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Gastric disease is a common health problem that can disrupt daily activities if not properly treated. To aid the initial diagnosis process, this study developed a web-based expert system capable of diagnosing various types of gastric disease based on the symptoms experienced by the user. This system uses the Dempster-Shafer method to address uncertainty in decision-making by combining a number of pieces of evidence in the form of symptoms to determine the level of confidence in a disease. The system was developed using the PHP programming language and a MySQL database and designed for easy browser access. Testing demonstrated that the system was able to provide fairly accurate diagnostic results that closely approximated the results of consultations with medical professionals. This system is expected to become an initial solution for the public in quickly and independently recognizing symptoms of gastric disease.  

This community service activity aims to increase awareness and independence of elementary school students in maintaining hand hygiene through education on proper handwashing. The background to this activity stems from the low level of handwashing habits among school-age children, despite hand hygiene being a simple action that has a significant impact on preventing infectious diseases. Based on initial observations at Tamanbali 3 Public Elementary School, most students did not yet have the habit of washing their hands before eating or after playing, despite the availability of facilities. Therefore, a hand hygiene education program was implemented, designed to help students understand the importance of proper handwashing according to WHO guidelines. The activity methods included outreach through educational posters and videos, demonstrations of the seven steps of handwashing, mentoring in daily habits, and evaluation of behavioral changes. The results of the activity showed a significant improvement in students' hand hygiene behavior. Students began washing their hands independently before eating and after activities without being reminded by teachers. The school environment also became cleaner and healthier due to the growing awareness of personal hygiene among students. Teachers and the school are committed to continuing this habit as part of the daily classroom routine. This activity demonstrates that hand hygiene education delivered through interactive methods can shape character and hygiene habits from an early age.

Smoking behavior among adolescents remains a major public health issue due to its high prevalence and potential long-term effects on physical, psychological, and social health. One key factor influencing adolescent behavior is the family environment. A family approach that incorporates effective communication, parental supervision, role modeling, emotional support, and consistent enforcement of rules is believed to significantly impact the prevention and reduction of smoking behavior in adolescents. This study aims to analyze the effect of a family approach on smoking behavior in adolescents. Adolescents who experience open communication, good supervision, and emotional support from their families tend to exhibit stronger self-control and are more likely to resist peer pressure to smoke. The findings suggest that an optimal family approach is crucial in shaping healthy behavior in adolescents and serves as an effective strategy in smoking prevention efforts. This approach not only helps in reducing smoking behavior but also fosters overall well-being by creating a supportive family environment. In conclusion, family involvement plays an essential role in promoting healthier behaviors in adolescents and preventing smoking, contributing significantly to public health improvement

This research explores the development of a participatory governance model for community based waste management systems, aiming to enhance both legal compliance and public social welfare outcomes. Community based waste management (CBWM) plays a critical role in addressing environmental and health challenges, yet its success is often hindered by weak governance structures, limited community involvement, and insufficient regulatory frameworks. The study introduces a governance model that integrates local community participation into decision making processes, encouraging ownership and responsibility among residents. The primary goal is to improve compliance with environmental regulations while promoting social welfare by fostering better public health and community cohesion. A review of literature highlights key theories of participatory governance, focusing on its ability to enhance legal adherence and increase social equity. Previous studies on CBWM demonstrate the potential of community involvement in overcoming barriers to legal compliance, such as weak enforcement and fragmented governance. However, challenges like inadequate infrastructure, socio economic factors, and cultural habits still impede full participation and compliance. The study utilizes a mixed methods approach, including stakeholder analysis, participatory workshops, and regulatory compliance assessments, to evaluate the effectiveness of the model. The results show that communities involved in participatory governance exhibit higher compliance with waste management laws, improved sanitation, and healthier living conditions. Furthermore, the model fosters social capital and community empowerment, contributing to long term sustainability. In comparison to centralized waste management systems, the participatory approach is found to be more adaptable, accountable, and socially accepted. While the model presents several benefits, challenges such as infrastructure limitations and cultural barriers remain. Future research should further investigate how to address these challenges, particularly through technological integration and cross sector collaborations, to ensure the scalability and sustainability of the participatory governance model.

The development of modern biotechnology has brought fundamental changes to the life sciences through the application of molecular biology, genetic engineering, and bioinformatics techniques. This article aims to examine the transformation of life sciences through modern biotechnology approaches and its impact on health, agriculture, the environment, and industry. The method used is a descriptive-analytical literature review based on international journal sources and relevant scientific publications. The results of the study indicate that technologies such as CRISPR-Cas9 enable precise gene editing for genetic disease therapy, while the mRNA vaccine platforms developed by Pfizer and Moderna demonstrate the acceleration of biomedical innovation in response to the global pandemic. In the agricultural sector, genetic engineering increases crop productivity and resilience, while in the environmental sector, biotechnology supports environmentally friendly bioremediation processes. However, ethical and regulatory challenges remain important concerns in its implementation. In conclusion, modern biotechnology plays a key role as a catalyst for sustainable, innovation-driven transformation in the life sciences.

Tuberculosis (TB) is one of the infectious diseases that remains a public health problem in Indonesia, including in West Java Province, which has a large population and high mobility. This condition has the potential to increase the risk of transmission and cause variations in the distribution of cases between districts and cities. This study aims to map the distribution of TB cases across all districts and cities in West Java Province from 2022 to 2024 using a spatial analysis approach. This analysis was conducted to describe the geographical distribution of cases, identify patterns of spread, and determine areas with relatively high or low case rates. TB data was obtained from routine recording and reporting by health facilities in West Java, then integrated with population and administrative boundary data. The results of the analysis provide information on case distribution patterns between regions and trends in case changes from year to year. The findings of this study are expected to serve as a basis for local governments in formulating more targeted TB prevention and control strategies, through a focus on interventions in areas with a high case burden, as well as optimizing sustainable public health programs in West Java Province.  

Public health is a crucial aspect of improving well-being, particularly at the village level. However, in Srigading Village, Lawang District, Malang Regency, access to information related to health services remains a significant challenge, resulting in suboptimal utilization of Posyandu and Puskesmas services. To address this issue, a web application called “Srigading Sehat” has been developed as a digital platform providing health service information through interactive maps and service schedules. This community service activity employs the IDEA approach (Identify Objective, Design Action Steps, Engage Our Plan, Assess and Follow Up) as a systematic framework. The Identify Objective stage identified limitations in health information access; Design Action Steps designed a participatory learning-based application development model; Engage Our Plan implemented application development, socialization, and training for 25 participants comprising village officials, posyandu cadres, and the general community; and Assess and Follow Up evaluated achievements through Firebase Analytics monitoring. Results showed increased health information access marked by 500 health information page visits within the first 30 days of launch, with total Firebase reads reaching 631 (+1,026.8%). Four village health facilities are actively registered and using the application to independently update their service information. This application is anticipated to serve as an appropriate technological innovation contributing to the enhancement of health services at the village level.

Financial management, both in public and private organizations, is highly vulnerable to fraud and misappropriation of funds. The risk of fraud in financial reporting not only jeopardizes an organization's long-term financial health but also damages the reputation and trust of stakeholders. Professional ethics and integrity are key factors in ensuring good, efficient, and effective financial governance. Weak internalization of professional ethical values ​​among financial practitioners, such as manipulation of financial reports and unauthorized use of official funds, is often a major cause of misappropriation of funds. These cases can significantly harm an organization, as seen in violations of codes of ethics in various large companies. Therefore, strengthening professional ethics in financial management practices is crucial to prevent misappropriation of funds, fraud, or financial manipulation. A strong internal control system, coupled with a good ethical culture, can play a significant role in preventing and detecting these conditions. This study aims to identify factors that support and hinder the implementation of professional ethics in financial management and provide recommendations for improving integrity and accountability in fund management. It is hoped that the results of this study will help organizations strengthen governance, increase transparency, and reduce the risk of fraud through better implementation of professional ethics.

Smoking behavior among adolescents is a serious and growing public health problem. Data from the 2023 Indonesian Health Survey (SKI) shows that 7.4% of adolescents aged 10–18 years smoke. This literature review aims to determine the determinants of smoking behavior among adolescents based on the Health Belief Model (HBM) theory, with a focus on components such as perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy. Using a literature review approach, this study identified and analyzed several academic references such as journals, books, encyclopedias, and others that discuss topics related to the determinants that influence smoking behavior among adolescents based on the Health Belief Model (HBM). The analysis conducted indicates that there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and smoking behavior among adolescents. The conclusion of this study shows that in 9 studies that applied the Health Belief Model (HBM) theory in examining smoking behavior in adolescents, all major components of HBM were proven to have a significant relationship with this behavior. This study provides an important theoretical basis for the development of effective and sustainable health promotion programs in controlling smoking behavior among adolescents.

This study aims to explore the communication styles and experiences of healthcare workers in enhancing public service communication skills at Petir Community Health Center (Puskesmas Petir) in Tangerang City. Effective communication is a crucial factor in the quality of healthcare services for patients; however, various challenges such as time constraints, differences in patients’ backgrounds, and work pressure often hinder optimal interactions. This research employs a qualitative approach with a case study method, involving in-depth interviews, participatory observations, and document analysis to uncover the experiences, perceptions, and practices of healthcare workers in communicating with patients and the community. The findings indicate that communication skills are improved through internal training, peer mentoring, and the adaptation of communication strategies to match patient characteristics. Additionally, personal motivation, managerial support, and a conducive work environment play significant roles in the successful implementation of communication strategies. The results of this study provide an in-depth understanding of public service communication practices within the community health center context and serve as a basis for recommendations in developing training programs and policies to enhance the quality of interactions between healthcare workers and the community.

The danger of cadmium contamination in water sources remains a crucial environmental issue due to its persistent nature and high toxicity level, which poses serious risks to human health and ecosystems. Cadmium is a non-biodegradable heavy metal that can accumulate in living organisms over time. The presence of these toxic Cd²⁺ ions is known to trigger damage to vital organs such as the liver and kidneys; therefore, reducing their concentration in aquatic environments is of paramount importance for environmental protection and public health safety. Among various treatment methods, adsorption is considered one of the most effective and economical techniques for removing heavy metal ions from contaminated water. In this study, the capability of mesoporous silica MCM-48-NH₂ as an adsorbent for Cd²⁺ ions was systematically evaluated. The adsorption performance was examined by investigating several important parameters, including contact time, solution acidity level (pH), and initial Cd²⁺ concentration. Furthermore, the adsorption mechanism and interaction between Cd²⁺ ions and the adsorbent surface were analyzed using Langmuir and Freundlich isotherm models. The results demonstrate that the adsorption process of Cd²⁺ ions onto MCM-48-NH₂ tends to follow the Langmuir isotherm model, indicating monolayer adsorption behavior, with a maximum adsorption capacity of 0.66 mmol g⁻¹.

Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia which can lead to serious complications if not properly managed. This community service activity aimed to increase public knowledge regarding diabetes mellitus and its prevention among residents of Rejomulyo Village, Jati Agung District, South Lampung. The method used was health education through lectures supported by leaflets and blood glucose screening, followed by evaluation using pre-test and post-test. A total of 25 community members participated in this activity. The results showed a significant improvement in participants’ knowledge after the educational intervention. Pre-test results indicated limited understanding of blood glucose control and dietary management, while post-test results showed increased knowledge levels in both aspects. This activity demonstrates that health education is effective in improving community awareness and knowledge regarding diabetes mellitus prevention and management. This educational program is effective in increasing the knowledge of the people of Rejomulyo Village, Jati Agung District, South Lampung Regency regarding diabetes mellitus.

BPJS Health has incurred losses exceeding 200 billion rupiah over a two-year period due to the payment of contributions that were discontinued by participants who had utilized maternity services. Data show that 64.7% of mothers registered as BPJS Health participants only one month prior to childbirth, after which 43% either withdrew their membership or failed to continue paying contributions following delivery. The highest proportion of this behavior was observed among independent participants or non-wage recipients (PBPU). In Jambi Province, the highest level of contribution non-compliance occurs in Jambi City. In 2023, there were 77,489 participants with contribution arrears, resulting in financial losses amounting to 60.1 billion rupiah. Contribution non-compliance is influenced by various factors. This study aims to analyze the factors contributing to non-compliance among independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. The findings revealed that 33.3% of independent participants were non-compliant in paying BPJS Health contributions after using maternity services. Significant associations were found between contribution non-compliance and the number of family members (p = 0.001), level of knowledge (p = 0.000), illness perception (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP). Based on these findings, it is recommended that BPJS Health consider implementing a waiting period policy for participants intending to utilize maternity services. In addition, the Jambi City Government should strengthen promotive efforts to educate the public and raise awareness of the importance of health insurance in safeguarding household financial security.  

The rapid development of urban areas has created significant challenges in mobility, particularly the increasing use of private motor vehicles, which contributes to traffic congestion, air pollution, greenhouse gas emissions, and a decline in the quality of urban life. Sustainable transportation emerges as a solution by emphasizing the balance between environmental, social, and economic aspects through the use of eco-friendly modes such as public transport, walking, and cycling. However, the adoption rate of these modes remains relatively low due to perceptions of convenience, car-oriented culture, and limited environmental awareness. This study aims to analyze the implementation of sustainable transportation education as a strategy to raise urban communities’ awareness of eco-friendly mobility. The research employs a qualitative approach with descriptive analysis based on literature studies. Findings indicate that the use of digital media, social campaigns, and community participation plays a crucial role in shaping positive attitudes, new social norms, and pro-environmental behavior. Effective education not only delivers information but also builds values, norms, and new habits that support sustainable mobility. Furthermore, multi-stakeholder collaboration among government, communities, and the private sector strengthens the effectiveness of educational programs. Evaluation results show that continuous education enhances transportation literacy, ecological awareness, and urban quality of life. Thus, the implementation of sustainable transportation education serves as a strategic foundation for transforming urban mobility toward a healthier, inclusive, and equitable transportation system.

Hypertension remains a significant public health problem in Indonesia, including in the Parang Banoa neighborhood, Pallangga District, Gowa Regency. Therefore, this Field Learning Experience (PBL) activity was implemented with the aim of increasing community knowledge about hypertension, particularly regarding its prevention and control. The activity was carried out through several stages, including health education, questionnaires, and blood pressure checks for residents of RT 002 in the Parang Banoa neighborhood. The interventions provided included health education, distribution of educational posters, and blood pressure checks for 11 respondents. Results showed an increase in community knowledge after the intervention. Prior to the education, most respondents had sufficient knowledge (81.8%), with a small proportion having insufficient knowledge (18.2%). However, after the education, all respondents (100%) experienced an increase in knowledge regarding hypertension prevention and control. Therefore, ongoing health education and healthy lifestyle changes, such as reducing salt intake, quitting smoking, and regular exercise, are needed. These efforts are expected to reduce the incidence of hypertension in the Parang Banoa neighborhood and improve overall community health.

Diarrhea is one of the diseases that remains a leading cause of morbidity and mortality among elementary school-aged children. A mother's knowledge as the primary caregiver is an important factor in the prevention of diarrhea. This study aims to analyze the effect of health education through pop-up book media on mothers' knowledge about diarrhea prevention in children at SDN 160 Mulyorejo II, Luwu Utara Regency. The research design used a quantitative quasi-experimental approach with a one group pretest posttest design. The population consisted of 143 mothers with children attending SDN 160 Mulyorejo II, with a sample of 54 respondents selected using stratified random sampling. The intervention was carried out by providing education using pop-up book media, followed by measuring knowledge before and after the intervention using a questionnaire. Data analysis using the Wilcoxon Signed Rank Test yielded p < 0.001, indicating a significant effect of health education through pop-up book media on mothers' knowledge about diarrhea prevention. This media is effective because it combines three-dimensional visual and interactive elements that enhance mothers' interest and understanding of health material. The conclusion is that health education through pop-up book media can significantly improve mothers' knowledge about diarrhea prevention in children, and is recommended as an alternative educational medium in public health promotion.

Incest is a form of sexual violence that not only violates social and religious norms but also causes serious physical and mental health impacts on victims. In the context of Islamic law, incest is considered a heinous act that violates sharia and may be subject to hudud or ta'zir punishment. Meanwhile, in public health, incest is viewed as an issue that poses long-term risks, such as genetic disorders, psychological trauma, and socio-economic consequences. This study aims to examine prevention strategies for incest through a holistic approach combining Islamic legal principles and public health perspectives. The method used is qualitative research with a normative literature review and descriptive-analytical approach. The findings indicate that incest prevention can be achieved through strengthening religious values within families, sharia-based sexual education, and improving mental health services and case reporting systems in the community. The implications of this study highlight the importance of synergy between religious institutions, healthcare professionals, and public policy in establishing effective and sustainable incest prevention systems.

Exclusive breastfeeding during the first six months of life is an effective public health intervention that contributes significantly to improving the health of both infants and mothers. Despite its well-documented benefits, the practice of exclusive breastfeeding still encounters various challenges, one of which is related to mothers’ attitudes toward breastfeeding. Health education is considered a key strategy in shaping positive maternal attitudes, which are essential for behavioral change. This study aims to analyze the effect of education on the importance of exclusive breastfeeding on mothers’ attitudes. The study employed a quasi-experimental design with a pretest–posttest one-group approach. The sample consisted of 30 mothers with infants aged 0–6 months, selected using a consecutive sampling technique. Attitudes were measured before and after the educational intervention using a Likert scale-based questionnaire. Data analysis included univariate and bivariate methods, with Fisher’s Exact Test at a significance level of 0.05. The results showed an increase in positive attitudes from 23.3% before education to 80.0% after. However, the statistical test indicated no significant relationship (p = 0.170). Nevertheless, education demonstrated potential in promoting positive attitude changes and remains important for continuous implementation.

Depression is one of the mental health problems that often arise in patients with chronic diseases, such as diabetes mellitus, hypertension, and chronic kidney failure. This condition not only impacts the patient's quality of life, but also affects the treatment process and the burden on the family. However, mental health literacy in the community is still low, so targeted preventive and curative efforts are needed. The Community Service Program (PKM) aims to improve people's mental health through educational interventions with scientific booklet media that are easy to understand and apply. The activity method is carried out in a participatory manner, including the preparation stage, socialization, educational implementation, and evaluation. Education is provided to the community with a focus on preventing depression through a healthy lifestyle, stress management skills, and early intervention efforts by seeking professional support. Evaluation is carried out through pre-post tests, observations, and group discussions. The results of the activity showed an increase in public knowledge about depression, a change in attitudes to be more open in expressing feelings, as well as practical skills in relaxation, maintaining sleep patterns, and building social support. Participants also better understand the importance of seeking professional help when depressive symptoms are getting worse. The conclusion of this PKM is that the scientific booklet has proven to be effective as a preventive and curative educational intervention medium, and can be an innovative strategy in improving the mental health of people affected by chronic diseases.

Preterm birth remains a significant public health concern due to its contribution to neonatal morbidity and mortality worldwide. Among the various risk factors, maternal infections—particularly sexually transmitted infections (STIs)—have been identified as preventable yet critical determinants of premature delivery. This study aimed to examine the relationship between STIs and preterm birth among mothers receiving care at Tomalou Primary Health Care Center. A cross-sectional analytical design was employed, involving 30 postpartum mothers whose medical records and antenatal care data were available. Data on STI status and birth outcomes were collected from health center records and laboratory results, while maternal demographic and obstetric characteristics were also documented. Results indicated that 40% of participants were diagnosed with STIs during pregnancy, and 33.3% experienced preterm birth. Chi-square analysis revealed a significant association between maternal STI status and preterm delivery (p = 0.003). Logistic regression demonstrated that mothers with STIs were sixteen times more likely to deliver prematurely compared to uninfected mothers (OR = 16.0; 95% CI: 2.45–104.3; p = 0.002). These findings suggest that STIs represent a substantial risk factor for preterm birth, even among mothers with adequate antenatal care attendance. Early detection, timely treatment, and comprehensive reproductive health education are recommended to reduce infection-related adverse outcomes. Strengthening STI screening and management within primary healthcare settings is essential to improve maternal and neonatal health outcomes. This study provides evidence for the importance of integrating infection prevention strategies into routine antenatal care to mitigate the risk of premature delivery.