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Introduction: Periodontitis treatment depends on the severity of the disease, pocket depth, and bone damage. It consists of (1) emergency phase, (2) non-surgical phase, (3) surgical phase, and (4) maintenance or restorative phase. Each phase plays a crucial role in ensuring healing and controlling periodontitis. The non-surgical phase involves scaling and root planing to remove plaque and tartar, while the surgical phase addresses bone damage and pocket reduction. The maintenance phase is critical to preventing disease recurrence. Objective: The purpose of this case report is to demonstrate the success of curettage in a patient with chronic localized periodontitis stage II grade A and stage I hypertension, within a two-week post-treatment period. Case: A 52-year-old female patient presented at RSGM Soelastri with complaints of bleeding gums during tooth brushing. The patient reported gum bleeding around the lower front teeth for the past six months, without any pain. She was regularly taking antihypertensive medication (amlodipine). Examination revealed deep periodontal pockets in teeth 41 and 42, accompanied by gum swelling, indicating chronic localized periodontitis stage II grade A. The patient also had a history of stage I hypertension, which required careful management during treatment. Conclusion: The treatment for chronic localized periodontitis stage II grade A on teeth 41 and 42 with stage I hypertension was curettage. After two weeks of treatment, the patient showed significant improvement, including reduced bleeding and a decrease in pocket depth, with stable hypertension control. Curettage proved effective in managing the condition, with careful consideration of the patient's hypertension risk factors.

The purpose of this study was to determine the care skills of nurses. In carrying out their profession, care is required to improve skills which is a process that leads to professionalism. The process begins with the perception of nurses in seeing conditions and solving problems, one of which is carrying out the application of nursing care to clients. The application of nursing care provided by nurses cannot be separated from spiritual aspects which are an integral part of the nurse's interaction with clients. Nurses together with special spiritual officers in the hospital try to help meet the spiritual needs of clients as part of the client's overall needs, among others by facilitating the fulfillment of these client needs, even though nurses and clients do not have the same beliefs and religions. In the application of spiritual nursing care is influenced by several factors, namely intellectual skills where the nurse's intellect will be very influential in the application of care. With data collection methods, namely observation, documentation and questionnaires. The population and sample are Samples In this study, the sampling technique used was purposive sampling, namely the sample taken was 50 nurses who served in four rooms of the Inpatient Hospital Labuang Baji Makassar.

This study aims to analyze the effectiveness of preventive maintenance on the Simplex machine at PT. XYZ by applying the Overall Equipment Effectiveness (OEE) method and identifying the primary causes of production losses through the Six Big Losses framework. Preventive maintenance is an important strategy to ensure machine reliability, reduce downtime, and improve production efficiency. OEE is a widely recognized performance measurement tool consisting of three key indicators: Availability, Performance, and Quality. These indicators collectively reflect the overall effectiveness of equipment in supporting the production process. The results of this study indicate that the OEE value of the Simplex machine is 79%, which remains below the world-class benchmark of 85% as recommended by the Japan Institute of Plant Maintenance (JIPM). This finding suggests that the machine’s performance has not yet reached the optimal standard and requires improvement efforts. Further analysis using the Six Big Losses approach reveals that the most significant contributors to reduced machine effectiveness are equipment failure and idling or minor stoppages. These two categories account for the majority of productivity losses, thereby affecting both machine utilization and production output. To further explore the underlying issues, a root cause analysis was conducted using a fishbone diagram, which enabled the identification of several critical factors related to human resources, methods, machines, materials, environment, and measurement systems. Based on this analysis, improvement proposals were developed through the 5W+1H method, providing a systematic strategy to enhance preventive maintenance practices. The recommended actions include scheduling more frequent inspections, improving operator training, upgrading spare parts management, and implementing stricter monitoring of machine performance. In conclusion, this study highlights the importance of continuous preventive maintenance to optimize machine productivity and reduce unplanned downtime. By adopting the proposed improvement strategies, PT. XYZ can increase the effectiveness of its Simplex machine, moving

The Paiton Steam Power Plant (PLTU) is one of the main sources of electrical energy in East Java, which plays a vital role in maintaining a sustainable electricity supply. The reliability of generator units is a key element in maintaining stable energy distribution. However, the high frequency of sudden generator failures poses serious challenges, such as increased downtime and increased maintenance costs. To address these challenges, this study aims to design a generator maintenance prediction model based on the Naive Bayes algorithm with a predictive maintenance approach. This study uses historical maintenance data and key sensor parameters such as temperature, oil pressure, and vibration as input. The data is analyzed through several stages, namely data preprocessing, selection of relevant features, and labeling generator conditions into three categories: Normal, Warning, and Critical. The Naive Bayes model is trained to classify the data probabilistically to generate predictions of future generator conditions. Model evaluation using accuracy metrics and a confusion matrix shows that the model successfully achieved an accuracy rate of 89% and was able to provide early warnings of potential failures up to 3 days before failure occurs. The implementation of this system is expected to support the shift in maintenance strategies from reactive and scheduled systems to data-driven predictive systems. Implementing failure predictions allows the technical team at the Paiton PLTU to conduct planned maintenance, avoid sudden disruptions, and extend equipment lifespan. Thus, this model has the potential to reduce operational downtime by up to 25%, while providing significant savings in operational and logistics costs. This research also shows that integrating machine learning technology into energy facility management can improve the efficiency and resilience of the overall electric power system.

Penyakit asam urat (gout) adalah gangguan metabolik yang sering dialami oleh lansia, yang dapat menyebabkan rasa sakit yang hebat, keterbatasan gerakan, serta penurunan kualitas hidup. Penyakit ini terjadi akibat penumpukan kristal asam urat di persendian, yang dapat menyebabkan peradangan dan nyeri yang parah. Faktor risiko utama termasuk pola makan yang kaya purin, obesitas, gangguan ginjal, serta penggunaan obat-obatan tertentu. Namun, banyak lansia yang kurang memahami penyebab, gejala, dan penanganan penyakit ini dengan baik, sehingga kondisi mereka seringkali memburuk. Untuk itu, kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan lansia dalam merawat penyakit asam urat secara mandiri. Program ini diselenggarakan melalui penyuluhan kesehatan yang interaktif, dengan materi yang mencakup etiologi penyakit asam urat, manifestasi klinis, komplikasi yang dapat ditimbulkan, serta berbagai strategi pengelolaan yang efektif. Salah satu aspek penting yang dibahas adalah modifikasi gaya hidup, yang meliputi diet rendah purin, hidrasi yang cukup, serta pentingnya aktivitas fisik. Selain itu, peserta juga diberikan pemahaman mengenai pentingnya kepatuhan terhadap terapi medis yang direkomendasikan oleh tenaga kesehatan. Metode pelaksanaan kegiatan ini meliputi ceramah yang interaktif, sesi tanya jawab, dan distribusi leaflet informatif untuk memperkuat pemahaman peserta. Kegiatan ini dilaksanakan di wilayah RW 05 Srengseng Sawah, Jagakarsa, Jakarta Selatan, yang diikuti oleh sejumlah lansia yang aktif berpartisipasi. Hasil evaluasi menunjukkan adanya peningkatan signifikan dalam pemahaman peserta tentang penyakit asam urat dan bagaimana cara merawatnya. Lansia menunjukkan antusiasme yang tinggi dan mampu mengidentifikasi langkah-langkah praktis yang dapat mereka terapkan dalam kehidupan sehari-hari untuk mengelola kondisi mereka. Melalui kegiatan ini, diharapkan lansia dapat lebih mandiri dalam mengelola asam urat, mengurangi frekuensi serangan, dan meningkatkan kualitas hidup mereka secara keseluruhan.

Pneumonia ialah penyakit Infeksi Saluran Pernapasan Bawah yang bersifat akut pada parenkim paru meliputi alveolus dan jaringan interential yang dikarenakan mikroorganisme seperti jamur, virus dan bakteri. Mikroorganisme yang masuk ke saluran pernafasan bagian bawah dapat mengganggu proses pernapasan serta membuat saluran pernapasan tidak berfungsi secara optimal, sehingga proses keluar masuk oksigen juga terhambat dan mengakibatkan gangguan pada pola napas. Beberapa permasalahan lain yang ditimbulkan dari pneumonia seperti adanya penumpukan sputum, otot bantu pernapasan, penurunan ekspansi thoraks dan juga nyeri dada. Dalam perawatanya, tenaga medis berperan dalam pemberian antibiotik selama 8 jam setelah pasien mengalami perawatan serta fisioterapi berperan dalam pemberian intervensi penyinaran Infrared, Chest physiotherapy, dan Myofascial release. Penelitian ini bersifat studi kasus yang mengangkat satu kasus pasien serta mengumpulkan data melalui proses fisioterapi. Intervensi fisioterapi dilakukan sebanyak 4 kali pertemuan di Rumah Sakit dr. Ario Wirawan, Salatiga dengan menggunakan Infrared, Chest physiotherapy yang meliputi Postural Drainage, Clapping, Vibrasi, Latihan Batuk Efektif, Pursed Lip Breathing dan Myofascial release. Setelah menjalani 4 kali terapi, diperoleh hasil kondisi pasien yang mengalami penurunan nyeri dada, penurunan tingkat sesak napas, peningkatan ekspansi thoraks, berkurangnya spasme otot bantu pernapasan dan retensi sputum.

Pemulihan kesadaran setelah general anestesi merupakan fase kritis yang dipengaruhi oleh berbagai faktor, salah satunya adalah penggunaan sevoflurane sebagai agen anestesi inhalasi. Waktu pulih sadar yang terlalu lama dapat berisiko menimbulkan komplikasi pascaoperasi dan memperpanjang waktu perawatan di ruang pemulihan. Variasi dalam penggunaan volume persentase sevoflurane dapat memengaruhi waktu pulih sadar pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara persentase sevoflurane dengan lama pulih sadar pasien yang menjalani anestesi umum di Instalasi Bedah Sentral RSU PKU Muhammadiyah Bantul. Metode penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan kuantitatif dan rancangan cross-sectional. Sampel terdiri dari pasien dewasa (19–59 tahun) yang menjalani operasi dengan anestesi umum menggunakan agen inhalasi sevoflurane. Instrumen pengumpulan data meliputi lembar observasi, jam, dan data dari mesin anestesi. Analisis data dilakukan menggunakan uji korelasi Spearman Rank. Hasil penelitian dari 60 jumlah responden yang diteliti, responden yang mengalami pulih sadar lama sebanyak 21 responden (35,0%), lalu pulih sadar sedang sebanyak 24 responden (40,0%), dan yang mengalami pulih sadar cepat sebanyak 15 responden (25,0%). Hasil uji Spearman Rank menunjukkan nilai signifikansi (p-value) 0,000 < 0,05, yang mengindikasikan adanya korelasi positif antara kedua variabel tersebut.

Introduction: Periodontal tissue is a supporting and protective tissue of the teeth consisting of gingiva, periodontal ligament, cementum, and alveolar bone. One type of periodontal disease is gingival enlargement. The main factor that causes this disease is bacterial plaque, so gingivectomy treatment is needed. Gingivectomy is a procedure to cut excess gingival tissue with the aim of eliminating pockets and gingival inflammation, so that good physiological, functional and aesthetic gingiva is obtained. Case: A 19-year-old male presented to Soelastri Dental and Oral Hospital with complaints of gingival enlargement, which had been occurring for the past six months, primarily affecting the upper right posterior and lower anterior gingiva. The patient reported no history of systemic illness and no known allergies to medications or food. Clinically, the gingiva appeared enlarged, soft in consistency, reddish in color, with blunted gingival margins. Periodontal pocket depths were recorded as follows: tooth 32 : 433, 31 : 423, 41 : 323 and 42 : 333. A diagnosis of gingival enlargement was established.. Management: The initial treatment consisted of scaling and root planing. However, no significant improvement was observed at the 7-day follow-up. Consequently, gingivectomy was performed on teeth 32, 31, 41, and 42. A follow-up evaluation was conducted 10 days post-operatively. Intraoral examination revealed periodontal pocket depths of 31 (2-1-1), 32 (2-1-2), 41 (2-1-2), and 42 (2-1-2). The patient demonstrated good oral hygiene, with a marked reduction in gingival enlargement. Nonetheless, mild edema and erythema persisted on the labial aspect of teeth 41 and 42. Conclusion : Gingival enlargement is an inflammation that occurs in the gingiva due to local factors, namely plaque bacteria. Treatment of gingival enlargement that does not shrink after scaling, root planing, must be performed gingivectomy so that good morphology and aesthetics are obtained.

Air filter maintenanceThis study aims to determine the effect of air filter maintenance on engine lifespan and performance in cars at Honda Camp Fast Jati Asih. The air filter is an important component in the combustion system, as it can influence engine power, fuel efficiency, and engine durability. The research uses a quantitative approach through experiments and case studies, involving cars that regularly undergo air filter maintenance. Data collected includes engine performance before and after maintenance, as well as engine lifespan records during the maintenance period. The results show that regular air filter maintenance can improve engine performance, save fuel, and extend engine life. These findings highlight the importance of air filter maintenance in keeping car engines in good condition.

The puerperium is a critical phase for postpartum mothers that requires special attention to prevent complications. However, awareness of the importance of self-care during this period remains limited, particularly in rural areas such as the working area of Puskesmas Kembang in Jepara. This community service initiative aimed to empower postpartum mothers by enhancing their knowledge and skills in self-care and physical recovery. The approach included interactive education using video media, health talks, group discussions, hands-on demonstrations, and the involvement of family members as key supporters. A total of 20 postpartum mothers and 10 family companions participated in the program. Evaluation through pre- and post-tests revealed significant improvements in knowledge across various aspects of postpartum care, including perineal hygiene, balanced nutrition, early detection of danger signs, and the role of family support. This program proved effective and has the potential to be replicated in other rural settings with similar conditions.

The integration of telemedicine and artificial intelligence (AI) into critical care has emerged as a revolutionary development in the healthcare sector, aiming to enhance patient care and outcomes. This research aims to explore the impact of these technologies on improving the quality of patient care in intensive care units (ICUs). A systematic review of recent studies published between 2018 and 2023 was conducted to analyze the role of telemedicine in improving access to healthcare and the application of AI in enhancing diagnostic accuracy and monitoring patients in real-time. The findings suggest that both telemedicine and AI significantly reduce response times, improve decision-making processes, and increase the accuracy of diagnoses, which ultimately contribute to better patient safety and outcomes. The research also highlights challenges, including infrastructure limitations and the need for specialized training for healthcare professionals. The study’s implications underline the importance of integrating these technologies in critical care units to improve overall healthcare delivery, while addressing barriers to implementation. Future research should focus on overcoming these challenges and exploring long-term outcomes of technology use in critical care environments.

This study examines how branding ambassador Syifa Hadju and content marketing affect Glad2glow skin care purchases. The research will focus on @glad2glow Instagram followers. This research was inspired by severe local perawatan kulit competition and consumer apathy about buying. Glad2glow hired Syifa Hadju as its brand ambassador and implemented a social media content marketing campaign to address this challenge. Using a Likert-scale questionnaire, quantitative data was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) and SmartPLS software. According to the research, Syifa Hadju significantly improves the possibility of customers completing a purchase, while engaging and consistent content marketing enhances audience engagement. Both components boost customer purchase intent, but the brand ambassador has a greater impact. These findings help create effective digital marketing strategies in the competitive perawatan kulit business.

Breast care is very important for mothers because it is a care action performed by the patient or assisted by others, usually starting from the first or second day after giving birth.The objective of this study is to determine the effect of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.The research uses a quasi-experimental one-group post-test only design.The sample in this study consisted of 15 respondents.Data collection on breast milk smoothness used observation sheets and the statistical test employed was the independent t-test.The research results showed that the highest breast milk production after the intervention was smooth breast milk from 11 respondents (73.3%).The results of the unpaired t-test showed a p-value of 0.000 where < α 0.05.Conclusion: There is an influence of breast care on the smoothness of breast milk production in postpartum mothers at RSUD Walanda Maramis.

Patients with mental disorders often face a decrease in the quality of their ability to carry out daily activities and social interactions. One of the factors that can affect the quality of life of patients with mental disorders is their self-care ability. The purpose of this study was to determine the relationship between self-care ability and quality of life of schizophrenia patients at Prof. Dr. V. L. Ratumbuysang Mental Hospital. This Method of research is correlation and uses cross sectional research design. The population in this study amounted to 52 patients with schizophrenia, the sampling technique used purposive sampling technique using inclusion criteria so that the sample obtained was 32 patients. The results of this study are based on the Sperman Rho test the result of the p value is 0.000 which is smaller than the significant value (a = 0.05), then the correlation coefficient is also found to be 0.752 which can be interpreted in the strong relationship category, thus it can be said that in this study H0 is rejected and Ha is accepted which means that there is a relationship between self-care skills and the quality of life of schizophrenic patients at Prof. Dr. V. L. Ratumbuysang Mental Hospital. The conclusion of this study is a significant relationship between the role of nurses and the implementation of self-care in schizophrenic patients, the better the self-care skills, the better the quality of life in patients with schizophrenic mental disorders Guidance and coaching provided by nurses can help patients develop better self-care skills

According to WHO (2019) the health status of a woman can be determined from the number of deaths due to pregnancy, childbirth and postpartum. The maternal mortality rate is one of the global targets of the Sustainable Development Goals (SDGs) in reducing maternal mortality. Based on the Central Statistics Agency (BPS) in 2023 in South Sumatra Regency, the coverage of exclusive breastfeeding with the percentage of children receiving exclusive breastfeeding from year to year has increased significantly. In 2020 it was 68.06%, in 2021 it was 69.93%, and in 2022 it was 70.46%. Research Method: The type of research used is descriptive analytical research with a cross-sectional research design, namely a method of data collection carried out at the same time. Research Results: Postpartum mothers who experienced breast milk engorgement were 56.3% and only 43.7% did not experience breast milk engorgement. Mothers who do breast care are mostly in the poor category (62.5%) and a few in the good category (37.5%). There is a relationship between Breast Care and the Incident of Breast Milk Dams Conclusion: There is a relationship between Breast Care and the Incident of Breast Milk Dams in Postpartum Mothers 

SMEs are the backbone of the local economy and require contextualized and adaptive leadership and human capital management strategies. This article aims to describe the indigenous values-based leadership model implemented in Aglaia Shoes Cleaning-a shoe-care SME in Malang City-and how it contributes to strengthening human capital. The service activities were carried out through a participatory and educative approach, including soft skills training, structuring work structures, and preparing simple SOPs based on local cultural values such as mutual cooperation, responsibility, and perseverance. The results of the activities show that a leadership approach that integrates indigenous values can create a more collaborative work environment, increase productivity, and foster loyalty and a sense of ownership in the work team. Strengthening human capital does not only occur through increasing technical capacity, but also through instilling local values and work ethics. This model has the potential to be replicated in other MSMEs with similar characteristics to encourage local culture-based business sustainability.

Kegiatan perawatan pelampung suar di wilayah kerja Distrik Navigasi Tipe A Kelas I Tanjung Perak memiliki tingkat risiko kecelakaan kerja yang tinggi, mengingat aktivitas ini melibatkan pekerjaan fisik berat serta kondisi lapangan yang dinamis. Penelitian ini bertujuan untuk menganalisis risiko kecelakaan kerja menggunakan metode Job Safety Analysis (JSA), yang berfungsi untuk mengidentifikasi potensi bahaya serta menetapkan langkah pengendalian yang sesuai. Penelitian ini menggunakan pendekatan kuantitatif dengan metode deskriptif observasional. Teknik pengumpulan data dilakukan melalui observasi lapangan dan penyebaran kuesioner kepada 40 responden, yang dipilih berdasarkan teori Arikunto. Hasil penelitian menunjukkan bahwa terdapat 13 jenis potensi kecelakaan kerja selama proses perawatan pelampung suar berlangsung. Dari jumlah tersebut, 9 termasuk dalam kategori risiko tidak diinginkan dan 4 lainnya dalam kategori dapat diterima dengan kontrol. Pengendalian risiko dilakukan melalui penerapan rekayasa teknik, pendekatan administratif, penggunaan alat pelindung diri (APD), serta eliminasi bahaya langsung dari sumbernya. Hasil ini menunjukkan bahwa analisis risiko merupakan bagian penting dalam sistem manajemen keselamatan kerja di bidang navigasi laut.

The lack of knowledge, attitudes, and actions among children regarding dental and oral health care is due to the lack of health education. One way to improve this is through education using videos and mentoring. Most adolescents in Gentan Village have dental and oral health problems, with the target of dental and oral health in adolescents only reaching 70%, indicating relatively low dental and oral health levels. This service aims to provide education through audiovisual media and mentoring to adolescents about dental and oral health care, increase knowledge, and provide an understanding of the parts of the teeth, as well as how to properly brush teeth, including brushing the front, sides, chewing surfaces, deep parts, and tongue. This community service is carried out by providing health education using audiovisual media and mentoring. Through this activity, it is hoped that adolescents will become more aware of the importance of maintaining dental and oral hygiene and can properly perform the correct brushing technique to prevent dental caries and toothaches. At the end of the service, there was an increase in understanding and a change in attitudes from negative to positive in preventing dental caries. The results of this activity showed an increase in knowledge and a positive attitude toward dental and oral care. Therefore, this education and mentoring are important to increase children's awareness of the importance of brushing their teeth for better health.

Palliative care for HIV patients aims to improve the quality of life and manage the symptoms experienced. Sufficient knowledge of nurses regarding this care is essential for providing optimal care. The purpose of this study was to describe the level of knowledge of nurses about palliative care in HIV patients. This descriptive quantitative study involved nurses working in hospitals treating HIV patients. Data were obtained through a questionnaire that measured nurses' knowledge of the principles of palliative care. Data analysis was done descriptively. The results showed that out of 60 respondents, 54 people (90.0%) had good knowledge, 5 people (8.3%) had sufficient knowledge, and 1 person (1.7%) had poor knowledge.

Teenage pregnancy is important issue because reproductive organs are not ready and can endanger mother and child she is carrying. Other impacts are premature babies and increased maternal and child mortality rates, due to lack of proper newborn care. was determine relationship between teenage pregnancy and incidence of prematurity and ability to care for newborns. This research is a type of quantitative research using a Cross Sectional approach. Data collection was carried out using questiobbaire. Number of respondents was 70 people with a purposive sampling technique. Based on analysis result, it was obtained that from 70 respondents of study, majority had characteristics of adolescence as much 64,3%. Overall gender characteristics were female 100%, with characteristics of majority of education level having a high school education of 57,1%. Characteristics of majority of jobs were housewives as much 45,7% and private employees as much 42,9%. Result of study also showed that teenage pregnancy less than 19 years old experienced premature births 28% and mature 72%, while teenage pregnancy more than 19 years old experienced premature births 4,4% and mature 95,6%. Teenage pregnancy less than 19 years old were able to carry out newborn baby care with 48% good ability, 40% moderate ability, and 12% poor ability, while teenage pregnancy more than 19  years old were able to carry out newborn baby care with 77,1% good ability, 4,4% moderate ability, and 2,2% poor ability. Research result it can be concluded there is relationship between teenage pregnancy and incidence of prematurity and ability to care for newborns with p-value of 0,008 (<0,05) for incidence of prematurity and p-value of 0,000 (<0,05) for newborn care.