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Social conflicts in the oil palm plantation sector have become an increasingly prominent issue in various regions, with impacts that not only affect the relationship between parties, but also threaten and affect the sustainability of the industry, aspects of people's lives and the environment. Conflicts are often rooted in land disputes, dissatisfaction with compensation, and the environmental impacts of unsustainable plantation practices. This study aims to explore the impact of social conflicts on oil palm land expansion. It is hoped that this research can provide clear information about the relationship between social conflicts and oil palm land expansion, so that it can be used to find better solutions in managing and developing oil palm land in a more sustainable and equitable manner. The methods used are literature studies and literature reviews. Literature study is a research design used in collecting data sources related to topics. The collection of data sources for literature studies is carried out with a database search tool that is used as a stage to search for literature sources. The screening results from the journals that are appropriate and needed are 9 national articles. Based on the activities and journals, it was found and analyzed that the impact of social conflicts on the expansion of oil palm plantation land can have environmental, economic, and social impacts.

Good pharmaceutical procurement management can prevent stock shortages, reduce costs, and improve healthcare service quality. However, issues such as medication shortages, delayed procurement, and discrepancies between demand and supply are still common. This literature review aims to analyze pharmaceutical procurement management in hospital pharmacy units. The literature search yielded 10 relevant articles on pharmaceutical procurement management in hospital pharmacy units. The databases used were Google Scholar, ScienceDirect, and Semantic Scholar. The keywords used were management, pharmaceutical procurement, and hospital. The search results underwent a screening process using the PICO elements and the CRAAP method. The findings indicate that pharmaceutical management in various hospitals has shown progress, but still faces challenges such as inaccurate data collection, delayed drug supply, and storage facilities that do not meet standards. Other obstacles include limited funds, inability to pay on time, and a lack of integrated information systems. However, some aspects are well-managed, such as the use of e-purchasing and proper drug storage categorization.

Cholesterol sufferers in Indonesia are quite high, reaching 28%. If treated too late, high cholesterol will endanger health, and can even cause death. Risk factors that influence cholesterol levels are age, gender, BMI, and blood pressure. Carrying out screening through routine cholesterol level checks is important for early detection and prevention of heart and blood vessel disease caused by increased cholesterol levels. This research method uses a cross-sectional study research design. The number of samples in this study was 20 respondents. Sampling in this study used a purposive sampling method. Data analysis used the Chi Square test. The results showed that there was no relationship between cholesterol levels and age and gender (p-value=0.343) (p-value=0.391)

The COVID-19 pandemic accelerated the adoption of flexible work arrangements (FWAs), prompting a paradigm shift in the traditional work model. This study aims to systematically review the literature on the impact of FWAs and organizational culture on work productivity. A systematic literature review was conducted using a rigorous methodology, including database searches, screening, data extraction, and thematic analysis. The search focused on peer-reviewed articles published in reputable academic journals. The findings from the literature review indicate that FWAs and organizational culture have a significant impact on work productivity. FWAs can enhance work-life balance, job satisfaction, and employee motivation, leading to increased productivity. However, challenges such as social isolation, decreased collaboration, and difficulty in maintaining work-life boundaries may arise. Organizational culture plays a crucial role in shaping employee behaviour and performance. A positive organizational culture characterized by trust, respect, and open communication can foster employee engagement and productivity. However, negative organizational cultures can hinder employee performance and job satisfaction. This systematic literature review highlights the complex interplay between FWAs and organizational culture in influencing work productivity. Organizations should strive to create a positive organizational culture that supports employee well-being, provides opportunities for professional development, and facilitates effective collaboration. By carefully designing and implementing FWAs, organizations can harness the benefits of flexibility while mitigating potential challenges. Further research is needed to explore the long-term impact of FWAs and organizational culture on employee productivity and organizational performance.

Background: Hypertension in pregnancy is the leading cause of maternal death due to preeclampsia in pregnancy. Preeclampsia screening in the maternal and child health (MCH) book can be done by cadres. The eradication program involving cadres has not run optimally this is because there are still few cases of pregnancy with preeclampsia detected by Health cadres. Good knowledge is expected to increase cadre action in order to conduct early detection of preeclampsia. Data from the Banyudono Health Center showed that the detection rate of high risk by the community in December 2023 was 10.9%, still far from the target of 20%. Puskesmas Banyudono consists of 6 villages where the village with the most high-risk pregnancies is Kuwiran Village, namely 107 (32.7%) pregnant women in 2023. The purpose of the study was to determine the effect of health education with leaflet media on knowledge about preeclampsia in health cadres in Kuwiran Village, Banyudono Boyolali District. This research design is a pre-experiment with a one group pre-test post-test design. The population of this study were all health cadres in Kuwiran Village, Banyudono Boyolali District in June 2024, totaling 31 respondents. The sampling technique used in this study was total sampling, the research instrument used SAP, leaflets and questionnaires. Data analysis with Wilcoxon. Research results: The age of most cadres is more than 35 years, namely 25 respondents (80.6%), the education is mostly secondary, namely 22 respondents (71.0%), the majority are working, namely 23 respondents (73.2%), the knowledge of health cadres before The majority of health education had sufficient knowledge, namely 16 respondents (51.6%), after health education was in the good category, 20 respondents (64.5%). Statistical test results with Wilcoxon p-value 0.000 <0.05. Conclusion: There is an influence of health education using leaflet media on knowledge about early detection of preeclampsia among health cadres in Kuwiran Village, Banyudono Boyolali District.

Vitamin D is an essential steroid hormone that plays a role in calcium and phosphorus regulation and has the potential to affect sleep quality. Vitamin D deficiency in the elderly often occurs due to minimal exposure to sunlight and age-related physiological changes, which contribute to the high incidence of sleep disorders, including insomnia. This community service activity aims to screen vitamin D levels in the elderly as a cause of insomnia through the Plan-Do-Check-Act (PDCA) approach. The activity was carried out at Panti Bina Bhakti, South Tangerang, involving 93 elderly participants aged > 65 years. The results showed that the average vitamin D levels among the age groups 61-70 years, 71-80 years, 81-90 years, and 91-100 years were 7.6 mg/dl, 7.2 mg/dl, 7.6 mg/dl, and 13.9 mg/dl, respectively. Interventions through vitamin D supplementation, sunlight exposure, and education in the form of sleep hygiene are effective in improving the health and sleep quality of the elderly.

Cholesterol is a lipid compound produced by the body and obtained from food, functioning to build cell membranes, produce certain hormones, and support metabolic processes in the body. Excessive cholesterol levels can increase the risk of cardiovascular diseases. This Community Service initiative aims to enhance the understanding and awareness of staff and employees at St. Yoseph High School, Cakung, regarding the risks of high cholesterol and preventive measures through routine screenings and health education. The program follows the Plan-Do-Check-Act (PDCA) approach, encompassing planning for education and screenings, conducting information sessions and cholesterol measurements, evaluating program effectiveness, and implementing follow-up actions for continuous improvement. Education on a healthy lifestyle, which includes a balanced diet, physical activity, and avoidance of alcohol and smoking, plays a vital role in maintaining normal cholesterol levels. Routine screenings are also essential for the early detection of high cholesterol risks. This initiative is expected to promote healthy behaviors and support improved workplace health by raising awareness about the importance of cholesterol prevention in the work environment.

Cervical cancer remains a major health problem with a high proportion of diagnoses in advanced stages. At the Gayamsari Community Health Center, IVA and HPV DNA tests are implemented as primary screening to prevent cervical cancer. This study aims to determine the effectiveness of the IVA test and HPV DNA in early detection of cervical cancer. The approach in this research is qualitative with a case study type. This subject selection was carried out on women who had previously had sexual relations and were vulnerable to HIV exposure at the Gayamsari Community Health Center. The methods used to collect data are observation, interviews and documentation.

This study aims to determine the relationship between characteristics and maternal knowledge about stimulation of soft motor development in children aged 3-5 years in Mireuk Lamredeup Village. The research design used was observational with a cross-sectional approach. The sample was selected using a purposive sampling technique with a total sample of 52 respondents. Data collection techniques use questionnaires with knowledge questionnaire instruments and Pre-Developmental Screening Questionnaires (KPSP). Data analysis techniques use univariate and bivariate tests. The results of hypothesis testing using Chi Square obtained a sig value. calculate the mother's characteristics, namely education level (p= 0.005), age (p= 0.015), and mother's knowledge (p= 0.029). Based on the results of the hypothesis test, it was concluded: 1) there is a significant relationship between Mother’s age on the soft motor development of children aged 3-5 years; 2) there is a significant relationship between Mother’s education on the soft motor development of children aged 3-5 years; and 3) there is a significant relationship between mother's knowledge and the soft motor development of children aged 3-5 years.

Geographic Information Systems (GIS) have become essential technological tools for collecting, storing, processing, analyzing, and visualizing spatial data to support various human activities. The rapid advancement of information technology has significantly expanded the use of GIS, particularly through web-based platforms and mobile applications, enabling wider accessibility and real-time data utilization. This study focuses on analyzing the utilization of GIS applications and websites across multiple sectors and their contributions to improving efficiency, accuracy, and decision-making processes in daily life. The main objective of this research is to identify, evaluate, and synthesize recent developments in GIS implementation through a systematic literature review. Scientific articles were collected from reputable international and national journals published within the last five years (2018–2022). A total of 130 international journals and 100 national journals were initially identified through database searches. After applying relevance screening and inclusion criteria, 33 selected articles were analyzed in depth to extract key findings, application trends, and potential research gaps. The results show that GIS applications and web-based systems play a vital role in supporting various sectors. In education, GIS facilitates spatial mapping for industrial internship placement (PRAKERIN) and school zoning management. In healthcare, GIS assists in mapping healthcare facilities, including pharmacies and hospitals, to improve service accessibility. In transportation, GIS-based systems provide route planning, traffic monitoring, and public transport information to enhance mobility and reduce congestion. GIS applications are also increasingly applied in environmental monitoring, disaster management, urban planning, and natural resource management. Overall, this study emphasizes the growing importance of GIS technologies as strategic tools for data-driven decision-making and sustainable development. The findings are expected to provide valuable insights for researchers, practitioners, and policymakers in optimizing GIS-based solutions to improve public services and quality of life.

Conflict is a situation where there are differences of opinion or interest between one individual and another individual. This research aims to describe conflict, conflict management, the importance of conflict management and the principles of conflict management in organizations, especially education. The type of research carried out is literature study. Data collection through books, accredited national journals related to research studies. The process of searching for articles and books via Google Scholar, collecting articles and books related to research studies, starting with 3 books with ISBNs about conflict management and 10 national articles. Data analysis used screening by selecting 10 journals and books and then selecting 5 articles to find study topics in more depth. The results of this research are (1) The definition of conflict is a condition that arises when there are differences of opinion or views between individuals, groups or organizations (2) conflict management is constructive action that is planned to regulate situations that should not occur by the parties involved. conflict in organizations (3) Conflict management includes at least three main stages, namely conflict planning analysis, conflict assessment and conflict resolution (4) There are six principles in conflict management so that it does not cause more serious problems.

Background: Hypertensive Disease in Pregnancy (HDK) is a vascular disorder that occurs during pregnancy, arises during pregnancy or in the postpartum periode, and is one of the most common causes of maternal death. Objective: this study was to determine how factors of having a history of hypertension, obesity, and using hormonal birth control impact the incidence of hypertension Disease in pregnancy (HDK). Metodes: the research approach used was analytic observation with a croos sectional design. This study involved 332 pregnant women who come to the Health Center. A sampel random sampling technique, with a sample size of 183 was used. In this study, the independent variables were history of hypertension, obesity, and hormonal birth control use; the incidence of HDK was the dependent variable. Data was collected using a documention study approach with an observation sheets. To analyse the data, a logistic regression statistical test was used with an error rate of α 0.05. The results showed that pregnant women with HDK were exposed to hypertension 45.6%, and hormonal birth control by 36.3%. The result of bivariate analysis of hypertension history with HDK is o.o1 < α 0.05, and the variable of obesity with HDK is 0.024 < α 0.05 and the variable of hormonal birth control history with HDK is 0.21% < α 0.05. The conclusion of the results showed that of the three factors contributing to the incidence of HDK, only the history of hypertension and obesity had a significant influence, with a history of hypertension accounting for 9.9% of HDK cases. Therefore, it is recommended that Strengthing Integrated Antenatal care for increasing the role of mindwives and general practitioners in better screening of pregnant women at risk.

Objective: To assess the differences in buccal cytology changes caused by hormone therapy in Sudanese women with breast and endometrial malignancies by comparing wet fixed and air dry H&E stained buccal smear samples.  Method: The eight-month study period ran from October 2015 to May 2016. The practical inquiry began in November 2015, and during that time, data gathering, a literature review, and research script typing were completed. One hundred participants had buccal smear samples taken, and these were ready for H&E staining using a wet and dry procedure on women receiving hormone medication. Results: The wet method produced buccal smears with pathology that was 56% malignant, 34% inflammatory, and 10% normal; the dry method produced identical results. The wet method produced excellent (40%), very well (28%), well (20%), acceptable (8%) and bad (4%) affinity, which was in line with the results of the dry method. There were no appreciable variations in the pathology and affinity of the wet and dry-prepared buccal smears (P = 0.14 and 0.0011 > 0.05). The cancerous The pathology of wet and dry buccal smears was reported in 7.7%, 47.1%, and 95% of the smears obtained from patients who had been on hormonal therapy for less than three years, three to nine years, and more than nine years, respectively. Wet and dry smears were reported in 20%, 21.1%, and 88.5% of the smears obtained from patients who had been on hormonal therapy once, twice, or three times a day, respectively. Conclusion: The pathology of the buccal smears showed significant differences based on the frequency and duration of hormone therapy.

The combination of hormone treatment and genetic liabilities in transgender women leads to a complicated situation for breast cancer growth particularly linked to BRCA1 mutations. Gender-affirming treatment relies heavily on estrogen and causes intense cell growth and differentiation in breast tissue driven by estrogen receptor mechanisms. Mutations in BRCA1 lead to weak DNA repair processes which enhance an individual's vulnerability to cancerous changes. Rodestrogens enhance the functioning of proliferative pathways like PI3K/AKT and MAPK pathways in cells with dysfunctional BRCA1. This collaborative action elevates the threats posed by benign growths such as fibroadenomas leading to invasive breast cancer. By affecting the expression of vital regulatory proteins linked to cell proliferation estrogen further compromises the genomic integrity in cells harboring BRCA1 mutations. The hormone environment influenced by exogenous estrogen therapy can shape the tumor microenvironment for better cancer progression and metastasis. Comprehending the relationship between estrogen signaling and pathways related to BRCA1 is important for identifying the enhanced risk of cancer in transgender women using hormone therapy. This detailed study aligns recent discoveries regarding genetic vulnerability and hormonal impacts with cell mechanisms to reveal a detailed insight into breast cancer progression in these individuals. The study emphasizes the necessity for custom-designed cancer screening methods and targeted treatments to help mitigate risks and support transgender care. Understanding these pathways greatly enriches our knowledge of hormone-induced carcinogenesis among those who carry certain genetic markers while also guiding the creation of personalized care for transgender women at enhanced risk of breast cancer.

Babies who experience delays in gross motor development will reduce the baby's creativity in adapting and make it difficult for the baby to recognize the surrounding environment. Growth and development is a continuous process that occurs since conception and continues until adulthood. One of the early steps to accompany child growth and development is carried out through stimulation, namely stimulation to improve infant motor skills with tummy time exercise. The purpose of this study was to determine the effect of Tummy time exercise on gross motor skills in infants aged 3-6 months. This study used the methoda quasi-experimental with control group design.Data analysis using the Mann Whitney test.Gross motor development is assessed usingDenver Developmental Screening Test (DDST). The results of this study showThe average gross motor development in the intervention group after tummy time exercise for 3 weeks showed faster gross motor development compared to babies in the control group who were not given intervention. While the p value obtained was 0.000. The conclusion of this study is that tummy time exercise has a strong influence on infant motor development. So it can be recommended to give tummy time exercise to babies.

Disturbances in the eyes of the elderly will cause disturbance which have an impact on discomfort and other disturbances in carrying out daily activities. The figure of the elderly is part of family members and community members whose number is increasing in line with the increase in life expectancy. The number of elderly people in Indonesia is increasing rapidly every year, so that Indonesia is expected to experience an “elderly population boom” in the early 2 decades of the 21 century as a result of the baby boom several decades ago. BPS projects that ini 2045 Indonesia will have around 63,31 million elderly or nearly 20 percent of the population. According to UN projections, the percentage of elderly Indonesians will reach 25 percent in 2050 or around 74 million elderly. This community service activity is a form of application in the optics and wave physics course. The purpose of this screening is to find out the description of eye refraction abnormalities and lectures can apply it to the community. The location for the screening was held in the Sei Agul area of  Medan, North Sumatera. The subjects were the ederly and the poor around Medan Barat District who ere suspected of having refractive errors. Screening was carried out using the Snellen Optotype and corrected using a trial lens. The implementation of this community service activity took place smoothly and efficiently. The results of the exmation of the elderly, which were almost large, were that the elderly were not found to have eye defects such as night blindness, cataracts or color blindness. This activity is expected to foster community motivation in carrying out their lives with the glasses provided by the lion clubs and remind them to carry out routine checks before experiencing cataracts.

This study aims to analyze the Level of Service (LoS) at the international departure terminal facilities at I Gusti Ngurah Rai Airport, Bali, in accommodating the growth of passenger traffic. Referring to IATA standards, PM 178 of 2015, and PM 41 of 2023, this research evaluates the performance of facilities such as passenger and baggage screening, check-in, immigration, and waiting areas. The research method used is qualitative, with data collected through observation, interviews, and documentation. The results show that the international departure terminal facilities meet the established service standards and are capable of handling passenger congestion during holiday seasons (high season and peak season). Efforts made by airport management include terminal expansion, queue management, and the enhancement of security systems with the latest technology. In conclusion, the Level of Service at I Gusti Ngurah Rai Airport is categorized as good and complies with existing standards, but infrastructure development is still needed to accommodate future increases in passenger numbers.

This meta-analysis investigates the impact of negative emotions on the effectiveness of endometriosis treatment. Of the 1,245 articles identified, 32 studies (n=4,876 patients) met the inclusion criteria. The results revealed a significant negative correlation between negative emotions and treatment effectiveness (r = -0.38, 95% CI [-0.45, -0.31], p < 0.001). Subgroup analysis further demonstrated a stronger effect on medical treatments (r = -0.43) compared to surgical treatments (r = -0.29, p = 0.02). Additionally, negative emotions were most strongly correlated with pain intensity (r = -0.45), followed by quality of life (r = -0.39), medication adherence (r = -0.33), and patient satisfaction with treatment (r = -0.28, p = 0.02). The meta-analysis of randomized controlled trials (RCTs) (n=8) indicated that psychological interventions could significantly enhance endometriosis treatment outcomes (SMD = 0.58, 95% CI [0.39, 0.77], p < 0.001), with cognitive-behavioural therapy (CBT) being the most effective intervention (SMD = 0.67). Furthermore, the study found that the average age of patients moderates the relationship between negative emotions and endometriosis treatment (β = -0.015, p = 0.03), specifically indicating that the strongest effects of negative emotions are observed in younger patients. Finally, mediation analysis identified that pain perception, medication adherence, and maladaptive coping mechanisms are key mechanisms in the relationship between negative emotions and treatment effectiveness. These findings extend previous research by As-Sanie et al. (2014) and Lagana et al. (2017) by quantifying the impact of negative emotions and validating the effectiveness of psychological interventions as a novel contribution. The researchers advocate for a biopsychosocial approach in endometriosis management to facilitate routine screening for psychological issues and recommend the integration of holistic interventions combining medical and psychological support into standard endometriosis care.

Adolescents are a group aged 10-18 years who need various nutrients. Adolescents need more nutrients, because it is a transition period from childhood to adulthood. Assessment and monitoring of adolescent nutritional status needs to be done to prevent nutritional and health problems in adulthood. This community service was carried out on 11 female adolescents who were willing to undergo nutritional status screening. The activities to be carried out include measuring hemoglobin (Hb) levels, measuring upper arm circumference (LiLA), and providing education about adolescent nutrition. The results of the activity obtained an increase in participant knowledge about nutritional status after being given education, there were 2 participants who had anemia with Hb examination results <12g/dL and there were 3 participants who had LiLa <23.5 cm. Participants already understand and are able to perform Hb examinations using the Easy Touch GCHb tool and LiLA measurements.

Background:  Air pollution has become a serious issue, prompting considerations on obtaining essential substances known as antioxidants for the body. Preventive measures can be taken by utilizing herbal plants such as binahong and mint, known for their antioxidant properties.Objective: Measure the activity of the radical barrier of DPPH powder drink. Method: This study was a genuine research type. Results: Phytochemical screening revealed the presence of alkaloids, tannins, and saponins in the positive samples. The inhibition activity results for single formulations were as follows: binahong formulation 83,835%, mint formulation 85,011%, formulation (1 : 1) 83,043%, formulation (1 : 2) 83,210%, and formulation (2 : 1) 81,259%. Organoleptic tests indicated that formulation III was acceptable based on sensory evaluation. Conclusion: The powdered drink combination of binahong and mint leaves contains antioxidant compounds: alkaloids, flavonoids, tannins, and saponins. The highest DPPH radical scavenging activity was observed in the single mint leaf formulation and the lowest barrier is in combination powder drinks with (1 : 1) formulation, and formulation (1:1) was most acceptable based on sensory evaluation and there is no influence of variation between powdered drink formulation series..