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Background: Non-communicable diseases (NCDs) are a leading cause of morbidity and mortality worldwide and pose a significant public health challenge in Indonesia. Indonesian Army (TNI AD) personnel are at risk of developing NCDs due to operational stress, smoking habits, unhealthy dietary patterns, sleep disturbances, and insufficient physical activity outside working hours. Health education is an effective health promotion strategy to improve awareness and encourage healthy lifestyle behaviors for NCD prevention. This community service program aimed to improve the knowledge of Indonesian Army personnel regarding the prevention of non-communicable diseases through health education. Methods: The program was conducted at the 18/YKR Combat Engineer Battalion, Gianyar, Bali, in August 2024 and involved 40 Indonesian Army personnel. The intervention consisted of preparation, health education delivered through lectures and interactive discussions, and evaluation using pre-test and post-test questionnaires to assess participants' knowledge before and after the educational session. Results: Before the intervention, 29 participants (72.5%) had fair knowledge and 11 (27.5%) had good knowledge regarding NCD prevention. Following the health education session, the number of participants with good knowledge increased to 14 (35.0%), while those with fair knowledge decreased to 26 (65.0%). Most participants also demonstrated improved post-test scores, indicating enhanced understanding of NCD risk factors and preventive measures. Conclusion: Health education effectively improved participants' knowledge regarding NCD prevention. Regular and sustainable educational programs in military settings are recommended to strengthen awareness, promote healthy lifestyle practices, and support the prevention of non-communicable diseases among Indonesian Army personnel.

Pulmonary Tuberculosis (TB) is a contagious infectious disease caused by the bacterium Mycobacterium tuberculosis through droplets from patients diagnosed with TB. Based on the Global TB Report 2024, WHO reported that Indonesia ranks second in the world, where 81% of cases were confirmed and 90% of them had received treatment, where there was an increase in the number of cases compared to 2023 with 77% of confirmed cases and 88% of them received treatment. The increase in the number of pulmonary TB cases is inseparable from factors that determine the transmission of M. tb such as the concentration of organisms in the air related to ventilation and the length of time a person inhales contaminated air. To determine the relationship between ventilation conditions and home lighting to the incidence of pulmonary TB in the working area of ​​the Glugur Darat Health Center in 2025 This study is an analytical study with a cross-sectional study design. Sample selection used the consecutive sampling method with 56 patients who met the inclusion criteria. Of the 56 people who met the criteria, 30 people (53.6%) were pulmonary TB sufferers and 26 people (46.4%) were not pulmonary TB sufferers. The majority of respondents were male (38 people) and the highest number was found in the 18-59 age range (48 people) (85.7%). Regarding ventilation conditions, 34 people (60.7%) did not meet adequate ventilation requirements, and 29 homes (51.8%) did not meet adequate lighting requirements. There was a relationship between ventilation conditions and the incidence of pulmonary tuberculosis in the Glugur Darat Community Health Center work area, but there was no relationship between home lighting and the incidence of pulmonary tuberculosis in the Glugur Darat Community Health Center work area.

Acute Respiratory Infection (ARI) is one of the main causes of morbidity and mortality among children under five years old worldwide, especially in developing countries including Indonesia. Poor housing conditions such as inadequate ventilation, high occupancy density, humidity, and insufficient lighting may increase the risk of ARI in children. This study used a descriptive observational method. The population consisted of all toddlers suffering from ARI in the working area of Kupang Kota Health Center in 2025 totaling 911 cases. The sample consisted of 91 houses of toddlers with ARI determined using the Slovin formula. The results showed that several houses of toddlers with ARI did not meet healthy housing requirements, particularly in terms of occupancy density, ventilation, humidity, and lighting. The condition of healthy housing for toddlers suffering from ARI in the Kupang Kota Health Center working area has not fully met environmental health standards.

Adolescence is a period of change or transition from childhood to adulthood, encompassing biological, psychological, and social changes. Adolescent girls experience menstruation every month, which puts them at risk of anemia, compounded by poor dietary habits and the failure to consume iron tablets. Rapid adolescent growth is linked to nutritional fulfillment or adolescent consumption of nutrients, one of which is iron consumption. Insufficient iron consumption can lead to anemia in adolescents. Strategies to address anemia in adolescent girls include improving dietary intake and providing iron tablet supplementation. Changing dietary patterns is an important long-term strategy, but cannot be expected to be successful quickly. Anemia is a global health problem, especially in developing countries, where an estimated 30% of the world's population suffers from anemia. Adolescent girls are ten times more likely to suffer from anemia than boys. Efforts to prevent anemia in adolescents through iron tablet supplementation are a strategic, specific intervention to prepare healthy mothers-to-be. The aim was to determine the effect of iron (Fe) tablet administration on increasing Hb levels in adolescent girls with mild anemia. This study was quantitative, with an experimental design. The population in this study were 55 young women at the Ibu Health Center in West Halmahera Regency. A purposive sample of 30 samples was taken. Data collection in this study was carried out by examining Hb levels before and after administering iron tablets 4 times in a row for 4 weeks. The results of the study were that there was no significant difference between Hb levels before and after administering iron tablets in young women at the Ibu Health Center in West Halmahera Regency. The average Hb level before administering iron tablets was 11.5 g/dL, and after administering iron tablets was 12 g/dL. The results of the paired t-test showed a difference before and after administering iron tablets (p value = 0.001), so the test has an effect on administering iron tablets (Fe) on increasing Hb levels in young women with mild anemia in the Ibu Health Center in West Halmahera Regency.

Stroke is one of the leading causes of death and long-term disability worldwide. Early detection and prompt first aid during the golden period are essential to improve patient outcomes, yet family knowledge regarding stroke management is often limited. This study aimed to analyze the effect of health education media, specifically audio-visual and leaflet, on family knowledge of early detection and first aid for stroke patients in the working area of Tamamaung Public Health Center, Makassar. This study used a quasi-experimental design with a two-group pre-test post-test approach. A total of 64 respondents were selected using purposive sampling and divided into audio-visual and leaflet groups. Data were collected using a structured questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests. The results showed a significant increase in knowledge in both groups after the intervention (p = 0.000), with a significant difference between groups (p = 0.016), where audio-visual media was more effective than leaflets. These findings indicate that both media improve family knowledge, but audio-visual media is more effective and can be recommended as a primary educational tool to improve family preparedness in stroke emergencies.

Indonesia ranks second in the world and Bandar Lampung City is the region with the highest TB incidence in Lampung Province with a treatment success rate that is still below the national target. This study aims to analyze the risk factors associated with the incidence of pulmonary TB in the Kedaton Community Health Center Working Area of ​​Bandar Lampung City using a quantitative analytical study with a case-control design. The study sample consisted of 40 cases (smear-positive pulmonary TB patients) and 40 controls (closest neighbors without TB) taken using a consecutive sampling technique, where data were collected through interviews, observations, and measurements using questionnaires and physical measuring instruments at home. The results of the bivariate analysis showed that employment status (p = 0.024) and bedroom ventilation (p = 0.040) had a significant relationship with the incidence of pulmonary TB, while the results of the multivariate analysis using multiple logistic regression showed that gender (p = 0.015) and bedroom ventilation (p = 0.009) were significantly related variables. The conclusion of this study determined that bedroom ventilation was the most dominant variable associated with pulmonary TB incidence, with inadequate ventilation having a 3.91-fold increased risk (OR=3.91; 95%CI=1.41-10.94) compared to adequate ventilation after controlling for gender.

According to the latest data from WHO (World Health Organization) in 2024, there were around 1.7 billion cases of diarrhea in children worldwide which resulted in 443,832 deaths in children under 5 years of age each year, and an additional 50,851 children aged 9 years, while the country with the most diarrhea in children in the United States was 350 million cases each year and 48 million of them were caused by bacteria in food. The purpose of this study was to determine the relationship between the role of parents and the initial handling of diarrhea in toddlers aged 1-5 years. This type of research is quantitative analytical with a cross-sectional study approach. The independent variable in the study is the role of parents, while the dependent variable is the initial handling of diarrhea in toddlers aged 1-5 years. The population in this study were all children suffering from diarrhea at the Gedang Village Health Center in 2024 as many as 283 people with a sample of 74 people. The sampling technique used was the Accidental Sampling technique. This study was conducted in the Working Area of ​​the Gedang Village Health Center, Sungai Penuh City, in January-June 2025. The results showed that most 47 (63.5%) respondents had poor parental roles, and most 42 (56.8%) respondents had poor initial handling of diarrhea in toddlers aged 1-5 years, with the results of the statistical test (Chi-Square) obtained a value of p = 0.005 (p <0.05). The conclusion of the study shows that there is a relationship between the role of parents and the initial handling of diarrhea in toddlers aged 1-5 years. The researcher's suggestion from the results of the study is that it can be applied in daily nursing practice, such as providing health education regarding the first handling of diarrhea, so that the role of parents will be even better.

This Community Service activity aims to foster the spiritual life of NTT Migrant Communities on Oil Palm Plantations. The activities include weekly faith formation and year-end recollections. Through these weekly faith formation activities, NTT migrants receive regular spiritual care and further strengthen their faith amidst the harsh challenges of the working world. Furthermore, through the year-end recollections, NTT Catholics gain valuable experience through the materials provided by competent speakers and the series of activities presented. These activities foster a spirit of togetherness and solidarity, and a deeper understanding of the richness and meaning of the Church's sacraments.

Human Immunodeficiency Virus (HIV) infection leading to Acquired Immune Deficiency Syndrome (AIDS) remains a global public health issue, with 39 million people living with HIV worldwide in 2022. Although X Hospital in Malang City provides a comprehensive care program, internal data shows a significant level of non-adherence to antiretroviral (ARV) therapy, often in the form of irregular consumption or discontinuation of medication without medical recommendation. This observational study with a cross-sectional approach aims to identify the determinants of ARV non-adherence, involving 81 non-adherent AIDS patients at Hospital X through total sampling techniques. The characteristics of the respondents were dominated by males, highly educated, and working in the non-government sector, with the majority using the ARV regimen TLD, COTRIMOXAZOLE. The results of statistical analysis indicate that all eight determining variables tested show a highly significant positive correlation (p < 0.001) with non-compliance, meaning that the more severe the problems with these factors, the lower the patient compliance. Furthermore, the top five factors showed a very strong positive correlation (r > 0.80) with non-adherence, namely motivation/depression, social support, communication with service providers, treatment costs, and age or routine. These findings underscore that these five key determinants must be a crucial focus in designing and implementing targeted intervention strategies to effectively improve patient adherence to ARV therapy.

Hypertension is a common health problem in the elderly that can affect quality of life. Hypertension in Batam city is a non-communicable disease that ranks 2 and with a percentage of 30.9%. The World Health Organization (WHO) said that there are 50 70% of hypertensive patients who do not comply with prescribed medications. Compliance with taking antihypertensive drugs is important to maintain blood pressure stability. Non-compliance in using antihypertensive drugs is one of the risk factors for increasing morbidity and uncontrolled hypertension events that can worsen the quality of life of hypertensive patients. This study aims to find out "The Relationship between Compliance with Taking Hypertension Medication and the Quality of Life of the Elderly in the Working Area of the Sei Lengkai Health Center in 2024". The research design used in this study is cross sectional. Data collection uses secondary data with the population of hypertension patients in Batam city in 2023 and primary data, namely a questionnaire on adherence to taking hypertension medication and quality of life for the elderly. Sampling was done using a purposive sampling technique with a total of 93 elderly people. The measuring tools in this study are the Morisky Medication Adherence Scale (MMAS-8) and WHOQOL-BREF questionnaires. Based on the results of the analysis, it is known that the p value is 0.003, this states that there is a relationship between compliance with taking hypertension medication and the quality of life of the elderly in the Sei Langkai Health Center Work Area in 2024. The conclusion of this study is that adherence to taking antihypertensive medication is positively related to the quality of life of the elderly, so efforts are needed to increase medication adherence to support a better quality of life in the elderly. It is hoped that families and health workers will provide support and education to the elderly to maintain compliance in taking their medication to improve their quality of life

Indonesia is the fourth country in the world with the largest population. This problem can be a burden on the state in national development dan economic growth. To see the relationship of husbdan support dan trust of patients with the use of IUD contraception in the village of Patam Lestari Mentarau Puskesmas working area of Batam City. Methods this study is a quantitative study, using observational analytical design with cross sectional approach. The population in this study is PUS who use MKJP contraception in the working area of Patam Lestari Mentarau Health Center Batam City. The number of samples was 73 PUS dan using cluster rdanom sampling technique. Data collection tools using observation sheets dan questionnaires. Data analysis using chi-square test. Result most of PUS who get husband’s support with IUD contraceptive use are 41 people (91.1 %), while PUS who believe in IUD contraceptive use are 36 people (97.3%), the results of chi square statistical test for Husband’s support obtained p-value 0.000 < 0.05 dan for patient trust obtained p value 0.000 < 0.05. There is a significant relationship between the husband support dan the trust of patients with the use of IUD contraception in the village of Patam Lestari Mentarau Puskesmas working area Batam.

The rapid development of automotive technology requires students majoring in automotive vocational schools (SMK), particularly in the field of vehicle charging and starting systems, to understand the charging and starting systems. Charging and starting systems are two crucial components in ensuring vehicle operation. For students, having a strong knowledge of how these systems work, maintain, and diagnose them is key to facing the challenges of the automotive industry. Therefore, improving the quality of automotive education is essential so that students can master the basic concepts and techniques needed to carry out their duties as automotive technicians. This research focuses on developing a trainer that can help vocational school students better understand and master vehicle charging and starting systems. The trainer, developed at SMK NU Sunan Ampel Tumpang, records real-world conditions in vehicles using components such as batteries, alternators, regulator ICs, starter motors, and other supporting electrical systems. One innovative feature added is testing the effect of variations in pulley ratios on alternator output voltage and current. This feature provides students with the opportunity to conduct hands-on experiments, analyzing how variations in pulley ratios can affect the performance of a vehicle's charging system. It is hoped that with this trainer, students will not only gain theoretical knowledge but also practical experience that will enable them to perform diagnoses, understand the working principles of charging and starting systems, and analyze system efficiency based on rotational speed measurements. Thus, students' competency in the automotive field can be improved, and they will be better prepared to face the increasingly complex world of work. The successful development of this trainer can also serve as a valuable reference for educators and the automotive industry in designing applicable and contextual learning strategies.

The implementation of teaching and learning activities in Indonesia is guided by the Curriculum. The curriculum is developed and refined in line with the rapid development of science and technology and the evolution of society. In the conditions of the COVID-19 pandemic, major changes have occurred in the world of education, especially in Indonesia, with a shift from direct learning in classrooms to distance education based on digital technology. The aim of this research is to analyze the effect of implementing the Independent Curriculum at SDN 060826 Kec. Medan Area. Through this approach, it is hoped to obtain a clearer picture of the effectiveness of the curriculum in improving the quality of education as well as identifying obstacles and opportunities that arise in its implementation. This research uses a descriptive qualitative method to analyze the effect of implementing the Merdeka Curriculum at SDN 060826 Kec. Medan Area. Research conducted by researchers at SDN 060826 Kec. Medan Area, it can be seen that they always regularly attend training from both the principal and teachers and to strengthen teachers' understanding of the Independent Learning Curriculum, teachers always hold monthly meetings with the Teacher Working Group (KKG) to resolve various problems related to the Independent Learning Curriculum. as well as to increase teacher competence in the process of teaching and learning activities.

The World Health Organization reports that approximately 1.13 billion people worldwide are living with hypertension, meaning that one in three individuals globally is diagnosed with this condition. In 2022, the number of people with hypertension in Bandung reached 706,051 cases. Hypertension management can be carried out through various non-pharmacological therapies, including bay leaf decoction, celery juice, ginger decoction, date infused water, lemon and watermelon infused water, and cucumber infused water. Cucumber infused water contains high levels of magnesium, calcium, potassium, and flavonoids, which may help reduce blood pressure. This study aimed to determine the effect of cucumber infused water on blood pressure among patients with hypertension at Babakan Sari Community Health Center. The study employed a pre-experimental (quasi-experimental) design using a one-group pretest–posttest approach. A total of 36 participants were included. The analysis showed a significant reduction in blood pressure after the administration of cucumber infused water, with a p-value less than ? = 0.05. A significant difference was observed in systolic blood pressure before and after the intervention (Z = ?5.324, p = 0.000), as well as in diastolic blood pressure (Z = ?5.362, p = 0.001). These results indicate that cucumber infused water has a significant effect on lowering blood pressure among pre-elderly patients with hypertension at Babakan Sari Community Health Center. This intervention is expected to be applied in daily life as an alternative non-pharmacological approach for hypertension management

Menopause is a natural biological transition that often presents with health issues such as anxiety, sleep disturbances, and mood changes, which may negatively affect women’s quality of life. With the growing number of women entering menopause worldwide, including in Indonesia, effective interventions are needed to help them adapt positively. This study aimed to evaluate the effect of psychoeducation on anxiety levels among premenopausal women in the working area of the Jaboi Community Health Center, Sabang City. A quantitative quasi-experimental pre–post design without a control group was employed. The study involved 60 premenopausal women selected through purposive random sampling from a population of 146. The intervention, conducted from May 16 to June 10, 2025, consisted of structured psychoeducational sessions designed to increase knowledge and coping abilities related to menopause. Data were analyzed using the Wilcoxon signed-rank test. Results showed that the mean anxiety score decreased significantly from 20.13 (moderate category) before the intervention to 18.17 after the intervention (p < 0.001). These findings indicate that psychoeducation effectively reduces anxiety and enhances preparedness among premenopausal women. It is therefore recommended that routine psychoeducational counseling be integrated into primary healthcare services as a promotive effort to support women in facing menopause in a healthier and more confident manner.

This research was conducted with the primary objective of examining and determining the effect of occupational safety, occupational health, and the Occupational Health and Safety Management System (OHSMS) on employee performance at UD. Berkah Mandiri, located in Kediri Regency. The background of this study is based on the importance of implementing OHS in the workplace as an effort to minimize the risk of accidents, improve employee well-being, and support overall company productivity. In today’s increasingly competitive industrial world, attention to occupational safety and health is a key factor that not only protects workers but also enhances organizational efficiency and effectiveness. The research method employed was a quantitative approach with an associative research design. The population consisted of 56 employees, all of whom were taken as respondents through a saturated sampling technique. Data were collected using a questionnaire instrument constructed based on indicators of occupational safety, occupational health, OHSMS, and employee performance. The data were then analyzed using SPSS version 25.0 through validity and reliability tests, multiple regression analysis, and hypothesis testing both partially and simultaneously. The results of the analysis revealed that occupational safety has a significant effect on employee performance, indicating that the better the implementation of safety standards, the higher the performance achieved. Similarly, occupational health was found to have a positive and significant effect on employee performance, suggesting that healthy working conditions contribute to higher motivation and work effectiveness. Furthermore, the OHSMS also significantly influenced employee performance, reflecting that proper policies, procedures, and supervision in OHS management create a safe and productive work environment. Collectively, the three variables—occupational safety, occupational health, and OHSMS—were proven to have a significant simultaneous effect on employee performance at UD. Berkah Mandiri. Thus, this study emphasizes that occupational safety, occupational health, and OHSMS are crucial factors that must receive serious attention in order to improve employee performance and support sustainable business continuity.

This study aims to analyze the influence of the Problem Based Learning (PBL) model in science education on students’ environmental literacy and science communication skills at SMK Negeri 3 Pekanbaru, focusing on the topic of disaster mitigation. The research employed a causal comparative approach with a post-test only design, comparing two student groups: an experimental class using the PBL model and a control class using conventional teaching. The results revealed a significant difference in environmental literacy, with the experimental class achieving a higher average score (81.86) compared to the control class (62.05). This indicates that the PBL model is effective in enhancing students' understanding, awareness, and environmentally responsible behavior. The PBL approach encourages active student engagement and the application of knowledge to real-world scenarios, which is particularly beneficial in the context of environmental issues and disaster mitigation. By working through problems related to environmental challenges, students are likely to gain a deeper understanding of the topic, which fosters a sense of responsibility towards environmental sustainability. In terms of science communication, although the experimental class showed a higher average score (75.78) than the control class (72.92), the difference was not statistically significant. This may be due to a lack of intensive training in scientific discussions and presentations. While PBL encourages collaborative problem-solving and idea-sharing, students may still require more structured practice in presenting and communicating their findings clearly and persuasively. The integration of more structured activities focusing on science communication skills could further enhance the effectiveness of the PBL model. Overall, the PBL model demonstrates positive potential in improving both environmental literacy and science communication. However, to achieve its full impact, its implementation must be consistent, with a focus on providing students with additional opportunities to develop their communication skills.

This study aims to analyze the influence of auditor experience and professionalism on the ability to detect audit conditions in Public Accounting Firms (KAP) in South Jakarta. The background of this study is based on the important role of auditors in ensuring the integrity of financial statements and preventing financial practices that can harm various parties, including investors, shareholders, and regulators. In an increasingly complex business world, layout practices are increasingly difficult to detect without adequate professional skills. Therefore, factors such as auditor experience and professionalism are crucial in supporting audit quality. This study used a survey method with a questionnaire instrument distributed to auditors working at several KAPs in the study area. The collected data were analyzed using Statistical Package for the Social Sciences (SPSS) software to test the proposed hypotheses. The results showed that auditor experience significantly influenced the ability to detect audit conditions, indicating that the greater the auditor's work experience, the sharper their ability to identify indications of conditions. In addition, auditor professionalism was also proven to have a positive effect on the detection of audit conditions. Aspects such as responsibility, objectivity, competence, and commitment to professional ethics are important foundations for an effective and independent audit process. These findings indicate that integrity, responsibility, and adherence to professional standards are important factors supporting audit effectiveness. This research is expected to serve as a reference for public accounting firms (KAPs) in improving audit quality through competency development, ongoing training, and upholding auditor professional ethics in the workplace. This study also recommends the need for ongoing training to increase auditor sensitivity to increasingly complex conditions.

Employee shift scheduling in the hospitality industry remains a critical yet complex task due to fluctuating operational demands, fairness requirements, and labour regulations. Many hotels still rely on manual scheduling methods, which are time-consuming and prone to biases, particularly in ensuring fair workload distribution across employees. Despite numerous studies on workforce scheduling, limited attention has been given to integer linear programming (ILP) models that address gender-based restrictions and operational fairness simultaneously in real-world hotel contexts, especially in developing regions such as Central Java. This study proposes an Integer Linear Programming (ILP) model to generate optimal shift schedules for hotel staff over a 31-day planning horizon. The model incorporates operational constraints, including one shift per day, gender-based restrictions (which prevent female staff from working night shifts), availability, minimum staffing levels, and fairness in workload distribution. Key parameters and binary decision variables were defined to ensure compliance with the hotel's specific requirements. Empirical data were collected from a hotel in Central Java involving 20 employees, and the model was implemented using Python with a Gurobi solver. The ILP model successfully generated optimal schedules in under 10 seconds, significantly outperforming the manual method, which required over 4 hours. While the manual schedule resulted in an imbalance where some employees worked over 27 days and others only 22, the ILP approach enforced a strict maximum of 26 working days for all staff. Furthermore, the fairness index (FI) improved from 19.2% in the manual method to 0% in the ILP-generated schedule, indicating complete equity in workload allocation. The proposed ILP model demonstrates its effectiveness in improving scheduling fairness, operational efficiency, and compliance with labour policies. This work not only addresses a critical research gap in hospitality scheduling practices in Indonesia but also offers a replicable framework for other labour-intensive service sectors. Future research may explore multi-objective extensions incorporating employee preferences, satisfaction, and dynamic demand fluctuations.

As a developing country with one of the highest populations in the world, Indonesia possesses an abundant workforce in terms of its working-age population. Among the 38 provinces, Bali has consistently shown the highest labor force participation rate. However, a more detailed view from 2010 to 2024 reveals that the proportion of the working-age population classified as part of the labor force has experienced fluctuations. This study aims to analyze both the simultaneous and partial effects of the unemployment rate, education, and regional minimum wage on the labor force participation rate (LFPR) in Bali Province from 2010 to 2024. The study was conducted in Bali Province, using secondary data published by Statistics Indonesia (BPS). The analysis technique employed in this study is panel data regression. The results of the panel regression test indicate that the most appropriate model is the Fixed Effects Model. The findings show that the variables of unemployment rate, education, and regional minimum wage simultaneously have a significant effect on the labor force participation rate in Bali Province. Partially, the unemployment rate has a negative but insignificant effect, education has a positive and significant effect, and the regional minimum wage has a negative and significant effect on the labor force participation rate in Bali Province. It is recommended that the government and private sector collaborate in formulating appropriate policies to increase labor force participation by improving the quality of education and designing minimum wage policies that align with both labor needs and market capacity to pay wages.