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Elderly people have a high risk of suffering from degenerative diseases, one of which is metabolic disorders. This is more widely recognized by the elderly when they are already in severe condition and with complications so that it has an impact on various aspects including increasing morbidity and mortality rates, as well as decreasing quality of life of the elderly and decreasing ability of the elderly to carry out daily activities. Metabolic disorders are caused by increased blood glucose levels in the body known as Diabetes Mellitus (DM) which is one of the health problems of the ten diseases that cause death and disability globally. The implementation of community service activities for Preventive Efforts for the Elderly in Diabetes Mellitus through several stages, namely the survey and field observation stages and counseling for Preventive Efforts for the Elderly in Diabetes Mellitus counseling is carried out for approximately 90 minutes, as well as evaluations in the form of pre-tests and post-tests. The provision of education was carried out on Wednesday, November 14, 2024 at the Antara Health Center, the number of participants was 32 people. Based on the results of the knowledge of the elderly before and after the counseling for Preventive Efforts for the Elderly in Diabetes Mellitus, it was found that 15 elderly people had sufficient knowledge and 17 elderly people had insufficient knowledge. After conducting counseling on Preventive Efforts for the Elderly in Diabetes Mellitus, the results obtained were a sufficient increase of 30 and less than 2 elderly. This means that community service on Preventive Efforts for the Elderly in Diabetes Mellitus is very effective in the elderly in order to prevent an increase in glucose levels. Counseling on preventive efforts for the elderly in diabetes regarding these degenerative diseases is very necessary so that the elderly maintain their health better. The elderly are expected to be able to understand about efforts to prevent and treat degenerative diseases in the elderly with diabetes. Hopefully this community service can be a reference for researchers and further community service, as well as the community.

Knowledge about sexual harassment committed by males with intellectual disabilities remains limited, despite extensive research on offenders without disabilities. Evidence from the late 1990s suggests that Cognitive Behavioral Therapy (CBT) can be effective for this population, with adjustments for cognitive deficits. This study systematically reviews the application of CBT to address cognitive distortions in sexual offenders with intellectual disabilities. Data were sourced from Web of Science, PubMed, Scopus, ProQuest, Jstor, and Emerald Insight. Articles were assessed using QATFQS for quality and ROBINS-I for bias risk. Six studies involving 127 participants (ages 17–65 years) demonstrated that CBT effectively reduced cognitive distortions up to 12 months post-intervention. Success factors included the presentation of information, therapist engagement, participant motivation, prior experiences of sexual harassment, and autism spectrum diagnoses. Strengths included simplified CBT interventions, availability of manuals, and group implementation. Weaknesses involved reliance on core steps adapted from general sexual offender programs, limited manual accessibility, and a lack of control groups for evaluating intervention effectiveness.

Victims of sexual harassment against people with disabilities experience severe consequences. In addition to being vulnerable to prejudice or discrimination, this minority group also has difficulty in accessing adequate legal protection. The purpose of this article is to examine the legal protection provided to people with disabilities who are targets of sexual harassment in society. The research method used is a normative literature review that examines relevant laws, regulations, and practices. According to this study, although there are legal instruments such as Law Number 8 of 2016 concerning Persons with Disabilities and Law Number 12 of 2022 concerning Criminal Acts of Sexual Violence (TPKS), there are still a number of obstacles in implementing these laws effectively, such as lack of public awareness, limited access to legal infrastructure, and social stigma against individuals with disabilities. The results of this study highlight the need to improve the capacity of law enforcement, build accessible facilities, and educate the community to create a safe and supportive environment for people with disabilities. This article offers suggestions on tactics to improve legal protection and achieve social justice for victims of sexual disclosure who have disabilities.

Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.

Self-acceptance is an important process for people with disabilities to achieve a better quality of life and optimal mental health. The limitations experienced by people with disabilities have an influence on their self-acceptance. The limitations they experience make people with disabilities feel stressed, have low self-esteem and feel lonely. Support from family, friends and community is the main factor that helps people with disabilities. The aim of this research is that this young man can accept himself as a person with a physical disability. The method used in this research is the case study method, where this method is an in-depth exploration of a bound system based on extensive data collection. Based on this research, people with physical disabilities can be responsible for themselves and their future and must be able to accept the disabilities they experience.

This community service is themed "Counseling and Early Detection of Stunting as an Effort to Prevent Stunting in Toddlers". The purpose of this community service is expected that mothers who have babies can learn about Early Detection of Stunting as an Effort to Prevent Stunting in Toddlers. Stunting is a major public health problem related to nutrition globally, especially in most developing countries including Indonesia. The prevalence of stunted toddlers in Indonesia reaches 21.6% with 16 provinces still below the average stunting rate in Indonesia, one of which is Aceh at 31.2%. Stunting creates obstacles in the formation, growth and development of organs in the short term which can cause death, morbidity or disability. Furthermore, in the long term, stunting has a negative impact on the size of a person's body as an adult, intellectual ability, economic productivity, reproductive ability, diseases related to metabolism and blood vessels. Toddlers with stunting have a fourfold risk of experiencing respiratory tract infections. This community service will be carried out offline and integrated into the Neonatal Care for Babies, Toddlers and Children course. The target of this service is: Mothers who have babies and toddlers. The expected output from the implementation of this community service is the publication of scientific journals. The implementation of this activity is planned in three stages, namely preparation, implementation, and the final stage. The preparation stage includes a series of activities from problem assessment and preparation of proposals. The implementation stage of the activity is to provide Health Education related to early detection of stunting. The preparation stage is carried out by preparing a report based on the activities that have been carried out.

The risk of sarcopenia and metabolic complications in the elderly can be caused by the aging process and decreased muscle mass in the elderly group. Sarcopenia and obesity in the elderly also increase the risk of cardiovascular disease, diabetes, and physical disability, which have the potential to reduce quality of life and increase morbidity and mortality. The purpose of this community service activity is to screen protein levels and lipid profiles in the elderly group in order to detect the risk of sarcopenia and dyslipidemia early. This activity is carried out using the Plan-Do-Check-Action (PDCA) method which includes planning, implementation, supervision, and follow-up. The community service activity was carried out at Panti Bina Bhakti, South Tangerang, involving 93 elderly participants aged >65 years. The results of the activity showed that 35 people (37.63%), 9 people (9.68%), 35 people (37.63%), and 7 people (7.53%) each had abnormal lipid profiles for HDL, Cholesterol, LDL, and Triglycerides. While 24 people (25.81%) had abnormal albumin levels. Therefore, it is necessary to monitor protein levels and lipid profiles regularly as well as early intervention through a healthy diet, regular exercise, and education for the elderly to maintain muscle mass and muscle strength.

This article discusses the issue of disabled people as victims of sexual violence and how the law in Indonesia protects disabled people. The number of disabled people in Indonesia has increased from year to year. This triggers the vulnerability of disabled people as victims of sexual violence because of the physical, mental and social barriers they have. Persons with disabilities are among the parties who have the right to obtain legal assistance under the law. Even though there are laws that regulate the protection of disabled people, in reality there are still victims of sexual violence against disabled people who are neglected. This proves that there are still many challenges in providing legal assistance to crime victims with disabilities. Normative juridical research method with a statutory approach. The importance of states in providing the necessary resources and training for legal aid agencies to support victims with disabilities, to ensure that victims with disabilities are aware of their legal rights, and to ensure that law enforcement officers are trained to handle cases involving victims with disabilities disability. So that people with disabilities can feel justice and security in living their lives in this legal country, Indonesia.

Elderly or elderly is someone who has reached the age of 60 years and over which in general the elderly experience a decrease in endurance so that they are vulnerable to various degenerative diseases such as Osteoarthritis. Osteoarthritis is a type of arthritis that most often occurs especially among the elderly or commonly called degenerative diseases, Osteoarthritis is one of the main causes of morbidity, and physical disability. The method given in community physiotherapy activities is to provide counseling on understanding, causes, signs and symptoms, prevention and exercises. From the activities that have been carried out at the Tumpang Health Center on Saturday, October 19, 2024, it can be concluded that it runs smoothly and is well realized. The benefits of this counseling activity are to provide insight and knowledge about the prevention and treatment of Osteoarthritis or knee arthritis so that the knowledge of the elderly about Osteoarthritis increases.

Persons with disabilities represent a diverse segment of society, facing unique challenges in accessing public services such as education, healthcare, and employment. In response, Indonesia ratified the Convention on the Rights of Persons with Disabilities (CRPD) through Law No. 19 of 2011, which serves to promote, protect, and ensure equal rights and fundamental freedoms for individuals with disabilities. This commitment led to the enactment of Law No. 8 of 2016, replacing an earlier, more compassionate framework with one emphasizing equality and the protection of rights for persons with disabilities. The law defines individuals with disabilities as those facing long-term physical, intellectual, mental, or sensory limitations and emphasizes the necessity of special protections to uphold their rights and prevent discrimination. The method used in this study is a normative legal research method. This study evaluates the effectiveness of disability rights protection policies in Indonesia, revealing significant challenges despite the legal framework established by Law No. 19 of 2011. Access to education, healthcare, and employment remains limited due to inadequate facilities, discriminatory practices, and social stigma. Effective solutions require strengthening the legal framework, increasing awareness, and involving the disability community in policy planning. Furthermore, robust monitoring and enforcement mechanisms are essential for safeguarding rights. To enhance protections, improved coordination among ministries, ongoing training for service providers, inclusive education practices, and recognition of employers who hire individuals with disabilities are critical. These measures are vital for fostering a more equitable society and ensuring the rights of persons with disabilities are upheld sustainably.

This study aims to find out and analyze the obstacles in the process of investigating sexual violence against women with disabilities in the jurisdiction of the Ende Resort Police This research is an empirical juridical research, with field study data collection techniques with interview studies and literature studies. The data obtained were then presented in a qualitative descriptive manner. The results of this study show that: (1) the obstacles experienced by the Ende Resort Police investigators come from various factors such as Legal Factors, namely the unavailability of examination operational standards for people with disabilities; Factors of Law Enforcement Officials, lack of understanding of the apparatus regarding disabilities, limited investigation budget, difficulty in finding witnesses; Facilities and Infrastructure factors, lack of accessibility of buildings and rooms and unavailability of sign language interpreters; Community Factor, the community is less cooperative and the perpetrator escapes. (2) Efforts made include: capacity training for investigating officers, provision of facilities and infrastructure, submission of additional fees, cooperation with the ranks of the Police in finding escaped criminal offenders, and approaches through socialization to the community.

Leprosy is a chronic infectious disease caused by Mycobacterium leprae that attacks several parts of the body, especially the upper respiratory tract, skin, and peripheral nerves. Indonesia is the third country with the most leprosy in the world. This study aims to determine the profile of leprosy patients at the Dermatology and Venereology Polyclinic Dr. M. Djamil Padang Hospital in 2018-2021. This research is descriptive retrospective with total sampling technique using secondary data in the form of medical records. The sample of this study were all leprosy patients in 2018-2021 who were fulfilled inclusion criteria, with a total of 39 patients. The results showed that the most age group was >14 years (100%), the most gender was male (74.36%), the most residence was Padang (33.33%), and almost all leprosy patients (92.31%) had no history of household contact with leprosy patients. Most of the leprosy patients were of the multibacillary type (74.36%) with positive smear results (46.15%), without leprosy reaction (61.54%), and the most disability level that occurred was grade 0 disability (48.72%). The conclusion of this study is that most cases of leprosy at the Dermatology and Venereology Polyclinic RSUP Dr. M. Djamil Padang in 2018-2021 aged >14 years, male, having address in Padang City, had no history household contact, multibacillary type, positive smear result, without reaction, and level 0 disability.

This literature review investigates the paradox of diversity by examining how Critical Race Theory (CRT) challenges conventional approaches to equity and inclusion in organizational settings. The study explores the limitations of traditional diversity management frameworks, which often focus on representation or meritocracy without addressing deeper systemic issues of racism and discrimination. By applying CRT's principles of intersectionality and social justice, this review highlights how diversity programs that neglect to confront historical and structural power imbalances may fail to achieve true equity. The findings suggest that CRT offers a more comprehensive approach to understanding diversity, enabling organizations to create strategies that address inequities at their core. However, the review also acknowledges the limitations of applying CRT in diverse global contexts and the challenges organizations may face in implementing these strategies. The study concludes by recommending further empirical research on the outcomes of CRT-based diversity initiatives and suggests expanding the focus beyond race to include other dimensions of diversity such as gender and disability.

Disability refers to the limited roles experienced by people with disabilities. In most groups of society, the existence of disabled people is often viewed negatively. Based on the concept of normality, this group of people tends to give a negative stigma to people with disabilities as abnormal or abnormal humans. What people with disabilities experience is considered a curse, a hereditary disease, or even the result of sinful actions. The Catholic Church in its various teachings places disabled people as God's ideal creatures who are equal to other humans. Specifically, in his apostolic exhortation Amoris Latetitia, Pope Francis invites families and Christian communities to accept and respect the rights of people with disabilities. The presence of disabled people should be seen as a gift from God, and the acceptance of families and Christian communities is the work of the Holy Spirit and a testimony of the gift of human life. This research is a descriptive qualitative study which aims to understand and find concrete implementation of the Catholic Church's view of people with disabilities from the perspective of Amoris Laetitia. The research results show that the Catholic church's views in Amoris Laetitia can be the basis for inclusive pastoral care to open up, embrace and involve people with disabilities in all aspects of church life. Forms of inclusive pastoral care that can be carried out include providing education and awareness about disabled people for the church community, providing accessible facilities for disabled people, providing pastoral and spiritual support, and actively involving disabled people in liturgical and other church activities.

BRT Trans Jateng is a government mode of transportation that cannot be separated from the principle of good and quality public services for customers with disabilities. The aim of this research is to measure the effectiveness of Trans Jateng BRT services for customers with disabilities, especially in the city of Surakarta. The design of this research is to use the Fuzzy SERVQUAL method to measure the level of satisfaction of disabled customers with BRT Trans Jateng services. The sampling technique used was purposive sampling using 30 samples of disabled customers in the city of Surakarta. Here it can be seen that all of the five dimensions measured require improvement. Improvements are carried out based on the priority of the largest gap value. From the results of data processing, the first rank is the tangible dimension with a gap value of -2.0167, then the second rank is the empathy dimension with a gap value of -1.9583, the third rank is the responsiveness dimension with a gap value of -1.95, in the fourth rank is the assurance dimension with a gap value of -1.92, and the fifth rank of the reliability dimension with a gap value of -1.89

This study aims to find out many cases of passengers who have special conditions due to illness, disability, the elderly, pregnant women, disabilities, the visually impaired and their children cannot do it alone, for that they need special services, namely in the form of wheelchair  users to help their journey while at the airport. This study uses qualitative research methods. The data collection techniques used are observation, interviews, documents and documentation as well as observations. The researcher immediately made observations, the researcher also explained the results of the data taken during the interview and observations for the interview, the researcher interviewed 3 resource persons with document data obtained by the researcher from the documentation of the activities  of the medical officer in handling the Special Passanger (Wheelchair) when carrying out duties and responsibilities in the field and also in the form of implementation documents for the data analysis techniques used, namely Data collection, data reduction, presentation of discussion data and conclusions. The results of this study include, the performance of the Pasasi unit in Handling Special Passengger (Wheelchair) at PT. The Angkasa Gate of I Gusti Ngurah Rai International Airport Bali has been very good in terms of work quality, work quantity, responsibility, cooperation, and initiatives which all aspects have been very well carried out by the Pasasi unit officers in handling special passengers. Officers must have experienced obstacles, obstacles here such as the wheelchair that is used is not suitable for use such as the wheelchair wheel sounds,  Wheelchair passengers  do not have a companion in carrying out flights, and wheelchair  passengers do not bring a statement letter and other obstacles often occur experienced by the transit officer.

A fracture or what is called a broken bone is an event that often occurs due to trauma or physical exertion which can cause disability and even complications (Appley & Solomon, 2021). The signs and symptoms in fracture patients include pain. The purpose of this writing is to find out and provide nursing care to An. E with musculoskeletal system disorders: post-operative open reduction internal fixation right clavicle fracture in the rose room 2 RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that An's main complaint was. E complains of pain. There were two diagnoses found, namely acute pain, impaired skin and tissue integrity. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

The purpose: To determine the effect of differences between SWD and neural mobilization with SWD and William’s flexion exercise to improve of functional ability on patient’s with low back pain ischialgia. Design: Two group pretest and posttest design. Participants and interventions: Ten patients with low back pain ischialgia from both sexes were involved (outpatient hospital clinic). Age of the patients between 46 – 65 years. They were divided into two equal groups, Group (I) received SWD and neural mobilization intervention and Group (II) received SWD and William’s flexion exercise. Outcome measure: The Oswestry disability index (ODI) was used to assess changes in perceived disability. The mean differences between week 0 and week 3 were compared across the two treatment groups using Mann-Whitney. Ninety-five percent (95%) confidence intervals (CIs) for the differences between groups were calculated. Results: The results of study revealed that: there was significant difference in functional ability group I (p=0.034) and group II (p=0.038). Howeverthere wasn’t a significant difference between both groups on functional disabilities improvement (p=0.245), so there wasn’t intervention which better of both. Conclusion: It is concluded that SWD addition neural mobilization and SWD addition William’s flexion exercise may be beneficial in the management of patients with low back pain ischialgia to improving of functional ability in two groups.

Stroke is a disease that causes nerve damage caused by bleeding or blockage in the affected part of the brain. This disease can cause disability or death. According to the World Health Organization (WHO), there has been a significant increase in deaths due to stroke since 2000, from 2 million to 8.9 million (11%) in 2019. Data from the Kecipir Health Center, stroke sufferers in Kalibuntu village were 20 people out of 2560 (0 .08%) the number of productive residents experienced a stroke. The results of the patient's assessment showed that his right hand had not been able to move since 6 years ago and his right leg also experienced weakness in movement so that it was difficult for him to walk. The nursing diagnoses raised were knowledge deficit, impaired physical mobility and ineffective family health management.    

One reason for the lack of information regarding the economic costs of disability or death and the benefits of immunisation when children in the vicinity are not fully immunised is the discovery of signatures. Many people are confused by the terms vaccination and immunisation. Immunisation is given to neonates as soon as possible because it can avoid primary diseases through vaccination. If the baby receives the right vaccination, he will be protected from dangerous diseases such as disabilities. Basic immunisation of infants and toddlers is a routine immunisation programme as well as an additional immunisation programme to prevent communicable diseases (PD3I) such as tuberculosis, diphtheria, pertussis, tetanus, polio, hepatitis B, and measles to reduce morbidity, mortality and disability in infants and children. BCG once, DPT-HB three times, Polio four times, HB Uniject once, and measles once are the basic vaccines. These vaccines must be given to all infants to prevent diseases from entering the body. The method used was analytical survey research. Exploration of how and why this phenomenon occurs is the goal of the analytical survey research approach.