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The Ngudi Lestari Waste Bank program, located in Tinjomoyo Village, Banyumanik Subdistrict, Semarang City, is an innovative effort to address the increasingly pressing waste problem in urban environments. This waste bank serves as a center for waste collection, sorting, and processing, transforming waste into economically valuable resources and educating the community on the importance of recycling and waste management.This research used a qualitative approach with a case study method to evaluate the Ngudi Lestari Waste Bank initiative. Data were collected through observation, interviews, and documentation, then analyzed using triangulation techniques. The results indicate that Ngudi Lestari Waste Bank is effective in raising environmental awareness, changing community behavior patterns, and strengthening social solidarity. Support from the government is crucial in expanding and optimizing the program's impact. With various future development plans, this initiative is expected to become a sustainable waste management model and be adopted by other regions, as well as a concrete example for waste management solutions at the local level.

Vertigo is a sensation or sensation of movement from the body and surrounding environment that is described as a circular sensation, usually accompanied by complaints of nausea and vomiting, and balance disturbances. Vertigo is the third most common complaint by patients who come to general practice, after headaches, and strokes. A 31-year-old man came to the emergency room of Cut Meutia Hospital with complaints of dizziness since 5 days ago and disappeared. Patients also complained of nausea but were not accompanied by vomiting since complaints of dizziness appeared. Dizziness is felt by patients when looking at the surrounding environment and is not triggered by a change in head position. In addition, the patient also has a buzzing tingling tingling tingling along with spinning dizziness attacks. The patient's hearing begins to fade when the patient's ears ring and finally settle down. Based on anamnesis, physical examination and extenuation examination, the patient was treated with peripheral vertigo et causa meniere disease. Governance is carried out in the form of inf. RL 20 gtt/min, inj. Omeprazol 2x1, inj. Ondansetron 2x1 and oral in the form of betahistin 2x1 and hydrochlorothiazide 1x1.    

Background: Many pregnant women experience sleep disorders in the second and third trimesters, which can lead to poor sleep quality. This study aimed to determine the effect of effleurage massage with aromatherapy oil on improving the quality of nighttime sleep for pregnant women in the second and third trimesters at Anugrah Clinic. This type of research is a quasi-experiment with a control group pretest-post-test design. The population was all second- and third-trimester pregnant women at Anugrah Clinic, with as many as 46 pregnant women. The sampling technique was total sampling, with 23 pregnant women in the experimental group and 23 in the control group. The data collection tool used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis used the McNemar test. The experimental group study showed an effect of effleurage massage with aromatherapy oil on the quality of night sleep for pregnant women in the second and third trimesters, with a value of p = 0.001. The control group study showed an effect of massage effleurage on the quality of night sleep for pregnant women in the second and third trimesters, with a value of p = 0.016. Analysis of the chi-square test data to see the difference between the experimental and control groups yielded a p-value of 0.049, meaning that there was a significant difference in the post-test sleep quality of the experimental and control groups. In conclusion, the increase in sleep quality for pregnant women was more common in the experimental group; the quality of sleep for pregnant women increased to 87%, while in the control group, the quality of sleep for pregnant women increased only 56.5%. The suggestion is that it is hoped that pregnant women and health workers, in overcoming sleep disturbances in the second and third trimesters of pregnant women, can apply effleurage massage interventions with aromatherapy oils.

The road environment not only influences the physical aspects of a city but also significantly impacts the psychological state of road users. This study aims to explore the relationship between road infrastructure such as sidewalk design, lighting, and signage, with perceptions of urban aesthetics and road psychology within the context of detailed urban development. Qualitative research methods were employed, including field observations, in-depth interviews, and document analysis, to assess how these factors affect the behaviors and feelings of road users and surrounding residents. Findings indicate that well-designed road infrastructure can enhance feelings of safety, comfort, and visual satisfaction among road users, whereas poor integration may lead to stress and discomfort. The implications of this research underscore the importance of considering psychological aspects in the planning and development of detailed urban environments to create road environments that are not only functional but also support the psychological well-being of the community.    

The problems of adolescents in the world are around problems regarding menstruation disorders (38.45%), nutritional problems related to anemia (20.3%), learning disorders (19.7%), psychological disorders (0.7%), and obesity problems (0.5%). Abnormal menstruation cycles can cause mental-emotional disturbances (depression and anxiety) in as many as 9.8% of people over 15 years of age in Indonesia. Several factors alter the menstrual cycle including phytoestrogen intake and level of sexual activity. Purpose; to determine the level of stress on the menstruation cycle in adolescent girls at MAN 2 Karanganyar. Method; This type of research is quantitative with a correlational quantitative research design and through a cross-sectional approach. The sampling technique used Cluster Random Sampling with a population of 379 adolescent girls and a sample of 79 adolescent girls. Data analysis using the Chi-Square test. Results; The results showed that the majority of respondents experienced severe stress as many as 42 (53.16%) with an abnormal menstruation cycle as many as 51 (64.6%). The results of the Chi-Square test obtained a p-value = 0.000, which means that there is a significant relationship between stress levels and the menstruation cycle in adolescent girls of MAN 2 Karanganyar. Conclusion; There is a significant relationship between stress level and menstruation cycle in adolescent girls at MAN 2 Karanganyar.  

Limited land resources are a problem for fisheries, especially in urban areas. So the need for a new innovation in the field of fisheries for cultivation. Vertiqua (Vertical Aquaculture) is an innovation in vertical cultivation in limited land and water. The Vertiqua system as a cultivation medium has not been effective in increasing fish growth due to slow growth and high ammonia levels. Therefore, innovation is needed to increase the effectiveness of Vertiqua, namely by using the upper biofical filter. The data used to analyze is descriptive analysis by describing and describing the data that has been collected. Growth in length, weight, and survival, length-weight relationship, daily length growth rate, daily weight growth rate, and water quality were calculated using existing formulas. Comparative testing of growth was calculated using the T-test on the Mini Tab application. The results of the research showed that the top filter biofical vertiqua was able to increase the growth of koi fish. The growth value of the top biofical filter vertiqua is effective when compared to the soil pond. this is indicated by the value P<0.05. The upper biofical filter vertiqua system is also able to maintain the stability of water quality and suppress ammonia levels so that fish growth and survival are good. The vertiqua system with the upper biofical filter has an effect on fish growth, this is supported by the upper biofical filter, which is able to maintain water quality and suppress ammonia levels so that fish are not stressed and feed can be utilized properly.

Healthy lifestyles are habits of doing something, be it food, healthy behavior so as to avoid the disturbance of all kinds of diseases, both physical and non-physical diseases, as well as birth control users must also strive for a healthy lifestyle, such as managing a healthy diet, rest, exercise, eating vegetables and fruits, doing optimal physical activity, not consuming alcohol, and maintaining a healthy body. In this problem, many family planning users do not pay attention to a healthy lifestyle because they think that the family planning tools used have no risk to health, but the use of family planning has side effects on health such as menstruation is not smooth, the body is obese, the body feels warm or feverish, there are blood clots, nausea, bloating, changes in vision, difficulty in getting back to normal, headaches, and others. To be able to attract the attention of the community in implementing a healthy lifestyle for family planning users, it is very necessary to have a system that can help people in changing their unhealthy lifestyle to a healthier one by grouping family planning user data based on variables that have been determined using the clustering method, to group data on healthy lifestyles for family planning users which later the results of this study can be used as input and guidance for a healthy lifestyle for family planning users, so that family planning users are more careful and have a healthy life. Of the 20 data, there are 3 groups, namely group 1 there are 4 data and group 2 there are 4 data and group 3 there are 12 data from the above results it can be seen that in cluster 3 is a group on family planning users based on a lot with a total of 12 data and is located in the contraceptive type group (X) is injectable birth control, and for the lifestyle group (Y), namely Frequent Night Baths and Risk (Z), namely Decreased Bone Strength.  

Tuberculosis is one of the world's health problems, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, and Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a complaint of yellowish discoloration of sclera, nausea and vomiting after three days of initiation of ATD therapy. The patient has been diagnosed with Tuberculosis relapse and has been taking ATD since June 2024. The patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and electrolyte imbalance. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and different AT regimens were prescribed.

Mental health has now become a global health problem for every country, where the process of globalization and the rapid progress of information technology has an impact on the social and cultural values ​​of society. Clients with mental disorders have several problems, including a self-care deficit. The method used was assessment, implementation and evaluation with a sample size of 5 respondents with the inclusion criteria being clients who experienced self-care deficits. The results showed that all 5 respondents experienced self-care deficits, the actions taken were identifying the client's abilities, teaching the client in personal hygiene and helping the client to carry out personal hygiene. The nurse's task is to be able to provide professional nursing actions in order to reduce problems and achieve targets to increase the client's independence in carrying out self-care, marked by the client being able to fulfill personal hygiene needs independently.

The policy of ownership of the right to the flats is an important aspect in the arrangement of vertical housing in Indonesia, especially in dense urban areas such as Kampung Utama Batam City. The background of this research focuses on the complexity of ownership dualism between individual property rights over units and collective rights to common parts, common objects, and common land. Conflicts of interest and management problems often arise, hindering the optimal implementation of policies. The purpose of this study is to analyze the implementation of government policies on ownership of rights to apartment units in Kampung Utama Batam City, identify existing obstacles, and provide recommendations for improvement. The research method used is a normative juridical approach with case studies. Data was collected through analysis of legal documents, interviews with stakeholders, and field observations. The analysis was carried out using positive legal theory from John Austin to understand the existing legal framework, legal system theory from Lawrence M. Friedman to evaluate the interaction between legal structure, substance, and culture, and legal certainty theory from Sudikno Mertokusumo to assess the clarity and predictability of applicable laws. The results of the study show that although the policy has been well drafted in Law No. 20 of 2011 concerning Flats, its implementation in the field still faces various obstacles. Dualism of ownership, unclear certificate status, complex administrative procedures, and lack of legal socialization are some of the main problems found. Strengthening the role of the Flats Owners and Occupants Association (P3SRS), the use of digital technology for administrative procedures, and increased supervision and law enforcement were identified as solutions to overcome these obstacles. The suggestions provided include increased coordination between related agencies, active community participation in the management of flats, and simplification of administrative procedures by the government. More effective implementation is expected to provide better legal certainty and create a harmonious residential environment in Kampung Utama Batam City.

In the era of globalization and advances in information technology, business competition in various sectors is getting tighter, including in retail industries such as supermarkets. Supermarkets are not only a place to meet daily needs, but also become part of the busy lifestyle of urban people. In this context, the quality of services and products offered by a supermarket has a very important role in maintaining and increasing market share and customer satisfaction. The survey was conducted both directly in the Super Indo Kenjeran Supermarket area and online through an online survey platform. The survey design used is a cross-sectional survey, where data is collected at one particular point in time to measure the relationship between the variables studied. In this context, research on the effect of service quality and product quality on customer satisfaction at PT. Lion Super Indo Kenjeran becomes relevant and important to do. With a better understanding of the factors that affect customer satisfaction, PT. Lion Super Indo Kenjeran can identify areas that need improvement and design more effective strategies in maintaining and increasing customer loyalty. Lion Super Indo as one of the leading supermarkets in Indonesia, with a long history and strong reputation, certainly does not escape from increasingly fierce business competition. Therefore, a deep understanding of the factors that affect customer satisfaction is a strategic key in maintaining the existence and developing the business of PT. Lion Super Indo.

This study explores the impact of complementary herbal therapy education on improving the quality of life in the elderly. As aging populations face increasing health challenges, there is a growing interest in alternative approaches that can enhance well-being. Herbal therapy, a practice rooted in traditional medicine, offers potential benefits for managing chronic conditions and promoting overall health in older adults. The research involved educating elderly participants about the use of specific herbal remedies tailored to common geriatric issues, such as arthritis, digestive problems, and sleep disturbances. Pre- and post-intervention assessments were conducted to measure changes in physical health, emotional well-being, and daily functioning. The results revealed significant improvements in the participants' quality of life, with notable reductions in symptoms, enhanced vitality, and increased satisfaction with their health management. The study concludes that educating the elderly about safe and effective use of herbal therapy can serve as a valuable complement to conventional treatments, leading to better health outcomes and improved quality of life. Further research is recommended to refine educational strategies and explore the long-term benefits of herbal therapy in the elderly population.  

Stunting is one of the challenges in human development in Indonesia, referring to the condition of failure in physical growth in children under five years old due to chronic malnutrition and repeated infections, particularly during the first 1,000 days of life, from conception until the child is 23 months old. The Pre-Marriage School (SPN) program by DP3AP2KB in collaboration with the Forum Generasi Berencana (GENRE) serves as an educational platform focused on preparing for marriage and life after marriage with proper planning. The goal of the pre-marriage school is to educate participants on the importance of stunting awareness. The SPN program is part of the efforts by DP3AP2KB to prevent stunting by providing education related to the condition. This research employed qualitative methods with a descriptive qualitative approach, using interviews and documentation for data collection. The study subjects were participants of the pre-marriage school who met the research criteria. Data were analyzed using the Milles & Huberman model, ensuring data validity through method triangulation. The study found that the causes of stunting in Depok City included inadequate nutrition, poor parenting practices, and urbanization. The implementation of the pre-marriage school program in Depok City was designed by the DPRD Commission V and the Mayor of Depok. The pre-marriage school is one of the government’s efforts to accelerate the reduction of stunting in Depok City. However, the limited time for implementation posed a challenge for the SPN program

Hallucinations are a mental disorder in which clients experience disturbances in perception, sensory, taste, touch, sight or smell. Auditory hallucinations are where clients hear voices commanding and calling them to carry out activities in the form of two or more voices commenting on a person's behavior or thoughts. (Abdurakhman & Maulana, 2022). According to WHO (World Health Organization, 2020) there are 300 million people worldwide experiencing mental disorders such as depression, bipolar disorder, dementia, including 24 million people experiencing schizophrenia. Schizophrenia is one of the 15 major causes worldwide. APA data (American Psychiatric Association, 2020) states that 1% of the world's population suffers from schizophrenia. (Dwijayanti, 2022). In this study, the way to see the increase in the ability to control hallucinations is by using the AHRS scale which is used to measure auditory hallucination scores. To determine the results of applying dhikr psychoreligious therapy to patients with auditory hallucination disorders. Applying dhikr psychotherapy therapy using a descriptive case study method for 2 respondents for 2 years. consecutive days. The instrument used was the Auditory Hallucinations Rating Scale. Results: Based on the results of applying psychoreligious dhikr therapy to 2 respondents, there was a decrease in the symptoms of auditory hallucinations in patients. Psychoreligious dhikr therapy can be used as an implementation of independent nursing to control and overcome the emergence of hallucinations.

Batam City, as a rapidly growing industrial center, faces major challenges in allocating agricultural land for farmers who need legal certainty over the land they manage. The background of the problem in this study is the conflict of interest between industrial development and the need for agricultural land protection, which often sacrifices farmers' rights and causes legal uncertainty. The purpose of this study is to analyze the role of the government in allocating land for farmers in Batam City and to provide policy recommendations that can increase legal certainty over agricultural land. The research method used is a normative and empirical juridical approach, which includes an analysis of relevant laws and regulations such as Law Number 5 of 1960 concerning Basic Regulations on Agrarian Principles, Law Number 41 of 2009 concerning the Protection of Sustainable Food Agricultural Land, and Law Number 19 of 2013 concerning the Protection and Empowerment of Farmers. Primary data was collected through interviews with farmers, government officials, and other stakeholders, while secondary data was obtained from legal literature, policy documents, and previous case studies.The results of the study show that the implementation of land allocation for farmers in Batam City has not been optimal. Farmers often do not get adequate legal certainty because the allocated land can be revoked at any time by the government for the benefit of industrial development. The main obstacles identified include conflicts of interest between economic development and agricultural land protection, lack of legal certainty, weak coordination and oversight, development and urbanization pressures, and lack of supporting infrastructure. As a suggestion, this study recommends that the Batam City Government develop a balanced and inclusive spatial planning policy, accelerate the land certification process for farmers, improve coordination between institutions, and invest in agricultural infrastructure development. In addition, farmers are expected to strengthen their organizations to advocate for their rights, while the people of Batam City need to actively participate in the process of land use planning and monitoring to ensure sustainable and equitable development.  

The article is the result of research aimed at describing and analyzing the relationship between Henna Dance and the Social Status of the User Community and the Role of Inai Dance in Current Berinai Night Activities. This type of research is qualitative research with descriptive methods. The research instrument is the researcher himself and is assisted by supporting instruments such as writing equipment and a camera. The data in this research uses primary data and secondary data. Data was collected through literature study, observation, interviews and documentation. The steps for analyzing data are data collection, data reduction, data presentation and drawing conclusions. The results of the research show that the Henna Dance functions to protect the bride and groom from disturbances originating from humans and other creatures and as a blessing for the bride and groom who will live a new life. Apart from that, the Henna Dance or Berinai Night is called a night to introduce the groom to the entire extended family of the bride. However, currently the Inai Dance or Malam Berinai is rarely performed by the people of Nipah Panjang District, especially the Malay ethnic community in Nipah Panjang District. This is because the Henai Dance or Berinai Night event can only be performed by people whose economic class is relatively good.  So currently it is very rare for researchers to see the Inai Dance or Malam Berinai culture in Nipah Panjang District.

Microplastic exposure in healthcare workers is a growing concern, yet it remains underexplored, especially in the context of their multifaceted exposure pathways. This study aims to quantify the exposure of healthcare workers to microplastics through three primary pathways: occupational, environmental, and dietary. By adopting a One-Health approach, which integrates human, animal, and environmental health sectors, this research assesses microplastic levels across hospital settings, comparing clinical and non-clinical staff. The study found that healthcare workers, particularly those working in clinical departments like laboratories and physiotherapy, had a 35% higher exposure rate to microplastics compared to non-clinical staff. Occupational exposure was linked to direct contact with medical disposables and contaminated surfaces, while environmental exposure primarily occurred through airborne particles and dust. Dietary exposure, especially from seafood and plastic-packaged foods, contributed significantly to the overall exposure. The findings highlight the importance of considering multiple pathways when assessing microplastic risks and suggest that microplastics are an emerging health hazard for healthcare workers. Potential health risks include respiratory issues, gastrointestinal disturbances, endocrine disruption, and chronic conditions such as neurotoxicity and cancer. This study underscores the need for policy changes, including the reduction of single-use plastics in healthcare environments, improvements in ventilation, and the development of dietary guidelines to limit microplastic intake. Future research should focus on the long-term health impacts of chronic microplastic exposure in healthcare workers and evaluate the effectiveness of interventions designed to mitigate these risks.

Surabaya, a city with high population density in East Java, faces challenges in managing land for reforestation. To address this issue, the Surabaya Green and Clean (SGC) Program was introduced, focusing on greening and waste management. One of the proposed solutions is hydroponics, a soilless farming method that can be applied on limited land. On July 28, 2024, community service activities were carried out in Kalijudan Village, Mulyorejo District, Surabaya City, to introduce and increase public knowledge about hydroponics. This activity involved socialization and practical hydroponic planting with the participation of 25 residents. The program consisted of preparation stages, socialization, planting practices, and report preparation. Socialization included exposure to hydroponic theory and practical demonstrations, while each participant received tools and materials for home experiments. The planting method with rockwool has proven effective in supporting plant growth, while the distributed eco-enzyme provided dual benefits by increasing plant growth and reducing household waste. This program successfully introduced hydroponic technology and increased awareness of sustainable urban agriculture. Hopefully, this activity will be the first step in developing hydroponics and creating a greener environment in Surabaya.

Urban sustainability presents considerable challenges, especially in the management of energy and wastewater treatment systems. Rapid urbanization intensifies the demand for water and energy, leading to increased pressure on existing infrastructure and resources. Wastewater management is essential for urban water sustainability, as untreated wastewater poses significant environmental and health risks. Moreover, wastewater treatment processes are energy-intensive, complicating the balance between environmental goals and energy consumption. To address these challenges, integrating decentralized renewable energy systems, such as solar, biogas, and wind, with wastewater treatment plants (WWTPs) offers a promising solution. This integration can reduce reliance on centralized power grids, enhance energy self-sufficiency, and promote sustainability. The application of Circular Economy principles, which emphasize resource recovery and system decentralization, is key to this integration. However, technological, economic, and regulatory barriers exist, limiting widespread adoption. This study explores the feasibility of coupling renewable energy with WWTPs, focusing on energy flow simulations, environmental impacts, and economic evaluations. The results indicate that integrating renewable energy can significantly reduce greenhouse gas emissions, lower operational costs, and improve the resilience of urban water systems, making it a viable option for sustainable urban development.

Urbanization has significantly impacted air quality in cities, with vehicular emissions being a major contributor to pollution. This study explores the potential benefits of electrifying urban transportation, specifically through the adoption of electric vehicles (EVs). The findings indicate that EVs substantially reduce key pollutants such as CO₂, NOx, and PM₂.₅, improving urban air quality and mitigating climate change. The analysis shows that EV adoption can lead to a 50% reduction in CO₂ emissions in high EV adoption scenarios (70% EVs). Additionally, EVs are more energy-efficient than conventional vehicles, consuming significantly less energy per kilometer. This transition not only reduces dependence on fossil fuels but also supports sustainable urban development. Furthermore, the study highlights the public health benefits of electrification, with reduced levels of harmful pollutants leading to lower incidences of respiratory and cardiovascular diseases. Public health surveys reveal strong support for EV adoption, with respondents believing it would significantly improve air quality and health outcomes. In conclusion, the electrification of urban transportation presents a multifaceted approach to environmental sustainability, energy efficiency, and public health improvement.