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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.

Modern healthcare services are undergoing transformation toward a more humanistic and patient-centered approach, emphasizing hospitality based services in hospitals. However, many healthcare institutions, particularly in outpatient settings, have not fully adopted this concept. Patients often experience psychological distress, and when coupled with an unsupportive physical environment, their comfort and overall experience may be diminished. These conditions can negatively affect perceptions of service quality, patient satisfaction, and loyalty toward hospital services. This study aimed to analyze the influence of patients’ psychological conditions and the physical environment on hospitality-based services, with patient experience as an intervening variable, at the internal medicine outpatient clinic of BM Hospital. A quantitative research design using a cross-sectional approach was employed. The study involved 200 respondents selected through purposive sampling. Data were collected using structured questionnaires with Likert-scale items and analyzed with Structural Equation Modeling Partial Least Squares (SEM-PLS). The results showed that patients’ psychological conditions, the physical environment, and patient experience simultaneously and significantly influenced hospitality-based services. Hypothesis testing confirmed that both psychological conditions and the physical environment had a direct and significant impact on hospitality-based services. Furthermore, patient experience played a mediating role, strengthening the relationship between these factors and perceived service quality. The findings highlight the need for hospitals to integrate psychological support and a conducive physical environment into outpatient care delivery. Enhancing these dimensions can improve patient experience, foster greater satisfaction and comfort, and build stronger loyalty toward hospital services

One of PT Pertamina Patra Niaga Fuel Terminal Sanggaran's CSR initiatives is the community-based turtle conservation program, or Turtle Conservation and Education Center Serangan (TCEC), which focuses on biodiversity and community empowerment. With the help of this program, turtles in Serangan Village that are in danger of going extinct will continue to exist. Serangan Village is a top priority when conducting CSR initiatives in the areas of biodiversity and social empowerment because it is part of the company's operational region. The program's main objective is to raise and care for turtles at TCEC, including feeding hatchlings and turtles, examining turtles' health, monitoring, turtle socialization and education, turtle inhealth training, saving turtles from South Bali's beaches and many more. The Poins of SDGs Goal 4 Quality Education, Goal 8 Decent work and Growth Economic, and Goal 15 Life on Land are achieved in part because to this program. 19 local workers were employed by this program, which earns $200 million annually. In order to carry out its duties and responsibilities, the Conservation Office and Turtle Education has an organizational structure filled by managers from traditional villages. The Turtle Conservation and Education Center was initially founded as a result of a village community movement that has a focus on turtle conservation in collaboration with WWF, BKSDA (Nature Conservation Agency; Indonesia), Udayana University Bali and is under the auspices of the traditional village of Serangan. The TCEC released almost 20,000 baby turtles as part of conservation efforts to ensure their survival. A number of G20 Summit attendees paid TCEC Serangan a visit, which demonstrated how the world acknowledged its struggle with turtle conservation. TCEC Serangan is the recipient of numerous national and international honors, including the Kalpataru (the award given to individuals or groups for their services in preserving the environment in Indonesia).

The World Health Organization (WHO) reported in 2019 that 40 million people worldwide require palliative care, including those with cardiovascular disease (38%), cancer (34%), chronic lung disease (10.3%), AIDS (5.7%), and diabetes (4.6%). Palliative care aims to improve the quality of life of patients and families facing life-threatening illnesses by managing pain and physical, psychological, social, and spiritual problems. The main goal of this care is to reduce suffering and help patients cope with the limitations imposed by illness. The principles are to respect life, consider death a normal process, neither hasten nor delay death, and provide support until the end of life. This study aims to determine whether knowledge can influence the level of self-efficacy of nursing students at Awal Bros University. Using a correlational quantitative method, data were collected through the Palliative Care Quiz for Nursing and Self-efficacy Palliative Care Scale questionnaires. The results of the study show a significant relationship between knowledge and self-efficacy among students with p<0.005. These findings can be used as a basis for learning to improve the understanding of nursing students, especially in the context of palliative care, which is important for the quality of health services in the future.

Hospitals are a crucial sector in a country due to their functions encompassing various aspects of healthcare provision. Factors supporting smooth operations and quality healthcare services in hospitals include human resources, facilities and infrastructure, health information systems, financial management, good customer service, security, occupational health, and other supporting factors. This study aims to determine the effect of compensation, work environment, and work stress on employee work productivity at Bhayangkara Level II Hospital in Kediri City. The research method used is a quantitative approach with multiple linear regression analysis techniques. The sample in this study amounted to 40 respondents who were employees of Bhayangkara Level II Hospital in Kediri City. The results of the analysis show that partially compensation, work environment, and work stress have a positive and significant effect on employee work productivity. Compensation has a calculated t value of 2.500 with a significance of 0.015, work environment is 6.170 with a significance of <0.001, and work stress is 5.305 with a significance of <0.001. Simultaneously, these three variables also have a significant effect on work productivity with a calculated F value of 35.438 and a significance of <0.001. Based on these findings, it is recommended that the hospital management continue to evaluate the compensation system, create a conducive work environment, and manage employee work stress through training and counseling facilities. Further research is expected to add other variables such as internal communication, job satisfaction, and career development to obtain more comprehensive results.

The admission of patients to the Intensive Care Unit (ICU) or Intensive Cardiology Care Unit (ICCU) often occurs suddenly and under critical conditions, causing family members to experience psychological pressure such as anxiety, stress, and fear of losing their loved ones. This study aims to analyze the relationship between family knowledge and the level of anxiety among family members of patients treated in the ICU at Meuraxa General Hospital, Banda Aceh. The research employed a quantitative method with a descriptive correlational design and a cross-sectional approach. The population consisted of 114 patient families, with 35 respondents selected through purposive sampling. The instrument used was the Hamilton Anxiety Rating Scale (HARS), which demonstrated high reliability (α = 0.897). Data were collected from June 18 to July 5, 2025, and analyzed using univariate and bivariate methods with the chi-square test. The results showed that 19 respondents (54.3%) experienced moderate anxiety, while 14 respondents (40%) had low knowledge regarding ICU/ICCU care. Statistical analysis revealed a p-value of 0.005, indicating a significant relationship between family knowledge and anxiety levels. These findings highlight the importance of healthcare professionals in providing education to family members to improve understanding and help reduce anxiety during the patient’s treatment period in the ICU or ICCU.

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

This article discusses the phenomenon of early marriage in Indonesia from the perspective of the Code of Canon Law, particularly Canon 1072, which emphasizes the pastoral duty of guiding young people away from premature marriages. Using a qualitative-descriptive method with a literature review approach, the study examines canonical texts, Church documents, and empirical data related to the issue. The findings reveal that Catholic marriage demands free and mature consent, emotional stability, and openness to the gift of life. Early marriage often fails to fulfill these essential elements, leading to negative social, psychological, health, and economic consequences. Furthermore, it highlights the challenges faced by the Church in pastoral accompaniment amid cultural and socioeconomic pressures that encourage early unions. Therefore, Canon 1072 remains a relevant and preventive pastoral guideline, aiming to protect the dignity and freedom of young people, promote responsible preparation for marriage, and strengthen the foundation of Catholic family life in modern Indonesian society.

Patient satisfaction refers to the degree of emotion felt by an individual, arising from an assessment of the quality of medical care received, compared to initial expectations. Suspected dissatisfaction among visitors to the Huta Padang Community Health Center, Asahan Regency, appears to be due to the inadequacy of the primary care facilities provided at the institution. Information gathering was conducted from July to August 2023. This analytical study aimed to measure patient satisfaction with essential health care at the Regional Technical Implementation Unit (UPTD) of the Huta Padang Community Health Center, Asahan Regency. The target group of the study included all polyclinic patients visiting the Saribudolok Community Health Center. Respondents were selected using a purposive sampling technique, with a total of 64 participants. The study findings were summarized through a frequency distribution table, followed by statistical data processing via a Chi-square test at a 95% significance level (α = 0.05). The analysis revealed a relationship between primary care quality and patient satisfaction, indicated by a p-value of 0.018. Therefore, it is recommended for Community Health Center leaders to actively improve the standards of assistance provided, for example by providing encouragement or incentives for staff to carry out their duties optimally, so that they can realize patient anticipation.

Business location plays a crucial role in determining the success and development of a business, particularly for Micro, Small, and Medium Enterprises (MSMEs). This study aims to analyze how business location influences the performance and sustainability of the Fresh and Healthy Juice MSME in Medan. The research method used is a qualitative descriptive approach, with data collection techniques through direct observation, interviews with business owners, and documentation of daily business activities. The results show that selecting a strategic location, namely on the main road and close to busy areas such as markets, schools, and offices, has a positive impact on increasing the number of customers and sales volume. Factors such as easy transportation access, environmental cleanliness, comfort of the place, and the attractive appearance of the store also support a positive product image in the eyes of consumers. In addition, an easily accessible location simplifies the distribution of raw materials and expands opportunities for word-of-mouth promotion. Based on the analysis, it can be concluded that the right business location is an important strategy in increasing competitiveness and business revenue. Therefore, for MSMEs, selecting a location that suits the target market needs to be carefully considered so that the business can grow sustainably.

Prenatal exercise plays a vital role in maintaining the physical and mental well-being of pregnant women. This activity helps reduce common discomforts such as back pain, enhances stamina, and strengthens pelvic muscles in preparation for childbirth. However, knowledge among pregnant women regarding safe and effective exercises remains limited. The lack of structured information often leads to uncertainty and discourages participation in physical activities during pregnancy. This condition highlights the need for well-directed and comprehensive physiotherapy education. This community service program was conducted in Building B of the Kedungkandang Community Health Center and involved 15 participants. A holistic approach was employed, combining interactive counseling to convey the theoretical benefits and safety of exercise, group discussions to share experiences, and practical demonstrations. The exercises demonstrated were carefully selected to be simple, safe, and easy to perform independently at home, ensuring continuity beyond the educational sessions. The results indicated a significant improvement in participants’ knowledge, as evidenced by the comparison between pre-test and post-test scores. This improvement reflects the growing awareness among pregnant women of the importance of maintaining fitness through structured and safe physical activity. Continuous education through a community physiotherapy approach is necessary to ensure consistent implementation of prenatal exercise and to support long-term behavioral changes toward better maternal health.

Myalgia is a muscle pain condition that can occur in a specific area of the body or spread to several regions. Its main symptoms include pain, soreness, or discomfort in the muscles, whether during movement or at rest. The pain may range from mild to severe and is sometimes accompanied by stiffness, muscle tension, or even cramps that interfere with daily activities. This condition is commonly experienced by the elderly due to aging, loss of muscle mass, improper physical activity, stress, lack of stretching, or an unhealthy lifestyle. This community service activity aimed to provide education and raise awareness about myalgia among 10 elderly participants in the Elderly Community of Kalirejo, Malang, to help them better understand prevention, pain management, and self-care strategies. The method used was service learning (SL) with achievement parameters measured through pre-test and post-test evaluations. The results showed an increase in participants’ knowledge regarding the definition, causes, and rehabilitation of myalgia from 10% to 90%, demonstrating that this program effectively improved the elderly’s understanding and awareness of myalgia.

Tele-Herbal Medicine is a technology-driven service designed to deliver herbal medicine consultations and therapies through wellness clinics, aiming to improve access to personalized and affordable care. This study systematically assesses its effectiveness, implementation, and challenges as part of integrated health services by reviewing relevant literature published in the past five years. Findings indicate that Tele-Herbal Medicine significantly enhances patient access, offering tailored and cost-efficient herbal treatments. Despite these promising outcomes, implementation faces key obstacles, including inadequate regulatory frameworks, the absence of standardized herbal product validation procedures, and concerns over patient data security. These limitations underscore the urgent need for comprehensive policies, quality assurance mechanisms, and strict data protection protocols, consistent with broader telemedicine guidelines. By addressing these issues, Tele-Herbal Medicine can evolve into a reliable and sustainable model, enabling wellness clinics to expand services without compromising safety or quality. Ultimately, its success depends on clear legal support, standardized validation systems, and robust monitoring tools to ensure effectiveness, safety, and full integration into the healthcare ecosystem, thus positioning it as an innovative solution that bridges traditional herbal practices with modern digital health services.

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

Non-communicable diseases (NCDs) are a major challenge in today's health development. One category of these diseases is hypertension, which is classified as a chronic disease with a relatively high mortality rate. Hypertension serves as a major predictor for various chronic diseases and is a common disease found in the community (Putri et al., 2025). If not managed properly, hypertension can lead to more serious complications such as stroke, coronary heart disease, diabetes, kidney failure, and blindness. Stroke (51%) and coronary heart disease (45%) are the leading causes of death related to hypertension (Pokhrel, 2024). The increasing prevalence of hypertension along with changes in lifestyle and unhealthy eating patterns adds to the global health burden. Therefore, effective management of hypertension is essential to prevent further complications. Appropriate hypertension management and regular monitoring can reduce the risk of related diseases, improve quality of life, and reduce mortality caused by complications of heart disease and stroke. Preventive and promotive efforts through health education are key to reducing the prevalence of hypertension in the community.

Background: Type 2 Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. One of the influencing factors for this condition is lifestyle, particularly dietary patterns and physical activity. Objective: This study aims to describe the dietary patterns and physical activities of Type 2 Diabetes Mellitus patients at Kalisat Regional Hospital (RSD), Jember. Method: The research design used is a case study involving two patients diagnosed with Type 2 Diabetes Mellitus. Data were collected through interviews, observations, and documentation studies, and analyzed using nursing care stages. Results: The study found that both patients consumed high amounts of simple carbohydrates such as sugar, sweet cakes, and noodles, exceeding the normal daily intake limits. Physical activity was minimal, limited to light household chores like cleaning and short-distance walking. Conclusion: Both patients were diagnosed with ineffective health management. Nursing interventions focused on behavioral health education to improve patients’ knowledge and motivation in managing Diabetes Mellitus independently.

According to the World Health Organization (WHO), in 2023, around 305,000 per 100,000 live births of women will die due to prevalence due to CED related to pregnancy throughout the world, MMR in ASEAN in 2023 will be 100 per 100,000 live births with prevalence due to CED 40%, MMR in Indonesia in 2023 will be 4,129 with a prevalence due to KEK of 17.3%, MMR in Central Java will be 183 per live birth with a prevalence due to KEK of 6.7%. The MMR in Brebes is 1,083 with a prevalence due to CED of 5%, in Paguyangan women with a prevalence of CED from 2023-2024 is 119 cases. To find out about cases of pregnancy, childbirth, childbirth, postpartum and birth control Mrs. A with CED and history of TB. Qualitative descriptive research method with a case study approach. Comprehensive Care for Mrs. A was found to have problems with pregnancy with CED and a history of TB. Childbirth was carried out by induction based on KPD indications, there were no problems or abnormalities in the postpartum period, the postpartum period was still CED and had mild anemia, there were no complications during the postpartum period. Mrs. A chose the KB implant and there were no complaints after installation. It can be concluded that comprehensive midwifery care for Mrs. At 26 years of pregnancy, childbirth and postpartum there is a gap between theory and practice.

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

Puberty is an important period in the development of young girls, marked by various physical, emotional, and social changes. A lack of understanding about puberty and menstruation often leads to feelings of anxiety, shame, and poor hygiene practices. Therefore, early education is essential to help female students recognize their body changes and maintain reproductive health properly. This community service was conducted at MI Tamrinussibyan 1 Al Hikmah Benda, specifically targeting early adolescent female students. The activity was carried out through interactive counseling and group discussions, supported by presentation media and illustrations. The topics covered included an introduction to puberty, understanding menstruation, healthy eating habits, and practices for maintaining personal hygiene and reproductive health. The results showed an improvement in the students' understanding of reproductive health, accompanied by a positive change in their attitudes toward self-care during menstruation. This program is expected to provide essential knowledge for students to navigate puberty in a healthy, clean, and confident manner.

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