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    1737 research outputs found

    Bridging awareness and action in flood risk reduction: Insights from a community-based evaluation

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    Background: Flooding is a disaster that continues to be faced by Indonesia. Every year, floods inevitably occur. From year to year, the number of floods continues to increase. This is why we conducted a study on residents’ knowledge regarding flood prevention in their environment. Methods: This research aims to evaluate the knowledge of Tomang residents about flood prevention methods using a qualitative approach, employing semi-structured interviews and observation techniques. Findings: Through this process, the research findings show that the people of Tomang possess varying levels of knowledge regarding flood prevention. Most residents are already aware of the importance of maintaining drainage systems and managing waste, although they face various challenges in fully implementing these preventive measures. Conclusion: The results of this study indicate that more intensive education and outreach, along with greater involvement and active participation of the community in flood prevention programs, can help prevent flood disasters in the area. Based on these findings, we hope that this information can serve as a foundation for flood prevention and risk reduction at the local level. Novelty/Originality of this article: The novelty/originality of this article lies in evaluating Tomang residents’ knowledge of flood prevention using a qualitative approach, revealing implementation gaps despite their relatively good awareness

    Risk factor analysis and preventive health behavior in the control of blood glucose among patients with type II diabetes mellitus: A community-based cross-sectional study

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    Background: Diabetes Mellitus (DM) Disease is rapidly increasing in Indonesia. This disease is defined as either our random blood glucose level >200 mg/dL or fasting blood glucose level >126 mg/dL. Maintaining a controllable blood glucose level (either less than 200 mg/dL for random blood glucose level or less than 126 mg/dL for fasting blood glucose level) in Type II DM patients is obviously playing an important role to avoid any complications such as stroke disease, heart disease and kidney failure. The purpose of this research is to analyze the risk factors contributing to uncontrolled blood glucose in Type II DM patients who come to visit Alak Public Health Centre, city of Kupang. Methods: This research is a quantitative analytic study with cross sectional method, with a total sample of 68 respondents. The statistical analysis carried out by Computer Program is univariate, bivariate and multivariate analysis. Findings: The result of this research shows significant factors contributing to uncontrolled blood glucose level are Body Mass Index (BMI) p value=0.003, patients compliance (p value=0.003), Knowledge of DM (p value=0.011), Regular Physical Activity (p value=0.000), Food Order (p value=0.024), Smoking (p value=0.524) and family support (p value=0.077). The dominant factor which has more significant effect on uncontrolled blood glucose level in Type II DM patients is regular physical activity (p value=0.001). Conclusion: Uncontrolled blood glucose in Type II DM patients is strongly influenced by multiple behavioral and lifestyle factors, with regular physical activity being the most dominant. Strengthening patient education, compliance, and health promotion at the primary care level is essential to improve glycemic control and prevent complications. Novelty/Originality of this article: In order to maintain controlled blood glucose level in Type II DM patients it is suggested that all health workers in public health centre pay more promotive measure to risk factors affecting the bllood glucose in Type II DM patients with effective medias and methods

    The functionality of the family in building the resilience of narcotics abusers undergoing rehabilitation

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    Background: Drug abuse remains a serious global and national issue, with South Sumatra among the provinces with the highest prevalence in Indonesia. Rehabilitation efforts often face challenges such as relapse, which is influenced by internal and external factors, particularly family support and functioning. This study aims to examine the role of family functioning in strengthening the individual resilience of narcotics abusers undergoing rehabilitation in South Sumatra Province. Methods: This study employed a quantitative causal design using a survey method and Structural Equation Modeling (SEM) to analyze the influence of family functioning on individual resilience among 106 narcotics abusers undergoing rehabilitation in South Sumatra. Findings: The findings reveal that family functionality significantly affects individual resilience (path coefficient = 0.60; t = 5.20), indicating that emotional support, parental involvement, and effective communication play a critical role in preventing relapse during rehabilitation. Conclusion: The research shows that family functionality plays a vital role in fostering resilience among narcotics abusers by providing emotional support, open communication, and guidance throughout the rehabilitation process. Active family involvement, especially in supervision and positive engagement, significantly aids in preventing relapse and sustaining recovery. Novelty/Originality of this article: The novelty/originality of this article lies in quantitatively analyzing how specific aspects of family functioning significantly enhance individual resilience and reduce relapse risk among narcotics abusers undergoing rehabilitation in South Sumatra

    Understanding parenting patterns and their influence on the nutritional status of stunted toddlers: A phenomenological study

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    Background: Stunting in toddlers remains a critical public health concern in Indonesia due to its long-term effects on child development, quality of life, and national human capital. It is not merely a result of chronic undernutrition, but also deeply influenced by parental care patterns—especially those of mothers socioeconomic conditions, nutritional literacy, time constraints, and engagement with primary health services such as posyandu and community clinics. Despite multiple government interventions, stunting rates remain high, highlighting a gap between policy frameworks and ground realities. Methods: This study employs a qualitative phenomenological approach to explore how low-income mothers manage household food security, develop feeding strategies, and respond to the risk of stunting. Data were gathered through in-depth interviews, participatory observations, and focus group discussions (FGDs). Thematic analysis was conducted through transcription, data reduction, coding, and interpretive synthesis. Findings: Often shaped by children's activity levels rather than biomedical indicators. Community health interventions were found more effective when participatory and trust-based. The study identifies a significant gap between technocratic approaches focused on nutrition metrics and the contextual needs of mothers. Conclusion: Advocating for locally grounded, dialogic, and empowering interventions that strengthen emotional, social, and cultural capacities to sustain household nutritional resilience. Novelty/Originality of this article: The novelty/originality of this article lies in exploring mothers’ lived experiences managing stunting risk, revealing gaps between technocratic nutrition policies and the contextual, culturally grounded needs of low-income Indonesian families

    The effect of giving bitter leaf (Vernonia Amygdalina) flour in ration on the hematological profiles in laying hens rejection phase

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    Background: This study aimed to determine the effect of bitter leaf flour in ration with different levels of laying hens on the haematological profile. The materials used were 20 laying hens with Hy-line strain, 110 weeks old, placed in battery cages and feed with 16-18% crude protein content of 120 grams/head/day and drinking water addlibitum. Methods: The research was conducted using an experimental method with a completely randomized design four treatments that were repeated five times. The treatments were given in the form of bitter leaf flour in ration with levels of P0: 0% (control), P1: 1%, P2: 2%, P3: 3%. The variables measured were haematological profiles such as erythrocytes, haemoglobin, hematocrit and leukocytes. The data obtained were then analyzed using analysis of variance. Finding: The results showed that giving bitter leaf flour in ration with levels of 0%, 1%, 2%, and 3% had no significant effect (P>0.05) on erythrocytes, hemoglobin, hematocrit, and leukocytes of laying hens. Connclusion: It was concluded that giving levels of bitter leaf flour up to 3% did not affect the haematological profile of laying hens. Novelty/Originality of this Article: The novelty of this study lies in its exploration of bitter leaf flour (Vernonia Amygdalina) as a natural feed additive in the diet of elderly laying hens (110 weeks old), a topic that is still underrepresented in poultry research, especially regarding its effect on haematological health parameter

    Potential of functional candies from ethanol extracts of Myristica fragrans and Phyllanthus acidus as antioxidant and anti-anxiety agents: A comprehensive review

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    Background: Anxiety disorders are a major global health burden, with recent WHO data indicating a 1.79% increase in case incidence rate (CIR) and a 6.25% rise in disability-adjusted life years (DALY) over the past five years. Conventional pharmacotherapies such as SSRIs and benzodiazepines are limited by adverse effects and dependency risks, highlighting the urgent need for safer, effective alternatives. Myristica fragrans (nutmeg) and Phyllanthus acidus (otaheite gooseberry) are rich in myristicin and flavonoids, respectively, both of which exhibit promising anxiolytic and neuroprotective properties. However, the synergistic efficacy and safety of their combined use remain underexplored. Methods: A comprehensive review was conducted following PRISMA guidelines. Out of 512 studies identified from Scopus, PubMed, ScienceDirect, and EBSCO, 36 met inclusion criteria after quality appraisal using CASP, with 2 clinical trials extracted for quantitative synthesis. Data extraction focused on changes in anxiety scores (e.g., HAM-A), stress biomarkers (cortisol, MDA), antioxidant enzyme activities (SOD, CAT), and neurochemical modulation (serotonin, GABA, dopamine). Findings: analysis revealed that combined administration of nutmeg and otaheite gooseberry extracts reduced anxiety scores by a weighted mean difference (WMD) of –7.3 (95% CI: –9.1 to –5.5, p<0.001) on the HAM-A scale compared to placebo. Cortisol levels decreased by 18.4% (p=0.002), while MDA levels dropped by 22.7% (p=0.001), and SOD activity increased by 31.6% (p<0.001) in preclinical models. Myristicin (500 mg/kg) produced significant anxiolytic effects via serotonergic and GABAergic modulation, while flavonoids (1.2–3.5% content) provided robust neuroprotection against oxidative stress. No antagonistic interactions or increased toxicity were observed; the combination outperformed single extracts and showed comparable efficacy to SSRIs and benzodiazepines with fewer adverse effects. Conclusions: The integration of Myristica fragrans and Phyllanthus acidus extracts offers a synergistic, natural therapeutic approach for anxiety disorders, combining potent anxiolytic and neuroprotective effects with an excellent safety profile. Novelty/Originality of this article: This review is the first to quantitatively demonstrate the synergistic anxiolytic and antioxidant efficacy of nutmeg and otaheite gooseberry extracts, supporting their development as innovative functional candies for mental health management

    Probability analysis of occupational accidents in housing construction projects using the hazop method: A risk-based approach to safety performance improvement

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    Background: In construction work, occupational accidents remain one of the most critical issues in the construction industry, particularly in housing development projects that involve various high-risk activities. An occupational accident is an undesired and unexpected event that occurs in the workplace, resulting in worker injuries, equipment damage, workflow disruption, or even fatalities. Methods: This study aims to analyze the probability of work accidents using the Hazard and Operability Study (HAZOP) approach to identify potential hazards and operational failures in each stage of construction work at the XYZ housing project. The method is applied to systematically review various risk scenarios based on field observations, interviews, and available safety documentation. Findings: The HAZOP analysis successfully identified six critical hazards in the XYZ housing development project, including material-related accidents, falls from heights, heavy material intrusion, and respiratory disorders from dust, primarily caused by worker negligence, lack of proper procedures, and inadequate use of PPE. Conclusion: The implementation of integrated preventive measures such as the provision of complete PPE, structured SOP development, continuous training, and strict supervision has proven to be an effective strategy in mitigating occupational accident risks in construction environments. Novelty/Originality of this article: This study presents a systematic HAZOP-based approach combined with the 5S methodology and enhanced SOP enforcement as a practical and replicable model for risk evaluation in residential construction projects

    Marketing management strategies for msmes: Examining the role of service quality, product quality, and price in shaping brand image

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    Background: The success of a company is closely related to effective marketing management. One of the key elements in marketing is brand image, which is shaped by service quality, product quality, and price. This study aims to determine the influence of service quality, product quality, and price on brand image, both partially and simultaneously. Methods: This research employs a quantitative approach using primary data collected through questionnaires. The sampling technique used is non-probability sampling with a purposive sampling approach. A total of 100 respondents were selected based on Cochran's formula, due to the unknown size of the population. The data were analyzed using multiple linear regression. Findings: The results of this research indicate that there is a positive and significant influence of service quality on the brand image, there is a positive and significant influence of product quality on the brand image, there is a positive and significant influence of price on the brand image, there is a positive and significant influence of service quality, product quality, and price on the brand image. Conclusion: In conclusion, service quality, product quality, and price have a positive and significant effect on brand image, both individually and simultaneously. These findings offer important implications for the development of marketing strategies, particularly for small and medium enterprises (SMEs). Novelty/Originality of this article: The novelty of this research lies in the simultaneous analysis of the three variables' influence on brand image within the context of a local home industry. The focus on SMEs using a quantitative approach makes this study both unique and relevant for designing effective marketing strategies for small business actors

    Transforming financial systems for sustainability: The role of green financing in social-environmental progress and economic resilience

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    Background: Amid the challenges of climate change and the escalating global environmental crisis, the concept of a green economy has become crucial in achieving sustainable development. A green economy aims to generate economic value without harming the environment while improving social well-being. In this context, green finance plays a vital role in supporting investments in environmentally friendly projects and sustainable businesses. Green financing refers to funds allocated for projects and programs aimed at environmental protection and fostering sustainable economic growth. Method: This article explores research on green financing, including international observations on the challenges of environmental financing and proposed solutions for green finance. The challenges of environmental financing in Indonesia are also analysed from a legal perspective. Furthermore, this research aims to examine how the banking sector participates in supporting green project financing in Indonesia. Findings: Findings indicate that funding for green projects can significantly impact the environment, society, and climate change mitigation efforts. However, numerous issues remain, such as a lack of understanding regarding financing environmentally friendly projects, varying definitions of green financing, insufficient coordination in policy frameworks related to environmental financing, misaligned policies, and a lack of incentives for investors and financial institutions interested in climate change mitigation. The objective of green financing is to provide funding for projects or developments that balance economic, social, and environmental considerations. Conclusion: The Indonesian government has issued regulations on the implementation of sustainable finance for commercial banks to support green financing. These regulations are also applicable to financial service institutions, issuers, and publicly listed companies. The study's findings suggest that Bank Indonesia and the Financial Services Authority (OJK) have regulations that influence lending, credit, and investment policies. Indonesia's legal framework for environmentally friendly financing appears promising, supported by the collaborative efforts of the business sector and the government in advancing sustainable finance. Novelty/Originality of this Article: This study contributes a legal and institutional perspective on green financing in Indonesia by analyzing regulatory support and challenges, offering a distinctive national lens often underrepresented in global green finance literature

    Strengthening Indonesia’s sustainable palm oil policy: Addressing climate change and enhancing global market integration

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    Background: This study investigates the strengthening of sustainable palm oil plantation policies in Indonesia as a strategic response to global climate change challenges and growing international market pressures. The study emphasizes the importance of simplifying certification processes, strengthening local institutional capacity, and promoting participatory governance. Multi-stakeholder collaboration, technological support, and policy adaptation to local contexts are identified as critical enablers of an inclusive and effective sustainability framework. Methods: Using a qualitative approach through in-depth interviews with diverse stakeholder government officials, smallholder farmers, corporations, NGOs, and academics the research uncovers the varying perceptions, capacities, and experiences that shape the current sustainability landscape. Findings: The findings reveal a significant disconnect between policy formulation and field-level implementation, especially among smallholders who face barriers such as inadequate access to information, technology, and finance. Certification schemes like ISPO and RSPO, while central to sustainability efforts, are often perceived by smallholders as complex and costly. Additionally, limited supervisory capacity, inconsistent intergovernmental coordination, and unresolved land conflicts further impede policy effectiveness. Importantly, the findings underscore the need to enhance transparency across the supply chain and foster innovation through public-private-academic partnerships. Increased investment in smallholder training, digital monitoring systems, and conflict resolution mechanisms is vital to closing the gap between policy and practice. Conclusion: Ultimately, this research highlights the need for an integrated policy approach that harmonizes regulations, empowers smallholders, enhances transparency, and supports innovation paving the way for a resilient and competitive palm oil industry that contributes to both national development and global climate goals. Novelty/Originality of this article: This study offers a novel contribution by bridging the gap between sustainability policy formulation and field-level implementation in Indonesia’s palm oil sector, with a particular focus on smallholder realities

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