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Gout is caused by several things, one of which is the consumption of foods high in purine, choosing the right food menu for all foods consumed is an obligation... apart from this, there are various other factors that can increase the risk of this disease, namely increasing age and male gender, family health history, obesity, consumption of certain medications, certain medical conditions, unhealthy lifestyles and injuries due to surgery. The low priority given by health services to non-communicable diseases and inadequate public knowledge. Gout is a public health problem in Indonesia and is still not fully addressed. Knowledge and assistance regarding the right food to consume is a solution in overcoming this problem. For this reason, the authors in this study developed an expert system as a reference for gout risk to improve healthy lifestyle patterns. This system was developed with 2 benefits, namely getting recommendations and monitoring uric acid levels. As a result of the tests carried out, it is known that from a health practitioner's point of view, the system developed is suitable for use to accompany prevention and monitoring activities for gout sufferers and the information regarding the patient's dietary history presented by the system can be used as evaluation material during control. Users strongly agree with the system created due to lack of knowledge and lack of control in consuming foods that cause gout.

Gout is caused by several things, one of which is the consumption of foods high in purine, choosing the right food menu for all foods consumed is an obligation... apart from this, there are various other factors that can increase the risk of this disease, namely increasing age and male gender, family health history, obesity, consumption of certain medications, certain medical conditions, unhealthy lifestyles and injuries due to surgery. The low priority given by health services to non-communicable diseases and inadequate public knowledge. Gout is a public health problem in Indonesia and is still not fully addressed. Knowledge and assistance regarding the right food to consume is a solution in overcoming this problem. For this reason, the authors in this study developed an expert system as a reference for gout risk to improve healthy lifestyle patterns. This system was developed with 2 benefits, namely getting recommendations and monitoring uric acid levels. As a result of the tests carried out, it is known that from a health practitioner's point of view, the system developed is suitable for use to accompany prevention and monitoring activities for gout sufferers and the information regarding the patient's dietary history presented by the system can be used as evaluation material during control. Users strongly agree with the system created due to lack of knowledge and lack of control in consuming foods that cause gout.

Dengue Hemorrhagic Fever (DHF) remains a serious health issue in Semarang City, particularly in Bandarharjo Sub-district. In an effort to address this problem, a community service activity titled "Socialization of Dengue Fever and Practice of Making Ovitrap in Bandarharjo Sub-district, Semarang" was conducted. The main objective of this activity is to increase public knowledge about the dangers of DHF and its prevention methods, with a focus on making simple ovitraps as one of the methods to control the population of Aedes aegypti mosquitoes. The event was attended by health cadres from RW. 6 in Bandarharjo Sub-district, with 27 participants actively participating. The topics covered included information about DHF, Aedes mosquitoes, the WINGKO program (Wolbachia in Semarang City), and the practice of making ovitraps. The outcome of this activity is expected to enhance public awareness of DHF, reduce DHF cases, and improve the community's ability to prevent DHF independently.

This study proposes an approach for human fall classification utilizing a combination of Weighted Moving Average (WMA) and Convolutional Neural Networks (CNN) on the SisFall dataset. Falls among elderly individuals pose a significant public health concern, necessitating effective automated detection systems for timely intervention and assistance. The SisFall dataset, comprising accelerometer data collected during simulated falls and activities of daily living, serves as the basis for training and evaluating the proposed classification system. The proposed method begins by preprocessing accelerometer data using a WMA technique to enhance signal quality and reduce noise. Subsequently, the preprocessed data are fed into a CNN architecture optimized for feature extraction and fall classification. The CNN leverages its ability to automatically learn discriminative features from raw sensor data, enabling robust and accurate classification of fall and non-fall events. Experimental results demonstrate the efficacy of the proposed approach in accurately distinguishing between fall and non-fall activities, achieving high classification performance metrics such as accuracy, precision, recall, and F1-score. Comparative analysis with existing methods showcases the WMA-CNN hybrid approach's superiority in classification accuracy and robustness. Overall, the proposed methodology presents a promising framework for real-time human fall classification using sensor data, offering potential applications in wearable devices, ambient assisted living systems, and healthcare monitoring technologies to enhance safety and well-being among elderly individuals.

This article discusses strategies for handling money politics in legislative general elections using the Pancasila Democracy approach as a foundation for general elections with integrity. By referring to the principles of Pancasila which emphasize social justice, people's sovereignty,unity and balance between rights and obligations, this article identifies concrete steps that can be taken to overcome the practice of money politics which undermines democracy. Writing is carried out using normative juridical methods, namely research on secondary data or library materials. To realize elections with integrity, primary legal materials will guide the writing of strategies for handling political money in legislative elections based on Pancasila democracy. These steps include law enforcement, political education, financial transparency, independent oversight, active participation, public disclosure of the campaign, and use of technology. By implementing these strategies holistically and based on Pancasila values, it is hoped that Indonesia can overcome the challenges of money politics and strengthen integrity in the legislative election process, as well as build a stronger foundation for a healthy democracy and integrity.

Stunting is the impaired growth and development of children due to long-term malnutrition. Stunting can be caused by malnutrition experienced by the mother during pregnancy, or the child during their growth period. Stunting is a condition when children experience physical and cognitive growth delays, which can have a negative impact on their health and future. In the Islamic view, the prevention of stunting is an important task that Muslim societies should take on, in line with Allah's command not to be a weak people. Islam teaches to take good care of children and pay special attention to their growth and development. The relationship between stunting prevention and parenting in Islamic fiqh is an important aspect in ensuring the health and well-being of children, especially in the early years of life. Stunting, defined as a condition of stunted growth and development due to malnutrition, is a globally significant public health problem. Parenting in fiqh based on Islamic principles emphasizes the importance of proper nutrition and care of children to prevent stunting. The type of research used in this journal is quantitative research where this research is based on the philosophy of positivism, which is a philosophical teaching that views reality, symptoms, phenomena as classifiable, relatively fixed, concrete, observable, measurable, and relationships. This research was conducted in Tanjung Seneng sub-district, Kec. South Kotabumi, North Lampung Regency, Lampung, with a population of 85% and a sample size of 70%. Data collection was carried out by filling out the Millennial Parenting Style questionnaire and the Early Detection questionnaire in preventing stunting in toddlers.

Technological advances in all fields always have an impact on society in a nation. Likewise for the Indonesian people. One of the population problems facing the Indonesian nation today is the social behavior of the younger generation, which today is very free. In fact, they will be the next generation of the nation's ideals. This research method was carried out using a statute approach and a conceptual approach containing descriptions of theories, findings and other research materials obtained from reference materials to serve as a basis for research activities. This approach is also known as the literature approach, the judge's consideration in imposing a crime on abortion committed by the defendant is based on the legal basis used by the judge, namely Article 77 A of the Republic of Indonesia Law No. 35 of 2014 concerning the stipulation of government regulations in lieu of Law No. 1 of 2016 concerning the second amendment to Republic of Indonesia Law no. 23 of 2002 concerning child protection became law in conjunction with Article 55 Paragraph 1 to 1 of the Criminal Code. The Panel of Judges in deciding this case looked at the facts at trial and declared the Defendant legally and convincingly guilty of committing a criminal act "participating in committing an act with intentionally carrying out an abortion on a child who is still in the womb for reasons and procedures that are not justified by the provisions of the laws and regulations, based on the judge's considerations, namely the public prosecutor's indictment, witness statements, defendant's statements, evidence, and articles in criminal law regulations. , as well as positive legal considerations, namely the reasons why the defendant committed the act and the consequences of the defendant's actions.

The aim of this research is to understand the extent to which the Sentiong community cares about managing household waste. The method used is descriptive qualitative using data collection techniques carried out through investigations and interviews. The results of the research imply that the awareness of the Sentiong community in dominating household waste is still in the small category. This is due to the large amount of waste being thrown away haphazardly, the lack of waste sorting, and the lack of public knowledge. Throwing away rubbish is a daily activity that everyone does, this can lead to deviant behavior if it is carried out by people who behave badly towards the environment. Waste can cause problems, but it can also strengthen the economic life of the community. Various types of waste produced from industry and households, if not managed well and correctly, will have the potential to weaken the community's economy, this is because it will absorb quite a large amount of funds for handling waste that is not managed well and correctly, which is considered from a hygiene, health and environmental perspective.

This research aims to increase public awareness regarding how to avoid threats that often occur in society, especially online fraud which is currently on the rise, it is important to understand that online fraud crimes are a serious threat to society in the current digital era. The negative impact of the development of information technology, especially on social media, has led to an increase in online crime cases. In this discussion, the large number of crime victims is caused by low awareness in society. This crime has detrimental social and economic impacts on its victims. Including financial and psychological losses that disturb the victim's mental health. Therefore, appropriate steps are needed to increase public awareness of the risks of online fraud tactics.

In the midst of rapid industrial progress and global economic growth, the use of plastic has increased dramatically, causing serious environmental problems due to the accumulation of plastic waste. One of the most worrying aspects of this problem is the presence of microplastics, namely plastic particles less than five millimeters in size. The more accumulation of plastic waste found in the waters will cause damage to the surrounding water and sea environment, plastic waste that is not collected will be exposed to sunlight and exposure to air, the longer it will decompose into small particles called microplastics. In this research, the author researched using the library research method, namely by collecting and studying existing literature from various sources such as: journals, articles, books and others related to this research. Microplastics have spread widely in the environment, from oceans to land, and have had a serious impact on organisms and ecosystems throughout the world. The process by which microplastics are formed, their distribution in the environment, their impact on aquatic and terrestrial organisms, and their potential impact on human health are the main focus research and public attention. To overcome the microplastic problem, a holistic approach is needed that involves collaboration across sectors and scientific disciplines. Handling and mitigation efforts must cover various aspects, starting from regulating the use of single-use plastics, more effective management of plastic waste, developing technology for detecting and eliminating microplastics, to educating the public about the dangers of microplastics and the importance of environmentally friendly behavior. Concrete steps such as banning the use of single-use plastics, promoting recycling, innovation in product design, and cross-border cooperation in managing plastic waste are key in efforts to reduce the negative impact of microplastics. Only by taking these steps together can we create a cleaner, healthier and more sustainable environment for future generations.

This research aims to analyze ambient air quality in the city of Surabaya, with a focus on four main locations: industry, transportation, offices and residential areas during two different periods, the dry season and the rainy season in 2023. This analysis is important for assessing the influence of urbanization and industrial activity. to the environment and public health. The method used is descriptive and comparative observational, where measurements are made of main pollutant parameters such as SO2, CO, NO2, O3, Pb, NMHC, PM10, PM2.5, and TSP. Sampling was carried out twice at each location, in accordance with SNI 19-7119.6-2005 and PPRI No. 22 of 2021 standards. The research results showed that the concentrations of all pollutants were below the specified threshold, indicating the effectiveness of existing air control policies. However, there are differences in pollutant concentrations between locations and significant seasonal changes, requiring more dynamic and tailored pollution management strategies. The study's conclusions suggest the importance of continuous monitoring, increased green space, public education about pollution, as well as stricter policies to control pollutant emissions. This research provides valuable empirical data for policy makers to develop effective strategies for managing air quality and reducing health risks in Surabaya..

Stunting remains a public health challenge in Mataram City. The Population and Family Planning Control Agency (DPPKB) of Mataram City plays a crucial role in stunting prevention efforts, but the results have not been optimal due to a lack of cooperation and synergy among parties. The collaborative governance approach offers a solution by emphasizing the importance of cooperation and synergy among the government, communities, academics, and non-governmental organizations. The DPPKB has implemented this approach through the formation of the City Stunting Forum, involving various relevant stakeholders. The forum serves as a platform for coordination, synchronization, and collaboration in stunting prevention efforts. The implementation has yielded positive results, with a decrease in the prevalence of stunting from 23.6% in 2021 to 20.1% in 2023. This approach has proven effective in enhancing cooperation and synergy in stunting prevention efforts, and these efforts need to be continued to achieve the target of reducing stunting in Mataram City.

The problem of stunting among toddlers in Indonesia is still the focus of the public health agenda. Evaluation of stunting prevention programs is needed to identify program barriers and ensure their effectiveness in overcoming the problem of stunting in toddlers. To evaluate stunting prevention programs for toddlers in Indonesia and to provide recommendations and solutions in overcoming the problem of stunting in toddlers through a comprehensive approach involving various aspects of health and nutrition. The research method is a Systematic Literature Review, with data sources received from journals and research results published on Google Scholar, with journal criteria that match the research topic, using Indonesian and English, published in the last 5 years (2019-2023). The stunting prevention program for toddlers in Indonesia has been carried out with various activities such as monitoring toddlers, providing PMT, health education, nutritional counseling, and providing vitamins and minerals. Even though the program has been implemented, there are still obstacles such as delays in disbursement of BOK funds and lack of program effectiveness. Evaluation of this program is important to ensure the effectiveness and sustainability of the program in dealing with stunting in toddlers. It is important to carry out stunting prevention programs for toddlers in Indonesia to ensure the effectiveness and sustainability of the program in dealing with stunting problems. Solutions to overcome stunting require a comprehensive approach that includes access to nutritious food, nutrition education, access to health services, and improved sanitation.

Background: LBW has emerged as a significant public health issue due to its role as a primary factor contributing to high Infant Mortality Rates (IMRs). LBW stands as one of the major factors leading to increased rates of neonatal, infant, and child mortality, morbidity, and disability. Its implications on their future lives are long-term. Management of LBW can be carried out using invasive methods such as CPAP, supported by developmental care innovations, including nesting.Objective: To understand Nursing Care in patients experiencing LBW, encompassing the processes of application, evaluation, intervention, and assessment with the utilization of nesting innovation for LBW infants receiving CPAP in the Perinatology Ward of Tangerang District General Hospital.Method: Provision of nursing care interventions and implementation of nesting therapy innovations.Results: Following the application of nursing care for three consecutive days, improvements were observed in respiratory frequency, stabilization of infant body temperature, and successful nutrition management.

Healthcare services, conflicts often arise between doctors and patients, involving allegations of medical criminal actions. Health laws are designed to provide greater certainty in the administration of healthcare services and to offer protection for both the public and healthcare resources. This research adopts a normative juridical approach, employing qualitative descriptive methodology. Medical professionals may face criminal charges for engaging in illegal abortions, performing reconstructive and aesthetic plastic surgery with the intent to alter someone's identity, refusing healthcare services in emergency situations, committing negligence, and practicing Without a License (STR) and/or Practice Permit (SIP). Medical professionals are obliged to adhere to professional standards, service standards, and operational procedure standards, while upholding the values of professional ethics and exerting their best efforts (Inspanning Verbintenis). Dispute resolution should initially take place through restorative justice mechanisms, utilizing alternative methods outside the court.

Online consultation is an idea from e-government in the health services sector that uses technology to integrate health services at Community Health Centers. The aim is to simplify bureaucratic processes in health services to the community. In practice, there are still several obstacles that arise, such as a lack of outreach efforts, slow response times from consultations, and recording that is not automatic because it still relies on WhatsApp. The aim of this research is to determine the effectiveness of "online consultation" to improve the quality of public services at the Pondok Betung Community Health Center, South Tangerang City. The method in this research is a qualitative method with a descriptive approach. Data collection techniques using observation, interviews and documentation as complements. This research was analyzed using 4 (four) indicators of effectiveness, namely: (1) Accuracy of Program Targets, (2) Program Socialization, (3) Achievement of Program Objectives, and (4) Program Monitoring. The research results show that the effectiveness of the "online consultation" service at the Pondok Betung Community Health Center has not been achieved because there are still many people who do not know the information about this service. The socialization program for this service is not yet optimal because many people are still not aware of its existence. The program's objectives have also not been achieved well because the "online consultation" service has not been running smoothly and only a small number of people are using it. From the results of this research, it is concluded that online health services at the Pondok Betung Community Health Center, South Tangerang City have not reached the expected level of effectiveness.

Healthcare waste (HCW) is a significant environmental and public health concern due to its hazardous nature, particularly the presence of emerging pollutants such as pharmaceuticals, heavy metals, and pathogens. The improper disposal and management of healthcare waste contribute to pollution and pose long-term risks to both human health and ecosystems. This study examines the toxicity risks associated with HCW in areas near healthcare facilities with inadequate waste management practices, showing an increase in toxicity risks by 22% to 30%. The research develops a cumulative risk assessment model that integrates human exposure with ecological risks, considering both direct and synergistic effects of pollutants. The model incorporates various components, including pollutant analysis, bioaccumulation mapping, and long-term exposure modeling, to assess the environmental and health risks of HCW. The findings highlight that inadequate waste management leads to significant pollutant accumulation in local ecosystems, with direct implications for biodiversity and human health. Additionally, the study emphasizes the benefits of applying the One-Health approach, which considers the interconnectedness of human, animal, and environmental health, offering a more integrated understanding of the risks posed by HCW pollutants. The research advocates for the incorporation of the One-Health model in healthcare waste management policies to mitigate risks and improve sustainability. Future studies should refine the cumulative risk assessment model and expand it to encompass other environmental waste sources, providing a more comprehensive understanding of pollutant impacts and advancing mitigation strategies.

Hospital Information Systems (HIS), or Sistem Informasi Rumah Sakit (SIRS), play a critical role in enhancing administrative efficiency, decision support, and healthcare service quality. However, their implementation and effectiveness vary significantly across healthcare settings, particularly in low- and middle-income countries (LMICs). This study aims to systematically evaluate the existing literature on HIS effectiveness, implementation barriers, and administrative impact. Using a PRISMA-based Systematic Literature Review (SLR) approach, we examined 14 high-quality studies from multiple scholarly databases including PubMed, Scopus, ScienceDirect, and Garuda. The review applied a hybrid thematic synthesis grounded in HOT-FIT and DeLone & McLean models, combined with a normalized quality scoring system. The findings reveal that HIS implementations positively influence administrative workflow, billing accuracy, and patient throughput, though outcomes are context-dependent. Key challenges include lack of interoperability, resistance to change, and insufficient training. Notably, regulatory mandates and national digital health policies were found to significantly enhance HIS adoption and sustainability. This review contributes a multidimensional synthesis of HIS performance, highlighting the importance of human, organizational, and policy alignment. It offers an evidence-backed framework for HIS evaluation that bridges theory and practice. We conclude that integrated, context-sensitive HIS models are essential for advancing hospital management and public health systems, and recommend further empirical studies on long-term impact and cross-sector integration.

Bronchial asthma is a chronic inflammatory respiratory disease due to increased sensitivity of the airways to various stimuli. Bronchial asthma is not only a public health problem in developed countries, but also occurs in developing countries (WHO, 2016). Anxiety is a vague feeling of worry due to discomfort or fear accompanied by an autonomic response (the source is often unspecific or unknown to the individual), a feeling of worry caused by the anticipation of danger. Anxiety is a sign of increased alertness to impending danger and allows individuals to take action to face the threat (Doenges, 2015). The prevalence of anxiety disorders ranges from 6-7% of the general population (females are more prevalent than males) (Stuart, 2006). Lecturers and students from the Nursing and Nursing Study Program at Imelda University, Medan, chose to hold health education activities with the aim of helping as well as training both individuals and families regarding deep breathing exercises. This makes them aware and more diligent in practicing their breathing. The health education carried out in the courtyard of the sub-district office in Tanjung Mulia downstream began with holding talk activities and continued with outdoor counseling activities. This health education activity is of great interest to families in the community and it is hoped that it can be used as a lesson and make individuals and families more aware of the importance of deep breathing exercises to reduce anxiety in people with asthma.

World Handwashing Day with Soap is a global campaign launched by the United Nations in collaboration with other organizations, both government and private, to promote the behavior of washing hands with soap by the public as an effort to reduce the mortality rate of children under five and prevent diseases that can have an impact on decreasing the quality of human life. Hand washing is the most important basic technique in the prevention and control of infections. Almost everyone understands the importance of washing hands with soap, but there are still many who do not get used to doing it right at the crucial moment. People will be able to increase their knowledge of healthy living wherever they are if they are aware, motivated and supported by information and health facilities and infrastructure. The results of the initial assessment at SD Negeri Meteseh Semarang found that 67% of students of SD Negeri Meteseh had experienced diarrhea, 66% of students did not know the meaning of diarrhea, 80% of students did not know about the causes of diarrhea, 81% of students did not know the signs and symptoms of diarrhea, 75% of students did not wash their hands before and after bowel movements and bowel movements, 78% of students did not wash their hands with soap. Washing hands with soap is very important as one way to prevent diarrhea, a WHO study of washing hands using soap can reduce the incidence of diarrhea by 47%. Based on the results of the study, interviews and observations while at SD Negeri Meteseh, the idea to conduct health counseling came up, namely washing hands with soap through providing direct information to all residents of SD Negeri Meteseh through the program "Wash Your Hands and Kill Your Germs". It is hoped that with this program, especially children at SD Negeri Meteseh will have a good habit, namely washing their hands with soap to kill germs that lodged in their hands and positive support from the school as a form of community service of STIKES Kesdam IV / Diponegoro Semarang.