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The high number of hypertension cases is due to the still low level of hypertension control, specifically medication adherence. Treatment adherence is crucial for maintaining health and well-being in patients with hypertension. In contrast, non-adherence to medication leads to treatment failure. This study aims to determine the relationship between self-management and adherence to hypertension medication in the elderly. This research employed an analytical design with a cross-sectional approach. The study consisted of 49 elderly people with hypertension in Cot Cut Village, Kuta Baro, Aceh Besar. The sample was chosen using a total sampling technique. The MMAS-8 questionnaire was used to assess adherence to hypertension medication with a Cronbach's alpha of 0.860. The self-management questionnaire showed a Cronbach's alpha of 0.766. The research was conducted from April 8th to 14th, 2025. The data analysis used univariate and bivariate methods, using the chi-square test. The results showed that out of 49 respondents, 21 (42.9%) were less adherent to hypertension medication, and 29 (59.2%) had less adherence to self-management. The chi-square test indicated a p-value of 0.001, showing a relationship between self-management and adherence to hypertension medication among the elderly. This research suggests that hypertensive patients should be supervised to improve medication adherence and self-care management to maintain stable blood pressure.

The National Health Insurance program (JKN) has been in effect in Indonesia since early 2014, administered by the Social Security Administration (BPJS). The purpose of this community service program is to enhance the role of youth in optimizing the use of Mobile JKN and to assist the community in utilizing it. Mobile JKN is an innovation for the community, eliminating the need to wait in long queues at healthcare services. The participants were adolescents, specifically 13 students from MTs. Muhammadiyah Palleko in Takalar Regency. The method used was to provide outreach through presentations on the procedures for using Mobile JKN, followed by discussions to clarify any issues that the students still lacked. The results of this community service program are expected to increase the youth's knowledge of the use and utilization of Mobile JKN as a form of digital health care that can improve the effectiveness of healthcare services, enabling them to become agents of change in the success of the JKN program in Takalar City.

Premature birth remains a major public health concern due to its strong association with increased neonatal morbidity and mortality. One of the contributing factors identified is maternal stress during pregnancy, which can negatively affect fetal development and potentially trigger early labor. Previous studies have shown that high stress levels in pregnant women may lead to hormonal imbalances, increased uterine activity, and other physiological changes that elevate the risk of preterm birth. Therefore, understanding the relationship between maternal stress and premature birth is essential for developing effective preventive strategies and improving maternal and neonatal outcomes. This study aimed to examine the relationship between stress levels in pregnant women and the incidence of premature birth in the working area of Dr. Hi Zainal Umar Sidiki Regional Hospital, North Gorontalo Regency. The research used an analytical observational design with a cross-sectional approach. A total of 30 pregnant women were selected using purposive sampling techniques. Maternal stress levels were measured using a validated questionnaire, while premature birth incidence was determined based on gestational age at delivery. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results showed a significant relationship between maternal stress and premature birth (p = 0.000), indicating that higher stress levels increase the risk of preterm delivery. These findings highlight the importance of stress management, counseling, and comprehensive antenatal care.

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

Emesis gravidarum, or nausea and vomiting during early pregnancy, is a common condition affecting the health and comfort of first-trimester pregnant women. Persistent symptoms can lead to dehydration, electrolyte imbalance, reduced nutrient intake, and psychological distress, potentially affecting both maternal and fetal health. Although pharmacological treatments are available, many pregnant women prefer non-pharmacological approaches due to concerns about fetal safety. Aromatherapy, using essential oils such as lemon, peppermint, and lavender, has emerged as a complementary therapy that may reduce nausea and vomiting through olfactory stimulation and autonomic nervous system modulation. This study aimed to examine the effect of aromatherapy on reducing emesis gravidarum in first-trimester pregnant women at Puskesmas Pagatan. A quasi-experimental design with pretest-posttest control group was conducted, involving 40 participants divided into an intervention group (n=20) and a control group (n=20) using purposive sampling. The intervention group received lemon essential oil inhalation twice daily for seven consecutive days, while the control group continued standard antenatal care. Data were collected using the Visual Analog Scale (VAS) for nausea severity and a structured diary for vomiting frequency. Results showed that the intervention group experienced a significant reduction in nausea severity (pretest mean 6.8 ± 1.2, posttest mean 3.2 ± 1.0, p < 0.001) and vomiting frequency (pretest mean 5.2 ± 1.0, posttest mean 2.1 ± 0.9, p < 0.001). In contrast, the control group showed minimal, non-significant changes. These findings indicate that aromatherapy is an effective, safe, and culturally acceptable non-pharmacological intervention for managing emesis gravidarum. The study concludes that integrating aromatherapy into routine antenatal care can improve maternal comfort, adherence to nutritional intake, and overall well-being in first-trimester pregnancies, supporting holistic prenatal care practices.

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

Emesis gravidarum experienced by pregnant women can affect both maternal and fetal health, particularly in terms of nutrition and quality of life. One non-pharmacological approach that can be applied is peppermint aromatherapy, which should be implemented through safe and comprehensive midwifery care tailored to the mother’s needs. This case report aims to evaluate the effectiveness of peppermint aromatherapy in reducing symptoms of emesis gravidarum. The subject is Mrs. S, a 25-year-old pregnant woman at 7–8 weeks of gestation who received care at Melayu Kota Piring Public Health Center, Tanjungpinang, from February to March 2025. Data were collected through interviews, observations, physical and laboratory examinations, and documentation using the SOAP format. The results showed that peppermint aromatherapy effectively reduced the frequency and severity of nausea and vomiting, helping the mother maintain better food intake. In conclusion, peppermint aromatherapy can serve as an effective non-pharmacological alternative for managing emesis gravidarum in primary healthcare settings.

This study is motivated by the increasing complexity of ethical challenges in public healthcare services in the modern era, characterized by rapid technological advancement, professional pressures, and shifting moral values. Within this context, Christian healthcare professionals face significant dilemmas in maintaining their faith-based ethical principles amid pragmatic service demands. This research aims to construct a Christian ethical framework on human dignity as a normative foundation for public healthcare practice. The study employs a descriptive qualitative method using a literature review approach, analyzing theological, philosophical, and social sources related to ethics, human dignity, and public service. The findings reveal that Christian ethics is rooted in the concept of Imago Dei, affirming that every human being possesses intrinsic dignity as created in the image of God. The principles of love (agape), justice, and moral responsibility serve as the core foundation for ethical healthcare practice. The implications of this study emphasize that healthcare services should not be merely technical but must also embody spiritual and humanistic values. Therefore, Christian healthcare professionals are called to act as moral agents who promote compassionate, dignified, and holistic care within the public healthcare system.

Hospitals, as healthcare institutions, bear the responsibility of delivering safe, high-quality, and patient-centered services. Hospital accreditation serves as a crucial mechanism to ensure service quality and legal protection for patients, particularly in medical dispute cases. This study aims to analyze the impact of accreditation on patient legal protection, both preventively and repressively. The research employs a normative legal method with statutory and conceptual approaches, utilizing primary, secondary, and tertiary legal materials. Data were analyzed through document studies covering Law Number 17 of 2023 on Health, government regulations, presidential regulations, and technical regulations from the Ministry of Health regarding accreditation standards and procedures. The findings indicate that accreditation functions as a continuous evaluation mechanism to ensure medical services comply with safety standards and clinical governance, strengthens patients’ rights to information, informed consent, and quality care, and reduces the risk of medical disputes. However, implementation challenges exist, including limited resources, compliance performed as formalities, and inconsistent supervision. Therefore, accreditation is not merely an administrative symbol but a strategic legal instrument that enhances patient safety culture and hospital accountability, ensuring that healthcare delivery meets professional, ethical, and legal standards.

Umbilical cord care is an important part of newborn care because the umbilical cord that has not fallen off has the potential to become an entry point for germs if not cared for hygienically. In the community, traditional umbilical cord care practices are still widely practiced and often do not comply with medical standards. This study aims to determine the effect of umbilical cord care education on cleanliness and duration of umbilical cord detachment in newborns in the Bongo 2 Community Health Center, Boalemo Regency. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 24 newborns selected using a total sampling technique. The intervention in the form of umbilical cord care education was given to the parents of the babies, then measurements were taken of umbilical cord cleanliness and duration of umbilical cord detachment before and after education. Data analysis was performed using a paired t-test or Wilcoxon signed-rank test with a significance level of p < 0.05. The results showed an increase in umbilical cord cleanliness after education, with a p value = 0.001. In addition, the average duration of umbilical cord detachment decreased significantly after education, with a p value = 0.000. This study concludes that umbilical cord care education has a significant effect on improving hygiene and optimizing the duration of umbilical cord removal in newborns.

Pastoral ministry plays a crucial role in shaping the spiritual growth of the congregation so that they live according to the principles of the Kingdom of God. In practice, many congregations do not fully understand the meaning of Matthew 6:33, so its values are merely spiritual slogans without concrete application in daily life. This study aims to design a more effective pastoral strategy within the GEREJA KRISTEN SETIA INDONESIA (GKSI) Getsemani Palah Parajo, focusing on five main aspects: (1) a theological understanding of Matthew 6:33 as the basis for pastoral care; (2) the role of the pastor and congregation in building healthy relationships; (3) identifying the congregation's spiritual needs and challenges; (4) developing contextual pastoral strategies and methods; and (5) evaluating the congregation's spiritual growth. Through this approach, it is hoped that pastoral care will become a means of forming Christ-like character, which is not only theologically relevant but also has a real impact on the congregation's daily lives.

Background: Constipation is a common health problem among infants aged 6–12 months, which can lead to discomfort, feeding difficulties, and reduced quality of life. Non-pharmacological interventions, such as the I Love You (ILU) massage, have been suggested to improve bowel regularity and reduce gastrointestinal discomfort in infants. Objective: This study aimed to examine the effect of ILU massage on reducing constipation in infants aged 6–12 months at the South Bulango Health Center. Methods: A pre-experimental design with a one-group pretest–posttest approach was applied. Data on bowel movement frequency, stool consistency, and abdominal discomfort were collected before and after the intervention using structured observation sheets and caregiver questionnaires. Data analysis was performed using paired t-tests, with statistical significance set at p < 0.05. Results: The results showed a significant increase in bowel movement frequency from 2.1 ± 0.8 times per week before the intervention to 4.5 ± 1.0 times per week after the intervention (p = 0.000). Stool consistency improved from a mean Bristol score of 2.0 ± 0.6 to 4.0 ± 0.7 (p = 0.000), and abdominal discomfort decreased from 3.5 ± 1.0 to 1.2 ± 0.8 (p = 0.000). These findings indicate that ILU massage effectively alleviates constipation symptoms in infants. Conclusion: ILU massage is an effective, safe, and non-invasive method to reduce constipation in infants aged 6–12 months. Involving caregivers in the intervention enhances its effectiveness and supports parent–child bonding, making it suitable for integration into routine infant care at community health centers.

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.

Background: Hyperthermia happened due to the failure of thermoregulatory mechanisms. This condition is particularly dangerous in children because it may cause dehydration, seizures, impaired consciousness, and even damage to vital organs. Data from Riskesdas (2023) show that the highest prevalence of hyperthermia occurred in the 5–14 age group, at 1.9%. Parents, as the primary caregivers, play an essential role in the early detection and management of hyperthermia; therefore, their level of knowledge needs to be examined. Objective: The purpose of this study is to describe the level of parental knowledge regarding the management of hyperthermia in children aged 8–12 years in Gianyar. Methods: This research employed a descriptive quantitative design with a total sampling technique. The sample consisted of 51 parents who met the inclusion criteria. Data were collected using a questionnaire containing 10 items on the definition of hyperthermia, methods of measuring body temperature, signs and symptoms, and management practices. The data descriptively analyzed by using  the SPSS 25 version. Result: The results showed that most respondents were aged 36–45 years (45.1%), female (54.9%), had completed senior high school education (41.2%), and were employed in the private sector (37.3%). The majority of parents’ knowledge regarding hyperthermia management in children was categorized as good (22 respondents, 43.1%), followed by fair (18 respondents, 35.3%), and poor (11 respondents, 21.6%). Conclusion: The findings indicate that most parents possess good knowledge regarding hyperthermia management; however, a portion still requires improved understanding through health education.

Early mobilization is an important component of postpartum care that may influence the speed of uterine involution. Delayed uterine involution can increase the risk of postpartum complications, including hemorrhage and prolonged recovery. This study aimed to analyze the relationship between early mobilization and uterine involution among postpartum mothers at Gandasuli Public Health Center. An analytical observational study with a cross-sectional design was conducted from September to November 2025. The study population consisted of 56 postpartum mothers, selected using a total sampling technique. The independent variable was early mobilization, categorized based on the type of activity performed, while the dependent variable was uterine involution assessed through uterine fundal height reduction. Data were analyzed using descriptive statistics and Kendall’s tau-b correlation test. The results showed that most respondents practiced early mobilization, particularly standing and walking, and the majority experienced rapid uterine involution. Bivariate analysis revealed a statistically significant relationship between early mobilization and uterine involution (τ = -0.321; p = 0.010). In conclusion, early mobilization is significantly associated with faster uterine involution among postpartum mothers. Promoting early mobilization should be emphasized as part of routine postpartum care to support maternal recovery.

Femoral fractures resulting from road traffic accidents (RTAs) are a major cause of morbidity in developing countries, particularly among economically active young adults. Despite the increasing rate of RTAs in Nigeria, there is a lack of localized data concerning the radiographic distribution and epidemiological characteristics of femoral fractures. This study provides region-specific baseline data for clinical decision-making and public health interventions. A retrospective descriptive study was conducted using patient case notes and radiographic records of 141 individuals with femoral fractures resulting from RTAs, presented at Erichris Diagnostic Centre, Benin City, between January 2019 and December 2022. Radiographs were evaluated to determine fracture location (proximal, middle, or distal third). Data were analyzed using SPSS version 20, and results were presented using descriptive and inferential statistics. Associations between fracture type, age, and gender were examined using Chi-square tests with significance set at p < 0.05. The majority of patients were males (87.2%) and within the 16–30-year age group (72.3%), with a mean age of 31.6 years. The right femur was affected in 55.3% of cases. Middle third femoral shaft fractures were the most prevalent (63.8%), followed by proximal (26.3%) and distal fractures (9.9%). There was no statistically significant association between gender and fracture type (p > 0.05) or between age group and fracture type (p > 0.05). This study demonstrates a high incidence of middle shaft femoral fractures among young adult males due to RTAs in Benin City. These findings highlight the urgent need for targeted road safety policies, improved trauma care infrastructure, and preventive strategies directed at high-risk groups. The data provided serve as a critical reference for orthopedic management and public health planning.

This study aims to analyze Islamic legal perspectives on the decision of married couples to choose not to have children (childfree) by reviewing sharia arguments, interpretations of scholars, and the resulting social and legal implications. The childfree phenomenon is a contemporary issue that is increasingly being discussed, especially among the younger generation of ubanites in Indonesia. This decision is driven by various factors such as economic conditions, physical and mental health, enviromental awareness, career orientation, and lifestyle. The study was conducted using a qualitative-descriptive approach and the data obtained through library research methods. From an Islamic Legal perspective, this lifestyle choice is controversial because it is directly related to the maqāṣid al-sharīʿah, particularly the aspect of hifẓ al-nasl (preserving offspring). Previous research has explain that non-permanent contraceptive practices are permissible as long as there is the consent of the couple and do not cause harm. However, permanent contraceptive suc as vasectomy or tubectomy are considered contrary to Islamic law. The Indonesian Ulama Council (MUI) has also emphasized that permanent contraceptive measures are not permitted because the contradict the purpose of sharia to preserve offspring. Thus, Islamic law allows for ijtihad and deliberation in addressing the phenomenon of childfree, while still emphasizing that safeguarding offspring is a crucial part of the primary objective of sharia. This study aims to contribute academically to the discourse on Islamic legal flexibility in responding to evolving social realities, highlighting the dynamic interplay between normative principles and contemporary challenges.

Edema is a common physiological complaint experienced by pregnant women, particularly during the third trimester, which may affect maternal comfort and daily activities. Prenatal exercise is considered a safe, non-pharmacological intervention that can improve maternal circulation and reduce fluid retention. This study aimed to analyze the relationship between the frequency of prenatal exercise and the incidence of edema in third trimester pregnant women in the working area of Benoa Public Health Center. A cross-sectional analytical design was employed, involving 30 pregnant women selected using purposive sampling. Data were collected through structured questionnaires and physical examination to assess the presence of edema, while the frequency of prenatal exercise was categorized into regular (≥3 sessions per week) and irregular (<3 sessions per week). Descriptive statistics summarized participant characteristics, and the Chi-square test was used to evaluate the association between prenatal exercise frequency and edema, with a significance level of p < 0.05. The results indicated that 26.7% of women who exercised regularly experienced edema, compared to 66.7% of those who exercised irregularly. Statistical analysis confirmed a significant relationship between exercise frequency and edema occurrence (χ² = 5.33, p = 0.021). These findings suggest that consistent participation in prenatal exercise is associated with a lower incidence of edema among third trimester pregnant women. Integrating structured exercise programs into routine antenatal care is recommended to enhance maternal well-being, prevent pregnancy-related discomforts, and support overall health during late pregnancy.

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.

Hyperemesis gravidarum is a condition of severe nausea and vomiting during pregnancy that can cause serious physical and psychological effects on pregnant women. In addition to biological and hormonal factors, psychological aspects such as anxiety are thought to play an important role in the occurrence of hyperemesis gravidarum. This study aims to analyze the relationship between the level of anxiety in pregnant women and the occurrence of hyperemesis gravidarum. The study uses a quantitative approach with an analytical observational design through a cross-sectional method. The study sample consisted of 30 pregnant women in their first trimester who were selected using purposive sampling. Anxiety levels were measured using a standardized anxiety questionnaire and categorized as moderate and severe anxiety, while the incidence of hyperemesis gravidarum was determined based on complaints of excessive nausea and vomiting and clinical data. Data analysis was performed univariately and bivariately using the Goodman–Kruskal tau test with a significance level of 0.05. The results showed that most respondents experienced moderate to severe anxiety, and some respondents experienced hyperemesis gravidarum. Bivariate analysis showed a significant and very strong relationship between anxiety levels and the incidence of hyperemesis gravidarum. These findings indicate that the higher the anxiety level of pregnant women, the greater the likelihood of hyperemesis gravidarum. The conclusion of this study confirms that anxiety is an important psychological factor associated with the occurrence of hyperemesis gravidarum. Therefore, the integration of anxiety screening and management into antenatal care is essential as part of a comprehensive, mother-centered approach to pregnancy care