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Adolescence has problems, one of which is reproductive health. Factors that influence reproductive health include socioeconomic and demographic factors, cultural and environmental factors, psychological factors, and biological factors. This study aims to determine the factors related to the reproductive health of adolescents at SMPN 3 Pantai Raja, the working area of the UPT Pantai Raja Health Center (respondent characteristics, parental characteristics, adolescent knowledge, family support). This type of research is descriptive with a cross- sectional approach. The population is all seventh grade students at SMPN 3 Pantai Raja, the working area of the UPT Pantai Raja Health Center, grade VII in October 2025 with a sample of 59 people using total sampling. Data analysis uses descriptive data analysis and statistic chi square, namely explaining data about each variable. The results of the study showed that all (100%) were in the 35-49 age group, the majority (57.6%) had secondary education, the majority (59.3%) were employed, the majority (71.1%) had sufficient support, all (100%) were aged 11-14 years, almost all (81.4%) were female, and the majority (57.6%) had sufficient knowledge. The conclusion of this research is that there is a relationship between knowledge and support from parents of class VII students with a p-value of 0.001 and factors related to adolescent reproductive health influence each other to influence reproductive health during adolescence. Therefore, it is hoped that community health centers will increase knowledge and understanding, especially in providing services to adolescents, to provide more information about adolescent reproductive health.

Adolescent reproductive health is an important aspect that requires special attention, especially regarding the problem of dysmenorrhea or menstrual pain. Dysmenorrhea is often considered normal, even though it can reduce the quality of life and disrupt the learning activities of young women. One factor that influences dysmenorrhea is nutritional status and diet. This community service activity aims to increase the knowledge of young women about preventing dysmenorrhea through health promotion using posters with an anti-inflammatory diet approach based on "Healing Through Nutrition". The activity was carried out at the UPT SMA 9 Bulukumba on May 6, 2025, targeting 20 young women. The activity method included the planning, preparation, implementation, and evaluation stages, with a pre-test and post-test to assess the level of knowledge of participants. The results showed a significant increase in adolescent knowledge about preventing dysmenorrhea. Before the activity, 50% of respondents had poor knowledge, 40% had sufficient knowledge, and only 10% had good knowledge. After the intervention, 80% of respondents had good knowledge and 20% had sufficient knowledge, with no category of poor. These results indicate that poster media is effective in increasing adolescents' knowledge about dysmenorrhea and the importance of an anti-inflammatory diet as a non-pharmacological effort to prevent it.

Status gizi ibu dan anak merupakan indikator penting kesehatan masyarakat dan berperan besar dalam pencegahan anemia, kekurangan energi kronis (KEK), dan stunting. Rendahnya literasi gizi serta keterbatasan kemandirian ibu dalam melakukan deteksi dini status gizi masih menjadi tantangan di tingkat komunitas. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran ibu mengenai gizi seimbang serta kemampuan deteksi dini status gizi ibu dan anak melalui edukasi berbasis teknologi informasi. Metode pelaksanaan meliputi tahap persiapan, pelaksanaan, dan evaluasi. Persiapan dilakukan melalui observasi awal dan pengembangan media edukasi digital. Pelaksanaan dilakukan dengan penyuluhan langsung, diskusi interaktif, serta pengenalan aplikasi edukasi gizi dan deteksi dini pertumbuhan anak. Evaluasi dilakukan menggunakan pre-test dan post-test untuk menilai perubahan tingkat pengetahuan peserta. Kegiatan ini melibatkan 22 ibu sebagai peserta. Hasil menunjukkan peningkatan pengetahuan yang signifikan, ditandai dengan meningkatnya jumlah peserta pada kategori pengetahuan baik dan tidak ditemukannya lagi peserta dengan kategori pengetahuan kurang setelah intervensi. Peserta menunjukkan antusiasme dan komitmen untuk menerapkan prinsip gizi seimbang dalam kehidupan sehari-hari. Edukasi gizi seimbang berbasis teknologi informasi terbukti efektif dalam meningkatkan literasi gizi ibu dan berpotensi mendukung deteksi dini masalah gizi secara mandiri. Kegiatan ini direkomendasikan untuk diintegrasikan secara berkelanjutan dalam program kesehatan ibu dan anak di tingkat komunitas.

Although JKN aims to provide equitable and quality health services, fraudulent practices, such as phantom billing and diagnosis manipulation, continue to grow, harming BPJS Kesehatan and participants. This study aims to examine the effectiveness of legal sanctions against JKN claim fraud in FKRTL and identify gaps in their implementation. Although regulations are in place, law enforcement remains weak, with administrative sanctions failing to provide sufficient deterrence. The gap in this research lies in the lack of application of criminal sanctions in fraud cases, especially in existing regulations. The novelty of this research is its comparative approach between current administrative sanctions and the potential application of criminal sanctions in the context of healthcare fraud. The research method uses a normative-descriptive approach, analyzing regulations and fraud audit results, and identifying gaps in the implementation of legal sanctions. The results of the study indicate that strengthening criminal sanctions and integrating technology in claim monitoring can increase the effectiveness of fraud prevention. These findings are expected to strengthen regulations and improve the integrity of the JKN system, as well as provide policy recommendations for more effective law enforcement.

Maternal Mortality Rate (MMR) remains a major global health issue that requires serious attention. Based on the Indonesian Health Survey (Survei Kesehatan Indonesia/SKI), Indonesia’s MMR in 2022 was recorded at 195 per 100,000 live births and decreased to 189 per 100,000 live births in 2023. Although this decline indicates some progress, the figure remains far from the Sustainable Development Goals (SDGs) target of fewer than 70 maternal deaths per 100,000 live births by 2030. Therefore, various promotive and preventive efforts are needed to reduce MMR, one of which is by improving pregnant women’s compliance in attending antenatal classes. This study aimed to examine the relationship between pregnant women’s knowledge and family support and their compliance in attending antenatal classes in the working area of Sinaboi Public Health Center. This research employed a quantitative analytic method with a cross-sectional design. The total number of respondents was 136 pregnant women. The results of the univariate analysis showed that 78 respondents (57.4%) had good knowledge, 74 respondents (54.9%) received family support, and 106 respondents (78.0%) were compliant in attending antenatal classes. The Chi-square test results indicated a significant relationship between pregnant women’s knowledge and compliance in attending antenatal classes (p-value = 0.03), as well as a significant relationship between family support and pregnant women’s compliance in attending antenatal classes (p-value = 0.02). This study is expected to serve as a reference for health workers and future researchers in enhancing education and family involvement to encourage active and regular participation of pregnant women in antenatal classes.

Health counseling is one of the strategic approaches to increase students' knowledge and awareness of the importance of maintaining holistic health which includes physical, mental, social, and reproductive aspects. This activity will be held on March 19, 2025 at Sekolah Tinggi Ilmu Kesehatan Mitra Sejati with interactive lecture methods and educational games "Smart Cards". This study aims to determine the effectiveness of educational methods in improving students' understanding of health issues such as balanced nutrition, personal hygiene, reproductive health, and the dangers of smoking. Through pre-test and post-test analysis of 35 students, a significant increase in participants' understanding was found after participating in counseling. In addition, a fun and participatory approach has been shown to be effective in encouraging active engagement of students, including those who were previously passive. Educational games help to convey material in a more engaging and easy-to-understand way. The results of this activity show that the combination of interactive methods and visual educational media is able to strengthen students' understanding and awareness of the importance of healthy living behaviors. This program has the potential to be replicated in other educational environments to encourage the implementation of a healthy lifestyle among adolescents and students.

Breast milk (ASI) is the best source of nutrition for newborns because it contains complete, safe, and stable nutrients, thus supporting optimal growth and development of infants. However, some breastfeeding mothers still do not fully understand the sufficiency of breast milk and its benefits for babies. Therefore, health education efforts are needed to improve the knowledge and understanding of breastfeeding mothers regarding breastfeeding. Health education is an educational activity aimed at inviting and encouraging the community to be willing to take actions that can maintain and improve health. This health education activity on the sufficiency of breast milk for breastfeeding mothers was held on January 24, 2026, at the Sungai Durian Community Health Center (UPTD). The method used in this activity was the delivery of material through health counseling accompanied by a measurement of the level of knowledge using pretest and posttest questionnaires. After the presentation of the material, breastfeeding mothers were asked to complete a posttest questionnaire to assess their understanding of the material that had been provided. The measurement results showed a significant difference between the pretest and posttest scores, indicating an increase in knowledge of breastfeeding mothers after being provided with health education. Thus, it can be concluded that health education activities about breast milk sufficiency are effective in increasing the understanding of breastfeeding mothers regarding the importance of providing sufficient breast milk for babies.

Adolescent mental health is an important aspect in human resource development because it affects learning ability, social relationships, and readiness to face adult life. Adolescence, especially at the junior high school level, is a transitional period that is prone to mental and emotional disorders due to biological, psychological, and social changes that occur simultaneously. This study aims to describe the mental health condition of adolescents using the Self Reporting Questionnaire (SRQ-20) instrument in students of SMPN 3 Ubud, Gianyar Regency. The study used a descriptive design with a cross sectional approach. The sampling technique was carried out in total sampling with a total of 117 students. The research instrument is in the form of an SRQ-20 questionnaire that has been proven to be valid and reliable. Data analysis was carried out descriptively to describe the distribution of symptoms and mental health categories of respondents. The results showed that most students were in the category of good mental health, although there were still a number of students with poor conditions. The most common symptoms are easy to feel tired and difficulty in making decisions. Based on the characteristics of respondents, students aged 13–15 years are more likely to experience poor mental health conditions than 11-13 years old, and the proportion of female students is higher than men in experiencing symptoms of mental emotional disorders. These findings affirm the importance of early detection of adolescent mental health in schools as the basis for promotive and preventive interventions, through optimizing the role of counseling guidance and creating a supportive school environment.

Health anxiety is a psychological condition characterized by excessive and persistent worry about having or developing a serious illness despite the absence of objective medical evidence. Among adolescents, health anxiety often manifests through recurrent somatic complaints that lead to repeated visits to primary health care services. This study aims to describe the dynamics of health anxiety in an adolescent and to examine the early response to a cognitive behavioral therapy (CBT) intervention delivered in a primary health care setting. This research employed a clinical case study design with a descriptive qualitative approach supported by quantitative assessment data. The participant was an adolescent presenting with recurrent physical complaints without identifiable medical pathology. Data were collected through clinical interviews, behavioral observation, and standardized psychological instruments, namely the Short Health Anxiety Inventory (HAI-18) and the Patient Health Questionnaire-15 (PHQ-15). Quantitative analysis focused on pre- and post-intervention score comparison, calculation of change scores, and the Reliable Change Index to evaluate individual-level change. The findings revealed a high level of health anxiety accompanied by low severity of somatic symptoms, indicating that psychological distress was primarily driven by maladaptive cognitive interpretations rather than physical pathology. Following the CBT intervention, a reduction in health anxiety scores was observed, reflecting an early improvement, although the change did not reach statistical significance based on the Reliable Change Index. These results suggest that CBT may produce meaningful early changes in health anxiety when implemented in primary health care settings, even with brief intervention formats. The study highlights the importance of early psychological assessment and intervention for adolescents with recurrent somatic complaints and supports the integration of mental health services within primary health care. However, findings should be interpreted cautiously due to the single-case design, and further research with larger samples and longitudinal follow-up is recommended

The health of pregnant and breastfeeding women is a crucial determinant of the quality of future generations, particularly during the first 1,000 days of life. However, nutritional problems, such as deficiencies in iron, protein, and essential vitamins, remain prevalent in many regions, especially in rural areas. These conditions may increase the risk of anemia, impaired fetal growth, and reduced maternal and child health outcomes. This community service program aimed to improve the nutritional status as well as the knowledge and awareness of pregnant and breastfeeding women regarding the importance of balanced nutrition in Sukorejo Village, Bojonegoro Regency. The program was implemented through the provision of free balanced nutritious meals tailored to the nutritional needs of pregnant and breastfeeding women, accompanied by health education activities, including counseling sessions and interactive discussions on healthy dietary patterns, food hygiene, and anemia prevention. Program evaluation was conducted through participatory observation and participant feedback. The results indicated an improvement in participants’ understanding of balanced nutrition and positive behavioral changes in daily food selection and consumption. This community service initiative is expected to serve as a sustainable model for improving maternal and child health and preventing nutritional problems at the village level.

Organic and inorganic waste is often left to accumulate behind the school or burned, which can cause air pollution and threaten the health of the surrounding environment. This study aims to determine the effectiveness of health promotion media on students' knowledge and attitudes about waste management at SMP Negeri 6 Birem Bayeun, East Aceh Regency. Method: This research is a quantitative study with a quasi- experiment design using a one-group pretest-posttest design. The total sample in this study was 98 respondents, which were divided into two groups: 49 students received intervention through video media and 49 students through leaflets. The sampling technique used simple random sampling, and data analysis was conducted using the Wilcoxon Signed-Rank test. Results: The results of the analysis showed that the average knowledge score after the video and leaflet media intervention had a p=0.000 value, indicating a significant increase. However, the average attitude score after the intervention showed a value of p=0.266, which was not significant. Mann- Whitney test showed no difference in effectiveness between video and leaflet media.Conclusion: It is recommended that schools work together with the government to address waste management issues, so that the practice of burning waste can be minimized for better health and environment.

Data was collected through the listening method with the recording technique, then analyzed using mixed code theory in sociolinguistic studies. Data was analyzed using mixed code theory in sociolinguistic studies to reveal language usage patterns in the context of digital media. The research results show that code mixing serves as a multidimensional communicative strategy. First, mixing code is used to express emotions more effectively and authentically. Second, it serves to clarify the meaning of psychological concepts that do not have the right equivalent in Indonesian. Third, build closeness with an audience that has a bilingual background. Fourth, constructing a bilingual identity of speakers that reflects the social reality of Indonesian urban society. This research contributes to the understanding of the language practice of the Indonesian bilingual community in the digital era, especially in the delivery of personal and sensitive issues such as mental health, which requires a flexible and relatable communication strategy for millennial audiences and generation Z.

The advancement of digital technology has led to the extensive adoption of social media by teenagers. Social media has become a means of communication, entertainment, and an easily accessible source of information, but its use also has various impacts on adolescent mental health. This study aims to examine the influence of social media on adolescent mental health through a literature review approach. The method used was a literature review, reviewing various scientific journals, books, and academic articles relevant to the topic of social media and adolescent mental health. The data obtained was analyzed descriptively and qualitatively to identify patterns of findings and trends in previous research. The findings of the research show that social media usage has both beneficial and detrimental effects on the mental health of adolescents. On the positive side, social media also can be means of self-expression, expanding social networks, and obtaining emotional support. However, excessive and uncontrolled social media use possesses the ability to create adverse effects, such as increased anxiety, stress, depression, low self-confidence, and impaired self-image due to social comparison. Furthermore, exposure to negative content, cyberbullying, and pressure to gain social approval also contribute to the decline in adolescent psychological well-being. The duration of use, the type of platform, and adolescents' ability to manage emotions and time also influence the level of perceived impact. Therefore, the active role of parents, educators, and the social environment is needed to provide guidance and digital literacy education so that teenagers can utilize social media sensibly. Through effective management, it is anticipated that social media can be used constructively while prioritizing adolescent mental health.

Mental health among Generation Z university students has become an increasingly important issue amid rising academic demands and the rapid development of digital life. Students today face various academic pressures, including competition for achievement, heavy coursework, and performance targets, which may negatively affect their psychological well-being. In addition, advances in digital technology have reshaped students’ daily lives, particularly through intensified information exposure and social comparison. This study aims to examine the influence of academic competition and digital dynamics on the mental health of Generation Z students using a literature review approach. The research employs a descriptive qualitative literature review method by analyzing 20 relevant scholarly articles published in national and international journals between 2018 and 2024. The findings indicate that academic competition is closely associated with increased levels of stress, anxiety, and emotional exhaustion among students. Prolonged academic pressure without adequate psychological support may lead to a decline in students’ psychological well-being. Furthermore, digital life reinforces psychological pressure through mechanisms of social comparison and self-presentation demands. However, several studies also identify protective factors, such as social support, mental health literacy, and emotional regulation skills, which help students manage academic and digital pressures more adaptively. Therefore, the mental health of Generation Z students is shaped by a complex interaction between academic competition and digital life, highlighting the need for comprehensive efforts from both individuals and educational institutions to promote students’ psychological well-being.

In Indonesia, mental health issues among adolescents are prevalent. Mental health of both victims and offenders is affected by bullying, and it could lead to ongoing mental health issues such as worry and sadness. The objective of this study is to investigate the connection between bullying and teenage mental health in SMP Negeri 2 Blang Bintang. The study was implemented from June 17 to June 19, 2025, using a cross-sectional design and a quantitative research methodology. A sample of 60 teenagers was chosen via proportional random sampling from the total population of 151 adolescents.The General Health Questionnaire-12 (GHQ 12) and the Olweus Bully/Victim Questionnaire (OBVQ) were the research tools utilized. The chi-squared test was used to evaluate the data. The findings revealed that out of 54 victims of bullying, the majority (48 individuals or 88.9%) had impaired mental health. Conversely, among 6 non-victims, most (5 individuals or 83.3%) did not have impaired mental health. The chi-square test indicated p = 0.001, meaning bullying victims and mental health are significantly correlated.. Additionally, among 49 bullying perpetrators, most (46 individuals or 93.9%) had impaired mental health, while among 11 non-perpetrators, most (8 individuals or 72.7%) did not have impaired mental health. The chi-square test also showed p = 0.001, indicating a strong correlation between the mental health of bullies and their behavior. The researchers recommend the importance of maintaining mental health and collaborating across various sectors to reduce bullying behavior.

Pertumbuhan kawasan industri sebagai dampak urbanisasi turut mendorong peningkatan aktivitas ekonomi di Indonesia. Kawasan Industri Candi di Kota Semarang menjadi salah satu contohnya, namun belum sepenuhnya ditunjang oleh infrastruktur yang memadai. Penelitian ini bertujuan mengevaluasi tingkat kepuasan dan prioritas pemenuhan infrastruktur berdasarkan persepsi pekerja. Penelitian menggunakan pendekatan kuantitatif melalui survei terhadap 100 pekerja dari 111 perusahaan, dengan teknik multi-stage random sampling. Analisis data dilakukan menggunakan metode Customer Satisfaction Index dan Importance Performance Analysis. Hasil menunjukkan bahwa dari total infrastruktur yang dianalisis, sebelas telah memenuhi standar, empat cukup memenuhi, dan satu belum memenuhi pedoman teknis kawasan industri. Tingkat kepuasan pekerja terhadap ketersediaan dan kondisi infrastruktur mencapai 72% (kategori puas), sedangkan tingkat kesesuaian antara kepentingan dan kepuasan sebesar 99%. Meski demikian, lima infrastruktur jaringan jalan, jaringan air bersih, sistem pengolahan sampah, unit pemadam kebakaran, dan sarana Kesehatan masih memerlukan pemenuhan atau perbaikan segera. Temuan ini menjadi dasar rekomendasi bagi pengelola dan pemerintah untuk memprioritaskan pemenuhan infrastruktur, guna mendukung keberlangsungan industri dan kesejahteraan pekerja secara optimal.

Diabetes melitus tipe 2 (DMT2) merupakan salah satu masalah kesehatan global dengan beban ekonomi dan klinis yang sangat tinggi. Beragam pilihan terapi antidiabetes telah tersedia, mulai dari obat konvensional seperti metformin dan sulfonilurea hingga obat generasi baru seperti inhibitor dipeptidyl peptidase-4 (DPP-4i), agonis reseptor glucagon-like peptide-1 (GLP-1 RA), dan inhibitor sodium-glucose co-transporter 2 (SGLT2i). Perbedaan harga dan efektivitas terapi menuntut adanya kajian farmakoekonomi, khususnya cost-effectiveness analysis (CEA), untuk mendukung pengambilan keputusan klinis dan kebijakan kesehatan. Literature review ini bertujuan untuk merangkum bukti CEA pada berbagai obat antidiabetes yang dipublikasikan dalam lima tahun terakhir, baik di Indonesia maupun internasional. Hasil telaah menunjukkan bahwa obat generasi baru umumnya memberikan manfaat klinis yang lebih baik, terutama dalam pencegahan komplikasi kardiorenal, namun biaya yang lebih tinggi sering menjadi kendala dalam penilaian efektivitas biaya. Sementara itu, obat konvensional tetap menjadi terapi yang relatif cost-effective pada banyak konteks, terutama di negara berpendapatan menengah. Perbedaan hasil antarstudi sangat dipengaruhi oleh harga obat, perspektif analisis, serta asumsi manfaat jangka panjang. Kajian ini menegaskan pentingnya evaluasi farmakoekonomi dalam menentukan pilihan terapi yang rasional dan efisien untuk pasien DMT2.

This article analyzes the application of the hierarchy of norms in the decisions of the Constitutional Court concerning Law Number 17 of 2023 on Health using the perspective of Hans Kelsen’s Stufenbau theory. The enactment of the Health Law has generated significant legal debate and several constitutional review petitions submitted to the Constitutional Court, raising questions about the consistency between statutory norms and constitutional principles. This study aims to examine how the Constitutional Court applies the principle of hierarchical norms in reviewing the constitutionality of the Health Law and to assess the relevance of Stufenbau theory in explaining the interpretation of legal norms in constitutional adjudication. This research employs a normative juridical method using statute, conceptual, and case approaches. Primary legal materials consist of the 1945 Constitution, Law Number 17 of 2023 on Health, and relevant Constitutional Court decisions, supported by secondary legal materials from academic literature and legal studies. The findings show that the Constitutional Court consistently positions the 1945 Constitution as the highest norm within the Indonesian legal system and uses the hierarchy of norms as the basis for evaluating the validity of statutory provisions. The Court maintains the legal force of the Health Law when no normative conflict with the Constitution is identified, while in certain cases it provides constitutional interpretation to ensure the compatibility of statutory norms with constitutional principles. This study demonstrates that Stufenbau theory remains relevant as an analytical framework for understanding the hierarchical structure of legal norms and the operation of constitutional review within the Indonesian legal system.

Perubahan pola hidup masyarakat modern yang diiringi tingginya beban kerja dan mobilitas, telah meningkatkan risiko stres serta kelelahan fisik dan mental, terutama di kawasan perkotaan yang padat seperti Surabaya. Hal ini mendasari kebutuhan akan fasilitas yang tidak hanya berfokus pada perawatan fisik, namun juga mendukung pemulihan secara menyeluruh. Perancangan Wellness and Beauty Center dengan menerapkan Biophilic Architecture dapat menghadirkan ruang penyembuhan yang terintegrasi dengan alam. Proses perancangan meliputi tahapan identifikasi, studi banding, analisis, dan sintesis, guna menghadilkan konsep makro Healing Trough Nature sebagai strategi utama. Konsep ini dikembangkan menajdi konsep mikro yang mencakup desain ruang interaksi dengan alam, bentuk bangunan organik, dan tatanan lahan yang menyatu dengan lansekap di sekitarnya. Rancangan yang dihasilkan meliputi fasilitas spa, perawatan kecantikan, yoga, meditasi, pusat kebugaran, dan area relaksasi yang terhubung secara efektif. Bangunan dirancang adaptif terhadap karakter tapak dengan komposisi massa lengkung yang selaras terhadap orientasi visual dan fungsi ruang, sehingga mampu emnciptakan harmoni serta atmosfer yang dapat menennagkan bagi pengunjung.

Pemanfaatan tanaman obat sebagai sumber terapi berbasis bahan alam masih menjadi fokus penting dalam penelitian, khususnya pada tanaman yang telah lama digunakan secara empiris namun memiliki keterbatasan bukti ilmiah. Rambutan (Nephelium lappaceum L.) merupakan salah satu tanaman yang secara tradisional dimanfaatkan untuk mengatasi berbagai gangguan kesehatan, tetapi kajian farmakologis terhadap efek daun rambutan pada sistem saraf masih terbatas. Penelitian ini bertujuan untuk mengevaluasi aktivitas neurofarmakologis serbuk simplisia daun rambutan terhadap sistem saraf pusat dan sistem saraf otonom pada berbagai konsentrasi. Penelitian ini merupakan studi eksperimental laboratorium yang menggunakan mencit sebagai hewan uji. Serbuk simplisia daun rambutan diberikan secara oral pada konsentrasi 1%, 2%, dan 3%. Parameter neurofarmakologis yang diamati meliputi aktivitas parasimpatomimetik, parasimpatolitik, simpatomimetik, simpatolitik, aktivitas analeptik, stimulasi dan depresi sistem saraf pusat, serta relaksasi otot. Pengamatan dilakukan berdasarkan perubahan perilaku dan respons fisiologis hewan uji.