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The incidence of dysmenorrhea in Indonesia is 107,673 individuals (64.25%), consisting of 59,671 individuals (54.89%) experiencing primary dysmenorrhea and 9,496 individuals (9.36%) experiencing secondary dysmenorrhea. In Kendal Regency, the number of adolescent girls experiencing dysmenorrhea in 2014 was 11,570, while in 2015, the number was 11,565 (29.8%).Several factors that trigger the increase in the incidence of dysmenorrhea among adolescents include sleeping quality. This study determined the correlation between sleeping quality and the incidence of dysmenorrhea in adolescents at Public VHS 5 Kendal. The research used observational analytics with a cross-sectional approach. The population in this study consisted of 10th and 11th-grade female students. The sampling technique was purposive sampling, resulting in a sample size of 63 respondents. The statistical test was the normality test using the Kolmogorov-Smirnov method followed by the Wilcoxon test, and a p-value of 0.000 was obtained, accepting Ha or indicating a correlation between sleeping quality and the incidence of dysmenorrhea among female students at Public VHS 5 Kendal. The researcher expects the results of this research can serve as educational material on the importance of consistently maintaining sleep quality to prevent worsening dysmenorrhea.

Premature rupture of membranes is the breaking of the membranes before there are signs of labour. The incidence of premature rupture of membranes occurs in 10-12% of all pregnancies. In a term pregnancy, the incidence is 6-19%, while in preterm pregnancy it is 2-5%. The purpose of this study was to find out the effect of education using booklet media on the knowledge of primigravida mothers regarding premature rupture of membranes in the working area of the Mubune Health Centre, West Likupang District. The research was conducted using the One Group Pre-test - Post-test Design research method. The sample of respondents was 24 respondents using purposive sampling technique. Data collection using questionnaires and observations. Furthermore, the data that has been collected was processed by running the SPSS version 26 program to be analysed with the Wilcoxon Signed Rank Test statistical test. The results showed that most of the primigravida mothers before being given education had poor knowledge. After being given education through booklet media, most respondents had good knowledge. The results of the Wilcoxon Signed Rank Test test obtained the value of Asymp. Sig (2-tailed) is smaller than the alpha value (α) 0.05.

Nutrition is very important in human development and growth. The 2021 edition of UNICEF-WHO-WORLD BANK states that 148.2 million children aged 0-5 years worldwide are stunted, 38.9 million are overweight, and 45.4 million are severely wasted. Nutritional problems often occur at the age of 6-24 months due to inadequate nutrition because of lack of mother's knowledge, therefore it is necessary to carry out interventions to increase mother's knowledge regarding balanced nutrition of children under two. The purpose of this study was to determine the effect of health promotion media on changes in the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe. This research method used quasi-experimental quantitative research with a one group pretest-posttest design and involved 51 children under two years. The data collection technique used was purposive random sampling. The data collected is primary data in the form of body weight which is limited to nutritional status based on body weight/age. The results showed that the nutritional status of children under two years was 92.1% in the good nutritional status category after the intervention. The change in nutritional status from malnutrition to normal nutrition from the results of the prostest compared to the pretest was 27.4%. The use of health promotion media has an effect on malnutrition status based on the Wilcoxon test with a p-value of 0.029. The conclusion of this study is that there is an effect of health promotion media on the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe.

The purpose of this study was to determine the application of jenga for question card media to improve knowledge and attitudes of 16-18 year old adolescents about vegetables and fruits at State Senior High School 2 Bangkalan. This type of research is quasi-experimental with a nonequivalent control group design. The sample in this study was 98 16-18 year old adolescents at State Senior High School 2 Bangkalan using non-random techniques. This study used a cooperative learning method with jenga for question cards. Respondents will take blocks on jenga if the respondent takes red then they will take a red question card and the respondent answers the question. Data on knowledge mastery of vegetable and fruit consumption were taken from multiple-choice tests and data on vegetable and fruit consumption attitudes using a Likert scale questionnaire. Because the data were not normally distributed, the data were analyzed by non-parametric statistics, namely Wilcoxon and Mann Whitney. The results showed that there was an increase in knowledge of 24 points and attitudes of 21.6 points after being given nutrition education.  The results of the bivariate test of the differences and effects of vegetable and fruit consumption nutrition education with jenga for question card media on the mastery of knowledge and attitudes have a p-value of 0.000. Vegetable and fruit consumption nutrition education with jenga for question card media has a significant effect on the mastery of Knowledge and Attitudes of 16-18 year old adolescents at State Senior High School 2 Bangkalan.

This research is motivated by the existence of inappropriate behavior in a student who often justifies his behavior even though the behavior he shows is wrong. The objective to be achieved in this study is to determine whether there is a significant difference before and after classical psychoanalytic counseling is carried out on rationalization behavior towards the client. This research method uses a pre-experimental one group, pre-test-post test approach. The population is one of the students of the State Islamic University of Bukittinggi. The data is processed using the Statistical Product and Service Solution (SPSS) version 26 program using the Wilcoxon test. The results obtained in this study were changes in values ​​between before and after counseling. Which means that there is a change in rationalization behavior before and after treatment is given. So it can be concluded that classical psychoanalytic counseling can be carried out in handling rationalization behavior towards the client. So, it is recommended that counselors when conducting counseling can use the classical psychoanalytic counseling model in dealing with one of the client's inappropriate behaviors, especially rationalization behavior.    

Anemia merupakan kondisi medis yang ditandai dengan jumlah atau fungsi sel darah merah tidak mencukupi untuk memenuhi kebutuhan oksigen di seluruh tubuh. Aktivitas begadang atau kurang tidur dapat mempengaruhi kesehatan secara keseluruhan, termasuk meningkatkan risiko anemia. Salah satu upaya yang dilakukan untuk meningkatkan pemahaman remaja tentang anemia yaitu dengan dilakukan edukasi melalui media poster. Tujuan penelitian ini untuk mengetahui efektivitas pemberian media poster tentang penyakit Anemia terhadap perilaku remaja adiksi game online di SMA Negeri 6 Gorontalo. Jenis penelitian kuantitatif pendekatan quasi-eksperiment design dengan menggunakan one group pretest-posttest design. Populasi dalam penelitian ini seluruh siswa yang gemar bermain game berjumlah 86 siswa dengan sampel penelitian sebanyak 30 siswa menggunakan simple random sampling. Analisis data menggunakan univariat dan bivariat dengan statistik uji Wilcoxon signed ranks test. Hasil penelitian menggunakan uji Wilcoxon signed ranks test didapatkan pengetahuan nilai p value = 0,000 < 0,05, durasi bermain nilai p value = 0,000 < 0,05 dan pola tidur nilai p value = 0,000 < 0,05. Menunjukkan bahwa terdapat perbedaan yang signifikan sebelum dan sesudah diberikan media poster. Artinya media poster efektif terhadap perilaku pada remaja adiksi game online di SMA Negeri 6 Gorontalo. Diharapkan penelitian ini dapat dijadikan sebagai bahan informasi untuk mengetahui tentang risiko anemia terhadap adiksi game online guna diterapkan dalam kehidupan sehari-hari mulai dari pola aktivitas yang baik dan tidak baik serta dapat terus saling memberikan edukasi risiko anemia pada teman-teman sekitar.

Musculosceletal trauma is one of the common injuries that occur among adolescents, particularly in the school environment. Knowledge about splint bandaging is crucial to prevent further complications. The use of video-based education media is considered effective in improving adolescents understanding of splint bandaging. This study aimed to assess the effectiviness of video-based education in increasing adolescents knowledge about splint bandaging. This research employed a pre-experimental design with a one-group pretest-posttest approach. The research sample consisted is students, totaling 34 respondents selected using accidental sampling. The research instrument was a knowledge questionnaire. Data were analyzed using the wilcoxon signed Rank Test Results showed that before intervention, most respondents had a low level of knowledge, with 26 respondents (76.5%) categorized as poor. After the intervension, a significant improvement was observed, with all respondents (100%) classified as having good knowledge . The Wilcoxon Signed Rank Test showed a P-Value = 0,000 < α 0,05. It can be concluded that video-based education is effective in improving adolescents knowledge regarding splint bandaging.  

Handwashing with soap is a fundamental sanitation practice proven effective in preventing the spread of various infectious diseases. In the workplace, particularly in the food industry, the implementation of handwashing with soap is essential to protect workers’ health and ensure product quality and safety. Observations at the Kahiji Snack factory in Tasikmalaya City indicated that the practice of handwashing with soap remains relatively low. To address this issue, counseling sessions and the installation of educational posters were conducted to enhance workers’ knowledge and awareness of clean and healthy behavior in the workplace. The methods used included an initial survey, interviews, educational sessions, and the distribution of posters and hand soap. The Wilcoxon test results showed a significant improvement in workers' knowledge, with an average post-test score of 9.86 compared to the pre-test score of 6.57 (p = 0.041).

The main health issue faced by Indonesian society today is Dengue Hemorrhagic Fever (DHF).This disease is caused by the bites of Aedes aegypti and Aedes albopictus mosquitoes. The objective of this study is to determine the effect of health education using leaflets and videos on the preventive behavior of dengue fever in Melonguane Village.The research uses a pre-experimental design with the Two Group Pre-test – Post-test Design method.The sample in this study consisted of 32 respondents.Data collection on preventive behavior was conducted using a questionnaire and analyzed using the Wilcoxon statistical test.The research results obtained in the leaflet intervention group showed that before the intervention, the most common behavior was poor, with 7 respondents (43.8%), while after the intervention, the most common behavior was good, with 8 respondents (50.0%).The research results for the video intervention group showed that the most common behavior before the intervention was poor and fair, with 7 respondents (43.8%), whereas after the intervention, the most common behavior was fair, with 10 respondents (50.0%). The Wilcoxon test results for the intervention group with the leaflet showed a p-value of 0.007, which is < α 0.05.Meanwhile, in the video intervention group, a p-value of 0.008 was obtained, which is < α 0.05.Conclusion: There is an influence of health education using leaflet and video media on the preventive behavior of DBD disease in Melonguane Village.Suggestion: Respondents are expected to apply the information obtained from this health education in their daily lives and to disseminate knowledge to family members and the surrounding community

Breast Milk is a food source that contains complete nutrition for babies. One of the factors that influences failure in providing breast milk is lack of knowledge. The purpose of this study was to determine the effect of education through booklet media on the knowledge of postpartum mothers in providing breast milk to babies aged 0-3 days at Manembo-Nembo Hospital Type C Bitung. The method used in this study was a pre-experiment with a one group pre and post design research design. The sample taken was 35 respondents using Total Sampling. Data collection used SAP and questionnaire sheets. The collected data were processed using the IBM SPSS Version 23 computer. For the analysis test using Wilcoxon with a significance level (α <0.05). The Wilcoxon statistical test obtained a value of ≤ ρ = (α<0.000). This means that Ha is accepted or there is a significant influence between the influence of education through booklet media on the knowledge of postpartum mothers in providing breast milk to infants aged 0-3 days

Working mothers, having a dual role as a housewife and a worker outside the home is certainly not an easy thing to do because working mothers are faced with two demands that must be carried out simultaneously and must be fulfilled in a balanced way, which if these demands are not met will cause conflict that has an impact on decreased well-being, stress and decreased positive emotions and increased negative emotions. The purpose of this study was to determine the effect of forgiveness training on the subjective well-being of working mothers. The research design used a pretest posttest control group design experiment with 32 subjects divided into 16 people as the experimental group and 16 people as the control group using random assignment. Data collection used the Satisfaction with Life Scale (SWLS) and the Scale of Positive and Negative Experience (SPANE) to measure subjective well-being. Data analysis used the non-parametric Mann Whitney test and the Wilcoxon test. The results of the analysis showed a p value = 0.000 (p <0.05), so it can be concluded that forgiveness training has an influence in increasing the subjective well-being of working mothers.

This study is to find out how using Instagram for digital marketing affects the rise in brand recognition among small businesses that make things in Malang City. This study uses a quasi-experimental design with both a control group and an experimental group. It then analyzes the data using the Wilcoxon Signed-Rank Test. The study's results demonstrate that digital marketing methods led to a big rise in all measures of brand awareness, such as recall, recognition, purchase, and consumption. The p-value from the difference test shows that social media marketing works to make people more aware of your brand. This study argues that small and medium-sized businesses (SMEs) should make the most of Instagram to improve their marketing and engagement.

Background: Dysmenorrhea is often experienced by women, the impact of untreated dysmenorrhea can interfere with daily activities. Purpose: The purpose of this study was to determine the effect of giving warm compresses to the abdomen on dysmenorrhea pain. Method: The quasi-experimental research method with the Pretest-Postest Nonequivalent Control Group Design. The population in this study were all female students at SMP Negeri 10 Denpasar totaling 547 students with a purposive sampling technique using the slovin formula. Result: The results of the Wilcoxon test on the pretest-posttest of the treatment group obtained a value of P = 0.0003 <0.05, meaning that there was a difference in the dysmenorrhea pain score before and after being given warm compresses to the abdomen and health education in the treatment group. The results of the next Wilcoxon test on the pretest-posttest of the control group obtained a value of P = 0.066> 0.05, meaning that there was no difference before and after health education in the control group. The results of the Man Whitney test on dysmenorrhea pain scores after being given Warm Compress Abdomen and Health Education in the Treatment and Control Groups obtained P = 0.000 <0.05 indicating that there is an effect of Warm Compress Abdomen and Health Education on dysmenorrhea pain. Conclusion: Warm abdominal compress therapy and health education are effective methods to reduce dysmenorrhea pain in adolescent girls. It is recommended that adolescent girls can apply warm compresses as an effort to reduce menstrual pain (dysmenorrhea) with complementary therapy both in the school environment and at home.

Background: Maternal nutritional status plays a crucial role in determining both maternal and neonatal health outcomes. According to data from the Indonesian Ministry of Health (2021), the prevalence of anemia among pregnant women reached 48.9%, while in Gorontalo Province, around 30% experienced malnutrition. Poor nutritional status during pregnancy is associated with increased risks of complications, including preterm birth, low birth weight, and higher maternal and neonatal mortality rates. Therefore, nutrition education is considered an essential strategy to enhance knowledge and promote adequate dietary intake among pregnant women.Objective: This study aimed to evaluate the effectiveness of nutrition education in improving the knowledge and nutritional status of pregnant women at the South Bulango Community Health Center. Methods: A quantitative study with a pre-experimental design was conducted involving 30 pregnant women selected through purposive sampling. Inclusion criteria included women aged 18–35 years, free from severe comorbidities, and willing to participate. Data were collected using questionnaires to assess nutritional knowledge, interviews to explore dietary patterns, and anthropometric measurements such as weight, height, and mid-upper arm circumference (MUAC). Data analysis employed descriptive statistics and the Wilcoxon test to assess differences before and after the intervention. Results: Most participants were aged 20–35 years (66.6%), had secondary education (63.3%), and were housewives (60%). Post-intervention results showed a substantial increase in good nutritional knowledge from 13.3% to 60%. Nutritional status also improved progressively across trimesters, with normal MUAC increasing from 33.3% to 60%, while undernutrition declined from 50% to 13.3%. The Wilcoxon test indicated a significant difference (p = 0.000; p < 0.05). Conclusion: Nutrition education effectively enhances both knowledge and nutritional status among pregnant women and should be integrated into routine antenatal care services.

Tetanus Toxoid (TT) immunization is a key preventive intervention to protect women of reproductive age and newborns from tetanus infection. Despite its importance, limited knowledge among prospective brides may reduce the effectiveness of TT immunization programs. This study aimed to analyze the effect of TT immunization counseling on the knowledge levels of prospective brides at Wayabula Public Health Center. A quantitative study using a quasi-experimental one-group pretest–posttest design was conducted involving 40 prospective brides selected through total sampling. Data were collected using a structured questionnaire measuring respondents’ knowledge before and after counseling. The Wilcoxon Signed Rank Test was used to analyze differences in knowledge levels. The results showed a significant improvement in knowledge after counseling, with the majority of respondents demonstrating higher posttest scores compared to pretest scores and no respondents experiencing a decrease in knowledge. These findings indicate that counseling plays an important role in enhancing understanding of TT immunization, including its purpose, benefits, and preventive value. In conclusion, TT immunization counseling is effective in improving knowledge among prospective brides and should be integrated as a mandatory component of routine immunization services. Strengthening counseling activities is expected to support informed decision-making, promote positive health behavior, and contribute to the prevention of tetanus in mothers and newborns.

Background: Women's choice of long-term contraceptive methods (LTCM) is influenced by factors such as counseling, knowledge, and healthcare access. Midwife visits play a key role in providing information and guidance on family planning, including LTCMs like implants, IUDs, and sterilization. Previous studies have shown that healthcare provider interaction enhances awareness and decision-making regarding contraception. However, many women still face barriers, including misinformation, fear of side effects, and cultural beliefs. Understanding how midwife visits shape contraceptive choices is essential for improving maternal and child health outcomes, reducing unintended pregnancies, and supporting family planning programs. Objective: This study aimed to analyze the impact of midwife visits on women’s choice of LTCMs in the reproductive age group. Methods: A quantitative, observational study with a cross-sectional design was conducted with 30 women who had received at least one midwife visit. Data were collected through structured interviews and family planning record reviews. The Wilcoxon signed-rank test examined the relationship between midwife visits and LTCM choices, with a significance level set at p < 0.05. Results: All participants received midwife visits. 20 (90%) chose LTCMs, while 10 (10%) opted for short-term methods. Statistical analysis revealed a significant relationship between midwife visits and LTCM choice (p = 0.000). Conclusion: Midwife visits significantly influence women’s choice of LTCMs, improving knowledge and decision-making. Strengthening midwife outreach can increase LTCM uptake and enhance family planning strategies.

Introduction: Cocoa farmers are prone to experiencing neck muscle pain due to repetitive physical activities with prolonged duration. Neck muscle pain can reduce productivity and quality of life. This study aimed to analyze the effect of static stretching exercises on reducing neck muscle pain among cocoa farmers in Candikusuma Village. Methods: This research used a pre-experimental design with a pre-test and post-test approach. The sampling technique was consecutive sampling with a total of 62 respondents. The static stretching exercise intervention was conducted for 1 week with a frequency of 2 sessions and a duration of 30 minutes per session. The research instrument used the Numeric Rating Scale (NRS). Results: Data were analyzed using the Wilcoxon Signed Rank Test, resulting in a p-value of 0.001 (p<0.05), indicating a significant effect of static stretching exercises on reducing neck muscle pain among cocoa farmers. Discussion: Static stretching exercises can be recommended as a non-pharmacological therapy to reduce neck muscle pain in the cocoa farmer population.    

Background: When entering the third trimester of pregnancy, many pregnant women have difficulty sleeping as they face physical and psychological changes, such as back pain, frequent urination, anxiety, and worries about the upcoming labor process. Almost 66% of pregnant women experience sleep disruptions that can jeopardize maternal and fetal health, including the risk of preeclampsia and low birth weight. Prenatal yoga can relieve stress and anxiety, thus contributing to improving the sleep quality of third trimester pregnant women. Purpose: To know the influence of prenatal yoga on sleep quality of third trimester pregnant women at PMB Appi Ammelia Kasihan Bantul Yogyakarta. Methods: This research utilizes the Pre-Experimental research type and One-Group Pretest-Posttest Design. The sample comprised of three trimester pregnant women totaling 24 respondents. The sampling method used total sampling. Sleep quality assessment was evaluated using the PSQI questionnaire and applying Wilcoxon test analysis. Results: Before treatment, 3 respondents (12.5%) of third trimester pregnant women had good sleep quality. After treatment, there was a change so that 18 (75%) respondents had good sleep quality. A p-value of 0.001 was found from the Wilcoxon test analysis. Conclusion: Prenatal yoga affects the sleep quality of third trimester pregnant women at PMB Appi Ammelia Kasihan Bantul Yogyakarta.

Dental and oral health problems are still a major challenge for early childhood, especially due to the lack of knowledge and skills in brushing teeth properly. This study aims to determine the effect of the snakes and ladders game as an educational method in improving the knowledge and skills of brushing teeth of early childhood at Ar-Rahimah Kindergarten, Jambi City. This study used a quantitative method with a quasi-experimental one group pretest-posttest design. The research sample was 40 Ar-Rahimah Kindergarten students. The research instruments were knowledge questionnaires and skill observation sheets. The intervention given was a snakes and ladders game that had been modified with educational content related to dental health, accompanied by a demonstration using a tooth phantom. Analysis using the Wilcoxon Signed Ranks Test showed that there was a significant effect between before and after treatment on knowledge (p = 0.000) and skills (p = 0.000). The conclusion of this study is that the snakes and ladders game media can improve the knowledge and skills of brushing teeth of early childhood. It is recommended that the use of snakes and ladders game media can be used as an innovative approach in children's dental health education.

This study aims to analyze the reaction of the Indonesian capital market to the inauguration of President Prabowo-Gibran using the event study method. The important variables in this study are abnormal returns and trading volume activity, with the population of all companies listed in the LQ45 stock index. The observation period was 14 days. The data consists  of daily closing stock  price, daily closing price of LQ45 IHSG, daily trading volume, and the number of shares outstanding. Hypothesis testing was conducted using the non-parametric Wilcoxon Signed Rank Test, as the data is not normally distributed. The results showed that there was no significant difference in  the average abnormal return. However, a significant difference in the average trading volume activity was found between the periods before and after the presidential inauguration event.