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The rapid development of digital technology has significantly increased public access to online activities, including online gambling, which has emerged as a serious social problem in Indonesia. This study aims to analyze the impact of online gambling on the mental health and social behavior of young people. This research employed a descriptive method with a survey approach. Data were collected through questionnaires distributed to young respondents who had experience or exposure to online gambling activities. The findings indicate that involvement in online gambling has a significant impact on mental health disorders such as stress, anxiety, and depressive symptoms. In addition, online gambling contributes to a decline in social interaction quality, increased family conflict, social withdrawal, and reduced productivity. Behavioral changes such as impulsivity and decreased self-control were also identified among respondents. These results demonstrate that online gambling not only affects individuals psychologically but also disrupts social relationships and family harmony. Therefore, comprehensive preventive efforts are needed through digital literacy enhancement, family involvement, and psychological support services to protect young people from the negative consequences of online gambling.

Early marriage is a social phenomenon that still frequently occurs in Indonesia and gives rise to various problems, both from the perspective of state law and socio-religious aspects. From the standpoint of state regulations, early marriage is considered a violation of statutory provisions, particularly the Marriage Law, which stipulates a minimum legal age for marriage in order to protect children's rights. This practice results in various negative impacts, including increased health risks for mothers and children, disruption of educational attainment, economic instability within families, as well as high rates of divorce and domestic violence. From the perspective of Islamic law, early marriage is not absolutely prohibited; however, Islam strongly emphasizes the principles of public welfare (maṣlaḥah), physical and mental readiness, and responsibility in establishing a household. Therefore, Islamic legal solutions to early marriage as a violation of state regulations can be implemented through the maqāṣid al-sharī‘ah approach, which aims to protect life, intellect, and lineage, as well as by supporting state regulations intended to safeguard the rights and welfare of children. Consequently, synergy between Islamic law and state law is essential in preventing early marriage and in creating a healthy and just family structure.

Interoperability remains one of the most persistent challenges in digital health systems globally, affecting the continuity, quality, and efficiency of care. Electronic Medical Records (EMR) managers are central to implementing and sustaining EMR systems, yet their experiences navigating interoperability challenges are poorly understood. This study aimed to explore the lived experiences of EMR managers and to develop a conceptual understanding of the barriers and coping strategies involved. A qualitative phenomenological approach was employed, guided by van Manen’s interpretive framework. The study involved 21 EMR managers from public and private hospitals across three major healthcare networks. Participants were selected through purposive and snowball sampling, with inclusion criteria requiring at least two years of EMR management experience and involvement in interoperability efforts. Data were collected via in-depth, semi-structured interviews conducted virtually between September and November 2025. Each interview lasted 45–60 minutes, was audio-recorded, transcribed verbatim, and member-checked. Data were analyzed thematically using NVivo 14, following Braun and Clarke’s six-step method. Reflexivity, triangulation, and peer debriefing ensured methodological rigor, in accordance with COREQ and SRQR standards. Four overarching themes emerged: (1) Fragmented Systems, reflecting technical and architectural incompatibilities across platforms; (2) Role Strain and Isolation, describing limited authority and institutional support; (3) Adaptive Workarounds, highlighting informal coping strategies such as manual data tracking; and (4) Systemic Barriers, pointing to policy volatility and vendor resistance. A conceptual “feedback loop of fragmentation” was developed, illustrating how these themes interact to perpetuate interoperability challenges. EMR managers operate as critical yet often overlooked actors in the pursuit of health system interoperability. Supporting their role through policy stability, resource investment, and participatory system design is essential. Future digital health reforms must integrate managerial perspectives to build resilient and connected health information systems.

Fasting is one of the main acts of worship in Islam that has profound meaning, both spiritualy, socially, and health-wise. This study aims to examine the benefits of fasting in the perspective of sunnah through a pure qualitative approach using the phenomenological method. The focus of the study is on how the practice of sunnah fasting, such as Monday-Thursday, Daud. Arafah, Ashura and Ayyamul Bidh, affects the increase in spiritually, inner peace, and sincerity of individuals. This study uses a qualitative approach with a library research method thar aims to examine the benefits of fasting in the perspesctive of sunnah. Data were obtained from various relevant literature sources, imcluding the Qur’an, hadith, fiqh books, and national jurnals listed in thebibliography with a publication range 2009-2024. The results of the study show that fasting not only serves as  a form of obedience to Allah SWT, but also as a means of purifying the soul, controlling desires, and increasing social empathy. In addition, fasting has physiological benefits that can improve physical health. Thus, fasting in the perspective of sunnah is a comprehensive spiritual education shaping Muslims to be pious, patient and noble in character.

The consumption of ultra-processed foods (UPF) has been increasing among various age groups, including children and adults. UPF is generally low in iron content and can interfere with iron bioavailability, thereby increasing the risk of anemia. Additionally, the high calorie content of UPF contributes to the development of degenerative diseases. This study aims to analyze the relationship between UPF consumption, iron intake, and the risk of anemia. The study employs a narrative review method. Literature search was conducted using PubMed, Google Scholar, and Scopus databases, using controlled terms. The results showed that high UPF consumption had a negative impact on iron intake and increased the risk of anemia. Similar effects were found in high fat and sodium consumption. Some studies showed varying results regarding protein intake, fiber, and micronutrients such as sodium and calcium. In general, it can be concluded that excessive UPF consumption negatively impacts the quality of nutrient intake, both macro and micro, and contributes to the occurrence of anemia. These findings highlight the need for public health strategies to limit UPF consumption, particularly among vulnerable populations, as a preventive effort against anemia.

Health issues related to free radicals remain a serious concern in Indonesia as they can trigger oxidative stress and degenerative diseases. Red ginger (Alpinia purpurata) is a rhizome plant with potential as a source of natural antioxidants due to its secondary metabolite content; however, its effectiveness is highly influenced by extraction techniques. Although numerous experimental studies have been conducted, a systematic research mapping on this topic is still lacking. This study aims to perform a bibliometric analysis of scientific publications regarding the antioxidant potential of red ginger, focusing on extraction techniques and free radical scavenging activity. The research method employs a quantitative analysis using data sourced from the Scopus database for the 2015–2025 period. Through specific inclusion and exclusion criteria, 38 relevant articles were obtained and analyzed using VOSviewer 1.6.20 software. The results indicate that publication trends have fluctuated, reaching a peak in 2024. Research distribution is dominated by Asian countries, with India, Thailand, and Indonesia as the primary contributors. Network visualization reveals three main clusters focusing on bioactivity, phytochemistry, chemical analysis, antimicrobial activity, and extraction techniques. A research gap was identified for the Alpinia purpurata species compared to Alpinia galanga, as well as opportunities for developing advanced instruments such as LC-MS and other complex analytical techniques. The implications of this study highlight the need for further exploration into 'nanoemulsion' and 'green extraction' to enhance the bioavailability of red ginger's antioxidant compounds in the development of future innovative pharmaceutical products

Balanced Nutrition Education and Strengthening Mothers' Participation in Posyandu Activities to Improve Toddler Nutritional Status Toddler nutrition continues to be a key focus in public health initiatives. Mothers' diet and active use of health services, particularly integrated health posts (Posyandu), are two factors that influence the nutritional status of toddlers. To help improve children's nutritional status, this community service project aims to strengthen mothers' involvement in Posyandu activities and raise their awareness of balanced nutrition. Thirty mothers of toddlers were targeted for this project, which was implemented in the Campalagian Community Health Center (Puskesmas) working area. Mothers were encouraged to actively participate in Posyandu activities through mentoring and education on balanced nutrition through counseling and interactive conversations. Mothers' attendance at Posyandu activities was monitored, and knowledge gains were measured using pre- and post-tests. The study found that mothers' average knowledge scores increased from 60 to 82, and mothers' attendance at Posyandu activities increased from 65% to 85%. This project demonstrates that balanced nutrition education and strengthening mothers' participation in Posyandu activities are effective in increasing mothers' knowledge and involvement, potentially supporting efforts to improve and prevent nutritional problems in toddlers on a sustainable basis.

Background: Hypertension remains a major public health problem, particularly in primary health care settings. The coexistence of diabetes mellitus may contribute to increased hypertension severity; however, evidence from primary care data in Indonesia remains limited. Objective: This study aimed to examine the association between diabetes mellitus and hypertension severity among patients attending a primary health care center in Indonesia. Methods: A cross-sectional study was conducted using secondary data obtained from medical records at a primary health care center in 2025. A total of 84 patients with hypertension were included using total sampling. Hypertension severity was classified into stage 1 and stage 2. Bivariate analysis was performed using the Chi-square test or Fisher’s exact test as appropriate, with statistical significance set at p < 0.05. Data were analyzed using SPSS version 26. Results: Of the 84 participants, 33.3% had diabetes mellitus. Stage 2 hypertension was more prevalent than stage 1 hypertension. Diabetes mellitus was significantly associated with hypertension severity (p = 0.029), with a higher proportion of patients with diabetes mellitus presenting with stage 2 hypertension. Conclusion: Diabetes mellitus was significantly associated with greater hypertension severity in a primary health care setting. These findings highlight the importance of integrated management of diabetes mellitus in patients with hypertension at the prizary care level.

Background: Hypertension remains a major public health problem, particularly in primary health care settings. The coexistence of diabetes mellitus may contribute to increased hypertension severity; however, evidence from primary care data in Indonesia remains limited. Objective: This study aimed to examine the association between diabetes mellitus and hypertension severity among patients attending a primary health care center in Indonesia. Methods: A cross-sectional study was conducted using secondary data obtained from medical records at a primary health care center in 2025. A total of 84 patients with hypertension were included using total sampling. Hypertension severity was classified into stage 1 and stage 2. Bivariate analysis was performed using the Chi-square test or Fisher’s exact test as appropriate, with statistical significance set at p < 0.05. Data were analyzed using SPSS version 26. Results: Of the 84 participants, 33.3% had diabetes mellitus. Stage 2 hypertension was more prevalent than stage 1 hypertension. Diabetes mellitus was significantly associated with hypertension severity (p = 0.029), with a higher proportion of patients with diabetes mellitus presenting with stage 2 hypertension. Conclusion: Diabetes mellitus was significantly associated with greater hypertension severity in a primary health care setting. These findings highlight the importance of integrated management.

Schizophrenia is a chronic mental disorder that requires long-term medication adherence to prevent relapse and improve patients’ quality of life. Caregivers play a crucial role in encouraging medication adherence through emotional, informational, instrumental, and supervisory support. This descriptive quantitative study with a cross-sectional design aimed to describe caregiver support and medication adherence among schizophrenia patients at the South Denpasar Public Health Center. A total of 100 respondents, who were family members or caregivers of schizophrenia patients, were selected using a consecutive sampling technique. Data were collected through structured interviews using questionnaires and analyzed descriptively. The results showed that most caregivers provided good support (63%), particularly in accompanying patients during medication intake, actively interacting with them, and following health workers’ recommendations. Furthermore, patients’ medication adherence was mostly in the moderate (45%) and good (35%) categories. These findings indicate that caregiver support plays a significant role in improving medication adherence among schizophrenia patients. Strengthening caregiver knowledge and optimizing health education by healthcare workers are essential to further enhance adherence.

Non-communicable diseases (NCDs) are major public health problems that develop slowly and are often asymptomatic in the early stages. The Baduy community has limited access to modern health services, resulting in a lack of routine health screening. This community service activity aimed to conduct health screening through uric acid, blood sugar, and blood pressure examinations as an effort for early detection of NCDs in the Baduy community of Kanekes Village, Lebak Regency, Banten. The activity methods included preparation, health examinations, health education, and evaluation. A total of 17 community members participated in the activity. The results showed that 41.2% of participants had elevated uric acid levels, 11.8% had high blood sugar levels, and 47.1% had high blood pressure. This activity increased community awareness of the importance of routine health checks and provided an initial overview of NCD risk factors. Health screening combined with education is expected to contribute to the prevention of NCDs and improvement of community quality of life.

Household waste management remains a major challenge in rural areas, including Sunggumanai Village, Pattallassang District, Gowa Regency. Low public awareness and the absence of a structured community-based waste management system have negatively affected environmental quality and public health. This community service activity aimed to enhance community knowledge, awareness, and participation through the socialization of community-based waste management toward a clean and healthy environment. The activity was conducted on September 27, 2025, involving 30 participants consisting of community representatives, housewives, youth, and community leaders. The methods applied included educational socialization, participatory discussions, and waste segregation simulations based on the 3R principles (Reduce, Reuse, Recycle). The results indicated an improvement in participants’ understanding of waste types, the environmental and health impacts of improper waste management, and the importance of collective waste management practices. Participants also demonstrated positive attitudes and readiness to implement household waste segregation, as well as emerging ideas for establishing community-based waste management initiatives. In conclusion, this activity proved to be an effective initial step in promoting behavioral change toward sustainable waste management and supporting the creation of a clean and healthy village environment.

Ethnopharmacy is a field of study that examines traditional medicinal practices based on local knowledge along with their underlying biochemical foundations, and it is increasingly recognized for its role in preserving local wisdom while contributing to the development of modern healthcare solutions. Among the Suku Anak Dalam community, the use of medicinal plants has been practiced for generations as a means of preventing and treating various diseases, reflecting a deep empirical understanding of the therapeutic properties of natural remedies available in their surrounding environment. This study aims to examine the biochemical basis of ethnopharmaceutical practices applied by the Suku Anak Dalam community and to analyze their application in daily life. Data were collected through direct field observations, structured interviews with community members knowledgeable about traditional medicine, and literature reviews related to the bioactive compound content of the most commonly used medicinal plants. The results indicate that many of the plants utilized contain active compounds with anti-inflammatory, antimicrobial, and antioxidant properties, which play an important role in supporting community health. These findings highlight the complexity and scientific value of traditional knowledge and emphasize the importance of integrating ethnopharmaceutical practices with modern biochemical research to develop natural medicines, preserve cultural heritage, and sustainably improve public health quality.

HIV and AIDS remain a public health challenge, particularly among adolescents who are vulnerable to risky behaviors. A lack of proper understanding of HIV and AIDS, along with persistent stigma against people living with HIV and AIDS (PLWHA), potentially increases the risk of transmission and hinders prevention efforts. This activity aimed to improve adolescents' knowledge and attitudes regarding HIV and AIDS prevention through health education. The activity was conducted at Al-Hasra High School in Bojongsari District, Depok City, involving 25 students as participants. The method used was interactive education accompanied by pre-test and post-test evaluation. The evaluation results showed an increase in participants' knowledge after the intervention, as reflected in both average scores and the proportion of students in the good knowledge category. These findings demonstrate the critical role of health education in improving adolescents' understanding of HIV and AIDS prevention. Therefore, similar education activities should be conducted continuously as promotive and preventive efforts to reduce the risk of HIV transmission from adolescence.

Community Service Program (KKN) is an implementation of the Tridharma of Higher Education aimed at dedicating knowledge and technology to society. This article analyzes the implementation of the KKN program by students of Universitas Trunodjoyo Madura Group 30 in Buddagan Village, Pademawu District, Pamekasan Regency, focusing on community empowerment through aspects of environment, education, entrepreneurship, and village digitalization. The activities were carried out using a participatory approach with observation techniques, interviews, and discussions with the community and village stakeholders. The flagship programs include the socialization of used cooking oil for making aromatherapy candles, installation of environmental education plaques, anti-bullying socialization at SDN Buddagan 2, and the creation of the official social media for Buddagan Village. The results show an increase in community awareness, especially among PKK mothers, regarding the health and environmental dangers of used cooking oil and the potential for a creative economy based on domestic waste. The anti-bullying program successfully instilled empathy and mutual respect values in students, while the village digitalization strengthened public access to information and a positive village image. The KKN program in Buddagan Village has had a positive impact on social behavior changes in the community and serves as a model for sustainable community service.

Posyandu (Integrated Health Post) is a community based health center that demonstrates community participation in health development. Posyandu provides a variety of integrated services, including family planning, maternal and child health (MCH), nutrition, immunization, and diarrhea management, all implemented simultaneously. Posyandu is also included in the Community-Based Health Efforts (UKBM) and is part of the Village Public Health Institution's activities. This study aims to analyze factors influencing mothers' visits to Posyandu by toddlers. The research method used was a literature review, examining ten relevant scientific articles. The article search was conducted through Google Scholar and Garuda databases, with the inclusion criteria being Indonesian-language articles published within the last five years (2021–2025). The study results indicate that factors influencing mothers' visits to Posyandu include knowledge, attitudes, education, employment, family support, the role of cadres, and access to health services. These findings emphasize the importance of strengthening the role of cadres and family support in increasing Posyandu visits.

Low public awareness of eye health and rational use of eye medications may increase the risk of eye disorders and infections. This community service activity aimed to improve public knowledge and awareness regarding the importance of maintaining eye health and applying the DAGUSIBU principle (Get, Use, Store, and Dispose of medicines properly) in the use of eye drops. The activity was conducted at the Klinik Pratama Nusantara Kesehatan through interactive counseling, demonstrations of proper eye drop administration techniques, and education on the prevention of common eye disorders and the role of healthcare professionals. Pre-test and post-test evaluations showed a significant increase of approximately 35% in participants’ knowledge regarding eye hygiene and correct eye medication use. This educational program is expected to contribute to long-term improvements in rational eye medication use, reduce the risk of misuse, and serve as a model for sustainable eye health education in a primary healthcare settings.

The increasing consumption of packaged food products in Indonesia reflects modern lifestyle changes but simultaneously raises public health concerns related to high calorie, sugar, and fat intake. Nutritional information presented on food labels consists of multiple interrelated variables, making it difficult to identify dominant nutritional factors that characterize packaged food products. This study aims to apply Principal Component Analysis (PCA) to reduce the dimensionality of nutritional data and to map the nutritional characteristics of packaged food products in Indonesia. The research employs a quantitative exploratory approach using secondary data obtained from nutrition facts labels of 1,651 packaged food products. Seven nutritional variables were initially analyzed, namely total energy, protein, total fat, total carbohydrates, sugar, sodium, and dietary fiber. Data preprocessing included data cleaning, Z-score standardization, and iterative variable selection based on the Kaiser-Meyer-Olkin (KMO) measure and Bartlett’s Test of Sphericity to ensure sampling adequacy and sufficient correlation among variables. Variables with low sampling adequacy and perfect multicollinearity were eliminated, resulting in five variables retained for the final PCA model. Principal components were extracted using the eigenvalue greater than one criterion and confirmed through a scree plot, followed by Varimax rotation to enhance interpretability. The results indicate the formation of two principal components explaining approximately 69.7% of the total variance. The first component represents energy density and macronutrient richness, while the second component reflects carbohydrate-related characteristics, particularly the contrasting pattern between sugar and dietary fiber. Biplot visualization further illustrates product distribution based on these components. The findings demonstrate that PCA effectively simplifies complex nutritional information and provides a clear nutritional mapping of packaged food products, offering practical insights for consumers, producers, and policymakers in supporting healthier food choices in Indonesia.

The Tambang Ayam Village Tourism Village in Serang Regency has great potential for community-based tourism and halal tourism development. However, this area still faces various challenges such as limited tourism information systems, suboptimal coordination between stakeholders, and unprofessional management of creative economy products. This community service activity aims to provide the community and village officials with an understanding of public service innovations and creative economy assistance in supporting the development of the tourism village. The implementation method includes an initial survey, community service, and outreach. The activity was held on July 26, 2025, at the Tambang Ayam Village Hall, with 70 residents in attendance. The results of the activity demonstrated high community enthusiasm, marked by active participation in discussions and questions and answers. In addition to outreach, the activity also included the provision of cooking equipment to support the creative economy and free health checks for residents. Through this activity, it is hoped that the tourism village can develop into a competitive and sustainable tourist destination.

Degenerative diseases are a major cause of morbidity in the elderly and continue to increase with age, lifestyle changes, and a lack of public awareness of the need for regular health check-ups. This community service activity aims to increase understanding and early detection of non-communicable diseases in people aged 30 years and older, particularly the elderly in the Appassarenge neighborhood, Bentenge Village, Ujung Bulu District, Bulukumba Regency. The activity methods included group exercise, blood pressure checks, blood sugar checks, health counseling, and referrals for participants with test results above normal limits. Data were analyzed descriptively to determine the proportion of participants with high blood pressure and blood sugar levels. The results showed that the majority of respondents had hypertension (70.97% of 31 participants), while 55.88% of 34 participants had high blood sugar levels. These findings indicate a high risk of non-communicable diseases in the elderly population related to diet, lack of physical activity, and a lack of regular health check-ups. This activity received a positive response because it provided easy access to health services and raised public awareness of the importance of early detection and adopting a healthy lifestyle. Overall, this community service activity contributed to increasing the elderly's knowledge and awareness of health, as well as supporting promotive and preventive efforts in preventing degenerative diseases.