouraging healthier future generations and contributing significantly to stunting prevention and increased health awareness in the community.

Background: Hypertension remains a major public health problem, particularly in primary health care settings. The coexistence of diabetes mellitus may contribute to increased hypertension severity; however, evidence from primary care data in Indonesia remains limited. Objective: This study aimed to examine the association between diabetes mellitus and hypertension severity among patients attending a primary health care center in Indonesia. Methods: A cross-sectional study was conducted using secondary data obtained from medical records at a primary health care center in 2025. A total of 84 patients with hypertension were included using total sampling. Hypertension severity was classified into stage 1 and stage 2. Bivariate analysis was performed using the Chi-square test or Fisher’s exact test as appropriate, with statistical significance set at p < 0.05. Data were analyzed using SPSS version 26. Results: Of the 84 participants, 33.3% had diabetes mellitus. Stage 2 hypertension was more prevalent than stage 1 hypertension. Diabetes mellitus was significantly associated with hypertension severity (p = 0.029), with a higher proportion of patients with diabetes mellitus presenting with stage 2 hypertension. Conclusion: Diabetes mellitus was significantly associated with greater hypertension severity in a primary health care setting. These findings highlight the importance of integrated management of diabetes mellitus in patients with hypertension at the prizary care level.

This Community Service (PKM) activity aims to improve the quality of human resources (HR) among Posyantek administrators in North Serpong District through the management of Appropriate Technology (TTG). The challenge faced by partners is the limited understanding and skills of Posyantek administrators in managing and utilizing TTG optimally and sustainably. The implementation method included counseling, training, discussions, and hands-on practice related to Appropriate Technology management that aligns with the needs and potential of the local community. The results of the activity indicate an increase in the knowledge, skills, and professional attitudes of Posyantek administrators in TTG management. Furthermore, this activity also strengthened motivation and collaboration among Posyantek administrators in carrying out their role as technology facilitators at the sub-district level. This PKM activity was concluded to be effective in improving the quality of human resources among Posyantek administrators and is expected to have a long-term impact on Posyantek development and community empowerment based on Appropriate Technology in North Serpong District.

Balanced Nutrition Education and Strengthening Mothers' Participation in Posyandu Activities to Improve Toddler Nutritional Status Toddler nutrition continues to be a key focus in public health initiatives. Mothers' diet and active use of health services, particularly integrated health posts (Posyandu), are two factors that influence the nutritional status of toddlers. To help improve children's nutritional status, this community service project aims to strengthen mothers' involvement in Posyandu activities and raise their awareness of balanced nutrition. Thirty mothers of toddlers were targeted for this project, which was implemented in the Campalagian Community Health Center (Puskesmas) working area. Mothers were encouraged to actively participate in Posyandu activities through mentoring and education on balanced nutrition through counseling and interactive conversations. Mothers' attendance at Posyandu activities was monitored, and knowledge gains were measured using pre- and post-tests. The study found that mothers' average knowledge scores increased from 60 to 82, and mothers' attendance at Posyandu activities increased from 65% to 85%. This project demonstrates that balanced nutrition education and strengthening mothers' participation in Posyandu activities are effective in increasing mothers' knowledge and involvement, potentially supporting efforts to improve and prevent nutritional problems in toddlers on a sustainable basis.

Umbilical cord infection is one of the leading causes of neonatal mortality in Indonesia. Appropriate umbilical cord care is essential to accelerate separation and prevent infection. In the working area of UPT Puskesmas Alai, variations in cord care practices and delayed separation cases were still found. This study aimed to analyze the effect of umbilical cord care using sterile gauze method on cord separation duration at UPT Puskesmas Alai. The study employed quasi-experimental design with one-group pre-test post-test approach on 32 respondents selected through purposive sampling. Pretest data were obtained from medical records, while posttest data through direct observation. Analysis used Wilcoxon Signed Rank Test (α=0.05). Results showed mean cord separation time in pretest group was 9.2 days (SD=1.08) and posttest group 6.0 days (SD=0.84). Wilcoxon test showed Z=-4.94 with p-value=0.000, indicating significant difference. Umbilical cord care using sterile gauze method effectively accelerates separation time compared to conventional methods. Healthcare workers are recommended to implement this method as standard care.

Formalin is a hazardous chemical that is banned from use in food, but is still found in imported fruit. Traders have an important role in preventing the circulation of food with formaldehyde, so the knowledge of traders about the dangers of formaldehyde needs to be studied. Objective: This study aims to determine the knowledge of traders and formalin content in imported fruit sold in X Market, Palembang City in 2025. Methods: This study used a quantitative approach with a descriptive design. The population in this study were all imported fruit traders in X Market totaling 9 people who served as respondents. The fruit samples tested were 24 samples consisting of apples, pears, and grapes. Data were collected through questionnaires and laboratory tests using formalin test kit. Results: The results showed that all traders (100%) had a good level of knowledge about formalin. Of the 24 fruit samples tested, 21 samples (87.5%) did not contain formalin and 3 samples (12.5%) showed positive results, all of which were from grapes. Conclusion: The majority of traders had good knowledge about formaldehyde, but formaldehyde was still found in some imported fruits, especially grapes.

Micro, Small, and Medium Enterprises (MSMEs) play a strategic role in driving economic growth and improving community welfare, particularly in rural areas. However, many rural MSME actors still face challenges in financial planning and management, including inaccurate calculation of capital and profit, unstructured business expenditure planning, and the absence of separation between personal and business finances. This community service program aimed to enhance the financial literacy and financial planning skills of MSME actors in Suka Sari Village, Kabawetan District, Kepahiang Regency. The program was implemented through several stages, including preliminary observation to identify key financial management issues, interactive counseling on basic business finance concepts, simulation of capital and profit calculations, and hands-on practice in simple financial record-keeping using an easily applicable format. The results of the program indicate a significant improvement in participants’ understanding of business capital and profit calculation, their ability to plan business expenditures more systematically, and increased awareness of the importance of separating personal and business finances. This study demonstrates that participatory and practice-based financial assistance is effective in fostering simple financial management habits, which can support the sustainability and long-term development of MSMEs in rural communities.

Developments in information technology have had a significant impact on business communication and negotiation processes in various industrial sectors. Technological advances such as email, video conferencing, instant messaging applications, cloud-based information systems, and other digital media have created new, faster, more efficient, and more documented communication models. This study uses a descriptive approach based on a literature review to analyze how information technology is transforming interaction patterns, strategies, and negotiation processes in the modern business environment. The results indicate that information technology plays a strategic role in increasing the effectiveness of business communication and accelerating the negotiation process. Advantages such as cost savings, time flexibility, global access, and automated documentation are the main reasons for the increasing use of digital media in the business world. However, digital negotiation also presents challenges such as the loss of non-verbal context, the risk of miscommunication, data security issues, and limitations in interpersonal relationships. The conclusion of this study confirms that successful negotiations in the digital era are greatly influenced by interpersonal communication skills, digital literacy, appropriate media selection, and the implementation of negotiation strategies that adapt to technological changes.

The success of a company is not only determined by the quality of the products and services offered, but also by the company's ability to manage employee relations, which is part of the internal public relations function. Without a targeted strategy, companies risk facing low motivation and declining performance. This study aims to understand the employee relations strategy of PT. Resultan Karya Indonesia (Rekanesia) in motivating employee work. The theory used refers to Albrecht (2020) which includes internal communication, rewards, career development programs, work flexibility, and conflict resolution mechanisms. The research method uses a descriptive qualitative approach with interview, observation, documentation, and source triangulation techniques. The results show that the employee relations strategy at Rekanesia is implemented through weekly communication forums, one-on-one meetings, providing material and non-material appreciation, flexible working hour policies, and informal activities such as team building. This strategy has been proven to increase employee motivation, satisfaction, and loyalty, thereby creating a productive and conducive work environment. Practically, this research can provide input for PT. Resultan Karya Indonesia to continue strengthening a more effective, participatory, and sustainable internal communication strategy, so that the company is able to face competitive challenges while maintaining its existence in the modern era.  

This community service program focuses on the theme of creative economy with the aim of encouraging innovation in agricultural products to increase added value and income for Micro, Small, and Medium Enterprises (MSMEs) in Sumber Urip Village, Selupu Rejang District, Rejang Lebong Regency. Although the village has abundant agricultural potential, local products have not been optimally developed due to limited knowledge in processing, packaging, and marketing. The program employed a participatory-educative approach that emphasized active community involvement at every stage, including potential identification, socialization of creative economy concepts, product innovation training, and practical assistance in packaging and marketing. The participants consisted of farmers, MSME actors, and the Bukit Kaba Tourism Awareness Group (Pokdarwis) as strategic partners in developing a tourism-based market. The results indicate that the implementation of creative economy principles improved community understanding of product innovation, hygienic and value-added packaging, and appropriate marketing strategies targeting Bukit Kaba visitors. The strategic selling location at the Bukit Kaba tourism post further enhanced product visibility and market reach. Overall, this program demonstrates that creative economy-based community assistance can effectively strengthen MSME competitiveness, increase household income, and promote sustainable integration between agriculture, local entrepreneurship, and rural tourism development.

Proton Exchange Membrane Fuel Cells (PEMFCs) are increasingly developed due to their high efficiency, power density, durability, and environmental friendliness. However, the high cost of platinum catalysts limits their widespread application. Reducing platinum usage through the development of low-cost catalyst support materials is a promising approach. Activated carbon derived from biomass offers a sustainable and economical alternative, particularly when utilizing agricultural waste such as coffee husks, which are often discarded. This study aims to evaluate the characteristics of activated carbon produced from coffee husk waste through pyrolysis as a catalyst support for PEMFCs. Pyrolysis was conducted at 400 °C, followed by chemical activation using 1 M H₃PO₄ and 1 M KOH with a residence time of 90 minutes. The resulting activated carbon was analyzed through proximate analysis to determine moisture content, ash content, volatile matter, and fixed carbon content. The results showed that activation with 1 M H₃PO₄ produced the lowest moisture content (3.4%), the lowest ash content (3.8%), and the highest fixed carbon content (60.5%), while 1 M KOH yielded the lowest volatile matter content (27.7%). Based on these results, activated carbon produced using H₃PO₄ meets the requirements of SNI No. 01/6235/2000 and demonstrates strong potential as a catalyst support material for PEMFC applications.

Urinary tract infection (UTI) is a common bacterial infection that requires appropriate antibiotic management to prevent complications and antimicrobial resistance. Ceftriaxone and ciprofloxacin are commonly used antibiotics with different clinical indications in UTI treatment. This literature review aims to compare the role of ceftriaxone and ciprofloxacin in the management of urinary tract infections. A narrative literature review was conducted using articles published within the last ten years from PubMed, ScienceDirect, and Google Scholar databases. The review focuses on clinical effectiveness, resistance patterns, and therapeutic considerations. The findings indicate that ceftriaxone is primarily used in moderate to severe or complicated UTIs, particularly in hospitalized patients, whereas ciprofloxacin is more frequently used in uncomplicated UTIs in outpatient settings. However, increasing bacterial resistance and safety concerns limit the empirical use of ciprofloxacin. These findings emphasize the importance of rational antibiotic selection based on clinical conditions and local resistance patterns.  

The digital transformation era demands printing companies to strategically integrate information technology to enhance efficiency and competitiveness. CV Prima Puspasari still faces several challenges in business process management, such as unintegrated workflows, manual record-keeping, and limited utilization of information systems. This study aims to develop an Information Systems Strategic Planning (ISSP) using the Ward & Peppard method as the main analytical framework. The approach analyzes business and technology conditions through four domains: internal and external business environments, as well as internal and external IS/IT environments. The analysis combines SWOT Analysis, Value Chain Analysis, and the McFarlan Strategic Grid to identify strengths, weaknesses, opportunities, threats, and to determine application priorities. The results produce three main strategies: IS/IT business strategy, IS/IT management strategy, and IT infrastructure strategy. The recommended systems include Inventory Management System, Customer Relationship Management (CRM), Integrated Financial System, Human Resource Information System (HRIS), E-Procurement, and E-Commerce. This strategic planning is expected to serve as a roadmap for CV Prima Puspasari in implementing digital transformation, improving operational effectiveness, and strengthening its competitive advantage in the digital printing industry.