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Hypertension is a condition in which Systolic Blood Pressure (SBP) is greater than 140 mm Hg and Diastolic Blood Pressure (DBP) is greater than 90 mm Hg. This disease is one of the most common chronic diseases and can affect anyone, both young and old. Hypertension is often called a silent killer because it has no major symptoms, so sufferers are often unaware that they have high blood pressure until serious complications occur. This study aims to determine the relationship between medication adherence and the use of complementary therapies in hypertensive patients at Mitra Medika Amplas Hospital. The research design used an analytical survey method with a cross-sectional approach. The population in this study were all hypertensive patients who received treatment at the internal polyclinic of Mitra Medika Amplas Hospital, with a total population of 1,398 people. The sampling technique used was purposive sampling with the Slovin formula, resulting in 94 respondents. Based on the results of the analysis using the chi-square statistical test, the P-Value was obtained at 0.685 or P-Value > 0.005, which indicates that the alternative hypothesis (Ha) is rejected and the null hypothesis (Ho) is accepted. Thus, it can be concluded that there is no significant relationship between medication adherence and the use of complementary therapy in hypertensive patients at Mitra Medika Amplas Hospital. The conclusion of this study shows statistically that there is no relationship between medication adherence and the use of complementary therapy at Mitra Medika Amplas Hospital this year, which indicates the need for more attention in improving patient adherence to recommended treatment. The conclusion of this study statistically shows that there is no relationship of medication adherence in the use of complementary therapy at Mitra Medika Amplas Hospital.

Community participation refers to the active involvement of citizens in various stages of the development process, especially at the village level. A concrete example of community participation can be seen in the case study of Bendhung Lepen, located in Mrican Village, Yogyakarta. Bendhung Lepen is an irrigation canal that stems from the Gajah Wong River. Before its revitalization, the area faced numerous environmental problems, primarily due to household waste and pollution that contaminated the waterway and negatively affected the environment and public health. In response to these issues, local residents, along with relevant stakeholders, initiated an environmental conservation program. The main goal of this initiative was to restore the ecological function of Bendhung Lepen and transform it into a clean, green, and beneficial public space for the community. This study aims to measure the level of community participation in the environmental conservation program. Data collection methods included questionnaires for quantitative analysis and in-depth interviews for qualitative insights into community involvement. The results of the study show that community members were actively involved in various phases of the program, including planning, implementation, and evaluation. Stakeholders involved in the program included community leaders, youth groups, environmental organizations, and village officials. The forms of participation extended beyond voicing aspirations to contributing labor (through mutual cooperation) and materials (such as donations or supplies). According to Arnstein’s ladder of participation, the level of community participation in this conservation program falls under the category of "delegated power," which represents a high degree of participation. This means that the community was not merely involved as passive participants but was given real authority in decision-making and program management. These findings indicate that genuine and sustained community involvement plays a crucial role in the success of local environmental conservation efforts.

Night shift workers in the modern retail sector, especially minimarkets such as Alfamart Makassar City, often face the risk of health problems due to changes in circadian rhythms, irregular diets, and lack of nutrition education. Work patterns that require them to be active at night have an impact on metabolic imbalances, sleep quality disorders, and unhealthy eating habits. Most workers tend to eat fast food that is high in calories, fat, and sugar, but low in fiber and micronutrients. This condition can increase the risk of fatigue, decreased immunity, and impaired concentration at work. This study aims to evaluate the effectiveness of nutritional nursing interventions in improving the diet and physical condition of night shift workers. The research approach used was descriptive with a case study method on 32 Alfamart workers who worked night shifts. The research was carried out for three days, namely on May 24-26, 2025. The interventions provided include nutrition education through brief counseling, monitoring of food and fluid intake, and assistance in developing a meal schedule that is in accordance with night work patterns. The results of the study showed a significant improvement in nutritional behavior. After the intervention, 84% of participants started implementing a healthy diet with a frequency of twice per shift, 93% increased their water consumption as recommended, and 72% felt refreshed and did not get tired easily while working. In addition, as many as 78% of participants showed high compliance with the nutritional recommendations given. These findings prove that nutritional nursing interventions have an important role in the promotion of occupational health. Proper nutrition education not only increases workers' awareness of the importance of a healthy diet, but also has an impact on increasing the productivity and welfare of night shift workers. Therefore, nutrition promotion programs should be part of the management policies of retail companies to maintain employee health.

Infused water is a functional beverage made by soaking slices of fruits, vegetables, and herbs in mineral water to produce a natural flavor and enhance nutritional content. In recent years, infused water has become part of a healthy lifestyle trend due to its claimed benefits, including detoxification, improved hydration, and immune system enhancement. This article aims to review the latest scientific literature on the potential benefits of infused water on immune function, particularly in the context of regular consumption of natural ingredients such as lemon, ginger, strawberries, and herbs that are rich in vitamin C, antioxidants, and flavonoids. The review was conducted by searching scientific databases such as PubMed, Google Scholar, and ScienceDirect, using inclusion criteria that covered publications from 2020 to 2024. The findings indicate that infused water containing vitamin C, gingerol, and polyphenolic compounds can help improve immune function by reducing oxidative stress, suppressing inflammatory responses, and stimulating immune cell activity such as lymphocytes and macrophages. Furthermore, optimal hydration from infused water supports various physiological processes of the immune system. In conclusion, infused water holds potential as a simple, natural, and cost-effective strategy to support immune health. However, further research is needed to evaluate its efficacy, optimal formulations, and dosage for maximum benefit.

This study aims to examine the impact of waste on natural ecosystems in the Karawang area, West Java. As one of the largest industrial estates in Indonesia, Karawang faces serious challenges related to industrial and domestic waste management. Poorly managed liquid and solid waste has polluted rivers, farmland, and forest areas, and disrupted the balance of local ecosystems. This study uses a qualitative approach through field observations, interviews with residents and related agencies, and secondary data analysis. The results of the study show that waste pollution has a direct impact on the decline in water quality, habitat damage, and the decline in biodiversity at several points in Karawang. In addition, the surrounding community also feels the impact through health problems and reduced agricultural yields. This study recommends the need to strengthen waste management regulations, increase supervision of industry, and involve the community in environmental conservation efforts. These findings are expected to be considered in the formulation of sustainable environmental policies in Karawang.

Microorganisms are microscopic organisms that cannot be observed directly without the aid of optical instruments. They play an important role in various biological and environmental processes, both beneficial and detrimental. Most microorganisms are unicellular, but some are multicellular. Some microorganisms are also known to have benefits in the fields of food and health. Bamboo shoots or young bamboo are one type of vegetable that is widely consumed by the community, especially in Central Java. Bamboo shoots have a low nutritional content such as water, protein, carbohydrates, minerals, and fat, making them a healthy low-calorie food. In addition, bamboo shoots also contain bioactive compounds such as vitamins, essential amino acids, and antioxidants that are beneficial for body health.Fermentation of bamboo shoots is one method to increase their nutritional value and probiotic content.

This study aims to examine the realization of Grice’s cooperative principles in transactional speech acts between sellers and buyers at the Depo Air Minum Isi Ulang Sehat Lestari (Healthy Refill Drinking Water Depot). The cooperative principles consist of four maxims: quantity, quality, relevance, and manner. The research is motivated by the importance of effective communication in sales interactions, particularly to avoid misunderstandings in conveying intentions and information. A qualitative descriptive method was employed, with data collected through participatory observation and recorded conversations. The findings indicate that all four maxims were naturally realized in daily interactions. Utterances such as “Mas, air satu” (“One gallon, please”), “Air galon segar loh” (“The water is fresh”), and “Tolong kirim air 10 galon” (“Please deliver 10 gallons”) reflect contextually appropriate and functionally effective applications of the maxims. Furthermore, the use of concise, clear, and straightforward speech structures shows that the cooperative principles are not only evident in content but also in the linguistic form used. These findings highlight that communication in micro-level services such as water refill depots tends to be pragmatic, efficient, and shaped by local social norms and contextual understanding.

The existence of clean water is very important because clean water is a basic need for human life and the environment. The availability of abundant clean water is certainly an indicator of welfare, public health, and environmental sustainability. The Surakarta City Regional Drinking Water Company as a provider of clean water services to the community is carried out in accordance with applicable regulations in order to realize clean water services that are decent, equitable, and sustainable. This study aims to determine the role of the Surakarta City Regional Drinking Water Company in implementing the provision of clean water to meet the needs of the community. This research method uses an empirical legal research method. Based on the results of the study, it shows that the implementation of drinking water provision by the Surakarta City Regional Drinking Water Company is not entirely fair and equitable to the community. This is influenced by several obstacles faced, including unstable water quality, less than optimal water continuity, damage to water pumps, and leaks in the pipe network.

Milkfish farming in coastal ponds of Ujung Watu Village, Jepara, is highly influenced by the stability of water salinity levels. Significant fluctuations in salinity can interfere with the growth and health of fish, so an adaptive control system is needed. Research methods include field data collection, hardware and software design, and system testing in an active pond for 14 days (23-hour sampling), where data is extracted for 23 hours. The system uses a salinity sensor to detect water conditions, PLC to automatically control the brackish water pump, while wireless remote control uses IoT, in addition to controliing, IoT to send data to the Android-based monitoring platform. The test results show that this machine is able to maintain salinity levels within the optimal range of 10000-30000 ppm, and provide remote monitoring convenience to pond farmers. The monitoring system serves as a predictive for manual wireless control of electric pumps (IoT), while automatic control is controlled by PLC.

Environmental health is very important for individual and community life. A healthy environment can improve the quality of life of the community to be better. Rapid community growth is one of the evaluations for the government to be able to create a healthy environment in the middle of a city filled with air, water, and soil pollution. The government's efforts to overcome environmental damage are to create green open spaces, one of which is Tebet Eco Park. This study aims to analyze the condition of cleanliness and environmental management in Tebet Eco Park towards environmental health in improving the quality of life of the community. Qualitative methods are used through in-depth interviews with various related parties. The analysis focuses on the condition of cleanliness and environmental management towards air, water, and soil quality; capacity and hygiene of sanitation facilities; and waste management. The results of the study are expected to provide recommendations to improve the environmental health of Tebet Eco Park and the quality of life of the community, including visitor management strategies, improving sanitation facilities, and environmental education programs.

This study aims to explore the effectiveness of optimal hydration on brain activity and mental health in students and workers through a biopsychological approach. Five participants (three students and two workers) participated in a hydration intervention by drinking at least 8 glasses of water per day for seven days. The design used was a one-group pretest-posttest, with measurements using the PANAS (Positive Affect Negative Affect Schedule) scale and daily reflection. The results showed an increase in positive emotion scores and a decrease in negative emotion scores after the intervention was carried out in both groups. Participants' daily reflections supported these findings, although some experienced discomfort such as bloating or nausea. Biopsychologically, adequate hydration can contribute to cognitive function, emotional control, and daily productivity. This study confirms that regular drinking habits are a simple but effective strategy in improving mental health and brain function in both students and workers.

The implementation of ballast water management is a very important strategic step in preventing marine environmental pollution, because ship ballast water often becomes a route for the spread of invasive alien species that have the potential to disrupt the balance of the ecosistem, harm the maritime economic sector, and endanger human health. This study focuses on ballast water management practices on the MT Timur Laut Mas 2 ship, with the aim of assessing how the procedures are implemented in order to prevent the entry of alien species, reviewing the implementation of both international and national regulations, and evaluating the performance of the Ballast Water Management Sistem (BWMS) technology applied. This study uses a descriptive qualitative method based on a case study, with data collection through interviews with ship crews and company management, direct observation on board the ship, technical documentation, and a review of supporting literature. The results of the study show that the implementation of the IMO Ballast Water Management Convention (BWMC) regulations on ships has been realized through the preparation of a Ballast Water Management Plan, detailed recording in the Ballast Water Record Book, and the use of a BWMS that relies on filtration technology and ultraviolet radiation. However, the implementation still encounters obstacles in the form of limited crew understanding of system operation, variations in water quality along the shipping route that affect filtration effectiveness, and technical obstacles in equipment maintenance. Therefore, a combination of compliance with international regulations, improving crew competency through continuous training, and optimizing sistem operations are key factors in strengthening the effectiveness of ballast water management. These findings confirm that the application of modern technology in accordance with regulatory requirements can enhance marine ecosistem protection while ensuring the sustainability of the maritime industry, thus positively contributing to environmental sustainability and the stability.

Background: Coal mining is one of the industrial sectors with broad impacts on environmental conditions and public health. Communities living near mining areas are at risk of exposure to air pollution, water contamination, ecosystem disruption, and increased disease burden, particularly respiratory illnesses. Objective: This study aims to systematically review scientific evidence on the impact of coal mining on health and the environment in communities living around mining areas in Indonesia. Methods: This literature review analyzed seven scientific publications from 2014 to 2024, obtained from university repositories and accredited national journals. Inclusion criteria included studies conducted in Indonesia, relevance to health and/or environmental issues, and complete data presentation. Each article was thematically extracted and analyzed. Results: The studies revealed that coal mining activities contribute to increased cases of ARI (acute respiratory infections), pharyngitis, digestive disorders, and even potential exposure to natural radioactivity. Environmental impacts included air pollution from coal dust, decreased water quality, and unmanaged mining residues. Some studies also highlighted significant public health costs, despite companies having obtained environmental certifications. Conclusion: The health and environmental impacts of coal mining on surrounding communities are real and multidimensional. Therefore, a cross-sectoral approach involving environmental monitoring, public education, and evidence-based policymaking is needed to minimize long-term risks.

This research focuses on creating the employees’ performance reporting application of Health, Safety, and Environment (HSE) of PT. IWIP Weda. The main aim of this development system is to optimize the making of the HSE employees' daily report. The Waterfall development method was chosen as the methodological approach in designing and implementing this application. The application is build based on web with PHP programming and MYSQL. Through this application the super admin is able to arrange the employees’ work report. Along with that, the frontman is able to dig out the occupational health violations in real time. Futhermore, this application loads the information of Occupational Safety and Health (K3). This web application is dessigned to be accessed online. Thus, the user is able to access information anytime and anywhere. In the final analysis, this application is able to simplify the reporting process, defining the HSE perfomance, discovering the occupational health violations, and storaging the data efficiently. The black-box testing shows that the system functions can run well. Moreover, application system has met the needs and showing good results. Based on the User Acceptance testing (UAT), the average value is 86%.

This study aims to analyze the effect of body angle variations on propulsion force, drag coefficient, and freestyle swimming performance using a biomechanical approach. The background of the study is based on the importance of movement efficiency in swimming which greatly affects athlete performance. The research method used a quantitative experimental design involving university or club level swimmers who have a minimum of three years of training experience. Subjects were selected through purposive sampling with the criteria of being healthy, accustomed to using freestyle techniques, and willing to follow the research procedure. The instruments used included 3D motion capture to record body angles and movement coordination, force sensors to measure propulsion force and drag coefficient, and a time recording system to calculate average speed. The research procedure was carried out by providing variations in body angles of 0°, 15°, and 30°, each with three replications. The data obtained were analyzed using descriptive statistics to describe the average, standard deviation, and data distribution, as well as comparative statistics (ANOVA or paired t-test) to compare performance between angle variations. The results showed that a 15° body angle provided optimal performance, characterized by increased average speed and propulsive efficiency compared to 0° and 30° body angles. These findings confirm that body angle regulation is a key factor in reducing water resistance and increasing propulsive effectiveness. The discussion of the results indicates that applying biomechanical analysis to swimming training can provide objective information for developing training techniques and strategies. Therefore, this study concludes that a 15° body angle is the most ideal position for improving freestyle swimming performance. Further research is recommended to expand the number of subjects, explore variations in other swimming styles, and integrate physiological data to obtain a more comprehensive picture.

Changes in land surface temperature are one of the important indicators in monitoring global environmental change. In the last decade, increasing surface temperatures have become a global concern, as they have the potential to affect ecosystems, air quality, water availability and human health. In addition, increasing land surface temperature also has a direct impact on the urban heat island phenomenon, which can worsen environmental conditions in urban areas. In this context, analyzing periodic changes in land surface temperature is important to understand the patterns and factors that influence these changes. The objectives in conducting this research, namely: Analyzing the land surface temperature, Creating a regional land surface temperature map and Analyzing changes in land surface temperature from the land surface temperature map of Pariaman City in 2015, 2019, and 2023. Based on the results of the analysis of changes in land surface temperature using Landsat 8 OLI/TIRS images in 2015, 2019, and 2023, it was found that there were significant variations in temperature changes in several areas. Landsat 8 image data is processed through several stages, starting from converting Digital Number (DN) values to spectral radians, brightness temperature, to estimating Land Surface Temperature (LST) in Celsius units. The analysis shows that there was a significant increase in land surface temperature during the period, especially in urban and coastal areas. In 2015, the majority of areas had temperatures of 20°C-24°C, while in 2019 it shifted to 24°C-28°C, and in 2023 it was dominated by temperatures of 28°C-32°C and above 32°C. These changes reflect a significant local warming trend, influenced by human activities and land use change. This research is expected to contribute to the understanding of environmental dynamics and support spatial planning that is more adaptive to climate change.

This community service activity aims to increase awareness of the younger generation in Sanrobone Village, Takalar in maintaining environmental cleanliness and health through an educational and participatory approach. Activities include counseling on 3R waste management (Reduce, Reuse, Recycle), composting training, the formation of a village waste bank, and real actions in the form of planting trees and cleaning water channels. The results of the activity showed a significant increase in the understanding and skills of young people in managing waste and protecting the environment. In addition, the formation of the Sanrobone Village Waste Bank is the first step in efforts to reduce plastic waste and increase the economic value of inorganic waste. This activity has succeeded in fostering the commitment of the younger generation as pioneers of a sustainable clean and healthy environment movement in the village.

Employee performance represents the ability to fulfill tasks and responsibilities according to organizational standards. At UPTD Puskesmas Kosambi, the evaluation of Non-Civil Servant (Non-ASN) healthcare workers is still done manually and tends to be subjective, primarily based on attendance. This study aims to address the issue by developing a decision support system using the MOORA (Multi-Objective Optimization on the Basis of Ratio Analysis) method. A descriptive-applied approach and the waterfall development model were employed. Five evaluation criteria were used: attendance (25%), service quality (35%), report timeliness (20%), patient complaints (10%), and lateness (10%). Data from 20 Non-ASN healthcare workers in April 2025 were analyzed, with Anis Julianti achieving the highest MOORA score of 0.3839. The system underwent validation through black-box testing and user acceptance testing (UAT), both confirming its accuracy and usability. The findings were compared with previous studies. Harningsih et al. (2024) used the MOORA method for promotion evaluations at the North Sumatra Provincial Inspectorate Office and recorded a top score of 0.3616. Dewi Yohana br Ginting et al. (2024) applied the method at a beauty clinic and found a top score of 0.3747. These comparisons indicate that the MOORA results in this study fall within a consistent and valid range. The developed decision support system is expected to enhance the objectivity, transparency, and accountability of performance evaluations for Non-ASN employees in primary healthcare services, offering a more comprehensive alternative to manual assessment methods.

The introduction of toxic substances or energy into the environment degrades environmental quality, which in turn can have negative effects on living things like human health, biodiversity, and the global climate. This multi-faceted problem has far-reaching consequences for ecosystems and human life. For Indonesia, this has grown into a major problem throughout the last several decades. Water, air, soil, and noise pollution have all seen dramatic increases due to the expansion of cities, the industrial sector, and the proliferation of motor vehicles. All four forms of Indonesian environmental pollution—air, water, soil, and noise—are covered in this research, along with their origins, effects on human and environmental health, and potential solutions, both governmental and grassroots. A literature review of secondary sources, such as government papers, scientific journals, and other official publications, is employed as the technique. This document is written with the intention of drawing attention to the significance of environmental protection and offering broad preventative actions. According to the results, industrial operations, automobiles, household garbage, and a general lack of environmental consciousness are the main causes of pollution. Hence, in order to lessen the impact of pollution and enhance environmental quality, technological solutions, regulatory laws, and communities that are both interdisciplinary and collaborative are crucial tools.

This study aims to analyze the effect of access to clean drinking water and access to proper sanitation on poverty levels in 18 districts in West Java during 2020–2024. Using a quantitative approach and panel data regression, the study tested the relationship between the two independent variables and poverty as the dependent variable. The results of the analysis showed that access to clean drinking water had a negative and significant effect on poverty, with a regression coefficient of -0.05784 and a p-value of 0.0484 (<0.05). This means that every 1% increase in access to clean drinking water reduces the poverty rate by 0.05784%. Better access to clean water has a direct impact on reducing the economic burden and improving the welfare of the poor. Meanwhile, access to proper sanitation has a negative coefficient of -0.01350, but its effect is not statistically significant (p-value 0.3916> 0.05). This shows that although proper sanitation is important for quality of life and health, in this model its effect on poverty has not been seen to be directly significant. These findings emphasize the importance of expanding access to clean drinking water and sanitation as an effort to alleviate poverty in West Java. Limited access to basic services affects health, productivity, and household expenditure which ultimately worsens poverty. Therefore, local governments need to focus on inclusive and sustainable policies, especially improving basic services such as clean water and health. This study is expected to be a reference for formulating a more effective and comprehensive poverty alleviation strategy in West Java.