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This research examines the relationship between air quality and respiratory health in urban populations. By analyzing data on air pollution levels and health outcomes such as asthma and chronic obstructive pulmonary disease (COPD), the study identifies significant correlations between poor air quality and increased respiratory issues. The findings underscore the need for policy changes aimed at improving air quality to enhance public health in urban settings.

Background: Sectio caesarea surgery often causes psychological problems in patients, namely fear which impacts on anxiety which can cause a decrease in conditions such as disorders of the reproductive organs, namely conditions in the uterus, disturbances in blood flow and the need for oxygenation and even discomfort or pain. Efforts to reduce the level of anxiety in patients who are about to undergo surgery must be handled by the anesthetist during the preoperative phase. The way to overcome this can use non-pharmacological techniques given anesthesia education using flipchart media. Research Objectives: To find out the effect of flipchart media anesthesia education on anxiety in pre-sectio caesarean section in patients with sectio caesarea at Ibnu Sina Hospital, Kab. Gresik. Research Methods: This type of research uses a quasi-experimental method with a pre-post test research design with a control group design. Respondents were given pretest and posttest treatment using the APAIS scale measurement. The sample in this study was 24 respondents in the intervention group and 24 respondents in the control group. The sampling technique used consecutive sampling technique. Data collection was carried out in November - June 2023. Research Results: The results of data collection were processed using the Mann Whitney test. Results The Mann Whitney test yielded p=0.000 (p<0.05), so Ha was accepted. Conclusion: There is a significant effect between preoperative anesthesia education using flipchart media on the anxiety level of patients with pre-sectio caesarea

This study explores the integration of hybrid AI control models, combining reinforcement learning (RL) and robust adaptive control, to improve the adaptability, performance, and stability of autonomous manufacturing systems. Traditional control systems, while effective under stable conditions, often struggle to cope with disturbances and varying production demands. Hybrid AI models, which integrate classical control methods such as Proportional Integral Derivative (PID) with machine learning techniques like RL, deep Q-networks (DQN), and deep deterministic policy gradient (DDPG), enhance decision-making capabilities in dynamic production environments. The study develops a hybrid RL robust control framework and tests it in both simulation and real-world scenarios. Performance metrics, including production efficiency, system stability, and adaptability, are assessed under various disturbance conditions, such as machine failures and fluctuating demands. The hybrid model significantly outperforms traditional PID control in terms of efficiency and stability, demonstrating faster convergence and better adaptability in dynamic environments. Statistical analysis confirms the superiority of the hybrid system over standalone RL models and traditional PID control. This model’s scalability and adaptability make it a promising solution for Industry 4.0 applications, addressing key challenges in real-world manufacturing systems by ensuring computational efficiency and the ability to manage large-scale data. The findings contribute to the development of more robust and efficient control strategies for autonomous manufacturing systems in uncertain environments.

The digital transformation within the public sector has shifted from an optional advancement to a primary parameter for local government success in managing dynamic metropolitan areas. This research examines the acceleration of Smart Governance in Surabaya through the implementation of the mandatory non-cash parking policy on public roads. Using a qualitative approach with a descriptive-analytical design, the study explores how this transition redefine the relationship between the government, parking attendants, and citizens. Findings indicate that the policy effectively minimizes budget leakage and enhances fiscal transparency. The integration of digital payment systems has transformed traditional parking management into a data-driven service, fostering public trust through accountable financial tracking. Furthermore, the shift from cash to digital transactions has successfully professionalized the role of parking attendants within the urban ecosystem. However, success relies heavily on consistent infrastructure readiness and public literacy. The study concludes that Surabaya's non-cash parking model serves as a vital instrument for strengthening Regional Original Revenue (PAD) while modernizing urban governance. These implications suggest that digital integration is not merely a technical change but a fundamental shift in bureaucratic culture. This model provides a strategic framework for other Indonesian metropolitan cities aiming to implement similar digital-based public service innovations and sustainable smart city governance.

The growth of the urban population has led to a shortage of agricultural land. This has led to an increase in urban agriculture, including hydroponics. The purpose of this research is to find out the partnership mechanism between hydroponic family farm and PT Puspa Agro Farm Sukabumi. This research uses descriptive analysis method found that the partnership between hydroponic family farm and PT Puspa Agro Farm is plasma core pattern. This pattern describes the assistance to hydroponic family farms from PT Puspa Agro farm. This is done to produce high quality plants and meet the criteria.  The types of plants are pakcoy mustard, pagoda mustard, curly lettuce, and romaine lettuce for each plant. Family farms establish partnership relationships through the Inti-plasma mechanism. The partner company guides the production process of partner farmers so that they can provide quality vegetables in accordance with the SOPs that are applied. The partnership pattern between Family Farm and PT Puspa Agro is a core-plasma mechanism. The plants produced are pakcoy mustard, pagoda mustard, curly lettuce and roamine lettuce. The benefits of the nucleus-plasma partnership pattern are that it can improve in economic and technical terms. Family Farm plants are of high quality and can meet consumer criteria.

The importance of maintenance on the FTTX network as a communication service infrastructure is to avoid interference. Good maintenance activities must be carried out in an appropriate and consistent manner. The research methods used are observation, interviews with related parties as well as documentation and literature study. The maintenance activities carried out consist of FO Cut, FAT Loss/Problem, Bad Core, Low RSL, Bed Barrel, Bed Pigtail, FO Bending. Fiber To The X (FTTX) will be carried out periodic maintenance according to a predetermined schedule if a disturbance is found then there must be more action. Translated with DeepL.com (free version)

Fraudsters increasingly exploit unauthorized credit card information for financial gain, targeting un-suspecting users, especially as financial institutions expand their services to semi-urban and rural areas. This, in turn, has continued to ripple across society, causing huge financial losses and lowering user trust implications for all cardholders. Thus, banks cum financial institutions are today poised to implement fraud detection schemes. Five algorithms were trained with and without the application of the Synthetic Minority Over-sampling Technique (SMOTE) to assess their performance. These algorithms included Random Forest (RF), K-Nearest Neighbors (KNN), Naïve Bayes (NB), Support Vector Machines (SVM), and Logistic Regression (LR). The methodology was implemented and tested through an API using Flask and Streamlit in Python. Before applying SMOTE, the RF classifier outperformed the others with an accuracy of 0.9802, while the accuracies for LR, KNN, NB, and SVM were 0.9219, 0.9435, 0.9508, and 0.9008, respectively. Conversely, after the application of SMOTE, RF achieved a prediction accuracy of 0.9919, whereas LR, KNN, NB, and SVM attained accuracies of 0.9805, 0.9210, 0.9125, and 0.8145, respectively. These results highlight the effectiveness of combining RF with SMOTE to enhance prediction accuracy in credit card fraud detection.

This article discusses the implementation of the Integrative Holistic Early Childhood Development Policy in the City of Bogor. This research aims to describe the implementation of HI PAUD policies in Bogor City. This research method is descriptive with a qualitative approach. The data collection techniques used were observation, interviews and documentation. This research uses the Policy Implementation theory according to George C. Edward III, in which there are four indicators to assess the success of a policy, namely (1) Communication, communication has been carried out, but has not been optimal because socialization has not been carried out thoroughly to every PAUD unit; (2) Resources, in terms of the quantity of human resources, are inadequate, causing the delivery of information to be less effective, the limited budget means that the Bogor City Education Office only helps a little in terms of facilities for PAUD units; (3) Disposition, the officers have the knowledge and ability as a form of commitment in implementing the HI PAUD policy, but incentives cannot be given to PAUD Unit managers due to budget limitations; (4) Bureaucratic structure, in implementing HI PAUD policies, implementers only refer to applicable regulations and make adjustments to the conditions of each school. The suggestion from this research is that socialization must be carried out massively, it would be better for the Bogor City Education Office to add personnel, maximize the use of social media and provide incentives to PAUD unit managers.

Sleep is something that must be fulfilled, if it it fulfilled it will cause disturbances in a person's biology and psychology. Many factors influence insomnia, including disease, fatigue, environment, stress, medication, diet, and alcohol and nicotine. The use of gadgets can also affect insomnia because addiction to bluelight gadgets will shift your sleep rhythm, causing insomnia. This research aims to determine the relationship between intensity of gadget and stress with insomnia in final class adolescents at Logos Health Vocational School. The research method used is Cross-Sectional. involving 99 final grade students of Logos Health Vocational School. By using the Chi-Square Statistical Test and the results of this research, the P value = 0.001, which means that the value is <0.05. Conclusion: There is a relationship between the intensity of gadget and stress and insomnia in final class adolescents at Logos Health Vocational School, Kabupaten Bogor in 2023. The results of this research are expected to provide benefits for parents and schools in efforts to prevent the occurrence of insomnia, as well as handling stress and use. gadgets.

The DPD RI Inspectorate is tasked with overseeing the implementation of government affairs. However, there are several problems in the DPD RI Inspectorate such as the limited number of auditors, suboptimal budget, and low transparency in managing audit reports. The purpose of this study is to analyze the performance of the Inspectorate in the supervisory function at the General Secretariat of DPD RI. The research method used is descriptive with qualitative analysis. Data was collected through interviews, documentation, and observation. This research uses Agus Dwiyanto's theory (2006: 50) as follows: 1) Productivity, 2) Service quality, 3) Responsiveness, 4) Responsibility, 5) Accountability. The results showed that the performance of the Inspectorate was quite good in general, although not optimal due to constraints such as insufficient human resources and insufficient budget. The suggestion of this research is to increase the number of human resources and conduct socialization about applications that can be used by the Inspectorate..

This article aims to understand the impact of gadget use on  childhood as well as implement  solutions on the impact of gadget use on  childhood. This gadget is a medium  used as a  modern communication tool. Gadgets make human communication easier. Today, communication has become more advanced with the advent of gadgets. Among them, 4,444 are smartphones such as iPhones, Androids and laptops. In preschool psychology, development refers to children from 0 to 6 years old. The research method used is literary research. Results show that amenities impact  social development in young children. Excessive use of gadgets harms children's social and emotional development. Harmful effects of electronic device use on children include isolation, sleep disturbances, loneliness, violent behavior, reduced creativity and threats of cyberbullying. Solution to device use in  childhood by limiting device use, supervising children's screen time with parents who play a crucial role, and providing a schedule timely  when children play with devices, so that devices do not hinder young children's social development.

This article discusses the implementation of adequate accommodation policies for students with disabilities at the University of Muhammadiyah Jakarta. The purpose of this study is to determine the implementation of adequate accommodation policies for students with disabilities at the University of Muhammadiyah Jakarta. The research method used is a descriptive method with a qualitative approach and uses the theory of Edward III. The result of this study is that the University of Muhammadiyah Jakarta has implemented the regulation, but it has not run optimally because there are several obstacles such as infrastructure that has existed long before the entry of students with disabilities, limited budget devoted to disability infrastructure, and there has been no special training for staff / employees so that it has not produced excellent service for students with disabilities.

Special stopping space for motorbikes is one of the facilities for motorbikes to stop at intersections during the red phase. This special stopping space has been tested on a limited scale to support the movement of motorbikes at signalized intersections in large cities in Indonesia. This research aims to evaluate the intersection and then plan a special stopping room according to the number of motorbikes piling up during the red phase at the intersection. Intersection evaluation is carried out based on primary data and secondary data. The calculation method is guided by the 1997 Indonesian Road Capacity Manual (MKJI) and Technical Planning Guidelines for Special Stop Spaces (RHK) for Motorcycles at Signalized Intersections in Urban Areas.The traffic behavior of the existing intersection is, west approach capacity 335 pcu/hour, DS (Degree of Saturation) 1,878, queue length 97 m and average delay 157 sec/pcu. East approach capacity is 342 pcu/hour, DS (Degree of Saturation) is 2,295, queue length is 97 m, and average delay is 169.3 sec/pcu. North approach capacity is 600 pcu/hour, DS (Degree of Saturation) is 0.546, queue length is 157 m, and average delay is 69.2 sec/pcu. South approach capacity is 941 pcu/hour, DS (Degree of Saturation) 0.987, queue length 245 m, and average delay 111.6 sec/pcu.The special stopping space design on the northern approach is 2 lanes with an approach lane and an area of ​​84 m2; on the southern approach, namely 2 lanes with an approach lane and an area of ​​84 m2; on the western and eastern approaches do not meet the 2012 Age Work Department Service standards in RHK planning.

This research is aqualitative research that aims to describe the Quality of Service Delivery of Cancer Health Training Pusdiklat Ministry of Health of the Republic of Indonesia and describes and analyzes the inhibiting and supporting factors for instructors in serving training participants at the Pusdiklat Health. Health services are activities or a series of activities to fulfill the service needs determined by law for each instructor, trainee and/or administrative services provided by the service provider. study uses the theory of quality of health services according to Kotler in Fendy Tjibtono (2016: 284), namely Assurance (guarantee) Emphty (empathy) Reliability (reliability) Responsiveness (responsiveness) Tangible (physical appearance), Quantity timeliness, effectiveness, independence and commitment work, analysis of research data is descriptive. Perfect research results. In terms of realism indicators, it has not worked perfectly, such as the skills of officers in using supporting facilities in the service process. On the responsive indicator, all officers who carry out health training services are classified as responsive to training participants. Assurance indicators in health training centers are very much determined by the performance of health services. Tangible indicators in the form of the appearance of the apparatus when carrying out services, comfort right when the service takes place. The Empathy Indicator puts the interests of training participants first, serves in a friendly, courteous and courteous manner, officers do not discriminate and are able to respect training participants.

Banyuanyar Village is located in Banjarsari District, Surakarta City. Banyuanyar Village is included in the status of urban areas and has a Puskesmas which plays an important role in public health. Patient visits at the Banyuanyar Health Center physiotherapy clinic for shoulder pain cases from 2022 were 25 patients while in 2023 they increased to 50 patients. The most common case is shoulder pain with the third highest case. Characterized by complaints of pain in the shoulder that hinder daily activities. The purpose of this program is to provide education and demonstrate exercises in cases of shoulder pain in order to reduce and prevent complaints. The method used was education in the form of counseling and distributing leaflets to the elderly at the Banyuanyar RW 03 elderly post. The results obtained from measuring the increase in understanding using the pre-test and post-test questionnaires were a significant increase in understanding regarding exercise with a pre-test average value of 10 and a post-test average value of 85.5

Disasters contain three basic aspects, namely: the occurrence of a threatening and destructive event or disturbance, the event or disturbance threatens the life, livelihood, and function of the community, and the threat results in victims and exceeds the community's ability to cope with their resources. Community Service Activities (PKM) Socialization of Disaster Preparedness and Simulation of Basic Life Support (BHD) in the Community in Ngkeran Village, Lawe Alas District, Southeast Aceh, was held on February 7-8 2024 with a total of 45 participants. socialization was provided by the community service team regarding checking response and emergency medical services, checking pulse, carrying out early CPR, and early defibrillation with AED. The extension participants seemed enthusiastic about the materials presented by the resource persons and were able to be actively involved, so this extension activity took place in a two-way system and many participants asked questions. The presentation of the extension material was followed by discussion, ice-breaking, and distribution of door prizes to participants who were active during the discussion activities.

This study aims to explore the influence of the social environment on the communication patterns of adolescents in urban areas. A qualitative approach is used to understand how factors such as family, peers, school environment, social media, local culture, socioeconomic status, globalization, and physical environment influence the way adolescents communicate. Data were collected through in-depth interviews, participatory observation, focus group discussions and case studies. The respondents in this study were 100 respondents from teenagers in Bandung city.The results showed that family has a central role in shaping adolescents' communication skills, with supportive parenting increasing openness and communication effectiveness. Peers also have a significant influence, where adolescents adjust their communication style to gain social acceptance. School environments that support open and participatory communication have been shown to improve adolescents' communication skills, while the use of social media and modern technology changes the mode and frequency of communication, although sometimes reducing face-to-face interactions.Local culture and urbanization introduce adolescents to more modern and dynamic communication styles, while socioeconomic status affects access to education and technology, which in turn affects communication skills. Globalization and exposure to foreign cultures broaden adolescents' communication horizons, allowing interaction with various groups. Finally, the urban physical environment, including public facilities and population density, affects adolescents' interaction and communication patterns.  The findings provide implications for policies and interventions aimed at improving adolescents' communication skills through a holistic approach involving family, school, community, and management of social media use.

The prevalence of cardiovascular disease in Indonesia continues to increase and is one of the leading causes of death. Some of the risk factors for cardiovascular disease are hypertension, dyslipidemia and diabetes mellitus. These risk factors are not only experienced by urban communities but also occur in people living in rural areas. The purpose of this activity is to determine the incidence of hypertension, diabetes mellitus and cholesterol.Data collection on cardiovascular disease risk factors was carried out by measuring blood pressure, blood sugar levels and total cholesterol levels. This activity was attended by 40 total respondents with an age range of 40-60 years, 14 men and 26 women. Data analysis showed that 72% of respondents had blood pressure above normal. Respondents with normal blood sugar were only 13%, and the rest needed further examination. Cholesterol levels in the high category were 80% and slightly high were found in 20% of respondents. The data shows that the prevalence of risk factors for cardiovascular disease is quite large in the pre-elderly and elderly community in RT 01 RW 21 Tangkerang Tengah, Marpoyan Damai District, Pekanbaru.

The purpose of this study is to reveal and describe the form of Tabot Dance Performance in Bengkulu City. This type of research is qualitative research with descriptive methods. This research instrument is the researcher himself and supported by cameras, photos and interviews. Data collection techniques are carried out through literature studies, observation, interviews and documentation. The stages of data analysis are data collection, data description, and data inference.  The results showed that the form of presentation of Tabot Dance in Sanggar Lawang Budaya Kota Bengkulu, Bengkulu Province, it was concluded that the presentation of Tabot Dance consists of several supporting elements, including 1) dance movements, 2) floor design, 3) music design, 4) dancers, 5) makeup and costumes, 6) property and 7) performance venue. Tabot Dance consists of several types of movements, namely Sambah movement, Ground Ambition movement, Penja Sitting motion, Menjara / Bearun movement, Meradai movement, Arak Penja movement, Arak Turban movement, Gam movement, Arak Gedang movement and Tabot Tebuang movement.  The floor design of Tabot Dance uses straight lines and curved lines. Changes in floor design are made according to the number and movement of the Tabot dance dancers.  The musical instruments used to accompany the Tabot Dance are doll, tassa, kulintang, flute, boyah, cymbals, canned. Tabot dance is danced by 7 dancers who start with 3 dancers while 4 dancers enter in the middle of the dance. The makeup used is character makeup while the costumes used in Tabot Dance dancers are wearing clothes, pants, vests, headband turbans, hats, belts, hand bears, foot bears. The properties used in the Tabot Dance are coki-coki, fingers, turban and tabot. Tabot Dance performance is held outdoors using an open stage.    

Infusion is one of the invasive procedures performed by health workers by injecting a certain amount of fluid into the body into the vein to improve or prevent fluid and electrolyte, blood, and nutritional disturbances. The act of installing an infusion will be of high quality if in its implementation it always complies with the standards that have been set. One of the factors that can affect the performance of nurses, including the compliance of nurses and midwives in providing actions according to the SOP is supervision. This study aims to analyze the relationship between the supervision of the head of the room and the compliance of health workers in carrying out standard operating procedures for infusion at the UPTD Puskesmas Mawasangka Timur in 2023. This study is a correlation analytic study with a cross sectional study design. The sample in this study was 41 people consisting of 21 nurses and 20 midwives. The sampling technique used in this study is nonprobability sampling with total sampling. Data were analyzed using the chi-square test to determine the relationship between the independent and dependent variables. The results of statistical tests showed that there was a relationship between the supervision of the head of the room and the compliance of health workers in carrying out standard operating procedures for infusion at the Mawasangka Timur Health Center UPTD in 2023 (p-value 0.000 <0.05). Supervision of the head of the room has a significant role in increasing the compliance of health workers, especially nurses and midwives, in carrying out standard operational procedures for infusion installation.