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Recurrent aphthous stomatitis (RAS) is a common inflammatory condition of the oral mucosa characterized by round or oval ulcers with well-defined reddish borders and a shallow base covered by a grayish or yellowish fibrinous pseudomembrane. RAS is generally classified into three clinical types—minor, major, and herpetiform based on the size, number, and duration of the lesions. Several factors contribute to its occurrence, including bacterial infections such as Streptococcus sanguis, immune system dysfunctions, and nutritional deficiencies involving iron, vitamin B12, and folic acid. Other potential triggers include local trauma, hormonal or endocrine imbalances, psychological stress, and allergic reactions. Among these, anemia due to deficiencies in iron, folate, or vitamin B12 is considered an important etiopathogenic factor, although its exact role has not been fully clarified. The management of RAS primarily focuses on symptom relief, promoting faster ulcer healing, and preventing recurrence through both topical and systemic approaches. Effective treatment often includes improving nutritional intake, maintaining oral hygiene, and addressing underlying systemic or psychological conditions. Understanding the multifactorial causes of RAS is crucial in developing comprehensive strategies for prevention and long-term management of this recurrent oral lesion.

Exclusive breastfeeding ensures the optimal development of children's potential intelligence. Babies without complete exclusive breastfeeding are more vulnerable to malnutrition. They face risks of both under-nutrition and over-nutrition. This study aims to determine the correlation between exclusive breastfeeding and nutritional status among infants in Kuta Cot Glie Public Health Center, Aceh Besar. This research was an analytical study with a cross-sectional approach. The sample consisted of 74 infants aged 0-6 months, selected using a Total Sampling technique. The study was conducted from May 1st to 23rd, 2025. The data were analyzed using univariate and bivariate methods with the Chi-Square test. Of the total 74 respondents, 44 respondents (59.5%) had a normal nutritional status. Additionally, 43 respondents (58.1%) were exclusively breastfed. The Chi-Square test showed a p-value = 0.001 < 0.05. The findings indicate a correlation between exclusive breastfeeding and nutritional status in infants. This study suggests that mothers exclusively breastfeed their babies. Therefore, mothers should also increase their knowledge by seeking information from various sources, such as clinics and professionals. This can help them understand the benefits of exclusive breastfeeding and how to prevent malnutrition in infants.

The Damahu waxy corn (Zea mays L. var. Damahu) is a local variety traditionally cultivated by the Gorontalo community and possesses significant potential for the development of functional food products. This study aimed to determine the nutritional composition of the Damahu waxy corn variety originating from Bontula Village, Asparaga District, Gorontalo Regency, through proximate analysis. The corn samples were dried, milled, and analyzed using standard analytical procedures to quantify moisture, ash, fat, protein, and carbohydrate contents. The results indicated that Damahu waxy corn flour contained 83.32% carbohydrates, 5.93% protein, 1.67% fat, 8.84% moisture, and 0.24% ash. This composition characterizes the Damahu variety as a good energy source. However, its protein content does not yet meet the minimum requirement set by the Indonesian National Standard (SNI) for corn-based processed products. The nutritional profile highlights the potential of Damahu waxy corn for the development of nutritious and competitive local food products. This study provides an initial contribution to the documentation of Gorontalo’s indigenous corn varieties and offers a scientific foundation for the utilization of local germplasm to strengthen regional food security.

Emesis gravidarum is a common condition experienced by pregnant women during the first trimester and can negatively affect maternal comfort, nutritional intake, and overall pregnancy well-being. Various biological and psychosocial factors are believed to influence its occurrence, including pregnancy interval and the level of family support. This study aimed to analyze the relationship between pregnancy interval and family support with the incidence emesis gravidarum among first-trimester pregnant women. A quantitative analytic study with cross-sectional design was conducted involving 30 pregnant women in their first trimester. Data were collected using structured questionnaires to assess pregnancy interval, family support (emotional, informational, instrumental, and appraisal support), and the incidence of emesis gravidarum. Statistical analysis was performed using SPSS, including univariate analysis to describe respondent characteristics and bivariate analysis using the Chi-square test to determine the relationships between variables, with a significance level set at p < 0.05. The results showed that short pregnancy intervals were significantly associated with a higher incidence of emesis gravidarum. In addition, pregnant women who reported low levels of family support were more likely experience moderate severe emesis gravidarum compared to those receiving adequate support. Statistical testing confirmed that both pregnancy interval and family support had significant relationship with the occurrence of emesis gravidarum. In conclusion, pregnancy interval and family support are important factors influencing the incidence of emesis gravidarum in the first trimester. Strengthening family involvement and promoting optimal pregnancy spacing are recommended as part of comprehensive antenatal care to reduce pregnancy discomforts and improve maternal health outcomes.

Adolescent girls are the most vulnerable group to iron deficiency during growth and menstruation. An innovative snack product gyoza substituted with tuna and added moringa leaves can be developed to increase protein and iron content. This study aimed to determine the effect of tuna substitution and moringa leaf addition on sensory evaluation of gyoza’s color, aroma, texture, and taste as a snack for adolescent girls with iron deficiency anemia. The research is a pure experimental research with a completely randomized design. The sensory test data collection technique was carried out on 35 untrained panelists. The 4 formulations developed, namely F1 (25g tuna substitution with the addition of 10g moringa leaves), F2 (50g tuna substitution with the addition of 10g moringa leaves), F3 (75g tuna substitution with the addition of 10g moringa leaves), and F4 (100g tuna substitution with the addition of 10g moringa leaves). Then it was analyzed using the Kruskal Wallis test and the Mann-Whitney test as a further test. The results of the four formulations showed that there was an effect of tuna substitution with the addition of moringa leaves on the texture and taste sensory test however, there was no effect of tuna substitution with the addition of moringa leaves on the color and aroma sensory test and the best product was obtained in F3. The results of the gyoza nutritional content test that was substituted with tuna and the addition of the best moringa leaves or F3 formula based on laboratory testing had a nutritional content of 11,25% protein and 0,022% iron per 100 grams of gyoza. It is hoped that further research will modify the amount of moringa leaves added to improve the organoleptic test of gyoza products by panelists and examine gyoza formulations for other nutritional content that has not been tested and economic value.

Exclusive breastfeeding for the first six months of life is an important nutritional intervention that plays a role in supporting infant growth and preventing growth disorders. Although the coverage of exclusive breastfeeding in Indonesia has increased, differences in infant growth outcomes based on nutritional sources remain an issue that needs to be examined contextually. This study aims to analyze the effect of exclusive breastfeeding on infant growth at the Labuha Community Health Center, South Halmahera Regency. The study uses a quantitative approach with an observational analytical design and a comparative cross-sectional design. The study sample consisted of 30 infants aged 3–9 months selected using total sampling technique. The independent variable was the infant's nutritional source (exclusive breastfeeding and breastfeeding supplemented with formula milk), while the dependent variables included weight gain and length gain. The data were analyzed univariately and bivariately. The normality test was performed using the Shapiro–Wilk test, and the difference analysis was performed using the independent t-test. The results showed that there was no significant difference in infant weight gain based on nutritional source (p = 0.334). However, there was a significant difference in infant length gain, with infants who were exclusively breastfed showing better linear growth than infants who received a combination of breast milk and formula (p = 0.006). The conclusion of this study shows that exclusive breastfeeding has a significant effect on infant length growth, but not on weight gain. These findings emphasize the importance of exclusive breastfeeding in supporting linear growth as a key indicator of healthy infant growth.

Preeclampsia is a pregnancy complication that contributes significantly to maternal and perinatal morbidity and mortality, especially in developing countries. Despite various preventive measures, preeclampsia is still frequently found at the primary health care level. This study aims to analyze the factors influencing the incidence of preeclampsia in pregnant women at the Tiley Care Community Health Center. This study used an observational analytical design with a cross-sectional approach. The study population was all pregnant women who visited antenatal care at the Tiley Care Community Health Center, with a sample of 60 respondents selected using a total sampling technique. Data were collected through a review of medical records and KIA books, then analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that maternal age, history of hypertension, nutritional status based on body mass index, and adherence to antenatal care visits had a statistically significant relationship with the incidence of preeclampsia. Meanwhile, parity did not show a significant relationship with the incidence of preeclampsia. This study concluded that the incidence of preeclampsia is influenced by various maternal factors and maternal health behaviors during pregnancy. These findings underscore the importance of implementing risk-based antenatal care through early screening, ongoing monitoring, and increased adherence to antenatal care visits as a preventative measure for preeclampsia at the primary healthcare level.

Pregnancy is a physiological process that involves various physical and psychological changes in women. One common psychological issue that can arise is anxiety related to body image, which can significantly influence the eating behaviors of pregnant women. This psychological challenge may lead to eating disorders such as anorexia nervosa, binge eating disorder, and bulimia nervosa. The presence of eating disorders during pregnancy can have detrimental effects on maternal health, including nutritional deficiencies, fatigue, and an increased risk of complications during pregnancy, such as preterm birth and gestational diabetes. Additionally, these disorders can negatively impact the fetus, resulting in inadequate nutrient intake, low birth weight, and developmental delays. Therefore, maintaining a healthy, balanced diet, alongside psychological support, is crucial for pregnant women. Health education, along with professional counseling and guidance from healthcare providers, plays a vital role in preventing and managing eating disorders during pregnancy. Such efforts ultimately contribute to optimal health outcomes for both the mother and the developing fetus, ensuring the well-being of both in the long term.

Pregnancy is a physiological process that involves various physical and psychological changes in women. One common psychological issue that can arise is anxiety related to body image, which can significantly influence the eating behaviors of pregnant women. This psychological challenge may lead to eating disorders such as anorexia nervosa, binge eating disorder, and bulimia nervosa. The presence of eating disorders during pregnancy can have detrimental effects on maternal health, including nutritional deficiencies, fatigue, and an increased risk of complications during pregnancy, such as preterm birth and gestational diabetes. Additionally, these disorders can negatively impact the fetus, resulting in inadequate nutrient intake, low birth weight, and developmental delays. Therefore, maintaining a healthy, balanced diet, alongside psychological support, is crucial for pregnant women. Health education, along with professional counseling and guidance from healthcare providers, plays a vital role in preventing and managing eating disorders during pregnancy. Such efforts ultimately contribute to optimal health outcomes for both the mother and the developing fetus, ensuring the well-being of both in the long term.

Burns are one of the global health problems that still cause high morbidity and mortality rates, especially in countries with limited resources. Burn management is currently undergoing rapid development through a multidisciplinary approach that includes early resuscitation, local wound care, infection control, pain management, nutritional support, and long-term rehabilitation. This study uses the literature review method by examining articles from international databases for the period 2020–2025 to obtain the latest information on burn management updates. The results of the analysis showed that innovative therapies such as the use of stem cells, biomaterials (e.g. fish skin graft), as well as nanomedicine technology with silver nanoparticles have been proven to accelerate tissue healing and reduce complications. In addition, classic approaches such as early debridement, modern dressing selection, and enteral nutrition remain the primary basis in clinical treatment. Psychosocial and physical rehabilitation aspects are also increasingly considered because they have a significant effect on the quality of life of patients. Although various therapeutic innovations have shown promising results, translation to clinical practice still faces barriers in the form of cost, regulation, and limited facilities. Therefore, updates on burn management are needed to ensure more effective, efficient, and equitable management in modern medical practice.

Pregnant women with Chronic Energy Deficiency (KEK) are in a condition that can affect the health of both the mother and the fetus. KEK in pregnant women increases the risk of Low Birth Weight (LBW) babies, premature birth, maternal and infant mortality. Various efforts have been made to address KEK during pregnancy, yet its prevalence remains high. The aim of this community service is to improve the knowledge and nutritional fulfillment of pregnant women with KEK, as well as the prevention and management of KEK, through education for pregnant women with KEK and also explaining how to improve the nutrition of pregnant women. The target of this community service activity is pregnant women with KEK at the UPTD Camplong Health Center. The implementation of community service was carried out using a quasi-experimental approach with a pre-test and post-test design in the form of questionnaires for all pregnant women. The goal of this activity is to increase pregnant women's knowledge about KEK and balanced nutrition fulfillment. The results and benefits obtained from this community service activity include educating about fulfilling a balanced diet and improving nutrition, as well as increasing knowledge and insight for the community, especially pregnant women with KEK. The conclusion of this community service activity is that education and assistance can be an effective strategy to improve the health of pregnant women with KEK.

This community service program aims to empower rural women through training in making steamed buns (bakpao) using yellow sweet potatoes in Sambirejo Village, Ngrambe District, Ngawi Regency. Yellow sweet potatoes are one of the abundant local agricultural products, yet their utilization has been limited to household consumption. Through this program, yellow sweet potatoes were processed into innovative food products in the form of bakpao, which provide nutritional value, consumer appeal, and economic opportunities. The method applied was Asset Based Community Development (ABCD) with a participatory approach, emphasizing the use of local assets and the active involvement of community members. The stages included asset identification, technical training through demonstration, hands-on practice, and evaluation. Participants were drawn from PKK women and local micro, small, and medium enterprises (MSMEs). The results showed significant improvements in participants’ knowledge of local food diversification, technical skills in processing yellow sweet potatoes, and entrepreneurial motivation to initiate home-based businesses. In addition, the training encouraged participants’ creativity in developing more varied local food products. Therefore, the program not only contributed to women’s empowerment but also strengthened MSMEs, promoted local food innovation, and supported community economic independence.

This community service program aims to empower rural women through training in making steamed buns (bakpao) using yellow sweet potatoes in Sambirejo Village, Ngrambe District, Ngawi Regency. Yellow sweet potatoes are one of the abundant local agricultural products, yet their utilization has been limited to household consumption. Through this program, yellow sweet potatoes were processed into innovative food products in the form of bakpao, which provide nutritional value, consumer appeal, and economic opportunities. The method applied was Asset Based Community Development (ABCD) with a participatory approach, emphasizing the use of local assets and the active involvement of community members. The stages included asset identification, technical training through demonstration, hands-on practice, and evaluation. Participants were drawn from PKK women and local micro, small, and medium enterprises (MSMEs). The results showed significant improvements in participants’ knowledge of local food diversification, technical skills in processing yellow sweet potatoes, and entrepreneurial motivation to initiate home-based businesses. In addition, the training encouraged participants’ creativity in developing more varied local food products. Therefore, the program not only contributed to women’s empowerment but also strengthened MSMEs, promoted local food innovation, and supported community economic independence.

Anemia is a global health problem that frequently affects adolescent girls, particularly in developing countries such as Indonesia. Adolescent girls are at a higher risk of anemia due to menstrual blood loss and inadequate nutritional intake. This study aims to describe the level of knowledge about anemia among female students in Islamic boarding schools in Tarakan City. The research employed a quantitative approach with a descriptive method. The sample consisted of 124 adolescent girls selected using a total sampling technique. Data were collected using a questionnaire adapted from the Guidelines for Assessing Nutrition-related Knowledge, Attitudes, and Practices (FAO) and De et al., comprising 11 statement items. The results showed that 39.5% of respondents had good knowledge, 34.7% had moderate knowledge, and 25.8% had poor knowledge, with a mean score of 70.24, standard deviation of 19.10, minimum score of 18.18, and maximum score of 100.00. The study concludes that most adolescent girls in Islamic boarding schools in Tarakan City have good knowledge about anemia, although continuous nutrition education remains necessary.

Work fatigue is one of the factors that contribute to decreased productivity and increased risk of occupational accidents. This study aims to analyze various factors associated with work fatigue among production workers at PT. X in 2025. The research employed an analytical quantitative design with a cross-sectional approach. The sample consisted of 53 respondents selected using total sampling. Data were collected through questionnaires covering worker characteristics (age, nutritional status, medical history, smoking habits, years of service, and work stress) as well as levels of work fatigue. Data analysis was conducted using the chi-square test. The findings revealed that 56.6% of workers experienced high levels of fatigue. There were significant associations between age (p=0.023; PR=1.836), nutritional status (p=0.021; PR=1.786), medical history (p=0.025; PR=1.789), smoking habits (p=0.039; PR=1.706), years of service (p=0.015; PR=1.912), and work stress (p=0.032; PR=0.574) with work fatigue. The results indicate that workers who are at-risk age (≥35 years), have abnormal nutritional status, a history of illness, smoking habits, and longer years of service are more likely to experience work fatigue. However, high work stress showed a negative relationship, suggesting a protective effect against fatigue. In conclusion, there is a relationship between age, nutritional status, medical history, smoking habits, years of service, and work stress with work fatigue among production workers at PT. X.

Sharing love is a form of caring for others, especially for orphans in orphanages. On Friday 20 September 2024, we held a love sharing event by distributing green bean porridge to orphans at the Puteri Melati `Aisyiyah Orphanage in Sebengkok, Tarakan. This event aims to provide simple happiness and strengthen ties between the community and children in orphanages. Social activities such as sharing food are often considered trivial. In fact, for those living in orphanages, healthy and nutritious food is an important need that is sometimes difficult to meet regularly. By distributing green bean porridge, we not only provide nutritional intake that is beneficial for the body, but also provide happiness and new enthusiasm for the children there. This activity is a form of love that they can feel directly, both through the taste of the food they enjoy and through our presence who provides attention and care. Apart from that, green bean porridge has its own meaning in the tradition of sharing in Indonesian society. As a food that is often associated with moments of togetherness and mutual cooperation, green bean porridge is a symbol of simplicity and sincere love. When this porridge is distributed in orphanages, it is not just food, but becomes a symbol of concern from those who care about the welfare of the children there.  Social concern is an attitude of connection with humanity in general, an empathy for every member of the human community, for example female students. Community service is one of the media to hone student awareness in carrying out community service.

The free lunch program at SD Negeri 101 Central Maluku has drawn significant attention, particularly from parents who are the primary stakeholders of this initiative. Based on in-depth interviews with 20 parents from various economic and social backgrounds, it was found that the majority of respondents responded positively to the implementation of the program. They considered it highly beneficial in reducing daily household expenses, especially for their children's meals during school hours. Approximately 85% of parents stated that since the launch of the free lunch program, they no longer needed to provide their children with pocket money or meals from home. This not only reduces daily expenses but also provides peace of mind, knowing that their children are receiving adequate nutrition at school. These findings align with Fitriyani (2022), who stated that school meal programs directly contribute to family economic savings. On the other hand, a small portion of respondents (around 15%) expressed concerns about the quality and hygiene of the food provided. They emphasized the importance of supervision in the preparation and distribution process, ensuring that the program meets not only quantity standards but also nutritional quality and cleanliness. This concern is crucial as it directly relates to students' health. Overall, this study indicates that parents’ perceptions of the free lunch program at SD Negeri 101 Central Maluku are generally positive, with critical notes on food quality, parental involvement, and funding sustainability. These findings offer strong recommendations for policymakers to strengthen this program as part of efforts to improve the quality of basic education in the region.

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) can be a measure of a country's welfare in determining the optimal degree of health. The maternal mortality rate in the world is 303 thousand people (WHO 2023). MMR in Indonesia was 4,129 people in 2023. Meanwhile, the Infant Mortality Rate (IMR) in the world is 29,945 people (WHO, 2023). In Indonesia, there were 16.85 infant mortality rates in 2023. SEZ is a nutritional deficiency in pregnant women that lasts for several months or years. SEZ conditions can indirectly cause MMR and IMR. SEZ in pregnant women can cause complications such as IUGR, Abortion, LBW, Circulation, Anemia, Bleeding, and Childbirth complications. Research Objective: Providing Comprehensive Midwifery Care in accordance with midwifery care standards starting from pregnancy, childbirth, postpartum, newborn, and family planning in Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) and Chepalo Pelvic Disproportion (CPD) with a midwifery management approach according to Varney and SOAP. Research Methods: Descriptive Qualitative with Case Study approach Results: Comprehensive Midwifery Care on Mrs. A aged 22 years with SEZ can be overcome by an increase in LILA, there is a CPD so that SC delivery is performed and appropriate case management is carried out so that labor, newborn, postpartum period, and family planning goes well. Conclusion: The results of the comprehensive care given to Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) can be resolved marked by an increase in LILA, SC delivery on indications of CPD, normal LBW, normal postpartum, and mini pill birth control.

Physiotherapy plays an important role in promotive and preventive efforts through education for the community, including children’s health posts (posyandu). Children aged 1–5 years often experience eating difficulties that reduce appetite, increasing the risk of malnutrition and growth retardation. Low appetite is often related to oral-motor function disorders, such as difficulty chewing or swallowing. This activity aimed to increase mothers’ knowledge about oral-motor-sensory stimulation as an effort to improve children’s appetite. The community service program was conducted at Posyandu RW 02, Kota Lama Subdistrict, Malang City, involving 15 mothers or caregivers of toddlers. The method included physiotherapy counseling using interactive discussions and poster media, with knowledge evaluation through pre-test and post-test. The results showed a significant improvement in participants’ knowledge, from 0% in the pre-test to 85% in the post-test. This counseling effectively enhanced mothers’ understanding and practical skills in performing oral-motor-sensory stimulation independently at home. With regular implementation, this stimulation is expected to increase children’s appetite, improve nutritional status, and support optimal growth and development. Moreover, it reinforces the role of physiotherapy in preventing nutritional problems and improving the quality of life of children from an early age.

Background: Globally, stunting in children under five years old in 2022 is around 22.3% or 148 million children under 5 years old. In Southeast Asia alone, the prevalence of stunting is 26.4% or 14.4 million. Objective: This study was to determine the correlation complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Methods: This research is a quantitative study observational analytic design with a case control approach. The sample is 42 toddlers and using purposive sampling technique. Data collection tools use observation sheets and the chi-square test. Findings: The results of the chi square statistical test obtained a p-value of 0.005 <0.05 (OR = 6.400 (95% CI (1.654 - 24.770)). There is a significant relationship between complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Implication: Complete basic immunization has a significant impact on the growth and development of toddlers