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Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

 Toxic work environments are becoming an issue that is getting more and more attention in human resource management because of its destructive impact on the psychological well-being of employees and organizational stability. Unhealthy interpersonal relationships, authoritarian leadership, bullying, and recurrent disrespectful behavior create a work atmosphere full of stress and uncertainty. This condition not only triggers work stress, anxiety, and emotional exhaustion, it further exacerbates these challenges, as high work demands and a lack of work-life balance make employees, especially Generation Z, increasingly vulnerable to mental health disorders. This study aims to analyze the influence of toxic work environments on employees' mental health as well as its impact on the intention to quit their jobs. The method used is a literature study with a qualitative approach, analyzing relevant scientific articles. The results of the study showed that a toxic work environment characterized by violence, bullying, tyrannical leadership, unfriendliness, and exclusion had a significant effect on the increase in work stress, psychological pressure, work stress and intention to quit work. Toxic leadership is the main factor in forming an unhealthy work culture. Social support, especially from supervisors, plays a protective role as a protective factor that mediates these negative relationships. Generation Z was found to be more sensitive to injustice and rights violations in the workplace. The study concludes that organizations need to prioritize psychological safety, implement supportive leadership, and provide tangible organizational policies and support to maintain employees' mental health and reduce work stress rates for long-term organizational sustainability.

Correctional institutions impose sustained psychological burdens on inmates, including social isolation, fractured family bonds, and disrupted identity development, which collectively heighten the risk of mental health deterioration. Unlike preventive psychoeducational approaches, group counseling operates as a curative, therapeutically structured service that enables participants to process shared difficulties through interpersonal dynamics. This community service study implemented group counseling within a Participatory Action Research (PAR) framework involving 50 early adult inmates at Lapas Kelas III Rangkasbitung. PAR was operationalized as an implementation framework in which each counseling cluster cycle followed the Plan-Act-Observe-Reflect sequence, enabling iterative refinement of therapeutic content. Pre-service needs assessment using the Alat Ungkap Masalah (AUM) Umum Masyarakat instrument identified dominant problems in family relations (13.33%), personal self (12.97%), and social relations (10.76%). Group counseling was conducted across three thematic clusters. Program evaluation revealed improvements in social interaction, self-acceptance, and emotional regulation among participants, with the PAR reflective cycle enabling context responsive adaptation of each session. These findings affirm that PAR-grounded group counseling constitutes a contextually adaptive model for psychosocial rehabilitation in correctional settings.

Program Kuliah Kerja Nyata (KKN) mahasiswa Universitas 17 Agustus 1945 Semarang dilaksanakan di Kelurahan Purwosari, Kecamatan Mijen, Kota Semarang pada tanggal 3 Januari hingga 1 Februari 2026. Program ini bertujuan mengatasi permasalahan masyarakat di bidang kesehatan, literasi, keselamatan lingkungan, dan kesejahteraan sosial melalui pendekatan partisipatif yang terintegrasi. Program yang dilaksanakan meliputi pembuatan Taman TOGA, pembagian buku bacaan bergambar ke sekolah dasar, pemasangan kaca cembung di titik blind spot, penyuluhan pencegahan stunting disertai pembagian makanan bergizi, kerja bakti, serta pendampingan Posyandu, PKK, dan PAUD. Hasil program menunjukkan manfaat nyata: taman TOGA fungsional terbangun di halaman kantor kelurahan, 180 buku tersalurkan ke SDN Purwosari 1 dan 2, 3 kaca cembung terpasang di titik rawan kecelakaan, dan 25 paket makanan bergizi terdistribusi kepada anak PAUD. Program-program ini berhasil meningkatkan kesadaran dan kapasitas masyarakat di bidang kesehatan, pendidikan, dan keselamatan lingkungan.

Health education is an effort or attempt to provide information to improve individual abilities in making decisions related to health and health-related skills, especially for adolescents. This activity aims to increase the knowledge of SMKS BIM students about acupressure for adolescents. The counseling activity was carried out on May 26, 2026 with 43 students aged between 15-18 years old, using the pretest-posttest method with leaflet media, powerpoint presentations and practicing with students. The results showed an increase in student knowledge from 70 to 95 after being given education. The majority of students aged 16 years (middle adolescents) were identified as having a risk of physical health problems. The education and mentoring provided to students/me were able to increase their knowledge about the benefits and techniques of acupressure to deal with the health problems they experienced. The counseling method with lectures and leaflet media was proven to be easy for students/me to understand and could improve their skills in acupressure practice.

Keamanan dan kesehatan di tempat kerja adalah salah satu hal penting dalam membentuk suasana kerja yang aman, terutama bagi pekerja bongkar muat (TKBM) yang menghadapi risiko kecelakaan kerja yang cukup besar. Pemakaian Alat Pelindung Diri (APD) yang memenuhi standar merupakan salah satu langkah untuk mencegah terjadinya kecelakaan kerja di area pelabuhan. Namun, hasil pengamatan di Pelabuhan Tenau menunjukkan masih ada pekerja yang mengenakan APD tidak sesuai standar SNI dan tidak menggunakan APD secara lengkap saat bertugas. Studi ini bertujuan untuk mengevaluasi dampak pendidikan penggunaan APD terhadap pengetahuan keselamatan kerja pada pekerja bongkar muat (TKBM) di Pelabuhan Tenau. Penelitian ini mengaplikasikan metode kuantitatif dengan desain pre-eksperimental yang menggunakan pendekatan one group pre-test dan post-test. Sampel penelitian terdiri dari 28 responden dengan alat penelitian berupa kuesioner yang berisi 10 pertanyaan. Hasil penelitian menunjukkan bahwa sebelum mendapatkan edukasi, rata-rata responden berhasil menjawab dengan benar 6 pertanyaan (60%) dan memberikan jawaban salah pada 4 pertanyaan (40%). Setelah mendapatkan edukasi, hasil post-test menunjukkan peningkatan pengetahuan di mana sebagian besar responden dapat menjawab dengan benar sebanyak 9 pertanyaan (90%) dan jawaban salah berkurang menjadi 1 pertanyaan (10%). Berdasarkan hasil studi, dapat disimpulkan bahwa pelatihan penggunaan APD berdampak pada peningkatan pengetahuan keselamatan kerja bagi tenaga kerja bongkar muat (TKBM). Sehingga, diperlukan pengawasan dan pendidikan secara berkala mengenai pemakaian APD yang memenuhi standar SNI untuk meningkatkan keselamatan kerja di area pelabuhan.  

Adolescents face significant barriers in accessing reproductive health services due to fears of privacy breaches and social stigma. In primary healthcare facilities, healthcare professionals are often trapped in a dilemma between the obligation to maintain medical confidentiality based on professional ethics and national regulatory demands requiring parental involvement for underage patients. This study aims to analyze the practice of protecting adolescent patient data privacy at Mardi Saras Primary Clinic and identify the gap between practical implementation and the norms of medical ethics and applicable legal regulations. This study employs a socio-legal research method with a qualitative approach. Data were collected through in-depth interviews with doctors and nurses, observation of service procedures, and study of the clinic's Standard Operating Procedures. The results indicate that although Mardi Saras Primary Clinic has implemented basic confidentiality protocols such as closed consultation rooms, there are substantial weaknesses in informed consent management, which still heavily relies on parental presence for all adolescent cases. This practice is driven by healthcare professionals' fear of legal risks, thereby ignoring the principle of developing autonomy in adolescents. These findings indicate a disparity between rigid administrative compliance and the spirit of protecting adolescent health rights within national regulations. The implication of this study underscores the urgency of developing specific SOPs that are sensitive to adolescent rights, as well as the need for continuous training for healthcare professionals regarding the legal and ethical boundaries of maintaining confidentiality for underage patients without compromising legal safety aspects.

This community service study documents and analyzes a blood glucose screening program conducted by theology students of STT Kadesi–Bogor at the Pentecostal Church (Gereja Pantekosta Jakarta/GPJ) in West Jakarta from February to April 2026. A total of 80 examinations were performed over three consecutive months using the Accu-Check glucometer. Results revealed that 1 participant (1.25%) was classified as diabetic (random blood glucose/RBG ≥200 mg/dL) and 19 participants (23.75%) were classified as pre-diabetic or at elevated risk (RBG 126–199 mg/dL), bringing the total at-risk proportion to 25%. The mean participant age was 52.7 years (range: 21–82 years). Women constituted 78.75% of all participants and accounted for 70% of at-risk cases, while men showed a proportionally higher per-capita risk rate (35.3% vs. 22.2%). Five female participants recorded borderline-low glucose levels (70–75 mg/dL), indicating potential nutritional inadequacy. This study contextualizes its findings within biblical theology—particularly 1 Corinthians 3:16, which declares the human body to be the temple of the Holy Spirit—providing a theological imperative for holistic health stewardship. Practical recommendations include adoption of a balanced diet, engagement in regular physical activity, and periodic blood glucose monitoring as expressions of faithful bodily stewardship.

Diarrhea has the potential to cause an Extraordinary Event (KLB) and is currently a leading cause of mortality in Indonesia, especially in children. Antibiotics are necessary for diarrhea caused by bacteria, but irrational antibiotic prescribing can increase the risk of antibiotic resistance. This literature review was conducted to provide an overview of the level of rationality of antibiotic use in pediatric patients with diarrhea in several Indonesian health facilities. The literature review was conducted by reviewing articles obtained through a Google Scholar search using the keywords "rationality of antibiotic use," "diarrhea," "children," and "evaluation of antibiotic use." Articles were selected using inclusion and exclusion criteria, resulting in 10 suitable articles. The study results indicate that the evaluation methods for antibiotic use include the Gyssens criteria, World Health Organization criteria, Ministry of Health Decree Standards, the 2012 World Gastroenterology Organization Guidelines, and the Rational Drug Use Module. Commonly used evaluation parameters include appropriate indication, appropriate drug, appropriate dose, and appropriate patient. Most parameters have obtained rational results, but there are several studies that are not rational in the appropriate indication, appropriate drug, and appropriate dose categories. Variations in the results of rational antibiotic use at each health facility are influenced by patient characteristics, policies at the health care facility, and the level of compliance of health workers with therapy guidelines.

Diarrhea has the potential to cause an Extraordinary Event (KLB) and is currently a leading cause of mortality in Indonesia, especially in children. Antibiotics are necessary for diarrhea caused by bacteria, but irrational antibiotic prescribing can increase the risk of antibiotic resistance. This literature review was conducted to provide an overview of the level of rationality of antibiotic use in pediatric patients with diarrhea in several Indonesian health facilities. The literature review was conducted by reviewing articles obtained through a Google Scholar search using the keywords "rationality of antibiotic use," "diarrhea," "children," and "evaluation of antibiotic use." Articles were selected using inclusion and exclusion criteria, resulting in 10 suitable articles. The study results indicate that the evaluation methods for antibiotic use include the Gyssens criteria, World Health Organization criteria, Ministry of Health Decree Standards, the 2012 World Gastroenterology Organization Guidelines, and the Rational Drug Use Module. Commonly used evaluation parameters include appropriate indication, appropriate drug, appropriate dose, and appropriate patient. Most parameters have obtained rational results, but there are several studies that are not rational in the appropriate indication, appropriate drug, and appropriate dose categories. Variations in the results of rational antibiotic use at each health facility are influenced by patient characteristics, policies at the health care facility, and the level of compliance of health workers with therapy guidelines.

Anemia masih menjadi problematika gizi utama pada remaja putri di Indonesia yang berdampak buruk terhadap performa akademik serta kesehatan reproduksi jangka panjang. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran gizi terkait pencegahan anemia melalui intervensi edukasi sadar gizi di SMAN 1 Sampang. Metode yang diterapkan berbasis pendekatan partisipatif interaktif, meliputi ceramah, pemanfaatan media visual (leaflet dan poster), simulasi penyusunan menu sehat kaya zat besi, serta kuis edukatif. Evaluasi program diukur secara kuantitatif melalui instrumen pre-test dan post-test, serta secara kualitatif melalui observasi keaktifan peserta. Hasil pelaksanaan menunjukkan adanya peningkatan pemahaman yang signifikan mengenai definisi, dampak, dan pencegahan anemia, serta perubahan sikap positif terhadap pola konsumsi seimbang dan kepatuhan sarapan. Kesimpulannya, edukasi gizi yang terstruktur dan interaktif terbukti efektif dalam membangun kesadaran kesehatan remaja, sehingga dapat dijadikan strategi preventif yang berkelanjutan di lingkungan sekolah.

Kegiatan pengabdian ini bertujuan meningkatkan kemampuan bahasa Inggris akademik mahasiswa melalui pelatihan TOEFL di Akademi Kesehatan Universitas 17 Agustus 1945 Semarang. Permasalahan utama adalah rendahnya pemahaman mahasiswa terhadap struktur TOEFL dan strategi pengerjaan soal. Metode yang digunakan meliputi tahap persiapan, pelaksanaan, dan evaluasi dengan pendekatan Communicative Language Teaching (CLT). Sebanyak 54 peserta mengikuti pelatihan yang mencakup listening, structure, dan reading serta evaluasi melalui pre-test dan post-test. Hasil menunjukkan peningkatan signifikan dengan rata-rata skor meningkat dari 457,26 menjadi 527,74. Tingkat kelulusan meningkat dari 66,7% menjadi 88,9%, dan peserta remedial mencapai kelulusan 100%. Hal ini menunjukkan bahwa pelatihan TOEFL berbasis praktik efektif dalam meningkatkan kompetensi bahasa Inggris mahasiswa.

Microplastics are extremely small plastic particles that have become a major concern in public health and environmental studies. This literature review aims to discuss the sources of microplastics, their routes of exposure to the human body, their distribution in organs, and their potential health impacts. The method used was a literature review of scientific articles and reports published from 2021 onward, retrieved from Google Scholar, PubMed, ScienceDirect, and official websites of organizations such as the WHO, OECD, and the World Bank. The review findings show that microplastics originate from plastic waste, synthetic clothing, cosmetics, vehicle tires, and food packaging. These particles have been detected in blood, lungs, the placenta, feces, and various human tissues, indicating that human exposure is widespread. However, evidence from human studies is still limited, so cause-and-effect relationships cannot yet be confirmed with certainty. Based on these findings, further research is needed to better understand the long-term health effects of microplastics. In addition, efforts to reduce single-use plastics, improve waste management systems, and increase public education are essential to reduce exposure and prevent future health risks.

Anemia pada ibu hamil merupakan masalah kesehatan yang sering terjadi dan berisiko terhadap kesehatan ibu dan janin. Rendahnya pengetahuan serta kepatuhan dalam mengonsumsi tablet Fe menjadi salah satu penyebab tingginya kasus anemia selama kehamilan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan kesadaran ibu hamil tentang pentingnya konsumsi tablet Fe sebagai upaya pencegahan anemia. Metode yang digunakan berupa pemeriksaan kadar hb, penyuluhan melalui ceramah, diskusi. Kegiatan dilaksanakan pada 31 Januari 2026 di PMB Bidan Irma dengan peserta 13 ibu hamil. Hasil kegiatan menemukan 1 peserta ibu hamil yang terkena anemia, pentingnya peningkatan pengetahuan dan kesadaran ibu hamil mengenai bahaya anemia dan pentingnya konsumsi tablet Fe secara rutin. Peserta memberikan respons positif dan berharap kegiatan serupa dapat dilakukan secara berkelanjutan. Edukasi ini diharapkan mampu meningkatkan kepatuhan konsumsi tablet Fe serta mencegah komplikasi selama kehamilan, persalinan, dan masa nifas.

The World Health Organization (WHO) states that mental health issues frequently arise during late childhood and early adolescence. Adolescence is  a transitional phase marked by physical, emotional, and social changes, which can impact an individual's psychological well-being. Data from the 2022 Indonesia-National Adolescent Mental Health Survey (I-NAMHS) showed that approximately 15.5 million adolescents (34.9%) experienced mental health problems, while 2.45 million adolescents (5.5%) were identified as having mental disorders. This confirms that adolescent mental health is an issue that requires serious attention. This study aimed to determine the mental health status of adolescents at SMA Negeri 1 Sokaraja. The research method used a quantitative descriptive design with a cross-sectional approach. The population included all 12th-grade students at SMA Negeri 1 Sokaraja, with 188 students selected as samples using a proportional random sampling technique. Data collection was conducted using the Mental Health Inventory (MHI-38) questionnaire and was analyzed using univariate analysis. The results of the study showed that the majority of respondents were in the good category, amounting to 114 (60.6%). Based on gender characteristics, the majority of respondents were female, amounting to 110 (58.5%), while based on residential status, most respondents lived with their parents/family, amounting to 187 (99.5%). These findings indicated that, in general, the mental health of adolescents at SMA Negeri 1 Sokaraja was in a fairly good condition.

This study aims to determine the implementation of quality standard-based health laboratory management at UPTD LABKESDA Kota Serang. The focus of the study includes planning, implementation, supervision, and evaluation of quality standards in health laboratory services. This research employed a qualitative method with an observational study approach. Data collection techniques were conducted through observation, interviews, and documentation involving parties engaged in laboratory management. Data analysis was carried out through data reduction, data presentation, and conclusion drawing. The results of the study indicate that health laboratory management at UPTD LABKESDA Kota Serang has implemented quality standards in various aspects of service, including administrative management, quality control of examinations, management of facilities and infrastructure, and improvement of laboratory personnel competencies. However, several obstacles were still identified, such as limited human resources, supporting facilities that are not yet optimal, and the need for periodic supervision and evaluation improvements. The implementation of quality standard-based management is considered capable of improving the effectiveness of laboratory services and maintaining public trust in health examination results. Based on the findings, it can be concluded that the implementation of quality standard-based health laboratory management at UPTD LABKESDA Kota Serang has been carried out fairly w, although further improvements and developments are still needed to optimize the quality of laboratory services.

The World Health Organization (WHO) states that mental health issues frequently arise during late childhood and early adolescence. Adolescence is  a transitional phase marked by physical, emotional, and social changes, which can impact an individual's psychological well-being. Data from the 2022 Indonesia-National Adolescent Mental Health Survey (I-NAMHS) showed that approximately 15.5 million adolescents (34.9%) experienced mental health problems, while 2.45 million adolescents (5.5%) were identified as having mental disorders. This confirms that adolescent mental health is an issue that requires serious attention. This study aimed to determine the mental health status of adolescents at SMA Negeri 1 Sokaraja. The research method used a quantitative descriptive design with a cross-sectional approach. The population included all 12th-grade students at SMA Negeri 1 Sokaraja, with 188 students selected as samples using a proportional random sampling technique. Data collection was conducted using the Mental Health Inventory (MHI-38) questionnaire and was analyzed using univariate analysis. The results of the study showed that the majority of respondents were in the good category, amounting to 114 (60.6%). Based on gender characteristics, the majority of respondents were female, amounting to 110 (58.5%), while based on residential status, most respondents lived with their parents/family, amounting to 187 (99.5%). These findings indicated that, in general, the mental health of adolescents at SMA Negeri 1 Sokaraja was in a fairly good condition.

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.

Jaringan 5G, sebagai generasi kelima teknologi seluler, menyediakan kecepatan internet ultratinggi, latensi minimal, dan konektivitas superior dibandingkan pendahulunya. Penelitian ini bertujuan mengkaji evolusi, manfaat, serta hambatan implementasi 5G dalam berbagai domain kehidupan. Pendekatan metodologis yang diterapkan adalah studi pustaka (Library Research) dengan pengumpulan data dari literatur primer seperti buku, jurnal ilmiah, dan artikel peer-reviewed. Temuan penelitian mengindikasikan bahwa 5G menghasilkan dampak transformasional positif pada pendidikan (VRlearning), kesehatan (telesurgery), industri (Industry4.0), transportasi (V2X), dan smart city ecosystems. Meski demikian, deployasi 5G terkendala oleh biaya infrastruktur masif, keterbatasan device ecosystem, serta vulnerabilitas keamanan siber. Rekomendasi: Diperlukan integrasi advanced security frameworks dan dukungan infrastruktur policy-driven untuk optimalisasi adopsi dan sustainability jaringan 5G.