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Abstract:

Pesatnya kemajuan teknologi digital telah mempercepat adopsi *Internet of Things* (IoT) dalam berbagai aspek kehidupan sehari-hari. IoT memungkinkan perangkat fisik untuk berkomunikasi dan bertukar data melalui konektivitas internet, sehingga proses menjadi lebih otomatis, efisien, dan responsif. Studi ini bertujuan untuk menganalisis pemanfaatan IoT dalam meningkatkan efisiensi kehidupan sehari-hari melalui pendekatan tinjauan pustaka. Metode penelitian yang digunakan adalah *Systematic Literature Review* (SLR), yang mengkaji dan menyintesis temuan dari berbagai studi terdahulu mengenai penerapan IoT di berbagai sektor, seperti rumah pintar (*smart home*), layanan kesehatan, transportasi, pertanian, dan pemantauan lingkungan. Hasil analisis menunjukkan bahwa IoT berkontribusi signifikan terhadap peningkatan efisiensi operasional, penghematan energi, perbaikan proses pengambilan keputusan, serta peningkatan kenyamanan pengguna. Terlepas dari berbagai manfaat tersebut, masih terdapat sejumlah tantangan, termasuk keamanan data, masalah privasi, interoperabilitas antarperangkat, biaya implementasi, dan ketergantungan pada infrastruktur internet yang stabil. Temuan studi ini menunjukkan bahwa IoT telah menjadi salah satu teknologi kunci yang mendukung transformasi digital dan peningkatan kualitas hidup. Pengembangan di masa mendatang diharapkan berfokus pada penguatan aspek keamanan, perluasan standar interoperabilitas, dan integrasi kecerdasan buatan (*artificial intelligence*) guna memaksimalkan efektivitas penerapan IoT dalam aktivitas sehari-hari.  

The Society 5.0 era demands increased student health literacy as an essential competency. However, previous research has tended to focus only on the health education aspect and has not comprehensively examined the integration of technology-based health education management. Therefore, this study aims to analyze the effectiveness of technology-based health education management innovations and identify key factors influencing their successful implementation. This study used a mixed methods approach with a sequential explanatory design. Quantitative data were collected through a survey of 200 students, while qualitative data were obtained through in-depth interviews with 10 teachers and the principal. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were analyzed using a thematic approach to strengthen the interpretation of the results. The results indicate that technology-based health education management innovations have a significant impact on improving student health literacy. Furthermore, it was found that successful implementation is influenced by five main factors: school institutional support, availability of technological infrastructure, teacher training, student motivation, and parental involvement. The novelty of this research lies in the integration of managerial and technological approaches in health education, tested through a mixed methods approach. These findings confirm that successful health literacy improvement is determined not only by the use of technology, but also by organizational readiness and multi-stakeholder collaboration. The implications of this research provide theoretical contributions to the development of technology-based health education management models and practical recommendations for educational institutions facing the challenges of Society 5.0.

The Free Health Check-up (CKG) is a government program designed to strengthen promotive and preventive health efforts through the early detection of risk factors, pre-disease conditions, and diseases across the community according to the life-cycle approach. As a relatively new initiative, the implementation of the CKG program in primary healthcare settings still requires further evaluation to assess implementation readiness, digital support systems, and community participation. This literature review aimed to examine the implementation of the Free Health Check-up Program in primary healthcare services. Relevant literature was retrieved from the Google Scholar database using the keyword "implementation of the free health check-up program" and was limited to open-access, full-text articles published between 2025 and 2026. The search identified eight eligible articles, which were extracted and analyzed in this review. The synthesis revealed three major themes in the implementation of the CKG program: (1) primary healthcare service readiness, (2) digitalization and reporting systems, and (3) community participation and communication strategies. Primary healthcare readiness includes the availability of human resources, infrastructure, medical equipment, consumable medical supplies, funding, service workflows, and cross-sectoral coordination. Digitalization through the SATUSEHATplatform and integrated reporting systems has the potential to improve service efficiency; however, challenges remain regarding digital literacy, internet connectivity, and the technical capacity of healthcare personnel. Community participation is influenced by knowledge, attitudes, the roles of community health volunteers, teachers, healthcare workers, and communication strategies tailored to the characteristics of the target population. The successful implementation of the CKG program requires strengthening primary healthcare systems, optimizing digital health platforms, and adopting community-based communication strategies to ensure the program is more effective, inclusive, and sustainable.

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.

Background: Non-communicable diseases (NCDs) are a leading cause of morbidity and mortality worldwide and pose a significant public health challenge in Indonesia. Indonesian Army (TNI AD) personnel are at risk of developing NCDs due to operational stress, smoking habits, unhealthy dietary patterns, sleep disturbances, and insufficient physical activity outside working hours. Health education is an effective health promotion strategy to improve awareness and encourage healthy lifestyle behaviors for NCD prevention. This community service program aimed to improve the knowledge of Indonesian Army personnel regarding the prevention of non-communicable diseases through health education. Methods: The program was conducted at the 18/YKR Combat Engineer Battalion, Gianyar, Bali, in August 2024 and involved 40 Indonesian Army personnel. The intervention consisted of preparation, health education delivered through lectures and interactive discussions, and evaluation using pre-test and post-test questionnaires to assess participants' knowledge before and after the educational session. Results: Before the intervention, 29 participants (72.5%) had fair knowledge and 11 (27.5%) had good knowledge regarding NCD prevention. Following the health education session, the number of participants with good knowledge increased to 14 (35.0%), while those with fair knowledge decreased to 26 (65.0%). Most participants also demonstrated improved post-test scores, indicating enhanced understanding of NCD risk factors and preventive measures. Conclusion: Health education effectively improved participants' knowledge regarding NCD prevention. Regular and sustainable educational programs in military settings are recommended to strengthen awareness, promote healthy lifestyle practices, and support the prevention of non-communicable diseases among Indonesian Army personnel.

Tebet Eco Park is one of the green open spaces (GOS) in South Jakarta that plays an important role in supporting environmental health and urban public health. This study aims to analyze the environmental health conditions at Tebet Eco Park through direct observation of environmental cleanliness, air quality, water quality, waste management, sanitation facilities, and visitor comfort. The research employed a descriptive method using field observations and a literature review approach. The findings indicate that the overall environmental health condition of Tebet Eco Park is relatively good. The presence of diverse vegetation contributes to improving air quality and creating a cool and comfortable environment. Supporting facilities such as sports areas, playgrounds, pet-friendly zones, and drinking water refill stations also contribute to the physical and social well-being of the community. However, several issues were still identified, including poor water quality in the park’s ponds and improper waste disposal by some visitors. Therefore, more effective environmental management and increased public awareness are needed to ensure that the ecological and social functions of Tebet Eco Park can be sustained in the long term.

Kemiskinan masih menjadi permasalahan yang dihadapi oleh Provinsi Jawa Timur. Kondisi ini dipengaruhi oleh berbagai faktor, diantaranya Indeks Pembangunan Manusia (IPM) dan Tingkat Pengangguran Terbuka (TPT). Penelitian ini menggunakan pendekatan kuantitatif dengan data sekunder berbentuk deret waktu (time series) periode 2010–2024 yang diperoleh dari Badan Pusat Statistik (BPS) Provinsi Jawa Timur. Teknik analisis yang digunakan adalah regresi linier berganda dengan bantuan program EViews. Hasil penelitian menunjukkan bahwa secara parsial IPM memiliki pengaruh negatif dan signifikan terhadap kemiskinan di Provinsi Jawa Timur, sedangkan TPT berpengaruh positif namun tidak signifikan. Secara simultan, IPM dan TPT berpengaruh signifikan terhadap tingkat kemiskinan di Provinsi Jawa Timur. Temuan ini menunjukkan bahwa peningkatan kualitas pembangunan manusia melalui aspek pendidikan, kesehatan, dan standar hidup yang layak dapat menjadi salah satu strategi dalam menurunkan tingkat kemiskinan di Provinsi Jawa Timur.

Early marriage remains a significant issue in Indonesia, particularly among adolescents, and has serious implications for reproductive health. This community service activity aimed to increase students' knowledge about the impact of early marriage on reproductive health. The activity was conducted at Etislandia Senior High School Medan with 43 participating students. The method used was counseling through lectures, discussions, and question-and-answer sessions, accompanied by pre-test and post-test evaluations. The results showed a significant increase in students' knowledge, with the average pre-test score of 54.2 rising to 85.6 in the post-test. Students showed high enthusiasm during the session and were able to identify various risks of early marriage, including reproductive tract infections, cervical cancer risk, and maternal mortality. This activity has implications for the importance of reproductive health education as a preventive effort against early marriage

Background: Stunting remains one of the public health problems that requires early prevention through health education and growth monitoring in children under five years old. Lack of parental knowledge regarding balanced nutrition, child feeding practices, hygiene, and routine physical examination can increase the risk of growth disorders in toddlers. Purpose: Physical examination in toddlers is important to identify early signs of growth and developmental problems, including body weight, height or length, nutritional status, and general physical condition. Method: This community service activity was conducted face-to-face using health education, discussion, and direct physical examination methods. The stages of activity included preparation, delivery of educational materials about stunting, physical examination of toddlers, recording the results, and providing simple counseling to parents. Results: The activity showed that mothers were enthusiastic in participating in counseling and toddler physical examination. Before the education was given, several mothers still had limited understanding about the causes, impacts, and prevention of stunting. After the activity, mothers began to understand the importance of balanced nutrition, routine weighing, height measurement, immunization, hygiene, and regular visits to posyandu or health facilities. Conclusion: Education about stunting and physical examination of toddlers can increase parental awareness regarding early prevention of growth disorders. This activity is useful in encouraging families to monitor toddler growth regularly and implement healthy childcare practices.

Background:Flooding is one of the most common environmental problems in residential areas and is closely related to poor community awareness of waste management. Improper waste disposal can clog drainage systems, increase the risk of flooding, and lead to various environmental health problems. Objective: This community service activity aimed to improve community knowledge and awareness regarding waste management and environmental health as an effort to prevent flooding in Panompuan Jae Village. Methods: The activity was conducted on May 22, 2026, at the Panompuan Jae Village Prayer House involving 15 women from a local religious study group. The educational methods included lectures, discussions, and interactive question-and-answer sessions. The materials covered waste classification, household waste management, environmental health, and the relationship between environmental cleanliness and flooding. Results: The activity improved participants’ understanding of proper waste management. Participants were able to distinguish between organic and inorganic waste and understood appropriate waste handling practices. They actively participated in the discussion and showed an initial commitment to disposing of waste properly and maintaining environmental cleanliness. Conclusion: The community education program successfully improved public knowledge and awareness regarding waste management and environmental health, supporting flood prevention efforts in Panompuan Jae Village.

 Toxic work environments are becoming an issue that is getting more and more attention in human resource management because of its destructive impact on the psychological well-being of employees and organizational stability. Unhealthy interpersonal relationships, authoritarian leadership, bullying, and recurrent disrespectful behavior create a work atmosphere full of stress and uncertainty. This condition not only triggers work stress, anxiety, and emotional exhaustion, it further exacerbates these challenges, as high work demands and a lack of work-life balance make employees, especially Generation Z, increasingly vulnerable to mental health disorders. This study aims to analyze the influence of toxic work environments on employees' mental health as well as its impact on the intention to quit their jobs. The method used is a literature study with a qualitative approach, analyzing relevant scientific articles. The results of the study showed that a toxic work environment characterized by violence, bullying, tyrannical leadership, unfriendliness, and exclusion had a significant effect on the increase in work stress, psychological pressure, work stress and intention to quit work. Toxic leadership is the main factor in forming an unhealthy work culture. Social support, especially from supervisors, plays a protective role as a protective factor that mediates these negative relationships. Generation Z was found to be more sensitive to injustice and rights violations in the workplace. The study concludes that organizations need to prioritize psychological safety, implement supportive leadership, and provide tangible organizational policies and support to maintain employees' mental health and reduce work stress rates for long-term organizational sustainability.

Correctional institutions impose sustained psychological burdens on inmates, including social isolation, fractured family bonds, and disrupted identity development, which collectively heighten the risk of mental health deterioration. Unlike preventive psychoeducational approaches, group counseling operates as a curative, therapeutically structured service that enables participants to process shared difficulties through interpersonal dynamics. This community service study implemented group counseling within a Participatory Action Research (PAR) framework involving 50 early adult inmates at Lapas Kelas III Rangkasbitung. PAR was operationalized as an implementation framework in which each counseling cluster cycle followed the Plan-Act-Observe-Reflect sequence, enabling iterative refinement of therapeutic content. Pre-service needs assessment using the Alat Ungkap Masalah (AUM) Umum Masyarakat instrument identified dominant problems in family relations (13.33%), personal self (12.97%), and social relations (10.76%). Group counseling was conducted across three thematic clusters. Program evaluation revealed improvements in social interaction, self-acceptance, and emotional regulation among participants, with the PAR reflective cycle enabling context responsive adaptation of each session. These findings affirm that PAR-grounded group counseling constitutes a contextually adaptive model for psychosocial rehabilitation in correctional settings.

Patient satisfaction with healthcare services remains a major concern in the delivery of healthcare. The behavior of healthcare workers, including friendliness, politeness, and communication skills, plays an important role in improving patient satisfaction. Preliminary data indicated that the number of BPJS patient visits at BLUD UPTD Puskesmas Mokoau had decreased annually, while the results of the patient satisfaction survey were still not optimal because several health programs had not achieved the targeted service standards. This study aimed to analyze the relationship between the quality of healthcare services and BPJS patient satisfaction in the working area of Puskesmas Mokoau in 2025. This research applied a quantitative method with a descriptive-analytic approach using a cross-sectional study design. The study involved 306 respondents selected through a random sampling technique, ensuring that each member of the population had an equal opportunity to be chosen as a research sample. Data were collected using questionnaires and analyzed through the Chi-Square test. The findings revealed significant relationships between facilities, procedures, interaction, and communication with BPJS patient satisfaction, with each variable obtaining a P-value of 0.000 (<0.05). Therefore, the quality of healthcare services is closely associated with the level of patient satisfaction, indicating that healthcare workers need to improve service quality effectively and professionally.

Program Kuliah Kerja Nyata (KKN) mahasiswa Universitas 17 Agustus 1945 Semarang dilaksanakan di Kelurahan Purwosari, Kecamatan Mijen, Kota Semarang pada tanggal 3 Januari hingga 1 Februari 2026. Program ini bertujuan mengatasi permasalahan masyarakat di bidang kesehatan, literasi, keselamatan lingkungan, dan kesejahteraan sosial melalui pendekatan partisipatif yang terintegrasi. Program yang dilaksanakan meliputi pembuatan Taman TOGA, pembagian buku bacaan bergambar ke sekolah dasar, pemasangan kaca cembung di titik blind spot, penyuluhan pencegahan stunting disertai pembagian makanan bergizi, kerja bakti, serta pendampingan Posyandu, PKK, dan PAUD. Hasil program menunjukkan manfaat nyata: taman TOGA fungsional terbangun di halaman kantor kelurahan, 180 buku tersalurkan ke SDN Purwosari 1 dan 2, 3 kaca cembung terpasang di titik rawan kecelakaan, dan 25 paket makanan bergizi terdistribusi kepada anak PAUD. Program-program ini berhasil meningkatkan kesadaran dan kapasitas masyarakat di bidang kesehatan, pendidikan, dan keselamatan lingkungan.

Health education is an effort or attempt to provide information to improve individual abilities in making decisions related to health and health-related skills, especially for adolescents. This activity aims to increase the knowledge of SMKS BIM students about acupressure for adolescents. The counseling activity was carried out on May 26, 2026 with 43 students aged between 15-18 years old, using the pretest-posttest method with leaflet media, powerpoint presentations and practicing with students. The results showed an increase in student knowledge from 70 to 95 after being given education. The majority of students aged 16 years (middle adolescents) were identified as having a risk of physical health problems. The education and mentoring provided to students/me were able to increase their knowledge about the benefits and techniques of acupressure to deal with the health problems they experienced. The counseling method with lectures and leaflet media was proven to be easy for students/me to understand and could improve their skills in acupressure practice.

Keamanan dan kesehatan di tempat kerja adalah salah satu hal penting dalam membentuk suasana kerja yang aman, terutama bagi pekerja bongkar muat (TKBM) yang menghadapi risiko kecelakaan kerja yang cukup besar. Pemakaian Alat Pelindung Diri (APD) yang memenuhi standar merupakan salah satu langkah untuk mencegah terjadinya kecelakaan kerja di area pelabuhan. Namun, hasil pengamatan di Pelabuhan Tenau menunjukkan masih ada pekerja yang mengenakan APD tidak sesuai standar SNI dan tidak menggunakan APD secara lengkap saat bertugas. Studi ini bertujuan untuk mengevaluasi dampak pendidikan penggunaan APD terhadap pengetahuan keselamatan kerja pada pekerja bongkar muat (TKBM) di Pelabuhan Tenau. Penelitian ini mengaplikasikan metode kuantitatif dengan desain pre-eksperimental yang menggunakan pendekatan one group pre-test dan post-test. Sampel penelitian terdiri dari 28 responden dengan alat penelitian berupa kuesioner yang berisi 10 pertanyaan. Hasil penelitian menunjukkan bahwa sebelum mendapatkan edukasi, rata-rata responden berhasil menjawab dengan benar 6 pertanyaan (60%) dan memberikan jawaban salah pada 4 pertanyaan (40%). Setelah mendapatkan edukasi, hasil post-test menunjukkan peningkatan pengetahuan di mana sebagian besar responden dapat menjawab dengan benar sebanyak 9 pertanyaan (90%) dan jawaban salah berkurang menjadi 1 pertanyaan (10%). Berdasarkan hasil studi, dapat disimpulkan bahwa pelatihan penggunaan APD berdampak pada peningkatan pengetahuan keselamatan kerja bagi tenaga kerja bongkar muat (TKBM). Sehingga, diperlukan pengawasan dan pendidikan secara berkala mengenai pemakaian APD yang memenuhi standar SNI untuk meningkatkan keselamatan kerja di area pelabuhan.  

Adolescents face significant barriers in accessing reproductive health services due to fears of privacy breaches and social stigma. In primary healthcare facilities, healthcare professionals are often trapped in a dilemma between the obligation to maintain medical confidentiality based on professional ethics and national regulatory demands requiring parental involvement for underage patients. This study aims to analyze the practice of protecting adolescent patient data privacy at Mardi Saras Primary Clinic and identify the gap between practical implementation and the norms of medical ethics and applicable legal regulations. This study employs a socio-legal research method with a qualitative approach. Data were collected through in-depth interviews with doctors and nurses, observation of service procedures, and study of the clinic's Standard Operating Procedures. The results indicate that although Mardi Saras Primary Clinic has implemented basic confidentiality protocols such as closed consultation rooms, there are substantial weaknesses in informed consent management, which still heavily relies on parental presence for all adolescent cases. This practice is driven by healthcare professionals' fear of legal risks, thereby ignoring the principle of developing autonomy in adolescents. These findings indicate a disparity between rigid administrative compliance and the spirit of protecting adolescent health rights within national regulations. The implication of this study underscores the urgency of developing specific SOPs that are sensitive to adolescent rights, as well as the need for continuous training for healthcare professionals regarding the legal and ethical boundaries of maintaining confidentiality for underage patients without compromising legal safety aspects.

Gastroesophageal Reflux Disease (GERD) merupakan gangguan saluran pencernaan di mana isi lambung berulang kali kembali ke kerongkongan, menyebabkan berbagai gejala dan komplikasi. Prevalensi GERD di Indonesia pada tahun 2023 dilaporkan sebesar 42,3% dengan 274.396 kasus. Data rekam medis RSUD Banyumas menunjukkan peningkatan kasus GERD dari 71 kasus (2023) menjadi 118 kasus (2024). Tujuan: Mendeskripsikan penerapan asuhan keperawatan pada pasien Nn. S dengan Gastroesophageal Reflux Disease (GERD) di Ruang Melati RSUD Banyumas. Metode: Studi kasus deskriptif dengan pendekatan proses asuhan keperawatan, dilakukan pada tanggal 27–28 Januari 2026 di Ruang Melati RSUD Banyumas melalui wawancara, observasi, pemeriksaan fisik, studi dokumentasi, dan studi literatur. Hasil: Diagnosis keperawatan yang muncul adalah nyeri akut berhubungan dengan agen pencedera fisiologis (D.0077), nausea berhubungan dengan gangguan pada esofagus (D.0076), dan defisit pengetahuan berhubungan dengan kurang terpapar informasi (D.0111). Intervensi yang dilakukan meliputi manajemen nyeri, manajemen mual, dan edukasi kesehatan. Kesimpulan: Setelah dilakukan implementasi keperawatan selama 2 hari, diagnosis nyeri akut dan nausea teratasi sebagian, sedangkan diagnosis defisit pengetahuan teratasi penuh. Discharge planning dilakukan dengan menganjurkan teknik relaksasi napas dalam, aromaterapi minyak kayu putih, serta modifikasi pola hidup sehat.