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Jaenal Untung; Hendri Sucipto; Slamet Bambang Riono; Dumadi Dumadi

JURNAL RISET MANAJEMEN (JURMA) 2026 Institut Teknologi dan Bisnis (ITB) Semarang

This study aims: 1) To determine and analyze the influence of Digital Service Quality on public satisfaction 2) To determine and analyze the influence of Employee Competence on public satisfaction 3) To determine and analyze the influence of Service Culture on public satisfaction 4) To determine and analyze the influence of Digital Service Quality, Employee Competence, and Service Culture simultaneously on public satisfaction. The type of research used in this study is a quantitative approach, this study has a population of 7076 with a sample of 99 respondents. Based on the analysis and discussion, it can be concluded that H1: Digital Service Quality has a positive and significant effect on Public Satisfaction at the DPMPTSP Public Service Mall in Brebes Regency with a t-count of 2.257 > 1.984 and significant, H2: Employee Competence has no effect and is not significant on Public Satisfaction at the DPMPTSP Public Service Mall in Brebes Regency with a t-count of 0.569 < 1.984 and a significant value of 0.571 > 0.05, H3: Service Culture has a positive and significant effect on Public Satisfaction at the DPMPTSP Public Service Mall in Brebes Regency with a t-count of 3.391 > 1.984 and significant, H4: Digital Service Quality, Employee Competence, and Service Culture simultaneously have a positive and significant effect on Public Satisfaction with an F-count of > F-table (8.350 > 2.696) and a significant value of 0.000 < 0.05. The coefficient of determination (Adjusted R Square) is 0.612, meaning that the variables Digital Service Quality, Employee Competence, and Service Culture collectively influence customer satisfaction by 61.2%.

Chalisa Feyruz Eziza; Namira Azzani; Rahmawati Azara Putri; Rozwa Alya Romansyah; Tiara Nuralifa +2 more

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that may persist into adulthood and affect academic, social, and occupational functioning. In adult patients, ADHD is frequently associated with an increased risk of Substance Use Disorder (SUD), raising concerns regarding the potential for misuse and dependence related to stimulant medications used in ADHD therapy. This study aimed to evaluate the effectiveness of pharmacotherapy for adult ADHD and to review the risk of stimulant misuse and dependence based on current scientific evidence. The method employed in this study was a literature review using data obtained from national and international journals indexed in Scopus, PubMed, and Google Scholar published between 2017 and 2026. The findings indicated that stimulant medications, such as methylphenidate and amphetamine, were effective in reducing the core symptoms of ADHD by increasing dopamine and norepinephrine activity in the central nervous system. Most studies reported that the use of stimulant medications at therapeutic doses and under medical supervision was not significantly associated with an increased risk of substance misuse or dependence. The risk of misuse was more commonly observed in cases involving non-medical use and inadequate clinical monitoring. In addition to pharmacological therapy, non-pharmacological approaches such as cognitive behavioral therapy (CBT) also contributed to improving treatment outcomes and patients’ quality of life. Therefore, the use of stimulant medications in adult ADHD patients may be considered relatively safe and effective when administered rationally, individually, and under appropriate medical supervision.

Chalisa Feyruz Eziza; Namira Azzani; Rahmawati Azara Putri; Rozwa Alya Romansyah; Tiara Nuralifa +2 more

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that may persist into adulthood and affect academic, social, and occupational functioning. In adult patients, ADHD is frequently associated with an increased risk of Substance Use Disorder (SUD), raising concerns regarding the potential for misuse and dependence related to stimulant medications used in ADHD therapy. This study aimed to evaluate the effectiveness of pharmacotherapy for adult ADHD and to review the risk of stimulant misuse and dependence based on current scientific evidence. The method employed in this study was a literature review using data obtained from national and international journals indexed in Scopus, PubMed, and Google Scholar published between 2017 and 2026. The findings indicated that stimulant medications, such as methylphenidate and amphetamine, were effective in reducing the core symptoms of ADHD by increasing dopamine and norepinephrine activity in the central nervous system. Most studies reported that the use of stimulant medications at therapeutic doses and under medical supervision was not significantly associated with an increased risk of substance misuse or dependence. The risk of misuse was more commonly observed in cases involving non-medical use and inadequate clinical monitoring. In addition to pharmacological therapy, non-pharmacological approaches such as cognitive behavioral therapy (CBT) also contributed to improving treatment outcomes and patients’ quality of life. Therefore, the use of stimulant medications in adult ADHD patients may be considered relatively safe and effective when administered rationally, individually, and under appropriate medical supervision.

Lizy Marchelina Butarbutar; Nur Wulan Ramadhani

Jurnal Hukum dan Sosial Politik 2026 International Forum of Researchers and Lecturers

The pollution of the Ciliwung River caused by urban and commercial activities has become an increasingly critical environmental issue, reflecting the weak effectiveness of environmental law enforcement in urban areas. This condition is evident in the area surrounding Seasons City Mall, where ecological pressure resulting from domestic waste and commercial activities has contributed to the deterioration of river water quality. This study aims to analyze the implementation of environmental law enforcement, identify the obstacles to controlling pollution in the Ciliwung River, and formulate strategies for optimizing sustainable environmental protection. The research employs a qualitative approach using normative juridical and empirical methods through observation, interviews, documentation, and literature review. The findings reveal that environmental law enforcement has been implemented through administrative supervision and waste control mechanisms; however, its effectiveness remains limited due to weak inter-agency coordination, inadequate monitoring capacity, low compliance among business actors, and limited public participation. This study concludes that strengthening integrated supervision, enforcing consistent legal sanctions, and enhancing collaboration among government institutions, business sectors, and communities are essential to achieving sustainable pollution control and environmental protection of the Ciliwung River.

Bella Hartati; Cucu Hodijah; Fatimah Abdillah

Journal of Management and Social Sciences (JIMAS) 2026 Sekolah Tinggi Ilmu Administrasi (STIA) Yappi Makassar

The growth of e-commerce has made online marketplaces a major channel for purchasing fashion products, yet it has also increased consumer concerns about counterfeit goods, especially in shoes and sneakers. This study examines the role of Shopee Mall Signal Perception in increasing Purchase Intention for original shoes among Gen Z consumers by considering the mediating roles of Perceived Shopping Security and Decision Convenience. A quantitative explanatory approach was used, involving 239 Gen Z Shopee users in Indonesia selected through purposive sampling. Data were collected through an online questionnaire and analyzed using Partial Least Squares Structural Equation Modeling with SmartPLS. The findings show that Shopee Mall Signal Perception positively affects Perceived Shopping Security (β = 0.430), Perceived Shopping Security improves Decision Convenience (β = 0.399), and Decision Convenience increases Purchase Intention (β = 0.359). Shopee Mall Signal Perception also has a direct effect on Purchase Intention (β = 0.182), while the serial mediation effect through Perceived Shopping Security and Decision Convenience is significant (β = 0.062). These findings imply that marketplace labels can function as authenticity signals that reduce uncertainty, simplify consumer decisions, and strengthen confidence in purchasing original products online.

Ilham Gangsar Permana; Sarah Nur Falysa; Fauzan Ma'arif; Erin Safarida; Nurhaliza Nurhaliza +2 more

Jurnal Relasi Publik 2026 International Forum of Researchers and Lecturers

This study aims to analyze the implementation of public service ethics by front office officers at the Public Service Mall (Mall Pelayanan Publik/MPP) of Samarinda City and its impact on the image of government institutions. As the frontline of public service delivery, front office personnel play a strategic role in shaping public perceptions and fostering public trust in government services. This research employed a qualitative descriptive approach, utilizing in-depth interviews with a functional licensing officer at the Department of Investment and One-Stop Integrated Services (DPMPTSP) of Samarinda City, supported by direct field observations. The findings reveal that the implementation of service ethics at the Samarinda MPP is guided by the principles outlined in Law No. 25 of 2009 on Public Services and the Minister of Administrative and Bureaucratic Reform Regulation No. 15 of 2014 concerning Service Standards. These regulations emphasize the values of integrity, professionalism, accountability, responsiveness, and inclusiveness in service delivery. Furthermore, effective coordination among service tenants, continuous improvement of employee competencies, and adaptation to digital systems such as the Online Single Submission (OSS) platform have contributed significantly to maintaining service quality. The study concludes that the consistent application of public service ethics enhances citizen satisfaction, strengthens public trust, and positively influences the image of government institutions in the community.  

Ana Oktavia Lilit; Mirana Mirana; Salsabila Salsabila; Nurul Restiani; Naybilla Sya’banaira Anandara +3 more

Jurnal Relasi Publik 2026 International Forum of Researchers and Lecturers

This study aims to analyze the effectiveness of public services at the Samarinda Public Service Mall in realizing the principles of good governance. The methods used in this study are observation and direct interviews with agencies and community service users. Interviews were conducted with the Head of General Affairs and Personnel at the Samarinda City Investment and One-Stop Integrated Services Office and several community members who were processing administrative matters at the Samarinda MPP. The observation results indicate that the quality of service at the Samarinda MPP is classified as very good. Service staff and security personnel appear friendly, communicative, and responsive in assisting the community. The available service facilities are also quite complete and comfortable, thus supporting a more effective and organized public service process. The interview results indicate that the community is very satisfied with the services provided, both in terms of speed of service, ease of obtaining information, comfort of facilities, and the attitude of staff in assisting the community. In addition, services at the Samarinda MPP have implemented several principles of good governance such as effectiveness, efficiency, responsiveness, transparency, and equality of service. Based on the results of the study, it can be concluded that public services at the Samarinda MPP have been running well and are able to provide effective, humanistic services, and are oriented towards public satisfaction.

Yohana Mallaga

Sabar : Jurnal Pendidikan Agama Kristen dan Katolik 2026 Asosiasi Riset Ilmu Pendidikan Agama dan Filsafat Indonesia

This research is prompted by the unique narrative of Rahab, a Canaanite woman who occupies a critical theological position in Israel’s history of salvation despite her status as an outsider to the chosen people. The primary focus of this study is to explore the dimensions of Rahab’s faith and God’s sovereignty as recorded in Joshua 2:1-12. This study aims to analyze how the confession of faith from a marginalized individual aligns with God's sovereign plan and to determine the relevance of these values for contemporary Christian witness. The method employed is a qualitative approach utilizing library research and exegetical analysis of the text in Joshua 2:1-12. The findings indicate that Rahab's faith was not merely an act of self-preservation but a theological response to the formidable power of God that transcends ethnic boundaries and social status. God's sovereignty is proven capable of working through unexpected subjects to fulfill His divine purpose. The implications of this research assert that modern Christian witness must be inclusive and transformative, where the courage to declare God's truth amidst threatening situations constitutes a tangible form of living faith. The church is called to perceive God's sovereignty as the fundamental basis for mission and witness, unrestricted by social or cultural exclusivity.    

Muhammad Natsir Mallawi; Nurasia Natsir

International Journal of Management 2026 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Healthcare institutions worldwide are undergoing digital transformation to improve efficiency and patient experiences. While many studies focus on clinical applications of information technology (IT), its impact on administrative service quality remains limited, even though administrative services are patients’ primary point of contact. This study examines how IT adoption influences administrative service quality in Indonesian healthcare institutions, focusing on relationships between IT implementation levels and service quality dimensions, as well as mediating and moderating factors. Using a mixed-methods sequential explanatory design, quantitative data were collected from 385 patients and 127 administrative staff across 24 hospitals, supported by 32 in-depth interviews. Service quality was measured using SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy. The findings show significant positive relationships between IT adoption and all service quality dimensions, with the strongest effects on reliability and responsiveness. Staff digital competency and system usability partially mediate these relationships, while implementation quality acts as a key moderating factor. Well-implemented systems yield substantially higher service improvements than poorly implemented ones. Most patients prefer digital services when functioning properly, although many report frustration when systems fail or staff lack competency. This study highlights the importance of effective IT implementation to enhance administrative service quality and offers practical insights for healthcare management.

Muhammad Natsir Mallawi; Nurasia Natsir

International Journal of Economics, Commerce, and Management 2026 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Leadership constitutes a critical determinant of organizational efficiency, yet the relationship between leadership styles and administrative effectiveness remains incompletely understood, particularly across different institutional contexts. This comparative study examines how transformational, transactional, and laissez-faire leadership styles influence administrative efficiency in public and private sector institutions in Indonesia. Using a mixed-methods approach, quantitative data were collected from 428 employees across 28 public institutions and 24 private organizations through validated survey instruments; qualitative data were gathered through 36 semi-structured interviews with organizational leaders and managers. Results reveal significant positive relationships between transformational leadership and administrative efficiency in both sectors (β = 0.54, p < 0.001 for public; β = 0.48, p < 0.001 for private), with transactional leadership showing moderate positive effects (β = 0.32 public; β = 0.38 private) and laissez-faire leadership demonstrating negative relationships (β = −0.28 public; β = −0.24 private). Leadership styles collectively explain 52% of efficiency variance. Mediation analysis reveals that organizational culture (28%), employee engagement (35%), and trust in leadership (22%) partially mediate transformational leadership's effects, together accounting for 62% of total indirect effects. Sector differences emerged qualitatively: transformational leadership leverages public service motivation in public institutions, while transactional leadership's performance accountability resonates more strongly in private organizations. The study contributes theoretical understanding of leadership effectiveness across institutional contexts and provides practical guidance for developing contextually appropriate leadership development programs.

Mariah Mariah; Yuswari Nur; Didiek Handayani Gusti; Muhammad Idris; Musdalifah Musdalifah +2 more

Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia (JPPMI) 2026 Sekolah Tinggi Ilmu Administrasi Yappi Makassar

This community service activity aimed to enhance the economic competitiveness of rural communities through inventive entrepreneurship methods. The program was implemented in Batu Putih Village, Mallawa District, Maros Regency, involving 25 participants consisting of MSME actors, housewives, and youth organization members. It was designed as a community empowerment program based on local potential and integrated with digital technology. A participatory approach was applied by involving participants in identifying local resources, exploring business opportunities, developing business ideas, and implementing marketing strategies. The activity stages included mapping local economic potentials, providing entrepreneurship training focused on creativity and innovation, assisting business digitalization through social media and online marketplaces, and evaluating participants’ capacity improvement. Participants were also introduced to basic business management, product packaging, and digital marketing strategies to strengthen product competitiveness. The results showed a significant increase in participants’ entrepreneurial understanding and skills, as reflected in the improvement of test scores from 48% in the pre-test to 87% in the post-test. In addition, 70% of participants successfully developed new products based on local potential, while 60% were able to market their products online. Three new businesses were also established by utilizing local resources sustainably. Overall, inventive entrepreneurship methods proved effective in increasing creativity, productivity, and economic independence among rural communities.

Robby Kayame; Emanuela Nirmala; Christine P.A. Korwa; Meidy Johana Imbiri; Hardiyanti Hardiyanti +2 more

Jurnal Inovasi Riset Ilmu Kesehatan 2026 Pusat Riset dan Inovasi Nasional

Malaria remains a major public health challenge in eastern Indonesia, particularly in the remote highland areas Papua, where access to health services is very limited. In early 2008, a suspected malaria outbreak with several deaths was reported in Agisiga District, a remote highland area in Papua. This study aimed to investigate the epidemiological characteristics, diagnostic results, and mortality patterns of the malaria outbreak as a basis for formulating future control strategies. The outbreak investigation was conducted using a cross-sectional design in Agisiga District from January to March 2008. Capillary blood samples were examined using Rapid Diagnostic Tests (RDTs) and thin blood smear microscopy. Malaria-related deaths were traced through verbal autopsy methods and interviews with families and community leaders. Descriptive analysis was performed to describe the demographic, clinical, and parasitological characteristics the cases. A total of 92 suspected malaria cases were identified, with the highest proportion coming from Tomosiga Village (52.2%), followed by Bigasiga Village (40.2%) and Agisiga Village (7.6%). Women accounted for 58.7% of all cases, and the most affected age group was 15–35 years (34.8%). Microscopic examination confirmed malaria infection in 55.0% of samples examined, with Plasmodium vivax predominating (45.0%), while the RDT positivity rate was much lower. The malaria outbreak in Agisiga District was characterized by high mortality, delayed diagnosis, and significant gaps in diagnostic capacity, particularly in remote villages. Strengthening the surveillance system, increasing diagnostic capacity, and improving access to timely treatment are crucial steps prevent similar outbreaks and reduce malaria mortality in the Papuan highlands.

Emanuela Nirmala; Robby Kayame; Christine P.A. Korwa; Meidy Johana Imbiri; Hardiyanti Hardiyanti +2 more

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2026 International Forum of Researchers and Lecturers

Background: Malaria transmission in Indonesia exhibits substantial spatial and temporal heterogeneity, particularly between stable endemic areas and remote outbreak-prone areas. Although routine surveillance is crucial for malaria control and elimination efforts, its limitations can obscure early warning signals, particularly in geographically isolated areas. Objective: This study aimed to analyze malaria epidemiology by integrating routine surveillance data from endemic primary health care settings with results from high-mortality outbreak investigations in remote highland districts in Indonesia, focusing on temporal trends, spatial clustering, Plasmodium species patterns, diagnostic gaps, and mortality. Methods: A mixed epidemiology approach was used. A retrospective longitudinal analysis of routine malaria surveillance data was conducted for the period 2023–2025 in endemic settings, while a cross-sectoral outbreak investigation was conducted in remote highland districts. Descriptive analyses were conducted to assess trends, demographic characteristics, species distribution, spatial heterogeneity, case detection methods, and outbreak-related mortality. Results: Routine surveillance data revealed fluctuations in malaria transmission, with a significant decline in cases in 2024 followed by a sharp increase in 2025. Conversely, outbreak investigations documented high case fatality rates, particularly affecting children and older adults, caused by delayed diagnosis, limited diagnostic capacity, and limited access to timely treatment. Conclusions: These results highlight the dynamic and context-dependent nature of malaria epidemiology in Indonesia. Integrating routine surveillance with outbreak investigations provides a comprehensive understanding of endemic trends and systemic vulnerabilities. Strengthening adaptive surveillance, improving diagnostic capacity, and implementing spatially targeted interventions are crucial for preventing outbreaks and reducing malaria-related mortality, particularly in remote and high-risk areas.

Robby Kayame; Meidy Johana Imbiri; Emanuela Nirmala; Christine P.A. Korwa; Hardiyanti Hardiyanti +2 more

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2026 International Forum of Researchers and Lecturers

Malaria remains a significant public health problem in several endemic areas in Indonesia. Understanding temporal and epidemiological changes at the local level is crucial for effective malaria control and elimination. This study aims to analyze changes in malaria epidemiological patterns based on routine surveillance data at the Yaro Community Health Center, Indonesia, during the period 2023–2025. This is a retrospective, longitudinal descriptive study using routine malaria surveillance data. Variables analyzed include temporal trends, Plasmodium species distribution, demographic characteristics, spatial distribution, and case-finding strategies. Data were analyzed descriptively using frequencies and proportions. A total of 9,677 malaria examinations were recorded, with 546 confirmed cases. Malaria cases showed a significant increase in 2025. Plasmodium vivax was the most dominant species, with a steadily increasing proportion of mixed infections. Adults aged 15–64 years and men were the most affected groups. Spatial analysis showed regional heterogeneity with persistent hotspots at the village level. Passive case detection remains the primary method, while active surveillance is increasingly contributing to case identification. Malaria epidemiology in the Yaro region exhibits dynamic temporal, demographic, and spatial patterns. Strengthening integrated surveillance and targeted interventions is essential to address persistent transmission and support malaria elimination efforts.

Mallombasi Mallombasi; Indra Wirawan; Maria Agustini

Manfish: Jurnal Ilmiah Perikanan dan Peternakan 2026 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Whiteleg shrimp (Litopenaeus vannamei) is one of the species that is a national superior commodity. The traffic of shrimp between provinces in Indonesia showed a significant increase in the period 2014-2017 with an average growth of 74.48% per year. Things that need to be considered in distribution activities are determining the number of seeds to be transported, providing oxygen in the packaging container, optimizing the use of low temperatures to suppress metabolic activity. This study was conducted with the aim of determining different densities on survival and determining the optimal density for the survival of whiteleg shrimp (Litopenaeus vannamei) in closed transportation for 36 hours. The method in this study used an experimental method with data collection carried out through direct observation. The experimental design used in this study was a Completely Randomized Design (CRD) with 5 treatment combinations. Density consisted of 1500 individuals/2 liters, 2000/2 liters, 2500 individuals/2 liters, 3000/2 liters and 3500 individuals/2 liters. The main parameters observed were survival and the test parameters measured were DO, temperature, salinity, and pH. The results showed that the best performer was in Treatment (B) with a density of 2,000 individuals with a survival rate of 86.02%. The results of the air quality observation study showed that almost all were still at optimal levels to support the survival of whiteleg shrimp (Litopenaeus vannamei) with an average temperature of 26.22°C. pH 7.18 – 8.08. Dissolved oxygen 3.87 – 8.06 ppm.

Badriah Badriah; Nori Anggraini

Jurnal Riset Rumpun Ilmu Pendidikan 2026 Lembaga Pengembangan Kinerja Dosen

Literature is not only a source of entertainment, but also a tool for contemplating human life that is full of internal conflicts and psychological issues. Short stories as a type of literature often present the realities of life in a concise yet meaningful way, making them interesting to analyze with a variety of scientific methods. This research focuses on the short story "Happiness That Kills" by applying two main approaches, namely the analysis of intrinsic elements and literary psychology. This story depicts a happy state that appears from the outside, but actually hides the emotional burden experienced by the main character, Malla. The method applied in this study is qualitative descriptive with literature study techniques, which is oriented towards the introduction of themes, plots, characters, settings, and mandates, as well as exploring the psychological dynamics of characters using Freud's psychoanalytic theory. The results of the study show that the internal conflicts in this story arise from the battle between the id, ego, and superego, especially when Malla struggles to maintain harmony in her family at the expense of herself. Overall, this short story shows that forced happiness can lead to suffering. By combining structural and psychological analysis, this study reveals the deep meaning related to social pressures, inner struggles, and humanitarian messages that the author seeks to convey. It is hoped that the results of this research can contribute to the study of literature, especially in understanding the relationship between story structure and the psychological condition of characters in contemporary literary works.

Fahrunnisa Rahmatia Gobel; Nabighah Zahra; Indah Puji Ajeng Pangestu; Intan Mutiara Putri

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

Cold compresses or cryotherapy are one of the non-pharmacological therapies often used in nursing practice to help reduce pain, especially in patients with fractures. Fractures are often accompanied by acute pain that can inhibit mobilization, prolong recovery time, and reduce patient comfort. Therefore, a safe, effective, and easy-to-use pain management method is needed. This article was compiled with the aim of identifying and mapping scientific evidence regarding the effectiveness of cold compresses in reducing pain intensity in fracture patients. This study used the Arksey and O'Malley model in conducting the analysis, with articles searched through PubMed, ScienceDirect, and Google Scholar for the 2021–2025 publication period. The article selection process followed the PRISMA flow. A review of ten articles showed that most studies used quantitative designs, both experimental and quasi-experimental. The results of the analysis of 11 articles consisted of 8 quantitative articles with experimental and quasi-experimental designs, while 2 articles were case studies. These articles generally discuss the effectiveness of cold compresses in reducing pain intensity in fracture patients using various measurement instruments, such as NRS, VAS, Wong-Baker Faces Scale, and Bourbanis Pain Scale. In addition to reducing pain, several studies also reported that cold compresses can reduce edema, increase mobility, and improve patient comfort. However, variations in the duration, frequency, and method of cold compress application were still found, so there is a need to develop a more standardized protocol in nursing practice.

Dea Utari Chair; Riyan Syaiful Jamil; Firly Dhimaz Nazuwa; Intan Mutiara Putri

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

Postoperative pain is a common clinical condition experienced by patients after surgical procedures and may hinder the recovery process if not properly managed. In addition to pharmacological therapy, safe and effective non-pharmacological interventions are needed, one of which is early mobilization. This study aimed to analyze the effect of early mobilization on pain reduction in postoperative surgical patients. A scoping review method was conducted based on the Arksey and O’Malley framework. Literature searches were performed using ScienceDirect, PubMed, and Google Scholar databases with a PICO strategy, including articles published within the last five years. From a total of 167,948 identified articles, 10 studies met the inclusion criteria and were included in the analysis. The results showed that early mobilization performed gradually and according to patients’ clinical conditions had a significant effect on reducing postoperative pain intensity. In addition, early mobilization was associated with improved comfort, enhanced functional recovery, and faster postoperative rehabilitation without increasing the risk of complications. Although variations were found in the timing and type of mobilization across studies, overall evidence supports that early mobilization is safe and effective. In conclusion, early mobilization can be recommended as an evidence-based nursing intervention for postoperative pain management.

Syafrina Rossa; Nafitsa Tazkya Zukri; Nadiya Ingka Oktavia; Adnan Akbar Prawira; Elldya Septiani Pramita

Jurnal ilmu Kesehatan Umum 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Postoperative nausea and vomiting (PONV) is one of the most common complications following surgery under general anesthesia, with an incidence of 20–70% in the general population and exceeding 80% in high-risk patients. PONV can reduce patient comfort, delay recovery, and increase the risk of dehydration, electrolyte imbalance, and surgical wound dehiscence. This article aims to analyze the effectiveness of single antiemetic therapy compared with combination antiemetic therapy in reducing the incidence of PONV in adult patients after general anesthesia, based on evidence from randomized controlled trials (RCTs). This study applied the Arksey and O’Malley framework for analysis. Literature was obtained from ScienceDirect, PubMed, and the Cochrane Library, published between 2020 and 2025. Identification and selection of studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Moher et al., 2009). A total of 10 articles were included and analyzed, focusing on outcomes such as the incidence of nausea and vomiting, complete response rates, and the need for rescue antiemetic therapy. The findings indicate that single antiemetic therapy remains effective in low-risk patients, whereas combination antiemetic therapy with multiple mechanisms of action provides more optimal protection, particularly in high-risk patients. These results provide an evidence-based foundation for healthcare professionals in selecting the most effective PONV prevention strategies according to individual patient risk and clinical conditions.

Matuan, Helson; Dude, Esau; Mallo, Atius; Yowey, Herlina; Patey, Yusuf Selius +7 more

JUISI : Jurnal Ilmiah Sistem Informasi 2026 LPPM Universitas Sains dan Teknologi Komputer

Ritel modern di Indonesia tumbuh pesat dengan keragaman produk yang makin kompleks, sehingga pengelolaan data penjualan menjadi penting bagi pengambilan keputusan manajerial. Penelitian ini bertujuan mengelompokkan produk di Indomaret Kotaraja berdasarkan perilaku penjualan untuk mendukung keputusan terkait persediaan, penataan rak, dan promosi. Metode yang digunakan adalah klastering K-Means dengan implementasi di RapidMiner. Dataset mencakup penjualan bulanan selama satu tahun untuk produk makanan dan minuman kemasan. Sebelum pemodelan, dilakukan preprocessing yang meliputi pembersihan data, validasi tipe, penghapusan duplikasi, penanganan nilai hilang, dan normalisasi fitur, dengan variabel penjualan Januari hingga Desember sebagai masukan numerik, sementara identitas produk disimpan untuk interpretasi. Jumlah klaster alternatif K = 2, 3, dan 4 dievaluasi menggunakan Davies Bouldin Index, koefisien Silhouette, dan tren SSE atau WCSS. Hasil menunjukkan K = 4 memberikan pemisahan dan kekompakan terbaik dibanding K = 2 dan K = 3. Model akhir membagi 99 produk ke dalam klaster beranggotakan 16, 27, 31, dan 25 item. Profil centroid mengungkap pola yang berbeda: satu klaster memiliki penjualan tinggi dan relatif stabil pada kuartal empat fast moving, satu klaster menunjukkan lonjakan kuat di akhir tahun sensitif promosi atau musiman, satu klaster rendah namun stabil slow moving, dan satu klaster lebih volatil sehingga memerlukan pengendalian ketat. Penelitian ini menyajikan alur kerja yang dapat diulang dan profil klaster yang mudah ditafsirkan untuk tindakan operasional, seperti memprioritaskan pengisian ulang untuk fast mover, promosi terarah bagi kelompok menengah atau musiman, serta pengetatan stok dan optimasi rak untuk kelompok lambat atau volatil, sehingga membantu penyederhanaan kompleksitas data penjualan dan peningkatan keputusan berbasis data.