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Introduction: Incidental findings often occur on periapical radiographs may occur due to the increasing use of periapical radiographs for supporting examinations and the increasing resolution of radiographs. Purpose: To explain about efficiency of periapical radiographs for detecting supernumerary paramolar teeth. Research Methods and Results: This Literature Review is designed to provide an overview of sources that have been searched when researching the topic related to the efficiency of periapical radiographs for detecting supernumerary paramolar teeth. Article searches were conducted on Google Scholar, PubMed and Science Direct using predetermined keywords, namely periapical radiograph, parapremolar, and supernumerary teeth. This literature review uses literature published in 2015–2025 which can be accessed in full text in pdf format. Discussion: Clinical assessment and radiological examination are needed for the diagnosis of supernumerary paramolar teeth. The location of supernumerary teeth from radiographs is an important diagnostic complement for clinical assessment, diagnosis, and treatment planning. Conclusion: Dentists often prefer periapical radiography over panoramic radiography to evaluate oral health, especially in children, due to the low dental X-ray exposure. In many cases, patients only require periapical radiography focused on the teeth. This highlights the strong need for intelligent diagnostic techniques to improve the accuracy and efficiency of periapical radiographic analysis.

Vocabulary acquisition is fundamental to language proficiency, yet retention remains a persistent cognitive challenge for students. Conventional rote-learning strategies often fail to facilitate long-term recall. This study examines the effectiveness of the keyword technique in improving students’ vocabulary mastery. Employing a quantitative quasi-experimental design, the research involved 48 students selected through cluster random sampling. The samples were separated into two groups: an experimental group of 26 students (taught by using the keyword technique) and a control group of 22 students (taught by using conventional strategy). Data were collected using a validated multiple-choice vocabulary test administered before and after the treatment. This result validates a notable difference in outcomes where the experimental group demonstrated better performance; consequently, the alternative hypothesis (Ha) is accepted, leading to the rejection of the null hypothesis (H0). These findings confirm that the Keyword Technique significantly enhances vocabulary mastery by leveraging acoustic and imagery associations. Consequently, this strategy is recommended to foster more effective vocabulary retention.

Hypertension remains a major health problem with high prevalence, often linked to poor lifestyle habits and low self-efficacy in managing one’s health. Effective hypertension management requires not only support from health professionals but also encouragement from family members who can remind patients to adhere to treatment and provide emotional support. This study aimed to analyze the relationship between self-efficacy, lifestyle, and family support with hypertension among Prolanis members in the working area of Puskesmas Oesapa, Kupang City. Using an observational analytical approach with a cross-sectional design, the study involved 65 hypertensive Prolanis members selected through simple random sampling. Data collection was conducted using a structured questionnaire. The findings showed significant relationships between self-efficacy, physical activity, and diet with hypertension status (p-value = 0.000). However, resting habits were not significantly associated with hypertension (p-value = 0.063), and family support also showed no significant relationship (p-value = 0.388). The study recommends that the Puskesmas continue to strengthen Prolanis activities and enhance health education, particularly regarding the importance of maintaining a healthy lifestyle through proper dietary management and regular light physical activity tailored to the abilities of Prolanis members.

Persistent elevation of blood glucose levels defines diabetes mellitus, a chronic metabolic disorder that occurs when insulin production is insufficient, diminished sensitivity of insulin receptors, or a combination of both factors. The medicinal properties of red ginger (Zingiber officinale var. rubrum) are attributed to its rich content of bioactive compounds, including gingerol and shogaol, which are considered key contributors to its various therapeutic effects. The effectiveness of red ginger extract in lowering blood glucose levels in experimental mice was evaluated in this study. A true experimental design with a quantitative approach was applied, employing a pretest–posttest control group format. The study involved twelve samples, which were randomly allocated into four separate groups. The treatment phase was conducted over a period of seven days. Findings revealed mean values of 10.4 prior to the intervention and 15.2 afterward, indicating a notable increase. A significant difference between pre-treatment and post-treatment measurements in group K1 was revealed by the statistical analysis, which yielded a P-value of 0.001 (P < 0.05). It was observed that red ginger extract, given at 100 mg per kilogram of body weight, effectively reduced blood glucose levels in the mice studied..

This research investigates the application of the Economic Order Quantity (EOQ) method to improve drug inventory management in a primary hospital pharmacy, with a particular focus on reducing storage costs. A descriptive quantitative approach was applied using secondary data from January to December 2024, covering annual demand, purchase price, ordering cost, and holding cost. The analysis concentrated on fast-moving vital essential and moderate vital drugs that are critical for sustaining patient treatment. The study revealed inefficiencies in the hospital's procurement practices, with some medicines simultaneously facing overstock and stockout risks, indicating weak planning. EOQ calculations provided alternative procurement quantities that were smaller but more frequent, resulting in lower storage costs and better stock control. Simulation outcomes demonstrated notable cost savings, particularly for Flamicort, Diazepam, and Ventolin. These findings emphasize the value of integrating EOQ into hospital pharmaceutical logistics to reduce financial losses, strengthen supply chain efficiency, and ensure the continuous availability of essential medicines in primary hospital settings.

The early growth of Coffea arabica seedlings is highly influenced by the quality of the growing medium and nutrient uptake efficiency during the nursery phase. This study aimed to evaluate the effect of local-material-based growing media formulations and arbuscular mycorrhizal fungi (AMF) inoculation on the vegetative growth of C. arabica Lini S 795 seedlings. The experiment was conducted using a completely randomized design (CRD) with eight treatments involving combinations of soil, rice husk, fermented manure, and Glomus sp. mycorrhiza, each replicated three times. Observed parameters included plant height, leaf number, root length, root dry weight, and shoot dry weight. Results showed that the combination of soil, rice husk, manure, and mycorrhiza significantly enhanced all growth parameters compared to the control. The synergistic interaction between local organic components and biological agents improved the physical, chemical, and biological properties of the growing media, thereby optimizing root and shoot development. These findings suggest that integrating locally available organic materials with mycorrhizal inoculants offers an effective, eco-friendly, and sustainable approach to coffee seedling cultivation, with high potential for broader field-scale application.

Body shaming and physical discrimination are significant issues affecting adolescents' psychological development. Adolescents who experience negative treatment related to their physical appearance often face low self-esteem, stress, and social isolation. This article discusses the implementation of multicultural counseling as an effective intervention strategy to address these problems. Multicultural counseling emphasizes understanding cultural differences, values, and social norms that influence perceptions of the body and appearance. This approach involves self-reflection techniques, group discussions, role-playing, and personal experience narratives to enhance self-awareness, empathy, and adolescents’ ability to cope with body shaming and physical discrimination. In addition, counselors provide education on social stereotypes, beauty standards, and the importance of inclusion, helping adolescents develop adaptive coping mechanisms. Research findings indicate that multicultural counseling can reduce negative psychological impacts, increase self-acceptance, and promote tolerance toward physical diversity. The implementation of this counseling is essential for creating social environments that support adolescents’ mental and emotional development. This article offers practical contributions for counselors, educators, and psychology practitioners in designing multicultural-based interventions that are sensitive to issues of body shaming and physical discrimination

Hypertension is a disease whose prevalence continues to increase and occurs frequently in the elderly. The severity of hypertension is often linked to non-adherence to medication consumption. The objective of this community service activity is to improve the knowledge and skills of the elderly and their caregivers regarding the use of herbal therapy as a reliable and effective complementary treatment for controlling blood pressure. The activity was conducted through health education and practical demonstrations involving 29 participants. The main instrument that used in the health education was a leaflet. The results of the pre- and post-activity assessment showed an average increase in knowledge scores regarding herbal therapy for blood pressure control. In conclusion, this community service activity successfully enhanced the health literacy and practical skills of the elderly in utilizing evidence-based herbal therapy to lower blood pressure. Further effort is needed to achieve comprehensive and self-managed blood pressure control in elderly.

The prevalence of hypertension in Jambi City has continued to increase over the past five years, including in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat). Meanwhile, the cost of hypertension care and treatment for the community is relatively high, especially if complications arise and are not covered by insurance, which can lead to catastrophic expenses that weaken households' economic conditions. This community service activity aims to provide education and outreach regarding hypertension and its impact on healthcare costs. Thirty people with hypertension in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat) participated in the activity. The core activities included providing information about hypertension and its consequences on healthcare costs, anti-hypertension exercises, outreach regarding the risk of catastrophic expenses, and explanations of various government support programs. The results showed that 80% of participants experienced a significant increase in knowledge, and there was a difference in knowledge levels between before and after the implementation of the Community Health Center (PPM) (p=0.000). The government and the Community Health Center are recommended to strengthen campaign efforts to encourage the community to adopt a healthy lifestyle and actively participate in health programs that can help reduce healthcare costs and avoid catastrophic expenses

This meta-synthesis examines in depth the effectiveness of technology-assisted therapy (TAT) in the treatment of war-related trauma through a systematic analysis of 47 empirical studies with a total of 6,842 participants published between 2010 and 2024. The quantitative synthesis indicates that the implementation of TAT demonstrates statistically significant effectiveness in reducing the severity of post-traumatic stress disorder symptoms (d=0.78, 95% CI [0.65, 0.91]), anxiety (d=0.69, 95% CI [0.54, 0.84]), and depression (d=0.72, 95% CI [0.58, 0.86]) among populations affected by armed conflict. Among the various digital modalities, Virtual Reality Exposure Therapy (VRET) exhibits the strongest therapeutic effect (d=0.85) compared with mobile-based intervention (d=0.71) and teletherapy (d=0.68). Further moderator analysis identifies the optimal intervention duration as 12 to 16 weeks, with a significant effect contribution (β=0.34, p<.001) and a relatively moderate dropout rate of 18.7%. These findings extend Tng et al. (2024) by confirming the superiority of VRET and by confirming the significance of therapist support for the effectiveness of TAT (Wu et al., 2025). In contrast to the meta-analysis by Eshuis et al. (2021), which emphasized a single approach, this study reveals that hybrid interventions that integrate multiple digital platforms simultaneously (d=0.89) are superior to single-platform interventions (d=0.67). Overall, the results of this meta-synthesis provide a strong empirical foundation for the development of more comprehensive, adaptive, and contextually relevant TAT protocols for war-related trauma.

The global environmental crisis caused by plastic pollution has intensified in recent years, particularly in aquatic ecosystems such as rivers, lakes, and oceans, creating an urgent need for effective and sustainable solutions. This article explores the potential role of aquatic bacteria in degrading plastic polymers by reviewing the biological and molecular mechanisms these microorganisms use to break down complex synthetic materials. Special attention is given to key genes and enzymes involved in plastic degradation, including PETase and MHETase, which play a critical role in the decomposition of polyethylene terephthalate (PET). In addition, the article highlights advanced gene expression and analysis techniques, such as metagenomics, transcriptomics, and proteomics, to better understand bacterial activity and degradation dynamics in natural environments. The main problem addressed is the continuous and unsustainable production and consumption of plastics, which has resulted in extensive pollution of freshwater and marine systems, while conventional waste treatment methods remain largely ineffective. The objective of this article is to provide a comprehensive scientific review of biotechnological approaches used to analyze and utilize aquatic bacteria for plastic degradation, focusing on molecular aspects and environmental applications. Using a literature review method, studies published between 2018 and 2024 were analyzed to evaluate effective bacterial models, technological challenges, and future prospects. The findings indicate that aquatic bacteria offer promising potential as biological tools for mitigating plastic pollution through sustainable environmental strategies.

Thick leaf (Glochidion superbum) is a medicinal plant traditionally utilized by the community of East Panjang Island for the treatment of wounds, pain, and ulcers. This research was conducted to isolate the major compounds present in the ethyl acetate fraction of thick leaf and to assess its antioxidant activity using the DPPH method. The plant leaves were first cleaned, dried, and powdered, followed by maceration extraction using methanol, which resulted in an extract yield of 16.42%. The crude extract was fractionated by column chromatography using EtOAc and MeOH eluents with ratios of 9:1 (K1), 4:1 (K2), 1:4 (K3), and 1:9 (K4). UV–Vis spectrophotometric analysis showed an absorption peak at 288 nm, indicating the presence of phenolic compounds, identified as ferulic acid. Antioxidant testing using the DPPH method showed IC₅₀ values for fractions K1, K2, K3, and K4 of 12.981, 5.159, 9.658, and 10.971 µg/mL, respectively, with vitamin C as a positive control (3.563 µg/mL). Fraction K2 showed the strongest antioxidant activity. These results indicate that thick leaf contains ferulic acid with very strong antioxidant activity and has potential as a natural antioxidant source.

Inflammation is a common condition that affects everyone and can affect quality of life. Candlenut leaves (Aleurites moluccanus) are known to contain flavonoid compounds, such as swertisin and 2''-O-rhamnosylswertisin, which are thought to have anti-inflammatory activity. This study aims to test the anti-inflammatory activity of candlenut leaves using four treatment groups, namely positive control (sodium diclofenac), negative control (Na-CMC), n-hexane fraction (200 mg/KgBW), and ethyl acetate fraction (200 mg/KgBW). Leg edema volume measurements were carried out periodically for up to 6 hours using a digital caliper. The results showed that the percentage of edema inhibition in the negative control group reached 64.13%, positive control 38.91%, n-hexane fraction 39.99%, and ethyl acetate fraction 39.82%. Although the ethyl acetate fraction showed better anti-inflammatory activity than the n-hexane fraction, its inhibition percentage was still lower than that of the positive control. These findings suggest that candlenut leaves have potential as a source of anti-inflammatory compounds, particularly the ethyl acetate fraction. Further research is needed to evaluate its efficacy and mechanism of action.

This study aims to determine the accounting treatment for fixed assets at Dr. Adhyatma Regional General Hospital, MPH, Central Java Province, and to determine whether the accounting treatment for fixed assets at Dr. Adhyatma Regional General Hospital, MPH, Central Java Province, complies with PSAP No. 07 concerning Fixed Asset Accounting. This study used a qualitative descriptive research method, using triangulation (a combination of observation, interviews, and documentation) as data collection techniques at Dr. Adhyatma Regional General Hospital, MPH, Central Java Province. The results of this study indicate that the accounting treatment for fixed assets at Dr. Adhyatma Regional General Hospital, MPH, Central Java Province, in terms of classification, recognition, measurement, cost components, post-acquisition expenditures, depreciation, retirement, and disposal, complies with PSAP No. 07 concerning Fixed Asset Accounting. Disclosure of fixed assets regarding the reconciliation of the recorded amount at the beginning and end of the period and depreciation information including the depreciation value, gross recorded value and accumulated depreciation at the beginning and end of the period is in accordance with PSAP Number 07 of 2010 concerning Fixed Asset Accounting. However, for the basic information on the valuation used to determine the recorded value, depreciation information in the form of the depreciation method used and the useful life or depreciation rate used is not in accordance with PSAP Number 07 of 2010 concerning Fixed Asset Accounting.

Chronic kidney disease is an increasingly prevalent health issue that requires more precise clinical data-based early detection methods to enable timely and appropriate treatment. This study focuses on developing a predictive model for chronic kidney disease using the Light Gradient Boosting Machine (LightGBM) algorithm and enhancing its performance through hyperparameter optimization with the Grey Wolf Optimizer (GWO). The dataset used originates from public sources and undergoes several preprocessing steps, including missing value imputation, categorical feature encoding, outlier handling, initial feature selection, and stratified data splitting to maintain model quality. Three modeling approaches were evaluated: LightGBM with default parameters, LightGBM enhanced using Random Search, and LightGBM optimized with GWO. The experimental results indicate that the baseline model already performs well, Random Search improves accuracy and F1-score, and GWO achieves the highest AUC-ROC value despite requiring longer computation time. Significance testing through cross-validation shows that the performance differences among the three models are not statistically significant, suggesting that the observed improvements are not strong enough to determine a definitively superior optimization method. The feature importance analysis highlights that clinical indicators such as creatinine levels, glomerular filtration rate, blood pressure, and urine protein contribute most prominently to the prediction. Overall, the study demonstrates that LightGBM is a reliable model for early detection of chronic kidney disease, and hyperparameter optimization still offers added value that can support the development of AI-based clinical decision-support systems

Human Immunodeficiency Virus (HIV) infection leading to Acquired Immune Deficiency Syndrome (AIDS) remains a global public health issue, with 39 million people living with HIV worldwide in 2022. Although X Hospital in Malang City provides a comprehensive care program, internal data shows a significant level of non-adherence to antiretroviral (ARV) therapy, often in the form of irregular consumption or discontinuation of medication without medical recommendation. This observational study with a cross-sectional approach aims to identify the determinants of ARV non-adherence, involving 81 non-adherent AIDS patients at Hospital X through total sampling techniques. The characteristics of the respondents were dominated by males, highly educated, and working in the non-government sector, with the majority using the ARV regimen TLD, COTRIMOXAZOLE. The results of statistical analysis indicate that all eight determining variables tested show a highly significant positive correlation (p < 0.001) with non-compliance, meaning that the more severe the problems with these factors, the lower the patient compliance. Furthermore, the top five factors showed a very strong positive correlation (r > 0.80) with non-adherence, namely motivation/depression, social support, communication with service providers, treatment costs, and age or routine. These findings underscore that these five key determinants must be a crucial focus in designing and implementing targeted intervention strategies to effectively improve patient adherence to ARV therapy.

Dermatophytosis is a superficial fungal infection of the skin, hair, and nails that is often found in tropical climates such as Indonesia, including Jambi City, which has high humidity and community habits that can support fungal growth. This study aims to describe the demographic characteristics of dermatophytosis patients who received treatment at a private dermatologist and venereologist in Jambi City throughout 2023. This study used a descriptive design using secondary data from patient medical records. A total of 399 patients who met the inclusion criteria were analyzed univariately and the results are presented in the form of a frequency distribution table. The results showed that tinea corporis was the most common type of dermatophytosis, followed by tinea cruris and tinea capitis. The majority of patients were male, aged 17–25 years, had a high school education, and worked as students. The most common locations of lesions were on the trunk and groin. These findings suggest that the productive age group is more susceptible to dermatophytosis, possibly related to high physical activity, excessive sweating, and suboptimal personal hygiene. This research is expected to be the basis for planning health education regarding the prevention of fungal infections and improving clean and healthy living behavior in the community.

Toddlers are a vulnerable age group to various types of diseases due to their immune systems that are still developing. Limited utilization of medical record data and the lack of structured information regarding disease patterns in toddlers based on age and causative factors have resulted in suboptimal prevention and treatment efforts. Therefore, an approach is needed to systematically classify toddler disease data. This study aims to apply data mining techniques using the clustering method with the K-Means algorithm to group types of diseases in toddlers based on age and causative factors. The variables used in this study include toddler age, type of disease, and causative factors. The data were obtained from RSUD Dr. R. M. Djoelham Binjai and processed using MATLAB software with three clusters. The results show that the K-Means algorithm successfully groups toddler disease data into three clusters with different characteristics. The first cluster is dominated by toddlers aged 0–11 months with appendicitis caused by genetic factors. The second cluster is dominated by toddlers aged 1–3 years with diarrhea caused by environmental factors and has the largest number of members. Meanwhile, the third cluster is dominated by toddlers aged 0–11 months with sore throat caused by environmental factors. The clustering results indicate a relationship between toddler age, disease type, and causative factors, which can be used as supporting information for decision-making in the prevention and treatment of toddler diseases.

Bread is a food product made from wheat flour, water, yeast, and salt processed by mixing them into one dough then fermented and baked in the oven until cooked. Roti has several types, one of which is burger buns. Burger patties are white bread that is round or oval, made from high protein wheat flour, yeast, sugar, bread improver, salt, butter, milk powder, water, and usually with the addition of sesame seeds. The purpose of this study was to determine the formulation of burger patties high in dietary fiber and preferred by consumers. This study used a two-factor Complete Randomized Design (RAL), with a ratio of wheat flour and mocaf 70:30, 60:40, 50:50 with the addition of the percentage of beet tubers 30,40,50. The results of burger buns with high-fiber formulations were obtained from the ratio of wheat flour and mocaf flour at 50%:50% with a percentage of beet puree at 50%, this treatment has a fiber content of 11.47%, the water content of 26.10%, ash content 1.58%, fat content 4.33%, protein content 6.53%, carbohydrate content 61.45%, calories 310.89%, specific development volume 4.42%. Of flavor 3,38, color sensory test 3.73, chewiness 3.81, tenderness 3.11. Burger buns with raw materials of mocaf flour and the addition of beet puree as a source of fiber can be one of the practical foods that have good nutritional value for health.

Equality in education and employment is an important foundation for realizing social justice as mandated by Pancasila and the 1945 Constitution. Equality means that every individual has the same rights to access, treatment, and opportunities without discrimination based on gender, religion, ethnicity, social status, or physical condition. In education, equality is realized through equal access to learning facilities, an inclusive curriculum, and equal opportunities for all students to develop. Meanwhile, in the field of employment, equality includes fair opportunities in recruitment, promotion, training, and commensurate income. Education plays a strategic role in building awareness of equality by instilling the values ​​of empathy, tolerance, and social justice. A multicultural approach and inclusive education are key to shaping students who value diversity and reject discrimination. Although various policies have been implemented, such as the Smart Indonesia Card (KIP) and affirmative action programs for marginalized groups, challenges such as socio-economic inequality, discrimination, the digital divide, and weak policy implementation remain major obstacles. Therefore, comprehensive efforts are needed, encompassing policy reform, improving teacher quality, and implementing pluralism-based character education to create a just, inclusive, and equal Indonesian society.