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Penilaian kinerja merupakan elemen krusial dalam manajemen sumber daya manusia (SDM) untuk memastikan efektivitas organisasi dan pengembangan karyawan. Namun, banyak sistem penilaian tradisional masih bergulat dengan masalah subjektivitas, kurangnya transparansi, dan minimnya fokus pada pengembangan. Penelitian ini bertujuan mengevaluasi sistem penilaian kinerja yang berlaku di Politeknik XXX dan mengusulkan kerangka model yang mengintegrasikan 360-Degree Feedback dan Critical Incident Technique (CIT) untuk mengatasi kelemahan tersebut. Menggunakan analisis survei deskriptif dan analisis kesenjangan (gap analysis) pada data Politeknik XXX , ditemukan bahwa sistem saat ini bersifat top-down, minim umpan balik multi-sumber (rekan sejawat dan mahasiswa 0%), lemah dalam pencatatan kejadian kritis (18.5% untuk prestasi, 29.6% untuk pelanggaran), serta memiliki skor komunikasi hasil penilaian (2.07/5.00), kepuasan, dan keadilan yang moderat (2.96/5.00). Kesenjangan signifikan teridentifikasi pada aspek transparansi (gap 2.29), orientasi perbaikan (gap 2.08), dan rekam kejadian kritis/CIT (gap 2.07). Implikasi dari temuan ini menunjukkan urgensi transformasi menuju sistem manajemen kinerja modern yang mengedepankan objektivitas, transparansi, dan pengembangan profesional berbasis data. Integrasi 360-Degree Feedback dan CIT diyakini mampu menyediakan perspektif holistik dan bukti perilaku faktual yang diperlukan untuk penilaian yang lebih adil dan formatif.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Dental caries is one of the most common oral health problems among young children. Preschool-aged children are highly dependent on their parents, especially mothers, for dental health care. A mother's level of knowledge is expected to influence the incidence of caries in children. Purpose: This study aims to determine the relationship between maternal knowledge and the incidence of dental caries among children at Qalby Play School, Bogor Regency. Method: This research employed a cross-sectional design with an analytic survey approach. The population consisted of all mothers and their children at Qalby Play School, totaling 30 participants, selected using total sampling. Data were collected using questionnaires to assess maternal knowledge and odontogram sheets to measure caries incidence. Data were analyzed using univariate and bivariate analysis with the Chi-square test. Result: The results showed a significant relationship between maternal knowledge and the incidence of dental caries in children, with a p-value 0,047 < 0,05. Conclusion: There is a statistically significant relationship between maternal knowledge and the incidence of dental caries in children. Therefore, it is important for parents, especially mothers, to pay close attention to their children's oral health by ensuring proper and regular tooth brushing and scheduling dental check- ups every six months.

Background: Adolescence is often characterized as a period of puberty. Early menarche is associated with increased mortality and morbidity risks in later life among girls who experience menarche at an early age. Menarche is the first menstrual event in girls, marked by the shedding of the uterine lining and vaginal bleeding. The tendency to consume unhealthy foods, particularly fast food, as well as sugar-sweetened beverages (SSBs), may have adverse effects on health and potentially influence the timing of menarche. Objective: This study aimed to analyze the relationship between healthy food selection, sugar-sweetened beverage consumption, and the incidence of early menarche. Methods: This study employed a cross-sectional design. The sample consisted of 30 female students. Data were analyzed using the Spearman Rank correlation test. Results: The results showed that healthy food selection was significantly associated with the incidence of early menarche (p = 0.005) with a moderate correlation strength (ρ = 0.449). Similarly, sugar-sweetened beverage consumption was significantly associated with the incidence of menarche (p = 0.000) and demonstrated a very strong correlation (ρ = 0.841). Conclusion: There was a significant relationship between healthy food selection and sugar-sweetened beverage consumption with the incidence of menarche. Sugar-sweetened beverage consumption showed a stronger relationship with menarche incidence compared to healthy food selection.

Due to its effect on the caliber of generations to come, iron deficiency anemia in teenage females is one of Indonesia's most pressing reproductive health concerns. Adolescents' awareness to autonomously adopt preventative actions is shaped mostly by their knowledge. The purpose of this research is to determine whether there is a correlation between the prevalence of anemia among teenage females in Boyolali Regency and their degree of education. Using a cross-sectional design, this study employs quantitative correlational analytic methods. An accidental sampling approach was used to obtain a sample size of 80 respondents from the population of seventh grade female pupils. A digital POCT device was utilized to quantify the incidence of anemia variables based on hemoglobin (Hb) levels, while a structured questionnaire instrument was employed to gather data for knowledge variables. The Chi-Square test was used to assess the bivariate data analysis. According to the univariate analysis, 62.5% of the participants (50 respondents) had a decent level of knowledge, and 73.8% of the participants (59 respondents) did not suffer from anemia (Hb > 12 g/dL). With a p-value of 0.000 (p < 0.05), the results of the bivariate test were generated. Anemia is more common among female students at MTs Al Ihsan Doglo who have a higher degree of expertise, according to this study. School districts should keep an eye on students' iron pill use and improve their nutrition education programs.

Preeclampsia is one of the leading causes of maternal mortality and may result in various complications during pregnancy and childbirth. In Tegal Regency, preeclampsia contributed to 27% of maternal deaths in 2024; therefore, studies on childbirth characteristics among mothers with this condition are needed. This study aimed to identify the characteristics of childbirth events in mothers with preeclampsia at Dr. Soeselo Slawi Regional Hospital, Tegal Regency. A descriptive design with a retrospective approach was used by reviewing the medical records of 202 mothers who delivered with preeclampsia during 2025. Data were analyzed univariately and presented as frequency distributions and percentages. The results showed that most mothers underwent operative delivery (62.38%), while spontaneous and induced labor accounted for 37.13% and 0.50%, respectively. Most deliveries occurred at preterm gestational age (62.38%), followed by term (36.14%) and postterm (1.49%) deliveries. Maternal and obstetric complications included bleeding (6.93%), fetal distress (4.95%), eclampsia (1.49%), and HELLP syndrome (0.99%). Most neonates had normal birth weight (82.18%) and did not require NICU care (95.05%), although low birth weight (17.82%) and NICU admission (4.95%) were still identified. The maternal clinical condition was dominated by blood pressure of 140–159/90–109 mmHg (75.74%). Proteinuria was found in 46.53% of respondents, with moderate proteinuria (+2) as the predominant category (38.30%). In conclusion, childbirth among mothers with preeclampsia was dominated by operative and preterm deliveries. These findings emphasize the importance of early detection and optimal management of preeclampsia to reduce maternal and neonatal complications and improve the quality of maternal-infant health services overall.

Preeclampsia is a pregnancy complication that significantly contributes to maternal and neonatal morbidity and mortality worldwide. Globally, it affects approximately 3–8% of pregnancies and causes more than 70,000 maternal deaths each year. In Indonesia, preeclampsia accounts for around 30% of the 4,151 maternal deaths reported in 2024. In Padang City, there were 254 cases in 2023 and 129 cases in 2024, with Puskesmas Bungus having the highest prevalence (7.2% and 3.77%). This study aimed to analyze the association between body mass index (BMI), history of hypertension, and history of preeclampsia with the incidence of preeclampsia among pregnant women at Puskesmas Bungus, Padang. This study used a quantitative case-control design involving 50 cases and 50 controls. Data were analyzed using chi-square and logistic regression tests. The results showed significant associations between obesity (p=0.031; OR=2.897), history of preeclampsia (p=0.006; OR=13.821), and history of hypertension (p=0.002; OR=17.216) with the incidence of preeclampsia. Multivariate analysis identified history of hypertension as the most dominant factor associated with preeclampsia. This study concludes that obesity, history of hypertension, and history of preeclampsia are significant risk factors for preeclampsia among pregnant women. Strengthening early detection and routine antenatal care for high-risk pregnancies is necessary to reduce maternal complications associated with preeclampsia.

Background: Adenoid hypertrophy is a condition characterized by enlargement of the adenoid tissue which can cause nasopharyngeal obstruction and potentially affect the function of the Eustachian tube. Dysfunction of the Eustachian tube may disrupt middle ear ventilation and increase the risk of otitis media. The degree of adenoid hypertrophy can be objectively assessed using a lateral nasopharyngeal radiograph by calculating the adenoid–nasopharyngeal ratio (A/N ratio). Objective: This study aimed to determine the relationship between adenoid hypertrophy based on the adenoid–nasopharyngeal ratio and the incidence of otitis media. Methods: This study was a quantitative research with an analytic observational design using a cross-sectional approach. Data were obtained from the medical records of patients with adenoid hypertrophy who underwent lateral nasopharyngeal radiographic examination at RSI Purwokerto from 2022 to 2025. The sample consisted of 31 patients who met the inclusion and exclusion criteria. Data analysis was performed using the Spearman correlation test because the data were not normally distributed based on the Shapiro–Wilk test. Results: The results showed that most of the subjects were male (17 subjects, 54.8%) and female (14 subjects, 45.2%). The median age of the subjects was 7 years with an age range of 4–9 years. The median adenoid–nasopharyngeal ratio was 0.90 with a range of 0.68–0.99. Otitis media was found in 11 subjects (35,5%), while 20 subjects (64,5%) did not experience otitis media. The Spearman correlation test showed a correlation coefficient of r = 0.015 with a p-value of 0.936 (p > 0.05), indicating that there was no significant relationship between the adenoid–nasopharyngeal ratio and the incidence of otitis media. Conclusion: There was no statistically significant relationship between adenoid hypertrophy based on the adenoid–nasopharyngeal ratio and the incidence of otitis media.

Diabetes Mellitus is a non-communicable disease with an increasing prevalence and has become a major public health concern globally and nationally. The incidence of diabetes mellitus is influenced by various individual and environmental factors. This study aimed to analyze the relationship between age, gender, and residential proximity to landfill areas and the incidence of diabetes mellitus in Bendosari District. A quantitative analytic observational design with a cross-sectional approach was employed. The study population consisted of 1,890 patient visit records recorded in the Management Information System of Bendosari Public Health Center in 2025. A total of 363 respondents were selected using proportionate stratified random sampling. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using multiple logistic regression. The findings showed that age was significantly associated with diabetes mellitus incidence (p=0.000; OR=79.790; 95% CI=53.511–118.974). Gender was also significantly related to diabetes mellitus incidence (p=0.000; OR=0.298; 95% CI=0.203–0.435), indicating that females had a higher risk than males. In contrast, residential proximity to landfill areas was not significantly associated with diabetes mellitus incidence (p=0.308; OR=1.247; 95% CI=0.439–3.540). Multivariate analysis revealed that age and gender were the dominant factors influencing diabetes mellitus incidence, with the model explaining 56.1% of the variation. The study concludes that age and gender are significant determinants of diabetes mellitus incidence, whereas residential proximity to landfill areas has not been proven to significantly affect its occurrence.

Stunting remains a significant nutritional issue because it can impact a child's long-term growth and development. A history of low birth weight (LBW) is suspected to play a role, reflecting the condition of fetal growth during pregnancy. This study aimed to determine the relationship between a history of LBW and the incidence of stunting in children aged 2–5 years at the Bandarharjo Community Health Center in Semarang in 2025. This study used an analytical design with a case-control approach. The study sample consisted of 203 toddlers selected using consecutive sampling. Data were obtained from the KIA book and height measurements based on WHO standards. Analysis was performed using the Chi-Square test and Odds Ratio (OR) calculation. The proportion of LBW was 10.8% and stunting was 31.0%. There was a significant relationship between a history of LBW and the incidence of stunting (p = 0.012). Toddlers with a history of LBW had approximately a threefold greater risk of experiencing stunting compared to toddlers born with normal weight (OR = 3.059). There is a relationship between a history of low LBW and the incidence of stunting in toddlers aged 2-5 years at the Bandarharjo Community Health Center, Semarang in 2025.

Low Birth Weight (LBW) refers to infants born with a birth weight of less than 2,500 grams and remains an important issue in neonatal health due to its association with increased neonatal morbidity and mortality. To analyze the determinants of LBW based on primary studies published from 2021 to 2026. A literature review was conducted using the PRISMA approach. Article searches were performed through PubMed, Google Scholar, Scopus, ScienceDirect, and ProQuest using the keywords low birth weight, determinant factors, risk factors, BBLR, and faktor risiko with Boolean operators AND/OR. The inclusion criteria were primary studies, full-text availability, publication in Indonesian or English, and publication years from 2021 to 2026. A total of 20 articles were included, consisting of 15 international articles and 5 national sources. The review showed that LBW is influenced by interrelated maternal, nutritional, obstetric, and sociodemographic factors during pregnancy. The most dominant factors included multiple pregnancy with an adjusted OR of 21.74, maternal food insecurity with an AOR of 6.85, maternal hemoglobin level <11 g/dL with an AOR of 5.21, lack of iron-folic acid supplementation with an AOR of 4.17, maternal age ≤20 years with an AOR of 3.42, pregnancy interval <1 year with an adjusted OR of 2.92, missed antenatal care visits with an AOR of 2.74, smoking during pregnancy with an OR of 2.18, and maternal hypertension with an AOR of 1.94. LBW is influenced by multiple interrelated factors; therefore, efforts to reduce its incidence should focus on evidence-based interventions, particularly through optimizing antenatal care services, improving maternal nutritional status, and early detection of pregnancy.

Bullying di lingkungan sekolah merupakan permasalahan yang berdampak pada kesehatan mental dan perkembangan psikososial anak. Tingginya kejadian bullying, baik secara fisik, verbal, maupun digital, menyebabkan siswa merasa tidak aman, mengalami kecemasan, serta penurunan interaksi sosial dan prestasi belajar. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran siswa mengenai bahaya bullying serta upaya pencegahannya. Metode  pengabdian  yang  dilakukan  berupa  pemberian  penyuluhan  kesehatan menggunakan participatory  action  research (PAR)  dengan  tema “Edukasi Kesehatan Tentang Bullying Pada Anak: “Berani Baik, Bukan Berani Membuli“. Hasil kegiatan menunjukkan adanya peningkatan pemahaman siswa tentang bentuk, dampak, dan cara mencegah bullying, serta meningkatnya sikap empati dan keberanian untuk melaporkan kejadian bullying. Selain itu, siswa menjadi lebih mampu mengenali perilaku bullying dan berpartisipasi dalam menciptakan lingkungan sekolah yang aman. Kesimpulannya, kegiatan edukasi melalui pengabdian masyarakat efektif dalam meningkatkan kesadaran dan pengetahuan siswa terkait bullying, sehingga perlu dilakukan secara berkelanjutan sebagai upaya promotif dan preventif dalam menjaga kesehatan mental anak.

Helicobacter pylori infection is one of the main factors associated with the occurrence of active gastritis and duodenal ulcers. This bacterium can survive in the acidic environment of the stomach by producing the urease enzyme, allowing it to colonize the gastric mucosa and trigger an inflammatory response. This study aims to analyze the relationship between Helicobacter pylori infection and the incidence of active gastritis and duodenal ulcers. The method used was a literature review with a narrative approach of scientific articles published between 2021–2025 from the Google Scholar, OpenAlex, and Crossref databases. The results of the review indicate that Helicobacter pylori infection is significantly associated with increased gastric mucosal inflammation and a higher risk of duodenal ulcers. Early detection and eradication therapy using a combination of antibiotics and proton pump inhibitors (PPI) are effective in preventing disease progression and complications. Additional findings highlight the importance of hygiene, sanitation, and public awareness in reducing transmission rates and improving gastrointestinal health outcomes globally..

Helicobacter pylori infection is one of the main factors associated with the occurrence of active gastritis and duodenal ulcers. This bacterium can survive in the acidic environment of the stomach by producing the urease enzyme, allowing it to colonize the gastric mucosa and trigger an inflammatory response. This study aims to analyze the relationship between Helicobacter pylori infection and the incidence of active gastritis and duodenal ulcers. The method used was a literature review with a narrative approach of scientific articles published between 2021–2025 from the Google Scholar, OpenAlex, and Crossref databases. The results of the review indicate that Helicobacter pylori infection is significantly associated with increased gastric mucosal inflammation and a higher risk of duodenal ulcers. Early detection and eradication therapy using a combination of antibiotics and proton pump inhibitors (PPI) are effective in preventing disease progression and complications. Additional findings highlight the importance of hygiene, sanitation, and public awareness in reducing transmission rates and improving gastrointestinal health outcomes globally..

Stunting is a major indicator of chronic nutritional problems that affect children’s growth and development. In Indonesia, stunting prevalence remains high and is a national public health concern. This study aimed to analyze the relationship between socio-demographic factors and stunting incidence among toddlers in the working area of the Tanoh Alas Health Center, Southeast Aceh Regency, in 2025. This study used an analytical quantitative design with a cross-sectional approach. The sample consisted of 93 mothers with children under five selected through simple random sampling. Data were collected using questionnaires and observation sheets from June 19 to July 3, 2025. Statistical analyses included Chi-Square and multiple logistic regression tests. The results showed that 33.3% of children were stunted, 34.4% had poor access to health services, and 68.8% lived in unhealthy housing conditions. Bivariate analysis indicated significant relationships between maternal age (p = 0.007), maternal education (p = 0.012), maternal occupation (p = 0.002), access to health services (p = 0.001), family income (p = 0.032), and healthy housing conditions (p = 0.007) with stunting incidence. Multivariate analysis revealed that access to health services was the strongest factor associated with stunting (p = 0.010; OR = 4.294; 95% CI: 1.411–13.06). Children with limited access to health services were 4.3 times more likely to experience stunting. The study recommends improving the accessibility and quality of maternal and child health services and strengthening multisectoral interventions and health education programs to prevent stunting.

Stunting is a major indicator of chronic nutritional problems that affect children’s growth and development. In Indonesia, stunting prevalence remains high and is a national public health concern. This study aimed to analyze the relationship between socio-demographic factors and stunting incidence among toddlers in the working area of the Tanoh Alas Health Center, Southeast Aceh Regency, in 2025. This study used an analytical quantitative design with a cross-sectional approach. The sample consisted of 93 mothers with children under five selected through simple random sampling. Data were collected using questionnaires and observation sheets from June 19 to July 3, 2025. Statistical analyses included Chi-Square and multiple logistic regression tests. The results showed that 33.3% of children were stunted, 34.4% had poor access to health services, and 68.8% lived in unhealthy housing conditions. Bivariate analysis indicated significant relationships between maternal age (p = 0.007), maternal education (p = 0.012), maternal occupation (p = 0.002), access to health services (p = 0.001), family income (p = 0.032), and healthy housing conditions (p = 0.007) with stunting incidence. Multivariate analysis revealed that access to health services was the strongest factor associated with stunting (p = 0.010; OR = 4.294; 95% CI: 1.411–13.06). Children with limited access to health services were 4.3 times more likely to experience stunting. The study recommends improving the accessibility and quality of maternal and child health services and strengthening multisectoral interventions and health education programs to prevent stunting.

Pressure ulcers are a common complication in patients with impaired consciousness due to prolonged immobilization. This condition can increase morbidity and prolong the length of stay, thus requiring effective preventive interventions such as progressive mobilization. To determine the outcomes of implementing progressive mobilization on the incidence of pressure ulcers in patients with impaired consciousness at the Anggrek 2 High Care Unit (HCU) of Dr. Moewardi General Hospital. This study employed a case study design involving two participants with impaired consciousness. The intervention, consisting of progressive mobilization, was conducted over 3 days with monitoring of skin condition and pressure ulcer risk. Findings: Following the implementation of progressive mobilization, both participants showed improvement in skin condition and a reduction in the risk of pressure ulcers, as evidenced by the absence of progression to more severe wounds and an increase in skin integrity. The application of progressive mobilization is effective in preventing and reducing the risk of pressure ulcers in patients with impaired consciousness. This intervention can serve as a safe and planned nursing intervention in the intensive care unit.

Diarrhea is a common health problem among school-aged children. Factors influencing its occurrence include knowledge of healthy food and the habit of consuming snacks within the school environment. The objective of this research was to examine the relationship between knowledge of healthy food and snack consumption habits with diarrhea cases at SDN 81 Manado. This research employed a descriptive-analytic design with a cross-sectional approach. A total of 50 respondents were selected based on inclusion and exclusion criteria. Data collection was conducted using questionnaires addressing both variables. Statistical analysis was performed using the Chi-Square test with a significance level of ρ ≤ 0.05. The findings revealed that 35 respondents (75.0%) had poor knowledge of healthy food, and 32 respondents (64.0%) experienced diarrhea. Additionally, 42 respondents (84.0%) reported poor snack consumption habits, with 37 respondents (74.0%) experiencing diarrhea (29 males and 21 females). Chi-Square analysis produced a ρ-value of 0.001, which is lower than the alpha level (α = 0.05), indicating a significant relationship between knowledge of healthy food, snack consumption habits, and diarrhea cases. The study concludes that both knowledge of healthy food and snack consumption habits are significantly associated with diarrhea among school-aged children. Parental involvement is essential in educating children about healthy food choices as a preventive measure against diarrhea.

Diarrhea is a common health problem among school-aged children. Factors influencing its occurrence include knowledge of healthy food and the habit of consuming snacks within the school environment. The objective of this research was to examine the relationship between knowledge of healthy food and snack consumption habits with diarrhea cases at SDN 81 Manado. This research employed a descriptive-analytic design with a cross-sectional approach. A total of 50 respondents were selected based on inclusion and exclusion criteria. Data collection was conducted using questionnaires addressing both variables. Statistical analysis was performed using the Chi-Square test with a significance level of ρ ≤ 0.05. The findings revealed that 35 respondents (75.0%) had poor knowledge of healthy food, and 32 respondents (64.0%) experienced diarrhea. Additionally, 42 respondents (84.0%) reported poor snack consumption habits, with 37 respondents (74.0%) experiencing diarrhea (29 males and 21 females). Chi-Square analysis produced a ρ-value of 0.001, which is lower than the alpha level (α = 0.05), indicating a significant relationship between knowledge of healthy food, snack consumption habits, and diarrhea cases. The study concludes that both knowledge of healthy food and snack consumption habits are significantly associated with diarrhea among school-aged children. Parental involvement is essential in educating children about healthy food choices as a preventive measure against diarrhea.