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Bus Rapid Transit (BRT) systems play a crucial role in providing efficient and sustainable urban mobility, yet service quality often faces challenges that lead to passenger dissatisfaction. This study focuses on BRT Trans Jateng Corridor 7, which has received a considerable number of complaints regarding service reliability, comfort, and punctuality. The main objective of this research is to improve passenger satisfaction by applying the Six Sigma methodology to identify, analyze, and reduce the root causes of service-related complaints. Using the DMAIC (Define, Measure, Analyze, Improve, Control) framework, data were collected through complaint reports, passenger surveys, and operational performance indicators. Statistical analysis and cause-effect diagrams were employed to pinpoint critical factors influencing complaints, including bus frequency, driver performance, ticketing efficiency, and infrastructure support. The findings indicate that the application of Six Sigma significantly reduced recurring complaints, particularly in the areas of schedule adherence and service responsiveness, leading to measurable improvements in overall passenger satisfaction. The synthesis of results demonstrates that structured quality management approaches such as Six Sigma can effectively enhance public transportation service quality by providing systematic solutions to operational problems. In conclusion, this research highlights the practical benefits of Six Sigma in improving service performance and reducing passenger complaints, offering valuable insights for policymakers and transportation operators seeking to strengthen the quality and sustainability of public transit systems.

Cancer is a chronic disease that not only affects physical conditions but also imposes a significant psychological burden on both cancer patients and cancer survivors. Various mental health problems, such as anxiety, depression, stress, and psychological distress, are frequently experienced throughout the processes of diagnosis, treatment, and the survivorship phase. One psychological intervention that has developed and been widely studied is expressive writing, which allows individuals to freely express their thoughts and emotions through writing. This study aims to examine the effectiveness of expressive writing interventions on the mental health of cancer patients and cancer survivors using a literature review method. The article search process was conducted in international databases (ScienceDirect, PubMed, and SpringerLink) and a national database (Garuda), covering publications from 2020 to 2025. Article selection was carried out using PRISMA guidelines, and methodological quality assessment was conducted using the Critical Appraisal tools from the Joanna Briggs Institute (JBI). Based on the selection results, nine articles met the eligibility criteria for analysis. The review findings indicate that most studies report positive effects of expressive writing in reducing anxiety, depression, stress, and psychological distress, as well as improving quality of life, positive affect, self-efficacy, and posttraumatic growth. However, the effectiveness of this intervention varies depending on individual characteristics, clinical context, writing structure and focus, intervention duration, and cultural appropriateness. Therefore, expressive writing has the potential to serve as an effective, flexible, and low-cost supportive intervention in cancer care, particularly when it is designed contextually and adaptively in accordance with patients’ psychological needs.

The verification and validation process for land application data at the Southwest Sumba Regency Land Office has been carried out manually, which often results in delays, data inconsistencies, and the potential for errors in decision-making. These problems impact the low efficiency of public services and the accuracy of managed data. Therefore, this study aims to develop a Decision Support Sistem (DSS) that can assist the verification and validation process for land application data sistematically, quickly, and objectively. This sistem is built using the Simple Additive Weighting (SAW) method, which functions to determine the level of eligibility of an application based on several criteria, namely completeness of documents, land status, legality of ownership, suitability of applicant data, and dispute history. The sistem design process is carried out through several stages, including needs analysis, design, implementation, testing, and evaluation. The results show that the implementation of a SAW-based DSS can increase the efficiency of the verification process by up to 65%, and increase the accuracy of validation results by up to 90% compared to manual methods. This sistem provides automatic decision recommendations, thus assisting officers in assessing the eligibility of land applications in a transparent and consistent manner. Thus, this sistem has the potential to be an effective solution to support the digitalization of public services in the land sector in Southwest Sumba Regency.

Abdominal pain is one of the main complaints frequently encountered in patients in emergency departments and inpatient wards. This condition may be caused by various factors, ranging from gastrointestinal disorders and inflammation to reproductive system problems. Poorly managed pain can affect the patient’s quality of life, reduce daily activities, and increase anxiety. This case study aims to describe nursing care for Mrs. U, who presented with abdominal pain at dr. Soeselo Hospital, Tegal Regency. The research method applied was a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment revealed that the patient complained of lower abdominal pain with a pain scale of 5 (moderate), accompanied by nausea, weakness, and intermittent fever. The primary nursing diagnosis established was acute pain related to physiological injury agents. Interventions included pain management education, relaxation techniques, application of warm compresses, and collaboration in administering analgesics. The evaluation showed a decrease in pain intensity from a scale of 5 to 3, with the patient appearing calmer and showing improved sleep quality. This study emphasizes the crucial role of nurses in providing comprehensive care to reduce abdominal pain through both independent and the collaborative interventions with the medical team.

Adolescence is an important period in which individuals experience various dynamics of change, both psychologically and biologically. In general, biological changes in this age group occur more rapidly than mental development. This phenomenon has contributed to the emergence of various problems, one of which is promiscuous behavior, which Indonesia is currently facing. The research conducted at SMAN 1 Krueng Barona Jaya aimed to analyze how health education can contribute to increasing adolescents' knowledge about the risks of promiscuity. This study was conducted on May 14, 2025, with a pre-experimental research design, using a One Group Pre-test Post-test design. A total of 44 students were selected as respondents through proportional sampling. The main measurement tool was a knowledge questionnaire used as a data collection instrument, while statistical analysis was performed using the Wilcoxon Sign Rank Test. The pretest findings showed that 8 students (18.2%) were in the low knowledge category, 7 students (15.9%) were in the moderate knowledge category, and 29 students (65.9%) had good knowledge. In the post-test stage, there was a significant increase with 39 respondents (88.6%) in the good knowledge category and 5 respondents (11.4%) in the sufficient category. Health education was proven to have a significant impact on adolescents' knowledge about the dangers of promiscuity, as indicated by a p-value of 0.001. Through these findings, it is hoped that adolescents can be more proactive and responsible in obtaining accurate information about reproductive health, especially regarding the dangers of promiscuous behavior.

This study aims to assess the effectiveness of the Jakpreneur program in reducing unemployment in South Jakarta. Jakpreneur is a strategic initiative launched by the Jakarta Provincial Government as a concrete effort to empower Micro, Small, and Medium Enterprises (MSMEs). This program is designed with various forms of support, such as skills training, business mentoring, legal licensing facilitation, product marketing support, and easy access to capital. This aims to create an inclusive and sustainable entrepreneurial ecosystem, especially amidst the complex challenges of the urban economy and the ongoing unemployment rate. However, in its implementation on the ground, the program's effectiveness still faces several obstacles. One of the main problems identified is the suboptimality of information technology-based training. Many participants have not yet mastered basic digital skills, making it difficult to keep up with developments in training methods that rely on technology. In addition, the low level of responsiveness of program facilitators to participant needs, as well as the limited digital literacy of MSMEs, also hinders maximizing the benefits of this program. This study uses a descriptive qualitative approach with data collection techniques through in-depth interviews, participant observation, and documentation studies. The findings indicate that, despite some shortcomings, the Jakpreneur program has been generally successful in improving participants' entrepreneurial knowledge and skills, reaching the right target audience, and having a tangible impact on increasing business capacity and reducing unemployment. Therefore, strengthening outreach, improving the quality of digital training, and providing more active and responsive mentoring is necessary to further enhance the program's effectiveness.

Drug abuse is one of the crucial problems that can threaten the future of the nation’s young generation. Sokolelah Village, Pamekasan Regency, as part of a rural area, is not exempt from this potential threat, especially with the increasing flow of information through the internet and the high mobility of the community as a result of technological development. Therefore, this community service program aims to provide education and raise public awareness about the dangers of drugs, as well as to encourage the active involvement of village communities as the front guard in creating a clean and drug-free environment. The methods used in this program include socialization, face-to-face counseling, interactive discussions and Q&A sessions, as well as the distribution of educational media. The activity was attended by various elements of the community, including youth, religious leaders, community leaders, and the local police (Babinkamtibnas). The results of the activity showed enthusiasm and positive responses from the participants, as indicated by their increased understanding of the dangers of drugs and the growing collective commitment to prevent drug trafficking and abuse in Sokolelah Village. Thus, this activity not only strengthened the community’s understanding of the negative impacts of drugs but also encouraged village-level collaboration in creating a healthy, productive, and drug-free environment.

This study aims to analyze the influence of Human Resource Management and Good Manufacturing Practices on Improving Production Hygiene, with the research focused on employees of Bakpia Kukus Tugu Jogja. The problems that often occur are the ineffectiveness of implementing hygiene standards and weaknesses in the human resource management system which are the important basis for conducting this research. This study uses a quantitative approach with a survey method by distributing questionnaires to 102 respondents who are employees of Bakpia Kukus Tugu Jogja in the production and quality control divisions. Data analysis was carried out using multiple linear regression with the help of SPSS software version 25.

Diabetes mellitus is a chronic disorder that arises when the pancreas does not produce enough insulin or when the body cannot use the insulin it produces properly, diabetic ulcers also referred to as diabetic foot ulcers, are medical conditions characterized by chronic, non-healing, sunken ulcers with edema with clear boundaries. Wounds in diabetic patients occur due to partial or complete damage to the skin that extends to the tissue under the skin, tendons, muscles, bones, or joints that occur in a person suffering from diabetes mellitus. Wound care that is currently developing is modern wound care which has a better rate of development of diabetic wound repair compared to using conventional wound care. The use of dressings must be considered to maintain wound moisture balance, one of the dressings that can be used is zinc cream as a primary dressing. Purpose: To prevent infection and help accelerate granulation growth in diabetic foot wound patients using zinc cream. Methods: By means of data collection and observation using case studies and subjects in diabetic foot wound patients with nursing problems of skin / tissue integrity disorders. Results: After taking wound care measures using zinc cream primary dressing for 12 times in 6 weeks there is a BWAT value in the dorsum pedis area from 37 to 22 and in the planta pedis area from 39 to 24. Conclusion: Treatment using zinc cream as a primary dressing proved effective in accelerating the healing process of diabetic foot wounds.

This study aims to analyze the financial health of PT Garuda Indonesia (Persero) Tbk during the 2019–2023 period using eight financial ratios based on the Indonesian Ministry of State-Owned Enterprises (SOEs) Decree No. KEP-100/MBU/2002. The research employed a descriptive quantitative method with secondary data derived from annual financial reports published by the Indonesia Stock Exchange (IDX) and the company’s official website. The findings reveal that Garuda Indonesia’s financial condition fluctuated, categorized as less healthy in 2019, deteriorated into unhealthy during 2020–2021 due to the Covid-19 pandemic, and showed limited recovery in 2022–2023, returning to the less healthy category. The main weaknesses were observed in profitability, liquidity, and solvency, while activity ratios remained relatively sound. This study highlights that Garuda’s financial problems were driven not only by external shocks from the pandemic but also by internal factors such as high debt burden and weak governance. The results are expected to contribute academically by enriching the literature on SOE financial health analysis in the post-pandemic context and provide practical implications for management, policymakers, and investors.

The problem of waste in rural areas is still a serious issue that has an impact on environmental health and the quality of life of the community. Batu Licin Village, Gunung Lengkuas Village, East Bintan District, Bintan Regency is one of the areas that faces similar problems, where household waste is still scattered and has not been handled optimally. This community service activity offers innovative solutions through the manufacture of rocket stoves as a means of efficiently burning certain organic and inorganic waste, as well as the construction of garbage booths as a place to store and sort waste before further processing. The implementation method involves counseling to residents, making prototypes, and direct practice of using rocket stoves and garbage booths by local communities. In addition, this activity also emphasizes the importance of changing community behavior in managing waste with the 3R (reduce, reuse, recycle) principle. The results of the activity show an increase in public awareness in managing waste independently, reducing the accumulation of waste in the village environment, and the emergence of alternative waste processing that is environmentally friendly, energy-efficient, and easy to apply. This innovation not only helps overcome the problem of household waste, but also provides educational value and empowers the community in maintaining the cleanliness and sustainability of the village environment. With the implementation of rocket stoves and garbage booths, it is hoped that a cleaner, healthier, and more viable village environment will be created in the long term.

This study analyzes the legal review of legal protection for motorcycle owners in cases of embezzlement. To anticipate the development of society in relation to changes in crime, efforts can be made to plan the creation of criminal law that accommodates all the dynamics of society. This is a policy issue, namely regarding the selection of means in regulating social life. The crime of theft is regulated in the Criminal Code book II chapter XXII Articles 362 to Article 367. Indonesia is a country that is included in the category of developing countries and of course cannot be separated from the problems that have been raised above. Crimes that occur in developing countries are still relatively high. Therefore, it is not surprising that the problem of crime or criminality in Indonesia is a result of the life of its people. Crime can be interpreted criminologically and juridically. One example of a crime is the crime of embezzlement which is regulated in Articles 372 to 377 of the Criminal Code.  The normative juridical research method with a descriptive approach, this study reveals that legal protection for motorcycle owners in embezzlement cases is based on Article 372 of the Criminal Code and Law Number 8 of 1981 concerning Criminal Procedure Law. The concept of imposing criminal penalties on embezzlement crimes in Indonesia. Article 372 of the Criminal Code and Law Number 8 of 1981 concerning Criminal Procedure Law. Thus, the judge sentenced the defendant to 3 (three) years in prison.

This study discusses child adoption in the context of Christian theology, focusing on the opinions of the congregation of HKBP Kana Resort Kana Duri. Child adoption is an effort to provide affection and protection to children who do not have biological parents or who have been abandoned, in accordance with the values of love and acceptance taught in the Bible. In the Christian view, adoption is not only seen as a social solution, but also has a deep theological dimension, reflecting the relationship between God and His people as Father and His children. This study uses a qualitative descriptive approach to explore the congregation's views on child adoption and the challenges they face in implementing this practice. Data were collected through interviews, observations, and literature studies, which were then analyzed to understand the theological meaning of child adoption and the congregation's opinions on adoption. From the results of the study, it can be concluded that the problems that exist are in the personal and social readiness of the congregation, lack of education, and the absence of special assistance from the church as an institution of faith that should be a protector and director in making ethical and moral decisions for its congregation.

The Mosque Youth Organization (REMAS) plays an important and strategic role as an agent of social and religious change among the younger generation. This study aims to improve the governance of the Mosque Youth Organization in Blitar City to be more professional and Islamic through the synergy of public administration and Islamic values. The main problems faced include a lack of coordination with the mosque administrators, a lack of effective leadership, and low community participation, which are influenced by internal factors such as the busyness of members and external factors such as limited funds and facilities. The method used is a participatory approach through needs analysis with 20 REMAS and mosque administrators, followed by training on professional Islamic governance, management skills, and evaluation assistance for its implementation. The training was held at the Al Mugi Barokah Mosque in Blitar City in September 2025, in collaboration with the Indonesian Mosque Youth Communication Agency (BKPRMI) as a stakeholder. The results of the community service showed significant improvements, namely the formation of a clear organizational structure, community-based work programs such as skills training and innovative social activities, and effective coordination with mosque administrators through regular forums to increase community participation. This approach integrates good governance principles such as transparency, accountability, and documentation using Trello or Google Sheets with Islamic values such as deliberation, trustworthiness, benevolence, and the example set by the Prophet Muhammad SAW. These activities contribute to sustainable social transformation among mosque youth, strengthening their role as agents of socio-religious change, although challenges such as limited resources, internal conflicts, and slow technological adaptation still need to be addressed through regular monitoring and further technological integration.

Bronchopneumonia is the most common form of pneumonia in children and remains a leading cause of death in those under five years of age. This condition is characterized by shortness of breath due to lung infection. One of the interventions used is nebulizer inhalation therapy, which helps relieve breathing difficulties and thin secretions. This study aims to evaluate the effectiveness of inhalation therapy in children experiencing ineffective airway clearance. The method applied is a case study based on evidence-based practice (EBP) involving one patient, with nebulizer interventions administered for three consecutive days, each lasting 10–15 minutes. The findings showed improvement, including reduced shortness of breath, decreased productive cough, and the disappearance of rhonchi. Therefore, nebulizer therapy is proven effective in managing respiratory problems in children with bronchopneumonia, and its implementation should be accompanied by education for patients and their families to support collaborative nursing care.

One part of the large intestine can be affected by an anal fistula or rectovaginal fistula due to infection of the anal glands. In patients who have undergone colonostomy, radiological examinations such as lopography are necessary to detect abnormalities, especially in the anal region. Pediatric lopography with clinical rectovaginal fistula post colonostomy at the Radiology Department of Dr. Sardjito General Hospital involves inserting contrast media into the proximal section through the proximal stoma with an anteroposterior projection and into the distal section through the anal opening with a lateral projection. The study aimed to determine the contrast enema examination procedure in pediatric patients with clinical rectovaginal fistula post-colonostomy, including examination techniques, patient preparation, equipment and materials used, as well as handling problems such as blockages in the distal intestine. Methods: The study was conducted in May–June 2025 using a qualitative descriptive method through observation, interviews, and documentation, involving three radiographers and one radiologist. Data analysis was performed through data collection, data reduction, data presentation, discussion, and conclusion drawing. Results: The results showed that lopography examinations used water-soluble iodine contrast media mixed with NaCl at a ratio of 1:3, which was inserted through the proximal stoma and anus. Preparation included fasting from breast milk, confirming patient identity, informedconsent, and preparation of equipment such as an X-ray machine with fluoroscopy, catheters, syringes, and Computed Radiography.

In the Candi Village community, there is still a phenomenon of a lack of awareness in understanding, exploring, and experiencing the historical values contained in Gedong Songo Temple. This condition has implications for the less than optimal use of historical sites as educational facilities and media for forming local cultural identity. Efforts to increase historical awareness are considered more effective if instilled from an early age through a contextual and applied educational approach. This study focused on students of SDN Candi 03, most of whom come from four hamlets around the area, namely Talun, Nglarangan, Ngipik, and Ndarum. The community service program designed aims to provide solutions to the partner's priority problem, namely low historical awareness among students, through the application of educational tourism and Project Based Learning (PjBL) methods. Educational tourism is positioned as a learning strategy that integrates recreational and educational aspects, allowing students to gain firsthand experience in interpreting historical sites. Meanwhile, PjBL is oriented towards project-based activities that encourage active student involvement in exploring real-world problems and producing creative products or solutions. The program is divided into three main stages: preparation, activity implementation, and monitoring and evaluation. The results of these activities are expected to increase students' knowledge, awareness, and concern for local cultural heritage, while fostering a sense of responsibility in preserving Gedong Songo Temple. Thus, educational tourism and PjBL-based education can be a relevant alternative model for fostering historical awareness among the younger generation in areas surrounding historical sites.

Background: Anemia is one of the public health problems commonly found among adolescent girls, especially in developing countries like Indonesia. This condition affects concentration, academic performance, and productivity, making early detection an essential step to prevent long-term complications. Objective: This study aims to determine the results of early detection of anemia based on clinical symptoms and hemoglobin (Hb) levels among adolescent girls at SMPN 18 Palembang. Methods: This research used a descriptive design with a cross-sectional approach. A total of 132 seventh-grade female students were selected randomly. Data were collected through an anemia symptom questionnaire and hemoglobin level measurement using a hemoglobinometer. Results: The study found that 23.5% of respondents were anemic (Hb < 12 g/dL), and 48.5% showed symptoms of anemia. However, the sensitivity of symptoms in detecting anemia was only 39%, specificity was 19%, with a positive predictive value (PPV) of 60.93% and a negative predictive value (NPV) of 8.82%. Conclusion: Based on the findings, symptom-based detection alone is not sufficiently accurate to diagnose anemia. Hemoglobin level examination is still required as a more valid and objective screening method for the early detection of anemia in adolescent girls In addition to medical intervention, the study advocates for increased awareness and education about anemia, its causes, and prevention methods among students, parents, and educators. Addressing nutritional deficiencies, especially iron intake, through dietary improvements and supplementation is essential in combating anemia in adolescent girls.

This article examines the role of students of the Real Work Lecture (KKN) of the State Islamic University of North Sumatra in Stabat Lama Village in supporting community development through an integrative approach that covers three main areas, namely religious moderation, stunting prevention, and extreme poverty alleviation. The religious moderation program is carried out through Maghrib Mengaji, Gebyar Islami, and interfaith dialogue, which has been proven to strengthen tolerance and social harmony in the community. The stunting prevention program is realized through the provision of supplemental food (PMT) based on local ingredients, which is able to improve the nutritional status of toddlers while preventing the risk of new stunting. Furthermore, the community economic empowerment program is carried out through ecoprint training with eco pounding techniques that produce works of selling value and open up opportunities for environment-based businesses. The results of the activities show that the three programs complement each other and contribute to improving health, economic independence, and socio-religious harmony. The real impact of the implementation of this program is not only felt in the short term, but also provides the foundation for the development of a more independent and sustainable society. Through the active involvement of students, KKN activities succeeded in connecting academic theory with real practice in the field, so that it was able to provide contextual solutions to village problems. The empowerment carried out also emphasizes inclusive community participation, especially vulnerable groups such as housewives and toddlers, so as to provide more equitable benefits. Thus, KKN in Stabat Lama Village represents a holistic, sustainable, and relevant service model to the achievement of the Sustainable Development Goals (SDGs).

Flour Albus is one of the reproductive health problems commonly experienced by young women. Vaginal discharge is a condition of vaginal discharge other than blood that occurs outside of normal conditions, this fluid can be odorless or not, and is often accompanied by itching in the area around the vagina. The purpose of this study was to determine the effect of reproductive health education on knowledge of flour albus in young women. This type of research is quasi-experimental with a one-group pretest posttest design approach. The population taken was all 10th grade girls with a total of 40 respondents at SMK Theresiana Semarang. The sampling technique was total sampling. The data collection tool used a knowledge questionnaire. Data analysis used the Wilcoxon Test. The results of this study obtained a p-value of 0.002 (<0.05) which means there is an influence on reproductive health education on knowledge of flour albus in young women, with this Z-value of 3.052 which means that providing reproductive health education on flour albus has a 3-fold increase in knowledge in adolescents. Conclusion There is an influence on reproductive health education on knowledge of flour albus in young women. The suggestion that can be put forward is that young women can increase their understanding, awareness, knowledge and prevention methods because many young women still do not know the impacts and treatment and prevention of Flour Albus that occurs in themselves.