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Elderly individuals are a group vulnerable to sleep disorders, with over 50% of them reporting a decline in sleep quality. Sleep disturbances in the elderly can affect their quality of life, which in turn impacts their physical and mental health. One non-pharmacological intervention considered safe, simple, and effective for improving sleep quality in the elderly is foot soaking in warm water. This study aims to evaluate the effect of foot soaking in warm water on the sleep quality of elderly individuals in the working area of Slawi Health Center. The research design used was pre-experimental with a one-group pre-test post-test design. A total of 34 elderly participants were selected using total sampling technique. The intervention consisted of soaking feet in warm water at a temperature of 37°C–39°C for 10 minutes before sleep, conducted for three consecutive days. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data obtained were analyzed using Paired Sample T-test for normally distributed data. The results showed that the average sleep quality score before the intervention was 10.12, which decreased to 7.85 after the intervention. Statistical analysis showed a significant difference in the mean scores before and after the intervention with a significance value of 0.0001. This indicates that foot soaking in warm water significantly impacts the improvement of sleep quality in the elderly. This intervention can be recommended as an effective, practical, and easy-to-implement independent nursing action to improve sleep quality in the elderly. Based on these findings, foot soaking in warm water can be a good option to improve sleep quality in the elderly, especially in community healthcare services.

This study aims to analyze the differences between various extraction techniques and their relationship to the yield and biological activity of phytochemical compounds derived from natural materials. A systematic literature review was conducted by analyzing relevant and reliable scientific publications published within the last five years. The findings indicate that extraction methods such as maceration, soxhletation, microwave-assisted extraction (MAE), and ultrasound-assisted extraction (UAE) demonstrate varying levels of effectiveness depending on the type of material, solvent polarity, extraction temperature, and duration of the process. Modern extraction methods, particularly sonication, MAE, and UAE, have been shown to produce higher yields with enhanced biological activity while offering greater efficiency in terms of reduced time and solvent consumption. On the other hand, conventional techniques such as maceration and soxhletation remain relevant, particularly for thermolabile compounds that are sensitive to high temperatures. The selection of an appropriate extraction method plays a crucial role in obtaining high-quality extracts that can serve as potential raw materials for phytopharmaceuticals, functional foods, dietary supplements, and other natural products. This review not only highlights the advantages and limitations of each technique but also emphasizes the importance of aligning method selection with specific research objectives and compound characteristics. Overall, this study provides a theoretical foundation for future experimental research and serves as an initial guideline for determining extraction strategies based on efficiency, effectiveness, and sustainability.

Dental and oral health is still a significant problem in Indonesia. Riskesdas 2018 data shows that 57.6% of the population has dental and oral problems, while only 2.8% brush their teeth properly. This condition is a serious concern because untreated dental caries can develop into pulp necrosis and subsequently radical gangrene. Both conditions have the potential to cause infections that can interfere with people's quality of life if not treated immediately. This study aims to compare the prevalence of visits to pulp necrosis and radical gangrene based on gender and age at the UPTD Baturiti II Tabanan Health Center during January-March 2025. The research uses a quantitative descriptive method with a purposive sampling technique based on secondary data from the E-Puskesmas system. The results showed that the prevalence of gangrene radicals (7.2%) was higher than that of pulp necrosis (5.9%). Female patient visits were more dominant in both cases, namely 52.7% in pulp necrosis and 56.5% in radical gangrene. The age distribution showed that the age group of 20–44 years dominated in cases of pulp necrosis (42.1%), while gangrene radicals occurred more in the age group of 45–59 years (34.8%). These results indicate a delay in dental care that contributes to the progression of the disease. The high number of these incidents cannot be separated from behavioral factors and the low level of public knowledge in maintaining dental and oral health. Therefore, increasing communication, information, and education efforts at the level of primary health care facilities is essential to encourage public awareness. Early detection and timely treatment are key in preventing serious complications such as pulp necrosis and radical gangrene.

Diabetes Mellitus (DM) is a chronic metabolic disorder that is rapidly increasing globally and is associated with a high risk of peripheral arterial complications. The Ankle Brachial Index (ABI) is a simple and reliable tool for screening peripheral arterial disease, while foot exercise represents a practical, low-cost, and non-pharmacological intervention to improve peripheral perfusion. This study aimed to evaluate the effectiveness of foot exercise in improving ABI values among hospitalized patients with DM. A pre-experimental one-group pretest-posttest design was implemented with 26 purposively selected inpatients with DM. Participants performed standardized foot exercises once daily for 15 minutes over two consecutive days. ABI values were measured using a sphygmomanometer and vascular Doppler before and after the intervention, and data were analyzed using a paired t-test. The mean ABI significantly increased from 0.707 (SD = 0.031) to 0.884 (SD = 0.027) (p < 0.001), indicating a clinically meaningful improvement from moderate impairment to near-normal circulation. These results demonstrate that foot exercise is effective in improving ABI values among hospitalized DM patients. The study highlights foot exercise as a safe, simple, and non-pharmacological nursing intervention that can be recommended in inpatient care settings to improve peripheral perfusion and prevent further complications related to peripheral arterial disease. This intervention offers a promising approach to managing peripheral arterial complications in diabetic patients

. The phenomenon of a potential megathrust earthquake predicted to occur in the coming years has raised widespread concern among the Indonesian public, particularly due to the high vulnerability of existing structures. In response to this issue, this study aims to analyze the structural capacity of buildings in resisting seismic forces and lateral loads, with a specific focus on factory structures. As a civil engineering student specializing in structural engineering, the objective of this research is to examine the behavior, performance, and potential failure patterns of building structures under earthquake loads. The research method employs pushover analysis as a tool for structural assessment, while the evaluation process refers to the guidelines outlined in ATC-40. The analysis results indicate that the factory structure is capable of withstanding a lateral load of 108,587.40 kN, with a controlled roof displacement of 1.5 meters. The structural performance level is categorized under the Damage Control (DO) stage, specifically at performance level SP-2, where the structure remains standing under lateral loads but experiences damage requiring repair before reuse. Furthermore, the failure patterns observed reveal a progressive performance of structural elements, shifting from condition B (Basic), IO (Immediate Occupancy), LS (Life Safety), C (Collapse Prevention), up to E (Extreme Damage). These findings highlight the importance of proper structural design and evaluation in enhancing resilience, ensuring safety, and minimizing potential risks from future megathrust earthquake events.

Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.

Anomalous positioning is an abnormal position of the fetal vertex (with the small fontanelle as a marker) relative to the maternal pelvis. Oblique malposition is a cause of maternal mortality rate (MMR) of 3-10%. Obesity in pregnancy is a condition characterized by an imbalance between body weight and height. According to WHO data, the prevalence of obesity in 2021 was 340 million, with data in Central Java province reaching 6.62%. In Brebes Regency, the figure was 20.51% (2019). In the Bumiayu Community Health Center, data on obesity in pregnant women reached 63 in 2022. This study aims to provide comprehensive midwifery care for pregnant women, childbirth, postpartum, newborns, and family planning for Mrs. N, 23, with malposition and obesity. This study used a qualitative descriptive method with a comprehensive case study approach. Based on the comprehensive midwifery care provided to Mrs. N, 23, with malposition and obesity, the pregnancy outcome was found to be grade I. Her gestational age was not commensurate with her gestational age. Delivery was performed by vaginal delivery. No problems were found during newborn care up to 28 days. No problems were found during the postpartum period. Mrs. N chose intrauterine contraception (IUD) during pregnancy, but her husband did not allow it due to religious reasons. Appropriate midwifery care during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby. This allows early detection of risk factors, preventing potential complications, and reducing maternal and infant mortality.

This study aims to examine the influence of compliance audit on service procedures toward patient satisfaction at Prambon Public Health Center, Nganjuk Regency. The research is driven by concerns over a decline in the average number of patients in 2024 compared to previous years. This decline in patient visits is a key issue that prompted the need to investigate the relationship between compliance audits in service procedures and the resulting impact on patient satisfaction. A descriptive quantitative approach was used in this study, with 100 respondents for each variable. The sample was determined using probability sampling with a simple random sampling technique, involving both employees and patients who visited the health center during the period between 2021 and 2024. Data were collected through questionnaires, observations, and interviews to ensure a comprehensive understanding of the issue. The regression analysis revealed that service compliance audits have a significant impact on patient satisfaction, contributing 56.67% to the overall patient experience. This finding suggests that improving the service procedures through compliance audits can be a key factor in enhancing patient satisfaction at Prambon Public Health Center. The results of this study provide important insights for healthcare administrators, indicating that regular compliance audits should be integrated into healthcare management practices to maintain and improve patient satisfaction.

PT. Lotus Indah Textile Industries, a manufacturing company in the open-end yarn spinning sector, faces significant issues related to defective products in its production process. This study aims to identify the level of human error among open-end machine operators and analyze the root causes of these errors. The methods employed include the Human Error Assessment and Reduction Technique (HEART) to calculate the Human Error Probability (HEP), as well as Root Cause Analysis (RCA) with the 5 Whys approach to identify the root problems. Data were collected through observation, interviews, and questionnaires during the period of May to June 2025. The results indicate that the activity of "pushing the full yarn so that it detaches from the holder and moves to the conveyor with the right hand" had the highest HEP value of 0.281996. The main root causes of human error include a lack of focus and accuracy among operators, rushing while working, limited experience, and insufficient training and periodic evaluations of employee effectiveness by the company. The impact of these errors results in defective products such as dirty yarn and rolls that do not meet standards. As an improvement recommendation, the company is advised to conduct periodic evaluations of operator effectiveness after training to enhance productivity and provide feedback, as well as to establish clear procedures for the doffing process of yarn on open-end machines to reduce errors. This study is expected to assist the company in improving operator performance, reducing human error rates, and minimizing defective products.

The low level of understanding among elementary school students regarding common diseases and their prevention can increase the risk of both communicable and non-communicable diseases from an early age. Therefore, effective health education efforts are essential to instill healthy habits in children. This community service activity aimed to improve the knowledge of elementary school students in the working area of Labuhan Sumbawa Public Health Center about common diseases and preventive measures through an interactive educational approach. The methods used included health counseling with visual media, engaging educational games, and small group discussions to encourage active participation. The activity was conducted in June 2025, involving 30 students from two elementary schools selected purposively. The educational content focused on dengue fever, diarrhea, influenza, helminthiasis, and acute respiratory infections (ARI), along with prevention strategies such as maintaining personal hygiene, consuming nutritious food, and the importance of immunization. Evaluation was carried out through pre-test and post-test assessments to measure the improvement in students’ understanding. The results showed a significant increase in students’ knowledge of the delivered material. Additionally, students demonstrated high enthusiasm and active involvement during the sessions, particularly in the educational games. These findings indicate that an interactive educational approach is effective in enhancing students’ understanding of disease prevention. This program is expected to serve as a model for sustainable health education in other elementary schools to prevent diseases from an early age and support the implementation of clean and healthy living behaviors within the school environment

The incidence of pneumonia has a significant impact on the health of toddlers because the disease can cause death. One of the factors influencing the incidence is the lack of maternal knowledge about early detection of pneumonia. The purpose of this study was to determine the effect of health education with booklet media on mothers' knowledge about early detection of pneumonia toddlers in Bandungrejosari Village, Janti Health Center area, Malang City. This study used preexperimental design with one group pretest-posttest design approach with population of 111 people. The sampling technique used was proportional random sampling, the sample size was 42 respondents. The research instrument used a questionnaire. Data analysis using the Wilcoxon signed rank test. The statistical test results obtained p-value of 0.000 <0,05, which means that there is an effect of health education with booklet media on mothers' knowledge about early detection of pneumonia toddlers in Bandungrejosari Village, Janti Health Center area, Malang City. Based on the results of this study, the provision of health education with booklet media needs to be done so that it can improve mothers' knowledge about early detection of pneumonia toddlers. Future researchers can also use control group as a comparison in this study.

This study investigates the influence of employee engagement, digital training, and reward systems on employee productivity at the Central Statistics Agency of Kediri Regency. The research adopts a quantitative approach with a questionnaire as the primary data collection tool. A total of 33 employees participated as respondents, determined using a saturated sampling technique, which ensures that all members of the population were included. The instrument utilized was a Likert-scale questionnaire, designed to capture perceptions and experiences related to engagement, training, and rewards. The data were analyzed using multiple linear regression to measure both the partial and simultaneous effects of the independent variables on productivity. The results reveal that employee engagement plays a significant role in enhancing productivity, with a significance value of 0.003. Similarly, digital training and reward systems also exert a positive and significant influence, with significance values of 0.037 and 0.0002, respectively. When tested simultaneously, the three independent variables collectively demonstrate a substantial impact on employee productivity, as evidenced by an F-value of 76.069. Furthermore, the Adjusted R Square value of 87.6% indicates that the research model possesses strong explanatory power, meaning that most variations in productivity can be explained by employee engagement, digital training, and reward systems. These findings highlight the strategic importance of integrating engagement initiatives, continuous digital skill development, and fair reward mechanisms to foster higher levels of productivity. For organizations, particularly government institutions, the study underscores the necessity of adopting a holistic human resource development framework that addresses both intrinsic and extrinsic motivational factors to maximize employee performance.

Animated films are not only a medium of entertainment but also an effective tool for delivering moral, social, and educational values through innovative storytelling and engaging visual styles. In Indonesia, although many animated films are broadcast on national television, only a limited number originate from domestic creators. This condition highlights the need to strengthen local creative content that reflects Indonesia’s cultural and environmental identity. The present design project aims to develop an alternative television program in the form of a 2D animated film that emphasizes the preservation of Mentilin, an endemic animal of Bangka Island, while simultaneously serving as an educational medium for the local community. The research and design process employed a qualitative approach, focusing on data collection through observation, interviews, and literature review to identify effective strategies for socialization and education. The animation production of Mentilin, The Tiny Tarsier was carried out in three main stages: pre-production, including concept development and storyboarding; production, involving character design, background creation, and animation; and post-production, which covered editing, sound design, and final rendering. The preliminary evaluation indicated that the animation successfully captured local cultural elements and delivered messages about environmental awareness in an engaging manner. This design is expected not only to provide a creative educational platform for the community but also to contribute to the broader efforts of environmental preservation and the development of Indonesia’s animation industry. Furthermore, the program has the potential to be expanded as a replicable model for other regions in promoting endemic species conservation through creative media.

Hypertension is a non-communicable disease (NCD) with a high prevalence in Indonesia and is a major cause of serious complications, such as stroke, kidney failure, and heart disease. The high incidence of hypertension makes this disease a primary focus of NCD control efforts at the primary healthcare level. The Ulee Kareng Community Health Center has implemented a sustainable hypertension control program for the past three years with the aim of reducing the incidence of complications and improving patients' quality of life. This study aims to evaluate the implementation of the hypertension control program using a logic model framework that encompasses five aspects: input, process, output, outcome, and impact. The research method used is descriptive analytic with a mixed methods approach, combining quantitative and qualitative data to obtain a comprehensive overview of program implementation. The results indicate that the hypertension control program at the Ulee Kareng Community Health Center has had a positive impact. In terms of output and outcome, there has been an increase in patient compliance with therapy prescribed by healthcare professionals, a decrease in blood pressure in the majority of patients, and a decrease in the number of hypertension-related complications. This indicates that the program is quite effective in achieving its intended goals. However, several challenges remain. The main problems lie in the suboptimal data recording system and the suboptimal delivery of health education. To improve the program's effectiveness in the future, recommendations include strengthening the monitoring and evaluation system, increasing the capacity of health workers and cadres through training, and developing innovative media and educational strategies to make information more easily understood and applied by the public.

The Maternal Mortality Rate (MMR) is closely related to the low number of pregnant women visiting the Community Health Center (Puskesmas). This situation can occur due to patient dissatisfaction with the quality of services provided by health facilities, which can lead to patients deciding not to undergo check-ups at the Puskesmas or going to non-medical personnel, which can lead to complications in pregnant women. The purpose of this study was to analyze the effect of health service quality on patient satisfaction among third-trimester pregnant women at Pucakwangi 2 Pati Community Health Center. This study adopted a quantitative, observational, analytical, cross-sectional approach. This study was conducted at Pucakwangi 2 Pati Community Health Center in October 2023. The sample size was 42 third-trimester pregnant women using BPJS services. The sampling method used was total sampling, and the results were analyzed using the Mann-Whitney statistical test. The results showed that the dimensions of tangible, reliability, responsiveness, and empathy were related to patient satisfaction with a p-value of 0.000. Meanwhile, the assurance dimension was not related to patient satisfaction because the p-value was 0.356. Four quality dimensions were found to be related to patient satisfaction, namely tangible, reliability, responsiveness, and empathy dimensions on the satisfaction of pregnant women in the third trimester at Pucakwangi 2 Community Health Center, Pati. Meanwhile, no relationship was found between the assurance dimension and the satisfaction of pregnant women in the third trimester at Pucakwangi 2 Community Health Center, Pati. This finding indicates that improving the quality of health services, especially in the aspects of tangible, reliability, responsiveness, and empathy, is very important to increase the satisfaction of pregnant women. The Community Health Center needs to conduct continuous evaluation and improvement in maternal health services to encourage regular visits by pregnant women, reduce the risk of complications, and contribute to reducing maternal mortality in the Pucakwangi 2 Community Health Center's working area.

Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion or function. The prevalence of diabetes continues to increase in Indonesia, particularly among adults and the elderly, requiring comprehensive and sustainable management. Diabetes management is not limited to pharmacological therapy but also includes non-pharmacological approaches such as dietary management, physical activity, and health education. One form of physical activity recommended for diabetes sufferers is diabetes exercise. This study aims to determine the effect of diabetes exercise on reducing blood glucose levels in diabetes mellitus patients enrolled in the Chronic Disease Management Program (Prolanis) at the Gunungpati Community Health Center (Puskesmas). The study used a quantitative approach with a one-group pretest-posttest pre-experimental design. A total of 30 respondents were randomly selected from the Prolanis patient population, and blood glucose levels were measured before and after the diabetes exercise intervention. The intervention was carried out routinely and structured over a certain period. The analysis using the Wilcoxon Signed Ranks test showed a statistically significant decrease in blood glucose levels after diabetes exercise, with a p-value of 0.000 (p < 0.05). The average blood glucose level decreased from 260.27 mg/dL to 211.33 mg/dL. This study concluded that diabetes exercise is effective as a non-pharmacological intervention in helping control blood glucose levels. Therefore, routine implementation of diabetes exercise in primary healthcare facilities needs to be promoted as a simple, effective, and affordable promotive and preventive strategy.  

Artificial Intelligence (AI) has significantly transformed the design industry by introducing innovative tools that enhance efficiency, creativity, and personalization in the design process. This article explores the impact of AI technologies on the practice of modern designers, from the early stages of idea generation to the final execution of projects. By analyzing case studies, conducting surveys, and reviewing recent literature, the study reveals that AI functions not only as a tool but also as a collaborator that expands the boundaries of human creativity. It allows designers to explore new possibilities and push the limits of traditional design processes. However, the integration of AI into design practices also raises important ethical and professional challenges, such as concerns about job displacement, data privacy, and the potential loss of human touch in the creative process. Despite these concerns, the findings highlight that embracing AI is crucial for designers to remain competitive and sustain their careers in the rapidly evolving digital era. Adapting to AI technologies, understanding their capabilities, and effectively incorporating them into creative workflows will enable designers to stay relevant and thrive in a landscape where technology continues to reshape the industry. This study provides insights into the evolving relationship between human designers and AI, offering recommendations for future research and practice in the field of design.

This study aims to analyze K.H. Ahmad Dahlan’s concept of educational philosophy and its implications for the principles and components of the Kurikulum Merdeka (Independent Curriculum). The research employs a qualitative approach using library research with a descriptive-comparative analysis method. Data were obtained from primary and secondary literature discussing Ahmad Dahlan’s educational thought and national education policies. The findings indicate that Ahmad Dahlan’s educational philosophy emphasizes the integration of religious and general sciences, rejecting the dichotomy of knowledge. This concept aligns with the spirit of the Independent Curriculum, which promotes learning freedom, character development, and contextual learning. His philosophical ideas are reflected in strengthening the values of the Profil Pelajar Pancasila, including faith, critical thinking, independence, and collaboration. Therefore, Ahmad Dahlan’s educational philosophy serves as a philosophical foundation for developing a national education system that is both character-based and civilized.  

Social-emotional skills are an important aspect of early childhood development that influences learning readiness and character formation. This study aims to analyze the role of role-playing activities in supporting children's social-emotional development. The method used is descriptive qualitative with a literature study approach through a review of accredited journals, early childhood education books, and articles published in the last five years. The results of the study show that role-playing can improve empathy, cooperation, emotional regulation, and communication. Children who are involved in this activity are more courageous in expressing themselves, understanding the feelings of others, and learning to control their emotions in social interactions. These findings confirm that role-playing not only serves as a means of entertainment but also as a learning strategy that supports the achievement of early childhood education learning in the Merdeka Curriculum. The implication of this research is the need for teachers to be creative in designing contextual role-playing scenarios, providing adequate playing facilities, and supporting educational policies so that role-playing activities can become the foundation for the formation of early childhood character that is empathetic, communicative, and disciplined.

This research is motivated by problems arising from organizational performance caused by transformational leadership, internal control systems, and innovation. This study aims to determine the factors that influence organizational performance. The approach in this study uses quantitative. Data were obtained from employees of the Kertosono Community Health Center. The sampling technique used saturated sampling. The population in this study was all 62 employees of the Kertosono Community Health Center. The sample in this study was 62 employees who work at the Kertosono Community Health Center. The research method used was multiple linear regression analysis. The results of the partial test study indicate that the variables of transformational leadership, internal control systems, and innovation partially have a significant effect on organizational performance. Based on the results of the simultaneous test, it is known that the variables of transformational leadership, internal control systems, and innovation simultaneously have a significant effect on organizational performance. The results of this study are expected to be used as a reference for the Kertosono Community Health Center to always improve its transformational leadership style, strengthen its internal control system, and develop a culture of innovation that can affect organizational performance.