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Independence refers to the freedom to act and the ability to control one’s own or a group’s activities to protect oneself or others from various diseases or conditions. Among the elderly, the ability to perform Activities of Daily Living (ADL) often declines, which in turn reduces their independence in carrying out daily activities such as dressing, toileting, climbing stairs, or moving around. One of the common health problems affecting older adults is rheumatoid arthritis—an autoimmune disorder that causes inflammation and swelling in the joints, often affecting one or both sides of the body, making it difficult for the elderly to perform routine tasks. This study aims to determine the relationship between the level of independence and the incidence of rheumatoid arthritis among the elderly in the working area of Tinangkung Utara Public Health Center, Banggai Kepulauan Regency. This research employed a quantitative approach using the Chi-Square test. The study involved 50 respondents selected through a non-probability purposive sampling technique. The results of the Chi-Square analysis showed a p-value of 0.002 with a significance level of < 0.05, indicating that the research hypothesis was accepted. This finding means there is a significant relationship between the level of independence and the occurrence of rheumatoid arthritis among the elderly in the study area. In conclusion, the level of independence influences the occurrence of rheumatoid arthritis in older adults. Therefore, it is highly recommended that the elderly maintain active and independent movements as a way to keep their joints healthy and functional..

The quality of service at community health centers is still often complained about by the public. Several studies show that the quality of health services at community health centers is closely related to the availability of quality health workers. The aim of the research is to determine various health human resource problems that arise in community health centers which can affect the quality of community health center services, and efforts to overcome various problems related to Human Resources management so that the quality of services at community health centers can be improved. The approach used is a descriptive analysis method. Data obtained from various literature is processed and analyzed qualitatively according to the problems and objectives that have been set. The results obtained show that there are Human Resource problems at the community health center which affect the quality of service, namely the lack of integration of the planning system and procedures for the distribution of health workers; lack of capacity of Human Resources planning units at all levels in the distribution of health workers; lack of good communication so that there are differences in understanding, information and knowledge about the distribution of health workers between planning units and health service providers; lack of support from regional government, planning that is not integrated at various levels of administration in regional government as well as lack of implementation and budgeting of training for health workers at community health centers

Health care facilities are places used for promotive, preventive, curative, and rehabilitative health services carried out by the government and the community. Calculating the germ count on door handles of healthcare facilities is very important, because patients are not aware that the door handles contain and transmit germs that cause infections. This study aims to determine the percentage of germ contamination on door handles of healthcare facilities at X Hospital and X Community Health Center. The type of research conducted is descriptive quantitative with an observational case report approach. This study is a frequency distribution in tabular form using a percentage formula. The number of samples used by the researchers was 8 samples, using 4 sampling points at the Hospital and 4 sampling points at the Community Health Center (Puskesmas): the Emergency Room, Main Door, Pharmacy Room, and Laboratory Room. Data collection by conducting laboratory tests on door handle swab samples was then examined using the ALT method. The results showed that the percentage of door handles that did not meet ALT standards was 3 samples (75%) at X Hospital. Meanwhile, on door handles at health facilities Puskesmas. The percentage of door handles at Puskesmas was obtained 4 samples (100%) at X  Puskesmas. Door handles at health facilities do not meet the standards of the Republic of Indonesia's Minister of Health Decree No. 1204 / MENKES / SK / X / 2004, the decision Ho was accepted H1 was rejected.

This study aims to analyze the effectiveness of the reward program in improving employee loyalty and work discipline at Bank Mandiri. The research employs a qualitative descriptive approach using the literature study method, through the collection and analysis of secondary data obtained from official Bank Mandiri reports, academic journals, labor regulations, and media articles related to human resource management policies. The findings reveal that the implementation of both financial rewards (competitive salaries, performance-based bonuses, and welfare benefits) and non-financial rewards (recognition, promotions, and career development programs) has a positive impact on enhancing employee loyalty and work discipline. A fair, transparent, and sustainable reward system fosters a sense of belonging, strengthens affective commitment, and cultivates a productive and professional work culture. Moreover, the data indicate a decline in disciplinary violations over the past three years, demonstrating the effectiveness of the reward system as a form of positive reinforcement. This study highlights the importance of reward policies as a strategic instrument in human resource management and recommends that companies continuously adapt their reward systems to align with employee needs and the evolving work environment.

This research aims to analyze the challenges and solutions of Islamic education in the digital era in an effort to maintain religious values in the midst of the rapid flow of modernization and technological development. This research uses the library research method by examining various relevant literature sources, such as books, journals, and previous research results. The results of the study show that technological advances have a great influence on students' learning patterns, behaviors, and moral values. However, with the right strategy, technology can also be used as a means of da'wah and strengthening Islamic character. Efforts that need to be made include the integration of Islamic values in digital-based learning, improving teachers' competence in technological literacy, and collaboration between schools, families, and communities. This research emphasizes that Islamic education must be adaptive to the development of the times, but still adhere to religious values in order to produce a generation of Muslims who are intelligent, faithful, and noble. In addition, curriculum innovation that is responsive to the needs of the times and the use of safe and directed digital media is needed to support the formation of students' character comprehensively.

Purpose – This article aim For develop approach new in management source Power strategic human resources with integrate dimensions adaptive and cognitive in context digital transformation of organizations . Research This based on synthesis theoretical from works Prihantoro et al . (2022–2023), in order to review return the role of HR as driver main superiority competitive based knowledge in the era of disruption technology . Design/ methodology / approach – This article use method studies library conceptual with approach qualitative- descriptive analysis done to six work main topic that discusses strategic HR topics , digitalization organization and learning organization . Synthesis done For building an integrative model that emphasizes influence digital transformation towards performance and development of organizational human resources . Findings – Results of analysis show that approach adaptive-cognitive can strengthening HR strategy in face change environment business . Merger digital competence , ability Study organization , as well as leadership transformative proven become key in optimize HR functions in general strategic . HR is not Again only nature administrative , but is driving force main innovation and efficiency . Implications practical – Organization need designing repeat digital learning- based HR policies , building ecosystem management knowledge , as well as push culture Innovation . Data- driven and intelligence-driven HR practices artificial is also recommended For taking decision strategic . Originality / Value – This article offer novelty conceptual through integration theory learning organization and approach mark in digital HR management . Contribution This expand traditional HRM coverage to realm more strategic​ responsive to challenge technology .

Purpose – Purpose This is for explore interconnection strategic between system energy and defense in support resilience national with propose draft paradigm energy dual role paradigm This positioning energy No only as protected objects​ from threat external, but also as subject strategic support​ operation military through energy renewable, implementation network smart, and technology storage battery. Design/ methodology / approach – Research This use approach review library systematic (SLR) for synthesize findings academic and reports policy from three year lastly, which involves source journal national (SINTA indexed) and international (Elsevier, Springer, IEEE, etc.), with focus on intersection between resilience energy and defense strategy national. Findings – Review This disclose that infrastructure resilient energy​ increase capability defense, while system formidable defense​ ensure continuity supply energy national research​ This propose an integrative model consisting of from three layer strategic: integration policy national (between RUEN and RENSTRAHAN), development infrastructure green and digital, and development capacity source Power man together. Framework Work integrative This strengthen reciprocal resilience​ between sector energy and defense. Implications practical – The makers policies, institutions military, and stakeholders interest energy pushed for together implementing synchronized strategies, integration curriculum and investment in infrastructure digital energy use reach resilience national term long in face uncertainty geopolitics and environment. Originality / Value – Study This introduce framework Work new paradigm energy role double in defense national, which provides runway theoretical and practical for integrate transition energy sustainable with planning defense strategic. Study This contribute in a way conceptual for bridge gap between policy energy and defense strategy, especially in context threat hybrids and vulnerabilities system cyber-physical.

Pneumonia is one of the leading causes of mortality in children under five, especially those living in households with active smokers. This study aims to determine the risk of pneumonia in toddlers from smoking families in the working area of Meuraxa Public Health Center, Banda Aceh City. The research used a case-control design with 33 respondents, consisting of 11 cases (toddlers with pneumonia) and 22 controls (toddlers without pneumonia). Data collection was conducted through a structured questionnaire and analyzed using the chi-square test. The findings revealed that the prevalence of pneumonia among toddlers from smoking households was 33.3%. There were significant associations between pneumonia incidence and several factors, including nutritional status (p = 0.024), immunization status (p = 0.034), exclusive breastfeeding (p = 0.027), parental smoking behavior inside the house (p = 0.009), and household ventilation (p = 0.017). Toddlers who were not exclusively breastfed, had poor nutritional status, incomplete immunization, poor air ventilation, and exposure to cigarette smoke at home were at higher risk of developing pneumonia. This study emphasizes the vital role of the family in creating a healthy, smoke-free home environment that supports children's well-being. Community-based interventions and educational programs are essential to prevent pneumonia and improve the quality of life of children, particularly in urban public health areas like Meuraxa.

Indonesia's adolescent pregnancy prevalence necessitates comprehensive determinant identification for evidence-based preventive strategy formulation. This research analyzes correlations between reproductive health knowledge, parental role functioning, and peer influence on teenage pregnancy among female adolescents in Ciseeng Health Center, Bogor Regency, West Java Province. Cross-sectional design employed among 65 adolescents aged 15-19 years during October 2024-January 2025 using stratified random sampling. Data collection utilized validated questionnaires based on WHO Adolescent Sexual and Reproductive Health Indicators, Parental Monitoring and Support Scale, and Peer Pressure Inventory with Cronbach Alpha (α=0.84; 0.81; 0.79). Demographic characteristics showed 60% aged 17-19 years, 40% aged 15-16 years, with 55.4% experienced pregnancy validated through medical records. Univariate analysis identified knowledge deficiency (64.6%), parental dysfunction (63.1%), and high peer influence (66.2%). Chi-Square analysis confirmed associations of low knowledge (p=0.001; OR=3.5; 95% CI=1.8-6.7), inadequate parental roles (p=0.002; OR=3.2; 95% CI=1.6-6.1), and dominant peer influence (p=0.001; OR=3.8; 95% CI=1.9-7.2) with adolescent pregnancy. Multivariate logistic regression identified peer influence as strongest predictor (AOR=3.80; 95% CI=1.67-8.65).

Kegiatan Pengabdian kepada Masyarakat dengan judul “Peningkatan Kapasitas SDM dalam Pengelolaan Website sebagai Strategi Pemasaran Digital Desa Wisata River Side Juma Bulu, Ajibata” bertujuan untuk meningkatkan kemampuan masyarakat lokal dalam memanfaatkan teknologi digital sebagai sarana promosi pariwisata. Melalui pendekatan partisipatif berupa sosialisasi, pelatihan teknis pengelolaan website berbasis WordPress, serta pendampingan pembuatan konten digital, kegiatan ini berhasil menghasilkan website resmi Desa Wisata River Side Juma Bulu (https://riversidejumabulu.id/) yang berfungsi sebagai pusat informasi, promosi, dan reservasi wisata. Hasil evaluasi menunjukkan 90% peserta menyatakan puas terhadap pelatihan, dengan dampak berupa meningkatnya kapasitas SDM lokal, terbentuknya tim pengelola digital desa, dan penguatan daya saing destinasi wisata

This study aims to examine the role of National Education Standards (SNP) in realizing a quality and equitable education system in Indonesia. The method used is descriptive qualitative with a literature study approach to various scientific sources discussing the implementation of SNP, including educator professionalism, education management, and quality equity between regions. The results of the study show that the SNP functions as the main instrument for quality assurance as well as a strategy for educational equity through eight standards that must be met by each educational unit. The implementation of the SNP has been proven to improve the quality of learning, the competence of educators, and the accountability of school management. In addition, the SNP plays a role in narrowing the gap in educational quality between regions by establishing uniform performance indicators at the national level. However, implementation in the field still faces obstacles in the form of limited human resources, infrastructure, and uneven policy support. Therefore, collaboration among stakeholders is needed to optimize the implementation of the SNP through continuous training, managerial supervision, and strengthening of the internal quality assurance system in schools. This study confirms that the SNP is a strategic foundation for building a quality, inclusive, and equitable national education system in the era of educational transformation.

heritage: persistent power Deficiency (CED) among pregnant women is a dietary problem that may have an effect on both maternal and fetal fitness. one of the influencing factors is the mother’s nutritional know-how. This look at aimed to investigate the relationship between nutritional knowledge and the prevalence of CED amongst pregnant ladies in the running area of Tempunak clinic. take a look at methods: This study employed an analytic observational design with a pass-sectional technique. The population consisted of 88 pregnant girls selected the use of purposive sampling. studies gadgets blanketed a dietary understanding questionnaire and Mid-higher Arm Circumference (MUAC) measurement to decide CED fame. statistics analysis turned into executed the use of univariate analysis within the form of frequency distribution, and bivariate analysis with the Chi-rectangular check. effects: maximum respondents had exact nutritional information (fifty nine.09%), and greater than 1/2 did not experience CED (55.68%). The Chi-square check received a p-cost of 0.000 (<zero.05) with a Chi-square fee of 30.410, indicating a massive relationship between dietary knowledge and CED. Pregnant ladies with top dietary understanding were much less in all likelihood to enjoy CED, even as all respondents with terrible information skilled CED. end: there's a large courting between dietary understanding and the incidence of CED amongst pregnant girls. continuous dietary training is vital to lessen the risk of CED and enhance maternal fitness.

The prevalence of hypertension in the elderly continues to increase and is a major cause of morbidity and mortality. Uncontrolled blood pressure can lead to serious complications such as heart disease, stroke, and kidney failure. Anxiety, which is often experienced by the elderly, also plays a role in worsening hypertension through activation of the sympathetic nervous system and increased stress hormones. This study aims to determine the relationship between anxiety levels and the incidence of hypertension in the elderly at the Kuta Alam Community Health Center in Banda Aceh City. The study used a quantitative method with a cross-sectional analytical design. The study population consisted of 145 elderly people with hypertension, with a sample of 59 people selected through a purposive sampling technique. The study was conducted from April 28 to May 8, 2025. Anxiety levels were measured using the Geriatric Anxiety Inventory (GAI) questionnaire, and blood pressure was measured using a digital sphygmomanometer. Data analysis was carried out univariately and bivariately using the Chi-square test. The results showed that the majority of respondents experienced panic anxiety (39.0%) and Grade III hypertension (44.1%). There was a significant relationship between anxiety levels and the incidence of hypertension in the elderly (ρ = 0.000; ρ < 0.05). In conclusion, anxiety influences the severity of hypertension, so psychological aspects need to be considered in elderly health services at the Kuta Alam Community Health Center.

The downstreaming of natural resources has emerged as a strategic policy implemented by the Coordinating Ministry for Economic Affairs to strengthen Indonesia’s economic independence and reduce reliance on raw commodity exports. Grounded in the philosophical foundation of Pancasila, this policy emphasizes the principles of economic equality, national sovereignty, and sustainability, in line with the overarching goals of national development. This study aims to analyze the role of industrial downstreaming policies in enhancing national economic self-reliance through the integration of Pancasila values. Substantively, downstreaming increases value-added production, boosts domestic investment, and facilitates job creation, particularly in the mineral processing and agro-industrial sectors. Moreover, the policy contributes to reducing economic vulnerability to global market fluctuations and aligns with the Pancasila principles of social justice and collective welfare. However, several challenges remain, including infrastructure readiness, environmental sustainability, and inclusive participation of small and medium enterprises (SMEs). The research indicates that the industrial downstream sector, as regulated by the Coordinating Ministry for Economic Affairs, plays a crucial role in realizing national economic autonomy, requiring its implementation to be aligned with Pancasila principles in order to balance economic progress with equity and sustainability.

This research explores how transformational leadership, work environment, and workload affect the organizational commitment of the Kebumen Regency Education, Youth, and Sports Office. This census-based quantitative study used a sample of 120 respondents, and data were collected through questionnaires. Validity, reliability, and classical assumptions were tested before the analysis. Multiple linear regression analysis was conducted using SPSS 26 to test the relationships between variables. The findings reveal that transformational leadership does not have a significant effect on organizational commitment. On the other hand, an excellent work environment greatly enhances employee welfare and has a substantial positive impact on organizational commitment. Workload is also found to positively affect organizational commitment, as a proportional workload encourages higher levels of employee accountability. Together, these three independent variables explain 55.4% of the variance in organizational commitment, with other factors accounting for the remaining portion. The study concludes that improving the work environment and managing workload effectively are key factors in increasing organizational commitment.

The motorcycle industry in Indonesia has experienced rapid development, particularly in the scooter segment, which dominates the market due to its convenience and efficiency. Despite this growth, Yamaha’s market share has shown fluctuations, indicating inconsistent consumer purchase intention. This study aims to analyze the effect of Word of Mouth (WOM), Brand Image, and Social Media Marketing (SMM) on purchase intention of Yamaha motorcycles in Denpasar City, using the Theory of Reasoned Action (TRA) as the underlying framework. The research employed a quantitative approach with a survey method involving 104 respondents. Data were analyzed using validity and reliability tests, classical assumption tests, and multiple linear regression analysis. The results demonstrate that WOM, Brand Image, and SMM each have a positive and significant effect on purchase intention, with WOM emerging as the most dominant factor. The regression model indicates that these three variables jointly explain 77.2% of the variance in purchase intention, while the remaining 22.8% is explained by other factors not included in this study. The findings confirm that strengthening WOM, enhancing brand image, and optimizing social media strategies are essential to increase consumer purchase intention. This study contributes to both theoretical development and managerial practice in the field of consumer behavior and marketing strategy in the automotive industry.

This study aims to examine Ibn Khaldun’s concept of character education and its relevance in shaping the personality of Generation Z in the digital era. The background of this research stems from the growing moral and social challenges faced by young people due to rapid technological advancement and the influence of globalization. This research employs a qualitative method using a library research approach by analyzing Ibn Khaldun’s works and related literature on Islamic character education. The findings reveal that Ibn Khaldun’s perspective on character education emphasizes the balance between ‘ilm (knowledge), adab (morality and ethics), and ‘ashabiyyah (social solidarity) as the foundation for forming a civilized individual. These values are highly relevant to be applied in modern education through teacher role modeling, habituation of positive behavior, and the integration of moral values into the curriculum. The implication of this study highlights that internalizing Ibn Khaldun’s principles of character education can serve as an effective strategy to develop a knowledgeable, ethical, and resilient generation capable of facing contemporary challenges.

The construction industry faces major challenges in managing material inventory, particularly among start-up companies that still rely on paper-based manual records. Such practices often lead to data inconsistencies, delays in decision-making, and project inefficiencies. This study aims to analyze the implementation of a cloud-based and real-time inventory management system utilizing spreadsheets at PT X, a start-up contractor located in Karanganyar, Central Java. The research employs a qualitative case study approach, with data collected through direct observation, semi-structured interviews with finance staff, logistics administration staff, and the project manager, as well as documentation of material inflows and outflows. The findings reveal that the use of cloud-based spreadsheets enhances data transparency, facilitates real-time monitoring between field and office, and accelerates stock opname validation. The system also supports more responsive decision-making regarding material reordering and request postponements. Nevertheless, several obstacles remain, including limited digital literacy among staff, potential input errors, and reliance on internet connectivity. Theoretically, this research contributes to the literature on accounting information systems and inventory management in small-scale construction sectors. Practically, it demonstrates that low-cost cloud solutions can improve operational efficiency and serve as a foundation for developing more integrated systems in the future.

Taxes are a primary source of government revenue and play a crucial role in economic development. However, tax avoidance practices are still widely practiced by companies, including in the mining sector, which has significant potential to generate state revenue. This study aims to examine the influence of financial distress, corporate governance (independent commissioners and audit committees), and institutional ownership on tax avoidance in mining companies listed on the Indonesia Stock Exchange for the 2020–2023 period. The study population consisted of 83 companies, and through purposive sampling, 61 companies were selected, with a total of 244 observations. The analysis used panel data regression with the help of Eviews 25. The results indicate that financial distress and institutional ownership have a positive effect on tax avoidance, while independent commissioners and audit committees have a negative effect on tax avoidance. These findings suggest that a company's financial condition and ownership structure play a significant role in determining tax avoidance policies.

The first 1000 days are often referred to as the window of opportunities or the golden period, based on the fact that from the fetal stage to the age of two years, there is a period of rapid growth and development that does not occur in other age groups. Meeting nutritional needs during the first 1000 days of a child's life is very important. This study analyzes the relationship between food taboos and LILA in pregnant women with the incidence of stunting in toddlers aged 1-24 months in the working area of the Biromaru Community Health Center in Sigi Regency. The research design used was a case-control study. The independent variables in this study were food taboos and maternal weight during pregnancy. The dependent variable was stunting in children aged 1-24 months. The population in this study consisted of all mothers who had children with stunting, totaling 32 people. The results of the study show that of the 16 stunted respondents, 11 (34.4%) respondents had food taboos and 5 (15.6%) respondents did not have food taboos. Then, out of 16 non-stunted respondents, 4 (12.5%) respondents had food taboos and 12 (37.5%) respondents did not have food taboos. Meanwhile, out of 16 stunted respondents, 10 (31.3%) respondents had KEK and 6 (18.76%) respondents did not have KEK. Then, of the 16 respondents who were not stunted, 3 (9.4%) respondents had KEK and 13 (40.6%) respondents did not have KEK. There is a relationship between food taboos and the incidence of stunting in children aged 1-24 months (p = 0.001), as well as a relationship between maternal height during pregnancy and the incidence of stunting in children aged 1-24 months (p = 0.01). It is hoped that the Biromaru Community Health Center will increase routine visits and provide education and counseling for mothers and infants.