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Primary Healthcare Facilities (Fasilitas Kesehatan Tingkat Pertama, FKTP) represent the first level of contact in the healthcare system and play a central role in infection prevention and control. Despite mandatory Infection Prevention and Control (IPC) training in Indonesia, evidence regarding its effectiveness in improving cognitive abilities among primary healthcare workers remains limited. This study aimed to evaluate the effectiveness of IPC training in enhancing the cognitive abilities of healthcare workers in FKTP. A quasi-experimental study with a one-group pretest–posttest design was conducted involving 91 healthcare workers who participated in IPC training across three cohorts in 2024. The training was delivered online through a Learning Management System and consisted of structured learning modules accompanied by a pre-test and a final quiz. Cognitive improvement was assessed using paired samples t-tests, while the magnitude of training impact was evaluated using Cohen’s dz effect size. The results showed statistically significant improvements in cognitive scores across all cohorts (p < 0.001), with mean score increases ranging from 16.10 to 23.35 points. Effect size analysis revealed large to very large effects, with an overall Cohen’s dz of 1.19, indicating substantial and practically meaningful cognitive gains. In conclusion, IPC training was effective in improving cognitive competence among FKTP healthcare workers. These results reinforce the value of well-structured training programs as an essential component of efforts to strengthen infection prevention capacity in primary healthcare settings.

The heart is a vital human organ that plays an important role in the circulatory system. Therefore, an understanding of the heart needs to be given from an early age, starting from basic concepts to more complex aspects. Every human being is created by God with a heart that functions to sustain life, so every individual has the right to gain knowledge about heart health. Adolescents, in particular, need to understand the function and workings of the heart early in order to lower the risk of heart disease in the future. This Community Service (PkM) activity aims to improve the understanding of cardiac physiology in adolescents through the use of digital media. The activity method used is health education about cardiac physiology and how to maintain heart health from an early age. The participants of the activity were 50 students of Madrasah Ibtidaiyah and Junior High School of the Ummul Quro Al-Hamidiyah Foundation. The activity began with the delivery of educational materials, then continued with an evaluation of students' understanding. The results of the activity showed an increase in student knowledge, which indicates that education is effective in forming awareness and early prevention of heart disease.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Abortion remains a complex reproductive health issue due to the interplay of multiple interrelated determinants. This study aimed to map the factors influencing the incidence of abortion based on recent scientific evidence. A literature review design was applied by analyzing ten selected articles published within the last five years and retrieved from major scientific databases. The selection process was conducted systematically through title, abstract, and full-text screening based on predefined inclusion criteria. The extracted data included study characteristics, type of abortion, examined determinants, and key conclusions. The synthesized findings indicate that abortion incidence is shaped by a combination of biological, social, and healthcare system related factors. Clinical determinants such as maternal age, endocrine disorders, uterine anatomical abnormalities, obstetric history, anemia, and hypertension play a substantial role in spontaneous and recurrent miscarriage. In contrast, structural factors including income level, contraceptive access, and legal regulations predominantly influence induced abortion. The discussion highlights that abortion should not be viewed as an isolated clinical event, but rather as the cumulative outcome of risks operating across multiple levels of influence. In conclusion, abortion represents a multifactorial phenomenon that requires comprehensive prevention strategies extending beyond medical interventions alone. These strategies should also address healthcare accessibility and broader social conditions. This review contributes to a deeper understanding of the complexity of abortion determinants and provides an evidence-based reference for developing more effective preventive approaches in the future.

Background: Oral health is an important indicator of overall health, well-being, and quality of life. According to the WHO, oral health is a state of freedom from various diseases and conditions, including dental and oral diseases that limit an individual's ability to bite, chew, smile, speak, and psychosocial well-being. Therefore, it is necessary to maintain oral hygiene as an effort to improve oral health. Case report: A 45-year-old man came to Soelastri General Hospital complaining of a large cavity in his upper left tooth. The tooth had been painful for about a year and had not undergone any treatment.Extraoral examination revealed a symmetrical face. Clinical examination of the maxillary left first premolar revealed a large cavity on the distoocclusal surface with pulpal depth.  Discussion: Perforations can be treated through cavity access; the prognosis depends on the elimination and prevention of infection in the perforation area and the choice of material. The success of perforation closure management is influenced by several factors, including the timing of perforation closure, the choice of material used, the location of the perforation, and adequate perforation closure. Conclusion: Case of maxillary left premolar with diagnosis of pulp necrosis which experienced lateral perforation and the area was closed using MTA, then root canal treatment.  

Fraudulent investment is a phenomenon that has become widespread among Indonesian society. The PKK mothers in Rt 5 Rw 2, Gayamsari sub-district, have not yet gained any knowledge or understanding about the dangers of fraudulent investments and their characteristics, nor have they received any knowledge or understanding related to financial literacy that could protect their families from the dangers of fraudulent investments. The PKK of Gayamsari sub-district urgently needs socialization on strategies to prevent being affected by fraudulent investments and to recognize the signs of such investments. In addition to fraudulent investments, they also feel the need to receive socialization about financial literacy and the characteristics of legal and safe investments, so that they can prevent becoming victims of fraudulent investments. Based on the problems that occur, solutions are needed to address them. The purpose of this community service activity is to provide understanding and knowledge about financial literacy so as not to fall into fraudulent investments. Partners are also given an understanding of safe and legal investments to avoid the dangers of fraudulent investments. The expected outcome of this service activity for the mothers of the PKK in Gayamsari sub-district is to understand the importance of financial literacy and the dangers of fraudulent investments along with their characteristics. It is hoped that the PKK mothers in Gayamsari sub-district will be wise in managing family finances by choosing safe investments for the future of their household and family, as well as being able to prevent becoming victims of fraudulent investment scams.

Hypertension is a non-communicable disease with a high prevalence in Indonesia, including in Tasikmalaya City, and shows a trend of increasing cases from year to year. This condition requires planned promotive and preventive efforts that involve community participation. This study aims to increase public knowledge about hypertension and the importance of physical activity as a preventive measure through the SERASI (Senam Raga Sehat, Cegah Hypertensi) program. The methods used include community-based health education, blood pressure checks, pre- and post-tests to measure changes in knowledge, and structured healthy exercise activities. The results showed a significant increase in knowledge after the intervention, reflected in the difference in pre- and post-test scores with a p value of 0.000 (p < 0.05). In addition, healthy exercise activities increased community participation and involvement, and encouraged the formation of sustainable physical activity habits. Overall, the SERASI program has proven effective in increasing community knowledge, awareness, and behavioral changes towards hypertension prevention, thus potentially supporting risk factor control and improving the quality of local community health. These findings are relevant for planning sustainable local and national community-based public health programs.

Pulmonary tuberculosis remains the leading cause of death worldwide, and the spread of Mycobacterium tuberculosis through droplets is a major contributing factor. Education on proper cough etiquette is an important behavior-based prevention strategy to reduce the spread of this disease. This literature review aims to analyze the effect of cough etiquette education on preventing pulmonary TB transmission. This study used a literature search through Google Scholar and the Garuda portal for publications from 2020–2025, resulting in five articles meeting the inclusion criteria. The results indicate that cough etiquette education can improve public knowledge, skills, and awareness in preventing pulmonary TB transmission. This educational intervention has proven effective in various target groups, such as the general public, families of TB patients, and school-age children. In conclusion, cough etiquette education is an important component of pulmonary TB transmission prevention strategies and is highly feasible for widespread implementation in public health programs.

This study seeks to unravel the complexities of applying the doctrine of culpa lata or gross negligence as the basis for criminal liability for state officials in corruption cases, an area that highlights gaps in the criminal law framework which tends to focus on intent. With the rise in corruption cases stemming from misguided strategic decisions that are difficult to prove as intentional, the urgency to explore alternative criminal liability grounds becomes crucial for establishing strong accountability in governance. This research specifically analyzes the application of culpa lata through an in-depth study of Decision Number 68/Pid.Sus-TPK/2025/PN Jkt Pst. Adopting a normative-empirical qualitative case study method, the analysis focuses on the court decision as a single unit of analysis, supported by primary data from the decision document and secondary data from legal literature. Through documentary evidence tracking, it was found that the panel of judges successfully applied the doctrine of culpa lata by identifying elements of negligence such as the disregard for risks that should have been known, subjective asset valuation, and strategic decision-making without adequate study, which causally led to state losses. These findings substantively show that gross negligence can effectively serve as a basis for criminal liability, indicating a shift in the pattern of corruption law enforcement that goes beyond proving mere intent. In conclusion, this study affirms the effectiveness of culpa lata in expanding the scope of criminal liability for state officials, offering theoretical contributions to the understanding of fault elements and practical implications in strengthening public accountability and the potential for corruption prevention through enhanced standards of caution.

The purpose of this activity is to socialize the implementation of biosecurity as an effort to prevent disease in cattle in Luhulely Village, Pulau Letti District, Southwest Maluku Regency. This activity was carried out using a socialization method involving beef cattle farmers and all Luhulely Village staff. The implementation of the activity was divided into 2 sessions, namely a material presentation session and an interactive discussion session. Some general steps in implementing biosecurity include the following: access management, animal movement control, cleanliness and sanitation, waste management, animal health monitoring, and vaccination. This socialization activity was attended by approximately 20 participants consisting of beef cattle farmers and several Luhulely Village staff. Several important things that can be concluded from the implementation of this activity are as follows: the majority of farmers showed an increased understanding of the importance of biosecurity after participating in the socialization, the farmers expressed their readiness to implement various biosecurity measures, such as quarantine of new livestock, waste management, and provision of adequate sanitation facilities in the livestock area, and several farmers requested further assistance regarding the implementation of more detailed biosecurity, including correct livestock vaccination techniques. The conclusion of this activity is that the socialization of biosecurity implementation on cattle farms is expected to increase farmers' awareness and understanding of maintaining livestock health and preventing disease transmission. Through proper biosecurity implementation, it is hoped that healthy, more productive, and sustainable livestock conditions will be created.

Hypertension is one of the major health problems in the elderly and increases the risk of cardiovascular disease. The low level of knowledge among the elderly about risk factors and prevention of hypertension is one of the challenges in controlling this disease. This study aims to determine the effectiveness of health education in increasing the knowledge of the elderly about hypertension at the Meohai Center in Kendari City. The study design used a pre-experimental approach with pre-test and post-test without a control group, involving 22 elderly individuals. The education was conducted through interactive lectures and visual educational media. The results showed an increase in the average knowledge score from 8.04 to 9.09 after the intervention, with a paired t-test yielding a p-value of 0.007, indicating a significant difference. These findings indicate that counseling is effective in increasing the knowledge of the elderly about hypertension. The implications of this study emphasize the importance of continuous education programs to support hypertension prevention efforts in the elderly

Healthcare Associated Infections (HAIs) are serious occurrences and problems that are often found in all hospital facilities. HAIs cause extended hospitalization, permanent disability, increased treatment costs, and death. Hand Hygiene has an important role in the prevention and control of HAIs. This study aims to see the compliance of nurses' hand hygiene and nurses' knowledge of healthcare associated infections (HAIs) in the intensive care unit of Santa Elisabeth Hospital Medan in 2024. The type of research design used was descriptive with a sampling technique using a total of 31 respondents. Based on the results of the study, it was found that most nurses were obedient in carrying out hand hygiene (83.9%) and knowledge that is about the prevention of HAIs was found to be a large number of nurses who had high knowledge (67.7%). It is hoped that nurses maintain compliance in performing hand hygiene so that HAIs do not occur.

TJSL/CSR in Indonesia is regulated as a legal obligation (mandatory) for companies engaged in the natural resources sector. Its success depends on the principle of accountability, which requires transparency and responsibility. This normative-juridical study evaluates the application of accountability principles in the mining sector. Normatively, PP 47/2012 requires CSR to be listed as an expense and focused on sustainable development (PPM). However, this regulation is not robust because it does not set a minimum fund allocation or clear program boundaries, allowing for multiple interpretations. Empirically (Sekotong case study), accountability is implemented in a formalistic manner, consisting only of one-way administrative reports without meaningful participation from the affected communities. A significant weakness is apparent when dealing with the increase in illegal gold mining (PETI) in legal concession areas. This situation results in a vacuum of responsibility. Companies can claim environmental damage caused by PETI, so that responsibility does not successfully ensnare corporate negligence in prevention efforts. The CSR accountability structure in Indonesia is weak because it only emphasizes activities that are carried out, not negligence that is overlooked. Regulatory reform is needed so that accountability includes passive responsibility to ensure that TJSL functions as a significant instrument of sustainable development.

Background: Diabetes mellitus is a chronic metabolic disorder caused by inadequate insulin action. Poor disease control can lead to complications such as neuropathy, commonly marked by tingling or sensory loss. Effective prevention requires structured management through the five pillars of diabetes care. This case study describes the application of these pillars in a patient with hyperglycemia. Case: A 58-year-old male with diabetes mellitus presented with reduced sensation in the feet, abdominal discomfort, and consistently elevated blood glucose levels. The patient had limited disease knowledge and misconceptions related to diabetes self-management. Intervention: Education on the five pillars of diabetes was provided using a structured approach consisting of three self-care pillars and two collaborative pillars. Leaflet-based educational materials developed by the author were used to facilitate understanding for both the patient and family. Results: Following the intervention, the patient demonstrated increased knowledge, awareness, and improved ability to manage hyperglycemia. The family also showed enhanced understanding and support for diabetes care. Conclusion: Nurse-led education using the five pillars of diabetes effectively improves knowledge, awareness, and self-management abilities in individuals with diabetes mellitus, contributing to better glycemic control and prevention of complications.

Anemia is one of the most common nutritional problems in the world and is mainly caused by iron deficiency. In Indonesia, the prevalence of anemia among adolescents remains high, especially in adolescent girls who have greater iron requirements due to growth and menstruation. Low levels of knowledge, unbalanced dietary patterns, and poor adherence to iron supplementation are the main factors contributing to anemia in this group. Therefore, efforts to increase knowledge through health education activities are needed. This Community Service activity aimed to increase the knowledge of adolescent girls about anemia prevention through improving iron intake and adopting a healthy lifestyle. The activity was carried out in Bongohulawa, Limboto District, Gorontalo Regency, on November 3, 2025, involving 40 adolescent girls. The methods used included health education, interactive discussions, demonstrations, and distribution of educational media. Evaluation was conducted using a pre-test and post-test. The pre-test results showed that only 25% of participants had good knowledge, while 45% had moderate knowledge and 30% had poor knowledge. After the educational intervention, the percentage of participants with good knowledge increased to 75%, moderate knowledge decreased to 20%, and poor knowledge decreased to 5%. It can be concluded that this educational activity was effective in increasing adolescent girls’ knowledge of anemia prevention and the importance of iron intake and a healthy lifestyle as early preventive measures.

Anemia is one of the most common nutritional problems in the world and is mainly caused by iron deficiency. In Indonesia, the prevalence of anemia among adolescents remains high, especially in adolescent girls who have greater iron requirements due to growth and menstruation. Low levels of knowledge, unbalanced dietary patterns, and poor adherence to iron supplementation are the main factors contributing to anemia in this group. Therefore, efforts to increase knowledge through health education activities are needed. This Community Service activity aimed to increase the knowledge of adolescent girls about anemia prevention through improving iron intake and adopting a healthy lifestyle. The activity was carried out in Bongohulawa, Limboto District, Gorontalo Regency, on November 3, 2025, involving 40 adolescent girls. The methods used included health education, interactive discussions, demonstrations, and distribution of educational media. Evaluation was conducted using a pre-test and post-test. The pre-test results showed that only 25% of participants had good knowledge, while 45% had moderate knowledge and 30% had poor knowledge. After the educational intervention, the percentage of participants with good knowledge increased to 75%, moderate knowledge decreased to 20%, and poor knowledge decreased to 5%. It can be concluded that this educational activity was effective in increasing adolescent girls’ knowledge of anemia prevention and the importance of iron intake and a healthy lifestyle as early preventive measures.

Hypertension is one of the main risk factors that can cause damage to target organs, including the eyes. One of the complications that often occur in hypertensive patients is hypertensive retinopathy, which is damage to retinal blood vessels due to a persistent increase in blood pressure. This damage can be progressive and asymptomatic in the early stages, so it often goes undetected until severe visual disturbances appear. This study aims to identify and analyze the role of blood pressure control in the prevention of ocular complications in hypertensive patients through a literature review. The method used is literature review by selecting national and international research articles published in 2021–2025 from the PubMed, ScienceDirect, Google Scholar, and Cochrane Library databases. Inclusion criteria include full-text articles, relevant research designs, and discussing the relationship between blood pressure control and ocular complications. The results of the study showed that uncontrolled blood pressure increased the risk of retinal damage, decreased ocular perfusion, and microvascular changes detected through funduscopy and Optical Coherence Tomography Angiography (OCTA) examinations. Some studies have concluded that stable blood pressure control, not just the average value of blood pressure, has a significant effect in preventing the progression of hypertensive retinopathy. In addition, regular eye exams have been proven to be able to detect retinal changes early, so that preventive interventions can be carried out in a timely manner. Thus, optimal blood pressure control, therapy adherence, healthy lifestyle education, and regular retinal examinations are effective strategies in preventing ocular complications and maintaining vision quality in hypertensive patients.

Latar Belakang: Lahan basah merupakan ekosistem yang kaya akan keanekaragaman hayati, namun juga menjadi habitat yang ideal bagi berbagai vektor penyakit, terutama nyamuk. Penyakit Demam Berdarah Dengue (DBD) adalah salah satu penyakit yang ditularkan oleh nyamuk Aedes aegypti. Masyarakat Kelurahan Pebatuan sepakat bahwa jumlah nyamuk di daerah kelolaan sangat mengganggu dan kondisi got yang sangat kotor perlu ditangani. Tujuan: Untuk meningkatkan pengetahuan masyarakat tentang pentingnya menghindari gigitan nyamuk dan penyakit DBD Metode: Penyuluhan dan demonstrasi pembuatan spray anti nyamuk berbahan alami yakni kulit jeruk nipis, serai, cengkeh, dan campuran minyak zaitun. Hasil: Meningkatnya pengetahuan warga mengenai DBD perihal pemanfaatan spray anti nyamuk berbahan alami dengan adanya peningkatan sebesar 31,4 poin. Dan warga aktif melakukan pencegahan DBD dengan membersihkan lingkungan sekitar, penyuluhan yang dilakukan memperoleh respon positif dari masyarakat Kesimpulan: Pada kegiatan pengabdian ini efektif dalam meningkatkan pengetahuan dan kesadaran masyarakat tentang pencegahan DBD melalui pemanfaatan spray anti nyamuk berbahan alami serta menjaga kebersihan lingkungan sebagai upaya berkelanjutan dalam mengurangi risiko penyebaran penyakit

Verbal abuse in early childhood represents a form of non-physical violence that has serious implications for children's socio-emotional, cognitive, and psychological development. This issue continues to escalate alongside the declining quality of parenting experiences and weakened social control within communities, where verbal aggression is often perceived as an acceptable disciplinary practice. This study aims to identify and analyze the relationship between parenting experiences and community social control with the occurrence of verbal abuse through a Systematic Literature Review (SLR) approach. Data were collected from reputable journal articles published between 2020–2025 using inclusion–exclusion criteria and content analysis techniques. The findings reveal that authoritarian parenting, emotional stress, a history of violence, and misconceptions about discipline serve as primary triggers of verbal abuse. In contrast, social environments characterized by strong social bonds, collective anti-violence norms, and active community participation have been shown to effectively reduce the occurrence of verbal abuse within families. This study concludes that verbal abuse is an interactive phenomenon shaped by parenting factors and social structures; therefore, prevention requires a family-based educational approach in conjunction with strengthening community roles through Pendidikan Non Formal.

Drug abuse (Narcotics, Psychotropics, and other Addictive Substances) is a serious problem that can threaten the younger generation, especially in the Panggung Kidul Village area. The lack of public understanding, especially teenagers, regarding the dangers and negative impacts of drug abuse is one of the factors that influence the high risk of substance abuse. Therefore, innovative and interactive educational media are needed to increase public awareness and understanding regarding the prevention of drug abuse. This study offers a solution by designing and developing educational media based on Augmented Reality (AR) technology as a visual and interactive tool that conveys information in an interesting and easy-to-understand manner. The use of smartphones as the main device in AR applications makes this media more easily accessible to various groups of people. The test results using the System Usability Scale (SUS) method showed a user satisfaction level of 96% which is included in the Acceptable category. Thus, this AR-based educational media is expected to be an effective means of increasing public understanding of the dangers of drug abuse and encouraging early preventive efforts.