Bidang kajian dalam jurnal ini termasuk sub rumpun Ilmu Kesehatan Umum,Ilmu Keperawatan dan Kebidanan, Ilmu Psikolog dan Ilmu Farmasi. Jurnal Riset Rumpun Ilmu Kesehatan menerima artikel dalam bahasa Inggris dan bahasa Indonesia dan diterbitkan 3 kali setahun : April, Agustus dan Desember. Print ISSN : 2828-9366, Online ISSN : 2828-9374 Jurnal ini terakreditasi SINTA 5 (Surat Keputusan Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 10/C/C3/DT.05.00/2025 tanggal 21 Maret 2025 tentang Peringkat Akreditasi Jurnal Ilmiah Periode I Tahun 2025) dimulai dari Volume 1 Nomor 2 Tahun 2022 sampai Volume 6 Nomor 1 Tahun 2027.
Dampak Pemberian Biskuit Daun Katuk terhadap Produksi ASI pada Ibu Menyusui di Wilayah Kerja Puskesmas Kuta Baro Kabupaten Aceh Besar
The production of breast milk is essential for promoting optimal growth and developmental outcomes in infants throughout the first six months of life. Nevertheless, several studies have indicated that some breastfeeding mothers face challenges in producing adequate milk, often influenced by nutritional status, psychological conditions, and environmental support. The katuk plant (Sauropus androgynus), a well-known local herb, has long been recognized for its potential as a natural galactagogue that can stimulate breast milk production. The innovation of processing katuk leaf extract into biscuits offers a more practical, convenient, and potentially acceptable alternative for daily consumption among the community. The present study aimed to examine the impact of katuk leaf biscuits on breast milk production among breastfeeding mothers within the jurisdiction of Kuta Baro Health Center, Aceh Besar District. A pre-experimental design utilizing a one-group pretest–posttest method was implemented, involving 20 breastfeeding mothers who fulfilled the established inclusion criteria. Data collection was carried out through the administration of questionnaires and by measuring breast milk volume using a calibrated measuring cup.The study findings indicated that before the intervention, most participants had relatively low breast milk production, averaging 69.1 ml. After a seven-day intervention, the mean breast milk volume showed a significant increase to 246.5 ml, with a p-value of 0.000 (p < 0.05), the findings indicate that katuk leaf biscuits exert a significant influence on increasing breast milk production. Overall, this study underscores the potential of locally sourced, herbal-based food innovations as an effective and sustainable approach to enhancing breast milk production and supporting the success of exclusive breastfeeding programs.
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Status Gizi Pada Balita Usia 0-5 Tahun di Desa Teupin Gapeuh Kecamatan Tanah Pasir, Kabupaten Aceh Utara
The nutritional status of toddlers is an important indicator that reflects the level of public health in a region. This study aims to analyze the nutritional status of children aged 0–5 years in Teupin Desa Teupin Gapeuh Kecamatan Tanah Pasir Kabupaten Aceh Utara. This research employed a descriptive quantitative method using secondary data obtained from health records and posyandu (integrated health post) reports. The study involved a total of 60 children under five, consisting of 33 boys and 27 girls. The findings revealed that based on the weight-for-age (W/A) index, 81.7% of children had normal nutritional status, 13.3% were undernourished, and 3.3% were severely undernourished. Based on height-for-age (H/A), 90.0% were normal, 5.0% were short, and 3.3% were very short. According to the weight-for-height (W/H) index, 83.3% were normal, 11.7% were undernourished, and 5.0% were at risk of overweight. Furthermore, the prevalence of stunting, wasting, and underweight were 8.3%, 11.7%, and 16.7% respectively. These results indicate that although most children have normal nutritional status, some still experience nutritional deficiencies that require special attention. Therefore, health workers and local governments need to strengthen nutrition education programs, increase community awareness of balanced nutrition, and improve monitoring of child growth to prevent malnutrition in the area
Faktor - Faktor yang Memengaruhi Kepatuhan Membayar Iuran Jaminan Kesehatan Nasional oleh Peserta Pekerja Bukan Penerima Upah di Kota Jakarta
Compliance in paying contributions is an important factor in ensuring the sustainability of the National Health Insurance (JKN) program, especially in the Non-Wage Workers (PBPU) segment who make payments independently. However, the level of compliance of PBPU participants in Jakarta City is still low, as indicated by the high rate of contribution arrears and the large number of deactivated memberships. This study aims to analyze the factors that influence compliance in paying National Health Insurance (JKN) contributions in the Non-Wage Workers (PBPU) segment in Jakarta City in 2025. The research design used was quantitative with a cross-sectional approach, involving 180 respondents. Bivariate analysis using the Chi-Square test showed that there was a significant relationship between perception and compliance (p = 0.002), income with compliance (p = 0.046), and motivation with compliance (p = 0.000). However, there was no significant relationship between knowledge (p = 0.291) and sanctions (p = 0.103) on compliance in paying contributions. These findings indicate that psychological and economic aspects have a strong influence on driving compliance with JKN premiums. Therefore, efforts to improve compliance need to focus on enhancing positive perceptions, internal motivation, and sustainable income for participants. Perception is the most dominant factor influencing compliance among PBPU participants. Strategies to increase education and improve services are needed to boost compliance and ensure the sustainability of the JKN program.
Gambaran Status Gizi pada Anak Balita di Desa Keude Nibong dan Sumbok Rayeuk Kabupaten Aceh Utara
Nutritional status is a health condition that indicates whether or not nutrients are sufficient in the body. This is influenced by eating habits and the body's ability to absorb nutrients. Nutritional status assessment can be done by body measurements, diet analysis, or laboratory tests. This indicator shows the extent to which nutritional needs are met to support body function and growth. This study aims to determine the nutritional status of toddlers in Keude Nibong Village and the factors that influence it. The research design used a quantitative approach with a correlation method, involving 35 toddlers as samples. The results showed that most toddlers were male (52%) and most were aged 24-35 months and 48-59 months (23.7% each). A total of 29 toddlers (83%) had good nutritional status, while 6 toddlers (17%) were malnourished. The nutritional condition of toddlers was generally good, but regular monitoring by health workers and the village government through integrated health posts (posyandu) is needed. Further research is recommended to examine factors such as diet, economy, and parental education that influence children's nutritional status.
Pengaruh Program Senam Lansia dalam Menurunkan Kadar Gula Darah pada Lansia di Puskesmas Nibong
Elderly exercise is a sporting activity that can help improve heart health, maintain stable blood pressure and blood sugar levels, and prevent various degenerative diseases in the elderly. Abnormal blood sugar levels can cause metabolic disorders that lead to various serious health problems. This study aims to determine the impact of elderly exercise on improving the health and independence of older adults in carrying out daily activities. This study used an evaluative method with a cross-sectional approach at the Nibong Community Health Center, North Aceh, involving 38 elderly people (14 men and 24 women) as a sample. The results showed that after participating in regular exercise, the number of elderly people with high blood sugar levels decreased to 31.6%, while the number of elderly people with normal blood sugar levels increased to 86.6%. Statistical tests showed a significant difference between blood sugar levels before and after exercise (p < 0.05). From these results, it can be concluded that elderly exercise is effective in lowering blood sugar levels, increasing insulin sensitivity, improving fitness and balance, and motivating elderly people to maintain their health. It is recommended that the Nibong Community Health Center regularly hold structured elderly exercise programs and provide educational counseling on the importance of a healthy lifestyle and controlling sugar intake. The results of this study can serve as a reference for health institutions and further research
Hubungan Antara Kebiasaan Tidak Sarapan Pagi dan Konsumsi Tablet Tambah Darah terhadap Resiko Kejadian Anemia pada Remaja Putri di SMPN 1 Nibong
Anemia is a micronutrient deficiency problem that is common in various parts of the world. Indonesia is one of the countries with a high anemia rate. According to the 2024 Basic Health Research (Riskesdas), the anemia rate in adolescent girls reached 32%. Breakfast habits and consumption of iron supplements affect daily nutritional intake. Low hemoglobin levels occur due to infrequent iron supplement consumption and inadequate food intake, resulting in a lack of iron stores in the body. The purpose of this study was to encourage adolescent girls to continue maintaining good habits of consuming iron supplements and having a healthy breakfast. This study used a quantitative analytical observational method with a cross-sectional design. The target population was female students of SMPN 1 Nibong. The study was conducted at SMPN 1 Nibong. The sample was obtained using a cluster random sampling technique of 50 respondents. The results of the chi-square test showed a strong association between breakfast habits and the risk of anemia, with a p-value of 0.000, which is far below 0.05, so technically significant. In essence, breakfast habits and blood supplement consumption have been shown to influence the risk of anemia in adolescent girls at SMPN 1 Nibong. The school is expected to promote understanding of nutrition and the importance of breakfast and blood supplement consumption, as well as motivate students to eat breakfast and consume blood supplement tablets regularly.
Faktor-Faktor yang Berhubungan dengan Perilaku Higiene Penjamah Makanan di Kantin Sekolah Dasar Kecamatan Telanaipura Kota Jambi Tahun 2025
Food safety is a crucial aspect of public health, particularly for elementary school children who frequently consume street food or snacks sold within school environments. Food handlers play a key role in determining the level of hygiene and sanitation of the food served. This study aims to analyze the factors associated with food handlers’ hygiene behavior in elementary school canteens in Telanaipura District, Jambi City. This research employed a quantitative method with a cross-sectional approach involving 41 food handlers as respondents. Data were collected through structured interviews using questionnaires and direct observations based on hygiene and food sanitation standards in accordance with the Regulation of the Minister of Health No. 1096/Menkes/PER/VI/2011. Data were analyzed using univariate and bivariate methods with the Chi-Square test at a significance level of p < 0.05. The results showed that most food handlers exhibited poor hygiene behavior (61.0%). There were significant relationships between knowledge (p = 0.048), attitude (p = 0.000), and availability of facilities and infrastructure (p = 0.000) with hygiene behavior, while education level showed no significant association (p = 0.187). It can be concluded that improving hygiene behavior requires continuous training, supervision, and provision of adequate sanitation facilities to support food safety in school environments.
Faktor Ketidakpatuhan Minum Obat pada Pasien Skizofrenia
Long-term treatment adherence is critical for schizophrenia patients, yet non-adherence remains a significant global challenge, contributing to relapse, re-hospitalization, and increased healthcare costs. Understanding the underlying multidimensional factors is crucial for developing effective interventions. This systematic literature review aims to identify and categorize the dominant factors contributing to medication non-adherence among schizophrenia patients, based on current quantitative evidence (2019-2024). A systematic search of Google Scholar and PubMed targeted quantitative cross-sectional studies using the PICOST framework. Article selection followed PRISMA guidelines, and quality was assessed using the JBI Critical Appraisal Checklist. Seven articles were included in the final narrative synthesis. The synthesis confirms that non-adherence is multifactorial. Identified factors were categorized into three groups: (1) Patient-related factors (e.g., poor illness insight, feeling cured, treatment fatigue); (2) Treatment-related factors (e.g., medication side effects, therapy duration); and (3) System and social factors (e.g., low family support, stigma, poor therapeutic alliance). Non-adherence is a complex issue arising from the interplay of patient, treatment, and social factors. Low family support and poor patient knowledge consistently emerge as key determinants. Interventions require a holistic approach extending beyond pharmacotherapy, focusing on comprehensive psychosocial education for patients and families, active side-effect management, and strengthening the family's role in care.
Efektivitas Mini Poster sebagai Media Promosi Kesehatan terhadap Perilaku Cuci Tangan Pakai Sabun pada Siswa Sekolah Dasar
The prevalence of correct handwashing behavior with soap in Aceh Province is 36%. School-age children are the time to instill PHBS values ​​and have the potential to be agents of change to promote PHBS both in the school environment, family, and society. The impact of lazy handwashing with soap can cause various diseases such as diarrhea, flu, hepatitis A, and impetigo (a contagious infection that usually occurs in children who rarely wash their hands, this disease is characterized by red skin which then develops into small blisters). The purpose of this study is to determine the effectiveness of mini posters as a health promotion media on handwashing behavior with soap in elementary school students. The research method is one group pretest posttest design. The sampling technique is total sampling, while the number of samples in this study was 80 students from grades 5 and 6 of elementary school. The results of the study obtained before the intervention of mini posters washing hands with soap behavior of elementary school students 77.5% of students did not wash their hands with soap after urinating and defecating. After the intervention of mini posters washing hands with soap behavior of elementary school students 87.5% did wash their hands with soap. There is an effect of mini poster intervention on increasing handwashing behavior in elementary school students with a p value of 0.000 < 0.05. The results show that mini posters are a reference for the effectiveness of health promotion in preventing infectious diseases in elementary school children by implementing a handwashing program with soap in the school environment
Peran Senan Prolanis dalam Menurunkan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Kuta Baro Kabupaten Aceh Besar
The body may experience insulin resistance or an insufficient production of the hormone, blood sugar levels rise continuously, leading to a chronic metabolic condition called Type 2 Diabetes Mellitus. Among non-pharmacological approaches proven effective in managing hyperglycemia, physical exercise particularly the Prolanis workout program has shown notable benefits. This study assesses how joining the Prolanis Exercise Program influences blood glucose reduction in Type 2 Diabetes patients at Kuta Baro Health Center, Aceh Besar. This research utilized a quasi-experimental method applying a one-group pretest–posttest framework. Participants, numbering 25 individuals, were selected through an accidental sampling process.. Throughout a four-week implementation of the Prolanis Exercise Program, measurements of blood glucose levels were taken both prior to and subsequent to the program. The findings revealed a notable decline in mean blood sugar levels, decreasing from 158.84 mg/dL before the intervention to 121.92 mg/dL afterward. Based on the Paired Samples t-Test (p < 0.05), the Prolanis Exercise intervention was found to have a significant effect in lowering blood glucose levels. This finding demonstrates that regular participation in Prolanis Exercise serves as an effective non-pharmacological approach for controlling Type 2 Diabetes Mellitus. Community Health Centers are advised to consistently continue developing and facilitating routine Prolanis Exercise activities, in addition to providing ongoing education on healthy lifestyles to patients. Patients are expected to actively engage in this program as part of their diabetes self-management.
Tinjauan Pustaka: Peran Tabir Surya dalam Mencegah Photoaging
Extrinsic skin aging or photoaging occurs due to repeated and prolonged exposure to ultraviolet (UVA) and ultraviolet B (UVB). Photoaging prevention can be done, one of which is the use of sunscreen. This literature review aims to review the role of sunscreen in photoaging prevention using a variety of existing literature. Sunscreen plays an important role in preventing skin damage caused by sunlight, especially in preventing and repairing skin damage due to sun exposure (photoaging). The addition of antioxidants such as vitamin C, vitamin E, vitamin A, melatonin, polyphenols, Polypodium leucotomos (PLE) extract as well as enzymes such as photoliase and T4N5 has been shown to increase protection against UV, visible light, and infrared-A rays and help repair skin damage. The use of colored sunscreen is recommended for protection from visible light. In addition, education on how to use sunscreen properly, such as reapplying every two to three hours and selecting the appropriate SPF and PA, also plays a big role in maximizing the effectiveness of skin protection from photoaging.
Uji Efektivitas Ekstrak Jahe Merah (Zingiber Officinale Var Rubrum) pada Meencit terhadap Penurunan Kadar Gula Darah
Persistent elevation of blood glucose levels defines diabetes mellitus, a chronic metabolic disorder that occurs when insulin production is insufficient, diminished sensitivity of insulin receptors, or a combination of both factors. The medicinal properties of red ginger (Zingiber officinale var. rubrum) are attributed to its rich content of bioactive compounds, including gingerol and shogaol, which are considered key contributors to its various therapeutic effects. The effectiveness of red ginger extract in lowering blood glucose levels in experimental mice was evaluated in this study. A true experimental design with a quantitative approach was applied, employing a pretest–posttest control group format. The study involved twelve samples, which were randomly allocated into four separate groups. The treatment phase was conducted over a period of seven days. Findings revealed mean values of 10.4 prior to the intervention and 15.2 afterward, indicating a notable increase. A significant difference between pre-treatment and post-treatment measurements in group K1 was revealed by the statistical analysis, which yielded a P-value of 0.001 (P < 0.05). It was observed that red ginger extract, given at 100 mg per kilogram of body weight, effectively reduced blood glucose levels in the mice studied..
Hubungan Kandungan Fluorida pada Air Sumur Gali dan Kebiasaan Menggosok Gigi dengan Kejadian Karies Gigi Anak Usia 6 – 10 Tahun di Rt 5 Desa Waplau
Dental caries is a health problem that can occur across all age groups, with children being particularly vulnerable. This study aimed to investigate the association between fluoride concentrations in dug well water and tooth-brushing practices with the incidence of dental caries among children aged 6–10 years in RT 5, Waplau Village. A quantitative approach with a cross-sectional design was applied. The study involved 64 respondents selected through purposive sampling. Data were analyzed using univariate and bivariate methods, supported by chi-square statistical testing. The results demonstrated a significant relationship between fluoride levels and dental caries (p = 0.013; p < 0.05). Additionally, tooth-brushing habits were significantly associated with the occurrence of dental caries in children (p = 0.001; p < 0.05). In summary, the fluoride content in the well water used by respondents was within acceptable limits, and tooth-brushing behavior contributed to the development of dental caries among children in RT 5, Waplau Village.
Studi Literatur: Penyakit Menular Seksual
Background: Sexually Transmitted Infections (STIs) represent a global public health challenge. The increasing number of Sexually Transmitted Infection (STI) cases is a serious concern worldwide. A lack of education or minimal knowledge, along with risky behavior, contributes significantly to the high STI rates, particularly among the young age group. Purposes: The objective of this study is to conduct a comprehensive analysis of the major types of Sexually Transmitted Infections (STIs)—namely Gonorrhea, Hepatitis B, HIV/AIDS, Syphilis, and HPV—by identifying their risk factors and determining the most effective prevention strategies. Method:The researchers employed a literature review method. The data search process was conducted systematically on Google Scholar, limiting sources only to articles available in full text and having open access. Results: The literature review concludes that the factors of knowledge, attitude, behavior, and age significantly influence an individual's risk of contracting Sexually Transmitted Infections (STIs). Therefore, prevention efforts must be carried out comprehensively, encompassing promotive (awareness enhancement), preventive (prevention), curative (treatment), and rehabilitative (recovery) activities. Practically, this prevention must include sexual health education, adoption of safe sexual behavior, implementation of routine health checks (screening), and vaccination (specifically for Hepatitis B and HPV). Conclusion: Overall, controlling the spread of STIs requires active and collaborative roles from all parties—including the government, health workers, and the community. The main key to suppressing the spread and burden of STI diseases in the community is through improving appropriate sexual health education, improving access to health services, and periodic health screening.
Prevalence of Myopia and its Risk Factors in Elementary School Children
Myopia is a multifactorial disease, affected by various hereditary and environmental conditions. This literature review aims to evaluate the association between risk factors in incidence of myopia in children aged 6 to 12 years old. A cross-sectional study of elementary students in MI Patihan Kidul, Ponorogo, East Java was performed. Eligible samples were 6 to 12 years old students. Examination was performed on September 7th 2023. The students underwent short history taking, body mass index (BMI), and visual acuity examination. Age, sex, BMI, family history of myopia, sleeping time, screen time, and duration of outdoor activity were examined as risk factors. A total of 336 children met the inclusion criteria, of which 48 (14.2%) of them had myopia. Family history of myopia was proven to increase the risk for myopia on their children (p value 0.012, OR 0.436). Heredity is a well-established risk factor for myopia. This literature review provides evidence on the positive correlation between family history and the occurrence of myopia in children.
Psoriasis is a chronic inflammatory skin disease characterized by keratinocyte hyperproliferation, inflammation, and neoangiogenesis, largely driven by dominant T helper 1 (Th1) and T helper 17 (Th17) immune responses. Psoriasis is associated with metabolic, psychological, cardiovascular, and arthritic comorbidities. Vitamin D plays an important role in the management of psoriasis. Calcitriol (1,25(OH)₂D₃), regulates keratinocyte proliferation, differentiation, and apoptosis. Vitamin D supports the formation of the cornified envelope as well as epidermal lipid and ceramide production, also acts synergistically with the epidermal calcium gradient to maintain barrier function. In addition to its epidermal effects, vitamin D exerts immunomodulatory actions by enhancing regulatory T cells and anti-inflammatory cytokines (interleukin (IL)-10, IL-4, transforming growth factor-beta (TGF-β)), while suppressing Th1/Th17 activity and production of pro-inflammatory cytokines (IL-2, IL-17, tumor necrosis factor-alpha (TNF-α)). These mechanisms highlight its potential role in psoriasis therapy. Topical vitamin D₃ analogues are effective for mild to moderate disease due to the high expression of vitamin D receptors in psoriatic keratinocytes. Oral supplementation has also been explored for its systemic immunomodulatory effects, although findings remain inconsistent.
Pengaruh Senam Hamil Yoga Butterfly terhadap Intensitas Nyeri Punggung pada Ibu Hamil Trimester Tiga
During gravidity, back pain is a significant issue, especially due to changes in posture along with increasing physical load in the third trimester. Muscle relaxation and stretching exercises for pregnant women can help reduce back pain, one of which is the butterfly exercise. That study aims until determine the impact to the butterfly activity on gravidity in their third trimester at TPMB Amilia Intarti Klampisrejo, Pasuruan Regency. A quantitative method was used with a quasi-experimental approach employing a one-group pre-test also post-test design. The study involved 32 third-trimester gravidity as respondents. Data were collected using purposive sampling, before-and-after measurements, and assessed with the Numeric Rating Scale (NRS). The intervention be carried out over a period of four weeks. The findings show that the butterfly pregnancy exercise effectively reduces back pain in third-trimester gravid. Therefore, the butterfly exercise can serve as an alternative method to help alleviate back pain and enhance comfort during pregnancy.
Hubungan Aktivitas Fisik dengan Tingkat Kesakitan Warga Binaan Pemasyarakatan (WBP) di Lapas Perempuan Kelas II Pondok Bambu
Research on the relationship between physical activity and morbidity levels of inmates, particularly in women's prisons, is still very limited. This study aims to provide empirical data that can be used as a basis for developing better physical training programs in women's prisons, while also supporting improvements in the quality of life of inmates and their readiness to return to society. This study used a quantitative design with a cross-sectional study approach. Activities carried out included data collection and measurement of the independent and dependent variables. This study analyzed variables related to the relationship between physical activity and morbidity levels among inmates at the Class II Pondok Bambu Women's Prison, East Jakarta. The results of the study showed (1) variations in the distribution of physical activity levels were relatively balanced between the low (34.6%), medium (33.3%), and high (32.1%) categories. (2) Morbidity rates in the sample indicated a significant burden of disease, the proportion of prisoners with low levels of morbidity was 39.7%, medium 24.4%, and high 35.9%. (3) Statistical analysis showed a significant relationship between physical activity levels and levels of morbidity in prisoners, the bivariate test (Chi-Square) produced p < 0.001, so the hypothesis that there is a relationship between physical activity and morbidity is accepted. (4) In an Islamic perspective, physical activity is believed to strengthen the body, prevent disease, and maintain physical and spiritual balance.
Hubungan Self Efficacy dan Self Care Management dengan Tingkat Kepatuhan Minum Obat pada Penderita Hipertensi di RSUD Kecamatan Mandau Riau
Hypertension is a primary risk factor for cardiovascular diseases, including stroke, coronary artery disease, atrial fibrillation, and peripheral vascular disease. Often referred to as "The Silent Killer," its onset is frequently asymptomatic, making early detection challenging. Effective interventions, both pharmacological and non-pharmacological, are necessary to manage hypertension and reduce complications. Long-term treatment requires adherence to prescribed medications, with self-care management playing a vital role in minimizing hypertension's adverse effects. Self-efficacy, or an individual's belief in their abilities, is crucial for improving medication adherence and self-care activities. This study aimed to examine the correlation between self-efficacy and self-care management in relation to medication adherence among hypertension patients at RSUD Mandau District. A non-experimental, quantitative, analytic correlation study with a cross-sectional design was conducted, involving 38 hypertension patients. Self-efficacy was measured using the MASES-R (Medication Adherence Self-Efficacy Scale-Revision), medication adherence was assessed with the MMAS-8 (8-item Morisky Medication Adherence Scale), and self-care management was evaluated using the HBP-SCP (Hypertension Self-Care Profile). The findings revealed a significant correlation between self-efficacy and medication adherence (p=0.000, r=0.594). Additionally, self-care management was significantly correlated with medication adherence (p=0.027, r=0.360). In conclusion, self-efficacy and self-care management both significantly correlate with medication adherence in hypertension patients at RSUD Mandau District.
Efektivitas Pemberian Bubur Instan Berbasis Labu Kuning terhadap Peningkatan Berat Badan dan Tinggi Badan Baduta dengan Risiko Stunting di Wilayah Puskesmas Gunung Meriah, Aceh Singkil
Stunting remains a major chronic nutritional problem in Indonesia, including Aceh, and has serious impacts on children’s physical growth and cognitive development. Prevention efforts require appropriate, practical, and sustainable nutritional interventions, including the use of local foods such as pumpkin, which is rich in beta-carotene, vitamin A, carbohydrates, and fiber, and can be combined with animal and plant protein sources. This study aimed to evaluate the effectiveness of an instant pumpkin-based porridge in improving the weight and height of children aged 6–24 months who are at risk of stunting in the Gunung Meriah Health Center area. The study used a quasi-experimental design with a nonequivalent control group involving 41 children divided into intervention and control groups. The intervention group received the instant porridge for 21 days. Data analyzed using paired t-tests and independent t-tests showed significant improvements in the intervention group’s weight and height (p<0.05). The pumpkin-based instant porridge proved effective as a local food–based nutritional intervention and has the potential to be integrated into supplementary feeding programs and regional nutrition policies with broader coverage and longer duration..
Efek Nefroprotektif Nanoemulsi Kulit Jeruk (Citrus Reticularis) dan Aloe Vera: Studi pada Tikus Model Nefropati Diabetik Terinduksi Uninefrektomi dan Streptozotocin
Diabetic nephropathy is a chronic complication resulting from hyperglycemia, which triggers oxidative stress and inflammation, leading to progressive structural and functional kidney damage. Orange peel and Aloe vera contain bioactive compounds with antioxidant and antifibrotic properties that may protect the kidneys from diabetes induced injury. Nanoemulsion delivery systems can enhance the bioavailability of these extracts in the body. This experimental study aimed to analyze the nephroprotective effects of orange peel and Aloe vera nanoemulsion in a diabetic nephropathy rat model, including glomerular morphology and kidney function. A post-test only control group design was used on Wistar rats divided into five groups: positive control, negative control, and three treatment groups receiving varying nanoemulsion doses. Glomerular structure was evaluated by assessing the number of glomeruli exhibiting synechiae and analyzed using the Kruskal–Wallis test due to non-normal data distribution, yielding p=0.2387 (p>0.05), indicating no significant differences among groups. Urea levels were elevated above normal, whereas creatinine levels remained within normal limits. Although not statistically significant, the treatment groups demonstrated nephroprotective tendencies, shown by improvements in glomerular synechiae in the diabetic nephropathy model.
Hubungan Antara Status Gizi dan Riwayat Menarche Ibu Kandung dengan Status Menarche Dini pada Siswi SD Kelas 4 – 6 di SDN 01 Nagrak Gunung Putri Bogor Periode September Tahun 2025
Puberty in girls is a developmental stage where sexual maturation occurs as a manifestation of reproductive ability, marked by the first menstruation (menarche), a form of primary sexual maturity in girls. The purpose of this study was to determine whether there is a relationship between nutritional status and maternal menarche history with early menarche in elementary school students in grades 4-6 at SDN 01 Nagrak Gunung Putri Bogor in September 2025. This research was a quantitative, observational analytical study using a cross-sectional approach. It was conducted at SDN 01 Nagrak Gunung Putri Bogor from August to September 2025 with a sample of 49 respondents. Univariate and bivariate data analysis used the Chi-Square Test. The results showed a relationship between nutritional status and early menarche (p-value = 0.001 and OR = 3.7) and maternal menarche history with early menarche (p-value = 0.000 and OR = 7.3). The study concluded that there is a relationship between maternal nutritional status and menarche history with early menarche. It is recommended that SDN 01 Nagrak Gunung Putri Bogor collaborate with the nearest community health center and the Health College to conduct outreach activities on reproductive health.
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Faktor-Faktor yang Berhubungan dengan Perilaku SADARI pada Remaja Putri di SMAN 1 Tekarang
Breast cancer is a type of disease affecting the supporting tissue in the breast. In Indonesia, breast cancer is the leading cause of cancer death among women. Early detection of breast cancer is very important to be done as soon as possible through SADARI behavior because if an abnormality in the breast is detected early, clinical examination can be conducted promptly. Research objective: to identify the factors associated with SADARI behavior among female adolescents at SMAN 1 Tekarang. Research method: This study is quantitative with an analytical approach using a cross-sectional time approach. The study was conducted at SMAN 1 Tekarang from April 5, 2025, to May 21, 2025. The study population consisted of 217 female students at SMAN 1 Tekarang, while the sampling technique used was accidental sampling, resulting in 187 samples. The variables studied were the dependent variable of SADARI behavior and independent variables of attitude, health literacy, information exposure, and family health history with breast cancer. Data collection using a questionnaire. Analysis using the Chi Square test. The results of the analysis showed no relationship between attitudes (ρ value 0.073) and health lateracy (ρ value 0.959) with SADARI behavior, while there was a relationship between information exposure (ρ value 0.000) and family health history of breast cancer (ρ value 0.000) with SADARI behavior. Conclusion: There is a statistical relationship between information exposure and family health history with BSE behavior.
Korelasi Dukungan Keluarga dengan Kejadian Self Harm pada Remaja
Self-harm among adolescents is a mental health problem influenced by various psychosocial factors, including family support. The family serves as the primary support system that can protect adolescents from the effects of stress and maladaptive coping behaviors. This study aimed to analyze the relationship between family support and the incidence of self-harm among adolescents. The study employed an analytic quantitative design with a cross-sectional approach. The research sample consisted of 476 adolescents selected using a cluster random sampling technique. Family support was measured using the Perceived Social Support–Family (PSS-Fa) questionnaire, while the incidence of self-harm was assessed using the Self-harm Inventory (SHI). Data were analyzed using the Spearman Rank test. The results showed that the majority of respondents had high levels of family support (65.8%) and did not engage in self-harm (78.2%). Bivariate analysis indicated a significant relationship between family support and the incidence of self-harm among adolescents (p < 0.001), where adolescents with high family support were more likely to be in the non–self-harm category, while mild and severe self-harm were more commonly found among adolescents with low family support. This study concludes that family support plays an important role as a protective factor against self-harm among adolescents. Strengthening the role of the family should be a key focus in family-based nursing interventions for the prevention of mental health problems in adolescents.
Pengembangan Simulasi Interaktif Tekanan Darah Berbasis MATLAB untuk Edukasi Awal Kesehatan
This study aims to develop an educational application based on a Graphical User Interface (GUI) using MATLAB App Designer that functions as an interactive simulation for evaluating blood pressure. The application allows users to input systolic and diastolic blood pressure values along with supporting information such as name and age. The input data are then analyzed and classified into several blood pressure categories according to the standards of the American Heart Association (AHA), including normal, hypotension, stage 1 hypertension, stage 2 hypertension, and hypertensive crisis. The classification results are presented visually through an interactive pie chart with dynamic percentages and legends to enhance user understanding. In addition, all data are automatically stored in a Microsoft Excel file containing a summary of blood pressure categories and session timestamps. The system is designed with a simple interface and intuitive interaction, making it suitable for early health education purposes. Although the application still relies on manual data input, it has the potential to serve as an effective learning tool for increasing public awareness of the importance of regular blood pressure monitoring.
Analisis Konsep Nyeri Akut pada Pasien Bedah : Tinjauan Keperawatan
Acute pain is a complex phenomenon frequently experienced by post-surgical patients. If not properly managed, it can hinder the recovery process and increase the risk of chronic complications. This study aims to conduct an in-depth analysis of the concept of acute pain in surgical patients from a nursing perspective to improve the quality of care. The method used was a narrative literature review, analyzing various research articles and clinical protocols related to surgical pain management. The study findings indicate that acute post-surgical pain involves sensory and emotional dimensions influenced by the type of surgical procedure, individual pain threshold, and the effectiveness of pharmacological and non-pharmacological interventions. Furthermore, the role of nurses in conducting accurate pain assessments and patient education is a key factor in successful pain management. The implications of this study emphasize the importance of implementing integrated multimodality pain management protocols and improving nurses' competency in conducting intensive monitoring. Optimizing pain management is expected to accelerate patient mobilization, shorten hospital stays, and increase patient satisfaction with nursing services.
Korelasi Literasi Gizi dengan Parameter Kesehatan Metabolik pada Masyarakat Badui
Sindrom metabolik merupakan isu kesehatan yang semakin menonjol di Indonesia, dengan prevalensi mencapai 21,66% dan angka lebih tinggi pada populasi urban. Literasi gizi, sebagai kapasitas individu untuk memahami dan menerapkan informasi nutrisi, dipandang berperan penting dalam mengarahkan perilaku makan serta memengaruhi status metabolik. Namun, pada komunitas adat seperti masyarakat Badui, struktur sosial-budaya dan pola hidup tradisional dapat menciptakan dinamika yang berbeda dibandingkan populasi umum. Penelitian ini bertujuan menganalisis hubungan antara tingkat literasi gizi dan parameter kesehatan metabolik pada masyarakat Badui Luar. Studi observasional dengan desain potong lintang ini melibatkan 41 responden dewasa. Literasi gizi diukur menggunakan kuesioner terstandar, sedangkan parameter metabolik meliputi lingkar perut, tekanan darah, kadar glukosa darah puasa, trigliserida, dan HDL yang diperiksa menggunakan metode klinis sederhana. Analisis korelasi Pearson digunakan untuk menilai hubungan antarvariabel. Hasil penelitian menunjukkan bahwa literasi gizi berada pada kategori cukup baik (123,73 ± 7,89), namun tidak berhubungan signifikan dengan seluruh parameter metabolik (r –0,218 hingga 0,241; p>0,05). Pola ini mengindikasikan bahwa faktor budaya, aktivitas fisik agraris, serta pola konsumsi tradisional kemungkinan berperan lebih dominan dalam membentuk profil metabolik masyarakat Badui dibandingkan literasi gizi formal.
Korelasi Caliper dan Handgrip terhadap Lemak dan Otot Segmental pada Masyarakat Kelurahan Kota Bambu
This study aims to evaluate the relationship between skinfold calliper measurements and handgrip strength with segmental fat and muscle composition among adults in Kota Bambu, providing evidence for simple and applicable community-based screening tools. A cross-sectional design was applied to 135 participants aged 18–96 years. Skinfold thickness was assessed at four anatomical sites (biceps, triceps, suprailiac, scapular), handgrip strength was measured using a digital dynamometer, and segmental body composition was obtained via bioelectrical impedance analysis. Findings demonstrated a moderate positive correlation between handgrip strength and arm skeletal muscle mass (r = 0.371–0.407; p < 0.01), indicating that handgrip performance reflects segmental muscle contractility and functional reserve. Skinfold measurements showed moderate-to-strong positive correlations with both local and central subcutaneous fat distribution (r = 0.562–0.635; p < 0.01), confirming their sensitivity in estimating segmental adipose accumulation. These results highlight that calliper and handgrip strength can serve as practical, low-cost preliminary screening indicators for mapping muscle and fat distribution in urban communities, although they are not substitutes for comprehensive body composition assessment. Further longitudinal studies integrating advanced physiological and functional parameters are recommended to enhance predictive validity and clinical applicability.
Teknik Pemeriksaan Radiografi Wrist Joint pada Kasus Fraktur di Instalasi Radiologi RSU PKU Muhammadiyah Delanggu
Radiographic examination of the wrist plays a crucial role in diagnosing fractures, particularly in traumatic cases, and requires precise projection selection, proper immobilization, and adequate radiation protection to obtain high-quality diagnostic images. In theory, wrist radiography commonly includes anteroposterior (AP) and lateral projections; however, observations at the Radiology Installation of RSU PKU Muhammadiyah Delanggu showed that fracture examinations are generally limited to posteroanterior (PA) and lateral projections. This difference highlights a gap between theoretical recommendations and clinical practice, as several references emphasize the importance of projection variation to enhance diagnostic accuracy. This study aimed to describe the wrist joint radiographic examination procedures for fracture cases at RSU PKU Muhammadiyah Delanggu and to examine the immobilization techniques applied during the procedure. A descriptive qualitative design with a case study approach was used, conducted from May to June 2025. The subjects included three radiographers, while the object of study was wrist radiography in fracture cases. Data were obtained through direct observation, interviews, and documentation, and analyzed descriptively. The findings showed that PA and lateral projections were consistently used, with immobilization achieved using sandbags and foam pads to ensure stability and minimize motion artifacts. Radiation protection was implemented through lead aprons, collimation, and appropriate exposure adjustments. Overall, the procedures followed established radiography guidelines, particularly the Bontrager standard, ensuring both diagnostic quality and patient safety.
Gambaran Perilaku Masyarakat dalam Upaya Pencegahan Demam Berdarah Dengue di Wilayah Kelurahan Sidomulyo Timur Marpoyan Damai
Introduction: Dengue Hemorrhagic Fever (DHF) is a serious disease transmitted by the aedes aegypti mosquito. Dengue Hemorrhagic Fever (DHF) is an infectious disease transmitted through the bite of the Aedes aegypti mosquito and is still a public health problem. The high incidence of dengue fever is often caused by a lack of knowledge, attitudes, and actions of the community in carrying out appropriate prevention efforts. The goal is to identify the picture of community behavior in dengue prevention, including aspects of knowledge, attitudes, and actions. Method: was a quantitative descriptive with 100 respondents selected by random sampling in East Sidomulyo Village, Marpoyan Damai. Data were collected through questionnaires and analyzed univariately. Results: The variables of community behavior were obtained in the knowledge of most of the people who were low as many as 52 respondents (52%), most of the people's attitudes were obtained negative attitudes as many as 77 respondents (77%), the actions of the community mostly had less actions with the number of 59 respondents (59%), and the behavior of the community was relatively low. Conclusions and Suggestions: This study shows that the majority of the people of East Sidomulyo Village have lacking knowledge, attitudes, and actions in the prevention of dengue. Low preventive behavior is caused by a lack of knowledge and concern. Intensive, community based education is needed to raise awareness and preventive measures in an ongoing manner.
Hubungan Cyberbullying Terhadap Perilaku Self Injury pada Remaja
Internet use in Indonesia is highest among adolescents aged 15 to 19 years. Internet use can have a negative impact if users do not use social media appropriately, such as cyberbullying behavior. One of the impacts of cyberbullying is self injury. This study aims to determine the relationship between cyberbullying and self injury in adolescents. Methods: This studyused a descriptive descriptive correlation design with a cross sectional approach. Respondents in the study amounted to 233students of SMAN 9 Pekanbaru with sampling techniques using stratified random sampling. Cyberbullying was measured using The Cyber Victim And Bullying Scale (CVBS) questionnaire, and self injury was measured using the Self Harm Inventory (SHI). Data were analyzed using chi-square. Results: The majority adolescents have experienced cyberbullying actions moderate 153 (65.7%) and majority adolescents have experienced mild self injury 161 respondents (69.1%). Chi square analysis showed a significant relationship between cyberbullying and self injury (p = 0.000). Conclusion: There is a significant relationship between cyberbullying and self injury in adolescents. Increasing positive activities for self-development can reduce the effects of cyberbullying such as self injury.
Hubungan Kebiasaan Membaca Menggunakan Gawai dalam Posisi Berbaring dengan Kelainan Refraksi Mata (Miopia) pada Siswa Kelas VIII di SMPN 119 Kelurahan Cempaka Baru Jakarta Pusat: Pemeriksaan Menggunakan Snellen Chart dan Tinjauannya menurut Pandangan Islam
The increasing use of digital devices among adolescents raises concerns regarding eye health, particularly myopia. Non-ergonomic postures, such as using gadgets in a lying position, may increase accommodative stress on the eyes and contribute to visual impairment. To analyze the association between the duration and viewing distance of gadget use in a lying position and the occurrence of myopia among eighth-grade students at SMPN 119 Central Jakarta. An observational analytic study with a cross-sectional design was conducted involving 74 eighth-grade students. Data on gadget use habits, including duration and viewing distance, were collected using a structured questionnaire. Visual acuity was assessed using a Snellen chart. Bivariate analysis was performed using the Chi-square test with a significance level of p < 0.05. Decreased visual acuity was found in 62.2% of respondents. There was no significant association between viewing distance and myopia (p = 0.080). However, a significant association was identified between gadget use duration exceeding two hours per day and the occurrence of myopia (p = 0.002). The duration of gadget use in a lying position was significantly associated with myopia, whereas viewing distance was not. Limiting the duration of gadget use may help prevent visual impairment among adolescents.
Gambaran Kadar Ureum dan Nilai Estimated Glomerular Filtration Rate (eGFR) pada Pasien Diabetes Melitus Tipe 2 di RSUD ODSK Provinsi Sulawesi Utara
Type 2 Diabetes Mellitus (T2DM) is a global health problem with continuously increasing prevalence, covering the majority of diabetes cases worldwide. Persistent hyperglycemia in T2DM progressively damages the kidneys. Early assessment of kidney function, especially through the examination of urea levels and estimated glomerular filtration rate (eGFR) values, is important to predict CKD prognosis and guide therapeutic intervention. To discover the profile of urea levels and eGFR values in Type 2 Diabetes Mellitus patients at ODSK Hospital, North Sulawesi Province. This study is a descriptive quantitative observational study with a cross-sectional design, conducted retrospectively using secondary data from the medical records of Type 2 Diabetes Mellitus patients at ODSK Hospital, North Sulawesi Province during the period February 2024–August 2025 who met the inclusion criteria. From a total sample of 658 Type 2 Diabetes Mellitus patients, the majority of patients had high urea levels (53.3%). Based on sex, the proportion of high urea levels in males (57.2%) was higher compared to females (50.5%). Meanwhile, the distribution of eGFR values showed that the G1 category was the most frequent (23.9%). However, the majority of other patients (75.1%) were already in categories G2 to G5, which indicates a decrease in kidney function. This decrease in kidney function was slightly more detected in male patients (76.1%) compared to female patients (74.4%). Type 2 Diabetes Mellitus patients at ODSK Hospital, North Sulawesi Province, have high urea levels and the majority have decreased eGFR values.
Hubungan Kadar Kreatinin Darah dengan Tekanan Darah pada Pasien Penyakit Ginjal Kronik Dengan Hipertensi di RSUD ODSK Provinsi Sulawesi Utara
Chronic Kidney Disease (CKD) is a global health problem with a continuously increasing prevalence and mortality rate. Global data indicates that kidney disorders have affected more than 850 million people, with CKD being one of the leading causes of death. North Sulawesi is recorded as one of the provinces with the highest prevalence of CKD. Blood creatinine is used as the primary marker of kidney function, while hypertension is a comorbidity commonly found in CKD patients and can act as both a cause and a consequence of impaired kidney function. Several studies have reported varying results regarding the relationship between creatinine levels and blood pressure. Purpose to analyze the association between serum creatinine levels and blood pressure in chronic kidney disease patients with hypertension at ODSK Hospital, North Sulawesi Province. Methods the research design used an observational analytic cross-sectional design. This study used an observational analytic cross-sectional design. It was a retrospective study utilizing secondary data from medical records for the period of June 2022 to August 2025. Total sampling method was employed with a sample size of 65 patients who met the inclusion criteria. Based on the Spearman correlation test results, the significance values between creatinine and systolic pressure was 0.685, and between creatinine and diastolic pressure was 0.787 (p-value >0.05). There is no significant correlation between serum creatinine levels and blood pressure in chronic kidney disease patients with hypertension at ODSK Hospital, North Sulawesi Province.
Stres Akademik dan Respons Psikologis pada Mahasiswa di Masa Tekanan Akademik Tinggi: Studi Kualitatif
Academic stress has become a significant psychological issue among university students, particularly during periods of high academic pressure such as examinations, intensive coursework, and academic performance demands. Excessive academic stress may negatively affect students’ psychological well-being, learning motivation, and academic performance. This study aims to explore in depth the experiences of academic stress and psychological responses among students during periods of high academic pressure. A qualitative descriptive approach with a phenomenological perspective was employed to capture students’ lived experiences. Data were collected through in-depth semi-structured interviews with six student participants selected using purposive sampling. The data were analyzed using thematic analysis, involving open, axial, and selective coding to identify emerging themes. The findings reveal that the main sources of academic stress include excessive academic workload, time management difficulties, high self-expectations, and external academic pressures. Students experienced varying levels of stress ranging from mild to severe, manifested through psychological responses such as anxiety, emotional instability, mental fatigue, decreased concentration, and reduced motivation. The study also found that students applied diverse coping strategies, including adaptive strategies such as time management, seeking social support, and self-reflection, as well as maladaptive strategies such as procrastination and emotional withdrawal. These findings highlight that academic stress is a complex and subjective experience influenced by individual perceptions and coping capacities. The study implies the importance of supportive academic environments and accessible mental health services in higher education institutions to promote students’ psychological well-being and resilience. The results may serve as a reference for developing preventive and promotive mental health programs for students facing academic stress..
Peran Staf Administrasi dalam Penguatan Budaya Keselamatan Pasien Rumah Sakit
Patient safety is often viewed exclusively as the responsibility of clinical personnel. However, administrative errors occurring during the admission process and documentation stages constitute major contributors to medical risk. This study aims to explore the strategic role of administrative staff in strengthening patient safety culture and mitigating medical risks through effective communication coordination. A narrative literature review was conducted extensively using the Scopus, PubMed, and Web of Science databases, covering publications from 2014 to 2024. Data were analyzed using a thematic synthesis approach. The findings identify four main themes: administrative staff as information gatekeepers, the role of health information technologies (HIS/EMR) in bridging communication gaps, collaboration barriers arising from hierarchical structures, and the need for an Interprofessional Shared Governance framework. Administrative accuracy in the early phases of care is proven to be critical in preventing latent errors with potentially fatal consequences. Strengthening patient safety culture requires the integration of administrative staff through cross-departmental training, standardized communication protocols, and non-punitive incident reporting systems. Administrative staff are not merely bureaucratic support personnel but are key actors within the modern hospital patient safety ecosystem.
Efektivitas Kombinasi Terapi Relaksasi Benson dan Murottal Surah Al-Kahfi terhadap Tekanan Darah pada Pasien Hipertensi di Desa Kedungdowo Kaliwungu Kudus
Hypertension is a condition where arterial blood pressure is persistently above normal values. Hypertension management does not only rely on pharmacological therapy, but also requires a non-pharmacological approach as a complementary effort. One non-pharmacological intervention that can be used is Benson relaxation therapy and murottal Surah Al-Kahfi. Both therapies are believed to contribute to lowering blood pressure through the mechanism of reducing stress responses, increasing physiological relaxation, and achieving psychological calm. This study aims to test the effectiveness of the combination of Benson relaxation therapy and murottal Surah Al-Kahfi in lowering blood pressure in hypertensive patients. The study design used a quasi-experimental approach with a pretest-posttest approach and a control group. The study population was 40 people who participated in the prolanis program in Kedungdowo Village. Based on inclusion and exclusion criteria, a sample of 36 respondents was taken, divided into two groups: 18 people in the intervention group who received a combination of Benson relaxation therapy and murottal, and 18 people in the control group who were not given any intervention. The Wilcoxon signed-rank test results in the intervention group showed an effect of Benson relaxation therapy and recitation of Surah Al-Kahf in the elderly (p-value 0.004). The control group showed a p-value of 0.102. The Mann-Whitney test results showed a p-value of 0.044, indicating a difference in post-test blood pressure in those with hypertension in the control and intervention groups.
Hubungan Tingkat Kepatuhan Minum Obat Antihipertensi terhadap Tekanan Darah pada Lansia di Klinik Pratama Rawat Inap Ronggo Husada Malang
Hypertension in the elderly requires long-term treatment to prevent cardiovascular consequences. Adherence to antihypertensive medication is crucial for blood pressure management. Adherence to antihypertensive medication is a crucial aspect in hypertension management. Poor adherence can lead to uncontrolled blood pressure, thereby increasing the risk of cardiovascular problems, including stroke, myocardial infarction, and heart failure. This study aims to determine the correlation between adherence to antihypertensive medication and blood pressure in the elderly at the Ronggo Husada Primary Inpatient Clinic in Malang. This study used a cross-sectional design. The cohort consisted of 52 geriatric patients with hypertension who consistently visited the Ronggo Husada Primary Inpatient Clinic in Malang. The sample consisted of 40 patients. The sampling method used was purposive sampling. Research factors included medication adherence and blood pressure. Data collection was conducted through a questionnaire. This study was conducted at the Ronggo Husada Primary Inpatient Clinic in Malang on November 6, 2025. Data processing used the Chi-square test. The analysis included univariate and bivariate analyses, using the Chi-square test. The results showed that more than 50% of elderly participants demonstrated moderate adherence to antihypertensive medication (18 individuals (45%). Nearly 50% of elderly participants suffered from stage I hypertension (14 individuals (35%), and stage II hypertension (11 individuals (27.5%). Statistical analysis using the Chi-square test showed a significant correlation between adherence to antihypertensive medication and blood pressure in the elderly, with a p-value of 0.000, which is below the alpha threshold of 0.05 (5%). Elderly individuals who demonstrated strong adherence had better blood pressure regulation compared to those with poor adherence. These results emphasize the importance of adherence to therapy in the management of hypertension in the elderly.
Pengaruh Pemberian Ekstrak Bunga Pepaya (Carica papaya L.) terhadap Gambaran Histopatologik Aorta Tikus Wistar (Rattus norvegicus) yang Diinduksi Diet Tinggi Lemak
A high-fat diet can cause hyperlipidemia, which is one of the main risk factors for atherosclerosis. Papaya flowers (Carica papaya L.) contain antioxidants that have the potential to inhibit the development of atherosclerotic lesions. This study aims to determine the effect of papaya flower extract on the histopathological features of the aorta of Wistar rats induced by a high-fat diet. The study design is a posttest only-trial group design. The study sample consisted of 25 male Wistar rats divided into 5 groups with treatment for 21 days. Group A received no treatment. Group B was given high-fat diet consisting of 3 mL of pork fat and 2 g of duck egg yolk. Group C was given high-fat diet and simvastatin 0.18 mg/200 gBW. Groups D and E were given high-fat diet and papaya flower extract 125 mg/kgBW and 250 mg/kgBW, respectively. The parameter used is the histopathological description of the aorta in the form of foam cell formation. The results showed that there were few foam cell in group A. Group B had many foam cells in the tunica intima and media of aorta. Group C, D and E showed a reduction in the number of foam cells. The administration of papaya flower extract (Carica papaya L.) was effective in inhibiting foam cell formation in the aorta of Wistar rats induced by a high-fat diet, with a better effect seen at a dose of 250 mg/kgBW, which was almost comparable to simvastatin.
Pemanfaatan Limbah Sampah Plastik sebagai Bahan Alternatif dalam Pembuatan Batu Bata Ramah Lingkungan
Plastic waste is a form of solid waste originating from synthetic polymer materials that are difficult to decompose naturally and pose serious threats to environmental sustainability. Its accumulation continues to increase, causing pollution of soil, water, and ecosystems. In general, public attention is often limited to waste disposal and management activities without addressing preventive measures or innovative solutions at the source of the problem. This study aims to increase public awareness of plastic waste processing as an alternative approach to reducing the growing volume of plastic waste generated daily. One promising method explored in this research is the utilization of plastic waste as a raw material for producing environmentally friendly construction bricks. The study applied a simple descriptive experimental approach through direct practical activities, including the collection of plastic waste, processing and melting procedures, molding processes, and drying stages. The results demonstrate that plastic waste can be transformed into bricks with adequate physical strength and mechanical properties that comply with basic building standards. Therefore, this method has the potential to support sustainable waste management while providing alternative construction materials.
Analisis Kesiapsiagaan Masyarakat dalam Menghadapi Bencana Banjir di Multatuli, Medan Maimun
Multatuli Area 4 is highly susceptible to flooding due to its close location to the Deli River and inadequate environmental management, which exacerbate the risk during the rainy season. Despite this vulnerability, community preparedness remains limited, leaving residents exposed to potential damage and loss. This study employed a descriptive qualitative approach, collecting data through in-depth interviews and direct observations with purposively selected informants who have knowledge of local flooding experiences. The findings reveal that while residents are generally able to recognize early signs of flooding, their responses are largely reactive rather than proactive. Several factors contribute to this low level of preparedness, including limited perception of risk, insufficient economic capacity to implement preventive measures, declining social cohesion and cooperation, and underutilization of available mitigation facilities and infrastructure. These conditions highlight the need for improved community awareness, better access to resources, and strengthened disaster management strategies to enhance flood preparedness in Multatuli Area 4.
Hubungan Edukasi Disminore terhadap Peningkatan Pengetahuan pada Remaja Putri di SMK Pasundan
Menstrual pain (dysmenorrhea) is a common complaint among adolescent girls and often disrupts school activities. Limited understanding of its causes and appropriate self-care practices contributes to the persistence of symptoms. This study examined the effect of dysmenorrhea health education on improving knowledge among female students at SMK Pasundan Jatinangor. A method A pre-experimental one-group pretest–posttest design was used in this study. A total of 42 students participated and completed a dysmenorrhea knowledge questionnaire before and after a 60-minute educational session delivered through presentation media and group discussion. The results were analyzed descriptively to observe changes in knowledge levels. Resulted The intervention produced a notable improvement in students’ knowledge. The proportion of participants with good knowledge increased from 45.2% at pretest to 73.8% at posttest, while those in the low-knowledge category decreased substantially. Participants demonstrated clearer understanding of dysmenorrhea symptoms, contributing factors, and simple management strategies. Dysmenorrhea education effectively enhanced students’ knowledge at SMK Pasundan Jatinangor. Regular reproductive-health education programs in schools are recommended to support adolescents in managing menstrual discomfort independently and appropriately.
Pengaruh Pemberian Ekstrak Daun Paku (Diplazium esculentum) terhadap Gambaran Histopatologik Aorta Tikus Wistar (Rattus norvegicus) yang diinduksi Diet Tinggi Lemak
Atherosclerosis, as the leading cause of cardiovascular disease, can be triggered by a high-fat diet that causes hyperlipidemia. Fern leaves (Diplazium esculentum) contain various bioactive compounds (alkaloids, phenols, flavonoids, terpenoids) with antioxidant and anti-inflammatory potential, which are suspected to inhibit the formation of atherosclerotic lesions. This study aims to determine the effect of administering fern leaf extract on the histopathological features of the aorta in Wistar rats induced by a high-fat diet. This laboratory experimental study used 25 male Wistar rats divided into five groups: (A) normal control, (B) negative control (high-fat diet), (C) positive control (high-fat diet + simvastatin), (D) treatment I (high-fat diet + fern leaf extract 600 mg/kgBW), and (E) treatment II (high-fat diet + fern leaf extract 1200 mg/kgBW). The treatment was administered for 21 days. On the 22nd day, the aorta was taken and processed into histopathological preparations using Hematoxylin-Eosin (H&E) staining. The number of foam cells was counted at 400x magnification. Data were analyzed using the One-Way ANOVA test followed by the Tukey test. There were differences in the number of foam cells between groups. The post-hoc test showed a significant difference between group B (high-fat diet) and all other groups (p<0.001). There was no significant difference between group E (extract 1200 mg/kgBW) and group C (simvastatin) (p=0.783), nor between group D (extract 600 mg/kgBW) and group C (p=0.075). Fern leaf extract (Diplazium esculentum) is able to reduce the number of foam cells in the aorta of Wistar rats induced by a high-fat diet.
Pengaruh Pemberian Ekstrak Daun Leilem (Clerodendrum Minahassae) terhadap Gambaran Histopatologik Hati Tikus Wistar (Rattus Norvegicus) yang Diinduksi Minuman Beralkohol Cap Tikus
Excessive alcohol consumption, including traditional alcoholic beverages such as Cap Tikus (alcohol content ±45%) from North Sulawesi, can induce liver damage characterized by steatosis, inflammation, and necrosis. Leilem leaf (Clerodendrum minahassae) extract, rich in phenolic and flavonoid compounds, has potential hepatoprotective effects due to its antioxidant properties. To evaluate the effect of leilem leaf extract on the histopathological features of the liver in Wistar rats (Rattus norvegicus) induced by Cap Tikus alcoholic beverage. This experimental study used a post-test only control group design with 24 male Wistar rats divided into four groups: normal control, negative control (Cap Tikus 2.16 mL/day), treatment I (leilem extract 150 mg/kgBW + Cap Tikus), and treatment II (leilem extract 300 mg/kgBW + Cap Tikus). Treatments were administered orally for 14 days. Liver tissue was processed for histopathological examination using hematoxylin-eosin staining and observed under a light microscope. The negative control group showed significant steatosis and inflammatory cell infiltration. Treatment groups exhibited reduced steatosis and inflammation, along with increased hepatocyte regeneration. The higher dose (300 mg/kgBW) demonstrated greater hepatoprotective effects and more prominent regeneration compared to the lower dose (150 mg/kgBW). No necrosis or fibrosis was observed in any group. Leilem leaf extract exerts a hepatoprotective effect by suppressing inflammatory responses and enhancing hepatocyte regeneration in Wistar rats induced with Cap Tikus. The highest protective efficacy was observed with leilem leaf extract at 300 mg/kgBW.
Peran Burnout Syndrome sebagai Variabel Intervening dalam Hubungan antara Work–Life Balance dan Turnover Intention pada Dokter Umum RSUD Balaraja
General practitioners play a crucial role in the delivery of healthcare services in public hospitals, where limited organizational resources and high service demands often place significant pressure on medical personnel. These conditions may disturb work–life balance, increase the risk of burnout syndrome, and ultimately lead to higher turnover intention. This study aimed to analyze the effect of work–life balance on turnover intention, with burnout syndrome acting as an intervening variable among general practitioners at RSUD Balaraja. An observational analytic design with a cross-sectional approach was applied, involving all 40 general practitioners working in the emergency department and inpatient units through a total sampling technique. Data were collected using standardized instruments, namely the Work–Life Balance Scale, Maslach Burnout Inventory, and the Intention to Quit Questionnaire. Data analysis was conducted using Spearman correlation and Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results revealed a significant relationship between work–life balance and burnout syndrome, as well as between work–life balance and turnover intention. Burnout syndrome was also significantly associated with turnover intention. Further analysis showed that work–life balance had both direct and indirect effects on turnover intention, with burnout syndrome partially mediating this relationship. In conclusion, work–life balance and burnout syndrome are important determinants of turnover intention among general practitioners. Therefore, hospital management should prioritize strategies such as workload regulation, enhanced organizational support, and burnout prevention to retain medical staff and maintain the quality of healthcare services in public hospitals.
Uji Formulasi Sediaan Salep dari Ekstrak Etanol Daun Salam (Sysygium polyanthum) terhadap Bakteri Staphylococcus epidermidis
Acne (Acne vulgaris) is one of the most common skin problems, affecting 80–85% of adolescents aged 15–18 years, with some cases persisting into adulthood. One of the associated bacteria is Staphylococcus epidermidis, a normal skin flora that can become an opportunistic pathogen. Bay leaves (Syzygium polyanthum) are known to contain secondary metabolites such as alkaloids, flavonoids, tannins, saponins, and essential oils with antibacterial activity. This study aimed to formulate ethanol extract of bay leaves into ointments with concentrations of 10%, 20%, and 30%, test their antibacterial activity against Staphylococcus epidermidis using the disc diffusion method, and evaluate their physical quality (organoleptic properties, homogeneity, pH, adhesion, and spreadability). Results showed that the ethanol extract of bay leaves contained alkaloids, flavonoids, saponins, and tannins. The ointments met topical quality standards with pH 5.8–6.9, adhesion time 36–41 seconds, and spreadability 6.9–8.1 cm. Antibacterial activity increased with higher concentrations: 7.8 mm (10%), 12 mm (20%), and 15 mm (30%), although still lower than the positive control (clindamycin, 34 mm). In conclusion, ethanol extract of bay leaves has potential as an active ingredient in topical anti-acne ointments, but further studies with higher concentrations, in vivo testing, and optimized formulations are needed to achieve efficacy comparable to synthetic antibiotics.
Hubungan Antara Red Blood Cell Distribution Width dengan Nilai Estimated Glomerular Filtration Rate Pasien Penyakit Ginjal Kronik di RSUD ODSK Provinsi Sulawesi Utara
Chronic kidney disease (CKD) is a global health problem with continuously increasing prevalence and mortality. This condition is characterized by a progressive and irreversible decline in kidney function, which is clinically assessed using the estimated glomerular filtration rate (eGFR) as one of the main parameters for staging and monitoring disease progression. Red blood cell distribution width (RDW) is a hematological parameter that reflects the degree of variation in erythrocyte size. In patients with CKD, elevated RDW levels are often associated with oxidative stress and chronic inflammation, which may accelerate kidney damage and increase mortality risk. To analyze the correlation between RDW and eGFR values in patients with chronic kidney disease at ODSK Hospital, North Sulawesi Province. This study used an analytical observational design with a cross‑sectional approach. It was conducted retrospectively using secondary data from the medical records of CKD patients at ODSK Hospital, North Sulawesi Province, from February 2024 to August 2025. This study used a total sampling method with 189 CKD patients who met the inclusion and exclusion criteria. Based on Spearman-rank correlation analysis, the p‑value obtained was 0.129 (>0.05). There was no significant relationship between RDW and eGFR values in CKD patients at ODSK Hospital, North Sulawesi.Province.
Hubungan Kadar HbA1c dengan Kadar Kreatinin Darah pada Pasien Diabetes Melitus Tipe 2 di RSUD ODSK Provinsi Sulawesi Utara
Diabetes mellitus (DM) is a global health problem characterized by increased blood glucose levels. Type 2 diabetes mellitus (T2DM) accounts for 90-95% of all diabetes cases and is characterized by insulin resistance. Persistent hyperglycemia in patients with T2DM increases the risk of various complications, including renal dysfunction. Therefore, monitoring HbA1c levels is important for assessing long-term glycemic control and preventing complications, one of which is impaired kidney function that can be detected through increased blood creatinine levels. To analyze the relationship between HbA1c levels and blood creatinine levels in type 2 diabetes mellitus patients at RSUD ODSK North Sulawesi Province. This study used an observational analytic design with a cross-sectional approach. This study was retrospective using secondary data in the form of medical record data for the period February 2024-August 2025. This study used a total sampling method with 71 patients who met the inclusion criteria. The findings showed that the majority of patients had HbA1c levels >6,5%, while most blood creatinine levels were within the normal range. Based on the results of the Spearman-Rank correlation test, a significance value of 0.040 (p-value <0.05) was obtained. There is a significant relationship between HbA1c levels and blood creatinine levels, with a negative correlation strength in patients with type 2 diabetes mellitus at RSUD ODSK North Sulawesi Province.
Literatur Review: Analisis Determinan Kejadian Tuberkulosis pada Anak
Tuberculosis (TB) remains a major global public health problem and is one of the leading causes of death after HIV/AIDS. This disease has a high transmission rate, especially among children. This study aims to identify and analyze the determinants contributing to the incidence of tuberculosis in children based on previous studies. The method used was a literature review, which analyzed scientific articles related to the determinants of TB in children. Articles were searched through databases such as Google Scholar, Crossref, and Sinta using related keywords. Of the five articles that met the inclusion criteria, it was found that a history of contact with an adult TB patient was the main factor in transmission in children. Children are highly susceptible to contracting TB germs transmitted through droplets from coughing or talking. In addition, BCG immunization can provide protection against TB infection in children by developing antibodies. A scoring system was used to examine the history of contact in children at risk. In conclusion, there is a significant relationship between history of contact and the incidence of TB in children. Therefore, it is important for adult TB sufferers who live with children to practice preventive behaviors, such as cough etiquette, wearing masks, and proper phlegm disposal.
Penerapan Spiritual Coping pada Mahasiswa yang Mengalami Kecemasan dalam Menyelesaikan Tugas Akhir
Anxiety in completing a final thesis is a common issue experienced by final-year students, which can affect academic performance, mental health, and even delay graduation. This condition highlights the importance of effective strategies to manage psychological pressure appropriately. This study aims to explore the application of spiritual coping in helping students reduce anxiety during the thesis writing process. The research employed a qualitative approach with a descriptive design. The participants consisted of three students selected from a total of thirteen who had been identified with severe anxiety. The instruments used were the Taylor Manifest Anxiety Scale as an initial assessment, followed by in-depth interviews and observations to explore their experiences, coping strategies, and psychological dynamics. Data were analyzed thematically by focusing on the personal, social, environmental, and religious domains in the practice of spiritual coping. The findings indicate that spiritual coping assists students in managing emotions, discovering life meaning, and maintaining academic commitment. Religious practices, prayer, spiritual reflection, and social support proved effective in fostering inner peace and alleviating anxiety symptoms. In conclusion, spiritual coping can serve as an effective strategy to support students in facing academic pressures and in enhancing psychological well-being.
Efektivitas Pijat Perineum dan Peanut Ball dengan Kemajuan Persalinan di Rumah Sakit Dr. R Soeharsono Banjarmasin Tahun 2025
Background: Normal labor is influenced by Power, His, maternal strength, external pelvic passage, pelvic shape, pelvic width, and perineal elasticity, which affect labor.Objective: To determine the effect of perineal massage and peanut ball on labor progress.Method: This study used a quasi-experimental design with two groups and a posttest only. The sample consisted of 30 mothers in labor, divided into two groups: 15 respondents received perineal massage and 15 respondents received perineal massage and used a peanut ball. Data were analyzed using an Independent T-Test. Results: The study showed that the average duration of the first stage of active labor in the perineal massage group was 6.87 hours, while in the combination group of perineal massage and peanut ball it was 5.20 hours. Statistical testing showed a value of p = 0.012 (p < 0.05), indicating a significant difference between the two groups. Conclusion: Perineal massage and peanut balls are effective in accelerating labor as non-pharmacological midwifery interventions in labor management.
Gambaran Kemandirian Personal Hygiene Anak Usia Sekolah di SD Negeri 1 Gianyar
Children at the elementary school level are in a phase of rapid growth, encompassing intellectual, physical, and social development. Within the age range of 6–12 years, children are expected to begin managing their own self-care, including maintaining daily personal hygiene. Personal hygiene refers to a set of self-care practices performed to maintain physical health and psychological well-being. Independence in personal hygiene can be defined as a child’s ability to carry out personal hygiene activities independently without reliance on others, related to both physical cleanliness and psychological comfort. This study aimed to describe the level of personal hygiene independence among school-age children at SD Negeri 1 Gianyar. The research employed a quantitative descriptive design with a cross-sectional approach. The study population consisted of 376 students from grades I to III, with a sample of 194 students selected using proportionate stratified random sampling. The results showed that the majority of respondents demonstrated good independence in personal hygiene, with 186 children (95.9%) categorized as independent, while 8 children (4.1%) were categorized as moderately independent. Children’s independence tended to increase with age, and no significant differences were found between male and female students. These findings indicate that the role of families and schools, through consistent habituation and support, plays a crucial role in fostering children’s independence in maintaining personal hygiene.
Hubungan Alat Pelindung Diri dan Personal Hygine terhadap Gejala Dermatitis pada Pekerja Tambak di Desa Seuneubok Aceh Kabupaten Aceh Tamiang
Dermatitis is a common skin disease that can be influenced by various internal and external factors. According to the Puskesmas Sungai Iyu report for 2023-2024, there were 180 cases of dermatitis. This study aims to analyze the factors associated with dermatitis symptoms among shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The independent variables studied include contact duration, years of employment, personal hygiene, and the use of Personal Protective Equipment (PPE), while the dependent variable is dermatitis symptoms, including itching, redness, and rashes. The method used was a correlational analytic study with a cross-sectional design, involving 54 respondents from a total of 112 shrimp pond workers in the village as samples. The population in this study consists of all shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The results show that there is no significant relationship between the use of PPE (p-value = 0.047) and personal hygiene (p-value = 0.002) with dermatitis symptoms. In conclusion, factors associated with dermatitis symptoms in shrimp pond workers are personal hygiene, and the use of PPE. It is recommended that shrimp pond workers increase the use of PPE, practice good personal hygiene, and limit the duration of contact with pond water to reduce the risk of dermatitis.