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Pernikahan dini yang berkembang dikalangan masyarakat Indonesia, dipandang sebagai sebuah komitmen untuk mengikat dua insan lawan jenis yang masih remaja dalam suatu ikatan keluarga. Usia remaja perempuan yang melakukan pernikahan dini diusia muda adalah mereka yang berusia dibawah umur-20 tahun yang melakukan pernikahan dini. Penelitian ini bersifat deskriptif dengan data primer yang ditinjau langsung yang bertujuan untuk mengetahui bagaimana tingkat pengetahuan remaja putri tentang tantang dampak pernikahan dini pada kesehatan reproduksi di Dusun VI desa Telaga Sari Tahun 2023 populasi penelitian ini seluruh remaja putri di Dusun Telaga Sari. Seluruh populasi dijadikan sampel sebanyak 30 orang. Dari hasil penelitian mengenai Tingkat Pengetahuan Remaja Putri Tentang dampak Pernikahan Dini diperoleh berdasarkan umur, mayoritas umur 16-18 tahun sebanyak 19 orang (63%) dan minoritas umur 19-20 tahun sebanyak 2 orang (7%), berdasarkan pendididkan mayoritas berpendidikan SMA sebanyak 19 orang (63%) dan minoritas berpendidikan SD sebanyak 1 orang (3%), berdasarkan sumber informasi mayoritas pada kelompok tenaga kesehatan sebanyak 13 orang (43%) dan minoritas pada media cetak sebanyak 3 orang (10%), dan  mayoritas berpengetahuan cukup sebanyak 18 orang (60%) dan minoritas berpengetahuan baik sebanyak 5 orang (17%). Diharapkan kepada seluruh remaja putri agar lebih meningkatkan pengetahuannya untuk mencegah terjadinya pernikahan dini dan untuk mengetahui dampak dalam pernikahan dini, hal ini bertujuan untuk menghindari remaja putri dari dampak melakukan pernikahan dibawah umur dan mengurangi resiko dalam resiko kesehatan reproduksi.

The implementation of Supply Chain Management (SCM) makes many businesses manage information, goods, services and money as good as possible so they can provide fast and high-quality services to customers. Therefore, this study aims to implement SCM in Kopi Bintang Salatiga SMEs to decrease production costs, increase revenue, improve operational efficiency and establish good relationships with customers. This study discusses the SCM process and the added value in Kopi Bintang Salatiga SMEs so in the future Kopi Bintang Salatiga SMEs can have good risk management and increase added value. The data was collected through literature study and interviewing the owner of Kopi Bintang Salatiga SMEs. This study found that weather, natural disasters, fires and coffee pests are the factors with the highest risk in the SCM process of Kopi Bintang Salatiga SMEs. The added value of farmers & post-harvest coffee processors of Kopi Bintang Salatiga Kopi Bintang Salatiga SMEs is already quite high at 99%, while at grade I coffee sales is 71% and grade II is 47% it appears that coffee with grade II has lower added value, so it is needing accuracy of coffee processing at farmers & post-harvest coffee processors so the grade I coffee product is increased.

Pernikahan dini yang berkembang dikalangan masyarakat Indonesia, dipandang sebagai sebuah komitmen untuk mengikat dua insan lawan jenis yang masih remaja dalam suatu ikatan keluarga. Usia remaja perempuan yang melakukan pernikahan dini diusia muda adalah mereka yang berusia dibawah umur-20 tahun yang melakukan pernikahan dini.           Penelitian ini bersifat deskriptif dengan data primer yang ditinjau langsung yang bertujuan untuk mengetahui bagaimana tingkat pengetahuan remaja putri tentang tantang dampak pernikahan dini pada kesehatan reproduksi di Dusun VI desa Telaga Sari Tahun 2023 populasi penelitian ini seluruh remaja putri di Dusun Telaga Sari. Seluruh populasi dijadikan sampel sebanyak 30 orang. Dari hasil penelitian mengenai Tingkat Pengetahuan Remaja Putri Tentang dampak Pernikahan Dini diperoleh berdasarkan umur, mayoritas umur 16-18 tahun sebanyak 19 orang (63%) dan minoritas umur 19-20 tahun sebanyak 2 orang (7%), berdasarkan pendididkan mayoritas berpendidikan SMA sebanyak 19 orang (63%) dan minoritas berpendidikan SD sebanyak 1 orang (3%), berdasarkan sumber informasi mayoritas pada kelompok tenaga kesehatan sebanyak 13 orang (43%) dan minoritas pada media cetak sebanyak 3 orang (10%), dan  mayoritas berpengetahuan cukup sebanyak 18 orang (60%) dan minoritas berpengetahuan baik sebanyak 5 orang (17%). Diharapkan kepada seluruh remaja putri agar lebih meningkatkan pengetahuannya untuk mencegah terjadinya pernikahan dini dan untuk mengetahui dampak dalam pernikahan dini, hal ini bertujuan untuk menghindari remaja putri dari dampak melakukan pernikahan dibawah umur dan mengurangi resiko dalam resiko kesehatan reproduksi.

Pengelolaan rantai pasok dengan menggunakan metode E-SCM untuk mengoptimalkan persediaan Toko Nadira dapat meningkatkan persediaan yang efisien. Permasalahan yang terjadi pada Toko Nadira adalah proses pencatatan barang, pengelolaan persediaan dan pemesanan ke Supplier masih manual dengan menggunakan buku catatan. Dengan adanya teknologi, Toko Nadira dapat memanfaatkannya dengan baik dengan menggunakan website, website ini mampu mempermudah proses pencatatan barang, monitoring persediaan, dan meningkatkan keakuratan dalam proses pemesanan barang ke Supplier serta update stok secara real-time, Metode penelitian yang digunakan meliputi analisis kebutuhan, perancangan sistem, implementasi, dan pengujian aplikasi. Hasil penelitian menunjukkan bahwa website E-SCM yang dikembangkan telah berhasil meningkatkan efisiensi operasional Toko Nadira, mengurangi resiko kehabisan stok, dan mempercepat proses restocking. Selain itu, sistem ini juga dapat diintegrasikan dengan laporan penjualan dan pembelian, yang memungkinkan pemilik Nadira Store untuk melakukan analisis data yang lebih mendalam.

This study aims to explore gross motor developmental delays in 6-year-old children as an early indication of possible Tourette syndrome. Tourette syndrome is a neuropsychiatric disorder characterized by the emergence of spontaneous movements and sounds (tics) that are not realized and can interfere with the child's daily activities. In this study, a qualitative approach was used with a case study method on a boy in Malang City who showed symptoms of motor and vocal tics. Data collection was carried out through observation, in-depth interviews with teachers and parents, and documentation of the child's activities in the home and school environment. The results of the observation showed that the child had difficulty maintaining balance and showed spontaneous movements such as shaking his head, blinking, and clearing his throat repeatedly. These symptoms do not always appear consistently and occur more often when the child is tired or mildly stressed. Data analysis showed that motor delays were not caused by muscle disorders, but by an imbalance in neurological regulation that affects movement coordination. The main risk factors come from daily habits such as excessive use of gadgets, lack of rest time, and unstable emotional responses. The treatment carried out involves a combination of medication from a neurologist and environmental support such as reducing stress triggers, regulating playtime, and an inclusive educational approach. This study emphasizes the importance of early detection, holistic intervention, and ongoing support from families and educators in dealing with children with Tourette syndrome symptoms so that motor delays do not develop into more serious disorders.

Perilaku Hidup Bersih dan Sehat (PHBS) adalah serangkaian tindakan yang diambil untuk menjaga dan meningkatkan kesehatan individu dan masyarakat. Di kalangan remaja, perilaku ini menjadi sangat penting mengingat masa remaja merupakan periode transisi di mana kebiasaan hidup sehat dapat terbentuk dan akan berpengaruh terhadapi kesehatan mereka di masa depan. Sekolah Menengah Atas (SMA) atau Madrasah Aliyah (MA) merupakan salah satu tempat yang sangat strategis untuk memberikan edukasi dan sosialisasi tentang perilaku hidup bersih dan sehat (PHBS) di sekolah.  Lingkungan sosial yang terdiri dari remaja dengan berbagai kebiasaan, pengaruh teman sebaya, dan keterbatasan pengetahuan tentang pentingnya kesehatan memerlukan adanya perhatian khusus agar terhindar dari berbagai masalah khususnya masalah kesehatan. .Metode yang digunakan adalah pengabdian masyarakat dengan tahapan sosialisasi dan  edukasi terkait pentingnya perilaku hidup bersih dan sehat. Hasil pengabdian ini menunjukkan peningkatan signifikan dalam pengetahuan dan sikap siswa terhadap pentingnya perilaku hidup bersih dan sehat. Program ini diharapkan dapat menjadi model pengabdian masyarakat yang berkelanjutan untuk menjaga kesehatan siswa melalui pentingnya penerapan perilaku hidup bersih dan sehat di sekolah. Siswa diharapkan bisa konsisten dalam menerapkan perilaku hidup bersih dan sehat untuk mendukung terwujudnya derajat kesehatan masyarakat yang optimal serta  terhidar dari resiko masalah kesehatan.

This research aims to analyze the effectiveness of container lashing techniques in reducing the risk of cargo damage on MV. Tanto Bersinar. Lashing is a method of securing containers using equipment such as twist locks, lashing bars, and turnbuckle s to ensure cargo stability and safety during sea transport. The research employs a descriptive qualitative method with a case study approach through direct observation, interviews with crew members, and documentation. The findings indicate that the lashing technique on board has not been fully effective due to several factors, including insufficient quantity and poor condition of lashing equipment, limited crew understanding of proper procedures, and lack of regular training and supervision. The ineffectiveness of the lashing process leads to safety risks, operational delays, financial losses, and reputational damage to the company. This study recommends providing adequate and well-maintained lashing equipment, conducting routine crew training, ensuring compliance with standard operating procedures, and improving oversight to meet maritime safety standards. Proper implementation of lashing techniques is essential to minimize cargo damage and enhance the overall safety of maritime operations.

Keamanan makanan jajanan dewasa ini memiliki peran yang sangat penting dalam menunjang aktivitas dan meningkatkan mutu gizi para murid disekolah. Kebersihan dan jenis makanan jajanan yang dijual oleh para pedagang harus memperhatikan kualitas agar tidak berdampak negatif bagi kesehatan kususnya terkait maslah pencernaan.Selain dari sisi pedagang, edukasi kepada siwa terkait makanan jajanan yang sehat dan aman perlu dilakukan , salah satunya pada siswa di MA Nurul Ummah Yogyakarta. Lingkungan sekolah yang berada di pinggir jalan dan dikelilingi pemukiman penduduk dan sangat ramai dengan pedagang kaki lima yang berjualan mengharuskan para siswa memiliki pengetahuan tentang jajanan sehat. Pengabdian masyarakat  ini bertujuan untuk meningkatkan pengetahuan dan kesadaran siswa Madrasah Aliyah (MA) Nurul Ummah Yogyakarta tentang higiene dan sanitasi makanan jajanan di lingkungan sekolah, guna mengurangi risiko kesehatan akibat konsumsi jajanan yang tidak higienis. Metode yang digunakan adalah pengabdian masyarakat dengan tahapan sosialisasi, edukasi dan pelatihan dalam pemilihan jajanan sehat. Hasil penelitian menunjukkan peningkatan signifikan dalam pengetahuan dan sikap siswa terhadap pentingnya higiene sanitasi makanan, serta perubahan perilaku dalam memilih makanan jajanan yang lebih sehat. Program ini diharapkan dapat menjadi model pengabdian masyarakat yang berkelanjutan untuk menjaga kesehatan siswa melalui konsumsi makanan jajanan yang aman. Siswa diharapkan bisa selektif dalam memilih jajanan yang mereka konsumsi agar tidak terkena resiko masalah kesehatan.

Tuberculosis (TB) is currently a public health problem in the world, especially in Indonesia. Pulmonary TB is ranked 2nd as the main cause of death from infectious diseases after Human Immuno deficiency Virus (HIV). Pulmonary Tuberculosis is easily spread through the air when people who are sick with Pulmonary Tuberculosis release bacteria through the coughing mechanism. The spread of these bacteria is through sputum splashes or droplet nuclei released by TB sufferers through coughing, sneezing or talking face to face. The increase in TB cases is related to the degree of health in the community. The biggest factors that affect the degree of health are environmental factors and community behavior itself which can be detrimental to health. Risk factors for Tuberculosis transmission are environmental factors and behavioral factors, environmental factors include ventilation, housing density, temperature, lighting and humidity. While behavioral factors include smoking habits, spitting or throwing phlegm anywhere, coughing or sneezing without covering the mouth and the habit of not opening windows and not implementing clean and healthy living behavior (PHBS). This research method is a quantitative study with statistical tests with a cross-sectional design. This study was conducted at SMP 4 Ulee Rubek, North Aceh in November 2024. The research sample consisted of 15 children, Data collection techniques using questionnaires. Data analysis used descriptive statistical tests to test adolescents' knowledge about how to prevent TB. In addition to effective coughing, there are several ways to control pulmonary tuberculosis, namely by cultivating a clean and healthy life and cultivating ethical coughing behavior.

Anemia is a common health problem among adolescent girls, which can affect their growth and development. Thi study aims to identify factors that influence the occurrence of anemia in adolescent girls. Both biological and environmental factors contribute to anemia. The method used was a comprehensive literature review, by collecting data from various relevant sources including journals and research reports. The result emphasized the importance of knowledge about adolescent girls health, as well as lack of iron consumtion, irregular sleep patterns and long-duration or irregular menstruation, so there is a need for education n each village to reduce the risk of anemia in adolescent girls. The conclusion of this study shows that the impact of anemia  affects physical health, quality of life, productivity and social well-being. Addressing anemia should be a priority in public health policy.

Stunting is a chronic nutrition problem that affects the growth and development of children. This study aims to analyze the relationship between exclusive breastfeeding and the incidence of stunting in children aged 2-24 months in Matang Maneh Village. The research used a quantitative approach with a survey method. Data were collected through structured questionnaires, and the relationship was analyzed using the chi-square test. The results showed a Pearson Chi-Square value of 5.185 with a significance level of 0.023 (p < 0.05). This indicates a significant relationship between exclusive breastfeeding and stunting. Children who did not receive exclusive breastfeeding had a higher risk of stunting compared to those who did. This study highlights the importance of exclusive breastfeeding in preventing stunting. These findings can serve as a basis for creating intervention programs  to  increase  exclusive  breastfeeding coverage  and reduce stunting prevalence, especially in Matang Maneh Village.

Diabetes mellitus is a chronic disease that requires proper management, including the use of conventional and alternative medicines such as herbal medicines. Patient knowledge about the benefits, risks, and potential interactions of herbal medicines with conventional medicines is very important to prevent complications. Objective This study aims to describe the level of knowledge of diabetes patients about the use of herbal medicines, including the benefits, risks, and interactions with conventional medicines at the Kebondalem Health Center, Pemalang Regency. This study uses descriptive observational analytic Data were collected through questionnaires distributed to diabetes patients who were treated at the Kebondalem Health Center. Data analysis was carried out quantitatively with percentages to measure the level of patient knowledge.

One way to prevent high-risk pregnancies is by addressing the lack of knowledge. The Pre-Experimental Design research aims to determine how high-risk pregnancy health education impacts pregnant women's knowledge about their condition, using a one-group pretest-posttest design. By providing books and videos once, this research conducted an intervention. Data was collected through pre-test and post-test questionnaires. The total sampling method was used to collect 45 respondents. The results of the data analysis indicate that the normality test before and after the intervention showed that the data is not normally distributed with a significance of 0.00 ≤ 0.05. To test the research hypothesis, the Wilcoxon test was used, and the results showed that the Asymp. Sig. (2-tailed) value is 0.000 ≤ 0.05, which indicates that Ho is rejected and Ha is accepted. It can be concluded that health education on high-risk pregnancy shows that health institutions should implement and provide health education about high-risk pregnancy to patients who are already aware as well as those who are not. This will help pregnant women become more informed and reduce the number of high-risk pregnancies.

The reliability of a data center is highly dependent on its air conditioning and cooling system. This research evaluates the existing cooling system of Universitas Krisnadwipayana’s data center using the PPDIOO Network Life-Cycle approach. The study finds that the current cooling system, which relies on AC Split, fails to meet TIA-942 standards, posing significant overheating risks and increasing downtime probability. Observational analysis shows that the cooling distribution is inefficient due to inadequate airflow and the absence of a structured cooling layout. To address these issues, this research proposes an optimized cooling system design that incorporates Computer Room Air Conditioning (CRAC), hot aisle-cold aisle arrangement, and raised floor implementation. The recommended improvements also include installing temperature and humidity sensors for real-time environmental monitoring and implementing N+1 redundancy for enhanced system reliability. These solutions are expected to improve cooling efficiency, reduce energy consumption, and mitigate downtime risks. Future research should focus on evaluating the practical impact of this design by conducting real-world trials and exploring liquid cooling technology as a potential alternative for further efficiency improvements.

People with diabetes often experience ongoing anxiety due to concerns about possible complications. This condition can have a negative impact on physical, psychological, and social health. This anxiety can develop into depression. This study aims to determine the factors associated with the risk of depression in elderly people with diabetes mellitus in the Bandar Baru Health Center Working Area, Pidie Jaya Regency. The type of research used is analytical with a cross-sectional approach, while data analysis used univariate and bivariate. The population in this study amounted to 473 elderly people and the sample was 83 people with a purposive sampling technique. Based on the results of the study, it is known that the majority of respondents experienced a risk of severe depression (48.2%), there is a significant relationship between the level of family support (p value = 0.000), family function (p value = 0.000), and family role (p value = 0.000) to the level of depression in elderly people with diabetes mellitus in the Bandar Baru Health Center Work Area, Pidie Jaya Regency, so it can be concluded that family support, family function and family role are related to the risk of depression in elderly people with diabetes mellitus in the Bandar Baru Health Center Work Area, Pidie Jaya Regency.    

Background: When someone falls, they quickly lay down or sit down on the ground or floor, whether they are aware of it or not.  Many older people experience falling as a normal part of getting older.  One in three older people will fall at least once a year, and half of those people have fallen more than once in the past.  There are many things that can make an older person more likely to fall. These include sociodemographic factors like age, gender, and socioeconomic status, physiological factors like neuromuscular, musculoskeletal, visual, vestibular, proprioceptive, biomechanical, muscle strength, balance, and gait pattern, medical conditions (pathological), environment, and psychological factors.  Aminia et al. (2022) say that anxiety and fear of falling are mental disorders that happen to older people.  Mhetod: A pre-experimental research design with a one-group pretest and post-test design, a purposive sampling technique, and 14 people who filled out an observation sheet.  Findings: This research shows that there is a link between older people's body balance and their risk of falling.  A P value of 0.000, which is less than 0.05, was found in the study used Gamma correlation.  Because the 0.000 P number is less than 0.05, there is a link. Conclusion: There is a significant relationship between body balance and the risk of falling in the elderly at the Pucang  

ABSTRACT The implementation of Information Technology at XYZ Hospital serves as a key driver in enhancing the efficiency of healthcare services, but it also raises the organization’s vulnerability to significant operational risks. The primary risks identified involve inaccurate data resulting from human mistakes, breakdowns in system interoperability, and the deterioration of hardware infrastructure that may interfere with patient care. This research seeks to assess the governance of IT risk management and determine the organization’s capability level using the COBIT 5.0 framework, focusing on the APO12 (Manage Risk) domain. The study employs qualitative methods, gathering information through interviews and direct observations, and then conducts a gap analysis to compare the current state (As-Is) with the desired future state (To-Be). Findings show that the organization’s capability is currently at Level 2 (Managed Process) with a score of 1.87, which is still below the intended maturity level of 3 (Established Process) at 2.94. These results indicate that risk management activities are still largely reactive and rely on intuition, with no standardized procedures embedded within the institution. Ultimately, the study suggests formalizing a Risk Register, standardizing mitigation procedures through established SOPs, and developing a Disaster Recovery Plan to strengthen risk governance into a more systematic, preventive, and resilient framework.

PT.PP London Sumatra Indonesia Tbk combines the objectives of occupational safety and health into the management system at all levels of the company.  Management is responsible for preventing injuries and diseases due to work.  PT.PP London Sumatra Indonesia Tbk has succeeded in implementing an occupational safety and health management system to minimize work accidents.  The occupational safety and health management system program has been established in oil palm factory in the form of recruitment, education and training, counseling, use of personal protective equipment and appreciation.  Evaluation of the P2K3 work program on K3 policy can produce results, namely the acquisition of zero accident in the palm oil mill environment, in the factory environment there are no work accidents that cause loss of employee working days.  The influence and application of SMK3 can be proven from the lack of work accidents in the palm oil mill environment, and several awards are obtained about occupational safety.  PT.  PP London Sumatra Indonesia, Tbk was given a zero accident award for its achievements in implementing the Occupational Safety and Health Program (K3) so as to reach 2,596,288 working hours of people without work accidents, starting from January 1, 2012 to March 31  2016. Then won a gold flag award in SMK3 in Begerpang POM in 2009 and 2012. In the framework of implementing Government No. 50 of 2012 concerning the application of SMK3 in the workplace.

The risk of falls in the community in Kapuk Cengkareng Village, especially the elderly, is a health problem that can have a serious impact on quality of life. Balance examination and education are important preventive measures in reducing the risk of falls. This study aims to analyze the effectiveness of balance examinations using the Single Leg Stance (SLS) and Time Up and Go (TUG) methods and provide appropriate education to improve postural stability. The method used in this study involved balance tests with SLS and TUG in community groups with various age ranges. The data obtained were analyzed to see the relationship between balance test results and fall risk factors. In addition, balance education interventions were carried out including physical exercise and fall prevention strategies. There were 30 Respondents Involved in This Activity after the Task was completed The success measurement method was used to evaluate the pre- and Post-Test methods and N-Gain with a value of 0.9 indicating that the strength or category in this study was at a High Level. The calculation results showed a 70% increase from the Pre-test and Post-test results. This shows that respondents experienced positive changes after participating in the activity and that the Technique used could significantly improve the Results. The results showed that individuals with low scores on the SLS and longer travel times on the TUG had a higher risk of falling. The balance education provided was shown to improve balance ability and public awareness of fall risk factors. Thus, balance examination using the SLS and TUG methods and balance education can be an effective strategy in preventing the risk of falling in the community.

Elderly individuals are vulnerable to various chronic diseases, such as diabetes, hypertension, and cardiovascular disorders. Irregular or disrupted sleep patterns have been identified as key factors influencing the risk of chronic diseases in older adults. This study aims to examine the relationship between sleep patterns and the risk of chronic diseases in the elderly. A literature review method was employed by gathering data from relevant studies. The analysis indicates that sleep disturbances, such as insomnia and sleep apnea, increase the risk of chronic diseases due to disrupted bodily recovery processes and metabolism during sleep. Therefore, improving sleep patterns is a crucial intervention in preventing chronic diseases among the elderly.