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Rasmawati Rasmawati; Nurfadhila Nurfadhila; Nur Anisafauziah; Sitti Harma

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Background: Menstruation is a natural physiological process that indicates the functional maturity of the female reproductive system. Menstrual cycle disorders can be influenced by several factors, including stress and obesity. Stress may cause hormonal changes through the hypothalamic-pituitary axis, leading to decreased luteinizing hormone (LH) levels and menstrual irregularities. Obesity can also affect ovarian function and disrupt the menstrual cycle. Objective: To determine the relationship between stress and obesity with menstrual cycle disorders among female adolescents at SMAN 1 Majene in 2026. Methods: This study used an analytical observational design with a cross-sectional approach. Data on stress levels, obesity status, and menstrual cycle disorders were collected simultaneously from 84 female respondents. The chi-square test was used to analyze the relationships among variables. Results: The analysis showed a significant relationship between stress and menstrual cycle disorders (p = .006; α < .05). A significant relationship was also found between obesity and menstrual cycle disorders (p = .002; α < .05). Many obese respondents experienced irregular menstrual cycles. Conclusion: There is a significant relationship between stress and obesity with menstrual cycle disorders among female adolescents at SMAN 1 Majene.

Susy Putri Wihadi; Alfred Ariyanto; Nunuk Jati Saputri; Thomas Mulyanto Kurniawan

Prosiding Seminar Nasional Ilmu Hukum 2026 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

The digital transformation of the Indonesian judicial system through the implementation of e-court and e-litigation necessitates a redefinition of conventional evidentiary laws, which have historically been governed by the Herziene Inlandsch Reglement (HIR) and the Rechtreglement voor de Buitengewesten (RBg). This research aims to analyze the evidentiary strength of electronic documents as expanded means of proof in civil proceedings and to identify the challenges regarding their implementation. The research method employed is normative legal research using a statutory approach and a conceptual approach. The findings indicate that based on the principle of functional equivalence, electronic documents hold a legal status equivalent to paper-based documents, provided they meet the requirements of integrity, accessibility, and authenticity through certified electronic signatures as mandated by Law Number 1 of 2024 concerning Electronic Information and Transactions. The evidentiary strength of an electronic document may reach the level of conclusive evidence, similar to an authentic deed, if supported by a reliable electronic system. However, implementation still faces technical hurdles concerning metadata verification and limited human resource competency within the judiciary. This research recommends the urgent need for a new codification of civil procedural law and the standardization of digital forensic procedures in trials to ensure legal certainty and justice for all parties in the digital era.

Angga Setyawan; Hendri Wahyudi; Reza Aditya Angga Putra

Jurnal Sistem Informasi dan Ilmu Komputer 2026 International Forum of Researchers and Lecturers

This study presents an innovation design for an Internet of Things (IoT)-based watering and liquid fertilizer control system for chili plants using a NodeMCU ESP32. The main problem addressed is the manual watering and fertilizing process, which makes it difficult for farmers to monitor soil moisture, temperature, air humidity, and light intensity in real time. The recommended method used in this draft is Research and Development (R&D) with a prototyping approach because the study focuses on designing, building, integrating, and testing an IoT device through iterative stages. The system is designed using a soil moisture sensor, DHT11, LDR sensor, two-channel relay, two 12 V DC pumps, 16x2 I2C LCD, and the Blynk Mobile application for remote monitoring and control. Sensor data are transmitted to Blynk as percentage values and plant condition statuses, while the water and fertilizer pumps can be controlled using virtual buttons. The control logic defines the optimal condition for chili plants based on soil moisture of 60-80%, temperature of 25-30°C, air humidity of 60-80%, and light intensity of 50-90%. Prototype documentation and functional testing data will be completed in the next stage.

Rizki Nisaa’Ul Janah; Rosella Komalasari; Munawar Munawar

Journal of Educational Innovation and Public Health 2026 Pusat Riset dan Inovasi Nasional

Introduction: Carpal Tunnel Syndrome (CTS) is the most common neuropathy caused by compression and tension of the median nerve in the carpal tunnel of the wrist. The most common symptoms of CTS include pain and paresthesia (tingling) with or without numbness in the me dian nerve area of ​​the wrist. Method: The method used was a case study on a 72-year-old male patient diagnosed with bilateral CTS who experienced pain (NRS 7/10), tingling, numbness, and limitations in hand movement and functional activity. Physiotherapy interventions provided included Ultrasound therapy (US), Transcutaneous Electrical Nerve Stimulation (TENS), nerve mobilization, and structured exercise therapy in the form of stretching and median nerve gliding. Evaluation was carried out using the Numeric Rating Scale (NRS) for pain and the Boston Carpal Tunnel Questionnaire (BCTQ) for functional activity. Result: The results showed a significant reduction in pain, with motion pain decreasing from a scale of 7 to 3 and pressure pain from 5 to 1 after three therapy sessions. Furthermore, there was an increase in functional activity, as indicated by a decrease in BCTQ scores, namely the Symptom Severity Scale (SSS) from 4 to 2 and the Functional Status Scale (FSS) from 4 to 2. This indicates a gradual improvement from the moderate-severe category to approaching mild. Conclusion: A multimodal physiotherapy approach is effective in reducing pain, reducing paresthesias, and improving hand function in CTS patients. Combining various therapeutic modalities has been shown to be more optimal than single therapies because it can address various pathological aspects simultaneously. Therefore, comprehensive, evidence-based physiotherapy interventions are highly recommended in the conservative management of CTS.

Uchira Uchira; Sriwanti Amba Bunga

Jurnal Siti Rufaidah 2026 PPNI UNIMMAN

Type 2 diabetes mellitus in the elderly significantly impacts quality of life (QoL) due to physiological changes in aging, comorbidities,and the risk of chronic complications. Nutritional management is considered a key intervention to improve glycemic control and functional status in the elderly.Objective: To review the current evidence regarding the effect of nutritional interventions on the quality of life in elderly with type 2 diabetes mellitus through a Literature Review approach.Methods: The Literature Review was conducted by identifying articles from the Scopus database published in 2020–2025. The review process included screening based on inclusion-exclusion criteria, eligibility assessment, and narrative synthesis of relevant studies,including controlled trials,quasi-experimental studies, observational studies, and systematic observations.Results: From the selected studies, interventions with a low glycemic index diet and a balanced diet have been shown to reduce HbA1c levels and the risk of complications; a multicomponent program combining diet and exercise produces synergistic effects on glucose control, physical function,and quality of life.Structured nutrition education (DSME) and family involvement improve satisfaction and metabolic outcomes.The use of technology (mobile apps) shows potential in monitoring intake and glucose,although digital literacy challenges and limited sample size and study design are often limitations.Conclusion: Targeted nutrition interventions, especially when combined with exercise, education,family support,and age-friendly technology,have the potential to improve metabolic control and quality of life in older adults with T2DM.Recommendation: Large-scale RCTs and more robust longitudinal studies are needed to establish the long-term effectiveness and cost-effectiveness of multicomponent nutrition interventions and technology adaptations for older adults with multimorbidity.

Wines Kurnia Sendy; Adi Nugroho

IT-Explore: Jurnal Penerapan Teknologi Informasi dan Komunikasi 2026 Fakultas Teknologi Informasi, Universitas Kristen Satya Wacana

Gethsemane Salatiga website using Jakob Nielsen’s heuristic evaluation method combined with a triangulation approach. The evaluation involved 20 respondents, consisting of 7 UI/UX experts and 13 general users and guests, who assessed the website based on Nielsen’s ten heuristic principles, including visibility of system status, match between system and the real world, user control and freedom, consistency and standards, error prevention, recognition rather than recall, flexibility and efficiency of use, aesthetic and minimalist design, error recovery, and help and documentation. To minimize potential bias, the study integrated heuristic evaluation with user context analysis and empirical validation through usability testing, thereby providing a more comprehensive assessment. The results indicate that the overall UI/UX quality of the website is relatively good, with average scores ranging from 3 to 4 on a 5-point scale. Most identified issues fall within minor to moderate severity levels, with no critical problems affecting core functionalities. Consistency and standards received the highest average score (4.0), while alignment with user expectations and visual comfort still need improvement. Recommendations include enhancing system feedback, strengthening error prevention mechanisms, and improving help and documentation features. The differences in assessments between expert and non-expert respondents highlight the importance of professional evaluation in identifying usability issues. This study contributes to the refinement of a more reliable and contextually relevant UI/UX evaluation framework, particularly within the hospitality and tourism sector.

Irfan Darfika Lubis; Putri Susriza Khairani

Jurnal Riset Rumpun Ilmu Kedokteran 2026 Pusat riset dan Inovasi Nasional

Background: Hand grip strength is an essential indicator of physical capacity and nutritional status that can identify obesity risk. Adipose tissue accumulation in central obesity contributes to decreased hand grip strength quality through impaired muscle force transmission. Previous studies showed inconsistent results regarding the relationship between waist circumference and hand grip strength, especially in populations with high physical activity. Objective: To analyze the relationship between waist circumference and hand grip strength in male construction workers with high physical activity in Medan City. Methods: This descriptive-analytic study with cross-sectional design involved 100 male construction workers aged 30-39 years selected using purposive sampling technique. Waist circumference was measured using measuring tape, while hand grip strength was measured using handgrip dynamometer. Data analysis used Chi-Square test with significance level α=0.05. Results: The majority of respondents had normal waist circumference (64%) with mode 70 cm and normal grip strength category (53%) with mode 41.7 kg. Chi-Square test showed significant relationship between waist circumference and hand grip strength (p=0.039). Conclusion: There is a significant relationship between waist circumference and hand grip strength in construction workers. High physical activity does not completely prevent central obesity, therefore nutritional management and health education programs are needed for optimization of body composition and muscle functional capacity.

Dany Sucipto; Martselani Adias Sabara; Rony Darpono

Konstruksi: Publikasi Ilmu Teknik, Perencanaan Tata Ruang dan Teknik Sipil 2026 Asosiasi Riset Ilmu Teknik Indonesia

This study aims to design, implement, and test a prototype that automates three functions, namely watering, fertilizing, and pest control based on Arduino Uno with the ability to directly monitor soil moisture and pH. This system is equipped with four main types of sensors. Soil condition monitoring involves an FC-28 soil moisture sensor and a soil pH sensor, water level measurement involves an HC-SR04 ultrasonic sensor, and pest detection in the plant area involves a RIP sensor. All data obtained from these sensors is then processed by the Arduino Uno microcontroller to automatically activate actuators such as water pumps, liquid fertilizer pumps, buzzers, and DC motors according to soil conditions and plant needs. Prototype testing was conducted on simulated land with various scenarios of moisture, soil pH, and pest activity. The test results revealed that the system was proven to be able to significantly optimize water and fertilizer utilization, as well as reduce pest disturbances that could potentially damage plants.  In addition, this system also displays the operational status directly through an LCD screen, making it easy for users to monitor. The advantage of this system is its multi-function integration in a single device that is cost-effective and easy to operate. In the future, the functionality of this system can be improved through integration with Internet of Things (IoT) technology, enabling remote monitoring and control with greater efficiency. More broadly, this study is expected to support increased production and sustainable agricultural practices in Indonesia.

Erlangga Isnaini; Septiana Hariyani; Dadang Meru Utomo

Jurnal Riset Rumpun Ilmu Teknik 2026 Pusat riset dan Inovasi Nasional

Urban mobility in Surabaya faces serious challenges due to the high ownership of private vehicles and the low use of public transportation. The Surabaya City Government launched Suroboyo Bus Electric in November 2024 as a sustainable transportation innovation on the Purabaya–ITS route. This study aims to analyze commuter preferences for the Suroboyo Bus Electric mode over private vehicles, by emphasizing functional factors (cost, travel time, comfort) and symbolic factors (status, identity, modern image). The research method used a quantitative descriptive approach with 400 respondents, primary data was obtained through questionnaires, while secondary data came from government documents and literature. The analysis was carried out through descriptive statistics, chi-square tests, and logistic regression. The results showed that the majority of respondents chose Suroboyo Bus Electric as the main mode (62%), with the dominance of young, middle-income users, and mostly women. Most of the respondents have one unit of private vehicle, but still use electric buses as a mode of complementing mobility. Travel destinations are dominated by social, economic, and educational activities, with an average travel time of 16–30 minutes. In terms of cost, more than half of the respondents spent Rp 5,000-Rp 10,000 per trip, indicating the affordability of fares. Symbolic factors also play an important role, where Suroboyo Bus Electric is perceived as a modern, clean, and sustainable city identity.

Howay, Lusye; Venthy Angelika; Inda Puspita Sari; Dwi Angriyani

Jurnal Pengabdian Masyarakat Nusantara (Pengabmas Nusantara) 2025 Universitas Muhammadiyah Manado

Growing life expectancy continues to shift global demographic patterns and significantly increase the proportion of older adults, thereby creating an urgent need for innovative programs that promote wellbeing, maintain functional capacity, and encourage meaningful social participation. This community service initiative aimed to strengthen both motor and cognitive function among older adults through structured and interactive board game activities designed to stimulate thinking, coordination, and social interaction. The program employed a mixed descriptive approach, utilizing interviews, direct observation, and brief assessments conducted before and after the intervention period. Cognitive status was measured using the Mini Mental State Examination (MMSE), while muscle strength was assessed through Manual Muscle Testing (MMT) to capture changes in physical performance. Quantitative analysis revealed no statistically significant differences between pre-test and post-test scores (p > 0.05). Nevertheless, qualitative findings demonstrated meaningful positive changes, including increased motivation, more active participation, improved emotional responsiveness, enhanced social interaction, and greater awareness of brain–body coordination among participants. These findings indicate that although short-term measurable changes were limited, board game–based activities can provide valuable psychosocial benefits. When implemented repeatedly and consistently as part of routine programs, such activities may contribute to maintaining cognitive engagement, supporting emotional wellbeing, and fostering a more active and participatory lifestyle among older adults.

Abdur Rohman Wakhid; Ulul Ilmi; Affan Bachri; Rifky Aisyatul Faroh; Eko Wahyu Santoso +1 more

Jurnal Riset Rumpun Ilmu Teknik 2025 Pusat riset dan Inovasi Nasional

Motorcycle theft remains a widespread issue that demands improved security solutions supported by modern technology.This research discusses the development and implementation of a motorcycle security system design using an ESP8266 microcontroller integrated incorporating the GPS Neo-7M positioning module, SW-420 vibration detection sensor, and an electronically controlled solenoid lock. The  implemented mechanism is monitored and controlled via the Telegram application, allowing the owner to receive real-time updates about the motorcycle’s status through a Telegram Bot. The development process involves hardware integration, ESP8266 programming, and functional testing. The SW-420 sensor detects vibrations as indicators of possible theft, triggering a buzzer alarm and sending instant notifications through Telegram. The GPS Neo-7M module provides location data in real time, automatically or upon user request, through a Google Maps link. Users can also lock or unlock the motorcycle remotely by sending the lock or /unlock commands via Telegram. Test results show that the system responds to vibrations in less than one second, delivers Telegram notifications within 3–5 seconds, and determines location with an accuracy of 3–10 meters. Overall, the proposed system offers an effective, practical, and low-cost solution to enhance motorcycle security.

M Rayhan Ramadhan; Ambo Esa; Asrul Aswar

Majelis : Jurnal Hukum Indonesia 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

This study analyzes the application of sentence enhancement to perpetrators of fraud in the recruitment of civil servants (ASN) and examines the consistency of judicial reasoning in Decision No. 1175/Pid.B/2024/PN Mks. The research focuses on two main issues: the fulfillment of the requirements for sentence enhancement under Articles 52 and 486–488 of the Indonesian Criminal Code (KUHP), and the alignment of the judge’s considerations with the principles of criminal sentencing. Using a normative juridical method and employing statutory, case, and conceptual approaches, this research finds that the application of Article 378 KUHP was appropriate, as the elements of deception were proven. However, sentence enhancement under Articles 52 and 486–488 KUHP was not applied due to the absence of a functional connection between the perpetrator’s status as an ASN and the offense, as well as the failure to meet the formal requirements of recidivism. Although the decision is legally defensible in a formal sense, it lacks substantive completeness in addressing moral and sociological considerations. The perpetrator’s ASN status and prior conviction should reasonably serve as aggravating factors. The study concludes that while the decision is normatively consistent, it falls short of achieving substantive justice, particularly regarding public protection and the integrity of the civil service.

Damaris D. Genya; Gergorius Kopong Pati; Mitra Permata Ayu

Merkurius : Jurnal Riset Sistem Informasi dan Teknik Informatika 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

This research aims to design and develop a web-based public complaints application aimed at improving the quality of public services at the Wanokaka Sub-district Office. This application was developed to facilitate the public in submitting various types of service-related complaints, while also providing a mechanism for monitoring the resolution status in a more transparent and accountable manner. The development method used was the System Development Life Cycle (SDLC), which includes the stages of needs analysis, system design, implementation, and functional testing. The resulting system includes key features such as a complaint form, status notifications, complaint history, and a dedicated dashboard for officers to manage and follow up on reports. The results indicate that this application not only accelerates the complaint handling process but also improves the effectiveness of communication between the public and the sub-district. With this application, the complaints process becomes more structured and responsive, and is expected to increase public trust in the quality of public services in Wanokaka Sub-district.

Difha Trisadi; Hendrata Wibisana; Bagas Aryaseta

International Journal of Mechanical, Electrical and Civil Engineering 2025 Asosiasi Riset Ilmu Teknik Indonesia

This research presents the design, development, and implementation of a mini smart car prototype that operates using Internet of Things (IoT) technology. The system is built around the ESP8266 microcontroller (Amica version), which functions as the core processing unit responsible for handling Wi-Fi communication and data processing. The motion of the car is controlled by an L298 motor driver module that regulates the operation of DC motors. The entire system is powered by a 3.7-volt rechargeable battery, ensuring portability and energy efficiency. The study discusses in detail the hardware configuration, software programming, and integration of IoT-based control through a web or mobile interface. Functional testing of the prototype, named MINIOT, focuses on evaluating the responsiveness, stability, and reliability of remote control operations. The results are expected to show that the system can effectively receive and execute user commands while transmitting real-time telemetry data, such as motor status and connection indicators. This project demonstrates the feasibility of low-cost IoT-based automation for small-scale robotic applications.

Rifqi Putra Winanda; Nazwa Salsyabilla Ramadhani; Repi Meilani Putri; Nuriana Sipahutar

Polygon : Jurnal Ilmu Komputer dan Ilmu Pengetahuan Alam 2025 Asosiasi Riset Ilmu Matematika dan Sains Indonesia

Lengthy, disorganized physical queues in conventional food ordering systems, particularly within canteens, significantly compromise customer convenience and operational efficiency. This direct-ordering model often results in crowd congestion, unpredictably long waiting times, and potential friction among patrons. To address these operational issues and substantially enhance user satisfaction, this research proposes the development and implementation of an innovative Web-Based Food Ordering System. This digital platform allows customers to place orders entirely online, effectively eliminating the need for physical queuing. The system's core functionality is the realtime monitoring of order status and queue position, providing transparent information directly to the customer's device. For canteen management, the application offers a crucial tool for integrated and structured order handling, ensuring staff can prepare meals more accurately and promptly. By transforming the ordering process into a streamlined digital workflow, the system is expected to accelerate the service cycle, minimize unnecessary crowding, and substantially improve customer satisfaction through a modernized, well-organized, and highly efficient experience. This initiative represents a significant step toward smarter and more responsive food service operations.

Diyajeng Luluk Karlina

International Journal of Mechanical, Electrical and Civil Engineering 2025 Asosiasi Riset Ilmu Teknik Indonesia

This research presents the design, development, and implementation of a mini smart car prototype that operates using Internet of Things (IoT) technology. The system is built around the ESP8266 microcontroller (Amica version), which functions as the core processing unit responsible for handling Wi-Fi communication and data processing. The motion of the car is controlled by an L298 motor driver module that regulates the operation of DC motors. The entire system is powered by a 3.7-volt rechargeable battery, ensuring portability and energy efficiency. The study discusses in detail the hardware configuration, software programming, and integration of IoT-based control through a web or mobile interface. Functional testing of the prototype, named MINIOT, focuses on evaluating the responsiveness, stability, and reliability of remote control operations. The results are expected to show that the system can effectively receive and execute user commands while transmitting real-time telemetry data, such as motor status and connection indicators. This project demonstrates the feasibility of low-cost IoT-based automation for small-scale robotic applications.

Moh. Dafid Halid; Achmad Baijuri

Merkurius : Jurnal Riset Sistem Informasi dan Teknik Informatika 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

The development of information technology plays an important role in improving the quality of public services, including the processes of public complaints and grant submissions. Currently, these services at the Welfare Section of Situbondo Regency are still carried out manually, which often causes recurring problems such as delayed verification, lack of transparency in decision-making, and difficulties in data archiving and retrieval. These challenges not only slow down administrative processes but also reduce public trust in government services. Therefore, the design of a web-based information system is considered crucial to support the implementation of e-government and to ensure more effective, efficient, and accountable services. This study aims to design an integrated web-based information system that facilitates both public complaints and grant submissions within one platform. The research method applied is Object Oriented Analysis and Design (OOAD), which emphasizes systematic analysis and modeling using the Unified Modeling Language (UML). The analysis phase includes identifying system requirements, business process modeling, and defining functional and non-functional needs. The design phase produces various models such as business process design, input-output forms, application architecture using a three-tier structure, UML diagrams (use case, activity, class, and sequence diagrams), and database modeling. The results of this research are expected to provide a system design that improves the speed of service delivery, enhances transparency through real-time status tracking, reduces the risk of data loss by implementing digital archiving, and increases efficiency in the verification process. Overall, the proposed system design contributes to strengthening good governance practices in Situbondo Regency and serves as a reference for similar developments in other local government institutions.

Ikrom Cemara; Adi Susanto; Wawan Tofik

Saturnus: Jurnal Teknologi dan Sistem Informasi 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

The Department of Education and Culture of Situbondo Regency is a government agency responsible for providing administrative services to schools within its jurisdiction. However, based on field survey results, the current system still faces significant challenges due to its lack of integration. For instance, the process of collecting physical documents and tracking application status remains inefficient, leading to various obstacles such as service delays, risks of data loss, inconvenience for applicants, and limited transparency and accountability in data management. To address these issues, this study proposes the design of a web-based school administrative service information system. The system development process employs the Structured Systems Analysis and Design Method (SSADM), which emphasizes systematic and structured procedures to ensure functionality and efficiency. The results of this study highlight the importance of adopting information technology within government institutions, particularly the Department of Education and Culture of Situbondo Regency, as a means of supporting administrative activities. The proposed web-based system is expected to streamline administrative processes, improve service delivery, and enhance transparency in managing school-related data. Moreover, by integrating digital solutions into governance, the system can contribute to strengthening the quality of education management and supporting better decision-making processes. Ultimately, the design of this information system demonstrates the potential of technology to transform public sector services and foster accountability in education governance.

Muhammad Syifa Albi Nasution; Noviana Zara

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.   Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.

Andy Sulaiman Siregar; Arfiany Marina Nasution; Muhammad Natsir Ilvira

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Vitamin A Deficiency (VAD) and iron deficiency anemia (IDA) are global nutritional issues affecting children, particularly in developing countries. The interaction between these two conditions can lead to a more complex condition known as Vitamin A Deficiency Anemia (VADA). This study aims to review the molecular relationship between Vitamin A deficiency and iron metabolism leading to VADA, as well as its impact on children's health. The methodology used in this article is a literature review of various clinical studies, epidemiological research, and relevant molecular experiments. The results show that VADA is primarily a functional iron deficiency, where iron absorption is impaired despite overall body iron levels not being critically low. This mechanism involves the regulation of hepcidin, redistribution of iron, and its effects on erythropoiesis. Additionally, therapy with Vitamin A supplementation has been shown to increase erythropoietin and hemoglobin production in children with dual deficiencies. The implications of these findings highlight the need for more integrated therapeutic strategies that consider both Vitamin A and iron status simultaneously. Further research is needed to understand the molecular mechanisms more deeply involved in this interaction and to develop more effective therapies for children with VADA.