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Natural and non-natural disasters significantly disrupt healthcare systems, particularly obstetric and gynecological services, which are highly vulnerable to service interruptions and quality decline. Pregnant women, postpartum mothers, and newborns face an increased risk of complications and mortality without adequate medical care. Health professionals play a crucial role in ensuring the continuity of reproductive health services through the implementation of the Minimum Initial Service Package (MISP), emergency management, health education, and intersectoral coordination. However, challenges such as limited resources, psychological pressure, and lack of specialized training hinder optimal performance. Therefore, strengthening the capacity of healthcare workers, enhancing disaster preparedness, providing adequate logistics, and enacting supportive governmental policies are essential to maintain effective obstetric-gynecological care during crises. This literature review comprehensively discusses the role of health workers in ensuring reproductive health services in disaster settings as a strategy to improve access and service quality during emergencies.

This study examines the various forms of trauma experienced by patients with mental disorders, particularly those caused by violence and loss, and explores the psychosocial approaches used in the recovery process at Prof. Dr. M. Ildrem Mental Hospital, Medan. The background of this study is based on the importance of understanding traumatic factors as one of the root causes of mental disorders, which are often overlooked in medical treatment. The research aims to describe the types of trauma experienced by patients and to evaluate the effectiveness of the psychosocial interventions provided by the hospital. A qualitative approach was employed, using field observation and in-depth interviews with rehabilitation staff, including psychologists, counselors, and therapists. The findings indicate that the majority of patients have a history of severe trauma, such as sexual violence, the loss of loved ones, and extreme life stress that was not properly addressed. The recovery process at the hospital is carried out holistically through occupational therapy, skills training, spiritual guidance, and psychological support from both professionals and peer counselors. The study concludes that an approach combining scientific methods with patients' real-life experiences can positively impact the recovery process. Therefore, strengthening professional capacity and providing counselor training are essential to enhance the effectiveness of the rehabilitation system.

The utilization of Artificial Intelligence (AI) in healthcare services and medical diagnosis in Indonesia has grown rapidly alongside the digital transformation of the health sector. AI technology has been employed to improve service efficiency, accelerate diagnostic processes, and enhance disease detection accuracy, particularly through medical imaging and ECG data analysis. Algorithms such as K-Nearest Neighbor (KNN) and Chi-Square have shown effectiveness in heart disease classification. However, despite its benefits, AI implementation presents legal challenges. The absence of specific regulations regarding legal liability in cases of AI-based diagnostic errors creates uncertainty for both medical professionals and patients. Additionally, the lack of national standards, weak patient data protection, and digital literacy gaps present significant obstacles. Adaptive policies, the establishment of dedicated regulations, and collaboration between government, medical practitioners, technology developers, and academics are essential to develop a legal framework that accommodates AI advancements responsibly. With clear legal certainty, AI technology can be optimally utilized to support more inclusive and high-quality healthcare services.

Obesity in women of childbearing age is a growing health problem, not only due to dietary patterns and lack of physical activity, but also due to the influence of social and cultural factors. This study aims to gain a deeper understanding of the experiences, perspectives, and habits of women of reproductive age who are obese within the context of local social and cultural norms. Using a qualitative phenomenological approach, data was collected through in-depth interviews with five primary informants who are obese, as well as triangulation informants from community health workers and healthcare professionals. The results of the study indicate that perceptions of obesity are still predominantly viewed from the perspective of physical appearance rather than health. Social factors such as family eating patterns, snacking habits, comments from others, and lack of physical activity are triggers for obesity. Meanwhile, local culture has a varied influence—some communities are beginning to adopt slim body ideals, while others remain neutral. Obesity also impacts self-confidence, social stigma, and limitations in daily activities. However, most informants expressed hope for a healthier life. This study recommends interventions that consider local cultural values and involve family and community support in obesity prevention effort.

The transformation of the workplace driven by digitalization and generational value shifts has introduced new challenges in maintaining ethical and organizational culture, particularly among Millennials and Gen Z. This study aims to examine the extent to which Islamic values—especially through Islamic Work Ethics (IWE) and spiritual intelligence—are integrated in shaping the work culture of young professionals. Using a quantitative approach, data were collected via surveys from 150 respondents working in the startup, Islamic banking, and educational sectors in the Greater Jakarta area. Data were analyzed using Pearson correlation and path analysis via SmartPLS. The results show that both IWE and spiritual intelligence have a positive and significant effect on work culture, with a combined contribution of 56%. These findings indicate that integrating Islamic values can foster an ethical, productive, and spiritually aligned work culture among younger generations. The study has theoretical implications for developing a contextual Islamic work culture framework, and practical implications for organizations seeking to design policies grounded in spiritual and Islamic ethical principles

The hybrid work era, which combines remote work with face-to-face work, has brought about new challenges and opportunities in business communication, particularly in the negotiation process. This study aims to analyze the role of digital communication media in supporting the effectiveness of business negotiations. Using a descriptive qualitative approach, data was collected through in-depth interviews with several professionals from various industrial sectors who are active in online negotiation activities. The results indicate that digital communication media such as Zoom, Microsoft Teams, and WhatsApp play a crucial role in enhancing time efficiency, flexibility, and the speed of information exchange. However, limitations in nonverbal expression and the risk of miscommunication remain significant challenges. This study suggests adopting adaptive digital communication strategies, including virtual communication training and the use of a combination of synchronous and asynchronous media to achieve optimal negotiation outcomes.

A common mental health problem affecting millions of women all around is anxiety before pregnancy and after delivery. Untreated, it might cause early deliveries, reduced birth weights, bad infant bonding, and children's long-term developmental difficulties. Many mothers choose natural cures than from drugs for safety worries relating to their children. Recent research on non-drug approaches to lessen anxiety in pregnant women and new mothers is examined in this review. Focusing on multiple non-drug treatments, a comprehensive search was conducted in PubMed and Google Scholar. The results indicate that yoga and mindfulness-based stress reduction measures practically reduce anxiety. For treating anxiety, non-drug treatments are safe choices that healthcare professionals should integrate into maternal care. More research is needed for consistent methods and long-term studies to support clinical practices.

This study identifies and validates critical risk factors in storage tank construction projects through a Systematic Literature Review (SLR) and expert judgment using Aiken’s V method. Initially, 103 journal articles were screened, with 43 selected for in-depth analysis, revealing 33 causal factors and six key risk categories. A Focus Group Discussion (FGD) involving industry professionals (project managers, QA personnel, safety officers) enriched the findings by incorporating practical insights missing in academic literature. Eight experts then evaluated these factors using Aiken’s V, validating 13 causal factors and four risk factors as highly significant. Key causal factors included Structure Design, Material Delivery, and Foundation Design, while major risk factors were financial loss, non-compliance, workplace accidents, and poor-quality outcomes. The study establishes a structured risk model for storage tank projects, supporting future quantitative risk analysis and mitigation strategies.

Menstrual hygiene is an important component of personal hygiene that plays a significant role in an individual's health behavior, helping to prevent disorders in reproductive organ function. This study aims to determine the effect of health promotion on the level of menstrual hygiene knowledge among children aged 13–15 years. The study design used a pre-experimental approach with a one-group pre-posttest design. The population consisted of 110 respondents, and using simple random sampling, 83 respondents were selected. Data for this study were collected using a knowledge level questionnaire. After tabulation, the data were analyzed using the Wilcoxon test with p < 0.05. The results showed that nearly all female students (108, or 98.2%) had insufficient knowledge of menstrual hygiene before receiving health promotion. Almost all female students after receiving health promotion had adequate knowledge of menstrual hygiene, totaling 88 (80.0%). Based on the above results, the effect of health promotion on the level of knowledge of menstrual hygiene among children aged 13-15 years was found to be p = 0.000 (p < 0.05). This indicates that health promotion has an effect on the level of knowledge about menstrual hygiene among girls aged 13–15 years. Therefore, it is hoped that female students will always maintain their genital hygiene by practicing proper personal hygiene in accordance with the guidelines provided by healthcare professionals, especially during menstruation.

The implementation of Electronic Medical Records (EMRs) in hospital emergency units is essential to improve the speed, accuracy, and quality of services. However, various challenges hinder optimal system utilization. This study aimed to assess the adoption of EMR at the Emergency Unit of RSUD A.M Parikesit Tenggarong using the Human-Organization-Technology Fit (HOT-FIT) framework. A qualitative descriptive approach was employed involving seven purposively selected informants, including health professionals, administrative staff, and IT personnel. Data were collected through interviews, observations, and document reviews, then analyzed using the Miles and Huberman interactive model. The findings indicate that from the human aspect, the system was considered easy to use (85%), though user satisfaction remained moderate (67.14%) due to system errors and incomplete CPPT data entries. Organizationally, the hospital provided adequate infrastructure and support, though some policies require stronger enforcement. Technological aspects revealed limitations in system stability, lack of pharmacy integration, and low service quality due to frequent downtime. The study concludes that EMR implementation in the Emergency Unit has not yet achieved full effectiveness across all HOT-FIT domains. Improvements are needed in system reliability, information consistency, and inter-unit integration to optimize EMR benefits and enhance patient care delivery in critical settings.

In the era of digital transformation, organizations face the huge challenge of managing data that is constantly increasing in volume, variety, and speed. Metadata, as "data about data," plays an important role in providing context and structure to data, thus supporting the quality and effectiveness of its use. This article examines the role of metadata management in improving data quality and decision-making efficiency. Using a descriptive qualitative approach through literature analysis and case studies, the results of the study show that metadata management contributes to improving the accuracy, consistency, completeness, and timeliness of data. Good metadata implementation also speeds up data retrieval, minimizes misinterpretation, and supports the automation of the analytics process. In addition to the technical benefits, this article also discusses strategic aspects, such as the integration of metadata in data governance and the challenges of technology adoption. In the context of modern organizations, metadata management is not just a technical necessity, but part of an ongoing data governance strategy. Therefore, this article provides conceptual and practical insights for professionals and policymakers in building reliable and data-based information systems.

Pulmonary function disorders such as asthma and chronic obstructive pulmonary disease (COPD) remain major public health challenges, particularly in densely populated urban areas like Kapuk, Cengkareng, which are characterized by high exposure to air pollution and smoking habits. Early detection using spirometry is a crucial preventive strategy to identify respiratory dysfunction before the onset of clinical symptoms. This community engagement program aimed to conduct lung function screening using spirometric evaluation, focusing on the FEV1/FVC ratio (FEV1%) as a primary indicator. The program was conducted in Kapuk, Cengkareng, involving 64 participants from the public. Spirometry was used to measure Vital Capacity (VC), Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 Second (FEV1), and the FEV1/FVC ratio. Activities began with community outreach, participant registration, brief anamnesis, and standardized spirometry procedures performed by trained health professionals. The results were immediately shared with participants along with individualized health education. Most participants were female (68.7%), with a mean age of 41.86 years. The average VC was 2.62 L, FVC 2.36 L, and FEV1 2.10 L. The mean FEV1/FVC ratio (FEV1%) was 91.66% (SD = 8.07), indicating that all participants (100%) had normal pulmonary function. These findings demonstrate that spirometry effectively provides an objective overview of respiratory health status and serves as a preventive monitoring tool. Spirometry-based pulmonary screening represents an effective preventive intervention to increase community awareness of respiratory health. The FEV1% value has been proven to be a vital parameter for early assessment of lung function. This program offers a replicable model for community-based early detection strategies in other high-risk urban areas. Keywords: Spirometry, FEV1%, Lung Function, Early Detection, Community Service

The digitalization of healthcare services has emerged as a pivotal catalyst in modernizing Indonesia’s health system, delivering enhanced efficiency, accessibility, and integrated service quality. This study employs a qualitative literature review approach to explore the implementation of digital transformation strategies in hospitals, with a particular emphasis on ethical challenges and patient data security. The findings reveal that the adoption of technologies such as artificial intelligence, Internet of Things, and telemedicine accelerates service delivery and broadens medical outreach, especially in remote areas. Nevertheless, critical issues arise concerning the vulnerability of health data to breaches, misuse, and cyber threats, exacerbated by uneven digital infrastructure and limited technological literacy among healthcare professionals. Proposed strategies include strengthening data protection regulations, improving human resource capacity, and fostering cross-sectoral collaboration to establish a secure and ethical digital healthcare ecosystem. Through comprehensive management of these challenges, healthcare digitalization is expected to expedite the achievement of SDG 3 and bolster public trust in the national health system.

Social media has proven to be an effective tool for health promotion, particularly in rapidly and widely disseminating information and encouraging behavioral changes. This study is a literature review aiming to evaluate the role of social media in digital-based health promotion interventions over the past five years (2019–2024). Articles were collected from Google Scholar, PubMed, and Garuda databases, focusing on interventions conducted in Indonesia or those with global relevance. The review of nine articles revealed that platforms like Instagram, WhatsApp, and Facebook are effective in improving health knowledge and behaviors, especially among adolescents and mothers. Strategies involving visual and interactive content, along with collaborations with digital influencers, significantly increased audience engagement. However, key challenges identified include low digital literacy, the spread of invalid information, and a lack of standardized evaluation for intervention effectiveness. This study recommends enhancing healthcare professionals' capacity in utilizing social media and strengthening public digital literacy to support sustainable health promotion efforts.

Nutritional problems such as obesity warrant serious attention, due to their potential to contribute to various other health complications. One modifiable factor associated with obesity that can be targeted through intervention is dietary pattern, including adoption of vegetarian diet. Several previous studies have suggested that vegetarian diets may be effective in promoting weight loss. This study aims to examine the potential role of vegetarian diets in the management of obesity. The method employed in a literature review of relevant studies published within the last ten years. The findings indicate that vegetarian diets are effective in reducing body weight, insulin resistance, blood glucose levels, trimethylamin N-oxide (TMAO), low-density lipoprotein (LDL), triglycerides (TG), and total cholesterol levels. Additionally, they are associated with increased high-density lipoprotein (HDL) levels and improvements in lipid profiles, as well as kidney and liver function. Nevertheless, the implementation of vegetarian diets among individuals with obesity should be carefully supervised and planned by qualified professionals to minimize the risk of nutritional deficiencies.

This study examines the importance of work ethos and professional ethics and their influence on career development and professionalism in the workplace. A strong work ethos, characterized by dedication, discipline, and responsibility, alongside the application of ethical principles such as integrity and honesty, positively contributes to increased productivity, reputation, and career opportunities. Using a qualitative approach through literature review and semi-structured interviews with professionals from various fields, the findings reveal that work ethos and ethics not only shape individual character but also serve as essential assets in navigating the competitive dynamics of the modern workplace. The implications of this study emphasize the need for both organizations and individuals to consistently instill these values to ensure sustainable career growth and professional excellence.

The integration of telemedicine and artificial intelligence (AI) into critical care has emerged as a revolutionary development in the healthcare sector, aiming to enhance patient care and outcomes. This research aims to explore the impact of these technologies on improving the quality of patient care in intensive care units (ICUs). A systematic review of recent studies published between 2018 and 2023 was conducted to analyze the role of telemedicine in improving access to healthcare and the application of AI in enhancing diagnostic accuracy and monitoring patients in real-time. The findings suggest that both telemedicine and AI significantly reduce response times, improve decision-making processes, and increase the accuracy of diagnoses, which ultimately contribute to better patient safety and outcomes. The research also highlights challenges, including infrastructure limitations and the need for specialized training for healthcare professionals. The study’s implications underline the importance of integrating these technologies in critical care units to improve overall healthcare delivery, while addressing barriers to implementation. Future research should focus on overcoming these challenges and exploring long-term outcomes of technology use in critical care environments.

Negligence in pharmaceutical services is a multifaceted issue that significantly impacts patient safety, the quality of healthcare delivery, and the professional reputation of pharmacists in Indonesia. Such negligence can occur at various stages of pharmaceutical services, including prescribing, dispensing, storage, and administration of medication to patients. The causes of negligence are diverse, encompassing excessive workload, inadequate understanding and application of professional ethical codes, ineffective communication between pharmacists and other healthcare professionals, and suboptimal supervisory and audit systems. This study aims to analyze the ethical and professional implications of negligence in pharmaceutical services and to identify preventive efforts that can improve the quality of pharmaceutical services. This study employs a library research method with a qualitative descriptive approach, thoroughly reviewing scientific literature indexed in Sinta and other reputable academic sources to analyze the ethical and professional implications of negligence in pharmaceutical services. Findings reveal that negligence not only violates core professional ethical principles such as beneficence, non-maleficence, and justice but also exposes pharmacists to serious legal and disciplinary sanctions. Furthermore, negligence leads to long-term negative consequences, including diminished public trust in pharmaceutical services and the broader healthcare system, ultimately hindering national efforts to improve healthcare quality. Therefore, this study recommends continuous professional ethics training, strengthening of both internal and external supervisory mechanisms, and the innovative use of information technology to minimize negligence risks in pharmaceutical practice. The implementation of these measures is expected to enhance pharmaceutical service quality, uphold the integrity and dignity of the pharmacist profession, and provide optimal patient protection in Indonesia.

Abortion is a contentious legal and moral issue, as it involves two equally important rights: the right to life of the fetus and a woman's right to bodily autonomy and reproductive health. Under Indonesian criminal law, abortion is generally classified as a criminal offense, as stipulated in the Criminal Code (KUHP). However, exceptions are recognized under specific conditions such as medical emergencies and pregnancies resulting from rape, in accordance with Law Number 17 of 2023 on Health. This study aims to examine the legal boundaries between prohibited and permitted abortions and to analyze the challenges of implementing these provisions in practice. The findings indicate that despite the existence of legal exceptions, implementation remains difficult due to complex procedures, limited facilities, and inadequate understanding among law enforcement and health workers. Therefore, clear technical regulations and cross-sectoral education are essential to ensure fair legal protection for both women and medical professionals.

Mental health disorders such as depression, stress, and anxiety are commonly found among individuals in productive age and can have a substantial impact on their quality of life, both personally and socially. Early symptoms like fatigue, mild anxiety, or sleep disturbances, often go unrecognized as they frequently perceived as minor issues, leading to many cases remained undiagnosed during the early stages. The Community Service Program (PKM) conducted in Grogol Subdistrict aimed to raise the public awareness of the importance of early detection of mental health issues through screening using the Depression Anxiety Stress Scale (DASS-42). This activity adopted the Plan-Do-Check-Act (PDCA) approach, encompassing mental health education, standardized screening, and follow-up in the form of referrals to mental health professionals for participants with abnormal scores. Among 67 participants, 6 individuals (8.96%) were found to have mild to severe depressive symptoms, 19 individuals (28.36%) exhibited mild to severe anxiety symptoms, and 2 individuals (2.99%) experienced mild stress symptoms. These findings emphasized the vital role of early education and screening in preventing mental health disorders, also serves as a foundation for fostering sustained public awareness regarding the importance of maintaining psychosocial well-being.