International Journal of Health Engineering and Technology

Implementing Claim Management To Prevent Conflict In Construction Projects: A Literature Review

2026-09-23T02:13:37+00:00

Construction claims are a recurring source of conflict during project delivery and, when poorly managed, can escalate into formal disputes that adversely affect all parties involved. This study examines the concept and mechanisms of claim management, identifies the principal causes of construction claims, and evaluates the effectiveness of claim management as a means of preventing project conflict. A qualitative library-research approach was adopted by reviewing and synthesizing literature on construction claims and conflict. The review indicates that effective claim management depends on the integration of clear contract documentation, adequate institutional and human-resource capacity, accessible multi-tier dispute-resolution mechanisms, and stronger legal awareness among contracting parties. The causes of claims are multidimensional and span technical, managerial, administrative, and contractual-legal issues. The study recommends more adaptive contract drafting and stronger administrative governance of claims to reduce the likelihood that construction-project conflicts in Indonesia will escalate into formal disputes.

Value Engineering For Deep Excavation Retaining Systems With A Balanced Budget Approach

2026-11-06T07:31:10+00:00

This study evaluates the change in a deep-excavation retaining system from Strutting & King Post to Diaphragm Wall at the Harapan Kita–Tokushukai Heart Hospital Project using a Value Engineering approach with a balanced-budget criterion. A quantitative comparative-evaluative case-study design was applied. Primary data were obtained from 12 project professionals purposively selected from an operational population of 19 personnel, while secondary data included cost estimates, bills of quantities, design and geotechnical documents, schedules, Value Engineering documents, and change-order records. The analysis combined FAST, Cost/Worth Ratio, instrument validity and reliability, descriptive statistics, Shapiro-Wilk testing, Wilcoxon Signed-Rank testing, weighted performance, cost reconciliation, balanced-budget analysis, and Value Index calculation. The Diaphragm Wall alternative achieved higher technical performance and constructability, shortened the affected works by approximately eight weeks, and reduced cost from IDR 25.445 billion to IDR 25.031 billion, equivalent to 1.63% savings. Weighted performance increased from 3.0532 to 3.9826, while the Value Index rose from 0.611 to 0.810. The alternative therefore provided higher value for this case, subject to technical, contractual, and safety verification before implementation.

Case Study of Unstable Angina Pectoris (UAP) Post Percutaneous Transluminal Coronary Angioplasty (PTCA) with Controlled Hypertension Comorbidity, Dyspepsia Syndrome, and Stage 1 Acute Kidney Injury (AKI) in Patients in the Heart Ward

2026-10-09T03:03:55+00:00

This case study aimed to evaluate the appropriateness of pharmacotherapy, identify potential Drug Related Problems (DRPs), and provide rational therapy recommendations for a patient with UAP post PTCA 1 stent, controlled hypertension, dyspepsia syndrome, and Acute Kidney Injury (AKI) stage 1 dd acute on Chronic Kidney Disease (CKD). A descriptive method with a case study design was applied to a 53-year-old male patient hospitalised in the Cardiac Ward of RSUP Dr. M. Djamil Padang. Data were collected prospectively through interviews, clinical observation, and medical record review, then evaluated based on the right indication, right patient, right drug, and right dose criteria and compared with clinical guidelines. The results showed that the therapy, comprising antiplatelet, anticoagulant, statin, nitrate, antihypertensive, gastrointestinal, and supportive agents, was generally appropriate. However, several potential DRPs were identified, namely lower-than-reference doses of enoxaparin, ranitidine, and lactulose, as well as pharmacodynamic interactions among acetosal, clopidogrel, and enoxaparin that increase bleeding risk. During follow-up, the patient's clinical condition and renal function improved, indicated by a decrease in creatinine from 1.5 to 1.1 mg/dL and urea from 28 to 15 mg/dL. Pharmacist involvement in medication review is essential to optimise therapeutic effectiveness and safety.

Diagnostic Utility Of Hemoglobin And Reticulocyte Parameters For Iron Deficiency In Children With Cyanotic Congenital Heart Disease: A Systematic Review

2026-10-30T01:40:33+00:00

Chronic hypoxemia and compensatory erythrocytosis complicate the interpretation of hematological parameters in children with cyanotic congenital heart disease (CCHD). The diagnostic utility of hemoglobin and reticulocyte-related parameters for assessing iron deficiency in this population remains uncertain. This review aimed to evaluate the diagnostic accuracy of hemoglobin and reticulocyte parameters for detecting iron deficiency in children with established CCHD. Two studies involving 169 children were included. Hemoglobin and hematocrit showed limited discrimination for iron deficiency, with area under the receiver operating characteristic curve (AUC) values of 0.57 and 0.61, respectively. Reticulocyte hemoglobin content (CHr) and reticulocyte hemoglobin equivalent (Ret-He) demonstrated better performance, with AUC values of 0.74-0.83. At cut-offs around 28 pg, sensitivity ranged from 64.3% to 75.0% and specificity from 84.1% to 88.9%. Red cell distribution width (RDW) showed potential, with 91.5% specificity, while a combined CHr-RDW model achieved an AUC of 0.794 and an accuracy of 85.4% in one study. Reticulocyte percentage performed poorly (AUC 0.47). CHr and Ret-He may complement conventional investigations for iron deficiency in children with established CCHD, whereas hemoglobin and hematocrit have limited discriminatory value. The evidence remains limited by the small number of studies, heterogeneous diagnostic criteria, and lack of external validation. Larger prospective studies with age-specific thresholds and appropriate comparison groups are needed.

The Effect Of Different Binder Types On The Results Of Hardness Evaluation Tests And Tablet Disintegration Time Using The Wet Granulation Method: Literature Review

2026-05-11T13:47:06+00:00

Tablets are a widely used pharmaceutical dosage form due to their stability, ease of use, and dosage accuracy. In tablet manufacturing, particularly using the wet granulation method, the use of binders is a critical factor influencing the tablet's physical properties, particularly hardness and disintegration time. Various types of binders, both natural and synthetic, such as polyvinylpyrrolidone (PVP), hydroxypropyl methylcellulose (HPMC), gelatin, starch, and sodium carboxymethylcellulose (CMC-Na), have different characteristics in forming bonds between particles. This literature review aims to analyze the effect of different binder types on tablet hardness and disintegration time test results. The method used was a literature review of various scientific journals related to tablet formulations with various binders. The results indicate that increasing binder concentration generally increases tablet hardness but can also prolong disintegration time. Synthetic binders such as HPMC and gelatin tend to produce tablets with high mechanical strength, while binders such as PVP and starch provide more moderate hardness with faster disintegration times. Thus, the selection of the type and concentration of binder must be adjusted to the formulation objectives to obtain an optimal balance between tablet hardness and disintegration time.

Improving Posyandu Cadres’ Knowledge Of Pulp Necrosis Through Education At UKGMD Evaluation, Pucangsawit Health Center

2026-10-14T06:10:32+00:00

Oral health problems, particularly pulp necrosis, remain a considerable health burden in Indonesia. Community Dental Health Workers (UKGMD cadres) play a strategic role as health promotion agents at the community level; however, their knowledge of advanced dental conditions such as pulp necrosis still needs to be strengthened. This community service activity aimed to improve the knowledge of UKGMD cadres in the working area of Puskesmas Pucangsawit, Surakarta, regarding pulp necrosis through oral health promotion. The method was an interactive lecture supported by visual media (posters, PowerPoint slides, and an educational video) and a question-and-answer session, with knowledge evaluated by a pre-test and a post-test administered through Google Forms. The activity took place on 15 April 2026 at the Sorogenen Auxiliary Health Center Hall and involved 40 UKGMD cadres. The mean knowledge score increased from 95.50 in the pre-test to 99.38 in the post-test, and the cadres’ active participation in the question-and-answer session reflected high enthusiasm. In conclusion, interactive lecture-based health promotion supported by engaging media improved the cadres’ knowledge of pulp necrosis and may serve as a model for similar UKGMD activities in other primary health care centers.

Perforated Retrocecal Appendicitis Despite Inconclusive Ultrasonography: The Role Of Integrated Clinical Assessment And Reassessment—A Case Report

2026-09-09T02:31:51+00:00

Acute appendicitis is a dynamic disease process, and clinical findings may evolve during diagnostic evaluation. Ultrasonography (US) is often used as the initial imaging modality; however, nonvisualization of the appendix is an inconclusive finding and cannot, by itself, exclude appendicitis. Therefore, while awaiting further investigations or when imaging remains nondiagnostic, clinical reassessment is essential for detecting changes in the patient’s condition. A 56-year-old woman presented with progressive abdominal pain that began in the epigastrium and subsequently localized to the right lower quadrant, accompanied by nausea and vomiting. On initial evaluation, she was hemodynamically stable but tachycardic, with right lower quadrant tenderness, positive psoas and Rovsing signs, and leukocytosis of 18.84 × 10⁹/L, without rebound tenderness or abdominal guarding. The patient underwent clinical observation and further investigation. Abdominal ultrasonography performed the following morning demonstrated mild localized ileus in the right abdomen; however, the appendix and ileocecal region could not be visualized. Subsequent reassessment revealed new-onset abdominal distension, tenderness at McBurney’s point and in the suprapubic region, rebound tenderness, and lower abdominal guarding. Given the progression of these clinical findings, peritonitis secondary to perforated appendicitis was suspected, and emergency exploratory laparotomy was performed. Intraoperatively, a gangrenous retrocecal appendix was identified, with perforations in the midportion and at the base, accompanied by purulent fluid in the right paracolic gutter and pelvis. Retrograde appendectomy, peritoneal irrigation, and drain placement were performed. Histopathological examination confirmed perforated appendicitis, and the postoperative course was favorable. Nonvisualization of the appendix on ultrasonography does not exclude appendicitis, particularly when clinical findings continue to support the diagnosis. This case highlights the importance of integrating imaging findings with ongoing clinical assessment during the diagnostic evaluation period. Serial reassessment of symptoms and abdominal examination findings is essential for detecting changes in clinical status and determining the need for timely escalation to definitive treatment.

The Relationship Between Online Gaming Duration And Symtoms Of Carpal Tunnel Syndrome In Medical Students At Universitas Muhammadiyah Sumatera Utara

2026-10-21T06:23:15+00:00

According to a survey by the Indonesian Internet Service Providers Association (APJII), 35.97% of internet users aged 12–27 years play online games, and players tend to spend an average of 2–8 hours per day gaming. Online gaming addiction can have negative effects, including reduced social interaction with family, declining academic performance, and physical health problems. Commonly reported health problems include headaches, back pain, repetitive strain injuries, and carpal tunnel syndrome (CTS). This study aimed to determine the association between online gaming duration and CTS symptoms. A descriptive-analytical study with a cross-sectional approach was conducted among 57 respondents recruited using non-probability sampling. Data were analyzed using the chi-square test. Bivariate analysis showed that, among the 40 respondents (70.2%) with CTS symptoms, 21 were high-duration gamers. Among respondents without CTS symptoms, 17 (29.8%) were light-duration gamers. Online gaming duration was significantly associated with CTS symptoms, as demonstrated by the chi-square test (p < 0.001).

Diagnostic Challenge Of Paederus Dermatitis Mimicking Herpes Zoster In The Tropics: A Case Report

2026-10-29T01:23:54+00:00

The clinical similarity between paederus dermatitis and herpes zoster often poses a diagnostic challenge in tropical regions, frequently leading to inappropriate initial management. This study aims to document a medical case to provide clinical insights into differentiating these two conditions, particularly in settings with limited diagnostic facilities. The method used is qualitative with a case study design to analyze the presentation and management of a patient at the Dermatology and Venereology Outpatient Clinic of Mataram University Hospital. A 14 year old male boarding school student presented with a five day history of sudden, burning erythematous lesions on his back, which had been previously misdiagnosed as herpes zoster by a general practitioner. General physical examination showed normal vital signs and a good general condition. Dermatological examination of the posterior thoracic region revealed well-demarcated erythematous plaques with characteristic elongated linear whip like marks on the left and central back, accompanied by vesicles, erosions, and thin crusts. No laboratory or cytological examinations were performed. Based on the distinctive whip like morphology and an epidemiological history of similar complaints among his dormitory friends, the diagnosis was corrected to Paederus dermatitis. The patient was treated with topical corticosteroid therapy using hydrocortisone 1% cream applied thinly twice daily as the initial treatment. In conclusion, this case highlights that comprehensive environmental history taking and careful assessment of lesion morphology are essential to establish an accurate diagnosis, prevent unnecessary medication use, and ensure appropriate treatment.

Compounded Prescription Services At The Garuda Community Health Center In Pekanbaru

2026-09-28T03:55:36+00:00

Waiting time for prescription services is one of the indicators of pharmaceutical service quality that may affect service efficiency and patient experience. This study aimed to describe the waiting time for compounded and non-compounded prescription services at the Pharmacy Installation of Garuda Health Center, Pekanbaru City, and to determine their compliance with applicable service standards. This study used a descriptive method with a quantitative approach. Samples were selected using purposive sampling, resulting in 100 prescriptions consisting of 25 compounded and 75 non-compounded prescriptions. Data were collected from June 2 to June 13, 2026, by measuring the time from receipt of the prescription until the medication was handed over to the patient. Data were analyzed using Microsoft Excel to calculate the average waiting time. The results showed that the average waiting time was 15.4 minutes for compounded prescriptions and 10.8 minutes for non-compounded prescriptions. Both results met the applicable standards of ≤60 minutes for compounded prescriptions and ≤30 minutes for non-compounded prescriptions. Therefore, prescription services at Garuda Health Center met the established pharmaceutical service standards.

Managerial Strategies For Optimizing Performance-Based Capitation Indicators At The Jambi City Community Health Center In 2026

2026-10-14T04:35:33+00:00

Performance Based Capitation (KBK) is a payment mechanism that links capitation payments to the achievement of three performance indicators of primary healthcare facilities: contact rate, non specialist referral ratio, and the ratio of controlled Prolanis participants. Three selected primary health centers in Jambi City showed different capitation payment consequences throughout 2025, ranging from 95 100% at Putri Ayu, 90 95% at Kebun Handil, and a constant 90% at Koni, despite receiving different amounts of capitation funds. This study aimed to analyze managerial strategies in optimizing KBK indicators at three primary health centers in Jambi City through the functions of planning, organizing, actuating, and controlling. A qualitative case study approach was used involving 26 informants from the three centers through in depth interviews, observation, and documentation, analyzed thematically with Nvivo and validated through source triangulation. The results show that organizing and controlling have run relatively consistently across the three centers, while planning and actuating still varied, mainly due to limited human resources, facilities, recording systems, and participant compliance. Differences in KBK achievement between health centers were not solely determined by the amount of capitation funds received, but by the ability of each center to integrate all four management functions.

Corticosteroid-Sparing Strategies For The Management Of Leprosy Reactions: A Systematic Review Of Emerging Therapeutic Approaches

2026-11-05T01:12:21+00:00

Leprosy reactions are immune-mediated complications of leprosy and remain an important cause of nerve damage, disability, and impaired quality of life despite multidrug therapy. Systemic corticosteroids are used for severe reactions, but recurrent or chronic disease may require prolonged exposure and increase treatment-related toxicity. This systematic review evaluated established and emerging corticosteroid-sparing strategies for type 1 reactions and erythema nodosum leprosum (ENL). PubMed (MEDLINE), ScienceDirect, Cochrane Library, and ProQuest were searched for studies published between January 2017 and October 2026. Eligible trials and observational studies evaluated corticosteroid-sparing therapy in leprosy reactions. Study selection followed PRISMA 2020. Outcomes included clinical response, corticosteroid reduction or withdrawal, recurrence, neurological outcomes, and adverse events. Findings were synthesized qualitatively. Of 363 records identified, 83 duplicates were removed and 280 records were screened. Twelve reports were sought for retrieval, one could not be obtained, and 11 studies involving 722 patients were included. Nine studies focused on ENL, one on type 1 reactions, and one included both reaction types. Thalidomide showed the most consistent corticosteroid-sparing effect, with substantial prednisolone reduction and successful withdrawal reported across several studies. Minocycline achieved earlier ENL control than clofazimine but did not significantly reduce additional prednisolone requirements. Observational studies suggested benefit from methotrexate; however, the MaPs in ENL trial found no reduction in corticosteroid requirement or ENL flares. Etanercept, adalimumab, cyclophosphamide, and secukinumab showed promising activity in refractory ENL, although evidence was limited to small observational studies and case series. Corticosteroid-sparing therapy for leprosy reactions remains supported by heterogeneous and limited evidence, with more data available for ENL than for type 1 reactions. Thalidomide has the most consistent supporting evidence, whereas methotrexate lacks confirmed benefit in randomized data. Biologic and other immunomodulatory therapies remain promising but require larger controlled trials using standardized corticosteroid-sparing, relapse, neurological, and safety outcomes.

The Influence Of Animated Video Media On Knowledge, Attitudes, And Behavior Of Anemia Prevention In Adolescent Girls At Smp Negeri 1 Trucuk Bojonegoro Based On Health Promotion Model Theory

2026-08-20T08:29:08+00:00

Adolescent girls are susceptible to anemia, so prevention education that is appropriate to their characteristics is needed. To determine the effect of animated video media on knowledge, attitudes, and behavior in preventing anemia. Quantitative research with a one-group pretest-posttest design. The population was 231 female adolescents in grades VII and VIII at SMP Negeri 1 Trucuk Bojonegoro, with a sample of 147 respondents selected using proportionate stratified random sampling. The instrument was a questionnaire on knowledge, attitudes, and behavior adapted from Khoiria (2023). Data were analyzed using the Wilcoxon Signed Rank Test with α = 0.05. Animated video media had a significant effect on knowledge (p = 0.000), but did not affect attitudes (p = 0.259) and behavior (p = 0.540). Animated videos are effective in increasing knowledge, but have not produced significant changes in attitudes and behavior in preventing anemia.

Spinal Anesthesia: Techniques And Complications

2026-10-07T01:27:33+00:00

Spinal anesthesia is a neuraxial technique involving the injection of local anesthetic into the subarachnoid space to produce reversible sensory, motor, and sympathetic blockade. It is widely used for surgeries below the umbilicus, including lower abdominal, pelvic, perineal, lower extremity, and obstetric procedures. Despite its advantages, such as rapid onset and effective anesthesia, complications may include hypotension, bradycardia, high or total spinal, post-dural puncture headache (PDPH), neurological complications, hematoma, and infection. Therefore, appropriate patient selection, procedural technique, monitoring, and complication prevention are essential. This final assignment employed a literature review by examining relevant sources on spinal anesthesia, including anatomy and physiology, indications and contraindications, patient and equipment preparation, anesthetic agents and adjuvants, techniques, factors affecting block spread, monitoring, complications, prevention, and recent developments. The literature was descriptively analyzed to provide an overview of the clinical application and safety of spinal anesthesia. Spinal anesthesia is effective for various surgical procedures, with outcomes influenced by patient characteristics, drug selection, puncture technique, and anesthetic spread. Bupivacaine is commonly used, with anesthetic agents and adjuvants selected according to the desired block characteristics. Prevention of complications includes proper patient evaluation, atraumatic puncture, ultrasound guidance when appropriate, antithrombotic management, hemodynamic monitoring, and aseptic techniques. Recent developments include pencil-point needles, neuraxial ultrasound, intrathecal adjuvants, and unilateral spinal anesthesia. Safe spinal anesthesia requires appropriate preparation, technique, drug selection, monitoring, and early recognition and prevention of complications.

Acute Angle-Closure Glaucoma In An Elderly Woman With Elevated Intraocular Pressure: A Case Report

2026-10-24T08:15:40+00:00

Acute angle-closure glaucoma is an ophthalmic emergency that can lead to irreversible vision loss if elevated intraocular pressure is not promptly managed. Typical clinical manifestations include acute ocular pain, decreased visual acuity, ocular redness, corneal edema, a mid-dilated pupil, and elevated intraocular pressure. This case report aims to describe the clinical manifestations, diagnostic process, and management principles of acute angle-closure glaucoma in an elderly patient. A 65-year-old woman presented with a chief complaint of sudden decreased vision in the left eye that had begun two weeks prior to examination. The complaint was preceded by intermittent tearing and a dull aching sensation in the left eye for approximately one month. Two weeks before presentation, the patient experienced severe pain in the left eye radiating to the left side of the head, accompanied by ocular redness, eyelid swelling, and markedly blurred vision described as seeing through smoke. The right eye had experienced a gradual decline in vision over approximately one year. Examination revealed uncorrected visual acuity of 20/60 in the right eye and 1/60 in the left eye. The left eye showed eyelid edema, lacrimation, ciliary and conjunctival injection, corneal edema and opacity, a shallow anterior chamber, iris bombe, a mid-dilated pupil, and an absent pupillary light reflex. Intraocular pressure was 18 mmHg in the right eye and 49 mmHg in the left eye. Confrontation visual field testing revealed generalized constriction of the visual field in the left eye. Based on the clinical findings, the patient was diagnosed with acute angle-closure glaucoma in the left eye and immature senile cataract in the right eye. The patient received intraocular pressure-lowering medical therapy and was scheduled for further evaluation and definitive treatment with laser peripheral iridotomy once the corneal condition permitted the procedure. Acute angle-closure glaucoma should be considered in elderly patients presenting with a red eye, acute ocular pain, decreased vision, and elevated intraocular pressure. Prompt recognition of clinical signs and immediate reduction of intraocular pressure are essential to minimize the risk of irreversible optic nerve damage. Evaluation of the fellow eye is also important because of the presence of anatomical predispositions that may increase the risk of a similar attack.

Comparison Of The Clinical Longevity Of Lithium Disilicate Crowns In Fixed Dental Prostheses

2026-09-26T14:52:08+00:00

Tooth loss can impair mastication, phonetics, aesthetics, and quality of life, necessitating restorations that restore function and maintain long-term clinical performance. Fixed dental prostheses (FDPs) made of lithium disilicate are increasingly used because of their favorable mechanical and aesthetic properties. However, evidence regarding the durability and longevity of lithium disilicate restorations varies according to material type, clinical conditions, and evaluation parameters. This literature review aimed to examine the clinical longevity of lithium disilicate crowns used in fixed dental prostheses based on survival rate, success rate, mechanical strength, wear resistance, marginal adaptation, bond strength, and restoration-related complications. A literature review was conducted using a systematic approach based on the PRISMA 2020 guidelines. Literature searches were performed in PubMed, ScienceDirect, DOAJ, MDPI, Garuda, and Google Scholar for articles published between 2020 and 2025. Five studies were included in the review. The findings demonstrated that lithium disilicate exhibited favorable flexural strength and wear resistance, with good mechanical stability following chewing simulation. Marginal adaptation remained within clinically acceptable limits, while bond strength and translucency supported restoration performance. Clinical studies also reported high survival and success rates over six years. In conclusion, lithium disilicate demonstrates favorable clinical longevity as a restorative material for fixed dental prostheses, offering a balance between mechanical durability, long-term clinical performance, and aesthetic outcomes.

Description Of Post-Spinal Anesthesia Urinary Retention In Hernia Surgery Patients At Cilacap Regional Hospital

2026-10-13T02:07:03+00:00

A hernia is an abnormal protrusion of abdominal contents through a defect or weak area in the abdominal wall. In cases of abdominal hernia, abdominal contents protrude through a weakened musculaponeurotic layer of the abdominal wall. A hernia consists of a ring (fascia), a sac (peritoneum), and the hernia contents. This study aimed to describe the incidence of postoperative urinary retention following spinal anesthesia in hernia surgery patients at Cilacap Regional General Hospital (RSUD Cilacap). This study employed a quantitative approach with an analytical method. The study population consisted of 73 patients; using a 5% margin of error, the calculated sample size was 62 respondents. An observation sheet was used to measure the incidence of postoperative urinary retention. The results showed that, regarding respondent characteristics, the majority were over 60 years of age (40 respondents; 64.5%) and male (57 respondents; 91.9%). In terms of education, the majority had a low level of education (elementary or junior high school) (37 respondents; 59.7%). Regarding the type of hernia, the majority of cases were inguinal hernias (56 respondents; 90.3%). Concerning the incidence of urinary retention, the majority of patients did not experience urinary retention (39 respondents; 62.9%).

Acute Appendicitis: A Case Report

2026-11-04T13:23:04+00:00

Acute appendicitis is an inflammation of the vermiform appendix, typically characterized by abdominal pain that migrates from the periumbilical region to the right lower quadrant. Variations in the anatomical position of the appendix may affect its clinical presentation and mimic other conditions, including urinary tract disorders. Case A 24-year-old male presented with right lower abdominal pain that had begun three days before hospital admission, accompanied by nausea, vomiting, decreased appetite, and fever. Physical examination revealed a temperature of 39.8°C, McBurney’s point tenderness, rebound tenderness, muscular guarding, and a positive psoas sign. Laboratory investigations showed leukocytosis of 13,390/µL, microscopic hematuria, and ketonuria. The patient was diagnosed with acute appendicitis and underwent appendectomy. Histopathological examination confirmed acute appendicitis. The diagnosis of acute appendicitis in this patient was supported by pain migration, signs of peritoneal irritation, fever, and leukocytosis. Pain radiating to the flank, a positive psoas sign, and urinary symptoms suggested a possible retrocecal position of the appendix and made right-sided urolithiasis an important differential diagnosis. Acute appendicitis may mimic urinary tract disorders because of variations in the anatomical position of the appendix. A thorough history, physical examination, and appropriate diagnostic investigations are essential for establishing the diagnosis and determining appropriate management.

The Effect Of Stretching Exercises On Reducing Back Pain Complaints Caused By Backpack Use Among Junior High School Students Based On Calista Roy's Adaptation Theory

2026-08-19T04:26:21+00:00

Carrying a BackPack weighing more than 10% of their body weight often triggers back pain in adolescents. Stretching exercises can improve body flexibility, aligning with Callista Roy's Adaptation Theory regarding physical stimulation for positive physiological adaptation. This study aimed to determine the effect of stretching exercises based on Callista Roy's Adaptation Theory on reducing back pack-related back pain among junior high school students. This study employed a quasi-experimental design with purposive sampling, involving an intervention group at SMPN 5 Bojonegoro (35 respondents) and a control group at SMPN 2 Bojonegoro (30 respondents). Pain levels were measured before (pre-test) and after (post-test) the intervention using the Nordic Body Map (NBM) questionnaire and analyzed using the Wilcoxon and Mann-Whitney U tests. The Wilcoxon test was used to compare pain levels before and after stretching exercises within the intervention group, while the Mann-Whitney U test was used to analyze differences between the intervention and control groups regarding the impact of the exercises. At the pre-test stage, all respondents in both groups (100%) experienced moderate pain. Following the intervention, the majority of the intervention group (91.4%) showed a reduction to the low pain category, whereas 90.0% of the control group continued to experience moderate pain. Statistical tests revealed significant effects and differences in both groups (p = 0.000; p < 0.05). Stretching exercises are effective in reducing BackPack-related back pain among junior high school students by acting as an external coping mechanism that shifts the body's response from maladaptive to adaptive. Based on Callista Roy's Adaptation Theory, stretching exercises serve as a stimulus that enhances physiological coping mechanisms, enabling the body to adapt positively and reduce the pain response.

Factors Associated With Low Back Pain Complaints Among Warehouse Workers At PT. X In 2026

2026-10-04T00:13:50+00:00

Low Back Pain (LBP) is one of the most common musculoskeletal disorders experienced by warehouse workers due to manual handling activities, non-ergonomic working postures, and repetitive physical workloads. This condition may reduce work productivity and negatively affect workers' health. This study aimed to determine the factors associated with Low Back Pain complaints among warehouse workers at PT. X in 2026. This quantitative study employed a cross-sectional design. The study population consisted of 81 warehouse workers, all of whom were included as the research sample using a total sampling technique. Data were collected using the Nordic Body Map (NBM) questionnaire to identify Low Back Pain complaints, while working posture was assessed using the Rapid Entire Body Assessment (REBA) method. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a 95% confidence level (α = 0.05). The findings indicated that most warehouse workers experienced Low Back Pain complaints. Bivariate analysis showed that age and length of employment were significantly associated with Low Back Pain complaints (p < 0.05), whereas working duration was not significantly associated with Low Back Pain (p > 0.05). The REBA assessment revealed that most work activities were classified as having moderate to high ergonomic risk, indicating the need for corrective ergonomic interventions. It can be concluded that age and length of employment are factors associated with Low Back Pain complaints among warehouse workers at PT. X. The company is recommended to implement ergonomic programs, provide manual handling aids, and conduct regular ergonomic training and working posture evaluations to reduce the risk of Low Back Pain.

Prenatal Exome Sequencing Identifies Two PIEZO1 Variants In Recurrent Nonimmune Hydrops Fetalis: A Case Report

2026-11-06T07:43:24+00:00

Nonimmune hydrops fetalis (NIHF) is a heterogeneous fetal condition characterized by abnormal fluid accumulation in two or more fetal compartments. Prenatal exome sequencing has increasingly identified monogenic causes of otherwise unexplained NIHF, with PIEZO1 among the most frequently implicated genes. Biallelic loss-of-function PIEZO1 variants are associated with autosomal recessive generalized lymphatic dysplasia with NIHF. A 26-year-old woman, gravida 3 para 1 abortus 1, had one prior pregnancy complicated by hydrops fetalis that ended in pregnancy loss. In the current pregnancy, cell-free DNA screening at 16 weeks 4 days showed low risk for common aneuploidies and selected microdeletion syndromes, with a female fetus and fetal fraction of 9.1%. Maternal serology for cytomegalovirus, toxoplasmosis, syphilis, and parvovirus B19 was non-reactive or negative. Ultrasound demonstrated ascites, bilateral pleural effusions, generalized edema, increased nuchal translucency, tricuspid regurgitation, a cavum velum interpositum cyst, and increased abdominal circumference, fulfilling criteria for NIHF. Prenatal chromosomal microarray showed no phenotype-related copy-number variant and a normal chromosomal constitution. Prenatal exome sequencing of amniotic fluid identified a heterozygous likely pathogenic PIEZO1 nonsense variant, NM_001142864.2:c.1857C>A p.(Tyr619*), and a second heterozygous PIEZO1 missense variant of uncertain significance, NM_001142864.2:c.6338C>T p.(Pro2113Leu). A heterozygous EPHB4 variant of uncertain significance was also reported as potentially relevant. Parental segregation was recommended to determine whether the two PIEZO1 variants were in trans. At 20 weeks' gestation, cordocentesis and intraperitoneal intrauterine transfusion were performed for suspected fetal anemia/hemolytic hydrops. Maternal irregular red-cell antibody screening and direct antiglobulin testing were negative, supporting a nonimmune mechanism. This case highlights recurrent NIHF in a family in whom prenatal exome sequencing identified two PIEZO1 variants after chromosomal, infectious, and alloimmune evaluations were unrevealing. The PIEZO1 findings represent the leading molecular explanation, but a definitive autosomal recessive diagnosis requires parental segregation and further evidence regarding the VUS. Early genomic testing can refine etiologic assessment, recurrence counseling, and reproductive planning in unexplained or recurrent NIHF.

The Effectiveness Of A Moringa Leaf Drink Program On Pregnant Women’s Knowledge Of Nutritious Foods For Stunting Prevention In Jati Mulia Village

2026-09-24T01:47:39+00:00

Stunting is one of the chronic nutritional problems that remains a public health challenge in Indonesia. Stunting prevention should begin during pregnancy by fulfilling nutritional needs and improving mothers’ knowledge of nutritious foods. Moringa leaves (Moringa oleifera) are a local food source with potential for use as part of community-based nutritional interventions. This study aimed to analyze the effectiveness of a Moringa leaf drink program in improving pregnant women’s knowledge of nutritious foods for stunting prevention in Jati Mulia Village, Nibung Hangus District, Batu Bara Regency. This study employed a quantitative approach with a quasi-experimental design using pretest and posttest measurements. The sample consisted of 50 pregnant women selected using purposive sampling. Data were collected using a questionnaire assessing knowledge of nutritious foods and stunting prevention. Data were analyzed using univariate and bivariate analyses with the Wilcoxon signed-rank test at a significance level of α = 0.05. The results showed that the mean knowledge score of pregnant women before the intervention was 39.92, which increased to 80.58 after the intervention. Before the intervention, 42 respondents (84.0%) were categorized as having poor knowledge, whereas no respondents remained in this category after the intervention. A total of 31 respondents (62.0%) achieved the very good knowledge category in the posttest. The Wilcoxon test showed a p-value of <0.001, indicating a statistically significant difference in knowledge levels before and after the intervention. Therefore, the Moringa leaf drink program was effective in improving pregnant women’s knowledge of nutritious foods as part of stunting prevention efforts. The utilization of Moringa leaves can be further developed as an affordable, sustainable, and locally based food education approach at the community level.

Overview Of Prescription Service Wait Times At The Sidomulyo Community Health Center (Outpatient Department) In Delima Tampan Subdistrict, Pekanbaru

2026-10-12T07:03:34+00:00

Prescription service waiting time is an indicator used to assess the quality and efficiency of pharmaceutical services at Community Health Centers (Puskesmas). The duration of the prescription service process can influence patient comfort and satisfaction while also reflecting the effectiveness of the medication dispensing workflow. This study aimed to analyze the outpatient prescription service waiting time at the Sidomulyo Panam Community Health Center in Pekanbaru. A descriptive research design with an observational approach was employed. Data were collected through direct observation of the outpatient prescription service process from June 26 to 28, covering a sample of 131 prescriptions. Waiting time was measured from the moment pharmacy staff received the prescription until the medication was handed to the patient; data were then categorized by prescription type: non-compounded and compounded. The results showed that 121 prescriptions were non-compounded and 10 were compounded. The average waiting time for non-compounded prescriptions was 10.46 minutes on Day 1, 9.54 minutes on Day 2, and 9.1 minutes on Day 3. Meanwhile, the average waiting time for compounded prescriptions was 32.6 minutes on Day 1, 33.5 minutes on Day 2, and 33 minutes on Day 3. Based on these observations, the outpatient prescription service waiting time at the Sidomulyo Community Health Center met established pharmaceutical service standards. Factors influencing waiting time included the type of prescription, the number of pharmacy staff, service stages, and medication availability.

The Application Of Integrated Psychoeducation And Psychopharmacological Strategies In The Management Of Generalized Anxiety Disorder In Patients With Comorbid Type 2 Diabetes Mellitus: A Comprehensive Case Report

2026-11-01T03:06:56+00:00

Type 2 Diabetes Mellitus (T2DM) is a global health challenge frequently accompanied by significant psychological comorbidities. Generalized Anxiety Disorder (GAD) has a high prevalence among diabetic patients, with both conditions influencing each other through complex neuroendocrine mechanisms. Emotional instability and excessive worry often serve as primary barriers to achieving optimal glycemic control. This case report aims to evaluate the effectiveness of a holistic approach combining advanced psychopharmacology and structured psychoeducation in a young adult patient with a genetic risk of T2DM. Mr. MT, a 32-year-old male, presented with dominant physical complaints including palpitations, dizziness, and persistent epigastric pain for six months. Through in-depth psychiatric evaluation, a pattern of uncontrollable worry (overthinking) was identified, related to family burdens and fear of hereditary disease after discovering an increase in HbA1c levels. Laboratory results showed drastic fluctuations in glycemic control, with peak HbA1c reaching 12.9%. The patient was diagnosed with Generalized Anxiety Disorder with somatic manifestations exacerbated by metabolic conditions. Management involved the use of Escitalopram, low-dose Aripiprazole, Alprazolam, and Trihexyphenidyl, integrated with family psychoeducation interventions and relaxation techniques. Case analysis indicates that chronic activation of the hypothalamic-pituitary-adrenal (HPA) axis due to anxiety triggers cortisol release, inducing insulin resistance and hyperglycemia. The use of Aripiprazole as an SSRI augmentation agent provided dopaminergic stability, helping to reduce cognitive distress. Psychoeducation was proven to increase the patient's self-efficacy in diabetes management and improve medication adherence, which directly correlated with decreased HbA1c levels. The integration of mental health services into diabetes management is crucial. A multidimensional approach encompassing pharmacological stabilization and psychosocial reinforcement through psychoeducation is key to breaking the bidirectional cycle between anxiety and diabetes.

Analysis Of Medical Records Officers' Work Postures In Registration Section Activities Using The Rapid Upper Limb Assessment (RULA) Method At The DTP Rajamandala Community Health Center

2026-07-25T01:58:19+00:00

The implementation of Electronic Medical Records increases the intensity of computer-based work for medical record officers, potentially leading to non-ergonomic work postures and musculoskeletal disorders. This study aims to analyze the work posture of medical record officers in Electronic Medical Record registration activities using the Rapid Upper Limb Assessment (RULA) method at the DTP Rajamandala Community Health Center. This study uses a descriptive method with a descriptive quantitative approach. The study population consisted of five medical record officers with a total sampling technique so that the entire population was used as a research sample. Data collection was carried out using the Rapid Upper Limb Assessment (RULA) observation sheet, the Nordic Body Map (NBM) questionnaire, observation, documentation studies, and literature studies. Data analysis was carried out descriptively based on the results of the RULA assessment and the Nordic Body Map score. The results showed that four respondents had a moderate risk level of musculoskeletal complaints and one respondent had a low risk level. The RULA analysis resulted in a score of 6 in Posture 1 indicating the need for immediate investigation and improvement and a score of 4 in Posture 2 indicating the need for investigation and improvement. In conclusion, the Electronic Medical Record registration activity still has ergonomic risks that have the potential to cause musculoskeletal disorders, so it is necessary to improve work stations and apply ergonomic principles to improve the safety and health of officers.

Molecular Docking Of Bioactive Compounds From Mangosteen Peel (Garcinia Mangostana L.) And Design Of New Quercetin Derivatives As MAO-A Inhibitors For Anti-Stress Potential

2026-10-01T03:36:52+00:00

Stress is associated with an imbalance of neurotransmitters in the central nervous system. Monoamine Oxidase A (MAO-A) plays a role in the metabolism of monoamine neurotransmitters and therefore, has potential as a target for the development of anti-stress agents. Mangosteen peel (Garcinia mangostana L.) contains various bioactive compounds with potential for development as anti-stress agent candidates. This study aimed to analyze the interactions of bioactive compounds from mangosteen peel with MAO-A through molecular docking and to evaluate drug-likeness, ADME, toxicity, and structural modification of the selected compound. An in silico study was conducted on 70 bioactive compounds using PyRx-AutoDock Vina with MAO-A (PDB ID: 2Z5X). Validation was performed by redocking the native ligand Harmine. The selected compounds were subsequently analyzed using SwissADME, pkCSM, and Toxtree. Redocking of Harmine produced an RMSD of 1.581 Å and a binding affinity of −8.2 kcal/mol, indicating that the method was valid. The four best-performing compounds were Quercetin, Apigenin, Smeathxanthone A, and Epicatechin, with binding affinity of −9.0, −8.9, −8.6, and −7.4 kcal/mol, respectively. Quercetin was selected based on its lowest binding affinity and similarity of amino acid residue interactions with the native ligand. Modification of Quercetin produced (Z)-4-(prop-1-en-1-yl)-3,6-dihydro-[1,1'-biphenyl]-2,3',4'-triol with a binding affinity of −8.7 kcal/mol and an RMSD of 1.321 Å, accompanied by an improved ADME profile and low toxicity. The modified compound has potential for further development as an anti-stress agent candidate targeting MAO-A, however, further in vitro and in vivo studies are required.

Diastema Closure Using A Removable Orthodontic Appliance With Finger Spring And Labial Arch: Case Report

2026-10-17T09:51:44+00:00

Diastema is a condition characterized by the presence of a space or gap between two adjacent teeth. Diastema closure can be performed using removable orthodontic appliance with active components that deliver forces to the teeth. This case report aimed to describe the management of maxillary midline diastema using a removable orthodontic appliance combining finger springs and a labial arch. A 20-year-old female patient presented to Soelastri Dental Hospital, Surakarta, with complaint of a space between the maxillary anterior teeth affecting her appearance. Clinical examination revealed a midline diastema between teeth 11 and 21, accompanied by anterior tooth malpositions. Treatment was performed using a maxillary plate equipped with finger springs on teeth 11 and 21 and a labial arch with an inverted U-shaped loop. The appliance was activated and progress was evaluated periodically. The midline diastema measured 0.7 mm at appliance insertion, decreased to 0.6 mm at the second follow-up and 0.3 mm at the eighth follow-up, and was completely closed by the tenth follow-up. Overjet decreased from 3 mm to 2.5 mm, while overbite decreased from 3 mm to 2.6 mm. The combination of finger springs and labial arch achieved closure of the maxillary midline diastema with controlled tooth movement.

Smoking, Physical Activity, And Dietary Patterns In Relation To Hypertension: A Cross-Sectional Study

2026-11-06T07:35:29+00:00

Hypertension remains a major public health concern, particularly in primary healthcare settings where modifiable lifestyle behaviors contribute to cardiovascular health. Smoking, insufficient physical activity, and unhealthy dietary patterns may be associated with hypertension, although their relationships vary across populations and healthcare contexts. This study aimed to examine the associations of smoking, physical activity, and dietary patterns with hypertension among adult male patients attending a primary healthcare facility in Indonesia. This analytical cross-sectional study included 128 men aged 35–60 years recruited through quota sampling at Sukaraya Community Health Center, South Sumatra, Indonesia, in 2026. Data on smoking behavior, physical activity, and dietary patterns were collected using structured questionnaires. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. Associations were assessed using Pearson's Chi-square test, and crude odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Hypertension was identified in 77 participants (60.2%), while 83 (64.8%) were current smokers, 69 (53.9%) reported insufficient physical activity, and 66 (51.6%) had at-risk dietary patterns. Smoking demonstrated the strongest association with hypertension (OR = 12.00; 95% CI: 5.06–28.47; p < 0.001), followed by at-risk dietary patterns (OR = 3.50; 95% CI: 1.66–7.37; p = 0.001) and insufficient physical activity (OR = 3.12; 95% CI: 1.49–6.51; p = 0.002). Smoking, insufficient physical activity, and at-risk dietary patterns were significantly associated with hypertension among adult male primary care patients. These results support integrated lifestyle assessment and targeted health promotion within primary healthcare services. Further studies incorporating longitudinal designs and confounder-adjusted analyses are warranted to clarify these relationships.

Divergence In Adolescent Criminal Behavior From The Perspective Of Bronfenbrenner’s Ecological Model And Teachers’ Interpretations: A Systematic Literature Review

2026-10-09T02:59:11+00:00

Juvenile delinquency is a complex social phenomenon triggered by the dynamics of multidimensional interaction between psychological factors, the social environment, and the cultural value order. This literature review article aims to describe the conceptual framework of juvenile criminal behavior, synthesize criminological and developmental psychology perspectives, and analyze the relevance of Bronfenbrenner's System Ecological Theory in describing the role of teachers as protective agents in schools. The results of the study show that adolescent criminal behavior is constructed not only by the failure of individual emotional regulation (person), but also by interaction dysfunction at the microsystem level (family, peers, school), mesosystem, exosystem, macrosystem (local cultural norms), and chronosystem (development of digital technology). Teachers occupy strategic positions in ecological systems to detect early, prevent, and strengthen adolescents' social bonds. This study provides important implications for the development of character-based curriculum and holistic synergy of adolescent mentoring.

The Relationship Between Body Mass Index-Based Obesity And Hemoglobin Levels Among Women Of Reproductive Age Aged 20–29 Years

2026-10-29T01:30:30+00:00

Anemia is a condition of lack of hemoglobin in the blood that can have a negative impact on health, especially in women of childbearing age (WUS) in the age range of 20-29 years. On the other hand, obesity is also a global health problem that can affect hemoglobin levels through chronic inflammation. Although some studies have shown a link between body mass index (BMI) and hemoglobin levels, the results still vary. This study aims to evaluate the relationship between obesity based on BMI and hemoglobin levels in WUS aged 20-29 years in Medan City. The type of study was descriptive analytical with a cross-sectional research design. The sample used in this study was Women of Childbearing Age (WUS) in the age range of 20-29 years who were obese in Medan Deli District with a total of 72 respoden. This study was carried out by measuring weight, height and hemoglobin respoden levels. The measurement results were analyzed by univariate and bivariate tests using the chi square test. The majority of women of childbearing age in the age range of 20-29 years were found to be in the category of Level I Obesity, Low Hemoglobin Levels, and the difference between Grade II Obesity and Low Hemoglobin Levels with P Value = 0.003 at a 95% confidence level and an odds ratio (OR) value of < 0.202. There is a significant relationship between Level II Obesity and low Hemoglobin Levels.

A 12 Year Old Boy With Suspected Charcot-Marie-Tooth: A Case Report

2026-09-29T08:05:33+00:00

Charcot-Marie-Tooth (CMT) is the most common hereditary neuropathy, with a prevalence of 1:2.500 in the Caucasian population. Clinical manifestations typically present during childhood or adolescence. A 12-year-old boy presented with difficulty walking. Alloanamnesis revealed that his growth and development had been appropriate for his age from birth until the age of 10 years. Over the past two years, he had developed gait abnormalities characterized by foot slapping while walking. Lower limb weakness had worsened seven days prior to hospitalization. The patient frequently fell, fatigued easily, and experienced pain in both legs. These symptoms were not preceded by fever or cough. Bowel and bladder functions were normal. He was born full-term, he had complete immunizations and no significant past medical history. His uncle had experienced similar symptoms. Physical examination revealed pes cavus and hammer toes. Neurological examination revealed lower limb muscle strength of 2/5, decreased patellar tendon reflexes, and negative pathological reflexes. Sensory function was difficult to evaluate. ENMG was not performed because the patient's parents refused referral. The patient showed clinical improvement following symptomatic pharmacological therapy and physical exercise therapy. The patient's clinical manifestations were consistent with typical features of CMT, including distal weakness, foot deformities, and loss of reflexes. Genetic testing, electrophysiological examination, and nerve biopsy could not be performed due to limited facilities. The clinician's role is crucial in establishing an initial diagnosis based on anamnesis and physical examination. Early detection may facilitate timely rehabilitation interventions to improve the patient's quality of life.

Family Support And Quality Of Life Among Elderly Hypertensive Patients In Jambi City Health Centers

2026-10-14T06:09:34+00:00

Hypertension is a non-communicable disease whose prevalence rises with age and may reduce quality of life among older adults. This study aimed to analyze the relationship between family support, overall and by dimension (emotional, informational, instrumental, and appraisal), and quality of life among elderly hypertensive patients at Puskesmas Kota Jambi, and to identify the most dominant dimension. A cross-sectional design was applied to 62 patients, analyzed using the Chi-Square test and multiple logistic regression with backward elimination. Quality of life was evenly distributed between good and poor categories (50.0% each). Overall family support was significantly associated with quality of life (p=0.011; prevalence ratio 2.148; 95% confidence interval 1.186–3.890), as were all four dimensions. Emotional support was the most dominant dimension (p<0.001; adjusted prevalence ratio 8.381; 95% confidence interval 2.668–26.328). In conclusion, emotional support most strongly influences the quality of life of elderly hypertensive patients; families are advised to prioritize psychological closeness, such as listening to complaints and providing emotional companionship, while maintaining other support in a balanced manner.

Correction Of Multiple Diastema Relationships And Malposition Of Individual Teeth Using A Removable Appliance

2026-11-06T07:26:30+00:00

Individual tooth misalignment and the presence of several diastemas in the anterior region can have an impact on esthetics, occlusal function, and self-confidence. This case report covers the treatment of these disorders with removable orthodontic appliances for the upper and lower jaws. Female patient had complained about the uneven alignment of her front teeth since high school, but she felt no pain. The examination indicated an Angle Class I subdivision malocclusion with a Class I skeletal connection, as well as distortion, rotation, and torsion in multiple anterior teeth and premolars. The treatment used an acrylic plate, an Adams clasp, a labial arch, a Z-spring, a finger spring, and a T-spring. The appliance was turned on during more than ten visits that took place over a period of nine months and was used for six months. The evaluation revealed that several front teeth had moved inward, but complete correction has not been fully reached yet. The Peer Assessment Rating score went down from 17-10, which shows a 41% improvement. Removable orthodontic appliances can slowly help improve the condition. Success relies on accurate diagnosis, proper design of the appliance, effective activation, and the patient's ongoing cooperation to avoid the problem coming back.

Classification Of Customer Satisfaction Levels For Tring Application Services At Pegadaian Syariah Using The C4.5 Algorithm

2026-08-28T02:38:33+00:00

Digital transformation in the financial sector encourages financial institutions to continuously improve the quality of digital services to meet customer needs and satisfaction. One of the digital services provided by PT Pegadaian Syariah is the Tring application, which offers various services such as pawn services, gold savings, financing, and online transactions. However, several issues are still encountered during its use, including feature maintenance and system instability, which may affect customer satisfaction. This study aims to develop a customer satisfaction classification model, identify the service factors that have the most significant influence, and measure the performance of the C4.5 algorithm in classifying customer satisfaction with the Tring application. A quantitative approach was employed using questionnaire data collected from 100 customers of the Plaza Taman Harapan Baru Branch of Pegadaian Syariah who had experience using the Tring application. The attributes considered consist of ease of use, service speed, feature completeness, application stability, information quality, and transaction quality. The classification process was performed using the C4.5 algorithm with the assistance of RapidMiner and evaluated using 10-Fold Cross Validation. The results show that Ease of Use (X1) was the most dominant factor, with the highest information gain value of 0.144965037, and was selected as the root node in the decision tree. The model achieved an accuracy of 83.00% and an Area Under the Curve (AUC) value of 0.931, which falls into the Excellent Classification category. These results indicate that the C4.5 algorithm provides good performance in classifying customer satisfaction into satisfied and dissatisfied categories.

The Relationship Between Body Fat Percentage And Menstrual Disorders Among Female Medical Students At The Faculty Of Medicine, Universitas Muhammadiyah Sumatera Utara

2026-10-20T08:16:40+00:00

Menstrual disorders are a major public health issue frequently experienced by women. Several predisposing factors contribute to menstrual irregularities, including body fat percentage, nutritional intake, reproductive hormone levels, physical activity, and stress. Fat intake is closely linked to body fat percentage—showing a direct correlation—such that abnormalities in these factors can induce physiological changes in the reproductive system, specifically menstrual disorders. This study employed a descriptive-analytic design with a cross-sectional approach. The sample consisted of 128 female students selected via non-probability sampling. Body fat percentage was determined using the RFM method, while data on menstrual disorders were collected via questionnaire. Data analysis was performed using the chi-square test. Bivariate analysis revealed that 70 respondents (84.3%) with abnormal body fat percentages experienced menstrual disorders, whereas the group without menstrual disorders was dominated by respondents with normal body fat percentages (44 respondents, or 97.8%). The study concludes that body fat percentage is significantly associated with menstrual disorders, a finding statistically confirmed by the chi-square test (p-value = 0.001).

Evaluation Of The Vaccine Cold Chain At The Limapuluh Kota Community Health Center In Pekanbaru In 2026

2026-10-13T02:13:12+00:00

Vaccines are biological preparations that are sensitive to temperature changes and therefore require appropriate cold chain management to maintain their quality, safety, stability, and effectiveness. Vaccine storage in health care facilities must consider temperature conditions, vaccine arrangement, Vaccine Vial Monitor (VVM), expiration dates, and the availability of supporting cold chain equipment. This study aimed to evaluate the implementation of vaccine cold chain management at Limapuluh Public Health Center, Pekanbaru, in 2026. A descriptive observational approach was used by observing vaccine management practices and reviewing storage procedures, temperature monitoring, recording, control, and distribution. The findings showed that vaccine storage temperatures were routinely monitored twice daily, in the morning and afternoon, and were supported by a temperature monitoring application accessed by the vaccine officer. Vaccine management also considered temperature sensitivity, VVM conditions, and the First Expired First Out (FEFO) principle. Vaccine receipt procedures included checking the type and quantity of vaccines, packaging condition, expiration date, batch number, VVM, and receiving temperature. Vaccine control and recording were supported by the SMILE application, enabling real-time monitoring and documentation. Therefore, vaccine cold chain management at Limapuluh Public Health Center has implemented important components to maintain vaccine quality and stability, although quantitative assessment of compliance requires a more structured checklist-based evaluation.

Factors Associated With Patient Satisfaction Regarding Acupuncture Services At Griya Sehat, Universitas Katolik Darma Cendika Surabaya

2026-11-05T01:13:22+00:00

Patient satisfaction is an important indicator of healthcare quality. Acupuncture services generally require out-of-pocket payment and ongoing treatment; however, factors associated with patient satisfaction at Griya Sehat, Darma Cendika Catholic University, Surabaya, have not been empirically established. To identify factors associated with patient satisfaction and determine the most dominant factors among patients receiving acupuncture services at Griya Sehat, Darma Cendika Catholic University, Surabaya. This quantitative observational analytical study employed a cross-sectional design involving 106 respondents selected through consecutive sampling. Data were collected using a self-administered questionnaire and analyzed using univariate, bivariate (Chi-square test), and multivariate (multiple logistic regression) analyses, with a significance level of α=0.05. Overall, 53.8% of respondents reported satisfaction with acupuncture services. Bivariate analysis revealed significant associations between perceived affordability of fees (p=0.002; OR=3.44) and treatment effectiveness (p<0.001; OR=7.11) with patient satisfaction. Multivariate analysis identified treatment effectiveness as the most dominant factor (OR=8.92), followed by perceived affordability of fees (OR=3.81), age (OR=2.47), and waiting time (OR=2.33). The model demonstrated good fit (Hosmer-Lemeshow p=0.931), with a classification accuracy of 73.6%. Treatment effectiveness was the factor most strongly associated with patient satisfaction, followed by perceived affordability of fees. Improving practitioners' clinical competence and maintaining transparent pricing are recommended to enhance service quality and patient satisfaction.

The Relationship Between Body Image And Eating Patterns Among Adolescent Social Media Users Based On Dorothy E. Johnson's Theory At Man 2 Bojonegoro

2026-08-20T08:27:43+00:00

Adolescence is a transitional stage from childhood to adulthood characterized by physical, psychological, and social changes, as well as the search for self-identity, which may influence the development of body image and affect eating patterns. Based on Dorothy E. Johnson's Behavioral System Model, changes in body image can influence the balance of the behavioral system, particularly eating behavior. This study aimed to analyze the relationship between body image and eating patterns among adolescent social media users at MAN 2 Bojonegoro. This study employed a quantitative correlational design with a cross-sectional approach. The population consisted of 272 eleventh-grade students at MAN 2 Bojonegoro, with a sample of 162 respondents selected using simple random sampling. Data were collected using the Body Shape Questionnaire (BSQ) and the Food Frequency Questionnaire (FFQ) and were analyzed using the Spearman's Rank Correlation test with a significance level of α = 0.05. The results showed that 93 respondents (57.4%) had a negative body image, while 91 respondents (56.2%) had poor eating patterns. The Spearman's Rank Correlation test yielded a p-value of 0.000 (p < 0.05) with a correlation coefficient of r = 0.517, indicating a statistically significant positive correlation of moderate strength. There was a significant relationship between body image and eating patterns among adolescent social media users at MAN 2 Bojonegoro. The higher the level of adolescents' satisfaction with their body image, the better their eating patterns. Healthcare professionals and schools are recommended to enhance education on developing a positive body image and adopting healthy eating patterns to promote healthy lifestyles among adolescents.

Molecular Docking Stufy Of Secondary Metabolites From Turmeric (Curcuma longa) As Potential MAO-A Inhibitors For Antistress Therapy

2026-10-06T01:28:45+00:00

Monoamine Oxidase A (MAO-A) is a key enzyme in neurotransmitter metabolism, making its inhibition a strategic approach for antistress drug development. Turmeric (Curcuma longa) secondary metabolites possess potential therapeutic properties as MAO-A inhibitors. This study aims to evaluate the potential of turmeric secondary metabolites as MAO-A inhibitors through in silico molecular docking, pharmacokinetic profiling (ADME-Tox), drug-likeness evaluation, and subsequent structural modification of the lead compound. A computational approach was employed using 70 secondary metabolites from Curcuma longa L. Molecular docking was performed via PyRx-AutoDock Vina, followed by ADME-Tox and drug-likeness evaluation using SwissADME, pkCSM, and Toxtree, while structural modification was designed using ChemDraw. Demethylcurcumin emerged as the best candidate among seven top compounds, demonstrating a favorable binding affinity of -9.3 kcal/mol and an RMSD of 1.001 Å. Structural modification yielded a derivative, (4E,6E)-1-(3,4-dihydroxyphenyl)-7-hydroxyocta-4,6-dien-1-one, which exhibited improved drug-likeness, pharmacokinetic profiles, and toxicity parameters compared to the parent compound. Demethylcurcumin shows strong potential as a natural MAO-A inhibitor, and its structural derivative provides an enhanced pharmacological and safety profile for further antistress drug development.

Analysis Of Germs Patterns Of Pneumonia Incidents In Spine Surgery Patients With Post-Operative Care In The ICU/PICU Of Dr. Moewardi Hospital

2026-10-22T08:58:48+00:00

Spine surgery carries a risk of infectious complications, including pneumonia, during postoperative care in the ICU/PICU. Changes in bacterial patterns due to surgery and endotracheal tube use are suspected to contribute to these events, but evidence in spine surgery patients is still limited. This study aims to analyze pre- and postoperative bacterial patterns and their relationship to the incidence of pneumonia, duration of ICU/PICU stay, and duration of endotracheal tube use. The study used an observational analytical design with a prospective cohort approach. The population was all spine surgery patients at Dr. Moewardi Hospital, Surakarta, from August 2024 to August 2025. A sample of 34 patients was obtained using a total sampling technique. The research instruments included medical records, observation sheets, pharyngeal swab cultures, sputum or tracheal aspirate cultures, and chest radiographs. Data analysis was performed descriptively, using the Chi-Square test, and Spearman correlation. The results showed changes in bacterial patterns after surgery with an increased dominance of pathogenic bacteria, especially Staphylococcus aureus. No significant correlation was found between preoperative bacterial patterns and the incidence of pneumonia (p = 1.000). In contrast, ICU stays of more than 48 hours and endotracheal tube use of more than 24 hours were strongly correlated with pneumonia (ρ = 0.696; p < 0.001). It was concluded that intensive care duration and endotracheal tube use were more influential factors in the incidence of pneumonia than preoperative bacterial patterns, so infection control and limiting the duration of invasive procedures should be prioritized in post-spinal surgery management.

Literature Review: Thrombolysis In Patients With Acute Ischemic Stroke

2026-09-26T14:51:24+00:00

Stroke is one of the leading causes of morbidity and mortality worldwide, with ischemic stroke being the most common type. Ischemic stroke occurs due to obstruction of blood flow to brain tissue, resulting in ischemia, hypoxia, and potentially irreversible brain tissue damage if not treated promptly and appropriately. In the acute phase, the primary principle of management is to restore blood flow to hypoperfused areas of the brain as quickly as possible in order to preserve viable brain tissue, particularly the ischemic penumbra. One of the main reperfusion modalities is thrombolytic therapy, which aims to lyse intravascular thrombi and restore cerebral blood flow. Although thrombolytic therapy provides benefits in improving functional outcomes, it carries a risk of complications, particularly intracranial hemorrhage; therefore, appropriate patient selection, imaging evaluation, and monitoring are required. This final assignment uses a literature review method by examining various sources that discuss thrombolytic therapy in patients with acute ischemic stroke. The literature reviewed covers ischemic stroke, the mechanism of action of thrombolytic agents, methods of administration, inclusion and exclusion criteria, intravenous and intra-arterial thrombolysis, mechanical thrombectomy, types of thrombolytic agents, imaging prior to thrombolysis, as well as complications and therapeutic monitoring. Relevant literature was subsequently reviewed and descriptively organized to provide a comprehensive overview of the role of thrombolysis in the management of acute ischemic stroke. Based on the literature review, thrombolysis plays a role in restoring cerebral blood flow through thrombus lysis. Intravenous alteplase is one of the main therapies that provides optimal benefits when administered as early as possible to patients who meet the appropriate criteria. Patient selection, brain imaging, and monitoring are necessary to reduce the risk of complications, particularly intracranial hemorrhage. Thrombolysis is an important reperfusion therapy for acute ischemic stroke. Prompt and appropriate administration in patients who meet the criteria can improve functional outcomes, while taking into consideration the risk of bleeding and the need for close monitoring.

Conductive Hearing Loss In Children : A Comprehensive Literature Review

2026-10-12T07:04:35+00:00

Conductive hearing loss (CHL) in children is a hearing disorder caused by impaired sound transmission through the external and/or middle ear, while sensorineural function is generally preserved. Although commonly associated with otitis media and external ear abnormalities, CHL in children may be underrecognized and can negatively affect speech and language development, learning, academic performance, and psychosocial functioning when left untreated. This literature review aimed to synthesize current evidence regarding the definition, epidemiology, etiology, risk factors, pathophysiology, clinical manifestations, diagnosis, management, complications, and prognosis of CHL in children. A narrative literature review was conducted through searches of PubMed, ScienceDirect, SAGE, Google Scholar, NCBI Bookshelf, and official websites of the World Health Organization and the Ministry of Health of the Republic of Indonesia. Literature published between 2016 and 2026 in English or Indonesian was considered. Of 99 identified articles, 13 duplicates were removed, 86 articles underwent title and abstract screening, 42 were assessed in full text, and 26 publications met the eligibility criteria and one additional study was identified by hand-searching, giving 27 included sources. The review indicates that otitis media with effusion is a major cause of CHL in children, followed by external ear conditions such as cerumen impaction. Important risk factors include recurrent upper respiratory tract infections, Eustachian tube dysfunction, adenoid hypertrophy, limited access to healthcare, congenital ear abnormalities, trauma, and inappropriate ear-cleaning practices. Diagnosis requires comprehensive history taking, otoscopic examination, pure-tone audiometry, and tympanometry, with imaging reserved for suspected structural abnormalities or complications. Management is primarily directed at the underlying cause and may include observation, medical treatment, tympanostomy tube placement, tympanoplasty, surgical reconstruction, hearing rehabilitation, or bone conduction systems according to the clinical condition. Persistent or recurrent CHL may result in impaired speech and language development, learning difficulties, psychosocial problems, and structural damage to the tympanic membrane and ossicles. Overall, the prognosis is generally favorable in reversible conditions, particularly nonpersistent otitis media with effusion, but is less favorable in chronic, recurrent, or structurally complicated disease. Early detection, appropriate diagnosis, hearing monitoring, and etiology-based management are essential to minimize the long-term impact of CHL on children's development and quality of life.

Factors Associated With Performance-Based Capitation Indicator Achievement In Jambi City Primary Health Centers In 2026

2026-11-02T01:20:22+00:00

Performance-Based Capitation (PBC) is a capitation payment system that assesses the performance of Primary Health Care Centers based on the Contact Rate (AK), Non-Specialistic Outpatient Referral Ratio (RRNS), and Controlled Prolanis Participant Ratio (RPPT). This study aimed to identify factors associated with PBC achievement at Primary Health Care Centers in Jambi City in 2026. This quantitative analytical study used a cross-sectional design and was conducted at Paal V, Paal Merah II, and Talang Bakung Primary Health Care Centers, involving 89 health workers. Primary data were collected using questionnaires, while secondary data on PBC achievement were obtained from health center records and BPJS Kesehatan. The independent variables included human resources, facilities and infrastructure, health service information systems, organization, service management, and policies. Data were analyzed using univariate and bivariate analyses with the Chi-square test. The results showed significant associations between PBC achievement and human resources (p = 0.030), facilities and infrastructure (p = 0.017), health service information systems (p = 0.043), organization (p = 0.039), service management (p = 0.021), and policies (p = 0.021). These findings indicate that all six factors were associated with PBC achievement at the three Primary Health Care Centers in Jambi City in 2026.

Coinfection Of Dengue Hemorrhagic Fever (DHF) Grade 1 And Typhoid Fever

2026-10-21T06:09:13+00:00

Coinfection of dengue hemorrhagic fever and typhoid fever is a clinical condition that is difficult to manage because both diseases share overlapping manifestations such as prolonged fever and gastrointestinal complaints. This case study aims to describe the clinical and laboratory profile and to evaluate the pharmacotherapy, including the identification of drug related problems, in a patient with coinfection of dengue hemorrhagic fever grade 1 and typhoid fever. The method used was a descriptive case study of one nineteen year old male patient treated at the Internal Medicine Ward of Arifin Achmad Regional General Hospital, Pekanbaru, from 19 to 23 September 2026, with data obtained from the medical record and assessed using the subjective, objective, assessment, and plan approach. The results showed a positive dengue NS1 antigen, reactive dengue IgG, nonreactive dengue IgM, and reactive Anti Salmonella IgM with a score of six, accompanied by thrombocytopenia reaching twenty five thousand per microliter and early leukopenia. The therapy was generally appropriate in indication and dosage, but the use of ketorolac in a thrombocytopenic dengue patient was identified as a drug related problem. In conclusion, the coinfection was confirmed clinically and serologically, and the pharmacist plays an essential role in identifying the bleeding risk and recommending paracetamol as the safer analgesic.

Maternal Knowledge, Mosquito Coil Use, And Indoor Smoking In Relation To Acute Respiratory Infections Among Children Under Five: A Cross-Sectional Study

2026-11-06T07:39:54+00:00

Acute respiratory infections (ARIs) remain a major public health concern among children under five, particularly in communities where household environmental exposures and inadequate preventive practices may increase respiratory health risks. Maternal knowledge, mosquito coil use, and indoor smoking represent potentially modifiable factors associated with childhood respiratory infections. This study aimed to examine the associations of maternal knowledge, household mosquito coil use, and indoor smoking by family members with ARIs among children under five in Indonesia. This analytical cross-sectional study included 80 children under five recruited through convenience sampling in the catchment area of Pengaringan Community Health Center, South Sumatra, Indonesia, between April and August 2026. Data were collected through structured questionnaires, caregiver interviews, observations, and medical records. ARI status was determined based on a healthcare professional's diagnosis within the preceding three months. Associations were analyzed using Pearson's Chi-square test, with crude odds ratios (ORs) and 95% confidence intervals (CIs) calculated from contingency tables. ARIs were identified in 23 children (28.7%), while 26 mothers (32.5%) demonstrated poor knowledge, 22 households (27.5%) used mosquito coils, and 25 households (31.3%) reported indoor smoking. Indoor smoking showed the strongest association with ARIs (OR = 12.19; 95% CI: 3.91–38.05; p < 0.001), followed by mosquito coil use (OR = 9.53; 95% CI: 3.10–29.27; p < 0.001) and poor maternal knowledge (OR = 4.40; 95% CI: 1.57–12.33; p = 0.004). Poor maternal knowledge, household mosquito coil use, and indoor smoking were significantly associated with ARIs among children under five. These results support integrated maternal health education and household smoke exposure prevention within primary healthcare services. Further longitudinal studies with adjusted analyses are needed to clarify these associations.

Prediction Of HIV Case Spread In Sukabumi Using Single Exponential Smoothing Based On Grid Search Optimization

2026-09-30T01:06:07+00:00

Human Immunodeficiency Virus (HIV) remains a health problem of concern in Sukabumi City. The increase and fluctuation of HIV cases require control efforts through data-based planning. This study aims to analyze the development pattern of HIV cases, apply the Single Exponential Smoothing (SES) method, optimize the alpha parameter using the Grid Search method, and evaluate the accuracy of the prediction model. The data used were monthly HIV cases in the Sukabumi City Health Office area from January 2024 to December 2025. Forecasting was conducted using the SES method and implemented using Microsoft Excel and Python programming language. The alpha parameter was optimized using Grid Search with values ranging from 0.01 to 0.99. Model accuracy was evaluated using Mean Absolute Deviation (MAD), Mean Squared Error (MSE), and Mean Absolute Percentage Error (MAPE). The results showed that the optimal alpha value was 0.06, with a predicted number of HIV cases in January 2026 of 18.016 cases. The model obtained MAD of 2.597, MSE of 10.383, and MAPE of 13.71%. Based on the MAPE value, the model was categorized as good forecasting and can support planning and decision-making related to HIV case management.

Communication, Information, And Education In The Management Of Recurrent Aphthous Stomatitis With Hormonal Predisposing Factors

2026-10-22T08:57:46+00:00

Recurrent aphthous stomatitis (RAS) is an oral mucosal disorder characterized by recurrent ulceration and may be influenced by various factors, including hormonal fluctuations. This case report aimed to describe the management of minor RAS suspected to be associated with hormonal factors. An 18-year-old female patient presented with painful recurrent oral ulcers on the right and left sides of the lower labial mucosa, which had developed four days before presentation. The lesions had recurred intermittently since adolescence. The patient denied any history of systemic diseases or allergies. Intraoral examination revealed bilateral ulcers measuring less than 1 cm in diameter, while a complete blood count showed a slightly elevated lymphocyte count. The patient was diagnosed with minor RAS and treated with topical triamcinolone acetonide ointment applied to the lesions 2–3 times daily. Communication, information, and education were also provided regarding the condition, oral hygiene, potential triggering factors, and recurrence prevention. At the seven-day follow-up, the lesions had healed. The recurrence pattern associated with menstruation suggested a possible role of hormonal factors, although a causal relationship could not be established. Management with topical therapy and patient education resulted in a favorable clinical outcome.

Analysis Of Socioeconomic Inequality In Tourism Based On Tripadvisor Reviews Using SVM And LDA (Case Study: Palabuhanratu)

2026-09-15T00:53:08+00:00

The development of digital platforms has resulted in tourist reviews that can be used as a source of information about destination conditions, including indications of socioeconomic inequality. This study aims to identify categories of socioeconomic inequality and dominant topics in tourist reviews in the Palabuhanratu tourist area through Tripadvisor. The study used a quantitative method with a text mining approach. The study population consisted of tourist reviews on Tripadvisor related to tourist destinations in Palabuhanratu District, while the sample consisted of 393 reviews after a data selection process. Data were collected using a browser-based tool and stored in Microsoft Excel, then analyzed through preprocessing, TF-IDF, SVM, and LDA. SVM evaluation used a confusion matrix, accuracy, precision, recall, and F1-score. The results showed 307 reviews in the NEUT category, 68 in the ECON category, and 18 in the INFRA category. SVM produced an accuracy of 72.15%, while LDA produced three dominant topics related to beach beauty, tourist experience, and access to tourist areas. In conclusion, Tripadvisor reviews can reveal indications of socioeconomic inequality, even though tourists' discussions are more dominant on general travel experiences

Web-Based Student Attendance Information System Design At Sdn 050600 Kuala Using The Waterfall Method

2026-10-24T08:14:22+00:00

This study aims to design and implement a web-based student attendance information system for SDN 050600 Kuala using the Waterfall software development method. The research was motivated by the school's use of paper-based attendance records, which made attendance data vulnerable to loss or damage and required teachers to compile monthly reports manually. Data collection and requirements analysis were conducted through observation, interviews, and document review to understand the existing attendance procedures and user needs. The system was designed for three user roles: administrators, teachers, and students or parents. Its main functions include managing student and teacher records, recording daily attendance, storing attendance data in a centralized database, presenting attendance recapitulations, and allowing students or parents to view attendance information. The system was implemented as a web application and configured to operate locally using a server environment such as XAMPP, so an internet connection is not required for local use. The implementation demonstrates that the system can support more structured attendance recording and reporting. It also provides a centralized way to retrieve attendance records and improves access to attendance information for school stakeholders.

Factors Associated With Employee Performance At Rawasari Public Health Center, Jambi City, 2026

2026-09-26T14:53:35+00:00

Employee performance is an important component in maintaining the quality of primary health services. At UPTD Rawasari Community Health Center, increasing patient visits, limited human resources, physical workplace conditions, mental workload, work stress, and work motivation were identified as relevant factors. This study aimed to determine the relationships between physical work environment, mental workload, work stress, work motivation, and employee performance. A quantitative cross-sectional study was conducted at UPTD Rawasari Community Health Center, Jambi City, in 2026. The population consisted of 54 employees and total sampling was planned; 51 eligible employees were included in the final analysis. Data were collected using structured questionnaires: the NIOSH Generic Job Stress Questionnaire Physical Environment, NASA-TLX, HSE Management Standards Indicator Tool, Multidimensional Work Motivation Scale, and Individual Work Performance Questionnaire. Data were analyzed using univariate analysis and Fisher-Freeman-Halton Exact Test at α=0.05. Physical work environment was significantly associated with employee performance (p=0.022). Mental workload, work stress, and work motivation were also significantly associated with employee performance (each p<0.001). These findings indicate that employee performance at UPTD Rawasari Community Health Center is statistically associated with physical workplace conditions, mental workload, work stress, and work motivation.

Application Of The K-Means Clustering Method In Grouping Goat Productivity In A Web-Based Monitoring System

2026-08-19T04:22:16+00:00

Monitoring goat productivity at Pawit Mulya Farm Pacitan was previously hampered by manual data management and the lack of systematic productivity grouping. This study aims to develop a web-based monitoring system by implementing K-Means Clustering based on body weight, birth rate, and milk production. The study used a system development approach with the Waterfall method. The study population consisted of approximately 230 goats, while the sample consisted of productivity data that met the research variables. Data collection was carried out through observation, interviews, and literature studies. Analysis used Euclidean Distance, centroid updates, convergence testing, and Silhouette Score. The results of the study produced three productivity clusters: low, medium, and high, with a Silhouette Score of 0.3312, indicating sufficient clustering quality. White Box testing produced five valid independent paths with a 100% success rate. The system can be used as a means of monitoring and grouping productivity in a structured manner, although separation between clusters still needs to be optimized.

User Interface Redesign Of Hidayatul Falah Islamic Boarding School Profile Website Based On User-Centered Design With System Usability Scale Evaluation

2026-10-01T03:38:16+00:00

The rapid advancement of information technology has encouraged educational institutions to provide information that is easily accessible and usable by a wide range of users. However, in practice, users still encounter obstacles when attempting to find the information they need through Islamic boarding school websites, which serve as the primary source of information. These obstacles include insufficiently intuitive navigation, poorly organized content structures, and suboptimal usability aspects. This study aims to implement the User centered design (UCD) method in redesigning the layout and appearance of the Islamic boarding school Hidayatul Falah website in order to meet user needs more effectively. The research process encompasses four main stages, namely the analysis of usage context, identification of user needs, design solution development, and design evaluation. The application of the UCD method produced a number of significant improvements, including enhancements to the navigation structure, more systematically grouped information, and greater interface consistency. Testing results using the System usability scale (SUS) instrument yielded an average score of 86, which falls into the "Excellent" category. These results demonstrate that the proposed design possesses a high level of usability and is capable of significantly improving the overall user experience.