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Gross motor development is an important aspect of an infant’s growth. Infants aged 6–12 months are in a golden period where physical stimulation plays a vital role in supporting coordination, balance, and muscle strength. Hydrotherapy provides an experience of free movement in water with light resistance, which can strengthen muscles and improve body control. This study aimed to determine the effect of hydrotherapy on the gross motor development of infants aged 6–12 months at Posyandu Dahlia, Palembang City. This research used a quasi-experimental design with a pretest–posttest control group involving 30 infants (15 intervention and 15 control). The intervention was conducted twice a week for four weeks in water with temperatures of 36–37°C. The Denver II instrument was used for assessment. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05The average gross motor development score increased significantly in the intervention group from 45.2 to 60.4 (p = 0.001), while the control group showed no significant change (p = 0.094). Hydrotherapy has a significant effect on improving the gross motor development of infants aged 6–12 months. Health workers are encouraged to use this therapy as an alternative stimulation for early childhood development in community health centers.

Diabetes mellitus is a non-communicable disease that causes global health problems in society. The International Diabetes Federation predicts that the prevalence of diabetes worldwide will increase to 853 million by 2050. The increase in the number of diabetes patients is due to unhealthy lifestyle habits, such as lack of physical activity. Therefore, interventions such as foot exercises and warm water baths are needed to help control blood glucose levels. The purpose of this study was to determine the effectiveness of a combination of foot exercises and warm water baths in reducing blood glucose levels in patients with diabetes mellitus. The study design used a descriptive case study. The sample size was n=2 people, conducted from May 25, 2025, to May 27, 2025, in the Sukoanyar Village RT 03/RW 03 area, Pakis District, Malang City. The results of this study showed that after three consecutive days of intervention, there was a decrease in blood glucose levels in both research subjects. In Mrs. S, the initial GDS level of 360 mg/dl decreased to 240 mg/dl after the third day of intervention. Meanwhile, in Mr. D, the initial GDS level of 349 mg/dl decreased to 220 mg/dl after the same intervention. Thus, the combination therapy intervention of foot exercises and foot soaking in warm water can lower blood glucose levels in diabetes mellitus patients.

Development in Banten Province has created conflict in development due to the dominance of a minimalist modern science approach, which prioritizes economic growth while ignoring environmental carrying capacity and socio-cultural values. As a result, Banten faces a serious environmental crisis, as evidenced by high emissions of air pollutants (PM2.5, SO2) and river water pollution by industrial waste. This study aims to analyze the negative impacts of this disorganized model and propose a comprehensive solution framework. This study formulates the Holistic Development Model (HDM). The HDM is a transformative solution that synergistically integrates three pillars: Modern Science (providing technology and data), the Ecosystem Approach (providing a systemic framework and nature-based solutions), and Local Cultural Values ​​(forming the basis of ethics and social motivation) through a Systematic Literature Review and Conceptual-Case Analysis. The implementation of MPH in case studies such as Integrated Coastal Management and Integrated Agriculture demonstrates that this integration produces high-yielding, equitable, and sustainable systems. In conclusion, MPH is a crucial strategy for Banten to shift from destructive development to equitable, resilient, and locally rooted development, making ecosystem health a key measure of success.

Handwashing with Soap (CTPS) is the activity of cleaning hands using clean, running water and soap to remove dirt, oil, and various germs such as viruses, bacteria, and parasites that may cling to the skin. As one of the most effective, simplest, and most affordable methods of preventing infectious diseases, CTPS is highly important to practice consistently, especially among students at Public Elementary School 283 located in Waitomu Hamlet, Leihitu District, Central Maluku Regency. However, observations indicate that after school activities or playtime, several students still show reluctance to wash their hands, which may be influenced by low awareness, limited understanding of hygiene, insufficient supervision, or the absence of strong daily habits related to cleanliness. This issue reflects the need for more structured hygiene education, continuous reminders, and interactive learning methods to instill good handwashing habits. In addition, improving supporting facilities—such as accessible handwashing stations, adequate soap supply, and visual posters—can motivate students to practice CTPS more regularly. Strengthening CTPS awareness and habits is expected to reduce the risk of disease transmission, foster a healthier school environment, and encourage students to adopt lifelong hygiene practices that benefit both their personal well-being and the wider community.

PT. Batam Mitra Suplindo is a company engaged in ship agency services. The ship agency service process at PT. Batam Mitra Suplindo starts from the initial arrival of the ship, loading and unloading activities, until the ship departs to the next destination port. Ship to Ship (STS) transfer is a method of transferring cargo between ships that requires careful coordination and supervision, especially in handling Liquified Natural Gas (LNG) cargo, which is volatile and high-risk. As one of the ship agency companies in the Batam waters area, PT. Batam Mitra Suplindo plays an important role in supporting the smooth process of Ship to Ship (STS) Liquified Natural Gas (LNG). This paper aims to comprehensively examine the Ship to Ship (STS) Liquified Natural Gas (LNG) handling process carried out by PT. Batam Mitra Suplindo, covering the planning stage, coordination with related institutions, technical implementation, and post-transfer evaluation. The research method used is field research, observation, and library research. The research results show that the success of Ship to Ship (STS) Liquified Natural Gas (LNG) highly depends on compliance with standard operating procedures (SOP), readiness of licensing documents, and synergy with the Port Health Office, Harbour Master, and ship operators.

The background of this study is the practice of open defecation (OD), which is a public health problem. OD refers to the act of disposing of feces in open areas such as rice fields, fields, bushes, rivers, and beaches, which can pollute the environment, soil, air, and water. This study aims to determine the knowledge, attitudes, and practices of the community in RT 05 Haya Village, Tehoru District, Central Maluku Regency regarding stopping ODD. This study used a descriptive method, with a sample of 40 families selected through a random sampling technique. Data were collected using a questionnaire. The results showed that most people had quite good knowledge about ODD, with 50% of respondents in the quite good category. Community attitudes were also quite good, with 70% of respondents showing a positive attitude towards stopping ODD. However, community actions were still less good, with 42.5% of respondents showing less good actions regarding ODD. The conclusion of this study is that although the knowledge and attitudes of the community in Haya Village were quite good, their actions were still lacking. Therefore, cooperation is needed between the village government, Tehoru Health Center, and community leaders to regularly hold outreach regarding BABS.

Bread is a food product made from wheat flour, water, yeast, and salt processed by mixing them into one dough then fermented and baked in the oven until cooked. Roti has several types, one of which is burger buns. Burger patties are white bread that is round or oval, made from high protein wheat flour, yeast, sugar, bread improver, salt, butter, milk powder, water, and usually with the addition of sesame seeds. The purpose of this study was to determine the formulation of burger patties high in dietary fiber and preferred by consumers. This study used a two-factor Complete Randomized Design (RAL), with a ratio of wheat flour and mocaf 70:30, 60:40, 50:50 with the addition of the percentage of beet tubers 30,40,50. The results of burger buns with high-fiber formulations were obtained from the ratio of wheat flour and mocaf flour at 50%:50% with a percentage of beet puree at 50%, this treatment has a fiber content of 11.47%, the water content of 26.10%, ash content 1.58%, fat content 4.33%, protein content 6.53%, carbohydrate content 61.45%, calories 310.89%, specific development volume 4.42%. Of flavor 3,38, color sensory test 3.73, chewiness 3.81, tenderness 3.11. Burger buns with raw materials of mocaf flour and the addition of beet puree as a source of fiber can be one of the practical foods that have good nutritional value for health.

Water plays a fundamental role in sustaining human life, particularly as a source of drinking water. Nonetheless, the consumption of water that does not comply with established health standards can result in illnesses such as diarrhea and vomiting. In the Patrang District, the use of refillable drinking water has gained popularity as an economical substitute for bottled water. Despite its convenience, there are growing concerns about the microbiological safety of refillable drinking water, especially regarding contamination by Coliform and Escherichia coli bacteria, which serve as key indicators of water hygiene and safety. The objective of this research was to determine the contamination levels of Coliform and Escherichia coli bacteria in refillable drinking water. The study utilized a quantitative research design with descriptive analysis and employed the Most Probable Number (MPN) method for testing. Data collection took place from May to June 2024, comprising five water samples labeled X, Y, Z, A, and B, obtained from refillable drinking water depots in Patrang District using a simple random sampling approach. The results indicated that out of the five samples tested, the sample labeled Z was positive for Coliform with an MPN value of 920 cfu/mL, while the sample labeled A was positive for both Coliform and Escherichia coli with an MPN value of 2,000 cfu/mL. From these findings, two samples (Z and A) were identified as contaminated, with the highest bacterial concentration found in sample A, which had an MPN value of 2,000 cfu/mL

Knee osteoarthritis is one of the most prevalent musculoskeletal disorders in the elderly, characterized by progressive degeneration of articular cartilage, chronic pain, joint stiffness, and reduced functional capacity. In Indonesia, the prevalence of knee osteoarthritis is notably high, affecting over 30% of individuals aged above 60 years. This condition leads to significant health burdens, impaired quality of life, and increased economic costs. Non-pharmacological management strategies such as hydrotherapy and quadriceps exercise are widely recommended to relieve pain and improve joint function. Hydrotherapy utilizes the physical properties of water including buoyancy, hydrostatic pressure, viscosity, and warmth to reduce joint loading, enhance circulation, and promote relaxation. Quadriceps exercise, on the other hand, focuses on strengthening the quadriceps muscle to stabilize the knee joint, thereby reducing pain and improving functionality. The combination of these two interventions is expected to provide greater benefits than a single modality. Research Design: This study employed a quasi-experimental design with a one-group pre-post test approach on 12 elderly respondents with knee osteoarthritis at OSF Magdalena Daemen BSB Convent. Pain was measured using the Visual Analogue Scale (VAS) before and after the intervention, which consisted of hydrotherapy and quadriceps exercise administered twice a week for four weeks. Results: The findings showed a decrease in the mean pain score from 4.42 to 3.08, with the Wilcoxon test yielding p = 0.001 (p < 0.05), indicating a significant difference in pain levels before and after the intervention. Conclusion: The combination of hydrotherapy and quadriceps exercise is effective in reducing pain in patients with knee osteoarthritis.

Farmers are grappling with drought challenges that jeopardize rice production. To address this, the government is promoting the use of water pumps and the construction of reservoirs. However, reservoir development comes with specific stipulations, such as the land used needing to be owned by the village or government. Climate change poses a significant challenge to Indonesia's agricultural sector. The pump irrigation program has emerged as a crucial solution for water scarcity in farmlands. This research was conducted in Belangturi Village, Ruteng District, Manggarai Regency, chosen purposively due to its status as a key rice paddy development area. The study took place from December 2023 to April 2024, employing simple random sampling. Data indicates there are 40 active rice paddy farmers in Belang Turi Village. An economic analysis forecasts substantial benefits from this program, including a 20-30% increase in rice production, an improved cropping index, crop diversification, and a 40-60% rise in farmer income. The financial analysis yields highly positive results: an NPV of IDR 450,000,000, an IRR of 18%, a Payback Period of 4.5 years, and a BCR of 1.75, all strongly indicating a highly feasible investment. From a social standpoint, pump irrigation is desperately needed and enthusiastically supported by the community. It's perceived as vital for overcoming critical water shortages, enhancing welfare, and improving access to education and healthcare. Therefore, implementing this pump irrigation system is highly recommended as a comprehensive solution for sustainable agricultural development in Belang Turi Village.

The Watu Kawula Health Center is one of the first level health service facilities that has an important role in providing health services to the community. However, in the implementation of administration, various obstacles are still found such as manual patient data recording, slow service data collection process, and difficulties in reporting and searching data. To overcome these problems, a computerized administrative information system is needed to improve efficiency and accuracy in data management.This research aims to design and build an integrated administrative information system at the Watu Kawula Health Center. The system development method used is the Waterfall model, which includes the stages of needs analysis, system design, implementation, testing, and maintenance. The system is designed using the MySQL database and PHP programming language, and is accessed through a web-based interface.The results of the development of the system show that this administrative information system is able to speed up the process of recording patient data, medical services, and making routine reports. In addition, the system also makes it easier for administrative officers to manage information in a structured and systematic manner. With this system, it is hoped that administrative services at the Watu Kawula Health Center can run more effectively and efficiently.

Exclusive breastfeeding (ASI) is the provision of only breast milk to infants for the first six months without additional food or drink, including water. Breast milk has important benefits in improving infant health, growth, and survival. However, the coverage of exclusive breastfeeding in Indonesia, including in the Pasar Health Center in Prabumulih City, has not yet reached the national target of 80%. One factor influencing the success of exclusive breastfeeding is husband's support. The purpose of this study was to determine the correlation between husband's support and exclusive breastfeeding. The study used a quantitative approach with a cross-sectional design. The sample size was 49 mothers with infants aged 7–12 months. The study was conducted in the Pasar Health Center in May 2025. The results showed that 28 infants (57.1%) received exclusive breastfeeding, and 30 mothers (61.2%) reported receiving support from their husbands. Statistical tests using the chi-square test showed a significant relationship between husband's support and exclusive breastfeeding (p = 0.000). These findings indicate that husband's support plays an important role in successful breastfeeding. This research suggests that involving husbands in breastfeeding education and support is highly recommended to increase the coverage of exclusive breastfeeding in the community.

The shrimp farming industry in Indonesia is predominantly dominated by Vannamei shrimp (Litopenaeus vannamei), also known as white shrimp. This shrimp species is favored due to its fast growth rate and high economic value. However, the intensive farming practices often lead to various diseases, particularly those caused by parasitic infections. Ectoparasitic infections can create wounds on the shrimp’s body, making it easier for other pathogens like fungi, bacteria, and viruses to invade. This study aims to identify the types and levels of ectoparasite infestations on Vannamei shrimp to understand their impact on shrimp health and farm productivity. The research method used is a literature review, gathering data from various sources such as scientific journals, books, research reports, and technical notes related to shrimp farming. The findings of the study show that the presence of ectoparasites can serve as an important indicator to assess the health of the farming environment. High levels of parasitic infestations indicate suboptimal environmental conditions, such as poor water quality or improper management practices. Therefore, early identification of ectoparasites is crucial to prevent the spread of diseases and ensure the sustainability of Vannamei shrimp farming in Indonesia.

Nabire Regency, located in Central Papua Province, is among the regions highly vulnerable to flooding due to persistent and intense rainfall throughout the year. Flood disasters generate multifaceted impacts, including economic losses caused by property damage and business disruptions, social issues such as health problems and psychological distress, and environmental degradation in the form of erosion and water pollution. This study aims to formulate mitigation and adaptation strategies for flood disasters by analyzing community perceptions and evaluating existing measures. The research employs the Likert Scale method to assess public perception and the Analytic Hierarchy Process (AHP) approach to determine the most effective strategies for mitigation and adaptation. The findings reveal that the community possesses a solid understanding of flood events and acknowledges the necessity of implementing mitigation and adaptation efforts. The AHP analysis indicates that the Regional Disaster Management Agency (BPBD) plays a crucial role in executing flood management strategies, particularly within the environmental management domain. The primary recommended strategy is environmental planning and management. Through an integrated and sustainable approach, flood risks are expected to be mitigated more effectively, minimizing adverse impacts on both the community and the environment in Nabire Regency.

Background: Diarrhea remains one of the leading causes of morbidity and mortality among children under five in Indonesia. Household environmental conditions, such as water quality, latrine sanitation, waste management, and environmental cleanliness, are important risk factors influencing the incidence of diarrhea. Darussalam Health Center is one of the working areas with a relatively high number of diarrhea cases among children under five. Objective: This study aims to analyze the relationship between environmental factors and the incidence of diarrhea among children under five in the working area of Darussalam Health Center. Methods: This study employed an observational analytic design with a cross-sectional approach. A total of 120 children under five were selected using purposive sampling based on inclusion criteria. Data were collected through interviews using a structured questionnaire and observation of household environmental conditions. Data analysis was performed using the chi-square test and logistic regression. Results: The incidence of diarrhea among children under five was 32.5%. Environmental factors significantly associated with diarrhea were water quality (p = 0.001; OR = 3.98; 95% CI = 1.82–8.71), latrine sanitation (p = 0.004; OR = 3.21; 95% CI = 1.45–7.09), and waste management (p = 0.012; OR = 2.54; 95% CI = 1.22–5.28). Lighting and home ventilation factors were not significantly related. Conclusion: Environmental factors, particularly water quality, sanitation, and waste management, are strongly associated with the incidence of diarrhea among children under five in the working area of Darussalam Health Center.

Hazardous and toxic waste (B3) is waste resulting from a production process, whether industrial or other business activities, where people who live there usually find or produce rubbish, waste water or other activities that are not managed properly, which will have an impact on creatures and the environment. around it, because its nature and concentration, whether directly or indirectly, can damage the environment and the health of living creatures around it. B3 waste is waste or waste whose nature and concentration contain toxic and dangerous substances so that it can directly or indirectly damage the environment, harm health and threaten the survival of humans and other organisms. B3 waste is not only produced from industrial activities but household activities can produce several types of waste. The method used is normative legal research by examining the governing laws and regulations. This research aims to determine the relationship between positive legal regulations and the problem of B3 waste and how to deal with B3 waste so that the environment is maintained.    

Field Work Practice (PKL) at Tambak Mina Bangkit Bersama (MIBAMA), Karangrejo, Banyuwangi, was conducted from June 26 to August 3, 2024, with the aim of understanding the process of growing Litopenaeus vannamei shrimp in HDPE ponds. Vaname shrimp farming involves pond preparation, seedling stocking, feed management, and water quality monitoring to optimize shrimp growth. Growth monitoring was carried out through sampling, resulting in an Average Daily Growth (ADG) value ranging from 0.41 to 0.71 grams per day. Water quality measurements showed that temperature, pH, and dissolved oxygen levels were still within safe ranges, although several parameters such as salinity, TDS, and ORP required special attention. Partial and total harvesting resulted in an accumulated production of 5.1 tons in this cycle. The use of HDPE ponds proved effective in maintaining the aquaculture environment and supporting production intensification. This study emphasizes the importance of proper water and feed quality management to enhance shrimp productivity and health, while also providing recommendations for continuous monitoring to address stress factors in shrimp during cultivation.

Diarrhea remains a significant health problem among children, especially school-aged students. This study aims to identify factors associated with the occurrence of diarrhea in students. A literature review method was used by analyzing ten relevant scientific articles published within the last five years (2019–2024). Significant factors influencing diarrhea incidence include handwashing habits, environmental sanitation conditions such as availability of latrines and clean water, nutritional status, immunization, and health knowledge. The findings indicate that diarrhea prevention requires a multidimensional approach involving education on healthy behaviors, improvement of sanitation facilities, and family empowerment through nutrition and immunization. These results are expected to serve as a basis for schools, parents, and government in designing effective diarrhea prevention programs for students.

Diabetes Mellitus is a metabolic disorder caused by the pancreas failing to produce insulin hormone adequately. Based on the cause, diabetes mellitus is classified into three types, including type 1 DM, type 2 Diabetes Mellitus, and gestational diabetes mellitus. Hyperglycemia can also occur due to food consumed that is not balanced with physical activity carried out so that fat accumulates in the body and causes blood to be unable to enter the body's cells, ultimately increasing blood sugar levels. Signs and symptoms that often appear in Diabetes Mellitus patients are polydipsia (excessive thirst), polyuria (frequent urination due to excessive urine production), polyphagia (quickly feeling hungry even though you eat a lot and want to eat continuously) and weight loss without a clear cause. Symptoms of diabetes mellitus can be controlled by increasing physical activity, following a healthy diet, and getting enough rest. Several studies have proven that bay leaves have the potential as an antidiabetic. This study aims to determine the content of secondary metabolic compounds and the antidiabetic activity of bay leaf extract using α-amylase enzyme inhibition in vitro. This research method uses laboratory experiments. This study uses α-amylase enzyme inhibition to determine the antidiabetic activity contained in bay leaf extract. The method used is DNSA. The results of this study obtained a yield of bay leaf extract of 30%, water content of simplicia of 6.24%, drying loss of simplicia of 5.3%, ash content test of 5.6%, water content test of extract of 6.34%, drying loss test of extract of 7.03%. Bay leaf extract positively contains secondary metabolite compounds, namely saponins, tannins, flavonoids, and alkaloids. The results of IC50 in bay leaf extract of 66.705 ppm are classified as strong antidiabetic. The results of acarbose of 56.818 ppm are classified as strong antidiabetic.

This Community Service Program (KKN) was implemented as an effort to address the health and environmental risks associated with the use of chemical-based dishwashing soap. The program’s lack of knowledge and skills in making natural household products among women underpins the program’s implementation. The goal was to raise awareness and empower women through training in making environmentally friendly dishwashing soap. The program was conducted at the Women’s Witness Building and included outreach, demonstrations, hands-on practice, discussions, and the sharing of results. During the workshop, participants were taught how to make soap using simple ingredients such as baking soda, liquid soap, water, and the addition of glycerin, dyes, and fragrances. The results demonstrated high enthusiasm from the participants, reflected in their active involvement during the workshop and their understanding of the benefits of natural products. This activity not only improved the women’s skills but also encouraged a frugal, healthy, and environmentally conscious lifestyle.