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Drug storage is not only carried out in health facilities but can also be done independently by the community that consumes drugs, either as an emergency supply or leftover medication from previous use. Drug storage is often done without paying attention to the condition after the packaging is opened or understanding the drug's usage limit/Beyond Use Date (BUD). The community generally only looks at the expiration date/Expired Date (ED) on the drug packaging as a reference for safe drug use, and does not understand the safe usage limit for drugs after the primary packaging is opened. The purpose of this community service is to evaluate the community's knowledge and practices regarding the implementation of BUD/ED, as well as to provide education. This community service was carried out with an educational approach involving 21 people in Rejosari Village. This activity was carried out by distributing questionnaires to the community about the knowledge and practice of BUD/ED daily, then continued with the delivery of education using posters. The results of this activity indicate that the community has good knowledge of ED and BUD, but has not yet implemented ED and BUD in the storage and use of drugs independently.

Community service in the neighborhood association (RT) of 07 Dusun/Village Pusat Damai is a concrete manifestation of loving service in Christian religious education. Sometimes, certain individuals in the neighborhood association (RT) are not directly involved in community service activities due to age and busy schedules. People who are not directly involved in community service activities indicate that their faith has not yet been expressed through concrete actions. The purpose of this community service research is to ensure that each person's faith is expressed through concrete actions in the neighborhood association (RT) as a form of loving service in Christian religious education. To produce good community service research, a qualitative research method is required through literature and documentation. The results found through this community service research are that faith that is expressed can be realized through community service carried out by all residents of RT 07 Dusun/Village Pusat Damai, demonstrating a high level of enthusiasm. This community service research can be concluded that every believer must have faith that is expressed through concrete actions, namely community service in the neighborhood, to be further enhanced in the future.

The utilization

Electronics learning in higher education continues to face various challenges, particularly in the provision of interactive learning media capable of concretely and engagingly visualizing the form, characteristics, and working principles of electronic components. The limitations of conventional learning media often result in abstract learning processes, which in turn lead to a low level of student understanding of basic electronics concepts. This study aims to develop the AMPERE as an innovative and technologically relevant interactive learning medium. The research employed R&D approach using the Borg & Gall model, which includes the stages of needs analysis, design, product development, validity testing, and limited implementation. The AMPERE application was developed using marker based AR technology, in which a smartphone camera detects markers to display and interact with 3D electronic component objects in real time. The results indicate that the AMPERE application achieved a high level of validity, with a score of 0.88 from subject-matter experts and 0.84 from media experts, and was therefore deemed suitable for use as a learning medium. The small-group trial results showed a practicality level of 82.07%, while the practicality test during the implementation stage reached 85.67%. These findings demonstrate that AMPERE is effective in enhancing learning interactivity and assisting students in understanding the form, function, and working principles of electronic components through smartphone-based digital visualization. Theoretically, these results are consistent with constructivist learning theory, which emphasizes active knowledge construction through direct experience and interaction with learning objects.

Malaria remains a major public health problem in Papua, Indonesia, with a high incidence rate and significant hematological complications. One of the main impacts of malaria infection is anemia caused by a decrease in hemoglobin levels. This study aimed to analyze the relationship between hemoglobin levels and malaria parasite species among patients at Sentani Health Center, Jayapura Regency. This was an analytical study with a cross-sectional approach. A total of 50 malaria-positive patients confirmed by microscopic examination were included as samples. Data collected included gender, parasite species, nutritional status, hemoglobin level, and parasite count, analyzed using the Chi-Square test with a 95% confidence level (α=0.05). The results showed that most respondents were male (54%) and predominantly infected by Plasmodium falciparum (66%). The majority had normal nutritional status (40%), and the distribution between normal and abnormal hemoglobin levels was equal (50% each). Statistical analysis revealed a significant association between body mass index and hemoglobin level (p=0.03), but no significant relationship between parasite species and hemoglobin level (p=0.145). These findings indicate that nutritional status plays a more dominant role in determining hemoglobin levels than parasite species variation. In conclusion, anemia among malaria patients in endemic regions is influenced not only by the infecting Plasmodium species but also by individual nutritional factors. Integrated interventions focusing on nutritional improvement and malaria control are essential to reduce anemia risk in endemic areas such as Papua. Malaria remains a major public health problem in Papua, Indonesia, with a high incidence rate and significant hematological complications. One of the main impacts of malaria infection is anemia caused by a decrease in hemoglobin levels. This study aimed to analyze the relationship between hemoglobin levels and malaria parasite species among patients at Sentani Health Center, Jayapura Regency. This was an analytical study with a cross-sectional approach. A total of 50 malaria-positive patients confirmed by microscopic examination were included as samples. Data collected included gender, parasite species, nutritional status, hemoglobin level, and parasite count, analyzed using the Chi-Square test with a 95% confidence level (α=0.05). The results showed that most respondents were male (54%) and predominantly infected by Plasmodium falciparum (66%). The majority had normal nutritional status (40%), and the distribution between normal and abnormal hemoglobin levels was equal (50% each). Statistical analysis revealed a significant association between body mass index and hemoglobin level (p=0.03), but no significant relationship between parasite species and hemoglobin level (p=0.145). These findings indicate that nutritional status plays a more dominant role in determining hemoglobin levels than parasite species variation. In conclusion, anemia among malaria patients in endemic regions is influenced not only by the infecting Plasmodium species but also by individual nutritional factors. Integrated interventions focusing on nutritional improvement and malaria control are essential to reduce anemia risk in endemic areas such as Papua.

Men who have Sex with Men (MSM) are a key population with a high risk of Human Immunodeficiency Virus (HIV) infection. In Papua, the increasing number of HIV cases among this group remains a public health challenge, highlighting the need for comprehensive analysis of sociodemographic and clinical characteristics. This study aimed to analyze the sociodemographic and clinical profiles of HIV/AIDS patients among the MSM population at the Kotaraja Reproductive Health Clinic, Jayapura City. An observational analytic study with a cross-sectional and retrospective approach was conducted using medical record data from 2023 to 2024. A total of 21 HIV/AIDS patients among MSM who met the inclusion criteria were included in the study. Data were analyzed descriptively to assess age, occupation, education level, ethnicity, marital status, clinical stage, sexual orientation, and the presence of sexually transmitted infections (STIs). The results showed that most patients were in the productive age group of 20–24 years (47.6%), had secondary education (71.5%), worked as private employees (57.1%), were non-Papuan (95.3%), and were unmarried (100%). The majority were diagnosed at WHO clinical stages I and II (95.6%). Most patients identified as homosexual (90.5%), while 9.5% identified as bisexual. Concomitant STIs were identified in 47.6% of patients, all of which were syphilis. In conclusion, HIV/AIDS among MSM in Jayapura predominantly affects young productive-age individuals with distinct social and clinical characteristics, emphasizing the importance of early screening and culturally sensitive, integrated HIV prevention strategies.

The rapid development of globalization and the acceleration of digital transformation have encouraged organizations to adopt more adaptive and collaborative work practices. In this context, collaborative culture has become a strategic element that plays a crucial role in enhancing organizational effectiveness and competitiveness. This study aims to comprehensively examine the concept, characteristics, forming factors, and theoretical foundations of collaborative culture in modern organizations. The research employs a qualitative approach through a literature review, analyzing reputable national and international journal articles, textbooks, and relevant institutional reports. Data analysis is conducted using a descriptive-analytical technique by synthesizing findings from previous studies. The results indicate that collaborative culture significantly contributes to improved communication quality, work coordination, adaptability, and both individual and organizational performance. Collaborative culture is shaped through the integration of shared vision, open communication, trust, willingness to share resources, collaborative leadership, flexible organizational structures, and the support of collaborative technologies. This study also highlights that the success of digital transformation largely depends on the strength of an effectively internalized collaborative culture. The findings are expected to provide a theoretical reference for organizations and researchers in developing sustainable collaborative culture strategies.

Arabica coffee (Coffea arabica) contains various bioactive compounds such as caffeine, polyphenols, flavonoids, and alkaloids that have the potential to produce diverse pharmacological effects on both the autonomic and central nervous systems. The variation in its chemical composition is influenced by factors such as cultivar, post-harvest processing, and preparation methods, resulting in biological responses that are dose-dependent and not always linear. This study aimed to evaluate the pharmacological activity of arabica coffee simplicia powder at three concentrations (1%, 2%, and 4%) by observing parasympathomimetic, parasympatholytic, sympathomimetic, sympatholytic, analeptic, central nervous system stimulation and depression, as well as muscle relaxation parameters. The research was conducted using a laboratory experimental design with test animals administered orally according to the designated concentrations. The results showed that some parameters increased at higher concentrations, such as parasympathomimetic activity (51.85%) and central nervous system stimulation (63.74%), while other parameters demonstrated decreasing or biphasic patterns, such as sympatholytic activity, which was high at 1% and 4% but low at 2%, and analeptic activity, which dropped sharply at 2% and increased again at 4%. These response patterns align with literature indicating that caffeine and polyphenols such as chlorogenic acid may interact synergistically or antagonistically, generating complex pharmacological effects through mechanisms involving adenosine modulation, excitatory neurotransmitters, the enteric nervous system, as well as antioxidant and anti-inflammatory pathways. Overall, this study demonstrates that arabica coffee simplicia exhibits multipotential pharmacological activity, with responses strongly influenced by concentration and the composition of its bioactive compounds, thereby providing a basis for further research on the phytopharmaceutical potential of arabica coffee.

Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia. Despite the implementation of national TB control programs through the Directly Observed Treatment Shortcourse (DOTS) strategy, treatment success continues to face significant challenges, particularly related to patient adherence to anti-tuberculosis drug (ATD) therapy. Non-adherence to TB treatment can lead to treatment failure, disease relapse, and the development of drug-resistant tuberculosis, thereby increasing the overall burden of the disease.Treatment adherence in TB patients is influenced not only by medical factors but also by social and behavioral determinants. Family support plays a crucial role in encouraging patients to comply with treatment regimens by providing motivation, reminding medication schedules, and offering emotional support throughout the long duration of therapy. Patients who receive adequate family support tend to demonstrate higher levels of treatment adherence compared to those with limited support.In addition, the use of herbal medicine as a preventive and supportive health measure is common among the Indonesian population. Herbal medicine is often utilized to enhance immune function, reduce medication side effects, and improve patient comfort during TB treatment. However, the use of herbal remedies without proper medical guidance may lead to misconceptions regarding standard TB therapy.Therefore, it is important to examine the relationship between family support and the use of herbal medicine as preventive measures with treatment adherence among pulmonary TB patients in primary healthcare settings. Such evidence is expected to support a comprehensive family medicine approach and strengthen TB control programs in primary care services.

The management of material and labor costs at Gregors Barbershop is still manual and not formally structured, resulting in wastage of consumable materials, suboptimal labor utilization, and difficulties in determining service prices that align with the expected profit margins. Material costs, such as hair gel, tissues, disposable razors, and alcohol/disinfectants, are not recorded systematically, leading to frequent mismatches between stock and actual needs, while labor costs are calculated improvisationally without considering productivity and service targets. This activity aims to improve the ability of owners and employees to plan, control, and evaluate operational costs systematically, ensuring efficiency, resource optimization, and business profitability. The method uses an applied, hands-on approach, including the identification of partner needs, preparation of relevant training modules, direct operational mentoring, and evaluation with follow-up. The object of the activity is Gregors Barbershop in Batu Aji District, Batam City, which offers services such as modern men’s haircuts, classic shaves, shaving, hair treatments, and the sale of grooming products like pomade and hair oil. The results show increased efficiency in the use of consumable materials, more productive labor management, more systematic cost planning, and the ability to set service prices in line with costs and profit margins. It is recommended to implement a digital recording system and productivity-based incentives to ensure more accurate cost control, more efficient operations, and sustainable business profitability.

This study aims to assess the financial performance of the Sukoharjo Regency Government during the 2023-2024 period by employing cash flow statements as the primary analytical tool. Cash flow statements are considered essential as they provide a clear picture of liquidity conditions and the actual capacity of local governments to manage cash inflows and outflows. This research applies a descriptive quantitative approach using secondary data obtained from audited Budget Realization Reports and Cash Flow Statements. Financial performance is evaluated through revenue effectiveness ratios and expenditure efficiency ratios as key indicators of fiscal management. The results indicate that regional revenue realization consistently exceeded the established targets throughout the study period, placing revenue performance in the very effective category. This finding reflects the local government’s ability to maximize revenue potential during the post-pandemic economic recovery phase. However, the analysis of expenditure efficiency reveals that spending management has not yet reached an optimal level, as expenditure realization remained close to the allocated budget limits. These findings demonstrate that strong revenue performance does not necessarily correspond with efficient expenditure control. Consequently, local government financial performance should be evaluated comprehensively by integrating both revenue effectiveness and expenditure efficiency perspectives. This study contributes empirically to public sector accounting literature and offers practical insights for policymakers to strengthen budget control mechanisms and promote sustainable financial management at the regional level.    

The formation of spiritual maturity within Christian families is often misunderstood as a result of chronological age or the length of one’s Christian experience. This literature study emphasizes that spiritual maturity is not determined by age, but by a continuous process of faith formation through biblical knowledge, spiritual practices, lifestyle modeling, and character transformation. Using library research methods, this study analyzes primary and secondary literature related to the role of families, stages of faith development, and the collaborative role of the church in spiritual formation. The findings reveal that the family serves as the central foundation of faith formation, requiring the active involvement of parents in Bible reading, prayer, ethical guidance, and moral example. Furthermore, spiritual maturity is influenced by developmental stages that do not necessarily correspond to biological age. The church functions as a collaborative partner that supports family spiritual growth through teaching, ministry involvement, and pastoral guidance. This study concludes that spiritual maturity is reflected in character and actions rather than ritual participation alone, and it recommends strengthening family-based faith education and cooperation with the church as a foundation for authentic spiritual growth.

The use of technology in elementary school learning plays a crucial role in improving the quality of the educational process. One frequently used tool is the infocus (LCD projector), which serves to present learning materials in visual and audiovisual forms. The purpose of this study was to assess the effectiveness of using infocus-based learning media in elementary schools and its impact on student learning. The method used was a qualitative approach, collecting data through observation, interviews, and documentation. The results showed that the use of infocus can improve students' concentration, motivation, and understanding of the subject matter, as the presentation becomes more engaging and easier to understand. However, the use of infocus in elementary schools still faces various challenges, such as limited facilities and infrastructure, teacher readiness to operate the equipment, and technical problems such as power problems and additional devices. Therefore, supporting facilities and improving teacher skills are needed to ensure the effective and sustainable use of infocus as a learning medium.

A high-risk pregnancy is a pregnancy that can affect both the pregnancy, delivery, newborn, and postpartum period. There are several high-risk pregnancies, including pregnant women who are <145cm tall, have low birth weight, are too young, and give birth too closely spaced, or what is known as the 4T. Prevention is carried out by conducting comprehensive supervision, this is a way to reduce MMR and IMR. The Central Java government has developed the One Student One Client (OSOC) program, it is hoped that the implementation of this program can reduce MMR in Central Java. MMR according to WHO in 2023 reached 189/100,000 live births, MMR based on ASEAN reached 235/100,000 live births, MMR according to the Indonesian Ministry of Health reached 205/100,000 live births, MMR in Central Java in 2023 has reached 485/100,000 live births, MMR in Brebes in 2023 54/100,000 live births and at the Bantarkawung Community Health Center MMR in 2023 amounted to 2 cases of maternal death. In this study, researchers used Varney and SOAP to document midwifery care comprehensively, with direct qualitative descriptive approach methods such as observation, interviews, and documentation.

The production of breast milk is essential for promoting optimal growth and developmental outcomes in infants throughout the first six months of life. Nevertheless, several studies have indicated that some breastfeeding mothers face challenges in producing adequate milk, often influenced by nutritional status, psychological conditions, and environmental support. The katuk plant (Sauropus androgynus), a well-known local herb, has long been recognized for its potential as a natural galactagogue that can stimulate breast milk production. The innovation of processing katuk leaf extract into biscuits offers a more practical, convenient, and potentially acceptable alternative for daily consumption among the community. The present study aimed to examine the impact of katuk leaf biscuits on breast milk production among breastfeeding mothers within the jurisdiction of Kuta Baro Health Center, Aceh Besar District. A pre-experimental design utilizing a one-group pretest–posttest method was implemented, involving 20 breastfeeding mothers who fulfilled the established inclusion criteria. Data collection was carried out through the administration of questionnaires and by measuring breast milk volume using a calibrated measuring cup.The study findings indicated that before the intervention, most participants had relatively low breast milk production, averaging 69.1 ml. After a seven-day intervention, the mean breast milk volume showed a significant increase to 246.5 ml, with a p-value of 0.000 (p < 0.05), the findings indicate that katuk leaf biscuits exert a significant influence on increasing breast milk production. Overall, this study underscores the potential of locally sourced, herbal-based food innovations as an effective and sustainable approach to enhancing breast milk production and supporting the success of exclusive breastfeeding programs.

The body may experience insulin resistance or an insufficient production of the hormone, blood sugar levels rise continuously, leading to a chronic metabolic condition called Type 2 Diabetes Mellitus. Among non-pharmacological approaches proven effective in managing hyperglycemia, physical exercise particularly the Prolanis workout program has shown notable benefits. This study assesses how joining the Prolanis Exercise Program influences blood glucose reduction in Type 2 Diabetes patients at Kuta Baro Health Center, Aceh Besar. This research utilized a quasi-experimental method applying a one-group pretest–posttest framework. Participants, numbering 25 individuals, were selected through an accidental sampling process.. Throughout a four-week implementation of the Prolanis Exercise Program, measurements of blood glucose levels were taken both prior to and subsequent to the program. The findings revealed a notable decline in mean blood sugar levels, decreasing from 158.84 mg/dL before the intervention to 121.92 mg/dL afterward. Based on the Paired Samples t-Test (p < 0.05), the Prolanis Exercise intervention was found to have a significant effect in lowering blood glucose levels. This finding demonstrates that regular participation in Prolanis Exercise serves as an effective non-pharmacological approach for controlling Type 2 Diabetes Mellitus. Community Health Centers are advised to consistently continue developing and facilitating routine Prolanis Exercise activities, in addition to providing ongoing education on healthy lifestyles to patients. Patients are expected to actively engage in this program as part of their diabetes self-management.

Elderly exercise is a sporting activity that can help improve heart health, maintain stable blood pressure and blood sugar levels, and prevent various degenerative diseases in the elderly. Abnormal blood sugar levels can cause metabolic disorders that lead to various serious health problems. This study aims to determine the impact of elderly exercise on improving the health and independence of older adults in carrying out daily activities. This study used an evaluative method with a cross-sectional approach at the Nibong Community Health Center, North Aceh, involving 38 elderly people (14 men and 24 women) as a sample. The results showed that after participating in regular exercise, the number of elderly people with high blood sugar levels decreased to 31.6%, while the number of elderly people with normal blood sugar levels increased to 86.6%. Statistical tests showed a significant difference between blood sugar levels before and after exercise (p < 0.05). From these results, it can be concluded that elderly exercise is effective in lowering blood sugar levels, increasing insulin sensitivity, improving fitness and balance, and motivating elderly people to maintain their health. It is recommended that the Nibong Community Health Center regularly hold structured elderly exercise programs and provide educational counseling on the importance of a healthy lifestyle and controlling sugar intake. The results of this study can serve as a reference for health institutions and further research

Access to healthcare services is a crucial determinant in improving community health, particularly in rural areas that face geographic and social challenges. This study aims to describe the accessibility and utilization of healthcare services among residents of Desa Sama Subur, Kecamatan Motui, Kabupaten Konawe Utara. A descriptive quantitative design was employed, with the population comprising all active household heads in the village. A total of 45 household heads were selected using total sampling. Data were collected through face-to-face interviews using structured questionnaires during the 2025 Field Learning Experience (Pengalaman Belajar Lapangan, PBL). Descriptive analysis was conducted and results were presented in frequency distributions and percentages.The findings indicate that the majority of respondents possess health insurance (88.9%); however, the utilization of healthcare facilities remains suboptimal, with only 48.9% having ever accessed services. Perceptions of healthcare accessibility varied, with 51.1% considering it easy and 46.7% reporting difficulty. Motorcycles were the most commonly used mode of transportation (77.8%), and community health centers (Puskesmas) were the most frequently utilized facilities (60.0%). Regarding service satisfaction, nursing staff behavior received the highest satisfaction rating (28.9%), while waiting time remained the main concern. In conclusion, healthcare access in rural communities is multidimensional, influenced not only by health insurance ownership but also by geographic factors, transportation availability, and service experience. Enhancing the utilization of healthcare services requires strengthening primary care and improving physical access to healthcare facilities.

The work of health workers is a key factor in ensuring the quality and sustainability of primary health services. However, high work demands and limited resources have the potential to weaken work involvement if they are not balanced with a perception of work meaning and adequate psychological capacity. This study aims to analyze the effect of job meaningfulness on work engagement of health workers through psychological capital as a mediating variable at the Mokoau Health Center, Kendari City, Southeast Sulawesi. This study used a quantitative approach with a cross-sectional design. All health workers at the Mokoau Health Center as many as 70 people were used as research samples using the total sampling method. Data was collected through a structured questionnaire and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with the help of SmartPLS version 4.0. The results of the analysis showed that job meaningfulness had a positive and significant effect on psychological capital (β = 0.698; p < 0.05). Psychological capital was also shown to have a positive and significant effect on work engagement (β = 0.691; p < 0.05). Furthermore, job meaningfulness had a significant indirect effect on work engagement through psychological capital (β = 0.482; p < 0.05), which shows the mediating role of psychological capital in the relationship. Job meaningfulness not only contributes directly to strengthening psychological capital, but also indirectly increases work engagement of health workers. Psychological capital plays a role as the main psychological mechanism that translates the meaning of work into higher work attachment. These findings affirm the importance of a human resource management strategy that focuses on strengthening the meaning of work and psychological capital to increase the work involvement of health workers in primary health care facilities.

Extrinsic skin aging or photoaging occurs due to repeated and prolonged exposure to ultraviolet (UVA) and ultraviolet B (UVB). Photoaging prevention can be done, one of which is the use of sunscreen. This literature review aims to review the role of sunscreen in photoaging prevention using a variety of existing literature. Sunscreen plays an important role in preventing skin damage caused by sunlight, especially in preventing and repairing skin damage due to sun exposure (photoaging). The addition of antioxidants such as vitamin C, vitamin E, vitamin A, melatonin, polyphenols, Polypodium leucotomos (PLE) extract as well as enzymes such as photoliase and T4N5 has been shown to increase protection against UV, visible light, and infrared-A rays and help repair skin damage. The use of colored sunscreen is recommended for protection from visible light. In addition, education on how to use sunscreen properly, such as reapplying every two to three hours and selecting the appropriate SPF and PA, also plays a big role in maximizing the effectiveness of skin protection from photoaging.