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The rapid population growth in urban areas has caused various complex problems, such as congestion, air pollution, and the high use of private vehicles, so that it becomes a challenge in realizing sustainable cities and settlements. Public transportation is present as one of the solutions in overcoming these problems because it can increase community mobility and reduce negative impacts on the environment. This study aims to analyze the implementation of Mass Rapid Transit (MRT), Light Rail Transit (LRT), TransJakarta, and Electric Rail Trains (KRL) in supporting the achievement of SDGs 11 Sustainable Cities and Settlements. This study uses a descriptive qualitative method with a literature study approach. The results show that the MRT and KRL contribute to efforts to reduce carbon emissions and congestion, TransJakarta excels in the aspect of cost affordability while the LRT plays a role in improving urban connectivity efficiently. Thus, public transportation palas an important role in realizing sustainable cities and settlements with the integration between modes of public transportation which is the main factor in supporting the achievement of SDGs 11 optimally.

Chronic rhinosinusitis (CRS) is a long-term inflammatory condition affecting the nasal mucosa and paranasal sinuses, which significantly impacts patients’ quality of life due to persistent and recurrent symptoms. Limited epidemiological data regarding CRS are available in Central Kalimantan, particularly at RSUD dr. Doris Sylvanus in Palangka Raya, prompting this study to determine its prevalence and patient distribution characteristics. This research employed a quantitative descriptive design with a cross-sectional approach. Data were collected from medical records of patients diagnosed with CRS in 2023 and 2024. Univariate analysis was conducted, and results were presented in tables and diagrams illustrating frequency distributions by year, gender, age, and main complaints. The findings showed a total of 118 CRS patients, with 53 cases in 2023 and 65 cases in 2024. The prevalence of CRS increased from 4.91% in 2023 to 10.83% in 2024. Based on gender, males accounted for 50.8% (60 patients), while females represented 49.2% (58 patients). The age group most affected was 46–55 years (31%), indicating a predominance among individuals of productive age. Nasal congestion was the most frequent primary complaint, reported by 35% of patients. The study concludes that the prevalence of CRS at RSUD dr. Doris Sylvanus increased notably from 2023 to 2024, with a slightly higher incidence among males in the productive age group. These findings highlight the need for enhanced preventive measures and early diagnosis to manage CRS more effectively in the local population.

Jakarta, the capital of Indonesia, is known for its high congestion levels. Data from the TomTom Traffic Index shows that Jakarta ranked 30th in the world in 2023 as one of the most congested cities, with a congestion level reaching 53% during peak hours. Pisangan Lama in East Jakarta is one of the densely populated areas, adjacent to busy roads. The main campus of STIKOM CKI, also located in East Jakarta, is situated along a route prone to heavy traffic. Given the congestion issues and the lack of information on the nearest routes, this study aims to implement the A* algorithm to find the shortest route from Pisangan Lama, East Jakarta, to the main campus of STIKOM CKI. The A* algorithm is chosen for its optimal routing capabilities. Based on research on three routes (Jl. I Gusti Ngurah Rai, Jl. Basuki Rachmat, and Jl. Raya Kalimalang), the results show that the route via Jl. Basuki Rachmat is the shortest, with a distance of 7.7 km. The implementation of the A* algorithm is expected to provide an efficient solution for the community in finding the nearest route.

Allergic rhinitis (AR) is an inflammatory process of the nasal mucosa initiated by a hypersensitivity reaction and caused by exposure to allergens mediated by immunoglobulin E (IgE), with several characteristic symptoms including: nasal congestion, a runny nose or watery nasal discharge (rhinorrhea), nasal itching, sneezing, and  postnasal drip (PND). According to the World Health Organization’s Allergic Rhinitis and its Impact on Asthma (WHO-ARIA) guidelines, based on the duration of symptoms, allergic rhinitis is classified into two categories: intermittent allergic rhinitis (symptoms lasting less than 4 days per week or for less than 4 weeks) and persistent allergic rhinitis (symptoms lasting more than 4 days per week and for more than 4 weeks). The prevalence of allergic rhinitis based on a doctor’s diagnosis is approximately 15%; however, it is estimated to reach 30% when considering patients with nasal symptoms. Appropriate management of allergic rhinitis, in addition to alleviating symptoms, is also expected to improve the quality of life of patients whose lives have been disrupted by the condition, as the higher the severity and frequency of allergic rhinitis symptoms, the greater the impact on reduced quality of life.

Ship berthing and departure planning is one of the crucial aspects in supporting the operational effectiveness of shipping companies. This study aims to analyze the important role of planners in ship berthing and departure activities in supporting marketing activities at PT. Nusantara Pasifik Sentosa Belawan. The method used in this research is a descriptive qualitative approach through observation and documentation study. The findings indicate that well-planned and coordinated ship berthing and departure activities provide a significant contribution to customer satisfaction, delivery punctuality, and the company’s image in the eyes of business partners. Effective planning also helps the company maintain service reliability and improve operational efficiency in port activities. However, several obstacles were identified, including lack of coordination between departments, limited information flow, and schedule disruptions caused by external factors such as weather conditions and port congestion. These challenges can affect the smoothness of operational activities and indirectly influence the company’s marketing performance. Therefore, strategies are required to improve human resource competencies, enhance digital communication systems, and strengthen cross-sector collaboration. With a well-structured planning system, PT.Nusantara Pasifik Sentosa is expected to improve its service quality and increase its competitiveness in the national shipping industry.

Diuretic resistance is a serious complication in heart failure patients associated with increased morbidity and mortality. Tolvaptan, a vasopressin V2 receptor antagonist, offers an alternative therapeutic mechanism through aquaresis. This study aims to evaluate the effectiveness and safety of tolvaptan in heart failure patients with diuretic resistance. A retrospective cohort study was conducted on 58 hospitalized patients with NYHA III-IV heart failure and diuretic resistance (urine output <1000 mL/day despite furosemide use ≥80 mg/day) who received tolvaptan 7.5-15 mg/day for 7 days. Variables measured included weight change, urine output, serum sodium, and kidney function. The results showed a significant increase in daily urine output from 820±230 mL to 2180±520 mL (p<0.001), along with an average weight loss of 3.4±1.1 kg (p<0.001). Hypernatremia (>145 mEq/L) occurred in 8.6% of patients. In conclusion, tolvaptan is effective in improving diuresis and reducing congestion in heart failure patients with diuretic resistance, although the risk of hypernatremia should be monitored.

This paper aims to find out the process of issuing permits for checking and unloading cargo outside the customs area at the customs and excise office, this application must have a permit that must be fulfilled to be managed by the agent, because the implementation of checking and unloading cargo outside the designated area without obtaining a permit can be subject to criminal sanctions as regulated in Article 102 letter (b) of Law Number 17 of 2006 concerning Customs Due to port congestion, ships can dock outside the customs area (out custom area) by fulfilling certain requirements and following the procedures set by the Customs and Excise authorities. in managing permits, agents often encounter obstacles or constraints when issuing permits that are detrimental to certain parties. Therefore, the responsible party of PT. Bahari Eka Nusantara Belawan branch must coordinate and have accurate accuracy in the process of issuing this permit. The role of PT. Bahari Eka Nusantara Belawan branch is very important for parties who participate in the process of managing permits outside this area. This permit is crucial to avoid criminal charges against those responsible for checking and unloading outside the customs area. It can be concluded that there are still obstacles or errors in data input that can cause delays in approval of permits for checking and unloading outside the customs area.

In Surabaya City, the City Government through the Transportation Agency developed the Suroboyo Bus and Trans Semanggi programs to address traffic congestion, limited public transportation, and the need for safe, comfortable, and environmentally friendly transportation. However, complaints are still found regarding limited facilities, irregular schedules, and suboptimal communication services, so that service performance evaluation is needed from the user's perspective. This study aims to analyze the performance of Suroboyo Bus and Trans Semanggi public transportation services at the Surabaya City Transportation Agency using five public service performance indicators according to Dwiyanto et al. (2021), namely productivity, service quality, responsiveness, responsibility, and accountability. The approach used is quantitative with the Importance Performance Analysis (IPA) method. The results of the study show an average expectation score (importance) of 4.18 and a reality score (performance) of 3.86 with an overall gap of -0.32, which means that the performance of Suroboyo Bus and Trans Semanggi services still does not meet public expectations. Through the IPA mapping, three attributes are in Quadrant I (high priority): the friendly and professional attitude of staff, the adequacy of on-board facilities, and the transparency of official information regarding schedules and service changes. A total of 13 attributes are in Quadrant II (maintained), 13 attributes in Quadrant III (low priority), and one attribute in Quadrant IV (excessive).

The increasing intensity of traffic object movement in urban areas has not been accompanied by adequate road infrastructure, resulting in traffic congestion, air pollution, and a higher risk of traffic accidents. One of the primary causes of accidents is traffic violations, particularly wrong-way driving behavior. This study develops a video-based automated traffic violation detection system using the YOLOv5 algorithm. A computer vision approach is employed to detect, classify traffic objects, and count wrong-way violations in real time. Due to limited access to real-world traffic violation footage, simulated traffic scenarios are used as testing data. The system is evaluated on four traffic object classes: motorcycles, cars, buses, and trucks. Experimental results demonstrate strong performance, achieving a precision of 90%, a recall of 92%, and an F1-score of 91%, while the traffic object counting accuracy reaches 89%. These findings indicate that the proposed system has significant potential to support traffic analysis and assist authorities in making more effective decisions to reduce congestion and traffic accidents.

This study aims to analyze the differences in motorcycle traffic flow (Q) during the morning and afternoon peak hours as an indicator of roadway operational performance, referring to the Indonesian Road Capacity Guidelines (PKJI) 2014, with a case study on Mawar Street–Wijaya Kusuma Street, Jember Regency. The research data were obtained from 12 observation points through traffic surveys that recorded motorcycle traffic flow in vehicles per hour (veh/h). The analytical methods used include descriptive statistical analysis, normality testing, and paired sample t-test. The results show that the average motorcycle traffic flow during the morning peak hour is 115.58 veh/h with a standard deviation of 62.97, while during the afternoon peak hour it is 63.25 veh/h with a standard deviation of 28.57. The paired sample t-test yields a significance value of 0.015 (p < 0.05), indicating a statistically significant difference between morning and afternoon traffic flows. These findings suggest that the level of roadway capacity utilization is higher during the morning peak hour, which is closely associated with dominant routine travel activities such as commuting to work and school. The results of this study are expected to serve as a basis for evaluating roadway operational performance and to support traffic management and traffic engineering planning aimed at improving road network performance and reducing congestion.

One of the classic problems of Semarang City as a metropolitan city is related to the arrangement of the transportation system until now not resolved comprehensively. The arrangement of transportation in Semarang City as a trigger for the emergence of problems disproportionate number of vehicles to the number of passengers or residents compared to the volume of roads passed by motorized vehicles in Semarang City. With the increasing population of Semarang City on the one increasing motorized vehicles, the increasing number of motorized vehicles if not balanced with the number or volume of roads passed by motorized vehicles every day, every hour has the consequence of congestion and chaos on several roads in Semarang City. Referring to these conditions, the Semarang City Government is trying to overcome transportation problems by organizing road-based public transportation known as BRT or Bus Rapid Transit Trans Semarang which was first rolled out on September 18, 2009. The legal aspects that underlie the BRT (Bus Rapid Transit) Trans Semarang service are Law No. 22 of 2009, No. 25 of 2009. The Trans Semarang Bus Rapid Transit (BRT) service is expected to address transportation management issues in Semarang, a growing metropolitan city. In this qualitative study, the researcher describes the quality of BRT implementation in Semarang from a legal perspective.

Since 2022, the application of the Internet of Things (IoT) in the healthcare sector has grown significantly, marked by the increasing adoption of wearable technology, artificial intelligence (AI), machine learning (ML), and blockchain integration. Research highlights India and China as leading contributors in this domain. IoT enables real-time monitoring of chronic diseases, tracking of patient vital signs, and detection of health protocol compliance. Integrated systems such as Monit4Healthy and RADAR-IoT support personalized medical recommendations and cross-platform interoperability. However, key challenges persist, including patient data privacy and security, system interoperability issues, data fragmentation, and barriers to user acceptance due to cost, digital literacy, and device comfort. Proposed solutions include blockchain for secure data sharing, adaptive congestion control for network performance, and user training to improve technology adoption. Therefore, successful IoT deployment in healthcare requires a comprehensive approach that addresses technological, social, ethical, and sustainability aspects to achieve an effective and inclusive transformation of health services.

The rapid development of urban areas has created significant challenges in mobility, particularly the increasing use of private motor vehicles, which contributes to traffic congestion, air pollution, greenhouse gas emissions, and a decline in the quality of urban life. Sustainable transportation emerges as a solution by emphasizing the balance between environmental, social, and economic aspects through the use of eco-friendly modes such as public transport, walking, and cycling. However, the adoption rate of these modes remains relatively low due to perceptions of convenience, car-oriented culture, and limited environmental awareness. This study aims to analyze the implementation of sustainable transportation education as a strategy to raise urban communities’ awareness of eco-friendly mobility. The research employs a qualitative approach with descriptive analysis based on literature studies. Findings indicate that the use of digital media, social campaigns, and community participation plays a crucial role in shaping positive attitudes, new social norms, and pro-environmental behavior. Effective education not only delivers information but also builds values, norms, and new habits that support sustainable mobility. Furthermore, multi-stakeholder collaboration among government, communities, and the private sector strengthens the effectiveness of educational programs. Evaluation results show that continuous education enhances transportation literacy, ecological awareness, and urban quality of life. Thus, the implementation of sustainable transportation education serves as a strategic foundation for transforming urban mobility toward a healthier, inclusive, and equitable transportation system.

This study focuses on the analysis of traffic density in Jember City, particularly at the Wirolegi Intersection, which is known to have a high density level. This condition often triggers congestion that hinders public mobility, so that appropriate and data-based handling efforts are needed. The purpose of this study is to identify and analyze the level of density at critical congestion points through a statistical approach using the One Way ANOVA method. The research method used is quantitative descriptive with a descriptive observational approach. Primary data was collected directly through a field survey in 2025 at the Wirolegi Intersection as one of 3 intersections in Jember City. The data obtained were then processed using normality tests, homogeneity tests, and One Way ANOVA with the help of SPSS software. The results of the analysis show that the traffic flow density on the three routes studied, namely Jalan Gunung Haryono, Jalan Brigjen Katamso, Jalan Yos Sudarso, does not show a significant difference. The significance value of the ANOVA test is greater than 0.05 which indicates the similarity of density levels between routes. Further testing (post hoc testing) also strengthens this finding. The conclusion of this study shows that handling congestion at the Wirolegi Intersection needs to be done comprehensively through traffic control and evaluation of the transportation system to improve smoothness and mobility in Jember City.

Traffic congestion is a persistent challenge in urban areas in Indonesia, where increasing vehicle density creates the need for intelligent traffic monitoring systems. This study aims to develop a real-time vehicle parking system using the YOLOv8 object detection model to provide efficient traffic analysis from live CCTV broadcasts and recorded videos. This study uses a quantitative experimental approach with the implementation of the YOLOv8m model using the Ultralytics library in Python, tested on data collected from CCTV cameras A TCS Dishub Medan and additional footage from mobile devices. Vehicles are detected and counted in two directions up (Up) and down (Down) using virtual detection lines on the video frame. The system performance is evaluated by automatic detection counting with manually recorded ground truth data. The results show that on live CCTV broadcasts, the YOLOv8m model achieves an average precision of 98.96%, a recall of 96.59%, and an F1 score of 97.74% for upstream traffic, while for downstream traffic it achieves 100% precision, 95.64% recall, and an F1 score of 97.730/0. On the other hand, on high-quality recorded videos, all performance metrics achieve 100%, indicating perfect detection accuracy. These findings confirm the effectiveness of YOLOv8 in real-time traffic monitoring, but also indicate that video quality and stream stability affect detection performance. In conclusion, the developed system shows strong potential to support smart city traffic management solutions. Future research should focus on performance optimization under low-resolution live streaming conditions to improve accuracy in practical applications.  

This study aims to analyze the effect of berthing time performance on the loading and unloading process of dry bulk wheat on the MV Green Sapphire ship at PT. Gelora Perkasa Belawan. The research methods used in writing this paper are field research and library research methods. Berthing time performance has a significant influence on the smoothness and efficiency of the loading and unloading process of dry bulk wheat on the MV. Green Sapphire ship at PT. Gelora Perkasa Belawan. Optimal berthing time can accelerate the completion of loading and unloading activities, minimize operational costs, and increase company productivity. Supporting factors such as equipment readiness, workforce skills, and coordination with port authorities play an important role in achieving work targets. Conversely, obstacles such as bad weather, equipment damage, and dock congestion can extend berthing time and reduce efficiency. Therefore, planned operational management, routine equipment maintenance, administrative digitalization, and good coordination between related parties are needed to ensure berthing time remains effective and the loading and unloading process takes place safely, quickly, and efficiently.

Increasing traffic activity at unsignalized intersections often results in congestion and delays. The intersection of Jl. Imam Bonjol and Jl. Daya Nasional experiences these conditions, making performance evaluation necessary. This research tends to scrutinize the intersection performance under existing conditions and five-year projected conditions and to identify appropriate improvement measures. The analysis was carried out using the 2023 Indonesian Road Capacity Guidelines (PKJI 2023) and PTV VISSIM microsimulation software. Data on intersection geometry, vehicle speed, and traffic volume were collected through CCTV observations on weekdays and weekends. The results show that under existing conditions, the degree of saturation reached 1.170 with an average delay of 33.75 seconds (LOS D). In the five-year projection, the degree of saturation increased to 1.239 with an average delay of 53.69 seconds (LOS E). These findings indicate a decline in intersection performance, highlighting the need for alternative traffic management measures to improve operational performance and service levels.    

This research examines the influence of road infrastructure development on local economic growth in Medan City, emphasizing its role in improving accessibility and supporting economic activities. Road infrastructure is a vital component of regional development, as it facilitates the movement of goods and services, reduces transportation costs, and enhances connectivity between economic centers. Well-developed road networks can stimulate business expansion and encourage investment by creating a more efficient economic environment. The study employed a descriptive quantitative approach using field surveys involving 20 respondents, including business actors, local residents, and government representatives. Data were collected through structured questionnaires and analyzed descriptively to capture perceptions regarding the economic impact of road infrastructure development. The results indicate that improvements in road quality, capacity, and connectivity have a positive influence on local economic growth. Respondents reported increased trade activities, improved access to markets, higher investment opportunities, and rising community income levels as direct benefits of improved road infrastructure. However, the study also identified several challenges that may hinder long-term economic outcomes. Traffic congestion, uneven infrastructure development across areas, and inadequate routine maintenance were highlighted as significant issues. These problems can reduce efficiency and limit the sustainability of economic gains. Therefore, continuous government commitment, effective maintenance strategies, and equitable distribution of infrastructure development are essential. Strengthening coordination among stakeholders is also necessary to ensure that road infrastructure development supports inclusive and sustainable local economic growth in Medan City.

The growth in the number of vehicles in Surabaya has led to increased traffic congestion, particularly on the Perak Timur–Perak Barat road section, which serves as a major distribution route to the port and industrial areas. Problems arise at U-Turn points, where vehicle accumulation hampers traffic flow. This study analyzes traffic volume, travel time, queue length, and queue ratio at two U-Turn points on this section. The method used was a field survey with direct observation of vehicle volume every 15 minutes, vehicle classification, and queue length. Traffic volume was calculated using the Passenger Car Equivalent (PCE) factor based on the 1997 MKJI standards. The study results show that at Point 1, east–west direction, the highest queue ratio occurred on Tuesday from 11:00 to 12:00 (p = 4.84), while the lowest was on Sunday from 06:00 to 07:00 (p = 0.21). At Point 2, west–east direction, the highest queue ratio occurred on Tuesday from 08:00 to 09:00 (p = 6.18), and the lowest from 06:00 to 07:00 (p = 0.41). These findings indicate that during peak hours, traffic congestion increases (p > 1), causing long queues, particularly in the west–east direction in the morning. The performance of the U-Turn on the Perak Timur–Perak Barat road section needs improvement, with recommendations such as temporarily closing U-Turns during high volumes, providing alternative U-Turn lanes, and adding signs to minimize the potential for vehicle conflicts.

The study aims to improve the passion fruit syrup production system at Harisma Home Industry, which has been hindered by an inefficient facility layout and complicated raw material flow. These issues lead to longer processing time, higher operator workload, and reduced production capacity. To solve this, the research uses the Activity Relationship Chart (ARC) and Total Closeness Rating (TCR) to evaluate and redesign the layout. TCR results show that the Raw Material Warehouse has the highest priority with a score of 119, requiring an Absolutely Important (A) relationship with the Production Room. The Parking Area and Waiting Room also fall into the Absolutely Important category, as they support smooth movements of materials and visitors. Meanwhile, the Toilet has a Very Important (E) relationship with the Waiting Room due to comfort and accessibility needs. Based on these proximity requirements, a new layout was designed by placing the Raw Material Warehouse next to the Production Room to create a faster and more efficient material flow. Other facilities were rearranged to minimize unnecessary movement. This new layout is expected to streamline processes, reduce congestion, and enhance overall capacity and operational performance.