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Background: Respiratory failure is a condition in which the respiratory system fails to perform the function of gas exchange, namely the entry of oxygen and the exit of carbon dioxide. Patients with respiratory failure are usually put on a ventilator. Patients who are put on a ventilator will experience a buildup of secretions, to overcome this, chest physiotherapy and suction will be performed. Chest physiotherapy is a procedure performed on patients who experience secretion retention and oxygenation disorders who require assistance to thin or remove secretions. While suction is the act of inserting a suction catheter tube through the mouth or nose or endotracheal tube (ETT) which aims to reduce sputum retention, free the airway and prevent lung infections. The purpose of this community service is to teach and understand changes in oxygen saturation levels in patients with respiratory failure in the ICU room of the Dr. Ario Wirawan Salatiga Lung Hospital after chest physiotherapy and suction interventions. The methods used are training, lectures and direct demonstrations. The number of patients in this community service is 4 patients. The results of this community service are the effect of increasing oxygen saturation after chest physiotherapy and suction. That is, before chest physiotherapy, the average oxygen saturation level was 93%, after chest physiotherapy for 3 days it became 97%. While before suction, the average saturation level was 95%, after suction for 3 days the 4th saturation became 100%. The conclusion is that there is an increase in oxygen saturation levels after chest physiotherapy and suction in patients with respiratory failure in the ICU Room of the Dr. Ario Wirawan Salatiga Lung Hospital.

One of the indicators based on the Sustainable Development Goals (SDGs 2030) is to support welfare and ensure a healthy life for all at all ages with the most important point being to reduce maternal mortality to less than 70 per 100,000 live births and prevent neonatal and toddler mortality rates of at least 12 per 1000 live births and 25 per 1000 live births in toddlers. A study was conducted to determine the effect of giving red guava juice on changes in hemoglobin levels in pregnant women in the third trimester at PMB Debby Deliserdang in 2022. In this study, the sample used was all pregnant women in the third trimester in March to May 2022, totaling 12 people. The study showed that in the intervention group before giving red guava juice, the majority had moderate anemia with a frequency of 8 respondents (66.7%) and a minority were normal with a frequency of 1 respondent (8.3%). Meanwhile, after giving red guava juice, the majority were normal with a frequency of 7 respondents (53.8%) and a minority of moderate anemia as much as 1 respondent (8.3%). The results of the analysis test in this study using Mann Whithney showed a P-Value of 0.022 (P <0.05), namely that there is an effect of giving red guava juice on increasing hemoglobin in pregnant women in the second trimester. Pregnant women, especially pregnant women who experience anemia, are expected to routinely consume red guava juice because if consumed properly, red guava juice has many benefits, especially for pregnant women so that it can meet the nutritional needs required by the body and can maximize iron absorption.

One of the plants that can be used as a pain reliever is Nutmeg Leaves. One of the compounds contained in nutmeg leaves is phenolic compounds. These phenolic compounds play a role in the treatment and prevention of diseases including as antioxidants and are able to overcome health problems such as lower back pain. Purposes : to provide information about the benefits of boiled water from nutmeg leaves to overcome Low Back Pain (LBP) or lower back pain in the community in Boiyauw Village, Banda, Maluku. Method: by providing information through health education. The media used are leaflets, power point presentations, samples of boiled water from nutmeg leaves. Results: It is expected that there will be changes in participant behavior when positioning themselves at work and that they can utilize nutmeg leaves as a family medicinal plant to reduce or relieve lower back pain.

Background: Pulmonary tuberculosis (TB) is an infectious disease that requires long-term treatment and patient compliance so that the healing process can be achieved properly. One of the factors that plays an important role in the success of pulmonary TB treatment is family support. Families who are directly involved in care and motivation can increase the patient's enthusiasm to complete treatment. Therefore, empowering families in supporting pulmonary TB treatment is very important to reduce the number of failed treatments and prevent drug resistance. This community service aims to empower families in providing effective support to pulmonary TB patients so that patients can complete their treatment completely. The empowerment program carried out through counseling on the importance of adherence to TB treatment, as well as training on how to care for patients and reduce social stigma against TB, is expected to increase the active role of families in supporting patient treatment. This community service activity involves families of pulmonary TB patients, medical personnel, and the surrounding community, with an educational and collaborative approach. The results of this community service show an increase in family understanding of TB disease, the importance of adherence to treatment, and a reduction in stigma against TB patients. In addition, families feel more prepared and motivated to support patients in undergoing treatment. Family empowerment has been proven effective in increasing the completion rate of pulmonary TB treatment, which in turn can reduce transmission rates and drug resistance.

Circulating drugs without a distribution permit is a criminal act, where the drugs being distributed are not necessarily relevant to their composition and manufacture. This means that the safety, efficacy and benefits of drugs being traded are not guaranteed. Then the perpetrators of distributing drugs without a distribution permit will be punished and subject to criminal penalties. In this case Law no. 17 of 2023 concerning Health regulates criminal provisions for perpetrators of distributing drugs without a distribution permit with a prison sentence of 12 years and a fine of five billion rupiah, but the criminal sanctions imposed by the judge in decision case number 111/pid.B/2013/PN/ are reduced. Mtr does not provide a deterrent effect for perpetrators. The problems in this research are: first, what is the responsibility for perpetrators of criminal acts of distributing drugs without a distribution permit? Second, what are the judge's considerations in handing down a decision regarding the distribution of drugs without a distribution permit in case number 111/pid.B/2013/PN/Mtr?The results of this research are to show that the form of responsibility of the defendant is in accordance with the elements of responsibility, because the actions carried out by the defendant contained an element of intentional error and the judge sentenced the defendant to 10 months' imprisonment, which according to the author was not appropriate because the sentence This will not have a deterrent effect on the perpetrator.

In the current era of globalization and technology, computers, RFID are examples of information technology tools that are indispensable for meeting human needs in almost every aspect of life, including the management of infrastructure and equipment lending.According to direct research at Widya Praja Ungaran Vocational School, there are only two workers who handle facilities and infrastructure. In carrying out their work assignments, they still experience difficulties. Excess workload and the process of borrowing tools that still lacks a sense of responsibility, so that the results of the work are not maximized.The existence of increasingly sophisticated technology, the management of infrastructure and equipment lending can be done with the help of technological tools that will be implemented in this school. This research aims to make it easier to administer, because this school has not yet added a new workforce.This research can be designed with the help of software (Bootstrap, MySql), programming (PHP, Arduino IDE) and equipment (NodeMCU ESP8266, RFID, LCD, I2C, buzzer, power supply, breadboard, jumper cables, resistors, LEDs) to provide data information. more accurate, effective, efficient and provide a good working atmosphere in this school. It is hoped that this research can reduce work overload and create a sense of responsibility in borrowing equipment, using local networks (wifi / handphone) and computers or laptops, with the research method used is research and development (R&D).

This study aims to determine the implications of accounting information systems (AIS) as a business strategy for SMEs in Madiun City. Economic digitalization has a major effect on SMEs. One of the implications (Angelina Wijaya Tan et al., 2024) of this economic digitalization is the transformation carried out by SME actors into the digital era, including the use of Accounting Information Systems (AIS). Efficiency is needed by SMEs in order to keep up with the changing times. The use of this AIS can improve the reporting process and business processes carried out by SMEs. Another advantage (Ari Rohmana & Hwihanus Hwihanus, 2023) of using this AIS is to avoid recording errors and reduce waste. It can be seen that AIS has an important role in the business processes carried out by SMEs. The research method used is qualitative research. The respondents used were SMEs in Madiun City.  

Background The World Health Organization (WHO) estimates that the number of fever cases in children reaches 62%. Management of fever can be in the form of non-pharmacological therapy. One non-pharmacological therapy for fever is to apply a compress using aloe vera. Aloe vera contains lignin and saponin which can vasodilate the skin and reduce body temperature. The aim of this research is to determine the effect of information and actions on giving aloe vera compresses on reducing body temperature in children with fever at the Nassau Kec.Nassau Kab.Toba Tahun 2024. This research is a type of quantitative research with a quasi-experimental research design with a pre-test and post-test design without control with subjects of 30 children aged 3 – 6 years who had a fever at the nassau public health center,nasaau district,toba regency in 2024. Community Health Center. The sampling technique in this research is total sampling, namely a sampling technique when all members of the population are used as samples. The intervention carried out was applying compressaloe vera to the forehead for 15 minutes. Temperature measurement using a digital thermometer. The data analysis used is univariate and bivariate analysis. The test used is the non-parametric Wilcoxon test. The results of this research, namely the results of statistical tests using the Wilcoxon test stated that giving aloe vera compresses had an effect on changes in body temperature in fever sufferers with a p value = 0.002 (α < 0.005) with a temperature decrease of 0.486 ºC. The conclusion of this study is that there is a significant influence on the results of measuring body temperature before and after giving aloe vera compresses to children who have fever at  the nassau public health center,nasaau district,toba regency in 2024.

Digital technology significantly impacts children's concentration. While educational apps and structured media positively influence cognitive development, learning motivation, memory, and problem-solving skills, excessive, uncontrolled use leads to negative effects. These include decreased concentration, language development issues, and dependence on devices, hindering creativity and independence. Rapid, responsive technological interactions accustom children to instant stimuli, making sustained attention difficult. Intense screen exposure can cause impulsivity, distractibility, and reduced focus. Therefore, adaptive and technology-aware parenting is crucial. Parental supervision, balanced integration, and time limits on device usage are essential to maximize benefits and minimize adverse effects on children's concentration and overall development    

This study aims to explore the impact of long-term hijab use on women's hair health. Hair is considered an important part of one's appearance and is often seen as an indicator of physical well-being. The research began after a proposal seminar and was conducted at the Department of Beauty and Cosmetology at Padang State University.Based on existing literature, the use of the hijab can affect hair condition because it covers the head continuously, which may restrict air circulation and increase moisture on the scalp area. Previous studies have shown that women who wear the hijab for more than eight hours a day are at risk of experiencing hair problems such as hair loss, dandruff, and split ends. However, this research also notes that proper hair care can reduce these negative effects, so women who take good care of their hair tend to have healthier hair even while wearing the hijab.The focus of this study is on the general impact of hijab use on hair health, without considering the different hair types of the respondents. The results from observations and interviews emphasize the importance of selecting appropriate hair products to minimize the negative effects of hijab use, supporting the findings of previous studies.

This study aims to design an effective cash accounting information system for an agrotourism hotel in Batu City. The data collection methods used are field studies and literature review, employing techniques such as observation, interviews, and documentation. The important significance of this research is to enhance the cash receipt procedures for hotel room rental payments by incorporating additional digital payment methods through e-wallets and QRIS, thereby increasing transaction efficiency that benefits both the hotel and consumers. The significant importance of this research is to enhance the efficiency of payment transactions, making it easier for both the hotel and consumers. The qualitative analysis in this study aims to improve the accuracy of cash recording, reduce the risk of errors and misuse of funds, enhance internal control, broaden payment options, and provide practical guidance for hotels and consumers regarding payment and cash receipt procedures. With improved cash receipt procedures, the hotel will be better prepared to meet consumer needs and increase competitiveness in response to changes.

Background: Typically lasting six to eight weeks, the postpartum period is a time of recovery following childbirth. Afterpains are a type of discomfort that can be caused by uterine contractions during the involution process. Massage or other non-pharmacological treatment can be used to ease discomfort. Using specific techniques, massage can lessen or even eliminate pain. Methods: The cross-sectional design of the quantitative research design was used in this study. The objective was to compare how massage reduced postpartum pain in Cilacap City mothers before and after intervention. 30 postpartum mothers who were experiencing postpartum pain two hours later comprised the population. Saturation sampling was used for the sampling, and there were a total of 30 participants. The frequency distribution was used in univariate data analysis, while the paired-sample t-test was used in bivariate data analysis. For the pain scale, the paired-sample t-test analysis produced a t-value of 8.238. Results: As a result, the calculated t-value exceeded the critical t-value for a pain scale of 8.238 > 2.045, indicating acceptance of the alternative hypothesis (Ha) and rejection of the null hypothesis (Ho), indicating that massage is effective in reducing postpartum pain in women. Conclusion: massage has been shown to reduce postpartum pain in mothers.

According to World Health Organization data in 2015, maternal deaths were 216 per 100,000 live births due to complications during pregnancy and childbirth. While in developing countries the maternal mortality rate jumped 20 times higher than in developed countries, reaching 239 per 100,000 live births. Keywords: Husband's support, Mother's attitude, Infant immunization. The time of the study was April to July at the Negeri Lama Health Center in 2022. The sample in this study who were planning to give birth in the month (TTP) at the time of the study from May to June 2022 at the Negeri Lama Health Center were 15 pregnant women in the control group and 15 pregnant women in the intervention group. After the normality test was carried out and the results were normally distributed, a paired t-test could be carried out. The results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

The Covid-19 virus has caused many health problems. Covid-19 has infected many humans ranging from small children to adults and has also caused many deaths. The clean and healthy lifestyle program is a form of embodiment to provide learning experiences and create a conducive condition for society and behavior so that they can apply healthy ways of lifein order to maintain, maintain and improve health. Actions taken are preparation, implementation and evaluation. The purpose of this counseling is to increase public awareness of the importance of implementing a healthy and clean lifestyle (PHBS) in order to reduce the spread of Covid-19. The results of this counseling activity are the creation of harmony between communities through mutual cooperation for the sake of cleanliness of the village environment, activities for making places washing hands and distribution of masks accompanied by conducting educational outreach on the importance of carrying out clean and healthy lifestyles, and the formation of cleaner flower gardens. Thus, public awareness arises from these activities so that they can suppress the increase in the spread of Covid-19 and the environment is also kept clean.

Background: The main problem that is often experienced by the elderly is poor sleep quality, this condition can increase the risk of falls resulting in injuries and other health problems that can reduce the quality of life of the elderly. A cheap and easy intervention is needed so that efforts to improve the degree of health of the elderly through improving the quality of sleep of the elderly can be realized, one of which is with Five Finger Hypnosis. The purpose of this Community Service is to identify sleep disorders in the elderly, provide information and self-training Five finger hypnosis as an alternative to overcome sleep disorders in the elderly.  The methods used include coordination with partners to determine the time and location of activities, socialization of 5 Finger Hypnosis and distribution of leaflets. Result: It is known that of the 32 elderly who participated in this activity, the majority (72%) experienced poor sleep quality, the elderly participated in the activity with great enthusiasm and pleasure because they were introduced to alternative interventions to overcome sleep quality disorders that were cheap, easy and effective, and they were also committed to practicing it at home every time they wanted to sleep. Conclusion: 5-finger hypnosis can be used as evidance in an effort to improve the quality of sleep of the elderly in order to improve the quality of life.

Pakistan is a developing country. Its transportation infrastructure mainly consists of road network. About 95% passengers and fright is transported using the road network. This high demand on road network is because of the unreliable railway system between the cities. Due to such high demand on road network the accident involvement risk of an individual is much high as compared to developed countries. This study uses a new modeling approach to estimate road safety risk for WTP.  A correlated random parameters Tobit model (heterogeneity-in-mean) is integrated with machine learning (Decision tree).  The decision tree categorizes higher-order interactions, while the model captures unobserved correlations and heterogeneity. The framework examines WTP determinants using a representative sample of 3178 road users from Pakistan. The model estimates WTP for different (fatal and severe injury) risk reductions to monetize road traffic crash costs. Results show maximum respondents are willing to support safety improvement policies. The model reveals significant WTP heterogeneity linked to perceptions of road safety and accident risk. Systematic preference heterogeneity emerges through higher-order interactions, offering insights into WTP relationships. Marginal effects highlight varying sensitivities to explanatory variables, quantifying their impact on WTP probability and magnitude. The framework provides two key contributions. It identifies public WTP determinants, emphasizing heterogeneous effects. It also helps in prioritization safety policies by understanding public sensitivity to WTP. The insights further emphasizing on the importance of road safety interventions to the specific socio-economic profiles of road users. This study offers a significant contribution to road safety improvement by providing valuable recommendations for policy makers. By integrating detailed socio-economic factors, it also addresses the urgent need for targeted traffic safety interventions in Pakistan. These findings are expected to aid policymakers and stakeholders in developing effective strategies to enhance road safety and reduce the accident involvement risk effectively.

Knowledge about sexual harassment committed by males with intellectual disabilities remains limited, despite extensive research on offenders without disabilities. Evidence from the late 1990s suggests that Cognitive Behavioral Therapy (CBT) can be effective for this population, with adjustments for cognitive deficits. This study systematically reviews the application of CBT to address cognitive distortions in sexual offenders with intellectual disabilities. Data were sourced from Web of Science, PubMed, Scopus, ProQuest, Jstor, and Emerald Insight. Articles were assessed using QATFQS for quality and ROBINS-I for bias risk. Six studies involving 127 participants (ages 17–65 years) demonstrated that CBT effectively reduced cognitive distortions up to 12 months post-intervention. Success factors included the presentation of information, therapist engagement, participant motivation, prior experiences of sexual harassment, and autism spectrum diagnoses. Strengths included simplified CBT interventions, availability of manuals, and group implementation. Weaknesses involved reliance on core steps adapted from general sexual offender programs, limited manual accessibility, and a lack of control groups for evaluating intervention effectiveness.

Background: Hypertension is a common condition in primary health care, affecting approximately 25% of the adult population and more than 50% of those aged over 65 years. As the "silent killer of hypertension", it can cause stroke, which is a major cause of morbidity and mortality worldwide. This study aims to detect early signs of stroke using the BE-FAST method in the elderly in Karangasem, Bali, and to spread the effectiveness of this method in reducing the risk of stroke. Method: This community-based education program uses the POAC (Planning, Organizing, Actuating and Controlling) approach. A total of 79 elderly participants were recruited and underwent health examinations, including blood pressure measurements and the BE-FAST screening test. The BE-FAST method assesses balance, eyes, face, arms, speech, and timing to identify early signs of stroke. Results: The results showed that 55.7% of participants had hypertension, and 67.1% had difficulty moving their legs and arms on one side of their body. Additionally, 36.7% had difficulty opening their eyes or experienced vision problems, and 32.9% experienced facial weakness or numbness. The BE-FAST method is effective in detecting early signs of stroke, with a sensitivity of 92%. Conclusion: This study highlights the importance of early detection of stroke using the BE-FAST method in the elderly population. The research results show that this method is effective in identifying early signs of stroke and can be easily taught and applied in the community. Application of this method can reduce the risk of stroke and associated morbidity and mortality.

The purpose of this community service is to assist students in introducing various traditional games and preserving traditional games during their teaching practice in schools. Through sports students, it is hoped that various traditional games can be introduced during teaching practice in schools. One example is the dam-dam game, which is expected to reduce children's tendency to play online games and enhance their creativity by utilizing readily available materials. This community service activity is motivated by several issues, namely (1) the lack of students' knowledge about traditional games and (2) the tendency of students to spend more time playing online games, which impacts their social interactions. For example, students often tend to be more focused on their gadgets when being spoken to. This activity is conducted at the University of Insan Budi Utomo Malang in the city of Malang. The process of implementing this community service activity includes (1) problem identification; (2) needs analysis; (3) design and mentoring; (4) implementation of guidance; (5) monitoring and evaluation of activity results; and (6) reporting and follow-up. Lectures, demonstrations, and training are the methods of this community service. Based on the questionnaire given to 30 participants, 20 people stated that the activity was good, and 10 others stated that it was very good.

In carrying out the process of processing health data and information, Medical Recorder and Health Information (PMIK) personnel are needed who have the ability to provide services to patients. The emergence of the Minister of Health Regulation Number 24 of 2022 concerning electronic medical records requires every health care facility to run electronic medical records, this makes the workload owned by PMIK reduced. So it is necessary to analyze the challenges of PMIK workload in facing the RME era. The method used is qualitative with a normative law study approach. The approach used for data collection is based on documentation studies through regulations, journals, and news. The tool used for data collection is a notebook. Data processing techniques using secondary data. In carrying out their duties, many Medical Recorders and Health Information (PMIK) still do not understand the use of existing systems properly, this causes delays in the processing of medical data. The abilities possessed by PMIK personnel in the RME era greatly affect the patient data processing process so that it is necessary to conduct training and skill development related to the correct use of the RME system in order to reduce the workload faced by officers.