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Improving service quality is a primary priority in hospital management. Service quality can be improved by reducing the percentage of non-value added activities through the Lean Hospital approach. This study aims to identify activities and analyze the root causes of critical waste in the drug distribution and utilization processes at the Outpatient Pharmacy Installation of Karanganyar Regency Hospital. This study is a non-experimental research with a qualitative descriptive design. Critical waste was obtained through the distribution of a waste weighting questionnaire assessed by all personnel involved in the drug distribution and utilization processes. The results show that the Value Stream Mapping calculation for the drug distribution process obtained a lead time of 147.41 minutes and a VAR value of 36%, while in the drug utilization process, compounded prescription service obtained a lead time of 128.53 minutes and a VAR of 24%, and non-compounded prescription service obtained a lead time of 75.8 minutes and a VAR of 26%. The critical waste questionnaire calculation using the Borda method in the drug distribution process showed overproduction 60%, inventory 53.33%, and waiting 43.33%, while in the drug utilization process, waiting 43.75%, overproduction 42.85%, and defect 39.70%. The 5S method, a Lean method, was used to eliminate waste in the service process at the Outpatient Pharmacy Installation of Karanganyar Regency Hospital.

The study was conducted at Middle Technical University (College of Health & Medical Techniques, Baghdad) from 29Th October 2024 to 15Th January 2025, enrolling 148 students aged 20–24 years (47.3%), 25–29 years (41.9%), 30–39 years (9.5%), and over 40 years (1.4%), Participants completed a structured questionnaire to assess attitudes toward drug abuse. Regarding protective attitudes, 66.2% agreed that educational programs aid prevention, 68.9% viewed better education as protective, 58.8% cited close family ties, and 72.2% recommended avoiding friends who use drugs, Departmental analysis showed the highest proportion of ―good knowledge in Anesthesia Techniques (95.3%) and the lowest in Physical Therapy Techniques (80.2%) While overall awareness of drug abuse is high among health and medical students, misconceptions regarding its symptoms and effects persist. Targeted educational interventions—especially within departments showing lower knowledge—and reinforcement of accurate prevention and treatment strategies are recommended to strengthen students’ competencies in addressing drug abuse.

The incidence of degenerative diseases, which are part of Non-Communicable Diseases (NCDs), remains a major cause of death worldwide and in many regions of Indonesia. Meanwhile, efforts to prevent degenerative diseases affecting the adolescent age group are still rare, such as the establishment of a Youth Posyandu, including in Sungai Duren Village. There is no health post that provides youth care services in Sungai Duren Village, while there are many teenagers living there (students under 21 years old) with various lifestyles that are at risk of degenerative diseases. This study aims to analyze the increase in adolescent knowledge about CERDIK between before and after the establishment of the Youth Posyandu in order to prevent degenerative diseases early. This study is a quasi-experimental study involving 30 adolescents by measuring the dependent variable of knowledge. The research instrument used is a questionnaire. Computerized data processing and analysis were conducted through descriptive statistical analysis and T-test analysis. The results showed a significant difference in respondents' knowledge of CERDIK before and after the establishment of the Youth Posyandu in Sungai Duren Village (p=0.000). This study indicates that structured health education can improve adolescents' understanding of CERDIK and can be used as an effective promotive and preventive strategy.

Background: Dietary adherence is a crucial component in the management of patients with chronic kidney disease (CKD) undergoing hemodialysis. Non-adherence may lead to metabolic imbalance, increased morbidity, and reduced quality of life.Objective: To identify factors associated with dietary non-adherence among patients with CKD undergoing hemodialysis at Imelda Hospital, Medan. Methods: A cross-sectional study was conducted among patients undergoing routine hemodialysis. Data were collected using structured questionnaires assessing knowledge, attitudes, and family support related to dietary adherence. Statistical analysis was performed using chi-square tests and logistic regression with a significance level of p < 0.05. Results: Knowledge, attitudes, and family support were significantly associated with dietary non-adherence (p < 0.05). Family support was identified as the most influential factor. Conclusion: Dietary non-adherence among hemodialysis patients is influenced by knowledge, attitudes, and family support. Strengthening patient education and family-centered nursing interventions is essential to improve dietary adherence.

This community service aims to provide understanding and skills in using comics and AR media as well as understanding biology material by high school students. The community service was carried out at SMA Negeri 1 Raja Ampat involving 43 students. Measurement of student responses using a questionnaire with six statements on a scale of 1 - 4. The measurement data was calculated to obtain the average score and percentage of student responses. The results of the community service show that the average total score is 86.53 which indicates that overall the student response is very good to the community service activities that have been carried out. Student responses are dominated by agree and strongly agree. The largest percentage of disagree, namely 23.26%, is shown by students, especially in the statement that AR applications can be run easily, but the average total score still reaches the good category for this statement. The community service has provided students with an understanding of how to learn biology in an interesting way and provides benefits to improve their understanding. Students agree that the material presented adds to their insight regarding comics and AR, are able to install AR applications on their mobile devices, improve their understanding of biology material, is interesting and provides benefits for them.

Syphilis is one of the reproductive health problems that remains a challenge in Indonesia, with a trend of increasing cases, while the level of adolescent knowledge about this disease is still low. Educational efforts are needed to improve adolescent understanding, one of which is through video media which is considered more interesting because it combines visual and audio elements. This study aims to evaluate the effectiveness of video as an educational medium in improving adolescent knowledge about syphilis at SMKS Al Hikmah 2 Sirampog, Brebes Regency. This type of research is a pre-experimental study with a one group pretest-posttest design. The study sample consisted of 47 students selected using a purposive sampling technique. The research instrument was a syphilis knowledge questionnaire administered before and after the educational video intervention. Data analysis used the Wilcoxon Signed Rank Test and N-Gain calculation. The study showed that Results Before the intervention, the level of knowledge of respondents was in the good category for 24 students (51.1%), sufficient for 11 students (25.5%), and poor for 12 students (23.4%). After being given the educational video intervention, there was a significant increase with all respondents (100%) being in the good category. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest scores (p-value = 0.000). N-Gain analysis categorized the increase in knowledge as high. The study concluded that video media has proven effective as an educational tool in increasing adolescent knowledge about syphilis, making it a viable alternative learning medium in reproductive health programs.

Successful breastfeeding is a crucial factor in ensuring maternal and infant health, yet many postpartum mothers experience obstacles in optimally breastfeeding. One factor that plays a significant role in successful breastfeeding is family support and involvement. Families, particularly husbands and immediate family members, play a strategic role in providing the emotional, informational, and instrumental support mothers need during the postpartum period. This study aims to analyze the relationship between family roles and successful breastfeeding in postpartum mothers at TPMB Bdn. Neneng Banjarmasin. This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 35 postpartum mothers with infants aged 0–6 months selected using purposive sampling. Data were collected using a structured questionnaire to measure family roles and successful breastfeeding, including aspects of early breastfeeding initiation, breastfeeding frequency, maternal comfort, and sustainability of breastfeeding practices. Data were analyzed univariately and bivariately using the Chi-square test with a significance level of p < 0.05. The results showed that most respondents received good family support and that the majority of postpartum mothers experienced successful breastfeeding. Bivariate analysis showed a significant relationship between family roles and breastfeeding success. In conclusion, family roles are significantly associated with breastfeeding success in postpartum mothers. This finding underscores the importance of a family-centered midwifery care approach in supporting breastfeeding success in community midwifery practice.

Antenatal Care (ANC) is a health service provided to pregnant women during pregnancy by healthcare professionals in accordance with established standards, one of which is the implementation of the 10T ANC service components. The quality of ANC services plays an important role in determining pregnant women’s satisfaction, which in turn affects their compliance with antenatal visits and the effectiveness of pregnancy monitoring. Maternal satisfaction is an essential indicator for assessing the quality of healthcare services at primary healthcare facilities. This study aimed to examine the relationship between 10T Antenatal Care services and pregnant women’s satisfaction at Biru-Biru Public Health Center in 2025. This research employed a quantitative method with an analytical design using a cross-sectional approach. The sample was selected through purposive sampling, involving 48 third-trimester pregnant women. Data were collected using questionnaires that assessed the implementation of 10T ANC services and the level of maternal satisfaction. The collected data were analyzed statistically to determine the relationship between the variables. The findings of this study are expected to provide insights into the importance of optimal implementation of 10T ANC standards. Therefore, healthcare providers, particularly midwives, are encouraged to continuously improve the quality of ANC services to enhance pregnant women’s satisfaction and support efforts to improve maternal and child health outcomes.

Introduction: Dental and oral health problems in school-age children are still a major public health concern. The Little Doctor Program is a school-based health promotion approach that involves the active role of students as agents of change. This study aims to analyze the effectiveness of Small Doctors in promoting dental health in elementary schools. Methods: This study used a quasi-experimental design with a one group pretest–posttest approach. The subjects of the study were elementary school students who participated in dental health promotion activities by Small Doctors. Interventions include counseling, demonstrations of proper brushing of teeth, and the use of educational media. Data were collected using a questionnaire of dental health knowledge, attitudes, and behaviors before and after the intervention. Data analysis was carried out using the paired t-test or Wilcoxon test with a significance level of p < 0.05. Results: There was a significant improvement in students' dental health knowledge, attitudes, and behaviors after the intervention (p < 0.05). Conclusion: The Small Doctor Program is effective as a strategy for promoting dental health in elementary schools and has the potential to support promotional and preventive efforts for children's dental health.

Advancements in modern technology have reshaped people’s lifestyles, including how individuals carry out their daily activities. These changes have influenced individuals to make less realistic decisions in an effort to align themselves with their desired lifestyle. This study aims to examine whether college students with certain lifestyle tendencies are more likely to engage in impulsive buying when shopping online. The study involved 392 college students residing in Surabaya, East Java, selected through a random sampling technique. Data were collected using a Google Form–based questionnaire containing measurement instruments developed by the researcher: (1) the Impulsive Buying Scale (15 items; α = 0.858) and (2) the Lifestyle Scale (22 items; α = 0.898). Multiple linear regression was used to analyze the data.The findings reveal a significant positive relationship between lifestyle and impulsive buying. The strongeran individual’s consumerist lifestyle tendency, the more likely they are to make impulsive purchases.  

This study aims to examine the influence of competence, independence, and information technology on the quality of financial statements among employees of Accounting Service Offices in Semarang City. This research uses a quantitative approach with a survey method targeting employees of Accounting Service Offices in Semarang City. Data were collected through questionnaires and analyzed using multiple linear regression with the aid of SPSS software, obtaining 60 respondents. The results of the study indicate that the three independent variables, namely competence, independence, and information technology, have a positive and significant effect on the quality of financial statements. These findings confirm that improving professional competence, applying strong independence principles, and effectively utilizing information technology are important factors in producing reliable, relevant, and timely financial statements.

Physical fitness is a fundamental determinant of athletic performance and is strongly influenced by dietary intake and lifestyle behaviors. Adequate protein consumption is essential for muscle development and energy metabolism, whereas smoking has detrimental effects on lung function and aerobic capacity. This study aimed to explore the relationship between protein intake and smoking habits with physical fitness, measured by maximal oxygen uptake, among athletes of Persela Football Academy under-eighteen. A quantitative approach with a cross-sectional design was applied, involving adolescent male athletes. Protein intake was assessed using a semi-quantitative food frequency questionnaire, smoking habits were obtained through structured interviews, and maximal oxygen uptake was measured using the multistage fitness test. Findings revealed that the average daily protein intake of athletes was relatively high, while the mean maximal oxygen uptake score fell within the good category. Correlation analysis demonstrated a significant association between protein intake and aerobic fitness, as well as between smoking habits and aerobic fitness. The results indicate that lower protein intake and higher smoking frequency are linked to reduced physical fitness capacity. This study highlights the importance of nutritional interventions and healthy lifestyle promotion as integral components in the development of youth athletes to optimize performance and prevent decline in fitness.

Early detection of growth and development is a crucial step in identifying potential developmental delays in early childhood. This activity aimed to increase parents' and teachers' knowledge of child developmental stages and to conduct developmental screening using the Pre-Screening Development Questionnaire (KPSP) for students of Kindergarten X Panyabungan. The methods used included education through lectures and discussions, followed by KPSP screening on 20 children with an average age of five. The assessment covered gross motor skills, fine motor skills, language, and social independence. The screening results showed that all children (100%) were in the "age-appropriate" category, with no "questionable" or "deviation" categories found. 85% of participants stated that this activity was beneficial and increased their knowledge of child development. This activity demonstrated that the KPSP is an effective early detection tool in the school environment and can strengthen collaboration between teachers and parents. It is recommended that schools conduct regular developmental monitoring and provide ongoing stimulation to support optimal child development.

Early detection of growth and development is a crucial step in identifying potential developmental delays in early childhood. This activity aimed to increase parents' and teachers' knowledge of child developmental stages and to conduct developmental screening using the Pre-Screening Development Questionnaire (KPSP) for students of Kindergarten X Panyabungan. The methods used included education through lectures and discussions, followed by KPSP screening on 20 children with an average age of five. The assessment covered gross motor skills, fine motor skills, language, and social independence. The screening results showed that all children (100%) were in the "age-appropriate" category, with no "questionable" or "deviation" categories found. 85% of participants stated that this activity was beneficial and increased their knowledge of child development. This activity demonstrated that the KPSP is an effective early detection tool in the school environment and can strengthen collaboration between teachers and parents. It is recommended that schools conduct regular developmental monitoring and provide ongoing stimulation to support optimal child development.

This study aims to describe the implementation of environmental literacy through the One Student One Plant Movement program at MI Muhammadiyah Gawang. The research method uses a descriptive qualitative approach. Data collection techniques are carried out using questionnaires and documentation. This program is designed through three main stages, namely environmental literacy socialization, program implementation, and plant care assistance. The results of the study indicate that the program is effective in improving students' environmental literacy, evidenced by the average student environmental literacy score of 62.8 before the program (pretest) with a sufficient category and 82.4 after the program (posttest) with a good category, which indicates an increase of 19.6 or 31.2% in environmental literacy scores. This program also contributes to positive changes in student behavior, such as increased awareness of environmental cleanliness and initiatives in caring for plants. Through these activities, students not only gain knowledge about the environment but also real-life experience in maintaining and caring for plants, connecting theory with practice. This program has succeeded in increasing student awareness and involvement in environmental issues, and can be used as a model for similar programs in other schools.

Early childhood is a critical period for growth and development, characterized by rapid changes in neurological, motor, sensory, and emotional systems. Stimulation during this stage plays a vital role, and non-pharmacological interventions such as massage and aromatherapy may enhance developmental outcomes. This quasi-experimental study employed a pretest–posttest control group design to evaluate the effectiveness of infant massage combined with aromatherapy. Twenty infants aged 3–12 months who met inclusion and exclusion criteria were recruited and assigned to either a control group (infant massage only) or an intervention group (infant massage with aromatherapy). Growth parameters (weight, length, head circumference) and developmental outcomes were measured using the Developmental Pre-Screening Questionnaire, covering gross motor, fine motor, language, and personal-social domains. Infants in the intervention group demonstrated significantly greater improvements in body weight, body length, head circumference, and developmental scores compared to the control group. These findings indicate that the addition of aromatherapy to infant massage provides measurable benefits for both physical growth and developmental progress. Combined infant massage and aromatherapy represent effective non-pharmacological strategies for early stimulation, supporting optimal growth and developmental trajectories in infants.

The goal of this community service program (PkM) at SMA Negeri 11 Samarinda is to increase students' enthusiasm for reading by providing them with e-books that are based on QR codes. Students' lack of enthusiasm for reading and resources for reading led to the program's inception. E-books with QR codes embedded were presented as a workable approach to digital literacy that caters to the needs of students who were born into the digital age. Several steps were involved in the process, such as determining requirements, creating an e-book, creating QR codes, installing them at key school locations, and finally, monitoring and evaluating the results. Observations and questionnaires were given to 200 students as part of the assessment. Students' interest in and ability to access literature were both enhanced by the usage of QR Codes, according to the findings. In a survey, 82% of people said QR Codes were simple to use, and 85% said they were more motivated to read after using them. In terms of reading frequency, 76% of students saw an improvement, and 72% said they could understand what they read better.With an overall mean score of 4.35 (categorized as excellent), the digital literacy program proved to be effective and positively received. Overall, the implementation of QR Code–based e-books successfully strengthened digital literacy practices and created a more engaging, flexible, and sustainable reading experience, offering a model for digital literacy initiatives in other schools.

The Professional Work Lecture (KKP) at the Makassar Class I Prison aims to support the process of fostering Correctional Assisted Citizens (WBP) through recreational activities based on fun games. This program was implemented in response to the condition of WBPs who often experience boredom, psychological stress, and limitations in positive activities during the coaching period. This study uses a descriptive approach with data collection techniques in the form of questionnaires, observations, and interviews involving 30 WBPs, to identify needs and evaluate the impact of the implementation of activities. Fun games activities are carried out through several stages, namely planning, preparation, implementation, and evaluation, by adjusting the conditions and rules that apply in the prison environment. The results of the implementation show that this activity is able to create a more positive atmosphere, increase a sense of togetherness, and help WBP in expressing and managing emotions in a healthier way. The results of the post-activity survey showed that 19 WBPs stated that they were very satisfied and 18 WBPs felt very happy after participating in fun games. Thus, fun games activities have proven to be effective as a coaching strategy that supports the improvement of the psychological welfare of WBP and can be used as an alternative to non-formal coaching programs in correctional institutions.

Cognitive concentration constitutes a pivotal determinant within the educational process; when an individual exhibits impaired attentional capacity, the instructional input received is unlikely to be effectively encoded into neural pathways or long-term memory, thereby rendering the expenditure of effort, time, and resources essentially futile. This investigation sought to elucidate the associative dynamics among breakfast consumption patterns, levels of physical activity, and sleep quality in relation to academic concentration among students in Grades X and XI within the North Bogor District. Employing a cross-sectional methodological framework, the study encompassed 101 participants whose selection adhered to an observational analytic approach. Empirical data pertaining to breakfast behavior, physical activity, sleep quality, and concentration performance were acquired through standardized self-administered questionnaires. Analytical procedures were conducted using the chi-square statistical test. The inferential findings demonstrated a statistically significant association between breakfast habits (p = 0.002) and sleep quality (p = 0.008) with learning concentration, whereas physical activity exhibited no significant correlation (p = 0.831). Accordingly, the study substantiates that breakfast regularity and sleep quality are meaningfully interrelated with students’ concentration levels, while physical activity does not manifest a measurable relationship with concentration outcomes

Diabetes mellitus is the second leading cause of death worldwide after cardiovascular disease. This condition causes physical and psychological burdens. Quality of life is influenced by various aspects, including the ongoing special needs of diabetes mellitus patients. Family support is a form of assistance provided by family members to provide physical and psychological comfort when someone is ill. This study aims to determine the relationship between family support and quality of life of diabetes mellitus patients at Santa Elisabeth Hospital Medan in 2024. This type of research is quantitative with a correlational design and a cross-sectional approach. The sampling technique used purposive sampling with a sample size of 80 respondents. Inclusion criteria included patients who had been diagnosed with diabetes mellitus for more than one year, were accompanied by their family, and were able to communicate in Indonesian. Data collection was conducted using the HDFSS questionnaire and the DQOL questionnaire. The results showed high family support and a high quality of life for diabetes mellitus patients. The Spearman statistical test produced a p-value of 0.048 and a correlation of 0.222. Thus, there is a positive relationship between family support and quality of life for diabetes mellitus patients. This means that the higher the family support, the better the patient's quality of life. Based on the results of this study, hospitals are advised to provide education regarding the importance of family support in influencing the quality of life of diabetes mellitus patients.