Journal of World Science

Acupuncture Treatment for Patients with Musculoskeletal Disorders and Low Back Pain at the MCO Ladies Clinic in Bekasi

Dwi Permatasari Siregar, Mayang Wulandari, Amal Prihatono — Thu, 13 Aug 2026 00:00:00 +0000

Low back pain (LBP) is one of the leading causes of disability worldwide and significantly affects physical function and quality of life. This study aimed to describe the management and clinical outcomes of acupuncture treatment for patients with musculoskeletal low back pain at the MCO Ladies Clinic, Bekasi. This study employed a qualitative case study design involving one participant diagnosed with chronic low back pain. Comprehensive assessments were conducted using the four Traditional Chinese Medicine (TCM) examination methods (Wang, Wen, Wen, and Qie). The participant underwent six acupuncture treatment sessions between May 6 and May 16, 2025. Therapy was administered according to TCM syndrome differentiation using acupuncture points BL23 (Shenshu), BL25 (Dachangshu), GV3 (Yaoyangguan), BL40 (Weizhong), KI3 (Taixi), BL60 (Kunlun), and Ashi points. Data were analyzed descriptively by comparing clinical findings and therapeutic outcomes across treatment sessions. The participant was diagnosed with Kidney Deficiency accompanied by Qi and Blood Stagnation. Progressive clinical improvement was observed throughout the six treatment sessions. Pain intensity decreased from 6 to 1 on the Numeric Rating Scale (NRS), muscle spasms diminished, lumbar range of motion improved, and daily functional activities became easier to perform. No adverse events were reported during therapy. Acupuncture management based on Traditional Chinese Medicine principles demonstrated favorable clinical outcomes in reducing pain, improving lumbar function, and enhancing daily activities in a patient with chronic low back pain. These findings support acupuncture as a promising complementary intervention for managing chronic musculoskeletal low back pain.

The Impact of Visionary Leadership, Teacher Competence, and Learning Innovation on Educational Quality: A Correlational Study of Private High School Teachers in Tangerang City

Muhammad Akbar, Yulita Pujilestari, Imas Masriah — Thu, 13 Aug 2026 00:00:00 +0000

This study aims to determine the influence of Visionary Leadership, Teacher Competence, and Learning Innovation on Education Quality, both partially and simultaneously, in private high school teachers in Tangerang City. This study uses a quantitative approach with a correlational method. Data were collected through questionnaires distributed to 115 selected respondents using sampling techniques, then analyzed using analytical prerequisite tests (normality, homogeneity, and linearity) as well as simple and multiple linear regression analysis with the help of SPSS 25. The results showed that Visionary Leadership had a positive and significant effect on the Quality of Education (?yx1 = 0.703; count 9.761 > table 1.981), Teacher Competence had a positive and significant effect on the Quality of Education (?yx2 = 0.162; count 2.008 > table 1.981), and Learning Innovation had a positive and significant effect on the Quality of Education (?yx3 = 0.035; count 1.987 > table 1.981). Simultaneously, these three variables also have a significant effect on the Quality of Education with a Fcal value of 89.794 at a significance level of 0.000 < 0.05, forming a regression equation Y = 0.703X1 + 0.162X2 + 0.035X3. Visionary Leadership proved to be the most dominant variable that affects the Quality of Education compared to the other two variables. These findings confirm that improving the quality of education in private high schools will be more effective if it is focused on strengthening the visionary leadership of school principals, without neglecting teacher competency improvement and continuous learning innovation.

Analysis of Irrigation Networks and Actual Operation and Maintenance Needs (AKNOP) in the Paniis Lebak Main Canal

Rico Putra Sarjono, Mohamad Riziq , Ohan Farhan — Thu, 13 Aug 2026 00:00:00 +0000

Irrigation network maintenance plays a strategic role in ensuring efficient and sustainable water distribution to support agricultural productivity. This study aims to evaluate the condition of the irrigation network and calculate the Actual Operation and Maintenance Needs Index (AKNOP) for the Paniis Lebak Main Canal in Kuningan Regency, West Java, Indonesia. A mixed quantitative and qualitative approach was employed through field observations, water discharge measurements, assessments of irrigation canals and hydraulic structures, and maintenance cost calculations based on the technical guidelines of the Indonesian Ministry of Public Works and Housing (PUPR). The results indicate that the irrigation canal remains generally functional; however, minor to moderate damage was identified, reducing the efficiency of water distribution. Irrigation infrastructure plays a strategic role in sustaining agricultural productivity by ensuring a reliable and well-regulated water supply to paddy fields. Optimizing the performance of the irrigation network depends largely on the effective implementation of Operation and Maintenance (O&M) activities, which must be carried out systematically and accurately. From a financial planning perspective, the Actual Operation and Maintenance Needs Index (AKNOP) serves as a critical instrument for estimating maintenance requirements. Accurate AKNOP estimation requires a comprehensive network walkthrough to identify and inventory the actual physical condition and damage of irrigation infrastructure, thereby providing a reliable basis for maintenance planning and budget allocation.

Effectiveness of Various Antiseptic Hand Soaps in Reducing Skin Bacterial Counts

Delima Fadhila Azzahra, Jihan Samira — Wed, 05 Aug 2026 00:00:00 +0000

Hands are the body part most frequently exposed to environmental bacteria and play an important role in disease transmission. Handwashing with antiseptic soap is an effective method for reducing bacterial contamination on the skin. Antiseptic soaps containing chloroxylenol, povidone-iodine, and chlorhexidine gluconate are widely used due to their broad-spectrum antimicrobial activity. However, the comparative effectiveness of these three antiseptic agents remains unclear. This experimental study employed a group pre-test and post-test design involving 27 students from the Faculty of Dentistry, Trisakti University. The respondents were divided into three groups based on the type of antiseptic soap used: 0.5% chloroxylenol, 7.5% povidone-iodine, and 0.5% chlorhexidine gluconate, with nine respondents in each group. The number of bacterial colonies on the hands was assessed before and after handwashing using the swab method. Data were analyzed using the Wilcoxon signed-rank test and the Kruskal–Wallis test. All three antiseptic soaps demonstrated a significant reduction in bacterial colony counts. In the chloroxylenol group, the median colony count decreased from 100 CFU to 22 CFU (p = 0.018); in the povidone-iodine group, from 11 CFU to 0 CFU (p = 0.008); and in the chlorhexidine gluconate group, from 200 CFU to 61 CFU (p = 0.008). Based on the percentage reduction, povidone-iodine showed the greatest decrease (99.74%), followed by chloroxylenol (79.30%) and chlorhexidine gluconate (51.97%). However, comparisons of bacterial colony reduction among the three groups showed no statistically significant difference in effectiveness (p = 0.481).

Establishment of a District Metered Area (DMA) and Water Loss Analysis in Pilang Setrayasa Cirebon

M Rifki, Ohan Farhan — Thu, 06 Aug 2026 00:00:00 +0000

Based on customer complaints in the Pilang–Sertayasa area, several issues related to suboptimal water pressure were identified. These issues were attributed to high levels of water loss. This study aimed to determine the level of water loss through the establishment of District Metered Areas (DMA). A descriptive-quantitative research design was employed to evaluate the level of Non-Revenue Water (NRW) through the implementation of a District Metered Area (DMA) in Pilang–Sertayasa, involving a study population of 217 active customers. The instrument used to assess water loss was the DMA method. Water loss analysis was conducted using data loggers, with the collected data analyzed through step-test calculations. The findings revealed that the water loss level, or Non-Revenue Water (NRW), within the Pilang–Sertayasa DMA reached 48.43%. The step-test analysis indicated that Step 1 (0.0125 dQ/Dsr), Step 6 (0.0206 dQ/Dsr), and Step 7 (0.0437 dQ/Dsr) were categorized as high-loss areas. Therefore, immediate interventions, such as leak detection and further evaluation, were required for these steps to reduce water losses and improve distribution system efficiency.