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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.

Proyek konstruksi Rumah Sakit Perguruan Tinggi Negeri (RSPTN) Universitas X menghasilkan berbagai jenis Limbah B3 dari aktivitas pembangunan, operasional lapangan, dan perawatan peralatan. Limbah tersebut memiliki sifat berbahaya sehingga memerlukan pengelolaan sesuai regulasi untuk mencegah pencemaran dan risiko kesehatan. Studi ini bertujuan mengidentifikasi jenis Limbah B3 yang timbul serta menilai kesesuaian pengelolaannya di Tempat Penyimpanan Sementara (TPS) dengan PP No. 22 Tahun 2021, Permen LH No. 14 Tahun 2013, dan Permen LHK No. 20 Tahun 2020. Limbah yang dihasilkan meliputi oli bekas, cat beserta wadahnya, solar bekas, bahan pelapis kedap air, dan thinner. Pengemasan dan pelabelan sudah sesuai ketentuan, namun fasilitas TPS masih perlu ditingkatkan seperti penutupan bangunan, ketahanan lantai, fasilitas keselamatan, dan kerapian penyimpanan. Pemindahan limbah dilakukan melalui pihak berizin seperti DLH. Secara umum, pengelolaan Limbah B3 cukup baik, tetapi masih diperlukan peningkatan sarana TPS agar lebih aman dan sesuai persyaratan.

Proyek konstruksi Rumah Sakit Perguruan Tinggi Negeri (RSPTN) Universitas X menghasilkan berbagai jenis Limbah B3 dari aktivitas pembangunan, operasional lapangan, dan perawatan peralatan. Limbah tersebut memiliki sifat berbahaya sehingga memerlukan pengelolaan sesuai regulasi untuk mencegah pencemaran dan risiko kesehatan. Studi ini bertujuan mengidentifikasi jenis Limbah B3 yang timbul serta menilai kesesuaian pengelolaannya di Tempat Penyimpanan Sementara (TPS) dengan PP No. 22 Tahun 2021, Permen LH No. 14 Tahun 2013, dan Permen LHK No. 20 Tahun 2020. Limbah yang dihasilkan meliputi oli bekas, cat beserta wadahnya, solar bekas, bahan pelapis kedap air, dan thinner. Pengemasan dan pelabelan sudah sesuai ketentuan, namun fasilitas TPS masih perlu ditingkatkan seperti penutupan bangunan, ketahanan lantai, fasilitas keselamatan, dan kerapian penyimpanan. Pemindahan limbah dilakukan melalui pihak berizin seperti DLH. Secara umum, pengelolaan Limbah B3 cukup baik, tetapi masih diperlukan peningkatan sarana TPS agar lebih aman dan sesuai persyaratan.

The ICU is one of the largest clinical cost centers in hospitals due to its high demand for human resources, medical equipment, and operational costs. This situation emphasizes that intensive care unit efficiency is a multidimensional issue that cannot be assessed solely from a single aspect. This study aims to analyze the efficiency of the intensive care unit at Ciremai Hospital, Cirebon City, using the Data Envelopment Analysis (DEA) model to determine resource optimization. Analytical quantitative study with a cross-sectional design. The population in this study consisted of personnel in the ICU of Ciremai Hospital from 2023 to 2025, with total sampling applied. The input variables included the number of physicians, nurses, beds, monitors, and ventilators, while the output variables consisted of BOR, LOS, and recovered patients. The ICU input variables remained stable during the study period, while output variables fluctuated with a declining trend in BOR and LOS. The results of the Data Envelopment Analysis (DEA) indicated that all study periods achieved an efficiency score of 1.00 (efficient), with a slack value of 0.00 across all input variables.

Background: Nallaswamy Class III alveolar ridge refers to an edentulous alveolar bone that has undergone resorption, resulting in a moderate ridge height with a knife-edge ridge form. This condition is relatively common and has been reported to reach a prevalence of approximately 89% in edentulous mandibles. Objective: To describe the prosthodontic treatment implications in patients with Nallaswamy Class III alveolar ridge using an acrylic resin removable partial denture (RPD). Case Report: A 22-year-old female patient presented to RSGM Soelastri with complaints of discomfort while chewing due to the loss of several posterior teeth in the mandible. The teeth had been extracted three years earlier due to caries and retained roots. Intraoral examination revealed healthy dentition in the maxillary arch and edentulous areas at teeth 35, 36, 45, and 46 in the mandibular arch. The alveolar ridge in the edentulous area showed a knife-edge form with moderate height, consistent with Nallaswamy Class III. Discussion: The condition was classified as Applegate-Kennedy Class III modification 1P with bilateral bounded saddle areas, which may affect mastication, aesthetics, and speech. Conclusion: Partial edentulism with a knife-edge alveolar ridge can be effectively managed using an acrylic resin removable partial denture.

Cholelithiasis is the formation of hardened bile deposits within the gallbladder due to an imbalance in the chemical composition of bile, which can cause symptoms ranging from abdominal pain to serious complications such as cholecystitis, biliary obstruction, and gallbladder infection. This study aimed to determine the relationship between patient characteristics and the length of hospital stay in cholelithiasis patients at Cut Meutia General Hospital. This study used an analytical observational design with a cross-sectional approach and a retrospective study, employing a total sampling technique with 50 patients. The results showed that most patients were female (52.0%), with the largest age group being late elderly (28.0%). The most common surgical technique was laparoscopic cholecystectomy (42.0%), and the majority of patients received surgical management (60.0%). Bivariate analysis using the Chi-Square test showed significant relationships between age (p=0.000), gender (p=0.044), surgical technique (p=0.029), and management (p=0.045) with the length of hospital stay in cholelithiasis patients. The conclusion of this study is that there is a relationship between patient characteristics and the length of hospital stay in cholelithiasis patients.

The use of moldboard plows in agricultural land preparation often faces wear problems on the share component, leading to increased maintenance time and reduced operational efficiency. This study aims to design and analyze a modular concept for the plow share to improve maintenance and repair efficiency without compromising structural performance. The research methods include field observation, component dimension measurement, design modeling using CAD software, and structural analysis using the Finite Element Analysis  (FEA) method. In addition, maintenance ease was evaluated through a questionnaire based on a rating scale. The results show that the modular design significantly improves maintenance and repair efficiency, with an average score of 4.59 categorized as very good. Structural analysis indicates that the modular design reduces maximum stress on the moldboard and slightly decreases deformation, reflecting improved structural stiffness compared to the conventional design. However, the Safety Factor on the share component remains below the acceptable limit, indicating the need for further development. Overall, the modular design provides an effective solution to enhance maintenance efficiency while maintaining the structural performance of the moldboard plow.

This household appliance and machine repair and maintenance program is designed to promote economic independence for the community in Sedati Village, Sidoarjo, by strengthening technical skills based on local potential. The underlying problem of this activity is the community's high dependence on external repair services and limited ability to handle household appliance damage independently. Therefore, the Asset-Based Community Development (ABCD) approach is used, which focuses on utilizing the assets, potential, and capacity already possessed by the community. The program is implemented in a participatory manner, with stages including identification and mapping of local assets, joint planning, technical skills training, hands-on practice, and activity evaluation. The results show an increase in the community's ability and understanding in performing simple household appliance maintenance and repairs. Furthermore, the community is beginning to recognize economic opportunities from their skills, thus potentially developing independent repair service businesses. Thus, the application of the ABCD approach in this activity has proven effective in strengthening the community's economic independence in a sustainable manner through optimizing local assets. Going forward, ongoing mentoring efforts are needed to ensure that the potential that has been established can continue to develop and provide broader economic benefits.

Appendicitis is inflammation and obstruction of the vermiform appendix and is the most common cause of acute abdomen. A surgical wound is said to be infected if the wound discharges pus or pus and is likely infected if it shows signs of inflammation or discharges serous discharge. The purpose of this study was to determine the effect of modern wound care dressing tribee ointment on preventing infection in wound healing after laparotomy exploration appendectomy at Yarsi Cempaka Putih Hospital. The method in this study was pre-experiment one group pre-test and post-test. The population and sample were 18 respondents. The results of the study showed the effect of modern wound care dressing tribee ointment in preventing infection in wound healing in patients after laparotomy exploration appendectomy at Yarsi Cempaka Putih Hospital with a p value of 0.000 <0.05. The conclusion is that there is an effect of modern wound care dressing tribee ointment in preventing infection in wound healing in patients after laparotomy exploration appendectomy.

Diabetic foot ulcer is a disease of the feet of DM sufferers with the characteristics of sensory, motor, autonomic neuropathy as well as macrovascular and microvascular disorders. Diabetic foot injuries are one of the complications that DM sufferers fear because they can result in amputation. Modern Dressing wound treatment with the Moist Wound Healing method is effective in healing ulcer wounds in DM patients. The wound healing method aims to maintain the moisture of the wound by using a moisture-retaining bandage so that wound healing and tissue growth can occur naturally. To determine nursing care in dm patients with leg injuries the application of Modern Dressing wound care using metcovazin and foam in diabetic ulcer patients. This study presents a descriptive study describing the treatment of ulcer wounds in DM patients with Modern Dressing wound treatment using a case study approach. Based on the results of the application of Evidence Based Practice (EBP) dapart, it is concluded that the application of Modern Dressing wound care is more effective than conventional wound treatment. as evidenced by the change in the decreased score in Mrs. N with 3 intervention processes, namely by decreasing the initial score of 30 down to 22 after Modern Dressing wound treatment. Modern dressing is more effective for diabetic foot ulcer care because it accelerates new tissue growth, reduces pain, and lowers the risk of infection.

Immature permanent teeth with open apices and pulpal necrosis present a significant challenge in endodontic treatment. Apexification procedures have been developed to stimulate the formation of a hard tissue barrier at the apex, thereby allowing adequate obturation. Objective: This case report aims to describe the evaluation of apexification treatment based on radiographic findings. Case Report: An 8-year-old boy accompanied by his mother presented to PKU Muhammadiyah Surakarta Hospital with a history of a fall one week earlier. The affected tooth had previously received a temporary restoration from another dentist. According to the patient’s mother, medication had been placed in tooth to devitalize the pulp prior to temporary filling. Clinical examination revealed that tooth 11 exhibited a fracture involving approximately half of the crown and extending into the pulp chamber. Discussion: Initial radiographic examination in 2018 indicated that immature teeth have lower structural resistance compared with mature teeth; therefore, endodontic intervention such as apexification is required to establish apical barrier and adequate obturation. The material used for apexification in this case was a combining calcium hydroxide and iodoform. In contrast to the initial stage, radiographic evaluation in 2024 demonstrated that root development had progressed to stage V. According to Cvek’s classification of root development, stage V (Cvek stage V) represents a condition in which root development is fully completed. Conclusion: Based on long-term clinical and radiographic evaluation in this case, apexification treatment proved effective in stimulating the formation of an apical barrier and supporting root maturation in immature permanent teeth.

Pendahuluan: Kehilangan gigi dapat dikelompokan menjadi 2 jenis, yaitu kehilangan gigi sebagian ataupun seluruhnya. Kehilangan gigi sebagian atau partial edentulous digambarkan sebagai suatu kondisi hilangnya satu atau beberapa gigi, namun tidak hilang secara keseluruhan. Dalam dunia kedokteran gigi salah satu cara untuk mengatasi masalah partial edentulous yaitu dengan melakukan perawatan pengantian gigi menggunakan gigi tiruan sebagian lepasan (GTSL). GTSL merupakan solusi prostetik yang paling umum dipilih karena terbuat dari berbagai jenis bahan, seperti resin akrilik, kerangka logam dan termoplastik. GTSL resin akrilik menjadi pilihan yang paling disukai, karena sifatnya yang ekonomis, mudah dibentuk dan ringan. Laporan kasus ini menjelaskan tatalaksana kasus edentulous partial dengan pembuatan GTSL resin akrilik. Laporan Kasus: Pasien laki-laki berusia 56 tahun datang dengan keluhan adanya beberapa gigi atas dan bawah yang. Pasien menyatakan bahwa kondisi ini membuat pasien menjadi tidak nyaman saat menguyah makanan. Dari seluruh hasil pemeriksaan dapat diketahui bahwa diagnosis kasus pasien yaitu Kennedy kelas I modifikasi I dan Applegate Kennedy kelas I modifikasi 1P dengan rencana perawatan yaitu pembuatan GTSL akrilik. Tatalaksana: Tatalaksana kasus partial edentulous dengan menggunakan gigi tiruan sebagian lepasan (GTSL) akrilik ini dilakukan atas persetujuan pasien dengan rencana perawatan yang telah dijelaskan sebelumnya saat kunjungan pertama. Kesimpulan: Tatalaksana partial edentulous dengan menggunakan gigi tiruan sebagian lepasan (GTSL) berbahan resin akrilik dalam kasus ini mampu mengembalikan fungsi pengunyahan, fungsi bicara dan estetika pasien. Hasil pemeriksaan saat kontrol pasca penggunaan GTSL 1 minggu, diketahui bahwa gigi tiruan sangat nyaman selama digunakan dan tidak ditemukan adanya traumatik pada mukosa rongga mulut.

Pengunaan peralatan elektromedik merupakan faktor krusial dalam pemantauan kesehatan bayi dan anak terutama pada akurasi hasil yang di peroleh. Sesuai dari data yang didapat bahwa mitra telah memiliki sarana medis dasar yang memadai, namun diperlukan standarisasi manajemen pemeliharaan untuk menjaga fungsionalitas alat dalam jangka panjang. Kegiatan pengabdian masyarakat ini bertujuan untuk memperkuat kapasitas teknis para pengasuh dalam pengoperasian dan perawatan peralatan medis secara mandiri. Metode yang digunakan meliputi pemetaan kondisi alat (inventarisasi), sosialisasi prosedur teknis, serta simulasi praktik pemeliharaan preventif. Hasil kegiatan menunjukkan adanya peningkatan pemahaman praktis pengasuh mengenai aspek teknis alat, seperti perawatan mandiri, perawatan sensor oximeter, dan manajemen penyimpanan perangkat elektronik. Sebagai bentuk keberlanjutan program, telah disusun "Buku Saku SOP Perawatan Peralatan Medis" yang berfungsi sebagai panduan operasional harian bagi staf pengasuh. Luaran dari pengabdian ini memberikan dampak positif bagi mitra berupa tersedianya panduan sistem perawatan yang lebih terorganisir. Simpulan dari kegiatan ini menunjukkan bahwa integrasi antara edukasi teknis dan penyediaan panduan tertulis mampu mengoptimalkan masa pakai alat medis serta menjamin validitas hasil pemeriksaan kesehatan anak. Sinergi ini diharapkan dapat menjadi model bagi lembaga sosial dalam mewujudkan layanan kesehatan mandiri yang berkualitas

Perubahan pola hidup masyarakat modern yang diiringi tingginya beban kerja dan mobilitas, telah meningkatkan risiko stres serta kelelahan fisik dan mental, terutama di kawasan perkotaan yang padat seperti Surabaya. Hal ini mendasari kebutuhan akan fasilitas yang tidak hanya berfokus pada perawatan fisik, namun juga mendukung pemulihan secara menyeluruh. Perancangan Wellness and Beauty Center dengan menerapkan Biophilic Architecture dapat menghadirkan ruang penyembuhan yang terintegrasi dengan alam. Proses perancangan meliputi tahapan identifikasi, studi banding, analisis, dan sintesis, guna menghadilkan konsep makro Healing Trough Nature sebagai strategi utama. Konsep ini dikembangkan menajdi konsep mikro yang mencakup desain ruang interaksi dengan alam, bentuk bangunan organik, dan tatanan lahan yang menyatu dengan lansekap di sekitarnya. Rancangan yang dihasilkan meliputi fasilitas spa, perawatan kecantikan, yoga, meditasi, pusat kebugaran, dan area relaksasi yang terhubung secara efektif. Bangunan dirancang adaptif terhadap karakter tapak dengan komposisi massa lengkung yang selaras terhadap orientasi visual dan fungsi ruang, sehingga mampu emnciptakan harmoni serta atmosfer yang dapat menennagkan bagi pengunjung.

Umbilical cord infection remains one of the major causes of morbidity and mortality among newborns, particularly in areas where knowledge and health practices are still limited. Padellegan Village is one of the regions where some mothers continue to practice traditional cord care methods, such as using herbal mixtures or non-sterile materials, which increases the risk of omphalitis. Initial situation analysis indicates that 40–60% of postpartum mothers are not yet familiar with the principles of clean and dry cord care (dry cord care), and access to accurate health information is still limited. Based on this condition, education on umbilical cord care is essential to improve mothers’ and health cadres’ understanding and skills in preventing neonatal infections. This community service activity focuses on providing evidence-based education regarding safe cord care techniques, infection risk factors, and danger signs that need to be recognized. Padellegan Village was selected due to the high need for maternal–neonatal health education and the low level of community knowledge related to cord care. This activity is expected to bring positive changes, such as improved maternal behavior in performing proper cord care, reduced use of unhygienic traditional methods, and strengthened roles of health cadres in monitoring neonatal health. Enhancing appropriate cord care practices can reduce the risk of infection in newborns, thereby contributing to improving the overall health status of the community in Padellegan Village.

Background: Dental caries is a major problem in orodental health, especially in children. The primary cause of caries is the activity of cariogenic microorganisms. Unbalanced remineralization of dental tissue followed by destruction of organic matters may cause cumulative and progressive damage to the tooth structure. Extensive caries lesions that have reached the pulp are an indication for pulp therapy with appropriate crown restoration. Case Report: A 10-year-old boy came with a complaint of a painful cavity in his upper right front tooth. The patient was considered communicative and cooperative. The patient also had a habit of consuming sweets. An intraoral examination revealed extensive caries on the entire surface of 53. A periapical radiograph showed a radiolucent area reaching the pulp cavity on the occlusal surface of 53 with resorption of the apical one-third of the root. Based on the examination results, reversible pulpitis was established as the primary diagnosis. The treatment plan was pulpotomy with a dental crown restoration. Treatment was carried out over four visits. First visit included complete examination, periapical radiography, and pulpotomy. The second visit included core buildup, tooth preparation, and dental impressions. The third visit included try-in and crown insertion, followed by a final follow-up visit. Conclusion: Pulpotomy with dental crown restoration can be an effective clinical approach to restore the function and aesthetics of anterior deciduous teeth, especially in cases that consider aesthetics and cost limitations.

Nyeri persalinan merupakan tantangan utama yang dihadapi ibu, khususnya pada kala I fase aktif. Penggunaan metode non-farmakologis seperti endorphin massage menjadi alternatif yang aman dan efektif untuk mengurangi nyeri tanpa efek samping. Penelitian ini bertujuan untuk mengkaji efektivitas endorphin massage dalam menurunkan intensitas nyeri pada ibu bersalin kala I fase aktif. Penelitian ini menggunakan desain kuasi-eksperimen dengan pendekatan pretest-posttest with control group. Sebanyak 12 responden dibagi menjadi dua kelompok: intervensi (diberikan endorphin massage) dan kontrol (perawatan standar). Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Analisis data dilakukan dengan uji paired t-test dan independent t-test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan bahwa rata-rata skor nyeri pada kelompok intervensi menurun signifikan dari 7,5 menjadi 4,0 (p = 0,000), sementara pada kelompok kontrol hanya turun dari 7,3 menjadi 7,0 dan tidak signifikan (p = 0,308). Uji independent t-test juga menunjukkan perbedaan bermakna antara kedua kelompok setelah intervensi (p = 0,000). Hasil ini menunjukkan bahwa endorphin massage terbukti efektif sebagai intervensi non-farmakologis untuk mengurangi nyeri persalinan. Teknik ini dapat diterapkan dalam praktik kebidanan sebagai metode yang aman, mudah, dan berpusat pada kenyamanan ibu.

Low back pain is one of the most common complaints experienced by pregnant women, particularly in the third trimester, as a result of various physiological, hormonal, and biomechanical changes that occur during pregnancy. Changes in posture, weight gain, and shifts in the center of gravity contribute to the development of this condition. This study aims to examine various non-pharmacological interventions that can be used to reduce low back pain in pregnant women and to analyze the role of midwives in implementing these interventions in midwifery practice. The method employed is a narrative literature review synthesizing ten verified and relevant studies, particularly those discussing prenatal yoga and pregnancy exercise as forms of non-pharmacological intervention. The results indicate that the implementation of prenatal yoga and pregnancy exercise is effective in reducing the intensity of low back pain, improving muscle flexibility and strength, and providing physical and psychological relaxation for pregnant women. In addition, these interventions contribute to increased comfort and improved quality of life during pregnancy. The findings of this study support the importance of evidence-based midwifery practice and highlight the active role of midwives in providing education, assistance, and empowerment for pregnant women through the application of safe and effective non-pharmacological interventions.

Problems in the transmission box of the Drilling Machine 438-02-814-0925 type (0.75 HP, 230/400V, 1425 rpm, produced in 1988) are the degradation of mechanical components for the pulley, V-belt, and rolling bearing. The purpose of maintenance and repair planning is to obtain maintenance costs, maintenance schedules in the period 2026, and the ratio of maintenance costs to profits. The maintenance and repair planning method includes collecting previous maintenance data; application of the inspection-replace-repair-overhaul (IRRO) method; evaluation of the working conditions of components, especially on the pulley, V-belt, spindle pulley (driven pulley), and rolling bearing; prediction of component service life; prediction of repairman costs; prediction of supporting equipment that will be used in maintenance; prediction of spare part replacement time or reinstallation of components after repair; estimation of maintenance and repair costs in 2026; and calculation of the ratio of maintenance costs to profits. The results of maintenance and repair planning obtained maintenance costs in 2026 amounting to Rp 4,627,000 with an estimated Drilling Machine rental rate of Rp 75,000/hour which has the opportunity to be rented for 400 hours/year, and a maintenance cost to profit ratio of 15.42% which implies that the Drilling Machine still has the opportunity to generate profits and is suitable for use in the coming years.