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Knee septic arthritis is an orthopedic emergency that requires prompt and appropriate management to prevent permanent joint damage and systemic complications. Inflammatory markers such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are commonly used for diagnosis and monitoring of treatment response; however, their prognostic value after surgical debridement remains variable. This systematic review aimed to evaluate the role of ESR, CRP, and platelet count as prognostic indicators following irrigation and/or surgical debridement in patients with knee septic arthritis. A literature search was conducted in January using PubMed, Google Scholar, ScienceDirect, Wiley Online Library, SpringerLink, and Semantic Scholar, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study quality was assessed using the National Heart, Lung, and Blood Institute (NHLBI) tools. Fifteen studies meeting the inclusion criteria were qualitatively analyzed. The findings indicate that elevated preoperative CRP levels and delayed postoperative CRP reduction are associated with unfavorable clinical outcomes, including failure of infection eradication and the need for repeat debridement. Although ESR is consistently elevated during the acute phase, its slower decline limits its short-term prognostic utility. Platelet count may increase as part of the systemic inflammatory response but shows inconsistent prognostic value.

This study aims to analyze the relationship between self-compassion and self-objectification among female TikTok users in Jambi City. The study used a quantitative correlational approach with a cross-sectional design. A total of 218 female students in Jambi City aged 18–25 years who actively use TikTok were selected using a purposive sampling technique. The instruments used were the Self-Compassion Scale (SCS) adapted into Indonesian (Skala Welas Diri) and the Objectified Body Consciousness Scale (OBCS). Data analysis used the Pearson Product Moment correlation test. The results showed a significant negative relationship between self-compassion and self-objectification (r = -0.216; p = 0.001). The higher the self-compassion, the lower the tendency for self-objectification. The majority of respondents had moderate to high levels of self-compassion, while self-objectification was in the moderate category. The duration of TikTok use of more than 2 hours per day was associated with a higher tendency for self-objectification. These findings confirm the role of self-compassion as a protective factor against self-objectification in the context of visual-based social media use.

Increased caffeine intake is commonly used by students to cope with academic demands, especially during examinations and the completion of final projects. Excessive caffeine consumption may affected sleep quality and potentially influence nutritional status. This study aimed to determine the correlation between caffeine intake, sleep disturbances, and nutritional status among final – year unsergarduated students at Dr. Soekardjo University. This study used quantitative approach with an observational analytic and cross-sectinal design. A total of 108 students participated in the study. Data were collected using questionnaires and analyzed using the Spearman Rank correlations test. The findings indicated that the most of respondents with low caffeine intake experienced mild sleep disturbances, totaling 56 respondents (80%). Meanwhile, respondents with moderate and high caffeine intake mostly experienced moderated sleep disturbances, with 13 respondents (61.9%) and 9 respondents (52.9%), respectively. The results showed a significant correlation between caffeine intake and sleep disturbances (p-value=0.000). In all categories of caffeine intake, most respondents had normal nutritional status. However, no significant relationship was found between caffeine intake and nutritional status (p-value=0.351). In conclusion, caffeine intake was associated with sleep disturbances but not with nutritional status among final-year undergraduate students.

Typhoid fever during pregnancy can lead to complications such as uteroplacental infection, miscarriage, and vertical transmission, which causes neonatal typhoid. Typhoid fever is found worldwide and is highly prevalent in developing countries, particularly in tropical regions. It is estimated that there are 11–21 million cases per year and approximately 128,000–161,000 deaths per year; the majority of cases occur in Southeast Asia, South Asia, and Sub-Saharan Africa. Salmonella typhi is a gram-negative bacterium capable of intracellular survival. Symptoms in typhoid patients vary among different groups. While pregnant women with typhoid are more likely to exhibit coughing, non-pregnant patients more frequently report nausea/vomiting compared to pregnant patients. The effects of typhoid fever on pregnancy result from prolonged high fever and poor general health, which can lead to miscarriage, preterm labor, and intrauterine fetal death, especially if the infection occurs during the first or second trimester. Morbidity and mortality rates may be higher in pregnant women. Pregnancy itself does not affect the course of the disease. Prevention of typhoid fever involves adopting a clean and healthy lifestyle, as well as receiving the typhoid vaccine. Two effective vaccines are available for typhoid fever. The live-attenuated oral vaccine (Ty21a) requires four doses, administered 48 hours apart, without concurrent use of antibiotics or antimicrobial medications. Due to reduced gastrointestinal motility in early pregnancy and frequent nausea and vomiting associated with symptomatic gastroesophageal reflux requiring acid-reducing therapy, we do not recommend the Ty21a oral vaccine for pregnant patients.

Sleep duration and sleep quality are essential physiological needs that play a significant role in the emotional and behavioral development of children aged 3–6 years. Adequate sleep supports brain development, cognitive functioning, emotional regulation, and social interaction skills in early childhood. Conversely, poor sleep duration and low sleep quality may negatively affect children’s attention, mood stability, and ability to interact socially with peers and caregivers. This article is a literature review using a systematic review approach that analyzes 10 scientific articles published between 2016–2026 to evaluate the relationship between sleep duration and sleep quality with emotional and behavioral problems in preschool children. The article selection process followed the PRISMA flow diagram, with articles sourced from Google Scholar, PubMed, and ScienceDirect databases. The findings consistently indicate that inadequate sleep duration and poor sleep quality are associated with increased emotional and behavioral problems, including hyperactivity, anxiety, emotional dysregulation, and difficulties in social interaction among children. Furthermore, sleep disturbances were found to negatively influence children’s emotional self-regulation abilities, which are crucial for adaptive behavior. Therefore, ensuring adequate sleep duration and improving sleep quality are important strategies to support optimal emotional and behavioral development in preschool-aged children.

To address the negative impacts of teenage romantic relationships on peer dynamics and academic achievement at SMP Negeri 5 Sipahutar, school authorities implemented a regulation prohibiting dating, in line with Pancasila character education principles. This study aimed to evaluate the influence of this policy on fostering positive social behavior among ninth-grade students. The research employed a quantitative descriptive approach and involved 81 students as respondents. Data were collected using a four-level multiple-choice agreement questionnaire consisting of ten items. The analysis results showed a total score of 2707, a mean score of 33.42, a standard deviation of 4.8, and an average scale score of 3.34. The findings revealed that 78.2% of students agreed that the regulation encouraged peer cooperation, improved discipline in obeying school rules, and supported effective group learning. In addition, the policy appeared to contribute to a more positive school environment by reducing distractions associated with adolescent dating behavior. These findings indicate that school-based regulations can play an important role in shaping adolescent character and social behavior based on national values. Therefore, such policies may serve as an effective preventive strategy for educational institutions that aim to strengthen character education and promote responsible student conduct.

Hypertension is a non-communicable disease that is still a major health problem in Batam City. This study aims to determine the relationship between energy, carbohydrate, fat, protein, and sodium intake with the incidence of hypertension in the elderly at the Sei Langkai Public Health Center, Batam City. This type of study is observational with a cross-sectional design. A sample of 73 elderly people was selected using a purposive sampling technique based on predetermined inclusion and exclusion criteria. The results showed that the majority of elderly participants had adequate energy intake (54.8%) and carbohydrate intake (57.5%), while inadequate intake was observed for fat (56.2%), protein (52.1%), and sodium (79.5%). In addition, 54.8% of the participants were found to have hypertension. Statistical analysis revealed significant associations between energy intake (p=0.020), carbohydrate intake (p=0.004), fat intake (p=0.009), and protein intake (p=0.015) and the incidence of hypertension among the elderly. However, no significant association was found between sodium intake (p=0.300) and the incidence of hypertension among the elderly. It can be concluded that energy, carbohydrate, fat, and protein intake were significantly associated with the incidence of hypertension among the elderly, whereas sodium intake was not. The elderly are advised to implement a healthy and balanced dietary intake.

The increased intake of packaged sugar-sweetened beverages among adolescents may affect health status, particularly blood glucose levels, as their high added sugar content can disrupt glucose metabolism when consumed excessively. This study aimed to examine the relationship between the consumption of packaged sugar-sweetened beverages and blood glucose levels among high school students in Tuban District. A quantitative approach with a cross-sectional design was employed, involving 2,092 students from four schools. The sample was selected using a stratified random sampling technique. Data on beverage consumption were collected using a Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), while blood glucose levels were measured using a glucometer. Data analysis was performed using the Spearman Rank correlation test with SPSS version 24. The results indicated a significant relationship between the consumption of packaged sugar-sweetened beverages and blood glucose levels among high school students in Tuban District (p = 0.000). These findings suggest that higher consumption levels are associated with higher blood glucose levels in adolescents.

Flooding is one of the most frequent disasters in DKI Jakarta and contributes not only to physical and economic losses but also to the emergence of various psychological problems among affected communities. This study aims to analyze the psychological impacts of post-flood disasters, particularly among vulnerable groups such as children and the elderly, and to examine the effects of repeated flood exposure on mental health conditions. This study employs a literature review method with a qualitative descriptive approach through the identification and synthesis of relevant scientific sources. Data analysis was conducted using content analysis to identify patterns, relationships, and trends in research findings. The results indicate that flooding is associated with psychological disorders such as stress, anxiety, depression, and post-traumatic stress disorder (PTSD), with varying levels of severity. Repeated exposure to flooding has been shown to increase individuals’ vulnerability to mental health problems and reduce psychological well-being. However, protective factors such as social support, religiosity, emotional regulation abilities, and adaptive coping strategies play a significant role in strengthening resilience and accelerating psychological recovery. The findings highlight the importance of a holistic disaster management approach that integrates mental health services, strengthens community capacity, and enhances preparedness education to improve the psychological resilience of flood-affected communities.

Stunting remains a persistent nutritional challenge that threatens human capital development in Indonesia. This study examines the effects of exclusive breastfeeding, female education, sanitation, access to safe drinking water, inadequate food consumption, and poverty on stunting prevalence across 34 provinces in Indonesia during 2017–2024. The study employs a random-effects Panel EGLS estimator with Panel Corrected Standard Errors (PCSE) to address heteroskedasticity and cross-sectional dependence in provincial panel data. The findings reveal that exclusive breastfeeding, female education, and adequate sanitation significantly reduce stunting prevalence, while poverty significantly increases it. Interestingly, inadequate food consumption is negatively associated with stunting prevalence, potentially reflecting the contribution of government nutritional assistance and social protection programs. In contrast, access to safe drinking water does not show a statistically significant effect. Among the explanatory variables, female education is strongly associated with reductions in stunting. These findings highlight the importance of strengthening women’s education, improving sanitation quality, and expanding poverty-alleviation and nutrition-sensitive interventions to accelerate reductions in stunting and support the achievement of Sustainable Development Goal 2 in Indonesia.

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

This study is motivated by the dynamic changes in digital consumer behavior in e-commerce, particularly in the purchase of electronic products through the Tokopedia platform. The study aims to analyze and synthesize the influence of online reviews and product ratings on purchase decisions using a systematic literature review approach. The method involves a comprehensive examination of global and local scientific literature, with a focus on peer-reviewed journals and empirical studies published between 2021 and 2026. The findings indicate that online reviews and product ratings are capable of reducing consumer uncertainty as well as the functional risks associated with electronic products. Empirical evidence over the past decade suggests that high ratings can build initial confidence in brand quality, while detailed reviews provide crucial technical validation for potential buyers. Overall, these two indicators work synergistically to strengthen consumer trust and serve as key determinants in the final stage of the purchasing decision. The implications suggest that e-commerce platforms and sellers need to prioritize the management of user-generated content and maintain transparency in reputation to remain competitive in a market increasingly reliant on the credibility of online information.

Background: Exclusive breastfeeding is crucial for improving maternal and infant health, yet its success remains inconsistent, influenced by psychological factors such as breastfeeding self-efficacy. Mothers with high confidence are more likely to maintain exclusive breastfeeding despite physical and emotional challenges postpartum. Limited evidence exists regarding this relationship at the community level. Objective: This study analyzed the relationship between breastfeeding self-efficacy and successful exclusive breastfeeding among postpartum mothers. Methods: A quantitative cross-sectional study was conducted in Sliyeg Village, the working area of Puskesmas Sliyeg, Indramayu, in March 2026. The population included postpartum mothers with infants aged 0–6 months. A total of 68 respondents were selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and an observation sheet for exclusive breastfeeding success. The Chi-Square test was used for analysis with a significance level of α=0.05. Results: Most respondents had high breastfeeding self-efficacy (61.8%) and successfully practiced exclusive breastfeeding (66.2%). Statistical analysis showed a significant relationship between breastfeeding self-efficacy and exclusive breastfeeding success (p=0.001). Conclusion: Breastfeeding self-efficacy is significantly associated with the success of exclusive breastfeeding among postpartum mothers. Enhancing lactation education, family support, and counseling is recommended to strengthen maternal confidence and promote successful exclusive breastfeeding practices.  

The rapid advancement of artificial intelligence (AI) has significantly altered the landscape of business decision-making, particularly for Micro, Small, and Medium Enterprises (MSMEs) in Indonesia. Despite their critical role in economic growth and employment generation, MSMEs frequently encounter substantial barriers related to technological adoption, digital literacy, and resource allocation. This research systematically investigates the utilization of artificial intelligence as a responsive innovation mechanism designed to optimize decision-making processes within the MSME sector. By employing a comprehensive systematic literature review methodology, analyzing peer-reviewed publications from globally recognized academic databases between 2018 and 2024, this study delineates the multifaceted benefits, complex challenges, and contextualized adoption strategies associated with AI integration. The findings reveal that artificial intelligence holds transformative potential for enhancing operational efficiency, refining predictive analytics, and sustaining long-term competitiveness. Conversely, critical challenges, including inadequate digital infrastructure, financial constraints, and organizational resistance, remain pervasive obstacles. Consequently, the study advocates for a gradual, responsive innovation approach that aligns technological adoption with specific business needs and environmental pressures. The insights derived from this research offer substantial theoretical and practical implications, providing a strategic framework for policymakers and MSME owners to accelerate digital transformation inclusively.

This study was conducted in response to the increasingly complex nutritional issues among adolescents, reflected in the coexistence of undernutrition and overnutrition within the same population, which are closely associated with dietary consumption patterns. The research aimed to investigate the relationship between diet quality and the nutritional status of students at SMAN 9 Surabaya. A quantitative approach with a cross-sectional design was employed, involving 85 participants selected based on the estimated sample requirement for correlation analysis. Dietary intake data were collected using two non-consecutive 24-hour food recalls and subsequently assessed using the Diet Quality Index for Adolescents (DQI-A). Nutritional status was determined through BMI-for-age calculations in accordance with the World Health Organization standards. Data analysis was performed using correlational testing and Chi-Square analysis to identify differences in proportions. The findings revealed that the respondents’ diet quality remained suboptimal, while most students were categorized as having normal nutritional status, although cases of undernutrition and overnutrition were still identified. A significant association was found between diet quality and nutritional status (p = 0.001), indicating that better diet quality tended to be linked with normal nutritional status. Based on the DQI-A components, dietary quality demonstrated a significant relationship with nutritional status (p = 0.007), whereas dietary diversity (p = 0.597) and dietary equilibrium (p = 0.507) showed no significant associations. These findings highlight that diet quality, particularly food selection patterns, plays an important role in determining adolescent nutritional status. Therefore, improving nutritional conditions requires more intensive nutrition education interventions focusing on healthy food choices, increased fruit and vegetable consumption, and controlled intake of sugar, salt, and fat, supported consistently by both individuals and the school environment.

Background: Acute respiratory infection (ARI) remains a major public health concern, particularly in primary care settings. Lifestyle factors such as dietary patterns and physical activity are increasingly recognized as potential contributors to respiratory health. Objective: This study aimed to examine the association between dietary patterns, physical activity, and ARI among primary care patients in East Halmahera, Indonesia. Methods: A cross-sectional study was conducted at a primary health care facility in East Halmahera, Indonesia, from January to February 2026, involving 106 respondents selected using a total sampling technique. Data were collected using structured questionnaires and medical records. Variables included sociodemographic characteristics, dietary patterns, physical activity, and ARI status. Data were analyzed using descriptive statistics and Chi-square tests with a significance level of p < 0.05. Results: The prevalence of ARI among respondents was 77.4%. Bivariate analysis showed that dietary patterns (p = 0.006) and physical activity (p = 0.015) were significantly associated with ARI. In contrast, age, gender, marital status, education level, employment status, smoking, and alcohol consumption were not significantly associated with ARI (p > 0.05). Conclusion: Dietary patterns and physical activity were significantly associated with ARI among primary care patients in East Halmahera. These findings highlight the importance of lifestyle-related factors in addressing respiratory infections at the primary care level.  

This study aims to analyze public concerns regarding fast food consumption from the perspective of risk society, particularly among university students. The increasing consumption of fast food reflects shifts in consumption patterns influenced by globalization, practicality, and time efficiency. This research employs a qualitative approach through a literature review supported by interview data to strengthen the analysis. The findings reveal that fast food consumption is not solely driven by biological needs but also by practical, emotional, and social factors. Although students demonstrate a relatively high awareness of health risks associated with fast food, their consumption behavior persists as an adaptive response to structural conditions such as time constraints, accessibility, and academic pressures. From the perspective of risk society, this phenomenon illustrates a contradiction between risk awareness and everyday consumption practices. Risks produced by modernity are not entirely avoided but are negotiated and normalized in daily life. Therefore, fast food consumption cannot be understood merely as an individual choice but as a result of the interaction between structural factors, consumer culture, and social construction within modern society.

Helicobacter pylori infection is one of the main factors associated with the occurrence of active gastritis and duodenal ulcers. This bacterium can survive in the acidic environment of the stomach by producing the urease enzyme, allowing it to colonize the gastric mucosa and trigger an inflammatory response. This study aims to analyze the relationship between Helicobacter pylori infection and the incidence of active gastritis and duodenal ulcers. The method used was a literature review with a narrative approach of scientific articles published between 2021–2025 from the Google Scholar, OpenAlex, and Crossref databases. The results of the review indicate that Helicobacter pylori infection is significantly associated with increased gastric mucosal inflammation and a higher risk of duodenal ulcers. Early detection and eradication therapy using a combination of antibiotics and proton pump inhibitors (PPI) are effective in preventing disease progression and complications. Additional findings highlight the importance of hygiene, sanitation, and public awareness in reducing transmission rates and improving gastrointestinal health outcomes globally..

Helicobacter pylori infection is one of the main factors associated with the occurrence of active gastritis and duodenal ulcers. This bacterium can survive in the acidic environment of the stomach by producing the urease enzyme, allowing it to colonize the gastric mucosa and trigger an inflammatory response. This study aims to analyze the relationship between Helicobacter pylori infection and the incidence of active gastritis and duodenal ulcers. The method used was a literature review with a narrative approach of scientific articles published between 2021–2025 from the Google Scholar, OpenAlex, and Crossref databases. The results of the review indicate that Helicobacter pylori infection is significantly associated with increased gastric mucosal inflammation and a higher risk of duodenal ulcers. Early detection and eradication therapy using a combination of antibiotics and proton pump inhibitors (PPI) are effective in preventing disease progression and complications. Additional findings highlight the importance of hygiene, sanitation, and public awareness in reducing transmission rates and improving gastrointestinal health outcomes globally..

Postoperative pain following Sectio Caesarea (SC) is a common clinical problem, reported within the first 24 hours in approximately 50-85% of patients. This postoperative pain can affect maternal comfort, early mobilization, and the recovery process. Theoretically, post-SC pain is associated with tissue trauma and nociceptive responses. Enhanced Recovery After Surgery (ERAS) is an increasingly implemented method because it is considered capable of accelerating postoperative recovery and reducing pain intensity after surgical procedures. This study aimed to describe the distribution of post-Sectio Caesarea pain intensity based on patient characteristics. This research employed a descriptive quantitative design with an observational approach. Data were collected using a total sampling technique from all post-SC patients managed with the ERAS method at RSI Fatimah over a one-month period, with a total of 50 respondents. The research instrument used was the Visual Analogue Scale (VAS). Data were analyzed univariately in the form of frequency and percentage distributions. The results showed that the majority of respondents were in early adulthood (26-35 years), accounting for 40 respondents (80.0%), multiparous women totaled 30 respondents (60.0%), maternal indications were found in 33 respondents (66.0%), and 27 respondents (54.0%) had no previous history of SC. Within the first 2 hours after SC, most mothers experienced mild pain (scale 1-3), totaling 31 respondents (62.0%). At 8 hours after analgesic administration, mild pain remained predominant, with 36 respondents (72.0%). In conclusion, most mothers who underwent Sectio Caesarea using the ERAS method experienced mild pain during the early postoperative period.