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Elderly exercise is a sporting activity that can help improve heart health, maintain stable blood pressure and blood sugar levels, and prevent various degenerative diseases in the elderly. Abnormal blood sugar levels can cause metabolic disorders that lead to various serious health problems. This study aims to determine the impact of elderly exercise on improving the health and independence of older adults in carrying out daily activities. This study used an evaluative method with a cross-sectional approach at the Nibong Community Health Center, North Aceh, involving 38 elderly people (14 men and 24 women) as a sample. The results showed that after participating in regular exercise, the number of elderly people with high blood sugar levels decreased to 31.6%, while the number of elderly people with normal blood sugar levels increased to 86.6%. Statistical tests showed a significant difference between blood sugar levels before and after exercise (p < 0.05). From these results, it can be concluded that elderly exercise is effective in lowering blood sugar levels, increasing insulin sensitivity, improving fitness and balance, and motivating elderly people to maintain their health. It is recommended that the Nibong Community Health Center regularly hold structured elderly exercise programs and provide educational counseling on the importance of a healthy lifestyle and controlling sugar intake. The results of this study can serve as a reference for health institutions and further research

Anemia is a micronutrient deficiency problem that is common in various parts of the world. Indonesia is one of the countries with a high anemia rate. According to the 2024 Basic Health Research (Riskesdas), the anemia rate in adolescent girls reached 32%. Breakfast habits and consumption of iron supplements affect daily nutritional intake. Low hemoglobin levels occur due to infrequent iron supplement consumption and inadequate food intake, resulting in a lack of iron stores in the body. The purpose of this study was to encourage adolescent girls to continue maintaining good habits of consuming iron supplements and having a healthy breakfast. This study used a quantitative analytical observational method with a cross-sectional design. The target population was female students of SMPN 1 Nibong. The study was conducted at SMPN 1 Nibong. The sample was obtained using a cluster random sampling technique of 50 respondents. The results of the chi-square test showed a strong association between breakfast habits and the risk of anemia, with a p-value of 0.000, which is far below 0.05, so technically significant. In essence, breakfast habits and blood supplement consumption have been shown to influence the risk of anemia in adolescent girls at SMPN 1 Nibong. The school is expected to promote understanding of nutrition and the importance of breakfast and blood supplement consumption, as well as motivate students to eat breakfast and consume blood supplement tablets regularly.

Extrinsic skin aging or photoaging occurs due to repeated and prolonged exposure to ultraviolet (UVA) and ultraviolet B (UVB). Photoaging prevention can be done, one of which is the use of sunscreen. This literature review aims to review the role of sunscreen in photoaging prevention using a variety of existing literature. Sunscreen plays an important role in preventing skin damage caused by sunlight, especially in preventing and repairing skin damage due to sun exposure (photoaging). The addition of antioxidants such as vitamin C, vitamin E, vitamin A, melatonin, polyphenols, Polypodium leucotomos (PLE) extract as well as enzymes such as photoliase and T4N5 has been shown to increase protection against UV, visible light, and infrared-A rays and help repair skin damage. The use of colored sunscreen is recommended for protection from visible light. In addition, education on how to use sunscreen properly, such as reapplying every two to three hours and selecting the appropriate SPF and PA, also plays a big role in maximizing the effectiveness of skin protection from photoaging.

Psoriasis is a chronic inflammatory skin disease characterized by keratinocyte hyperproliferation, inflammation, and neoangiogenesis, largely driven by dominant T helper 1 (Th1) and T helper 17 (Th17) immune responses. Psoriasis is associated with metabolic, psychological, cardiovascular, and arthritic comorbidities. Vitamin D plays an important role in the management of psoriasis. Calcitriol (1,25(OH)₂D₃), regulates keratinocyte proliferation, differentiation, and apoptosis. Vitamin D supports the formation of the cornified envelope as well as epidermal lipid and ceramide production, also acts synergistically with the epidermal calcium gradient to maintain barrier function. In addition to its epidermal effects, vitamin D exerts immunomodulatory actions by enhancing regulatory T cells and anti-inflammatory cytokines (interleukin (IL)-10, IL-4, transforming growth factor-beta (TGF-β)), while suppressing Th1/Th17 activity and production of pro-inflammatory cytokines (IL-2, IL-17, tumor necrosis factor-alpha (TNF-α)). These mechanisms highlight its potential role in psoriasis therapy. Topical vitamin D₃ analogues are effective for mild to moderate disease due to the high expression of vitamin D receptors in psoriatic keratinocytes. Oral supplementation has also been explored for its systemic immunomodulatory effects, although findings remain inconsistent.  

This study aims to develop an educational application based on a Graphical User Interface (GUI) using MATLAB App Designer that functions as an interactive simulation for evaluating blood pressure. The application allows users to input systolic and diastolic blood pressure values along with supporting information such as name and age. The input data are then analyzed and classified into several blood pressure categories according to the standards of the American Heart Association (AHA), including normal, hypotension, stage 1 hypertension, stage 2 hypertension, and hypertensive crisis. The classification results are presented visually through an interactive pie chart with dynamic percentages and legends to enhance user understanding. In addition, all data are automatically stored in a Microsoft Excel file containing a summary of blood pressure categories and session timestamps. The system is designed with a simple interface and intuitive interaction, making it suitable for early health education purposes. Although the application still relies on manual data input, it has the potential to serve as an effective learning tool for increasing public awareness of the importance of regular blood pressure monitoring. 

Acute pain is a complex phenomenon frequently experienced by post-surgical patients. If not properly managed, it can hinder the recovery process and increase the risk of chronic complications. This study aims to conduct an in-depth analysis of the concept of acute pain in surgical patients from a nursing perspective to improve the quality of care. The method used was a narrative literature review, analyzing various research articles and clinical protocols related to surgical pain management. The study findings indicate that acute post-surgical pain involves sensory and emotional dimensions influenced by the type of surgical procedure, individual pain threshold, and the effectiveness of pharmacological and non-pharmacological interventions. Furthermore, the role of nurses in conducting accurate pain assessments and patient education is a key factor in successful pain management. The implications of this study emphasize the importance of implementing integrated multimodality pain management protocols and improving nurses' competency in conducting intensive monitoring. Optimizing pain management is expected to accelerate patient mobilization, shorten hospital stays, and increase patient satisfaction with nursing services.

Radiographic examination of the wrist plays a crucial role in diagnosing fractures, particularly in traumatic cases, and requires precise projection selection, proper immobilization, and adequate radiation protection to obtain high-quality diagnostic images. In theory, wrist radiography commonly includes anteroposterior (AP) and lateral projections; however, observations at the Radiology Installation of RSU PKU Muhammadiyah Delanggu showed that fracture examinations are generally limited to posteroanterior (PA) and lateral projections. This difference highlights a gap between theoretical recommendations and clinical practice, as several references emphasize the importance of projection variation to enhance diagnostic accuracy. This study aimed to describe the wrist joint radiographic examination procedures for fracture cases at RSU PKU Muhammadiyah Delanggu and to examine the immobilization techniques applied during the procedure. A descriptive qualitative design with a case study approach was used, conducted from May to June 2025. The subjects included three radiographers, while the object of study was wrist radiography in fracture cases. Data were obtained through direct observation, interviews, and documentation, and analyzed descriptively. The findings showed that PA and lateral projections were consistently used, with immobilization achieved using sandbags and foam pads to ensure stability and minimize motion artifacts. Radiation protection was implemented through lead aprons, collimation, and appropriate exposure adjustments. Overall, the procedures followed established radiography guidelines, particularly the Bontrager standard, ensuring both diagnostic quality and patient safety.

Type 2 Diabetes Mellitus (T2DM) is a global health problem with continuously increasing prevalence, covering the majority of diabetes cases worldwide. Persistent hyperglycemia in T2DM progressively damages the kidneys. Early assessment of kidney function, especially through the examination of urea levels and estimated glomerular filtration rate (eGFR) values, is important to predict CKD prognosis and guide therapeutic intervention. To discover the profile of urea levels and eGFR values in Type 2 Diabetes Mellitus patients at ODSK Hospital, North Sulawesi Province. This study is a descriptive quantitative observational study with a cross-sectional design, conducted retrospectively using secondary data from the medical records of Type 2 Diabetes Mellitus patients at ODSK Hospital, North Sulawesi Province during the period February 2024–August 2025 who met the inclusion criteria. From a total sample of 658 Type 2 Diabetes Mellitus patients, the majority of patients had high urea levels (53.3%). Based on sex, the proportion of high urea levels in males (57.2%) was higher compared to females (50.5%). Meanwhile, the distribution of eGFR values showed that the G1 category was the most frequent (23.9%). However, the majority of other patients (75.1%) were already in categories G2 to G5, which indicates a decrease in kidney function. This decrease in kidney function was slightly more detected in male patients (76.1%) compared to female patients (74.4%). Type 2 Diabetes Mellitus patients at ODSK Hospital, North Sulawesi Province, have high urea levels and the majority have decreased eGFR values.

Academic stress has become a significant psychological issue among university students, particularly during periods of high academic pressure such as examinations, intensive coursework, and academic performance demands. Excessive academic stress may negatively affect students’ psychological well-being, learning motivation, and academic performance. This study aims to explore in depth the experiences of academic stress and psychological responses among students during periods of high academic pressure. A qualitative descriptive approach with a phenomenological perspective was employed to capture students’ lived experiences. Data were collected through in-depth semi-structured interviews with six student participants selected using purposive sampling. The data were analyzed using thematic analysis, involving open, axial, and selective coding to identify emerging themes. The findings reveal that the main sources of academic stress include excessive academic workload, time management difficulties, high self-expectations, and external academic pressures. Students experienced varying levels of stress ranging from mild to severe, manifested through psychological responses such as anxiety, emotional instability, mental fatigue, decreased concentration, and reduced motivation. The study also found that students applied diverse coping strategies, including adaptive strategies such as time management, seeking social support, and self-reflection, as well as maladaptive strategies such as procrastination and emotional withdrawal. These findings highlight that academic stress is a complex and subjective experience influenced by individual perceptions and coping capacities. The study implies the importance of supportive academic environments and accessible mental health services in higher education institutions to promote students’ psychological well-being and resilience. The results may serve as a reference for developing preventive and promotive mental health programs for students facing academic stress..    

This study aims to analyze the effect of service quality and trust on members’ decisions to use the services of Koperasi Simpan Pinjam (KSP) Pamuji in the Soloraya region. Savings and loan cooperatives play an important role in providing financial access for the community; therefore, service quality and members’ trust are crucial factors in sustaining cooperative services. This research employs a quantitative approach with an explanatory research design. Data were collected through a structured online questionnaire distributed to 201 respondents selected using purposive sampling techniques. Data analysis was conducted using multiple linear regression with the assistance of SPSS version 27. The results indicate that service quality has a positive and significant effect on service usage decisions, as evidenced by a regression coefficient of 0.504 and a significance value below 0.05. Trust also shows a positive and significant effect on service usage decisions with a regression coefficient of 0.375. Simultaneously, service quality and trust explain 82.5% of the variation in service usage decisions. These findings confirm that positive service experiences and high levels of trust are key determinants in encouraging members to use cooperative savings and loan services. The results of this study are expected to provide practical insights for cooperative managers in formulating strategies to improve service quality and strengthen members’ trust in order to enhance sustainability and competitiveness.

The work of health workers is a key factor in ensuring the quality and sustainability of primary health services. However, high work demands and limited resources have the potential to weaken work involvement if they are not balanced with a perception of work meaning and adequate psychological capacity. This study aims to analyze the effect of job meaningfulness on work engagement of health workers through psychological capital as a mediating variable at the Mokoau Health Center, Kendari City, Southeast Sulawesi. This study used a quantitative approach with a cross-sectional design. All health workers at the Mokoau Health Center as many as 70 people were used as research samples using the total sampling method. Data was collected through a structured questionnaire and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with the help of SmartPLS version 4.0. The results of the analysis showed that job meaningfulness had a positive and significant effect on psychological capital (β = 0.698; p < 0.05). Psychological capital was also shown to have a positive and significant effect on work engagement (β = 0.691; p < 0.05). Furthermore, job meaningfulness had a significant indirect effect on work engagement through psychological capital (β = 0.482; p < 0.05), which shows the mediating role of psychological capital in the relationship. Job meaningfulness not only contributes directly to strengthening psychological capital, but also indirectly increases work engagement of health workers. Psychological capital plays a role as the main psychological mechanism that translates the meaning of work into higher work attachment. These findings affirm the importance of a human resource management strategy that focuses on strengthening the meaning of work and psychological capital to increase the work involvement of health workers in primary health care facilities.

The development of digital technology has driven the transformation of financial services, including in Islamic microfinance institutions. One form of innovation is the implementation of mobile banking services, which aims to improve transaction efficiency and digital financial literacy among the public. This study aims to analyze customer perceptions of the Mobile UGT service program at BMT UGT Nusantara Labang Branch and its role in improving digital financial literacy among the public. This study uses a qualitative approach with a descriptive method. Data was collected through in-depth interviews, observations, and documentation of five active customers who have used the Mobile UGT service. The results show that customers generally have a positive perception of the Mobile UGT service. The application is considered easy to use, practical, and able to facilitate various financial transactions such as checking balances, transferring funds, and making payments, without having to come directly to the BMT office. In addition to increasing transaction efficiency, the use of Mobile UGT also contributes to improving customers' digital financial literacy, as reflected in their increased understanding of income and expenditure management, budget planning, utilization of digital transaction features, and awareness of data and account security. However, this study also found several obstacles, mainly related to technical disruptions to the application and internet network limitations. Overall, the Mobile UGT service plays an important role in supporting customers' financial independence and digital financial inclusion. This study recommends strengthening technological infrastructure and continuing education programs to optimize the benefits of digital financial services in the BMT environment.

Introduction: Triglycerides are a lipids fractions that play an important role in energy metabolism, but high levels in the blood are strongly associated with increased risk of cardiovascular disease, metabolic syndrome, and type 2 diabetes. The prevalence of hypertriglyceridemia tends to increase, including in urban area such us West Jakarta which have high risk consumption patterns. This community service activity aimed to raise public awareness about the importance  lipid profile management with screen triglyceride levels in community of Kelurahan Kota Bambu. Method: The activity was conducted in June 2025, involving 168 adult participants. The method was used was health education on the role of triglycerides and their risk,, followed by laboratory testing using the Nesco BL-101 5in1 Lipid Panel Monitoring System. Triglyceride level was classified into normal, borderline, high, and very high categories according to the NCEP ATP III guidelines. Results: The average triglyceride level of the participants was 181.21 mg/dL, with a range of 47–830 mg/dL. The triglyceride levels of the majority of participants were in the normal category, but the proportion with high and very high triglyceride levels was significant, indicating the existence of a risk group that needs attention. Conclusion: This activity confirms that simple triglyceride testing at the community level can be an effective step in early detection, education, and prevention

Transformational leadership has a strong and positive impact on employee performance across various organizational sectors. This leadership style, which is based on four main dimensions—Idealized Influence, Inspirational Motivation, Intellectual Stimulation, and Individualized Consideration plays a very important role in creating a shared vision, driving high internal motivation, and producing positive change. Research shows that this positive influence is often affected by factors such as commitment to the organization, job involvement, and organizational behavior. By encouraging employees to put aside personal interests to achieve collective goals, transformational leaders enhance effectiveness, productivity, and the quality of work outcomes. Bass's theory (1985) states that this leadership style drives performance beyond normal expectations. The conclusion of this study emphasizes that the application of transformational leadership style is crucial for organizational management in efforts to improve the quality of human resources. Companies are advised to conduct leadership training that focuses on developing emotional intelligence and visionary communication skills for managers.

The Scientific Writing course plays an important role in equipping students with academic skills, particularly in developing systematic and scientifically sound research methodology. This study aims to analyze the relationship between the Scientific Writing course and the research methodology writing skills of Group E Semester 3 students. The research method used is a quantitative method with a correlational approach. Data were collected through documentation and questionnaire techniques to measure mastery of the course material and students' ability to write research methodology. Data analysis was carried out using a correlation test to determine the level of relationship between variables. The results of the study indicate that there is a positive and significant relationship between the Scientific Writing course and students' research methodology writing skills. Students who have a good understanding of scientific writing materials tend to be able to develop research methodologies more systematically, logically, and in accordance with scientific principles. This finding confirms that the Scientific Writing course contributes significantly to improving students' academic competence, particularly in writing research methodology. This study is expected to be used as material for evaluating and developing scientific writing learning in higher education. The researcher distributed a questionnaire via Google Form consisting of 11 questions to group D students to obtain research results. The results of the study in the form of a questionnaire showed that 18 students (90%) felt a high level of satisfaction with the teaching of the Scientific Paper Writing course because it helped them understand the structure of research and how to write research methodology correctly and 2 students (10%) felt that it was just so-so.

This study aims to analyze the role and optimization strategies of Pecalang Segara in monitoring fishing activities that contribute to coral reef ecosystem degradation in the Traditional Village of Pemuteran, North Bali. Pecalang Segara is a customary security institution that holds social legitimacy and customary authority in maintaining order within coastal areas. This research applies an empirical legal approach using a qualitative descriptive method. Data were collected through field observations, interviews with customary leaders and coastal communities, and a literature review of environmental laws and related regulations. The findings indicate that Pecalang Segara plays a strategic role in supervising fishing activities based on local wisdom, particularly in preventing destructive fishing practices that damage coral reefs. However, the effectiveness of this role remains limited due to insufficient technical capacity, low environmental legal awareness, and weak integration between customary law and formal legal systems. The study highlights the importance of strengthening Pecalang Segara through environmental education, regulatory-based monitoring training, and institutional coordination with local government authorities. The integration of customary law and national environmental law is expected to establish a sustainable community-based marine monitoring model capable of effectively protecting coral reef ecosystems and supporting environmental governance in coastal areas.

Catfish farming is one of the fisheries areas with great potential in Indonesia. However, the problem of feed efficiency, use of probiotics, and air temperature control are still the main obstacles that affect the health and growth of fish. This study aims to design and implement an automatic system that can regulate the provision of feed and probiotics and control and control air temperature directly using the ESP32 microcontroller. This system has several important components, such as the ESP32 microcontroller as a control center, servo motors for feed and probiotic distribution, and DS18B20 temperature sensors to monitor air temperature. All components can be controlled and viewed through an IoT-based application with a Wi-Fi connection or applications such as Telegram. This trial aims to determine whether this system can provide feed and probiotics according to the specified time, and maintain air temperature in the optimal range (28°C–40°C) for catfish growth. In this way, the system is expected to increase efficiency in catfish farming automatically, reduce the need for human labor, and minimize errors in pond management.

This study aims to analyze the relationship between the implementation of Law Number 16 of 2019 on Marriage and socioeconomic status with public awareness of early marriage in Wirosari District, Grobogan Regency. The phenomenon of early marriage in this area remains high despite the existence of regulations that set a minimum marriage age. A quantitative approach was used, with data collected through questionnaires, interviews, and documentation. The research population consisted of 169 couples who married early in the last three years, with a sample of 43 couples selected through purposive sampling. The data were analyzed using the product moment correlation test to determine the relationships between the variables. The results show that the implementation of Law Number 16 of 2019 has no significant relationship with public awareness of early marriage, indicating that despite the existence of the regulation, the public's understanding of the importance of the minimum marriage age is still not optimal. Conversely, socioeconomic status has a positive and significant relationship with public awareness, indicating that the higher the socioeconomic status, the higher the public's awareness of the negative impacts of early marriage.

A problem that is often debated by both the western and eastern world is the problem of determining the truth of a scientific field or theory. In western science, a thought emerged from a philosopher, namely the theory of falsification put forward by Karl Raymond Popper. In his theory Popper argues that the truth of a science is not determined through justification (verification), but through refuting the propositions that science itself builds (falsification). The study of Popper's falsification has been very widely published and discussed in various writings, especially in Islamic studies and science (science). In this article, the author tries to briefly describe the urgency of Karl R. Popper's thought in the academic field. The method used in writing this article is library research (literature review), using relevant documents, journals, and research. Through this research, it is known that the application of Karl Raimund Popeer's theory of falsification is very important in the academic field. This is evidenced by the concept of falsification which is used to determine the scientific knowledge. In addition, the concept of falsification was used long before Popper introduced the theory. One of them is used by the Muslim philosopher Imam Al-Gazali in defending and proving his arguments and thoughts. In the development of scientific methods, the principle of falsification plays an important role in strengthening scientific theory because it serves as evidence to disqualify other irrelevant theories.

This research aims to analyze the influence of job placement, fringe benefits, and work facilities on the performance of employees at Jawa Pos Kediri, both partially and simultaneously. The method used is quantitative with a descriptive and associative approach. Data were collected through the distribution of questionnaires to 50 respondents who are employees of Jawa Pos Kediri. The data analysis techniques used include multiple linear regression, t-test (partial), F-test (simultaneous), and the coefficient of determination (R²). The results indicate that both partially and simultaneously, job placement, fringe benefits, and work facilities have a positive and significant impact on employee performance. The R² value of 0.944 indicates that 94.4% of the variation in employee performance can be explained by these three variables, while the remaining 5.6% is influenced by other factors. Therefore, this study emphasizes that appropriate job placement, adequate benefits, and sufficient work facilities are important factors in improving employee performance at Jawa Pos Kediri. Thus, the company management needs to pay more attention to these three aspects to create a productive and sustainable work environment.