Universitas Jenderal Achmad Yani

Surgical procedures can lead to various postoperative clinical problems such as pain, anxiety, nausea and vomiting, sleep disturbances, and fatigue, all of which require comprehensive management. Reflexology, as a non-pharmacological complementary therapy, has the potential to support postoperative management through stimulation of reflex points on the soles of the feet, hands, and ears. This study aims to synthesize scientific evidence regarding the effectiveness of reflexology as a complementary intervention in postoperative patient management. A systematic review was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, Web of Science, CINAHL, EBSCOhost, and the Cochrane Library for publications from January 2010 to December 2024. The inclusion criteria were determined using the PICO framework, and methodological quality was assessed using the JBI Critical Appraisal Tools. Out of 1,032 identified articles, 15 studies met the inclusion criteria (13 randomized controlled trials, 1 clinical trial, and 1 randomized study). The synthesis results indicate that reflexology significantly: (1) reduces postoperative pain intensity, (2) decreases anxiety levels, (3) stabilizes physiological/hemodynamic parameters, (4) improves sleep quality, and (5) reduces fatigue. These effects were consistently observed across various surgical procedures, including coronary artery bypass graft (CABG), abdominal surgery, hysterectomy, and cesarean section. Reflexology has the potential to serve as a safe, effective, and practical complementary intervention to support postoperative patient management. Further studies with multicenter designs, larger sample sizes, and more standardized protocols are recommended.

ABSTRAK. Kekerasan dalam rumah tangga (KDRT) merupakan permasalahan sosial yang kompleks, khususnya di masyarakat dengan tingkat ekonomi menengah ke bawah. Faktor ketimpangan ekonomi dan ketergantungan finansial, terutama pada perempuan, sering menjadi pemicu terjadinya kekerasan. Data di Daerah Istimewa Yogyakarta (DIY) menunjukkan bahwa kasus KDRT masih tinggi, dengan mayoritas korban adalah perempuan. Upaya penanganan yang hanya mengandalkan pendekatan hukum belum cukup efektif tanpa disertai strategi yang menyentuh akar permasalahan, yaitu ketahanan ekonomi keluarga. Tulisan ini membahas program Membangun Komunitas Peduli sebagai strategi berbasis komunitas dalam pencegahan dan penanggulangan KDRT melalui pemberdayaan ekonomi dan edukasi sosial. KEP Bangun Tani Asih, sebagai komunitas berbasis pertanian, memiliki potensi untuk dikembangkan dalam memperkuat ketahanan sosial-ekonomi keluarga sekaligus menekan angka KDRT. Program pengabdian masyarakat ini mengedepankan pendekatan partisipatif, edukatif, dan produktif melalui sinergi antara pemberdayaan ekonomi, pendampingan korban, serta peningkatan kesadaran masyarakat. Dukungan pemerintah kalurahan turut memperkuat keberlanjutan program, sehingga diharapkan terbentuk komunitas peduli yang mampu menciptakan keluarga mandiri, setara, dan bebas dari kekerasan. Dengan demikian, program ini diharapkan memberi kontribusi nyata bagi ketahanan sosial dan nasional melalui penciptaan lingkungan masyarakat yang aman, adil, dan harmonis.Penelitian ini bertujuan untuk merancang dan mengimplementasikan program berbasis komunitas yang melibatkan berbagai elemen masyarakat, seperti tokoh masyarakat, lembaga sosial, serta aparat penegak hukum. Metode yang digunakan mencakup edukasi, pendampingan korban, serta penyediaan layanan pengaduan dan rehabilitasi. Hasil yang diperoleh menunjukkan bahwa partisipasi aktif masyarakat dalam program ini dapat meningkatkan kesadaran, mencegah terjadinya KDRT, serta memberikan perlindungan lebih efektif bagi korban. Dengan demikian, pendekatan berbasis komunitas menjadi strategi yang efektif dalam menangani dan mencegah KDRT, menciptakan lingkungan yang lebih aman dan harmonis. KATA KUNCI KDRT; Pencegahan; Komunitas; Pendampingan; Penanggulangan

Dental caries is a disease of tooth tissue that can lead to complications, with Enterococcus faecalis being one of the Gram-positive bacteria that plays a crucial role in the infection process. Red betel leaves (Piper crocatum Ruiz & Pav.) are known to contain various phytochemicals; however, the antibacterial potential of Crocatin A, one of its isolated compounds, against E. faecalis and its molecular targets has not been previously reported. This study hypothesized that Crocatin A exhibits antibacterial activity against E. faecalis and has the potential to inhibit DNA gyrase B and DNA ligase, which are essential enzymes in DNA replication. Crocatin A was isolated from P. crocatum via column chromatography and characterized using infrared (IR) spectroscopy, nuclear magnetic resonance (NMR) spectroscopy, and mass spectrometry. In vitro assays were carried out using the Kirby-Bauer disk diffusion method at concentrations of 1, 2, and 5%, as well as the microdilution method. Antibacterial activity was further analyzed in silico to predict binding affinity toward DNA gyrase B and DNA ligase, along with the evaluation of ADMET properties. The results demonstrated that Crocatin A produced concentration-dependent inhibition zones and exhibited a minimum inhibitory concentration (MIC) of 1250µg/mL. In silico studies revealed binding energies of -6.34kcal/mol for DNA gyrase B and - 5.77kcal/mol for DNA ligase. In summary, Crocatin A showed moderate inhibition zones in vitro, although its MIC and MBC activities remain weak. In silico screening suggested possible binding interactions with DNA gyrase B and DNA ligase. Given the preliminary nature of these findings and the methodological limitations of the study, further validation is required to confirm its antibacterial potential.

Using firm size as a moderating factor, this study looks at how profitability, the board of directors, and the audit committee affect sustainability report disclosure. It stems from rising deforestation rates, which have intensified regulatory and stakeholder pressures and encouraged firms to enhance sustainability reporting as corporate accountability, despite conflicting findings in prior research. This study focuses on companies listed on the SRI-KEHATI Index during the 2022-2024 period, which reflects regulatory developments in sustainability reporting. Using a quantitative methodology, panel data from financial, sustainability, and annual reports of 12 corporations chosen by purposive sampling were analyzed. Panel data and Moderated Regression Analysis (MRA) using EViews 13 are used in this regression analysis. The results show that the audit committee, board of directors, and profitability have no partial influence on the disclosure of sustainability reports. Nonetheless, it was discovered that firm size had a negative moderating effect on the association between the board of directors and sustainability reporting and a positive moderating effect on the relationship between profitability and sustainability reporting. Firm size moderates the effect of audit committees insignificantly. This study concludes that Firm size is an important factor in determining sustainability disclosure practices. The findings indicate that, based on the sampled SRI-KEHATI companies during the 2022-2024 period, firm size is empirically associated with the extent of sustainability information disclosure. Companies are advised to optimize governance and pay attention to operational scale in improving the quality of sustainability disclosure.

This study examines the effect of User-Generated Content (UGC) and Online Shopping Experience (OSE) on Repurchase Intention using Customer Satisfaction as a mediating factor. The study focuses on Bandung City residents who purchase lipstick from Wardah. A quantitative explanatory approach was applied using data from 120 respondents collected through online questionnaires. Multiple regression analysis and Sobel tests were used to analyze relationships between variables, both direct and indirect. The findings demonstrate that customer satisfaction is positively and significantly impacted by UGC and OSE. Furthermore, UGC, OSE, and Repurchase Intention is greatly influenced by Customer Satisfaction. Both the relationship between OSE and repurchase intention and the relationship between UGC and repurchase intention have been shown to be somewhat mediated by customer satisfaction. The findings highlight the importance of enhancing online shopping experiences and encouraging authentic user-generated content to boost consumer happiness and inclination to repurchase in the cosmetics industry.

This study aims to ascertain the partial and simultaneous effects of workload and physical work environment on the performance of civil servant teachers at XYZ School. The population characteristics used are all teachers totaling 46 and 1 school principal so that the total population unit is 47 respondents. This study employed both literature-based research and field-based approaches, which included interviews, questionnaires, and documentation, as its data collection techniques. The partial test results indicate that workload has a positive and statistically significant influence on the performance of civil servant teachers at XYZ School, implying that a more appropriate workload is associated with improved teacher performance. In addition, the physical work environment was found to have a positive and significant effect on the performance of civil servant teachers at XYZ School, meaning that better physical working conditions contribute to higher performance levels. Furthermore, the results of the simultaneous test demonstrate that workload and the physical work environment jointly affect the performance of civil servant teachers at XYZ School, indicating that the suitability of both factors together leads to enhanced teacher performance.

Construction and demolition waste merupakan salah satu kontributor utama limbah padat global yang meningkat seiring pertumbuhan sektor konstruksi dan siklus pembongkaran bangunan. Meskipun jumlah publikasi terkait CDW terus bertambah, struktur pengetahuan, arah tematik, dan dinamika kontribusi ilmiah belum terpetakan secara sistematis dalam rentang waktu panjang. Kondisi ini menyulitkan identifikasi fokus riset dominan, celah penelitian, dan relevansinya terhadap pengembangan manajemen limbah konstruksi yang berkelanjutan. Penelitian ini bertujuan memetakan perkembangan historis, struktur tematik, dan tren penelitian CDW menggunakan pendekatan analisis bibliometrika. Data diperoleh dari basis data Scopus melalui pencarian sistematis pada judul, abstrak, dan kata kunci dengan rentang publikasi 1980–2025, yang menghasilkan 463 artikel jurnal terpilih. Analisis dilakukan secara deskriptif untuk mengidentifikasi tren publikasi dan kontribusi negara, serta analisis jejaring dan kemunculan bersama kata kunci menggunakan VOSviewer dan Bibliometrix untuk memetakan klaster penelitian dan evolusi topik. Hasil analisis menunjukkan bahwa penelitian CDW mengalami pertumbuhan signifikan sejak 2017 dengan dominasi kontribusi dari Tiongkok, diikuti oleh Brasil, India, Spanyol, dan Australia. Pemetaan tematik mengidentifikasi tiga klaster utama, yaitu klaster teknologis pemrosesan dan daur ulang CDW, klaster inti teknik lingkungan berbasis material dan life cycle assessment, klaster sistemik yang menempatkan CDW dalam kerangka circular economy, dan pembangunan berkelanjutan. Analisis tren topik mengungkap pergeseran fokus riset dari isu pengelolaan limbah konvensional menuju optimalisasi pemanfaatan material dan integrasi CDW dalam sistem konstruksi berkelanjutan. Temuan ini memberikan dasar kuantitatif untuk merumuskan agenda riset CDW yang lebih terarah, khususnya dalam konteks teknik sipil dan manajemen konstruksi.

Sungai Penuh City is geographically located in a flood-prone area, particularly during the rainy season. This study aims to identify the main factors contributing to flooding, determine the most dominant factor, and propose solutions for future flood management. The Analytical Hierarchy Process (AHP) was applied to analyze eight parameters: rainfall, slope, erosion/sedimentation, river narrowing, land use, deforestation, sand mining (galian C), and waste. The results indicate that human activities are the dominant factors, including land use (23.7%), river narrowing (19.4%), sand mining (15.4%), deforestation (15.3%), erosion/sedimentation (11.5%), and waste (6%). Natural factors have relatively smaller contributions, namely slope (4.5%) and rainfall (4.3%). The pairwise comparison consistency test produced a CR value ≤ 0.09, confirming the reliability of the analysis. Batang Merao River was found to be the most affected by floods, driven by high rainfall, topography, land use change, deforestation, direct waste disposal into the river, and upstream sand mining activities. These findings highlight the urgent need for integrated flood management involving government, communities, and stakeholders through spatial planning control, mining regulation, and increased environmental awareness.

<h2>Summary</h2><h3>Introduction</h3> Adolescence experience rapid growth and requires optimal nutrition. Prebiotics and probiotics foods contribute to gut microbiota balance, influencing digestion and nutrient absorption which manifest on the nutritional status. However, the data intake of these foods among Indonesian adolescents remains limited. This study aimed to examines the association between consumption of prebiotic and probiotic food sources and nutritional status among high school students in West java, Indonesia. <h3>Methods</h3> Design: A Cross-sectional analytic observational study. <h3>Setting</h3> SMA Negeri 2 Padalarang, West Bandung Regency, West Java, Indonesia. <h3>Participants</h3> 306 students (grades X-XII) selected through stratified random sampling. All completed the study. Measurements: A food frequency questionnaire assessed intake of prebiotic and probiotic sources. Nutritional status was determined using Body mass Index (BMI) for age. <h3>Results</h3> Fermented food (<i>r</i> = −0.139, <i>p</i> = 0.015) and vegetable consumption (<i>r</i> = −0.477, <i>p</i> < 0.001) were negatively associated with BMI, indicating higher intake corresponding with lower BMI. In Contrast, Cerealia (<i>r</i> = 0.165, <i>p</i> = 0.004) and chocolate products consumption (<i>r</i> = 0.388, <i>p</i> < 0.001) were positively associated with BMI. Meanwhile, fruit, nut, and legumes intake showed no significant relationship. Both prebiotic and probiotic intake accounted for 35.5% of the variation in nutritional status (<i>R</i>² = 0.355). <h3>Conclusions</h3> Consumption of fermented foods and vegetables is associated with lower BMI, while cereals and chocolate products are linked to higher BMI among adolescents. Dietary patterns involving prebiotic and probiotic sources may influence adolescent nutritional status. However, other contributing factors should be considered in future interventions.