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Hypertriglyceridemia is a metabolic condition that often occurs in the elderly and contributes greatly to an increased risk of cardiovascular diseases such as stroke, heart attack, and acute pancreatitis. This condition often does not show symptoms in the early stages, so regular triglyceride level checks are an important step for early detection. The Community Service Program (PKM) at Panti Werdha Hana aims to increase awareness of the elderly about the importance of early detection of dyslipidemia through blood triglyceride level screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes lipid profile examination and educational counseling on risk factors and prevention of hypertriglyceridemia. Of the 76 elderly participants, it was found that 33 people (43.42%) had high triglyceride levels, while 43 people (56.58%) showed normal levels. These results emphasize the importance of routine checks and education to reduce the risk of cardiometabolic disease and support a healthier and more independent quality of life for the elderly.

Liver dysfunction is a common health issue among the elderly and can significantly impact quality of life, particularly due to its progressive nature and frequently asymptomatic presentation in the early stages. Many older adults are unaware of liver problems, as mild symptoms such as fatigue, abdominal discomfort, or reduced appetite are often perceived as normal signs of aging. The Community Service Program (PKM) conducted at Panti Werdha Hana aimed to raise awareness among the elderly regarding the importance of early detection of liver dysfunction through SGOT and SGPT enzyme screening. This activity employed the Plan-Do-Check-Act (PDCA) approach, including laboratory examinations and interactive counseling on risk factors, healthy lifestyle practices, and the significance of regular health monitoring. Among the 76 participants, 10 individuals (13.16%) were found to have elevated SGOT levels, and 8 individuals (7.89%) had SGPT levels above the normal range. These findings underscore the importance of early detection in preventing the progression of chronic liver diseases, enhancing the quality of life of the elderly, and supporting more effective and sustainable healthcare interventions.

Hyperuricemia contributes to various metabolic disorders, including gout and kidney disease. Detection of uric acid levels through simple screening is important for early risk identification. One non-pharmacological approach that can help reduce uric acid levels is maintaining adequate fluid intake. Uric acid level examination was performed by taking capillary blood from 104 adult participants. Results were obtained directly using the Point-of-Care Testing (POCT) instrument. Education was provided to all participants using a leaflet discussing the role of hydration in supporting uric acid excretion. The average uric acid level was recorded at 4.08 ± 1.00 mg/dL. A total of 103 participants (99.0%) were in the normal range, and 1 participant (1.0%) had high levels. Most participants have not experienced excessive urate accumulation, but still need education to maintain this status. Uric acid level screening is useful as an effort to detect the risk of metabolic disorders early. Education about the importance of fluid intake is the main strategy to maintain uric acid levels within normal limits and prevent complications due to hyperuricemia.

This study conducts an in-depth examination of the structural gaps in mental health policies within conflict-affected countries in the Middle East region, employing a systematic meta-synthesis approach to analyze 87 primary studies published between 2015 and 2024. Findings reveal that only 23.4% of these countries possess mental health policies that can be classified as comprehensive. In comparison, the average budget allocation for this sector accounts for merely 2.1% of total national health expenditures. In terms of affected populations, the prevalence of mental disorders is alarmingly high, recorded at 41.3% among refugees and 37.8% among residents living amidst protracted conflict. Through logistic regression analysis, a highly significant correlational relationship was identified between conflict intensity and the severity of mental disorders (r = 0.78; p < 0.001), underscoring the systemic link between structural violence and collective psychosocial vulnerability. Furthermore, meta-regression successfully identified the five most dominant policy gaps: deficits in service infrastructure (76.5%), shortages of the professional workforce (68.2%), dysfunctions in referral systems (64.7%), limitations in funding (59.3%), and lack of intersectoral service integration (52.8%). This research not only extends the conceptual framework and empirical findings previously advanced by Sihombing et al. (2025) and Akhtar et al. (2021) concerning the mental health impacts of conflict but also innovatively articulates region-specific patterns and identifies contextual moderator variables that influence policy implementation effectiveness. Thus, this study's methodological and conceptual novelty lies in formulating an evaluative framework grounded in empirical evidence, which integratively combines socio-political indicators with clinical mental health parameters, offering a comprehensive approach to assess and reform public policy in conflict-affected areas of the Middle East.

Jorong Lubuk Sao, located in Nagari Dalko, Agam Regency, has great potential in the plantation, fisheries, and agriculture sectors. This study systematically examines the external factors influencing economic development in Jorong Lubuk Sao through an integrated PESTEL-SWOT analytical framework. Qualitative research methods were applied through observation and interviews with local economic actors. The findings reveal that six key external dimensions – political, economic, socio-cultural, technological, ecological, and regulatory aspects – substantially influence the village's economic progression. Furthermore, the SWOT examination pinpoints internal capabilities and limitations, along with external prospects and risks, which collectively shape the community-driven tourism development initiatives. This study recommends the need to enhance community awareness, improve promotion efforts, and secure government support to achieve sustainable economic development.

White shrimp (Litopenaeus vannamei) is an introduced species cultivated in Indonesia and plays an important role in increasing national shrimp production and exports. However, infectious diseases such as Enterocytozoon hepatopenaei (EHP) and Acute Hepatopancreatic Necrosis Disease (AHPND) pose a serious threat to the shrimp farming industry. These two diseases cause a decrease in shrimp growth and production performance. The Polymerase Chain Reaction (PCR) diagnostic technique is an effective method for detecting EHP and AHPND infections, because the results are fast and accurate. This research was carried out at the Juanda Fish Quarantine Laboratory, Animal, Fish and Plant Quarantine Center (BKHIT) East Java from July 1 to August 29 2024. This research aims to find out examination techniques and examination results for Enterocytozoon hepatopenaei (EHP) and Acute Hepatopancreatic Necrosis Disease (AHPND) during the examination process at BKHIT East Java. The test method used is a descriptive method by collecting primary and secondary data. The EHP examination at BKHIT East Java uses the single step PCR method, while the AHPND examination uses the Nested PCR method which consists of extraction, amplification, electrophoresis and visualization of the results. Based on the results of examinations during the activity, 4 samples were declared positive for EHP and no samples were declared positive for AHPND out of 51 samples of white shrimp (Litopenaeus vannamei).

Law plays a fundamental role in creating order, balance, certainty, and benefit in social and state interactions. Legal science, as a dynamic discipline, continues to evolve along with its object of study, based on ethical, moral, and aesthetic principles. This article aims to analyze the relationship between legal codification as an effort to systematize and ensure legal certainty, and the existence and evolution of legal science in the context of modern legal development. This research adopts a normative legal method, focusing on the examination of primary and secondary legal materials, as well as legal analysis as norms and texts. The findings show that legal codification, which emerged from the need for legal certainty and unity, was greatly influenced by Enlightenment political thought, such as the concept of the separation of powers and the doctrine of popular sovereignty. Meanwhile, legal science, rooted in the philosophical foundations of ontology, epistemology, and axiology, faces challenges between theoretical depth and practical demands, yet remains steadfast in its authentic goal of achieving justice. The development of modern law demands a balance between the formal certainty offered by codification and the dynamic nature of legal science in achieving justice amid societal complexity, driving continuous adaptation and reflection.  

Tackling pedophilia crimes often faces serious obstacles, especially when the perpetrator has a high social status or strong influence in society. This condition often hampers the law enforcement process, because it is difficult to hold the perpetrator criminally accountable fairly. This research is an empirical legal research by conducting interviews and observing examination files and related documents.The results of this study indicate that: (1) efforts to combat pedophilia crimes that occurred in Oesena Village have not been optimal due to weak coordination between parties. The police are overwhelmed in handling similar cases, while legal aid institutions can only provide assistance without full legal authority, even though they try through social media. As a result, the victims have not received legal justice. (2) the accountability of perpetrators of pedophilia crimes seen from the aspect of justice has not been fulfilled, both legally and socially. Legally, the perpetrators have not received appropriate punishment. This shows that the perpetrators have not been truly held accountable for their actions fairly.

Background: Premenstrual Syndrome (PMS) is a combination of physical, emotional, and behavioral symptoms that occur cyclically before menstruation and are commonly experienced by adolescent girls. Common symptoms include fatigue, abdominal pain, headaches, anxiety, and mood disturbances, which can affect sleep quality, concentration, and academic productivity. This article provides an in-depth examination of the definition, types, prevalence, causes, impacts, and management of PMS in adolescent girls. Based on epidemiological data, the prevalence of PMS is quite high, both globally and nationally, with incidence rates in Indonesia reaching 70–90% among women of reproductive age, and most cases beginning during adolescence. There are four main types of PMS: Type A (anxiety), Type H (hyperhidrosis), Type C (food cravings), and Type D (depression), each with specific characteristics and etiologies. Causes of PMS include hormonal imbalances of estrogen and progesterone, reduced serotonin levels, poor sleep quality, psychological stress, genetic factors, and unhealthy lifestyles. The impact of PMS on adolescents is complex, including decreased academic performance, social relationship disturbances, and reduced psychological well-being. Therefore, PMS management should be approached holistically through pharmacological (such as NSAIDs, antidepressants, and diuretics) and non-pharmacological (physical exercise, relaxation, lifestyle changes, and nutritional education) interventions. Environmental support and reproductive health education are crucial to help adolescents effectively manage PMS symptoms and improve their quality of life. This study is expected to serve as a foundation for promotive and preventive interventions in adolescent health care.

Acute bronchitis, a common respiratory infection, is a significant medical problem, especially among adults, characterized by the sudden onset of a persistent cough, with or without sputum production. Symptoms are self-limiting, usually mild, and resolve spontaneously within 1 to 3 weeks. Current epidemiological data in Indonesia for bronchitis are not recorded with certainty. Still, the incidence of acute respiratory infections with symptoms similar to acute bronchitis is recorded as the highest in Papua at 10.5%, and in Jakarta itself only recorded at 2.7%. This case study discusses a 20-year-old man with complaints of cough with phlegm for 1 week before coming to the health center with thin, white sputum that worsens with activity and exposure to air pollution. Complaints are accompanied by fever and headache. The patient is a light smoker and lives with the patient's brother, who has similar complaints and is also an active smoker in a house with minimal ventilation in a polluted environment due to street dust. Physical examination of the thorax found coarse rhonchi in both lung fields, which led to the diagnosis of acute bronchitis. Based on this case, it was found that the importance of complete and comprehensive treatment of acute bronchitis in men is expected to be a guide to promote treatment and prevention in cases of acute bronchitis.

Cardiovascular is a heart or blood vessel disorder that is the leading cause of death in the world. Genistein is one of the phytochemicals contained in soybeans that has estrogenic properties and can help in dealing with cardiovascular diseases, such as hypertension, lipid profile disorder (dislipidemia), hypertrophy and so on. According to the FDA, the limit of soy consumption to get the beneficial effects of genistein is 25 grams. Excessive consumption can cause side effects such as hypothyroidism, testosterone imbalance, allergic hypersensitivity in children, and cancer cell proliferation. This review literature study explores the mechanisms of genistein against several cardiovascular diseases. In the search for English articles, the keywords used to get articles that match the criteria are “genistein”, “cardiovascular”, “hypertrophy”, “Hypertension”, “blood pressure”, and “lipid profile” and have been published for 10 years. The database used in the article search is PubMed and Science Direct. Based on the exclusion and inclusion of the article selection, there are 6 articles worthy of further examination. A sixth study in the journal found that genistein can improve lipid profiles, lower blood pressure, and decrease pulmonary hypertrophy. Genistein has estrogenic, anti-inflammatory, antioxidant, and immunomodulatory properties that can help reduce cardiovascular disease. There are several factors that influence the effectiveness of genistein, namely diet, physical activity, interaction with other nutrients, duration of consumption, and dosage of genystein intake.

Introduction: Chronic Obstructive Pulmonary Disease or often referred to as COPD, is a disease that occurs due to limited airflow, this is caused by abnormalities of the airways and/or damage to the alveoli, abnormalities or damage that occurs are caused by significant exposure to hazardous particles or gases, not only due to exposure, COPD is also influenced by lung abnormalities. Dyspnea is a condition that describes a sensation of shortness of breath, which is characterized by obstruction of airflow, or difficulty breathing and chest tightness which is often associated with heart or respiratory disease. Purpose: This study is to determine the management of physiotherapy in cases of right chronic obstructive pulmonary disease. Method: This study uses a case report approach in patients with right chronic obstructive pulmonary disease by providing interventions in the form of nebulizers, pulsed lip breathing and muscle release for 4 weeks 5x meetings with doses of 3 times a day every week. Evaluation is carried out using the vital sign index, auscultation, borg scale, MMRC scale and thorax cage mobilization examination. Results: evaluation measurements using vital sign index, auscultation, borg scale, MMRC scale and thorax cage examination. Thus, the results show an increase and decrease in the degree of shortness of breath before and after intervention. Conclusion: there is an increase and decrease in shortness of breath before and after intervention.

This research was carried out at the Multipurpose Health Center, Sako District, Palembang City. The purpose of this study is to find out the health services provided to Healthy Indonesia Card (KIS) patients at the multivehicle health center and to find out what factors are obstacles in providing maximum service to Healthy Indonesia Card (KIS) patients at the health center. The method used in this study is a descriptive method with a qualitative approach. Data collection techniques include primary data collection in the form of interviews and field observations, as well as secondary data collection in the form of documentation and literature studies. The determination of informants in this study uses the purposive sampling technique. The result of the analysis of this study is Health Services for KIS Patients at the Multiwahana Health Center, Sako District, Palembang City based on PERMENKES Number 04 Article (3) of 2019 concerning Minimum Service Standards (SPM). Health is assessed from the number of quality goods/services, quantity and quality of infrastructure. Health human resources and procedures for meeting standards are running well, this can be seen from the free services provided to KIS participants, namely KIS participants get basic health services at the Puskesmas free of charge, including examinations, treatments, immunizations and maternal and child health services. The provision of medicines at the Puskesmas ensures the availability of essential medicines needed by KIS participants. However, the flow of procedures and services at the multipurpose health center is quite clear, simple, not convoluted, and the officers are friendly. Then, the inhibiting factor in providing services to KIS patients is that there are still many people or patients who are not interested in the Healthy Indonesia Card program.

Pretrial proceedings play a strategic role in Indonesia's criminal justice system as a judicial oversight mechanism to ensure the legality of law enforcement actions and the protection of suspects’ human rights. In corruption cases, however, pretrial motions are often exploited as procedural loopholes to invalidate ongoing investigations due to the absence of rigid legal standards and inconsistent interpretations by judges sometimes extending into the merits of the case, which should fall outside the scope of pretrial jurisdiction. This study examines the ideal concept of pretrial review using a normative juridical approach, emphasizing the due process of law principle, the primacy of lex specialis under Article 26A of the Anti-Corruption Law, and its harmonization with the Criminal Procedure Code (KUHAP). The research concludes that pretrial mechanisms should function solely as limited judicial review, restricted to evaluating procedural legality. Additionally, the study highlights the significance of establishing Preliminary Examination Judges (Hakim Pemeriksa Pendahuluan) as proposed in the Draft Criminal Procedure Code. These judges would proactively supervise investigative actions, ensuring procedural compliance and minimizing the misuse of pretrial remedies by corruption suspects. Strengthening normative frameworks and judicial guidelines is thus essential to foster coherent, fair rulings and support the integrity and effectiveness of anti-corruption law enforcement.

Corruption is an abuse of power, the impacts of corruption include damaging democratic values, morality, harming the state financial system, violating the social and economic rights of the community and being a threat to the ideals of a just and prosperous society. This can be seen from the cases of corruption that have been successfully uncovered by the KPK, namely the corruption of Pertamina which has been prosecuted at the Central Jakarta District Court. The method used is normative legal research with a statutory regulatory approach. This research aims to prevent significant state losses, ensure the accountability of public officials, and maintain the integrity of the company. In addition, this effort is to create public trust in the management of national energy resources. The results of the study show that this process involves coercive measures recorded in the examination report. The Attorney General's Office is currently examining eight witnesses, including Fitra Eri, in a case of alleged corruption related to the management of crude oil and refinery products of PT Pertamina (Persero)..  

Academic ethics violations such as plagiarism, cheating in examinations, and academic responsibility are serious problems in the field of education. This study aims to examine how campus culture affects students' ethical behavior in the academic context. The approach used is qualitative, with data collection methods including document study, participatory observation, and in-depth interviews. The findings reveal that a conducive campus culture—characterized by exemplary behavior of lecturers, enforcement of ethical codes, and consistent internalization of moral values—plays a significant role in enhancing students’ adherence to academic ethics. Conversely, an academic environment that is permissive toward ethical violations negatively impacts students’ character. This study concludes that the establishment of a strong academic culture is a key factor in fostering academic integrity among university students.  

Violence among university students is a serious issue that often neglects the position of victims as subjects who deserve legal and social protection. The case of mob violence against a law faculty student at Sultan Ageng Tirtayasa University (Untirta) in SMKN 2 Serang City in June 2024 reveals the complexities of victims’ access to justice, marked by slow legal processes and insufficient institutional support. This study employs a qualitative approach with a normative empirical juridical legal research design and a case study method, combining an examination of legislation with field data to explore the social, legal, and psychological conditions of the victims through semi-structured interviews, document analysis, and literature review. Data analysis is conducted descriptively-analytically using thematic coding and source triangulation to ensure the validity of findings. The study uncovers three main findings: (1) secondary victimization experienced by victims due to legal process stagnation and lack of accompaniment, (2) institutional responses prioritizing campus reputation over victim recovery, and (3) a culture of violence normalizing violent acts as internal campus conflicts. This research offers victimology-based recommendations, including the establishment of victim service units on campus, sensitivity training for law enforcement officers, and revisions to victim-centered campus policies. The findings underscore the importance of a victimological approach in supporting restorative justice for student violence victims.

Uric acid is the final product of purine metabolism, which can increase due to high purine intake or impaired renal excretion. Accumulation of uric acid in the body is at risk of causing joint inflammation and other metabolic disorders. Early detection and dietary education are strategic steps to prevent complications of hyperuricemia. This activity uses the Plan-Do-Check-Act (PDCA) approach by examining uric acid levels using POCT and education on managing purine consumption. The examination was carried out on 62 adult participants. Educational leaflets were delivered directly and individually to each participant. All participants had uric acid levels in the normal range (median 4.2 mg/dL), with the lowest value of 3.5 mg/dL and the highest 6.5 mg/dL. Most participants were women and were in the middle to elderly age group. Although no cases of hyperuricemia were identified, preventive education remains essential to maintain uric acid levels within optimal ranges and reduce future metabolic risks. Lifestyle interventions focusing on diet and hydration are critical for sustainable uric acid control and long-term health outcomes.   Keywords: Uric Acid, Purine, Hyperuricemia, Diet, Nutrition Education

Consumption of sweetened beverages contributes to increased blood glucose levels that lead to the risk of pre-diabetes and type II diabetes mellitus. Fasting blood sugar examination is an early screening tool to detect hidden metabolic disorders and educate the public about the importance of controlling sugar consumption. The examination was conducted through capillary blood sampling and point-of-care testing (POCT) analysis of 91 adult participants. Education was delivered in the form of a leaflet emphasizing the impact of sweetened beverage consumption on glucose regulation and the risk of insulin resistance. The results were classified into three categories: normal, pre-diabetes, and diabetes. The majority of participants (86.8%) were in the normoglycemic category. As many as 9.9% were classified as pre-diabetes and 3.3% were in the diabetes category. The average fasting blood sugar of the participants was 89.5 ± 20.1 mg/dL. These results emphasize the need for counseling regarding limiting the consumption of sweetened beverages to maintain stable blood glucose. Fasting blood sugar examination accompanied by education about sweetened beverages contributes to early detection of the risk of glucose disorders. Interventions based on examination results have the potential to increase awareness of fluid consumption patterns and encourage healthier lifestyle changes.   Keywords: Fasting Blood Sugar, Sugary Drinks, Pre-Diabetes, Type II Diabetes Mellitus, Nutrition Education

This research examines the implementation of the principle of openness in the examination of cases in civil court proceedings in Indonesia, focusing on two main issues: (1) how the principle of openness is regulated and applied in civil court practices, and (2) what key obstacles hinder the implementation of this openness. The purpose of the study is to provide an in-depth overview of the mechanisms for implementing the principle of openness in the civil judicial process and to identify inhibiting factors that need to be addressed promptly in order to make the judicial system more transparent and accountable. This study employs a normative juridical method with a statutory and conceptual approach. Data were obtained through literature review, including legislation, legal doctrines, and relevant court decisions, and analyzed using a descriptive-analytical method. The findings indicate that the principle of openness is well accommodated normatively within Indonesia’s civil judicial system; however, its implementation still faces significant challenges, such as limited supporting facilities, inadequate dissemination among judicial officers, and the tension between protecting the privacy of parties and ensuring public access to information. To address these issues, improvements in technological infrastructure, human resource training, and internal policy revisions are essential steps to optimize the principle of openness in civil court proceedings.