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Surveillance for diarrhea at the district level in Indonesia is still affected by the fragmented nature of the District Health Information System (DHIS) and Early Warning and Response System (EWARS), inconsistent reporting, patchy data interoperability, and the resulting public health delays. Although there are systems in place like the DHIS and EWARS, the persistent use of hybrid systems that combine manual and digital data entry, as well as the different skill levels of users, continues to produce issues of incompleteness, untimely reporting, and inaccurate data. The present study investigated the deficiencies in surveillance reporting of diarrhea cases, the surveillance data to determine the degree of integration and also investigated the health workers perceptions of the barriers to effective reporting. A mixed methods approach was adopted in this study where we investigated quantitatively the DHIS and routine diarrhea reports submitted for the entire year of 2023, and combined that with qualitative, in-depth interviews with the relevant surveillance officers, program managers, and district staff. The quantitative analysis indicated gaps in reporting about 55% in terms of completeness, and consistency of reporting and also significant differences were found between the manual register, DHIS, and EWARS whereby the integration of these systems was found to be low. The qualitative analysis pointed to the combination of disconnected workflows, limited cross-system interoperability, inadequate system training, excessive workloads, and weak organizational feedback, as the main barriers to effective reporting. The combination of these two datasets illustrates the fact that both system deficiencies and organizational factors are primary drivers of the reporting. Closing the gaps will require system level changes in the interoperability of reporting systems, simplified reporting workflows, training, reporting, and reporting feedback loops.

The background of this study is the practice of open defecation (OD), which is a public health problem. OD refers to the act of disposing of feces in open areas such as rice fields, fields, bushes, rivers, and beaches, which can pollute the environment, soil, air, and water. This study aims to determine the knowledge, attitudes, and practices of the community in RT 05 Haya Village, Tehoru District, Central Maluku Regency regarding stopping ODD. This study used a descriptive method, with a sample of 40 families selected through a random sampling technique. Data were collected using a questionnaire. The results showed that most people had quite good knowledge about ODD, with 50% of respondents in the quite good category. Community attitudes were also quite good, with 70% of respondents showing a positive attitude towards stopping ODD. However, community actions were still less good, with 42.5% of respondents showing less good actions regarding ODD. The conclusion of this study is that although the knowledge and attitudes of the community in Haya Village were quite good, their actions were still lacking. Therefore, cooperation is needed between the village government, Tehoru Health Center, and community leaders to regularly hold outreach regarding BABS.

The global environmental crisis caused by plastic pollution has intensified in recent years, particularly in aquatic ecosystems such as rivers, lakes, and oceans, creating an urgent need for effective and sustainable solutions. This article explores the potential role of aquatic bacteria in degrading plastic polymers by reviewing the biological and molecular mechanisms these microorganisms use to break down complex synthetic materials. Special attention is given to key genes and enzymes involved in plastic degradation, including PETase and MHETase, which play a critical role in the decomposition of polyethylene terephthalate (PET). In addition, the article highlights advanced gene expression and analysis techniques, such as metagenomics, transcriptomics, and proteomics, to better understand bacterial activity and degradation dynamics in natural environments. The main problem addressed is the continuous and unsustainable production and consumption of plastics, which has resulted in extensive pollution of freshwater and marine systems, while conventional waste treatment methods remain largely ineffective. The objective of this article is to provide a comprehensive scientific review of biotechnological approaches used to analyze and utilize aquatic bacteria for plastic degradation, focusing on molecular aspects and environmental applications. Using a literature review method, studies published between 2018 and 2024 were analyzed to evaluate effective bacterial models, technological challenges, and future prospects. The findings indicate that aquatic bacteria offer promising potential as biological tools for mitigating plastic pollution through sustainable environmental strategies.

In the world consequently, pollution of water has become a great concern, and with emphasis on the quality of water especially on those which originate from natural sources, with regard to water borne diseases and their causing pathogens. Some of the more familiar water borne pathogens include: aquatic or enteric bacteria such as Salmonella typhi, Shigella, Coliform bacteria; viruses; and Protozoa. Also relevant to diarrhea are rotavirus, astrovirus, adenovirus, norovirus, picobirnavirus, and enterovirus. This research work was done on a cross-sectional study basis over a period of four months, from April to October of the year 2022 at various water supply stations in Tikrit City, Salah Al-Deen province. Grab samples were taken from both the wells and the Tigris River to carry out microbiological processing and quality check in the laboratory. The samples used in this study included river and well water sources taken at the water treatment centers. Samples were collected at three points in the Tigris River and at three points from wells, although the points varied across the different sites. The findings were mainly secular for E. coli followed by P. aeruginosa and parasite such as Giardia cysts, and amoebic cysts.

Healthy latrines are an important sanitation facility that aims to maintain environmental health and improve public health in general. However, in Aster Hamlet ownership of healthy latrines is still low. Of the 345 families in Aster Hamlet, only 73 have healthy toilets, leaving 272 other families who do not. The habit of defecating into the river is a common practice there, considering that most of the houses are located near the river The aim was to identify factors related to the behavior of using healthy toilets in Aster Hamlet. This research used a cross-sectional design. The research population was 345 heads of families. The research sample was taken from 73 heads of families who had healthy latrines using total sampling technique. The analysis carried out included univariate, bivariate and multivariate analysis to gain a comprehensive understanding of the factors that influence healthy latrine use behavior. The results showed that all the variables studied, namely knowledge (p = 0.003), attitudes (p = 0.000), facilities and infrastructure (p = 0.002), and water availability (p = 0.000), had a significant relationship with latrine use behavior. Healthy. In particular, the most related variable is water availability, with the highest Exp(B) value of 2.505. This shows the importance of the water availability factor in influencing the behavior of using healthy latrines in Aster Hamlet, Village      

This research aims to identify factors that influence repeat crime and explore prevention strategies that can reduce this tendency. Through a case study approach, this research analyzes several recidivism cases involving repeat offenders in Indonesia. Findings suggest that internal factors such as weak self-control and intimacy with religion, as well as external factors such as economic problems and negative social environments, play an important role in increasing the risk of recidivism. Criminological theories such as Social Structure Theory, Becker's Economic Theory, Opportunity Theory, and Social Learning Theory are used to understand the phenomenon of recidivism and identify effective prevention strategies. Based on the case analysis, comprehensive efforts are needed from various parties, including government agencies, communities, and non-profit organizations, to provide effective rehabilitation, increase supervision and social control, and provide social support to former drivers in order to reduce the risk of recidivism and strengthen community security overall.

This journal aims to identify language development strategies and indicators of success in receptive and expressive language in early childhood. This type of research is qualitative descriptive research, research using library research or library research methods. In conducting library research as part of this research, researchers used various written sources, namely books, articles, magazines and other documents related to the research problem. There are several languages that need to be developed in children, including receptive language and expressive language. Receptive language involves the ability to distinguish between meaningful and meaningless sounds, receptive language is the ability to listen and read. Children's expressive language is the ability to express verbal and nonverbal language. Based on the research results, several strategies can help develop receptive language, namely: (1) storytelling activities; (2) Flash cards; (3) Language games (word practice, listen-do, listen-guess, whisper and tell stories). And some strategies to help develop children's expressive language are: (1) Finger puppet play; (2) Role play.

Traffic accidents due to rear-end collisions are the highest contributor to the death rate in traffic accidents that occur on toll roads. It is suspected that vehicle, environmental, weather and driver factors as well as high speed gaps contribute to the occurrence of accidents. This study aims to determine the relationship between vehicle, environmental, weather and driver factors with the occurrence of speed gaps through observations of rear light brightness levels, vehicle visibility and speed. This study uses a descriptive observational method. The sample is a vehicle that passes through the Cipali Toll Road KM 188-108 towards Jakarta, on Sunday, January 29, 2024 at 19.30-21.00 WIB. The observer vehicle speed is 80-100 km/hour. The brightness level is measured using a luxmeter. The results of the study obtained dark weather, no rain, some toll roads did not have street lights, there were 316 minibus, bus and truck vehicles that passed or passed the researcher's route. A total of 240 vehicles (75%) of the minibus type had appropriate rear light brightness, visibility and speed. As many as 56 vehicles (23%) of the truck type had low rear light brightness, poor visibility, and speeds below regulations, resulting in a high speed gap which has a high potential to cause rear-end collisions.

Flooding is an event or event that results in the submergence of an area or land due to an increased volume of water. Flooding is caused by climate change, lack of water reception upstream area due to the many buildings, residential houses on the banks of the river and the lack of public awareness to maintain the cleanliness of the river. Flood disasters have a negative impact on individuals, communities and the environment. For individuals can be at risk of drifting, injuries, injuries, to other health problems such as digestive disorders, skin diseases, to infections. This impact can be reduced by improving community preparedness in facing disasters. All activities are carried out to anticipate disasters through organizing and using appropriate scarce disaster management in the preparedness phase. The purpose of this study is to determine whether there is a relationship between flood preparedness knowledge and the level of community anxiety in Wonasa Tanjung Village. This research was conducted with Descriptive Analytic method with Cross Sectional approach. There were 106 Subjekts. Data collection is carried out using questionnaires. Furthermore, the data was analyzed with the Chi-squaer test with a meaning level (a).0.05. The results of the study using the Chi-squere statistical test obtained a p value Value = 0.01 where the p Value value <a = 0.05 The results of this study show that there is a relationship between flood disaster preparedness knowledge and the level of anxiety of the community in Wonasa Tanjung Village. The conclusion of this study is that there is a relationship between flood disaster preparedness knowledge and the level of community anxiety in Wonasa Tanjung Village. Advice for the Wonasa Tanjung environment is to maintain cleanliness and no longer throw rubbish in the river.

Background : Hemorrhoids is one of the most common anorectal diseases, this disease can cause physical and psychological discomfort due to its disturbing symptoms such as rectal bleeding, pain, and itching sensation and will significantly affect the quality of life of the person with hemorrhoids. According to Slavin (2008), the prevalence of hemorrhoids in the world reaches 5%. There are various risk factors for hemorrhoids, one of which is the length of sitting without changing the position and age. According to Ali and Shoeb (2017) in their research, there were 50 patients out of 60 drivers experiencing hemorrhoids. A driver job that requires a long time to sit because of the long duration of driving can cause hemorrhoids. Kumala, et al (2016) said in their research on intercity and interprovincial (AKAP) bus drivers who have a driving duration of ≥ 6 hours have a risk of hemorrhoids and those aged ≥ 45 years have a risk of developing hemorrhoids.Objective : Knowing the relationship between driving duration and age with hemorrhoids in bus drivers at the AKAP Payung Sekaki terminal Pekanbaru in 2020.Methode : The design used in this study was an observational analytic type with a cross-sectional method. The sampling technique was accidental sampling, with a sample of 60 respondents who had the inclusion criteria. Statistical test data using the Chi-Square test.The results : There was an insignificant relationship between the duration of driving and complaints of hemorrhoids in the driver (p-value = 0.057) and the relationship between age and complaints of hemorrhoids in the driver (p-value = 0.073).Conclusion : There is an insignificant relationship between driving duration and age with complaints of hemorrhoids in bus drivers at AKAP Payung Sekaki Terminal