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Febrianti, Dina; Radjikan, Radjikan; Indonesia, Indonesia

Public Service And Governance Journal 2026 Universitas 17 Agustus 1945 Semarang

ABSTRAK Perkembangan tata kelola digital di Indonesia mendorong berbagai instansi pemerintah, termasuk rumah tahanan negara (rutan), untuk mentransformasi sistem pelayanan publiknya melalui aplikasi berbasis digital. Rutan Kelas I Surabaya menginisiasi aplikasi RUSABAYA sebagai platform digital terintegrasi untuk mengelola pelayanan kunjungan tatap muka warga binaan. Penelitian ini bertujuan menganalisis optimalisasi aplikasi RUSABAYA dalam meningkatkan kualitas pelayanan kunjungan warga binaan, mengidentifikasi hambatan implementasi di lapangan, serta merumuskan rekomendasi strategis perbaikan layanan. Dengan menggunakan pendekatan kualitatif deskriptif melalui observasi partisipatif selama kegiatan magang, wawancara terbatas dengan petugas dan pengunjung, serta studi dokumentasi, penelitian ini menemukan bahwa RUSABAYA telah berkontribusi signifikan dalam meningkatkan efisiensi administrasi, transparansi, dan ketertiban pelayanan kunjungan. Aplikasi ini memungkinkan pendaftaran kunjungan secara daring, pengelolaan antrean digital melalui tiket berbasis kode QR, penjadwalan berbasis sesi dengan kuota 80 orang per sesi, serta fitur riwayat kunjungan yang lengkap. Namun, dua hambatan kritis teridentifikasi: aplikasi tidak tersedia di platform distribusi populer seperti Google Play Store dan Apple App Store, serta sosialisasi penggunaan aplikasi kepada masyarakat belum optimal sebagaimana tercermin dari ketiadaan petunjuk penggunaan di loket pelayanan. Temuan ini menegaskan bahwa efektivitas digitalisasi pelayanan publik tidak semata-mata ditentukan oleh kualitas teknis sistem, tetapi juga oleh aksesibilitas, dukungan literasi digital, dan komitmen institusional terhadap pelayanan yang inklusif.

Sukatno; Armanto, Ony

Journal of Technology and Science 2026 Fakultas Sains dan Teknologi, Universitas Teknologi Surabaya

The rapid growth of Solar Power Plant (PLTS) installations in Indonesia faces efficiency challenges due to the continuously changing position of the sun. Fixed panel systems cannot absorb solar radiation optimally throughout the day. This study aims to evaluate and compare the efficiency of various solar tracking system methods developed over the last five years using a simple literature review approach. The research method was conducted by collecting, screening, and synthesizing secondary data from five reputable scientific journals using a synthesis matrix. The review results indicate that single-axis tracking systems increase power efficiency by 15% to 24.5%. Meanwhile, dual-axis systems achieve higher efficiency, ranging from 30% to 35%, by tracking both horizontal and vertical solar movements. In terms of control systems, astronomical algorithms are found to be more reliable in cloudy weather conditions than pure light sensors. However, the internal power consumption of the actuator motors remains a critical factor that can reduce the system's net energy gain. The implication of this study emphasizes the importance of shifting future research focus toward energy-saving algorithm optimization to maximize net power yield in dynamic solar panel implementations.

Muh Amirul Mukminin; Hesti Andriyani Putri; Via Rahmah

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

Radiological examination is a diagnostic supporting procedure aimed at visualizing the internal structures of the human body to assist in establishing a diagnosis. One of the examinations performed is the Acromioclavicular Joint examination, which is used to identify abnormalities of the acromioclavicular joint. This study aims to compare the imaging results of the Acromioclavicular Joint using the anteroposterior (AP) projection with a 3 kg weight and the AP projection without a weight. The study was conducted at the Radiology Laboratory of STIKES Boneo Nusantara, Diploma III Radiology Study Program, using a conventional radiography unit and a quantitative descriptive method with a case study approach. Data were collected through observation and questionnaires. The results showed that the examination using a 3 kg weight produced clearer Acromioclavicular Joint images than the examination performed without a weight. The difference was reflected in the improved visualization of the anatomical structures, thereby facilitating a more accurate assessment of the joint. This study concludes that the use of a 3 kg weight in the AP projection provides superior imaging results by enhancing the visualization of the anatomy of the shoulder joint, thereby potentially improving the accuracy of the radiological evaluation of the Acromioclavicular Joint.

Muh Amirul Mukminin; Hesti Andriyani Putri; Via Rahmah

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

Radiological examination is a diagnostic supporting procedure aimed at visualizing the internal structures of the human body to assist in establishing a diagnosis. One of the examinations performed is the Acromioclavicular Joint examination, which is used to identify abnormalities of the acromioclavicular joint. This study aims to compare the imaging results of the Acromioclavicular Joint using the anteroposterior (AP) projection with a 3 kg weight and the AP projection without a weight. The study was conducted at the Radiology Laboratory of STIKES Boneo Nusantara, Diploma III Radiology Study Program, using a conventional radiography unit and a quantitative descriptive method with a case study approach. Data were collected through observation and questionnaires. The results showed that the examination using a 3 kg weight produced clearer Acromioclavicular Joint images than the examination performed without a weight. The difference was reflected in the improved visualization of the anatomical structures, thereby facilitating a more accurate assessment of the joint. This study concludes that the use of a 3 kg weight in the AP projection provides superior imaging results by enhancing the visualization of the anatomy of the shoulder joint, thereby potentially improving the accuracy of the radiological evaluation of the Acromioclavicular Joint.

Umair Umair; Dudung Hidayat; Raden Handiriono

Birokrasi: JURNAL ILMU HUKUM DAN TATA NEGARA 2026 Sekolah Tinggi Ilmu Administrasi (STIA) Yappi Makassar

The development of stand-up comedy as part of the creative industry raises legal issues regarding the protection of materials that are often duplicated and distributed without authorization. This study examines the legal qualification of stand-up comedy material as a copyrighted work and the form and scope of copyright protection provided under Indonesian law. This research aims to analyze the legal status of stand-up comedy material and the protection granted to it. The method used is normative juridical research with statutory and comparative law approaches. The results show that stand-up comedy material fulfills the requirements of a protected work as it contains originality and has been expressed in a tangible form. It is classified as a literary work in the form of oral expression as well as a performing art under Law Number 28 of 2014 on Copyright. The protection covers both moral rights and economic rights; however, its implementation remains weak, especially in the digital era where violations such as re-uploading and unauthorized recording are prevalent. In conclusion, stand-up comedy material has a strong legal basis for protection, but further efforts are needed in law enforcement and public awareness to ensure effective protection.

Eka Faena Guslaila; Nurul Mubin

Al-Tarbiyah: Jurnal Ilmu Pendidikan Islam 2026 STAI YPIQ BAUBAU, SULAWESI TENGGARA

This study aims to examine the role of Ahlussunnah wal Jama'ah (Aswaja) An-Nahdliyah in strengthening religious moderation among young people amid increasingly complex, pluralistic, and digitalized societies. Globalization, advances in information technology, and easy access to diverse religious perspectives through digital media have influenced the religious attitudes and behaviors of younger generations, highlighting the need to reinforce moderate religious values. Aswaja An-Nahdliyah promotes the principles of tawassuth (moderation), tasamuh (tolerance), tawazun (balance), and i'tidal (justice) as the foundation for social, national, and civic life. This study employed a qualitative approach using a library research method. Data were collected from books, scientific articles, official documents, and relevant literature on Aswaja An-Nahdliyah and religious moderation. The data were analyzed using content analysis to identify the contribution of Aswaja values in fostering moderate attitudes among young people. The findings indicate that Aswaja An-Nahdliyah plays a strategic role in internalizing inclusive, contextual, and tolerant Islamic values through formal and non-formal education, youth organizations, religious study groups, and digital media. The implementation of these values enhances tolerance, respect for diversity, patriotism, and critical awareness among young people in confronting radical and intolerant ideologies, thereby supporting the development of a harmonious and peaceful pluralistic society.

Sulton Nasrullah; Purwoko Purwoko; Muhammad Akhlis Rizza; Sugeng Hadi Susilo

Mars: Jurnal Teknik Mesin, Industri, Elektro Dan Ilmu Komputer 2026 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Braking performance is an important aspect of motorcycle safety because it relates to the vehicle’s ability to reduce speed and stop properly. In a hydraulic disc brake system, braking is influenced by mechanical and hydraulic factors, especially disc brake diameter and master cylinder pressure. Disc brake diameter determines the effective braking radius, while master cylinder pressure generates hydraulic pressure that is transmitted to the caliper. This study aims to analyze the effect of disc brake diameter and master cylinder pressure variations on the braking distance and braking time of a 110 cc motorcycle. This research used a quantitative experimental method with a Honda Revo Injection 110 cc motorcycle as the test object. The disc brake diameter variations were 190 mm, 220 mm, and 260 mm, while the master cylinder pressures were 2 bar, 4 bar, and 6 bar. Each treatment combination was tested three times at an initial speed of 40 km/h on a dry and flat asphalt road. Braking distance was obtained from front wheel rotation data recorded by a magnetic digital counter, while braking time was determined from video recordings. The data were analyzed using Two-Way ANOVA and response optimization. The results showed that increasing disc brake diameter and master cylinder pressure reduced braking distance and braking time. The best combination was obtained at a 260 mm disc brake diameter and 6 bar master cylinder pressure, producing a braking distance of 12.8 m and a braking time of 2.3 s.

Rania Nurlita Sari; Raden Kokoh Haryo Putro; Yerry Kahaditu Firmansyah

Jurnal Sains dan Teknologi 2026 Fakultas Teknik Universitas Cenderawasih

Lead (Pb²⁺) contamination in wastewater is a major environmental concern due to its toxicity, persistence, and ability to accumulate in living organisms. Adsorption using biomass-based materials has been developed as an alternative treatment method because it is efficient, economical, and environmentally friendly. This study aimed to analyze the effect of bioadsorbent dosage and contact time on Pb²⁺ removal efficiency and evaluate Pb²⁺ mass distribution using mass balance analysis in a batch adsorption system. Ramie leaf (Boehmeria nivea) was utilized as a bioadsorbent due to its lignocellulosic content, which provides active sites for metal ion adsorption. The research was conducted experimentally through bioadsorbent preparation, chemical activation, and batch adsorption using artificial Pb²⁺ solutions with variations in bioadsorbent dosage and contact time. Pb²⁺ concentrations before and after adsorption were analyzed using Atomic Absorption Spectroscopy (AAS). The obtained data were used to determine removal efficiency and Pb²⁺ distribution between the liquid phase and bioadsorbent. The results showed that ramie leaf bioadsorbent effectively reduced Pb²⁺ concentration, with the optimum condition obtained at 4 g/L bioadsorbent dosage and 90 minutes contact time, achieving 98.46% removal efficiency. Mass balance analysis indicated that Pb²⁺ ions were successfully transferred from the solution phase onto the bioadsorbent surface. These findings demonstrate that ramie leaf bioadsorbent has potential as a sustainable alternative material for heavy metal removal in wastewater treatment.

Aqilla, Rosyida Salsabil; Putro, Raden Kokoh Haryo

JURNAL WILAYAH, KOTA DAN LINGKUNGAN BERKELANJUTAN 2026 Fakultas Teknik Universitas Cenderawasih

Lead (Pb²⁺) is a hazardous heavy metal commonly found in industrial wastewater and poses serious risks to human health and the environment due to its toxic and non-biodegradable nature. Therefore, an effective and environmentally friendly treatment method is required to reduce Pb²⁺ concentration in wastewater. This study aimed to evaluate the effect of pH and initial Pb²⁺ concentration on the adsorption capacity of ramie leaf (Boehmeria nivea) bioadsorbent activated with NaOH. The adsorption process was conducted using a batch system with pH variations of 4, 5, and 7 and initial Pb²⁺ concentrations of 20, 25, and 30 mg/L. The residual Pb²⁺ concentration was analyzed using Atomic Absorption Spectrophotometry (AAS), and the adsorption performance was evaluated based on removal efficiency and adsorption capacity (Qe). The results showed that pH and initial Pb²⁺ concentration significantly affected the adsorption performance. The optimum adsorption condition was obtained at pH 5, with a maximum removal efficiency of 99.20% and a total adsorption capacity of 18.56 mg/g. The increase in pH from 4 to 5 enhanced adsorption performance due to reduced competition between H⁺ and Pb²⁺ ions for active sites on the adsorbent surface. Increasing the initial Pb²⁺ concentration tended to increase adsorption capacity, although removal efficiency remained relatively stable due to the limited number of active adsorption sites. The Relative Standard Deviation (RSD) values ranged from 1.56% to 3.37%, indicating good precision and repeatability of the experimental data. These findings demonstrate that NaOH-activated ramie leaves have considerable potential as an effective, low-cost, and environmentally friendly bioadsorbent for Pb²⁺ removal from wastewater.

Arifin, Ridwan Kholiiful; Setyawan, Kartika Wijaya; Karyana, Rana

Amphibious Journal 2026 Akademi Angkatan Laut

The rapid development of information and communication technology has encouraged military organizations to adopt modern systems capable of supporting operational effectiveness. One of the challenges faced by the Indonesian Marine Corps is the limitation of conventional monitoring methods that still rely on voice reports through tactical radios and manual communication systems. This condition often causes delays in information delivery, inaccuracies in troop positioning data, and difficulties in controlling personnel and logistics in dynamic operational environments. This study aims to formulate a conceptual model for the utilization of a GPS Tracking System integrated with Marine Corps communication equipment to improve troop and material movement monitoring. The study employed a Research and Development (R&D) method with a descriptive qualitative approach. Data were collected through literature review, observation, interviews, questionnaires, and documentation involving operational personnel and military communication experts. The results indicate that integrating GPS Tracking Systems with communication equipment can provide real-time location information, improve command and control effectiveness, accelerate reporting processes, enhance logistics supervision, and support operational evaluations through recorded movement data. The proposed concept is expected to strengthen situational awareness, increase operational efficiency, and support mission success in future Marine Corps operations.

Raden Nisfa Syabana; Lina Aryani; Evi Priyanti

JURNAL WILAYAH, KOTA DAN LINGKUNGAN BERKELANJUTAN 2026 Fakultas Teknik Universitas Cenderawasih

Vandalism is a social problem affecting public space quality, urban aesthetics, and the effectiveness of public facilities utilization. Karawang Regency, as a developing industrial area, faces challenges related to increasing acts of vandalism targeting public facilities, open spaces, and government and private assets. This study aims to analyze preventive efforts carried out by the Civil Service Police Unit (Satpol PP) of Karawang Regency using J. Salusu’s public sector strategic management perspective. This research employed a qualitative approach with a descriptive case study method. Data were collected through observation, interviews, and documentation involving Satpol PP officers and public facility users. Data analysis consisted of data reduction, data display, and conclusion drawing with source, technique, and time triangulation. The findings indicate that preventive strategies have been implemented through four strategic management phases. In the identification phase, Satpol PP recognized vandalism patterns but lacked systematic mapping of vulnerable locations. In the development phase, institutional strengths existed alongside limitations in resources and innovation. In the resolution phase, strategies focused on socialization, routine patrols, and cross-sector collaboration. In implementation and evaluation, preventive programs operated adaptively but still encountered limitations in personnel capacity and public participation. Strengthening technology utilization, human resources, and collaborative governance is necessary to improve long-term preventive effectiveness.

Auliya, Rifqi Sulthon; Kusumaningtyas, Pramesti; Harsoyo, Imam Tri

ISAINTEK: Jurnal Informasi, Sains dan Teknologi 2026 Politeknik Negeri FakFak

Kompleksitas subsistem elektromekanis pada sistem Radiografi Digital (DR) menuntut pendekatan diagnostik yang terstruktur untuk mencegah waktu henti yang lama dan menghindari pembongkaran yang tidak perlu. Penelitian ini bertujuan untuk menerapkan prinsip Deteksi dan Isolasi Kerusakan (FDI), dengan menggunakan metode isolasi blok, guna mendiagnosis dan mengatasi gangguan pada sistem pengunci magnetik meja pasien pada unit Philips SRO 33100. Pendekatan FDI diterapkan dengan memisahkan blok kontrol listrik dari blok aktuator mekanis secara sistematis, serta melakukan analisis perbandingan terhadap dua aktuator yang identik. Pengukuran listrik menunjukkan bahwa kedua unit kunci magnetik kiri dan kanan menerima tegangan masukan normal sebesar 23,48 V. Perhitungan koreksi relatif menghasilkan nilai 2,5%, yang masih berada dalam batas toleransi aman sebesar 10%, sehingga mengonfirmasi integritas blok kontrol listrik. Namun, analisis perbandingan mengungkapkan ketidakhadiran respons mekanis yang lengkap pada unit kiri, memungkinkan kesalahan diisolasi secara tepat ke kegagalan aktuator internal tanpa membongkar sirkuit kontrol yang utuh. Berdasarkan diagnosis definitif ini, tindakan korektif diambil melalui penggantian komponen dan kalibrasi penyesuaian celah. Uji fungsional pasca-perbaikan mencatat tegangan operasional stabil sebesar 23,45 V dan menunjukkan respons mekanis yang sepenuhnya sinkron, memulihkan gerakan mengambang empat arah. Studi ini menunjukkan bahwa kerangka kerja isolasi blok berbasis FDI yang diusulkan menyediakan strategi yang efektif dan berbasis bukti untuk mengidentifikasi kegagalan elektromekanis, sehingga meminimalkan kebutuhan akan prosedur pemecahan masalah yang invasif. Akibatnya, pendekatan ini merupakan metode diagnostik yang sangat efektif yang menghilangkan kebutuhan akan pembongkaran yang luas, menawarkan kerangka kerja yang andal yang dapat diterapkan secara luas untuk pemecahan masalah peralatan medis lainnya.

Iwan Setiawan Adji; Zahira Husna Aflaha Khansa Siswaya; Hanif Nur Khairuddin; Eillena Noxie Azzahra; Namira Aisya Devi +1 more

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Dysphagia in extremely elderly patients represents a significant clinical challenge because it is frequently associated with frailty, malnutrition, and an increased risk of aspiration. Multifactorial etiologies and atypical clinical manifestations may complicate diagnosis and delay appropriate management. This study aimed to describe the diagnostic evaluation and clinical findings of dysphagia in an extremely elderly patient through a case report supported by a scoping review. A 105-year-old woman with chronic progressive dysphagia underwent comprehensive assessment, including physical examination, upper gastrointestinal endoscopy, histopathological evaluation, and chest radiography. Relevant literature on dysphagia in geriatric populations was reviewed to provide contextual understanding of diagnostic challenges and underlying etiologies. The evaluation revealed chronic active gastritis and a hamartomatous polyp in the gastroesophageal region without evidence of malignancy. Comprehensive assessment successfully excluded malignant and acute obstructive causes, emphasizing the complexity of dysphagia diagnosis in extremely elderly individuals with frailty and aspiration risk. These findings underscore the importance of endoscopic and histopathological examinations in distinguishing benign from malignant etiologies and support early recognition of multifactorial non-malignant causes to optimize clinical management and reduce the risk of adverse outcomes in this vulnerable population

Julia Megawati Djamal; Fivianti Fivianti; I Made Rantiasa; Febrianika Ayu Kusumaningtyas

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Rumbia fruit contains various bioactive secondary metabolites, particularly flavonoids, which are recognized for their antioxidant properties. These compounds contribute to the prevention of oxidative damage by scavenging and neutralizing free radicals. To enhance its practicality and ease of application, the fruit pulp extract was incorporated into a cream formulation. This study aimed to develop a topical cream containing rumbia fruit pulp extract and to evaluate its physicochemical characteristics. The antioxidant activity of the formulated cream was assessed using the 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging assay. The results demonstrated that the extract could be successfully formulated into a stable cream preparation. Furthermore, the formulated cream complied with the quality requirements for topical creams, as evidenced by satisfactory organoleptic properties, homogeneity, pH value, spreadability, and adhesiveness. Antioxidant evaluation revealed a color transition from purple to yellow during the DPPH assay, indicating the ability of the extract to scavenge free radicals and exhibit antioxidant activity.

Hanifah Khoirurizkyah Pertiwi Abidin; Ifan Hafiz Adyanto; Wandi Erniaman Ziliwu

Mars: Jurnal Teknik Mesin, Industri, Elektro Dan Ilmu Komputer 2026 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

The rapid development of information technology drives various business sectors, including the beauty and health industry, to adopt digital systems in their operational management. A Beauty Clinic, a medium-scale aesthetic clinic, faces significant operational challenges in managing human resources, finance, and digital marketing in an integrated manner. This study aims to analyze the existing manual operational system of A Beauty Clinic using the PIECES framework (Performance, Information, Economy, Control, Efficiency, Service), design and configure an Odoo ERP Community Edition implementation integrating the HR, Invoicing/Point of Sale, and Social Marketing modules, and evaluate the operational efficiency improvements achieved. The research employed a qualitative descriptive approach with a case study method and Rapid Application Development (RAD) as the system development methodology. Data was collected through direct observation and semi-structured interviews. The results show that the manual system experienced critical problems across all six PIECES dimensions. Post-implementation evaluation indicates an estimated 80% reduction in the secretary's administrative workload (from 20–25 hours to 3–5 hours per month), over 90% reduction in payroll error frequency, and an 87% reduction in transaction processing time per cashier transaction. The implementation of role-based access control and complete audit trails fundamentally addressed the security vulnerabilities identified in the as-is analysis. This study demonstrates that Odoo Community Edition is an effective, comprehensive, and cost-efficient ERP solution for small and medium-scale beauty clinics seeking to transform from fragmented manual systems to integrated, data-driven information systems.

Aristya Ika Wardani

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Muscle-invasive bladder cancer (MIBC) is an aggressive malignancy associated with high morbidity, reduced survival, and impaired quality of life. Radiotherapy (RT) has been widely used as a bladder-preserving strategy, particularly for patients unsuitable for surgery or systemic chemotherapy. RT may also enhance tumor immunogenicity through programmed death-ligand 1 (PD-L1) upregulation, providing a rationale for combination therapy with immunotherapy. This study aimed to evaluate the effectiveness of combining immunotherapy and radiotherapy in MIBC treatment. A systematic review was conducted following PRISMA 2020 guidelines using the PICO framework. Literature searches were performed in PubMed, Embase, Cochrane, ClinicalTrials.gov, Web of Science, and Scopus databases for studies published between 2016 and 2025. Risk of bias was assessed using the Cochrane Risk of Bias Tool and ROBINS-I. Of 105 identified studies, five met the inclusion criteria and were included in the final analysis. Only one Phase II randomized controlled trial demonstrated low risk of bias in randomization and allocation concealment. ROBINS-I assessment indicated moderate to serious risk in confounding and participant selection domains. Clinical findings showed promising outcomes, with complete response rates ranging from 35%–50% and partial response rates from 25%–40%. Median overall survival ranged from 24–30 months, with favorable disease-free and progression-free survival outcomes. Combined immunotherapy and radiotherapy demonstrate potential to improve survival and disease control in MIBC; however, further rigorous clinical studies are needed to optimize patient-centered treatment strategies.  

Muhammad Rizki Fadil; Fabian Gamal Sutrisno; Siti Fira Rahmawaty; Archie Fontana Iskandar

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Circulating tumor DNA (ctDNA) has emerged as a promising liquid biopsy biomarker for real-time monitoring of tumor dynamics. In urothelial carcinoma (UC), effective monitoring of treatment response remains a clinical challenge due to the limitations of conventional imaging and invasive procedures. This systematic review aims to synthesize the existing evidence on the association between ctDNA dynamics and treatment response monitoring across various stages and therapeutic settings. A comprehensive systematic review was conducted. We included cohort studies, randomized controlled trials, and meta-analyses that evaluated ctDNA in UC patients undergoing treatment. Data were extracted on patient population, methodology, treatment, sampling strategy, clinical outcomes, and statistical associations. The review encompassed 80 studies. Baseline ctDNA positivity was strongly prognostic, associated with a 4- to 6-fold increased risk of recurrence or death (HR 4.23-6.56). Dynamic ctDNA clearances or significants reduction during treatment, were strongly associated with improved outcomes. Showing hazard ratios for adverse events as low as 0.10-0.31. ctDNA demonstrated time advantages of 53-90 days over radiographic detection. ctDNA is a potent tool for monitoring treatment response in urothelial carcinoma. It provides superior prognostic and offers a significant lead time for detecting treatment failure. Future research must focus on standardizing methodologies and validating ctDNA-guided therapeutic.

Cristi Mokoagow; Aunike Pondaag; Christofan N Paath; Gabriel Wariki; Merien Shintia Radjakore +3 more

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2026 STIKES Columbia Asia Medan

Clean water is a basic human necessity that plays a vital role in public health and well-being. However, access to clean water remains a challenge in many drought-prone areas. This condition requires effective planning and evaluation to ensure the sustainability of clean water supply programs. This article aims to examine the application of the Problem Solving Cycle (PSC) method in the planning and evaluation of clean water supply programs in drought-prone regions. The study employed a literature review method by analyzing various scientific articles and relevant documents. Data were analyzed descriptively through identification, classification, and information synthesis. The findings indicate that PSC supports program planning and evaluation through the stages of problem identification, cause analysis, action planning, implementation, monitoring, and evaluation. Clean water supply programs contribute to improving community access to safe water and adequate sanitation, although several challenges remain, including limited resources, infrastructure management issues, and program sustainability. Therefore, PSC can serve as an effective approach to support the success of clean water supply programs in drought-prone areas.

Ansorul Alim; Mahmud Arif

This article examines the urgency of strengthening Islamic creed (aqidah) as a preventive instrument in addressing religious radicalism. The rise of extremism is not merely driven by sociological factors, but is also rooted in a theological crisis, namely textual interpretations that give rise to exclusivism and takfiri doctrines. Employing a conceptual literature review method, this study deconstructs the pathology of radicalism and reconstructs the preventive dimensions of aqidah. The findings reveal that ideological mitigation is grounded in three dimensions of aqidah: Tawhid as a means of liberating reason from group arrogance, wasathiyyah (moderation) in maintaining tolerance, and the absolute integration of faith with social morality. To be effective, these values must be institutionalized within Islamic education through the transformation of critical pedagogy, the strengthening of religious digital literacy, and the development of an inclusive school culture. Strengthening aqidah is therefore not merely a transfer of dogma, but the formation of a moderate worldview as a strong shield against the infiltration of radical ideologies.

Afifah Ismatul Maula; Ahmad Zakiudin

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2026 STIKES Columbia Asia Medan

Background: Distal radius fracture is the most common fracture of the radius bone near the wrist joint. The prevalence of fractures in Indonesia in 2024 was 3.8%, indicating that approximately 20 million people experienced fractures. Therefore, nursing care planning is required to address musculoskeletal disorders. Objective: To describe the nursing care for patients with Musculoskeletal System Disorders: Post-Op ORIF Fracture of One-Third Distal Radius Dextra. Method: This study used a descriptive narrative method by providing an overview of nursing care through a nursing process approach. Results: Nursing diagnoses that emerged in the patient included acute pain, impaired physical mobility, risk of infection, and knowledge deficit. Interventions performed included pain management, mobilization support, infection prevention, and health education. Conclusion: After two days of nursing implementation, one diagnosis was fully resolved and three diagnoses were partially resolved due to time constraints. Discharge planning was provided including deep breathing relaxation techniques, passive ROM exercises, and wound dressing changes every two days.