About the Journal
ISSN 2828-6863 (Online)
KOLONI (SINTA 4)
SK AKREDITASI NO 147 Download DISINI
KOLONI adalah jurnal multidisiplin ilmu terakreditasi SINTA 4 yang diterbitkan oleh Universitas Pahlawan Tuanku Tambusai. Jurnal KOLONI terbit setiap tiga bulan dan merupakan jurnal peer-review, open access, serta bersifat ilmiah yang menerbitkan berbagai jenis artikel seperti artikel penelitian, artikel review, laporan kasus, studi kasus, resensi buku, tesis, disertasi, dan karya ilmiah lainnya.
Ruang lingkup (scope) jurnal KOLONI mencakup berbagai bidang keilmuan multidisiplin, antara lain:
- Ilmu Kesehatan dan Kesehatan Masyarakat
- Keperawatan dan Kebidanan
- Farmasi dan Ilmu Kedokteran
- Pendidikan dan Ilmu Keguruan
- Ilmu Sosial dan Humaniora
- Ekonomi, Manajemen, dan Bisnis
- Hukum dan Ilmu Politik
- Teknik dan Rekayasa
- Ilmu Komputer dan Teknologi Informasi
- Pertanian, Peternakan, dan Perikanan
- Lingkungan dan Kesehatan Lingkungan
- Psikologi
- Administrasi Publik dan Kebijakan
- Komunikasi dan Media
- Bidang ilmu lain yang relevan dengan pengembangan ilmu pengetahuan dan teknologi
Dengan ruang lingkup yang luas, jurnal KOLONI menjadi wadah publikasi ilmiah bagi peneliti, akademisi, dan praktisi dari berbagai disiplin ilmu.
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Indonesia (967)
India (3)
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Articles
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Pengaruh Pemanfaatan Chatgpt sebagai Media Komunikasi Digital terhadap Kepercayaan Diri Akademik dan Prestasi Akademik Mahasiswa
Diva Trisha Venia, Mazdalifah Mazdalifah, Nurbani NurbaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1023 | Check in Google Scholar
This study aims to analyze the influence of ChatGPT utilization as a digital communication medium on students’ academic self-confidence and academic achievement at Universitas Medan Area. This research employed a quantitative approach within a positivist paradigm. The population consisted of 12,613 students from the 2022 cohort of Universitas Medan Area, while the sample included 400 respondents selected using the Slovin formula and purposive sampling. Data were collected through a Likert-scale questionnaire and analyzed using simple linear regression, correlation coefficient, and coefficient of determination. The instruments were reliable, with Cronbach Alpha values of 0.834 for ChatGPT utilization, 0.808 for academic self-confidence, and 0.728 for academic achievement. The results show that ChatGPT utilization has a positive and significant effect on academic self-confidence, with the equation Y1 = 22.914 + 0.352X, R = 0.416, R² = 0.173, and p < 0.001. ChatGPT utilization also has a positive and significant effect on academic achievement, with the equation Y2 = 17.990 + 0.247X, R = 0.361, R² = 0.130, and p < 0.001. These findings indicate that ChatGPT can function as a supportive learning communication medium that strengthens students’ academic confidence and learning outcomes, although its contribution is not yet dominant because other factors remain outside the research model.47-55 -
Penyuluhan, Pencatatan Status Imunisasi Balita dan Peningkatan Komunikasi-Koordinasi dengan Pihak Desa Dalam Upaya Menurunkan Kasus Campak di Desa G, Wilayah Kerja Puskesmas P, Kabupaten Tangerang, Provinsi Banten
Nasyidatul Ulya, Dewi Novianti, Aliawati AlbekShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1061 | Check in Google Scholar
Measles remains a significant public health problem in Indonesia, with an observed increase in cases following the COVID-19 pandemic, partly attributed to a decline in immunization coverage. This Community Diagnosis Study was conducted in Village G, within the working area of Primary Health Center P, Tangerang District, from December 12, 2025, to January 8, 2026. A total of 38 suspected measles cases were recorded between June and November 2025, showing an increasing monthly trend, with the highest number of cases reported in Village G. In the initial stage, priority setting was conducted using the USG (Urgency, Seriousness, Growth) scoring method, followed by problem analysis using the BLUM Paradigm. Prioritization of contributing factors was further determined using a non-scoring Delbecq technique, which identified the lifestyle factor as the priority domain for further analysis using Fishbone Diagram and the 5 Whys method. The root causes identified included: (1) suboptimal measles health education activities; (2) incomplete documentation of measles immunization status among children under five; and (3) limited communication and coordination between Primary Health Center P and Village G authorities.Three interventions were implemented: measles health education sessions, improvement of immunization status recording for under-five children, and strengthening communication and coordination with Village G stakeholders. The evaluation showed that 90.9% of participants met the passing criteria (post-test score ≥70 and an improvement in knowledge of at least 10 points). Additionally, 83.3% of participants were found to be unvaccinated for measles, and communication and coordination between the health center and village cadres were successfully strengthened. This program demonstrated improvements in participants’ knowledge regarding measles, enhanced identification of immunization status, and improved communication and coordination between the health center and village authorities. Continuous health education, catch-up immunization programs, and advocacy to Village G officials are recommended as follow-up strategies. Through these efforts, it is expected that measles immunization coverage will increase, ultimately contributing to a reduction in measles morbidity and mortality in the working area of Primary Health Center P, including Village G, in the medium and long term.286-294 -
Hubungan Persepsi Kemudahan Penggunaan Aplikasi Jamsostek Mobile dengan Penggunaan Nyata pada Peserta BPJS Ketenagakerjaan Cabang Meulaboh
Irna Yanti, Maisyaroh Fitri Siregar, Safrizal Safrizal, Mardi Fadhilla, Perry Boy Chandra SiahaanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1114 | Check in Google Scholar
Advances in information technology have driven the digitization of public services, including at BPJS Ketenagakerjaan through the Jamsostek Mobile (JMO) app. This app aims to make it easier for participants to access social security services online. However, various obstacles remain, such as difficulties in using features, system disruptions, and low digital literacy, which can affect Actual Users’ ability to utilize the app. This study aims to analyze the relationship between the perceived ease of use (Perceived Ease of Use) of the JMO app and actual usage (Actual Usage) at the BPJS Ketenagakerjaan office in Meulaboh. The study employs a quantitative method with across-sectional design. The study population consists of 2,269 users. The study sample consisted of 96 respondents selected using simple random sampling based on the Slovin formula. Data were collected through questionnaires and interviews, then analyzed using chi-square tests. The results showed that the majority of respondents rated the JMO app as easy to use (91.7%). Furthermore, regarding actual usage, 93.8% of respondents reported good actual usage. This high percentage of actual usage indicates that the JMO app has been well-received by users and is utilized as a means to obtain information and access BPJS Ketenagakerjaan services. Theresults of the chi-square test indicate a significant relationship between the perceived ease of use and actual usage (p = 0.000). Therefore, improving the ease of access, navigation, and use of the app should be a top priority to increase the app’s actual usage in the future.596-602 -
Optimizing Talent Management Practices: a Case Study of PT X’S Head Office in Indonesia’s Forestry Sector
Anisa Irbah, Andika Putra PratamaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1012 | Check in Google Scholar
Structural inequality in talent management is increasingly recognized as a systemic barrier to organizational sustainability, particularly in industries operating in geographically dispersed and socially diverse environments. This study examines how the implementation of structural equity inthe talent management cycle—encompassing recruitment, placement, career development, promotion, and succession planning—is appliedat a company in the forestry sector. Using a qualitative case study approach, data were collected through in-depth interviews with elevenkey informants from various organizational levels, supplemented by document analysis and field observations. The findings reveal that structuralequity has not been fully realized, stemming from the absence of an integrated Human Resources Information System (HRIS) and a lack of formalized career paths. These conditions result in unequal access to career development opportunities, perpetuate a cycle of talent stagnation, and impact long-term workforce sustainability. Based on Strategic Human Resource Management (SHRM), organizational justice theory,and stakeholder theory, this study proposes a three-phase intervention framework centered on equity: (1) implementation of an integratedHRIS as a data foundation, (2) establishment of individual KPIs and a formalized career path structure, and (3) development of structured communication mechanisms and a culture of transparency. These findings contribute to the scholarly discourse on equity in HRM within the context of organizations operating in resource -intensive sectors.1482-1488 -
Etika Media Sosial dalam Al-Qur’an Qs. Al-Hujurat Surat Ke-49 Ayat 6-12 “Studi Analisis Terhadap Tafsir Ijtima’i Perspektif Etika Islam Hamzah Ya’qub”
Marhalim MarhalimShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1016 | Check in Google Scholar
This study is entitled “Social Media Ethics in the Qur'an Surah Al-Hujurat Verses 6–12 (An Analytical Study of Social Interpretation from the Perspective of Hamzah Ya'qub's Islamic Ethics)”, examines Hamzah Ya'qub’s ethical thought in relation to Qur’anic social ethics. The study aims to describe the concept of social ethics in Surah Al-Hujurat verses 6–12 through the tafsir ijtima’i approach and to analyze the relevance of these values in contemporary social media practices. The ethical teachings contained in these verses are highly relevant to communication issues in today’s digital environment. This research employs a qualitative method using a library research approach. Primary data are from the Qur’an and Hamzah Ya'qub’s Islamic Ethics, while secondary data are obtained from relevant supporting literature unlike previous studies, this research seeks to formulate a Qur’anic model of social media ethics applicable to contemporary digital spaces. The findings indicate that Surah Al-Hujurat verses 6–12 provide a comprehensive framework of social ethics emphasizing communication responsibility. The main values identified include tabayyun (information verification), ishlah (conflict resolution), respect for human dignity through the prohibition of ridicule and insult, avoidance of negative assumptions (su’udzan), prohibition of tajassus (privacy invasion), and prohibition of ghibah (backbiting). From Hamzah Ya'qub’s Islamic Ethics perspective, social media practices should be guided by moral responsibility, rational ethical judgment, social benefit, and respect for others. Accordingly, Qur’anic social media ethics can be developed through five principles: information verification, communication responsibility, constructive conflict resolution, protection of human dignity, and respect for privacy.
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Human Capital Management System Improvement For Food and Beverage MSME (Study Case: Cuankie XX)
Briani Fahriah Ramadhani PurnomoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1021 | Check in Google Scholar
The marketing division of Cuankie XX, an F&B MSME in Bandung established in December 2025, faces significant human capital management challenges including unclear role definitions, absence of formal KPIs, unstructured performance evaluation, and high employee turnover. This study aims to identify the current HCM condition and determine the improvements needed in the marketing division. A qualitative case study approach was employed using deductive thematic analysis guided by the Bassi & McMurrer (2007) framework across five drivers: Leadership Practices, Employee Engagement, Knowledge Accessibility, Workforce Optimization, and Learning Capacity. Data were collected through in-depth interviews with four informants. Findings indicate that most HCM practices are only partially implemented or not implemented at all. Only supervisory skills, collaboration, knowledge-sharing systems, and innovation are fully implemented. Recommended improvements include formalizing job descriptions, establishing SMART-based KPIs, scheduling consistent weekly meetings, developing SOPs, creating career development plans, and establishing official communication channels. This study contributes to understanding HCM implementation in early-stage MSMEs.1508-1517 -
Pengaruh Literasi Media dan Mindful Social Media Use terhadap Self-Esteem pada Generasi Z di Kota Medan
Chairunnisah Rahmi Nasution, Iskandar Zulkarnain, Emilia RamadhaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1022 | Check in Google Scholar
This study aims to analyze the influence of media literacy and mindful social media use on self-esteem among Generation Z in Medan City. This research employed an explanatory quantitative approach within a positivist paradigm. Data were collected through an online questionnaire distributed to 400 active social media users from Generation Z and analyzed using multiple linear regression with IBM SPSS Statistics 29. The research instrument used a four-point Likert scale and demonstrated reliability through Cronbach Alpha values of 0.903 for media literacy, 0.806 for mindful social media use, and 0.905 for self-esteem. The results show that media literacy has a positive and significant effect on self-esteem, with t = 4.218 and p < 0.001. Mindful social media use also has a positive and significant effect on self-esteem, with t = 4.397 and p < 0.001. Simultaneously, both variables significantly influence self-esteem, with F = 30.302, p < 0.001, and R² = 0.132. These findings indicate that the ability to critically understand media information and use social media consciously serves as a protective factor in maintaining Generation Z’s self-evaluation amid the pressure of digital social validation.1518-1527 -
Gaya Komunikasi Melalui Fear of Missing Out (Fomo) dalam Penggunaan Barang Branded Mahasiswa Universitas Muhammadiyah Sumatera Utara
Aldy Zakiani Lubis, Dewi Kurniawati, Emilia RamadhaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1024 | Check in Google Scholar
This study aims to analyze the experience of Fear of Missing Out (FoMO), students’ communication practices in discussing and responding to the use of branded goods, and the communication styles formed in social interactions within peer groups at Muhammadiyah University of North Sumatra. This research employed a qualitative method with a phenomenological approach. Data were collected through non-participant observation and semi-structured in-depth interviews with students selected through snowball sampling, supported by source triangulation from psychology. Data analysis was conducted through data reduction, data display, conclusion drawing, and verification. The findings show that FoMO in the use of branded goods does not merely appear as a desire to purchase or own similar products, but is more strongly understood as a need to remain informed, follow, and participate in group conversations. Branded goods function as communication symbols that trigger questions, comments, information exchange, and self-adjustment within peer relationships. The findings reveal tendencies toward The Dynamic Style, The Equalitarian Style, and The Relinquishing Style. This study concludes that FoMO is not merely a psychological or consumptive phenomenon, but a communication experience that shapes how students maintain social connectedness and a sense of belonging.1537-1544 -
Analisis Kesiapan Puskesmas dalam Melaksanakan Kebijakan Integrasi Pelayanan Kesehatan Primer
Chreisye K. F. Mandagi, Erica Umboh, Christiani Wauran, Chrismas Malensang, Leony Palit, Jessica Vinza, Ribianti Darize, Godlife ApitaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1029 | Check in Google Scholar
The transformation of primary healthcare services represents a government initiative to enhance the quality of integrated, holistic, and community-oriented healthcare services. As the main healthcare facility, the Community Health Center (Puskesmas) plays a crucial role in supporting the implementation of the Primary Healthcare Integration (Integrasi Layanan Kesehatan Primer or ILP) policy. This study aims to analyze the extent of Puskesmas readiness inimplementing the ILP policy using a literature review method. Data sources were gathered from national scientific articles via Google Scholar spanning the years 2023–2025. The results indicated that six articles met the research criteria. The findings demonstrated that changes in primary healthcare servicesexert a positive effect on improving service quality through community health workers' (kader) competency enhancement,training, mentoring, and the utilization of digital technology. However, policy implementation continues to face several challenges, such as the limited capacity of kader in providing health education and performing anthropometric measurements, a lack of infrastructure and internet access, sub-optimal Electronic Medical Record (Rekam Medis Elektronik) systems, and inefficient service coordination. Nonetheless, continuous training, human resource capacity building, digital infrastructure improvements, and regular evaluations have proven effective in enhancing the efficiency ofprimary healthcare services. Consequently, the implementation of Primary Healthcare Integration can proceed optimally and sustainably to elevate public health status in Indonesia. This study is expected to serve as a reference for the government and healthcare providers in reinforcing the readiness of Puskesmas to navigate the comprehensive and continuous changes in primary healthcare services in the future.
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Larangan Penggunaan Smartphone di Sekolah terhadap Prestasi Belajar Siswa
Siti Khadijah; R. Intan Invana AprianiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1026 | Check in Google Scholar
Uncontrolled smartphone use can cause digital distraction, which affects students' concentration and academic achievement. To address this issue, SMPN 42 Bekasi implemented a policy prohibiting smartphone use at school in order to create a more orderly and conducive learning environment. This study aims to determine the effect of the smartphone-use prohibition policy on the learning achievement of students at SMPN 42 Bekasi. The study employed a quantitative approach using a survey method. The population consisted of 512 students, with a sample of 84 students selected through stratified random sampling. The independent variable was the prohibition of smartphone use, measured through the indicators of rule scope, trust, compliance, and supervision. The dependent variable was learning achievement, which included cognitive, affective, and psychomotor aspects. Data were collected using a Likert-scale questionnaire and analyzed through validity testing, reliability testing, simple linear regression, t-test, and coefficient of determination analysis. The results showed that the prohibition of smartphone use had a positive and significant effect on students' learning achievement. This was evidenced by a t-value of 8.572, which was greater than the t-table value of 1.989, with a significance value of 0.000 < 0.05. In addition, the coefficient of determination (R Square) was 0.473, indicating that the prohibition of smartphone use contributed 47.3% to students' learning achievement, while the remaining 52.7% was influenced by other factors outside the scope of this study. Therefore, the policy of prohibiting smartphone use contributes to improving students' learning achievement.1555-1568 -
Literature Review : Efektivitas Antimikroba Kulit Manggis (Garcinia Mangostana L.) terhadap Cutibacterium Acnes dan Staphylococcus Epidermidis
Waode Afiqah Muyyasarah Nur Bahrani, Dian Amelia Abdi, Zulfiyah Surdam, Yani Sodiqah, Lisa YuniatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1032 | Check in Google Scholar
Acne vulgaris is a common skin disease frequently associated with the colonization of Cutibacterium acnes and Staphylococcus epidermidis bacteria; however, repeated use of antibiotics risks triggering resistance, necessitating effective and safe natural alternatives. This study presents a literature review with a narrative review design on the potential of mangosteen peel (Garcinia mangostana L.) as an anti-acne antibacterial agent by analyzing 10 articles from PubMed, NCBI, and Google Scholar (2017–2025) that met the inclusion criteria. The results demonstrated that mangosteen peel extract possesses antibacterial activity against C. acnes and S. epidermidis, as evidenced by the formation of inhibition zones along with supportive Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) values. The key compound $\alpha$-mangostin from the xanthone group plays a dominant role through the disruption of bacterial cell membranes and the inhibition of microbial metabolism, with flavonoids and tannins contributing synergistically. Furthermore, the antibacterial effectiveness is influenced by the extraction method, solvent type, and extract concentration, with a tendency for nonpolar–semipolar solvents to yield higher activity. Overall, these findings confirm the potential of mangosteen peel as a natural candidate for acne vulgaris therapy, although extract standardization, determination of optimal dosage, toxicity testing, and controlled clinical trials are still required to ensure safety, efficacy, and reproducibility in clinical applications.1569-1577 -
Lingkungan, Konteks Politik, dan Budaya dalam Pengembangan Kebijakan Kesehatan: Tinjauan Literatur
Chreisye K. F. Mandagi, Channtika F. Lupi, Nursayla Faradila, Amabel O. Kesek, Meyty A. F. Mangosa, Lovely K. Tulung, Brigitha V. AnyalShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1033 | Check in Google Scholar
Health policy development is often viewed as a rational, evidence-based process; however, in practice, it is heavily influenced by environmental, political, and cultural factors. This article aims to critically examine how these three factors both shape and constrain health policy. The method employed is a literature review of publications from the past five years. The results indicate that a technocratic approach to health policy tends to overlook the complexity of local contexts, while political and cultural factors often serve as the primary determinants of a policy’s success or failure. Therefore, a more contextual and integrative policy approach is needed.
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Pemetaan Kompetensi Tenaga Farmasi sebagai Fondasi Pengembangan Sumber Daya Manusia di Apotek ABC
Esi Sekar RiniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1034 | Check in Google Scholar
Business growth needs to be supported by planned Human Capital (HC) management. One of its foundations is job analysis and employee competencies, so that work practices can remain consistent as the organization grows. In the context of Apotek ABC, this need is reflected in competency standards that have begun to be recognized, but have not been organized yet into a formal and standardized framework. This study aims to map the current HC condition and develop competency mapping for key roles within the pharmacy as a basis for standardizing informal work practices and competency standards, while also serving as a foundation for HR development in the pharmacy context. This study used a qualitative case study design, with data collected through semi-structured interviews with four informants and internal document review as data triangulation. The analysis shows that the main challenge does not lie in a lack of capability, but in a codification gap, namely competency standards that have been practiced informally but have not yet been organized into a formal framework that can be used collectively. Based on these findings, the mapping was developed into a value-based competency recommendation framework for key roles that support pharmacy operations and HR development. This framework consists of core, functional, and managerial competencies, supported by proficiency levels, a sample competency dictionary, and a role matrix as an initial reference for recruitment, performance appraisal, and training.1585-1595 -
Determinan Kemiskinan Antarwilayah di Sulawesi Tengah
Robby Kamal Fata, Reikha Habibah YusfiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1030 | Check in Google Scholar
This study aims to analyze the effect of GRDP per capita, Human Development Index (HDI), Gini Ratio, and Open Unemployment Rate (OUR) on the Poverty Rate in Central Sulawesi Province during the 2014–2024 period. The study uses panel data from 13 districts/cities and is analyzed using the First Difference Generalized Method of Moments (FD-GMM). The results show that GRDP per capita and HDI have a negative and significant effect on poverty, while the Gini Ratio and OUR have a positive and significant effect. Meanwhile, the lagged poverty variable does not have a significant effect. These findings indicate that poverty in Central Sulawesi is influenced more by economic factors, human resource quality, income inequality, and labor market conditions than by the poverty level in the previous period.1596-1605 -
Pengembangan Tracking Kesehatan Berkala Berbasis Web pada Sivitas Akademika Universitas Nasional Karangturi
Penta Putri Nunik Yuniarti, Dody Indra SumantiawanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1038 | Check in Google Scholar
Universitas Nasional Karangturi currently does not have a web-based periodic health tracking system to support the management and monitoring of health information for its academic community. Consequently, the university has not yet established an integrated platform for recording health data, maintaining health histories, or providing reliable health information to support decision-making related to campus health services. This study aims to develop a web-based periodic health tracking system for the academic community of Universitas Nasional Karangturi. The research employed the Research and Development (R&D) method using the Waterfall software development model, which consists of requirements analysis, system design, implementation, testing, and maintenance. Data were collected through observation, interviews, and literature review. The system was developed using Laravel 12 as the framework, PHP 8.2 as the programming language, MySQL as the database management system, XAMPP as the local web server environment, and Figma for designing the user interface. The developed application provides features including user authentication, user management, health record management, health history, health information, health references, periodic health examination scheduling, and a support ticketservice. The implementation of User Interface (UI) and User Experience (UX) principles ensures that the system is intuitive, efficient, and user-friendly for both administrators and users. Functional testing was conducted using the Black Box Testing method, and the results demonstrated that all system features performed according to the specified functional requirements without critical errors. Therefore, the proposed system is considered suitable for implementation as a digital solution to support periodic health tracking and improve health information management for the academic community at Universitas Nasional Karangturi.1606-1622 -
Keselarasan Manajerial dan Uraian Tugas dalam Keberlanjutan Budaya Mutu Pasca Akreditasi Puskesmas
Maulida Rahmah, Sunarto Sunarto, Utami UtamiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1042 | Check in Google Scholar
Accreditation is the principal external quality-assurance instrument for primary health centres (puskesmas), yet the foremost challenge lies in sustaining a quality culture after the survey concludes. Although leadership is recognised as a key structural factor, the relational dynamic between the head of the health centre and the administrative head as a single managerial unit remains rarely examined. Objective: To comparatively analyse how managerial leadership alignment shapes the sustainability of post-accreditation quality culture in two puskesmas with contrasting territorial characteristics and accreditation status. Methods:A qualitative comparative case study was conducted in two puskesmas (urban and rural) within one regency in Jambi Province. Data were gathered through in-depth interviews, non-participant observation, and document review, then analysed thematically using the Donabedian framework. Results: The urban centre exhibited alignment between leadership and administration—personal exemplarity, consistent presence, and a single line of command—that supported the internalisation of quality values. The rural centre experienced misalignment rooted in a structural gap of overlapping job descriptions, producing dual instructions, staff confusion, and weakened sustainability. Conclusion: The alignment of managerial relationships is a crucial structural determinant in the sustainability of a quality culture; the clarity of formal authority distribution needs to be reinforced.1623-1631 -
Pengaruh Promosi Kesehatan Menggunakan Media Video Interaktif terhadap Kemampuan Hand Hygiene Pada Masyarakat Di Desa Soko Kabupaten Lamongan
Adindaru Lestari, Dadang Kusbiantoro, Arifal ArisShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1049 | Check in Google Scholar
Hand hygiene is a simple and effective practice to prevent the transmission of infectious diseases and improve public health. A preliminary survey conducted in Soko Village, Lamongan Regency, revealed that many community members were unable to perform the six-step hand hygiene procedure correctly. One strategy to improve this ability is health promotion using interactive video media, which presents educational material in an attractive, clear, and easy-to-understand format. This study aimed to determine the effect of health promotion through interactive video media on the hand hygiene ability of the community in Soko Village, Lamongan Regency. This study employed a pre-experimental design with a one-group pre-test and post-test approach. The population consisted of 84 people, and 70 respondents were selected using purposive sampling. The intervention was conducted over three weeks. Data were collected using a hand hygiene ability questionnaire and analyzed with the Wilcoxon test because the data were not normally distributed. The results showed that the mean pre-test score before the intervention was 2.87 and improved to 1.77 in the third-week post-test. The Wilcoxon test showed significant differences in the first week (p=0.001), second week (p=0.000), and third week (p=0.000), indicating that interactive video-based health promotion significantly improved the community's hand hygiene ability.1632-1637 -
Pengaruh Edukasi Menggunakan Media Poster Terhadap Perilaku Hidup Bersih Dan Sehat Pada Remaja
Andi Muh. Zulfikar, Ratna Indra Sari, Julia Indriaty; Bunga Cinta Rizki AnantaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1039 | Check in Google Scholar
Abstrak: Berdasarkan data World Helath Organization (WHO) pada statistik kesehatan dunia tahun 2025 cakupan layanan kebersihan dasar secara global memang meningkat dari 67% pada tahun 2015 menjadi 75% pada tahun 2022. Namun, dunia masih menumpuk pada risiko penularan penyakit akibat sanitasi yang buruk, serta udara yang terkontaminasi. Oleh karena itu dilakukan penguatan PHBS melalui edukasi disekolah yang merupakan langkah mendesak untuk memperbaiki kualitas hidup sehat remaja di masa depan. Tujuan Penelitian ini untuk mengetahui pengaruh edukasi menggunakan media poster terhadap perilaku hidup bersih dan sehat pada remaja SMA Muhammadiyah 13 Jakarta. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian yang digunakan adalah pre eksprimental dengan desain model one group pre test post test design . Populasi dalam penelitian ini adalah siswa SMA Muhammadiyah 13 Jakarta Kelas X-XII dengan sampel jenuh dan teknik pengambilan sampel Accidental Sampling sehingga besaran sampel ditemukan dilapangan sebanyak 35 responden. Hasil Penelitian ini menunjukkan adanya pengaruh yang signifikan edukasi menggunakan media poster terhadap perilaku cuci tangan pakai sabun dan air mengalir, Membuang Sampah dan Konsumsi Jajanan Sehat dengan nilai p-value masing-masing 0,00. Kesimpulannya adalah ada pengaruh edukasi menggunakan media poster terhadap perilaku cuci tangan pakai sabun dan air mengalir, Perilaku Membuang Sampah dan Perilaku Konsumsi Jajanan Sehat pada remaja Siswa SMA Muhammadiyah 13 Jakarta. Penelitian ini menyarankan untuk; Pertama, melengkapai fasilitas cuci tempat cuci tangan seperti sabun dan Pengering di setiap wastafel yang ada disekolah. Kedua, Sekolah dapat memfasilitasi pengolahan sampah dalam memilah jenis sampah. Ketiga, memperbanyak media cetak yang memuat informasi kesehatan tentang makanan yang bergizi.
Abstrak: Berdasarkan data Organisasi Kesehatan Dunia (WHO) dalam Statistik Kesehatan Dunia 2025, cakupan global layanan kebersihan dasar memang meningkat dari 67% pada tahun 2015 menjadi 75% pada tahun 2022. Namun, dunia masih dihadapkan pada risiko penularan penyakit akibat sanitasi yang buruk dan air yang tercemar. Oleh karena itu, penguatan Perilaku Hidup Bersih dan Sehat (PHBS) melalui pendidikan berbasis sekolah merupakan langkah mendesak untuk meningkatkan kualitas hidup sehat bagi remaja di masa depan. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan menggunakan media poster terhadap perilaku hidup bersih dan sehat di kalangan remaja di SMA Kejuruan Muhammadiyah 13 Jakarta. Penelitian ini menggunakan metode penelitian kuantitatif dengan desain pra-eksperimental, khususnya desain pre-test post-test satu kelompok. Populasi dalam penelitian ini terdiri dari siswa kelas X sampai XII di SMA Kejuruan Muhammadiyah 13 Jakarta, menggunakan total sampling (sampling jenuh) dikombinasikan dengan teknik sampling acak, menghasilkan ukuran sampel lapangan sebanyak 35 responden. Hasil penelitian ini menunjukkan pengaruh signifikan pendidikan menggunakan media poster terhadap perilaku mencuci tangan dengan sabun dan air mengalir, perilaku pembuangan sampah, dan perilaku konsumsi makanan ringan sehat, dengan masing-masing memperoleh nilai p sebesar 0,00. Kesimpulannya, pendidikan menggunakan media poster secara signifikan mempengaruhi perilaku mencuci tangan dengan sabun dan air mengalir, perilaku pembuangan sampah, dan perilaku konsumsi makanan ringan sehat di kalangan siswa SMA Muhammadiyah 13 Jakarta. Penelitian ini menyarankan: Pertama, melengkapi fasilitas cuci tangan dengan sabun dan pengering di setiap wastafel sekolah. Kedua, sekolah dapat memfasilitasi pengelolaan sampah dengan memilah jenis sampah. Ketiga, meningkatkan media cetak yang memuat informasi kesehatan mengenai makanan bergizi.
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Rancang Bangun Pembangkit Listrik Tenaga Surya (PLTS) pada Gerobak UMKM Berbasis Internet Of Things (IOT)
Nova Ardila, Jefri Lianda, Hikmatul Amri, Adam Adam, Khairudinsyah KhairudinsyahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1048 | Check in Google Scholar
The utilization of Solar Power Plants (PLTS) for micro, small, and medium enterprises (MSMEs) is an effective solution to provide an independent, environmentally friendly, and sustainable electrical energy source. This study aims to design and develop an Internet of Things (IoT)-based solar power system for MSME carts that is capable of supplying electrical energy while providing real-time monitoring of electrical parameters. An experimental method was employed through hardware and software design, system assembly, and performance testing. The proposed system consists of a solar panel, solar charge controller, battery, inverter, voltage and current sensors, and a NodeMCU ESP8266 microcontroller for transmitting monitoring data to an IoT platform. System testing was conducted from 08:00 to 17:00 to evaluate variations in voltage, current, and panel temperature under different levels of solar radiation. The results indicate that the solar panel voltage gradually increased and reached a maximum value of 20.0 V at 12:00, before decreasing as solar radiation declined in the afternoon. The Battery Charge Regulator (BCR) maintained a relatively stable output voltage despite fluctuations in the input voltage from the solar panel. Furthermore, the IoT-based monitoring system successfully displayed voltage, current, and temperature data accurately, continuously, and in real time through a monitoring interface, enabling users to monitor system performance remotely. These findings demonstrate that the proposed IoT-based solar power system operates effectively as an independent energy source and supports more efficient energy management for MSME carts.
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Systematic Literature Review: Model Kepemimpinan Holistik : Integrasi Kepemimpinan, Kepengikutan, Tri Hita Karana, dan Pengendalian Pikiran Berbasis Spiritual
Chelsea Mery Andrea Sinambela, Chris Steven Sado Fodhe Au, I Wayan Putra YasaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1031 | Check in Google Scholar
This study aims to examine and synthesize various scientific literature on leadership and followership, the concept of Tri Hita Karana in self-leadership, and spiritually based mind-control leadership. The method used is a literature review of more than ten relevant scholarly articles from both national and international journals. The findings indicate that leadership and followership have a reciprocal and interdependent relationship in achieving common goals. Furthermore, the concept of Tri Hita Karana provides a value framework emphasizing the balance of human relationships with God (parahyangan), with others (pawongan), and with the environment (palemahan), which plays a crucial role in shaping self-leadership. In addition, spiritual leadership highlights the importance of mind control, self-awareness, and moral values as the core of effective leadership. The integration of these three concepts results in a holistic, ethical, and sustainable leadership model, where self-control serves as the fundamental basis for leading oneself and others. Therefore, the development of leadership that integrates rational, social, and spiritual aspects is essential in addressing the dynamics of modern life.1662-1671 -
Tradisi Mipit Pare sebagai Upaya Pelestarian Nilai Budaya Lokal dalam Kehidupan Masyarakat Dusun Ciampel
Saadah Saadah, Fitri Silvia Sofyan, Yudi FirmansyahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1046 | Check in Google Scholar
This research aims to examine the Mipit Pare tradition as an effort to preserve local cultural values in the lives of the people of Ciampel Hamlet. Mipit Pare is a tradition that is carried out before the implementation of the rice harvest as a form of gratitude for the agricultural products obtained and as a form of respect for cultural values that have been inherited from generation to generation. This research uses a qualitative approach with a field descriptive method. Data was obtained through participatory observation and in-depth interviews with traditional leaders, farmers, the younger generation, communities, and religious leaders in Ciampel Hamlet in May 2026. The results of the study show that the Mipit Pare tradition not only functions as a ceremonial activity before harvest, but also contains various cultural values that are important for peoples lives. These values include gratitude, mutual cooperation, togetherness, respect for nature, and the preservation of the cultural identity of the local community. This tradition also acts as a means of inheriting social values and norms to the younger generation so that the sustainability of local culture can be maintained in the midst of the development of the times and modernization currents. In addition, the implementation of the Mipit Pare tradition is able to strengthen social solidarity and strengthen relationships between community members through joint involvement in various series of traditional activities. Thus, the Mipit Pare tradition has a strategic role in maintaining the sustainability of local culture while strengthening the social cohesion of the people of Ciampel Hamlet. Therefore, efforts to preserve this tradition need to continue to be carried out as part of strengthening cultural identity and local cultural heritage.
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Sistem Monitoring Parameter Solar Charge Controller (SCC) Berbasis Lokal Webserver
Rio Firnando, Marzuarman Marzuarman, Hikmatul Amri, Agustiawan Agustiawan, Jefri LiandaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1056 | Check in Google Scholar
Perkembangan teknologi Internet of Things (IoT) telah mendorong pengembangan sistem monitoring yang mampu menyajikan informasi secara real-time pada berbagai aplikasi kelistrikan, termasuk sistem Pembangkit Listrik Tenaga Surya (PLTS). Salah satu komponen utama dalam sistem PLTS adalah Solar Charge Controller (SCC) yang berfungsi mengatur proses pengisian baterai dari panel surya serta melindungi baterai dari kondisi overcharge dan overdischarge. Namun, sebagian besar Solar Charge Controller komersial masih memiliki keterbatasan pada sistem monitoring karena informasi parameter kelistrikan hanya ditampilkan melalui layar LCD sehingga proses pemantauan harus dilakukan secara langsung di lokasi perangkat. Penelitian ini bertujuan untuk merancang dan membangun Sistem Monitoring Parameter Solar Charge Controller (SCC) Berbasis Lokal Webserver yang mampu menampilkan parameter kelistrikan secara real-time tanpa memerlukan koneksi internet. Penelitian menggunakan metode Research and Development (R&D) dengan merancang sistem monitoring menggunakan ESP32 DevKit V1 sebagai pusat akuisisi dan pengolahan data, dua sensor INA226 untuk mengukur parameter tegangan, arus, dan daya pada sisi panel surya maupun baterai, serta LCD 16×2 sebagai media monitoring lokal. Data hasil pengukuran diproses oleh ESP32 kemudian dikirimkan menuju Local Web Server melalui jaringan Local Area Network (LAN) sehingga dapat diakses menggunakan browser pada komputer maupun smartphone melalui alamat IP lokal. Dashboard monitoring menampilkan informasi berupa tegangan panel surya, arus panel surya, daya panel surya, tegangan baterai, arus pengisian baterai, daya pengisian baterai, status pengisian, grafik perubahan parameter secara real-time, serta tabel data hasil pengukuran. Hasil pengujian menunjukkan bahwa sistem monitoring mampu menampilkan seluruh parameter kelistrikan secara real-time dengan waktu pembaruan data kurang dari satu detik. Selain itu, Local Web Server dapat diakses secara bersamaan oleh beberapa perangkat yang berada pada jaringan lokal tanpa menggunakan layanan cloud maupun koneksi internet. Berdasarkan hasil penelitian, sistem yang dikembangkan mampu memberikan kemudahan dalam proses monitoring parameter Solar Charge Controller secara real-time, stabil, efisien, dan mudah diimplementasikan pada berbagai aplikasi PLTS skala kecil maupun menengah.
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Hubungan Indeks Massa Tubuh terhadap Derajat Keparahan Hernia Nukleus Pulposus Lumbal Berdasarkan Gambaran Radiologi MRI di RSD Gunung Jati Cirebon Tahun 2024
Diva Cahya Arti, Merliana Debyanti, Bambang WibisonoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1044 | Check in Google Scholar
umbar Herniated Nucleus Pulposus (HNP) is one of the leading causes of low back pain that may reduce patients' quality of life. A high Body Mass Index (BMI) is believed to increase axial loading on the spine, accelerate intervertebral disc degeneration, and worsen the severity of HNP. Magnetic Resonance Imaging (MRI) is considered the gold standard for objectively assessing the severity of HNP. This study aimed to analyze the relationship between body mass index (BMI) and the severity of lumbar herniated nucleus pulposus (HNP) based on magnetic resonance imaging (MRI) radiological findings at RSD Gunung Jati Cirebon in 2024. This research used a quantitative observational analytic design with a cross-sectional approach. Data were obtained from medical records of patients diagnosed with lumbar HNP who underwent MRI examination between January and December 2024. The sample was selected using total sampling, resulting in 44 eligible patients. The independent variable was BMI, classified as normal, overweight, and obesity class I, while the dependent variable was the severity of lumbar HNP based on MRI radiological interpretation, classified as mild, moderate, and severe. Data were analyzed using univariate analysis and Spearman correlation test. The results showed that most patients were in the overweight category, with 19 patients (43.2%), followed by obesity class I in 16 patients (36.4%) and normal BMI in 9 patients (20.5%). The most frequent HNP severity was severe, found in 21 patients (47.7%). Spearman correlation demonstrated a significant relationship between BMI and lumbar HNP severity (p < 0.001; r = 0.775). In conclusion, higher BMI is strongly associated with more severe lumbar HNP based on MRI findings.1703-1713 -
Pengaruh penggunaan Media Pembelajaran Gimkit terhadap Kemampuan Berpikir Historis Peserta Didik Kelas XI SMK Ibu Kartini Semarang
Naufal Maulana Fatah, Hany NurpratiwiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1043 | Check in Google Scholar
This study aims to analyze the effect of the use of game-based Gimkit learning media on the historical thinking skills of eleventh-grade students. The background of this study is based on the low historical thinking skills of students who still tend to be oriented towards memorization and lack of active student involvement in analyzing historical events. The study used a quantitative approach with a quasi-experimental method through a nonequivalent control group design. The research sample consisted of 43 students divided into an experimental class of 21 students and a control class of 22 students. The experimental class received learning using game-based Gimkit media, while the control class received learning assisted by PowerPoint media. Data collection techniques were carried out through historical thinking ability tests using pretest and posttest instruments. Data analysis was carried out using descriptive statistical tests, N-Gain calculations, and Independent Sample t-tests with the help of SPSS version 21. The results showed that the average N-Gain of the experimental class was 0.7115 in the high category, while the control class obtained an average of 0.3892 in the medium category. The results of the hypothesis test showed a calculated t-value of 20.518 > t-table 2.019 with a significance value of 0.000 < 0.05, thus the alternative hypothesis was accepted. These findings indicate that the use of game-based Gimkit learning media has a positive and significant impact on improving students' historical thinking skills. Thus, Gimkit can be used as an alternative, innovative history learning medium to improve students' historical thinking skills.1714-1729 -
Hubungan Pola Asuh Orang Tua Dengan Perkembangan Bicara Dan Bahasa Pada Anak Usia Pra Sekolah di PAUD Terpadu Mutiara Bunda Kabupaten Kampar
Syukrianti Syahda, Dhini Anggraini Dhilon, Fitri ApriyantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1166 | Check in Google Scholar
The growth and development of children in Indonesia still requires serious attention, where the incidence of growth and development delays is still quite high, which is around 5-10% of children experiencing delays in their development in general. Parents play a dominant role in the process of developing communication in children. Language development in each child will be different from one another, such as in terms of mastery, speed and quality.The purpose of this research is to knowing the relationship between parenting patterns and speech and language development in Mutiara Bunda PAUD Terpadu, Kampar Regency. This research is an analytic study with a cross sectional approach. The population in this study is all mothers who have pre-school children aged 3-6 years from January to July 2022 as many as 95 people with the number of samples is the total population of 95 people. The research results obtained are there is the relationship between parenting patterns with speech and language development in pre-school age children with p = 0.000 (p≤0.05). Expected In particular, mothers should educate their children according to their growth and development so that they are able to apply optimal parenting patterns to their children.
1730-1738 -
Battery Management System dengan Fitur Adaptive Current Protection Terhadap Suhu
Ade Mahendra Fata, Jefri Lianda, Hikmatul Amri, Adam Adam, Khairudinsyah KhairudinsyahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1057 | Check in Google Scholar
The design and development of a Battery Management System (BMS) with an Adaptive Current Protection feature based on temperature aims to improve battery safety, reliability, and service life by automatically adjusting the charging and discharging current according to temperature conditions. This study employed an experimental method by developing a system consisting of a temperature sensor, current sensor, Battery Management System (BMS) module, ESP32 microcontroller, and an Internet of Things (IoT)-based monitoring platform for real-time data visualization. System testing was conducted under various battery temperature conditions to evaluate its ability to monitor temperature, regulate current adaptively, and transmit measurement data to the monitoring platform. The results showed that the proposed system was able to accurately detect battery temperature changes and automatically adjust the allowable current according to predefined temperature thresholds. Under normal temperature conditions, the system allowed the maximum operating current to maintain battery performance. As the temperature increased, the current limit was gradually reduced, and the protection mechanism was activated when the battery reached unsafe temperature levels. Furthermore, temperature, current, and voltage data were continuously displayed on the IoT monitoring platform, enabling users to monitor battery conditions remotely in real time. The study demonstrates that the proposed Battery Management System with Adaptive Current Protection effectively enhances operational safety, maintains battery performance stability, and contributes to extending battery lifespan.
1739-1747 -
Analisis Kepatuhan Pekerja dalam Menggunakan Masker Respirator terhadap Paparan Uap Benzena di Area Filling Shed PT Pertamina Patra Niaga Fuel Terminal Meulaboh
Muhammad Arif, Jun Musnadi Is, Rubi Rimonda, Kiswanto Kiswanto, Perry Boy Chandra SiahaanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1060 | Check in Google Scholar
Exposure to benzene vapors in the downstream oil and gas industry poses a latent carcinogenic risk that threatens workers' respiratory health and hematopoietic systems. Personal Protective Equipment (PPE), including respirator masks, is the last resort in protecting workers from workplace hazards. This study aims to analyze in-depth the dynamics of worker compliance in the use of respirator masks and identify factors that influence their resistance to use in the filling shed area of PT Pertamina Patra Niaga Fuel Terminal Meulaboh. The method used is descriptive qualitative with a purposive sampling approach. Data were collected through in-depth interviews with five informants (three operational workers, one HSE officer, and one supervisor) and participant observation using 20 field items. The results of the study indicate the occurrence of a phenomenon of pseudo-compliance (surface compliance), where workers only wear respirators during formal supervision. Based on the PRECEDE-PROCEED model, this non-compliance is triggered by a multidimensional accumulation: ergonomic barriers and environmental thermal constraints (enabling factors) in the form of tightness, stuffiness, and trapped sweat; cognitive devaluation and risk perception bias due to the asymptomatic nature of benzene (predisposing factors); and the blunting of organizational control functions (reinforcing factors) due to the absence of written administrative sanctions that provide a deterrent effect. This study concludes that safety interventions cannot be carried out partially, but must integrate engineering .techniques on the aspect of respirator comfort, ongoing behavioral education, and strict enforcement of internal regulations.1748-1766 -
Hubungan Etos Kerja Dengan Kinerja Perawat di RSUD Ngimbang
Muhammad Iqbal Ramadhan Aji, Suratmi Suratmi, Nurul Hikmatul QowiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1062 | Check in Google Scholar
Nursing performance is susceptible to decline due to factors such as low discipline, lack of responsibility, and insufficient commitment to professional duties. A strong work ethic is a critical factor influencing the enhancement of nursing performance, thereby ensuring the delivery of optimal nursing care. This study aimed to analyze the relationship between work ethic and the performance of nurses at RSUD Ngimbang. A quantitative study was conducted with a population of 128 nurses; a sample of 93 nurses was selected using quota sampling. Data were collected using questionnaires on work ethic and Six-Dimension Scale of Nursing Performance (SDSP)questionnaires. Following tabulation, data were analyzed using the Spearman Rank correlation test via SPSS 16.0. The results indicated that the majority of nurses possessed a “high” work ethic (58.1%), while a significant proportion demonstrated “moderate” performance (50.5%). Statistical analysis revealed a strong and significant correlation between work ethic and nursing performance (
;
). This indicates that higher levels of work ethic among nurses are associated with better performance at RSUD Ngimbang. To improve nursing performance, it is essential to maintain and cultivate a strong work ethic through the reinforcement of responsibility, discipline, professional commitment, and continuous competency development, ultimately contributing to the improvement of nursing service quality.1776-1788 -
Hepatitis Iskemik Akibat Syok Hipovolemik dengan Trombositopenia dan Disfungsi Renal: Sebuah Laporan Kasus
Muhammad Agus Putra, Syaifun Niam, Paskalis Andrew GunawanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1068 | Check in Google Scholar
Hypovolemic shock is a condition that may lead to systemic hypoperfusion and subsequently result in multiorgan dysfunction. This case report describes a 32-year-old man who presented to the emergency department with recurrent vomiting approximately 30 times within one day, accompanied by generalized weakness, dyspnea, and abdominal pain. Physical examination revealed severe hypotension (73/44 mmHg), tachycardia, and signs of dehydration, supporting the diagnosis of hypovolemic shock. Laboratory investigations demonstrated hemoconcentration, severe thrombocytopenia (15 ×10³/µL), elevated serum creatinine and urea levels, hyperbilirubinemia, and markedly increased aminotransferase levels (AST 1088 U/L; ALT 852 U/L). Abdominal ultrasonography revealed grade 1 hepatic steatosis, cholecystitis with cholelithiasis, bilateral chronic kidney disease, and a right renal cyst. The patient received fluid resuscitation and supportive therapy, resulting in clinical and hemodynamic improvement. Serial laboratory evaluations showed an increase in platelet count to 118 ×10³/µL and a decline in AST and ALT levels to 222 U/L and 607 U/L, respectively, by the sixth day of hospitalization. This case highlights the importance of comprehensive evaluation in hypovolemic shock, as systemic hypoperfusion may lead to simultaneous dysfunction of multiple organ systems.
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Implementasi Sistem Pengendali On-Off Jarak Jauh PJU Berbasis IoT
Nasrullah Nasrullah, Jefri Lianda, Hikmatul Amri, Adam Adam, Khairudinsyah KhairudinsyahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1065 | Check in Google Scholar
The advancement of Internet of Things (IoT) technology has enabled the development of smart systems for controlling and monitoringpublic infrastructure, including Public Street Lighting (PSL). This study presents the implementation of an IoT-based remote on-off control systemdesigned to improve the efficiency and flexibility of street lighting management. The proposed system employs an ESP32 NodeMCUmicrocontroller as the control unit, a relay module to switch the lighting load, and the Blynk application to provide a user-friendly interface for remote operation and monitoring through a smartphone. The research was carried out through hardware and software design, systemintegration, and functional performance testing. Experimental results demonstrated that the developed system responded successfully toall ON and OFF commands transmitted over the internet, achieving a 100% success rate under stable network conditions. In addition,users were able to monitor the operational status of the street lights in real-time, allowing faster and more efficient management from remote locations. The implementation results indicate that the proposed IoT-based control system provides a practical, reliable, and cost-effective solution for modern public street lighting management while supporting the realization of smart city infrastructure.1800-1809 -
Rancang Bangun Boost Converter Pada Sistem Panel Surya ke Beban DC Menggunakan Kontrol Arduino Uno
Findera Subagia, Adam Adam, Hikmatul Amri, Jefri Lianda, Khairudinsyah KhairudinsyahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1066 | Check in Google Scholar
Pemanfaatan energi surya sebagai sumber energi terbarukan terus berkembang seiring meningkatnya kebutuhan akan energi listrik yang ramah lingkungan. Namun, tegangan keluaran panel surya sering mengalami perubahan akibat intensitas cahaya matahari yang tidak stabil, sehingga belum mampu memenuhi kebutuhan beban DC yang memerlukan tegangan lebih tinggi. Penelitian ini bertujuan untuk merancang dan membangun sistem boost converter pada panel surya menggunakan kontrol Arduino Uno untuk meningkatkan tegangan keluaran panel surya agar sesuai dengan kebutuhan beban DC. Sistem dirancang menggunakan panel surya sebagai sumber energi, boost converter sebagai penaik tegangan, Arduino Uno sebagai pengendali sinyal PWM, driver MOSFET IR2117 sebagai penggerak saklar elektronik, sensor tegangan sebagai umpan balik, serta beban lampu DC sebagai objek pengujian. Metode penelitian meliputi tahap perancangan perangkat keras, perancangan perangkat lunak, implementasi sistem, serta pengujian kinerja berdasarkan variasi tegangan masukan panel surya dan duty cycle PWM. Hasil pengujian menunjukkan bahwa sistem boost converter mampu meningkatkan tegangan keluaran panel surya dari kisaran 10–13,5 V menjadi 12,4–27,8 V, dengan tegangan keluaran optimal sebesar 24 V yang mampu mengoperasikan beban lampu DC secara normal. Selain itu, pengaturan duty cycle PWM menggunakan Arduino Uno terbukti berpengaruh terhadap besar tegangan keluaran boost converter sehingga sistem dapat bekerja secara stabil sesuai kebutuhan beban. Berdasarkan hasil penelitian, sistem boost converter berbasis Arduino Uno mampu meningkatkan efisiensi pemanfaatan energi panel surya untuk menyuplai beban DC dan berpotensi diterapkan pada berbagai sistem kelistrikan berbasis energi terbarukan.
1810-1821 -
Rancang Bangun Smart RCBO Berbasis Webserver
Tomi Antonius, Marzuarman Marzuarman, Stephan Stephan, Syaiful Amri, Eva NavasariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1067 | Check in Google Scholar
The development of the Internet of Things (IoT) has encouraged the implementation of intelligent electrical protection systems capable of real-time monitoring. This research aims to analyze and design a Webserver-Based Smart RCBO that can detect overcurrent and leakage current while providing real-time monitoring through a web interface. The system employs a NodeMCU ESP8266 as the main controller and webserver, a ZMCT103C sensor for load current measurement, a Zero Sequence Current Transformer (ZSCT) for leakage current detection, and a relay to disconnect the electrical circuit during fault conditions. Sensor data are displayed on a 16×2 LCD and transmitted to the webserver via a Wi-Fi network. Experimental results indicate that the system is capable of monitoring load current accurately and automatically disconnecting the circuit when the leakage current reaches 30 mA, with a response time ranging from 20 ms to 30 ms. Furthermore, the webserver successfully displays load current, leakage current, RCBO status, and system conditions in real time through a web browser. Therefore, the proposed Webserver-Based Smart RCBO improves electrical safety, reliability, and monitoring efficiency compared with conventional RCBO systems.
1822-1830 -
Strategi Meningkatkan Efektivitas Grebeg Suro sebagai Media Pewarisan Budaya Reog Ponorogo pada Generasi Muda
Yunita Ayu Fatmawati, Maria M Widiantari, Fikri HasanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1080 | Check in Google Scholar
Reog Ponorogo has been recognized as a UNESCO Intangible Cultural Heritage in Need of Urgent Safeguarding, emphasizing the critical need for structured transmission. The annual Grebeg Suro festival serves as a pivotal cultural communication channel to preserve this heritage among the younger generation. This study aims to analyze the current effectiveness of Grebeg Suro as a cultural transmission medium, identify its supporting and hindering factors, and formulate communication strategies to enhance engagement. Utilizing a descriptive qualitative approach, data were gathered through semi-structured in-depth interviews with eight informants: a cultural figure, an art teacher, a festival practitioner, and five representatives of the youth generation (ranging from passive viewers to active performers). Data analysis followed the interactive model of Miles and Huberman. The findings reveal a significant gap across communication dimensions: while cognitive and affective engagement remain remarkably high, active behavioral engagement remains limited, with many youths operating merely as passive spectators. Hindrances include excessive event durations that diverge from modern consumption patterns, administrative and budget blockages, and horizontal peer pressures labeling traditional arts as archaic. Conversely, strong institutional backing and the global prestige of UNESCO serve as vital facilitators. Grounded in Lasswell’s and Wilbur Schramm’s communication models, this study proposes an integrated strategy comprising digital co-creation, bidirectional social feedback loops, choreography adaptation, and structural youth-led committees to reduce the dissonance between presence and active participation.
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Pengaruh Faktor Budaya, Sosial, Pribadi, dan Psikologis Terhadap Keputusan Pembelian Produk Sambal Kaisar di Kota Pontianak
Nuriska Sepsi, Eva Dolorosa, Dewi KurniatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1076 | Check in Google Scholar
This study aims to analyze the influence of cultural, social, personal, and psychological factors on the purchase decisions of Sambal Kaisar products in Pontianak City and to examine the moderating role of brand image. A quantitative approach with descriptive and associative research designs was employed. Data were collected through questionnaires distributed to 100 Sambal Kaisar consumers selected using purposive sampling. The data were analyzed using Structural Equation Modeling-Partial Least Squares (SEM-PLS) with SmartPLS 4 software. The findings indicate that cultural and social factors have a positive and significant effect on purchase decisions, with the social factor emerging as the most dominant determinant. In contrast, personal and psychological factors do not significantly influence purchase decisions. Brand image also has no significant direct effect on purchase decisions and fails to moderate the relationships between cultural, social, personal, and psychological factors and purchase decisions. The structural model demonstrates satisfactory explanatory power, with an R² value of 0.736, indicating that 73.6% of the variance in purchase decisions is explained by the proposed variables, while the Q² value of 0.408 confirms good predictive relevance. These findings suggest that consumers' purchase decisions toward Sambal Kaisar are primarily driven by cultural consumption habits and social influences rather than personal characteristics, psychological considerations, or brand image.
1840-1853 -
Peningkatan Pengetahuan dan Sikap Pekebun Melalui Penyuluhan Pencegahan Ganoderma pada Tanaman Kelapa Sawit
Fanisa Afni Widitia, Rahmi Eka Putri, Hadi WijoyoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1079 | Check in Google Scholar
Basal stem rot disease caused by Ganoderma boninense is one of the main diseases in oil palm plants that can reduce productivity and even cause plant death. The low knowledge and attitude of smallholders regarding Ganoderma prevention is one of the factors that accelerate the spread of the disease in smallholder plantations. This research activity aims to improve the knowledge and attitudes of smallholders through extension activities regarding Ganoderma prevention in oil palm plants. This research was conducted in Sumber Harapan Village, Tinggi Raja District, Asahan Regency, targeting oil palm smallholders. The method used was Rapid Rural Appraisal (RRA) through interviews, observations, and discussions with smallholders. Extension activities were carried out using demonstration methods and visits with the help of extension media in the form of leaflets. Evaluation was carried out to measure the level of knowledge through the results of pretests and posttests before and after extension calculated using the N-Gain formula. The results showed that extension activities were able to increase the knowledge of smallholders by 77.3% and improve their attitudes in implementing Ganoderma prevention in oil palm plants. Farmers have become more aware of the symptoms of Ganoderma attacks and preventative measures to suppress the spread of the disease. Therefore, outreach activities can be an effective way to increase farmer capacity in controlling Ganoderma disease in oil palms.
1854-1862 -
Hubungan Asupan Natrium Dan Konsumsi Kafein Terhadap Tekanan Darah Pada Mahasiswa Kedokteran Universitas Prima Indonesia
Maria Steffani Adeline, Andrico Napolin Lumban Tobing, Ermi GirsangShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1084 | Check in Google Scholar
Hipertensi pada usia dewasa muda sering tidak disadari karena minim gejala, padahal dapat menjadi awal risiko kardiovaskular jangka panjang. Mahasiswa kedokteran rentan terhadap dua faktor diet yang berhubungan dengan tekanan darah, yaitu asupan natrium dan konsumsi kafein, akibat beban akademik yang tinggi. Penelitian ini bertujuan menganalisis hubungan asupan natrium dan konsumsi kafein dengan tekanan darah sistolik dan diastolik pada mahasiswa Kedokteran Universitas Prima Indonesia. Desain penelitian adalah observasional analitik dengan pendekatan cross-sectional pada 218 responden yang dipilih melalui stratified random sampling. Data dianalisis menggunakan uji korelasi Spearman dan regresi linear berganda. Hasil menunjukkan rerata asupan natrium 4.055,798 mg/hari dan konsumsi kafein 187,297 mg/hari. Asupan natrium berhubungan positif kuat dengan tekanan darah sistolik (r = 0,716; p < 0,001) dan diastolik (r = 0,649; p < 0,001). Konsumsi kafein berhubungan positif sedang dengan tekanan darah sistolik (r = 0,472; p < 0,001) dan diastolik (r = 0,484; p < 0,001). Model regresi menunjukkan kedua variabel secara simultan menjelaskan 70,6% variasi tekanan darah sistolik dan 65,3% variasi tekanan darah diastolik. Asupan natrium terbukti memiliki kontribusi lebih besar dibandingkan kafein terhadap tekanan darah mahasiswa.
1863-1874 -
Gender Dynamics, Workload, and Job Satisfaction: Understanding Employee Motivation and Operational Failures at PT BRT
Elita Arya Maharani Marjuk, Andika Putra PratamaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1092 | Check in Google Scholar
The institutional catering industry depends heavily on human resources to maintain service quality and operational reliability. PT Boga Rasa Tama (PT BRT) has experienced recurring client complaints, employee turnover, and stagnant business performance, indicating underlying organizational challenges related to employee management. A qualitative single-case study design was employed using semi-structured interviews with seven purposively selected informants representing management, HRGA, supervisors, and operational employees, complemented by analysis of internal company documents. Data were analyzed using Braun and Clarke's six-phase thematic analysis and validated through methodological triangulation. The findings identified seven interconnected themes: gender dynamics, psychological safety, structural workforce insufficiency, recognition gap, family culture, kitchen–service communication breakdown, and the absence of formal human capital systems. Cross-theme analysis revealed that the lack of structured training, performance measurement, and recognition systems constituted the fundamental organizational condition underlying operational failures. Informal gender-based task allocation, excessive workload, weak psychological safety, and communication problems collectively reduced employee motivation and service reliability, while the family culture helped retain employees without resolving structural deficiencies. Strengthening formal human capital management systems is therefore essential for improving employee motivation, operational consistency, and long-term organizational performance in institutional catering companies.
1875-1887 -
Formulasi dan Evaluasi Body Butter dari Lemak Tengkawang (Shorea Stenoptera) sebagai Emolien Alami
Tut Ade Ayu Ari Nata, Nur Rahmiati, Wahyudin Bin JamaludinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1081 | Check in Google Scholar
Dry skin is a common dermatological problem caused by tropical climate exposure, pollution, and long-term use of synthetic moisturizers. Illipe butter (Shorea stenoptera) has potential as a natural emollient due to its saturated and unsaturated fatty acid content and stable melting point (36–39°C). This study aimed to determine the physical characteristics and physical stability of illipe butter body butter at five concentration variations (5%, 10%, 15%, 20%, and 25%) and to determine the optimal formula. This experimental study evaluated organoleptic properties, homogeneity, pH, viscosity, spreadability, adhesion, emulsion type, physical stability (six-cycle cycling test), and skin moisturizing effectiveness on five volunteers over 14 days. Data were analyzed using the Shapiro–Wilk normality test, Levene's homogeneity test, followed by One-way ANOVA/Tukey HSD or Kruskal–Wallis, and the Wilcoxon Signed-Rank test for paired pre- and post-cycling test data. Results showed that all formulas (F1–F5) were homogeneous and formed oil-in-water (O/W) emulsions both before and after the cycling test. The pH values ranged from 5.63–5.76 before and decreased to 4.95–5.46 after the cycling test (p<0.05). Viscosity increased after the cycling test, with F5 exceeding the instrument's measurement limit. Spreadability decreased significantly (p=0.001), while adhesion tended to decrease in F1–F3. All formulas effectively increased skin moisture (52–56% after 6 hours). The optimal formula was obtained at F3 (15% concentration), providing the best balance of viscosity, spreadability, and adhesion.1888-1899 -
Disparitas Estimasi Prevalensi Status Gizi Balita Berdasarkan Data e-PPGBM Dan SSGI di Kabupaten Aceh Selatan Tahun 2022-2024
Dwi Anggia, Teungku Nih Farisni, Rubi Rimonda, Onetusfifsi Putra, Wintah WintahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1097 | Check in Google Scholar
Nutritional status of children under five is an important indicator of public health quality, which in Indonesia is monitored through two systems: the Indonesian Nutritional Status Survey (Survei Status Gizi Indonesia/SSGI), a probability-based survey, and the Community-Based Nutrition Recording and Reporting electronic system (e-PPGBM), a routine recording system, which often produce differing prevalence estimates. This study aims to describe the magnitude of disparity in prevalence estimates of under-five nutritional status (stunting, wasting, underweight) between SSGI and e-PPGBM data in Aceh Selatan District during 2022–2024, as well as to examine possible underlying methodological factors. This study employed a descriptive-comparative design based on secondary data, analyzing all available annual aggregate SSGI and e-PPGBM data for Aceh Selatan District during 2022–2024, which were analyzed descriptively and quantitatively using Absolute Difference (AD), Disparity Ratio (DR), and Relative Difference (RD) measures. The results showed that all nutritional status indicators exhibited consistent disparities throughout the observation period, with the highest DR found for stunting (mean 8.00 times; AD 31.42 percentage points; RD 86.19%), followed by underweight (DR 4.11 times) and wasting (DR 3.45 times), and the trend directions of SSGI and e-PPGBM frequently diverged. Although this study did not directly analyze the causes of the disparity, the differences can be attributed to the methodological characteristics of the two systems as described in various literature. Both data sources need to be utilized complementarily to support decision-making and evaluation of nutrition programs.1900-1915 -
Studi Kualitatif Perilaku Pekerja dalam Pengendalian Risiko Kebakaran di Area Filling Shed Fuel Terminal Meulaboh
M.Haris Safandi, Jun Musnadi Is, Wintah Wintah, Onetusfifsi Putra, Yarmaliza YarmalizaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1102 | Check in Google Scholar
The filling shed is a high-risk area for fire due to the presence of fuel vapors, static electricity, and operational activities that can serve as ignition sources. Although the company has implemented various control measures, worker behavior remains a critical factor in successful fire prevention. This study aims to analyze worker behavior regarding fire risk control in the filling shed area of PT Pertamina Patra Niaga’s Meulaboh Fuel Terminal. A qualitative approach with a descriptive phenomenological design was employed. Data were gathered through in-depth interviews and participant observation involving seven informants selected via purposive sampling, and subsequently analyzed using the Miles and Huberman model. The results indicate that while workers possess good knowledge of safety procedures, their implementation is not yet fully consistent. Issues identified include the normalization of risk regarding fuel vapor exposure, suboptimal use of Personal Protective Equipment (PPE) due to comfort concerns, lower compliance among tanker truck crews compared to internal operators, and inconsistent reporting of near-miss incidents. The study concludes that fire risk control depends not only on the availability of facilities and procedures but also on the consistency of worker behavior. Therefore, strengthening the safety culture, raising worker awareness, and providing more ergonomic PPE are essential to support safe work practices.1916-1928 -
Gambaran Tingkat Kepadatan Lalat dan Keluhan gangguan Pencernaan pada Pekerja di Satuan Pelayanan Pemenuhan Gizi Kota Manado
Sintike Kumaat, Paul Arthur Tennov Kawatu, Wulan Pingkan Julia KaunangShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1103 | Check in Google Scholar
Flies are disease vectors from the order Diptera, whose presence in the work environment potentially causes health problems, particularly digestive disorders such as nausea, vomiting, and diarrhea, which can ultimately affect worker productivity. Objective: This study aims to describe the fly density level and digestive disorder complaints among workers at the Nutritional Fulfillment Service Unit (SPPG) in Manado City. Methods: This was a quantitative descriptive study with a cross-sectional approach conducted from March to May 2026. The population and sample consisted of all active workers at SPPG X (50 people) and SPPG Y (50 people), totaling 100 respondents who met the inclusion and exclusion criteria. Data were collected through direct observation of fly density and interviews using questionnaires. Data were analyzed univariately to determine frequency distribution. Results: The results showed that fly density levels in both SPPG kitchens were generally in the low category. However, a moderate category was still found in the portioning area at SPPG X and the dishwashing area at SPPG Y. Most workers had digestive disorder complaints in the low category, with gastritis (maag) being the most frequently reported medical history. Conclusion: The fly density level and digestive disorder complaints among workers in both SPPG kitchens in Manado City are generally low, with gastritis being the most frequently reported illness history.1929-1938 -
Analisis Penerapan Kesehatan dan Keselamatan Kerja (K3) pada Karyawan Tim Masak Satuan Pelayanan Pemenuhan Gizi (SPPG) di Dapur X
Susan Almapirah, Safrizal Safrizal, Jun Musnadi Is, Perry Boy Chandra Siahaan, Ihsan MurdaniShow Abstract | Download PDF | Check in Google Scholar
The Nutrition Service Unit (SPPG) involves various potential occupational hazards, such as the use of sharp tools, exposure to heat, slippery floors, and the risk of gas leaks, making the implementation of Occupational Safety and Health (OSH) measures essential. Findings from research interviews with informants indicate that workers have experienced several occupational risks, including cuts from knives, exposure to hot oil splashes during frying, and skin conditions such as jock itch. This study aims to analyze the implementation of OSH among kitchen staff at the SPPG of Kitchen X. The study employed a descriptive qualitative method using the interactive analysis model. Informants consisted of the head chef, three kitchen team members, and the SPPG manager, selected through purposive sampling. Data were collected through interviews, observations, and documentation. The results indicate that OSH implementation has been fairly effective through the application of standard operating procedures (SOPs), the use of personal protective equipment (PPE), the provision of safety facilities, supervision, and periodic evaluations. Potential hazards identified included cuts, hot oil splashes, wet floors, and gas leaks. Compliance with PPE use was generally good, although there was still some inconsistency in the use of hairnets and aprons. It was concluded that OSH implementation at SPPG Kitchen X was already quite good; however, increased supervision and guidance are needed to strengthen the workplace safety culture.1939-1954 -
Identifikasi Bahaya dan Risiko Keselamatan dan Kesehatan Kerja pada Industri Tahu APU
Taufikah Mahmudah, Wartini Wartini, Nur Ani, Nine Elissa MaharaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1101 | Check in Google Scholar
This study was motivated by the high potential hazards and low implementation of risk control measures in small and medium-sized tofu industries, which frequently lead to occupational accidents. The purpose of this study was to identify hazards, assess risk levels, and determine appropriate risk control measures at the APU Tofu Factory MSME. This research employed a quantitative descriptive method with a case study approach. Data were collected through direct observation, interviews, and document reviews across nine stages of the tofu production process. Data analysis was conducted using the Hazard Identification and Risk Assessment (HIRA) method. Data validity was ensured through method triangulation. The results identified 53 potential hazards consisting of physical, ergonomic, mechanical, biological, and chemical hazards. Physical hazards were the most dominant type (52.8%), particularly slippery floors, heat exposure, and boiling steam exposure. Risk assessment showed that 36 risks (67.9%) were categorized as medium risk, 11 risks (20.8%) as high risk, and 6 risks (11.3%) as low risk. The dominant risks included slips and falls, musculoskeletal disorders, burns, and occupational heat stress. This study recommends risk control measures through engineering controls (drainage system repair), administrative controls (work rotation and occupational safety training), and the use of appropriate standard personal protective equipment (PPE). These findings are expected to serve as a basis for developing occupational safety and health systems in the tofu industry MSME sector.1954-1967 -
Gambaran Sanitasi Lingkungan Kerja dan Tingkat Kepadatan Lalat di Satuan Pelayanan Pemenuhan Gizi Kota Manado Tahun 2026
Arum Anisa Mokodompit, Paul Artur Tennov Kawatu, Woodford Baren Solaiman Joseph, Vennetia Ryckerens DanesShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1106 | Check in Google Scholar
The Free Nutritious Meals (Makan Bergizi Gratis/MBG) Program is a government initiative implemented through Nutrition Fulfillment Service Units (Satuan Pelayanan Pemenuhan Gizi/SPPG) to provide nutritious meals for beneficiaries. Food safety in this program is influenced by work environment sanitation and vector control, particularly flies as potential biological contaminants. This study aimed to describe the work environment sanitation and fly density levels at Nutrition Fulfillment Service Units (SPPG) in Manado City in 2026. A quantitative descriptive study with a cross-sectional approach was conducted involving 13 SPPGs selected through purposive sampling. Data were collected through observations of work environment sanitation based on the Indonesian Ministry of Health Regulation Number 2 of 2023 and fly density measurements using the fly grill method at four observation points, namely the main entrance, portioning and packaging area, reusable meal container (ompreng) washing area, and temporary waste storage (TPS) area. The results showed that all SPPGs (100%) met the required work environment sanitation standards, with sanitation scores ranging from 81.40% to 95.35%, although several building and sanitation facility indicators still did not meet the established requirements. The highest fly density was observed in the temporary waste storage area with an average of 8.4 flies per grill, while the lowest was recorded in the portioning and packaging area with an average of 0. It can be concluded that the work environment sanitation at SPPGs in Manado City generally complied with the required standards; however, improvements in several sanitation aspects and strengthened fly control measures are still necessary to support food safety in the implementation of the MBG Program.1968-1980 -
Hubungan Antara Penggunaan Alat Pelindung Telinga (APT) Dengan Keluhan Akibat Kebisingan Pada Pekerja Di Bagian Produksi PT. X
Ayu Nabilla, Perry Boy Chandra Siahaan, Wintah` Wintah, Fikri Faidul Jihad, Zakiyuddin ZakiyuddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1116 | Check in Google Scholar
Noise is one of the physical hazards in the workplace that may cause various health complaints, particularly among workers in the palm oil processing industry. The use of Hearing Protection Devices (HPDs) is one of the preventive measures to reduce the adverse effects of noise exposure; however, its effectiveness depends on workers' compliance in using the devices properly and consistently. This study aimed to determine the relationship between compliance with Hearing Protection Device (HPD) use and noise-related complaints among productionworkers at Company X. This analytical observational study employed a cross-sectional design. The study involved 53 production workers selected using the total sampling technique. Data were collected using a questionnaire on HPD compliance and a questionnaire on noise-related complaints. Data were analyzed using Fisher's Exact Test. The results showed that most respondents complied with HPD use, while themajority still experienced noise-related complaints. Fisher's Exact Test indicated a significant relationship between compliance with HPD useand noise-related complaints (p-value = 0.043). The findings suggest that the use of HPDs alone is insufficient to prevent noise-related complaints. Therefore, comprehensive noise control measures, including engineering controls, administrative controls, and consistent supervision of HPD use, are necessary to reduce the risk of noise-related complaints among workers.1981-1990 -
Efektivitas Edukasi Kesehatan Lingkungan Rumah terhadap Peningkatan Pengetahuan Dan Efikasi Diri Ibu dalam Pengasuhan Anak Berkebutuhan Khusus di SLB Negeri Meulaboh Kabupaten Aceh Barat
Qasrina Qasrina, Ernawati Ernawati, Safrizal Safrizal, Susy Sriwahyuni, Firman Firdauz SaputraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1113 | Check in Google Scholar
A healthy home setting plays a vital role in supporting the developmental progress of children with special needs, while a mother's ability toestablish such conditions is strongly shaped by the level of knowledge and self-efficacy she possesses. This research was conducted toassess how effective home-based environmental health education is in enhancing maternal knowledge and self-efficacy among mothers who care for children with special needs at SLB Negeri Meulaboh, West Aceh Regency. Using a quasi-experimental design with a non-equivalent control group pretest-posttest format, the study involved 63 participants split into an experimental group (n=32) that receivededucational sessions delivered through home visits, and a control group (n=31) that received no such intervention. Statistical testing wascarried out using McNemar's test, the Wilcoxon Signed-Rank test, and the Mann-Whitney U test. The results revealed a statisticallysignificant rise in knowledge across both groups (p<0.001); however, the gain in self-efficacy proved more uniform within the experimental group, where every single participant demonstrated improvement, whereas the control group still included several participants whose scores declined. Comparisons made between the two groups following the intervention further confirmed that the experimental group attained markedly higher scores in both knowledge and self-efficacy relative to the control group (p<0.001). Overall, these outcomes suggest that home environmental health education serves as an effective means of boosting both maternal knowledge andself-efficacy, pointing to its viability as a family-centered promotive intervention model that other special-needs schools with comparable populations could potentially adopt.
1991-2005 -
Hubungan Pengetahuan Ibu Dan Status Gizi dengan Risiko Kejadian Diare pada Balita di Wilayah Kerja Puskesmas Johan Pahlawan Kabupaten Aceh Barat Tahun 2026
Fatima Zuhra, Lili Eky Nursia, T. Alamsyah, Kiswanto Kiswanto, Pesona DessritinaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1105 | Check in Google Scholar
Diarrhea remains a significant public health issue among children under five, with incidence rates fluctuating annually in the working area of Johan Pahlawan Health Center, West Aceh Regency. Maternal knowledge and nutritional status are suspected determinants of diarrhea risk. This study aimed to determine the relationship between maternal knowledge, nutritional status, and the risk of diarrhea among children under five in this area, using an analytical survey design with a cross-sectional approach. The population consisted of all mothers with children aged 12–59 months (3,749 individuals), with a sample of 98 respondents determined using Slovin's formula (90% confidence level) and allocated across 11 villages through proportional random sampling. Data were collected through structured interviews and analyzed using the Chi-Square test (α=0.05). Results showed that out of 98 children, 83 (84.7%) were at risk of diarrhea. A significant relationship was found between the risk of diarrhea and both maternal knowledge (p=0.000) and height-for-age (TB/U) status (p=0.000), whereas weight-for-age (BB/U) status (p=0.321) and weight-for-height (BB/TB) status (p=0.391) showed no significant relationship. It is concluded that improving maternal knowledge and addressing stunting should be priorities in reducing diarrhea risk among children under five. Health centers are recommended to strengthen continuous maternal education and conduct routine growth monitoring at Posyandu for early detection of stunting and prevention of diarrhea.2006-2022 -
Analisis Strategi Dinas Lingkungan Hidup Dalam Penanganan Sampah Liar di Kecamatan Johan Pahlawan
Vera Amalia Azmi, Darmawan Darmawan, Ernawati Ernawati, Susy Sriwahyuni, Kiswanto KiswantoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1107 | Check in Google Scholar
This study aims to analyze the strategy of the Environmental Agency (Environmental Service) of West Aceh Regency in addressing illegal dumping sites in Johan Pahlawan District based on Agus Dwiyanto's five dimensions of public organizational performance, namely productivity, service quality, responsiveness, responsibility, and accountability. This study employed a qualitative approach with a case study design. Eight informants were selected using purposive sampling, consisting of main informants, supporting informants, and key informants. Data were collected through in-depth interviews, observation, and documentation, and were analyzed through data reduction, data display, and conclusion drawing. Data trustworthiness was ensured through source triangulation, technique triangulation, and data triangulation. The findings indicate that the Environmental Agency's strategy includes optimizing vehicle allocation and route distribution, scheduling operational activities, conducting patrols at illegal dumping hotspots, providing a WhatsApp-based complaint service, implementing standard operating procedures (SOP) for waste removal, enforcing the local Qanun through persuasive approaches and administrative responses, and applying digital reporting supported by before-and-after documentation. These strategies have improved the effectiveness of waste management services and enhanced environmental cleanliness at several illegal dumping sites. However, they have not fully prevented the recurrence of illegal dumping due to limited operational facilities, inconsistent law enforcement, and low public compliance. The study concludes that the effectiveness of illegal dumping management should be strengthened through hotspot-based monitoring, consistent enforcement of regulations, and increased participation of village governments and the community.2023-2039 -
Analisis Data Sekunder Kecelakaan Kerja di Wilayah Kerja BPJS Ketenagakerjaan Cabang Meulaboh Pada Pekerja di PT. X Kabupaten Aceh Singkil Tahun 2025
Resa Sri Wahyuni, Wintah Wintah, Siti Maisyaroh Fitri Siregar, Zakiyuddin Zakiyuddin, Pesona DessritinaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1108 | Check in Google Scholar
Occupational accidents are unforeseen events that generally occur beyond operational predictions. This study aims to identify and analyze various factors associated with the incidence of workplace accidents among participants of the BPJS Ketenagakerjaan Meulaboh Branch throughout 2025. A quantitative method with a cross-sectional design was applied. The study population comprised all 154 workers who filed claims for Work Accident Insurance (JKK). Using a purposive sampling technique, the sample was focused on the region with the highest case prevalence among the eight regencies under the BPJS working area, yielding 50 specific cases at PT. X in Aceh Singkil Regency. The data source relied entirely on secondary data from JKK claim reports for the 2025 period. Characteristics of age, length of service, accident type, time of occurrence, incident location, along with aspects of unsafe actions and unsafe conditions were analyzed using a univariate approach, while the bivariate hypothesis was tested using fisher's exact test. Statistical analysis demonstrated a significant association between workplace accidents and accident location (p=0.039), unsafe actions (p=0.022), and physical work environment conditions (p=0.000). Conversely, no significant correlation was found for age (p=0.597), length of service (p=0.224), or time of the accident (p=0.233). This study concludes that spatial/location factors, behavioral deviations from safety protocols, and sub-standard environmental conditions are closely linked to workplace accidents at PT. X, Aceh Singkil Regency, in 2025. It is recommended that the company tighten the implementation of the Occupational Safety and Health Management System (SMK3), supported by technical education programs and routine OSH supervision to mitigate operational risks.2040-2051 -
Hubungan Pelaksanaan Program Rujuk Balik (PRB) BPJS Kesehatan Dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Puskesmas Meurebo Kabupaten Aceh Barat
Masriana Masriana, Susy Sriwahyuni, Meutia Paradhiba, Wintah Wintah, Siti Maisyaroh Fitri SiregarShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1109 | Check in Google Scholar
Hypertension is a chronic disease that requires long-term treatment; however, medication adherence among patients with hypertension remains a major challenge in achieving optimal blood pressure control and preventing complications. Although the BPJS Kesehatan Back-Referral Program (BRP) has been implemented to ensure continuity of care for patients with chronic diseases, many patients with hypertension remain non-adherent to their prescribed medication. This study aimed to analyze the relationship between the implementation of the BPJS Kesehatan Back-Referral Program (BRP) and medication adherence among patients with hypertension at Meurebo Community Health Center, West Aceh Regency. This study employed a quantitative approach using a cross-sectional design. The study population consisted of 365 hypertensive patients enrolled in the BPJS Kesehatan Back-Referral Program, and a sample of 79 respondents was selected using an accidental sampling technique. Data were collected through structured questionnaire-based interviews and analyzed using the Chi-square test with a 95% confidence level. The results showed that 72.2% of respondents experienced a high level of Back-Referral Program implementation, while 75.9% demonstrated good medication adherence. Bivariate analysis revealed a statistically significant relationship between the Back-Referral Program and medication adherence among patients with hypertension (p = 0.001). Patients with a high level of Back-Referral Program implementation were 18.2 times more likely to adhere to their medication than those with a moderate level of program implementation (OR = 18.200; 95% CI = 5.144–64.395). It can be concluded that the implementation of the BPJS Kesehatan Back-Referral Program was significantly associated with medication adherence among patients with hypertension. Optimizing the implementation of the Back-Referral Program through improved healthcare services, health education, and routine patient monitoring is expected to enhance medication adherence and support sustainable hypertension management.
2052-2063 -
Analisis Penyebab Kelelahan kerja (Fatigue) Operator Dump Truck Pada Proses Coal Getting Di Wilayah Kerja Pt Bara Energi Lestari
Tiara Maulida, Zakiyuddin Zakiyuddin, T.M. Rafsanjani, Fakhrurradhi Luthfi, Jun Musnadi IsShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1110 | Check in Google Scholar
The mining industry is a sector with a high level of occupational safety risk. One of the factors that can increase the risk of workplace accidents is work fatigue, as it may reduce the concentration, alertness, and productivity of heavy equipment operators. At PT Bara Energi Lestari, the coal getting process utilizes dump trucks equipped with a Driver Monitoring System (DMS) integrated into dashcams to monitor operators’ conditions. Based on preliminary monitoring conducted by the Health, Safety, and Environment (HSE) department using this system, several operators exhibited signs of fatigue, such as repeated yawning and prolonged eye closure for several seconds. These conditions may increase the risk of occupational accidents, highlighting the need to identify the factors contributing to work fatigue among dump truck operators. This study aimed to analyze the factors causing work fatigue among dump truck operators during the coal getting process in the working area of PT Bara Energi Lestari. A qualitative study with a descriptive approach was employed to gain an in-depth understanding of the causes of work fatigue among dump truck operators. Informants were selected using a purposive sampling technique, involving five participants. Data were collected through observations and in-depth interviews. The findings identified several major factors contributing to operator fatigue, including internal factors (4–6 hours of sleep duration, low back pain, and consumption of carbohydrate-rich snacks) and external factors (extreme working environment, night shifts, travel distance, and workload). The dashcam monitoring system was considered highly effective as a company control measure. Operator fatigue resulted from the interaction of poor sleep quality due to night shifts, musculoskeletal complaints, carbohydrate consumption patterns, exposure to extreme working environments, workload, uneven haul roads, and mechanical vibration from the dump truck units.2064-2076 -
Hubungan Kualitas Aplikasi dan Kemudahan Penggunaan dengan Kepuasan Pengguna Aplikasi Jamsostek Mobile (JMO) pada Karyawan PT. Tanduk Perkasa Unit Pemeliharaan, Operasi dan Energi Primer
Putri Fera Yolanda, Siti Maisyaroh Fitri Siregar, Darmawan Darmawan, Fakhrullradhi Fakhrullradhi, Mardhi FadillahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1115 | Check in Google Scholar
The digital transformation of employment social security services through the Jamsostek Mobile (JMO) app requires a high-quality, user-friendly app to improve user satisfaction. At PT. Tanduk Perkasa’s Maintenance, Operations, and Primary Energy Unit, the JMO usage rate remains relatively low (65%); therefore, this study aims to analyze the relationship between app quality and ease of use and user satisfaction with the JMO app. This study employed a quantitative approach with a cross-sectional design. The population consisted of 113 employees who use JMO, with a sample of 88 respondents determined using the Slovin formula (5% margin of error). The sampling technique was based on a contrastive approach. Data were collected using questionnaires and interviews, while data analysis was performed using the Chi-Square test. The results of the descriptive analysis show that most respondents found the Jamsostek Mobile (JMO) app difficult to use, with 60.2% stating that the app’s quality did not meet their expectations and a relatively low user satisfaction rate of 57.9%. These findings indicate that the implementation of JMO digital services at PT. Tanduk Perkasa’s Maintenance, Operations, and Primary Energy Unit has not yet been optimal. The results of a bivariate analysis using the Chi-Square test show a significant relationship between ease of use and satisfaction with the JMO application (p = 0.000), as well as between application quality and satisfaction with the JMO application (p = 0.006). It was concluded that the better the quality of the application and the easier it is to use, the higher user satisfaction will be. Therefore, system improvements, interface simplification, enhanced application stability, and ongoing outreach are needed to increase satisfaction and the effectiveness of JMO usage.
2084-2092 -
Penerapan Metode System Dynamics dalam Perancangan Strategi Circular Economy untuk Mengurangi Food Waste Pada UMKM Roti Srikandi
Mohammad Syafril Alifianto Syafril, Abdul WahidShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1111 | Check in Google Scholar
Limbah makanan (food waste) merupakan permasalahan yang berdampak signifikan terhadap aspek ekonomi, sosial, dan lingkungan, termasuk pada industri pengolahan roti berskala UMKM. Penelitian ini bertujuan untuk mengidentifikasi keterkaitan antar variabel yang memengaruhi timbulan food waste, membangun model simulasi system dynamics, serta merumuskan strategi circular economy yang paling efektif untuk meminimalisir limbah pada UMKM Roti Srikandi. Penelitian menggunakan pendekatan system dynamics dengan data primer yang diperoleh melalui wawancara dan observasi terhadap lima responden ahli (empat karyawan dan satu pemilik usaha), serta data sekunder berupa data produksi dan limbah perusahaan selama tiga bulan terakhir. Pengolahan data dilakukan melalui penyusunan Causal Loop Diagram (CLD) dan Stock and Flow Diagram (SFD) menggunakan perangkat lunak Vensim, kemudian disimulasikan untuk mengamati perilaku sistem produksi dan timbulan limbah selama periode simulasi. Hasil penelitian menunjukkan bahwa sistem produksi memiliki satu reinforcing loop dan dua balancing loop yang saling memengaruhi antara persediaan bahan baku, efisiensi produksi, dan akumulasi limbah. Simulasi memperlihatkan bahwa tanpa intervensi, akumulasi limbah terus meningkat seiring pertumbuhan produksi. Tiga skenario circular economy, yaitu reduce, reuse, dan recycle, terbukti mampu menekan laju pertumbuhan limbah, dengan penerapan secara terintegrasi memberikan hasil paling optimal. Penelitian ini merekomendasikan penerapan bertahap ketiga strategi tersebut sebagai solusi berkelanjutan bagi UMKM pengolahan roti dalam mengurangi food waste sekaligus meningkatkan efisiensi produksi.
2093-2101 -
Perancangan UI/UX Media Pembelajaran Interaktif Pengenalan Bentuk dan Warna Menggunakan Design Thinking pada TK
Nadia Putri Salsabila, Prastuti Sulistyorini, Riski SulistiyaningsihShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1096 | Check in Google Scholar
Pembelajaran pengenalan bentuk dan warna di TK Al Ikhlas 01 Batang masih didominasi media konvensional sehinggainteraksi belajar kurang optimal dan belum mampumeningkatkan keterlibatan siswa secara maksimal. Oleh karena itu, penelitian ini bertujuan untuk merancang User Interface (UI) dan User Experience (UX) pada media pembelajaran interaktif pengenalan bentuk dan warna menggunakan metode Design Thinking. Pada penelitian ini menggunakan pendekatan deskriptif kualitatif dengan informan guru TK Al Ikhlas 01 Batang. Data dikumpulkan melalui observasi, dan wawancara. Proses perancangan dilakukan melalui tahapan Design Thinking, yaitu empathize, define, ideate, prototype, dan test. Hasil penelitian menunjukkan bahwa pengguna membutuhkan media pembelajaran yang mudah digunakan, menarik secara visual, dan sesuai dengan karakteristik anak usia dini. Berdasarkan kebutuhan tersebut, dirancang prototipe media pembelajaran interaktif berbasis Microsoft PowerPoint yang dilengkapi materipengenalan bentuk dan warna, kuis interaktif, navigasisederhana, ilustrasi menarik, serta fitur umpan balik yang memanfaatkan hyperlink, trigger animation, dan action button. Hasil evaluasi menunjukkan bahwa rancangan yang dihasilkan mampu memenuhi kebutuhan pengguna dan berpotensi meningkatkan kualitas penyampaian materi. Dengan demikian, Design Thinking dapat menjadi pendekatan yang efektif dalam perancangan media pembelajaran interaktif yang berorientasi pada kebutuhan pengguna.
2102-2112 -
Risk-Based Business Continuity Strategy for a Newspaper Printing Company: a Qualitative Case Study
Khansa Aida Dewiyanti, Ana NoveriaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1117 | Check in Google Scholar
The continuing decline of the print media industry has caused increasing pressure on newspaper printing companies and threatens their long-term business continuity. PT Mediacetak, a newspaper printing company that still heavily dependent on a single internal client and operates with single-unit production equipment, has no formal risk management system and is therefore vulnerable to both internal and external risks. This study aims to identify the company's key business risks, assess their likelihood and impact, and develop mitigation strategies that support its business continuity. This study adopts the ISO 31000:2018 framework using a qualitative single-case study approach. Primary data were collected through semi-structured interviews with five key respondents and a risk scoring questionnaire completed by six employees across functional areas. Interview data were analysed using deductive thematic analysis, while risk levels were determined by multiplying the average likelihood and impact scores. The findings identified 23 risks across six categories, which are strategic, operational, financial, supply chain, human resource, and external and technology risks, of which 13 were classified as priority risks. Treatment strategies were developed for all priority risks, including preventive maintenance, backup supplier arrangements, pricing adjustment mechanisms, and business diversification. Residual risk analysis indicates that the proposed treatments reduced most priority risks to the Moderate level, although several strategic and external risks remained at higher levels because they are driven by factors beyond the company's control. The study concludes that while operational risks can be managed through internal improvements, the company's long-term business continuity depends heavily on successful diversification beyond newspaper printing.
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Identifikasi Potensi Bahaya dan Analisis Risiko Keselamatan dan Kesehatan Kerja Menggunakan Metode Job Safety Analysis (JSA) pada Tim Dapur Satuan Pelayanan Pemenuhan Gizi (SPPG) X
Naria Juwita, Safrizal Safrizal, Susy Sriwahyuni, Jun Musnadi Is, Fakhrurradhi LuthfiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1119 | Check in Google Scholar
The work environment at the Nutrition Service Unit (SPPG) poses various potential hazards that can affect workers’ safety and health, particularly during food processing and portioning activities. Preliminary observations indicate that workers are at risk of injuries from sharp equipment, heat exposure, and fatigue, as well as inconsistent use of personal protective equipment (PPE). This study aims to identify potential hazards, analyze occupational safety and health risk levels using the Job Safety Analysis (JSA) method, and develop risk control recommendations for the SPPG X kitchen team. The study employed a qualitative method with a descriptive approach. Seven informants were selected through purposive sampling, consisting of the SPPG head, the kitchen manager, the cooking team, and the portioning team. Data collection was conducted through observation, in-depth interviews, and documentation, and was subsequently analyzed using the Miles and Huberman model. The results showed that potential hazards for the cooking team included cuts, burns from hot oil and steam, fire risks from gas stoves, and musculoskeletal disorders resulting from prolonged standing. For the serving team, potential hazards were dominated by ergonomic factors such as static work postures, heavy lifting, and work-related fatigue. The risk assessment indicates that frying and the use of gas stoves fall into the high-risk category, while most other activities fall into the moderate-risk category. Risk control measures must be implemented through the application of SOPs, occupational safety and health (K3) training, consistent use of PPE, ergonomic improvements, routine equipment inspections, and ongoing supervision to create a safer work environment.2125-2142 -
Hubungan Pengetahuan dan Sikap dengan Kelengkapan Penggunaan APD Pada Pekerja PT X
Rini Angraini Harahap, Mardi Fadillah, Onetusfifsi Putra, Muhammad Iqbal Fahlevi, Safrizal SafrizalShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1120 | Check in Google Scholar
Personal Protective Equipment (PPE) represents an essential effort to reduce the occurrence of occupational accidents and must be worn by every worker. In practice, however, a number of workers remain non-compliant in wearing it while on duty. This research sought to examine how knowledge and attitude relate to the completeness of PPE use among employees of PT X. The study applied a cross-sectional design involving 36 workers who were determined through the total sampling technique. Information was gathered using questionnaires and subsequently processed with the Chi-Square test. Findings revealed no meaningful association between knowledge and the completeness of PPE use (p-value = 0.710), and likewise no meaningful association between attitude and the completeness of PPE use (p-value = 0.264). It is therefore concluded that neither knowledge nor attitude is linked to the completeness of PPE use among PT X workers. The findings are expected to provide a reference for the company in strengthening occupational health and safety practices through improved supervision and guidance.2143-2151 -
Integrasi Vertikal Ke Belakang pada Peternakan Ayam Petelur: Analisis Kelayakan Investasi Rearing House di Senopati Farm
Indira Wafaa Nur, Ana NoveriaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1122 | Check in Google Scholar
This research aims to analyze the financial feasibility of a rearing house investment for layer chickens at Senopati Farm, a medium-scale poultry farm in South Lampung, and to identify the variable most sensitive to the investment's feasibility. The investment was undertaken in response to Senopati Farm's complete dependence on external suppliers for pullet chickens, which exposed the farm to price volatility, inconsistent biological quality, and supply uncertainty. This study applies a quantitative case study approach, using primary data from interviews with Senopati Farm's management and secondary data from the company's financial and operational records, government regulations, and Lohmann Brown management guidelines. Feasibility was assessed using four capital budgeting criteria, namely Net Present Value (NPV), Internal Rate of Return (IRR), Profitability Index (PI), and Payback Period (PP), discounted at a Weighted Average Cost of Capital (WACC) of 10.20%. Risk analysis was conducted using sensitivity analysis with a tornado diagram and a Monte Carlo simulation of 1,000 iterations to evaluate the impact of uncertainty on investment feasibility. The results show that the rearing house investment is financially feasible, generating an NPV of Rp2,196,969,499, an IRR of 35.18%, a PI of 3.19, and a payback period of 2 years and 22 days, all within the ten-year project lifetime. Grower feed price was identified as the most sensitive variable, capable of turning the project's NPV negative with a 20% price increase. The study concludes that Senopati Farm's backward vertical integration decision creates financial value, though its sustained performance depends on management's ability to control feed price risk exposure.2152-2159 -
Analisa Penyebab Kerusakan Mesin Tenun dengan Menggunakan Integrasi FMEA, FTA, dan Age Replacement
Farhan Ramadhan, Indah Apriliana Sari WShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1125 | Check in Google Scholar
Weaving machines play a crucial role in ensuring the smooth running of the textile production process. Repeated machine failures can lead to decreased production output and increased downtime. This study aims to identify potential failures, analyze the root causes of weaving machine failures, and prioritize appropriate repairs. The methods used are Failure Mode and Effect Analysis (FMEA) and Fault Tree Analysis (FTA) to identify failure modes and root causes of damage, as well as the Age Replacement method through the calculation of Mean Time Between Failure (MTBF) and Mean Time To Failure (MTTF) to analyze the level of machine reliability. Data were obtained from observations, interviews, and historical data of machine failures. The findings indicate that the shuttle, oil pump, and connecting rod are the most critical components of the weaving machine, as they recorded the highest Risk Priority Number (RPN) values of 360, 280, and 245, respectively. These results suggest that the three components should be given priority in maintenance planning. The analysis further revealed that their failures are primarily associated with component wear, excessive friction, poor lubricant quality, blockage within the lubrication system, excessive operating loads, high vibration levels, and improper component installation. Based on the Age Replacement analysis, the recommended preventive maintenance interval is 243 operating hours for repairable components and 87.4 operating hours for non-repairable components. Implementing these maintenance intervals is expected to reduce the frequency of machine failures, minimize downtime, and improve the overall reliability and operational performance of the weaving machine.2160-2167 -
Formulasi Kebijakan Penanggulangan Bencana di Kabupaten Musi Rawas
Nur Misnah Azhari, Jatmiko Yogo Priyanto, Is SusantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1124 | Check in Google Scholar
Penelitian ini bertujuan untuk menganalisis proses formulasi kebijakan penanggulangan bencana di Kabupaten Musi Rawas, meliputi aktor yang terlibat, hambatan regulasi, kelembagaan, dan koordinasi, serta evaluasi sejauh mana proses ini menghasilkan kebijakan yang terencana, terpadu, dan responsif. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan studi kasus terhadap proses penyusunan Naskah Akademik Rancangan Peraturan Daerah tentang Penanggulangan Bencana. Data dikumpulkan melalui wawancara mendalam dengan Tim Penyusun dan informan kunci, serta melalui kajian dokumen resmi (Surat Keputusan Tim Asistensi, laporan pelatihan, dan rancangan Naskah Akademik), dan dianalisis menggunakan kerangka formulasi kebijakan James E. Anderson dengan tiga indikator: penyusunan agenda, perumusan alternatif, dan pembuatan kebijakan. Hasil penelitian menunjukkan bahwa isu bencana diangkat ke agenda formal melalui Surat Keputusan Nomor 007/KPTS/BPBD/2025 yang diterbitkan oleh Kepala Pelaksana Badan Penanggulangan Bencana Daerah (BPBD). Perumusan alternatif dilaksanakan melalui pelatihan dan pendampingan kolaboratif antara BPBD dan Laboratorium Administrasi Publik Fakultas Ilmu Sosial dan Ilmu Politik (FISIP) Universitas Bengkulu, yang menghasilkan rancangan Naskah Akademik yang lengkap mencakup Bab I–VI, sementara tahap pembuatan kebijakan masih dalam proses harmonisasi dan pembahasan bersama Dewan Perwakilan Rakyat Daerah (DPRD). Hambatan utama yang teridentifikasi meliputi kesenjangan regulasi, keterbatasan kelembagaan BPBD, dan lemahnya koordinasi lintas sektor. Secara praktis, temuan ini menjadi masukan bagi Pemerintah Kabupaten Musi Rawas dan DPRD dalam mempercepat harmonisasi dan pengesahan Peraturan Daerah tentang Penanggulangan Bencana, sekaligus berkontribusi secara sosial terhadap perlindungan hak-hak masyarakat terdampak bencana dan penguatan partisipasi warga. Orisinalitas penelitian ini terletak pada fokusnya dalam mengisi kesenjangan kajian penanggulangan bencana—yang selama ini didominasi oleh kajian implementasi—dengan menyoroti tahap formulasi kebijakan di tingkat lokal melalui analisis dokumen kebijakan yang aktual.
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Business Model And Decision Analysis of Sharia Bullion Bank Implementation at PT Bank Syariah Indonesia TBK
Maula Harfi, Oktofa Yudha SudrajadShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1123 | Check in Google Scholar
Indonesia ranks among major global gold producers but experiences massive capital outflow by relying on foreign financial hubs for precious metal refining and liquidity management. Domestic manufacturing industries must import refined gold bars because local financial institutions lack capacity to facilitate wholesale physical lending. This research aims to develop the most optimal business model for PT Bank Syariah Indonesia Tbk to transition into wholesale markets while maintaining absolute adherence to Islamic jurisprudence. The study utilizes one exploratory sequential mixed method design, combining global benchmarking and Multi Criteria Decision Analysis via the Analytic Hierarchy Process. Primary data collection involves in depth interviews and pairwise comparison questionnaires distributed to four senior executives. Mathematical synthesis reveals Regulatory and Sharia Compliance receives maximum priority with the weight of 0.589. Evaluating alternatives yields the Wholesale Centric Model as the most optimal choice, dominating with the global priority score of 0.557 over Retail Centric Models and Integrated Digital Ecosystems. The research concludes that upgrading physical vaulting infrastructure and securing London Bullion Market Association certification are vital to capture interbank liquidity margins and optimize state foreign exchange reserves.
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Perancangan Sistem Kerja Pada Proses Produksi Tas dengan Menggunakan Metode Full Time Equivalent (FTE) dan Macroergonomic Analysis And Design (MEAD)
Mochamad Fatkhur Rozi, Boy Isma PutraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1126 | Check in Google Scholar
The increasing production demand at UKM Gudang Tas has significantly increased operators' workload, leading the company to implement overtime and reduce break times to meet production targets. These conditions have resulted in increased work errors, higher defect rates, and decreased productivity. This study aims to analyze operators' workload using the Full Time Equivalent (FTE) method, evaluate physical workload using the Cardiovascular Load (CVL) method, and develop work system improvement proposals through the Macroergonomic Analysis and Design (MEAD) approach. Data were collected through direct observations, work time measurements, interviews, and documentation. The FTE analysis showed that the cutting, stitching, and finishing processes had FTE values of 1.538, 1.765, and 1.490, respectively, indicating overload conditions, while the material preparation process had an FTE value of 1.150, which was within the normal category. The CVL analysis revealed that 60% of the operators in the stitching process required improvements in working conditions. Furthermore, the MEAD analysis identified work organization, work methods, and material handling as the primary variances contributing to the excessive workload. Based on these findings, several improvement proposals were developed, including job redistribution, work procedure standardization, layout redesign, material handling improvements, and operator training. The implementation of these recommendations is expected to create a more effective work system, balance operator workload, reduce non-value-added activities, and improve the company's productivity.2188-2199 -
Faktor-Faktor Yang Berhubungan Dengan Kejadian Campak Pada Balita Di Wilayah Kerja Puskesmas Blang Pidie Kabupaten Aceh Barat Daya Tahun 2025
Alda Maqfirah, Yarmaliza Yarmaliza, Firman Firdauz Saputra, Wintah Wintah, Pesona DessritinaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1141 | Check in Google Scholar
Measles is an infection caused by the Measles morbillivirus virus that is highly contagious and has the potential to trigger severe complications such as pneumonia, acute diarrhea, encephalitis, and even death, particularly in children under five years old. Although immunization is available as a preventive measure, measles cases remain an unresolved public health burden. During the period from June to December 2025, 40 cases of measles were recorded in the Working Area of the Blang Pidie Health Center, Southwest Aceh Regency—the highest number in the district. This study employed a quantitative approach using a case-control design to identify and analyze factors that increase the risk of measles in toddlers in the same health center's working area throughout 2025. The study population included 1,415 toddlers registered in the Blang Pidie Health Center's working area. From this number, 80 respondents were selected as samples with a 1:1 ratio, consisting of 40 toddlers in the case group and 40 toddlers in the control group. Data collection was conducted through interviews using a questionnaire that had been tested for validity and reliability. Bivariate analysis was then applied using the Chi-Square test at a 95% confidence level with an α value of 0.05. The study findings revealed that there was no significant correlation between measles immunization status and the incidence of the disease in toddlers (p-value = 0.0797; OR = 1.307). Similarly, the level of maternal knowledge was not associated with measles incidence (p-value = 0.0612; OR = 0.677). Furthermore, neither the father's educational background (p-value = 0.743) nor the mother's education (p-value = 0.929) showed a significant relationship with measles cases in children under five years old. The analysis results indicated that several variables had no significant relationship with measles incidence in toddlers. These factors include measles immunization status (OR = 1.307), maternal knowledge (OR = 0.677), and the educational levels of both father and mother. However, toddlers who did not receive complete immunization faced a 1.3 times higher risk of contracting measles. The Southwest Aceh Regency Health Office should intensify the measles and MR vaccination program, expand health education for the community, and conduct routine evaluations of immunization achievements to reduce the number of measles cases in children under five years old.
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Hubungan Antara Perilaku Pelaksanaan 4M Plus dengan Kejadian Penyakit Demam Berdarah Dengue di Puskesmas Tatelu
Alfa Prisilia Maria Manua, Afnal Asrifuddin, Grace D. KandouShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1145 | Check in Google Scholar
Dengue fever is a disease caused by the dengue virus transmitted by the Aedes aegypti and Aedes albopictu mosquitoes. The incidence of dengue fever in Indonesia as of week 22 of 2022 was 45,387 cases, while deaths due to dengue fever reached 432 cases. The Ministry of Health reported that in Indonesia, cases of dengue hemorrhagic fever (DHF) reached 71,633 as of July 2020. According to data from the Minut Health Office (Dinkes), a total of 364 dengue fever cases were detected throughout 2024. The Tatelu Community Health Center (Puskesmas) is an area with a high dengue fever prevalence. In 2022, 27 cases were detected, increasing to 67 in 2023. In 2024, the number increased dramatically, reaching 110 cases between January and May 2024. This study aimed to analyze the relationship between the implementation of 4M Plus and the incidence of dengue fever at the Tatelu Community Health Center. The study used a quantitative method with an analytical observational study design, a cross-sectional study, and was conducted from February to March 2026. A sample of 71 people was selected based on inclusion and exclusion criteria using a purposive sampling technique. The Chi-square test yielded a p-value for the relationship between 4M Plus implementation and dengue fever incidence of 0.000. Based on this study, it can be concluded that there is a meaningful relationship between the implementation of 4M Plus and the incidence of DHF at the Tatelu Community Health Center.2210-2221 -
Tatalaksana Komprehensif Preeklampsia Berat Dengan Diabetes Melitus Gestasional Pada Kehamilan Aterm Usia Maternal Lanjut : Laporan Kasus
Eny Rahmawati, Ernawati Ernawati, Rabiah AdawiyahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1151 | Check in Google Scholar
Severe preeclampsia (PE) and gestational diabetes mellitus (GDM) are pregnancy complications that contribute significantly to maternal and perinatal morbidity and mortality . Both conditions increase the risk of endothelial dysfunction, uteroplacental insufficiency, fetal growth restriction, and labor complications. Early identification and appropriate management are crucial to prevent adverse outcomes for both mother and fetus. A woman presented with abdominal tenderness, accompanied by severe dizziness, the patient complained of swollen feet and dizziness since 22 weeks of pregnancy. The patient had a history of GDM diagnosed at 11 weeks of gestation (initial FBS 241 mg/dL) and a history of uncontrolled hypertension. Physical examination revealed a blood pressure of 164/108 mmHg and tachycardia (119 beats/minute). Supporting examinations confirmed hyperglycemia (RBG 220 mg/dL), proteinuria 3+ and glucosuria 2+. Ultrasonography (USG) revealed a single, live intrauterine fetus with an estimated fetal weight of 3397 grams. The patient was given initial therapy consisting of lung maturation with dexamethasone, seizure prophylaxis with magnesium sulfate, and nifedipine as an antihypertensive. Management of DMG includes nutritional therapy, and serial blood glucose monitoring. Immediate termination of pregnancy was performed via Caesarean section (CS) integrated with established contraception through the Method of Operating on Women (MOW) due to multiparity and medical risk Postoperative medical monitoring demonstrated good clinical recovery and stable hemodynamics until discharge. This case report aims to evaluate the clinical challenges and management of an elderly multiparous patient with severe preeclampsia and gestational diabetes.
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Gambaran Keluhan Gangguan Pencernaan Pada Pekerja dan Tingkat Kepadatan Lalat di Satuan Pelayanan Pemenuhan Gizi (SPPG) Kota Manado
Aulia Livyanti Barik, Paul Arthur Tennov Kawatu, Sri Seprianto MadussaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1153 | Check in Google Scholar
The Free Nutritious Meal Program (MBG) implemented through Nutrition Fulfillment Service Units (SPPG) requires proper hygiene and sanitation practices to ensure food safety and protect workers' health. Poor environmental sanitation may increase the risk of digestive disorders and the presence of flies as mechanical disease vectors. This study aimed to describe digestive disorder complaints among workers and fly density levels at SPPG in Manado City. A descriptive quantitative study with a cross-sectional design was conducted involving 92 workers selected using total sampling. Data were collected through interviews using questionnaires, observation of personal protective equipment (PPE) use, and fly density measurements using a fly grill*. The results showed that most workers had no history of gastritis (72.8%) and were classified as having low digestive disorder complaints, with heartburn being the most frequently reported symptom. PPE use was generally good; however, compliance with mask and work clothing use still needs improvement. The fly population index at SPPG X was categorized as moderate (1.85), while SPPG Y was categorized as high (3.55), with the highest fly density observed in waste disposal and equipment washing areas. In conclusion, digestive disorder complaints among workers were generally low, but fly density remains a concern, indicating the need to strengthen environmental sanitation, food handler hygiene practices, and sustainable fly control measures.2233-2240 -
Analisis Sistem Inventaris Alat Medis Dalam Mendukung Ketersediaan Sarana Pelayanan Di Rumah Sakit Awal Bros Pekanbaru
Anastasya Shinta Yuliana, Wawa Audia, Wiwik SuryandartiwiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1159 | Check in Google Scholar
The medical device inventory information system functions as a tool for managing medical equipment inventory, including recording the receipt, distribution, return, and stock availability of medical devices. At Awal Bros Hospital Pekanbaru, several problems remain, including manual coordination that prolongs data collection and equipment verification, the accumulation of medical devices in hospital units, limited storage capacity of the SINTA application, and discrepancies between the existing Standard Operating Procedure (SOP) and its implementation. This study aimed to analyze the medical device inventory system in supporting the availability of healthcare facilities at Awal Bros Hospital Pekanbaru. This study used a qualitative content analysis approach. Conducted from January to June 2026, it involved four informants: three key informants (U1, U2, U3) and one supporting informant (P1). Data were collected through interviews, observations, and document reviews, then analyzed by transcription, coding, categorization, and content analysis. The findings showed that the medical device inventory system has not been optimally implemented due to limited SINTA application storage, manual borrowing and return procedures, inadequate internet capacity, and inconsistent implementation of the medical device handover SOP. As a result, the system is not yet effective in terms of actuating, coordinating, facilitating, controlling, and reporting.2241-2255 -
Optimasi Manajemen Logistik Dalam Meningkatkan Efektivitas Pengelolaan Logistik Medis Di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau
Anastasya Shinta Yuliana, Puan Gustama Arrum, Agus SalimShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1160 | Check in Google Scholar
Logistics systems play a crucial role in ensuring the availability of medical equipment and supplies in terms of type, quantity, quality, and timing to support healthcare services in hospitals. At Arifin Achmad Regional General Hospital in Riau Province, several issues in medical logistics management were identified, including suboptimal use of the Hospital Information System (SIMRS), limited warehouse capacity, a high number of damaged medical devices, presence of expired items, and the accumulation of goods in the warehouse. This study employed a qualitative method using a content analysis approach. The research informants consisted of three main informants and one supporting informant. Data collection was conducted through in-depth interviews, observations, and document reviews, while data analysis was carried out through transcription, coding, matrix formation, and content analysis. The results of the study indicate that the implementation of the receipt, storage, maintenance, distribution, and control of medical logistics generally adheres to standard operating procedures. However, medical logistics management has not yet been optimized because some processes are still carried out manually, the use of the SIMRS has not been maximized, warehouse capacity is limited, 1,298 damaged medical devices were found, expired items still exist, and there is a buildup of goods in the storage area. It is concluded that optimizing the use of the SIMRS, reorganizing and expanding warehouse capacity, consistently applying the FIFO and FEFO methods, and enhancing periodic monitoring and evaluation are necessary to improve the effectiveness of medical logistics management at the Arifin Achmad Regional General Hospital in Riau Province.2257-2269 -
IMPORTANCE VALUE INDEX OF MANGROVE VEGETATION IN BALURAN NATIONAL PARK, SITUBONDO, EAST JAVA AS A SUCCESSION STABILIZER
Shelais Ronne Octavia, Fitria Nur Hidayati, Abidah Laily Nisfia, Safira Parsa Qudsia, Firdatul Auliyah, Rania Elirica Aliyah, Lungga Karina Meisa Elora Sugiharto, Rakha Salma Fatimah Azzahra, Desire Triparawati Oktavia, Faiza Dwi Renita, Winarsih Winarsih, Reyna Novita SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1163 | Check in Google Scholar
Mangroves are habitats for living things that can create helpful interactions between the surrounding environment, mangroves are close to the high and low sea water which is overgrown with trees and bushes. From this observation, researchers hope to find various kinds of mangroves and examine the vegetation pattern in accordance with the importance index value in the mangrove area of Baluran National Park, Situbondo, East Java. The purposive sampling method was carried out with quadrant areas at several stations and then identified with the PLantNet application and measured vegetation parameters. After making observations, the results obtained were that the Rhizophora mangle species was the most common type of mangrove observed in the Baluran National Park area. The vegetation pattern of this place is along the coastal edge exposed to sea water.
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Perbedaan Penggunaan Tabung K2EDTA dan K3EDTA Terhadap Hasil Pemeriksaan Kadar Hemoglobin dan Jumlah Eritrosit pada Pasien Sebelum dan Sesudah Hemodialisis
Ananda Putri Purwanti, Suci Indah Astuti, Siti Raudah, Khoirul AnamShow Abstract | DOI: 10.31004/koloni.v5i3.1175 | Check in Google Scholar
Chronic kidney disease (CKD) patients undergoing hemodialysis are prone to anemia due to decreased erythropoietin production, making hemoglobin (Hb) level and erythrocyte count examinations important for monitoring patient condition. The accuracy of hematology results is influenced by pre-analytical factors, including the type of anticoagulant tube used, namely K2EDTA (dry spray) and K3EDTA (liquid). This study aimed to determine the difference in Hb level and erythrocyte count between K2EDTA and K3EDTA tubes in patients before and after hemodialysis at RSUD Kudungga, East Kutai. This quasi-experimental study used a pre-post test design involving 34 respondents selected through total sampling. Venous blood samples were collected before and after hemodialysis, placed into K2EDTA and K3EDTA tubes, and examined using a hematology analyzer. Data were analyzed using the Wilcoxon Signed Rank Test and Paired Samples t-Test. The results showed that mean Hb and erythrocyte count significantly increased after hemodialysis in both tube types (p < 0.001), presumably due to hemoconcentration from ultrafiltration. Comparison between tubes showed a significant difference before hemodialysis (p < 0.001) but no significant difference after hemodialysis (Hb p = 0.175; erythrocytes p = 0.463). It is concluded that K2EDTA and K3EDTA tubes produce relatively comparable results and both can be used for hematology examination in hemodialysis patients according to standard laboratory procedures.
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Gambaran Pengetahuan Peserta JKN tentang Penggunaan Aplikasi Mobile JKN di Puskesmas Sario
Marshanda Diva Triani Sugeha, Ardiansa A. T Tucunan, Nancy S. H. MalondaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1182 | Check in Google Scholar
Mobile JKN is a digital health platform developed by BPJS Kesehatan to assist National Health Insurance (JKN) members in navigating healthcare services more effectively. This study set out to analyze the knowledge profile of JKN participants regarding Mobile JKN utilization at Sario Public Health Center. Employing a descriptive quantitative research scheme with a cross-sectional approach, 105 JKN visitors were enrolled as respondents through accidental sampling. Primary data were compiled via a pre-tested questionnaire measuring validity and reliability. Univariate statistics were executed to render frequency distributions. Demographically, respondents were dominated by the 26–35 age group (33.3%), female gender (62.9%), high school educational background (45.7%), and civil servant status (21.0%). Regarding app usage, most participants knew about Mobile JKN from outreach sessions (37.1%), had been using it for over two years (46.7%), and accessed the platform monthly (57.1%). Overall, 94 participants (89.5%) demonstrated a solid level of knowledge, whereas 11 individuals (10.5%) lacked sufficient understanding. In brief, knowledge concerning Mobile JKN among JKN participants at Sario Public Health Center is predominantly favorable.2291-2296 -
The Evolution And Reconstruction Of The Concept Of Money In Islamic Economics: A Comparative Analysis Of The Dinar-Dirham Towards The Era Of Digital Society 5.0
M Rahul Firmansyah, Khusnudin KhusnudinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1164 | Check in Google Scholar
Penelitian ini diarahkan untuk mengetahui pengaruh penggunaan aplikasi Duolingo terhadap kemampuan membaca teks iklan siswa kelas VIII di MTs Darut Taqwa Kota Semarang. Studi ini mengimplementasikan rancangan pre-experimentaldengan jenis One Group Pretest-Posttest. Sampel pada penelitian ini adalah kelas VIII A yang berjumlah 25 siswa. Data diuji menggunakan statistik deskriptif, uji normalitas, paired sample t-test, dan N-Gain. Hasil penelitian menunjukkan peningkatan signifikan pada kemampuan membaca siswa. Nilai rata-rata pre-test sebesar 43,44 meningkat menjadi 66,72 pada post-test(kenaikan 23,28 poin). Uji paired sample t-test menghasilkan signifikansi <0,001 (p<0,05) dan N-Gain sebesar 50.00% (kategori sedang). Penelitian ini menyimpulkan bahwa Duolingoefektif meningkatkan kemampuan membaca materi iklan melalui fitur interaktif, bite-sized learning, immediate feedback, dan gamifikasi. Aplikasi ini dapat menjadi alternatif media pembelajaran bahasa inggris yang inovatif di tingkat SMP/MTs.
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Hubungan Antara Sikap Kerja dan Keluhan Gangguan Otot Rangka pada Pekerja di Industri Rumah Tangga Pembuatan Tahu di Kleak dan Batu Kota Kecamatan Malalayang Kota Manado
Dita Putri Amalia, Paul Artur Tennov Kawatu, Wulan Pingkan Julia KaunangShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1187 | Check in Google Scholar
Musculoskeletal Disorders (MSDs) are common occupational health problems experienced by workers due to non-ergonomic working postures. Workers in household tofu production industries perform various manual activities, such as lifting soybean sacks, carrying water-filled buckets, pouring soybeans into grinding machines, and working in prolonged bending and standing positions. These activities may increase the risk of MSD complaints and affect workers’ health and productivity. This study aimed to determine the relationship between working posture and Musculoskeletal Disorder (MSD) complaints among workers in household tofu production industries in Kleak and Batu Kota Villages, Malalayang District, Manado City. This study used an observational design with a cross-sectional approach. The sample consisted of 34 workers selected using total sampling. Working posture was assessed using the Rapid Entire Body Assessment (REBA) method, while MSD complaints were measured using the Nordic Musculoskeletal Questionnaire (NMQ). Data were analyzed using univariate and bivariate analyses with the Chi-Square test. The results showed that all respondents were male, with the majority aged 17–25 years. Most workers had high to very high working posture risk based on the REBA assessment. Based on the NMQ, most workers experienced severe MSD complaints, particularly in the right wrist, right shoulder, and lower back. Activities most frequently associated with complaints included transporting soybeans and lifting buckets or basins of water. The Chi-Square test showed a significant relationship between working posture and MSD complaints. It can be concluded that non-ergonomic working postures are associated with increased MSD complaints. Ergonomic improvements, appropriate work aids, facility adjustments, and ergonomic education are needed to reduce the risk of MSDs among workers.2308-2325 -
Analisis Pengaruh Kadar Nikotin dan Non-Tobacco Related Material (NTRM) Terhadap Klasifikasi Grade Tembakau Menggunakan Regresi Linear Berganda Pada PT. X
Nita Nur Awallia, Khoirotul MursyidahKhoirotul@yudharta.ac.idShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1186 | Check in Google Scholar
The tobacco processing industry requires a quality control system capable of producing objective and consistent tobacco grade classification to maintain raw material quality. This study aimed to analyze the influence of nicotine content and Non-Tobacco Related Material (NTRM) on tobacco grade classification at PT X using multiple linear regression analysis. A quantitative approach was employed using secondary data obtained from laboratory testing of fifteen tobacco samples. The independent variables consisted of nicotine content and NTRM, while the dependent variable was tobacco grade. Data analysis was performed using Microsoft Excel with the Data Analysis ToolPak, including descriptive statistics, multiple linear regression, t-test, F-test, and coefficient of determination (R²). The results indicated that nicotine content had a significance value of 0.398, while NTRM had a significance value of 0.220, indicating that both variables had no significant partial effect on tobacco grade. Simultaneous testing also showed no significant effect, with a significance value of 0.126. Furthermore, the coefficient of determination (R²) was 0.292, indicating that the regression model explained only 29.2% of the variation in tobacco grade, while the remaining 70.8% was influenced by other variables outside the research model. These findings suggest that tobacco grade determination at PT Sadhana X is influenced not only by nicotine content and NTRM but also by other quality attributes, particularly the physical characteristics of tobacco leaves.2326-2333 -
Perbandingan Efektivitas Heel Raise Exercise (HRE) dengan Chair Based Exercise Terhadap Keseimbangan Dinamis Pada Lanjut Usia di Banjar Graha Shanti
Elena Puspita K. P, I.A Ratih Wulansari Manuaba, I Putu AstrawanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1191 | Check in Google Scholar
Elderly go through an aging process, which is marked by various declines, especially in dynamic balance. To address this issue, researchers offer a solution in the form of balance exercises, namely Heel Raise Exercise (HRE) and Chair-Based Exercise (CBE). Heel Raise Exercise (HRE) and Chair-Based Exercise (CBE) are balance exercises done through lower limb muscle contractions and are considered safe and easy for older adults to do. The aim of this study is to test the comparative effectiveness of HRE and CBE on dynamic balance in older adults. This research uses a quasi-experimental design with a pre-test and post-test for two groups, with 15 samples each, namely group A and B at Banjar Graha Shanti, West Denpasar District, Bali, who met the inclusion criteria. The sampling technique used is purposive non-probability. The instrument for measuring dynamic balance used the Time Up and Go Test (TUGT). HRE and CBE exercises were given 3 times a week for 4 weeks.
The results of the Paired Samples T-Test pre-test and post-test TUGT in both groups showed a p-value of 0.000 (p<0.05). The results indicate that there was an effect on the improvement of dynamic balance before and after the treatment in both groups. The result of the second hypothesis test, the Independent Samples T-Test between groups, obtained a p-value of 0.048 (p<0.05), which means there was a significant difference between groups in dynamic balance. Group B (CBE) had a higher percentage than Group A (HRE), which was 40.940%. It can be concluded that both exercises have a significant effect on improving dynamic balance, but CBE is more effective than HRE in improving dynamic balance in the elderly at Banjar Graha Shanti, West Denpasar, Bali.
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Pengaruh Growth Mindset Terhadap Self Efficacy Academic Pada Mahasiswa
Kunti Dewi Masyitoh, M WardiantoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1188 | Check in Google Scholar
Higher education requires students to have confidence in their abilities to face various academic demands and complete coursework optimally. One internal factor suspected to play a role in the development of academic self-efficacy is a growth mindset. Therefore, this study aims to examine the effect of a growth mindset on academic self-efficacy in students at the Faculty of Engineering, Yudharta University, Pasuruan. The population in this study was 346 students, while purposive sampling using the Slovin formula was used to determine the sample size, amounting to 193 students. The research instrument used a Likert scale to measure growth mindset and academic self-efficacy. Data analysis was performed using a simple regression test to determine the influence of both variables. The results showed an F-value of 61.818 with a significance value of 0.000, indicating an influence of growth mindset on academic self-efficacy. The coefficient of determination (R²) of 0.245 indicates that growth mindset contributes 24.5% to academic self-efficacy.
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Pendekatan Farmakoterapi Dan Psikososial Pada Pasien Skizofrenia Hebefrenik Dengan Disorganisasi Berat: Laporan Kasus
Sindytia Fahri, Ryan Aditya, Anastasia Ratnawati BiromoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1195 | Check in Google Scholar
Hebephrenic schizophrenia is characterized by disorganized thinking, flat or inappropriate affect, and disorganized behavior. This condition typically appears in late adolescence to young adulthood and is associated with a poor prognosis due to early onset and social functioning. Severe disorganization can lead to persistent decline in social and occupational functioning, especially if treatment is inadequate or not sustained. A 20-year-old man came to the Emergency Department in Hospital accompanied by his family, complaining of unusual behavior. The complaints began in 2019, including disorganized behavior such as talking and laughing to himself without any apparent stimulus, irrelevant responses when spoken to, climbing roof tiles, jumping from the second floor, picking up cigarette butts along the street, taking money without permission, and leaving the house naked. The patient had undergone several months of psychiatric treatment in 2021, but therapy was discontinued. A mental status examination revealed severe disorganized thinking and behavior, flat affect, impaired attention and cognitive function, and auditory hallucinations characterized by talking and laughing to oneself. The patient was diagnosed with hebephrenic schizophrenia and received pharmacological therapy consisting of the atypical antipsychotics Clozapine 1 x 100 mg and Quetiapine 2 x 200 mg combined with Valproic Acid 2 x 500 mg, Lorazepam 2 x 1 mg, and Trihexylphenidyl 2 x 2 mg. Additionally, psychosocial interventions were provided, including psychoeducation. Severe disorganization in hebephrenic schizophrenia is a clinical challenge that requires a sustained multimodal approach encompassing pharmacological therapy and psychosocial interventions. Continuity of pharmacological therapy and psychosocial interventions is crucial for improving social functioning and preventing relapse.2358-2363 -
Pengaruh Penerapan Ergonomi Fisik Terhadap Kenyamanan Kerja Karyawan di PT Matahari Putra Makmur
Moch Syahrul Afifi, Ayik PusakaningwatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1199 | Check in Google Scholar
This study aimed to analyze the implementation of physical ergonomics, determine the level of employee work comfort, and examine the effect of physical ergonomics on employee work comfort at PT Matahari Putra Makmur. This research employed a quantitative method using a survey approach. Data were collected through questionnaires, observations, and documentation involving 10 respondents. The data were analyzed using descriptive statistics, simple linear regression, partial t-test, and the coefficient of determination with Microsoft Excel. The results showed that the average score of physical ergonomics was 21.30, while the average work comfort score was 20.10. The simple linear regression analysis indicated a positive relationship between physical ergonomics and work comfort, with a correlation coefficient (r) of 0.849, indicating a very strong relationship. The partial t-test revealed that the calculated t-value (4.546) was greater than the t-table value (2.306), indicating that physical ergonomics had a positive and significant effect on employee work comfort. The coefficient of determination (R²) was 72.1%, meaning that physical ergonomics explained 72.1% of the variation in employee work comfort, while the remaining 27.9% was influenced by other factors outside the scope of this study. Therefore, improving the implementation of physical ergonomics is expected to create a safer, more comfortable, and more productive work environment.
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Pengaruh Cafe Atmosphere dan Service Quality Terhadap Customer Loyalty yang Dimediasi oleh Customer Satisfaction Kopi Janji Jiwa di Kota Cimahi
Nurfatoni Abdullah Azzam, Edi NurtjahjadiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1179 | Check in Google Scholar
This study examines the influence of café atmosphere and service quality on customer loyalty, with customer satisfaction as a mediating variable, among customers of Kopi Janji Jiwa in Cimahi City. Grounded in the Stimulus-Organism-Response (S-O-R) framework, the research employed a quantitative survey method with 120 respondents selected through purposive sampling. Data were analyzed using multiple regression and the Sobel test with SPSS version 25. The results indicate that café atmosphere and service quality both have a significant positive effect on customer satisfaction. Café atmosphere also has a direct significant effect on customer loyalty, while service quality does not directly affect customer loyalty. Customer satisfaction significantly affects customer loyalty and mediates the relationship between both café atmosphere (partial mediation) and service quality (full mediation) toward customer loyalty. These findings suggest that service quality strengthens loyalty primarily through the satisfaction it generates rather than through a direct pathway, offering practical implications for coffee shop chains competing in increasingly saturated local markets.
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Enhancing Production Performance Through Assembly Line Balancing: A Case Study Of A Motorcycle Final Assembly Line At Pt Rivercape Indonesia
Rais Akbar 'Alim, Akbar Adhi UtamaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1210 | Check in Google Scholar
PT Rivercape Indonesia has been failing to meet its annual production target of 23,000 units on Final Assembly Line F1, with actual output reaching only 20,667 units and an estimated revenue gap of USD 7,821,288.71. This study aims to identify the root cause of this shortfall, formulate improvement alternatives, and select the most appropriate alternative using an Assembly Line Balancing (ALB) approach supported by a Current Reality Tree (CRT) and the Analytic Hierarchy Process (AHP). The research method combined direct observation, focus group discussions, and internal company data collected from January to February 2026. The existing-condition analysis shows that the line operates with 26 workstations and a cycle time of 335 seconds, resulting in a Line Efficiency of only 74.39% and a Balance Delay of 25.61% (categorized as bad according to Yin, 2016). CRT analysis confirmed the root cause as the absence of a mechanism to optimize workstation utilization. Three improvement alternatives were evaluated against a target cycle time of 301 seconds: Alternative 1 (TSALBP Type 2) achieved a Line Efficiency of 82.79%; Alternative 2 (TSALBP Type 1) achieved the most substantial improvement, with a Line Efficiency of 93.90% across 23 workstations; and Alternative 3 (UALBP) achieved a Line Efficiency of 93.59% with a U-shaped layout. Using AHP with a Consistency Ratio of 0.011, Alternative 2 was selected as the most preferred strategy with the highest composite score of 0.500. Implementation of the selected alternative is projected to recover approximately USD 6.42 million of the existing revenue gap through a four-phase, nine-month implementation plan.2381-2386 -
Hubungan antara Dukungan Keluarga dengan Kelengkapan Imunisasi Dasar Bayi di Puskesmas Bahu Kota Manado
Fricilia Ayu Lele Lamba, Chreisye K. F. Mandagi, Asep RahmanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1220 | Check in Google Scholar
Basic immunization is an effective measure for preventing infectious diseases in infants. The completeness of basic immunization is influenced by various factors, one of which is family support. This study aimed to determine the relationship between family support and the completeness of basic immunization among infants aged 0–11 months in the working area of the Bahu Community Health Center (Puskesmas) in Manado City. A cross-sectional study design was employed with a sample of 61 respondents selected using total sampling. Data were collected via questionnaires and analyzed using univariate and bivariate methods, specifically Fisher's Exact Test. The results showed that 55 respondents (90.2%) received good family support, while 6 respondents (9.8%) received poor family support. A total of 55 infants (90.2%) had received complete basic immunization, whereas 6 infants (9.8%) had not. Bivariate analysis yielded a p-value of 1.000 (p > 0.05), indicating no significant relationship between family support and the completeness of basic immunization among infants in the Bahu Community Health Center's working area. It is concluded that the completeness of basic immunization in this study was not associated with family support and was likely influenced by other factors, such as access to healthcare services, education provided by health workers, and the implementation of the immunization program.2387-2396 -
Analisis Risiko Kecelakaan Kerja Operator Mesin Press Botol Plastik dengan Metode HIRA
Mega Yuni Lestari, Misbach MunirShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1219 | Check in Google Scholar
This study aims to identify potential hazards, analyze the level of occupational accident risks, and provide risk control recommendations for plastic bottle press machine operators at CV Barokah Kayane using the quantitative Hazard Identification and Risk Assessment (HIRA) method. This research employed a quantitative descriptive approach, with data collected through field observations, interviews, documentation, and risk assessments based on likelihood and severity parameters. Risk values were calculated to classify risks into low, medium, and high categories. The results identified five major hazards in the plastic bottle pressing process. Two work activities were classified as high risk, namely feeding plastic bottles into the press machine due to the risk of hand entrapment and arranging compressed plastic bales due to the risk of being struck by heavy bales. Three other activities were categorized as medium risk, including the use of cutters that may cause lacerations, liquid spills from plastic bottles that may result in slips, and machine noise that may lead to hearing impairment. Risk control recommendations were developed based on the hierarchy of controls, including the preparation and implementation of Standard Operating Procedures (SOPs), the use of personal protective equipment (PPE), improvements in work methods, proper manual lifting techniques, routine workplace housekeeping, and increased supervision of operator compliance. The study concludes that the quantitative HIRA method effectively identifies and prioritizes occupational accident risks and can serve as a basis for developing risk control programs to improve occupational safety and health at CV Barokah Kayane.2397-2403 -
Strategi Perawatan Preventif dan Perbaikan Kerusakan Sistem Hidrolik Serta Mesin pada Forklift Diesel menggunakan metode FMEA dan metode RCM
M. Hilman Hadafi, Indah Apriliana Sari WShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1222 | Check in Google Scholar
PT. XYZ merupakan suatu perusahaan yang bergerak pada layanan jasa rental dan jasa servis forklift diesel yang mengalami permasalahan tingginya tingkat kerusakan pada sistem hidrolik dan mesin sehingga menyebabkan downtime dan menurunkan produktivitas waktu operasional. Penelitian ini bertujuan untuk mengidentifikasi komponen penting dan menentukan strategi perawatan yang paling efektif menggunakan metode Failure Mode and Effect Analysis (FMEA) dan Reliability Centered Maintenance (RCM). Proses penelitian dilakukan dengan cara observasi, wawancara, dan dokumentasi terhadap data riwayat kerusakan forklift diesel yang kemudian dianalisis menggunakan FMEA untuk mendapatkan nilai Risk Priority Number (RPN) serta RCM untuk menetapkan strategi pemeliharaan. Hasil penelitian menunjukkan terdapat 18 kejadian kerusakan dengan total downtime 84 jam, di mana komponen paling kritis adalah pompa hidrolik (RPN 288), seal silinder hidrolik (RPN 224), injektor (RPN 192), selang hidrolik (RPN 160), dan filter hidrolik (RPN 140). Berdasarkan hasil RCM, strategi pemeliharaan yang direkomendasikan meliputi Scheduled Restoration Task, Scheduled Discard Task, dan Scheduled On Condition Task sesuai karakteristik masing-masing komponen. Penerapan kedua metode tersebut diharapkan mampu mengurangi frekuensi kerusakan, menekan downtime, meningkatkan pendinginan forklift diesel, serta mengoptimalkan biaya pemeliharaan di PT. XYZ.2404-2414 -
Ulserasi Kornea Berat Akibat Paparan Aspal : Laporan Kasus
Gustia Puja Maharani, Oktarina OktarinaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1224 | Check in Google Scholar
Infection is the leading cause of blindness in developing countries and results in corneal ulcers. If not addressed, increasing tissue damage may result in perforation and visual loss. This case report addresses bacterial corneal ulcers resulting from asphalt exposure. The physical examination indicated a visual acuity of 1/~ in the right eye and 6/6 in the left eye, accompanied with eyelid edema, conjunctival and circumcorneal congestion, a complete corneal epithelial defect, corneal stromal turbidity, and desmetocele. The case was deemed severe, and conjunctival flap surgery was conducted. This case presentation aims to enhance comprehension of corneal ulceration processes and management, particularly in recognizing instances where pharmaceutical treatment is inadequate.2415-2421 -
Formulasi dan Karakterisasi Sabun Batang Berbasis Minyak Kelapa dan Olive Oil dengan Penambahan Minyak Atsiri Bunga Mawar (Rosa hybrida) sebagai Implementasi Prinsip Green Chemistry
Jihan Zulfa Nabila, Dyan Hatining Ayu Sudarni, Mohammad Arfi SetiawanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1230 | Check in Google Scholar
This study aimed to formulate and characterize bar soap based on coconut oil and olive oil with the addition of rose essential oil (Rosa hybrida) as an implementation of green chemistry principles. Essential oil was extracted from fresh and dried rose flowers (75 g and 100 g, four replications each) using the Soxhlet method with n-hexane solvent, followed by simple distillation. The best essential oil (fresh flowers, 100 g) was formulated into three soap variations: F1 (100% coconut oil), F2 (100% olive oil), and F3 (50:50 combination), each with 5 mL essential oil added. Characterization included organoleptic, pH, foam stability, antibacterial activity against Staphylococcus aureus and Escherichia coli (well diffusion method), and hedonic tests by 55 panelists. Dried flowers produced a larger oil volume (average 8.8 mL) than fresh flowers (2.45 mL), while fresh flowers produced a sharper aroma. All formulas met SNI 3532:2021 with pH 9.65–10.61. The highest foam stability was achieved by F1 (95.65%), followed by F3 (89.47%) and F2 (87.50%). Antibacterial activity of all formulas was classified as weak (inhibition zones of 1.61–3.11 mm). F3 was the most preferred formula, with the highest estimated selling price (IDR 4,000). The application of green chemistry is reflected in the use of renewable raw materials, relatively safe processes, and biodegradable products.2422-2432 -
Faktor Risiko Delayed Union Dan Nonunion Pada Fraktur Tulang Panjang: Literature Review
Naurah Navalia Izzatul Wafirah, Jennifer Jessica Ami Budinata, Fachrizal Arfani PrawiragaraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1208 | Check in Google Scholar
Delayed union and nonunion are complications in the healing of long bone fractures that can cause delayed functional recovery, decreased quality of life for patients, and increased need for further interventions. This condition occurs due to disturbances in the bone healing process influenced by various biological and mechanical factors. This literature review aims to identify and analyze risk factors associated with the occurrence of delayed union and nonunion in long bone fractures. This study uses the literature review method thru the process of identification, selection, and analysis of various scientific articles based on inclusion and exclusion criteria. The review results show that risk factors include fracture characteristics such as high-energy trauma, open fractures, soft tissue damage, and bone loss; patient factors such as advanced age, diabetes mellitus, osteoporosis, malnutrition, obesity, and smoking; factors related to the operative procedure such as reduction quality, fixation stability, and timing of definitive fixation; and postoperative complications, especially infections. These factors can disrupt vascularization, osteoblast activity, mechanical stability, and callus formation. It can be concluded that delayed union and nonunion are multifactorial conditions that require early risk identification, optimization of patient conditions, and appropriate fracture management to improve bone healing success.
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Laporan Kasus: Glaukoma Absolut Oculus Sinistra
Fernando Yosafat, Siti Fatimah Sah Ramadhan, Meriana RasyidShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1243 | Check in Google Scholar
Absolute glaucoma is the final stage of chronic optic neuropathy, characterized by irreversible damage to the optic nerve head, total vision loss (no light perception/NLP), and often accompanied by persistent eye pain due to high intraocular pressure (IOP). This case report describes a 76-year-old female patient who presented with complaints of severe headache on the left side and swelling and redness of the left eye, with a 7-year history of progressive glaucoma. Ophthalmological examination of the left eye (OS) revealed zero visual acuity (NLP), accompanied by eyelid edema, bulbar conjunctival edema, a corneal defect, a collapsed anterior chamber, an unresponsive mydriatic pupil, and an IOP of 45 mmHg. The patient was diagnosed with absolute glaucoma in the left eye and received palliative medical treatment consisting of timolol maleate eye drops in the left eye and artificial tears in both eyes. This case highlights that chronic, uncontrolled increases in intraocular pressure can lead to permanent blindness that is often resistant to standard therapy. Furthermore, it underscores the importance of early detection, routine examinations, and patient education regarding treatment adherence as key strategies to reduce the incidence of glaucoma-related blindness in Indonesia.2441-2447 -
Evaluasi Kebutuhan Layanan Parkir di Rumah Sakit Awal Bros Panam Pekanbaru
Roni Gunawan, Hetty Ismainar, Yesica DevisShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1244 | Check in Google Scholar
The availability of parking facilities is an important component in supporting the continuity of hospital services, particularly with increasing patient visits and vehicle volume. Awal Bros Panam Hospital Pekanbaru faces limited parking space and vehicle congestion during certain periods. This study aimed to evaluate parking service needs through an assessment of the existing parking area, identification of parking characteristics, evaluation of parking space requirements, and formulation of parking service development recommendations. This study employed a qualitative approach with a case study design. Data were collected through observation, in-depth interviews, and document review involving informants directly related to the management and use of hospital parking facilities. The findings showed that the existing parking service had not fully accommodated user needs. The hospital had made efforts to increase parking space through leased areas and optimization of available land; however, the increasing number of vehicles during certain periods continued to cause congestion and limited parking space. The evaluation indicated the need to optimize land utilization, improve vehicle circulation, regulate the drop-off area, and gradually increase parking capacity. Therefore, optimization and development of the parking layout are needed to improve land-use effectiveness, facilitate vehicle circulation, and support user comfort.2448-2455 -
Efektivitas Analgesik Terhadap Intensitas Nyeri Pasca Seksio Sesarea Berdasarkan NRS (Numeric Rating Scale): Sebuah Tinjauan Literatur
Ilun Fadillah, Erna Prasetyaningrum, Budi RahardjoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1246 | Check in Google Scholar
Post-cesarean section (CS) pain is a clinical problem faced by many postpartum mothers and, if not properly managed, can hinder early mobilization, disrupt breastfeeding, and increase the risk of chronic post-surgical pain. This article aims to analyze analgesic usage patterns and their relationship to the effectiveness of pain intensity reduction following CS, as measured using the Numeric Rating Scale (NRS). A systematic literature search was conducted across the Google Scholar, PubMed, Garuda, and ResearchGate databases, covering publications from 2011 to 2025, yielding 15 articles eligible for further analysis, consisting of five hospital-based observational/descriptive studies in Indonesia, two randomized clinical trials, and eight literature reviews and clinical guidelines. The results of the analysis indicate that injectable ketorolac 30 mg remains the primary non-opioid analgesic of choice in several hospitals in Indonesia and can reduce the mean pain scale by 1.09 to 1.46 points within the first 3–8 hours post-surgery, with 63.6–95.1% of patients achieving mild pain category following therapy. A multimodal regimen combining paracetamol and nonsteroidal anti-inflammatory drugs (NSAIDs) administered preventively was shown to produce lower NRS scores both at rest and during movement at the 4th, 8th, and 12th postoperative hours compared to monotherapy (p<0.05), with an opioid-sparing effect of 20–50%, while intrathecal morphine remains the gold standard for long-term analgesia with a duration of action of 14–36 hours. It can be concluded that the use of scheduled multimodal analgesics, with appropriate dosing and timing, produces better and more consistent post-CS pain control compared to single-agent analgesic use, and its implementation should therefore be strengthened through evidence-based pain management protocols in healthcare facilities.
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Analisis Pengaruh Diameter Kepala Terhadap Nilai DLP Pada Pemeriksaan CT Kepala Non Kontras.
Kresensia Emiliana Igo, I Made Adhi Mahendrayana, I Wayan Balik SudarsanaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1251 | Check in Google Scholar
Computed Tomography is a diagnostic imaging modality that utilizes high-energy X-rays to produce cross-sectional images of the body with good spatial resolution and has become a standard examination in the evaluation of intracranial disorders, such as head trauma, hemorrhage, and stroke. In a Non Contrast Head CT examination, radiation exposure needs to be controlled because it has the potential to cause risks if not optimized. Radiation dose assessment generally uses the CTDIvol and DLP parameters, which are also the basis for determining Diagnostic Reference Levels (DRL). One factor suspected of influencing radiation dose variations is the patient's anatomical size, especially head diameter, because it is related to the X-ray attenuation process and radiation dose distribution. This study aims to analyze the effect of head diameter on DLP values in a Non-Contrast Head CT examination. This study is an observational analytical quantitative study using a retrospective approach. The study population was all adult patients who underwent a Non-Contrast Head CT examination at the Radiology Installation of Wangaya Regional Hospital, Denpasar City, with a sample of 100 data selected using a purposive sampling technique. Data were obtained through DICOM images for anteroposterior and lateral diameter measurements, as well as dose reports for CTDIvol and DLP values. Data analysis was performed using correlation and linear regression tests with a significance level of p-value <0,05. The results showed that there was a significant effect between head diameter and DLP values (p-value <0,05), so H0 was rejected and Ha was accepted. Head diameter contributed 19,8% to the variation in DLP values, indicating that head diameter was not a dominant factor in determining radiation dose variations.2465-2471 -
Strategi Pengembangan Usaha UMKM Melalui Analisis Swot pada HKS Decoration di Pasuruan
Muhammad Atho’il Khakam, Muhammad HermansyahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1254 | Check in Google Scholar
Micro, small, and medium enterprises (MSMEs) face increasingly complex competition, requiring measurable and adaptive business development strategies. This study aims to identify the internal and external factors affecting HKS Decoration in Pasuruan and formulate appropriate business development strategies using SWOT analysis. The study employed a qualitative descriptive approach integrated with descriptive quantitative analysis. Data were obtained through participatory observation, in-depth semi-structured interviews with the business owner and field crew, documentation, and literature study. The analytical instruments consisted of the Internal Factor Evaluation (IFE) matrix, External Factor Evaluation (EFE) matrix, Internal-External (IE) matrix, SWOT Cartesian diagram, and SWOT matrix. The results show that HKS Decoration has strengths in independent ownership of decoration assets, neat and elegant service output, flexible service according to client budgets, and direct personal service from the owner. The main weaknesses are the absence of written standard operating procedures, simple administration, overlapping field tasks, and suboptimal digital marketing and portfolio documentation. The IFE score is 2.80, indicating a moderate internal position, while the EFE score is 3.02, indicating a strong external position. The IE matrix places HKS Decoration in Cell II with a Grow and Build strategy, while the SWOT Cartesian diagram places the business in Quadrant I, indicating an aggressive growth-oriented strategy. Priority strategies include establishing written field-work SOPs, strengthening visual digital marketing through Instagram and TikTok, expanding the market to Bangil, Pandaan, Sidoarjo, and Probolinggo, and developing B2B partnerships with event-support vendors.2472-2477 -
Uji Kesesuaian Pesawat MSCT Scan di Salah Satu Rumah Sakit Umum Denpasar
Mario Fulgentio A. Bili, I Made Lana Prasetya, Ni Made DwijayantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1256 | Check in Google Scholar
Suitability Test of MSCT Scan at a Hospital in Denpasar Multi-Slice Computed Tomography (MSCT) is a diagnostic imaging modality that utilizes X-rays and computer technology to produce high-resolution cross-sectional images, providing detailed anatomical information. The quality of CT images is highly dependent on the performance of the CT scanner. Therefore, conformity testing is conducted as part of a quality control program to ensure that the CT scanner operates according to established standards. Conformity testing is performed periodically to evaluate image quality parameters, including CT number accuracy, CT number uniformity, and image artifacts, thereby maintaining the quality of radiological services in accordance with applicable standards. At the Radiology Unit of General Hospital Denpasar, the MSCT scanner had previously experienced persistent image artifacts that could not be resolved through routine calibration and maintenance, requiring replacement of the X-ray tube as a corrective measure Between January to March 2022. This condition highlighted the need for conformity testing to verify that the scanner's performance after the replacement of the major component complied with the required standards and was capable of producing optimal diagnostic image quality.2478-2486 -
Perbandingan Teknik 2D, 3D-CRT dan IMRT Pada Radioterapi Kanker Serviks: Analisis Cakupan Dosis Target dan Dosis Organ Risiko Berbasis Dose Volume Histogram (DVH)
I Made Wahyu Gelgel Natha Wijaya, I Km Agus Bima SaktiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1258 | Check in Google Scholar
Cervical cancer is the fourth most common type of cancer among women worldwide, including in Indonesia. Cervical cancer is primarily caused by persistent infection with high-risk Human papillomavirus (HPV), particularly types 16 and 18. Treatment options for cervical cancer include hysterectomy, radiotherapy, chemotherapy, or a combination of these modalities depending on the stage of the disease. One of the radiation therapy methods used is external beam radiation therapy (EBRT). EBRT is commonly considered a primary treatment option because cervical cancer is radiosensitive. This study aimed to compare the planning target volume (PTV) and the doses received by organs at risk (OARs) among various radiotherapy planning techniques, including 2D radiotherapy, three-dimensional conformal radiation therapy (3D-CRT), and intensity-modulated radiation therapy (IMRT), with the application of specific dose optimization constraints, in order to evaluate the balance between target coverage quality and normal tissue protection. This study was a retrospective comparative dosimetric study based on a treatment planning system (TPS), involving 45 patients with stage II–III cervical cancer who underwent external beam radiation therapy using both cobalt-60 and linear accelerator (LINAC) machines at Dr. Hasan Sadikin General Hospital, West Java Province, Indonesia.2487-2497 -
Analisis Pemeriksaan Mri Brain dengan Sekuens Axial 3D T2 Spair pada Klinis Vertigo
Marcelino Harman, Ni Putu Rita Jeniyanthi, Dewa Ayu Cili SavitriShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1260 | Check in Google Scholar
Penelitian ini bertujuan menganalisis prosedur pemeriksaan MRI Brain dengan sekuens Axial 3D T2 SPAIR pada klinis vertigo dan menilai perannya terhadap visualisasi anatomi CPA-IAC. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus di unit radiologi rumah sakit tempat penelitian. Sampel kasus terdiri atas tiga pemeriksaan MRI Brain klinis vertigo yang telah dianonimkan, sedangkan responden terdiri atas tiga dokter radiologi dan dua radiografer MRI yang dipilih secara purposif. Data diperoleh melalui wawancara terstruktur, telaah SOP, parameter sekuens, citra, dan hasil ekspertise. Prosedur meliputi persiapan dan skrining keselamatan pasien, positioning supine pada head coil, stabilisasi kepala, localizer, sekuens standar MRI Brain, dan penambahan Axial 3D T2 SPAIR. Sekuens ini memiliki irisan 1 mm, akuisisi 3D, kontras T2, penekanan lemak, dan kemampuan rekonstruksi multiplanar untuk membantu menampilkan CPA-IAC, internal auditory canal, kompleks nervus VII-VIII, dan labirin. Tiga sampel menunjukkan variasi temuan sentral dan vaskular, tetapi tidak ditemukan massa CPA-IAC atau kelainan saraf kranialis yang tervisualisasi. Hasil menunjukkan bahwa Axial 3D T2 SPAIR meningkatkan keterbacaan anatomi CPA-IAC secara kualitatif, dengan kendala berupa gerakan pasien, mual, kecemasan, dan tambahan waktu pemeriksaan.
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Komparasi Daya Dukung Bored Pile: Metode Analitis Vs PDA Test
Frido L. Tangga, Jeanely Rangkang, Vicky A. AssaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1271 | Check in Google Scholar
Foundations serve as substructure elements that support and transfer loads from the superstructure to the underlying soil layers. Boredpiles are a type of deep foundation constructed by drilling the soil, installing reinforcement cages, and subsequently casting concrete into thebored holes. This study aims to calculate and compare the ultimate bearing capacity under existing conditions based on Pile Driving Analyzer(PDA) Test data with analytical calculations using Cone Penetration Test (CPT), Standard Penetration Test (N-SPT), and laboratory data. Thebearing capacity was calculated using the Meyerhof method based on CPT and laboratory data, while the Reese and Wright method wasapplied using N-SPT data. The comparison results indicate that all analytical calculations yielded lower ultimate bearing capacities than the PDA Test result. The PDA Test indicated an ultimate bearing capacity of 241.8 tons. Meanwhile, the Meyerhof method using CPT data resultedin an ultimate bearing capacity of 163 tons, representing a 33% difference from the PDA Test result. The Meyerhof method using laboratory data yielded an ultimate bearing capacity of 117 tons, with a 52% difference from the PDA Test result. Furthermore, the Reese and Wrightmethod using N-SPT data resulted in an ultimate bearing capacity of 64 tons, representing a 73% difference from the PDA Test result. Based onthe comparison of the ultimate bearing capacities obtained using different methods and data sources, the Meyerhof method using CPT dataproduced the result closest to the field test result obtained from the PDA Test.2516-2524 -
Management of Malignant Ureteral Obstruction in Advanced Bladder Cancer: Percutaneous Nephrostomy Versus Double-J Ureteral Stenting—An Evidence-Based Case Report
Orvael Nabeel, Rosadi Putra, Nicholas TambunanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1270 | Check in Google Scholar
Background: Malignant ureteral obstruction (MUO) is a frequent consequence of locally advanced bladder cancer and can lead to hydronephrosis, obstructive nephropathy, progressive renal dysfunction, and ultimately renal failure. Urinary diversion using double-J (DJ) ureteral stents or percutaneous nephrostomy (PCN) is commonly performed to relieve obstruction; however, the choice of the most appropriate decompression strategy remains a matter of ongoing clinical debate.
Objective: This evidence-based case report aimed to compare the clinical role of DJ ureteral stenting and PCN in the management of MUO caused by advanced bladder cancer.
Case Presentation: An 85-year-old male with advanced bladder carcinoma was admitted with oliguria, generalized fatigue, nausea, and worsening lower urinary tract symptoms. Computed tomography demonstrated disease progression from T3bN0Mx to T4bN2M1, accompanied by bilateral hydronephrosis. Initial laboratory investigations showed severe renal impairment, with a serum creatinine concentration of 10.21 mg/dL. Considering the extensive local tumor burden and the likelihood of trigonal involvement, retrograde DJ stent placement was expected to have a low probability of technical success. Consequently, urinary diversion was achieved through PCN. Following the procedure, renal function improved, as reflected by a decline in serum creatinine to 4.48 mg/dL, indicating effective urinary decompression and partial recovery of kidney function.
Results: Current evidence demonstrates that both DJ stenting and PCN provide effective relief of malignant ureteral obstruction. Gauhar et al. reported that ureteral stenting required significantly less operative time and shorter hospitalization than PCN, whereas renal function recovery, complication rates, and overall survival were comparable between the two approaches. Likewise, De Lorenzis et al. found no significant differences in major clinical outcomes and highlighted PCN as a dependable option for patients with advanced malignant obstruction. In addition, Artiles Medina et al. reported a median overall survival of 6.43 months among patients with MUO and identified advanced-stage malignancy, bilateral hydronephrosis, and delayed urinary diversion as predictors of poor prognosis. Recent studies have also raised concerns regarding a possible association between ureteral stenting and the subsequent development of metachronous upper tract urothelial carcinoma.
Conclusion: PCN represents a reliable and effective method of urinary diversion for patients with advanced bladder cancer complicated by severe MUO, particularly in the presence of suspected trigonal invasion or when retrograde stent placement is unlikely to succeed. In addition to providing satisfactory decompression and facilitating renal function recovery, PCN may reduce potential oncological concerns associated with ureteral stenting. Careful patient selection and timely individualized intervention remain essential to optimize renal preservation and overall clinical outcomes.2525-2532 -
Uji Kesesuaian Pesawat Multi Slice Computed Tomography Menggunakan Water Phantom Di Instalasi Radiologi Rsud Sanjiwani
Ni Wayan Lolita Dewi, I Made Lana Prasetya, Cokorda Gede Bagus SuputraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1264 | Check in Google Scholar
Suitability Test of an MSCT Scanner at the Radiology Installation of RSUD Sanjiwani. Multi-Slice Computed Tomography (MSCT) is a diagnostic imaging modality that utilizes X-rays and computer technology to produce detailed cross-sectional images of the body. The quality of MSCT images is influenced by scanner performance, detector response, calibration, phantom positioning, scanning parameters, and image reconstruction. Therefore, periodic quality control is required to ensure that the scanner produces consistent and acceptable diagnostic images. This study aimed to evaluate the suitability of an MSCT scanner at the Radiology Installation of RSUD Sanjiwani based on water CT number, center-to-periphery CT number uniformity, and image artifact evaluation. This study used a descriptive quantitative observational design. Data were collected for 30 days using a Siemens 64-slice MSCT scanner and a water phantom. Measurements were performed at five region of interest positions: the center, 12, 3, 6, and 9 o’clock. The scanning parameters were 120 kVp, 200 mAs, 250 mm field of view, 10 mm slice thickness, and 2.00 cm² ROI size. The mean CT number values were −0.74 HU at 12 o’clock, −0.62 HU at 3 o’clock, −0.81 HU at 6 o’clock, −0.57 HU at 9 o’clock, and −0.55 HU at the center. The center ROI value was within the acceptance range of −4 to +4 HU. The CT number values at the center and peripheral ROIs also met the center-to-periphery uniformity acceptance limit of ΔCT ≤ 2. Visual evaluation showed no streak, shading, or ring artifacts during the observation period. The MSCT scanner at the Radiology Installation of RSUD Sanjiwani met the acceptance criteria for water CT number and center-to-periphery CT number uniformity. No streak, shading, or ring artifacts were observed in the evaluated water phantom images.2533-2544 -
Perbedaan Gaya Komunikasi Tenaga Kesehatan Terhadap Sikap Pengendalian Tekanan Darah Pasien Hipertensi Di Wilayah Kerja Puskesmas Kota Dalam Kabupaten Pesawaran
Hesti Wulandari, Usastiawaty C.A.S. Isnainy, Christin Angelina FebrianiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1273 | Check in Google Scholar
Hipertensi masih menjadi masalah kesehatan masyarakat dengan prevalensi sebesar 30,8% di Indonesia. Di Kabupaten Pesawaran terdapat 103.814 penderita hipertensi, namun hanya 55,3% yang memperoleh pelayanan kesehatan, sedangkan di wilayah kerja Puskesmas Kota Dalam terdapat 8.205 penderita hipertensi dan hanya 58,2% yang mendapatkan pelayanan kesehatan. Rendahnya sikap pengendalian tekanan darah diduga dipengaruhi oleh gaya komunikasi tenaga kesehatan. Penelitian ini bertujuan mengetahui perbedaan pengaruh gaya komunikasi tenaga kesehatan terhadap sikap pengendalian tekanan darah pasien hipertensi di wilayah kerja Puskesmas Kota Dalam Kabupaten Pesawaran Tahun 2026. Penelitian ini menggunakan metode kuantitatif dengan desain quasi experiment three-group pretest-posttest. Populasi berjumlah 8.205 penderita hipertensi dengan sampel 90 responden yang dipilih menggunakan purposive sampling dan dibagi menjadi tiga kelompok, yaitu komunikasi pasif, agresif, dan asertif. Data dianalisis secara univariat, Mixed Repeated Measures ANOVA, dan uji lanjut Bonferroni. Hasil penelitian menunjukkan seluruh kelompok mengalami peningkatan skor sikap pengendalian tekanan darah: kelompok pasif dari 80,567 menjadi 95,133 (selisih 14,566), kelompok agresif dari 80,533 menjadi 104,100 (selisih 23,567), dan kelompok asertif dari 80,167 menjadi 121,300 (selisih 41,133). Hasil Between-Subjects Effects menunjukkan perbedaan yang bermakna antar kelompok (F=29,075; p=0,000), dan uji Bonferroni menunjukkan seluruh pasangan kelompok berbeda signifikan (pasif vs agresif p=0,033; pasif vs asertif p=0,000; agresif vs asertif p=0,000). Gaya komunikasi asertif merupakan pendekatan komunikasi yang paling efektif dalam meningkatkan sikap pengendalian tekanan darah pasien hipertensi. Tenaga kesehatan di Puskesmas Kota Dalam disarankan menerapkan komunikasi asertif secara konsisten agar sikap pasien dalam pengendalian tekanan darah dapat meningkat.
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Eksplorasi Tantangan Dan Strategi Manajemen Kepegawaian Dalam Adaptasi Pegawai Terhadap Digitalisasi Pelayanan Pasien Di RSU Faga Husada Kota Baubau
Tendri Ajeng, Andi Alim, Lina Fitriani, Aminuddin SyamShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1277 | Check in Google Scholar
Digitalization of healthcare services is a strategy implemented to facilitate and improve the quality of healthcare delivery, making it more effective and efficient. This study aimed to analyze the challenges and human resource management strategies in adapting to the digitalization of the patient service system at Faga Husada General Hospital, Baubau City. This study employed a qualitative method with an exploratory case study design. Informants were selected using purposive sampling, involving 18 informants, with data saturation achieved at the 11th informant. The results showed that the digitalization process of patient services was influenced by organizational change, characterized by increased organizational readiness to adapt to technological developments. These changes encouraged employee acceptance of digitalization, supported by perceived benefits in improving the effectiveness and efficiency of healthcare services. Although several challenges and barriers remained in its implementation, the hospital made efforts to overcome them through early system introduction, training, mentoring, and organizational support during the transition period. The study concludes that employee adaptation to the digitalization of patient services can proceed effectively when supported by organizational readiness, technology acceptance, and effective change management.
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Determinan Kejadian Stunting Pada Balita Usia 24-59 Bulan Berdasarkan Model Kesehatan H. L. Blum Di Wilayah Kerja Puskesmas Tokorondo Kabupaten Poso Tahun 2026
Wati Wati, Andi Alim, Lina Fitriani, Aminuddin SyamShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1278 | Check in Google Scholar
Stunting remains a nutritional problem that requires a comprehensive approach because it is influenced by various health determinants and poses a challenge to improving the quality of human resources. The H. L. Blum Health Model was selected to examine the relationship between environmental, behavioral, health service, and genetic determinants and the occurrence of stunting among toddlers, thereby optimizing stunting prevention efforts. This study aimed to identify determinants that constitute risk factors associated with stunting among children aged 24–59 months based on the H. L. Blum Health Model in the working area of Tokorondo Public Health Center, Poso Regency, in 2026. This analytical observational study used a case-control design involving 70 children, consisting of 35 cases and 35 controls selected using total sampling for cases and purposive sampling for controls. Data were analyzed using the Chi-square test, Odds Ratio, and binary logistic regression. The results showed that access to clean water (p=0.003; OR=4.750), latrine sanitation (p=0.005; OR=6.303), exclusive breastfeeding/complementary feeding history (p=0.043; OR=2.647), parenting practices (p=0.007; OR=3.852), Posyandu utilization (p=0.001; OR=11.000), and maternal height (p=0.001; OR=9.264) were significantly associated with stunting, while complete basic immunization (p=0.163) and low birth weight history (p=0.614) were not significantly associated. Multivariate analysis identified three main determinants: access to clean water (OR=15.191), parenting practices (OR=15.122), and maternal height (AOR=28.776). The model explained 52.3% of the variation in stunting occurrence. In conclusion, the H. L. Blum Health Model is relevant for identifying determinants of stunting among children aged 24–59 months. Accelerating stunting reduction requires integrated and cross-sectoral interventions that prioritize improving access to clean water and latrine sanitation, strengthening parenting practices, optimizing health services, and monitoring high-risk groups.2564-2580 -
Hubungan Antara Literasi Kesehatan Terhadap Kualitas Hidup Pasien Hipertensi Di Wilayah Kerja Puskesmas Pakuan Baru Kota Jambi
Atha Subhan Maulana, Elvaro Islami Muryadi, Nia NurziaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1276 | Check in Google Scholar
Hypertension is a chronic condition where management relies heavily on the patient's understanding of their own health status. Low health literacy can hinder patients from adhering to treatment recommendations and adopting healthy lifestyle behaviors, ultimately affecting their overall quality of life. This study aimed to examine the relationship between health literacy and quality of life among hypertensive patients in the service area of a community health center in Jambi City. This quantitative, cross-sectional study involved 73 hypertensive patients selected via simple random sampling. Data were collected using validated quality of life and health literacy questionnaires and subsequently analyzed using univariate and bivariate methods. The results showed that the majority of respondents had low health literacy (67.1%) and poor quality of life (65.8%). Among the 49 respondents with low health literacy, 81.6% also experienced poor quality of life; the chi-square test yielded a p-value of 0.000 (< 0.05), confirming a significant association between the two variables. These findings indicate that the ability of hypertensive patients to access, understand, and apply health information plays a crucial role in shaping their quality of life, highlighting the need for accessible and sustainable health education programs at the primary healthcare level.
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Body Dissatisfaction Dan Stres Akademik Berhubungan Dengan Gangguan Siklus Menstruasi Siswi Kelas XI SMKN 1 Simboro Kab Mamuju
Ririn Idayanti, Andi Alim, Lina Fitriani, Aminuddin SyamShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1280 | Check in Google Scholar
A normal menstrual cycle typically occurs regularly every 21 to 35 days, resulting from a complex hormonal balance. However, in reality, many adolescent girls experience menstrual cycle irregularities that can impact long-term health and future fertility risks. Body dissatisfaction and academic stress are significant psychological determinants affecting adolescent girls. Objective: To analyze the relationship between body dissatisfaction, academic stress, and menstrual cycle irregularities among 11th-grade female students at SMKN 1 Simboro, Mamuju Regency. Methods: This was a quantitative study using a cross-sectional design. Data were collected directly via questionnaires from a sample of 86 students (selected from a population of 111 who met the inclusion criteria) and analyzed using the Chi-Square test and binary logistic regression. Results: The Chi-Square test yielded a p-value of 0.000 (< 0.05), leading to the acceptance of H1; statistical analysis showed a p-value of 0.01 (< 0.05), leading to the acceptance of H2; and multivariate analysis yielded a significance value of 0.000 (< 0.05), leading to the acceptance of H3. Conclusion: Body dissatisfaction and academic stress are significantly associated with menstrual cycle irregularities, both individually and simultaneously. Therefore, effective coping mechanisms or stress management strategies are necessary for students to alleviate the psychological pressure that directly affects their menstrual cycles.2586-2594 -
Makna Simbolik Dalam Antologi Puisi Bawalah Mayatku Pada Kekasihku Karya Jalaluddin Rumi: Kajian Semiologi Roland Barthes
Ahmad Taufik Muarif, Ahmad Ripai, Zainal ArifinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1279 | Check in Google Scholar
This study aims to describe the symbolic meaning of animal elements in the poetry anthology “Bawalah Mayatku pada Kekasihku” by Jalaluddin Rumi, utilizing Roland Barthes' semiotics. A descriptive qualitative method was employed, incorporating "read-and-note" techniques and a literature review. The data consisted of ten poetic stanzas containing animal elements, analyzed according to Barthes' three levels of signification: denotation, connotation, and myth. The findings reveal that the animal elements in Rumi's poetry possess not only literal meanings but also symbolic significance related to human life and spirituality. At the level of connotation, these animal elements symbolize transience, inner experience, freedom, human limitations, the soul's longing, and Divine power. At the level of myth, the symbols reflect a Sufi perspective on human powerlessness, the greatness of God, Divine love, and the human journey toward closeness with God. Thus, the use of animal elements in Rumi's poetry serves as a vehicle for conveying spiritual and Sufi messages.
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Ketepatan Waktu Dan Kelengkapan Imunisasi Dalam Hubungannya Dengan Kejadian Suspek Campak Pada Balita Di Kota Palopo Tahun 2026
Andi Ratnasari Baslan, Andi Alim, Bd Lina Fitriani, Aminuddin AminuddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1286 | Check in Google Scholar
Measles is a highly contagious acute viral disease with a basic reproduction number (R₀) of 12–18, requiring at least 95% immunization coverage to achieve herd immunity. Palopo City experienced an increase in suspected measles cases during the first quarter of 2026, with 69 reported cases, more than 60% of which had no history of immunization. Timeliness and completeness of immunization, as indicators of parental compliance, are often overlooked compared to immunization coverage alone. This study aimed to analyze the association between immunization timeliness and completeness and the occurrence of suspected measles among children under five years of age in Palopo City in 2026. A case-control study was conducted involving all children aged 9–59 months diagnosed with suspected measles between January and March 2026 as the case population. The sample consisted of 37 cases (total sampling) and 37 controls matched 1:1 by sex and age group. Data were collected through structured interviews and verification of Maternal and Child Health Books and Child Health Cards, and analyzed using Chi-Square tests and Binary Logistic Regression at a significance level of α = 0.05. Timeliness of measles-rubella immunization was significantly associated with suspected measles occurrence (p<0.001; OR=33.3; 95% CI: 9.17–125.00). Immunization completeness was also significantly associated with suspected measles (p<0.001; χ²=40.932), with a higher proportion of unimmunized children among cases (59.5%) than controls (0%). Multivariate analysis revealed perfect collinearity between immunization timeliness and completeness, indicating that both variables represent the same underlying construct, namely immunization compliance. The logistic regression model explained 56.1% of the variation in suspected measles occurrence (Nagelkerke R²=0.561) and achieved a classification accuracy of 85.1%. There is a significant association between MR immunization timeliness and immunization completeness with the occurrence of suspected measles among children under five in Palopo City. These findings indicate that adherence to the recommended immunization schedule and completion of the immunization series are important factors in measles prevention. Strengthening immunization monitoring systems, parental education, and catch-up immunization programs is essential to improve immunization compliance.
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Eksplorasi Pemanfaatan Mobile Jkn Dalam Pelayanan BPJS Di Puskesmas Batauga: Studi Kualitatif Tahun 2026
Yulia Oktasa, Andi Alim, Lina Fitriani, Ridwan AmiruddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1281 | Check in Google Scholar
The digitization of health services through the Mobile JKN app is part of BPJS Kesehatan’s efforts to improve public access to services. However, the use of this app still faces challenges, such as limited outreach and user understanding. As a primary-care health facility, the Batauga Community Health Center needs to optimize the use of Mobile JKN in providing BPJS services. Objective: This study aims to explore the use of Mobile JKN in BPJS services at the Batauga Community Health Center. This study is expected to provide an overview of the benefits and barriers to using Mobile JKN. Method: This study employed a qualitative, descriptive method with an exploratory approach. Sampling was conducted using purposive sampling, resulting in 15 informants: 7 staff members as primary informants and 8 patients as supporting informants, with data saturation achieved after the 7th informant. Data were collected through in-depth interviews. Results: The study findings indicate that Mobile JKN helps facilitate access to BPJS services, streamline administrative processes, and improve service efficiency at the Batauga Community Health Center. However, there are still challenges in the form of technical glitches, network issues, and limited user understanding. Conclusion: The use of Mobile JKN has had a positive impact on BPJS services at the Batauga Community Health Center, but it needs to be supported by increased public awareness and system improvements to ensure its optimal utilization.2616-2623 -
Hubungan Usia Maternal, Paritas, Indeks Massa Tubuh, Jenis Kehamilan, Dan Riwayat Penyakit Terhadap Derajat Preeklampsia Di RS Pertamedika Ummi Rosnati Banda Aceh
Shella Widya Gani, Rizka Yuli Syafira, Nanda DesrezaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1288 | Check in Google Scholar
Preeclampsia is a specific form of hypertension that often occurs during pregnancy, characterized by increased basal blood pressure after approximately 20 weeks of gestation, accompanied by proteinuria and/or maternal and uteroplacental organ dysfunction. This condition remains a major cause of maternal morbidity and mortality in Indonesia. Objective: To analyze the relationship between maternal age, parity, body mass index (BMI), type of pregnancy, and medical history with the severity of preeclampsia at Pertamedika Ummi Rosnati Hospital, Banda Aceh. Methods: This study used an observational analytical approach with a cross-sectional design utilizing medical records of pregnant women diagnosed with preeclampsia and treated at Pertamedika Ummi Rosnati Hospital, Banda Aceh, between January 2020 and December 2025. A total of 48 subjects were selected using a total sampling technique. Bivariate analysis was performed using the Chi-Square test with a statistical significance limit set at p<0.05. Results: Body mass index was the only variable significantly associated with the severity of preeclampsia (p=0.026). In contrast, maternal age (p=0.166), parity (p=0.113), gestational age (p=1.000), and medical history (p=0.166) did not show a statistically significant association with the severity of preeclampsia. Conclusion: In this study, body mass index was a factor associated with the severity of preeclampsia. These findings demonstrate the importance of optimizing body weight before and during pregnancy as part of efforts to reduce the risk of developing more severe preeclampsia. However, studies with larger sample sizes and multivariate analysis are needed to confirm these findings.2624-2641 -
Hubungan Perceived Social Support dan Self-Efficacy engan Career Adaptability Pada Mahasiswa Tingkat Akhir
Diah Sofiah, Hikmah Husniyah Farhanindya, Nikmatul ApriliaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1289 | Check in Google Scholar
This study aims to examine the relationship between perceived social support, self-efficacy, and career adaptability among final-year university students. A quantitative approach with a correlational design was employed. Participants consisted of final-year students currently completing their final projects or theses, selected via purposive sampling based on predetermined criteria. Data collection utilized three instruments: the Perceived Social Support scale, the Self-Efficacy scale, and the Career Adaptability scale. All instruments underwent validity and reliability testing to ensure accurate and consistent measurement of the research variables. The data were analyzed using multiple linear regression to determine both simultaneous and partial relationships between the variables. The results indicate that perceived social support and self-efficacy have a significant simultaneous relationship with career adaptability among final-year students. Individually, perceived social support shows a significant positive relationship with career adaptability; similarly, self-efficacy demonstrates a significant positive relationship with career adaptability. These findings suggest that students who receive better social support and possess confidence in their own abilities tend to exhibit higher levels of career adaptability. This study is expected to contribute to the field of psychology—specifically Industrial and Organizational Psychology—and serve as a reference for designing career guidance and development programs for final-year students.
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Faktor-Faktor Yang Mempengaruhi Hasil Tes Kesehatan Jasmani Personil Satuan Brimob Polda Jambi Tahun 2026
Devo Agus Saputra, Elvaro Islami Muryadi, Nia NurziaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1283 | Check in Google Scholar
Physical fitness is essential for Brimob personnel to support optimal operational performance. Data from the Jambi Regional Police Human Resources Bureau for 2025 indicates that 28.3% of the 487 Satbrimob personnel achieved a "fair" rating in the Physical Fitness Test (TKJ), representing a 7.1% increase compared to 2024. This study aimed to analyze the factors influencing the TKJ results of Jambi Regional Police Brimob personnel. A descriptive-analytic quantitative research method with a cross-sectional approach was employed. A sample of 99 personnel was selected using purposive sampling. Data collection involved questionnaires and secondary data from TKJ results, while data analysis utilized the Chi-Square test. The results showed that 69 respondents (69.7%) achieved a "good" TKJ rating, while 30 respondents (30.3%) fell into the "poor" category. Significant associations were found between TKJ results and lifestyle (p=0.000), physical activity (p=0.031), sleep patterns (p=0.000), and stress levels (p=0.000). These four factors were proven to significantly influence the TKJ results of Brimob personnel. An integrated physical conditioning program addressing lifestyle, structured physical activity, sleep management, and stress management is required.
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Efektivitas Teknologi Pemilahan Limbah Medis: Meta-Analisis Terhadap Sistem Sensor, IoT, Robotika, Dan Klasifikasi Citra Digital
Sumaryanto Sumaryanto, Alfan AfandiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1301 | Check in Google Scholar
The mixing of medical and non-medical waste in healthcare facilities increases the risk of workplace accidents, such as the transmission of nosocomial infections, and raises hospitals’ operating costs. The use of smart digital technology in smart waste bins offers a solution for automatic waste sorting without direct contact. This study employed a meta-analysis approach in accordance with the PRISMA guidelines. A literature search was conducted in the PubMed, ScienceDirect, and Google Scholar databases for publications from 2021 to 2026. Of the 164 studies identified, 10 articles that met the inclusion criteria were extracted and critically analyzed using a random-effects model and narrative synthesis. The results indicate that segregation technologies utilizing AI-based image processing and physical sensors achieved waste classification accuracy rates of 90% to 100%. The Inception-V3 architecture delivered the highest medical image accuracy at 93%, while the Inductive Proximity sensor achieved 100% accuracy with an extremely fast response time. The implementation of edge computing based on local microcontrollers has proven capable of eliminating dependence on the internet, saving power consumption, and reducing direct physical contact by users by up to 85%. Additionally, the integration of volume monitoring and IoT telemetry achieves waste volume measurement accuracy of up to 98%, with network node efficiency ranging from 93.75% to 96.66%. The implementation of Smart Waste Bin technology based on the integration of AI, edge computing, and electronic sensors has proven to be effective, hygienic, and economical in improving compliance with medical waste sorting.2663-2673 -
Laporan Kasus: Penatalaksanaan Dini Acne Vulgaris pada Remaja
Jennifer Talentia, Novia Yudhitiara, Sukmawati Tansil TanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1308 | Check in Google Scholar
Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit that commonly occurs in adolescents and may cause physical as well as psychosocial impacts if not managed appropriately. This case report highlights the importance of early management of acne vulgaris in adolescents to prevent disease progression and long-term complications. A 15-year-old male adolescent presented with multiple open and closed comedones on both cheeks that had been present for three months and had progressively increased in number. The patient had a family history of acne vulgaris in his mother, as well as a habit of consuming fast food and foods high in sugar. Dermatological examination revealed multiple open and closed comedones on both buccal regions without inflammatory lesions, leading to the diagnosis of mild acne vulgaris. The patient was treated with topical tretinoin cream at night, combined with azelaic acid cream and erythromycin gel in the morning, accompanied by education regarding skincare, sunscreen use, treatment adherence, and risk factor modification. Comprehensive management initiated at an early stage of acne vulgaris plays an important role in controlling lesion progression, preventing post-inflammatory hyperpigmentation and permanent scarring, and maintaining the quality of life of adolescents.2674-2680 -
Analisis Prosedur Pemeriksaan Mri Genu Pada Kasus Ruptur Anterior Cruciate Ligament (ACL) di Instalasi Radiologi Rumah Sakit Umum X Denpasar
Hasanuddin Hasanuddin, I Bagus Gede Dharmawan, Triningsih TriningsihShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1309 | Check in Google Scholar
Anterior Cruciate Ligament (ACL) rupture is a knee ligament injury that requires imaging examination to evaluate the condition of the ligament. Magnetic Resonance Imaging (MRI) can provide images of soft tissue and the ACL in various imaging planes. This study aimed to determine the MRI genu examination procedure in cases of ACL rupture and the role of Proton density Fse Coronal Oblique Fatsat Acl and Proton density Fse Axial Oblique Fatsat Acl sequences at the Radiology Department of X General Hospital Denpasar. This study used a descriptive qualitative method with a case study approach involving three patients. Data were obtained through observation, interviews, and documentation. The results showed that MRI genu examination included patient preparation, MRI safety screening, positioning, knee coil placement, planning, and image acquisition. The examination protocol used routine sequences and two ACL-specific sequences planned according to the anatomical direction of the ACL. Both sequences helped clarify ACL visualization, including fiber discontinuity, edema, signal changes, orientation, and attachment areas, thereby supporting the evaluation of ACL rupture.2681-2691 -
Karakteristik Pasien Trauma Maksilofasial Di Rsud Waled Periode 2020-2025
Novia Nurmalita Arifin, Edy Riyanto Bakri, Alya Amila FitrieShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1310 | Check in Google Scholar
Maxillofacial trauma is a complex injury to facial structures that may cause functional impairment, deformity, and psychosocial consequences. Local data on maxillofacial trauma in the Cirebon region remain limited. This study aimed to describe the characteristics of patients with maxillofacial trauma at Waled Regional General Hospital from 2020 to 2025. 32 patients, 27 (84.4%) were aged 19-59 years and 20 (62.5%) were male. All cases resulted from road traffic accidents and involved closed fractures. The maxilla (Le Fort I-III) was the most common fracture site in 15 patients (46.9%), followed by multiple fractures in 11 patients (34.4%). Operative management was performed in 22 patients (68.7%), consisting of ORIF in 21 patients (65.6%) and ORIF with additional fixation in one patient (3.1%). Ten patients (31.3%) received non-operative management.Maxillofacial trauma at Waled Regional General Hospital predominantly affected adult men following road traffic accidents, with closed maxillary fractures and operative management using ORIF predominating. These findings underscore the importance of road traffic injury prevention and readiness for operative maxillofacial care.2692-2699 -
Proses Adaptasi Siswa Dalam Belajar Tari di Sanggar Srikandi Kembar Kabupaten Demak
Agustina Putri Nurhayati, Lesa ParantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1302 | Check in Google Scholar
This study aims to describe the process of students' adaptation in learning dance at Srikandi Kembar Dance Studio, Demak Regency, and to identify the factors that support and hinder the adaptation process. This study employed a qualitative approach using a descriptive method. The research subjects consisted of the dance instructor and students at Srikandi Kembar Dance Studio, Demak Regency. Data were collected through observation, interviews, and documentation, and were analyzed using the stages of data reduction, data display, and conclusion drawing. The findings indicate that the students' adaptation process takes place through adjustment to the studio environment, learning materials, the instructor's teaching methods, and interactions with fellow students. Each student demonstrates a different level of adaptability; some are able to participate in the learning process quickly, while others require more time to understand dance movements, build self-confidence, and adjust to the training rules. Supporting factors include students' motivation and interest, the role of the instructor, a supportive learning environment, peer support, and parental support. Meanwhile, the inhibiting factors include shyness and lack of self-confidence, difficulties in mastering dance movements, differences in ability compared to senior members, lack of prior dance experience, and falling behind in learning materials. The findings suggest that the adaptation process is a crucial aspect of successful dance learning in the dance studio, as it influences students' participation and the development of their skills throughout the training process.2700-2719 -
Prevalensi Dan Karakteristik Pasien Gastritis Pada Pasien Dewasa di RSUD Meuraxa Banda Aceh Tahun 2024
Said Aandy Saida, Cut Nyak Dian, Dina MaghfirahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1330 | Check in Google Scholar
Gastritis is an inflammation of the gastric mucosa that remains a frequently encountered health issue among adult patients. The condition can be influenced by various factors, such as irregular eating habits, stress, Helicobacter pylori infection, and unhealthy lifestyles. Objective: To determine the prevalence and characteristics of adult patients with gastritis at RSUD Meuraxa Banda Aceh in 2024. Methods: This study employed a quantitative descriptive design with a retrospective approach, utilizing medical record data from adult patients diagnosed with gastritis. A total sampling technique was used, resulting in a sample of 33 patients who met the inclusion criteria. Data were analyzed using univariate analysis and presented as frequency distributions and percentages. Results: The study showed that the majority of gastritis patients fell into the 18–59 age group (26 patients; 78.8%), were female (22 patients; 66.7%), worked in the non-civil servant sector (18 patients; 54.5%), and presented with epigastric pain as the primary clinical complaint (21 patients; 63.6%). Conclusion: The study results indicate that adult gastritis patients at RSUD Meuraxa Banda Aceh were predominantly aged 18–59, female, non-civil servants, and presented primarily with epigastric pain.2720-2725 -
Rancang Bangun Website Layanan Petshop dengan Menggunakan Metode Berpusat pada Pengguna
Ni Putu Suastini, I Gusti Ngurah Darma ParamarthaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1324 | Check in Google Scholar
The development of information technology encourages the digitalization of pet shop services to improve service efficiency and provide easier access for customers. Papa Petshop still manages its services manually through WhatsApp and simple records, resulting in difficulties in managing customer data, grooming schedules, orders, and service information. This study aims to design and develop a pet shop service website that meets user needs and evaluate its usability level. The method employed was User-Centered Design (UCD), consisting of four stages: understanding the context of use, specifying user requirements, designing solutions, and evaluating designs against user requirements. Data were collected through observation, interviews, and user surveys. The system was developed using PHP, MySQL, Bootstrap, HTML, CSS, and JavaScript. The resulting features include customer and pet management, product catalog, grooming service information, online grooming booking, order history, feedback, and loyalty programs. Black Box Testing demonstrated that all major system features functioned according to the specified requirements. Usability evaluation was conducted using Maze and the System Usability Scale (SUS), resulting in a score of 80.5, which falls into the good category. The findings indicate that implementing UCD successfully produced a functional and user-friendly pet shop service website that meets user needs and supports the digitalization of Papa Petshop services.
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Rekonstruksi Palpebra Pasca Eksisi Lesi Kelopak Mata: Laporan Kasus
Erick Giofransisco Tenis, Oktarina Nila Juwita, Meriana RasyidShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1336 | Check in Google Scholar
The eyelids play an important role in protecting the eyeball from trauma, maintaining tear film stability, and preserving ocular surface moisture. The complex eyelid structure consists of the anterior, middle, and posterior lamellae; therefore, tissue loss caused by trauma, infection, congenital abnormalities, or excision of eyelid lesions may result in functional and aesthetic impairment. Eyelid reconstruction is required to restore anatomical continuity, ocular protective function, and optimal cosmetic outcomes. The selection of reconstructive techniques, including primary closure, local flaps, or tissue grafts, depends on the size and location of the defect, the involvement of the eyelid lamellae, and the condition of surrounding tissues. Postoperative evaluation is essential to assess reconstructive success based on adequate eyelid closure, eyelid position, ocular surface protection, aesthetic outcomes, and the occurrence of complications. This case report aims to evaluate the outcomes of eyelid reconstruction following excision of eyelid lesions as a basis for selecting the optimal reconstructive technique.2744-2748 -
Ruptur Kornea Dengan Prolaps Iris Dan Endoftalmitis Akibat Trauma Serpihan Logam: Laporan Kasus
Robby Tri Juleo Putra, Oktarina Nila Juwita`, Meriana RasyidShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1337 | Check in Google Scholar
Metallic-fragment trauma may cause corneal rupture, prolapse of intraocular tissue, and sight-threatening infection. A 25-year-old man sustained a right-eye injury while hammering iron without protective eyewear. After initially declining intervention, he presented with foreign-body sensation, pain, redness, and decreased vision. Examination revealed visual acuity of 1/∞ with poor light perception, conjunctival hyperemia, a 2-mm hypopyon, iris prolapse from 1 to 3 o’clock at the limbus, an irregular pupil drawn toward 2 o’clock, and corneal rupture. The ophthalmologist diagnosed right corneal rupture with iris prolapse and endophthalmitis. Corneal suturing, iris repositioning, and exploration were performed, followed by medical treatment and postoperative monitoring. Prompt management and appropriate eye protection are essential in high-risk metalwork.
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Hubungan Tingkat Pengetahuan Dengan Perilaku Penggunaan Obat Herbal Pada Masyarakat Kelurahan Kenali Asam Atas
Ahmad Alfarizi, Siti Marwah Lestari, Amraini AmeliaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1332 | Check in Google Scholar
The use of herbal medicines in the community has continued to increase; however, their use needs to be supported by adequate knowledge toensure safe and rational utilization. This study aimed to determine the level of knowledge, the behavior of herbal medicine use, and therelationship between knowledge level and herbal medicine use behavior among the community of Kenali Asam Atas Subdistrict, Jambi. Thisstudy employed a descriptive-analytic design with a cross-sectional approach involving 95 respondents selected using a purposive samplingtechnique. Data were collected using a questionnaire consisting of 15 knowledge items and 15 behavioral items, and were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of 5% (α = 0.05). The results showed that the respondents'knowledge levels were predominantly categorized as poor, with 53 respondents (55.8%), followed by moderate with 30 respondents(31.6%), and good with 12 respondents (12.6%), with a mean score of 54.61%. The behavior of herbal medicine use was predominantlycategorized as poor, with 46 respondents (48.4%), followed by moderate with 40 respondents (42.1%), and good with 9 respondents (9.5%), with a mean score of 54.82%. The Chi-Square test showed a significant relationship between knowledge level and herbalmedicine use behavior (p = 0.000 < 0.05), with a Contingency Coefficient of 0.625, indicating a strong relationship. It can be concludedthat there was a significant and strong relationship between knowledge level and herbal medicine use behavior among the community of KenaliAsam Atas Subdistrict, with better knowledge being associated with better herbal medicine use behavior.2754-2768 -
Metode Pelaksanaan Pekerjaan Pondasi Bored Pile pada Proyek Pembangunan Extension Injection Building Yamaha Electronics Manufacturing Indonesia (PT. YEMI)
Fadli Syarief Darmadi, Muhammad Aris IchwantoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1200 | Check in Google Scholar
This study aimed to analyze the implementation of physical ergonomics, determine the level of employee work comfort, and examine the effect of physical ergonomics on employee work comfort at PT Matahari Putra Makmur. This research employed a quantitative method using a survey approach. Data were collected through questionnaires, observations, and documentation involving 10 respondents. The data were analyzed using descriptive statistics, simple linear regression, partial t-test, and the coefficient of determination with Microsoft Excel. The results showed that the average score of physical ergonomics was 21.30, while the average work comfort score was 20.10. The simple linear regression analysis indicated a positive relationship between physical ergonomics and work comfort, with a correlation coefficient (r) of 0.849, indicating a very strong relationship. The partial t-test revealed that the calculated t-value (4.546) was greater than the t-table value (2.306), indicating that physical ergonomics had a positive and significant effect on employee work comfort. The coefficient of determination (R²) was 72.1%, meaning that physical ergonomics explained 72.1% of the variation in employee work comfort, while the remaining 27.9% was influenced by other factors outside the scope of this study. Therefore, improving the implementation of physical ergonomics is expected to create a safer, more comfortable, and more productive work environment.
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Analisis Waktu Tunggu Tindakan Radioterapi Dengan Pendekatan Lean Healthcare
Geby Susanti, Adila Kasni Astiena, Hardisman HardismanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1346 | Check in Google Scholar
Waiting time for treatment is a service quality indicator that remains problematic in the radiotherapy unit , where the standard is set at ≤7days. This study aimed to analyze radiotherapy waiting time using a Lean Healthcare approach. An explanatory sequential mixed-methodsdesign was applied, beginning with a quantitative descriptive study of 107 patients determined using the Lemeshow formula, followed by aqualitative study through in-depth interviews, focus group discussions, observation, and document review involving 8 key informants and 6patients. Data were analyzed using Value Stream Mapping, Value Assessment, and a fishbone diagram. The results showed that 62.6% of patients experienced waiting times exceeding the standard (median 9 days; mean 9.8 days; SD 5.8 days). The main bottleneck wasidentified at the delineation stage of the Treatment Planning System, caused by the absence of full-time attending physicians and compounded by reliance on a single Linear Accelerator unit. This study recommends integrated Lean Healthcare-based improvements in human resources, policy, facilities, and information systems.2777-2788 -
Drug Utilization Review terhadap Penggunaan dan Biaya Obat Antihipertensi pada Pasien Polifarmasi di Sembilan Rumah Sakit Kabupaten Kulon Progo Tahun 2024–2025
Afif Rakha Murtadha, Reary Nurtaqwim Syuhri, Raras Sekar Kinasih, Antokalina Sari Verdiana, Susi Ari KristinaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1370 | Check in Google Scholar
Hypertension is a chronic disease that requires long-term treatment and is often accompanied by the use of multiple medications, particularly in patients with comorbidities. This study aimed to evaluate the utilization patterns and costs of antihypertensive drugs among patients with polypharmacy in nine hospitals in Kulon Progo Regency during 2023–2025 using a Drug Utilization Review (DUR) approach. The study employed a retrospective, descriptive, observational design with aggregate longitudinal analysis of prescription and National Health Insurance (JKN) claims data from September 2023 to December 2025. Samples were selected through total sampling of polypharmacy prescriptions, defined as those containing ≥6 generic drugs and at least one antihypertensive. Drug utilization was analyzed using the Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD) classification and the Drug Utilization 90% (DU90%) method. Of 9,336 participants, most were female (54.0%) and aged ≥60 years (51.0%). Polypharmacy was most commonly found in prescriptions containing six drugs. Antihypertensive drugs included in the DU90% segment were candesartan (39.10%), amlodipine (33.44%), bisoprolol (12.42%), and furosemide (12.19%). The highest accumulated drug cost was recorded at Hospital 1, at IDR 10,652,208,824, followed by Hospitals 3 and 2. These findings indicate variation in antihypertensive drug utilization among patients with polypharmacy, suggesting the need for periodic evaluation of treatment rationality, adherence to the National Formulary, and optimization of generic drug use to support efficient JKN healthcare expenditure.2789-2802 -
Dari Kebijakan Hingga Praktik: Evaluasi Dampak Program Pola Hidup Sehat Terhadap Kebugaran Aparatur Sipil Negara
Reny Ayu Damayanti, Retno Adiyati WulandariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1329 | Check in Google Scholar
This study aims to analyze the relationship between the implementation of healthy lifestyle policies and employees' physical fitness levels, while identifying key lifestyle determinants at a state health polytechnic in Indonesia. Using a quantitative, cross-sectional design supplemented with a retrospective analysis of routine health records, 238 employees were selected via stratified random sampling from a population of 440. Data were collected through routine health parameters and validated instruments (IPAQ Short Form, Healthy Eating Index, PSQI, and DASS-21). Repeated Measures ANOVA was conducted to evaluate quarterly health record parameters, while Multiple Linear Regression was performed to determine the contribution of lifestyle factors to physical fitness. Results revealed that most employees maintained a "fair" lifestyle (42.9%), with gender as the sole significant predictor of lifestyle compliance (β = 0.131, p = .032), where female employees showed higher compliance scores. Retrospective analysis indicated that policy support maintained fair cardiovascular fitness levels (55.7% in Quarter IV). Conversely, periodic health screenings did not significantly reduce overall metabolic risks: body weight increased over time (p < .001), resulting in an overweight average BMI (26.0 kg/m2), alongside significant quarterly fluctuations in random blood sugar (p = .002), systolic blood pressure (p < .001), and total cholesterol (p = .001), all remaining above normal thresholds. In conclusion, although institutional health policies and periodic screenings maintain fair cardiovascular fitness and short-term clinical stability, the institution must transition from passive monitoring to structured, gender-sensitive active interventions to sustainably manage metabolic risks.2803-2812 -
Pengaruh Greenwashing Terhadap Profitabilitas Dan Nilai Perusahaan Dengan Leverage Sebagai Variabel Moderasi Pada Perusahaan Pertambangan Di Bursa Efek Indonesia Periode 2021-2024
Dyah Ayu Mutiara, Tri GunarsihShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1367 | Check in Google Scholar
This study aims to analyze the effect of greenwashing on profitability and firm value, and to examine the moderating role of leverage in mining companies listed on the Indonesia Stock Exchange from 2021 to 2024. Profitability is measured by Return on Assets (ROA), while firm value is proxied by Tobin’s Q. Greenwashing is assessed using a decoupling approach, defined as the gap between symbolic Environmental, Social, and Governance (ESG) disclosures and substantive ESG actions. Firm size and growth are included as control variables. Using purposive sampling, this study obtained 28 companies with 112 firm-year observations. Secondary data were collected from annual reports and sustainability reports. The data were analyzed using panel data regression and Moderated Regression Analysis (MRA). The results show that greenwashing has a positive and significant effect on ROA (coefficient = 1.194083, p = 0.0451) and on Tobin’s Q (coefficient = 0.530769, p = 0.0013). Leverage does not moderate the effect of greenwashing on either ROA or Tobin’s Q, with interaction probability values of 0.4203 and 0.5743, respectively. These findings indicate that, during the observation period, greenwashing remains associated with higher profitability and firm value, while leverage has not become a determining factor in these relationships.
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Uji Aktivitas Ekstrak Kulit Mangga Gedong Gincu (Mangifera Indica L.) Terhadap Pertumbuhan Bakteri Propionibacterium Acnes ATCC 6919
Azfa Marsya Sholichah, Afifa Khairinnisa, Rama Samara BrajawikalpaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1392 | Check in Google Scholar
Propionibacterium acnes plays an important role in the pathogenesis of acne vulgaris, while increasing resistance to topical antibiotics has driven the development of natural antibacterial agents. Mango (Mangifera indica L.) peel of the Gedong Gincu variety contains bioactive compounds with potential antibacterial activity. Aim: To analyse the antibacterial activity of Gedong Gincu mango peel extract against the growth of Propionibacterium acnes ATCC 6919. Methods: A laboratory experimental study using a post-test only control group design was conducted. Samples were divided into six groups: positive control (clindamycin 1%), negative control (DMSO 10%), and treatment groups with extract concentrations of 25%, 50%, 75%, and 100%. Antibacterial activity was assessed using the well diffusion method, and data were analysed using the Shapiro-Wilk test, One-Way ANOVA, Least Significant Difference (LSD), and linear regression. Results: Gedong Gincu mango peel extract inhibited the growth of Propionibacterium acnes ATCC 6919, with mean inhibition zone diameters at concentrations of 25%, 50%, 75%, and 100% of 9.68 mm, 13.26 mm, 15.48 mm, and 18.01 mm, respectively. One-Way ANOVA showed a significant difference between groups (p<0.001), and linear regression showed a very strong positive relationship between extract concentration and inhibition zone diameter (R=0.991; R²=0.981). Conclusion: Gedong Gincu mango peel extract has antibacterial activity against Propionibacterium acnes ATCC 6919 that increases with extract concentration.2830-2837 -
Peningkatan Pengetahuan Dan Deteksi Dini Dalam Upaya Menurunkan Jumlah Kasus Tuberkulosis di Desa Pasir Ampo, Wilayah Kerja Puskesmas Kresek, Kecamatan Kresek, Kabupaten Tangerang, Provinsi Banten
Kevin Heryawan Pratama, Ferdianto Ferdianto, Chalishah Shifa Martiana, Iftita Adri Pramesti, Karennina Larissa MaharaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1393 | Check in Google Scholar
Tuberculosis is a public health problem in the working area of Kresek Community Health Center. Pulmonary tuberculosis (pulmonary TB)is among the 11 leading diseases, with an increasing number of cases during the period from May to July 2026. Data from the TB Clinicshowed an increase in visits from 65 during January–April 2026 to 113 during May–July 2026. Pasir Ampo Village had the highest number of tuberculosis cases among the areas served by Kresek Community Health Center. Community diagnosis was initially conducted throughsituation analysis based on the BLUM paradigm, encompassing genetic, environmental, behavioral, and healthcare service factors. Problem prioritization was determined using the USG (Urgency, Seriousness, Growth) scoring technique and the Delphi method. Root causes were analyzed using a fishbone diagram and the 5 Why method, focusing on community knowledge, attitudes, and behaviors related to TB. Subsequently, the intervention was planned, implemented, monitored, and evaluated using the PDCA (Plan–Do–Check–Act) cycle with a systems approach to assess implementation and identify barriers. The community diagnosis was followed by TB education and TB screening among participants. The intervention improved community knowledge, with 47 participants (95.9%) achieving a post-test score ≥70 and 40 participants (81.63%) achieving an increase of ≥10 points with a post-test score ≥70. Furthermore, TB screening involving 49 participants identified 10 participants (20.4%) as suspected TB cases. These findings indicatethat the intervention was effective in improving community knowledge about TB and identifying symptomatic individuals through TB screening.2838-2845 -
Hubungan Kepatuhan Penggunaan Kelasi Besi Dengan Kadar Feritin Serum Pada Pasien Talasemia Anak Di RSUD Dr. Zainoel Abidin
Nadia Salsabila, Julinar Julinar, Silvia Yasmin LubisShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1405 | Check in Google Scholar
Thalassemia is an inherited hemolytic disorder caused by impaired hemoglobin synthesis that requires lifelong regular blood transfusion therapy. Repeated blood transfusions can lead to iron accumulation, characterized by increased serum ferritin levels. Iron chelation therapy is required to reduce iron overload, with its effectiveness influenced by patient adherence. Objective: To analyze the relationship between adherence to iron chelation therapy and serum ferritin levels in pediatric patients with thalassemia at RSUD dr. Zainoel Abidin, Banda Aceh. Methods: This was an analytical observational study with a cross-sectional design using total sampling. The sample consisted of 137 patients who met the inclusion criteria. Adherence was measured using the Morisky Medication Adherence Scale-8 (MMAS-8) questionnaire, while serum ferritin levels were obtained from medical records. Data were analyzed using the Chi-Square test. Results: The majority of respondents were non-adherent to iron chelation therapy (64.2%) and had serum ferritin levels in the very high category (77.4%). All non-adherent respondents (88 patients) had serum ferritin levels in the very high category. The Chi-Square test demonstrated a statistically significant relationship between adherence to iron chelation therapy and serum ferritin levels (p = 0.000; p < 0.05). Conclusion: There was a statistically significant relationship between adherence to iron chelation therapy and serum ferritin levels in pediatric patients with thalassemia at RSUD dr. Zainoel Abidin, Banda Aceh.2846-2856 -
Penerapan Metode ATM Terintegrasi Kearifan Lokal Saro Badaka Dalam Meningkatkan Keterampilan Menulis Teks Eksplanasi Siswa SMP
Rindi Umanailo, Sarmina Ati, Agus BoririShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1403 | Check in Google Scholar
This study aimed to describe the implementation of the Observe, Imitate, Modify (ATM) method integrated with the local wisdom of the Saro Badaka tradition and to examine the improvement of narrative-explanation writing skills among eighth-grade students at SMP Negeri 5 Satu Atap Sanana. The study employed Classroom Action Research based on the Kemmis and McTaggart model and was conducted in two cycles, each consisting of planning, action, observation, and reflection. The participants were 20 students. Data were collected through explanatory-text writing tests, observations of student and teacher activities, interviews, and documentation. Data were analyzed using descriptive quantitative and qualitative procedures. The findings show that the ATM stages—observing and identifying a model text on Saro Badaka, imitating its organizational pattern through an outline, and modifying it by developing ideas and language independently—improved students’ engagement and writing performance. The mean score increased from 64.50 in the pre-cycle to 72.10 in Cycle I and 82.85 in Cycle II. Classical mastery increased from 35% to 70% and finally to 90%. Student activity also increased from 71.57% in Cycle I to 87.86% in Cycle II. The findings indicate that combining step-by-step writing support through the ATM method with the cultural context of Saro Badaka provides a more concrete, contextual, and meaningful learning experience for explanatory-text writing.2857-2865 -
Pengaruh Intensitas Penggunaan Tiktok Terhadap Kesantunan Berbahasa Siswa SMP Negeri 2 Mangoli Selatan
Nadia Taohi, Sarmina Ati, Sartika SamadShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1406 | Check in Google Scholar
This study aimed to describe the intensity of TikTok use, the level of language politeness, and the effect of TikTok use intensity on students’ language politeness at SMP Negeri 2 Mangoli Selatan. The study employed a quantitative approach with an ex post facto and descriptive-correlational design. The population consisted of all 41 students enrolled at SMP Negeri 2 Mangoli Selatan in the 2025/2026 academic year, and all students were involved through total sampling. Data were collected using Likert-scale questionnaires consisting of 12 items for TikTok use intensity and 16 items for language politeness. All items were declared valid, while Cronbach’s Alpha coefficients of 0.860 and 0.867 indicated good reliability. Data were analyzed using descriptive statistics, normality and linearity tests, and simple linear regression. The findings show that TikTok use intensity was at a moderate level, with a mean score of 44.80, while language politeness was also at a moderate level, with a mean score of 60.32. The regression equation was Y = 92.031 − 0.708X. The t-test produced a value of −4.860 with a significance level of 0.000, while the coefficient of determination was 0.377. These findings indicate that TikTok use intensity has a negative and significant effect on students’ language politeness and explains 37.7% of the variation in language politeness.2866-2874 -
Peranan Body Marker Kapsul Gel Pada Pemeriksaan MRI Fistula Perianal Di Instalasi Radiologi RSUD Sanjiwani Gianyar
Dewa Ayu Intan Radhaswari, I Made Lana Prasetya, Ni Luh Putu Citra LarashatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1384 | Check in Google Scholar
Perianal fistulas is a chronic anorectal disease characterized by the formation of an abnormal channel between the anal canal and the perianal skin. Magnetic Resonance Imaging (MRI) is the gold standard imaging modality in the evaluation of perianal fistula because it is able to performed the anatomy of the fistula, the primary and secondary pathways, and the relationship of the fistula to the sphincter complex in detail. However, in clinical practice, difficulties are still found in correlating the location of the eksternal lesions found during clinical examination with the anatomical features on MRI images. One effort that can be done to assist clinical and radiological correlation is the use body marker gel capsules as eksternal markers. This study aims to determine the role of body marker gel capsules in MRI examinations of perianal fistula in the Radiology Department of RSUD Sanjiwani Gianyar. This study uses a descriptive method with a qualitative approach. Data collection was carried out through observation of MRI examination procedures for perianal fistula using a 1,5 Tesla Philips MRI, interviews with two radiographers MRI and two radiologists, and documentation of MRI image results of perianal fistula pariens who used body marker gel capsules. Data were analysed descriptively through data reduction, data presentation, and conclusion drawing. The results showed that the gel capsule body marker acts as an eksternal anatomical marker that helps identify the location of the eksternal fistula lesions, improves the correlation between clinical findings and radiological images, and supports the interpretation of the fistula path on MRI images. The use of the gel capsule body marker also provides additional anatomical references that assist radiographers and radiologists in a more comprehensive evaluation of perianal fistulas.2875-2885 -
Optimalisasi Proporsi Limbah Plastik Campuran Terhadap Kuat Tekan Paving Block
Kiki Agustin, Ely MulyatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1410 | Check in Google Scholar
This study aims to analyze the effect of using Polyethylene Terephthalate (PET) plastic waste as a partial substitute for fine aggregate on the compressive strength of paving blocks and to determine the optimum proportion that can improve their quality. The research was conducted experimentally at the Civil Engineering Laboratory of Bina Darma University, Palembang, using triangular paving blocks measuring 30 × 30 × 30 cm with a thickness of 10 cm. The PET plastic waste replacement levels were 0%, 1%, 1.5%, and 2% by weight of fine aggregate. Compressive strength tests were carried out at the ages of 7, 14, and 28 days in accordance with SNI 03-0691-1996. The results showed that the addition of PET plastic waste increased the compressive strength compared to normal paving blocks. At the age of 28 days, the average compressive strength of the normal paving block was 10.77 MPa, while the paving blocks containing 1%, 1.5%, and 2% PET achieved compressive strengths of 11.93 MPa, 12.75 MPa, and 13.25 MPa, respectively. The highest compressive strength was obtained with the 2% PET mixture, reaching 13.25 MPa. Furthermore, the material testing results indicated that both the fine aggregate and PET plastic waste met the requirements for use as paving block constituent materials. Although the compressive strength increased, none of the mixtures reached the target design strength of f'c 40 MPa. Based on the findings, it can be concluded that the use of PET plastic waste as a partial substitute for fine aggregate has a positive effect on improving the compressive strength of paving blocks. The optimum proportion was achieved with the 2% PET mixture, indicating its potential application as Grade C paving blocks for pedestrian areas while supporting environmentally friendly plastic waste utilization.
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The Effectiveness Of Internal Communication In Improving Performance At The Bureau Of Human Resources, Organization, And Legal Affairs Of The Secretariat General Of The People's Consultative Assembly Of The Republic Of Indonesia
Dyah Srie Utami, Ika Sartika, Dyah P. ErnawatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1328 | Check in Google Scholar
This study analyzes the effectiveness of internal communication and its contribution to employee performance at the Bureau of Human Resources, Organization, and Legal Affairs (Biro SDMOH) of the Secretariat General of the People's Consultative Assembly of the Republic of Indonesia (Setjen MPR RI). Using Goldhaber's organizational communication framework, which comprises information accessibility, information adequacy, communication satisfaction, relationship quality, and feedback [1], the study applies a descriptive qualitative design. Data were collected through semi-structured interviews with six informants, direct observation, and analysis of official documents, then processed following the Miles and Huberman interactive model with source and technique triangulation. The findings show that internal communication in the Bureau follows a hybrid pattern that combines formal-bureaucratic channels with informal digital media, particularly WhatsApp groups, alongside the SRIKANDI electronic correspondence system and paper-based disposition sheets. Digital media accelerates daily coordination, but the process is not yet fully integrated, causing delays whenever leaders are away from the office. Four supporting factors and four inhibiting factors were identified, and the Bureau has undertaken several corrective measures, including optimizing coordination meetings, encouraging leadership openness, and cultivating a more participatory work culture. The study recommends full digitalization of the disposition workflow, standard operating procedures for inter-subdivision communication, and structured two-way feedback mechanisms.
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Pengaruh Self Congruity Dan Fear Of Missing Out (FOMO) Terhadap Keputusan Pembelian Melalui Minat Beli Pada Konsumen Glad2glow Di Tiktok Shop
Thouresyah Aprrillia, Nur AjizahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1416 | Check in Google Scholar
This study aims to analyze the influence of Self Congruity and Fear of Missing Out (FOMO) on Purchase Decisions, both directly and through Purchase Intention as a mediating variable among Glad2Glow consumers on TikTok Shop. The study employed a quantitative explanatory research approach with purposive sampling involving 120 respondents. Data were collected using a Likert-scale questionnaire and analyzed using path analysis and the Sobel test with SPSS. The results show that Self Congruity has a positive and significant effect on Purchase Intention (B = 0.556; t = 12.870; p < 0.001) and Purchase Decision (B = 0.179; t = 3.804; p < 0.001). FOMO has a positive and significant effect on Purchase Intention (B = 0.280; t = 6.220; p < 0.001), but does not have a significant direct effect on Purchase Decision (B = 0.021; t = 0.574; p = 0.567). Purchase Intention has a positive and significant effect on Purchase Decision (B = 0.579; t = 8.908; p < 0.001) and is the most dominant predictor. The Sobel test indicates that Purchase Intention partially mediates the effect of Self Congruity (Z = 7.325) and fully mediates the effect of FOMO (Z = 5.100) on Purchase Decision. The R² values are 0.516 for the Purchase Intention model and 0.723 for the Purchase Decision model, indicating substantial explanatory power. The findings confirm that identity congruence and social pressure operate through the formation of purchase intention, while purchase intention serves as the principal psychological bridge toward actual purchase decisions.2904-2914 -
Hubungan Paritas Dengan Kejadian Positif HPV DNA Pada Perempuan Di Sumatera Selatan Tahun 2024
Tri Sisca Sisilia, Rini Mutahar, Iche Andriyani LibertyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1419 | Check in Google Scholar
Human Papillomavirus (HPV) infection is a major factor in the development of cervical cancer. Parity is one of the reproductive factors suspected to be associated with HPV infection, although previous studies have shown inconsistent findings. This study aimed to analyze the association between parity and HPV DNA positivity among women in South Sumatra in 2024. A case-control design was conducted using secondary data from 212 subjects, consisting of 106 HPV DNA-positive cases and 106 HPV DNA-negative controls. Parity was categorized as <3 and ≥3. Data were analyzed using the Chi-square test, Fisher’s Exact Test, and logistic regression. The magnitude of association was expressed as an odds ratio (OR) with a 95% confidence interval (CI). The results showed that 70.28% of subjects had parity <3 and 29.72% had parity ≥3. The proportion of HPV DNA positivity was 53.69% among women with parity <3 and 41.27% among those with parity ≥3. Women with parity ≥3 had 0.606 times the odds of HPV DNA positivity compared with women with parity <3 (OR=0.606; 95% CI: 0.334–1.100; p=0.098). None of the potential confounding variables changed the parity OR by ≥10%. In conclusion, there was no statistically significant association between parity and HPV DNA positivity.
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Upaya Pencegahan dan Pengendalian Leptospirosis Melalui Penyuluhan Kepada Kader Kesehatan dan Perangkat Desa di Wilayah Kerja Puskesmas K, Kabupaten Tangerang, Provinsi Banten Tahun 2026
Winda Aprilyah, Dewi Novianti, Arie AkbarShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1424 | Check in Google Scholar
Leptospirosis is a zoonotic disease that remains a public health concern in Indonesia, particularly in areas with inadequate environmental sanitation, high rodent populations, and a risk of flooding. Based on the results of a community diagnosis program conducted in the working area of K Primary Health Center, Tangerang Regency, involving 30 respondents, leptospirosis was identified as a priority health problem due to the increasing number of cases, limited community knowledge, and the presence of various environmental and behavioral risk factors. This community service program aimed to improve the knowledge and capacity of community health volunteers and village officials in preventing and controlling leptospirosis. The methods included health problem identification, priority setting using the Urgency, Seriousness, and Growth (USG) and Delphi methods, the Blum Paradigm to analyze contributing factors, and the 5 Whys and Fishbone Diagram to identify the root causes of the problem. Based on the root cause analysis, the intervention program was planned, monitored, and evaluated using a Log Frame, Plan of Action (POA), timeline, Plan-Do-Check-Act (PDCA), and systems approach. The effectiveness of the health education provided to 28 community health volunteers and village officials throughout K Subdistrict was assessed using pretest and posttest evaluations. The mean score increased from 8.7 on the pretest to 9.7 on the posttest. In the medium term, this intervention is expected not only to further improve the knowledge and capacity of community health volunteers but also to strengthen village commitment to leptospirosis prevention and control within their respective communities. This approach is expected to strengthen health promotion, early detection, and community empowerment in leptospirosis prevention and control in the working area of K Primary Health Center, as well as serve as a consideration for the development of future community-based health programs.
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Efektivitas Intervensi Short Burst Exercise Dalam Meningkatkan Kemampuan Aktivitas Fisik Siswa Sekolah
Irawan Wibisono, Boki Jaleha, Novita AlfianiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1425 | Check in Google Scholar
Obesity and low physical fitness have become significant nutritional and health concerns among children in Indonesia. Limited school break times necessitate efficient exercise strategies, such as Short Burst Exercise (SBE), which can be implemented during recess. This study aimed to determine the effectiveness of SBE in improving physical activity capacity and cardiovascular responses among school students. A quasi-experimental design using a pre-test and post-test approach was employed. The study involved 31 students from SMPN 25 Semarang. The measured parameters included anthropometric characteristics, Body Mass Index (BMI), Rating of Perceived Exertion (RPE) based on the Borg scale, and heart rate responses before and after the exercise intervention. Data were analyzed using the Shapiro-Wilk normality test and Paired Samples T-Test. The results showed a statistically significant increase in mean heart rate from 84.40 ± 11.03 bpm at pre-test to 100.70 ± 11.67 bpm at post-test, with a mean increase of 16.30 bpm. The mean RPE score of 4.30 ± 0.67 indicated a moderate exercise intensity. The Paired Samples T-Test showed a significant difference (t = 2.877; p = 0.018 < 0.05), indicating that the SBE intervention significantly increased cardiovascular response and stimulated cardiac activity among students. These findings suggest that SBE is an effective and practical exercise intervention that can be implemented in schools to support the maintenance and improvement of children's physical fitness.
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Pendidikan Agama Kristen Dan Pembentukan Growth Mindset Bagi Orang Muda
Juwinner Dedy Kasingku, Winda Novita WarouwShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1431 | Check in Google Scholar
This study examines the role of Christian Religious Education (CRE) in shaping a growth mindset among young people in the context of modern challenges, which are marked by academic pressure, technological development, and increasing mental health problems. Many young people experience stress, anxiety, and declining character, so a mindset is needed that can help them survive and grow. A growth mindset is understood as the belief that abilities can be developed through effort, learning, and persistence. The method used in this study is a qualitative approach with a literature review design. Data were collected from journals, books, and scientific articles published within the last ten years and analysed descriptively to understand the relationship between CRE and growth mindset. The results show that a growth mindset helps young people become more resilient, confident, and able to see failure as part of the learning process. CRE plays an important role in shaping this mindset through the development of faith values, perseverance, self-reflection, and learning based on God’s Word. Teachers also have an important role in creating a learning environment that supports students’ mental and spiritual growth. In conclusion, CRE has a significant role in forming a growth mindset in young people. With the right teaching approach, CRE not only builds faith but also shapes character, mental resilience, and a growth-oriented way of thinking. Therefore, integrating a growth mindset into CRE is essential to respond to the challenges faced by today’s younger generation.2940-2950 -
Perbandingan Kualitas Citra Antara Sekuen T2 Weighted 3D VISTA Dengan T2 Weighted Turbo Spin Echo Pada Potongan Sagital Pemeriksaan MRI Lumbal
Anggreini Ningsi Malo, Ketsya K. Titalouw, Ni Putu Rita JeniyanthiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1432 | Check in Google Scholar
Optimal image quality is essential in MRI, and although T2-Weighted Turbo Spin Echo (T2W TSE) provides excellent tissue detail, its 5-mm slice thickness may limit the visualization of small anatomical structures, whereas T2-Weighted 3D VISTA, with 1-mm isotropic voxels, offers higher spatial resolution and multiplanar reconstruction; therefore, this quantitative comparative study aimed to compare the Signal-to-Noise Ratio (SNR) and Contrast-to-Noise Ratio (CNR) of T2W 3D VISTA and T2W TSE sequences in sagittal lumbar MRI using a Philips Achieva 1.5 Tesla MRI scanner, involving 15 patients examined with both sequences, with Regions of Interest (ROIs) placed on the spinal cord, spinous processes, cerebrospinal fluid, intervertebral discs, interspinous ligaments, and vertebral bodies, followed by statistical analysis using the Paired Samples T-Test and Wilcoxon Signed Rank Test. The results showed significant SNR differences in the vertebral bodies (p<0.001), spinous processes (p=0.022), intervertebral discs (p=0.002), and spinal cord (p=0.050), with T2W TSE generally demonstrating higher signal intensity, while no significant differences were found in CSF (p=0.491) or interspinous ligaments (p=0.256). CNR analysis revealed no significant differences between the two sequences across all anatomical structures (p>0.05), indicating comparable intertissue contrast. However, Wilcoxon mean rank analysis showed that T2W 3D VISTA tended to be superior for intervertebral discs, vertebral bodies, and spinous processes due to its higher spatial resolution, whereas T2W TSE tended to be superior for the spinal cord and interspinous ligaments due to its stronger signal intensity and contrast.2951-2963 -
Pengaruh Diabetes Mellitus Pada Keberhasilan Pengobatan Tuberkulosis : Tinjauan Sistematis
Yuni Asnitasari, Rini Mutahar, Rafiah Maharani PulunganShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1433 | Check in Google Scholar
Tuberculosis (TB) and diabetes mellitus (DM) are major public health problems that can influence each other and affect treatment outcomes. Diabetes can impair immune function, reducing the body's ability to control Mycobacterium tuberculosis infection and potentially reducing the effectiveness of TB treatment. This systematic review aimed to examine the impact of DM on TB treatment outcomes. The review followed the PRISMA 2020 guidelines and searched PubMed, Scopus, and ScienceDirect for studies published between 2020 and 2025. Studies involving adults with active TB, with or without DM, and reporting at least one treatment outcome were included. Of 1,429 records identified, 13 observational studies met the inclusion criteria. Overall, patients with TB and DM tended to have more severe disease, more extensive pulmonary lesions, delayed sputum smear conversion, and higher risks of treatment failure, relapse, and mortality compared with patients without DM. Poor glycemic control was also associated with less favorable treatment outcomes. Several studies suggested that interventions such as therapeutic drug monitoring and adjunctive therapies may improve treatment response. These findings indicate that DM is an important comorbidity that can negatively affect TB treatment outcomes. Integrated management of TB and DM, early detection of diabetes, and optimal glycemic control are important to improve treatment success.2964-2971 -
Lost To Follow-Up Pada Pasien Tuberkulosis Dengan Koinfeksi HIV: Tinjauan Sistematis
Ayu Rahayu, Najmah Najmah, Iche Andriyani LibertyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1436 | Check in Google Scholar
This study aimed to review the proportion of lost to follow-up (LTFU) and factors associated with LTFU among patients with drug-sensitive tuberculosis and HIV coinfection. A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Literature searches were performed through PubMed, Scopus, and ScienceDirect for articles published between 2020 and 2025. Article selection was conducted using Rayyan, resulting in 16 observational studies that met the inclusion criteria. The findings showed that the proportion of LTFU varied widely, with the lowest proportion being approximately 1% and the highest reaching 95%, particularly among vulnerable populations. Factors associated with LTFU included advanced HIV stage, low CD4 count, delayed initiation of antiretroviral therapy, anemia, socioeconomic limitations, stigma, transportation difficulties, substance use, and limited social support. Health system factors, including weak integration of TB and HIV services, inadequate treatment adherence support, and suboptimal patient follow-up mechanisms, also contributed to LTFU. In conclusion, LTFU remains a major barrier to successful TB treatment among patients with HIV coinfection. Strengthening integrated services and implementing patient-centered approaches are essential to reduce LTFU and improve treatment outcomes.2972-2979 -
Kajian Prinsip Teknik Kertas Pop Up Dalam Buku ABC3D Karya Marion Bataille
Diffa Naila Saffanah, Wuri Widyani HapsariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1417 | Check in Google Scholar
This study examines the pop-up paper techniques in Marion Bataille’s ABC3D book as an interactive and visually engaging medium for introducing the alphabet to children. Addressing the issue of declining interest in reading and the importance of letter recognition as the foundation of early literacy, this book serves as an example of how graphic design and paper mechanisms can enhance the reading experience. The study employs a qualitative approach using literature review and case study methods, involving the examination of books, journals, and visual documentation to identify the principles and mechanisms of the pop-up paper techniques used. The analysis focuses on the application of cutting and folding mechanisms, as well as five key principles interactivity, compactness, consistency, flexibility, and surprise on each alphabet page in the ABC3D book. The results of the study indicate that the combination of at least three principles on each page produces a stable three-dimensional structure that is easy to operate and provides a surprise effect that enriches the reading experience. These findings confirm that the appropriate application of pop-up paper craft principles and mechanisms not only contributes to aesthetic aspects but also supports reader engagement and the potential for early childhood literacy development.
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Faktor-Faktor Yang Berhubungan Dengan Kualitas Hidup Lansia : Tinjauan Sistematis
Meilinda Andisa Putri, Rini Mutahar, Rostika FloraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1439 | Check in Google Scholar
Quality of life among older adults is associated with various interrelated aspects, including the ability to perform daily activities, psychological conditions, social and family support, health status, and living environment. This systematic review aimed to identify and synthesize factors associated with quality of life among older adults based on findings from published studies. A literature search was conducted through PubMed, Scopus, ScienceDirect, Google Scholar, and GARUDA for articles published between 2018 and 2025. The study selection process followed the PRISMA 2020 flow. Of the 664 articles identified, duplicates were removed, titles and abstracts were screened, and full-text articles were assessed, resulting in 39 studies being included in the review. The selected studies were conducted in various settings, including community settings, nursing homes or institutional facilities, home care services, and groups of older adults with specific health conditions. The synthesis showed that functional independence, psychological conditions, particularly depression, and social support were the factors most consistently associated with quality of life among older adults. Greater independence in ADL/IADL and better social support tended to be associated with higher quality of life, whereas depression and functional limitations were associated with lower quality of life. Clinical factors, sociodemographic characteristics, health behaviors, as well as living environment and service-related factors were also associated with quality of life, although the findings varied across studies. As most of the included studies used cross-sectional designs, these findings are more appropriately interpreted as patterns of association and cannot establish causal relationships.2988-3008 -
Gambaran Kejadian Stunting Pada Balita Di Wilayah Kerja UPTD Puskesmas IV Koto Tahun 2025
Syahrial Syahrial, Miftahul Jannah, Aisyah Adiba, Kharimah Kharimah, Novia Wahyu Diana, Shania TrijuitaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1440 | Check in Google Scholar
Stunting remains one of the major nutritional problems among children under five in Indonesia and is associated with chronic undernutrition and recurrent infections. This study aimed to describe the prevalence and characteristics of stunting among children under five in the working area of UPTD Puskesmas IV Koto in 2025. This study employed a quantitative descriptive design with a retrospective approach. Data were obtained from the EPPGBM (Electronic Recording and Reporting of Community-Based Nutrition) records of UPTD Puskesmas IV Koto in August 2025. The study sample consisted of 532 children aged 0–59 months. Descriptive analysis was conducted to determine the distribution of stunting by age, sex, and nagari. The results showed that the prevalence of stunting was 14.29%, with the highest proportion recorded in Nagari Balingka (90.79%) and the lowest in Nagari Sungai Landia (9.21%). Most cases of stunting occurred among children aged 24–59 months (68.42%) and were more prevalent among boys (55.26%) than girls (44.74%). These findings indicate that stunting remains a public health problem influenced by nutritional intake, socioeconomic conditions, sanitation, and childcare practices. Therefore, sustainable cross-sectoral interventions are needed through nutrition education, improved access to sanitation, and strengthened convergence programs for stunting reduction at the nagari level.3009-3016 -
Faktor-Faktor Yang Membentuk Praktik Pemberian Asi Eksklusif Di Indonesia Dalam Perspektif Social Ecological Model : Suatu Tinjauan Sistematis
Dhea Rizkia Amalia, Nur Alam Fajar, Fatmalina FebryShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1441 | Check in Google Scholar
Exclusive breastfeeding is a globally recommended health practice essential for optimal infant growth and development, yet its practice in Indonesia continues to face barriers that arise not only from mothers but also from the interpersonal environment, service organizations, communities, and public policy. This review aimed to identify and synthesize the determinants and patterns of exclusive breastfeeding practice among mothers in Indonesia across the five levels of the Social Ecological Model (SEM): individual, interpersonal, organizational, community, and public policy. A systematic literature review was conducted following the PRISMA 2020 guideline, searching PubMed, Garuda and Google Scholar for publications from 2020 to 2026. Following identification, screening, and eligibility assessment, 17 empirical studies (quantitative, qualitative, and mixed-methods) conducted in Indonesia met the inclusion criteria and were analyzed using a thematic/narrative synthesis approach. The findings show that exclusive breastfeeding practice is shaped by maternal knowledge, self-efficacy, and experience at the individual level; spousal and family support at the interpersonal level; health-worker support and workplace lactation facilities at the organizational level; cultural norms and socioeconomic conditions at the community level; and regulatory implementation and maternity protection at the public policy level. These determinants do not operate in isolation but interact to form an ecosystem that shapes the sustainability of exclusive breastfeeding practice. This review concludes that improving exclusive breastfeeding practice in Indonesia requires integrated intervention across levels, rather than maternal education alone.3017-3034 -
Efektivitas Dukungan Tenaga Kesehatan Dalam Pemberian ASI Eksklusif: Systematic Literature Review
Oka Sherina, Nur Alam Fajar, Suci DestriataniaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1420 | Check in Google Scholar
Exclusive breastfeeding during the first six months of life is an important intervention for improving infant health and protection, yet sustaining exclusive breastfeeding remains a challenge in many countries. Healthcare worker support plays an important role in helping mothers overcome breastfeeding difficulties, although the effectiveness of different support approaches varies across studies. This study aimed to analyze and synthesize empirical evidence regarding the effectiveness of healthcare worker support in improving and sustaining exclusive breastfeeding up to six months of age. A Systematic Literature Review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. Literature was searched through Google Scholar using combinations of keywords related to healthcare workers, breastfeeding support, lactation counseling, breastfeeding education, and exclusive breastfeeding. Following identification, screening, and eligibility assessment, 16 articles met the inclusion criteria and were included in the synthesis. The findings indicated that healthcare worker support through education, counseling, breastfeeding technique assistance, home visits, community-based support, and digital media was generally associated with improved exclusive breastfeeding practices. Greater effectiveness was observed when support was structured, repeated, continuous, individualized, and responsive to mothers’ needs. Effectiveness was also influenced by healthcare worker competency, family support, available resources, and service conditions. Healthcare worker support is an important component in improving exclusive breastfeeding and should be provided continuously from pregnancy through the postpartum period.
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Penerapan Metode Tutor Sebaya Terhadap Ketepatan Gerak Dan Kepercayaan Diri Siswa Dalam Pembelajaran Seni Tari Kelas VII SMPN 15 Semarang
Prita Gita Putricahyani, Hartono HartonoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1443 | Check in Google Scholar
Dance learning in junior high schools still faces challenges related to students’ movement accuracy and self-confidence during practical learning activities. These conditions affect students’ participation and the effectiveness of the learning process, indicating the need for a learning strategy that can facilitate active interaction and collaborative guidance. This study aimed to analyze the implementation of the peer tutoring method in supporting students’ movement accuracy and self-confidence in dance learning for seventh-grade students at SMP Negeri 15 Semarang. The study employed a qualitative descriptive approach. Data were collected from 11 May to 1 July 2026 through semi-structured interviews with one dance teacher responsible for teaching seventh-grade dance classes, supported by documentation. The data were analyzed using the interactive model of data reduction, data display, and conclusion drawing. The findings indicate that peer tutoring creates a more collaborative learning environment, provides more intensive movement guidance, accelerates students’ understanding of dance movements, and encourages students to participate more confidently in dance practice. The implementation of peer tutoring also helped address limited teacher feedback time during practical sessions. The study implies that peer tutoring can be considered an alternative learning strategy to support psychomotor and affective development in junior high school dance education, particularly in improving movement accuracy and strengthening students’ self-confidence3045-3051 -
Pemahaman Etika Profesi Fisioterapi Pada Mahasiswa Studi Pre-Post Workshop Etika Tahun 2026
Zainal AbidinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1442 | Check in Google Scholar
Physiotherapy is a healthcare profession that interacts directly with patients; thus, professional competence encompasses not only clinical skills, but also integrity, responsibility, communication, and ethical behavior. This study aims to identify the level of professional ethics understanding among Physiotherapy students at Universitas Widya Husada Semarang (UWHS) before and after attending a professional ethics workshop, analyze changes in their understanding, and examine the relationship between semester levels and ethics understanding categories. This quantitative research utilized a pre-experimental one group pretest-posttest design with purposive sampling involving 100 students from semesters 4–8. The measurement instrument was a 20-item questionnaire on a 1–4 Likert scale covering four ethical domains. The intervention consisted of a 6-hour structured professional ethics workshop. Data were analyzed using univariate and bivariate methods, specifically the Wilcoxon signed-rank test and the Chi-Square test. The results showed a significant increase in the mean ethics understanding score from 65.3% (SD 9.8) at pre-test to 83.7% (SD 7.6) at post-test, with the proportion of students in the good category rising from 18.0% to 70.0% (p < 0.001). All ethical domains improved, with the peer responsibility domain showing the highest increase of 22.2%. However, no statistically significant relationship was found between semester level and ethics understanding category (p = 0.469). In conclusion, a active-learning-based professional ethics workshop is effective in significantly enhancing physiotherapy students' understanding of professional ethics, particularly regarding peer relations3052-3061 -
Analisis Percepatan Waktu Pelaksanaan Proyek Gedung Kantor Kecamatan Mapanget Dengan Menggunakan Metode Fast Track
Fabian Tatara, Geertje Efraty Kandiyoh, Deyke Junita Femeli MandangShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1444 | Check in Google Scholar
Construction projects often face delays that can affect when they are finished on time. This study looks at how using the Fast Track method can help speed up the building of the Mapanget District Office in Manado. A quantitative descriptive method was used, which included field observations and project documents like working drawings, the Budget Plan (RAB), S-curves, and progress reports. The analysis included finding delays using S-curves, adjusting the project schedule after a 30-day delay, figuring out which tasks were most important with Microsoft Project, and choosing which activities could be done at the same time without lowering the quality or breaking safety rules. The Fast Track method was used by changing the way certain activities were connected, switching from Finish-to-Start to Start-to-Start. The original project plan was set for 125 days, from July 21, 2025, to December 12, 2025, but it ended up being shorter by 2.201%. When the Fast Track method was used on seven chosen activities, the project time went down to 111 days, which sped things up by 14 days, or 11.2% less time. The results show that the Fast Track method is a good option for finishing projects faster, especially when the site allows different tasks to happen at the same time, as long as quality, safety, and the availability of resources are considered.3062-3071 -
Pengaruh Ekstrak Daun Teh Hitam Terhadap Kadar Gula Darah Sewaktu Pada Tikus Wistar Jantan Model Diabetes Mellitus
Keiza Aryanti Muhajir, Helga Marwa Afifah, Amanah AmanahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1445 | Check in Google Scholar
Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia due to impaired insulin secretion or insulin action. Long-term antidiabetic therapy may cause adverse effects, supporting investigation of natural products for glycemic control. Black tea leaf extract contains bioactive compounds with potential antihyperglycemic activity. This study aimed to determine its effect on random blood glucose (RBG) and compare doses of 100 and 200 mg/kg body weight in male Wistar rats with DM. A true experimental pre-test–post-test control group design was used. The population consisted of adult male Wistar rats used as a DM model. Twenty-four rats were selected by simple random sampling and divided into four groups of six: healthy control, diabetic control, 100 mg/kg extract, and 200 mg/kg extract. The independent variable was black tea leaf extract administration and the dependent variable was RBG level. Diabetes was induced with alloxan 150 mg/kg body weight, followed by oral extract administration for seven days. RBG was measured from tail blood using a digital glucometer. Data were analyzed using Shapiro–Wilk, Levene, One-Way ANOVA, and Tukey Post Hoc tests; ethical approval No. 72/EC/KEPKUGJ/V/2026 was obtained. Mean RBG reductions were 150.7 mg/dL at 100 mg/kg and 163.3 mg/dL at 200 mg/kg, compared with 3.3 mg/dL in the diabetic control. One-Way ANOVA showed a significant difference among groups (p=0.001), while Tukey analysis showed a significant difference between the two doses (p=0.041). Black tea leaf extract reduced RBG in diabetic male Wistar rats, with the 200 mg/kg dose producing a greater effect.3072-3079 -
Formulasi dan Uji Efektivitas Antistres Lilin Aromaterapi Minyak Atsiri Jahe Merah (Zingiber officinale var. rubrum ) Pada Mencit (Mus musculus )
Maysita Anggie, Riana Putri Rahmawati, Bintari Tri SukoharjantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1148 | Check in Google Scholar
High stress levels in modern society have driven the development of natural complementary therapies. Red ginger (Zingiber officinale var. rubrum) produces a calming effect through its active compounds: gingerol, shogaol, zingerone, zingiberene, and camphene. This studyaims to formulate and evaluate the anti-stress efficacy of aromatherapy candles containing red ginger essential oil in mice (Mus musculus). Experimental methods included the processing of crude drug material, essential oil distillation, and phytochemical screening. The essential oilwas then formulated into aromatherapy candles at three concentrations—2% (F1), 4% (F2), and 6% (F3)—using palm wax and stearic acidas the base. Physical quality testing of the candles included organoleptic evaluation, burn time, and melting point. The anti-stress test used theForced Swim Test (FST) with immobility time as the parameter, and lavender served as the positive control. Data analysis was performedusing ANOVA and Tukey’s Post Hoc test. The results of the candle quality tests showed that all formulations (F1, F2, F3) were white, solid without cracks, had a characteristic ginger scent, a burn time of 475–545 minutes, and a melting point of 52–54°C. F3 (6%) provided the best anti-stress effect with an average immobility time of 7.2 minutes, which was shorter than that of F2 (4%) at 12.2 minutes and F1 (2%) at20.4 minutes, although it was not able to outperform the lavender positive control, which had an immobility time of 5.2 minutes. In conclusion,all formulations were found to meet the standards for aromatherapy candles, and F3 is the best aromatherapy option for stress relief.3080-3091 -
Peran Fisioterapi Dalam Pencegahan Dan Penanganan Gangguan Muskuloskeletal Akibat Kerja: Sebuah Literature Review
Komang Yudi Febriawan, I Gusti Made Suandinata Yoga, I Komang Arya Triguna, Komang Gde Arjuna Surya NegaraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1453 | Check in Google Scholar
Work-Related Musculoskeletal Disorders (WMSDs) are one of the most prevalent occupational health issues globally, impacting worker productivity and causing significant economic burdens. Physiotherapy plays a strategic role in Occupational Health and Safety (OHS) efforts, whether at the preventive, curative, or rehabilitative stage, but its integration into OHS policies in Indonesia is still not optimal. This study aims to systematically examine the role of physiotherapy in the prevention and management of work-related musculoskeletal disorders based on published scientific evidence. The research uses a narrative literature review design with article searches through PubMed, Google Scholar, ScienceDirect, and Garuda within the range of 2015–2026. Article selection was conducted based on predetermined inclusion and exclusion criteria, with the selection process adapting the PRISMA principles. The role of physiotherapy was identified in four main themes, namely: (1) participatory ergonomic interventions that effectively reduce the risk of WMSDs in various work sectors; (2) stretching exercise programs as preventive interventions that are applicable and low-cost; (3) physiotherapy education and counseling in increasing workers' awareness of safe work postures; and (4) physiotherapy-based curative-rehabilitative interventions that effectively reduce disability in workers who have experienced WMSDs. Physiotherapy plays a multidimensional role within the framework of occupational health and safety (OHS), with optimal effectiveness achieved through a combinative approach that actively involves workers and is supported by long-term management commitment. The integration of occupational physiotherapy services into the company's OHS service standards needs to be continuously promoted.3092-3104 -
Gambaran Faktor-Faktor Hipertensi di Wilayah Kerja Puskesmas Ratahan Timur Kabupaten Minahasa Tenggara
Clarisa Claudia Rogahang, Jeini Ester Nelwan, Afnal AsrifuddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1455 | Check in Google Scholar
Hypertension is one of the major public health problems that may increase the risk of cardiovascular disease, stroke, and kidney disorders. This study aimed to describe the factors of hypertension in the working area of Ratahan Timur Community Health Center, Southeast Minahasa Regency. This study used a descriptive quantitative method with a cross-sectional design. The sample consisted of 93 respondents selected using total sampling. The variables examined included age, sex, family history, alcohol consumption, smoking habits, stress level, and physical activity. Data were collected through interviews using questionnaires, while hypertension status was determined based on the diagnosis recorded in the respondents’ medical records. Data were analyzed using univariate analysis presented as frequency distributions and percentages. The results showed that most respondents were aged ≥60 years (66.7%), female (64.5%), had a family history of hypertension (57.0%), did not consume alcohol (83.9%), did not smoke (73.1%), experienced moderate stress (76.3%), and had high physical activity (59.1%). Based on hypertension status, 76 respondents (81.7%) were classified as hypertensive. Among hypertensive respondents, most were aged ≥60 years, female, had a family history of hypertension, and experienced moderate stress. All current alcohol consumers were found in the hypertensive group, while high physical activity was the most common category in both hypertensive and non-hypertensive groups. This study provides an overview of the characteristics of factors found among respondents according to hypertension status in the working area of Ratahan Timur Community Health Center.
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Penerapan Metode Earned Value Pada Proyek Pembangunan Kantor Camat Mapanget
Pamuel Tabuni, Novriana Amelia Pangemanan, Aris SampeShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1456 | Check in Google Scholar
The construction of the Mapanget Sub-district Office, funded by the Manado City Regional Budget (APBD), experienced an initial 7-calendar-day delay caused by the late handover of the old building land/asset by the project owner. This study aims to analyze the project's time and cost performance and to obtain the final cost estimate and completion schedule estimate using the Earned Value Management (EVM) method. This is a descriptive quantitative study using primary data (observation of delay factors) and secondary data (weekly reports, budget plan, and S-curve), with a contract value (BAC) of Rp4,899,568,000 and a planned duration of 150 calendar days. The analysis at week 7, the point of greatest deviation, showed a Schedule Performance Index (SPI) of 0.53 and a Cost Performance Index (CPI) of 0.58, with a projected completion (S-EAC) of 240 days and a final cost estimate (B-EAC) of Rp8,442,472,253. Project performance improved consistently through week 22, reaching an SPI of 0.99 and a CPI of 1.01, with an actual cost (ACWP) of Rp4,840,437,940, Rp59,130,060 lower than the contract value. The results conclude that despite the initial external delay, the application of the Earned Value method successfully detected performance deviations early, enabling corrective action, so the project was ultimately completed nearly on schedule and at a cost more efficient than the contract budget.3114-3121 -
Analisa Kehilangan Air Pada Pintu Klep Di Saluran
Nabila Shafa Maulida, Achmad SyarifudinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1457 | Check in Google Scholar
Water loss in open channels is one of the problems that can affect the efficiency of water distribution. The use of a sluice gate as a flow control structure can cause changes in flow characteristics and discharge along the channel. This study aims to determine the flow characteristics in an open channel using a sluice gate and to analyze the effect of gate opening variations on water loss. The study was conducted experimentally using a 6 m long flume at the Hydraulics Laboratory of the Civil Engineering Study Program, Universitas Bina Darma. The gate opening variations were 1 cm, 1.5 cm, and 2 cm, representing 25%, 50%, and 75% openings, respectively. The measured parameters included discharge, flow velocity, water depth, Reynolds number, and Froude number. Water loss was analyzed based on the difference between the inlet and outlet discharge. The results showed that the inlet discharges were 1.050 m³/s, 1.230 m³/s, and 1.210 m³/s, while the outlet discharges were 0.028 m³/s, 0.041 m³/s, and 0.047 m³/s, respectively. Based on the difference between the inlet and outlet discharge, the water losses were 1.022 m³/s, 1.189 m³/s, and 1.163 m³/s, respectively. The Reynolds number analysis indicated that the flow before and after the sluice gate was turbulent, while the Froude number analysis indicated that the flow remained supercritical. Thus, variations in sluice gate opening resulted in differences in discharge and water loss under the tested flow conditions.3122-3129 -
Manajemen Fisioterapi Pada Pasien Post Torakotomi E.C Fraktur Costae Dengan Keluhan Sesak Napas Dan Kekakuan Otot Dada: Sebuah Laporan Kasus
Kadek Ayu Cynthia Dewi, Made Bagus Aditya Putra Astika, Anak Agung Istri Meilani Trisna Dewi, I Gd PratamaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1461 | Check in Google Scholar
Rib fractures resulting from blunt chest trauma often lead to respiratory complications and long-term functional impairment when not properly managed (Pharaon, Marasco, & Mayberry, 2015; Seok et al., 2023). Thoracotomy performed to repair pleural injury after trauma can result in chronic pain, reduced chest wall expansion, and shoulder mobility limitation without prompt rehabilitation (Wildgaard, Ravn, & Kehlet, 2009). This case report aims to describe the physiotherapy management of a 57-year-old man presenting with mild dyspnea and chest muscle stiffness following post-traumatic thoracotomy. The patient underwent surgery on 8 December 2025 and presented to the Physiotherapy Outpatient Clinic of RSUD Bali Mandara on 28 July 2026, complaining of dyspnea during long-distance walking and stair climbing. Physiotherapy interventions included infrared, ultrasound, pursed-lip breathing, thoracic expansion exercise, and pectoralis stretching exercise over six sessions (28 July–3 August 2026). Outcomes were evaluated using the Visual Analogue Scale (VAS), midline chest expansion measurement, goniometry, manual muscle testing, the Borg scale, and the 2-Minute Step Test (2MST). Results showed a decrease in movement pain from 3/10 to 1/10 and pressure pain from 3/10 to 2/10, while dyspnea scores and shoulder muscle strength remained stable within normal limits. In conclusion, a combination of electrotherapy modalities and breathing–stretching exercises may help reduce pain in post-thoracotomy cases, although improvement in thoracic expansion and activity tolerance requires a longer treatment duration.3130-3140 -
Pemetaan Penelitian tentang Privasi Data dan Etika Digital dalam Komunikasi Global
Nurhikmah Nurhikmah, Tuti Bahfiarti, Muhammad FaridShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1448 | Check in Google Scholar
This study aims to comprehensively analyze global trends, academic collaborations, and the research trajectory regarding data privacy and ethics in digital communication during the 2021–2025 period. Employing a bibliometric approach to Scopus publication data, the study reveals that issues of digital ethics and privacy have evolved from purely technical studies into a multidisciplinary discourse integrating technological, social, and moral dimensions. The analysis shows a significant increase in the number of publications rising from 14 articles in 2021 to over 30 in 2025 reflecting the global urgency surrounding data governance and ethical responsibility in digital communication. VOSViewer visualizations of co-authorship networks demonstrate cross-disciplinary and cross-national connections, highlighting key figures such as J. Hagelstein, I. Amerini, and S. Aldecoa-Landesa as primary links between the technological and ethical realms. Keyword co-occurrence analysis identifies three main research foci: data security and encryption, artificial intelligence ethics, and digital social responsibility. The study highlights the demand for balancing technological advancement with human values in the evolution of digital communication, thereby driving the push for digital ethics policies that uphold human values on the global stage.3141-3157 -
Implementasi Media Promosi Neon Box Dalam Mendukung Identitas Bisnis Polbeans
Nur Faizi Faizi, Mus Ali Alsabah, Shylvester Simanjuntak, D. Sartika SilabanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1458 | Check in Google Scholar
Visual identity is an important aspect in building the image, attractiveness, and competitiveness of a business. POLBEANS requires a promotional medium that can increase business visibility while strengthening brand identity so that it can be easily recognized by the public. This study aims to design, develop, and implement a neon box as a promotional medium to support the strengthening of POLBEANS' business identity and to evaluate its effectiveness in influencing customer perceptions. The research employed a Research and Development (R&D) method consisting of several stages, including needs identification, design development, material selection, product fabrication, functional testing, implementation, and evaluation. The neon box design integrates the POLBEANS logo, brand colors, and business information to create a consistent visual identity. The fabrication process included the assembly of an aluminum frame, installation of acrylic panels, LED lighting modules, and power supply, followed by functional and structural testing. The effectiveness of the implementation was evaluated through observation and questionnaires distributed to customers based on indicators of visual attractiveness, visibility, ease of recognizing the business location, and strengthening of business identity. The implementation results indicate that the neon box functions effectively as an informative and attractive outdoor promotional medium while improving the visibility and ease of recognizing the POLBEANS business location. The consistent use of visual identity elements also contributes to a more professional and recognizable business image. Therefore, the neon box can serve as an effective branding medium for strengthening the business identity of POLBEANS and has potential for application in similar businesses.3158-3166 -
Implementation Of LSTM, GRU, And BI-LSTM Algorithms For LQ45 Index Prediction
Angga Muhammad Galih, Binastya Anggara SektiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1460 | Check in Google Scholar
The Indonesian capital market, particularly the LQ45 Index and its leading sectoral stocks, exhibits high volatility and complex non-linear price patterns. This complexity renders conventional statistical methods insufficient for accurate forecasting and risk mitigation. This study aims to develop and compare three Deep Learning architectures Long Short-Term Memory (LSTM), Gated Recurrent Unit (GRU), and Bidirectional LSTM (Bi-LSTM) in predicting the daily close prices of the LQ45 Index and six highly liquid stocks. The research methodology adopted the CRISP-DM framework utilizing historical data from January 2020 to May 2026. To prevent data leakage and ensure scientific rigor, model training incorporated a 5-Fold Walk-Forward Validation with an expanding window and multi-seed training. Performance was evaluated and benchmarked against statistical baseline models (Naïve, ARIMA, ETS) using RMSE, MAPE, and Directional Accuracy (DA). Experimental results reveal that all Deep Learning models achieved highly accurate performance with an average MAPE below 5%. The GRU model proved to be the most optimal, recording the lowest RMSE across the majority of assets. While statistical models showed slight superiority in minimizing short-term nominal errors, Deep Learning architectures consistently outperformed in recognizing market trend directions. Finally, the best models were successfully deployed into StockAI, an interactive web application built on the Flask framework using Model-View-Template (MVT) architecture for real-time live inference.
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A Literature Review: The Impact of Pharmacist Homecare on Knowledge and Medication Adherence in Elderly Hypertensive Patients
Dianik Astri, Sri Haryanti, Dimas Adhi PradanaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1463 | Check in Google Scholar
Medication adherence among older adults with hypertension remains suboptimal despite the availability of effective antihypertensive therapies, highlighting the need for patient-centered pharmaceutical care. This review aimed to synthesize evidence on the effectiveness of pharmacist-led homecare services in improving medication knowledge, medication adherence, and clinical outcomes among older adults with hypertension. A structured literature review was conducted using PubMed, Scopus, and Google Scholar to identify relevant studies published between 2014 and 2024. Eligible studies evaluated pharmacist-led homecare interventions and reported outcomes related to medication knowledge, medication adherence, or blood pressure control. Ten studies met the inclusion criteria and were narratively synthesized due to heterogeneity in study designs and outcome measures. The findings consistently indicated that pharmacist-led homecare improved medication knowledge and medication adherence. Effective interventions generally incorporated individualized patient education, comprehensive medication reviews, adherence monitoring, home visits, follow-up communication, and caregiver involvement. Several studies also reported improvements in blood pressure control. Overall, pharmacist-led homecare shows potential as a pharmaceutical care model for optimizing hypertension management among older adults through integrated educational, behavioral, and monitoring strategies.3177-3192 -
Peran Diabetes Distress Terhadap Self-Management, Kepatuhan Terapi, Dan Outcome Klinis Pada Pasien Diabetes Mellitus: Literatur Review
Analizza Lea, Arini Novita Ati, Maurits R.L. Sjioen, Yulianti A Syarif Hadi, Sintha Lisa PurimahuaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.999 | Check in Google Scholar
Diabetes mellitus (DM) is a chronic disease requiring long-term management and may impose a psychological burden known as diabetes distress. This condition is associated with self-management, treatment adherence, and clinical outcomes. This literature review aimed to synthesize evidence regarding the association of diabetes distress with three primary outcomes: self-management, treatment adherence, and clinical outcomes among people with DM. An integrative review was conducted using 12 research articles published between 2022 and 2024 and retrieved from Google Scholar, PubMed, and ScienceDirect. Articles were screened using predefined inclusion and exclusion criteria and narratively synthesized according to study design, measured constructs, outcomes, and major findings. The synthesis indicated that higher diabetes distress was generally associated with poorer self-management and lower treatment adherence. Several studies also reported associations with glycemic control and, in specific studies, clinical complications. Interventions such as Diabetes Self-Management Education (DSME) and cognitive behavior therapy were reported to reduce diabetes distress; evidence for improved treatment adherence and HbA1c should be distinguished from evidence for distress reduction. Overall, diabetes distress should be considered in diabetes management, while interpretation should account for study design and limitations of causal evidence.
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Peningkatan Pengetahuan Wanita Usia Subur Tentang Pencegahan Fluor Albus Melalui Edukasi Kesehatan Reproduksi di TPMB Dhonal Handayani Tahun 2026
Devi Indriani, Dhonal Handayani, Cinta Sari, Dita Utari Basuki, Nuramiati Nuramiati, Ika Kania Fatdo Wardani, Hajar Nur Fathur RohmahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.992 | Check in Google Scholar
This community service program aimed to improve the knowledge of women of reproductive age regarding the prevention of fluor albus through reproductive health education at TPMB Dhonal Handayani in 2026. A quantitative approach with a one-group pretest-posttest design was employed. The program involved 20 women of reproductive age selected through purposive sampling. The activity stages included a pretest, reproductive health education delivered through lectures, interactive discussions, question-and-answer sessions, and leaflet distribution, followed by a posttest to assess changes in participants’ knowledge. The educational materials covered the definition of fluor albus, differences between physiological and pathological fluor albus, risk factors, signs and symptoms, and preventive measures through proper personal hygiene practices. The results showed that the mean knowledge score increased from 4.35 in the pretest to 7.85 in the posttest, representing an improvement of 3.50 points. These findings indicate that reproductive health education was effective in improving participants’ understanding of fluor albus prevention. Participants also demonstrated high enthusiasm and active participation throughout the activity. Therefore, reproductive health education can serve as an effective promotive and preventive strategy to enhance knowledge and awareness among women of reproductive age regarding reproductive health maintenance .3193-3199 -
Perbandingan Etika Aristoteles dan Imam Al-Ghazali
Marhalim MarhalimShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.998 | Check in Google Scholar
Ethics is a branch of philosophy that seeks to understand the essence of truth and the values of good and evil inherent in human beings. There are differences in the ethical perspectives of Aristotle and Imam Al-Ghazali regarding the concept of happiness as the ultimate goal of human life. This study aims to examine the ethical concepts of Aristotle and Imam Al-Ghazali and to identify the differences between their ethical theories. This research employs a library research method by collecting data and materials related to the topic and research problems from various literary sources. The study uses a qualitative approach. The data sources consist of primary and secondary sources.
The primary sources are Aristotle's Nicomachean Ethics and Imam Al-Ghazali's Islamic Ethical Philosophy, which serve as the main references for the researcher. The secondary sources include books and other literature related to the material object of the study, either directly or indirectly discussing the thinkers under investigation. The differences between the ethical concepts of Imam Al-Ghazali and Aristotle can be seen in their respective approaches to attaining virtue. Imam Al-Ghazali emphasizes the role of Islamic law (Sharia) as the primary means of achieving virtue. In his moral philosophy, reason functions as a controller of human desires and as a means of effectively attaining practical goals. Therefore, the most important aspect is how reason guides individuals toward morally and religiously righteous actions in order to attain eternal happiness in the hereafter. In contrast, Aristotle builds the foundation of ethics upon rationality, arguing that ethics is a moral virtue that is in harmony with reason and human intellect.
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Studi Kasus Komparatif Tata Kelola Dan Pengelolaan Sistem Penyediaan Air Minum Pada Perumda Air Minum Kota Kupang Dan PDAM Kabupaten Rote Ndao, Nusa Tenggara Timur
Analizza Lea, Arini Novita Ati, Maurits R.L. Sjioen, Yulianti A. Syarif Hadi, Sintha Lisa Purimahua, Marylin Susanti JuniasShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1004 | Check in Google Scholar
The provision of safe, sustainable, and accessible drinking water remains a major development challenge in archipelagic and semi-arid regions such as East Nusa Tenggara Province, Indonesia. Geographical constraints, limited water resources, and dispersed population distribution require adaptive governance approaches in the implementation of Drinking Water Supply Systems (SPAM). This study aimed to compare water governance and drinking water management practices implemented by the Regional Drinking Water Company of Kupang City and the Regional Water Utility of Rote Ndao Regency, representing two different geographical contexts within East Nusa Tenggara. A comparative case study approach was employed through field observations, interviews, and document reviews conducted at water sources, treatment facilities, reservoirs, and distribution systems. Data were analyzed descriptively to identify similarities, differences, operational challenges, and development opportunities in drinking water service provision. The findings indicate that the Regional Drinking Water Company of Kupang City operates a more complex system utilizing both surface water and groundwater sources, supported by comprehensive treatment processes including coagulation, flocculation, sedimentation, filtration, and disinfection before distribution. In contrast, the Regional Water Utility of Rote Ndao mainly relies on spring water and boreholes, with relatively simple distribution systems and limited treatment processes. Nevertheless, the traditional conservation area locally known as "Mamar" surrounding the Oemau Spring contributes significantly to source water sustainability in Rote Ndao.Both utilities face similar challenges related to seasonal water scarcity, increasing water demand, and infrastructure limitations. However, management strategies differ according to local environmental conditions, institutional capacities, and source water characteristics. Strengthening water governance, infrastructure investment, and watershed protection are essential for improving drinking water security in East Nusa Tenggara.
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Sebuah Tinjauan Naratif: Peran, Implementasi, Tantangan, Strategi dan Inovasi Apotek Program Rujuk Balik (PRB) Dalam Sistem Jaminan Kesehatan Nasional (JKN)
Ristita Aritamonsa, Indri Hapsari, Erza GenatrikaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1014 | Check in Google Scholar
The increasing coverage of participants in Indonesia’s National Health Insurance requires the provision of healthcare services that are optimal, efficient, and sustainable. The Referral Back Program was developed to support the management of stable chronic disease patients through services provided at primary healthcare facilities and Referral Back Program pharmacies. Referral Back Program pharmacies play a crucial role in ensuring medication access and continuity of therapy, but their implementation still faces various challenges that could affect service quality. By reviewing various scientific articles, regulations, and documents related to the Referral Back Program and pharmaceutical services, it is shown that Referral Back Program pharmacies contribute to improving access to medicines, maintaining therapy continuity, and supporting healthcare service efficiency for chronic disease patients. However, its implementation still faces various challenges, such as limited drug availability, less-than-optimal coordination between healthcare facilities, administrative and claims issues, and limited human resources. Strategies to overcome these challenges include utilizing an integrated information system, strengthening drug supply management, improving pharmaceutical staff competence, and enhancing interprofessional collaboration. By optimizing these aspects, Referral Back Program pharmacies can increasingly play a role in improving the quality of healthcare services and supporting the sustainability of the National Health Insurance program in Indonesia.3216-3230 -
Penggunaan Obat Antihipertensi dan Potensi Interaksi Obat pada Pasien Hipertensi di Puskesmas X Kabupaten Kudus
Anissa Maulida Andini, Ria Etikasari, Ahmad Suriyadi MuslimShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1008 | Check in Google Scholar
Hypertension is a non-communicable disease with a high prevalence in Indonesia and often requires polypharmacy, which may increase the risk of potential drug interactions. This study aimed to identify patterns of antihypertensive drug use and potential drug interactions among hypertensive patients at Community Health Center X, Kudus Regency. This observational study used a retrospective cohort approach. Data were collected from the medical records of hypertensive patients from January to October 2025. A total of 171 patients were selected using purposive sampling based on the Slovin formula. The inclusion criteria were patients with primary or secondary hypertension, comorbidities, receipt of four medications in one treatment period, and complete medical records, while patients aged under 18 years, those with mental disorders, and pregnancy-induced hypertension were excluded. Potential drug interactions were analyzed using the Drugs.com Interaction Checker, and antihypertensive treatment patterns were evaluated based on the 2021 Indonesian Society of Hypertension (PERHI) Consensus. The results showed that antihypertensive therapy was predominantly monotherapy, with amlodipine 10 mg as the most frequently prescribed drug, consistent with the 2021 PERHI Consensus recommendation as a first-line therapy. Potential drug interactions were identified in 71.79% of prescriptions. Moderate interactions predominated (52.84%), while pharmacodynamic interactions were the most common mechanism (74.19%). The most frequent potential interactions involved antihypertensive drugs and NSAIDs, whereas the most common major potential interactions were amlodipine–simvastatin and captopril–allopurinol combinations. In conclusion, antihypertensive therapy was predominantly monotherapy, while a high prevalence of potential drug interactions, particularly moderate interactions with pharmacodynamic mechanisms, was identified.3231-3243 -
Budaya Masyarakat Dan Pergaulan Bebas Sebagai Determinan Pernikahan Usia Dini Di Kabupaten Tulungagung
Fatmawati Fatmawati, Yulia Ervianti, Galih Puspita Citra MahardikaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1041 | Check in Google Scholar
Early marriage remains a reproductive health and social problem in Indonesia. Tulungagung Regency is one of the areas in East Java with a relatively high prevalence of early marriage. Community culture and risky sexual behavior are considered factors influencing adolescents' decisions to marry at an early age. To analyze the influence of community culture and risky sexual behavior on early marriage in Tulungagung Regency. This study employed an analytic observational design with a case-control approach. The study was conducted from May-June 2026 in Kalidawir, Sendang, and Pagerwojo Districts, Tulungagung Regency. A total of 288 respondents participated, consisting of 96 cases (married before 19 years of age) and 192 controls (married at or after 19 years of age) selected using purposive sampling. Data were collected through questionnaires and analyzed using multiple logistic regression. There was a significant relationship between risky sexual behavior and early marriage. Community culture was identified as the most dominant factor influencing women's decisions to marry at an early age (OR=7.742; 95%CI=4.218–14.210). Community culture and risky sexual behavior are determinants of early marriage in Tulungagung Regency. Community culture is the most dominant factor associated with early marriage.3244-3251 -
Inovasi Layanan Antar Jemput Difabel (TRALIS Difabel) sebagai Upaya Peningkatan Mutu Layanan Kesehatan yang Inklusif di UPTD Puskesmas Limo Kota Depok
Fitria Andriani Fakdawer, Robiana Modjo, Lailatul Husna, Deva Arianti H, Toni HermawanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1045 | Check in Google Scholar
People with disabilities continue to face challenges in accessing primary healthcare due to mobility and transportation barriers, which reduce healthcare visits and increase the risk of unmet basic health needs. This study aims to describe the implementation of the inclusive transport service for people with disabilities (Trans Limo Sehat/TRALIS Difabel) as a quality improvement initiative at UPTD Puskesmas Limo, Depok City. The project used the Plan-Do-Check-Act (PDCA) cycle, in which problems were identified through field observations, focus group discussions, document analysis, and policy review, while the intervention provided pick-up and drop-off services through digital registration and puskesmas ambulances, and evaluation data were drawn from registration records, operational observations, and user feedback. The results show that the TRALIS Difabel program improved access to healthcare for people with disabilities, serving about 24 individuals and their companions during the initial evaluation period; registration via Google Form, barcode, and WhatsApp increased access to information, the service expanded to 16 pick-up points including three Disability Posyandu (Posdifa), and user feedback was highly positive, with financing through the BLUD budget ensuring efficiency and sustainability. It is concluded that the TRALIS Difabel program effectively addressed mobility and financial barriers to accessing primary healthcare for people with disabilities and has potential as a replicable model for inclusive health services in Depok City and beyond.3252-3259 -
Analisis Faktor Yang Berhubungan Dengan Kejadian Bullying Pada Siswa SMP Negeri 3 Meulaboh
Feri Ramazan, Maiza Duana, Mardi Fadillah, Safrizal Safrizal, T.M RafsanjaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1051 | Check in Google Scholar
Bullying remains a significant problem among adolescentsbecause it can affect psychological well-being, social relationships, and learning processes. UNESCO data indicate that approximately 32% of children and adolescents worldwide have experienced bullying at school. According to the PISA 2022 report, around 25% of female students and 30% of male students in Indonesia experienced bullying several times within a month. In Aceh Province, approximately 46–47% of junior high school students have experienced bullying by their peers. Therefore, this study aimed to analyze the relationship betweenfamily factors, peer influence, school environment, and social media use with bullying incidents among students at SMP Negeri 3 Meulaboh.This study employed a quantitative method with an observational analytic design using a cross-sectional approach. The population consisted of 292 ninth-grade students, and 169 respondents were selected through simple random sampling. Data were collected usingquestionnaires and analyzed through univariate and bivariate analyses using the Chi-Square test with a 95% confidence level (α = 0.05). The results showed that family factors (p-value = 0.397) and school environment factors (p-value = 0.110) were not significantly associated with bullying incidents. In contrast, peer influence and social media factors were significantly associated with bullying incidents (p < 0.05). These findings indicate that peer influence and social media playimportant roles in the occurrence
of bullying among students at SMP Negeri 3 Meulaboh. In conclusion, peer influence and social media are associated with bullying incidents among students. Therefore, schools should strengthen bullying prevention programs by empowering peers as anti-bullying agents and improving students’ digital literacy to prevent bullying andcyberbullying
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Uji Aktivitas Antibakteri Kombinasi Ekstrak Etanol Daun Jambu Biji (Psidium guajava L.) dan Daun Kemangi (Ocimum basilicum L.) dalam Sediaan Pasta Gigi Terhadap Bakteri Streptococcus mutans
Anggita Ayu, Riana Putri Rahmawati, Muhammad Nurul FadelShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1054 | Check in Google Scholar
Guava leaves (Psidium guajava L.) and basil leaves (Ocimum basilicum L.) contain secondary metabolites, including flavonoids, tannins, and alkaloids, which possess antibacterial activity. Toothpaste is a semisolid preparation used to clean the teeth and maintain oral health. This study aimed to analyze the antibacterial activity of a toothpaste preparation containing a combination of guava leaf and basil leaf extracts against Streptococcus mutans. The extracts were obtained using 96% ethanol as the solvent through the UAE (Ultrasound-Assisted Extraction) method. Qualitative testing included organoleptic evaluation, homogeneity testing, and phytochemical screening for flavonoids, tannins, and alkaloids. The toothpaste preparations were formulated into three variations of extract combination concentrations, namely 5%:15%, 10%:10%, and 15%:5%, followed by physical quality evaluations including organoleptic properties, homogeneity, pH, viscosity, spreadability, adhesion, and foam height. Antibacterial activity was tested using the well-diffusion method on agar media. The data were analyzed using One-Way ANOVA to determine the mean values and significant differences. The results showed that all formulations met the physical quality requirements based on organoleptic properties, homogeneity, pH, viscosity, spreadability, adhesion, and foam height. F0 produced no inhibition zone, while F1 (5%:15%) produced an inhibition zone of 7.82 ± 0.581 mm, F2 (10%:10%) of 6.40 ± 1.005 mm, F3 (15%:5%) of 7.30 ± 1.211 mm, and the positive control, toothpaste brand “X,” of 9.68 ± 1.241 mm, all of which were categorized as moderate. The negative control, distilled water, showed no inhibition zone. Based on these results, the toothpaste preparation containing a combination of guava leaf and basil leaf extracts has potential antibacterial activity against Streptococcus mutans, with a significant difference (p<0.05), and may therefore be developed as an herbal alternative to help maintain oral health.3277-3291 -
Efektivitas Terapi Media Bubble Wrap dalam Menurunkan Tingkat Kecemasan Pada Siswa/I Kelas IX SMP Negeri 3 Meulaboh Kabupaten Aceh Barat
Sultan Khana Wibawa Ab, Maiza Duana, Pesona Dessritina, Fikri Faidul Jihad, T.M. RafsanjaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1052 | Check in Google Scholar
Adolescent mental health is an important issue in education and psychology. According to the World Health Organization (2025), approximately 14.3% of adolescents aged 10-19 years experience mental health problems, with anxiety being one of the most common conditions. In Indonesia, the Ministry of Health's Free Health Check (CKG) program (2026) found that nearly 10% of screened children showed indications of mental health disorders. This study aimed to determine the effectiveness of bubble wrap media therapy in reducing anxiety levels among ninth-grade students at SMP Negeri 3 Meulaboh, West Aceh Regency. A quasi-experimental method with a pretest-posttest control group design was employed. The sample consisted of 60 respondents, including 30 students in the Intervention group and 30 in the control group. Anxiety levels were measured using the DASS-21 questionnaire and analyzed using the Mann-Whitney test. The median post-intervention anxiety score was 34.00 (25-50) in the intervention group and 36.00 (25-71) in the control group. The Mann-Whitney test showed p = 0.318 (p>0.05), indicating no statistically significant difference between the two groups. Bubble wrap media therapy was not statistically effective in reducing anxiety levels but may serve as a simple relaxation technique for further investigation.
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Faktor Yang Berhubungan dengan Kejadian Hipertensi pada Usia 30-80 Tahun di Pelabuhan Meulaboh
Riska Ramadani, Zakiyuddin Zakiyuddin, Firman Firdaus Saputra, Wintah WintahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1063 | Check in Google Scholar
Hypertensionis a noncommunicable disease that poses a global health problem and often goes unrecognized by those affected. This study aims to identify the factors influencing the prevalence of hypertension among individuals 30–80 years of age. This study employed a descriptive design with a cross- sectional approach. The study population consisted of 116 individuals, with a sample size of 46 respondents selected using simple random sampling. Data were collected via questionnaires and blood pressure measurements, then analyzed using univariate and bivariate analyses with the Chi-Square test. The results of the study indicate that there is a significant association between age (p=0.001), fat intake (p=0.013), and family history (p=0.003) and the prevalence of hypertension, whereas physical activity (p=0.622), (p=0.834), smoking status (p=0.949), and salt intake (p=0.136) were not associated with the incidence of hypertension. From the results of this study, it can be concluded that individuals aged 30–80 years with hypertension have a statistically and theoretically significant association with the factors of age, fat intake, and family history
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Analisis Pengendalian Kualitas Inner Karung Urea Pada Mesin Cutting Dan Sealing Menggunakan Fmea Studi Kasus Pt. Murni Mapan Makmur
Muhammad Fais Fajar Khusuma, Khafizh RosyidiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1069 | Check in Google Scholar
Penelitian ini bertujuan untuk mengevaluasi permasalahan kualitas yang terjadi pada proses produksi inner karung urea dan merumuskan strategi penanganan risiko kegagalan yang tepat di PT. Murni Mapan Makmur. Pendekatan yang digunakan adalah metode Failure Mode and Effects Analysis (FMEA) untuk memprioritaskan penyelesaian setiap jenis kecacatan produk pada mesin cutting dan sealing A. Data dikumpulkan melalui observasi, wawancara, dokumentasi produksi periode Oktober-Desember 2025, serta kuesioner yang diisi oleh 50 responden ahli meliputi kepala departemen, staf quality control, dan operator mesin. Hasil pengolahan data menunjukkan bahwa dari total produksi 2.000.904 lembar, ditemukan 48.625 lembar produk cacat. Tiga mode kegagalan yang paling dominan adalah ukuran tidak sesuai (45,18%), pres tidak rapat (28,07%), dan sobek (26,75%). Meskipun ukuran tidak sesuai mendominasi secara kuantitas, berdasarkan perhitungan Risk Priority Number (RPN), cacat pres tidak rapat ditetapkan sebagai prioritas utama perbaikan dengan nilai RPN tertinggi sebesar 448, diikuti ukuran tidak sesuai dengan RPN 405, dan sobek dengan RPN 189. Kebaruan penelitian ini terletak pada analisis risiko yang secara spesifik menargetkan pengoperasian mesin cutting dan sealing A untuk kemasan pupuk urea. Usulan perbaikan yang dihasilkan meliputi kalibrasi suhu dan tekanan mesin secara rutin serta peningkatan kompetensi operator, yang diharapkan mampu menurunkan tingkat kegagalan dan meningkatkan stabilitas efisiensi produksi.
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Analisis Kesiapan Rumah Sakit Dalam Implementasi Kelas Rawat Inap Standar (KRIS) Jaminan Kesehatan Nasional (JKN) Di RSUD H. Abdul Manap Kota
Suci Cahyani, Dwi Noerjoedianto, Rumita Ena Sari, Arnild Augina Mekarisce, Adila SolidaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1070 | Check in Google Scholar
The implementation of Standard Inpatient Class (Kelas Rawat Inap Standar or KRIS) is a policy under Indonesia’s National Health Insurance (Jaminan Kesehatan Nasional or JKN) program aimed at improving equity, quality, and standardization of inpatient services for all JKN participants. This study aimed to analyze the readiness of H. Abdul Manap Regional General Hospital in Jambi City to implement KRIS under the JKN program. A qualitative method with a descriptive design was employed. Data were collected through in-depth interviews, observations, and document reviews involving seven informants selected purposively based on their involvement and knowledge of KRIS implementation. Data were analyzed using Azrul Azwar’s systems approach, focusing on the input and process components. The findings showed that, in terms of input, human resources were generally adequate. However, technical training related to KRIS had not been provided comprehensively to healthcare workers. Limited funding also caused the fulfillment of facilities and infrastructure to be carried out gradually. As a result, the 12 KRIS criteria had not been fully met. Regarding the process component, the hospital had conducted planning through needs assessment and priority setting and had also carried out internal dissemination of the KRIS policy. However, implementation remained focused on preparation and facility improvement. Evaluation was still conducted internally and had not specifically measured readiness for KRIS implementation. Overall, H. Abdul Manap Regional General Hospital was not yet fully prepared to implement KRIS under JKN, particularly in terms of facilities and infrastructure, funding, technical training, and evaluation mechanisms.3323-3335 -
Efektivitas Senam Kaki Diabetik sebagai Terapi Nonfarmakologis dalam Menurunkan Kadar Glukosa Darah pada Penderita Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Tembelang Kabupaten Jombang
Tiara Fatma Pratiwi, Yulia Ervianti, Luxman Nul Khakim, Niafatun NofiahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1075 | Check in Google Scholar
Diabetes melitus is a chronic metabolic disease characterized by increased blood glucose levels (hyperglycemia) due to impaired insulin secretion or action. Instability of blood glucose levels is caused by pancreatic dysfunction and the use of insulin or oral glycemic drugs, resulting in the amount of insulin produced by pancreatic beta cells being unable to meet normal metabolic needs. The purpose of this study was to analyze the effectiveness of Diabetic Foot Exercise as a Non-pharmacological Therapy in Reducing Blood Glucose Levels in Type 2 Diabetes melitus Patients in the Tembelang Community Health Center Working Area, Jombang Regency. This research method used a Pre-experimental design with a One-Group Pre-Posttest Design. The study was conducted in June 2026 in the Tembelang Community Health Center Working Area, Jombang Regency. The sample consisted of 36 respondents selected using a purposive sampling technique. Data collection was carried out using an observation sheet and analyzed using a paired t-test. The results showed a decrease in blood glucose levels to an average of 242.69 mg/dL. Diabetic Foot Exercise as a Non-pharmacological Therapy is effective in reducing blood glucose levels in Type 2 Diabetes melitus sufferers.3336-3341 -
Optimalisasi Pengetahuan Pencegahan Karies Gigi melalui Edukasi Kebersihan Gigi dan Mulut Berbasis Video pada Anak Sekolah Dasar Di SD Inpres Namosain Kota Kupang
Analizza Lea, Arini Novita Ati, Marsanda Nubatonis, Marylin Susanti Junas, Marni Marni, Sintha Lisa Purimahua, Noorce Christiani Berek, Petrus Kanisius Siga TageShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1073 | Check in Google Scholar
Dental caries remains one of the most prevalent oral health problems among school-aged children. Limited knowledge regarding oral and dental hygiene is one of the factors contributing to an increased risk of dental caries. Health education using video-based media offers an alternative and engaging approach to health promotion, as it combines visual and auditory elements that can facilitate children’s understanding of the educational material. This community service activity aimed to improve students’ knowledge of dental caries prevention through video-based oral and dental hygiene education at SD Inpres Namosain, Kupang City. The activity was conducted in several stages, including coordination with the school, administration of a pretest, delivery of educational materials using video media, interactive discussions, and evaluation through a posttest. A total of 58 students participated in the activity. Participants’ knowledge levels were assessed using a questionnaire administered before and after the educational intervention. The results demonstrated an improvement in participants’ knowledge following the intervention. Prior to the intervention, the majority of students had a low level of knowledge, comprising 42 students (72.4%). Following the educational intervention, most students demonstrated a moderate level of knowledge, accounting for 34 students (58.6%), while the proportion of students with a good level of knowledge increased to 20 students (34.5%). The mean knowledge score increased from 9.76 before the intervention to 13.71 after the intervention. The evaluation results indicated that this improvement was statistically significant (p = 0.000), suggesting that video-based media can be effectively utilized as an educational tool for promoting oral and dental health. This activity demonstrates that video-based education can enhance students’ understanding of proper oral and dental hygiene practices and dental caries prevention. Video media may therefore serve as an innovative and practical health education method that can be implemented sustainably through the School Health Unit (Usaha Kesehatan Sekolah/UKS) and health promotion programs conducted by community health centers (puskesmas).
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Hubungan Antara Postur Kerja, Usia, Dan Masa Kerja Dengan Keluhan Low Back Pain Pada Pekerja Bengkel Las Di Kecamatan Sario Dan Wanea Kota Manado
Yosua Wojongan, Woodford Baren Joseph, Grace Debbie KandouShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1094 | Check in Google Scholar
One of the most common occupational health problems is Low Back Pain (LBP). LBP is characterized by pain in the lower back that may originate from the lumbar spine, muscles, nerves, or surrounding tissues. Several factors may contribute to the development of LBP, one of which is work posture. This study aimed to determine the relationships between work posture, age, years of service, and LBP complaints among welding workshop workers. This study employed an analytical observational design with a cross-sectional approach and was conducted from November 2025 to April 2026. The study population consisted of all identified welding workshop workers. The research instruments included the Rapid Entire Body Assessment (REBA) observation sheet to assess work posture and the Pain and Distress Scale questionnaire to assess LBP complaints. Data were collected through questionnaire-based interviews and direct observation. Data were analyzed using univariate and bivariate analyses, with Fisher's exact test at a significance level of p < 0.05. The results showed that the majority of workers had non-ergonomic work postures (33 workers; 94.3%), had more than five years of work experience (23 workers; 65.7%), and were in the at-risk age group (25 workers; 71.4%). Most respondents experienced moderate LBP complaints (82.9%), while none reported severe LBP complaints. Bivariate analysis using Fisher's exact test revealed significant relationships between work posture (p = 0.025), years of service (p = 0.001), age (p < 0.001), and LBP complaints among welding workshop workers in Sario and Wanea Districts, Manado City3362-3370 -
Analisis Implementasi Program Pencegahan Stunting dari Perspektif Manajemen Pelayanan Kesehatan Di Wilayah Kerja Puskesmas Manggeng Kabupaten Aceh Barat Daya
Hirdia Hirdia, Yarmaliza Yarmaliza, Onetusfifsi Putra, Sufyan Anwar, Lili Eky Nursia NShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1099 | Check in Google Scholar
Stunting remains a significant challenge in efforts to improve the nutritional status of the Indonesian population. Southwest Aceh Regency has identified the Manggeng Community Health Center as the health facility with the highest stunting prevalence in 2025, reaching 9.2% (Aceh Barat Daya District Health Office, 2025). This study aims to examine the implementation of stunting intervention programs through the lens of health service management, encompassing planning, organizing, implementation, and supervision, commonly known as POAC. A descriptive qualitative approach was employed in this study, using purposive sampling to select informants. The research subjects included the head of the health center, the nutrition program manager, coordinating midwives, health promotion officers, village heads, posyandu cadres, and mothers of toddlers. Data were collected through in-depth interviews, observation, and documentation. Data credibility was ensured through source triangulation and method triangulation applied during the analysis stage. The implementation of the planning function was realized through cross-sector coordination and periodic program development, as revealed by the research findings. Clear task distribution supported the organizing function, although obstacles persisted due to uneven cadre training and frequently delayed incentive payments. The program's implementation covered toddler growth monitoring, nutritional education, counseling, home visits, and nutritional interventions through Supplementary Feeding Programs and the Free Nutritious Meal Program. Community participation and consistency in carrying out nutritional interventions still require more optimal strengthening. Reporting delays in several villages persisted despite supervision being conducted through posyandu activities, home visits, and the Electronic Community-Based Nutrition Recording and Reporting application. The effectiveness of stunting prevention programs can be enhanced through strengthened cross-sector collaboration, improved cadre capacity, optimized nutritional interventions, and increased community participation3371-3385 -
Hubungan Implementasi Program Pengelolaan Sampah Berbasis 3R Dengan Partisipasi Masyarakat Binaan Dinas Lingkungan Hidup Di Kabupaten Aceh Barat
Alfiona Anjani, Lili Eky Nursia N, Darmawan Darmawan, Ernawati Ernawati, Pesona DessritinaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1118 | Check in Google Scholar
The success of the Reduce, Reuse, and Recycle (3R)-Based Waste Management Program is determined not only by its implementation but also by the active participation of the community as the primary target group. Although the 3R-Based Waste Management Program has been implemented through community empowerment initiatives by the Environmental Agency of West Aceh Regency, empirical evidence regarding the relationship between program implementation and community participation remains limited. This study aimed to analyze the relationship between the implementation of the 3R-Based Waste Management Program and community participation among communities assisted by the Environmental Agency of West Aceh Regency. A quantitative study with a cross-sectional design was conducted involving 35 community members selected using a total sampling technique. Data were collected using a validated and reliable questionnaire and analyzed through univariate and bivariate analyses using the Chi-square test at a 95% confidence level (α = 0.05). The results showed that 22 respondents (62.9%) perceived the implementation of the 3R-Based Waste Management Program as effective, while 20 respondents (57.1%) demonstrated positive community participation. Among respondents who perceived the program implementation as effective, 72.7% showed positive participation, whereas only 30.8% of those who perceived the implementation as less effective demonstrated positive participation. The Chi-square analysis revealed a statistically significant relationship between the implementation of the 3R-Based Waste Management Program and community participation (p = 0.015). Effective implementation of the 3R-Based Waste Management Program was associated with higher levels of community participation in waste management activities. These findings suggest that strengthening program implementation through enhanced socialization, continuous community assistance, and adequate supporting facilities is essential to promote sustainable community participation in 3R-based waste management.3386-3395 -
Analisis Kepuasan Pengguna Moda Transportasi Kereta Api Menggunakan Metode SERVQUAL dan Importance Performance Analysis (IPA) di Stasiun Kediri
Aji Mas Zam Zam, Boedi RahardjoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1071 | Check in Google Scholar
Kediri Station is a large station serving 22 train schedules with a passenger count reaching 1,555,580 people in 2024. Based on initial observations, several non-compliances with minimum service standards were still found, such as the insufficient number of security officers, limited installation of guiding blocks, and long queues at the boarding counters. This study aims to identify the characteristics of train users at Kediri Station and analyze the level of user satisfaction with service quality using the SERVQUAL and Importance Performance Analysis (IPA) methods. The study was conducted by distributing questionnaires directly to 270 train users at Kediri Station. The research instrument was tested for validity and reliability using SPSS before use. Data were analyzed using the SERVQUALmethod to measure the gap between user perceptions and expectations, and the IPA method to determine service improvement priorities. The results of the study indicate that train users are dominated by women (63.70%), aged 15–24 years (60.74%), college educated (68.15%), students (52.96%), income below Rp2,500,000 (61.48%), with educational purposes (31.48%), and a travel frequency of 1–3 times per month (77.41%). SERVQUAL analysis shows that all service dimensions have negative gap values, indicating that service performance is still below user expectations. The largest gap value is in the Tangibles dimension at -0.14, while the smallest is in the Assurance dimension at -0.06. IPA analysis shows a service suitability level of 97%, which is included in the less than satisfactory category. Attributes that are the main priority for improvement include station and toilet cleanliness, health posts, waiting rooms, and boarding areas.3396-3408 -
Persepsi, Exam Browser, TAM Efektivitas Exam Browser Dalam Asesmen Sumatif Bahasa Indonesia: Perspektif Guru Dan Siswa
Ayu Ameliza Malay, Ayu Puspita Indah SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1128 | Check in Google Scholar
The final evaluation process of learning is carried out through summative assessment which is very important to determine the level of student competence. One of the innovations used in the implementation of digital-based exams is the Exam Browser application which is designed to make the exam room safe by limiting participants' access to other applications during the exam. This research is assessed through perception. Perception is the way an individual sees, understands, and gives meaning to the events or information received. The phenomenon of using exam-based exams is now increasingly widespread in various educational institutions in Indonesia, including at SMA Negeri 8 Palembang. The goal is to find out the perception of teachers and students towards the use of the Exam Browser application as a summative assessment instrument in learning Bahasa Indonesia. This research uses a mixed method that combines quantitative and qualitative approaches. This approach allows researchers to gain a more comprehensive understanding of the phenomenon through the merging of the two approaches. Qualitative research studies the meaning, perception, and experience of subjects as a whole, while quantitative research provides data that can be measured and analyzed statistically. It can be concluded that the use of the Exam Browser application as a summative assessment instrument in Indonesian language learning at SMA Negeri 8 Palembang is positively accepted by teachers and students, both in terms of usefulness, ease of use, attitude, intention, and actual use, although there are still several technical and non-technical aspects that need to be improved so that its application is more optimal.3409-3420 -
Analisis Kandungan Merkuri (Hg) Pada Sedimen dan Ikan di Teluk Buyat
Eka Suci Rahmawati, Sri Seprianto Maddusa, Angela Fitriani Clementine KalesaranShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1144 | Check in Google Scholar
Buyat Bay is a coastal water area in East Bolaang Mongondow Regency, North Sulawesi, located near gold mining activities. Mercury (Hg) is one of the heavy metals that can be present in sediments and marine biota through bioaccumulation and biomagnification processes. This study aims to analyze mercury (Hg) levels in sediments and fish in Buyat Bay. The method used was descriptive quantitative with field surveys and laboratory analysis using Inductively Coupled Plasma-Mass (ICP-MS). Sediment samples were taken from 16 coordinate points, while the fish samples consisted of four species commonly consumed by the public: uhi (Sphyraena barracuda), jambrung (Siganus javus), cockatoo (Scarus forsteni), and geloma (Johnius carouna). The results showed that five of the 16 sediment points exceeded the NOAA Effect Range Median (ERM) threshold of 0.71 µg/g, with the highest level at Point 4 at 10.0792 µg/g. Meanwhile, all fish samples showed mercury levels below the SNI 7387:2009 threshold of 0.5 µg/g, with the highest level in geloma fish at 0.2106 µg/g. In conclusion, five out of sixteen sediment sampling sites in Buyat Bay exhibited mercury concentrations exceeding the NOAA Effect Range Median (ERM) threshold, whereas mercury concentrations in uhi, jambrung, parrotfish (kakatua), and croaker (geloma) were below the maximum limit established by the Indonesian National Standard (SNI 7387:2009), indicating that they met the established maximum limit.
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Upaya Edukasi Menggunakan Media Untuk Meningkatkan Pengetahuan Dan Minat Serta Menurunkan Kecemasan Akseptor KB Dalam Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) Di TPMB Dhonal Handayani Tahun 2026
Anggun Wulandari, Enok Ulfa Shintia, Erna Damayanti, Marlinda Marlinda, Nenden Nurkhasanah, Hajar Nur Fathur RohmahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1155 | Check in Google Scholar
The utilization of long-term contraceptive methods (LTCM) in Indonesia remains lower than that of short-term contraceptive methods. Limited knowledge, low interest, and high levels of anxiety among family planning acceptors are among the factors influencing the selection of contraceptive methods. This study aimed to examine the educational efforts using media to improve knowledge and interest while reducing anxiety among family planning acceptors regarding the use of LARC at TPMB Dhonal Handayani in 2026. This study employed a quantitative approach using a pre-experimental one-group pretest-posttest design. A total of 20 family planning acceptors were selected through purposive sampling. Data were collected using knowledge and interest questionnaires and the Hamilton Rating Scale for Anxiety (HRS-A) before and after educational intervention utilizing leaflets and the Family Planning Decision-Making Aid (ABPK). Data were analyzed using the Paired Sample t-test and Wilcoxon Signed Rank Test with a significance level of 0,05. The findings showed that media-based education significantly improved participants' knowledge and interest while reducing anxiety regarding LARC utilization (p < 0,05). Therefore, media-based education can serve as an effective educational effort to enhance knowledge, increase interest, and reduce anxiety, thereby supporting greater acceptance and utilization of LARC in primary health care services.3450-3457 -
Gambaran Pengolahan Limbah Medis Padat Di RSUD Cut Nyak Dhien Meulaboh
Julia Gunsi, Zakiyuddin Zakiyuddin, Ihsan Murdani, Meutia Paradhiba, Firman FirdausShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1154 | Check in Google Scholar
Cut Nyak Dhien Regional General Hospital Meulaboh, as one of the healthcare facilities in West Aceh, generates solid medical waste that poses potential risks to environmental pollution and disease transmission. The hospital has established a partnership with the West Aceh Environmental Agency for the management of its medical waste; however, the waste management process has not yet been comprehensively documented. Therefore, this study aimed to describe solid medical waste management as an effort to prevent disease transmission at Cut Nyak Dhien Regional General Hospital Meulaboh. This descriptive study employed a qualitative approach and was conducted in June 2024 at the West Aceh Environmental Agency and Cut Nyak Dhien Regional General Hospital Meulaboh. Informants were selected using purposive sampling. Data were collected through observation, in-depth interviews, and documentation, and analyzed using the Miles and Huberman interactive model. The results showed that the West Aceh Environmental Agency had carried out monitoring, education, and supervision of solid medical waste management at Cut Nyak Dhien Regional General Hospital Meulaboh. The hospital had also implemented solid medical waste management in accordance with applicable regulations, including waste segregation, storage, transportation, and treatment. However, implementation was not yet optimal due to limitations in human resources and budget, as well as operational constraints that affected the effectiveness of supervision and solid medical waste management.3458-3469 -
Efektivitas Slow Sand Filter Dan Biosand Filter Dalam Mengeliminasi Cryptosporidium Parvum Pada Air Baku: Systematic Literature Review
Yanuar Ghalib Nabhan, Muhammad Farid Dimjati LusnoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1409 | Check in Google Scholar
Access to safe drinking water is an important determinant of public health because water quality is associated with the risk of waterborne diseases, including cryptosporidiosis caused by Cryptosporidium parvum. Cryptosporidium parvum oocysts are highly resistant to conventional disinfection, making effective alternative treatment technologies necessary. This study aims to synthesize scientific evidence on the effectiveness of slow sand filters and biosand filters in eliminating Cryptosporidium parvum from raw water and to identify the technical and operational factors affecting their performance. This study used a systematic literature review with a narrative synthesis based on the PRISMA 2020 guidelines. Literature searches were conducted through PubMed, Scopus, Web of Science, and Google Scholar for peer-reviewed articles published between 2017 and 2026. The search yielded 197 articles, followed by 47 articles passing the screening stage, 15 articles undergoing full-text evaluation, and 8 articles meeting the inclusion criteria. The results showed that Cryptosporidium parvum elimination occurred through a combination of physical and biological mechanisms, while modified filters also involved chemical mechanisms. Elimination effectiveness ranged from less than 2 log in some standard filters to more than 5 log or complete elimination in systems with mature filters, pretreatment, or modified media. Schmutzdecke maturity, media depth, sand size and uniformity, and treatment configuration were important factors determining performance. Slow sand filters and biosand filters are effective in eliminating Cryptosporidium parvum, but design optimization, continuous operation, and proper maintenance are still required to achieve consistent performance.3470-3478 -
Peningkatan Resistensi Antibiotik Clarithromycin dan Metronidazole terhadap Helicobacter pylori dan Tinjauan Implikasinya terhadap Terapi Peptic Ulcer Disease
Salsabila Salsabila, Ni Putu Widiadnyani Putri, Keisha Andini Sakina, Riesky Maulani, Mufida Lisya Fatiha, Tuhfatul UlyaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1257 | Check in Google Scholar
Peptic Ulcer Disease (PUD) remains a significant global health problem, with a substantial proportion of cases associated with Helicobacter pylori infection. The success of eradication therapy depends largely on antibiotic effectiveness, particularly that of clarithromycin and metronidazole. However, increasing H. pylori resistance to these antibiotics has become a major challenge, leading to treatment failure and reduced eradication rates. This review aims to examine current H. pylori resistance patterns to clarithromycin and metronidazole and their implications for eradication therapy. Evidence from various studies indicates that clarithromycin resistance reduces the efficacy of standard triple therapy consisting of a proton pump inhibitor (PPI), clarithromycin, and either amoxicillin or metronidazole. Metronidazole resistance also contributes to eradication failure, although its impact may be partially overcome by adjusting the dose or extending treatment duration. Therefore, therapeutic regimens should be selected based on local resistance patterns and rational antibiotic use. Alternative regimens, such as bismuth-based quadruple therapy, may be considered in regions with high resistance rates. Continuous surveillance of H. pylori antibiotic resistance is essential to improve eradication success and clinical outcomes in patients with PUD.3479-3489 -
Analisis Pengukuran Kinerja RSUD Syekh Yusuf Melalui Perspektif Pelanggan Dengan Metode Balanced Scorecard
Riska Nurul Adelia Rahmat, Andi Nurzakiah AminShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1369 | Check in Google Scholar
Measuring hospital performance from the customer perspective is essential for assessing a hospital’s ability to retain patients, attract new patients, and meet patient expectations. This study aims to analyze the performance of RSUD Syekh Yusuf from the customer perspective, comprising patient retention, patient acquisition, and patient satisfaction using the Balanced Scorecard method. This quantitative study employed a descriptive approach. The study population consisted of 5,845 patients, with a sample of 326 respondents determined using the Isaac and Michael table and selected through purposive sampling. Data were collected using questionnaires for each variable that had been tested for validity and reliability and were analyzed univariately using SPSS. The results showed that patient retention was categorized as good, as indicated by 58.3% of respondents. This assessment was primarily supported by the price indicator, while the comfort value indicator received a less favorable assessment. Patient acquisition was also categorized as good, with 55.8% of respondents. This result was mainly supported by the place and product indicators, whereas the promotion indicator received a less favorable assessment. Patient satisfaction was categorized as satisfied, with 61% of respondents. Satisfaction was primarily supported by the assurance dimension, while dissatisfaction was associated with physical evidence and responsiveness. Hospitals are expected to strengthen promotional activities, particularly through social media, improve responsiveness, and ensure adequate supporting facilities to optimize service quality.3490-3500 -
Pengaruh Pengendalian Lingkungan Fisik Dan Tindakan Masyarakat Terhadap Penyakit DBD Di Wilayah Kerja Salah Satu Puskesmas Kota Bandar Lampung
Abdul Fauzan, Torry Duet Irianto, Khoidar AmirusShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1295 | Check in Google Scholar
Dengue hemorrhagic fever (DHF) is a disease that can cause serious complications, even death, and remains a public health issue in Indonesia., especially in tropical areas. Dengue cases in the work area of one health center in bandar lampung city are still found every year with a not yet optimal Larva-Free Rate (LFR). This study aimed to investigate the influence of physical environment control and community actions on the incidence of dengue fever work area of one health center in bandar lampung city. The type of research is quantitative with a case-control technique. The research sample consisted of 136 respondents selected using the accidental sampling technique. Data analysis was conducted univariately, bivariately using the chi-square test, and multivariately using multiple logistic regression. The research results show that air temperature (p=0.000), air humidity (p=0.001), water containers (p=0.003), mosquito repellent use (p=0.000), and mosquito nets (p=0.024) are associated with the incidence of dengue fever (DBD). The most dominant variable affecting the incidence of DBD is air humidity (aOR=13.001; 95%CI=2.804–60.277), followed by air temperature (aOR=8.521; 95%CI=2.902–25.021) and mosquito repellent use (aOR=6.739; 95%CI=2.547–17.830). It is concluded that the control of the physical environment and community actions influence the incidence of dengue fever work area of one health center in bandar lampung city. The community is advised to maintain a healthy home environment and regularly take measures to prevent dengue hemorrhagic fever
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Prediktor Keberhasilan Terapi Obat Anti Tuberkulosis (OAT) Pada Pasien TBC di Puskesmas Masaran 2
Vanesha Aida Rahma Viona, Niken Luthfiyanti, Bagas ArdiyantoroShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1352 | Check in Google Scholar
Tuberculosis (TB) remains a major public health problem in Indonesia, with Central Java among the five provinces with the highest case burden. The success of TB treatment is influenced by various predictive factors, both sociodemographic and clinical, which need to be identified to optimize therapeutic outcomes. This study aimed to determine the predictors associated with the success of Anti-Tuberculosis Drug (ATD) therapy in TB patients at Puskesmas Masaran II and to identify the most influential factor. This was a non-experimental study using a cross-sectional approach, with data collected retrospectively from the medical records of TB patients during the period of May 2023–May 2026. The sample was determined using the Slovin formula with a purposive sampling technique, resulting in 71 patients who met the inclusion and exclusion criteria. Data were analyzed univariately and bivariately using the Chi-Square test (α = 0.05), with associations expressed as Odds Ratios (OR) and 95% confidence intervals. A total of 45 patients (63.4%) achieved negative sputum smear conversion by the fifth month, while 26 patients (36.6%) failed to convert. Of the 14 variables tested, six were significantly associated (p < 0.001) with treatment success: drug side effects, nutritional status, treatment regimen, patient category, drug resistance, and comorbidities. Drug side effects showed the strongest association (OR = 23.062; 95% CI: 6.148–86.507). These six factors are important predictors of ATD therapy success in TB patients at Puskesmas Masaran II.
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Analisa Risiko Kesehatan Dan Keselamatan Kerja (K3) Dengan Metode Jsa (Job Safety Analysis) Pada Proyek Pembangunan Sdn Ii Sibon Kec.Pasrepan
Nurur Rochman , Khofifah Khofifah, Sucipto SuciptoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1156 | Check in Google Scholar
This study aims to identify potential hazards, risk levels, and Occupational Health and Safety (OHS) control measures for the SDN II Sibon construction project in Pasrepan District. The study employs the Job Safety Analysis (JSA) method using a descriptive-qualitative approach, involving observations, interviews, documentation, and questionnaires administered to 16 workers. Risk assessment is conducted based on likelihood and severity parameters. The results indicate that workers' OHS knowledge ranges from reasonably good to high (62.5%–87.5%); however, the implementation of OHS measures is not yet optimal. The highest risks identified include heat exhaustion (81.25%), slipping (75%), and muscle pain (75%). Based on the JSA, three hazards were classified as extreme (scoring 20): soil collapse/stockpile collapse, excavation collapse, and falls from heights. Risk control measures implemented include engineering controls, administrative controls, and the use of Personal Protective Equipment (PPE)—specifically scaffolding and guardrails, shoring, Standard Operating Procedures (SOPs), toolbox meetings, OHS inspections, work permits, and task-specific PPE. Consistent implementation of these controls is expected to minimize accident risks and foster a safe, productive work environment.3525-3536 -
Analisa Manajemen Risiko Kesehatan Dan Keselamatan Kerja (K3) Pada Proyek Pembangunan Atap Rehabilitasi Puskesmas Kepuliungan Dengan Metode Hirarc
Mochammad Arif, Khofifah Khofifah, Sucipto SuciptoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1157 | Check in Google Scholar
Occupational Health and Safety (OHS) is a crucial aspect of construction projects, particularly roof rehabilitation work, which carries a high risk of accidents. This study aims to identify hazards, analyze risk levels, and determine risk controls for the Kepulungan Community Health Center Roof Rehabilitation Project using the Hazard Identification, Risk Assessment, and Risk Control (HIRARC) method. A qualitative descriptive approach was employed, involving observations, interviews, documentation reviews, and a literature study with 15 respondents. The results indicate that the dominant hazards were falls from heights (100%) with a risk score of 25 (extreme), being struck by falling materials (93.33%) with a score of 16 (high), slips/trips (86.67%) with a score of 12 (high), cuts/lacerations (80%) with a score of 6 (moderate), and electric shock (73.33%) with a score of 12 (high). Implemented controls included the use of Personal Protective Equipment (100%), safety briefings (93.33%), standard-compliant scaffolding (86.67%), safety officer supervision (86.67%), and OHS signage (80%). Workers' perceptions yielded an average score of 4.21 ("agree"), indicating that OHS risk management implementation has been effective. However, improvements in training, supervision of work at heights, and fall protection systems are still required to minimize workplace accidents..3537-3545 -
Gambaran Higiene Sanitasi Lingkungan Kerja dan Keberadaan Bakteri pada Lalat di Satuan Pelayanan Pemenuhan Gizi (SPPG) Kota Manado
Wafiq Nur Aziah Hasan, Paul Artur Tennov Kawatu, Odi Roni PinontoanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1168 | Check in Google Scholar
Food safety in the Nutritional Fulfillment Service Units (SPPG) is influenced by the implementation of workplace hygiene and sanitation. Poor sanitation conditions may promote the presence of flies as mechanical vectors carrying bacteria, thereby increasing the risk of food contamination. This study aimed to describe workplace hygiene and sanitation conditions and the presence of bacteria on flies in SPPGs in Manado City. This study employed a quantitative descriptive design with a cross-sectional approach. Workplace hygiene and sanitation were assessed using an observation checklist based on the Indonesian Minister of Health Regulation (Permenkes) No. 2 of 2023. Fly samples were collected using fly traps and identified through isolation on MacConkey Agar, followed by Polymerase Chain Reaction (PCR), 16S rRNA gene sequencing, and BLAST analysis. The results showed that the hygiene and sanitation compliance rates were 86.7% at SPPG X and 90.0% at SPPG Y. Gram-negative bacterial growth was detected only in fly samples collected from SPPG Y. BLASTN analysis based on 16S rRNA gene sequences revealed that the isolates exhibited 100% sequence identity with the species complexes Klebsiella pneumoniae/Klebsiella variicola and Providencia rettgeri/Providencia hangzhouensis. In conclusion, the hygiene and sanitation conditions at both SPPGs met most of the required standards, although several aspects still require improvement. The presence of Gram-negative bacteria on flies indicates that flies have the potential to act as mechanical vectors carrying bacteria within food processing environments3546-3556 -
Analisis Risiko Keselamatan Dan Kesehatan Kerja (K3) Pada Pekerja Industri Pengolahan Dan Ekspor Hasil Perikanan Menggunakan Metode Hazard Identification, Risk Assessment, And Risk Control (HIRARC)
Miradina Syahrani Ma’roef, Dani Nasirul HaqiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1171 | Check in Google Scholar
The fishery processing and export industry is a key sector that contributes to the national economy, but it poses high occupational safety and health (OSH) risks due to the use of sharp equipment, manual handling of materials, exposure to low temperatures and chemicals, and forklift traffic. This study aims to identify hazards, assess risk levels, and develop control recommendations using the Hazard Identification, Risk Assessment, and Risk Control (HIRARC) method based on the AS/NZS 4360:2004 standard and the Hierarchy of Control principle. The study employed a descriptive observational approach with a case study design in the fisheries processing and export industry in Indonesia. Data were collected through field observations and workplace safety inspections, then analyzed based on the likelihood and severity of risks. The study identified 23 potential hazards, consisting of 10 health hazards and 13 safety hazards. In the health hazard category, eight high-risk and two moderate-risk hazards were identified, while in the safety hazard category, there was one extreme-risk, seven high-risk, and five moderate-risk hazards. The highest risk stemmed from the intersection of forklift lanes with pedestrian walkways, which has the potential to cause fatal accidents. In addition, non-compliance issues were identified, such as expired fire extinguishers, the absence of safety signs at intersections, obstructed access to fire extinguishers, and inadequate ergonomic working conditions. The HIRARC method has proven effective in prioritizing risks as the basis for developing control measures. Control measures should prioritize extreme and high risks through engineering controls, administrative controls, routine inspections, and strengthening the occupational safety and health (OSH) culture to create a safer, healthier, and more productive work environment.
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Gambaran Fear Of Missing Out (FoMO) Dalam Penggunaan Media Sosial Di SMA Negeri 1 Tabukan Selatan Kabupaten Kepulauan Sangihe
Orvin Nansi Hati, Hilman Adam, Ribka Elisabeth WoworShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1177 | Check in Google Scholar
Fear of Missing Out (FoMO) is a psychological condition characterized by feelings of anxiety when individuals believe they are missing information, experiences, or activities shared by others through social media. Adolescents, as active social media users, are at risk of experiencing FoMO. This study aimed to describe Fear of Missing Out (FoMO) in social media use among students at SMA Negeri 1 Tabukan Selatan, Sangihe Islands Regency. This study employed a quantitative descriptive design. A total of 109 students from grades X and XI were selected using the total sampling technique. Data were collected using the FoMO questionnaire and a social media use questionnaire and were analyzed using univariate analysis presented as frequency and percentage distributions. The results showed that most students had a low level of FoMO (69 respondents; 63.3%), followed by a moderate level (37 respondents; 33.9%) and a high level (3 respondents; 2.8%). Most students also had a moderate level of social media use (80 respondents; 73.4%), followed by a low level (26 respondents; 23.9%) and a high level (3 respondents; 2.8%). Most students at SMA Negeri 1 Tabukan Selatan had a low level of Fear of Missing Out (FoMO), while their social media use was generally at a moderate level.3568-3575 -
Hubungan antara Efikasi Diri dengan Kepatuhan Minum Obat Antihipertensi pada Pasien Hipertensi di Puskesmas Wolaang Kabupaten Minahasa
Gloria Grace Rengkung, Bernabas Harold Ralph Kairupan , Febi Kornela KolibuShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1167 | Check in Google Scholar
Non-communicable diseases (NCDs) are long-term (chronic) diseases influenced by lifestyle. One of the most common non-communicable diseases in Indonesia is hypertension. Based on the 2023 Indonesian Health Survey, 62.8% of patients with hypertension were reported to be non-adherent to medication because they felt healthy. Medication adherence greatly affects the success of therapy. One of the internal factors assumed to influence patients' adherence to treatment is self-efficacy. This study aimed to determine the relationship between self-efficacy and adherence to antihypertensive medication among patients with hypertension at Wolaang Public Health Center, Minahasa Regency. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of 277 hypertensive patients taking antihypertensive medication who were registered in the Chronic Disease Referral Program (PRB) at the Wolaang Public Health Center. A total of 72 respondents were selected using the consecutive sampling technique. The results showed that 27 respondents (40.3%) with capable self-efficacy had high medication adherence, while 3 respondents (60.0%) with incapable self-efficacy had high medication adherence. The Fisher's Exact Test yielded a p-value of 0.838 (p > 0.05), indicating that there was no significant relationship between self-efficacy and adherence to antihypertensive medication. It was concluded that there was no relationship between self-efficacy and adherence to antihypertensive medication among patients with hypertension at the Wolaang Public Health Center, Minahasa Regency3576-3581 -
Gambaran Kepemilikan Dan Kondisi Jamban Keluarga Serta Sumber Air Bersih Di Kelurahan Tumumpa Kecamatan Tuminting Kota Manado
Grimonia Berlian Taruh, Ricky C. Sondakh, Woodford B. S. JosephShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1178 | Check in Google Scholar
Basic sanitation is one of the important factors in improving the health status of the community. The availability of healthy household latrines and adequate sources of clean water plays an essential role in preventing environmentally related diseases and improving the quality of life of the community. This study aimed to describe household latrine ownership and conditions as well as clean water sources in Tumumpa Village, Tuminting District, Manado City. This study employed a quantitative method with a descriptive design and a cross-sectional approach. The study sample consisted of 94 heads of households. Data were collected through interviews using questionnaires and direct observation, and were analyzed univariately using frequency distributions and percentages. The results showed that 82 respondents (87.2%) had household latrines, while 12 respondents (12.8%) did not have latrines. A total of 68 respondents (72.3%) had latrines that met health requirements, while 26 respondents (27.7%) had latrines that did not meet the requirements. Most respondents used piped water (PAM) as their main water source (48.9%), followed by wells (37.2%) and drilled wells (13.9%). In addition, the majority of respondents used water that was clear (80.9%) and odorless (86.2%), while 73.4% had a distance between the water source and septic tank that met the required standard. Based on the findings, it can be concluded that most households in Tumumpa Village, Tuminting District, Manado City, had household latrines and used clean water sources that met health requirements. However, some households still had latrine conditions and clean water sources that did not meet health standards. Therefore, increased education and community guidance regarding basic sanitation are needed.
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Peluang dan Tantangan Integrasi Profilaksis Pra Pajanan (PrEP) ke dalam Pelayanan Kesehatan Primer bagi Populasi Kunci di Indonesia: Suatu Tinjauan Naratif Menggunakan Kerangka RE-AIM
Septi Sartika, Rico Januar Sitorus, Haerawati Idris, Misnaniarti Misnaniarti, Rizma Adlia Syakurah, Rudy ChendraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1169 | Check in Google Scholar
Human Immunodeficiency Virus (HIV) remains a major public health concern, particularly among key populations at substantial risk of infection. Pre-Exposure Prophylaxis (PrEP) has been recognized as an effective biomedical intervention for preventing HIV transmission and is recommended by the World Health Organization (WHO) as part of comprehensive HIV prevention strategies. However, the integration of PrEP into primary healthcare services in Indonesia remains limited due to various implementation challenges. This study aimed to analyze the opportunities and challenges of integrating PrEP into primary healthcare services for key populations in Indonesia using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This study employed a narrative review design. Literature published between 2019 and 2025 was identified through PubMed, Scopus, ScienceDirect, Google Scholar, WHO reports, UNAIDS reports, and Indonesian policy documents. Eligible publications were selected according to predefined inclusion criteria and synthesized thematically based on the five dimensions of the RE-AIM framework. The implementation of PrEP is influenced by individual, organizational, and health system factors. Major barriers include HIV-related stigma, limited awareness among key populations, inadequate healthcare workforce capacity, fragmented service integration, and sustainability concerns. Conversely, policy support, community engagement, healthcare workforce development, and integration into primary healthcare services provide important opportunities to strengthen PrEP implementation. Integrating PrEP into primary healthcare services has considerable potential to strengthen HIV prevention efforts in Indonesia. Improving service accessibility, organizational readiness, workforce capacity, monitoring systems, and sustainable financing mechanisms is essential for optimizing long-term PrEP implementation.3592-3604 -
Perbandingan Indeks Trombosit Pasien Diabetes Mellitus Tipe 2 Dan Non-Diabetes Di RS. PKT Bontang Kalimantan Timur
Zaenal Adi Susanto, Yuni RahmaniarShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1140 | Check in Google Scholar
Diabetes Mellitus (DM) is a global health issue with a prevalence that continues to rise annually in both developed and developing nations. Diabetes cases are broadly classified into two categories: Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus. Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by hyperglycemia resulting from insulin resistance and/or impaired insulin secretion. Type 2 Diabetes Mellitus affects not only glucose metabolism but also the hemostatic system, specifically platelet function and activity. This study aimed to compare platelet index values between patients with Type 2 Diabetes Mellitus and non-diabetic individuals. It was an observational analytic study employing a quantitative approach. The study population consisted of Type 2 Diabetes Mellitus patients and non-diabetic individuals undergoing routine health check-ups at Pupuk Kaltim Hospital in Bontang City. The sample comprised 60 individuals meeting the inclusion and exclusion criteria—utilizing secondary data from 30 subjects in each group Type 2 Diabetes Mellitus and non-diabetic selected via non-probability sampling. The results indicated that the Mean Platelet Volume (MPV) in T2DM patients was slightly lower than in non-diabetic individuals, though still within the normal range; conversely, Platelet Distribution Width (PDW), Platelet-Large Cell Ratio (P-LCR), and Plateletcrit (PCT) values were higher in T2DM patients compared to non-diabetic individuals. Statistical analysis revealed no significant differences in platelet index values between Type 2 Diabetes Mellitus patients and non-diabetic individuals.3605-3611 -
Hubungan Religiusitas dan Pengetahuan KB Dengan Penggunaan KB Pada Guru Perempuan di Sekolah Islam Terpadu Provinsi Sulawesi Selatan Tahun 2024
Ikva Latifa Alifka R, Trisnawaty Trisnawaty, Dewi Setiawati, Andi Sitti Rahma, Takdir TakdirShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1180 | Check in Google Scholar
Family Planning (FP) is a national program aimed at promoting small, healthy, and prosperous families through community participation. The use of family planning methods may be influenced by various factors, including religiosity and knowledge of family planning. This study aimed to analyze the association between religiosity and family planning knowledge with family planning use among female teachers at Integrated Islamic Schools in South Sulawesi Province in 2023. This study employed an analytical observational design with a cross-sectional approach. A total of 92 respondents were selected using the total sampling technique. Religiosity was assessed using a questionnaire based on the dimensions of religiosity proposed by Glock and Stark, while family planning knowledge and use were assessed using structured questionnaires. Data were analyzed using Fisher's Exact Test with a significance level of p < 0.05. A total of 42 respondents (45.7%) had used family planning methods, while 50 respondents (54.3%) had never used them. Most respondents had a high level of religiosity (94.6%) and good family planning knowledge (94.6%). The analysis showed no significant association between religiosity and family planning use (p = 1.000) or between family planning knowledge and family planning use (p = 0.060). In conclusion, religiosity and family planning knowledge were not significantly associated with family planning use among female teachers at Integrated Islamic Schools in South Sulawesi Province.3612-3619 -
Formulasi dan Uji Efektivitas Lilin Aromaterapi Minyak Atsiri Bunga Kenanga (Cananga odorata) sebagai Antistres pada Mencit (Mus musculus)
Niken Prihasanti, Riana Putri Rahmawati, Bintari Tri SukoharjantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1184 | Check in Google Scholar
Stress is an uncomfortable feeling that causes physical and mental strain, making non-pharmacological therapies such as aromatherapy necessary as a safer complementary treatment. Ylang-ylang (Cananga odorata) essential oil is known to contain aromatic compounds such as linalool, which have the potential to produce a relaxing effect. This study aims to determine the effect of varying concentrations of ylang-ylang essential oil (Cananga odorata) 2%, 3%, and 4% on the physical properties of aromatherapy candles and their effectiveness in reducing stress in mice. This study employed a laboratory experimental method with a post-test only control group design involving 25 mice divided into five treatment groups. The physical properties of the aromatherapy candles were assessed using organoleptic parameters, burn time, and melting point, while the anti-stress efficacy was evaluated using the Tail Suspension Test (TST) based on immobility time. The results showed that increasing the concentration of ylang-ylang (Cananga odorata) essential oil affected the physical properties of the aromatherapy candles, characterized by increased aroma intensity, a lower melting point, and changes in burn time. Additionally, variations in essential oil concentration also influenced the anti-stress efficacy in mice. Formulation F3 (4%) showed the best efficacy among the treatment groups (F1, F2, and F3), with an immobility time of 85 ± 19.13, although it did not exceed the positive control value of 76.8 ± 28.64.3620-3632 -
The Transformasi Proses Belajar pada Era Generative Artificial Intelligence: Sintesis Konseptual tentang Cognitive Offloading, Keterlibatan Kognitif, dan Integritas Akademik
Ariestya Wulandari, Lucia Rini Sugiarti, Ira KusumawatyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1161 | Check in Google Scholar
Generative Artificial Intelligence (GenAI) is increasingly used by university students not only to locate information, but also to explain concepts, organize ideas, and complete academic tasks. This article examines the psychological processes that may explain why such use can support learning in some situations while reducing students' intellectual involvement in others. A conceptual literature review was conducted by bringing together foundational work on Distributed Cognition, Extended Mind, Cognitive Load, Student Engagement, and the ICAP Framework with recent studies on GenAI in education. Sources were selected for their relevance to cognitive offloading, cognitive engagement, and academic integrity. The review suggests that the educational consequences of GenAI depend less on its mere use than on how cognitive work is divided between students and the system. Offloading routine demands may free resources for evaluation and reflection, whereas delegating core reasoning may weaken engagement and make academic products less representative of students' own understanding. On this basis, the Educational Cognitive Transformation Model (ECTM) is proposed to connect learning transformation, cognitive offloading, redistribution of cognitive activities, cognitive engagement, learning quality, and academic integrity. ECTM is offered as a conceptual proposition that still requires empirical testing.3633-3641 -
Hubungan antara Pengetahuan, Sikap Masyarakat, dan Peran Tenaga Kesehatan dengan Perilaku Pencegahan Rabies di Wilayah Kerja Puskesmas Tatelu Tahun 2026
Gloria Juvenisty Sendouw, Bernabas Harold Ralph Kairupan, Maureen Irinne PunuhShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1190 | Check in Google Scholar
Rabies remains a public health problem in Indonesia, including the working area of Tatelu Community Health Center. This study aimed to analyze the relationship between knowledge, community attitudes, and the role of healthcare workers with rabies prevention behavior in the working area of Tatelu Community Health Center in 2026. A quantitative study with an analytical observational cross-sectional design was conducted involving 98 respondents selected through stratified random sampling. Data were collected using questionnaires and analyzed using univariate analysis and the Chi-square test. The results showed that 90.8% of respondents had good knowledge, 53.1% had poor attitudes, 70.4% perceived the role of healthcare workers as adequate, and 83.7% demonstrated poor rabies prevention behavior. Significant relationships were found between knowledge and rabies prevention behavior (p=0.005) and between the role of healthcare workers and rabies prevention behavior (p=0.016), while no significant relationship was found between attitudes and rabies prevention behavior (p=0.056). The study concludes that knowledge and the role of healthcare workers are associated with rabies prevention behavior, while attitudes are not significantly associated with rabies prevention behavior among communities in the working area of Tatelu Community Health Center. Therefore, strengthening health education and promotion is essential to improve rabies prevention behavior.
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Pengukuran Intensitas Pencahayaan Di Rumah Sakit Umum Wisata UIT
Yulianah Rahmadani, Astrid Pratiwi Rufaedah Amir, Mahdiyah FakhiraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1134 | Check in Google Scholar
The East Indonesia University General Tourism Hospital (RSUW UIT) is a private hospital that adopts the hospital hospitality concept by integrating healthcare services with patient comfort. Nevertheless, the quality of the work environment, particularly lighting, remains a crucial aspect in supporting Occupational Health and Safety (OHS). This study aimed to evaluate the compliance of lighting intensity and room temperature in various hospital areas with the standards established by the Indonesian Ministry of Health and the Ministry of Manpower. Measurements were conducted using a lux meter to assess lighting intensity and a digital thermo-hygrometer to measure temperature and relative humidity in service areas, inpatient wards, laboratories, corridors, and supporting facilities. The findings revealed that most hospital areas did not meet the required lighting standards. Laboratories, the Emergency Department (ED), NICU/PICU, radiology, pharmacy, inpatient wards, cardiac care units, and meeting rooms exhibited lighting levels below the recommended standards, while only the lobby and part of the maternity ward complied with the requirements. Overall, more than 80% of the assessed areas had inadequate lighting, potentially increasing visual fatigue, reducing work accuracy, elevating the risk of medical errors, and diminishing the comfort of both patients and healthcare workers. Therefore, improvements are recommended through the installation of standard-compliant LED lighting, optimization of lighting layouts, routine maintenance, and periodic environmental audits as part of the hospital's Occupational Health and Safety Management System (OHSMS).3651-3658 -
Partisipasi Pria Usia Subur Dalam Penggunaan Kondom Berdasarkan Theory Of Planned Behavior: Studi Fenomenologi Di Wilayah Kerja Puskesmas Bunta
Mariam Mariam, Andi Alim, Lina Fitriani, Ridwan AmiruddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1202 | Check in Google Scholar
This study explored the experiences, meanings, and forms of participation of men of reproductive age in condom use and interpreted them through the Theory of Planned Behavior. A qualitative descriptive phenomenological design was employed in the Bunta Health Center service area, Banggai Regency, in June 2026. Seven married men of reproductive age were purposively selected until data saturation was reached. Data were collected through semi-structured in-depth interviews, field notes, and document review, and were analyzed thematically while maintaining credibility, dependability, confirmability, and transferability. Three main themes emerged: men’s understanding, perceptions, and experiences of condoms; forms of male participation; and relational and contextual factors influencing participation. All participants understood the functions of condoms, but only two had ever used them. Attitudes toward condoms were ambivalent: participants recognized their benefits and practicality, yet discomfort, perceived loss of sensation, and established reliance on wives’ contraceptive methods limited acceptance. Subjective norms were primarily shaped by wives’ responses and social sensitivity, whereas perceived behavioral control was influenced by practical skills, confidence, and utilization of health services. Male participation therefore operated as a continuum, ranging from communication and support to direct condom use. Family planning services should provide male-friendly education, private counseling, and couple-based decision support to strengthen shared reproductive responsibility.3659-3672 -
Analisis biaya Terapi pada pasien Diabetes Mellitus Tipe II Rawat Inap diRumah Sakit Islam Sunan kudus
Anisya Maulida Zulfa , Ria Etikasari, Bintari Tri SukoharjantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1204 | Check in Google Scholar
Type 2 diabetes mellitus is a chronic disease that requires long-term therapy and considerable healthcare resources. This study aimed to determine the antidiabetic therapy patterns and estimate the Cost of Illness (COI) among hospitalized patients with type 2 diabetes mellitus at Sunan Kudus Islamic Hospital. This study used a descriptive observational design with a retrospective approach through the collection of medical records and patient cost data. Descriptive analysis was performed to evaluate patient characteristics, antidiabetic therapy patterns, and direct medical cost components. The results showed that 54 patients met the inclusion criteria. The most frequently used therapy was a combination of Oral Antidiabetic Drugs (OAD) and insulin, administered to 39 patients (72.22%). The total Cost of Illness during one hospitalization episode was Rp106,816,540, with an average cost of Rp1,978,083 per patient. The largest cost components were hospitalization costs (45.10%) and medication costs (44.38%). This study indicates that type 2 diabetes mellitus contributes to a substantial economic burden during hospitalization, mainly influenced by therapy requirements and healthcare services provided.3673-3683 -
Perbandingan Informasi Anatomi Shoulder Joint Proyeksi Supraspinatus Outlet Metode Neer Dengan Arah Sinar 10° Dan 15° Caudad
Km. Agus Bima Sakti, Ni Kadek Mas Virayani, I Made Wahyu CandraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1206 | Check in Google Scholar
Shoulder impingement syndrome is one of the major causes of shoulder pain that requires radiographic examination to evaluate the subacromial space. The supraspinatus outlet projection using the Neer method is commonly used to demonstrate this space; however, variations in the central ray direction may affect the quality of the anatomical information obtained. This study aimed to determine the differences in anatomical information of the shoulder joint on the supraspinatus outlet projection using the Neer method with 10° and 15° caudad central ray directions. This study employed a quantitative experimental approach using a within-subject comparison design. The sample consisted of six volunteers, each of whom underwent two radiographic examinations using 10° and 15° caudad central ray directions, resulting in 12 radiographic images. The images were evaluated by three radiologists based on five anatomical components: the glenohumeral joint, acromioclavicular joint, supraspinatus outlet area, superimposition of the humeral head, and posterior process of the acromion. The data were analyzed descriptively by comparing the anatomical information scores obtained using the 10° and 15° caudad central ray directions. The results showed that all samples demonstrated an increase in anatomical information scores when using the 15° caudad central ray direction, with a mean total score of 131.56 compared with 120.28 for the 10° caudad direction. The greatest increase was observed in the posterior process of the acromion component, with a mean difference of 3.33 points. Based on these findings, the 15° caudad central ray direction provided more optimal anatomical visualization than the 10° caudad direction in the supraspinatus outlet projection using the Neer method and may therefore improve the quality of diagnostic information in the evaluation of shoulder impingement syndrome.
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Tantangan Dan Harapan Pasien Gagal Ginjal Kronis Dalam Menjalani Terapi Hemodialisis Jangka Panjang
Mazaya Bilqiis Deswynand Sutedjo, Burhannudin Ichsan, Asri Alfajri, Siti SoekiswatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1201 | Check in Google Scholar
Chronic Kidney Disease (CKD) is a progressive condition that requires long-term renal replacement therapy, one of which is hemodialysis, and it has a significant impact on patients’ physical, psychological, social, and economic conditions. The continuous and routine nature of hemodialysis often presents various challenges that affect patients’ quality of life. This study aimed to explore the challenges and hopes of patients with CKD undergoing long-term hemodialysis therapy. This study employed a qualitative design with a phenomenological approach. The study population consisted of patients with CKD undergoing hemodialysis at RSUD Dr. Moewardi Surakarta. The sample included 12 patients with CKD, five family members, and one healthcare professional, selected using purposive sampling. The research variables focused on the challenges and hopes experienced by patients during long-term hemodialysis therapy. Data were collected through in-depth interviews using semi-structured interview guidelines and were analyzed using content analysis. The results revealed that patients experienced multidimensional challenges, including physical challenges such as fatigue and post-dialysis symptoms; psychological challenges such as anxiety and treatment-related burnout; social challenges including stigma and limited social support; economic challenges related to job loss and financial burden; and logistical challenges such as travel distance and time constraints. On the other hand, patients expressed hopes of being able to return to daily activities, resume social roles, maintain family togetherness, and improve their quality of life. In conclusion, understanding the challenges and hopes of patients with CKD undergoing long-term hemodialysis is essential to support a holistic and sustainable care approach aimed at improving patients’ quality of life.3693-3707 -
Review Article: Analisis Dan Identifikasi Drug-Related Problems (DRPs) Pada Terapi Pasien Penyakit Ginjal Kronis Di Rawat Inap
Kukuh Putri Lestari, Husnawati Husnawati, Prasojo PribadiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1207 | Check in Google Scholar
Chronic kidney disease (CKD) is a progressive condition that causes changes in excretory, metabolic, fluid, and electrolyte regulation functions, requiring many patients to receive complex drug therapy. Polypharmacy, comorbidities, altered pharmacokinetics, and the need for dose adjustment according to renal function increase the risk of Drug-Related Problems (DRPs). This article aims to review and analyze the patterns of DRPs in patients with CKD, particularly those receiving hospital care, based on published research. A narrative review was conducted by searching scientific articles addressing DRPs in CKD patients and related complication groups through several electronic databases. Eligible literature was assessed according to study characteristics, DRP identification methods, types of problems, causes, and implications for treatment. The review indicates that DRPs are frequently identified among patients with CKD, although the patterns vary across studies. Recurrent problems include inappropriate drug selection, inappropriate dosing or inadequate renal dose adjustment, untreated indications, treatment without indication, drug interactions, and problems related to treatment safety and effectiveness. Comorbidities, number of medications, CKD stage, and length of hospital stay are also associated with a higher risk of DRPs. Clinical pharmacist involvement through medication review, medication therapy monitoring, medication reconciliation, and pharmaceutical interventions is therefore needed to identify and resolve DRPs and improve the safety and effectiveness of pharmacotherapy in patients with CKD.3708-3715 -
Efektivitas Edukasi Pencegahan Stunting Berbasis Media 3D Terintegrasi Kearifan Etnomedisin Suku Anak Dalam Terhadap Pengetahuan, Sikap, Dan Pemanfaatan Layanan Kesehatan
Nabilla Arfina, Dewi Riastawaty, Nia NurziaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1213 | Check in Google Scholar
This study aimed to analyze the effectiveness of 3D media-based stunting prevention education integrated with the local ethnomedicine wisdom of the Suku Anak Dalam on knowledge, attitudes, and health service utilization among the Suku Anak Dalam community in Sungai Bungin, Tebo Regency. This study employed a quantitative approach using a one-group pretest-posttest design. A total of 30 respondents were selected through purposive sampling. The intervention consisted of stunting prevention education using 3D media integrated with local ethnomedicine as an educational medium. Knowledge data were analyzed using the Paired Sample t-test, while changes in attitudes and health service utilization were analyzed descriptively using frequency distributions. The results showed that the mean knowledge score increased from 55.90 before the intervention to 80.00 after the intervention. The Paired Sample t-test yielded a p-value of <0.05, indicating a statistically significant difference in knowledge before and after the educational intervention. In addition, the proportion of respondents with positive attitudes increased from 30.0% to 83.3%, while the proportion of respondents with good health service utilization increased from 20.0% to 66.7% following the intervention. In conclusion, 3D media-based stunting prevention education integrated with local ethnomedicine effectively improved knowledge, promoted more positive attitudes, and enhanced health service utilization among the Suku Anak Dalam community in Sungai Bungin, Tebo Regency.
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Hubungan Perilaku Picky Eater Dengan Status Gizi Balita Di Desa Timbang Jaya Kecamatan Bahorok
Eliska Eliska, Sindy FitriyaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1218 | Check in Google Scholar
Children that exhibit picky eating behavior have a propensity to choose specific foods, refuse certain foods, and be reluctant to try new cuisines. The adequacy of nutrient intake and the nutritional status of children under five may be impacted by such behavior, which may also lessen dietary diversity. The purpose of this study was to examine the connection between the nutritional status of children under five in Timbang Jaya Village, Bahorok District, Langkat Regency, and their picky eating habits. This study used a quantitative methodology using a cross-sectional and analytical observational design. Using a complete sampling technique, 45 mothers with children between the ages of 12 and 53 months made up the study sample.A 20-item questionnaire was used to gather information on fussy eating habits, and measurements of body weight and height or length in accordance with child anthropometric standards were used to assess nutritional status. The Chi-Square test was used in both univariate and bivariate analyzes of the data. According to the findings, 12 kids (26.7%) had high picky eating behavior, 14 kids (31.1%) had low picky eating behavior, and 19 kids (42.2%) had intermediate picky eating behavior. A statistically significant correlation between fussy eating behavior and the nutritional health of children under five was found by the Chi-Square test, which produced a p-value of 0.008 (p < 0.05).These results suggest that a higher percentage of children with inadequate nutritional status is linked to a predisposition toward selective eating behavior. As a result, parents and medical professionals must pay more attention by implementing responsive feeding techniques, offering a variety of nutritionally balanced diets, and routinely assessing children's development.
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Hubungan Antara Riwayat Imunisasi Dasar Dengan Status Gizi Pada Balita Di Wilayah Kerja Puskesmas Tenga Kabupaten Minahasa Selatan
Glorya Sumendap, Ester Candrawati Musa , Alpinia Shinta PondagitanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1215 | Check in Google Scholar
Nutritional status is an important indicator of children’s health and is influenced by various factors, including basic immunization history, which provides protection against infectious diseases. This study aimed to determine the relationship between basic immunization history and nutritional status among toddlers in the Working Area of Tenga Community Health Center, South Minahasa Regency. This quantitative study used an analytic observational design with a cross-sectional approach. The study population consisted of toddlers aged 24–59 months in the working area of Tenga Community Health Center. A total of 81 toddlers were selected using total sampling. Data were collected through interviews and anthropometric measurements. Nutritional status was assessed using height-for-age (HAZ) and weight-for-height (WHZ) indicators, while basic immunization history was categorized as complete or incomplete. Data were analyzed using univariate and bivariate analyses with Fisher’s Exact Test at a significance level of α = 0.05. The results showed no significant relationship between basic immunization history and nutritional status based on HAZ, with p = 0.130. There was also no relationship between basic immunization history and nutritional status based on WHZ, with p = 0.268. In conclusion, basic immunization history was not statistically associated with nutritional status among toddlers based on HAZ or WHZ in the Working Area of Tenga Community Health Center, South Minahasa Regency.3737-3745 -
Teknik Pemeriksaan Colon In Loop Pediatrik Dengan Klinis Hirschsprung Di Instalasi Radiologi RS PKU Muhammadiyah Gamping
Karina Novita, Muhammad Fa’ik, Fisnandya Meita AstariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1214 | Check in Google Scholar
This study aimed to determine the colon in loop examination technique in pediatric patients with a clinical diagnosis of Hirschsprung disease at the Radiology Department of PKU Muhammadiyah Gamping Hospital. The colon in loop examination is a radiographic procedure used to evaluate Hirschsprung disease, a congenital disorder caused by the absence of ganglion cells in the colon , resulting in impaired peristalsis and functional bowel obstruction. This study employed a descriptive qualitative method with a case study approach conducted from September 2025 to July 2026. Data were collected through observation, interviews, and documentation involving three radiographers and one radiologist. The results showed that the examination was performed without any special patient preparation. The contrast medium consisted of an iodine solution diluted with normal saline at a ratio of 1:6, with a total volume of 350 cc administered gradually in three stages according to the patient's colon ic condition to obtain optimal visualization. The radiographic projectionsincluded AP plain, lateral contrast, AP contrast, and post-24-hour AP evaluation. The additional post-24-hour AP evaluation projection was performed to assess contrast retention in the colon as supportive evidence for the diagnosis of Hirschsprung disease. Throughout the examination, the patient was accompanied by a parent or family member wearing a radiation-protective apron. In conclusion, the colon in loop examination technique at PKU Muhammadiyah Gamping Hospital incorporates modifications, including the gradual administration of 350 cc of iodine contrast medium diluted with normal saline and the addition of an post-24-hour AP evaluation projection, providing optimal colon ic visualization to support the diagnosis of Hirschsprung disease.3746-3756 -
Hubungan Perilaku Masyarakat Tentang 3m Plus Dengan Kejadian Demam Berdarah Dengue Di Desa Wineru Kecamatan Likupang Timur
Aurellia Warouw, Odie R. Pinontoan, Diana V.D. DodaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1216 | Check in Google Scholar
Dengue Hemorrhagic Fever (DHF) remains one of the major public health problems in Indonesia, including North Minahasa Regency. The implementation of Mosquito Breeding Site Eradication (PSN) through the 3M Plus program is one of the main strategies to prevent DHF. However, the success of this program is highly influenced by community behavior, particularly knowledge, attitudes, and practices regarding 3M Plus. This study aimed to determine the relationship between community behavior regarding 3M Plus and the incidence of Dengue Hemorrhagic Fever (DHF) in Wineru Village, East Likupang District. This research employed a quantitative method with a cross-sectional design. A total of 80 respondents were selected using a purposive sampling technique. Data were collected through structured interviews using questionnaires to assess respondents' knowledge, attitudes, practices regarding 3M Plus, and the history of DHF incidence. Data were analyzed using univariate analysis and bivariate analysis with Fisher's Exact Test at a significance level of 95% (α = 0.05). The findings showed that most respondents had good knowledge (56.3%), positive attitudes (58.8%), and good practices (52.5%). Bivariate analysis indicated significant relationships between knowledge (p = 0.018), attitudes (p = 0.013), and practices (p = 0.005) regarding 3M Plus and the incidence of DHF. It can be concluded that better community behavior in implementing the 3M Plus program is associated with a lower incidence of DHF in Wineru Village. Therefore, continuous health promotion and community empowerment are recommended to improve the consistent implementation of 3M Plus.3757-3766 -
Dampak Implementasi Rekam Medis Elektronik Terhadap Beban Kerja Dan Well-Being Tenaga Kesehatan: Suatu Tinjauan Sistematis
Vivi Maria Satarina, Anita Rahmiwati, Alvera Noviyani, Misnaniarti Misnaniarti, Rini Muthahar, Rizma Adlia SyakurahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1226 | Check in Google Scholar
Electronic Health Records (EHRs) have become an essential component of healthcare digital transformation, but their implementation may also increase healthcare workers’ workload and affect their well-being. This review aimed to systematically analyze the impact of EHR implementation on healthcare workers’ workload and well-being based on recent scientific evidence. A systematic review was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, Google Scholar, and the Cochrane Library to identify studies published between 2020 and 2025 using the PECO framework. The selection process identified 20 studies that met the predefined inclusion criteria and were subsequently synthesized using a narrative approach. The review found that EHR implementation consistently increased documentation burden, prolonged digital working hours, and elevated cognitive workload due to system complexity. Poor EHR usability was also associated with higher levels of work-related stress, burnout, emotional exhaustion, reduced job satisfaction, and impaired work–life balance among healthcare workers. The magnitude of these effects varied according to professional role, healthcare setting, and individual characteristics, including gender. Overall, EHR implementation provides important benefits for improving healthcare quality; however, it may also increase workload and reduce healthcare workers’ well-being when system usability is inadequate and digital tasks extend beyond regular working hours. Therefore, optimizing EHR design, simplifying documentation workflows, and limiting after-hours digital work are essential to support the long-term well-being of the healthcare workforce.
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Pengembangan Kompetensi Digital Marketing Bagi Pelaku UMKM di Kelurahan Remu Selatan: Perspektif Manajemen SDM
Rendi Pattiasina, Ade Renouw, Emiliana Lerek, Yafet HomerShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1228 | Check in Google Scholar
This study aims to determine the empirical condition of digital marketing competence among MSME actors in Sorong City and to analyze the effect of training on this competence in Kelurahan Remu Selatan. This causal associative quantitative research utilized a sample of 60 respondents selected through a purposive sampling technique. Primary data were collected using a Likert scale questionnaire and in-depth interviews, which were then analyzed using simple linear regression with SPSS software. The results showed that the digital marketing competence of MSME actors is currently still at a basic stage. The majority of business actors are dominated by the 40-50 years age group in the culinary sector, with 66.7% of respondents having never attended any training. Consequently, the use of technology is limited to personal communication (WhatsApp) and has not been utilized for market expansion strategies. The hypothesis test results proved that training has a positive and significant effect on the digital marketing competence of MSME actors, with a contribution of 32%. In conclusion, human resource development interventions through training programs are an absolute requirement for MSMEs to adapt to the digital economy ecosystem. This study recommends that local governments organize practical training programs that prioritize hands-on visual content creation.3779-3787 -
Evaluasi Sentra Gakkumdu Dan Reformulasi Sistem Peradilan Pidana Pemilu Di Indonesia
Ladito Risang Bagaskoro, Diky Riansyah, Hanugrah Titi Hapsari; Elyas ElyasShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1229 | Check in Google Scholar
General elections are the primary instrument for exercising popular sovereignty, making effective law enforcement against electoral crimes essential to free and fair elections. This study analyzes the effectiveness of Indonesia's electoral crime enforcement model through the Integrated Law Enforcement Center (Sentra Gakkumdu) and formulates an ideal enforcement model for the future. The study employs normative legal research using statutory, conceptual, and comparative approaches, benchmarked against Mexico and South Korea. Findings show that Sentra Gakkumdu's effectiveness, assessed through Soerjono Soekanto's five factors of legal effectiveness, remains constrained across nearly all factors, there are divergent legal interpretations among its constituent institutions, tight case-handling deadlines, weak evidentiary standards for vote-buying, limited specialized facilities and personnel, and a legal culture in which vote-buying has become institutionalized as a patronage mechanism. The study also maps an unresolved academic debate between scholars who advocate strengthening Sentra Gakkumdu and those who propose abolishing it. The study recommends reformulating electoral crime enforcement through an Integrated Electoral Justice System that combines strengthened investigative authority for the Election Supervisory Body (Bawaslu), permanent specialized electoral investigators and prosecutors, digitalization of the enforcement system, strengthened participatory public oversight, and the gradual development of a specialized electoral court.
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Peran E-Leadership Dalam Memediasi Pengaruh Visionary Leadership, Transformational Leadership, Servant Leadership, Dan Digital Leadership Terhadap Lecturer Well-Being Pada Perguruan Tinggi Swasta Di Papua
Ade Renouw, Rendi Pattiasina, Frengki Frengki, Rezcova KaikatuyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1237 | Check in Google Scholar
Digital transformation in higher education requires leaders not only to possess conventional leadership competencies but also to effectively integrate digital technologies to enhance lecturers’ well-being. This study aims to examine the mediating role of E-Leadership in the relationships between Visionary Leadership, Transformational Leadership, Servant Leadership, Digital Leadership, and Lecturer Well-Being at private universities in Southwest Papua Province, Indonesia. This study employed a quantitative approach with an explanatory research design. Data were collected through questionnaires from 188 full-time lecturers selected using purposive sampling. Data were analysed using Structural Equation Modelling–Partial Least Squares (SEM-PLS) with SmartPLS 4. The findings indicate that the four leadership styles have positive and significant effects on E-Leadership, with Visionary Leadership emerging as the strongest predictor (β = 0.401). Furthermore, E-Leadership has a positive and significant effect on Lecturer Well-Being (β = 0.805) and mediates the effects of the four leadership styles on lecturers’ well-being. These findings confirm that E-Leadership is an important mechanism for translating effective leadership practices into improved lecturers’ well-being in the era of digital transformation. This study contributes to the literature on digital leadership in higher education and provides practical implications for universities in developing leadership strategies that promote lecturers’ well-being.3799-3813 -
Analisis Perubahan Teknik Radioterapi Imrt Menjadi 3D-CRT Pada Kasus Retinoblastoma Pediatrik Di Instalasi Radioterapi RSUD Welas Asih Provinsi Jawa Barat
Dony Rachmadhan, Km. Agus Bima Sakti , Nur AzisShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1236 | Check in Google Scholar
Retinoblastoma is the most common intraocular malignancy in children and requires appropriate radiotherapy management to achieve optimal tumor control while minimizing radiation exposure to surrounding healthy tissues. Advanced radiotherapy techniques such as Intensity-Modulated Radiation Therapy (IMRT) offer superior dose conformity; however, technical limitations in clinical practice may necessitate alternative approaches such as Three-Dimensional Conformal Radiation Therapy (3D-CRT). This study aims to evaluate the dosimetric impact of transitioning from IMRT to 3D-CRT in a pediatric retinoblastoma case. A descriptive qualitative case study approach was conducted through direct observation, medical record documentation, and interviews with radiotherapy professionals. The patient received a total radiation dose of 45 Gy in 25 fractions, consisting of 20 fractions using IMRT and 5 fractions using 3D-CRT. Dosimetric evaluation was performed using Dose Volume Histogram (DVH) analysis to assess Planning Target Volume (PTV) coverage and dose constraints to Organs at Risk (OAR). The results showed that more than 95% of the PTV received the prescribed dose, while doses to OARs such as the eye, optic nerve, lens, brainstem, and brain remained within acceptable tolerance limits. These findings indicate that the transition from IMRT to 3D-CRT was able to maintain adequate target dose coverage and keep OAR doses within safe limits from a dosimetric perspective.3814-3820 -
Analisis Spasial Kejadian Tuberkulosis di Wilayah Kerja Puskesmas Tuminting Tahun 2024
Bernike Sitanggang, Eva Mariane Mantjoro, Angela Fitriani Clementine KalesaranShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1238 | Check in Google Scholar
Tuberculosis (TB) remains a major public health problem in Indonesia. In 2024, the working area of Puskesmas Tuminting recorded the highest number of TB cases in Manado City, with a total of 181 cases. This study employed a quantitative method with a descriptive approach and an ecological study design based on a Geographic Information System (GIS), using spatial overlay analysis in ArcGIS on secondary data obtained from the TB Information System of Puskesmas Tuminting and the Central Bureau of Statistics (BPS) of Manado City. The sample comprised 172 TB cases residing within the working area of Puskesmas Tuminting in 2024. This study aimed to analyze the spatial distribution of TB cases and the association between risk factors—namely sex and population density—and the spatial occurrence of TB in the working area of Puskesmas Tuminting during 2024. The results showed that TB cases formed a clustering pattern rather than being randomly distributed, with the highest concentrations found in Sindulang Satu (33 cases), Mahawu (30 cases), and Sumompo (29 cases) sub-districts. By sex, TB cases were more prevalent among males (110 cases, 64.0%) than females (62 cases, 36.0%). The overlay analysis further revealed that a higher incidence of TB was not always associated with higher population density, indicating that other factors may also contribute to the spread of the disease. In conclusion, TB cases in the working area of Puskesmas Tuminting in 2024 exhibited a clustering pattern, were predominantly found among males, and their distribution could not be fully explained by population density. These findings suggest that GIS-based spatial analysis can be utilized to identify priority areas and support the development of more effective and targeted TB control programs.3821-3829 -
Faktor-Faktor Yang Berhubungan Dengan Unsafe Action Pada Anak Buah Kapal Jalur Manado-Talaud Di Pelabuhan Laut Manado
Juverdi William Sigarlaki, Diana V. D. Doda, Ricky C. SondakhShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1217 | Check in Google Scholar
Work accidents in the shipping sector are still a problem, mostly influenced by unsafe actions. Crew members have a high risk of work accidents due to the complex nature of their job, so it’s necessary to identify factors related to unsafe actions. This study aims to analyze the relationship between knowledge, work experience, age, supervision, and the availability of personal protective equipment (PPE) with unsafe actions among crew members on the Manado–Talaud route at Manado Sea Port, as a basis for developing efforts to improve occupational safety and health. The study used a cross-sectional design with a quantitative approach. The sample consisted of 45 respondents selected using total sampling. Data were collected through questionnaires and analyzed using Spearman's Rank correlation test with a significance level of α=0.05. The results showed that there was a significant relationship between knowledge and unsafe action (r= -0.361; p=0.015), supervision (r= -0.384; p=0.009), and availability of PPE (r= -0.317; p=0.034). The five variables have a negative relationship, which shows that the better the knowledge, length of service, age, supervisory, and availability of PPE, the lower the tendency of crew members to perform unsafe actions. Conversely, length of service (r= -0.112; p=0.463) and age (r= -0.218; p=0.151) do not show a significant relationship with unsafe actions. These results indicate that individual and organizational factors, particularly knowledge, supervision, and PPE availability, play a role in shaping safe work behavior.3830-3840 -
Studi Deskriptif Implementasi Program Sekolah Sehat 5s Di SMP Binaan Puskesmas Boyolali I
Nur Hani, Ayu Khoirotul UmarohShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1239 | Check in Google Scholar
Various health problems are still experienced by junior high school students such as anemia 32%, obesity 21.8%, active smokers 19.2%, and mental health disorders 20.7%. Responding to these conditions, the government is trying to realize healthy schools regulated in Law No. 17 of 2023 concerning Health, part Fourteenth Article 97 concerning school health. The Director General of Early Childhood Education in 2023 made a Healthy School campaign. This study aims to describe the implementation of the 5S Healthy School program (physically healthy, healthy nutrition, healthy immunization, mentally healthy, and environmentally healthy) in Junior High Schools in the assisted area of the Boyolali I Health Center. Primary data collection was carried out through a Likert scale questionnaire that has been rigorously tested for the validity with a Scale-Content Validity Index/Average (S-CVI/Ave) value of 0.95. The data were then analyzed using univariate statistical methods to produce a percentage distribution. The results of the analysis showed that the initial level of awareness of the program reached 100%, but there were still 22.22% of respondents who had not received formal socialization. The implementation of the pillars of mental and environmental health reached the very good category (88.89%). The healthy nutrition and healthy immunization pillars were also implemented in the very good category (55.56%), while the physical health pillar was implemented in the good category (66.67%). To improve the implementation of healthy schools, it is necessary to have continuous socialization from the health center as well as teacher capacity training in implementing healthy school programs.3841-3853 -
Implementasi Kebijakan Kampanye Sekolah Sehat Pada Program 5S di SMP Muhammadiyah Kecamatan Kartasura (Studi Kasus Teori Grindle)
Farah Alifa Nur Shabrina, Ayu Khoirotul UmarohShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1241 | Check in Google Scholar
This study aims to describe the implementation of the Healthy School Campaign policy in the 5S program (Healthy Nutrition, Physically Healthy, Healthy Immunization, Healthy Mental, and Healthy Environment) in Muhammadiyah Al-Kautsar PK Kartasura Junior High School, Muhammadiyah 1 Kartasura Junior High School, and Muhammadiyah 2 Kartasura Junior High School. This study uses a descriptive qualitative approach with 19 informants selected through purposive sampling techniques. The data analysis uses the policy implementation theory framework of Merilee S. Grindle which includes aspects of policy content and implementation context with thematic analysis methods. The results of the study show that the implementation of policies in the 5S program in general has gone well, although the impact varies depending on leadership capacity, resource availability, and internal school regulations. SMP Muhammadiyah 1 Kartasura was identified as the most superior school by creating a regulated work system through the innovation of One Day One Student (ODOS) on the pillar of mental health, the Standardization of Healthy Canteens licensed by BPOM on the pillar of healthy and nutritious, the rules of the No Smoking Area (KTR) in student points, and the active involvement of PMR students in the UKS picket. Meanwhile, the other two schools are still implementing flexible policy strategies. The final conclusion of this study shows that the main challenge that all schools still face lies in the aspect of student behavior, especially the discipline of self-segregation of waste even though separate bin facilities are adequate.3854-3869 -
Massa Ileocaecal Dengan Koagulopati Praoperatif: Laporan Kasus Ileocecal Mass With Preoperative Coagulopathy: A Case Report
Muhammad Kharis Mahdaviqia, Giri Yurista, Peter Ian LimasShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1245 | Check in Google Scholar
Massa ileocaecal merupakan temuan klinis yang menantang karena keluhannya dapat menyerupai apendisitis komplikata, tuberkulosis intestinal, penyakit Crohn, maupun neoplasma kolon kanan. Laporan kasus ini bertujuan menggambarkan evaluasi klinis, alasan diagnosis awal apendisitis, temuan radiologi, koagulopati praoperatif dengan peningkatan INR, riwayat obat, dan rencana tata laksana. Artikel disusun sebagai laporan kasus deskriptif berdasarkan rekam medis pasien perempuan berusia 50 tahun yang dirawat pada Februari 2025. Pasien mengalami rasa tidak nyaman perut sejak beberapa bulan dan memberat menjadi nyeri kuadran kanan bawah, konstipasi, mual muntah, lemas, serta keringat dingin. Diagnosis awal mengarah ke apendisitis komplikata karena dominasi nyeri kanan bawah, leukositosis, keluhan gastrointestinal akut, serta temuan USG lesi hipoekoik regio kanan bawah. MSCT abdomen kontras kemudian menunjukkan penebalan sirkumferensial asimetris pada ileum terminal dan caecum, penyempitan lumen, fat stranding, enhancement, dan massa sekitar 4,9 x 6,7 x 8,1 cm tanpa ascites atau nodul hepar-lien. Laboratorium menunjukkan APTT 112 detik, PT 50,6 detik, dan INR 4,21 yang membaik menjadi INR 0,93 setelah optimasi, termasuk vitamin K. Riwayat obat sebelum rawat inap tidak terdokumentasi lengkap; selama perawatan pasien mendapat terapi suportif, antiemetik, gastroprotektor, antibiotik, koreksi elektrolit, dan optimasi medik. Peningkatan INR dapat disebabkan defisiensi vitamin K, gangguan fungsi hati, obat antikoagulan, antibiotik, atau koagulopati konsumtif, serta dapat meningkatkan risiko perdarahan dan menunda operasi. Kasus ini menegaskan perlunya integrasi anamnesis, rekonsiliasi obat, laboratorium, radiologi, dan histopatologi sebelum diagnosis definitif.
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Faktor-Faktor Yang Berhubungan dengan Kejadian Ghpr di Pulau Timor: Kajian Literatur
Tasalina Yohana Parameswari Gustam, Ronald Pratama Adiwinoto, Stefania Laku LoiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1231 | Check in Google Scholar
Rabies is an infectious disease that causes problems in the brain and nerves. This disease can be transmitted to humans through saliva or bites from animals that are already infected with rabies. Among the 26 provinces that are rabies-endemic in Indonesia, East Nusa Tenggara (NTT) is the most affected province. From January to July 2024, NTT recorded 16,180 cases of animal bites that could cause rabies and 27 deaths due to rabies. The purpose of this literature review is to study the risk factors and socio-cultural behaviors of rabies-transmitting animals that occur on Timor Island (Indonesia). This review uses scientific publications from 2024-2026. The search was conducted from April to September 2026. The combination of search keywords includes Rabies, GHPR, Timor Island, rabies in Timor Island, with the main source being Google Scholar. Data from the articles that were found then identified risk factors and social, cultural, and geographical aspects that affect rabies control efforts on Timor Island. The results showed that risk factors and social, cultural, and geographical aspects influence rabies control efforts on Timor Island. The conclusion is that GHPR cases occurring on Timor Island are caused by many factors such as the number of dog ownerships, provocative actions towards dogs, the number of dogs in the area, individual knowledge, age, maintenance practices, contact with HPR, HPR health checks, and HPR vaccination.3879-3886 -
Hubungan Antara Tingkat Stres Dengan Kualitas Tidur Pada Mahasiswa Di Rumah Susun Universitas Sam Ratulangi Kota Manado
Susi Yanti Samosir, Hilman Adam, Ribka Elisabeth WoworShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1252 | Check in Google Scholar
Students living in the Sam Ratulangi University Dormitory are faced with high academic demands as well as emotional burdens due to the adjustment process of living away from their families. These conditions have the potential to cause psychological pressure or stress that can affect rest patterns and trigger a decrease in student sleep quality. Research Methods: This study utilized a quantitative research design with a correlational approach, conducted from May to June 2026. The population in this study consisted of all students residing in the Sam Ratulangi University Student Dormitory in Manado City, totaling 140 individuals. Samples were selected using a total sampling technique, resulting in 140 respondents. Data collection employed the Perceived Stress Scale (PSS-10) questionnaire to measure stress levels and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality. The chi-square test was used to analyze the relationship between stress levels and sleep quality at a significance level of α = 0.05. Results: The majority of respondents experienced high stress levels (70.0%) and poor sleep quality (77.9%). The statistical test showed no significant relationship between stress levels and sleep quality (p = 0.675). Results: The majority of respondents experienced high-category stress at 70.0% and poor sleep quality at 77.9%. The statistical test performed showed that there was no significant relationship between stress levels and sleep quality (p=0.675). Conclusion: There is no relationship between stress levels and sleep quality among students in the Dormitory of Sam Ratulangi University, Manado City.3887-3897 -
Hubungan Antara Motivasi Kerja Dan Budaya Organisasi Dengan Kinerja Pegawai Di Puskesmas Ranotana Weru Kota Manado
Patricia Oktaviane Sinaga, Ribka Elisabeth Wowor, Adisti Aldegonda RumayarShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1261 | Check in Google Scholar
This study aimed to determine the relationship between work motivation and organizational culture with employee performance at the Ranotana Weru Community Health Center, Manado City. This research employed an analytical quantitative design with a cross-sectional approach. The study was conducted from April to June 2026 at the Ranotana Weru Community Health Center, Manado City. The study population consisted of all 43 employees of the Ranotana Weru Community Health Center. The sampling technique used was total sampling, in which all members of the population were included as research respondents. Data were collected using questionnaires consisting of 14 work motivation items, 9 organizational culture items, and 7 employee performance items measured using a Likert scale. The research instruments were tested for validity and reliability. All items were declared valid with a calculated r value greater than the r table value of 0.361, while the Cronbach’s Alpha values were 0.835 for work motivation, 0.762 for organizational culture, and 0.777 for employee performance. Data were analyzed using univariate and bivariate analyses with the Spearman Rank correlation test at a significance level of α = 0.05. The results showed that most employees had high work motivation, consisting of 35 employees (81.4%), moderate organizational culture, consisting of 36 employees (83.7%), and high performance, consisting of 39 employees (90.7%). The statistical analysis showed that there was no significant relationship between work motivation and employee performance (p=0.177; r=0.210). In contrast, there was a significant relationship between organizational culture and employee performance (p=0.008; r=0.398), with a weak positive correlation. Based on these findings, strengthening organizational culture through improved communication, coordination, teamwork, and organizational values should be considered as one of the efforts to support improved employee performance at the Ranotana Weru Community Health Center.3898-3904 -
Peningkatan Pengetahuan Ibu Balita Dan Dukungan Keluarga Pasca Edukasi Audiovisual Interaktif Tentang Imunisasi Dasar Di Puskesmas Polara
Suhari Suhari, Andi Alim, Lina Fitriani, Ridwan AmiruddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1259 | Check in Google Scholar
Suboptimal basic immunization coverage requires health education approaches that improve maternal understanding while strengthening family support. This study aimed to analyze changes in maternal knowledge and family support following interactive audiovisual-based health education on basic immunization at UPTD Puskesmas Polara. A pre-experimental one-group pretest–posttest design was conducted involving 72 mothers of children under five selected through purposive sampling. The intervention was delivered in one structured session using an educational video followed by discussion, question-and-answer activities, and clarification of the material. Maternal knowledge and family support were assessed before and after the intervention using structured questionnaires. Changes were analyzed using the Wilcoxon Signed Rank Test. The proportion of mothers with good knowledge increased from 16.7% to 87.5%, while the proportion of mothers reporting that their families were supportive increased from 8.3% to 86.1%.” increased from 8.3% to 86.1%. The mean categorical knowledge score increased from 1.65 to 2.85 (Z = −7.126; p < 0.001; r = 0.840), while the mean categorical family support score increased from 1.44 to 2.83 (Z = −7.452; p < 0.001; r = 0.878). Interactive audiovisual health education was followed by substantial short-term improvements in maternal knowledge and maternally reported family support. Controlled studies with follow-up measurements are required to evaluate the sustainability of these changes and strengthen causal inference.3905-3913 -
Analisis Prosedur Pemeriksaan Magnetic Resonance Imaging Ankle Joint Menggunakan Head Coil Dengan Klinis Suspek Cedera Anterior Talofibular Ligament Di Unit Radiologi RSU Prima Medika Denpasar
Lucyana Eklesia Kalende, I Made Lana Prasetya, I Made Sutha NuriawanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1269 | Check in Google Scholar
Anterior talofibular ligament (ATFL) injury is one of the most common ligament injuries affecting the ankle joint and can lead to chronic ankle instability if not properly evaluated. Magnetic Resonance Imaging (MRI) is an imaging modality with excellent capability for visualizing soft tissue structures, including ligaments, tendons, and periarticular tissues. This study aimed to analyze the ankle MRI examination procedure using a head coil in patients with suspected ATFL injury at the Radiology Unit of RSU Prima Medika Denpasar. A descriptive qualitative method with a case study design was employed, involving three patients with suspected ATFL injury who underwent ankle joint MRI using a head coil. Data collection took place in April 2026 through direct observation, interviews with radiographers and radiologists, and documentation of examination protocols and MRI images. The examination protocol included the following sequences: STIR FSE transverse, STIR FSE sagittal, PD FSE transverse SPAIR, T2 FSE sagittal, STIR FSE coronal, T1 FSE coronal, PD FSE sagittal FS, and PD FSE coronal FS. The results demonstrated that using a head coil produced image quality sufficient for evaluating ankle joint anatomy and ATFL abnormalities. Proton Density Fat Saturation (PD FS) sequences provided optimal ligament visualization and revealed signal intensity changes associated with ligament injury, while STIR sequences were effective in detecting soft tissue and bone marrow edema accompanying ankle injuries. Based on observations and interviews, the use of a head coil serves as a viable alternative for ankle joint MRI in cases of suspected ATFL injury when a dedicated ankle coil is unavailable, provided that proper positioning and optimal sequence selection are implemented.3914-3925 -
Hubungan Dimensi Servqual Dengan Kepuasan Pasien Rawat Jalan Di Puskesmas Banggai: Studi Cross-Sectional Di Wilayah Kepulauan
Chindy Tulyabu, Andi Alim, Lina Fitriani, Ridwan AmiruddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1274 | Check in Google Scholar
Primary healthcare services in archipelagic areas face challenges related to geographical access, limited resources, and the need to provide timely and reliable care. This study aimed to analyze the relationship between service quality based on the five SERVQUAL dimensions and outpatient satisfaction at Banggai Community Health Center, Banggai Laut Regency. An analytical cross-sectional study was conducted among 100 outpatients recruited using consecutive sampling. Service quality was assessed using 25 SERVQUAL items covering tangibles, reliability, responsiveness, assurance, and empathy, while patient satisfaction was measured using 11 items based on Expectation–Disconfirmation Theory. Data were analyzed using Pearson’s chi-square test, Spearman’s rank correlation, and binary logistic regression at a 5% significance level. Overall, 65.0% of respondents rated service quality as good, and 56.0% reported being satisfied. All SERVQUAL dimensions were significantly associated with patient satisfaction (p<0.001) and demonstrated strong positive correlations. Responsiveness showed the strongest correlation with patient satisfaction (rₛ=0.756), whereas reliability yielded the highest crude odds ratio among the five dimensions (OR=22.222; 95% CI: 7.579–65.160). Overall service quality was strongly correlated with patient satisfaction (rₛ=0.764; p<0.001) and remained significantly associated with satisfaction after adjustment for age and sex (AOR=31.724; 95% CI: 9.413–106.920). These findings indicate that efforts to improve outpatient service quality should prioritize responsiveness, accuracy, and consistency of service delivery while maintaining healthcare provider competence, empathy, and the quality of physical facilities as integral components of the patient experience.3926-3935 -
Intervensi Gizi Berbasis Pangan Lokal pada Ibu Hamil dengan KEK: Respons Multidimensional
Yuli Rahayu, Ani AsramShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1272 | Check in Google Scholar
This study aimed to analyze changes in body weight, mid-upper arm circumference (MUAC), blood pressure, and hemoglobin concentration among pregnant women with chronic energy deficiency (CED) following a local food-based supplementary feeding intervention. This quantitative study employed a quasi-experimental pretest–posttest control group design. The sample consisted of 32 pregnant women with CED, who were divided equally into intervention and control groups, with 16 participants in each group. The intervention group received supplementary food in the form of cassava-ebi crackers for four weeks, while the control group received the standard treatment. Data on body weight, MUAC, blood pressure, and hemoglobin concentration were collected before and after the intervention using an observation sheet. Data were analyzed using the paired-samples t-test, Wilcoxon test, independent-samples t-test, and Mann–Whitney U test, as appropriate based on data distribution. The results showed increases in body weight, MUAC, and hemoglobin concentration, along with decreases in blood pressure in the intervention group during the observation period. At the final assessment, significant differences between the intervention and control groups were observed in MUAC (p = 0.000) and hemoglobin concentration (p = 0.007), whereas body weight (p = 0.108), systolic blood pressure (p = 0.081), and diastolic blood pressure (p = 0.098) did not differ significantly between groups. Local food-based supplementary feeding demonstrated the most consistent responses in MUAC and hemoglobin concentration among pregnant women with CED.3936-3944 -
Evaluasi Pelaksanaan Program Rujuk Balik (PRB) dan Kaitannya Dengan Kepatuhan Pasien BPJS Kesehatan di Puskesmas Singgani Kota Palu: Studi Mixed Method
M. Adjis Rasyidi, Andi Alim, Lina Fitriani, Takdir TahirShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1282 | Check in Google Scholar
The Patient Back-Referral Program (PRB) services at primary healthcare facilities are frequently constrained by network disruptions and pharmaceutical stockouts, compromising patient treatment retention. This study aimed to evaluate PRB implementation and its correlation with patient adherence at Singgani Public Health Center, Palu City, utilizing a Sequential Explanatory Mixed-Methods design, quantitative data were analyzed first in the primary phase, followed by a supporting qualitative phase to explain the findings. Quantitative data were gathered from 249 chronic disease respondents via the MMAS-8 questionnaire, followed by in-depth interviews with 6 informants to elucidate statistical outcomes. The Chi-Square test demonstrated that information system quality was significantly correlated with adherence (p-value < 0.001), whereas pharmaceutical availability lacked direct statistical significance (p-value = 0.064). The novelty of this study uncovers that the impact of internal supply chain stockouts was mitigated by a public-private partnership with a contracted network pharmacy acting as a logistical safety valve, alongside robust intrinsic patient motivation. Conversely, non-adherence was triggered by behavioral barriers, notably perceived recovery upon symptom abatement, clinical anxiety over generic brand substitution, and a deficit in manual contingency protocols during server downtimes. In conclusion, adherence outcomes depend not merely on technological infrastructure and physical inventory, but on operational manual readiness, optimized network integration, and patient healthcare-seeking intent. The practical contribution outlines strategic recommendations for healthcare management to formalize manual fallback SOPs during system failures, implement automated digital tracking reminders, and leverage institutionalized free psychological counseling services to mitigate therapeutic burnout .3945-3955 -
Gambaran Perilaku Pemanfaatan Aplikasi Mobile JKN Di Puskesmas Ranomuut
Regina Gratia Tine, Ardiansa A. T. Tucunan, Yolanda Anastasia SihombingShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1296 | Check in Google Scholar
The transformation of the health system has encouraged the adoption of digital technology in healthcare services, one of which is the Mobile JKN application developed by BPJS Kesehatan to facilitate participants’ access to healthcare services. Although various features are available, the utilization of the application among JKN participants remains varied, and not all features have been optimally utilized. This study aimed to describe attitude toward behavior, subjective norm, perceived behavioral control, cues to action, and the utilization of the Mobile JKN application at Ranomuut Public Health Center. This study employed a descriptive quantitative method with accidental sampling. The respondents were 106 JKN participants who had previously utilized the Mobile JKN application. Data were collected using a questionnaire and analyzed univariately using frequency distributions and percentages. The results showed that most respondents had a positive attitude (97.2%), high subjective norm support (85.8%), high perceived behavioral control (88.7%), and high cues to action (69.8%). The utilization of the application was classified as active at 68.9%. The most frequently utilized feature was service registration (queue) by 89 respondents, while several other features had never been utilized. Although most respondents demonstrated conditions that supported application utilization, its use was still primarily associated with the need for healthcare services and had not yet become a regular habit. Therefore, strengthening education and assistance in application use, as well as optimizing underutilized features according to healthcare service needs, is necessary.3956-3968 -
Manajemen Nyeri Akut Pada Pasien Dengan Post Operasi Apendisitis: Laporan Kasus
Nirmala Kusumaningrum Sunaryo, Nabila Putri Reginasari, Naila Arum Rifkiana, Hakim Tobroni HRShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1297 | Check in Google Scholar
Appendicitis is an acute or chronic inflammatory process affecting the vermiform appendix, caused by an obstruction within the appendiceal lumen. Nursing issues associated with post-appendectomy cases include acute pain, risk of infection, and risk of hypovolemia. Nursing care for a post-appendectomy patient—focusing primarily on acute pain—was administered at the Kediri Regency Regional General Hospital (RSUD) over a three-day period in November 2023, utilizing the nursing process. Assessment findings revealed acute pain associated with a physical injury agent, evidenced by the patient’s complaints of pain and visible grimacing. Interventions included controlling environmental factors that exacerbate pain (such as limiting visitors and regulating room temperature), facilitating rest and sleep (e.g., changing bed linens if the patient felt uncomfortable), explaining the causes and triggers of the pain, employing non-pharmacological techniques (such as deep breathing exercises and finger-holding techniques), and collaborating on medication administration (Ketorolac 1g three times daily, Ceftriaxone 1g twice daily, and Ranitidine 1g twice daily). Evaluation of the nursing care indicated a reduction in the acute pain scale for the patient (An. S), with the pain score dropping from 4 to 3. The care provided aims to encourage the patient and their family to maintain environmental cleanliness and participate in surgical wound care to prevent pain recurrence, ensuring the family is capable of managing the wound after the patient is discharged.
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Hubungan Durasi Menderita Diabetes Melitus Dengan Gangguan Penglihatan Di RSUD Meuraxa Kota Banda Aceh
Nidya Wulida, Eva MardalenaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1292 | Check in Google Scholar
Diabetes mellitus (DM) or commonly known as diabetes is a chronic disease that can be suffered by a person throughout their lifetime. Patients with DM usually experience chronic complications, namely macrovascular diseases (large blood vessels) and microvascular diseases (small blood vessels), one of which affects the eyes (retinopathy) and can attack the eye organs, causing various eye diseases such as cataracts, diabetic retinopathy, glaucoma, and dry eye syndrome. Another risk factor for DM complications in visual impairment is the duration of DM suffering, as the longer a person suffers from DM, the higher the risk of complications in their eyes. This study aims to identify the connection among the duration of DM suffering and visual impairment at the Eye Clinic of RSUD Meuraxa using a correlational research design with a quantitative approach. The study outcomes reveal that the majority of respondents have suffered from DM for 15-20 years (32.4%), the type of visual impairment is cataracts (37.8%), female gender (66.2%), and aged 56-65 years, which is late elderly (33.8%). Statistical test outcomes reveal that there is a significant connection among the duration of DM suffering and visual impairment complications with a p-value of 0.000. The effect of the duration of DM suffering on visual impairment complications has a significant relationship where the longer the duration of DM suffering increases, the more the category of visual impairment onset increases.
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Hubungan Pengetahuan, Sikap, Dan Kepatuhan Penggunaan APD Dengan Keluhan Penyakit Akibat Kerja Pada Pekerja Industri Batu Bata Di Desa Neuheun Aceh Besar
Sabitah Nabila, Syarifah Nora Andriaty, Farid BastianShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1300 | Check in Google Scholar
The brick industry is one of the informal sectors vulnerable to the risk of occupational diseases due to exposure to dust, combustion fumes, and direct contact with soil. Knowledge, attitudes, and compliance with the use of personal protective equipment (PPE) play an important role in preventing health complaints among workers. This study aims to analyze the relationship between knowledge, attitudes, and compliance with the use of PPE and complaints of occupational diseases among brick industry workers in Neuheun Village, Aceh Besar. This study used a quantitative observational analytic method with a cross-sectional approach. The sample consisted of 65 respondents selected using the total sampling technique and analyzed using the Chi-Square test. The results showed that 52.3% of respondents had good knowledge, 53.8% had poor attitudes, and 66.2% did not comply with PPE use. A total of 55.4% of respondents experienced occupational health complaints. The statistical analysis showed no significant relationship between knowledge and occupational health complaints (p = 0.056), whereas attitude (p = 0.021) and compliance (p < 0.001) were significantly associated with occupational health complaints. It can be concluded that good knowledge needs to be accompanied by positive attitudes and greater compliance with PPE use to support the prevention of occupational health problems.3996-4004 -
Efektivitas Ekstrak Daun Kelor (Moringa oleifera) Sebagai Insektisida Nabati Untuk Pengendalian Kecoa Amerika (Periplaneta americana)
Maulina Aulia Afrianti, Imam Thohari, Ernita Sari, Rusmiati RusmiatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1299 | Check in Google Scholar
The American cockroach (Periplaneta americana) is a mechanical vector responsible for transmitting various diseases and is commonly controlled using chemical insecticides. However, repeated use of these insecticides may lead to insect resistance, environmental pollution, and adverse health effects. As an environmentally friendly alternative, Moringa oleifera leaves contain bioactive compounds, including flavonoids, tannins, saponins, and alkaloids, which have potential as natural bioinsecticides. This study aimed to analyze the effectiveness of Moringa oleifera leaf extract on the mortality of the American cockroach. This study employed a true experimental method using a Post Test Only Control Group Design. Moringa oleifera leaf extract was applied at concentrations of 40%, 60%, and 80%, with one untreated control group. Cockroach mortality was observed for 24 hours after application. The data were analyzed using the One-Way ANOVA test at a 95% confidence level. The results showed that Moringa oleifera leaf extract exhibited insecticidal activity against the American cockroach, with mortality rates of 10%, 18.3%, and 31.7% at concentrations of 40%, 60%, and 80%, respectively, while no mortality was observed in the control group. The One-Way ANOVA test indicated a significant difference among treatment groups (p < 0.001). Probit analysis revealed an LC50 value of 97.583%. In conclusion, Moringa oleifera leaf extract has potential as a bioinsecticide against the American cockroach, with mortality increasing as the extract concentration increased. Further studies are recommended using concentrations close to or exceeding the LC50 value (97.583%) and evaluating longer exposure times to determine the optimal dose and effectiveness.4005-4014 -
Determinan Pemanfaatan Layanan BPJS pada Mahasiswa FIKES UNSIKA
Yusnita Kusumawardhani, Dian Agnesa Sembiring, Sekar Ayu RunggadiniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1036 | Check in Google Scholar
The BPJS Kesehatan program is a government initiative to ensure that all Indonesians have equal access to health care. However, the utilization of BPJS Kesehatan services among college students remains relatively low due to several factors that can influence students’ decisions to use BPJS health care services, such as knowledge, attitudes, accessibility, and exposure to information. This study aims to analyze the factors associated with the utilization of BPJS services among students at the Faculty of Health Sciences, Unsika. The study employed a quantitative method with a cross-sectional approach and utilized a questionnaire as the research instrument, which was then analyzed using univariate and bivariate analyses via the chi-square test. Sampling was conducted using the stratified random sampling technique, with a total of 75 respondents. The results showed that 40 (53,3%) respondents had low utilization of BPJS services, adequate knowledge 59 (78,7%) respondents, a positive attitude 47 (62,7%) respondents, difficulty accessing services among 45 (60.0%) respondents, and sufficient exposure to information among 43 (57.3%) respondents. This study showed that attitude is a factor significantly associated with the utilization of BPJS services among college students because the decision to use BPJS or not depends on their previous experiences. Therefore, efforts to improve service quality are needed to improve the quality of BPJS healthcare services and strengthen education regarding BPJS Kesehatan. These efforts are expected to increase students' trust in BPJS services and encourage more optimal utilization of BPJS Kesehatan services.4015-4025 -
Analisis Rasionalitas Dan Efektivitas Klinis Antibiotik Empiris Pada Keratitis Bakterialrawat Jalan Di Klinik Mata Teluk Kuantan Tahun 2024-2025
Widya Ari Sandi, Husnawati Husnawati, Meiriza DjohariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1255 | Check in Google Scholar
Bacterial keratitis is a corneal infection that may cause visual impairment and blindness if not appropriately treated. Empirical antibiotic therapy is the primary treatment initiated before microbiological results become available. At Teluk Kuantan Eye Clinic, not all patients return for follow-up visits; therefore, appropriate empirical antibiotic therapy at the initial treatment is an important factor in achieving successful clinical outcomes. This study aimed to analyze the rationality of empirical antibiotic use using the Gyssens method, describe clinical effectiveness, and analyze the association between the rationality of empirical antibiotic use and clinical effectiveness in outpatients with bacterial keratitis at Teluk Kuantan Eye Clinic. This analytical observational study employed a retrospective design with a cross-sectional approach. A total of 106 medical records meeting the inclusion criteria were selected using total sampling. The rationality of empirical antibiotic use was evaluated using the Gyssens method, while the association between the rationality of empirical antibiotic use and clinical effectiveness was analyzed using Fisher's Exact Test. The results showed that 5 patients (5%) received rational empirical antibiotic therapy, whereas 101 patients (95%) received irrational empirical antibiotic therapy. The most common category of irrationality was Gyssens category IVC, followed by categories IVA, IIIA, IIIB, and V. Thirty-six patients (34%) showed clinical improvement, whereas 70 patients (66%) showed no clinical improvement. It was concluded that most empirical antibiotic use in outpatients with bacterial keratitis at Teluk Kuantan Eye Clinic was irrational, and the rationality of empirical antibiotic use was significantly associated with clinical effectiveness.4026-4035 -
Gambaran Penyakit Kulit Pada Lansia Di Poliklinik Kulit Dan Kelamin RSPUR Tahun 2022-2024
Wilsa Aprilia M, Rizky Kurniawan, Fakhrul RizalShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1305 | Check in Google Scholar
Skin diseases in the elderly are among the most common health problems resulting from the aging process, which leads to a decline in skin function, such as reduced elasticity, moisture, and immune system function. This condition makes the elderly more vulnerable to various types of skin diseases, including allergic, infectious, degenerative, neoplastic and autoimmune conditions. This study aimed to provide an overview of skin diseases in elderly patients at the Dermatology and Venereology Outpatient clinic of RSPUR in 2022–2024 based on age, sex, and type of skin disease. This study used a descriptive method with a retrospective approach. The samples were selected using total sampling, consisting of 86 elderly patient cases that met the inclusion criteria. The results showed that based on age, the largest age group was 60–74 years comprising 77 patients (89.5%). Based on sex, male patients were more prevalent with 49 patients (57.0%) compared to 37 female patients (43.0%). Based on the type of skin disease, allergic skin diseases were the most common, accounting for 53 cases (61.6%). In conclusion, the overview of skin diseases in elderly patients at RSPUR showed that the patients were predominantly aged 60-74 years, male, and diagnosed with allergic skin diseases.4036-4043 -
Gambaran Tingkat Kecemasan Mahasiswa Dalam Menghadapi Mini-OSCE Di Fakultas Kedokteran Universitas Abulyatama
Atika Humairah, Ratih Ayu Atika, Aditya CandraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1306 | Check in Google Scholar
Mini-Objective Structured Clinical Examination (Mini-OSCE) is one of the clinical skills assessment methods used in medical education, particularly to evaluate students' ability to apply knowledge, clinical skills, and communication in a structured manner. The implementation of the Mini-OSCE may become a source of psychological pressure for students because it requires them to demonstrate their competencies in an examination setting within a limited period of time. This condition may trigger anxiety at varying levels of severity and potentially affect students' readiness to undertake clinical skills examinations. This study aimed to describe the anxiety levels of students at the Faculty of Medicine, Abulyatama University, when facing the Mini-OSCE and to identify the distribution of anxiety levels based on academic cohorts. This study employed a quantitative descriptive design with a cross-sectional approach. The sample consisted of 120 students from the 2022, 2023, 2024, and 2025 cohorts, who were selected using a quota sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire distributed through Google Forms and analyzed using univariate analysis in the form of frequency and percentage distributions. The results showed that 41 respondents (34.2%) were classified as having no anxiety, 23 respondents (19.2%) experienced mild anxiety, 31 respondents (25.8%) experienced moderate anxiety, 23 respondents (19.2%) experienced severe anxiety, and 2 respondents (1.7%) experienced very severe anxiety. Overall, 79 students (65.8%) experienced anxiety at varying levels of severity. Based on academic cohorts, students from the 2025 cohort showed higher proportions of moderate and severe anxiety than students from the other cohorts. In conclusion, although the no-anxiety category represented the largest single proportion of respondents, anxiety was still experienced by the majority of respondents across varying levels of severity. These findings highlight the importance of improving academic preparedness, providing regular clinical skills practice and Mini-OSCE simulations, and strengthening students' anxiety management abilities as part of their preparation for clinical skills assessments.4044-4052 -
Evaluasi Ketersediaan Sarana Kebersihan Tangan (Hand Hygiene) di Puskesmas Krueng Barona Jaya Aceh Besar
Winda Artika Syafitri, Rahmad Rahmad, Ratih Ayu AtikaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1304 | Check in Google Scholar
The availability of standard-compliant hand hygiene facilities is an important component of Infection Prevention and Control (IPC) programs in healthcare facilities. Evaluating these facilities is necessary to determine their compliance with established standards. This study aimed to evaluate the availability of hand hygiene facilities at the Krueng Barona Jaya Community Health Center, Aceh Besar. A quantitative descriptive study with a cross-sectional approach was conducted. The study included all 13 service units using total sampling. Data were collected through direct observation using a checklist and analyzed using univariate analysis. The results showed that 11 service units (84.6%) had hand hygiene facilities, while 2 service units (15.4%) did not. Regarding completeness, 3 service units (23.1%) were categorized as complete, 6 service units (46.2%) as partially complete, and 4 service units (30.7%) as incomplete. Soap dispensers had the highest availability (61.5%), whereas tissue or hand-drying facilities had the lowest availability, with none of the service units meeting the required standard (0%). The availability of hand hygiene facilities at Krueng Barona Jaya Community Health Center, Aceh Besar, remains uneven across service units. This indicates that most service units have not yet fully met the required standards. Therefore, improvements and equitable provision of hand hygiene facilities in every room are needed to support the implementation of the Infection Prevention and Control (IPC) program.4053-4062 -
Hubungan Durasi Duduk Dan Posisi Duduk Dengan Low Back Pain Pada Staf Kejaksaan Negeri Aceh Besar
Syifa Mufida Iffah, Khatab Khatab, Edy CahyadyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1311 | Check in Google Scholar
Low back pain is pain in the lower back that may be caused by prolonged sitting accompanied by an incorrect sitting position, which can contribute to low back pain complaints. This study aimed to determine the relationship between sitting duration and sitting position with low back pain complaints among staff at the Aceh Besar District Attorney's Office. This study used an observational analytical method with a cross-sectional design and primary data. The study population consisted of 47 respondents who met the criteria and were selected using the total sampling technique. Data were collected using questionnaires distributed directly to the respondents and analyzed using the Spearman Rank (Rho) test. The results showed a significant relationship between sitting duration and low back pain complaints (p-value = 0.013; r = 0.359), with a positive direction and low strength. In addition, there was a significant relationship between sitting position and low back pain complaints (p-value = 0.002; r = -0.432), with a negative direction and moderate strength. These findings indicate that longer sitting duration tends to be associated with increased low back pain complaints, while a more ergonomic sitting position tends to reduce low back pain complaints. Thus, the results of the analysis show that there are significant relationships between sitting duration and low back pain complaints and between sitting position and low back pain complaints among staff at the Aceh Besar District Attorney's Office.4063-4073 -
Karakteristik Penderita Fibroadenoma Mammae (FAM) di Poliklinik Bedah Rsud Meuraxa Kota Banda Aceh Tahun 2024-2025
Nurhaliza Nurhaliza, Hendro Mustaqim, Syarifah Nora AndriatyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1314 | Check in Google Scholar
Fibroadenoma Mammae is a common benign tumor found in women. It is a firm, elastic, painless, easily movable lump with well-defined borders. This condition is often caused by age, family history, and the use of hormonal contraceptives. The hormones involved are estrogen and progesterone. Fibroadenoma mammae typically occurs in young women, around the age of 20, and can be detected as early as possible through breast self-examination (BSE). This study aims to determine the characteristics of fibroadenoma mammae patients based on age, family history, and history of hormonal contraceptive use at Meuraxa Regional General Hospital, Banda Aceh City. This study used a retrospective descriptive method based on secondary data in the form of medical records of fibroadenoma mammary patients at Meuraxa Regional General Hospital, Banda Aceh City. The sampling technique used was total sampling, resulting in 46 fibroadenoma mammary patients who met the inclusion criteria. In this study, a sample of 46 patients was obtained. Based on age, the most common was found in young women ≥ 20 years old, amounting to 35 people (76.1%), based on family history, there were 40 people (87.0%) who did not have a family history of tumors. Based on the history of hormonal contraceptive use, there were 30 patients (65.2%) who did not have a history of such. The main findings of this study indicate a predominance of respondents in the age group ≥ 20 years (76.1%), no family history (87.0%), and not using hormonal contraception (65.2%). These results can be used to increase public knowledge and health promotion regarding risk factors, signs and symptoms, and the importance of early detection of fibroadenoma mammary to the community.4074-4081 -
Faktor Risiko Stroke Pada Pasien Stroke Iskemik Di Rumah Sakit Pertamedika Ummi Rosnati Banda Aceh Tahun 2025
Nurussulaihani Armia, Khatab Khatab, Eka Yunita AmnaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1312 | Check in Google Scholar
Stroke is a neurological disorder caused by disrupted blood flow to the brain that can lead to death and disability. Ischemic stroke is the most common type and is associated with various risk factors, both modifiable and non-modifiable. This study aimed to describe the distribution of stroke risk factors among patients with ischemic stroke at Pertamedika Ummi Rosnati Hospital, Banda Aceh, in 2025. This study used a descriptive design with a cross-sectional approach. Samples were taken using a total sampling technique, comprising 80 patients who met the inclusion criteria. The study was conducted from March to June 2026. Data were obtained from medical records and analyzed using univariate analysis. The results showed that the majority of patients were aged ≥60 years (42 people, 52.5%), male (56 people, 70.0%), and had no family history (59 people, 73.8%). Based on modifiable risk factors, most patients had hypertension (61 people, 76.3%), did not have diabetes mellitus (55 people, 68.8%), had dyslipidemia (30 people, 37.5%), and did not have a history of coronary heart disease (61 people, 76.3%). It can be concluded that the distribution of stroke risk factors among patients with ischemic stroke at Pertamedika Ummi Rosnati Hospital, Banda Aceh, in 2025 was predominantly characterized by advanced age, male sex, hypertension, and dyslipidemia, while most patients had no family history, diabetes mellitus, or coronary heart disease.4082-4089 -
Hubungan Efek Samping Penggunaan Kontrasepsi Hormonal Di Puskesmas Kuta Alam Kecamatan Kuta Alam Kota Banda Aceh Tahun 2026
Raka Nita, Rahmad Rahmad, Zuheri ZuheriShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1313 | Check in Google Scholar
Hormonal contraception is one of the contraceptive methods used to prevent pregnancy through the administration of hormones that affect ovulation and the reproductive system. The widespread use of hormonal contraception may be accompanied by various physical side effects that can potentially affect comfort and the continuation of contraceptive use. This study aimed to analyze the relationship between types of hormonal contraception and physical side effects among family planning acceptors at Kuta Alam Public Health Center, Banda Aceh City, in 2026. This study used a quantitative analytic method with a cross-sectional design and involved 120 active hormonal family planning acceptors. Data were collected using structured questionnaires and analyzed through univariate and bivariate analyses using the Chi-Square test with a significance level of α=0.05. The respondents consisted of 48 oral contraceptive pill users (40.0%), 48 injectable contraceptive users (40.0%), and 24 implant users (20.0%). The most frequently reported physical side effects were weight gain (80.8%), fertility disorders (67.5%), and acne (62.5%). Bivariate analysis showed significant associations between oral contraceptive pill use and menstrual disorders (p=0.038), injectable contraceptive use and weight gain (p=0.045), and implant use and dizziness or headache (p=0.037). Meanwhile, no significant associations were found between the type of hormonal contraception and fertility disorders, melasma or dark spots, nausea or vomiting, breast enlargement, and acne (p>0.05). It can be concluded that specific types of hormonal contraception are associated with particular physical side effects, namely oral contraceptive pills with menstrual disorders, injectable contraception with weight gain, and implants with dizziness or headache.
4090-4100 -
Karakteristik Gangguan Refraksi Di Poli Mata RSU Pertamedika Ummi Rosnati
Shakira Rizkatuljannah, Hady Maulanza, Nanda DesrezaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1315 | Check in Google Scholar
Refractive errors are among the most common causes of visual impairment and remain a significant public health problem affecting individuals of all age groups. These conditions include myopia, hyperopia, and astigmatism, which may reduce visual acuity and adversely affect daily activities and quality of life if left undetected and untreated.
This study aimed to describe the characteristics of patients with refractive errors at the Ophthalmology Clinic of Pertamedika Ummi Rosnati General Hospital based on age, sex, type of refractive error, and the results of visual acuity examinations of the left eye (Oculus Sinistra, OS) and the right eye (Oculus Dextra, OD). This study employed a descriptive quantitative design using secondary data obtained from patients’ medical records available in the Hospital Management Information System (SIMRS). The study population consisted of 1,186 patients diagnosed with refractive errors during the period of November 2025 to April 2026. A total of 92 respondents were selected using the simple random sampling technique. Data were analyzed using univariate analysis and presented as frequency distributions and percentages.
The results showed that the largest age group was late elderly (56–65 years), accounting for 23 respondents (25.0%). The majority of patients were female, comprising 64 respondents (69.6%), while 28 respondents (30.4%) were male. Astigmatism was the most common type of refractive error, affecting 51 respondents (55.4%). Based on visual acuity examination, most patients had mild visual impairment, with 50 respondents (54.3%) in the left eye (OS) and 48 respondents (52.2%) in the right eye (OD). Overall, patients with refractive errors in this study were predominantly late elderly females, with astigmatism as the most common refractive error and mild visual impairment as the most frequent visual acuity finding. These findings are expected to contribute to improving early detection strategies and enhancing eye health services.
Keywords: Astigmatism, Visual acuidity, Age, Gender
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Analisis Pengaruh Pengetahuan Dan Sikap Terhadap Kepatuhan Remaja Putri Dalam Mengonsumsi Tablet Tambah Darah Di SMP Negeri 1 Banda Aceh Menggunakan Metode SEM
Annisa Rizky Shalsabila, Aslinar Aslinar, Hady MaulanzaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1316 | Check in Google Scholar
Anemia among adolescent girls remains a public health concern, while compliance with Iron Tablet (IT) consumption remains one of the challenges in its prevention. This study aimed to analyze the effects of knowledge and attitude on the compliance of eighth-grade female students at SMP Negeri 1 Banda Aceh in consuming Iron Tablets using the Partial Least Squares Structural Equation Modeling (PLS-SEM) method. This study employed an analytical observational design with a cross-sectional approach and total sampling technique involving 120 female students. Primary data were collected using a structured questionnaire that had been tested for validity and reliability. The results showed that knowledge had a positive and significant effect on compliance (path coefficient = 0.525; p = 0.000). Attitude also had a positive and significant effect on compliance (path coefficient = 0.376; p = 0.000). The R² value of 0.621 indicated that 62.1% of the variance in compliance could be explained by knowledge and attitude, while the remaining 37.9% was explained by other variables outside the research model. This study concluded that knowledge and attitude had positive and significant effects on compliance with Iron Tablet consumption. Therefore, strengthening education on anemia and Iron Tablets, along with routine monitoring of Iron Tablet consumption at school, is recommended.
Keywords: Knowledge, Attitude, IFA Tablet Compliance
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Hubungan Derajat Nyeri Menstruasi Dengan Aktivitas Belajar Pada Siswi Kelas VII Dan VIII SMP Negeri 6 Banda Aceh
Dara Nabila, Rina Erlina, Hady MaulanzaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1318 | Check in Google Scholar
Menstrual pain is commonly experienced by adolescent girls and may affect various aspects of daily life, including learning activities. Menstrual pain can reduce concentration, decrease focus, and interfere with students’ participation in the learning process. This study aimed to determine the relationship between the degree of primary menstrual pain and learning activities among female students in grades VII and VIII at SMP Negeri 6 Banda Aceh. This study employed an analytic observasional design with a cross-sectional approach. The sample consisted of 47 respondents selected using the total sampling technique. Data were collected using the Numeric rating Scale (NRS) questionnaire to measure the degree of menstrual pain and a learning activity questionnaire. Data were analysed using univariate and bivariate analyses with the Chi-square. The results showed that the majority of respondents experienced menstrual pain in the mild category, consisting of (25 respondents; 53.2%) while (22 respondents; 46.8%) experienced severe pain. Learning activities were mostly in the not disturbed category, consisting of (30 respondents; 63.8%). The result Chi-square test showed a p-value of <0,001 ( P < 0.05 ) indicating a significant relationship between the degree of primary dysmenorrhea pain and learning activities. The higher the degree of menstrual pain experienced by the students, the greater the disruption to their learning activities. In conclusion, there is a significant relationship between the degree of menstrual pain and learning activities among female students of grades VII and VIII at SMP Negeri 6 Banda Aceh.
4124-4133 -
Formulation and Evaluation of Sunscreen Cream Based on Titanium Dioxide and Zinc Oxide Nanopowders Combined with Niacinamide
Widya Ramahdani, Benni Iskandar, Deni AnggrainiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1303 | Check in Google Scholar
Excessive exposure to ultraviolet radiation can cause various forms of skin damage, highlighting the need for sunscreen preparations that provide effective photoprotection and possess suitable physical characteristics. The combination of titanium dioxide and zinc oxide nanopowders as inorganic ultraviolet filters with niacinamide as a supporting active ingredient has potential for development in sunscreen cream formulations. This study aimed to formulate and evaluate sunscreen creams containing a combination of titanium dioxide nanopowder, zinc oxide nanopowder, and niacinamide, as well as to determine the formulation with the best photoprotective activity. An experimental study was conducted by preparing three oil-in-water (O/W) cream formulations with varying concentrations of titanium dioxide and zinc oxide nanopowders: F1 (2%:4%), F2 (4%:2%), and F3 (3%:3%), while niacinamide was maintained at 4% in all formulations. The formulations were evaluated for organoleptic properties, homogeneity, pH, viscosity, spreadability, adhesion, emulsion type, stability using a heating–cooling test, Sun Protection Factor (SPF), Critical Wavelength (λc), and skin irritation. Quantitative data were analyzed using Two-Way Analysis of Variance (ANOVA). The results showed that all formulations exhibited acceptable physical characteristics and remained stable during four weeks of storage, with no phase separation observed after six heating–cooling cycles. The SPF values of F1, F2, and F3 were 39.4, 37.0, and 40.4, respectively, with all formulations providing ultra-level protection. F3 showed the highest SPF value and a Critical Wavelength of 385 nm, indicating broad-spectrum ultraviolet protection. The formulation variation significantly affected viscosity and spreadability (p<0.05), but did not significantly affect adhesion (p>0.05). The irritation test of F3 showed no signs of skin irritation in the subjects. Therefore, F3 was identified as the selected formulation, exhibiting favorable physical characteristics, good stability, ultra-level photoprotection, and potential broad-spectrum UV protection.
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Studi Komparatif Tingkat Pemahaman Antara Mahasiswa Tahun Awal Dan Tahun Akhir Terhadap Prinsip Etika Kedokteran Di Fakultas Kedokteran Universitas Abulyatama
Khairunnisa Khairunnisa, Syarifah Nora Andriaty, Elfa Wirdani FitriShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1317 | Check in Google Scholar
Medical ethics is a fundamental aspect of medical professionalism that must be understood by every medical student. This study aimed to determine the differences in the level of understanding of the principles of medical ethics between first-year and final-year medical students at the Faculty of Medicine, Abulyatama University. This quantitative study employed a comparative analytical design with a cross-sectional approach. A total of 102 students, consisting of 44 first-year and 58 final-year students, were selected using stratified random sampling. Data were collected using a valid and reliable questionnaire. The level of understanding was categorized into good and poor, and then analyzed using the Pearson Chi-Square test. The results showed that among early-year students, 34 respondents had a good level of understanding with a proportion of 0.773, while 10 respondents had a poor level of understanding with a proportion of 0.227. Among final-year students, 56 respondents had a good level of understanding with a proportion of 0.966, while 2 respondents had a poor level of understanding with a proportion of 0.034. The results of the Pearson Chi-Square test showed a p-value of 0.003, indicating a statistically significant difference in the level of understanding of medical ethics principles between early-year and final-year students. Thus, final-year students had a higher proportion of good understanding compared with early-year students.
Keywords: medical students, medical ethics, level of understanding, year of study
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Hubungan Usia, Jenis Kelamin, dan Pekerjaan dengan Kejadian Jenis Hemoroid di RSUD Meuraxa Banda Aceh
Ade Fitri Ramadani, M. Syakir Marzuki, FuadiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1319 | Check in Google Scholar
Hemorrhoids are a common anorectal disorder characterized by changes in the hemorrhoidal vascular cushions. Several individual characteristics, including age, gender, and occupation, have been proposed to be associated with hemorrhoids. However, previous studies have reported inconsistent findings regarding the relationship between these characteristics and hemorrhoid types. This study aimed to determine the association between age, gender, and occupation and the types of internal and external hemorrhoids among patients at RSUD Meuraxa Banda Aceh in 2024. An analytical quantitative study with a cross-sectional design was conducted using secondary data obtained from patients’ medical records. All eligible patients were included using total sampling, resulting in 33 respondents. Data were analyzed using univariate and bivariate analyses with Fisher’s exact test. The results showed that most respondents were aged ≥45 years (54.5%), male (78.8%), and classified as non-civil servants (non-PNS) (97.0%). Fisher’s exact test showed no statistically significant association between age (p = 0,579), gender (p = 0,106), or occupation (p = 1,000) and hemorrhoid type. These findings indicate that age, gender, and occupation were not significantly associated with internal or external hemorrhoid types among patients at RSUD Meuraxa Banda Aceh.4157-4169 -
Prevalensi Penurunan Tajam Penglihatan Pada Siswa SMP IT Nurul Fikri Kecamatan Darul Kamal Kabupaten Aceh Besar
Annisa Putri, Fuadi Fuadi, Fakhrul RizalShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1322 | Check in Google Scholar
Decreased visual acuity is one of the most common eye health problems among school-aged children and may adversely affect learning performance, daily activities, and quality of life. Data regarding the prevalence of decreased visual acuity among students in Aceh Besar Regency remain limited; therefore, this study was conducted to provide an overview of this condition. This study aimed to determine the demographic characteristics based on age and sex and to identify the prevalence of decreased visual acuity among students of SMPIT Nurul Fikri, Darul Kamal District, Aceh Besar Regency. This quantitative descriptive study employed a cross-sectional design. A total of 124 students were recruited using a total sampling technique. Visual acuity was assessed using a Snellen chart, and the data were analyzed using univariate analysis. The results showed that most participants were male (59.7%) and aged 14–15 years (55.6%). Decreased visual acuity was identified in 47 students (37.9%), whereas 77 students (62.1%) had normal visual acuity. The condition was more frequently observed among female students (21.0%) than male students (17.0%) and among students aged 12–13 years (22.6%) than those aged 14–15 years (15.3%). These findings indicate that more than one-third of the students experienced decreased visual acuity, highlighting the importance of implementing regular vision screening and eye health education in schools to promote early detection and prevent visual impairment among school-aged children.4170-4179 -
Karakteristik Pasien Epilepsi Di Poliklinik Saraf Rumah Sakit Pertamedika Ummi Rosnati
Izza Zuhra, Rizkidawati Rizkidawati, Abdul WahabShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1325 | Check in Google Scholar
Epilepsy is a chronic neurological disorder characterized by recurrent seizures due to abnormal electrical activity in the brain. This disease is still a health problem because it can affect the quality of life and activities of the sufferer. Identification of epilepsy patient characteristics based on age, sex, seizure type, family history, and therapy used is needed to provide a picture of the patient's profile and support more optimal health services. This study aims to determine the characteristics of epilepsy patients at the Neural Polyclinic of Pertamedika Ummi Rosnati Hospital, Banda Aceh in 2025. This type of research is descriptive with a design cross sectional. The sampling technique in this study is simple random sampling with a sample of 64 people who meet the inclusion criteria. The research was conducted from January to July 2026. The research instrument was in the form of patient medical record data, while data analysis was carried out univariately. The results showed that most of the patients were in the age group of 19–59 years as many as 55 people (85.9%), female as many as 34 people (53.1%), had general seizures as many as 46 people (71.9%), underwent polytherapy therapy as many as 34 people (53.1%), and had no family history of epilepsy as many as 50 people (78.1%). The most widely used antiepileptic drug therapy was the combination of phenytoin and divalproex in 15 people (23.4%).It can be concluded that epilepsy patients at the Neural Polyclinic of Pertamedika Ummi Rosnati Hospital Banda Aceh in 2025 are dominated by adulthood, female, general seizures, polytherapy use, and no family history of epilepsy.4180-4188 -
Prevalensi Pasien Tinea Korporis Di Poliklinik Kulit Dan Kelamin RSUD Meuraxa Kota Banda Aceh Tahun 2025
Yuna Maulida Arifin, Surya Nola, Said Aandy SaidaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1326 | Check in Google Scholar
Tinea corporis is a superficial fungal infection caused by dermatophyte fungi. This disease is frequently found in tropical regions. Hot and humid climatic conditions, population density, and personal hygiene factors contribute to the high incidence of this disease. Data on the prevalence of tinea corporis are needed as a basis for planning disease prevention efforts in healthcare services. This study aimed to determine the prevalence of tinea corporis patients at the Dermatology and Venereology Outpatient Clinic of Meuraxa Regional General Hospital, Banda Aceh, in 2025, based on age and gender. This study used a descriptive method with a retrospective approach. Data were obtained from the medical records of tinea corporis patients from January to December 2025. The sampling technique used in this study was total sampling, with a total of 234 tinea corporis patients who met the study criteria. The results showed that the prevalence of tinea corporis patients was 17.4% of the total patient visits to the Dermatology and Venereology Outpatient Clinic. Based on age, the highest number of cases was found in the 19–59-year age group, with 162 patients (69.2%), followed by the ≥60-year age group with 42 patients (17.9%), and the 10–18-year age group (12.8%). Based on gender, female patients were more prevalent, accounting for 164 patients (70.1%), compared with 70 male patients (29.9%). The conclusion of this study indicates that the prevalence of tinea corporis patients at Meuraxa Regional General Hospital was 17.4%, predominantly affecting the 19–59-year age group and females. The findings of this study are expected to serve as a basis for planning tinea corporis prevention programs in healthcare services.4189-4194 -
Hubungan Riwayat Neuropati Dengan Kejadian Ulkus Diabetikum Pada Pasien Diabetes Melitus Tipe 2 Di RSUD Meuraxa Banda Aceh
Zurriyani Zurriyani, Eva Mardalena, Sintia PurnamaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1321 | Check in Google Scholar
Type 2 diabetes mellitus (T2DM) is a long-term metabolic disorder that may lead to diabetic ulcers. Diabetic neuropathy is an important predisposing factor because diminished protective sensation in the lower limbs can make patients unaware of minor trauma or wounds. Without early recognition and treatment, these injuries may progress to more severe lesions. Objective: To examine the association between a history of neuropathy and the occurrence of diabetic ulcers among patients with T2DM at Meuraxa Regional General Hospital, Banda Aceh. Methods: An analytic observational study with a cross-sectional design was conducted. All 36 eligible respondents were included using total sampling. Neuropathy data were collected with the Michigan Neuropathy Screening Instrument (MNSI), and the association was analyzed using the Fisher-Freeman-Halton Exact Test. Most respondents had a history of neuropathy, and this history was significantly associated with diabetic ulcer occurrence, with p=0.010 (p<0.05). Ulcers tended to be more severe among respondents with neuropathy than among those without neuropathy. The findings indicate an association between neuropathy history and diabetic ulcers in patients with T2DM treated at Meuraxa Regional General Hospital, Banda Aceh. Early identification and appropriate management of diabetic neuropathy, together with foot-care education, routine foot assessment, and adequate blood glucose control, are important to reduce ulcer formation and subsequent complications.
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Implementasi Levelling Sensor Pada Slipform Paver Terhadap Produktivitas Dan Kualitas Rigid Pavement
Dina Monika Anggraini, Ely Mulyati, Achmad Syarifudin, Leon A. AbdillahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1327 | Check in Google Scholar
The development of construction technology has encouraged the implementation of sensor-based automated systems as an effort to improve the productivity, accuracy, and quality of rigid pavement construction. One of the technologies applied in such work is the Wirtgen Slipform Concrete Paver, which is equipped with a levelling sensor that automatically controls the elevation and pavement thickness during the concrete paving process. This study aims to analyze the implementation of the levelling sensor on the Wirtgen Slipform Concrete Paver and evaluate the machine's productivity in rigid pavement construction on a road improvement project in City X. The study employed a descriptive-analytical approach using primary and secondary data related to construction activities, machine specifications, sensor operating mechanisms, and field conditions. The analysis was conducted by examining the operating mechanism of the levelling sensor and calculating the productivity of the Slipform Concrete Paver based on the paving width and thickness, machine operating speed, and efficiency factor. The results show that the levelling sensor continuously detects the position of the stringline as an elevation reference. The sensor readings are then transmitted to the hydraulic control system to automatically adjust the mould position, thereby maintaining the concrete thickness in accordance with the design specification of 30.5 cm. Based on the calculation results, the machine productivity was determined to be 49.94 m³/h. The implementation of the levelling sensor technology improves dimensional accuracy, maintains the smoothness of the concrete surface, reduces the potential for rework, and enhances construction efficiency.4205-4214 -
Hubungan Antara Hipertensi dan Penyakit Jantung Koroner Berbasis Rekam Medis di RSUD Meuraxa
Cut Raisa Muthi'ah Tsaqifa Wibawa, Hady Maulanza, Satria SafirzaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1334 | Check in Google Scholar
Hypertension is one of the major risk factors for coronary heart disease (CHD) and contributes substantially to the cardiovascular disease burden. This study aimed to analyze the association between hypertension and CHD among patients attending the Cardiology Clinic of Meuraxa Regional General Hospital, Banda Aceh, in 2024. An observational analytical study with a retrospective case-control design was conducted using secondary medical record data. A total of 128 participants were included, comprising 64 CHD cases and 64 non-CHD controls, selected by simple random sampling according to predefined inclusion and exclusion criteria. Data were analyzed using univariate and bivariate analyses with the chi-square continuity test at α=0.05 and odds ratios (ORs) with 95% confidence intervals (CIs). The case group was predominantly male (71.9%) and aged ≥45 years (82.8%), while the control group was also predominantly male (57.8%) and aged ≥45 years (90.6%). Hypertension was present in 60.9% of cases and 40.6% of controls. The chi-square continuity test demonstrated a significant association between hypertension and CHD (p=0.034). Participants with hypertension had 2.280 times higher odds of CHD than those without hypertension (OR=2.280; 95% CI=1.123–4.627). These findings indicate that hypertension is significantly associated with CHD and highlight the importance of blood pressure control, regular screening, and comprehensive cardiovascular risk prevention in healthcare settings.
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Uji Efektivitas Antibakteri dari Ekstrak Etanol Kulit Buah Jeruk Purut (Citrus Hysrix Dc.) terhadap Escherichia Coli
Yuni Rahmayanti, T. Arjun Riski, Abdul WahabShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1333 | Check in Google Scholar
Escherichia coli infections continue to represent an important public health concern, particularly with the increasing occurrence of antibiotic resistance. This situation has encouraged the exploration of natural sources that may provide alternative antibacterial agents. Kaffir lime (Citrus hystrix DC.) peel contains several bioactive constituents, including flavonoids, tannins, limonoids, and essential oils, which have been associated with antibacterial activity. This study aimed to assess the antibacterial activity of an ethanolic extract of kaffir lime peel against E. coli and to identify the extract concentration producing the greatest inhibitory effect. A laboratory-based experimental study was conducted using a post-test only control group design. Kaffir lime peel was extracted through maceration using 70% ethanol. Antibacterial activity was determined by the disc diffusion method on Mueller-Hinton Agar (MHA). Four extract concentrations were evaluated, namely 5%, 10%, 20%, and 40%. Chloramphenicol 30 µg served as the positive control, while 5% DMSO served as the negative control. The inhibition zones were measured following 24 hours of incubation at 37°C. Statistical analysis included the Shapiro-Wilk test, Levene's test, One-Way ANOVA, and Tukey HSD post hoc analysis. The mean inhibition zones were 6.11 ± 0.51 mm, 6.24 ± 0.10 mm, 6.85 ± 0.24 mm, and 7.52 ± 0.55 mm for extract concentrations of 5%, 10%, 20%, and 40%, respectively. The positive control produced an inhibition zone of 32.59 ± 0.67 mm, whereas no inhibition was observed in the negative control. One-Way ANOVA indicated a statistically significant difference among treatment groups (p = 0.008). These findings demonstrate that the ethanolic extract of kaffir lime peel has antibacterial activity against E. coli, with the 40% concentration showing the strongest inhibitory effect.
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Karakteristik Pasien Apendisitis Di Rumah Sakit Pertamedika Ummi Rosnati Kota Banda Aceh
Regita Nur Firjatullah, M. Syakir Marzuki, Yuni RahmayantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1343 | Check in Google Scholar
Appendicitis is an inflammation of the vermiformis appendix that is one of the most common causes of acute intraabdominal surgical action. This condition can affect all age groups, but it is more common in the adolescent to young adult age group due to a variety of factors, including a low-fiber diet that can trigger appendix lumen obstruction. Typical symptoms of appendicitis generally include lower right abdominal pain, nausea, vomiting, fever, and physical signs in the form of pressure pain McBurney. The difference in patient characteristics based on age, gender, clinical symptoms, and physical signs shows the importance of identifying appendicitis patient profiles to support early diagnosis and improve the quality of health services. This study aims to determine the characteristics of appendicitis patients based on age, gender, clinical symptoms, and physical examination at Pertamedika Ummi Rosnati Hospital, Banda Aceh City. This study used a retrospective descriptive method using secondary data from the medical records of patients with a diagnosis of appendicitis at Pertamedika Ummi Rosnati Hospital, Banda Aceh City. The sampling technique used total sampling, 65 appendicitis patients who met the inclusion criteria were obtained. This study was conducted on a sample of 65 cases. Based on age, the highest data was found in the adolescent category, namely 32 people (49.2%) aged 12-25 years. Based on gender, the highest data was found in the female category, which was 33 people (49.2%). Based on clinical symptoms, the most common type of pain was found in the lower right abdominal pain category, which was 63 people (96.9%). Based on physical examinations, the most were found in the McBurney Sign (+) category, which was 54 people (83.1%). Based on the findings of the study, it can be concluded that cases of appendicitis are most commonly found in the adolescent age group, with a higher tendency in the female sex. The most common clinical manifestation is pain in the lower right abdomen, and most patients show positive McBurney Sign test results. These findings are expected to be a source of information and improve the understanding of health workers and the public about the characteristics of appendicitis, so as to support early detection efforts and faster treatment.
Keywords: Appendicitis, Patient Characteristics, Clinical Symptoms
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Evidence-Based Review: Efektivitas Akupresur Dalam Pelayanan Kebidanan dan Maternal
Luh Anik Chandra Dewi, Ni Luh Putu Sri Erawati, Ni Komang Erny AstitiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1344 | Check in Google Scholar
Maternal discomforts such as nausea and vomiting, labor pain, low back pain, and anxiety are common conditions experienced during pregnancy and childbirth. Acupressure is one of the non-pharmacological interventions used to help manage these conditions. This study aimed to analyze the effectiveness of acupressure in midwifery and maternal care based on recent research findings. The study employed a narrative literature review method using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. Article searches were conducted through Google Scholar, PubMed, ScienceDirect, and SAGE Journals databases from 2021–2025. A total of 2,274 articles were identified, and after the selection process, 13 articles met the inclusion criteria. The review findings indicated that acupressure was effective in reducing nausea and vomiting during pregnancy, labor pain, low back pain, and anxiety in pregnant women. Most studies demonstrated consistent results, particularly those using randomized controlled trial designs. Acupressure is considered safe, non-invasive, easy to apply, and has minimal side effects, making it a potential complementary therapy based on evidence-based practice in maternal care.
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Pengaruh Perbedaan Kompres Hangat Pada Area Aksila Dan Temporal Terhadap Penurunan Suhu Tubuh Pada Anak Di RSUD Kabupaten Tangerang
Intan Nuraini, Rianti Rianti, Ria Setia SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1347 | Check in Google Scholar
Fever is a common health problem in children and requires appropriate management to prevent complications. One of the non-pharmacological interventions that can be used is the application of warm compresses to the axillary and temporal areas, although the effectiveness of these two sites still requires further investigation. Objective: To determine the difference in the effectiveness of warm compresses applied to the axillary and temporal areas in reducing body temperature among children at Tangerang Regency General Hospital. Methods: This study employed a quantitative approach using a quasi-experimental two-group pre-test and post-test design. The sample consisted of 40 respondents, who were divided into two groups: 20 respondents in the axillary group and 20 respondents in the temporal group, selected using purposive sampling. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U Test. Results: The mean body temperature in the axillary group decreased from 38.38°C to 36.99°C, while the mean body temperature in the temporal group decreased from 38.13°C to 37.53°C. The Wilcoxon Signed Rank Test showed a statistically significant reduction in body temperature in both groups (p < 0.001). The Mann-Whitney U Test demonstrated a statistically significant difference in effectiveness between the two groups (p < 0.001), indicating that warm compresses applied to the axillary area were more effective than those applied to the temporal area. Conclusion: Warm compresses applied to both the axillary and temporal areas were effective in reducing body temperature in children. However, warm compresses applied to the axillary area were more effective than those applied to the temporal area.
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Hubungan Pengetahuan Dan Kemampuan Komunikasi Operator Layanan Gawat Darurat Dengan Ketepatan T-CPR (Telephone-Assisted Cardiopulmonary Resuscitation) Oleh Operator PSC (Public Safety Center)
Sri Wahyuni, Wahyu Ridwan Nugroho, Dewi Nur Puspita SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1348 | Check in Google Scholar
Out-of-Hospital Cardiac Arrest (OHCA) is a life-threatening emergency that requires immediate intervention to improve patient survival. One strategy to increase survival rates is Telephone-Assisted Cardiopulmonary Resuscitation (T-CPR), in which emergency medical dispatchers provide cardiopulmonary resuscitation instructions to bystanders over the telephone. The accuracy of T-CPR implementation is influenced by several factors, particularly the dispatchers' level of knowledge and communication skills. Objective: This study aimed to analyze the relationship between the knowledge level and communication skills of emergency medical dispatchers and the accuracy of T-CPR implementation among Public Safety Center (PSC) dispatchers in South Tangerang City. Methods: This quantitative study employed a cross-sectional design. The study involved 50 PSC dispatchers selected using a total sampling technique. Data were collected using knowledge and communication skills questionnaires, along with an observation checklist to assess T-CPR accuracy. Data were analyzed using univariate analysis and the Chi-Square test with a significance level of α = 0.05. Results: Most respondents demonstrated good knowledge (70.0%), good communication skills (64.0%), and good T-CPR accuracy (60.0%). The Chi-Square analysis revealed a significant relationship between knowledge and T-CPR accuracy (p = 0.009), as well as between communication skills and T-CPR accuracy (p = 0.004). Conclusion: There were significant relationships between the knowledge level and communication skills of emergency medical dispatchers and the accuracy of T-CPR implementation among PSC dispatchers in South Tangerang City. Continuous education and training are recommended to enhance dispatcher competence and improve the quality of T-CPR implementation.4265-4272 -
Hubungan Penggunaan Gadget Dengan Tingkat Perkembangan Anak Prasekolah Kabupaten Tangerang
Evi Handayanti, Rianti Rianti, Ria Setia SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1349 | Check in Google Scholar
the use of gadgets among preschoolers is on the rise alongside technological advancements. Gadgets offer varios benefits as tools for learning, communication, and entertainment. However, excessive use of gadgets without parental supervision can reduce physical activity, social interaction, and children’s opportunities to receive stimulation appropriate for their developmental stage. These conditions have the potential to affect children’s developmental progress. Research Objective: To determine the relationship between gadget use and the developmental levels of preschool children at Al Mubarok kindergarten in Tangerang Regency. Research Method : This study employed a quantitative method, specifically a correlational-analytic study design with a cross-sectional approach. The study population consisted of 48 respondents, and total sampling was used, resulting in a sample of 48 respondents. The research instruments used were a questionnaire on gadget use and the Developmental Prescreening Questionnaire (KPSP). The data were then analyzed using Spearman’s rank correlation test. Research Results : The results of the statistical test showed a p-value of 0.002 < α (0.05) and a correlation coefficient of 0.433, whichindicates a moderate relationship. Conclusion : There is a significant relationship between gadget use and the developmental level of preschool children at Al Mubarok kindergartenl in Tangerang Regency.4273-4280 -
Hubungan Pola Asuh Orang Tua Dengan Hiperaktif Pada Anak Usia Prasekolah Di Kabupaten Tangerang
Raisya Wulandari, Rianti Rianti, Ria Setia SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1350 | Check in Google Scholar
Hyperactivity is a behavioral problem commonly found in preschool-aged children and can affect their social and emotional development as well as their learning abilities. One factor believed to be associated with the emergence of hyperactive behavior is the parenting style employed by parents. Research Objective: To determine the relationship between parenting styles and hyperactivity in preschool-aged children. Research Method: A quantitative research design with a cross-sectional approach was used. The study sample consisted of 47 parents of preschool-aged children, selected using total sampling. Data analysis was performed using univariate and bivariate analyses with the Spearman rank correlation test. Research Results: Bivariate analysis showed a significant relationship between parenting styles and hyperactivity in preschool-aged children (p-value < 0.001). Conclusion: These findings indicate that parenting styles are associated with levels of hyperactivity in preschool-aged children. Therefore, parents are encouraged to adopt appropriate parenting styles to support their children’s optimal behavioral development.4281-4288 -
Hubungan Self Efficacy Dan Self Management Terhadap Kualitas Hidup Pasien Diabetes Melitus Tipe II Di Instalasi Rawat Jalan RSUP Dr Sitanala
Rara Faraditha Priya Aulia Rahma, Destiawan Eko Utomo, Cicirosnita J. IduShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1351 | Check in Google Scholar
Type 2 diabetes mellitus (DM) is a growing global health problem, with Indonesia ranking fifth worldwide in terms of the number of people with the condition; successful management of the disease depends heavily on patients’ self-efficacy and self-management, which studies indicate remain relatively low. ased on a preliminary study at the Outpatient Clinic of Dr. Sitanala General Hospital in Tangerang, the number of patients with type 2 diabetes remains high and fluctuates, while research on the relationship between self-efficacy and self-management and quality of life in that region is still limited. Objective: To determine the relationship between self-efficacy and self-management on the quality of life of patients with type 2 diabetes mellitus undergoing routine checkups at the Outpatient Clinic of Dr. Sitanala General Hospital in Tangerang City. Research Method: A quantitative study using a descriptive-correlational approach and a cross-sectional design. The sample consisted of 102 respondents with a history of type 2 diabetes mellitus, selected using accidental sampling. Data analysis employed Spearman’s rank correlation test to determine the presence, direction, and strength of the relationship between variables. Results: Most respondents had moderate levels of self-efficacy (52.9%) and self-management (52.9%), as well as moderate quality of life (46.1%). The Spearman rank test showed a significant positive correlation between self-efficacy and quality of life (p<0.001; r=0.460) and between self-management and quality of life (p<0.001; r=0.502). This indicates that the higher the levels of self-efficacy and self-management, the better the quality of life for patients with type 2 diabetes. Conclusion: There is a significant relationship between self-efficacy and self-management and the quality of life of patients with type 2 diabetes at the Outpatient Clinic of Dr. Sitanala General Hospital.4289-4295 -
Hubungan Self-Efficacy Dan Vulva Hygiene dengan Kejadian Fluor Albus Pada Remaja Putri
Nadya Aura Melinda, Wahyu Ridwan Nugroho, Dewi Nur Puspita SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1356 | Check in Google Scholar
Vaginal discharge (*fluor albus*) is a reproductive health issue frequently experienced by adolescent girls. Its occurrence can be influenced by various factors, including self-efficacy and vulvar hygiene. Objective: To determine the relationship between self-efficacy, vulvar hygiene, and the occurrence of vaginal discharge among adolescent girls at SMP Negeri 2 Teluknaga. Methods: This was a quantitative study with a descriptive-correlational design using a cross-sectional approach. The study population consisted of all female students in grades VII and VIII at SMP Negeri 2 Teluknaga. The sample comprised 181 respondents selected using stratified random sampling. Research instruments included questionnaires assessing self-efficacy, vulvar hygiene, and the occurrence of vaginal discharge. Data analysis was conducted using univariate and bivariate methods, specifically the Chi-Square test with a significance level of α = 0.05. Results: Among respondents with low self-efficacy, 55 (75.3%) experienced low-level vaginal discharge, 16 (21.9%) experienced moderate-level discharge, and 2 (2.7%) experienced high-level discharge. Among respondents with moderate self-efficacy, 23 (40.4%) experienced low-level discharge, 23 (40.4%) experienced moderate-level discharge, and 11 (19.3%) experienced high-level discharge. Furthermore, among respondents with high self-efficacy, 9 (17.6%) experienced low-level discharge, 19 (37.3%) experienced moderate-level discharge, and 23 (45.1%) experienced high-level discharge. The Pearson Chi-Square test yielded a p-value of 0.001 (p < 0.05); thus, the null hypothesis (H₀) was rejected and the alternative hypothesis (Hₐ) was accepted. Conclusion: There is a significant relationship between self-efficacy, vulvar hygiene, and the occurrence of vaginal discharge among adolescent girls at SMP Negeri 2 Teluknaga.4296-4302 -
Hubungan Pengetahuan Dan Sikap Petugas Public Safety Center (PSC) 119 Terhadap Response Time Penanganan Kegawatdaruratan Pre Hospital
Siti Susila, Wahyu Ridwan Nugroho, Dewi Nur Puspita SariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1355 | Check in Google Scholar
Pre-hospital emergency services require rapid response times, as delays in care can increase the risk of patient mortality and disability. The response speed of Public Safety Center (PSC) 119 personnel is influenced not only by facilities and service systems but is also believed to be linked to the personnel's knowledge and attitudes regarding decision-making and the provision of prompt, accurate care. Objective: To determine the relationship between the knowledge and attitudes of PSC 119 personnel and response times for pre-hospital emergency care. Methods: A quantitative study using a cross-sectional approach and total sampling of 131 respondents. Data analysis was performed using the Spearman Rank test. Results: The majority of personnel demonstrated good knowledge (78.6%; n=103) and good attitudes (83.2%; n=109), with response times falling into the "good" category (<10 minutes; 76.3%; n=100 incidents). Statistical tests revealed a significant relationship between knowledge and response time (p<0.001; r=0.824, very strong) and between attitude and response time (p<0.001; r=0.365, weak). Conclusion: Better personnel knowledge and attitudes lead to more optimal response times, with knowledge playing a more dominant role than attitude in pre-hospital emergency services. Recommendations: PSC 119 is encouraged to continue improving the quality of pre-hospital emergency services by conducting regular emergency training and simulations, periodically evaluating response time performance, and developing the competencies of all personnel. Furthermore, efforts to optimize communication systems, strengthen coordination with relevant agencies, and provide adequate facilities and infrastructure should be sustained to ensure increasingly effective service response times.4303-4313 -
Hubungan Tingkat Pengetahuan dan Sikap Remaja Putri Terhadap Kebersihan Menstruasi di Dayah Terpadu Insafuddin Banda Aceh Tahun 2026
Lina Mahbengi, Ratih Ayu Atika, Khatab KhatabShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1357 | Check in Google Scholar
Adolescence is marked by sexual maturation, including the onset of menstruation. Poor personal hygiene practices during menstruation can trigger reproductive tract infections (RTIs). Communal environments such as Islamic boarding schools (dayah) have distinctive characteristics that influence female students’ access to information and responses regarding reproductive health. This study aimed to analyze the relationship between the level of knowledge and attitudes toward menstrual hygiene practices among adolescent girls at Dayah Terpadu Insafuddin, Banda Aceh. The study employed a quantitative analytic design with a cross-sectional approach. Sampling was conducted using a total sampling technique, involving 78 senior high school female students as respondents. Data were collected through structured questionnaires and analyzed using the Chi-Square test. The univariate analysis showed that most respondents had a moderate level of knowledge (47.4%), the majority had poor attitudes (53.8%), and most had good menstrual hygiene practices (59.0%). The bivariate analysis showed no significant relationship between the level of knowledge and menstrual hygiene practices (p-value = 0.390 > 0.05). Conversely, there was a significant relationship between attitudes and menstrual hygiene practices among the students (p-value = 0.015 < 0.05). The findings indicate that menstrual hygiene practices in this dayah are more influenced by attitude formation and daily social interactions than by individual theoretical understanding. Therefore, reproductive health education in the dayah environment should focus on improving attitudes in order to correct misconceptions.4314-4324 -
Hubungan Self Efficacy dan Pengetahuan Dengan Kepatuhan Pembatasan Cairan Pada Pasien Hemodialisa di Ruang Hemodialisa RSUP Dr Sitanala
Tiara Angguntia, Destiawan Eko Utomo, Cicirosnita J. IduShow Abstract | DOI: 10.31004/koloni.v5i3.1364 | Check in Google Scholar
Chronic kidney disease is a progressive kidney dysfunction that requires hemodialysis therapy. One of the important factors in the success of therapy is patient adherence to fluid restriction. This adherence is influenced by various factors, including self-efficacy and patients' knowledge about fluid restriction. A preliminary study at Dr. Sitanal a General Hospital showed that there were still patients who were not adherent to fluid restriction, thus research is needed regarding the relationship between self-efficacy and knowledge with adherence to fluid restriction in hemodialysis patients. Objective: To determine the relationship between self-efficacy and knowledge with adherence to fluid restriction in hemodialysis patients in the Hemodialysis Room of Dr. Sitanal a General Hospital. Method: This study used a quantitative design with a cross-sectional approach. The research sample was 88 respondents based on the Slovin formula calculation with a 5% error rate, but the respondents involved in the study were 87 people because one patient was unwilling to participate. Respondents were selected using purposive sampling technique. Benefit: The results of this study are expected to provide information regarding the relationship between self-efficacy and knowledge with adherence to fluid restriction so that it can serve as a basis for developing educational programs to improve hemodialysis patients' adherence. Research Results: The results showed that out of 87 respondents, the majority had high self-efficacy as many as 28 respondents (32.2%), good knowledge as many as 23 respondents (26.4%), and adhered to fluid restriction as many as 57 respondents (65.5%). The results of the Spearman Rank test showed that there was a relationship between self-efficacy and adherence to fluid restriction with an r value = 0.564 and p-value = 0.000, and there was a relationship between knowledge and adherence to fluid restriction with an r value = 0.506 and p-value = 0.000. Conclusion: The higher the self-efficacy and the better the patient's knowledge, the better the adherence to fluid restriction.4325-4332 -
Pengaruh Pemberian Rebusan Daun Kersen (Muntingia Calabura L.) Terhadap Gula Darah pada Penderita Diabetes Melitus: A Systematic Literature Review
Yanti Yolanda, Risma Melinda, Winda Indriyani, Cicirosnita J. Idu, Alfika SafitriShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1365 | Check in Google Scholar
Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion, insulin action, or both. Blood glucose control can be achieved through pharmacological and non-pharmacological therapies. One of the non-pharmacological therapies that has been widely investigated is boiled cherry leaf (Muntingia calabura L.), which contains bioactive compounds such as flavonoids, saponins, tannins, and polyphenols that may help reduce blood glucose levels. Study Objective: To analyze the findings of studies on the effect of boiled cherry leaf (Muntingia calabura L.) decoction on blood glucose levels in patients with diabetes mellitus through a Systematic Literature Review. Research Method: This study employed a Systematic Literature Review approach. Articles were searched through the PubMed, Google Scholar, ResearchGate, and ScienceDirect databases with a publication period from 2016 to 2026. Article selection was conducted using the PICOS framework based on predetermined inclusion and exclusion criteria. The quality of the articles was assessed using the JBI Critical Appraisal Checklist for Quasi-Experimental Studies. Research Results: A total of 2,051 articles were identified through the literature search process, and 10 articles met the eligibility criteria for analysis. The synthesis showed that the administration of boiled cherry leaf (Muntingia calabura L.) reduced blood glucose levels from 166.90–546.11 mg/dL to 141.70–322.97 mg/dL, accompanied by changes in blood glucose categories from diabetes to prediabetes, high to normal, and uncontrolled (86.7%) to controlled (80.0%). Conclusion: The findings of this Systematic Literature Review indicate that boiled cherry leaf (Muntingia calabura L.) has an effect on changes in blood glucose levels among patients with diabetes mellitus and may be considered as a complementary therapy in diabetes mellitus management.
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Literature Review: Efektivitas Mobile Health Pada Self Management Diabetes Melitus Gestasional
Fadly Ikhyanuddin, Frilla Ika Arliany, Wike Lestari, Nuryani NuryaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1366 | Check in Google Scholar
Gestational Diabetes Mellitus (GDM) is a glucose tolerance disorder first recognized during pregnancy and can increase the risk of complications for both the mother and the fetus. Self-management is an important component in GDM management to help control blood glucose levels and prevent complications. One innovation that can support self-management is Mobile Health (mHealth) through the use of digital technology in healthcare. Research Objective: To determine the effectiveness of Mobile Health on self-management in pregnant women with Gestational Diabetes Mellitus. Research Method: This study used a literature review method with a systematic review design. Articles were obtained through the PubMed, ScienceDirect, Google Scholar, and ResearchGate databases using the PICOS approach. A total of 10 Randomized Controlled Trial (RCT) articles that met the inclusion and exclusion criteria were analyzed in this study. Research Results: An analysis of 15 articles showed that Mobile Health interventions effectively improved self-management in pregnant women with Gestational Diabetes Mellitus, as indicated by increased adherence to blood glucose monitoring, adherence to dietary patterns, physical activity, therapy adherence, and improved glycemic control. Conclusion: Mobile Health is effective as a self-management support intervention in pregnant women with Gestational Diabetes Mellitus. Utilization of Mobile Health can improve adherence to disease management, help control blood glucose levels, and potentially improve maternal and fetal health outcomes.4341-4350 -
Hubungan Jenis Kelamin, Angkatan, Riwayat Keluarga, Terhadap Tingkat Stres Akademik Mahasiswa Fakultas Kedokteran Abulyatama Tahun 2026
Nauval Udzri, Nanda Desreza, M. YaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1358 | Check in Google Scholar
Medical students are a group vulnerable to academic stress due to the high academic demands and various emotional and social pressures encountered throughout their educational process. A demanding curriculum, expectations for academic achievement, a competitive learning environment, and family conditions may influence students' stress levels. Data regarding factors associated with academic stress among medical students in Aceh remain limited. This study aimed to analyze the relationship between gender, family status, and academic cohort and the level of academic stress among students of the Faculty of Medicine, Universitas Abulyatama, in 2026. This study employed a quantitative analytical correlational design with a cross-sectional approach. A total of 243 students from the 2022–2024 cohorts of the Faculty of Medicine, Universitas Abulyatama, were included as respondents using a total sampling technique. Data were collected online using the Perceived Stress Scale-10 (PSS-10) questionnaire. Stress levels were consistently categorized as low, moderate, and high. The data were analyzed using the Chi-Square test with a significance level of p < 0.05. The results showed that the majority of respondents experienced moderate stress (66.7%), followed by low stress (24.3%) and high stress (9.1%). The analysis demonstrated significant relationships between gender (p = 0.017), family status (p = 0.000), and academic cohort (p = 0.000) and the level of academic stress among students. The proportion of students experiencing high stress was greater among male students (12.3%), students from non-intact families (16.5%), and students from the 2024 cohort (17.3%). It can be concluded that gender, family status, and academic cohort were significantly associated with the level of academic stress among students of the Faculty of Medicine, Universitas Abulyatama.4351-4359 -
Pengetahuan Ibu Tentang Gizi Seimbang dan Status Gizi Balita di Wilayah Pesisir
Yasmine Maulany Putri, Nova Hellen Kapantow, Nancy Swanida MalondaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1359 | Check in Google Scholar
Due to rapid physiological development, children under five face a high risk of nutritional disorders. Maternal literacy regarding balanced diets directly affects family meal practices and child nutrition. This study investigated how mother's nutritional knowledge relates to under-five nutritional status across three anthropometric indices (WAZ, HAZ/LAZ, and WHZ/WLZ) in coastal Belang District. A cross-sectional observational approach was implemented, assessing 55 eligible children (6–59 months) through total sampling. Data collection encompassed maternal knowledge questionnaires and direct anthropometric measurements, followed by statistical testing via Fisher's Exact Test. The majority of mothers displayed good knowledge (74.5%), and most children maintained normal nutritional status for WAZ (69.1%), HAZ/LAZ (74.5%), and WHZ/WLZ (70.9%). Statistical analysis confirmed a significant correlation between maternal knowledge and children's WAZ (p = 0.002) as well as HAZ/LAZ (p = 0.001), but failed to show a significant relationship with WHZ/WLZ (p = 0.477). Thus, maternal nutrition literacy strongly correlates with age-based growth metrics but not current body proportion metrics in this population.4360-4367 -
Pengaruh Rasio Aktivator Terhadap Sifat Mortar Geopolimer Dengan Metode Pencampuran Kering
Sonia Sonia, Firdaus Firdaus, Leon A. AbdillahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1385 | Check in Google Scholar
The use of Portland cement as a binder results in high carbon emissions, making it necessary to find more environmentally friendly alternative materials. Fly ash-based geopolymer mortar can serve as an alternative, with the ratio of NaOH to Na₂SiO₃ activators being one of the factors influencing the mortar’s properties. This study aims to analyze the effect of the activator ratio on the setting time of geopolymer cement paste and the compressive strength of geopolymer mortar using the dry-mixing method. The study was conducted as a quantitative experiment using four variations of the NaOH:Na₂SiO₃ ratio: 0.5:2.5, 1:2.5, 1.5:2.5, and 2:2.5. Setting time was tested using a Vicat needle, while compressive strength was tested at 7, 14, and 28 days. The results showed that the higher the NaOH-to-Na₂SiO₃ ratio, the faster the setting time. Variation V1 yielded an initial setting time of 120 minutes and a final setting time of 165 minutes, while V4 yielded 75 minutes and 120 minutes, respectively. All variations exhibited an increase in compressive strength as the curing age increased. Variation V3, with a NaOH:Na₂SiO₃ ratio of 1.5:2.5, produced the highest compressive strength: 13.9 MPa at 7 days, 14.8 MPa at 14 days, and 19.7 MPa at 28 days. Thus, V3 represents the optimal activator ratio in this study.
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Pengaruh Edukasi Pengelolaan Sampah Organik Hasil Rumah Tangga Menggunakan Media Maggot Terhadap Pengetahuan Warga Di RT 25 Pekan Sabtu Kota Bengkulu
Muhammad Randika Alifiyandi, Ida Samidah; Hasan Husin, Wulan Angraini, Bintang Agustina PratiwiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1390 | Check in Google Scholar
The problem of organic waste generated by household remain an environmental issue in Bengkulu City. Organic waste that is not properly processed can cause environmental disturbances, foul odors, become a breeding ground for vectors, and produce greenhouse gases. This study was conducted to determine the knowledge of residents in Pekan Sabtu regarding household organic waste management and the utilization of maggots. The study employed a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 respondents selected through purposive sampling. Data were collected using a questionnaire on organic waste management and maggot utilization, administered before and after the intervention. Data analysis included univariate analysis of respondent characteristics and bivariate analysis, with normality testing using the Shapiro Wilk test and paired difference testing using the paired sample t-test. The results showed that the mean knowledge score of respondents increased from 9,33 in the pretest to 19,17 in the posttest. The results obtained from the paired difference analysis using the paired sample t-test showed a significance value (p-value = 0,001), indicating a significant difference in knowledge before and after the educational intervention. It is concluded and recommended that the community apply the knowledge gained through education in their daily lives, particularly in the sorting and management of organic waste. The community is also expected not only to dispose of organic waste directly but also to consider utilizing organic waste as a source of maggot feed.4377-4383 -
Pengaruh Latihan Fisik Aerobik Intensitas Ringan Terhadap Tekanan Darah Pada Lansia Hipertensi Di UPTD Panti Sosial Lanjut Usia Geunaseh Sayang
Khanifah Saini, Syarifah Nora Andriaty, Nanda DesrezaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1394 | Check in Google Scholar
Hypertension is one of the most common non-communicable diseases among older adults and is a major risk factor for cardiovascular disease. As individuals age, physiological changes in the cardiovascular system may contribute to an increase in blood pressure. One non-pharmacological approach that can help control blood pressure among older adults with hypertension is low-intensity aerobic exercise. This study aimed to determine the effect of low-intensity aerobic exercise on blood pressure among older adults with hypertension at UPTD Panti Sosial Lanjut Usia Geunaseh Sayang. This study employed a pre-experimental design using a one-group pretest-posttest approach. The sample consisted of 13 older adults with hypertension who were selected using purposive sampling. The intervention consisted of walking for 15 minutes, three times per week, for four weeks. Blood pressure was measured before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test. The results showed that the mean systolic blood pressure decreased from 149.15 mmHg to 144.31 mmHg, while the mean diastolic blood pressure decreased from 91.62 mmHg to 87.69 mmHg. The Wilcoxon test showed a p-value of 0.00024 (p < 0.05), indicating a significant effect of low-intensity aerobic exercise on blood pressure among older adults with hypertension. It can be concluded that low-intensity aerobic exercise in the form of walking is effective in helping reduce and control blood pressure among older adults with hypertension at UPTD Panti Sosial Lanjut Usia Geunaseh Sayang. The mean reduction in systolic blood pressure was 4.84 mmHg, while the mean reduction in diastolic blood pressure was 3.93 mmHg.4384-4390 -
Faktor Risiko Dry Eye Syndrome Pada Mahasiswa Fakultas Teknik Universitas Abulyatama
Dinatul Fadila, Eva Mardalena, Zurriyani ZurriyaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1395 | Check in Google Scholar
Dry Eye Syndrome (DES) is a multifactorial ocular surface disorder characterized by tear-film instability. This study aimed to determine factors associated with DES among students of the Faculty of Engineering at Abulyatama University and to identify the most dominant variable. An observational analytic study with a cross-sectional design was conducted among 161 students from the 2022 cohort using total sampling. After applying the inclusion and exclusion criteria, 146 respondents were analyzed. Data were collected using a demographic questionnaire and the Ocular Surface Disease Index (OSDI), then analyzed using univariate analysis, the Chi-Square test for bivariate analysis, and logistic regression for multivariate analysis. DES was identified in 114 respondents (78.1%). Bivariate analysis showed significant associations between age (p = 0.006), sex (p = 0.006), gadget-use duration (p = 0.014), and duration of exposure to air-conditioned rooms (p = 0.010) and DES. Smoking was not significantly associated with DES (p = 0.731). Multivariate analysis showed that age (p = 0.003; OR = 6.598) and sex (p = 0.011; OR = 14.369) remained significantly associated with DES. Sex was the most dominant variable in the final model. In conclusion, age, sex, gadget-use duration, and exposure to air-conditioned rooms were associated with DES.4391-4401 -
Hubungan Beban Kerja Dengan Tingkat Depresi Pada Dokter dan Perawat di Instalasi Gawat Darurat RSPUR dan Rumah Sakit Teungku Fakinah
Sari Ratul Jannah, Farid 2 Bastian, Denafianti DenafiantiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1396 | Check in Google Scholar
A high workload among physicians and nurses in emergency departments may affect their mental health, including increasing the risk of depression. High service demands, the management of critically ill patients, and shift-work systems can cause physical and psychological stress. This study aimed to determine the relationship between workload and depression levels among physicians and nurses in the Emergency Departments of RSPUR and Teungku Fakinah Hospital. This study employed an observational analytic design with a cross-sectional approach. The sample consisted of 45 respondents selected using a total sampling technique, comprising 18 physicians and nurses from RSPUR and 27 from Teungku Fakinah Hospital. Data were analyzed using the Chi-Square test with a 95% confidence level (α = 0.05). The results showed that the majority of physicians and nurses at RSPUR had a moderate workload, accounting for 14 respondents (77.8%), and a normal level of depression, accounting for 13 respondents (72.2%). At Teungku Fakinah Hospital, most respondents had a moderate workload, with 15 respondents (55.6%), while depression levels were predominantly classified as normal and moderate, with 10 respondents (37.0%) in each category. The Chi-Square test showed no significant relationship between workload and depression levels among physicians and nurses at RSPUR (p = 0.267). In contrast, a significant relationship was found between workload and depression levels among physicians and nurses at Teungku Fakinah Hospital (p = 0.001). In conclusion, the relationship between workload and depression levels differed between the two hospitals. Workload was not significantly associated with depression levels among physicians and nurses at RSPUR, whereas a significant association was found at Teungku Fakinah Hospital.4402- 4410 -
Peranan Sekuen Arterial Spin Labelling (ASL) pada pemeriksaan MRI Brain Perfusi dengan Kasus Stroke Iskemik di RSUP Surabaya
Ni Kadek Paramita Putri Arta, Langkir Sapto Adi, Nur Salsabila SandyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1388 | Check in Google Scholar
Ischemic stroke is a disorder of cerebral blood flow that can cause brain tissue damage, thus requiring imaging examinations capable of providing structural and perfusion information. Magnetic Resonance Imaging (MRI) can evaluate tissue changes through various sequences, while Arterial Spin Labeling (ASL) provides information on cerebral perfusion without the use of exogenous contrast agents. This study aims to analyze the brain MRI examination procedure in cases of ischemic stroke and to identify the role of ASL sequences in providing information on cerebral blood flow (CBF). The study employed a qualitative descriptive design, with MRI radiographers who were directly involved in brain MRI examinations of patients with ischemic stroke serving as informants. Data were collected through interviews and analyzed through data organization, reduction, categorization based on themes, descriptive presentation, and drawing of conclusions. The results showed that brain MRI examinations include patient preparation, positioning, and the acquisition of several MRI sequences, namely DWI, T2 FLAIR, T2-weighted, T1-weighted, MRA, and ASL. The type of ASL used is pseudo-continuous arterial spin labeling (pCASL). The pCASL sequence is used to assess CBF and provides cerebral perfusion information that complements the anatomical, diffusion, and vascular information from other MRI sequences without the use of contrast media.
4411-4423 -
Tingkat Kapasitas Dan Kesiapsiagaan Anggota Rescuer Dalam Mendukung Operasi SAR Di Wilayah Kantor Kelas A Pencarian Dan Pertolongan Jakarta
Amal Ramadhani Putra, Fathin Aulia RahmanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1353 | Check in Google Scholar
This study aims to determine the level of capacity and preparedness of rescue personnel in supporting Search and Rescue (SAR) operations at the Jakarta Search and Rescue Office. This research employed a quantitative method with a descriptive approach. The study population consisted of rescue personnel at the Jakarta Search and Rescue Office, with a total sample of 50 respondents selected using the purposive sampling technique. Data were collected through the distribution of questionnaires using a four-point Likert scale and were analyzed using Microsoft Excel 2021 and IBM SPSS Statistics Version 26. The data analysis included validity and reliability tests to ensure the quality of the research instrument. The results indicate that the capacity level of rescue personnel is categorized as high, as reflected by their physical fitness and well-developed technical skills through regular training. The preparedness level is also categorized as high, as demonstrated by personnel readiness, effective communication, coordination, and the availability of adequate facilities and infrastructure. The findings further indicate that a high level of capacity and preparedness complement each other in enhancing the effectiveness of Search and Rescue (SAR) operations. Therefore, maintaining and continuously improving the capacity and preparedness of rescue personnel is essential to support professional, effective, and efficient SAR operations in responding to emergencies and disaster situations.
4424-4433 -
Penerapan Uji Kolimator Pesawat Radiografi Stasioner Di Instalasi Radiologi RSUP Prof. Dr. I.G.N.G. Ngoerah
I Made Lana Prasetya, Kadek Krisna Bayu, Dea RyanggaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1381 | Check in Google Scholar
Quality control testing of X-ray equipment is necessary to ensure proper equipment performance and optimal diagnostic image quality. The collimator is an important component that limits the radiation field; therefore, the congruence between the light field and X-ray radiation field must be regularly evaluated. This study aimed to determine the results of collimator congruence testing on a stationary radiographic X-ray unit at the Radiology Installation of RSUP Prof. dr. I.G.N.G. Ngoerah. This quantitative study employed an observational approach, in which data were obtained through direct observation of collimator testing using a Collimator Test Tool and a Beam Alignment Test Tool. The tests evaluated the congruence between the light field and X-ray radiation field and the perpendicularity of the X-ray beam to the light field center at an FFD of 100 cm. The results showed deviations of 1.0% FFD on the X-axis and 0.6% FFD on the Y-axis, with a total deviation of 1.6% FFD. These results were within the tolerance limits of ΔX ≤ 2% FFD, ΔY ≤ 2% FFD, and ΔX + ΔY ≤ 3% FFD. The perpendicularity test showed a deviation of 1.5°, which was within the tolerance limit of ≤ 3°. Therefore, the light field and X-ray radiation field congruence and X-ray beam perpendicularity met the applicable quality control standards. The collimation system was functioning properly and supported image quality and patient radiation safety.4434-4442 -
Peranan T1-Weighted Post-Contrast dan Dynamic Susceptibility Contrast (DSC) Perfusion pada Pemeriksaan MRI Brain Pasien dengan Indikasi Klinis Epilepsi di Rumah Sakit Umum Pusat Surabaya
Putu Amanda Prasaka Putri, Ni Putu Rita Jeniyanthi, Nur Salsabila SandyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1402 | Check in Google Scholar
Epilepsy is a neurological disorder characterized by recurrent seizures caused by abnormal electrical activity in the brain and may be associated with structural or functional abnormalities. Magnetic resonance imaging (MRI) plays an important role in identifying the underlying causes of epilepsy and determining the need for additional imaging techniques. This study aimed to describe the role of T1-weighted post-contrast and Dynamic Susceptibility Contrast (DSC) perfusion in brain MRI examinations of patients with clinical indications of epilepsy at RSUP Surabaya. This study used a qualitative descriptive method with a multiple case study design involving three patients who underwent brain MRI examinations using a 1.5 Tesla Philips MRI scanner. Data were collected through image observation, examination documentation, radiology reports, and interviews with two radiographers and one radiologist. The results showed that T1-weighted post-contrast contributed to the evaluation of enhancement characteristics, particularly in a patient with a right temporal mass showing strong enhancement. In suspected mesial temporal sclerosis, the main findings were obtained from structural sequences, showing bilateral hippocampal FLAIR hyperintensity with right hippocampal atrophy without abnormal enhancement. DSC perfusion provided additional information regarding tissue perfusion, showing perfusion differences between the lesion and contralateral tissue in the mass case. This study concludes that T1-weighted post-contrast and DSC perfusion have complementary roles and can be selectively applied according to MRI findings and clinical needs in epilepsy patients.4443-4456 -
Hubungan Konsumsi Minuman Manis SSB (Sugar Sweetened Beverages) Dan Kebiasaan Makan Dengan Kejadian Diabetes Melitus Tipe 2 Pada Remaja SMK Jaya Buana
Kusmirah Kusmirah, Inna MukhairaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1397 | Check in Google Scholar
Type 2 Diabetes Mellitus is a health issue increasingly found among adolescents and is associated with lifestyle changes, including the consumption of sugar-sweetened beverages (SSBs) and unhealthy eating habits. Objective: This study aimed to determine the relationship between the consumption of sugar-sweetened beverages (SSBs) and eating habits with the occurrence of Type 2 Diabetes Mellitus among adolescents at SMK Jaya Buana. Methods: This study employed a quantitative method with a descriptive-correlational design and a cross-sectional approach. The sample consisted of 326 students from grades 10 and 11, selected using stratified random sampling. Data were collected using a Food Frequency Questionnaire (FFQ) and a Semi-FFQ. Data analysis was conducted using univariate and bivariate methods, specifically the Chi-Square test. Results: The results showed that the majority of respondents frequently consumed sweet beverages (190 respondents or 58.3%), while 136 respondents (41.7%) fell into the infrequent consumption category. A significant relationship was found between SSB consumption and the occurrence of Type 2 Diabetes Mellitus (p<0.001). Additionally, significant relationships were observed between eating habits—specifically the intake of energy (p=0.043), carbohydrates (p=0.038), protein (p=0.028), and fat (p=0.045)—and blood glucose levels. Conclusion: There is a significant relationship between the consumption of sugar-sweetened beverages (SSBs) and eating habits (including energy, carbohydrate, protein, and fat intake) and blood glucose levels among adolescents at SMK Jaya Buana.4457-4469 -
Efektivitas Demonstrasi Pembuatan Mpasi Terhadap Pengetahuan Ibu Pada Bayi Usia 6-12 Bulan Di Kelurahan Karang Sari
Venesia Keren Contista, Inna MukhairaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1398 | Check in Google Scholar
Maternal knowledge regarding complementary foods (MPASI) plays a crucial role in meeting the nutritional needs of infants aged 6–12 months. Demonstration methods can serve as a strategy to enhance maternal knowledge through hands-on practice in preparing complementary foods. Objective: To determine the effectiveness of complementary food preparation demonstrations on the knowledge of mothers with infants aged 6–12 months in Karang Sari Urban Village. Methods: A quantitative study using a pre-experimental, one-group pre-test post-test design. The sample consisted of 88 mothers with infants aged 6–12 months, selected via stratified random sampling. Knowledge measurement data were analyzed using the Wilcoxon Signed Rank Test (α = 0.05). Results: An increase in knowledge was observed following the demonstration, with a mean rank of 44.50. The Wilcoxon Signed Rank Test yielded a p-value of <0.001, indicating a significant difference in knowledge levels before and after the demonstration. Conclusion: Demonstrations on preparing complementary foods are effective in improving maternal knowledge regarding ingredient selection and food preparation for infants aged 6–12 months. Recommendations: Mothers with infants aged 6 to 12 months are encouraged to apply the understanding gained from the demonstration sessions to their daily caregiving practices. Concrete application includes selecting ingredients, following preparation steps, adjusting food texture according to developmental age, and creating varied, nutritionally balanced meals. Furthermore, continuous knowledge enhancement should be pursued through consultations with healthcare professionals and the use of validated literature.4470-4477 -
Hubungan Stres Kerja Dan Kualitas Tidur Dengan Psychological Well-Being Pada Perawat Di Ruang Rawat Inap RSUP Dr Sitanala
Muhamad Rosidin, M. Martono Diel, Zahrah Maulidia SeptimarShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1399 | Check in Google Scholar
Psychological well-being is an important aspect that supports nurses in providing quality nursing care. High job stress and poor sleep quality can affect nurses' psychological condition, potentially reducing their psychological well-being. Objective: This study aimed to determine the relationship between job stress and sleep quality with psychological well-being among nurses in the inpatient ward of RSUP Dr. Sitanala. Method: This study used a quantitative analytic design with a cross-sectional approach. The study population consisted of all 102 nurses in the inpatient ward of RSUP Dr. Sitanala, selected using a total sampling technique. Data were collected using a job stress questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and Ryff's Psychological Well-Being Scale, then analyzed using univariate analysis, the Chi-Square test, and logistic regression, with a significance level of α = 0.05. Results and Conclusion:There were significant relationships between job stress (p = 0.004) and sleep quality (p = 0.013) with psychological well-being among nurses in the inpatient ward of RSUP Dr. Sitanala. Logistic regression analysis showed that job stress was the most dominant variable associated with psychological well-being (OR = 0.278; p = 0.005). These findings indicate that managing job stress and improving sleep quality need to be prioritized as efforts to enhance nurses' psychological well-being.
4478-4490 -
Literature Review : Efektivitas Intervensi Manajemen Keperawatan Pada Penatalaksanaan Nonfarmakologis Pasien Hipertensi Di Rumah Sakit
Zahrotunnisa Zahrotunnisa, Desri Villiyana Oktavia, Intan Intan, Yunan Ide Samudra, M Martono DielShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1404 | Check in Google Scholar
Hypertension is a non-communicable disease with a high prevalence and serves as a major risk factor for various cardiovascular complications. In addition to pharmacological therapy, the implementation of non-pharmacological interventions through evidence-based nursing care management plays a crucial role in helping to control blood pressure and improve patients' quality of life. Objective: To analyze the effectiveness of nursing care management interventions in the non-pharmacological management of hypertensive patients in hospitals, based on the results of a literature review. Methods: This study employed a literature review method following PRISMA guidelines. Article searches were conducted using inclusion and exclusion criteria based on the PICOS framework. The quality of selected articles was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Results: The literature review results indicate that various non-pharmacological interventions—including abdominal deep breathing exercises, Benson's spiritual relaxation, lavender aromatherapy, pursed-lip breathing with number counting, and progressive muscle relaxation combined with antihypertensive therapy—are effective in helping to lower blood pressure in hypertensive patients. Conclusion: Ten articles—comprising five randomized controlled trials (RCTs) and five quasi-experimental studies—demonstrate that non-pharmacological interventions are effective in lowering blood pressure in hypertensive patients. Limitations include variations in study design, respondent characteristics, types of interventions, and study duration. Overall, non-pharmacological interventions can serve as a supportive strategy for controlling blood pressure in hypertensive patients.
4491-4502 -
Pengaruh Motivasi Kepala Ruangan Terhadap Kepatuhan Perawat Dalam Melakukan Hand Hygiene di RSUD Pakuhaji Kabupaten Tangerang
Cud Nur Dini, Martono Diel, Zahrah Maulidia SeptimarShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1400 | Check in Google Scholar
Hand hygiene is the most effective measure in preventing Healthcare-Associated Infections (HAIs), yet healthcare workers' compliance in Indonesia remains below the Ministry of Health standard (≥85%). Head nurse motivation is expected to improve nurses' compliance with hand hygiene. Objective: To analyze the effect of head nurse motivation on nurses' compliance with hand hygiene at Pakuhaji Regional General Hospital, Tangerang Regency Method: This quantitative study used a quasi-experimental, non-equivalent pretest-posttest control group design. The sample comprised 44 staff nurses (total sampling of the accessible population across four wards), allocated into an experimental group (n=22) and a control group (n=22) through ward-level (cluster) randomization using the SPIN application. The experimental group received structured motivation from the head nurse (briefing, education, five-moments reinforcement, and feedback) twice weekly for one week; the control group received no intervention. Compliance was measured using the WHO Five Moments checklist before and after the study period and analyzed using the Mann-Whitney U test. Results: Before the intervention, most respondents in both groups were in the moderate category (75–84%). After the intervention, the experimental group improved significantly, with 17 respondents (77.3%) reaching the good category (≥85%), while the control group remained moderate (40.9%). The Mann-Whitney U test showed a significant difference (p=0.003). Conclusion: There is a significant effect of head nurse motivation on nurses' compliance with hand hygiene at Pakuhaji Regional General Hospital, Tangerang Regency. The structured motivation intervention through education, guidance, positive reinforcement, and feedback proved effective in improving nurses' compliance with the WHO Five Moments.
4503-4514 -
Perbandingan Aktivitas Antibakteri Ekstrak Jahe Dan Antibiotik Kloramfenikol Terhadap Escherichia Coli
Sarah Yunita, Aditya Candra, M. Syakir MarzukiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1407 | Check in Google Scholar
Escherichia coli is one of the pathogenic bacteria that can cause various infections and has the potential to develop resistance to antibiotics. This condition encourages the exploration of natural materials that may serve as alternative antibacterial agents. Ginger (Zingiber officinale) contains various secondary metabolites, such as flavonoids, phenolic compounds, terpenoids, and other active compounds, which potentially possess antibacterial activity. This study aimed to determine the antibacterial activity of ethanol extract of ginger against the growth of Escherichia coli and to compare its activity with the antibiotic chloramphenicol. This study was an experimental laboratory study using the disk diffusion (Kirby-Bauer) method. Ginger extract was obtained through maceration using 96% ethanol and was tested at concentrations of 25%, 50%, 75%, and 100%. The test bacterium used was Escherichia coli ATCC 25922. Chloramphenicol was used as a positive control, while distilled water was used as a negative control. Each treatment was performed in triplicate, and antibacterial activity was determined based on the diameter of the inhibition zone formed. The results showed that the ethanol extract of ginger was able to inhibit the growth of Escherichia coli at all tested concentrations. The mean inhibition zone diameters at concentrations of 25%, 50%, 75%, and 100% were 17.15 mm, 20.65 mm, 17.07 mm, and 15.66 mm, respectively. The highest antibacterial activity was observed at a concentration of 50%. Chloramphenicol produced a mean inhibition zone diameter of 37.00 mm, whereas the negative control produced a diameter of 6.00 mm. Based on these findings, it can be concluded that ginger ethanol extract has antibacterial activity against Escherichia coli, although its activity remains lower than that of chloramphenicol.4515-4526 -
Profil Kadar Trombosit Berdasarkan Tingkat Keparahan Demam Berdarah Dengue Pada Pasien Rawat Inap di RSUD Meuraxa Banda Aceh
Edy Cahyady, Cut Kesya Mayla, Aditya CandraShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1415 | Check in Google Scholar
Dengue Hemorrhagic Fever (DHF) is a viral infection transmitted by the Aedes aegypti mosquito, characterized by high fever, myalgia, arthralgia, and thrombocytopenia, which may progress to severe bleeding and shock. Hematological abnormalities, particularly thrombocytopenia (platelet count <150,000/μL), serve as critical indicators of clinical severity in dengue infection. This study aimed to determine the profile of platelet counts based on the severity of DHF among hospitalized patients. A quantitative descriptive study with a retrospective approach was conducted at Meuraxa Regional General Hospital in Banda Aceh from April to May 2026. The study population comprised all hospitalized DHF patients in 2025, with a sample of 72 patients selected based on specific inclusion criteria via medical record observations. Data were analyzed using frequency and percentage distributions. The results demonstrated that all Grade I patients presented with mild thrombocytopenia (29 patients, 100%), Grade II patients predominantly exhibited moderate thrombocytopenia (19 patients, 55.9%), Grade III patients mostly had severe thrombocytopenia (5 patients, 71.4%), and all Grade IV patients presented with severe thrombocytopenia (2 patients, 100%). In conclusion, platelet count profiles vary markedly across different clinical severity stages of DHF. Early monitoring of platelet counts is highly recommended to anticipate disease progression and prevent severe complications4526-4532 -
Gambaran Pelayanan Kesehatan Di Puskesmas Ingin Jaya Aceh Besar
Syarifah Nora Andriaty, Nanda Desreza, Hamdani MulyaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1422 | Check in Google Scholar
Quality health services are an important indicator in meeting patients’ needs and expectations at primary healthcare facilities. This study aimed to describe the quality of health services at Ingin Jaya Public Health Center, Aceh Besar, based on the five dimensions of Service Quality (SERVQUAL), namely tangibles, reliability, responsiveness, assurance, and empathy, as well as to assess patient satisfaction. This quantitative study used a descriptive design with a cross-sectional approach. The study was conducted from May to June 2026 involving 50 respondents from the adult–elderly health, communicable disease prevention and maternal and child health (MCH) clusters, who were selected using an accidental sampling technique. Data were collected using SERVQUAL and patient satisfaction questionnaires and analyzed using univariate analysis through frequency distributions and descriptive statistics. The results showed that the overall quality of health services was categorized as good, with 49 respondents (98%) rating the services as good and 1 respondent (2%) rating them as adequate. Based on the SERVQUAL dimensions, tangibles and assurance were each rated as good by 49 respondents (98%), reliability by 46 respondents (92%), responsiveness by 39 respondents (78%), and empathy by 42 respondents (84%). Patient satisfaction was categorized as good among 48 respondents (96%) and adequate among 2 respondents (4%). Patient satisfaction had the highest mean score of 17.96, whereas responsiveness had the lowest mean score of 16.36. In conclusion, health services at Ingin Jaya Public Health Center, Aceh Besar, were generally categorized as good, and most patients were satisfied with the services received. Improvement in responsiveness, particularly in terms of service speed, promptness, and timeliness, is needed to further improve service quality.
4533-4543 -
Analisis Dampak Lingkungan Program Keanekaragaman Hayati Pertamina Fuel Terminal Bandung Di Taman Kehati Kiara Payung Dengan Metode Rosot Karbon Menggunakan Aplikasi Aruna Carbon Intelligence
Angga Eka Wahyu Ramadan, Wahyu Eko Widodo, Erick Abriandi, Dyta MardyaniShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1437 | Check in Google Scholar
The global climate change crisis driven by Greenhouse Gas (GHG) emissions demands scientifically rigorous, nature-based mitigation efforts. PT Pertamina Patra Niaga Fuel Terminal Bandung actively contributes to this goal through a 2-hectare biodiversity conservation and reforestation program at Taman Kehati Kiara Payung, West Java. This study evaluates the environmental impact of the program by analyzing tree canopy development, sapling growth dynamics, and the biomass of understory plants (tumbuhan bawah) and leaf litter (serasah) using the innovative ARUNA Carbon Intelligence platform. Periodic monitoring was conducted in permanent Plot 5 (Sub-plots 5.1 to 5.5). The scientific validity of understory plant and leaf litter biomass was validated by laboratory gravimetric analysis conducted at the Soil Chemistry and Plant Nutrition Laboratory, Faculty of Agriculture, Universitas Padjadjaran (Report No. C-0173 to 0370/07/2026). Tree monitoring in Plot 5.1 demonstrated stable biomass accumulation, such as African Mahogany (Mahoni Afrika) whose trunk circumference grew from 91.5 cm (2024) to 106 cm (2026) with a height of 15.5 m. Sapling inventories showed remarkable growth in ecologically and economically valuable species, notably Pinang, which reached a maximum height of 340 cm and a trunk diameter (D20) of 91.73 mm. Lab results indicated that leaf litter possessed low, optimal moisture content (ranging between 17% - 24%, dry weight reaching 218.40 g out of 265.33 g wet weight), while understory plants exhibited higher moisture content (~56% - 63%). The ARUNA Carbon Intelligence application, which integrates Artificial Intelligence with QR Coding and Geotagging, proved highly effective in enhancing the spatial resolution of carbon accounting, eliminating double-counting, and providing a 75.6% reduction in carbon inventory operational costs (slashing costs from IDR 22,500,000 to IDR 5,500,000 per campaign). Overall, this program delivers substantial positive environmental impacts on forest ecosystem restoration and climate change mitigation within the North Bandung catchment area.4544-4552 -
Penerapan Media Gambar Berseri Untuk Meningkatkan Kemampuan Menulis Teks Narasi Siswa Kelas VII SMP Negeri 4 Mangoli Selatan
Sandra Sabsuha, Sarmina Ati, Sartika SamadShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1423 | Check in Google Scholar
This study aims to describe the implementation of serial picture media in teaching narrative text writing and the improvement of narrative text writing skills among seventh-grade students at SMP Negeri 4 Mangoli Selatan. The study employed Classroom Action Research (CAR) using the Kemmis and McTaggart model. The research was conducted in two cycles, consisting of planning, action implementation, observation, and reflection stages. Data were collected through narrative text writing tests, observations, interviews, and documentation. The subjects whose data were analyzed during the action stages consisted of 17 students. Serial picture media were used as visual stimuli to help students identify characters, settings, the sequence of events, and the resolution of the story before developing an outline into a narrative text. The results showed that the use of serial picture media helped students generate ideas, understand the sequence of events, organize the plot, and develop stories more coherently. The reported learning mastery in the pre-cycle stage was 52.94%, increasing to 76.47% in Cycle I and reaching 94.12% in Cycle II. The reported class average score increased from 79.24 in Cycle I to 83.88 in Cycle II. Instructional improvements were implemented through the provision of text examples, more intensive guidance, discussions, writing practice, and feedback. Student activities also showed improvement in observing pictures, developing story outlines, expressing opinions, collaborating, and presenting their written work. Therefore, serial picture media can be used as an alternative instructional medium to support students’ narrative text writing skills and engagement in Indonesian language learning.4553-4564 -
Analisis Kinerja Jembatan Timbang Di Unit Pelaksana Penimbangan Kendaraan Bermotor (UPPKB) Talang Kelapa
Syadza Yasminra, Ely Mulyati, Achmad Syarifudin, Anggi Purnama Sari DewiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1430 | Check in Google Scholar
Control of freight vehicle loads is an important aspect of maintaining pavement performance, traffic safety, and vehicle compliance with applicable regulations. This study aims to analyze the level of compliance and load violations of freight vehicles with regard to the provisions on the Permitted Gross Weight (Jumlah Berat yang Diizinkan/JBI) at UPPKB Talang Kelapa. The research method employed was descriptive quantitative with a case study approach. The research data were obtained from the weighing results of 181 vehicles in December 2025, as well as questionnaire data using a Likert scale to assess the effectiveness of supervision of freight vehicles. The results showed that the level of vehicle compliance with the JBI provisions was categorized as good, accounting for 79.56%, or 144 vehicles. Meanwhile, overloaded vehicles accounted for 20.44%, or 37 vehicles. The observations also indicated an increasing trend in vehicle compliance each week. Based on vehicle type, open-bed trucks contributed the highest number of overload violations in terms of quantity, with 20 violations out of 78 vehicles. Meanwhile, tanker trucks had the highest proportion of violations, at 61.11%. The questionnaire analysis resulted in a score of 83.11%, which was categorized as very good. These findings indicate that supervision at UPPKB Talang Kelapa is effective in controlling overloaded vehicles and supporting improved compliance with the JBI provisions.4564-4575 -
Identifikasi Kepadatan Lalat Dan Spesies Lalat Di Ruang Makan Perusahaan Pertambangan X Minahasa Tenggara
Amanda Biu, Paul A T Kawatu, Woodford B S JosephShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1331 | Check in Google Scholar
Flies are mechanical vectors that can carry bacteria and contaminate food through their bodies and legs. The density of flies can reflect the sanitary hygiene conditions of an environment, so the higher the density of flies, the greater the risk of food contamination. Mining company canteens have this potential risk due to worker activities and environmental conditions. This study aims to identify fly density and determine fly species in the dining room of mining company X, Southeast Minahasa. This study uses a descriptive observational research type with a field survey approach carried out in May 2026. The population in this study were flies in the mining dining room area. The research instruments used in this study were Fly Grill to measure fly density levels, Fly Trap to capture fly samples. The results showed that the density of flies in the Indonesian citizen dining room was found to be an average of 6-7, while the foreigner dining room was found to be an average of 1-2. The types of flies found were Musca domestica and Chrysomya megacephala.The conclusion of this research shows that the density of flies in the dining room specifically for Indonesian citizens is classified as dense and exceeds quality standards and therefore requires control, while the dining room specifically for foreign citizens is classified as low and meets quality standards.4576-4584 -
Analisis Pengaruh Kehalusan Fly Ash Sebagai Substitusi Semen Dalam Pembuatan Mortar Busa
Azzahra Dwi Lintang Sakina, Firdaus FirdausShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1447 | Check in Google Scholar
Penelitian ini bertujuan menganalisis pengaruh tingkat kehalusan Fly Ash sebagai substitusi sebagian semen terhadap waktu ikat (setting time) dan kuat tekan bebas (Unconfined Compressive Strength/UCS) mortar busa. Penelitian dilakukan secara eksperimental menggunakan mortar busa dengan Fly Ash dari salah satu PLTU di Sumatera Selatan. Fly Ash dipisahkan berdasarkan tingkat kehalusan menggunakan metode Filtering of Fly Ash Based on Fall Zone menjadi Zona 0, Zona 1, Zona 2, dan Zona 3, kemudian digunakan sebagai substitusi semen sebesar 5%, 10%, 15%, dan 20%. Campuran dasar menggunakan semen PCC Conch 25,64 kg, air 14,9 kg, pasir Tanjung Raja 24,7 kg, dan foam Ligno. Pengujian meliputi flow, densitas basah, setting time, densitas kering, dan UCS umur 28 hari. Hasil menunjukkan bahwa peningkatan persentase Fly Ash cenderung memperpanjang waktu ikat, sedangkan peningkatan kehalusan cenderung mempercepat waktu ikat. Initial setting time berada pada 90–135 menit dan final setting time 150–210 menit. Kuat tekan menunjukkan pola optimum pada substitusi 15% untuk zona yang lebih halus. Nilai tertinggi diperoleh pada Zona 3 dengan substitusi 15%, yaitu 1.444 kPa. Densitas kering seluruh variasi berada di bawah 0,6 g/cm³ dan kuat tekan memenuhi minimum 800 kPa. Dengan demikian, tingkat kehalusan dan persentase substitusi Fly Ash perlu dipertimbangkan secara bersamaan dalam menentukan komposisi mortar busa.
4585-4592 -
Faktor-Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Ibu Hamil Di Wilayah Puskesmas Baitussalam Kabupaten Aceh Besar
Siti Amaliah, Elmiyati Elmiyati, Rizkidawati RizkidawatiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1451 | Check in Google Scholar
Anemia during pregnancy remains a common health problem and may increase the risk of complications for both the mother and the fetus. Maternal age, parity, and the frequency of antenatal care (ANC) visits are factors that are presumed to be associated with the incidence of anemia among pregnant women. This study aimed to determine the association between maternal age, parity, and the frequency of ANC visits and the incidence of anemia among pregnant women at the Baitussalam Primary Health Center, Aceh Besar Regency, during 2023–2025. This analytical observational study employed a cross-sectional design using secondary data obtained from the medical records of 829 pregnant women. Data were analyzed using univariate and bivariate analysis with the Chi-square test at a significance level of p-value < 0.05. The univariate analysis showed that 246 pregnant women (29.7%) had anemia, while 583 (70.3%) did not. Most pregnant women were in the non-risk maternal age group (70.2%), had parity ≥2 (62.5%), and attended ≥6 ANC visits (56.0%). The bivariate analysis showed no significant association between maternal age and the incidence of anemia (p = 0.122). In contrast, parity (p < 0.001) and the frequency of ANC visits (p < 0.001) were significantly associated with the incidence of anemia. In conclusion, maternal age was not associated with the incidence of anemia among pregnant women, whereas parity and the frequency of ANC visits were significantly associated with the incidence of anemia at Maternal and Child Health Clinic of Baitussalam Primary Health Center, Aceh Besar Regency, during 2023–2025.
4593-4607 -
Gambaran Perilaku Pemanfaatan Aplikasi Mobile JKN di Puskesmas Wori
Enjel Daloma, Ardiansa A. T Tucunan, Febi K. KolibuShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1459 | Check in Google Scholar
Digital transformation in healthcare encourages the use of technology to improve access to National Health Insurance (JKN) services. The Mobile JKN application provides various membership administration, healthcare service, information, and complaint features, but its utilization pattern at the primary healthcare level needs to be described more specifically. This study aimed to describe Mobile JKN utilization behavior at Wori Public Health Center based on attitude toward behavior, subjective norm, perceived behavioral control, cues to action, and application utilization. A descriptive quantitative study was conducted in March–April 2026. A total of 106 respondents were selected using purposive sampling from JKN participants who had a Mobile JKN account and had utilized at least one application feature. Data were collected using a closed-ended four-point Likert-scale questionnaire and analyzed using univariate frequency and percentage distributions. The results showed that attitude toward behavior was categorized as good in 100% of respondents, subjective norm in 97.17%, perceived behavioral control in 96.23%, cues to action in 100%, and Mobile JKN utilization behavior in 100%. Of the 23 features assessed, 18 had been utilized. Service Registration (Online Queue) was the most frequently utilized feature, used by 92 respondents (86.8%), while five features had never been utilized. Overall, Mobile JKN utilization behavior was categorized as good, although feature utilization remained concentrated on functions directly related to healthcare service needs. These findings provide a basis for Wori Public Health Center to strengthen practical education and assistance on less-utilized features and on handling common application-related difficulties.4608-4616 -
Pengaruh Kualitas Produk dan Kualitas Pelayanan Terhadap Kepuasan Konsumen Pada Usaha Kendik Garment
Rini Rika Sari Nasution, Replita Replita, Nur 3* MutiahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1435 | Check in Google Scholar
This study was motivated by the phenomenon as the emergence of consumer complaints regarding product quality, such as sloppy stitching and imprecise screenprinting results. In addition, the production process which is driven by targets when orders increase creates challenges in maintaining precision, resulting in inconsistent product quality. This study aims to determine the influence of product quality and service quality on consumer satisfaction at Kendik Garment. This is a quantitative study using primary data obtained through a questionnaire survey. The population for this study consists of consumers who have used garment manufacturing, embroidery, and screen printing services at Kendik Garment. This study used the Lemeshow formula to determine the sample size, resulting in a sample of 97 respondents. The sampling technique employed was non-probability sampling, specifically accidental sampling. To analyze the data, the researcher used the SmartPLS 4.0 software. The data analysis technique used was PLS analysis, specifically the Outer Model, which consisted of validity tests and reliability tests. The Inner Model consists of the Coefficient of Determination, Effect Size, Model Fit, and Hypothesis Testing. The results of this study indicate that: (1) Product Quality has a positive and significant effect on consumer satisfaction in the Kendik Garment business; (2) Service Quality has a positive and significant effect on consumer satisfaction in the Kendik Garment business. Based on these findings, it is hoped that future research will incorporate additional supporting variables and different samples to assess the consistency of the independent variables’ effects on consumer satisfaction.4617-4631 -
Hubungan Jumlah Leukosit Dengan Durasi Demam Pada Anak Demam Tifoid Di Rumah Sakit Umum Pertamedika Ummi Rosnati Tahun 2025
Mulfira Ayu, Julinar Julinar, Khatab KhatabShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1454 | Check in Google Scholar
Typhoid fever is an acute infection caused by Salmonella typhi bacteria that generally attacks children through contaminated food and drinks. The duration of fever in patients generally ranges from 7–14 days. In addition to clinical symptoms, accurate diagnosis requires laboratory examinations such as the number of leukocytes. In children, generally the number of normal leukocyte values is between 4,500-13,500 cells/mm³. The purpose of this study is to determine the relationship between the number of leukocytes and the duration of fever in cases of childhood typhoid fever at Pertamedika Ummi Rosnati Hospital in 2025. This type of study is quantitative descriptive with a cross-sectional design. The sampling technique in this study is total sampling. The sample in this study was 114 inpatients with a diagnosis of childhood typhoid fever. Data analysis used univariate and bivariate data. The results of the study showed that the incidence rate of typhoid fever in children at Pertamedika Ummi Rosnati Hospital in 2025 was 3%. The results of the univariate analysis showed that the most inpatient patients with the diagnosis of childhood typhoid fever were women, namely 57% with an age of > 5 years, which was 84%. The duration of fever had the most acute fever (< 7 days), which was 67% with the number of normal leukocytes (4500 cells/μL - 13500 cells/μL) which was 46%. The results of bivariate analysis using the chi-square statistical test obtained p-value of 0.000 (p < 0.05). The conclusion of this study is that there is a significant relationship between the number of leukocytes and the duration of fever in patients with childhood typhoid fever.
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Analisis Spasial Penyakit Tuberkulosis Di Kabupaten Minahasa Tenggara Tahun 2022–2025
Bill Farel Vieri Timpal, Budi Tarmady Ratag, Afnal AsrifuddinShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1464 | Check in Google Scholar
Tuberculosis (TB) remains an important public health problem. This study aimed to describe the distribution of population density, the distribution of TB cases, the spatial pattern of TB cases according to population density, and the annual trend of TB cases in Southeast Minahasa Regency from 2022 to 2025. A descriptive quantitative design with a Geographic Information System (GIS) approach was used. The data consisted of secondary TB case records from the Tuberculosis Information System (SITB) of the Southeast Minahasa District Health Office for 2022–2025 and population-density data from Statistics Indonesia for Southeast Minahasa Regency. The unit of analysis was the 12 districts. Data were processed using QGIS by joining attributes by district, classifying population density, and classifying the number of TB cases into three categories using the equal interval method. The spatial results showed that population density was relatively stable, with East Tombatu District having the highest density. In 2022, four districts were classified as having moderate TB cases, while in 2023–2025 Ratatotok District was the only district classified as having high TB cases. The recorded number of TB cases was 329 in 2022, 284 in 2023, 290 in 2024, and 245 in 2025. The spatial comparison showed that areas with high population density did not always have high TB case categories. This study is descriptive; therefore, the findings describe spatial distribution patterns and do not establish a causal relationship between population density and TB cases.4639-4648 -
Faktor-Faktor Yang Berhubungan Dengan Kejadian TB Paru Di Wilayah Kerja Puskesmas Muara Kelingi Kabupaten Musi Rawas Provinsi Sumatera Selatan
Mutiara Sulistiyawati, Rumita Ena Sari, Adila SolidaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1053 | Check in Google Scholar
Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, with a persistently high disease burden. The occurrence of pulmonary TB is influenced by both individual characteristics and residential environmental conditions. This study aimed to analyze the association between individual characteristics, housing environmental conditions, and the incidence of pulmonary tuberculosis in the working area of Muara Kelingi Primary Health Center. An analytical observational study with a case-control design was conducted. The study included case and control groups selected using simple random sampling. Data were analyzed using univariate and bivariate analyses with the chi-square test at a 95% confidence level. The results showed that age, sex, nutritional status, income level, smoking habit, history of contact with tuberculosis patients, residential density, household lighting, and household humidity were significantly associated with the incidence of pulmonary tuberculosis (p<0.05). In contrast, educational level was not significantly associated with pulmonary tuberculosis incidence (p>0.05). These findings indicate that pulmonary tuberculosis is influenced by a combination of individual and household environmental factors. Therefore, tuberculosis prevention and control efforts should be implemented comprehensively through promoting healthy behaviors, improving nutritional status, reducing smoking habits, strengthening contact investigation, and improving housing environmental conditions in accordance with public health standards.4649-4664 -
Analisis Beban Kerja Instruktur Pelatihan Keselamatan Kerja Pertambangan Menggunakan Metode FTE
Shafira Sari Alisya, Taufiq IhsanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1112 | Check in Google Scholar
Occupational Health and Safety (OHS) is a fundamental pillar in the high-risk mining industry. Ensuring worker competence through mandatory safety training is a regulatory obligation under the Mining Safety Management System (SMKP). However, fluctuations in the number of training participants often lead to an imbalance in the workload of trainers, which can potentially reduce the quality of safety education. This study aims to evaluate the implementation of Training Need Analysis (TNA) and quantify the ideal requirement for safety trainers at PT Freeport Indonesia. The research design is descriptive quantitative. The research population includes all safety training programs under the Mining Safety Division. The sample taken consists of 21 mandatory training types within the Technical Support Division, with a total workload target of 10,872 training hours. The research variables include total training hours, classroom capacity, training frequency, and the effective working time of the trainers. Data collection was conducted through field observations and the recapitulation of the company's secondary ONA data. Data analysis utilizes mathematical calculations of the Full Time Equivalent (FTE) index. The results show that the mechanism for implementing TNA and training has normatively run systematically. However, the quantitative workload analysis reveals that the trainer's FTE index reaches 15.64. This figure indicates a significant workload excess (overload) within the safety training unit. It can be concluded that to complete the mandatory training targets within an optimal and safe six-month timeframe, a minimum availability of 16 trainers dedicated to the division is required.
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Polimorfisme Gen ACTN3 Pada Performa Fast Twitch Muscle Atlet Basket Dan Futsal Fakultas Kedokteran Universitas Swadaya Gunung Jati
Ferdian Muhammad Rafsandani, Donny Nauphar, Widiyatmiko Arifin PutroShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1468 | Check in Google Scholar
Fast-twitch muscle performance is an important component in sports requiring strength, speed, and explosive power over a short period, including basketball and futsal. In addition to training, nutrition, and physical condition, genetic variation may contribute to differences in skeletal muscle capacity. One of the most extensively studied genes is ACTN3, which encodes α-actinin-3, a structural protein predominantly expressed in type II muscle fibers. The R577X polymorphism of the ACTN3 gene results in variation in α-actinin-3 expression and has been associated with differences in explosive muscle performance. This study aimed to analyze differences in fast-twitch muscle performance according to ACTN3 gene polymorphism among basketball and futsal athletes at the Faculty of Medicine, Swadaya Gunung Jati University.This analytical observational study used a cross-sectional design involving 26 athletes selected through total sampling. ACTN3 polymorphism was identified through DNA extraction, polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP) using the DdeI restriction enzyme, followed by gel electrophoresis. Fast-twitch muscle performance was assessed using a 30-meter sprint test, vertical jump test, and one-repetition maximum (1RM) tests for leg extension, leg curl, hip abduction, and hip adduction. Data were analyzed using the Shapiro–Wilk and Kruskal–Wallis tests.The RX genotype was identified in 14 athletes (53.8%), whereas the XX genotype was found in 12 athletes (46.2%); no RR genotype was detected. The RX group demonstrated higher mean performance values across all fast-twitch muscle tests than the XX group; however, none of the differences were statistically significant (p>0.05).The RX genotype showed a tendency toward better fast-twitch muscle performance, although ACTN3 polymorphism was not significantly associated with performance in this study population.4679-4690 -
Transformasi Digital Antrian Klinik Dengan Metode First In First Out Di Klinik Pratama Makmur Jaya 3 Tangerang Selatan
Ayat Rahayu, Ahmad Habibi, Komalasari Komalasari, Fajr Muzzammil, Sakinah Mawaddah Ramadhaniah, Nurul Fathia Safira Amiyati, Abdul RahmanShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1378 | Check in Google Scholar
Advancements in information technology have transformed various sectors, including healthcare. Klinik Pratama Makmur Jaya 3 faces challenges in managing patient queues due to its reliance on a manual system, which leads to inconvenience and risks regarding the spread of infection. To enhance service efficiency, this study aims to implement the First-In-First-Out (FIFO) method within a website-based queue registration system. The FIFO method, which prioritizes patients who arrive earliest, is integrated into the web-based system to provide a fairer and more structured queue management solution. Patients can register independently via an online platform, thereby reducing queue lengths and allowing them to select visit times based on availability. The system development process follows the waterfall model, encompassing requirements analysis, design, implementation, testing, and maintenance. The system was tested using the black-box method to ensure its functionality met requirements. Implementation results demonstrate that the system successfully improved queue management efficiency by reducing patient waiting times and providing real-time information on estimated call times. Furthermore, the system mitigates the risk of infection spread by minimizing physical interaction during the queuing process. Finally, the application of the FIFO method in this queue registration system is expected to improve service quality at Klinik Pratama Makmur Jaya 3 and provide a more convenient experience for patients.4691-4706 -
Indikator Pengendalian Aedes Aegypti dan Kejadian Infeksi Dengue Di OKI Tahun 2026
Farida Aisyah Nabilla Balgis, Hamzah Hasyim, Yuanita WindusariShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1469 | Check in Google Scholar
Dengue infection remains a public health concern and requires continuous control of Aedes aegypti. Differences in dengue incidence across areas need to be assessed alongside vector control indicators to support the identification of priority areas. Objective: This study aimed to describe the distribution of dengue infection and Aedes aegypti control indicators in Ogan Komering Ilir (OKI) Regency in 2026. Methods: This quantitative study used a descriptive design and secondary data obtained from routine reports of the OKI Regency Health Office in 2026. The unit of analysis comprised 33 health center working areas. The analyzed indicators included the number of dengue infection cases, epidemiological investigations, 3M Plus Mosquito Nest Eradication (PSN), and PSN coverage. Data were analyzed descriptively using frequency distributions and percentages. Results: A total of 120 dengue infection cases were recorded, with an average of 3.64 cases per area. Kutaraya recorded the highest number of cases (27), followed by Pampangan (16) and Sp. Padang (14). The highest PSN coverage was recorded in Pedamaran (63.16%), followed by Sp. Padang (61.40%) and Kutaraya (59.65%). Variations were also observed in the implementation of epidemiological investigations across health center working areas. Areas with relatively high PSN coverage still recorded dengue infection cases. Conclusion: Dengue infection and Aedes aegypti control indicators varied across health center working areas in OKI Regency. Vector control evaluation should integrate case data, PSN, and epidemiological investigation indicators and be strengthened by entomological indicators to support area-based intervention priorities.4707-4716 -
PERENCANAAN KAPASITAS SPAM PROYEK PEMBANGUNAN INFRASTRUKTUR PENDUKUNG HUNIAN RELOKASI BENCANA GUNUNG RUANG
Shelomita Maharani Tapu, Novatus Senduk, Ahmad Yani* AbaSShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1471 | Check in Google Scholar
The eruption of Mount Ruang in April 2024 resulted in thousands of people losing their homes and being relocated to Permanent Housing (Huntap) in Modisi Village, South Bolaang Mongondow Regency. This study aims to plan the capacity of the Water Supply System (SPAM) that has been built to serve 1,435 residents of Huntap Zone 1 and Zone 2 until 2044. The research employed a case study method with a quantitative approach based on secondary data from PT. Virama Karya (2025) Report, project documents, and EPANET 2.2 simulation results. The analysis was conducted through water demand projection calculations, existing capacity evaluation, and pipeline hydraulic verification using the Hazen-Williams formula. The results showed that water demand increased from 198,030 liters/day (2026) to 266,754 liters/day (2044), with a peak discharge (Qpeak) of 4.63 L/s. The capacity of the 10 L/s Water Treatment Plant and the 300 m³ reservoir remains sufficient until 2044. Hydraulic analysis results indicated that all pipes have headloss < 10 m/100m and SR pressure > 10 mka; however, several pipes have flow velocities below the minimum standard of 0.3 m/s, which is still tolerable. This study recommends routine maintenance and periodic monitoring to ensure system sustainability.4717-4721 -
Pengaruh Technostress Dan Beban Kerja Psikososial Terhadap Produktivitas Karyawan Pada Era Transformasi Digital Di PT. X Kota Batam
Trisna Jayati, Hening Rizky Permata, Fatimah Azzahra, Siti KaylaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1473 | Check in Google Scholar
Rapid digital transformation in the industrial sector has reshaped employee work patterns and intensified the use of information technology in daily tasks. While digitalisation improves operational efficiency, intensive technology use may generate psychological pressure known as technostress, which, combined with psychosocial workload, potentially reduces employee productivity. This study aimed to analyse the effect of technostress and psychosocial workload, both partially and simultaneously, on employee productivity at PT. X Batam City in the digital transformation era of 2026. A quantitative approach with a cross-sectional design was applied to 32 permanent employees working with digital-based systems, selected through total sampling. Data were collected using standardised questionnaires adapted from the Technostress Creators Scale, the Copenhagen Psychosocial Questionnaire, and the Individual Work Performance Questionnaire, and analysed univariately, bivariately using Spearman rank correlation, and simultaneously using multiple correlation and the F test in SPSS version 27. The results showed that most respondents experienced moderate technostress, moderate psychosocial workload, and moderate productivity. Technostress and psychosocial workload were each significantly and negatively correlated with productivity, and simultaneously contributed to work productivity. These findings imply that companies need integrated technostress management and psychosocial work design improvement to sustain employee productivity and wellbeing.4722-4731 -
Kontaminasi Mikrobiologis Pada Roti: Tinjauan Literatur Tentang Keragaman Mikroorganisme Dan Potensi Risikonya Terhadap Kesehatan
Laifa Fusvita, Dheka Sapti IskandarShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1475 | Check in Google Scholar
Bread is one of the most widely consumed wheat flour-based processed foods, however, it is highly susceptible to microbiological contamination because its carbohydrate content, water content, and moisture level support microbial growth. This study aimed to review the diversity of contaminant microorganisms in bread, the sources and factors influencing contamination, potential health risks, and control measures. We conducted a literature review by searching scientific articles published between 2016 and 2026 in Google Scholar, PubMed, and ScienceDirect. The results indicate that microbiological contamination in bread involves molds (Aspergillus, Penicillium, Rhizopus, Mucor, Fusarium), yeasts (Cyberlindnera fabianii, Candida spp.), and bacteria (Bacillus spp., Staphylococcus aureus), which generally originate from post-baking contamination, production environment conditions, hygiene practices, storage conditions, as well as product formulation and packaging type. These microorganisms pose potential health risks through the production of carcinogenic and hepatotoxic mycotoxins, foodborne illness caused by bacterial enterotoxins, and the emerging threat of antifungal resistance in Aspergillus. Effective control measures include using essential oils as natural preservatives and controlling storage temperatures at both retail and production levels. This review emphasizes the importance of a multidisciplinary approach and combining multiple control strategies to minimize the risk of microbiological contamination in bread and ensure consumer food safety.
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Pengaruh Penggunaan Bahan Tambah Polyethylene Terephthalate (Pet) Dan Fly Ash Terhadap Kinerja Beton F’c 20 Mpa
Imanuela Manorek, Fery Sondakh, Sandri Linna SengkeyShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1476 | Check in Google Scholar
Concrete is a widely used construction material due to its high compressive strength and the relative ease of obtaining its constituent materials. With the rising environmental issues caused by plastic waste—specifically Polyethylene Terephthalate (PET)—efforts are needed to repurpose this waste as an alternative construction material. Utilizing PET as a concrete additive offers a way to reduce plastic waste while supporting the development of more eco-friendly construction materials through the use of locally available resources. Additionally, the use of Fly Ash—a byproduct of the North Sulawesi II Steam Power Plant—further supports the utilization of waste materials in concrete mixtures. This study aims to determine the effect of using PET and Fly Ash on the mechanical properties of concrete and to compare the performance of normal concrete with concrete containing 30% Fly Ash and PET at levels of 0.6% and 1%. The research was conducted experimentally at the Materials Testing Laboratory of the Civil Engineering Department, Manado State Polytechnic. Cylindrical specimens with a diameter of 100 mm and a height of 200 mm were used, with a design strength of 20 MPa. Testing included slump tests, compressive strength tests at 7, 14, and 28 days, and splitting tensile strength tests at 7 and 28 days. The test results indicate slump values of 6.0 cm for normal concrete, 3.5 cm for the 30% Fly Ash mix, 4.2 cm for the 30% Fly Ash + 0.6% PET mix, and 4.8 cm for the 30% Fly Ash + 1% PET mix. At 28 days, normal concrete yielded the highest compressive strength at 20.87 MPa, followed by the 30% Fly Ash mix at 19.06 MPa, the 30% Fly Ash + 0.6% PET mix at 19.03 MPa, and the 30% Fly Ash + 1% PET mix at 18.31 MPa. Meanwhile, the splitting tensile strengths at 28 days were 2.51 MPa, 2.40 MPa, 1.62 MPa, and 1.13 MPa, respectively. Based on these results, the use of 30% Fly Ash and 0.6% PET yielded better performance than the use of 1% PET, particularly regarding the 28-day compressive strength. The utilization of PET and Fly Ash in this study demonstrates the potential of using waste materials as local alternatives that can support the implementation of more eco-friendly and sustainable construction practices.4749-4759 -
Studi Kasus Pasien Perempuan Berusia 16 Tahun Dengan Infeksi Saluran Kemih Bagian Bawah (Cystitis Akut)
Decita Putri Hendriani , Winres Sapto Priambodo, Herwanto HerwantoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1479 | Check in Google Scholar
Urinary tract infection (UTI) is one of the most common bacterial infections in children and adolescents and may result in significant morbidity, recurrent infections, and long-term complications if not managed appropriately. This case report describes the diagnosis, management, and clinical outcome of a 16-year-old female adolescent with lower urinary tract infection. The patient presented with suprapubic pain, dysuria, cloudy urine, and low-grade fever. Physical examination revealed suprapubic tenderness, while urinalysis demonstrated leukocyturia (+7/HPF) and mild hematuria (+1/µL). Abdominal ultrasonography showed findings consistent with cystitis accompanied by minimal fluid collection in the pouch of Douglas. Based on the clinical and laboratory findings, the patient was diagnosed with acute cystitis, with urinary tract stones and pyelonephritis considered as differential diagnoses. Management included intravenous fluid therapy, intravenous ceftriaxone followed by oral cefixime, and supportive treatment with sucralfate and multivitamins. Clinical improvement was observed within 48 hours, including resolution of fever, reduced suprapubic pain, and improved general condition. The patient also received education regarding adequate hydration, appropriate voiding habits, genital hygiene, and adherence to antibiotic therapy to prevent recurrence. This case highlights that early diagnosis and rational antibiotic therapy according to current guidelines are essential for successful management of pediatric and adolescent UTIs. The prognosis was favorable in terms of survival, functional outcome, and complete recovery.4760-4766 -
Efektivitas Prehabilitasi Multimodal (Latihan Fisik, Nutrisi, Dan Dukungan Psikologis) Terhadap Tingkat Toleransi Kemoterapi Dan Kualitas Hidup Pasien Kanker: Systematic Review
Satria Fadhil ArdikaShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1482 | Check in Google Scholar
Chemotherapy is a crucial component of cancer management; however, it can lead to toxicity, fatigue, reduced physical function, nutritional deficiencies, and psychological issues that impact both treatment tolerance and patient quality of life. To enhance patient readiness prior to therapy, multimodal prehabilitation—encompassing physical activity, nutritional therapy, and psychological support—has been developed. This study aims to evaluate the impact of multimodal prehabilitation on the quality of life and chemotherapy tolerance of cancer patients. A systematic review design based on PRISMA guidelines was employed. Literature sources covering the period from 2021 to 2026 were retrieved from PubMed/MEDLINE, Scopus, ScienceDirect, Web of Science, and Google Scholar. The study sample consisted of publications meeting specific inclusion criteria: cancer patients undergoing prehabilitation prior to or during neoadjuvant therapy (involving physical activity, nutrition, and/or psychological support) with reported outcomes regarding treatment tolerance and quality of life. Articles were selected using a purposive sampling method. Following data extraction based on study characteristics, interventions, and outcomes, descriptive and narrative analyses were conducted. The research indicates that multimodal prehabilitation tends to improve or maintain muscle mass, cardiorespiratory fitness, functional capacity, and other aspects of quality of life. Furthermore, several trials demonstrated reduced toxicity or complications and higher treatment completion rates. However, due to variations in cancer types, treatment plans, intervention timing, and outcome measures, the impact on chemotherapy tolerance remains inconsistent. Multimodal prehabilitation can assist cancer patients in tolerating therapy while improving their quality of life and physical and psychological readiness. Further research utilizing more standardized designs and outcome measures is required to validate its efficacy regarding chemotherapy tolerance.
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Hubungan Pengetahuan Dengan Perilaku Masyarakat Gampong Lampoh Keude Dalam Pemakaian Daun Ketepeng Sebagai Obat Anti Jamur
Elmiyati Elmiyati, Syifa Dara AndriyanI, Farid BastianShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1446 | Check in Google Scholar
Pityriasis versicolor also known as tinea versicolor is a skin disease that appears on the surface of the skin. Pityriasis versicolor is an infectious disease of the skin that arises due to a compromised immune system. The disease is caused by the fungus malassezia sp. A characteristic of this skin disease is characterized by itching, fine squama and the appearance of maculas on the surface of the skin. Anfungal creams and tablets are commonly used in the treatment of this disease. However, the use of chemical drugs can cause long-term side effects for health. The use of herbal medicines is considered safer than chemical drugs, because the side effects caused are relatively minor and even have no side effects at all. The purpose of this study is to determine the relationship between knowledge and the behavior of the people of Gampong Lampoh Keude in the use of ketepeng leaves as an anti-fungal medicine. This type of research is quantitative descriptive with cross sectional design. The sampling technique in this study is simple random sampling. The sample in this study was 87 people. Data analysis used univariate and bivariate tests. The results of the univariate test showed that the frequency distribution of community characteristics based on gender was the most women (56%), the most age characteristics were adults (26-45 years) (52%), the most occupational characteristics were IRT (26%), the most recent education characteristics were secondary education (66%), the level of public knowledge about ketepeng leaves had the most good knowledge (90%) and the level of ketepeng leaf utilization was the most is a high behavior (89%). The results of the bivariate test using the chi-square statistical test obtained a value of p = 0.000 < 0.05. The conclusion of this study is that there is a relationship between public knowledge and the behavior of using ketepeng leaves as an anti-fungal medicine in gampong lampoh keude
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Hubungan Pengetahuan Ibu Tentang Manajemen Laktasi Dengan Perilaku Menyusui Di Wilayah Kerja Puskesmas Rurukan Kecamatan Tomohon Timur
Rivolta Alfiko Musak, Trivena Eunike SumilatShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1025 | Check in Google Scholar
Abstrak
Menyusui merupakan hak setiap ibu tidak terkecuali pada ibu yang bekerja sebagai petani, pedagang, teknik sipil, atau swasta. Rendahnya pemberian ASI merupakan ancaman bagi tumbuh kembang anak yang akan berpengaruh pada pertumbuhan dan perkembangan kualitas sumber daya manusia secara umum. Pelaksanaan pemberian ASI dapat dilakukan dengan baik dan benar jika terdapat informasi lengkap tentang manajemen laktasi. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan ibu tentang manajemen laktasi dengan perilaku menyusui di wilayah kerja puskesmas Rurukan kecamatan Tomohon Timur. Penelitian ini dilakukan pada bulan Juni 2020. Desain penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan total sampling. Sampel dalam penelitian ini adalah 66 ibu yang memiliki bayi 0-6 bulan. Alat ukur yang dipakai adalah kuesioner. Setelah dilakukan analisa bivariat statistika dengan menggunakan uji kendall’s tau b, didapatkan nilai significant (2-tailed) atau p value = 0,005 dan nilai correlation coefficient = 0,343. Nilai p value menjukkan < 0,05. Kesimpulannya Ha diterima dan Ho ditolak, artinya ada hubungan pengetahuan ibu tentang manajemen laktasi dengan perilaku menyusui di wilayah kerja puskesmas Rurukan kecamatan Tomohon Timur. Melihat hasil penelitian ini, maka pemberian informasi terkait manajemen laktasi sangat penting untuk meningkatkan pengetahuan ibu tentang manajemen laktasi dan membentuk perilaku menyusui ibu menjadi eksklusif.
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Studi Manajemen Pengelolaan Limbah Farmasi Untuk Mendukung Kesehatan Lingkungan Rumah Sakit Di RSUD RA. Kartini Jepara
Isyana Anggita Pramesti, Zaenal Fanani, Ahmad Suryadi MuslimShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1203 | Check in Google Scholar
Pharmaceutical wasted generated by hospitals, such as expired medicines, residual pharmaceutical preparations, and drug packaging, has the potential to pollute the environment and endanger the environmental healt of hospitals if not properly managed. This study aims to describe the implementation of pharmaceutical waste management in supporting hospital environmental healt. This study aims to describe the implementation of pharmaceutical waste management in hospitals and to analyze the factors associated with the success of its management in supporting hospital environmental healt. This study used a quantative method with a descriptive- analytical design and a cross- sectional approach. Data were collected throught questionnaires distributed to pharmachy installation. The research sample was determined using total sampling from the population that met the insclusion criteria. The results showed that the majority of staff had good to very good knowledge of pharmaceutical waste management, altought some still demonstrated insufficient knowledge regarding the selection and stirage of pharmaceutical waste. This study concludes that staff knowledge play an management. Therefore, efforts are needed to improve staff competence througt regular training, socialization of pharmaceutical waste management SOP and consistent supervision to create a healthy and safe hospital environment4812-4820 -
Penerapan Supply Chain Management Dan Metode Economic Order Quantity (EOQ) Dalam Pengendalian Persediaan Bahan Baku Alpha Hydroxy Acid Pada PT. Alwinda Pratama Jaya
Muhammad Syarifuddin Hidayatulloh, Nuriyanto NuriyantoShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1196 | Check in Google Scholar
The national cosmetics industry is growing rapidly, requiring companies to manage raw material inventory efficiently. PT. Alwinda Pratama Jaya, a cosmetics manufacturer under SYB Group, faces raw material inventory control problems for Alpha Hydroxy Acid (AHA), namely alcohol, glycerine, and glycolic acid, due to demand fluctuation and lead time uncertainty, which risks overstock and stockout conditions. This study aims to analyze the implementation of Supply Chain Management (SCM) and the Economic Order Quantity (EOQ) method in determining the optimal order quantity. This research uses a quantitative approach with a descriptive-comparative design. Primary and secondary data were collected through non-participatory observation, semi-structured interviews, and documentation of 2024 production data, then analyzed using EOQ, safety stock, reorder point (ROP), and Total Inventory Cost (TIC) formulas. The results show economic order quantities of 4,005 kg of alcohol, 955 kg of glycerine, and 647 kg of glycolic acid, with order frequencies of 11, 10, and 9 times per year respectively. The implementation of EOQ reduced the annual total inventory cost from IDR 40,739,162 to IDR 37,899,451, an efficiency of IDR 2,839,711. The recommended safety stock values are 235 kg, 50 kg, and 34 kg, with reorder points of 2,549 kg, 298 kg, and 270 kg. It can be concluded that integrating SCM with the EOQ method can improve inventory cost efficiency while maintaining the smoothness of the company's production process.4821-4829 -
Pengaruh Edukasi Dengan Media Leaflet Terhadap Keikutsertaan Pemeriksaan IVA Pada Wanita Usia Subur Di Puskesmas Kebasen
Ernita Ika Rahmawati, Ikhwah Mu’minahShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1342 | Check in Google Scholar
Kanker serviks merupakan salah satu penyebab utama kematian pada perempuan yang dapat dicegah melalui deteksi dini menggunakan pemeriksaan Inspeksi Visual dengan Asam Asetat (IVA). Namun, cakupan pemeriksaan IVA pada wanita usia subur (WUS) masih rendah, termasuk di Puskesmas Kebasen, akibat rendahnya pengetahuan dan kesadaran mengenai pentingnya deteksi dini. Edukasi kesehatan menggunakan media leaflet merupakan salah satu metode promosi kesehatan yang mudah dipahami, praktis, dan dapat dipelajari secara berulang sehingga berpotensi meningkatkan keikutsertaan pemeriksaan IVA. Tujuan penelitian ini Adalah untuk mengetahui pengaruh edukasi menggunakan media leaflet terhadap keikutsertaan pemeriksaan IVA pada wanita usia subur di Puskesmas Kebasen. Penelitian ini menggunakan desain pre-eksperimental dengan rancangan one group pretest-posttest design. Sampel penelitian adalah 112 wanita usia subur yang dipilih menggunakan teknik purposive sampling. Intervensi berupa edukasi kesehatan menggunakan media leaflet. Keikutsertaan pemeriksaan IVA diukur sebelum dan sesudah intervensi, kemudian dianalisis menggunakan uji McNemar. Hasil penelitian ini menyatakan sebelum intervensi, sebagian besar responden tidak mengikuti pemeriksaan IVA (18,8%). Setelah pemberian edukasi, keikutsertaan pemeriksaan IVA meningkat menjadi 91,3 %. Hasil uji McNemar menunjukkan terdapat pengaruh yang signifikan antara edukasi menggunakan media leaflet terhadap keikutsertaan pemeriksaan IVA (p = 0,000). Edukasi menggunakan media leaflet efektif meningkatkan keikutsertaan wanita usia subur dalam pemeriksaan IVA sehingga dapat dimanfaatkan sebagai media promosi kesehatan untuk mendukung deteksi dini kanker serviks4830-4840 -
Hubungan antara Pengawasan, Pengetahuan dan Sikap dengan Tindakan Penjamah Makanan dalam Penerapan Higiene Sanitasi di Satuan Pelayanan Pemenuhan Gizi Kota Manado
Sitti Nur Fathia Maulasa, Diana Vanda Daturara Doda, Asterlita Ryane WenasShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1149 | Check in Google Scholar
Satuan Pelayanan Pemenuhan Gizi (SPPG) serves as a core pillar of the Makan Bergizi Gratis (MBG) Program, which is highly vulnerable to food contamination. This cross-sectional quantitative study analyzed the relationships between supervision, knowledge, and attitudes with food handlers' practices across two SPPG sites in Mapanget District, Manado City, using a total sampling technique (N=82). Data were collected using questionnaires and direct observations. Food safety practices were measured through two distinct sources: self-report questionnaires and direct observations. Univariate findings showed high proportions in the good category for supervision (87.8%), knowledge (97.6%), attitudes (89.0%), self-reported practices (65.9%), and observed practices (93.9%). Spearman Rank analysis revealed significant positive relationships between supervision (r = 0.559; p < 0.001) and attitudes (r = 0.577; p < 0.001) with food handlers' practices. Conversely, knowledge showed no significant relationship with practices (r = 0.035; p = 0.755). Managerial supervision and internal attitudes are the main drivers of hygienic practices, whereas theoretical knowledge does not convert into practical compliance due to high workload and fast-paced kitchen operations. SPPG management should enhance kitchen environments and simulation-based supervision. -
Hubungan Antara Fear Of Missing Out (Fomo) Dengan Perilaku Merokok Elektrik Pada Peserta Didik Di SMP Negeri X Kawangkoan
Jessika Walukow, Hilman Adam, Chreisye Kardinalia Fransisca MandagiShow Abstract | Download PDF | DOI: 10.31004/koloni.v5i3.1086 | Check in Google Scholar
The presence of the e-cigarette (vape) trend has become a health issue not only among adults but also among teenagers, including students. WHO (2025) reported that approximately 15 million children aged 13–15 years, including junior high school students, use e-cigarettes. In Indonesia, the prevalence of e-cigarette users aged 10–14 years reaches 9.6%, exceeding the adult age group. Junior high school students are considered vulnerable because they are in the early adolescent phase, susceptible to social pressure, including the phenomenon of fear of missing out (FoMO), namely the anxiety of being left behind in the social experiences of others, which can encourage risky behaviors such as e-cigarettes. This study aims to determine the relationship between FoMO and e-cigarette smoking behavior among students at a public junior high school in Kawangkoan. The research design used an analytical survey with a cross-sectional approach on 93 students in grades VII–IX selected using a saturated sampling technique. Data were collected using a fear of missing out scale (FoMOs) questionnaire and an e-cigarette smoking behavior questionnaire, analyzed univariately and bivariately using the Spearman Rank correlation test. The results showed that 65.6% of respondents were in the moderate FoMO category, and 48.4% of respondents had (had stopped using) e-cigarettes. The Spearman correlation test showed p = 0.002 with a coefficient value of 0.313, indicating a significant relationship with low strength and a positive direction. This means that the higher the FoMO category, the greater the tendency to use e-cigarettes.
