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Background: Acute respiratory infection (ARI) remains a major public health concern, particularly in primary care settings. Lifestyle factors such as dietary patterns and physical activity are increasingly recognized as potential contributors to respiratory health. Objective: This study aimed to examine the association between dietary patterns, physical activity, and ARI among primary care patients in East Halmahera, Indonesia. Methods: A cross-sectional study was conducted at a primary health care facility in East Halmahera, Indonesia, from January to February 2026, involving 106 respondents selected using a total sampling technique. Data were collected using structured questionnaires and medical records. Variables included sociodemographic characteristics, dietary patterns, physical activity, and ARI status. Data were analyzed using descriptive statistics and Chi-square tests with a significance level of p < 0.05. Results: The prevalence of ARI among respondents was 77.4%. Bivariate analysis showed that dietary patterns (p = 0.006) and physical activity (p = 0.015) were significantly associated with ARI. In contrast, age, gender, marital status, education level, employment status, smoking, and alcohol consumption were not significantly associated with ARI (p > 0.05). Conclusion: Dietary patterns and physical activity were significantly associated with ARI among primary care patients in East Halmahera. These findings highlight the importance of lifestyle-related factors in addressing respiratory infections at the primary care level.  

Conflicts in transmigration areas are generally multidimensional and influenced by social, economic, land, and institutional factors. This study aims to identify the forms and distribution of conflicts in three districts of the transmigration area, namely Momi Waren District, Ransiki District, and Oransbari District, as well as to formulate a smart system-based conflict resolution approach through the use of spatial data, local institutions, and local wisdom-based settlement practices. Based on field mapping, four main categories of conflict were identified: 1) Land conflicts occur throughout the transmigration sites in the form of claims to transmigration land that has not been handed over to transmigrants because the compensation price is below normal. In addition, there is no ATR BPN office in South Manokwari Regency, one of whose functions is community empowerment and conflict resolution. 2) Economic conflicts occur because transmigrants are registered and recorded in the population registry, making it easy for them to access capital. Several economic activities in agriculture and transportation services are dominated by transmigrants, causing economic jealousy. 3) Social conflicts occur when the distribution of social assistance is uneven and the excessive use of illegally sold alcoholic beverages causes social unrest. 4) Institutional conflicts occur when civil servants, police, and military personnel are recruited, and not all indigenous Papuans who are nominated can be accommodated, requiring the involvement of tribal councils to formulate recommendations for recruitment that prioritize indigenous Papuans. The root causes of the conflict were analyzed using a root cause analysis approach that covered unclear land boundaries, unequal economic access, weak coordination between institutions, and low social trust due to differences in interests between groups. This study utilizes best practices from the Tribal Council, the South Manokwari Regency Transmigration and Manpower Office, the Religious Harmony Forum, and the Social Services Office as the basis for developing smart maps for an early warning system for conflicts. The results of the study formulate a Smart Conflict Resolution System framework consisting of three main components: (1) participatory spatial mapping of conflicts and key actors, (2) integration of institutional databases and social-customary mediation channels, and (3) design of smart maps as a mitigation and decision-making tool in transmigration areas. This system is expected to strengthen collaborative governance, prevent conflict escalation, and realize inclusive and sustainable management of transmigration areas

Cassava tapai is a traditional Indonesian food product produced through the fermentation of cassava (Manihot esculenta) with the help of microorganisms, particularly the yeast Saccharomyces cerevisiae. This product not only has cultural and economic value but also contains bioactive compounds with health benefits, such as probiotics and fermentation metabolites. However, the quality of cassava tapai is significantly influenced by process factors, particularly incubation time. This study aimed to analyze microbial growth and changes in the chemical properties of cassava tapai with varying fermentation times. The study was conducted using an experimental design with fermentation times of 24, 48, and 72 hours at room temperature. The main parameters observed included the number of microbial colonies (cfu/g), pH changes, and alcohol content produced during the fermentation process. The results showed that microbial growth increased significantly, peaking at 48 hours, with the highest colony count compared to other treatments. After 72 hours, the number of colonies decreased, likely due to ethanol accumulation and decreased substrate availability, which reduced microbial activity. The pH value tended to decrease with increasing fermentation time, reflecting the formation of organic acids during the process. Meanwhile, the alcohol content showed an increasing trend from the beginning to the end of fermentation, although the growth rate was relatively slower at 72 hours. These findings confirm that varying incubation length significantly influences microbial dynamics and chemical changes in cassava tapai. The optimal fermentation time is around 48 hours, as this is the phase where the balance between microbial growth, alcohol formation, and sensory characteristics is maintained. The results of this study can serve as a basis for developing standards for cassava tapai production at both household and industrial scales, while also strengthening efforts to preserve traditional foods with a modern scientific approach.

Bulian coconut chips are a typical Jambi food made from dried and fried old coconuts. The traditional production method and inadequate hygiene standards make this product susceptible to microbial contamination, especially harmful bacteria. This study aims to identify the types of bacteria that may be present in Bulian coconut chips using culture and Gram staining methods as the initial step for morphological identification. Samples were taken from three local producers in Bulian District, Batanghari Regency, Jambi. Testing was carried out by serial dilutions up to 10⁻⁴, then planted on Nutrient Agar (NA) media and incubated for 24 hours at 37°C. The colonies that grew were then observed morphologically and Gram staining was performed using a modified method without alcohol. The results showed the presence of various colonies with cream, white, and pale yellow colors. Based on the results of Gram staining, bacilli and cocci were found, which were included in the Gram-positive and Gram-negative categories. The types of bacteria suspected to appear include Bacillus sp., Staphylococcus sp., and possibly Escherichia coli. These findings indicate a risk of microbial contamination that could endanger consumer health, especially if the production process is not improved. Strict hygiene and sanitation principles are strongly recommended in the processing of this traditional food to ensure the product remains safe for consumption. The importance of implementing hygienic standards in the production of Bulian coconut chips is further emphasized by these findings. In addition to improving food safety, implementing proper sanitation procedures can also extend the product's shelf life and increase consumer confidence in local traditional foods. Efforts such as training local producers, using clean equipment, and hygienic packaging can help minimize the risk of bacterial contamination.

Dependence on fossil fuels, such as gasoline and diesel, has become a global issue that affects environmental sustainability and energy security. Increasing greenhouse gas emissions, decreasing natural resource reserves, and instability of global energy prices encourage the need for innovation in motor vehicle fuel systems. This study aims to assess fuel efficiency and engine performance on a 110 CC motorcycle with a standard compression of 10.7:1, by utilizing a mixture of RON 90 gasoline and alcohol. The main focus of the study is to compare the effect of varying alcohol content on engine power output, with mixtures of E12.5, E17.5, and E22.5. The method used is an experimental method with three variables, namely the independent variable (type and content of fuel mixture), the dependent variable (engine power), and the control variables (engine condition, temperature, and testing method). Testing was carried out using a combination of iridium spark plugs and standard spark plugs, as well as variations in Pilot Jet sizes 34 and 35 on aftermarket carburetors. Each combination was tested to determine its effect on the maximum engine power. The results showed that a blend of E12.5 fuel with Pilot Jet 35 and iridium spark plugs produced the highest power output compared to other tested combinations. This combination was proven to optimize combustion in the combustion chamber, thereby improving engine efficiency and performance. Conversely, increasing the alcohol content above E12.5 did not provide a significant increase and even tended to decrease power due to alcohol's lower calorific value than gasoline. The conclusion of this study is that the use of an aftermarket carburetor with Pilot Jet 35 and iridium spark plugs, combined with an E12.5 fuel blend, can be an effective alternative for improving the performance of a 110cc motorcycle. These findings are expected to serve as a reference for the development of more efficient and environmentally friendly blended fuel technology.

Sleep is a basic need for every human being. Every human being needs adequate sleep in order to obtain a healthy and good body. Poor sleep quality is one of the causes of many medical ailments and has a strong relationship between physical, psychological and sleep health. According to several studies on sleep quality, a person's sleep quality is influenced by several factors such as physical activity, stress and emotion, surfing the internet, watching television and having other habits such as drinking alcohol, smoking and fast food. The student group is a group that has a fairly solid activity. Students can experience disturbances in the circadian cycle due to increased pressure from the academic environment so that groups of students do not have enough sleep. Some of the stressors from Medical Faculty students include busy class schedules, piled up assignments, anxiety before exams that affect the sleep quality of the Medical Faculty students. To determine the relationship between physical activity and emotional stress on decreased sleep quality in students of the Faculty of Medicine, UMSU class 2018. This study used an analytical descriptive method with a cross sectional design. The data was processed using the SPSS Chi-Square test in June 2022 at the Faculty of Medicine, University of Muhammadiyah North Sumatra. Based on the results of the analysis, the demographic characteristics of the average age of respondents were 22 (range 22-24) years and 97 (74%) of respondents were women, the frequency of poor sleep quality was the highest (79.4%), the frequency of light physical activity as much as (55%) and the frequency of moderate emotional stress (84%). Multivariate analysis showed that the factors that influence the decrease in sleep quality were emotional stress with p value = 0.001. Physical activity statistically did not affect the decrease in sleep quality with p value = 0.993. There is a significant relationship between emotional stress and decreased sleep quality in students of the Faculty of Medicine, University of Muhammadiyah North Sumatra, Class of 2018.

This study aims to analyze the impact of clubbing on the learning performance of students in Bandung. This includes class attendance, active participation in discussions, and the ability to complete academic tasks. In addition, this study will also identify other factors that may influence the relationship between clubbing and learning performance, such as alcohol consumption patterns, stress levels, and social support. Clubbing, one of the most popular entertainment choices for students, is often the main choice to relieve stress and socialize. However, this phenomenon also raises questions about how it impacts students' learning performance and academic achievement. This study uses a qualitative approach. The primary data of the study came from interviews and participation in nightclubs with Bandung students. Secondary data consisted of journals, books, the internet, and others. Interviews, observations, and documentation were the data collection methods used in this study. The results of the study obtained It is seen that students who are active in clubbing tend to have lower attendance rates in class. Many of them admit to often being absent due to fatigue after late-night activities, which has a direct impact on the understanding of the material being taught and the potential for academic achievement.

Petrochemical-based synthetic plastics pose significant environmental concerns due to their non-biodegradable nature. Bioplastics, particularly those derived from corn starch, offer a promising alternative because of their biodegradability and renewable origin. This article presents a narrative review analyzing the effects of various additives on the characteristics of corn starch-based bioplastics, including tensile strength, water absorption, and biodegradability. The review focuses on scientific publications from 2015 to 2025.  Three types of additives were examined: cellulose fibers, graphene oxide (GO), and polyvinyl alcohol (PVA). The results show that the combination of starch and PVA with glycerol yields the best overall performance, achieving the highest tensile strength (1.8 MPa), moderate water resistance 60%, and rapid biodegradation within 6–10 days. While cellulose improves mechanical properties, it tends to slow down the degradation rate. GO provides only slight enhancements in mechanical and water-resistant properties. Overall, the starch–PVA blend appears to be the most promising formulation for developing eco-friendly and applicable bioplastics in the future.

Liver disease is an increasingly prevalent health problem among the productive-age population, primarily driven by unhealthy lifestyles, alcohol consumption, obesity, and the risk of hepatitis infection. Liver dysfunction often presents no specific symptoms in its early stages, making early detection challenging. The Community Service Program (PKM) conducted in Grogol Village aimed to raise public awareness about the importance of early liver function screening through SGOT and SGPT enzyme assessments. This activity included education on risk factors as well as on-site liver enzyme testing for participants. Among the 71 participants, 18 individuals (25.35%) had elevated SGOT levels, and 17 individuals (23.94%) showed SGPT levels exceeding normal limits. These findings highlight the importance of early liver function screening in preventing the progression to chronic liver diseases such as NAFLD or hepatitis, and in serving as an indicator of cardiometabolic risk. Therefore, routine liver enzyme testing can serve as a foundation for increasing public awareness about the importance of maintaining liver and metabolic health in a sustainable manner.

Alcohol (ethanol) is often used in food as a mixture to improve flavor or durability, but alcohol consumption can have adverse health effects and trigger psychoactive effects. This research aims to design a tool to detect alcohol content in food using Internet of Things (IoT) technology. This device is designed to be portable, uses MQ-3 gas sensor to detect alcohol content, and is equipped with a Web Server-based data storage system. In addition to alcohol content, this tool is also able to detect the humidity of food samples. The detection results are displayed in real-time through a digital interface, so users can easily access and analyze the data. With this system, it is expected that the public can more easily ensure the safety and halalness of the food consumed. The tool function test obtained the results of the tool working properly, then the tool suitability test using 95% and 70% pure alcohol, obtained results of 90% for 95% alcohol and 72% for 70% alcohol. and finally the suitability test using three food samples, with the results of 40% (food containing alcohol), 6% (food containing hidden alcohol), and 0% (food free of alcohol content).

Hypertension is a disease that occurs to arteries that causes the supply of oxygen and nutrition that the body needs to be blocked. Hypertension is often called a silent killer, because it is a kind of disease that is very harmful but comes without awareness to its victim. People with hypertension in average are up to 40 years old and it happened all of his after life . In common hypertension caused by heredity, unhealthy lifestyle, and triggered by the more salty consumption, alcohol and stress. An expert system could be the solution to solve the problem because this system works just like an expert and was created by the naïve Bayes method with the rules and basic system that are the same just like the hyperantion desease. Through this application, users can consult with this system just like usually people consult with the expert to diagnose the sign that happened to the user and find the solution of what happened to themselves.

Background: Hypertension in the elderly is caused by degenerative processes and triggering factors such as poor diet, smoking, and alcohol consumption. The WHO identifies hypertension as a major risk factor for cardiovascular diseases that can lead to serious complications such as stroke and heart disease. Objective: To identify the factors influencing dietary behavior related to hypertension in elderly patients who will be treated as outpatients in the Orchid Room of Bhakti Asih General Hospital, Tangerang, focusing on knowledge, attitudes, health worker support, and family support. Research Method: This quantitative study uses primary data from questionnaires with a Field Research method. The sample consists of 40 respondents, and data analysis was conducted using the Chi-Square Test. Research Results: The results of the Chi-Square test show a significant relationship between knowledge (ρ = 0.000), attitudes (ρ = 0.012), health worker support (ρ = 0.009), and family support (ρ = 0.000) towards dietary behavior related to hypertension in the elderly. Conclusion: Overall, knowledge, attitudes, health worker support, and family support influence dietary behavior related to hypertension in the elderly, which can impact the effective management of hypertension and prevent further complications. Recommendation: For future researchers, this study has limitations, and it is hoped that further research can develop this topic with a more comprehensive research methodology approach.

Drinking and uncommendable behavior are two intertwined things. Recently, an event that has disturbed the community has become more frequent. Some sexual crimes against children occur after the perpetrator drinks alcohol, where people will be encouraged to commit heinous acts, when their intellect has been influenced by alcohol. The Sikka Regency Government together with the Sikka Regency Regional People's Representative Council made Sikka Regency Regional Regulation Number 11 of 2012 concerning the Supervision and Control of Alcoholic Beverages, as a preventive effort to overcome social problems in the community, namely, the high number of traffic accidents, Domestic Violence (KDRT) and vandalism triggered by alcoholic beverages. This research is an empirical juridical law research. This study is descriptive and analyzes primary data to find out the Implementation of Sikka Regency Regional Regulation Number 11 of 2012 concerning Supervision and Control of Alcoholic Beverages. Data collection uses observation, documentation and interview techniques. The results of the study show that: (1) The implementation of Sikka Regency Regional Regulation Number 11 of 2012 concerning Supervision and Control of Alcoholic Beverages needs to be followed up because there are still obstacles faced (2) The impact of the Implementation of Sikka Regency Regional Regulation Number 11 of 2012 concerning Supervision and Control of Alcoholic Beverages, one of which is a decrease in revenue.

Goat urine is liquid waste from goat feces. Goat urine is able to provide macro and micro nutrients and contains growth regulators (ZPT) that plants need. Goat urine contains 1.5% nitrogen, 0.13% phosphorus, and 1.8% potassium. Goat urine contains natural hormones of IAA, gibberellin, and cytokinin higher than other livestock urine. Goat urine processing can be done by fermentation. Fermentation is a process of chemical changes in an organic substrate through enzyme activity produced by microorganisms. The results of fermentation of organic materials such as sugar, alcohol, amino acids, proteins, carbohydrates, vitamins and other organic compounds are easily absorbed directly by plant roots. The use of effective microorganisms in the manufacture of goat urine fermented liquid organic fertilizer aims to accelerate the fermentation process. Effective microorganisms or also known as probiotics are mixed cultures of various types of beneficial microorganisms such as photosynthetic bacteria, lactic acid bacteria, actinomycetes yeasts, fermentation fungi that can improve soil microbes. The use of solid waste of goat manure is commonly done by farmers, but the use of liquid waste (urine) of fermented goats has not been widely known. Therefore, it is important to optimize the use of fermented goat urine as liquid organic fertilizer.

Cholesterol is a lipid compound produced by the body and obtained from food, functioning to build cell membranes, produce certain hormones, and support metabolic processes in the body. Excessive cholesterol levels can increase the risk of cardiovascular diseases. This Community Service initiative aims to enhance the understanding and awareness of staff and employees at St. Yoseph High School, Cakung, regarding the risks of high cholesterol and preventive measures through routine screenings and health education. The program follows the Plan-Do-Check-Act (PDCA) approach, encompassing planning for education and screenings, conducting information sessions and cholesterol measurements, evaluating program effectiveness, and implementing follow-up actions for continuous improvement. Education on a healthy lifestyle, which includes a balanced diet, physical activity, and avoidance of alcohol and smoking, plays a vital role in maintaining normal cholesterol levels. Routine screenings are also essential for the early detection of high cholesterol risks. This initiative is expected to promote healthy behaviors and support improved workplace health by raising awareness about the importance of cholesterol prevention in the work environment.

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05.   

The highest level of alcohol consumption in education is among students. One of the factors causing the increase in alcohol consumption behavior and the rise in crime cases due to alcohol consumption is a lack of religiosity. Religiosity as the internalization of religious values related to belief in religious teachings. These beliefs are then actualized in human behavior. This research is included in the type of qualitative research with a case study approach. The conceptual boundaries of this research are religiosity, teenagers aged 18 - 21 years, and subjects who live in Village "X". The subjects in this research were teenagers who were alcoholics, both male and female, totaling 5 subjects. In this research, nonprobability sampling technique was used with purposive sampling. Subjects have a level of belief in God, religion and sin in their religion. Having high intentions can influence the subject's level of commitment to carrying out ritualistic activities. Subject knowledge regarding religious knowledge is fulfilled through developing digital media. Subjects' feelings towards ritual activities and their experiences of consuming alcohol vary. subject, no one mentioned behaving well because they were motivated by the teachings of their religion. All subjects felt comfortable with the circle of friends that the subjects were now living in. Factors that influence individuals to consume alcohol are environmental factors and the individual's own desires.

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.

Healthy lifestyles are habits of doing something, be it food, healthy behavior so as to avoid the disturbance of all kinds of diseases, both physical and non-physical diseases, as well as birth control users must also strive for a healthy lifestyle, such as managing a healthy diet, rest, exercise, eating vegetables and fruits, doing optimal physical activity, not consuming alcohol, and maintaining a healthy body. In this problem, many family planning users do not pay attention to a healthy lifestyle because they think that the family planning tools used have no risk to health, but the use of family planning has side effects on health such as menstruation is not smooth, the body is obese, the body feels warm or feverish, there are blood clots, nausea, bloating, changes in vision, difficulty in getting back to normal, headaches, and others. To be able to attract the attention of the community in implementing a healthy lifestyle for family planning users, it is very necessary to have a system that can help people in changing their unhealthy lifestyle to a healthier one by grouping family planning user data based on variables that have been determined using the clustering method, to group data on healthy lifestyles for family planning users which later the results of this study can be used as input and guidance for a healthy lifestyle for family planning users, so that family planning users are more careful and have a healthy life. Of the 20 data, there are 3 groups, namely group 1 there are 4 data and group 2 there are 4 data and group 3 there are 12 data from the above results it can be seen that in cluster 3 is a group on family planning users based on a lot with a total of 12 data and is located in the contraceptive type group (X) is injectable birth control, and for the lifestyle group (Y), namely Frequent Night Baths and Risk (Z), namely Decreased Bone Strength.  

Hypertension is a non-communicable disease (ncd) which is a major problem in the health sector and continues to increase every year even though many preventive and promotive measures have been developed following advances in science and technology. to find out analysis of risk factors related to the incident of hypertension in heads of families in tatinang and tita mandiri village waesala regency seram bagin barat tahun 2024. This type of research uses quantitative methods with a cross sectional approach. sampling method used a total sample population of 133 people. data analysis was carried out using univariate, bivariate analysis with chi square and multivariate analysis with logistic regression. Based on the results of the stress logistic regression test, p = 0.042; smoking p = 0.998; alcohol p = 0.996, and diet p = 0.000. diet is the dominant factor with a logistic regression value of p = 0.000 with an or or exp (b) = 12,722. There is a relationship between stress levels, smoking, alcohol and diet. these are the most dominant factors related to the incidence of hypertension in the tatitang and tita mandiri hamlets, while the age factor is not related to the incidence of hypertension.