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The rapid population growth in urban areas has caused various complex problems, such as congestion, air pollution, and the high use of private vehicles, so that it becomes a challenge in realizing sustainable cities and settlements. Public transportation is present as one of the solutions in overcoming these problems because it can increase community mobility and reduce negative impacts on the environment. This study aims to analyze the implementation of Mass Rapid Transit (MRT), Light Rail Transit (LRT), TransJakarta, and Electric Rail Trains (KRL) in supporting the achievement of SDGs 11 Sustainable Cities and Settlements. This study uses a descriptive qualitative method with a literature study approach. The results show that the MRT and KRL contribute to efforts to reduce carbon emissions and congestion, TransJakarta excels in the aspect of cost affordability while the LRT plays a role in improving urban connectivity efficiently. Thus, public transportation palas an important role in realizing sustainable cities and settlements with the integration between modes of public transportation which is the main factor in supporting the achievement of SDGs 11 optimally.

This study aimed to examine the association between physical activity and nutritional status as risk factors for noncommunicable diseases among women of reproductive age. A descriptive quantitative study with a cross-sectional approach was conducted in Kranggan Village involving 35 respondents selected through purposive sampling. Data on physical activity were collected using questionnaires, while nutritional status was assessed based on Body Mass Index (BMI). The findings showed that most respondents had moderate physical activity levels (51.4%), followed by low physical activity levels (42.8%). Regarding nutritional status, the majority of respondents were classified as overweight (51.4%) and obese (28.6%). Statistical analysis demonstrated a significant relationship between physical activity and nutritional status (p = 0.003). The results indicate that inadequate physical activity is associated with increased nutritional status problems, particularly overweight conditions. Therefore, low physical activity and excessive body weight represent interconnected risk factors contributing to the development of noncommunicable diseases among women of reproductive age. This study highlights the importance of promoting regular physical activity and maintaining balanced nutritional status as preventive strategies to reduce the risk of noncommunicable illnesses.

Schizophrenia is a mental disorder characterized by deviation in attitudes, thoughts and behaviors, and can cause positive and negative symptoms. One of the most frequently occurring negative symptoms is social withdrawal, which leads to the problem of Social Isolation: Withdrawal. Social isolation is a condition that causes individuals to experience a decline or even inability to interact with others and their environment. The purpose of this case study was to apply nursing care to patients with social isolation: withdrawal due to undifferentiated schizophrenia in Gatotkaca Ward of RSJD dr. Amino Gondohutomo, Central Java Province. This scientific paper was written using a descriptive method in the form of a case study through the nursing process approach. Data collection methods used were interview, observation, documentation study, and literature study. Nursing diagnoses that emerged in the patient with Social Isolation: Withdrawal were Social Isolation as the Core Problem, Low Self-Esteem as the Cause, Risk of Hallucination as the Effect, and Self-Care Deficit as a concurrent problem. Interventions were only carried out on Social Isolation and Self-Care Deficit problems, consisting of SP 1 through SP 3 for Social Isolation and SP 2 for Self-Care Deficit: Grooming. After nursing implementation for 4 days, of the 4 nursing diagnoses that emerged, only 2 nursing diagnoses were intervened, namely Social Isolation and Self-Care Deficit. SP 1 through SP 3 for Social Isolation and SP2 for Self-Care Deficit: Grooming were competently achieved. This indicates that the goals of the Implementation Strategy provided were achieved cognitively, affectively, and psychomotorically.

Vomitus is the forceful expulsion of gastric contents through the mouth, commonly occurring in children as a clinical manifestation of gastrointestinal diseases. Based on medical records of RSUD dr. Soeselo, Tegal Regency, vomitus cases increased to 355 cases in 2025. Therefore, comprehensive nursing care is needed to address problems arising from vomiting in children. This study used a descriptive method in the form of a case study through a nursing process approach, aimed at describing nursing care for a pediatric patient with vomitus. Three nursing diagnoses were identified in An. A with vomitus: Nausea related to gastric irritation/stimulation of the vomiting center, Risk of Fluid Imbalance related to repeated vomiting, and Knowledge Deficit related to lack of information exposure. Nursing interventions provided included Vomiting Management, Fluid Management, and Health Education. After three days of nursing implementation, all three nursing diagnoses were resolved, marked by the disappearance of nausea, improved appetite, normal hydration status (moist mucosa, good skin turgor, pulse 88x/minute), and the patient's mother and patient being able to understand and re-explain health education material about vomitus.

The physical work environment in the Aerosol Production Department of PT XYZ experienced problems related to excessive room temperatures reaching 37.3°C and chemical odor pollution caused by vapor recirculation from the coating oven process. These conditions potentially reduced operator comfort and concentration. This study aimed to analyze the effectiveness of the Kaizen approach through the Plan-Do-Check-Act (PDCA) cycle in controlling production room temperature and improving air quality. A quantitative descriptive method with an Action Research approach was employed. Problem identification and root cause analysis were conducted using the 7 QC Tools, particularly the Pareto Diagram and Fishbone Diagram. Improvement actions included the installation of turbine ventilators, aluminum foil roof insulation, and a 3-meter vertical exhaust ducting system. The results showed that the average room temperature decreased from 34.6°C to 27.4°C, representing a reduction of 7.2°C, while the peak daytime temperature decreased by 8.7°C and met the established threshold limit value. In addition, chemical odor pollution was completely eliminated. Therefore, the Kaizen-PDCA approach proved effective in improving the physical work environment sustainably.

Cognitive development is an important aspect of early childhood growth because it forms the foundation for children’s abilities to think, remember, understand concepts, solve problems, and make decisions. Early childhood is often referred to as the golden age since development occurs very rapidly during this period, requiring appropriate stimulation from the surrounding environment, particularly the family. In this context, parents play a crucial role through the parenting styles they apply in daily life. This study aims to examine the relationship between parenting styles and early childhood cognitive development based on findings from previous research. The method used is a narrative review by analyzing relevant scholarly articles published between 2020 and 2026. Articles that met the inclusion criteria were then analyzed descriptively to identify the relationship between parenting styles and children’s cognitive development. The results of the review of 15 selected articles indicate that there is a significant relationship between parenting styles and early childhood cognitive development. Authoritative parenting emerged as the most consistently positive style, characterized by effective communication, emotional support, balanced supervision, and opportunities for children to develop independent thinking skills. Other factors, such as parents’ educational level, involvement in children’s learning activities, and a supportive learning environment, also contribute to cognitive development. In conclusion, authoritative parenting is considered the most effective approach in supporting optimal cognitive development in early childhood.

Nutritional problems among adolescents are increasingly associated with unhealthy dietary habits and low physical activity, contributing to the rising prevalence of overweight. According to the 2023 Indonesian Health Survey, overweight prevalence among adolescents ranges from 12% to 16.2%. This study aimed to develop Zea Coffee Tab, a functional beverage made from Robusta coffee and corn silk containing bioactive compounds, including caffeine and flavonoids, which may support metabolism and body fat oxidation. An experimental method with a Completely Randomized Design (CRD) was employed. The evaluated parameters included organoleptic tests (hedonic and hedonic quality) involving 30 semi-trained panelists, proximate analysis, and identification of bioactive compounds. Data were analyzed using the Kruskal–Wallis, Mann–Whitney, One-Way ANOVA, and Duncan’s multiple range tests. Three formulations were tested: F1 (30% Robusta coffee:70% corn silk), F2 (50%:50%), and F3 (70%:30%). The findings showed that F3 was the most preferred formulation, with an acceptance score categorized as “very much liked.” The product contained energy ranging from 319.20–324.26 kcal/100 g, protein 5.12–5.34%, fat 0.48–0.58%, carbohydrates 73.85–74.51%, moisture 9.12–9.66%, ash 2.10–2.32%, caffeine 182.45–205.86 mg/100 g, and flavonoids 4.28–6.03 mg/100 g. Zea Coffee Tab has the potential to serve as a healthy functional beverage for overweight adolescents. Further studies on shelf life and clinical effectiveness are recommended to support product commercialization.

Background: Schizophrenia is a serious chronic mental disorder that can affect thinking, perception, feelings, and behavior. Patients with undifferentiated schizophrenia are at risk of experiencing the nursing problem of risk of violent behavior (RPK) due to their inability to control emotions and anger. Based on data from the medical records of RSJD dr. Amino Gondohutomo, Central Java Province, from August to October 2025, the risk of violent behavior was the highest nursing diagnosis in the Gatotkaca Ward, reaching 56.5%–77% of all inpatients. Objective: To perform nursing care on Tn. K with the main problem of risk of violent behavior due to undifferentiated schizophrenia at RSJD dr. Amino Gondohutomo, Central Java Province. Methods: This study used a descriptive method with a nursing process approach. Data collection was carried out through interviews, observation, documentation studies, and literature review. Nursing care was provided from November 18 to 22, 2025. Results: Assessment findings on Tn. K (19 years old) with undifferentiated schizophrenia and a history of physical abuse, parental rejection, and family violence revealed four nursing problems: risk of violent behavior (core problem), sensory perceptual disorder: auditory and visual hallucinations, self-concept disorder: low self-esteem, and self-care deficit. Implementation was carried out through nursing strategies (SP) 1 to 4 for risk of violent behavior (physical, medication, verbal, and spiritual control), SP 1 and SP 3 for self-care deficit, and SP 1 to SP 2 for sensory perceptual disorder: hallucinations. All implementation stages were optimally achieved. Conclusion: Nursing evaluation showed that the client was able to achieve cognitive, affective, and psychomotor goals in all implemented SPs. Collaboration with ward nurses was carried out to continue SP 3 and SP 4 for hallucinations and the entire low self-esteem intervention due to time constraints.

Correctional institutions impose sustained psychological burdens on inmates, including social isolation, fractured family bonds, and disrupted identity development, which collectively heighten the risk of mental health deterioration. Unlike preventive psychoeducational approaches, group counseling operates as a curative, therapeutically structured service that enables participants to process shared difficulties through interpersonal dynamics. This community service study implemented group counseling within a Participatory Action Research (PAR) framework involving 50 early adult inmates at Lapas Kelas III Rangkasbitung. PAR was operationalized as an implementation framework in which each counseling cluster cycle followed the Plan-Act-Observe-Reflect sequence, enabling iterative refinement of therapeutic content. Pre-service needs assessment using the Alat Ungkap Masalah (AUM) Umum Masyarakat instrument identified dominant problems in family relations (13.33%), personal self (12.97%), and social relations (10.76%). Group counseling was conducted across three thematic clusters. Program evaluation revealed improvements in social interaction, self-acceptance, and emotional regulation among participants, with the PAR reflective cycle enabling context responsive adaptation of each session. These findings affirm that PAR-grounded group counseling constitutes a contextually adaptive model for psychosocial rehabilitation in correctional settings.

Nutritional problems among school-age children remain an important challenge in human resource development in Indonesia. Adequate nutritional status is essential for supporting physical growth, cognitive development, learning achievement, and future productivity. Schools play a strategic role in promoting children's health through nutritional monitoring and educational interventions, particularly during the implementation of the Free Nutritious Meal Program (MBG). This community service activity aimed to monitor students’ nutritional status and strengthen awareness of the importance of nutrition as a foundation for human resource development. The activity was conducted on April 5–6, 2026, at SD Negeri 09 Jambi City and involved 261 students from grades I to III. A school-based assistance approach was implemented through anthropometric measurements, including body weight and height assessments, followed by balanced nutrition education. The findings revealed that 77.0% of students had normal nutritional status, while 8.8% were undernourished, 9.6% were overweight, and 4.6% were classified as obese. The activity also increased school awareness regarding the importance of continuous nutritional monitoring and evidence-based health management. These findings suggest that school-based nutritional monitoring can support the implementation of the Free Nutritious Meal Program and serve as an initial effort to strengthen human resource development by fostering healthier, more productive, and higher-quality future generations.

Soft Tissue Tumor (STT) is an abnormal lump or swelling caused by new cell growth originating from connective tissue. Post-operative STT presents major nursing problems including acute pain, knowledge deficit, and risk of infection that require comprehensive nursing care. This scientific paper aims to describe nursing care for Mr. R with post-operative Soft Tissue Tumor (STT) Gluteal Sinistra in Mawar 2 Ward of RSUD dr. Soeselo Tegal Regency. The writing method used is descriptive with a case study plan through interviews, physical examination, observation, and documentation. Assessment was conducted on February 8, 2026 on Mr. R, a 37-year-old male, who underwent left gluteal tumor removal surgery on February 7, 2026. Assessment results identified three nursing diagnoses: acute pain related to physical injury agent (D.0077), knowledge deficit related to lack of information exposure (D.0111), and risk of infection evidenced by invasive procedure effects (D.0142). After nursing interventions for 2x24 hours on February 8–9, 2026, evaluation showed all three nursing diagnoses resolved: pain scale decreased from 6 to 2, the client was able to re-explain the tumor disease, and the surgical wound was clean without signs of infection. The conclusion of this nursing care shows that the application of deep breathing relaxation techniques, health education, and proper wound care are effective in addressing nursing problems in post-operative Soft Tissue Tumor patients.

Background: Schizophrenia is a psychiatric disorder characterized by positive psychotic symptoms (such as hallucinations) and negative symptoms accompanied by cognitive decline. Auditory hallucinations represent the most common positive symptom, occurring in more than 75% of patients with schizophrenia. Objective: This study aimed to describe the comprehensive nursing care for Mr. F with a primary problem of perceptual sensory disorder: auditory hallucinations due to undifferentiated schizophrenia at Gatot Kaca Ward, RSJD dr. Amino Gondohutomo, Central Java Province. Method: This study used a descriptive method with a nursing process approach, including assessment, nursing diagnosis, intervention planning, implementation, and evaluation. Data collection was carried out through interview, observation, and literature study. Results: Nursing problems identified were: perceptual sensory disorder (auditory hallucinations) as the core problem, social isolation (withdrawal) as the causa, risk of violent behavior as the effect, and self-care deficit as an accompanying problem. Nursing interventions were conducted using the implementation strategy (SP) 1, 2, and 3 for hallucinations and SP 1 for self-care deficit. Conclusion: After 4 days of nursing implementation, 2 out of 4 nursing diagnoses were resolved: perceptual sensory disorder (auditory hallucinations) and self-care deficit, while social isolation (withdrawal) and risk of violent behavior remained unresolved. Patients with hallucinations are expected to be able to control hallucinations using the methods that have been taught.

This research aims to develop audio-visual learning media based on the Discovery Learning model to improve the ability to write news texts in grade XI students of SMK Mutiara Qolbu Cianjur. The Research and Development (R&D) method is used by referring to the development model which includes the stages of identification of potentials and problems, data collection, product development, product validation, limited scale trials, product revisions, large-scale trials, final revisions, and final products. The research subjects consisted of 103 students in grade XI of SMK Mutiara Qolbu Cianjur which were divided into three classes. Data collection techniques were carried out through observation, interviews, questionnaires, expert validation, and news text writing tests. Data were analyzed using quantitative and qualitative descriptive techniques. The results of the study show that audio-visual learning media based on the Discovery Learning model obtained a very good feasibility level based on the results of the validation of material experts with a percentage of 91% and the validation of media experts of 89%. The results of the trial showed that the learning media received a positive response from students with an average percentage of 87.25%. In addition, the use of Discovery Learning-based audio-visual learning media has proven to be effective in improving students' ability to write news texts. This is shown by the increase in the average score of students from 64.21 in the pre-test to 84.37 in the post-test. The use of audio-visual media also improves students' learning activities, such as active questioning, discussion participation, and the ability to identify news elements.

Background: Community nursing is a specialty field that combines nursing science skills, public health sciences, and social assistance in addressing individual and family health problems, including non-communicable diseases such as gout arthritis. Gout arthritis is a metabolic disease characterized by pain and joint inflammation due to the accumulation of purine crystals (hyperuricemia). The WHO reports a prevalence of gout arthritis reaching 3.74% globally, while in Indonesia the prevalence reaches 11.9% based on health worker diagnosis. In Brebes Regency, the prevalence reaches 13.67%, with 3,078 sufferers out of 22,550 productive-age population. Objective: To provide comprehensive community nursing care to Ny. R with musculoskeletal system disorder: gout arthritis in Tonjong Village, Tonjong District, Brebes Regency. Method: This study uses a case study approach with data collection through interview, observation, physical examination, and documentation study conducted on December 26–28, 2025. Results: Assessment findings showed that Ny. R, a 60-year-old woman, had a history of gout arthritis for 3 months with uric acid levels of 9.6 mg/dL, complaining of pain and aching in the left foot with pain scale 3. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management, uric acid level monitoring, lemongrass stem decoction foot soak complementary therapy, and health education using leaflets. After 2 days of implementation, uric acid levels decreased to 8.2 mg/dL and pain scale decreased to 2. Conclusion: Community nursing care through complementary therapy (lemongrass stem decoction foot soak) and health education effectively reduced pain and improved knowledge about gout arthritis in Ny. R.

Health education is an effort or attempt to provide information to improve individual abilities in making decisions related to health and health-related skills, especially for adolescents. This activity aims to increase the knowledge of SMKS BIM students about acupressure for adolescents. The counseling activity was carried out on May 26, 2026 with 43 students aged between 15-18 years old, using the pretest-posttest method with leaflet media, powerpoint presentations and practicing with students. The results showed an increase in student knowledge from 70 to 95 after being given education. The majority of students aged 16 years (middle adolescents) were identified as having a risk of physical health problems. The education and mentoring provided to students/me were able to increase their knowledge about the benefits and techniques of acupressure to deal with the health problems they experienced. The counseling method with lectures and leaflet media was proven to be easy for students/me to understand and could improve their skills in acupressure practice.

Background: Sectio Caesarea (SC) is a surgical procedure to deliver the fetus through an incision in the abdominal and uterine wall. Patients with a history of previous sectio caesarea frequently experience acute pain, risk of infection, and lack of knowledge regarding post-SC contraception, requiring comprehensive nursing care. Objective: To describe the application of nursing care in a patient with post-operative sectio caesarea with a history of sectio caesarea indication. Methods: This study used a descriptive method with a case study approach. Data were collected through interviews, observation, documentation, and relevant literature review. Results: Assessment of Ny. S revealed three nursing diagnoses: acute pain, knowledge deficit, and risk of infection. Interventions included pain management, family planning (KB) health education, and infection prevention through wound care. Following nursing interventions, the knowledge deficit resolved completely, while acute pain and risk of infection were partially resolved. Conclusion: Systematic nursing care can effectively address nursing problems in post-SC patients and improve patient health outcomes.

Chemical exposure during the dyeing process in the Textile industry has the potential to cause health problems, particularly allergic reactions mediated by Immunoglobulin E (IgE). Non-compliance with the use of Personal Protective Equipment (PPE) may increase the risk of chemical exposure through inhalation and skin contact, thereby triggering an allergic immune response characterized by elevated total IgE levels in the blood. This study aimed to determine the relationship between compliance with the use of Personal Protective Equipment (PPE) and total Immunoglobulin E (IgE) levels among Textile industry workers. This research was an analytic observational study with a cross-sectional design. The sample consisted of 15 Textile industry workers who met the inclusion and exclusion criteria, selected using purposive sampling technique. Data on PPE compliance were obtained through questionnaires and interviews, while total IgE levels were measured using the Electrochemiluminescence Immunoassay (ECLIA) method. The relationship analysis was conducted using Fisher’s Exact test. The results showed a significant relationship between PPE compliance and total IgE levels (p<0.05). It can be concluded that there is a significant association between compliance with the use of Personal Protective Equipment and total Immunoglobulin E (IgE) levels among Textile industry workers.

Universities are educational institutions that have an important role in addressing various problems in rural areas by motivating, empowering, and broadening the perspectives of local communities. Through community service activities, universities can contribute to improving community skills and encouraging economic independence. This community service program aims to foster an entrepreneurial spirit among female farmers in APK Bandung Village, Selupu Rejang District, through training and assistance in producing pineapple-flavored papaya jam as a value-added agricultural product. The program was conducted in November 2025 and involved one partner, namely the Srikandi Women's Farmers Group (Kelompok Wanita Tani/KWT) 02 of APK Bandung Village. The implementation stages included socialization, product-making demonstrations, mentoring, monitoring, and evaluation activities. These stages were designed to enhance participants’ knowledge and practical skills in processing local agricultural commodities into marketable products. Out of 20 registered members of KWT Srikandi, 17 members attended and actively participated in the program. The results of the evaluation, based on questionnaires distributed to participants, showed that approximately 64.70% of the members demonstrated an entrepreneurial spirit. These findings indicate that the program contributed positively to increasing entrepreneurial awareness and encouraging the development of small-scale rural business opportunities among female farmers.

Background: Community nursing is a service process that is a combination of nursing and public health. Family nursing care is health services focused on the family where the entire process from assessment, diagnosis, planning, implementation to evaluation involves all family members both in healthy and sick conditions. The elderly are individuals in the age range of 60 years and above. Stroke is a disorder of brain function that appears suddenly accompanied by clinical signs both local and global in nature that last more than 24 hours caused by disruption of blood flow to the brain. Objective: To provide family nursing care to Tn. W with Neurological System Disorders: Stroke in Karangjati Village RT 02 RW 05 Tonjong District, Brebes Regency. Methods: This scientific paper is compiled using a descriptive narrative study approach following the stages of the nursing process including assessment, diagnosis, intervention, implementation, and evaluation. Data collection techniques include interviews, observation, physical examination, and documentation studies. Results: Nursing diagnoses that emerged were physical mobility impairment and knowledge deficit. Nursing interventions for physical mobility impairment included recognizing health problems and understanding stroke management, particularly related to mobilization through passive and active range of motion (ROM) exercises. For knowledge deficit, interventions included health education about stroke using educational media. Conclusion: After implementation over three days (December 27–29, 2025), the physical mobility impairment problem was partially resolved and knowledge deficit was resolved. It is expected that patients can increase their knowledge about health, particularly stroke disease.  

This study investigates the development of Indonesian language literacy among third-grade elementary school students. The primary problems identified were acute classroom passivity and low reading comprehension, evidenced by an initial learning mastery of only 45.16%, which were largely driven by conventional teacher-centered pedagogy. The objective of this research is to enhance early-grade reading literacy and active participation through an innovative instructional intervention. The proposed method employed a two-cycle Classroom Action Research (CAR) design at SDN Jrebeng Kulon 1, integrating the Problem-Based Learning (PBL) model assisted by serial picture media. This approach utilizes chronological visual scaffolding to facilitate narrative comprehension for students in the concrete operational stage. The results demonstrated a highly significant academic progression: classical learning mastery increased to 70.97% (mean score: 80.80) in Cycle I and culminated in an absolute 100% mastery rate (mean score: 94.51) by the end of Cycle II. The synthesis of these findings reveals that transitioning from static visual aids to serial visual stimuli within a problem-oriented framework effectively mitigates cognitive dissonance and eradicates classroom passivity. In conclusion, the integration of the PBL model with serial picture media serves as a comprehensive pedagogical solution that not only maximizes cognitive reading comprehension but also reconstructs students' verbal articulation and social-collaborative skills, offering a highly scalable strategy for early primary education.