Publication Search

Diabetes mellitus is a chronic disease that requires long-term pharmacological therapy, increasing the risk of Drug Related Problems (DRPs). DRPs can affect the success of therapy, increase the risk of complications, and reduce the patient's quality of life. This article aims to identify the use of antidiabetic drugs, the characteristics of DRPs, and their clinical implications. The method used was a literature review of articles from 2016-2026 that are relevant to the analysis of DRPs in diabetes mellitus patients. The results of the study indicate that metformin is the most widely used antidiabetic drug, both as a single therapy and in combination. The dominant types of DRPs include drug interactions, inappropriate drug selection, inappropriate dosages, omissions from therapy, and use of drugs without indications. These DRPs can cause hypoglycemia, failure to achieve glycemic control targets, an increased risk of complications, and increased duration and cost of treatment. Based on the results of the study, it is concluded that DRPs remain a challenge in the management of diabetes mellitus therapy, requiring more optimal monitoring and an active role of pharmacists through medication review to improve the safety, effectiveness, and quality of treatment.

Pierhead casting is a critical activity in toll road infrastructure projects that requires continuous concrete supply to maintain quality and execution time. Factors influencing the smooth casting process include the regularity of truck mixer arrival intervals and the work cycle of the truck concrete pump. This study aims to analyze the effect of truck mixer intervals and truck concrete pump performance on the productivity of pierhead casting at Pierhead P37S on the Solo–Yogyakarta–NYIA Toll Road Project, Section 2 Package 2.1A. The analysis method used field observation through time study techniques to measure the cycle duration of truck mixers and the operating time of the truck concrete pump. The analysis stages included calculating cycle time, productivity, production capacity, and working duration of each equipment. The results show that the truck concrete pump achieved a productivity of 0.425 m³/minute, while the truck mixer reached 0.989 m³/minute. These values were influenced by cycle time, equipment condition, work area condition, execution method, and work volume. Based on duration analysis, the truck concrete pump required about 4.7 hours to complete the casting of 120 m³ of ready-mix concrete, while the truck mixer required 2.022 hours to support the concrete supply process.

Introduction: Smartphone use has increased substantially in higher education and is widely used by university students for both academic and non-academic activities. Prolonged smartphone use combined with poor posture may increase mechanical load on cervical structures and lead to neck pain. This study aimed to examine the relationship between smartphone use and neck pain intensity among students at IKES Suaka Insan. Methods: A quantitative cross-sectional study was conducted involving 55 undergraduate nursing and physiotherapy students selected using cluster sampling. Smartphone use was assessed using a structured questionnaire, while neck pain intensity was measured using the Visual Analog Scale (VAS). Data were analyzed using Spearman’s rho correlation test. Results: The analysis showed a weak negative association between smartphone use and neck pain intensity (r = -0.16), with a p-value of 0.20 (>0.05), indicating no statistically significant relationship. Conclusion: There was no significant association between smartphone use and neck pain intensity among students. Future studies should include ergonomic posture and duration of smartphone use as additional variables.

Introduction: Smartphone use has increased substantially in higher education and is widely used by university students for both academic and non-academic activities. Prolonged smartphone use combined with poor posture may increase mechanical load on cervical structures and lead to neck pain. This study aimed to examine the relationship between smartphone use and neck pain intensity among students at IKES Suaka Insan. Methods: A quantitative cross-sectional study was conducted involving 55 undergraduate nursing and physiotherapy students selected using cluster sampling. Smartphone use was assessed using a structured questionnaire, while neck pain intensity was measured using the Visual Analog Scale (VAS). Data were analyzed using Spearman’s rho correlation test. Results: The analysis showed a weak negative association between smartphone use and neck pain intensity (r = -0.16), with a p-value of 0.20 (>0.05), indicating no statistically significant relationship. Conclusion: There was no significant association between smartphone use and neck pain intensity among students. Future studies should include ergonomic posture and duration of smartphone use as additional variables.

Irrational drug use remains a common health problem in the community, including the use of medications without following dosage instructions, discontinuation of treatment before completion, the use of antibiotics without prescriptions, and improper drug storage. These problems were also identified among residents of Candirejo Village, West Ungaran District, who still have limited knowledge regarding the safe use of daily medications. This community service activity aimed to improve public knowledge and awareness regarding rational and safe medication use. The implementation methods included program socialization, health education sessions, distribution of educational media in the form of leaflets and posters, and evaluation through question-and-answer sessions and simple quizzes. Educational materials covered how to read medication labels, proper dosage and duration of use, differences between over-the-counter drugs and prescription drugs, risks of antibiotic misuse, and proper medication storage methods. The results of the activity showed an increase in community understanding regarding medication use instructions, the importance of reading labels, the dangers of using antibiotics without prescriptions, and correct drug storage practices. Participants also demonstrated high enthusiasm and active participation during the activities. This program is expected to improve community health literacy and encourage more appropriate, safe, and responsible medication use behavior in daily life.

The opening of the wrench opening for M14 bolts is broken in use as a problem encountered in field activities. The manufacturing objective is to obtain an M14 mm wrench-ring wrench from forged steel measuring 200x6.5 mm. The manufacturing method includes: wrench design on one end and ring wrench design on the other end for bolt size M14 mm, cutting sufficient volume of steel material after forging according to the design, wrench forging on one end and ring wrench forging on the other end for bolt size M14, Chromium plating; finishing of wrench gap and hexagon for ring wrench with a distance of 22 mm, and quality-dimension-standard inspection. TThe manufacturing results are in the form of a paired wrench with an M14 mm ring wrench made of forged steel coated with chromium measuring 200x6.5 mm with a total production cost of IDR 30,000/unit, and a process duration of 3 minutes/unit which has the impact that the paired wrench with a ring wrench for M14 mm bolts measuring 200x6.5 mm can be used for M14 bolts in general with an opening width of 22 mm for both ends as a wrench or ring wrench.

The road project serving as access to Lambo Dam in Rendubutowe Village, South Aesesa District, Nagekeo Regency, East Nusa Tenggara, uses various types of heavy equipment. The analysis method was carried out by recalculating productivity based on field data and references. Productivity calculations were related to the work volume in order to obtain daily productivity and the required duration. Therefore, theoretical calculation knowledge derived from previous studies was needed. Heavy equipment productivity was then analyzed to determine time efficiency. The subgrade work and pavement layer work on the road project to Lambo Dam, located in Rendubutowe Village, South Aesesa District, Nagekeo Regency, East Nusa Tenggara, had a road length of 6.3 km and a road width of 6 m. However, the observation was limited to a 1 km section from Station (Sta) 0+500 to Sta 1+500. The results obtained were productivity and duration for excavation work using an excavator and dump truck, each at 1785.6 m³/day in 4.52 days. Embankment work using an excavator and dump truck each had a productivity of 892.8 m³/day for 3.82 days, a bulldozer of 43,200 m³/day in 0.07 days, and a Vibro Roller of 168 m³/day in 20.27 days. Base course work used an excavator and dump truck with a productivity of 892.8 m³/day in 2.02 days, a motor grader of 23,372.8 m2/day, and a Vibro Roller of 168 m³/day for 10.71 days. Surface course work used a concrete Mixer truck with a productivity of 43.4 m³/day for 36.72 days. Heavy equipment productivity is influenced by the number of units used; the insufficient use of excavators causes dump truck productivity to be less than optimal in transporting excavation and embankment materials. Likewise, Vibro Rollers are needed in more than one unit so that the project can be completed faster

Stroke is a neurological disorder caused by impaired blood flow to the brain, resulting in brain tissue damage and various functional impairments. One of the common problems experienced by stroke patients is sleep disturbance, which may be influenced by neurological deficits, limited physical mobility, pain, and post-stroke anxiety. Persistent sleep disturbances can delay the recovery process and reduce patients’ quality of life. The long-term use of sleeping medications may lead to adverse effects; therefore, safe and easily applicable complementary therapies are needed. This study aimed to determine the effectiveness of peppermint oil aromatherapy in improving sleep quality among stroke patients in the working area of Barebbo Community Health Center, Bone Regency. The method used was the implementation of complementary therapy through the administration of peppermint oil aromatherapy to stroke patients experiencing sleep disturbances. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. The assessment results showed that before the intervention, patients experienced poor sleep quality, characterized by difficulty initiating sleep, frequent nighttime awakenings, insufficient sleep duration, and daytime fatigue. After receiving peppermint oil aromatherapy, patients demonstrated increased comfort, reduced anxiety, improved ability to initiate sleep, and better overall sleep quality compared to their condition before the intervention. Therefore, peppermint oil aromatherapy was found to be effective in improving sleep quality among stroke patients and can be used as a complementary non-pharmacological intervention in nursing care.

Problems that often occur in brooch pins are bent wire or detached from the hook, also the possibility of the brooch coming off the pin when worn as a problem encountered. The purpose of fabrication is to obtain a 60 mm long brooch pin, 0.5 mm diameter, AISI 1045 material. Fabrication methods include: brooch pin design; selection of AISI 1045 material for 0.5 mm diameter wire and for 0.3 mm plate; cutting wire 94 mm long and sharpening one end; cutting the brooch pin end hook plate; forming the wire into a circle with a 4 mm hole for one winding; cutting a 0.3 mm thick plate in the shape according to the design; forming a pointed end hook with a punch and die; pressing the base of the wire to one side of the shape plate; electroplating with Chromium solution material; ordering and installing the customer's taste brooch; unification between the brooch and the pin stem; and quality-dimensional inspection. The fabrication results are in the form of a 60 mm long brooch pin, 0.5 mm diameter, AISI 1045 material coated with Chromium with a total cost of IDR 290,-/piece and a production duration of 90 seconds/piece which means that the brooch pin can be used for various desired accessories.

Various viruses due to unhygienic surfaces of eating and drinking utensils, especially those that are frequently used and repeated, if they do not meet health standards have the potential to cause disease in subsequent users as a problem faced. The purpose of fabrication is to obtain eating and drinking utensils (talam-ompreng) measuring 400x300x0.4 mm made of SS304 which are hygienic, practical, heat resistant, not easily broken, not easily worn, easy to wash and easy to carry. The fabrication method includes: design of a 40 cm long, 30 cm wide eating tray, 7 serial basins (rice container 12 x 12 cm 2 basins, side dish container 8 x 8 cm 3 basins, vegetable container 6 x 6 cm 1 basin, fruit container 6 x 6 cm 1 basin) with a depth of 30 mm, a thickness of 0.4 mm; selection of SS304 plates; design of pressing molds; checking the thickness of SS304 plates; cutting material 55 x 45 cm; pressing until flat (not bulging or thinning/torn); bending the edges around; finishing cleaning metal thorns; stamping according to order; and quality inspection of the ompreng tray according to nutritional standards. The fabrication results in a 40 cm long, 30 cm wide, 0.4 mm thick tray made of SS304 material with a total production cost of IDR 75,000/unit, and a process duration of 2 minutes/unit which implies that the eating and drinking utensils can be used repeatedly after being washed clean from viruses.

The area and distance between buildings at POLINELA Campus make the presence of adequate connector roads an important necessity to support the mobility of the academic community. This study aims to optimize the scheduling of flexible pavement construction for the POLINELA Connector Road using the Critical Path Method (CPM) based on Microsoft Project 2021. The research method used is descriptive quantitative by processing the Budget Plan (RAB) data into a project schedule consisting of 11 main activities. CPM analysis is used to determine the sequence of work, dependencies between activities, the critical path, and project completion time. The results show that the total project duration is 23 calendar days (May 11–June 6, 2026). CPM analysis identified 10 activities on the critical path with zero float, while embankment work is a non-critical activity with time flexibility. Applying a Start-to-Start (SS) relationship with a 3-day lag between excavation and embankment work allows parallel implementation, reducing the project duration by 4 days (14.8%) compared to the conventional Finish-to-Start (FS) scenario. These results indicate that implementing CPM through Microsoft Project 2021 can increase execution time efficiency, simplify schedule control, and support decision-making in road construction project management.

Construction project control requires careful planning to avoid delays and cost overruns. This study aims to evaluate the performance of the CBT Laboratory Building construction project at the Faculty of Medicine, Wahid Hasyim University, Semarang, in terms of cost and time using the Earned Value Analysis (EVA) method, and to analyze acceleration alternatives using the crashing method. The method used is a quantitative approach with a case study, based on project data such as the Budget Plan (RAB), S-curve, and work progress reports. The analysis was carried out using the Earned Value Analysis (EVA) method to assess project performance in terms of cost and time through indicators such as CV, SV, CPI, and SPI. Furthermore, an acceleration analysis was conducted using the crashing method to determine the optimal alternative for overcoming project delays by considering time and cost efficiency. The results of the Earned Value Analysis indicate that the project experienced delays and cost overruns, as shown by SPI < 1 and CPI < 1. The estimated project completion time increased to 227 days, longer than the initial plan of 217 days, while the estimated final cost reached RP 5,451,241,064.85, exceeding the initial budget. Acceleration efforts using the crashing method show that adding adding labor is more efficient than working hours (overtime), resulting in a project duration of 212 days with lower costs of RP 5,658,221,364.08. Thus, the Earned Value Analysis method is effective for evaluating project performance, while crashing can be a solution for acceleration by considering time and cost efficiency.

This study aims to analyze the relationship between self-compassion and self-objectification among female TikTok users in Jambi City. The study used a quantitative correlational approach with a cross-sectional design. A total of 218 female students in Jambi City aged 18–25 years who actively use TikTok were selected using a purposive sampling technique. The instruments used were the Self-Compassion Scale (SCS) adapted into Indonesian (Skala Welas Diri) and the Objectified Body Consciousness Scale (OBCS). Data analysis used the Pearson Product Moment correlation test. The results showed a significant negative relationship between self-compassion and self-objectification (r = -0.216; p = 0.001). The higher the self-compassion, the lower the tendency for self-objectification. The majority of respondents had moderate to high levels of self-compassion, while self-objectification was in the moderate category. The duration of TikTok use of more than 2 hours per day was associated with a higher tendency for self-objectification. These findings confirm the role of self-compassion as a protective factor against self-objectification in the context of visual-based social media use.

This study aims to implement Business Intelligence using Microsoft Power BI to support network disturbance monitoring based on trend analysis. The main problem addressed in this research is that network disturbance data has only been used as documentation, resulting in suboptimal monitoring and data analysis processes. The data used in this study consists of historical network disturbance data, including information on disturbance location, type of disturbance, occurrence time, and resolution duration. The research methodology includes data collection, data preprocessing, implementation of a Business Intelligence dashboard, and trend analysis using interactive visualizations in Microsoft Power BI. The developed dashboard consists of Key Performance Indicators (KPI), interactive filters, line charts, pie charts, bar charts, and table visuals to support a more effective and structured network monitoring process. The results show that the implementation of the Business Intelligence dashboard is capable of supporting real-time, interactive, and user-friendly monitoring of network disturbances. The trend analysis results indicate that the number of network disturbances fluctuated each month, with the highest number occurring in August and the lowest in November. In addition, the dominant types of disturbances were identified as Supporting Facilities and Electrical Problems. Based on functional testing and user testing results, all dashboard features performed successfully and were considered effective in supporting monitoring activities and data-driven decision making.  

Data security in Electronic Medical Records (EMR) is a crucial issue in health information governance in Indonesia. This study evaluates the compliance of health facility information security systems with Ministry of Health Regulation (PERMENKES) No. 24 of 2022 and Personal Data Protection Law (UU PDP) No. 27 of 2022, and analyzes the impact of non-compliance on service quality and patient trust. The method employed is a systematic narrative literature review on the Google Scholar database (2023–2026) using the keywords "data security and privacy," "electronic medical records," and "CIA Triad," focusing on the implementation of Confidentiality, Integrity, and Availability. The four healthcare facilities examined have implemented controls such as role-based access control, Electronic Signatures (TTE), Virtual Private Networks (VPN), data encryption, and SSL/TLS protocols in accordance with PERMENKES provisions and Article 35 of the UU PDP. However, the effectiveness of implementation is hindered by weak authentication due to the use of simple passwords and excessively long auto-logout durations, the absence of comprehensive written standard operating procedures (SOPs), low staff compliance with security protocols, and minimal patient awareness regarding personal data protection rights. These weaknesses heighten the risk of patient data breaches as well as potential administrative sanctions and fines, and carry negative implications for service quality and public trust. Recommendations include strengthening internal security policies, developing written SOPs, providing continuous training for healthcare workers, implementing stronger authentication mechanisms (e.g., multi-factor authentication/MFA), and conducting patient awareness programs to ensure regulatory compliance and maintain public confidence.

Chronic kidney disease is a progressive disease requiring long-term hemodialysis therapy that may cause physical, psychological, social, and spiritual problems. Patients undergoing hemodialysis often experience spiritual distress due to changes in health conditions and dependence on therapy. This study aimed to determine the relationship between the duration of hemodialysis and the level of spiritual distress in chronic kidney disease patients at the Hemodialysis Unit of Baiturrahim Hospital Jambi. This study used a quantitative design with a cross sectional approach. The sample consisted of 57 respondents selected using a purposive sampling technique. The research instrument used a spiritual distress questionnaire that had been tested for validity and reliability with a Cronbach’s Alpha value of 0.955. Data were analyzed using the Chi-Square test with a significance level of 0.05. The results showed that most respondents underwent hemodialysis for ≥12 months, totaling 39 respondents (68.4%), and the majority experienced moderate spiritual distress, totaling 20 respondents (35.1%). Statistical analysis showed a p-value of 0.030 (p<0.05), indicating a significant relationship between the duration of hemodialysis and the level of spiritual distress in chronic kidney disease patients. The longer patients undergo hemodialysis, the lighter the spiritual distress tends to be because patients gradually adapt to their disease condition and therapy.

Children with intellectual disabilities experience limitations in intellectual functioning and adaptive abilities, which impact their independence in daily activities, including buttoning clothes. This skill requires fine motor coordination, concentration, and a proper understanding of task sequences. This case study aims to determine the effectiveness of button board play therapy in improving fine motor skills in children with intellectual disabilities. The method used was descriptive with a case study approach involving two children with moderate intellectual disabilities aged 8 and 9 years at SLB Bhakti Luhur Maumere. Data were collected through interviews, observations, and documentation. The intervention consisted of button board play therapy conducted for 6 days, with a duration of 15–30 minutes per day, implemented gradually and repeatedly. The results showed that before the intervention, both children were unable to button their clothes independently. After the intervention, there was an improvement in their ability, as the children began to button some buttons (2–3 buttons) with better motor coordination, although they still required assistance and supervision. In conclusion, button board play therapy is effective in gradually improving fine motor skills and independence in children with intellectual disabilities. It is recommended that the intervention be carried out consistently and involve parents to achieve optimal results.

The postpartum period is a critical phase in which mothers experience physiological and psychological recovery. Bengkung, a traditional abdominal binding cloth, is commonly used by Indonesian postpartum mothers, but inappropriate application may cause discomfort and may not support recovery optimally. This community service program aimed to improve postpartum mothers' knowledge and skills regarding safe and appropriate bengkung use. The activity was conducted through counseling, demonstration, guided practice, and evaluation using a one-group pre-test and post-test approach involving 30 postpartum mothers at a community-based maternal health service setting. The educational content covered postpartum physiological changes, indications and contraindications, safe binding principles, hygiene, duration of use, warning signs, and when to seek professional care. The evaluation showed an increase in good knowledge from 26.7% before education to 86.7% after education, and correct practice skills increased from 20.0% to 83.3%. Participants also reported better understanding of avoiding overly tight binding, maintaining breathing comfort, and discontinuing use when pain, shortness of breath, excessive bleeding, or wound problems occur. This activity indicates that structured education and demonstration can strengthen postpartum self-care and support safer integration of traditional practices into maternal health services.

The use of social media can have both positive and negative impacts on children. Proper use can enhance insight, knowledge, and increase learning motivation. However, excessive use can disrupt study time, reduce awareness of the importance of learning, and result in low learning motivation. To determine the relationship between the duration of social media use and the learning motivation of school-aged children at SDN Gisikdrono 03, Semarang City. This study uses a quantitative method with probability sampling technique, specifically stratified random sampling. The sample in this study consisted of 122 respondents. The instrument in the study used a questionnaire on the duration of social media use and learning motivation. Data analysis used the Spearman rank test. There is a relationship between the duration of social media use and the learning motivation of school-aged children at SDN Gisikdrono 03 Semarang City, with a p-value of 0.000 < 0.05, leading to the rejection of H0 and acceptance of Ha, with a correlation value of -0.636, which falls into the strong category with a negative duration, indicating an inverse relationship. This means that the longer the duration of social media use, the lower the learning motivation. Conclusion: There is a significant relationship between the duration of social media use and learning motivation, where the longer the duration of social media use, the lower the learning motivation.

This study aims to analyze the effectiveness of the e-SIDAK application as a tool for recording and evaluating the performance of civil servants at BKPSDM Belitung Regency. The research employs a descriptive qualitative approach with 12 purposively selected informants, including managers, administrators, and application users. Data were collected through semi-structured interviews, observations, and documentation, and analyzed thematically using NVivo 12 Pro based on the digital service effectiveness indicators proposed by Pedrosa et al., namely ease of use, simplicity, understandability, consistency, trustworthiness, availability, speed, and usefulness. The findings indicate that the e-SIDAK application fulfills most effectiveness indicators, particularly in terms of ease of use, process simplicity, clarity of information, interface consistency, and service usefulness. The application facilitates systematic work activity recording, simplifies reporting, improves employee discipline, and supports performance monitoring integrated with the employee performance allowance system. However, its effectiveness remains limited in terms of system reliability, service availability, and access speed due to server capacity constraints, network conditions, and the accumulation of data input at the end of reporting periods. In addition, the point-based evaluation system has not fully reflected task duration, complexity, and workload. This study recommends strengthening system infrastructure, developing user guidelines, regulating input timing, and improving the point-based evaluation system to enhance digital service effectiveness in local government institutions.