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Gastric disease is a common health problem that can disrupt daily activities if not properly treated. To aid the initial diagnosis process, this study developed a web-based expert system capable of diagnosing various types of gastric disease based on the symptoms experienced by the user. This system uses the Dempster-Shafer method to address uncertainty in decision-making by combining a number of pieces of evidence in the form of symptoms to determine the level of confidence in a disease. The system was developed using the PHP programming language and a MySQL database and designed for easy browser access. Testing demonstrated that the system was able to provide fairly accurate diagnostic results that closely approximated the results of consultations with medical professionals. This system is expected to become an initial solution for the public in quickly and independently recognizing symptoms of gastric disease.  

Hypertension remains a significant public health problem in Indonesia, including in the Parang Banoa neighborhood, Pallangga District, Gowa Regency. Therefore, this Field Learning Experience (PBL) activity was implemented with the aim of increasing community knowledge about hypertension, particularly regarding its prevention and control. The activity was carried out through several stages, including health education, questionnaires, and blood pressure checks for residents of RT 002 in the Parang Banoa neighborhood. The interventions provided included health education, distribution of educational posters, and blood pressure checks for 11 respondents. Results showed an increase in community knowledge after the intervention. Prior to the education, most respondents had sufficient knowledge (81.8%), with a small proportion having insufficient knowledge (18.2%). However, after the education, all respondents (100%) experienced an increase in knowledge regarding hypertension prevention and control. Therefore, ongoing health education and healthy lifestyle changes, such as reducing salt intake, quitting smoking, and regular exercise, are needed. These efforts are expected to reduce the incidence of hypertension in the Parang Banoa neighborhood and improve overall community health.

Background: Stunting remains a major public health concern in Indonesia, affecting children’s growth, development, and long-term health outcomes (Sari, 2020). Early childhood stunting can lead to cognitive delays, poor school performance, reduced productivity in adulthood, and increased risk of chronic diseases (Hapsari & Wulandari, 2019). Understanding the interaction of demographic, socioeconomic, and health-related factors is essential to reduce stunting prevalence and improve child health outcomes (Yuliani, 2019). Objective: This study aimed to analyze the factors influencing the incidence of stunting among children attending the Sagerat Public Health Center in Bitung City. Methods: A quantitative, observational study with a cross-sectional design was conducted. Thirty children were selected using purposive sampling based on inclusion criteria such as age under five years and available anthropometric data. The Wilcoxon signed-rank test was applied to examine the relationship between these factors and stunting incidence, with a significance level set at p < 0.05. Results: The analysis showed that 30 children (100%) in the study were at risk of stunting based on height-for-age measurements, with 20 children (90%) confirmed as stunted and 10 children (10%) having normal height. These results suggest that maternal education, socioeconomic status, nutrition, and access to healthcare are strongly associated with stunting in this population. Conclusion: Factors such as maternal education, socioeconomic status, dietary intake, and access to healthcare significantly influence the incidence of stunting among children at the Sagerat Public Health Center. Comprehensive community-based programs are recommended to reduce stunting prevalence and improve long-term health outcomes for children.

The danger of cadmium contamination in water sources remains a crucial environmental issue due to its persistent nature and high toxicity level, which poses serious risks to human health and ecosystems. Cadmium is a non-biodegradable heavy metal that can accumulate in living organisms over time. The presence of these toxic Cd²⁺ ions is known to trigger damage to vital organs such as the liver and kidneys; therefore, reducing their concentration in aquatic environments is of paramount importance for environmental protection and public health safety. Among various treatment methods, adsorption is considered one of the most effective and economical techniques for removing heavy metal ions from contaminated water. In this study, the capability of mesoporous silica MCM-48-NH₂ as an adsorbent for Cd²⁺ ions was systematically evaluated. The adsorption performance was examined by investigating several important parameters, including contact time, solution acidity level (pH), and initial Cd²⁺ concentration. Furthermore, the adsorption mechanism and interaction between Cd²⁺ ions and the adsorbent surface were analyzed using Langmuir and Freundlich isotherm models. The results demonstrate that the adsorption process of Cd²⁺ ions onto MCM-48-NH₂ tends to follow the Langmuir isotherm model, indicating monolayer adsorption behavior, with a maximum adsorption capacity of 0.66 mmol g⁻¹.

This community service activity aims to increase awareness and independence of elementary school students in maintaining hand hygiene through education on proper handwashing. The background to this activity stems from the low level of handwashing habits among school-age children, despite hand hygiene being a simple action that has a significant impact on preventing infectious diseases. Based on initial observations at Tamanbali 3 Public Elementary School, most students did not yet have the habit of washing their hands before eating or after playing, despite the availability of facilities. Therefore, a hand hygiene education program was implemented, designed to help students understand the importance of proper handwashing according to WHO guidelines. The activity methods included outreach through educational posters and videos, demonstrations of the seven steps of handwashing, mentoring in daily habits, and evaluation of behavioral changes. The results of the activity showed a significant improvement in students' hand hygiene behavior. Students began washing their hands independently before eating and after activities without being reminded by teachers. The school environment also became cleaner and healthier due to the growing awareness of personal hygiene among students. Teachers and the school are committed to continuing this habit as part of the daily classroom routine. This activity demonstrates that hand hygiene education delivered through interactive methods can shape character and hygiene habits from an early age.

Public health administration plays a strategic role in strengthening primary health care governance amid increasingly complex health system challenges. This study aimed to synthesize recent evidence on the development, challenges, and implications of public health administration during the period 2020–2025. A literature review with a systematic approach was conducted by analyzing peer-reviewed articles retrieved from major scientific databases and selected through a PRISMA 2020 flow process. The findings indicate that effective public health administration—characterized by strong governance, adaptive leadership, and the integration of digital health information systems—contributes to improved performance of primary health care services in terms of service quality, efficiency, and sustainability. However, the review also reveals persistent gaps, particularly the limited empirical evidence examining causal relationships between administrative capacity and health service performance, as well as challenges related to human resource readiness and data governance in digital transformation. These findings highlight the need to strengthen administrative capacity, leadership competencies, and integrated information systems to support resilient primary health care. The study provides theoretical and practical implications for policymakers, health managers, and researchers in advancing public health administration toward more effective and sustainable health systems.

Incest is a form of sexual violence that not only violates social and religious norms but also causes serious physical and mental health impacts on victims. In the context of Islamic law, incest is considered a heinous act that violates sharia and may be subject to hudud or ta'zir punishment. Meanwhile, in public health, incest is viewed as an issue that poses long-term risks, such as genetic disorders, psychological trauma, and socio-economic consequences. This study aims to examine prevention strategies for incest through a holistic approach combining Islamic legal principles and public health perspectives. The method used is qualitative research with a normative literature review and descriptive-analytical approach. The findings indicate that incest prevention can be achieved through strengthening religious values within families, sharia-based sexual education, and improving mental health services and case reporting systems in the community. The implications of this study highlight the importance of synergy between religious institutions, healthcare professionals, and public policy in establishing effective and sustainable incest prevention systems.

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.

Financial management, both in public and private organizations, is highly vulnerable to fraud and misappropriation of funds. The risk of fraud in financial reporting not only jeopardizes an organization's long-term financial health but also damages the reputation and trust of stakeholders. Professional ethics and integrity are key factors in ensuring good, efficient, and effective financial governance. Weak internalization of professional ethical values ​​among financial practitioners, such as manipulation of financial reports and unauthorized use of official funds, is often a major cause of misappropriation of funds. These cases can significantly harm an organization, as seen in violations of codes of ethics in various large companies. Therefore, strengthening professional ethics in financial management practices is crucial to prevent misappropriation of funds, fraud, or financial manipulation. A strong internal control system, coupled with a good ethical culture, can play a significant role in preventing and detecting these conditions. This study aims to identify factors that support and hinder the implementation of professional ethics in financial management and provide recommendations for improving integrity and accountability in fund management. It is hoped that the results of this study will help organizations strengthen governance, increase transparency, and reduce the risk of fraud through better implementation of professional ethics.

This research explores the development of a participatory governance model for community based waste management systems, aiming to enhance both legal compliance and public social welfare outcomes. Community based waste management (CBWM) plays a critical role in addressing environmental and health challenges, yet its success is often hindered by weak governance structures, limited community involvement, and insufficient regulatory frameworks. The study introduces a governance model that integrates local community participation into decision making processes, encouraging ownership and responsibility among residents. The primary goal is to improve compliance with environmental regulations while promoting social welfare by fostering better public health and community cohesion. A review of literature highlights key theories of participatory governance, focusing on its ability to enhance legal adherence and increase social equity. Previous studies on CBWM demonstrate the potential of community involvement in overcoming barriers to legal compliance, such as weak enforcement and fragmented governance. However, challenges like inadequate infrastructure, socio economic factors, and cultural habits still impede full participation and compliance. The study utilizes a mixed methods approach, including stakeholder analysis, participatory workshops, and regulatory compliance assessments, to evaluate the effectiveness of the model. The results show that communities involved in participatory governance exhibit higher compliance with waste management laws, improved sanitation, and healthier living conditions. Furthermore, the model fosters social capital and community empowerment, contributing to long term sustainability. In comparison to centralized waste management systems, the participatory approach is found to be more adaptable, accountable, and socially accepted. While the model presents several benefits, challenges such as infrastructure limitations and cultural barriers remain. Future research should further investigate how to address these challenges, particularly through technological integration and cross sector collaborations, to ensure the scalability and sustainability of the participatory governance model.

Hypertension is a major global health risk that requires accurate early detection, yet conventional methods struggle with complex and imbalanced health datasets. This study aims to optimize hypertension prediction using a Logistic Regression model integrated with Borderline-SMOTE to enhance recall and provide model transparency through SHAP (Shapley Additive Explanations). The method utilizes the BRFSS dataset, applying Borderline-SMOTE to address class imbalance at the decision boundary and XAI techniques for global and local interpretation. The findings show that the model achieved an accuracy of 0.719, an AUC of 0.800, and a significantly improved recall of 0.756. SHAP analysis identified age, high cholesterol, and BMI as the most influential risk factors, while waterfall plots successfully clarified individual risk extremes, ranging from 1.72% to 99.43% probability. These results imply that the proposed approach provides a sensitive and transparent screening tool for public health practitioners, effectively balancing statistical efficiency with clinical accountability.

Tuberculosis (TB) remains one of the leading infectious diseases causing morbidity and mortality in Indonesia. Limited public health literacy regarding TB symptoms, prevention, and treatment adherence contributes to delayed diagnosis and poor treatment outcomes. This community service program aimed to improve public understanding and awareness of TB through interactive educational activities conducted at the Outpatient Unit and TB Clinic of UPT Puskesmas DTP Saketi, Pandeglang Regency. The activities involved 30 participants, including TB patients and their families. Interactive counseling sessions, audiovisual media presentations, and group discussions were used to engage participants actively. Evaluation results showed a 35% increase in participants’ knowledge scores, greater awareness of the importance of completing treatment, and improved communication between patients and healthcare workers. The implementation of interactive education proved effective in enhancing TB health literacy and supporting national TB elimination efforts at the primary healthcare level.

ABSTRACT Background: Traditional medicinal plants play a significant role in public health in Indonesia, particularly in Bali, where the local wisdom of Usada is upheld. One of the commonly used plants is sandalwood (Santalum album L.), which is empirically believed to treat skin issues and minor injuries. Purpose: This study aimed to examine the community's perceptions of sandalwood in Perean Tengah Village using the HBM approach. Method: A qualitative method with an ethnographic study design was employed, and five informants (four sandalwood users and one traditional healer) were purposively selected. Data were gathered through in-depth interviews, participant observation, and documentation, and they were analyzed thematically using NVIVO software. Results: The results indicated that the community recognizes their susceptibility to minor injuries resulting from daily physical activities and uses sandalwood as a form of first aid. Sandalwood is perceived as beneficial because it provides a cooling sensation, reduces pain and swelling, and is considered safe and practical for use. However, the main barriers to its use include the limited availability of sandalwood in the local area and reliance on supplies from other regions. Conclusion: The tradition of using sandalwood is preserved through intergenerational practices and positive personal experiences. This study emphasizes the significance of sandalwood for health applications, cultural identity, and the local wisdom of the Balinese community.

Hypertension is a major public health problem with an increasing prevalence and is often undetected due to its asymptomatic nature, leading to serious complications if not properly controlled. Low levels of public knowledge and poor adherence to preventive behaviors, routine health checks, and treatment remain significant challenges in hypertension management at the community level. This community service program aimed to improve public knowledge and awareness of hypertension through the implementation of the CERDIK and PATUH approaches. The program employed a community-based promotive and preventive method, including health education, blood pressure screening, and interactive discussion and counseling. The activity was conducted in RW 013, Kapuk Subdistrict, Cengkareng District, involving 60 adult and elderly participants. Knowledge levels were assessed using pre-test and post-test questionnaires and analyzed descriptively. The results demonstrated a substantial improvement in participants’ knowledge after the health education intervention, with the mean knowledge score increasing from 35 before the intervention to 80 after the intervention. In addition, the variation in knowledge levels among participants became more homogeneous following the educational activities. High community enthusiasm and active participation during the program reflected positive acceptance and engagement with the hypertension education initiative. This community service activity confirms that community-based health education using the CERDIK and PATUH approaches is effective as a promotive and preventive strategy to enhance public knowledge of hypertension. Improved knowledge is expected to encourage healthier lifestyle behaviors and greater adherence to hypertension control practices, thereby supporting sustainable and independent blood pressure management within the community.

This study evaluates the Cageur Jasa Health Service Program at the Tanah Tinggi Public Health Center in Tangerang City, which was developed as an innovation to expand access to basic healthcare services through home visits. The program aims to improve service quality, strengthen family independence in maintaining health, and support the achievement of the 12 indicators of the Indonesia Healthy Program with a Family Approach (PIS-PK). The evaluation applies William N. Dunn’s six policy evaluation criteria effectiveness, efficiency, adequacy, equity, responsiveness, and appropriateness supported by theoretical frameworks from public administration, public policy, and health service innovation. This research employs a qualitative descriptive method, with data collected through observation, in-depth interviews with informants, and secondary data analysis. The findings indicate that the program’s implementation has not fully achieved its intended objectives, as evidenced by declining service coverage, several PIS-PK indicators remaining below 50%, increasing disease findings, and the persistence of maternal and infant mortality cases. Limitations in resources, coordination, infrastructure, and suboptimal promotive and preventive efforts further hinder the program’s effectiveness. Overall, the study concludes that although Cageur Jasa contributes to improving healthcare access, its implementation at the Tanah Tinggi Public Health Center remains suboptimal and requires continuous improvement.

Cooking oil is a staple food widely used in daily cooking. However, repeated use of cooking oil, resulting in its conversion into used cooking oil, can have negative impacts on both health and the environment. Used cooking oil that has changed color and quality is carcinogenic and has the potential to increase the risk of cardiovascular disease if consumed again. Furthermore, improper disposal of used cooking oil can cause environmental pollution because it is difficult to decompose. This study aims to examine the wise management of household waste, especially used cooking oil, by utilizing it into products with utility value. One form of utilization is processing used cooking oil into environmentally friendly soap for laundry purposes. This activity was carried out as a form of community service through training in making soap from used cooking oil with the addition of essential oils for aromatherapy for residents of Pasar Rawa Village, Gebang District, Langkat Regency. The research method used was qualitative, with observation and direct participation in the training activities. The results showed that participants, particularly housewives, demonstrated high enthusiasm and were actively involved in both the presentation and the soap-making practices. This activity not only raised public awareness of the importance of managing used cooking oil waste but also provided new skills that have the potential to support family economic growth.

The development of digital banks and the operational losses still experienced by PT Bank Aladin Syariah Tbk necessitate a financial health analysis to assess the potential for financial distress. This study aims to assess the potential bankruptcy level of Bank Aladin for the period 2021–2024 using the Modified Altman Z-Score model. The research method is descriptive quantitative with secondary data from annual financial reports and OJK publications, which are analyzed through four main ratios, namely working capital, retained earnings, earnings before taxes, and equity value to total debt. The results show that the Z-Score values are well above the safety threshold, with the highest value of 17.764 in 2021 and the lowest of 9.422 in 2022, mainly driven by high liquidity and equity strength. Thus, it can be concluded that PT Bank Aladin Syariah Tbk is in the Safe Zone category and does not show any potential for bankruptcy during the research period, although an increase in profitability is still needed.

Introduction: Dental and oral health problems in school-age children are still a major public health concern. The Little Doctor Program is a school-based health promotion approach that involves the active role of students as agents of change. This study aims to analyze the effectiveness of Small Doctors in promoting dental health in elementary schools. Methods: This study used a quasi-experimental design with a one group pretest–posttest approach. The subjects of the study were elementary school students who participated in dental health promotion activities by Small Doctors. Interventions include counseling, demonstrations of proper brushing of teeth, and the use of educational media. Data were collected using a questionnaire of dental health knowledge, attitudes, and behaviors before and after the intervention. Data analysis was carried out using the paired t-test or Wilcoxon test with a significance level of p < 0.05. Results: There was a significant improvement in students' dental health knowledge, attitudes, and behaviors after the intervention (p < 0.05). Conclusion: The Small Doctor Program is effective as a strategy for promoting dental health in elementary schools and has the potential to support promotional and preventive efforts for children's dental health.

ABSTRACT Background: Tourist areas are regions with a high potential risk of disasters, so tourism actors are required to have basic knowledge of Basic Life Support as part of disaster preparedness. The Tourism Health Nursing approach emphasizes the importance of the health capacity of the tourist community to prevent and respond to emergency conditions. Objective: This study aims to understand the effect of BLS training on improving the knowledge of tourism actors in managing disaster preparedness based on Tourism Health Nursing. Method: The research design was a quasi-experiment with a one group pretest–posttest design. The sample consisted of 30 tourism actors, selected using purposive sampling. Analysis was conducted using the paired t-test. Result: The average score after receiving Basic Life Support (BLS) training showed that the average BLS knowledge score of respondents before training was 58.9, with a minimum-maximum range of 60-73. with an average score difference of 6.4. Conclusion: It can be concluded that there is an effect of Basic Life Support (BLS) training on public knowledge. BLS training has a significant impact on increasing the knowledge of tourism actors in disaster preparedness.

The fitness industry has shown rapid growth as public awareness of the importance of healthy lifestyles increases in today's world. Gyms no longer function solely as a place to exercise, but also offer value and a sustainable experience for their members. The ability to manage a gym and retain members in this increasingly competitive era encourages gym owners to be more sensitive to factors that could potentially affect member satisfaction and loyalty. To improve the quality of the gym, it is necessary to evaluate the price and quality offered in the form of well-maintained and complete facilities. The suitability of the price to the benefits felt by members will make them more loyal to training at the gym. Likewise, comfortable facilities can increase member loyalty, which in turn drives member satisfaction, especially at Velcro Gym.