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Background: Hypertension remains a major public health problem, particularly in primary health care settings. The coexistence of diabetes mellitus may contribute to increased hypertension severity; however, evidence from primary care data in Indonesia remains limited. Objective: This study aimed to examine the association between diabetes mellitus and hypertension severity among patients attending a primary health care center in Indonesia. Methods: A cross-sectional study was conducted using secondary data obtained from medical records at a primary health care center in 2025. A total of 84 patients with hypertension were included using total sampling. Hypertension severity was classified into stage 1 and stage 2. Bivariate analysis was performed using the Chi-square test or Fisher’s exact test as appropriate, with statistical significance set at p < 0.05. Data were analyzed using SPSS version 26. Results: Of the 84 participants, 33.3% had diabetes mellitus. Stage 2 hypertension was more prevalent than stage 1 hypertension. Diabetes mellitus was significantly associated with hypertension severity (p = 0.029), with a higher proportion of patients with diabetes mellitus presenting with stage 2 hypertension. Conclusion: Diabetes mellitus was significantly associated with greater hypertension severity in a primary health care setting. These findings highlight the importance of integrated management.

Background: Hypertension remains a major public health problem, particularly in primary health care settings. The coexistence of diabetes mellitus may contribute to increased hypertension severity; however, evidence from primary care data in Indonesia remains limited. Objective: This study aimed to examine the association between diabetes mellitus and hypertension severity among patients attending a primary health care center in Indonesia. Methods: A cross-sectional study was conducted using secondary data obtained from medical records at a primary health care center in 2025. A total of 84 patients with hypertension were included using total sampling. Hypertension severity was classified into stage 1 and stage 2. Bivariate analysis was performed using the Chi-square test or Fisher’s exact test as appropriate, with statistical significance set at p < 0.05. Data were analyzed using SPSS version 26. Results: Of the 84 participants, 33.3% had diabetes mellitus. Stage 2 hypertension was more prevalent than stage 1 hypertension. Diabetes mellitus was significantly associated with hypertension severity (p = 0.029), with a higher proportion of patients with diabetes mellitus presenting with stage 2 hypertension. Conclusion: Diabetes mellitus was significantly associated with greater hypertension severity in a primary health care setting. These findings highlight the importance of integrated management of diabetes mellitus in patients with hypertension at the prizary care level.

The goal of continuous midwifery care is to use the SOAP documentation technique to provide comprehensive care to pregnant women up to birth control according to care standards. From May 2 - July 14, 2025, Mrs.C, G2P1A0, 32 years old received continuous midwifery care from pregnancy until get contraception methods, starting at 34 weeks of gestation. The mother complained of back pain during prenatal check-ups. The labor process went smoothly. With the assistance of a midwife, the baby was born on June 10, 2025. Birth weight: 3000 grams; length: 50 cm; head circumference: 34 cm; chest circumference: 33 cm; received Hb0 vaccine two hours after birth, eye ointment, and vitamin K shortly thereafter. The baby did not experience any problems or complaints during the first visit. Mrs. C received four visits during the postpartum period. The mother did not feel anything during the first visit up to the following visits. She continued to breastfeed exclusively, and her vital signs and fundal height returned to normal. The mother used a three-month injectable contraceptive so as not to interfere with the exclusive breastfeeding program. Mrs.C has received continuous midwifery care during pregnancy and contraceptive use, and her health is normal. It is expected that the midwife will be able to provide continuous midwifery care so that in the event of an emergency, it can be immediately identified and promptly handled.

Menstrual stress is a common reproductive health problem among adolescent girls, which can interfere with learning activities, concentration, and overall quality of life. This community service activity aimed to improve the ability of female students to manage menstrual stress through education and practice of deep breathing techniques at SMPN 2 Rambutan, Banyuasin Regency. The activity used a one-group pretest–posttest pre-experimental design involving 30 female students who had experienced menstruation. Health education was delivered through interactive lectures, discussions, and practical demonstrations of deep breathing techniques, while evaluation was conducted using pre-test and post-test questionnaires on menstrual stress levels. The results showed a reduction in menstrual stress, with most participants shifting from moderate stress before education to mild stress after the intervention. These findings indicate that deep breathing techniques are effective in helping students independently manage menstrual stress. Therefore, health education combined with practical deep breathing exercises is recommended to be implemented continuously in schools as a promotive and preventive strategy for adolescent reproductive health.

Menstrual stress is a common reproductive health problem among adolescent girls, which can interfere with learning activities, concentration, and overall quality of life. This community service activity aimed to improve the ability of female students to manage menstrual stress through education and practice of deep breathing techniques at SMPN 2 Rambutan, Banyuasin Regency. The activity used a one-group pretest–posttest pre-experimental design involving 30 female students who had experienced menstruation. Health education was delivered through interactive lectures, discussions, and practical demonstrations of deep breathing techniques, while evaluation was conducted using pre-test and post-test questionnaires on menstrual stress levels. The results showed a reduction in menstrual stress, with most participants shifting from moderate stress before education to mild stress after the intervention. These findings indicate that deep breathing techniques are effective in helping students independently manage menstrual stress. Therefore, health education combined with practical deep breathing exercises is recommended to be implemented continuously in schools as a promotive and preventive strategy for adolescent reproductive health.

Palgunadi Selatan Village, RT 07/RW 05, Bulu Lor Subdistrict, North Semarang, possesses distinctive local potential in the form of community-based grape cultivation. However, this potential has not yet been systematically integrated into spatial and environmental planning at the neighborhood scale. This community service program aims to identify local potential and environmental constraints, formulate a design concept for a grape-based thematic village, and strengthen collaboration between residents, universities, and local stakeholders. The implementation method employs field observation, identification of potential and problems, environmental analysis, participatory discussions with the  community, and formulation of a spatial design concept. The results of the program are presented in the form of a conceptual design for the Grape-Based Thematic Village along Palgunadi Selatan Street, which includes gateway elements, pedestrian pathways, communal seating areas, pergola systems for grape cultivation, neighborhood bridges, vertical planting systems, and security posts. This design concept enhances environmental quality, strengthens the visual identity of the neighborhood, and creates opportunities for community-based economic activities and educational tourism. Furthermore, the program contributes to increased community awareness and participation in environmentally responsive and locally based neighborhood development, supporting the realization of a more organized, attractive, productive, and sustainable urban settlement.

This study discusses the opportunities for the development of Islamic education from the perspective of solutions offered by the philosophy of science in the era of technological advancement. Islamic educational institutions are confronted with complex problems that cannot always be resolved independently. The philosophy of science offers several solutions on how to address the challenges commonly faced by educational institutions. Often, educational institutions focus excessively on analyzing the challenges or problems they encounter, whereas there are other aspects that can be utilized as supporting factors for the development of Islamic education, namely by examining existing opportunities and implementing them effectively. This research employs a literature review method with a qualitative approach, complemented by case study analysis across various educational institutions. Many Islamic educational institutions, both formal and non-formal, have utilized opportunities as a primary strategy for developing Islamic education. Various solutions are proposed, including curriculum integration, strengthening institutional organizational structures, improving human resources as well as facilities and infrastructure, and presenting innovative ideas implemented by institutions in developing Islamic education.

The strategic role of SMEs in the Indonesian economy and the phenomena of declining performance as a result of the Covid-19 pandemic motivated author to research this sector. Various internal problems make it difficult for SMEs to improve their performance and competitiveness in a competitive business environment. Using the dynamic capability perspective, this study examines the influence of human resource configuration through employee training and organizational culture which is able to encourage innovation that improves SME performance. This study uses purposive sampling technique and data collection is done through questionnaires and interviews with 122 SMEs in East Java. Data analysis is carried out using PLS SEM. The research results show that employee training does not have a direct effect on SME performance, however employee training is able to encourage innovation which has an impact on improving SME performance On the other hand, organizational culture has a significant direct and indirect effect on SME performance trough innovation. Results of this study can be used as a consideration by SME owners in making business decisions in order to improve their performance. From the theoretical side, the results of this study confirm the dynamic capability theory by Teece and Pisano regarding the key role of innovation and Becker's opinion from a human resource management perspective which states that employee training must be designed systematically according to the long-term needs of the organization in order to have an impact on improving organizational performance.

Stunting is a chronic nutritional problem that is still prevalent in the community and has long-term impacts on physical growth, cognitive development, and the quality of human resources. One effort to prevent stunting is through a community service-based nutrition education program. This activity aims to analyze the implementation of a nutrition education program as a stunting prevention effort in Pasar Rawa Village, Gebang District, Langkat Regency, North Sumatra. The method used was a descriptive qualitative approach with a community service approach. The target group included PKK mothers and local mothers with toddlers. The activity was carried out through the delivery of balanced nutrition education materials, an introduction to stunting, and a discussion and question-and-answer session. The results of the activity showed active participant participation and increased awareness of the importance of fulfilling children's nutritional needs. However, some mothers still did not fully understand the concept of stunting, and some toddlers still experienced stunting. Therefore, nutrition education needs to be carried out sustainably and integrated with other health programs.

This study is motivated by the importance of financial and asset management strategies in supporting the operational effectiveness of the Regional Disaster Management Agency (BPBD) of Central Sulawesi, which plays a strategic role in disaster mitigation, preparedness, emergency response, and post-disaster recovery. The main problems addressed are how financial and asset management strategies are implemented, to what extent they affect operational effectiveness. The objectives of this research are to analyze the applied strategies, assess their influence on operational effectiveness, and identify challenges as well as relevant solutions.The literature review refers to public financial management theories, regional asset management, and previous studies highlighting the relationship between financial governance, accountability, and public sector performance. This study employs a quantitative approach with a descriptive design. Data were collected through literature study, observation, interviews, and questionnaires distributed to BPBD staff in finance and asset divisions. The analysis included validity and reliability tests, along with multiple linear regression to examine the effect of independent variables on operational effectiveness. The findings show that BPBD Central Sulawesi’s financial management strategy in 2024 achieved a realization rate of 89–100% in most programs, although imbalances were found in certain activities such as the disaster management system arrangement, which only reached 38%. In terms of asset management, fixed assets dominate with a book value of IDR 19.6 billion, with significant growth in equipment and machinery. Regression analysis results indicate an R² value of 0.817, meaning that 81.7% of operational effectiveness is influenced by financial and asset management strategies, while the remaining 18.3% is explained by other factors.The study concludes that financial and asset management strategies significantly affect BPBD’s operational effectiveness. Nevertheless, challenges such as limited human resources, inadequate information systems, and discrepancies in budget realization require solutions through capacity building, technology utilization, and improved planning mechanisms to optimize disaster management effectiveness.

In this era of ongoing digitalization, the use of information technology in records management is becoming increasingly crucial to ensure work efficiency and effectiveness. This study aims to examine the implementation of a dynamic archive storage system in the General Ledger Accounting Division of PT KPN Plantation. Specifically, this study identifies the obstacles encountered and analyzes the efforts made to overcome these challenges. Using a qualitative approach, primary data was collected through observation, interviews, and documentation studies with informants from General Ledger Accounting employees. Data analysis was carried out through a series of processes, including data collection, data reduction, data presentation, and conclusion drawing. The results of the study show that although the stages of archive management have been carried out systematically through a combination of physical procedures and digitization using E-Archive, its implementation still faces significant obstacles. The problems identified include managerial aspects such as high transaction volumes that cause document backlogs and space limitations, technical aspects such as the instability of the E-Archive system, and limited human resources with expertise in archiving. Collectively, these obstacles reduce the effectiveness and efficiency of the system, requiring a comprehensive and integrated improvement strategy to achieve reliable and sustainable archive management

This study aims to explain the application of normative legal research methods in analyzing corruption in Indonesia. The normative legal research method is used because the main focus of this study lies in the study of laws and regulations, legal doctrine, and court decisions related to corruption. Through this approach, the study highlights how written legal norms are implemented in law enforcement practices, as well as their effectiveness in tackling corruption, which has become a systemic problem in Indonesia. This study also evaluates the role of existing regulations in providing legal protection for the interests of the state and society, and identifies weaknesses in the legal system that are often exploited by perpetrators of corruption to avoid punishment. By focusing on the application of legal norms in enforcing corruption laws, this study also analyzes the development of jurisprudence related to corruption and the contribution of legal doctrine to more effective law enforcement. This study is expected to provide deeper insight into the strengths and weaknesses of the legal system in Indonesia, as well as provide recommendations for improving the judicial system in handling corruption cases. The results of this study are expected to enrich legal studies in Indonesia, especially in the field of criminal law and legislation related to corruption.

The Frankfurt School represents one of the most influential traditions of critical thought in the development of twentieth-century social theory and philosophy. This article aims to examine the impact of Frankfurt School thought particularly the ideas of key figures such as Max Horkheimer, Theodor W. Adorno, Herbert Marcuse, and Jürgen Habermas and to analyze the relevance of their ideas within contemporary social contexts. Using a qualitative approach through an extensive literature review, this study examines key concepts such as critical theory, instrumental rationality, and the culture industry, as well as their implications for power relations, advanced capitalism, mass media, and modern democracy. The findings demonstrate that the Frankfurt School’s critique of instrumental rationality and cultural commodification remains highly relevant for understanding contemporary social problems, including digital media dominance, consumerism, and the crisis of the public sphere. This article argues that Frankfurt School thought continues to provide an essential analytical framework for critically engaging with the contradictions of modern and postmodern societies in the era of globalization and digital technology.

Chronic liver disease is a significant health problem and places a significant burden on healthcare services. Deaths from complications of chronic liver disease (cirrhosis and cancer) account for approximately 3.5% of all deaths worldwide each year. Hepatocellular carcinoma (HCC) is a primary liver tumor, accounting for 90% of all liver tumors. Due to limitations in liver transplantation, liver resection is considered the treatment of choice for HCC patients with a single tumor and sufficient liver function reserve. Liver resection and transplantation are the only curative treatment options available for HCC patients. Surgical procedures require anesthesia. General anesthesia is the preferred method for liver tumor resection. There are five main classes of anesthetic agents: intravenous (IV) anesthetics, inhalational anesthetics, IV sedatives, synthetic opioids, and neuromuscular blocking agents. Estimated health risks depend on the extent or severity of liver disease, the nature and timing of surgery, the type of anesthesia, and other comorbidities.

Small and medium-sized enterprises (SMEs) producing bags play an important role in the regional economy, but still face problems in financial management, particularly cash flow planning. The main problem faced by SME partners producing bags in Cipamokolan Village, Rancasari District, Bandung City, is the lack of comprehensive cash flow planning, which has the potential to cause liquidity problems. This community service activity aims to improve the understanding and skills of bag SME  in preparing a simple cash budget and encouraging its sustainable implementation. The methods used include training and mentoring with stages of problem identification, material delivery, cash budget preparation practice, and evaluation. The results of the activity show an increase in partners' understanding of cash planning, their ability to prepare a simple cash budget, and their commitment to implementing a cash budget in their daily business financial management. This activity is expected to improve cash flow control and support the sustainability of bag SME businesses

This community service program is entitled Improving Microcontroller Competence of Students of SMK Negeri 3 Pematangsiantar through Arduino Training Based on Industrial Practice and is implemented as a follow-up to the school's official request to invite university practitioners as guest teachers in order to strengthen industry-based vocational learning. The activity was carried out on November 27, 2025 at the Computer Laboratory of SMK Negeri 3 Pematangsiantar involving 50 grade XI students, and guided by Andi Setiadi Manalu, S.Kom., M.Ti as the main instructor of Arduino material which focuses on the introduction of microcontrollers, basic programming, sensor integration, and simple automation project design. The purpose of this activity is to improve students' technical competence in the field of embedded systems while fostering work readiness through real-world practice-based learning experiences. The implementation method uses an experiential learning and project-based learning approach, which combines brief conceptual explanations with direct practice, technical discussions, and problem-based project assignment completion. The evaluation results show an increase in students' understanding of microcontroller functions, programming logic structures, and the ability to connect hardware and software in one work system. In addition, students demonstrated increased motivation, confidence, and interest in industrial technology, as reflected in their active participation during the practicum and their successful independent completion of functional prototypes. Overall, this activity proved effective in strengthening the technical competencies of vocational high school students and supporting the implementation of the link and match policy between vocational education and the needs of the industrial world, while also emphasizing the strategic role of higher education institutions in supporting the improvement of human resource quality at the vocational high school level.

This research has a crucial objective to facilitate primary school (SD) teachers so they are able to effectively and efficiently integrate and present Social Studies (IPS) material enriched with the content of local wisdom. Local wisdom is defined as a treasure inherited through generations, encompassing in-depth knowledge, real practices, and fundamental values that have developed and been firmly held within the local community. This foundation makes the learning process not only informative but also highly relevant and meaningful for students’ lives. This article specifically highlights that the integration of values, culture, and knowledge sourced from the local area can produce significant positive impacts. These impacts include improving students' conceptual understanding of Social Studies material, fostering their active participation in the classroom, and honing essential critical thinking skills. Teachers are encouraged to use a contextual approach or a real-life-based approach, so the material taught feels close to the students' experiences and is easier to grasp. The values embedded in local wisdom will function as a strong bridge in understanding every material concept. Thus, the knowledge acquired by students does not only stop at the cognitive level (merely theoretical knowledge), but can also be implemented concretely in the form of real actions and behavior outside the school environment. This local wisdom-based learning approach will ultimately become an important connection that guides students to act appropriately, ethically, and solution-oriented in responding to various problems they face in their daily lives.

The creative economy industry serves as a strategic pillar of the national economy, experiencing significant transformation in the digital era. This study aims to comprehensively analyze the pattern of human resource (HR) competency gaps within priority subsectors of Indonesia's creative economy and formulate effective, multi-stakeholder development strategies. Employing a Systematic Literature Review (SLR) methodology, this research rigorously analyzes 30 scientific journal articles, government reports, and publications from global institutions published between 2014 and 2024. The findings delineate three primary clusters of competency gaps: (1) The Digital-Technical Competency Gap, encompassing deficiencies in data analytics, specialized software mastery, and digital content creation tools; (2) The Digital-Business Competency Gap, which includes shortcomings in digital financial literacy, online business model development, and management of digital intellectual property rights; and (3) The Social-Cognitive Competency Gap, highlighting needs in adaptability, complex problem-solving, and effective virtual collaboration. In response, this paper proposes an integrative strategic framework grounded in a collaborative multi-stakeholder approach. Key recommendations include revitalizing educational curricula through industry-embedded learning and micro-credential integration, developing agile and accessible training ecosystems featuring bootcamps and digital platforms, and fostering supportive policies through fiscal incentives and the alignment of national qualification frameworks with digital skill standards. The successful implementation of this synergistic strategy is expected to significantly enhance the adaptability, innovation capacity, and global competitiveness of Indonesia's creative workforce, thereby ensuring the sustainable growth of the creative economy sector in the face of rapid digital disruption.

This community service program aims to enhance the understanding and awareness of Micro, Small, and Medium Enterprises (MSMEs) regarding the importance of Intellectual Property Rights (IPR) certification as a form of legal protection and a means to improve business competitiveness. The activity was conducted in RW 04, Pondok Rajeg Village, Cibinong District, Bogor Regency, targeting local MSME actors. The program employed a Community Based Research (CBR) approach, emphasizing active community participation through problem analysis, target assessment, program development, and implementation stages. The main activity consisted of counseling sessions covering the concept of IPR, types of IPR, benefits of ownership, and online registration procedures through the Directorate General of Intellectual Property (DGIP). Evaluation was carried out using pre- and post-activity questionnaires. The results indicate that although all participants recognized the importance of IPR protection, their initial level of understanding was relatively low. Following the counseling session, there was a significant improvement in participants’ knowledge of IPR types and registration procedures. This program is expected to encourage MSMEs to register their intellectual property to protect innovation and enhance sustainable business competitiveness.

The purpose of this community service (PkM) is to provide training on Emotional Management for PKK mothers to increase their understanding of the importance of self-compassion related to emotions so that they can maintain their physical and mental health. This Emotional Management Training is a practical method in managing emotions, such as relaxation techniques, effective communication, and solving daily problems experienced by individuals when interacting with their environment, both family and social environments. PKK mothers RT.02/RW.05, Gemah sub-district, Pedurungan district, are mostly housewives. Emotional management is very necessary so that it does not last long, which in the end can affect the mother's mental health, so that the impact becomes even greater. To prevent these things from happening continuously, the PkM team of the psychology faculty provides assistance to the mothers by holding Emotional Management training which aims to maintain the mothers' mental health from pressures that arise both in the environment and from home. This input made the PkM team want to help find solutions regarding the development of self-skills for mothers through Emotional Management Training. The team's outreach to these mothers resulted in a 40% increase in their understanding of emotional management. By improving these mothers' skills, it is hoped that they will find it easier to control their emotions, focus, and better understand themselves and their surroundings, enabling them to overcome the challenges and obstacles they encounter in their daily lives.