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This Community Service is entitled Education and Examination of BMI (Body Mass Index) at the Madinatul Munawarah Islamic Boarding School in Bukittinggi City. Body Mass Index is defined as a person's weight in kilograms divided by height in meters. The purpose of this PKM is to increase awareness and knowledge of students in paying attention to their health regarding BMI, as well as providing education on effective prevention and management methods in maintaining ideal weight and height. This PKM is carried out through health counseling, health checks, and education about healthy lifestyles. The students targeted in this study are from the Madinatul Munawarah Islamic Boarding School in Bukittinggi City. Before the counseling, 26 students were given counseling about their knowledge of BMI / Body Mass Index. Then after the counseling, a health check was also carried out through measuring height and weight. The BMI of the students turned out to show BMI figures that could be categorized as follows: the highest normal category of BMI measurement was 14 people out of 26 participants (54%), and followed by the thin category of 7 people out of 26 participants (27%) while the obese were 5 people out of 26 participants (19%) from the results of calculations using the formula. After counseling and health checks, the students targeted in this study were from the Madinatul Munawarah Islamic Boarding School in Bukittinggi City showed an increase in awareness and knowledge about BMI. Most participants also showed changes in a healthier lifestyle, such as increasing consumption of fruits and vegetables, and doing physical activity regularly. This PKM shows that health education and counseling can increase awareness and knowledge of the students targeted in this study were from the Madinatul Munawarah Islamic Boarding School about BMI. Thus, the students targeted in this community service from the Madinatul Munawarah Islamic Boarding School in Bukittinggi City, can carry out effective prevention and management to reduce the risk of overweight disease.

This study examines the influence of product quality, service quality, and word of mouth on purchase decisions at DNA Spot Café Surakarta, based on 100 randomly selected respondents. Multiple linear regression analysis shows that service quality and word of mouth have a positive and significant effect, while product quality is not significant. The coefficient of determination of 61.3% indicates that the independent variables explain most of the variation in purchase decisions, contributing to marketing management research in the café industry. The results highlight the crucial role of service quality in shaping customer perceptions and driving decision-making in the café industry. High-quality service fosters positive customer experiences, which, in turn, encourage repeat visits and enhance loyalty. Additionally, the significant influence of word of mouth underscores the importance of social interactions and customer recommendations in the decision-making process, especially in a service-based business like a café, where personal experiences are often shared and valued among peer groups. Conversely, the insignificance of product quality suggests that while product standards are important, they may not be the primary driver of purchase decisions at DNA Spot Café. This indicates that customers may prioritize the overall experience, atmosphere, and peer recommendations over product differentiation when choosing where to dine or spend leisure time. These findings contribute to the body of marketing management research, particularly in the context of the café industry, by emphasizing the strategic importance of service excellence and customer engagement strategies to enhance brand reputation and influence consumer behavior. Future research could explore additional factors such as pricing, promotional strategies, and customer loyalty programs to provide a more comprehensive understanding of purchase decision dynamics.

The Village Consultative Body (BPD) plays a strategic role in overseeing the implementation of village governance to ensure transparent, participatory, and accountable governance. However, in practice, the effectiveness of the BPD's role is often influenced by various internal and external factors. This study aims to analyze the role of the BPD of Kersik Tuo Village in improving village government accountability based on the five dimensions of Servqual developed by Parasuraman, Zeithaml, and Berry, namely tangibles, reliability, responsiveness, assurance, and empathy. The research uses a descriptive qualitative approach with a case study method. Primary data was obtained through in-depth interviews with the BPD chairperson, village officials, and BPD members, while secondary data was sourced from official village documents, accountability reports, and related literature. Data analysis was conducted using the interactive Miles and Huberman model, which includes data reduction, data presentation, and conclusion drawing.The results of the study indicate that in the tangibles dimension, the BPD has provided physical facilities and information media that support transparency; in the reliability dimension, the BPD consistently carries out supervision in accordance with the planning and implementation cycle of village programs; in the responsiveness dimension, the BPD quickly responds to complaints and aspirations from the community; in the assurance dimension. Factors supporting the role of the BPD include the commitment of members to transparency, clear regulatory support, and partnerships with village officials and the community. Meanwhile, the main obstacles include limited human resources, supporting facilities, and suboptimal community participation. In conclusion, the BPD of Kersik Tuo Village has played a fairly effective role in maintaining the accountability of village administration, although there is still a need to improve the capacity of members, strengthen facilities and infrastructure, optimize public participation, and utilize information technology to support transparency and the quality of village public services.

Improving the capacity of village government is a strategic step in realizing sustainable development oriented towards community welfare. Pejengkolan Village, Padureso District, Kebumen Regency, as a developing village, faces challenges in planning, managing, and implementing participatory and sustainable development programs. These challenges include limited knowledge of village officials, a lack of understanding of village development regulations, and weak coordination between the village government and village institutions and the community. This research/activity aims to strengthen the capacity of village government officials by increasing knowledge, skills, and understanding of the role of village institutions, particularly the Village Consultative Body (BPD) and Village Community Institutions (LKD), in the development planning process. Capacity building for local government officials is considered a crucial step to ensure sustainable development at the village level. The method used is a participatory approach through training, focus group discussions, and technical assistance. This participatory approach not only improves technical skills but also strengthens collaborative values ​​among stakeholders. The results of the activity demonstrated an increase in village officials' understanding of village development regulations, their ability to develop inclusive development plans, and the establishment of synergy between the village government, the Village Consultative Body (BPD), the Village Funds (LKD), and the community. Furthermore, this activity demonstrated a shift in mindset among village officials toward more transparent, accountable, and responsive governance to community needs. Good governance at the village level is a fundamental element to achieving long-term community welfare. This effort is expected to serve as a foundation for strengthening village governance, which is able to address the dynamic needs of the community and encourage sustainable village development.

Obesity, central obesity, and hypercholesterolemia are prevalent yet often unrecognized health conditions that significantly elevate the risk for various non-communicable diseases (NCDs) such as diabetes mellitus, hypertension, and cardiovascular disorders. These conditions, when left undiagnosed and untreated, contribute to the growing public health burden worldwide. This community service program was designed to raise awareness and provide early detection of these conditions through basic health screening measures, including body mass index (BMI), waist circumference, and blood cholesterol levels. The program was implemented in Tomang Subdistrict, West Jakarta, where 90 participants were involved. The findings from the screening revealed concerning results: 67% of the participants were classified as obese, and 58% had central obesity, both of which are major risk factors for NCDs. A deeper analysis of lifestyle factors highlighted that high-fat diets, sedentary behaviors, and night shift work were significant contributors to the high rates of obesity and metabolic abnormalities observed. The educational outreach component of the program, which included the provision of information about healthy diets, exercise, and the importance of regular health screenings, proved to be effective in raising awareness about these health issues. Moreover, the simple health screening process was well-received by the community and contributed to a greater understanding of individual health risks. This initiative is expected to serve as a sustainable model for promoting health and preventing metabolic diseases in the community. The findings underscore the importance of early detection and education as critical strategies in the fight against obesity and related NCDs, suggesting that such programs can play a key role in reducing the future burden of chronic diseases in underserved populations

The Pancasila Student Profile Strengthening Project (P5) aims to develop students who possess strong character and skills that are relevant to the demands of the times, particularly in facing global challenges and technological advancements. One of the implementations of P5 at SMK NU 1 Sukodadi is the Gelar Karya activity, which serves as a platform for students to showcase their creativity and apply the values of Pancasila in real life. The theme of this activity is "Build a Healthy Body, Mind, and Sustainable Lifestyle," aimed at raising awareness of the importance of physical and mental health, as well as adopting environmentally friendly practices that support sustainability. The method used in this activity is a project-based learning approach, where students are given the opportunity to learn through direct experience. This allows them to understand and apply the theories they have learned in real-world practices. Additionally, the activity emphasizes collaboration between students and teachers, creating a supportive learning environment and strengthening the relationship between learners and educators. By utilizing experiential learning, students are directly involved in the learning process, which facilitates a deeper understanding. The results of this community service project show that the Gelar Karya activity successfully increased students' awareness of the importance of healthy lifestyles and sustainable environmental management. Students not only gained theoretical knowledge but also practical skills that they can apply in their daily lives. Furthermore, the activity strengthened students' character and supported the values of the Pancasila Student Profile. These findings can serve as a model for other schools to optimize the sustainable implementation of P5, providing a positive impact on shaping students' character and skills for a better future.

Sleep is a vital state of rest for humans to maintain a healthy body. After a day of activity, the body requires adequate sleep to recover and regain energy. One common sleep disorder is insomnia, characterized by difficulty sleeping both in terms of quality and quantity. Insomnia has traditionally been treated with sedatives, drugs that reduce anxiety and provide a calming effect with little or no impairment to motor and mental function. However, long-term use of chemical drugs can cause side effects, necessitating alternatives, one of which is the use of traditional medicine. Areca nut (Areca catechu L.) is known to possess antioxidant, antimutagenic, astringent (tightening), and intoxicating properties that have long been used in traditional medicine. This study was conducted experimentally in a laboratory to determine the sedative-hypnotic effects of areca nut ethanol extract. The observed parameter was survival time on the rotarod, and the data were analyzed using one-way ANOVA for homogeneity testing and Shapiro-Wilk for normality testing. If the data were not homogeneous or normal (p < 0.05), the analysis was continued with the nonparametric Kruskal-Wallis and Mann-Whitney tests. The results showed that administration of areca nut ethanol suspension as a positive control with varying doses did not produce significant differences, meaning that all three doses had the same sedative-hypnotic effect. In the treatment groups with areca nut ethanol extract doses of 0.52 mg/kgBW and 0.78 mg/kgBW, significant differences were observed compared to the negative control, indicating a clear sedative-hypnotic effect. Therefore, it can be concluded that areca nut (Areca catechu L.) ethanol extract at doses of 0.52 mg/kgBW and 0.78 mg/kgBW has the potential to provide sedative-hypnotic effects and can therefore be used as an alternative treatment for sleep disorders.

Hyperemesis gravidarum is a condition of excessive nausea and vomiting during pregnancy, which can lead to dehydration, weight loss, potassium deficiency (hypokalemia), and serious metabolic disorders. If left untreated, this condition can trigger complications such as ketosis, liver dysfunction, and even death. The exact cause is unknown, but several predisposing factors, such as multiple pregnancies, hydatidiform moles, psychological conditions (such as stress, fear of pregnancy), and a decreased immune system in pregnant women, are believed to play a role (Maryunani, 2018). Persistent nausea and vomiting cause the body to use carbohydrate and fat reserves for energy, which produces toxic metabolites. As a result, body tissues receive fewer nutrients and oxygen. Furthermore, potassium loss through vomiting and urine can contribute to hypokalemia and worsen vomiting. According to Maryunani (2019), this condition occurs more frequently in 60–80% of primiparous pregnant women and 40–60% of multiparous pregnant women during the first trimester. This study used an analytical method with a cross-sectional approach to determine the relationship between knowledge and attitudes of pregnant women towards the occurrence of hyperemesis gravidarum. The results showed a significant relationship between knowledge (p = 0.015) and attitudes of pregnant women (p = 0.006) towards the occurrence of hyperemesis gravidarum. It is hoped that health workers, especially in Community Health Centers, will be more active in providing education to pregnant women regarding the prevention of hyperemesis gravidarum. Pregnant women are also expected to regularly check their pregnancies and seek appropriate information to maintain their health during pregnancy. This study used an analytical method with a cross-sectional approach to determine the relationship between knowledge and attitudes of pregnant women towards the occurrence of hyperemesis gravidarum. The results showed a significant relationship between knowledge (p = 0.015) and attitudes of pregnant women (p = 0.006) towards the occurrence of hyperemesis gravidarum.

Warfarin (commonly known by its trade name, Coumadin) is an oral anticoagulant that has been widely used for the prevention and treatment of thromboembolic disorders. Despite its clinical benefits, warfarin therapy is complicated by a very narrow therapeutic index and wide inter-individual variability in dose requirements. This variability represents a major challenge for clinicians, as inappropriate dosing may lead to serious adverse outcomes such as bleeding or thrombotic events. A growing body of evidence suggests that genetic polymorphisms are among the most important factors contributing to this variability, particularly those involving the Vitamin K Epoxide Reductase Complex Subunit 1 (VKORC1) gene. VKORC1 encodes a key enzyme that functions as a bottleneck in the vitamin K cycle, playing an essential role in the regeneration of reduced vitamin K (VKH). This active form of vitamin K is required for the γ-carboxylation of vitamin K–dependent clotting factors, including prothrombin and other coagulation proteins. Polymorphisms within VKORC1 can significantly alter the enzyme’s expression and activity, thereby modifying an individual’s sensitivity to warfarin. One of the most clinically relevant variants is the -1639G>A (rs9923231) polymorphism, which reduces VKORC1 transcription and subsequently decreases enzyme activity. Patients carrying the A allele often exhibit increased sensitivity to warfarin and therefore require lower maintenance doses compared to those with the G allele. Understanding these genetic influences not only improves our knowledge of warfarin pharmacogenomics but also highlights the importance of personalized medicine in anticoagulant therapy. Incorporating VKORC1 genotyping into clinical practice could optimize dose prediction, minimize adverse events, and enhance the safety and effectiveness of warfarin therapy. This narrative review aims to provide an in-depth discussion of the complex role of VKORC1 in vitamin K metabolism and its impact on warfarin sensitivity, thereby underscoring the critical relevance of genetic factors in guiding individualized anticoagulation therapy.

Increased blood sugar levels due to the body's impaired insulin production are a sign of a chronic metabolic disease known as diabetes mellitus. As seen in Batam, cases of diabetes mellitus in Indonesia are relatively high. This study aims to determine how long type II diabetes mellitus wounds last in Batam City. This study used a cross-sectional approach to conduct quantitative descriptions. This study involved 60 people. The Chi-Square test was used to conduct data analysis. The results showed that there was a significant correlation between age and the healing time of diabetes mellitus wounds, with a sig P value of 0.001 <0.05; gender had a significant correlation, with a sig P value of 0.007 <0.05; sugar control had a significant correlation, with a sig P value of 0.001 <0.5; and anemia had a significant correlation, with a sig P value of 0.001 <0.5. The results indicate that there is a relationship between these variables and the healing time of type II diabetes mellitus wounds. It is hoped that this study can be used as literature for further research.

Nutritional status is an overview of the condition of the body that reflects the balance between nutrient intake and the body's nutritional needs. Breakfast habits and the amount of pocket money are factors that can affect the nutritional status of school-age children. Objective: This study aims to determine the relationship between breakfast habits and the amount of pocket money with the nutritional status of students at Karya Bakti Helvetia Private Elementary School. Methods: This research employed an analytic survey method with a cross-sectional design. Results: The results showed that there was a significant relationship between breakfast habits and students’ nutritional status (p-value = 0.002; p < 0.05) and a significant relationship between the amount of pocket money and students’ nutritional status (p-value = 0.002; p < 0.05). Conclusion: It can be concluded that breakfast habits and the amount of pocket money are significantly associated with the nutritional status of students at Karya Bakti Helvetia Private Elementary School.

Background: Fever is a common side effect after infants receive DPT (Diphtheria, Pertussis, and Tetanus) immunization. This condition often causes concern for parents, so appropriate treatment is needed. Generally, fever can be treated with pharmacological and non-pharmacological methods. One of the most widely used non-pharmacological treatments is warm compresses. However, innovations in the use of natural ingredients are starting to be noticed, one of which is dadap serep leaves which are thought to be more effective in helping to lower body temperature. The active compounds in dadap serep leaves are believed to provide a calming effect while helping vasodilation, so that body heat can be reduced more quickly. Methodology: This study used a quantitative method with a quasi-experimental design of the non-equivalent pretest posttest control group design. The research subjects were divided into two groups, namely the intervention group who received dadap serep leaf compresses and the control group who received warm compresses. Body temperature measurements were taken before and after the intervention. The data obtained were analyzed using statistical tests to see the difference in temperature reduction in each group. Results: The intervention group showed a significant reduction in body temperature, namely 73.3%. In contrast, the control group using warm compresses only experienced a 20% reduction, which was not statistically significant. The results of the intergroup comparison test also showed a significant difference, supporting the research hypothesis. Conclusion: Dadap serep leaf compresses were proven to be more effective than warm compresses in reducing fever in infants following DPT immunization. These findings suggest that the use of dadap serep leaves can be recommended as a safe, effective, and easy-to-implement non-pharmacological intervention alternative in daily practice.

Feed is a key component in catfish (Pangasius hypophthalmus) cultivation because it directly affects the growth rate, health, and productivity of the fish. Among the various nutrients contained in feed, protein plays a crucial role, particularly in the formation and repair of fish body tissues. Adequate protein content supports optimal growth, while protein deficiency can reduce productivity. Therefore, analyzing protein levels in feed is essential to ensure its quality. This study aimed to analyze protein levels in catfish feed using the Kjeldahl method. The analysis was conducted at the Pekanbaru Center for Standardization and Industrial Services (BSPJI). The Kjeldahl method was chosen because it is known to have a high level of accuracy and reliability. The procedure involves three main stages: destruction, distillation, and titration. The working principle of this method is to convert organic nitrogen in the sample into ammonia, which is then captured and measured to determine nitrogen levels, which are then converted to protein levels. In this study, five feed samples with codes U-139 to U-142 were used. The test results showed that the protein content of the samples ranged from 20.44% to 23.09%. Furthermore, a Relative Percent Difference (RPD) value of 0.0013% was obtained, indicating a very high level of measurement precision. The analysis results were then compared with the fish feed quality standards based on SNI 2534:2006, and it was found that all samples met the minimum protein content requirements. Thus, this study confirms the effective and accurate use of the Kjeldahl method in analyzing protein content in catfish feed. These results also provide important information for farmers and feed producers in ensuring the quality of feed used to support catfish farming productivity.

Hypertension is a chronic disease characterized by persistently elevated blood pressure. This condition occurs when the arteries narrow, obstructing blood flow and increasing pressure on the vessel walls. As a result, the heart is forced to work harder to pump blood throughout the body. If this condition is not properly controlled, it can lead to serious complications such as damage to the blood vessels, heart, kidneys, and even the brain. Therefore, effective management of hypertension is crucial, not only with pharmacological treatment but also through non-pharmacological interventions such as regular exercise. One recommended form of light exercise is brisk walking, which involves brisk walking at moderate intensity. This exercise is known to reduce peripheral resistance when the body's muscles contract, which in turn helps control blood pressure and increase cardiac output. This case study aims to determine the effectiveness of brisk walking therapy on the risk of decreased cardiac output in hypertensive patients. The intervention was carried out on hypertensive patients through home visits three days a week, with one meeting each morning. Patients were given brisk walking therapy with a specific duration and intensity according to their condition. Evaluation was carried out by measuring blood pressure before and after the intervention using a standard observation sheet. After three interventions, there was a significant decrease in blood pressure in patients. This indicates a positive effect of brisk walking on the cardiovascular system of hypertensive patients. Brisk walking is an effective and easy-to-do non-pharmacological therapy to help lower blood pressure and reduce the risk of decreased cardiac output in hypertensive patients. It is hoped that this therapy can become part of a self-help intervention carried out continuously in the patient's home environment.

Futsal is a high-intensity team sport that requires a combination of speed, agility, and physical endurance, particularly cardiorespiratory endurance. Cardiorespiratory endurance is crucial because it directly relates to a player's ability to maintain optimal performance throughout a match, particularly when facing fast-paced and stressful play. Therefore, variables that can influence this ability, such as body composition and nutritional status, are crucial in developing athlete performance. One indicator that can be used to measure nutritional status and body composition is the Body Mass Index (BMI), which is obtained by measuring weight and height. BMI not only reflects whether a person is within the ideal weight range but also potentially influences the efficiency of the body's organs, including the cardiovascular and respiratory systems. In the context of futsal, players with a higher BMI tend to have a higher body weight, which can hinder movement efficiency and increase fatigue during matches. Conversely, players with a lower BMI may have insufficient energy reserves and muscle mass to maintain stamina during matches. This study shows a significant negative relationship between BMI and cardiorespiratory endurance in futsal players at Bali International University. The results of statistical tests using the Spearman rank correlation method showed a correlation coefficient (r) of -0.504 with a significance value of p = 0.005. This indicates that the higher a player's BMI, the lower their cardiorespiratory endurance tends to be. These findings support the importance of ideal body weight management in futsal athlete training, both through dietary adjustments and measured physical exercise programs.

Uric acid is a byproduct of purine breakdown, which is a component found in DNA and food. Purine is broken down into uric acid in the body, and if not excreted properly, it can lead to the accumulation of uric acid in the blood, known as hyperuricemia. If left untreated, this condition can develop into gout, which is characterized by joint pain and inflammation, particularly in the foot joints. In addition to medical treatment through medications, uric acid levels can also be naturally reduced through the consumption of certain foods, one of which is pineapple juice. Pineapple juice is known to have beneficial properties in reducing uric acid levels. Pineapple contains vitamin C, flavonoids, and bromelain. Vitamin C plays an important role in increasing the excretion of uric acid through urine, thereby helping to lower uric acid levels in the body. In addition, the flavonoids in pineapple act as antioxidants, inhibiting the enzyme xanthine oxidase, which is involved in the purine metabolism that produces uric acid. By inhibiting this enzyme, the process of uric acid formation can be reduced. Bromelain, a protease enzyme found in pineapple, also provides additional benefits. Bromelain helps accelerate the healing of swelling and joint pain caused by uric acid, as well as having anti-inflammatory effects that help reduce inflammation. This study was conducted using a case study method with a one-group pretest-posttest design to observe changes in uric acid levels in respondents after consuming pineapple juice. For 7 days, four respondents consumed 200 ml of pineapple juice per day. The results showed a reduction in uric acid levels in all four respondents, indicating that pineapple juice is effective as a supportive therapy in lowering uric acid levels. These findings suggest the potential of pineapple juice as a natural alternative to help manage uric acid levels.

Pine soda is a natural fermented liquid from pine needles (Pinus merkusii) which has a distinctive aroma and contains bioactive compounds with potential as antimicrobial agents. This study aims to determine the antibacterial activity of pine soda against Staphylococcus aureus using the disc diffusion method and to compare its effectiveness with the antibiotic ampicillin as a positive control. The process of making pine soda is carried out through simple fermentation of Pinus merkusii pine needles under certain conditions to produce a fragrant liquid. Furthermore, qualitative tests are carried out to identify the content of bioactive compounds, such as flavonoids, phenols, and essential oils, which are known to have antibacterial properties. In the antibacterial activity test, paper discs that have been soaked in pine soda solutions with graded concentrations (2%, 4%, 6%, 8%, and 10%) are placed on agar media that have been inoculated with S. aureus. The results of the observation showed the presence of inhibition zones in each treatment with varying sizes. The largest inhibition zone was obtained at a concentration of 10% with a diameter of 10 mm, which is included in the medium inhibition category. As a comparison, ampicillin produced an inhibition zone of 26.3 mm, while distilled water, the negative control, showed no inhibition zone. These findings indicate that the antibacterial activity of pine soda is influenced by its bioactive compound content, although its effectiveness is still lower than that of standard antibiotics. This potential opens up opportunities for developing pine soda as a safe natural antibacterial agent, whether in the form of health products such as antiseptics, natural cleaners, or functional beverages that support body health. Further research is needed to optimize the fermentation process, increase the concentration of active compounds, and test its effectiveness against various types of pathogenic bacteria.

The topics of morphology, anatomy, and physiology are integral to biology learning, yet they often present challenges for students due to their abstract and complex nature. Difficulties in understanding body structures and invisible biological processes lead to low student interest and engagement. This study aims to identify innovative learning approaches through an analysis of national scientific literature over the past decade. The results show that the integration of digital technology and student-centered learning methods can improve conceptual understanding and learning motivation. The most prominent innovations include the use of VR and AR-based media to clarify visualizations, the use of interactive videos and simulations to explain biological functions, and the application of contextual learning models such as Problem-Based Learning (PBL) and Project-Based Learning (PjBL). These approaches have proven effective in creating a more immersive learning experience that is relevant to students' needs.

In Indonesia, there are approximately 22.97 million people, or approximately 8.5 percent of the population, with the largest proportion being in the elderly group. One form of disability is physical disability, a condition in which limbs are imperfect due to defects that cause damage to bones, muscles, and joints, so that body functions cannot run normally. This condition often impacts not only the physical aspect, but also the psychological health of the sufferer. One of the main challenges faced by people with physical disabilities is maintaining resilience, namely the individual's ability to overcome depression, anxiety, pressure, and stress in living daily life. This study uses a literature review method to examine the results of previous studies relevant to the topic of resilience in people with physical disabilities. The data collection process was carried out through literature searches on the internet using sources from Google Scholar and Google Books. The criteria for selected literature include research that focuses on psychological interventions, especially reality therapy, and its effect on increasing resilience. Reality therapy is a counseling approach that emphasizes personal responsibility, awareness of choices, and the development of skills to face life's challenges effectively. The study results indicate that reality therapy has been shown to have a positive effect on increasing resilience in individuals with physical disabilities. Through a structured counseling process, this therapy helps individuals recognize their potential, develop positive attitudes, and develop adaptive coping strategies. Furthermore, reality therapy can increase motivation, self-confidence, and the ability to make constructive decisions when faced with physical limitations and social pressures. These findings indicate that the application of reality therapy can be an effective approach to supporting the psychological well-being of individuals with physical disabilities, while also contributing to more holistic rehabilitation efforts in Indonesia.

This study aims to comparatively analyze the effects of two types of inhalation anesthetics, ether and chloroform, on Wistar rats, focusing on three main parameters: induction time, duration of anesthesia, and side effects. Selecting the appropriate anesthetic method is crucial in animal studies to ensure animal welfare and the validity of the results. Twenty male Wistar rats, with an average body weight of 200–250 grams and 10–12 weeks of age, were randomly divided into two treatment groups of 10 rats each. The first group was anesthetized using ether, while the second group was anesthetized using chloroform, with doses adjusted to achieve adequate levels of anesthesia. Measurements were made of the induction time, which is the interval from the start of anesthetic exposure until the loss of the pedal reflex; the duration of anesthesia, which is the length of time until the rat regains consciousness; and clinical observations of any side effects that appear, both during and after anesthesia. The results showed that the ether group had a relatively longer induction time than the chloroform group. However, ether provided a longer and more stable duration of anesthesia, with a better recovery rate. In contrast, chloroform produced a shorter induction time but was accompanied by a shorter duration of anesthesia and a higher risk of side effects, particularly liver dysfunction and respiratory depression. These findings reinforce previous reports that chloroform has significant potential toxicity, and its use in animal research should be limited. Based on these results, ether is recommended as a relatively safe inhalation anesthetic option for laboratory procedures in Wistar rats, although its use still requires strict supervision and appropriate handling procedures to ensure the safety of both researchers and experimental animals.