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The elderly are highly susceptible to ascariasis infection because, in addition to the occurrence of immunosenescence, helminths possess the ability to evade host immune responses, making them difficult to eradicate. This community service activity aimed to improve health literacy and early detection of diseases among the elderly in Pejaten, South Jakarta, with a specific focus on Ascariasis. The program was successfully attended by approximately 70 residents, where a medical team from the Faculty of Medicine and Health conducted comprehensive health history assessments and free medical check-ups. This education proved vital as a catalyst for behavioral change, shifting the community's initial perception that worm infections only affect children to an understanding that adults and the elderly are also at high risk. Through health screenings, residents also gained critical insights into their physical condition, including blood pressure, heart, lung, digestive, and skin health, as well as identifying personal risk factors for Ascariasis.

Chronic kidney disease (CKD) is a global health problem with continuously increasing prevalence and mortality. This condition is characterized by a progressive and irreversible decline in kidney function, which is clinically assessed using the estimated glomerular filtration rate (eGFR) as one of the main parameters for staging and monitoring disease progression. Red blood cell distribution width (RDW) is a hematological parameter that reflects the degree of variation in erythrocyte size. In patients with CKD, elevated RDW levels are often associated with oxidative stress and chronic inflammation, which may accelerate kidney damage and increase mortality risk. To analyze the correlation between RDW and eGFR values in patients with chronic kidney disease at ODSK Hospital, North Sulawesi Province. This study used an analytical observational design with a cross‑sectional approach. It was conducted retrospectively using secondary data from the medical records of CKD patients at ODSK Hospital, North Sulawesi Province, from February 2024 to August 2025. This study used a total sampling method with 189 CKD patients who met the inclusion and exclusion criteria.  Based on Spearman-rank correlation analysis, the p‑value obtained was 0.129 (>0.05). There was no significant relationship between RDW and eGFR values in CKD patients at ODSK Hospital, North Sulawesi.Province.

This study aims to develop an effective predictive model for identifying students at risk of academic dropout using the Decision Tree and Linear Regression algorithms. The data used are sourced from the public Kaggle dataset Students Dropout and Academic Success, which includes demographic, socioeconomic, and academic performance variables for each semester. The research method includes data preprocessing stages, such as data cleaning, label encoding for categorical variables, numeric feature normalization, and target class adjustment to focus on binary classification, namely Dropout and Graduate. The modeling process is carried out by comparing the performance of the two algorithms using evaluation metrics of accuracy, precision, and recall. The results show that the Decision Tree algorithm has superior performance compared to Linear Regression in mapping non-linear patterns in student data. Feature importance analysis revealed that the number of curricular units in the second semester and tuition payment status are the main predictors of dropout risk. These findings are expected to assist educational institutions in implementing early interventions to improve student academic success.  

This study aimed to analyze differences in body composition among adult women across three regions with distinct sociocultural and environmental characteristics: Baduy Luar (rural–traditional), Salatiga (semi-urban), and Kota Bambu (urban). Using a cross-sectional design, the study involved 268 participants and assessed total body fat, visceral fat, subcutaneous fat, and skeletal muscle mass using the OMRON HBF-370 analyzer. Significant differences were observed across most body composition parameters (p < 0.001). Women living in the urban area exhibited the highest levels of total fat, visceral fat, and subcutaneous fat, reflecting the influence of urbanization and sedentary lifestyle on adiposity. Conversely, women in the rural–traditional community demonstrated the highest skeletal muscle mass across all body regions, consistent with their physically demanding daily activities and traditional dietary patterns. These findings highlight the substantial role of environmental context in shaping metabolic health and cardiometabolic risk. Targeted public-health interventions—such as structured physical-activity promotion and nutrition education in urban populations, and preservation of active lifestyles in rural communities—are recommended. Longitudinal studies are warranted to clarify causal pathways and further characterize metabolic determinants.

The increasing prevalence of metabolic syndrome and chronic kidney disease underscores the need for simple, low-cost, and community-applicable screening indicators. This study aimed to evaluate the association between basic anthropometric parameters and blood pressure, metabolic indicators, and renal function among adults in the Badui Luar community. A cross-sectional design was employed involving 41 participants who underwent anthropometric assessment, biochemical measurements, and blood pressure evaluation. Pearson correlation analysis was used to examine linear associations between variables. The results demonstrated that neck circumference exhibited significant correlations with dyslipidemia components, including LDL (r = 0.377), TC/HDL ratio (r = 0.516), and HDL (r = –0.433), indicating cervical adiposity as a strong marker of atherogenic risk. Calf circumference showed protective correlations with fasting glucose (r = –0.352) and eGFR (r = 0.322), suggesting the metabolic relevance of peripheral muscle mass in glycemic regulation and renal status. Body mass index showed a weak correlation with systolic blood pressure (r = 0.149), whereas waist and hip circumferences exhibited mild, clinically insignificant correlations with triglycerides and total cholesterol. Overall, these findings highlight that simple anthropometric measures—particularly neck and calf circumference—may serve as early indicators of cardiometabolic and renal risk in community-based screening. Further longitudinal studies with larger and more heterogeneous populations are required to validate these associations and determine the predictive power of anthropometric indicators.

Patient safety is often viewed exclusively as the responsibility of clinical personnel. However, administrative errors occurring during the admission process and documentation stages constitute major contributors to medical risk. This study aims to explore the strategic role of administrative staff in strengthening patient safety culture and mitigating medical risks through effective communication coordination. A narrative literature review was conducted extensively using the Scopus, PubMed, and Web of Science databases, covering publications from 2014 to 2024. Data were analyzed using a thematic synthesis approach. The findings identify four main themes: administrative staff as information gatekeepers, the role of health information technologies (HIS/EMR) in bridging communication gaps, collaboration barriers arising from hierarchical structures, and the need for an Interprofessional Shared Governance framework. Administrative accuracy in the early phases of care is proven to be critical in preventing latent errors with potentially fatal consequences. Strengthening patient safety culture requires the integration of administrative staff through cross-departmental training, standardized communication protocols, and non-punitive incident reporting systems. Administrative staff are not merely bureaucratic support personnel but are key actors within the modern hospital patient safety ecosystem.

The rapid rise of short-form social media platforms, particularly TikTok, among adolescents has raised concerns regarding excessive use and potential behavioral addiction that may negatively affect mental health and academic functioning. This community engagement program aimed to screen the risk of TikTok addiction among secondary school students in West Jakarta and provide education on healthy digital practices. The program was conducted at one private school in Jelambar, involving 306 students aged 11–18 years. Screening was performed using the TikTok Addiction Scale (TTAS) followed by digital literacy education. A Plan–Do–Check–Action (PDCA) framework was applied to ensure systematic implementation. The mean TTAS score was 39.97 ± 14.24 (range 20–84), indicating diverse levels of TikTok engagement. Female students demonstrated higher scores and wider distribution, suggesting greater vulnerability to excessive social media use. Digital hygiene and screen-time management education enhanced students’ awareness regarding social media addiction risks and appropriate preventive strategies. This program demonstrated the feasibility and effectiveness of TTAS-based screening for early identification of TikTok addiction risk. It highlighted the importance of integrating digital health promotion into school-based mental health programs to support adolescent well-being.

Guaranteeing the geotechnical stability of slopes is an absolute prerequisite for the sustainability of open pit mining operations, considering the potential for multidimensional losses due to slope failure. The specific geological conditions at PIT B1 PT. Pancaran Surya Abadi, which is composed of sedimentary rocks (coal, sandstone, and claystone), are susceptible to degradation and softening, especially due to high rainfall that causes an increase in pore water pressure and a decrease in rock shear strength. This study aims to analyze the stability of highwall slopes using the Morgenstern-Price Method to determine the Safety Factor (SFF) value according to Ministerial Decree number 1827 K/30/MEM/2018, and continued with a semi-quantitative risk analysis. The analysis results show that the initial slope has a static SFF of 0.77 (Not Safe). After redesign, the recommended optimal single slope geometry is: sandstone (Height 5 m, Angle 20°, Berm 5 m) and claystone (Height 10 m, Angle 60°, Berm 5 m). This redesign resulted in a FK of 1.34 (Safe). Sensitivity analysis to groundwater level rise (GTL) showed that the GTL value remained safe (GTL ≥1.30) up to a 30% increase in GTL. However, a 40% to 80% increase in GTL caused the GTL to decrease (1.28–1.21), classified as Medium Risk. A 100% increase in GTL drastically reduced the GTL to 1.05, classified as High Risk. This study emphasizes the need for close monitoring and additional drainage to maintain the long-term stability of slopes under the influence of rainfall.  

Musculoskeletal Disorders (MSDs) complaints in muscles, joints, and soft tissues can be caused by poor posture, repetitive movements, and excessive physical load. In the wet cake-making industry, workers often sit or stand for long periods, bend, and perform monotonous hand movements, which increases the risk of MSDs. The impact includes decreased work comfort, productivity, and quality of life. This study aims to assess the ergonomic risk level in wet cake-making workers and identify the relationship between work activities and MSD complaints. The method used is descriptive quantitative research with a cross-sectional design, involving 45 workers at Kue X Silaberanti. Ergonomic risk was assessed using the REBA method, while MSD complaints were measured using the Nordic Body Map questionnaire. The results show that in the mixing process, 58.8% of workers experienced a very high risk of MSDs. In the molding and baking processes, 52.9% and 68.8% of workers, respectively, were at high risk. The most frequent complaints were pain in the back, neck, shoulders, arms, and wrists due to poor posture and repetitive movements. To reduce the risk of MSDs, workers need to improve their posture, use ergonomic aids, rotate tasks, and undergo training in safe working techniques.

This research extends the previous work of Tsaqila, Winiarti, and Widaningrum (2024), who applied the Complex Proportional Assessment (COPRAS) method within a decision support system for supermarket branch location selection. Unlike the prior study, which focused on Ponorogo through a web-based framework, this study expands the implementation of COPRAS to the Medan Area, Medan Kota, Medan Polonia, dan Medan Maimun districts, adapting it to local urban, social, and economic characteristics. The main objective is to identify the most strategic site for a new supermarket by analyzing multiple criteria, including land cost, population density, accessibility, safety, cleanliness, and disaster risk. Data were collected from both field surveys and official government publications. The findings reveal that the COPRAS method provides reliable and objective assessments among the evaluated alternatives, with Medan Area emerging as the most suitable location for supermarket development. Overall, this study broadens the practical scope of the COPRAS method in a different regional context and reinforces its reliability and adaptability as a multi-criteria decision-making tool in the modern retail industry.

The COVID-19 pandemic has increased public interest in investing, especially in the banking sector, which is known for its stability. However, many investors still lack an understanding of fundamental analysis. This study aims to examine the effect of Return on Asset (ROA), Return on Equity (ROE), and Net Profit Margin (NPM) on stock prices of banking companies listed on the Indonesia Stock Exchange during the 2011–2023 period. The research used a quantitative approach with purposive sampling and multiple linear regression analysis using SPSS. The results show that ROA has no significant effect on stock prices. In contrast, ROE has a significant negative effect, while NPM has a significant positive effect on stock prices. These findings indicate that investors tend to consider net profit margins more than asset efficiency, and that high ROE may be perceived as a signal of high leverage risk. This research is expected to provide insights for investors in assessing banking performance before making investment decisions.

This study aims to analyze the level of flood hazard in Baturaja Barat District, Ogan Komering Ulu Regency, by applying a spatial approach using Geographic Information Systems (GIS) through the overlay method. The analysis was carried out by integrating six main physical parameters, namely rainfall, land use, elevation, slope, river density, and soil type. Each parameter was assigned a score and weight according to its influence on flood potential and subsequently processed spatially to produce a flood hazard map. The results indicate that the Baturaja Barat District area is classified into three hazard levels: low (3.25%), moderate (70.64%), and high (25.84%). Areas with high hazard levels are predominantly characterized by densely populated settlements situated at low elevations and in close proximity to river networks, particularly in Tanjung Karang, Air Gading, Talang Jawa, Karang Agung, and surrounding villages. These findings highlight that land-use changes, topographic conditions, and the distribution of river networks play significant roles in increasing flood risk. The results of this study are expected to serve as a foundation for spatial planning, the strengthening of disaster mitigation policies, and the enhancement of community preparedness against flood hazards in the region.

Ironing activities in the laundry service industry are performed repeatedly and for long periods, creating a high potential for non-ergonomic work postures. At Laundry Cio’ta, ironing is carried out every day from 08:00 to 21:00 by two workers, which increases the risk of fatigue and musculoskeletal disorders due to continuous and repetitive movements. This study aims to analyze workers’ ironing postures using the REBA method to determine the level of ergonomic risk. Data were collected through direct observation and measurement of body posture angles during the ironing process. The assessment results showed a Score A of 4 and a Score B of 2, producing an initial REBA score of 4. With the addition of an activity score of +1, considering the repetitive nature of the task, the final REBA score increased to 5. This score indicates a moderate level of risk, suggesting that corrective actions are necessary to prevent long-term strain or injury. Based on these findings, ergonomic improvements such as adjusting the ironing table height, modifying the work layout, and encouraging workers to adopt better posture are recommended. Implementing short rest breaks and task variation can also help reduce physical strain and improve worker comfort and productivity.

PT. Batam Mitra Suplindo is a company engaged in ship agency services. The ship agency service process at PT. Batam Mitra Suplindo starts from the initial arrival of the ship, loading and unloading activities, until the ship departs to the next destination port. Ship to Ship (STS) transfer is a method of transferring cargo between ships that requires careful coordination and supervision, especially in handling Liquified Natural Gas (LNG) cargo, which is volatile and high-risk. As one of the ship agency companies in the Batam waters area, PT. Batam Mitra Suplindo plays an important role in supporting the smooth process of Ship to Ship (STS) Liquified Natural Gas (LNG). This paper aims to comprehensively examine the Ship to Ship (STS) Liquified Natural Gas (LNG) handling process carried out by PT. Batam Mitra Suplindo, covering the planning stage, coordination with related institutions, technical implementation, and post-transfer evaluation. The research method used is field research, observation, and library research. The research results show that the success of Ship to Ship (STS) Liquified Natural Gas (LNG) highly depends on compliance with standard operating procedures (SOP), readiness of licensing documents, and synergy with the Port Health Office, Harbour Master, and ship operators.

This research aims to examine the influence of firm size, operating capacity, and sales growth on financial distress, with profitability serving as a moderating variable. The study employs a purposive sampling technique and selects 96 companies from the primary consumer sector listed on the Indonesia Stock Exchange (IDX) during the 2020–2024 period. The data are analyzed using multiple linear regression and Moderated Regression Analysis (MRA) with the assistance of SPSS version 22. The findings reveal that firm size does not have a significant impact on financial distress, indicating that larger firms do not necessarily experience lower financial risk. In contrast, operating capacity and sales growth have a significant and positive influence on financial distress, suggesting that higher capacity utilization and increased sales activities may heighten financial vulnerability. Furthermore, profitability effectively moderates the relationships between firm size, operating capacity, and sales growth with financial distress. This result highlights the vital role of profitability in strengthening a company’s financial stability and mitigating potential financial distress or bankruptcy.  

This study evaluates the retrofit design of the Semat weir on the Kali Gawe in Jepara Regency. The retrofit aims to adjust the weir’s hydraulic capacity to accommodate estimated flood discharges while ensuring the structure’s stability under applied loads. In the agricultural context, adequate water availability for irrigation directly affects crop yields; conversely, the rainy season often increases river flow and flood risk. Irrigation structures such as weirs are therefore required to raise river water levels to divert flow into irrigation channels and to regulate water distribution. Flood discharge estimates were derived from precipitation data and watershed (drainage basin) characteristics. Flood hydrograph planning is a critical design step for the weir. Log-Pearson Type III analysis was used to determine probable precipitation values for several recurrence intervals. Those design precipitation values were then converted into design flood discharges using synthetic unit hydrograph methods, specifically the Snyder, Nakayasu, and Gamma HSS approaches. Employing the Gamma synthetic unit hydrograph for the 50-year return period (Q50) produced a design flood discharge of 2,536.52 m³/s for that recurrence interval. Structural stability analyses of the redesigned weir indicate safety factors well above customary thresholds: overturning resistance factor = 11.6 (required ≥ 1.5), sliding resistance factor = 4.80 (required ≥ 2.0), and piping (internal erosion) factor = infinite (required ≥ 4). All evaluated stability parameters therefore satisfy standard safety criteria.

Hyperthyroidism is an endocrine disorder characterized by excessive production of thyroid hormones, with Graves' disease being the most common cause. This condition can lead to serious complications, including thyroid crisis or storm, which is a medical emergency with a high mortality risk. This article aims to review the literature related to the definition, epidemiology, etiology, clinical manifestations, pathophysiology, diagnosis, management, complications, and prognosis of hyperthyroidism and thyroid crisis. The writing method used a narrative literature review based on national and international literature from 2014 to 2024 obtained through PubMed, ScienceDirect, Google Scholar, and Sinta-indexed national journals. The results of the review show that hyperthyroidism has a broad impact on organ systems, with cardiovascular and metabolic complications being the main burden. Thyroid crisis, although rare, remains a serious threat that requires prompt, aggressive, and multidisciplinary management. In conclusion, early detection, accurate diagnosis, and guideline-based therapy are key to improving patient prognosis and reducing mortality.

This study aims to compare and analyze the accuracy levels of four financial distress prediction models—Altman Z-Score, Springate, Grover, and Zmijewski—in anticipating the potential bankruptcy of companies subjected to delisting from the Indonesian Stock Exchange (IDX). The delisting phenomenon, which is strongly linked to severe financial deterioration, provided the core motivation for identifying the most reliable predictive instrument, utilizing secondary data from the annual financial reports of delisted companies during the 2019-2023 observation period. Descriptive analysis techniques were employed to calculate the accuracy rate and Type Error for each model. The comparative results consistently indicate that the Springate Model is the most effective, consistent, and accurate model for predicting financial distress in delisted firms, achieving an accuracy rate of 89% in both the first and second years prior to delisting, while the Altman Z-Score model exhibited lower accuracy (68.75% and 62.50%). This key finding emphasizes the superiority of the Springate Model as a crucial diagnostic tool for investors and regulatory bodies in assessing corporate bankruptcy risk.

The early childhood period, commonly referred to as the Golden Age, is considered the most critical stage of development, during which rapid advancement in various domains, including language ability, is observed. This study examined how parental communication patterns influence the language development of children in Gla Meunasah Baro Village. Krueng Barona Jaya Subdistrict, Aceh Besar District. An analytic quantitative method was applied, using a cross-sectional design. The study involved a total of 115 parents, and the researcher selected 89 respondents as the sample using purposive sampling. The researcher collected data through questionnaires measured on an ordinal scale and then analyzed the information using univariate and bivariate techniques, including the Chi-Square test. The analysis showed that most respondents, consisting of 85 parents (95.5%), applied good communication patterns, while 3 respondents (3.4%) were classified as moderate, and 1 respondent (1.15%) as poor. In addition, 84 children (94.4%) were identified as not being at risk of language delay, while 5 children (5.6%) were considered potentially at risk. Bivariate analysis revealed a significant relationship between parental communication patterns and early childhood language development, as indicated by a ρ value of 0.015 (< α = 0.05). It is suggested that communication with children be carried out in an open, attentive, and reciprocal manner so that their language development can be maximally supported and the risk of delays minimized.

Appropriate financial management is key in managing regional finances that are vulnerable to risk. Even though financial risk exists, this does not always indicate a violation. Good financial management in the regions is the key to demonstrating the effectiveness and efficiency of the use of public funds. This study uses a qualitative approach with primary data sources through interviews and direct observation in the field. The research results show that the South Magelang District OPD has implemented accounting procedures in accordance with regulations, achieving a full level of accountability with optimal transparency in administration and financial accountability. However, continued efforts are needed in financial management, supervision and reporting to maintain public trust and increase the effectiveness of financial management in the future.