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Dhea Ayu Retno Palupi; Enny Yuliaswati

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Background: Dysmenorrhea is a common menstrual pain experienced by adolescent girls, often interfering with daily activities. Curcuma xanthorrhiza contains curcuminoids with anti-inflammatory and analgesic properties, making it a potential non-pharmacological treatment for menstrual pain. A preliminary study in Batuwarno Village showed a high prevalence of dysmenorrhea among adolescents. Objective: To determine the effect of Curcuma xanthorrhiza consumption on the reduction of dysmenorrhea in adolescents in Batuwarno Village. Methods: This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 24 adolescent girls with dysmenorrhea, selected using consecutive sampling. The intervention involved administering 200 ml of boiled Curcuma xanthorrhiza twice a day for one day. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon test. Results: The average pain score before the intervention was 6.54, and after the intervention, it decreased to 1.50. The Wilcoxon test yielded a Z value of -4.448ᵇ, where the negative Z value indicates that the more the intervention is given, the more the experienced pain decreases. The resulting p-value was 0.000 (p < 0.05), indicating a significant effect of Curcuma xanthorrhiza administration on the reduction of dysmenorrhea. Conclusion: Curcuma xanthorrhiza is effective in reducing dysmenorrhea in adolescents and can be considered a non-pharmacological alternative for managing menstrual pain.

Mumtaz Alvira; Zahrawanda Ashfarina Muslim; Zikra Ihtasya Annabila; Muhammad Daniyal; Jarita Jarita +1 more

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.

Selvia Apriliani1; Maryam Maryam; Nurhidayah Nurhidayah

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Anomalous positioning is an abnormal position of the fetal vertex (with the small fontanelle as a marker) relative to the maternal pelvis. Oblique malposition is a cause of maternal mortality rate (MMR) of 3-10%. Obesity in pregnancy is a condition characterized by an imbalance between body weight and height. According to WHO data, the prevalence of obesity in 2021 was 340 million, with data in Central Java province reaching 6.62%. In Brebes Regency, the figure was 20.51% (2019). In the Bumiayu Community Health Center, data on obesity in pregnant women reached 63 in 2022. This study aims to provide comprehensive midwifery care for pregnant women, childbirth, postpartum, newborns, and family planning for Mrs. N, 23, with malposition and obesity. This study used a qualitative descriptive method with a comprehensive case study approach. Based on the comprehensive midwifery care provided to Mrs. N, 23, with malposition and obesity, the pregnancy outcome was found to be grade I. Her gestational age was not commensurate with her gestational age. Delivery was performed by vaginal delivery. No problems were found during newborn care up to 28 days. No problems were found during the postpartum period. Mrs. N chose intrauterine contraception (IUD) during pregnancy, but her husband did not allow it due to religious reasons. Appropriate midwifery care during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby. This allows early detection of risk factors, preventing potential complications, and reducing maternal and infant mortality.

Debita Syahira; Elli Kusmayanti

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Immune Thrombocytopenic Purpura (ITP) is a bleeding disorder characterized by a low platelet count (<100,000/µL) caused by decreased platelet production or opsonization by antibodies, leading to platelet destruction by the reticuloendothelial system. ITP is one of the most common etiologies of bleeding disorders, especially in children. The prevalence of ITP in children is estimated to be around 1.9 to 6.4 cases per 100,000 children annually, while in adults, the prevalence is lower, at about 3.3 cases per 100,000 people per year. In the United States, the incidence of ITP is reported to be around 1.6 per 10,000 people annually. Clinical manifestations of ITP include petechiae, purpura, and/or ecchymosis, which are usually found on the upper and lower extremities. Mucocutaneous bleeding symptoms such as epistaxis and gum bleeding are also common in patients. These symptoms can vary depending on the severity of thrombocytopenia and individual responses to the condition. Diagnosis of ITP is made through a thorough medical history, physical examination, and rapid supportive tests to confirm the diagnosis and differentiate ITP from other conditions with similar symptoms. Proper and timely management is crucial to prevent further complications, including more severe bleeding or organ damage. With effective management, the quality of life of patients can be improved, and the risks associated with ITP can be minimized. Therefore, early detection and optimal management are key in addressing ITP, particularly in children who are more vulnerable to this bleeding disorder.

Filep Marfil Tarangi; Amanda G. Manuputty

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Molluscum contagiosum (MC) is a skin infection caused by the Molluscipox virus and is common in children and adults with active sexual activity. The disease is characterized by the appearance of small, smooth, papule-shaped lesions that have a hollow in the center (umbiliation). MC transmission takes place through direct contact with contaminated lesions or objects, such as towels and clothing, so the spread is quite wide globally. The diagnosis is established through an anamnesis, clinical examination, and physical evaluation. MC therapy is generally supportive, but in certain cases medical measures such as excision and curettage are required to remove the lesion effectively. The use of topical creams containing Fusidic acid, such as Fucilex cream, is often recommended to prevent secondary infections and speed up the postoperative healing process. Proper and prompt treatment is essential to prevent further complications and speed up the patient's recovery. MC has a psychosocial impact, especially on children, so education to parents and health workers is an important part of the treatment strategy. Prevention can be done through increased personal hygiene and avoidance of contact with contaminated objects. The study emphasizes the importance of a holistic approach in diagnosis, therapy, and education to reduce the prevalence of MC and its impact on public health.

Meylissa Meylissa; Dian Rahayu; Diana Lestari

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Background: Regular physical activity has a significant impact on improving the quality of health in all age groups. One of the main factors causing the increasing prevalence of Non-Communicable Diseases (NCDs) such as diabetes, heart disease, and obesity is lack of physical activity. Data from various studies show that increasing physical activity and fitness levels can reduce the relative risk of death by 20% to 35%. This condition shows that physical activity is not only important for maintaining fitness, but also has a vital role in preventing premature death caused by chronic diseases. Objective: This study aims to systematically examine the benefits of physical activity on health and fitness through a systematic review of 13 relevant scientific articles. Results: The findings show that regular physical activity can improve and maintain muscle and bone health, reduce the risk of chronic diseases such as diabetes, heart disease, and obesity, and reduce symptoms of mental disorders such as depression and schizophrenia. In addition, physical activity also plays a role in improving psychological well-being. Conclusion: Consistent physical activity contributes to the primary and secondary prevention of various chronic diseases, reduces the risk of premature death, maintains a balanced body composition, and supports optimal organ function. This results in a healthier, fitter body, and individuals being more productive in their daily activities.  

Vorella Hani Agustin; Virginia Alegra Prameswari; Yosia Putra Pratama; Dwi Yogo Budi Prabowo; Swanny Trikajanti Widyaatmadja +3 more

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion or function. The prevalence of diabetes continues to increase in Indonesia, particularly among adults and the elderly, requiring comprehensive and sustainable management. Diabetes management is not limited to pharmacological therapy but also includes non-pharmacological approaches such as dietary management, physical activity, and health education. One form of physical activity recommended for diabetes sufferers is diabetes exercise. This study aims to determine the effect of diabetes exercise on reducing blood glucose levels in diabetes mellitus patients enrolled in the Chronic Disease Management Program (Prolanis) at the Gunungpati Community Health Center (Puskesmas). The study used a quantitative approach with a one-group pretest-posttest pre-experimental design. A total of 30 respondents were randomly selected from the Prolanis patient population, and blood glucose levels were measured before and after the diabetes exercise intervention. The intervention was carried out routinely and structured over a certain period. The analysis using the Wilcoxon Signed Ranks test showed a statistically significant decrease in blood glucose levels after diabetes exercise, with a p-value of 0.000 (p < 0.05). The average blood glucose level decreased from 260.27 mg/dL to 211.33 mg/dL. This study concluded that diabetes exercise is effective as a non-pharmacological intervention in helping control blood glucose levels. Therefore, routine implementation of diabetes exercise in primary healthcare facilities needs to be promoted as a simple, effective, and affordable promotive and preventive strategy.  

Nura Shara Amirza; Nazariah Nazariah; Rina Hasnita; Dharina Baharuddin; Meutia Zahara

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Hypertension is a non-communicable disease (NCD) with a high prevalence in Indonesia and is a major cause of serious complications, such as stroke, kidney failure, and heart disease. The high incidence of hypertension makes this disease a primary focus of NCD control efforts at the primary healthcare level. The Ulee Kareng Community Health Center has implemented a sustainable hypertension control program for the past three years with the aim of reducing the incidence of complications and improving patients' quality of life. This study aims to evaluate the implementation of the hypertension control program using a logic model framework that encompasses five aspects: input, process, output, outcome, and impact. The research method used is descriptive analytic with a mixed methods approach, combining quantitative and qualitative data to obtain a comprehensive overview of program implementation. The results indicate that the hypertension control program at the Ulee Kareng Community Health Center has had a positive impact. In terms of output and outcome, there has been an increase in patient compliance with therapy prescribed by healthcare professionals, a decrease in blood pressure in the majority of patients, and a decrease in the number of hypertension-related complications. This indicates that the program is quite effective in achieving its intended goals. However, several challenges remain. The main problems lie in the suboptimal data recording system and the suboptimal delivery of health education. To improve the program's effectiveness in the future, recommendations include strengthening the monitoring and evaluation system, increasing the capacity of health workers and cadres through training, and developing innovative media and educational strategies to make information more easily understood and applied by the public.

Kurnia Lintang Larasati; Bambang Budi Raharjo

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

Central Java Province targets a 16% reduction in stunting by 2023, with the prevalence having been reduced from 31.2% in 2018(Riskesdas, 2018) to 20.8% in 2022 (SSGI). The causes of stunting in Central Java include a lack of knowledge about balanced nutrition, proper parenting, and lack of access to proper drinking water and sanitation. This study aims to determine the implementation of the Central Java Provincial Health Office strategy in reducing stunting rates. The study used a qualitative design with descriptive methods and in-depth interviews, involving samples from the Health Office, TP-PKK, and Head of Puskesmas through snowball sampling techniques. The results showed that implementation at the Puskesmas level has not been optimal, with low community participation. Semarang City has many stunting reduction programs, in contrast to Brebes Regency. The overall provincial target has been achieved, but operational funding constraints hinder optimal program implementation.

Annisa Syafa Nursabilla; Indra Tri Astuti; Nopi Nur Khasanah

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

The 2022 SSGI data show that 20.8% of children under five in Central Java experience stunting, with the highest prevalence found in Brebes Regency at 29.1%. Mothers play a crucial role in preventing stunting among children. Health education utilizing digital technology is one of the strategies that can be applied to address this issue. This study aimed to determine the effectiveness of digital technology–based health education on improving mothers’ knowledge regarding stunting prevention in Bojong Village, Brebes Regency. A quasi-experimental design with a pre–post test control group was employed, involving 42 respondents divided into an experimental group (education through video followed by WhatsApp Group follow-up) and a control group (oral education). The results showed a significant increase in knowledge scores in both groups (p<0.05), from 2.71 to 9.9 in the experimental group and from 3.76 to 7.76 in the control group. It can be concluded that nutritional education delivered through both digital media and oral communication is equally effective in improving mothers’ knowledge about stunting prevention.

Tri Muhammad Akbar; Eva Mayasari; Rika Mianna; Jufenti Ade Fitri

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Anemia is a public health problem widely experienced by adolescents, particularly in developing countries, including Indonesia. Low levels of knowledge about anemia contribute to its high prevalence. This study aimed to determine the effectiveness of educational videos in improving knowledge about anemia among adolescents at SMP Plus At-Thoiba Pekanbaru. This research employed a quasi-experimental design with a one-group pretest-posttest approach. The population consisted of all eighth-grade students at SMP Plus At-Thoiba Pekanbaru, totaling 17 respondents, selected through total sampling. The instrument used was an anemia knowledge questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test due to non-normally distributed data. The results showed an increase in the mean knowledge score from 9.59 before the intervention to 12.41 after the intervention. The Wilcoxon test yielded a p-value of 0.000 (p < 0.05), indicating a significant difference between pretest and posttest scores. A total of 94.1% of respondents experienced an increase in knowledge after watching the educational video. The study concludes that educational videos are effective in increasing adolescents’ knowledge about anemia. This medium can serve as an appropriate alternative in school health promotion programs to prevent anemia among adolescents.  

Enggar Enggar; Zainal Fatah; Kristyan Dwijosusilo; Ika Devy Pramudiana

RISOMA : Jurnal Riset Sosial Humaniora dan Pendidikan 2025 Asosiasi Ilmuwan Pendidikan, Sosial, dan Humaniora Indonesia

Stunting remains a significant health problem in rural areas, particularly due to the lack of father involvement in child care. The “Bapakku Hebat” program initiated by the Omben Health Center emerged as a breakthrough to strengthen the role of fathers in stunting prevention efforts through family health posts. This study adopted a qualitative descriptive approach to investigate the implementation, effects, and barriers of the program. The research findings indicated an increase in father involvement in health post activities, nutrition counseling, and child health monitoring. The program successfully reduced the prevalence of stunting risk by 10% in a year by increasing health post coverage and changing family behavior in providing nutrition. Key driving factors included inter-sectoral collaboration with village governments, health cadres, and farming communities that strengthened social networks and local resources. However, challenges remain, such as budget constraints, a lack of male cadres, and the influence of cultural norms that consider childcare as a woman’s responsibility. The “Bapakku Hebat” program shows that active father involvement can increase family awareness of the importance of fulfilling children’s nutrition. These findings emphasize the importance of gender-sensitive family health policies and cross-sectoral support to ensure the sustainability of the program. This research is expected to be a reference for other regions in implementing similar innovations to reduce the prevalence of stunting and improve the quality of child care. Furthermore, the success of the "My Great Father" program also demonstrates the importance of a community-based approach in public health interventions. The direct involvement of community leaders, religious leaders, and farmer groups in the program's outreach and implementation has proven effective in building a sense of ownership and increasing active community participation, particularly among fathers.

Nabilla Anna Chressia; Rizki Yeni Wulandari; Surmiasih Surmiasih

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

WHO (2020) found that in various hospitals around the world the incidence of patient falls per year ranged from 3.2 - 16.6% or 700,000 -1,000,000 in the United States, England, Denmark and Australia. Data in Indonesia recorded 34 cases of patient falls or equivalent to 14% of fall incidents in hospitals in Indonesia, data from Bhayangkara Hospital has a high prevalence of fall risk, reaching 10.07% or around 1,975 people, especially in the hemodialysis room. One of the unexpected events is the incident of a patient falling, caused by various things, this is also related to the knowledge of nurses in preventing the risk of falls in patients. Objective: To find out efforts to improve nurses' knowledge in preventing the risk of falls in the HD room at Bhayangkara Hospital, Lampung Province.The data collection method carried out on August 20, 2024 was through interviews, documentation studies, and observations. From the pre-survey data, it was found that nurses' knowledge was lacking because there were still incidents of patients falling in the hemodialysis room. The results of the Nursing Management problems found were that the prevention of the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital was not optimal, the number of nurses in the HD room itself was 19 nurses, 11 of whom had undergone training. The activity plan carried out was education about the importance of nurses' knowledge in optimally preventing the risk of falling in patients. The implementation of the activity was carried out on December 14, 2024 by means of education on the prevention of the risk of falling in patients with a Morse fall scale assessment. After education was carried out on the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital, the results showed an increase in nurses' knowledge about the risk of falling, as evidenced by the pre-test results of 50-70% and the post-test results of 70-90. It is hoped that with the increase in nurses' knowledge, they can optimize the prevention of the risk of falling in the HD room. So that it can make the quality of nurse services to patients more optimal.  

Siti Hardiyanti; Nur Azizah; Lidya Natalia Sinuhaji; Debby Chintya Yun; Marsha Adelia

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Background: Stunting is a chronic nutritional problem in toddlers caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). One of the main factors that influence the incidence of stunting is exclusive breastfeeding and maternal nutritional knowledge. Indonesia still faces a high prevalence of stunting, which if not addressed immediately can impact the quality of human resources in the future.Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021.Method: This study used a case control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and processed using the Chi-Square test. Results: The results showed a significant relationship between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant relationship between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant relationship. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

Ratu Shafa Aqilla

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

One of the key indicators of nation’s health development is life expectancy, which reflects the overall quality of public health. As life expectancy increases, the prevalence of non-communicable diseases (NCDs) also tends to rise, with Type 2 Diabetes Mellitus (DM) being one of the most common. In Indonesia, the number of individuals with Type 2 DM has reached approximately 10.7 million, and this figure is projected to increase significantly to 21.3 million cases by 2030, posing a serious public health challenge. This study aimed to describe the process of clinical nutrition care based on the Nutrition Care Process (NCP) for a patient diagnosed with Radiculopathy accompanied by Non-Insulin-Dependent Diabetes Mellitus (without complications), Essential (Primary) Hypertension, Spondylosis, and Spinal Stenosis, through the application of a regulated diabetic diet (DM RG) during hospitalization. The case study was conducted in November 2024 at RSI Ayani Surabaya and involved systematic monitoring of food intake and clinical outcomes during treatment. Findings indicated that within three days of observation, the patient’s dietary intake reached the target goals, demonstrating effective implementation of the prescribed meal plan. From physical and clinical monitoring, a notable decrease in blood pressure was observed on the second and third days, suggesting improvements in cardiovascular response to dietary management. Additionally, the patient’s temperature, pulse, respiratory rate, and oxygen saturation remained within the normal range throughout the treatment period, further supporting the effectiveness of the intervention. These results emphasize the importance of structured nutrition care in managing patients with multiple comorbidities, particularly those with diabetes and hypertension, as dietary regulation plays a central role in stabilizing health conditions. Overall, the study demonstrates that the application of the NCP framework combined with consistent monitoring can lead to positive patient outcomes and highlights its potential as a model for improving clinical nutrition management in hospital settings.

Minan Minan; Teguh Endi Widodo; Tutik Asmorowati; Ruminingsih Ruminingsih; M. Fikri Jauhari +1 more

Jurnal Pengabdian Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Child marriage remains a serious problem in Indonesia despite the revision of the Marriage Law, which raised the minimum age for marriage to 19 for both men and women through Law No. 16 of 2019. This practice remains widespread, especially in rural areas with a high prevalence due to economic and cultural factors, the existence of marriage dispensation mechanisms, and low legal literacy. The phenomenon of child marriage has multidimensional impacts, including reproductive health risks, high school dropout rates, low quality human resources, economic vulnerability, and psychological problems that can ultimately lead to high divorce rates and intergenerational structural poverty. Through Community Service Activities (PKM), prevention efforts are carried out by providing legal education and outreach regarding the risks of early marriage. Methods used include lectures, presentations, modeling, role plays, and small group discussions involving teenagers, parents, traditional leaders, and religious leaders. The results of the activities showed a significant increase in legal understanding, where 85% of participants were aware of the minimum age for marriage according to the latest regulations. Furthermore, there was increased awareness of the negative impacts of child marriage and a growing commitment from community leaders to continue ongoing outreach. The conclusion of this activity confirmed that marriage law education is an effective strategy in raising public awareness. However, preventing child marriage cannot rely solely on legal outreach; it needs to be strengthened through cross-sector collaboration, integration of materials into the school curriculum, family economic empowerment, and strengthening the role of religious and traditional leaders in shaping social opinion. Therefore, efforts to prevent early marriage require a more holistic, participatory, and sustainable strategy to protect children's rights and realize the development of a quality future generation.

Minan Minan; Teguh Endi Widodo; Tutik Asmorowati; Ruminingsih Ruminingsih; M. Fikri Jauhari +1 more

Jurnal Pengabdian Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Child marriage remains a serious problem in Indonesia despite the revision of the Marriage Law, which raised the minimum age for marriage to 19 for both men and women through Law No. 16 of 2019. This practice remains widespread, especially in rural areas with a high prevalence due to economic and cultural factors, the existence of marriage dispensation mechanisms, and low legal literacy. The phenomenon of child marriage has multidimensional impacts, including reproductive health risks, high school dropout rates, low quality human resources, economic vulnerability, and psychological problems that can ultimately lead to high divorce rates and intergenerational structural poverty. Through Community Service Activities (PKM), prevention efforts are carried out by providing legal education and outreach regarding the risks of early marriage. Methods used include lectures, presentations, modeling, role plays, and small group discussions involving teenagers, parents, traditional leaders, and religious leaders. The results of the activities showed a significant increase in legal understanding, where 85% of participants were aware of the minimum age for marriage according to the latest regulations. Furthermore, there was increased awareness of the negative impacts of child marriage and a growing commitment from community leaders to continue ongoing outreach. The conclusion of this activity confirmed that marriage law education is an effective strategy in raising public awareness. However, preventing child marriage cannot rely solely on legal outreach; it needs to be strengthened through cross-sector collaboration, integration of materials into the school curriculum, family economic empowerment, and strengthening the role of religious and traditional leaders in shaping social opinion. Therefore, efforts to prevent early marriage require a more holistic, participatory, and sustainable strategy to protect children's rights and realize the development of a quality future generation.

Amelia Putri Az Zahra; Pramesti Listanto; Latifa Alya Khairunnisa; Juwita Ramadhani Octavianingrum; Liss Dyah Dewi Arini

Jurnal Mahasiswa Ilmu Kesehatan 2025 STIKes Ibnu Sina Ajibarang

Acinetobacter baumannii is a major pathogenic bacterium causing nosocomial infections, known to exhibit high levels of resistance to various antibiotic classes, including β-lactams and aminoglycosides. This widespread resistance poses a significant challenge in hospital patient management, particularly in cases of severe and difficult-to-treat infections. This study aimed to analyze the resistance patterns of A. baumannii to four types of antibiotics in patients with various blood types at Dr. Soeradji Tirtonegoro General Hospital, Klaten. The research method used was a qualitative approach with a case study design. Data were obtained through in-depth interviews with healthcare workers, analysis of patient medical records, and limited observation of clinical practice. The focus of the study was directed at the relationship between patient blood type and the level of antibiotic resistance of A. baumannii. The results showed variations in resistance patterns based on blood type. Patients with blood type AB showed the highest level of resistance to all tested antibiotics, with a prevalence of multidrug resistance (MDR) reaching 85%. In contrast, patients with blood type O showed the lowest resistance and the highest proportion of non-MDR isolates compared to other groups. These findings indicate the role of host factors, namely blood type, in influencing the level of resistance of A. baumannii. The suspected mechanisms involved include differences in surface antigens that influence bacterial adhesion, biofilm formation, and the host immune response. The practical implication of this study is the need to consider blood type as a factor in empirical antibiotic therapy, especially in cases of nosocomial infections caused by A. baumannii.

William Jhonatan; Novriyenni Novriyenni; Marto Sihombing

Neptunus: Jurnal Ilmu Komputer Dan Teknologi Informasi 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Rapid technological advancements have brought convenience to various fields, including healthcare. Osteoarthritis (OA) is a chronic degenerative joint disease that often affects the knees and hips, particularly in the elderly, and is a major cause of pain, joint dysfunction, and reduced quality of life. The prevalence of OA increases with age, with risk factors such as obesity, excessive activity, and muscle weakness. Early and accurate diagnosis is essential for appropriate treatment. This study aims to develop a diagnostic system for inflammatory arthritis, specifically osteoarthritis, using the Dempster-Shafer method. This method was chosen because of its ability to combine various evidence and expert beliefs to produce a more accurate diagnosis. By utilizing mathematical proof theory, this system is expected to assist medical personnel in detecting OA symptoms more efficiently. The research findings are expected to contribute to the healthcare sector, particularly in improving the accuracy of osteoarthritis diagnosis, allowing for earlier and more appropriate treatment. This system can also be a supporting tool for doctors and patients in understanding joint health conditions.

Rahsunji Intan Nurvitasari

Jurnal Pengabdian Masyarakat Waradin 2025 Sekolah Tinggi Ilmu Ekonomi Pariwisata Indonesia Semarang

Hypertension is a Non-Communicable Disease (NCD) whose prevalence continues to increase from year to year, especially in the elderly. This condition is a serious challenge in the field of public health because hypertension can increase the risk of cardiovascular disease, stroke, and kidney failure if not properly managed. The high incidence of hypertension in the community, especially in Grujugan Hamlet, RT. 07–10, Bantul Village, has become a concern in community-based promotive and preventive efforts. Therefore, this community service activity aims to increase the knowledge and awareness of the elderly about hypertension through a direct screening and health education approach. The implementation method includes blood pressure checks (initial screening), counseling using educational media such as leaflets, posters, and interactive presentations, and evaluation of understanding through filling out pre- and post-tests. A total of 24 elderly people participated as respondents in this activity. The screening results showed that the majority of participants (62.5%) were in the Hypertension Level 2 category, while the other 8.3% were in the Hypertension Crisis category. Before the education, pre-test results showed that 58.3% of elderly people had low knowledge about hypertension. However, after the education, 75% experienced an increase to a high level of knowledge. Statistical analysis using the Wilcoxon Signed Rank test showed a significant difference between pre-test and post-test scores (p < 0.001), indicating that the health education provided was effective in improving participants' understanding. This activity has had a positive impact on improving health literacy and can serve as the basis for developing sustainable, community-based, participatory hypertension prevention programs.