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Plastic waste, particularly bottle caps, poses a significant environmental challenge due to its slow degradation rate. This study aims to design a functional shoe rack utilizing plastic bottle cap waste to support Sustainable Development Goals (SDG 12: Responsible Consumption and Production). The product development process employed the Quality Function Deployment (QFD) method to translate consumer needs into measurable technical specifications. Concept selection was evaluated using the Pugh Matrix, while financial feasibility was analyzed through the Break Even Point (BEP) approach. The research resulted in an optimal shoe rack design measuring 53x32x37 cm, weighing 1.5 kg, and featuring additional side hangers for socks. The production process involves shredding, molding with resin, cutting, and assembling, with a total duration of 367.03 minutes. Financial analysis indicates that the business reaches the break-even point at a minimum production of 2 units or a total sales value of Rp227,272. This research demonstrates that integrating industrial engineering methods into plastic waste management can produce functional, durable, and economically viable products.

Micro, Small, and Medium Enterprises (MSMEs) of chips in Pugeran Village, Gondang District, Mojokerto Regency face structural obstacles in the form of limited internal governance and weak market penetration. Around 80% of business actors are still managed conventionally, triggering production inefficiencies and a lack of mastery of persuasive marketing language on packaging. This community service activity aims to reconstruct an effective division of labor based on HR governance mindset, build the capacity of practical skills in packaging copywriting and digital media, and change business behavior from conventional reactive to strategic proactive. The program is implemented with an Asset-Based Community Development (ABCD) approach through three main intervention stages, namely diagnosis and reconstruction of MSDM, co-creation and marketing language assistance, and the adoption of proactive behavior through coaching and market simulation. The results showed a significant socio-economic transformation, characterized by the implementation of labor division SOPs that increased production efficiency by 18%, as well as the adoption of new packaging and persuasive copywriting techniques that expanded market reach beyond the region and increased average turnover by 22% in two months. In addition, a new social institution was formed in the form of the "Prosperous Pugeran Chips Craftsmen Association" and the emergence of young local leaders as agents of the program's sustainability.

The purpose of this community service program is to enhance the capacity and independence of Micro, Small, and Medium Enterprises (MSMEs) by providing improved training in business management. The program covers the use of digital technology in the agricultural sector, the implementation of occupational safety and health practices, intellectual property protection, and simple financial record-keeping practices. In Pugeran Village, the activities were carried out using a collaborative approach involving the village government, MSME actors, and university students participating in the Community Service Program (Kuliah Kerja Nyata). A qualitative descriptive approach was employed through observation, interviews, and focus group discussions, complemented by direct mentoring and counseling sessions. The results indicate that MSME actors have begun to understand the importance of maintaining simple financial records, utilizing digital technology to market their products, and becoming more aware of workplace safety as well as legal protection for their businesses. The program also encouraged MSME actors to shift their perspectives and manage their enterprises in a more professional manner. However, the speed of implementation varied depending on differences in age, educational background, and established business habits. Overall, this community service activity contributed to strengthening the capacity of MSMEs and supporting sustainable economic growth in the village

The COVID-19 pandemic emerged as a global health crisis that revealed China's political strategies in intricate ways. This study examines the political aspects of China's response to the outbreak, focusing on its information management, domestic policies, and international diplomacy. By analyzing narratives surrounding the virus's origins and its global spread, the research also assessed the pandemic's impact on Indo-China relations[1] across diplomatic and economic dimensions. The pandemic period also coincided with a sharp deterioration in bilateral trust between India and China, highlighted by the Galwan Valley clash and subsequent tensions along the Line of Actual Control, which deepened strategic mistrust and hardened India’s policy stance. The findings illuminate how political maneuvering has redefined China's geopolitical standing during this crisis, providing insights into the evolving landscape of Indo-Pacific relations. By uncovering these complexities, this study contributes to a nuanced understanding of health geopolitics and the underlying power dynamics.    

Surveillance for diarrhea at the district level in Indonesia is still affected by the fragmented nature of the District Health Information System (DHIS) and Early Warning and Response System (EWARS), inconsistent reporting, patchy data interoperability, and the resulting public health delays. Although there are systems in place like the DHIS and EWARS, the persistent use of hybrid systems that combine manual and digital data entry, as well as the different skill levels of users, continues to produce issues of incompleteness, untimely reporting, and inaccurate data. The present study investigated the deficiencies in surveillance reporting of diarrhea cases, the surveillance data to determine the degree of integration and also investigated the health workers perceptions of the barriers to effective reporting. A mixed methods approach was adopted in this study where we investigated quantitatively the DHIS and routine diarrhea reports submitted for the entire year of 2023, and combined that with qualitative, in-depth interviews with the relevant surveillance officers, program managers, and district staff. The quantitative analysis indicated gaps in reporting about 55% in terms of completeness, and consistency of reporting and also significant differences were found between the manual register, DHIS, and EWARS whereby the integration of these systems was found to be low. The qualitative analysis pointed to the combination of disconnected workflows, limited cross-system interoperability, inadequate system training, excessive workloads, and weak organizational feedback, as the main barriers to effective reporting. The combination of these two datasets illustrates the fact that both system deficiencies and organizational factors are primary drivers of the reporting. Closing the gaps will require system level changes in the interoperability of reporting systems, simplified reporting workflows, training, reporting, and reporting feedback loops.

Gender based violence against women and children in Lampung Province represents a multidimensional issue that poses serious challenges to human development and the achievement of the Sustainable Development Goals (SDGs). Although various regulations and programs have been implemented such as Gender Mainstreaming (PUG), Gender Responsive Budgeting (ARG), and local innovations like TAPIS Village and space together with Indonesia (RBI) their implementation remains largely sectoral and lacks systemic coordination. This policy paper employs a descriptive qualitative approach combined with public policy analysis to identify the root cause, namely the absence of an integrated policy framework that ensures cross-sectoral synergy in addressing gender based violence. Data were collected through interviews with key stakeholders and document studies of regional and national planning instruments, including the RPJMD, RENSTRA, and relevant regulations. The analysis reveals that weak inter-agency coordination, limited use of gender-disaggregated data, low human resource capacity, and the absence of an incentive sanction mechanism are the main obstacles to effective policy implementation. Three policy alternatives were formulated: the development of a gender responsive complaint platform for violence against women and children, the integration of gender-disaggregated data systems, and the adoption of a reward punishment system for government agencies. Based on Dunn’s six evaluation criteria, the establishment of a gender-responsive complaint platform is considered the most effective and is recommended as a strategic solution. This policy is expected to strengthen institutional synergy, enhance intervention effectiveness, and foster an inclusive and sustainable protection system for women and children in Lampung Province.

The Baduy tribe is an indigenous community in Banten Province divided into two main groups, namely Inner Baduy and Outer Baduy, with varying levels of adherence to customary law and exposure to modernization. This article examines various government policies that affect the survival and identity of the Baduy tribe. These policies include the recognition of customary rights through Lebak Regency Regulation No. 32 of 2001, the designation of Kanekes Village as customary land, and the designation of the Baduy area as a tourist destination. Although these policies aim to protect the rights and preserve the culture of the Baduy, their implementation has created a dilemma. On the one hand, tourism opens up new economic opportunities and raises cultural awareness. On the other hand, the influx of tourists triggers significant social, cultural, economic, and environmental changes, especially among the Outer Baduy, including the adoption of modern technology, shifts in consumption patterns, and increased environmental pollution. Thus, preservation policies have ironically become drivers of change that undermine the Baduy community's original identity.

Puger Kulon Village, located in Puger District, Jember Regency, is a coastal area in East Java with significant marine and fisheries potential. Most of the population earns their living as fishermen and small-scale fishery product processors (MSMEs). Unfortunately, the capacity of MSMEs in this area is still very limited, both in terms of technical skills and product variety. Processed fish products produced by the community are mostly shrimp paste and shredded fish. This community service activity aims to increase knowledge and additional skills for coastal MSMEs regarding the diversification of local processed fish products by encouraging the development of various processed fish products as an effort to increase product added value such as fish nuggets, fish balls, fish dumplings, and fish dim sum. The method used is counseling and technical training with direct practice in diversifying various fish products (fish nuggets, fish balls, dumplings, and fish dim sum). Evaluation was carried out using a pretest and posttest approach on 20 MSME participants using a knowledge assessment instrument. The results showed an increase in knowledge regarding fish processing diversification, with an average score of 74 before the training, increasing to 93 after the training, a 27% increase. Thus, the extension and training on fish processing diversification have proven effective in increasing the knowledge and skills of coastal MSMEs. This activity has the potential to improve the quality and diversity of local fish-based products, while strengthening the role of MSMEs in providing nutritious food from local potential as an effort to prevent stunting in coastal communities.

This community service activity in the form of assistance aims to enhance the capacity of the Regional House of Representatives (DPRD) of Magelang City as a legislative body in formulating gender-responsive regulations through the drafting of the Regional Regulation on Gender Mainstreaming (Raperda PUG). This activity represents a commitment to supporting the development of regional regulations that are responsive to gender equality issues and provide legal certainty in achieving gender-inclusive national development, as mandated by Presidential Instruction Number 9 of 2000 on Gender Mainstreaming in National Development (Inpres No. 9/2000). To achieve broader gender equality—in family, community, national, and state life—it is necessary to implement gender mainstreaming strategies within national development, one of which is through the formulation of regional regulations. The assistance was carried out in two stages, namely preparation and implementation. The output of this activity consists of analyses and recommendations on the Raperda PUG, covering sociological and juridical aspects, which were presented both orally and in written form to the Special Committee II (Pansus II) of the DPRD of Magelang City.

This study aimed to evaluate the forage production characteristics of Japanese papaya (Cnidoscolus aconitifolius) as a potential feed source for ruminant livestock. The research employed a case study approach through direct field observations on four mature Japanese papaya plants naturally grown as living fences in Malang City. Measured variables included the diameter of the main branch, number and length of sub-branches, forage yield, and nutrient composition. Data were analyzed using correlation and simple linear regression to determine the relationship between plant structure and forage productivity. The results indicated that the diameter of the main branch showed a strong positive correlation with the number and length of sub-branches, as well as with forage yield and nutrient content (DM, OM, CP, CF, and EE). Regression analysis confirmed that larger branch diameters were consistently associated with higher forage production and better nutrient values. These findings suggest that the diameter of the main branch can serve as a reliable indicator for estimating the forage yield and nutritional potential of Japanese papaya, providing a practical tool for its use in sustainable ruminant feed management.

Background: Hemorrhagic stroke is a critical condition caused by the rupture of cerebral blood vessels, which leads to intracranial bleeding, increased intracranial pressure (ICP), and decreased adaptive capacity of the brain. One of its main impacts is a significant disturbance of consciousness. Nurses have applied non-pharmacological approaches, such as bimodal sensory stimulation, as innovative interventions to stimulate neurological function and indirectly stabilize intracranial pressure. Objective: This study analyzed the implementation of bimodal sensory stimulation in improving intracranial adaptive capacity in patients with hemorrhagic stroke. Methods: This case study involved a patient with a hemorrhagic stroke and impaired consciousness in an intensive care unit. The intervention was conducted for three consecutive days by providing auditory stimuli (voices of family members and nurses) and gustatory stimuli (lemon) five times daily. Measurements included the Glasgow Coma Scale (GCS) and neurological response observations. Results: After receiving bimodal sensory stimulation therapy, the patient showed improved consciousness, as indicated by a consistent increase in GCS scores from 9 to 11 over the three days. The patient's responses to auditory and gustatory stimuli also improved, including mild motor movements, pupil reflexes, and simple interactions such as blinking or opening the eyes in response to sounds. Conclusion: Bimodal sensory stimulation effectively facilitated the recovery of consciousness and enhanced intracranial adaptive capacity in patients with hemorrhagic stroke. Nurses can integrate this intervention into evidence-based nursing practice in intensive care units with active family involvement.

Ischemic stroke occurs when a thrombus, embolus, or vascular stenosis disrupts blood supply to the brain, causing vessel rupture and blood leakage into the surrounding neuronal space. A common clinical symptom of stroke is hemiparesis, or muscle weakness on one side of the body. Non-pharmacological management, such as range of motion exercises using mirror therapy, can support rehabilitation. Mirror therapy is a form of motor rehabilitation that engages the patient's motor imagery. The mirror provides visual stimulation to the brain, particularly the cerebral motor nerves on both the affected and unaffected sides, to assist movement in limbs experiencing hemiparesis. This study used a case study method, implementing nursing care and evidence-based nursing practice. Over six consecutive days of intervention, mirror therapy led to increased muscle strength. Prior to the therapy, muscle strength was recorded at. After the therapy, muscle strength improved to. These results suggest that mirror therapy can serve as an effective rehabilitation strategy to address impaired physical mobility in patients with ischemic stroke.

Gender mainstreaming (PUG) is a development strategy that integrates gender equality as a key principle in planning and budgeting. The city of Semarang has adopted this approach in various policy documents; however, its implementation still faces significant challenges. This study aims to evaluate the achievement of the seven prerequisites for PUG according to the guidelines from the Ministry of PPPA, including commitment, policies, institutional frameworks, resources, sex-disaggregated data, gender analysis tools (GAP and GBS), and community participation. The research utilizes a descriptive qualitative approach, employing in-depth interviews, document studies, and questionnaires. Key informants include local government organizations (OPDs) and civil society representatives. Data analysis is carried out using Miles & Huberman's interactive model with thematic analysis. The findings show that normative prerequisites such as policies and institutional frameworks are in place, but implementation remains weak, particularly in the use of sex-disaggregated data and the application of GAP-GBS. Supporting factors for success include leadership commitment from specific OPDs and the existence of cross-sector coordination forums, while the main obstacles are limited human resource capacity and insufficient gender-responsive budget allocation. This study reinforces the relevance of policy implementation theory in bridging the gap between normative frameworks and operational practices. Recommendations include ongoing training, mainstreaming sex-disaggregated data, and technical regulations that all OPDs must follow to enhance the effectiveness of PUG.

The Agrotanijaya porang business is a porang tuber processing business located in Kebondalem Village, Tegalombo District, Pacitan Regency. Currently, the marketing process for Agrotanijaya's processed products is conventional, namely entrusting it to food stalls, depots and grocery stores. The marketing system currently implemented has the problem that Agrotanijaya products are less widely known. The solution offered is the development of a website portal as an internet media facility which can display profile information from Agrotanijaya. The activity method begins with the preliminary study, implementation and evaluation stages. Based on the evaluation results, it shows that on average over 80% of participants are able to use the features on the website independently.  

This study aims to examine and analyze the effect of service quality, digital marketing, price, lifestyle and purchasing power on purchasing decisions of WW Collection consumers. This research uses a quantitative descriptive approach. The technique collected is in the form of primary data by means of a questionnaire which is distributed to respondents called a questionnaire. The data collection technique uses the Purposive Sampling technique, which is a sample purchasing technique with certain considerations, namely using certain criteria, such as WW Collection consumers who have shopped at least once either through social media or come directly to the store, with a total of 265 respondents at the WW Collection store. The results showed that the variables of service quality, digital marketing and price had a partially significant effect on purchasing decisions at the WW Collection Pugging store. However, the lifestyle and purchasing power variables do not significantly influence purchasing decisions at the WW Collection Pugging store. In the variables of service quality, digital marketing, price, lifestyle, and purchasing power, they influence purchasing decisions simultaneously at the WW Collection Pugging store. As a form of the implications of this research, it is hoped that the influential variables can be evaluated and maintained even better by the WW Collection.

The agricultural sector is one of the main pillars in the national economy because it makes a significant contribution to the Gross Domestic Product (GDP), absorbs labor, and is the main livelihood for most Indonesians, especially in rural areas. Among various agricultural subsectors, vegetables have an important role as a commodity that not only meets the needs of household consumption, but also becomes a major source of income for farmers. However, vegetable farmers are often faced with serious problems that directly impact their well-being. One of the main problems is price instability. During the harvest, the abundance of production causes the price of vegetables to fall drastically so that it is not able to cover the capital costs that have been incurred. This is experienced by vegetable farmers in Ngablak District, Magelang Regency, where the selling price of vegetables at harvest time is very cheap, often even below production costs, so that farmers suffer big losses. Reflecting on these problems, this community service activity is present with the theme "we buy, we distribute." This concept is carried out by buying vegetables directly from local farmers at a more decent price than the market price during the harvest. The vegetables that have been purchased are then not resold for profit, but are distributed for free to people who really need them, especially residents in Kepanjen Hamlet, Trimulyo, Sleman. Thus, this activity provides dual benefits, namely helping farmers to continue to earn a decent income and supporting community food security through the distribution of vegetables for free. This program is also a form of social solidarity between farmers and the community, as well as a simple but real solution in dealing with the problem of fluctuations in the price of agricultural products.

Hydrocephalus increases cerebrospinal fluid due to either excessive production or impaired absorption, often accompanied by increased intracranial pressure. In Indonesia, hydrocephalus affects 10 out of every 1,000 newborns annually. In adolescents and adults, toxoplasmosis is the most common cause. Among infant cases, 46% result from brain development abnormalities, 50% from subarachnoid hemorrhage and meningitis, and less than 4% from posterior fossa tumors. Central Java reports the highest rate of toxoplasmosis at 10%. Common signs and symptoms of hydrocephalus include increased cerebrospinal fluid, seizures, irritability, headaches, vision problems, and head enlargement. To improve reduced intracranial adaptive capacity caused by cerebrospinal fluid obstruction, nurses can apply a 30° head-up therapy. This intervention helps lower intracranial pressure and improve brain oxygenation. the effectiveness of 30° head-up positioning in addressing decreased intracranial adaptive capacity in post-VP shunting hydrocephalus patients. The nursing intervention was implemented on Mrs. S using the 30° head-up position. As a result, the patient reported reduced headache, and her blood pressure decreased to 135/90 mmHg.

Physical mobility impairment refers to limited physical movements from one or more extremities independently, this condition can lead to significant difficulties in movement and the inability to perform daily activities. This study aims to apply acupressure therapy to address physical mobility impairment in Mrs. N, a patient diagnosed with ischemic stroke and left-sided hemiparesis at Mardi Rahayu Hospital, Kudus. The method used in this study is a case study involving nursing care and the implementation of interventions, including assessment, diagnosis, planning, implementation, and evaluation, as well as the application of acupressure therapy. The result of the case study acupressure therapy intervention for 7 days at a frequency of once daily for 15 minutes, it was effective in addressing the problem of physical mobility impairment in the patient with ischemic stroke and sinistra hemiparesis, as indicated by increased muscle strenght. The conclusion from this acupressure therapy is that before the intervention, it improved to    and after the intervention . It is expected that this acupressure therapy can be applied and integrated into the provision of medical-surgical nursing care for patients with ischemic stroke and sinistra hemiparesis.  

This study aims to examine the validity and reliability of user satisfaction measurement for the Electronic Medical Record (EMR) system using the End User Computing Satisfaction (EUCS) approach. The five dimensions analyzed include content, accuracy, format, ease of use, and timeliness. Data were collected from 55 respondents, who were medical records staff at Dr. Moewardi General Hospital. The results show that all dimensions have Cronbach's Alpha values above 0.80, indicating a high level of reliability. The corrected item-total correlations also confirm strong construct validity. These findings demonstrate that the instrument used to measure user satisfaction with the EMR system is both valid and reliable, and can serve as a basis for continuous evaluation and development of health information systems.

East Javanese shadow puppetry (wayang kulit) features a variety of distinctive performance styles, including Porong, Mojokerto, Malang, Surabaya, Jombang, and Lamongan. Each style has its own unique characteristics in terms of musical accompaniment, puppet design, scene structure, and language used by the puppeteer. One notable puppeteer, Ki Puguh Prasetyo, is known for combining coastal and Gresik-style elements in his performances. A prominent character in his shows is Mujeni, a punakawan (comic servant) who delivers humorous yet meaningful and advisory speech acts. However, not all of Mujeni's utterances are easily understood by the audience, prompting Ki Puguh Prasetyo to explain their meanings during the performance. This study aims to describe the forms and types of speech acts performed by the character Mujeni in Ki Puguh Prasetyo’s East Javanese wayang kulit performances. Using a descriptive qualitative method, data were collected from video documentation and transcripts of Mujeni’s utterances. The findings reveal that Mujeni’s speech acts serve not only to entertain but also to convey moral guidance to the audience through distinctive and communicative language use.