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The Padang State University Community Service Program (KKN) in Jorong Koto Tingga, Nagari Sirukam, Payung Sekaki District, Solok Regency, West Sumatra, implemented a public space revitalization program through the construction of a creative garden based on rice field views. This program was created in response to the lack of representative public spaces and the decline in social interaction between residents due to modernization. Using a participatory approach, the community and youth of the jorong were involved in every stage, from planning, land clearing, to the construction of seating facilities overlooking the expanse of rice fields. As a result, the empty land was successfully transformed into a functional, aesthetic, and locally valuable public space. The high level of community participation demonstrated the success of the approach implemented and fostered a sense of ownership of the park being built. This program is expected to become a model for revitalizing public spaces based on local potential for other rural areas. Although the construction was not fully completed when the KKN program ended, the community and youth of Jorong Koto Tingga are committed to continuing it independently. This program is expected to become a model for revitalizing public spaces based on local potential for other rural areas with similar characteristics.

Diabetes mellitus type 2 is a chronic metabolic disorder that frequently affects elderly patients and is often accompanied by multiple comorbidities. The increasing prevalence of diabetes in the aging population contributes to higher morbidity and mortality, especially when complicated by geriatric syndromes, electrolyte imbalances, and infections such as pneumonia. This study aims to present a case of type 2 diabetes mellitus in an elderly patient with associated geriatric problems, electrolyte disturbances, and pneumonia. The method used is a descriptive case report based on clinical findings, laboratory examinations, and radiological assessment. A 76-year-old male presented with generalized weakness, weight loss, decreased appetite, respiratory symptoms, and functional decline. Physical examination and laboratory findings revealed uncontrolled diabetes, electrolyte imbalance, hypoalbuminemia, and signs of infection. Chest radiography confirmed pneumonia. Management included pharmacological therapy such as antibiotics, fluid and electrolyte correction, and supportive care, along with non-pharmacological interventions including dietary regulation and monitoring. The findings highlight the complexity of managing elderly patients with multiple comorbid conditions, emphasizing the need for a comprehensive and multidisciplinary approach. Early detection and appropriate management are essential to improve clinical outcomes and prevent further complications in geriatric patients with diabetes mellitus.

This article examines the effectiveness of fermented kombucha drinks in enhancing the immunity of menopausal women through an evidence-based nutrition approach. Additionally, the study highlights how community-based kombucha production and consumption programs can be part of non-military health diplomacy, supporting community resilience, especially for vulnerable groups like menopausal women who experience immune function decline due to hormonal changes. Using the Systematic Literature Review (SLR) method, the study analyzes 30 relevant articles published between 2018–2025 from reputable sources such as Scopus, PubMed, and others. The findings show that (1) kombucha improves immunity through cytokine modulation and increased antioxidant activity, (2) kombucha normalizes gut microbiota, contributing to the immune health of menopausal women, (3) fermentation variations and microbial composition affect kombucha's effectiveness, and (4) community-based kombucha production programs have potential in enhancing health literacy and local economic empowerment. This study provides a basis for local governments, health centers, and communities to integrate kombucha as a preventive health intervention, while also strengthening community resilience through nutrition education and functional food entrepreneurship. The article also offers a new conceptual model, “Kombucha Intervention – Immunity – Health Diplomacy,” that connects biological evidence, community health, and non-military resilience integratively.

Independence refers to the freedom to act and the ability to control one’s own or a group’s activities to protect oneself or others from various diseases or conditions. Among the elderly, the ability to perform Activities of Daily Living (ADL) often declines, which in turn reduces their independence in carrying out daily activities such as dressing, toileting, climbing stairs, or moving around. One of the common health problems affecting older adults is rheumatoid arthritis—an autoimmune disorder that causes inflammation and swelling in the joints, often affecting one or both sides of the body, making it difficult for the elderly to perform routine tasks. This study aims to determine the relationship between the level of independence and the incidence of rheumatoid arthritis among the elderly in the working area of Tinangkung Utara Public Health Center, Banggai Kepulauan Regency. This research employed a quantitative approach using the Chi-Square test. The study involved 50 respondents selected through a non-probability purposive sampling technique. The results of the Chi-Square analysis showed a p-value of 0.002 with a significance level of < 0.05, indicating that the research hypothesis was accepted. This finding means there is a significant relationship between the level of independence and the occurrence of rheumatoid arthritis among the elderly in the study area. In conclusion, the level of independence influences the occurrence of rheumatoid arthritis in older adults. Therefore, it is highly recommended that the elderly maintain active and independent movements as a way to keep their joints healthy and functional..

 The development of major cities in Indonesia, including Medan, is inseparable from complex social, economic, and political dynamics. This transformation often leads to a mismatch between the city's image and its local identity, reduced access to adequate housing, and the decline of public open spaces, particularly in urban fringe areas such as Pulo Brayan. In fact, public spaces play a crucial role in supporting social interaction and ecological functions within a city. This study focuses on the importance of redesigning public space in the Pulo Brayan area using a sustainable architectural approach. The main objective is to create a public space that can address social, economic, and environmental challenges in an integrated manner. The proposed design emphasizes the integration of historical values, active community participation, and ecological functionality to support the realization of sustainable cities, in line with the principles of Sustainable Cities and Communities. Thus, this design is expected to serve as a contextual, inclusive, and sustainable model for public space regeneration.

Mosques play a strategic role as centers of worship and community development at the local level, serving not only as places of worship but also as spaces for non-formal religious education. However, many rural mosques are experiencing declining functionality due to limited facilities, human resources, and a lack of sustainable programs. This condition is evident in the Al-Karomah Mosque in Kalibundar Hamlet, where religious activities have declined due to the lack of sustainability of the Al-Qur'an Education Park (TPA) program. This community service activity aims to revitalize the function of the mosque by strengthening the TPA by emphasizing the instilling of religious moderation values ​​and increasing community participation. The method used is Participatory Action Research (PAR) involving mosque administrators, TPA teachers, community leaders, and parents of students through observation, interviews, and documentation of activities. The program implemented includes improving TPA management, teacher training, developing a simple curriculum based on religious moderation, and reactivating Quran recitation activities and habituating worship. The results of the activity indicate an increase in interest in learning the Quran, strengthening the values ​​of tolerance and togetherness, increasing community participation, and growing awareness of the importance of religious moderation. Thus, revitalizing prayer rooms through strengthening TPA is effective in strengthening religiosity while building social harmony based on religious moderation. The method used in this article is Participatory Action Research (PAR), involving mushola management, TPA teachers, community leaders, and parents of students through field observations, interviews with religious figures, and activity documentation. Program activities include improving TPA management, teacher training, developing a simple curriculum based on religious moderation, and reactivating Qur’anic learning and regular worship activities. The results of the program show: (1) increased interest in learning the Qur'an among children and youth, (2) strengthened values of tolerance, togetherness, and social awareness, (3) growing community participation in religious activities, (4) the role of the mushola as a center of religious moderation at the hamlet level, (5) increased participation of students and community members, (6) rising awareness of the importance of religious moderation, and (7) the reestablishment of Mushola Al-Karomah as a center of community religious activities. Thus, revitalizing the mushola through the TPA has proven effective in strengthening religious values while building social harmony based on religious moderation

The role of the Regional People's Representative Council (DPRD) Secretariat is crucial in supporting the effective supervision function of the DPRD as a pillar of good governance. However, at the Cilegon City DPRD Secretariat, this role faces significant constraints due to a policy of assigning staff to assist in work visits that is not competency-based, which risks weakening local government accountability. This research aims to analyze the facilitation role of the Cilegon City DPRD Secretariat, identify the constraints arising from the removal of expert supervision staff, and formulate optimization strategies to strengthen the institution's role. This study uses a qualitative descriptive method, with data collected through in-depth interviews with key informants within the Secretariat, observation, and document analysis. The research findings indicate that (1) the Secretariat's role has been degraded to be administrative rather than substantive; (2) the main constraint stems from a staff assignment system that ignores competence, which leads to a decline in the quality of supervision reports; and (3) there is an urgent need to reform the human resource management (HRM) system. It is concluded that the optimization of the Secretariat's role can only be achieved by reforming the staff assignment policy and implementing structured competency development programs to restore professionalism and effective support for the DPRD's supervision function. Therefore, this research recommends three strategic steps: in the short term, revising the staff assignment policy to prioritize competence; in the medium term, developing and implementing clear Competency-Based HRM Guidelines; and in the long term, organizing continuous functional training programs to enhance staff capacity in professionally and effectively supporting the DPRD's supervision function.

Green Open Space (RTH) is an essential element in urban development, playing a crucial role in supporting ecological balance, providing shade, producing oxygen, and absorbing pollution. It also serves as a social and cultural space for the community. The neighborhood park located along the banks of the Deli River on Ileng Street, Medan Marelan District, represents a concrete example of this issue. The current condition of Ileng Park reflects a decline in its quality as a green open space. This study aims to identify existing problems in terms of the park's physical condition, functionality, and user activities. It employs a qualitative descriptive approach grounded in a case study framework, with data collected from both primary and secondary sources. The analysis is conducted using a rationalistic site analysis method. The findings indicate that the community perceives a need for the revitalization of the park to enhance comfort, attractiveness, and the implementation of the Islamic Garden Concept, which is considered appropriate for restoring the park’s function as a green open space.

The central building of the cyber world in the city center plays a significant role in enhancing community activities, providing social space, and contributing to the city's image. As the first shopping center in Palembang City, International Plaza has historical and strategic value in the city's development. However, over time, the attractiveness of International Plaza has decreased significantly. This decline is caused by several factors, such as the development of new, more modern shopping centers and the lack of updates to the building's design elements that can attract visitors. This study aims to analyze the potential for redesigning International Plaza with a local cultural approach. In this redesign concept, the Sarinah Building in Jakarta is used as a comparative study because it has successfully combined modern concepts with the development of traditional elements that reflect local culture. The Sarinah Building, although designed with a modern approach, still maintains cultural values relevant to the surrounding community, thus creating a space that is not only functional but also has visual and emotional appeal for its visitors. The results of the study indicate that with a modern architectural approach that remains based on local culture, International Plaza has the potential to revitalize and attract visitors. The suggested redesign includes changes to the building's facade by adding ornaments typical of Palembang City, such as traditional carvings or motifs that reflect the richness of local culture. These ornaments can be applied using secondary skin techniques to building facades, which not only enhance aesthetics but also serve as sunscreens. Furthermore, zoning and tenant order are crucial for a more organized and comfortable visitor flow. Finally, enhancing the public space at the front of the building with additional public facilities, gardens, and gathering areas can create a more vibrant and enjoyable atmosphere for visitors.

This study analyzes social change in Ponggok Village, Klaten, Central Java, from an impoverished village to a self-sufficient one, utilizing Talcott Parsons' structural functionalist framework and the AGIL model (Adaptation, Goal Attainment, Integration, Latency). Prior to 2006, Ponggok Village faced poverty, inadequate infrastructure, and limited employment opportunities, despite its significant potential for spring water. The transformation began in 2009-2013 with collaboration between the village head and academics for potential mapping and the establishment of the Village-Owned Enterprise (BUMDes) Tirta Mandiri. The period from 2014 to 2018 marked a "golden era" with the implementation of the Village Law of 2014, increased village funds, and peak revenues from Umbul Ponggok. However, from 2019-2023, the village experienced a significant decline due to the COVID-19 pandemic. A descriptive qualitative research method with a case study approach was employed, dividing the timeline into three periods (2009-2013, 2014-2018, 2019-2023). Data were collected through Focus Group Discussions, interviews, and literature reviews. The research findings demonstrate how Ponggok Village systematically fulfills the AGIL functional prerequisites by examining socio-economic policies through policies implemented by the Village Government, Village Consultative Body (BPD), and Village-Owned Enterprise (BUMDes) in efforts to improve quality of life, foster social integration among stakeholders, and maintain values through sustainable programs aimed at achieving and sustaining the success of its transformation. These findings provide a holistic understanding of the village’s resilience and adaptability in facing social and economic challenges.

Grip strength is a key indicator of muscle function and health in elderly women, influencing mobility and independence. Factors such as blood pressure, body composition, and metabolic biomarkers influence grip strength. This study examines the relationship between blood pressure, anthropometric measurements, hemoglobin, hematocrit, blood sugar, and uric acid with grip strength. A cross-sectional study was conducted on 34 elderly women (mean age: 72.24 years) in the St. Asisi Elderly Community, Tebet. Blood pressure, anthropometric parameters, and venous blood samples were analyzed. Grip strength was assessed using the Camry Electronic Hand Dynamometer. Statistical analysis used the Spearman correlation test (p < 0.05). Age showed a significant negative correlation with right-hand (p = 0.023) and average grip strength (p = 0.026), indicating muscle decline with age. Other factors, including blood pressure, hemoglobin, hematocrit, blood sugar, and uric acid, had no significant correlations. Among anthropometric measures, calf circumference showed the strongest positive correlation with grip strength (p = 0.063). Age is the primary factor affecting grip strength in elderly women, with weak or no significant associations for other parameters. Strength training and neuromuscular conditioning may help mitigate age-related muscle decline and support functional independence.

The elderly stage is characterized by complex physical, psychological, and social changes, often leading to a decline in bodily functions and limitations in daily activities. This condition frequently results in older adults becoming highly dependent on assistance from others, including family members and caregivers in nursing homes. This study aims to understand the changes in bodily functions experienced by older adults and to identify factors that accelerate or worsen these processes, particularly among those residing in nursing homes. The research employed a descriptive qualitative approach, involving three older adult participants and one caregiver at Harapan Ibu Nursing Home. Data were collected through in-depth interviews and analyzed descriptively to illustrate patterns of functional decline and influencing factors. The main findings indicate that older adults experience decreased mobility, muscle strength, motor function, as well as impairments in vision and hearing. However, those who remain active in daily activities and receive environmental support demonstrate better levels of independence and quality of life. The study concludes that the decline in bodily functions among older adults is a natural process that can be slowed through physical activity, social support, and a supportive environment, enabling them to maintain a meaningful and independent life despite limitations.

Stroke can lead to disability and weakness, resulting in a decline in functional abilities and making patients dependent on others. Independence in performing daily activities is crucial for post-stroke patients as it fosters a sense of purpose and improves their spirit for life, ultimately having a positive impact on their quality of life. Blood pressure control and self-efficacy play significant roles in managing independence and improving the quality of life for post-stroke patients. To determine the relationship between blood pressure control and self-efficacy with the Katz Index and the quality of life in post-stroke patients. This quantitative study employed a correlational design with a cross-sectional approach. Data were collected using questionnaires distributed to 70 respondents. The sampling method used was non-probability sampling with accidental sampling. The data were analyzed using Lambda and Spearman’s rank correlation tests. The findings revealed that most respondents had controlled blood pressure (50 respondents), high self-efficacy (51 respondents), Katz Index category A (52 respondents), and a high quality of life (54 respondents). The study concludes that there is a relationship between blood pressure control and self-efficacy with the Katz Index and the quality of life in post-stroke patients.

Reducing the area of agricultural areas, especially paddy fields into palm oil plantations in the use of space in Mukomuko Regency, has raised concerns about the impact of these changes, namely the decline in rice productivity, which if allowed to drag on could lead to food insecurity due to the decreasing number of functional paddy fields. into oil palm plantations, especially in areas that are designated as agropolitan in the Mukomuko Regency spatial planning. Time and Place of Research: Research was conducted from October to November 2023 in Muko-Muko Regency, Bengkulu Province. To find out the strategy for managing land conversion, SWOT analysis is used. The results of the research show that the position of controlling the conversion of wetland agricultural land is in quadrant I, namely the position with an aggressive strategy (S-O). In this case the recommended strategy is to utilize strengths to take advantage of existing opportunities. Alternative strategies that can be implemented by policy makers, in this case the Mukomuko district government, to prevent the conversion of rice land to oil palm are clear regulations and establishing clear rice field zones in spatial plans, improving government policies in the farming sector, improving institutions in the farming sector, empowerment and socialization regarding land conversion regulations and improving agricultural facilities and infrastructure

The uncontrolled condition of DM patients can cause functional decline in the body which affects the quality of life and causes worsening of the condition. One of the actions to improve the quality of life is self-management. The purpose of this study was to determine the relationship between self-management and quality of life of type II diabetes mellitus patients. This type of research is quantitative with a cross sectional approach. It was found that the number of respondents was 98 people taken using purposive sampling.  Research instruments to measure self-management using the diabetes self management questionnaire (DSMQ), and instruments to measure quality of life using WHOQOL-BREEF's quality of life. Data analysis using chi square and obtained the largest ODS Ratio with a number (2.314) with a P value of 0.070 where there is a relationship between physical activity and quality of life and it can be concluded that there is a relationship between self-management and the quality of life of diabetes mellitus patients with a positive association direction.    

Physical activity is body movement produced by skeletal muscles that requires energy expenditure to carry out physical activities. When you are elderly, a degenerative process occurs which can put you at risk of disease and injury resulting in a decline in aspects of your health status. The thing that needs to be considered in this condition is the importance of the quality of life of the elderly in an active and effective manner, one of which is physical activity which is related to physical well-being. Based on the results of a survey in the elderly community, namely Pos Lansia Seruni RW 08, Sumber sub-district, it was found that most of the elderly population has low daily activity. The aim of this community service is to promote physical activity in the elderly so that they can improve their functional abilities independently and efficiently and effectively in everyday life. The method used for counseling is promotional and provides media that can be read and taken home in the form of leaflets containing efforts to promote physical activity in the elderly community in the Banyuanyar community health center area, precisely at the Seruni Elderly Post RW 08, Sumber Village, Surakarta City. The results obtained are that the elderly understand and can apply promotional efforts regarding the importance of physical activity.

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.