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Background: Obesity has become a global epidemic, with substantial implications for musculoskeletal health, particularly in weight-bearing joints like the knee and ankle. Aim: To determine the prevalence of obesity with respect to age and gender and to assess its effect on the knee and ankle joints among adults in Ekpoma, Edo State. Materials and Methods: A descriptive cross-sectional study involving 60 obese adults was conducted using a structured, validated questionnaire. Ethical approval and informed consent were obtained. Results: Respondents were predominantly aged 40–45 years (35%) and female (80%). 65% reported pain in the knee and/or ankle joints; 56.7% reported joint stiffness or reduced range of motion. Conclusion: Obesity significantly affects the knee and ankle joints, contributing to pain, stiffness, and a reduced range of motion. These results reinforce the need for targeted public health interventions aimed at obesity prevention and management, particularly in populations at risk of joint-related complications.

Violence against children in the school environment is a serious problem that requires special attention. This legal counseling activity aims to increase understanding of child protection and violence prevention, especially at SMPN 1 Parangloe, Gowa Regency, South Sulawesi. Through counseling methods, interactive discussions, and documentation, the research team successfully involved 50 students, 3 teachers, and 7 parents in the activity held on February 24, 2025. The results showed a significant increase in participants' awareness of children's rights and steps to prevent violence. Students became more active in participating in discussions and more courageous in reporting cases of violence they experienced or witnessed. However, challenges such as concerns about social stigma are still barriers that need to be overcome. This activity emphasized the importance of collaboration between schools, parents and communities to create a safe and supportive environment for children's development. Thus, this counseling not only provides knowledge but also builds children's confidence in dealing with potential violence at school.

Drug abuse among university students is a serious phenomenon that affects the social, moral, and intellectual aspects of the younger generation. Students, who are ideally positioned as agents of change and drivers of national development, are often found to be vulnerable to drug abuse. This study aims to analyze the implementation of Law No. 35 of 2009 on Narcotics in preventing drug abuse among university students in Lampung Province, as well as to identify its inhibiting factors. The research employs a normative juridical and empirical juridical approach, using primary and secondary data obtained through interviews, field studies, and literature reviews. Key informants include the Narcotics Directorate of the Lampung Regional Police, P4GN Unila, the Vice-Rector III for Student Affairs and Alumni at Unila, and lecturers from the Criminal Law Department at Unila. The findings show that the Lampung Regional Police have implemented preventive strategies such as counseling, campaigns, urine tests, and drug abuse education on campuses, as well as repressive strategies through law enforcement against students involved in narcotics distribution, with 283 recorded cases over the past five years. However, the effectiveness of implementation is still hindered by limited campus facilities (counseling centers, safe reporting systems), the lack of regulatory responsiveness to digital challenges, and low student trust in law enforcement. Therefore, prevention efforts need to be strengthened through cross-sectoral synergy, policy updates, and the enhancement of the role of universities in creating a safe, healthy, and drug-free campus environment.

Penelitian ini menguji pengaruh sikap keuangan dan perilaku manajemen keuangan terhadap pencegahan kecurangan di kalangan petugas pemasyarakatan. Penelitian ini menguji apakah faktor-faktor keuangan tersebut secara signifikan mempengaruhi upaya pencegahan kecurangan, yang bertujuan untuk menyoroti pentingnya disiplin keuangan dalam mendukung perilaku etis di lembaga pemasyarakatan. Penelitian ini menggunakan desain kuantitatif dengan kuesioner yang dikumpulkan dari 90 pegawai Lapas Narkotika Kelas IIA Bangli sebagai sampel total pada Januari–Maret 2025, kemudian dianalisis dengan menggunakan regresi linier berganda. Hasil penelitian menunjukkan bahwa sikap keuangan dan perilaku manajemen keuangan berpengaruh positif signifikan terhadap pencegahan fraud di kalangan petugas lembaga pemasyarakatan. Variabel penelitian, yaitu sikap keuangan dan perilaku manajemen keuangan, secara bersama-sama berpengaruh nyata terhadap pencegahan kecurangan dengan korelasi yang kuat. Hal ini menunjukkan bahwa meningkatkan perilaku dan sikap keuangan sangat penting dalam mengurangi risiko kecurangan di lembaga pemasyarakatan. Penelitian ini menawarkan wawasan orisinal dengan menguji pengaruh langsung dari sikap keuangan dan perilaku manajemen keuangan terhadap pencegahan kecurangan, sebuah hubungan yang belum pernah dianalisis secara bersamaan

This study was motivated by the high number of stunted children found in stunting locations, namely in Kelurahan Kahean and Sigulang-gulang, Kecamatan Siantar Utara, Kota Pematangsiantar. This study also found indications of inadequate parenting patterns in terms of nutrition and child health care. This condition is a serious concern because stunting not only affects children's physical growth but also influences their cognitive development and future quality of life. To understand this phenomenon in depth, this study used a qualitative method with a descriptive approach. Data were collected through in-depth interviews, observations, literature studies, and documentation, involving six main informants. The results of the study revealed that 4 of the 6 parents with stunted children practiced inadequate parenting, particularly neglectful parenting, which was the most dominant parenting style. This neglectful parenting style was characterized by a lack of adequate supervision and attention to providing nutritious food and health care for children. Parents who apply this parenting style tend to consistently ignore their children's nutritional and health needs, thereby increasing the risk of stunting. In addition, some parents also apply a permissive parenting style, which is characterized by allowing children to freely choose food without clear boundaries or rules. As a result, children often consume unhealthy foods and have irregular eating schedules. In addition to parenting factors, limited socioeconomic conditions also exacerbate the risk of stunting. Parents' low level of knowledge about balanced nutrition and child health care further increases the likelihood of children experiencing stunting. This shows that economic and educational factors are major obstacles in efforts to prevent stunting in the Kecamatan Siantar Utara.

Child abuse is a significant public health problem with long-lasting impacts on the physical, emotional, and psychological growth of children. Perception and awareness of child abuse among women in Okabere Community, Benin City, Edo State, Nigeria, were examined. A descriptive cross-sectional study design was used, and the data were collected from 133 women using a structured questionnaire. Findings revealed that 82% of the respondents were aware of child abuse, and 62.4% quoted schools and 20.3% places of worship as sources of information. Most were aware of sexual (28.6%) and physical abuse (21.8%) more than emotional abuse (17.3%) and neglect (14.3%). Perception was influenced by socio-cultural as well as economic influences because 60.2% quoted cultural beliefs and 80.5% blamed poverty for abuse. While almost all of the participants agreed that child abuse was a serious issue (80.5%), only 47.4% engaged in prevention activities. Community education, culturally targeted interventions, and women's empowerment are urgently needed for the prevention of child abuse in rural areas, as the study suggests.

Hypertension is a growing health problem, especially among the elderly and low-educated communities. Hypertension continues to emerge as a critical public health challenge, with increasing incidence and uneven impact, particularly affecting the elderly population and low-educated communities. In response to this situation, a community-based study was conducted in Plumpung Hamlet, Galengdowo Village, with the main objective of increasing residents' knowledge and awareness of primary prevention strategies and self-management of hypertension. The intervention method applied was multimodal, including interactive health lectures, distribution of leaflets designed with easy-to-understand language and clear visuals, and provision of free blood pressure checks that served as a screening tool and immediate awareness. This research design used a participatory approach with pre-test and post-test instruments to measure quantitative changes in participants' understanding, accompanied by blood pressure monitoring activities to evaluate the impact of education on physical health indicators. The evaluation results showed the program's significant success, marked by a 57.69% increase in comprehension scores between the pre-test and post-test sessions, while also showing an improvement trend in the blood pressure values of most participants after completing the entire education series. These findings clearly affirm the fundamental role of sustainable and accessible health education as an effective community-based intervention to mitigate hypertension risk factors and ultimately improve holistic quality of life. The implications of this study highlight the urgency of implementing regular, structured, and targeted education programs, especially those targeting the most vulnerable demographic groups, as a long-term health investment to prevent morbidity and complications from hypertension.  

This research aims to analyze the impact of implementing the International Safety Management (ISM) Code internal audit on the operational smoothness of the vessel MV. Martha Golden, managed by PT. Multi Jaya Samudera Belawan. The implementation of the ISM Code is a mandatory requirement regulated by Law No. 17 of 2008 concerning Shipping, designed to ensure safe ship operation and the prevention of marine pollution. The research methodology employed is field research (field research) through observation and the collection of direct operational data, complemented by a literature review (library research) to examine related regulations and theory. The findings demonstrate that the consistent execution of the ISM Code internal audit has a significant positive influence on improving the vessel's safety and operational integrity. This audit, carried out by the Designated Person Ashore (DPA), encompasses scheduling, conducting thorough inspections onboard, and reporting findings. Consistent auditing minimizes the risk of accidents at sea, enhances the compliance of all crew members with the applicable Safety Management Sistem (SMS), and ensures that the vessel operates safely and efficiently according to international standards. The study concludes that discipline in performing internal audits and the crew's adherence to SMS procedures are the primary keys to maintaining operational integrity. It is recommended that the company increase the frequency and quality of internal audits and crew training to ensure the vessel's safety and operational efficiency are consistently maintained.

Bullying remains a serious problem in primary education because it affects children’s psychosocial development, academic performance, and mental health. This community service program focused on educational efforts to prevent bullying at SDN Pamoyanan, Padamaju Village, Pagelaran Sub-district, Cianjur Regency. The aim of this activity was to increase students’ understanding of the definition, forms, impacts, and prevention strategies of bullying, as well as to foster collective awareness in creating a safe and inclusive learning environment. The method applied was a participatory research approach that involved teachers and students in every stage, from planning, implementation, to evaluation. Activities were carried out through observation, discussion, material presentation, simulation, and reflection. The results showed a significant increase in students’ knowledge, where before the intervention most of them did not understand the concept of bullying, but after the program, the majority were able to identify its forms and prevention steps. In addition, the program successfully built positive interactions and encouraged students to be more courageous in sharing their experiences and perspectives regarding bullying. Overall, the findings indicate that participatory-based education is effective in strengthening students’ understanding while fostering more empathetic and collaborative social attitudes. This activity is expected to continue sustainably by involving teachers, parents, and the wider community to strengthen bullying prevention efforts in primary schools.

Acute Respiratory Infection (ARI) is one of the diseases that frequently affects children under five years old and is a major cause of high disease rates in Indonesia. In the working area of the Bukit Hindu Health Center in Palangka Raya, cases of Acute Respiratory Infection (ARI) in toddlers tend to increase every year. This study was conducted to determine the relationship between family roles and their attitudes in preventing Acute Respiratory Infections (ARI) in children under five years old. The study aimed to determine the relationship between family roles and attitudes in preventing ARI in children under five years old within the working area of the Bukit Hindu Palangka Raya Public Health Center. This research is quantitative research with a correlational design and a cross-sectional approach. Samples were taken from 40 respondents using a purposive sampling technique. Data was collected using questionnaires and analyzed with the Spearman Rank statistical test. The research results showed that most respondents had a good family role and attitude toward preventing ARI. The results of the Spearman Rank test showed a significance value of p = <0.001 and a correlation coefficient value of 0.941*, indicating a very strong relationship between family role and attitudes in efforts to prevent ARI in toddlers. There is a significant relationship between family roles and attitudes in the effort to prevent ARI in toddlers within the working area of the Bukit Hindu Health Center Palangka Raya.

Febrile illnesses can be caused by a wide variety of viruses, bacteria, and other pathogenic microbes, and their production originates from outside the body. These substances, known as exogenous pyrogens, can enter the human system through contaminated water, food, or direct human-to-human transmission. Once inside the body, exogenous pyrogens stimulate the immune system by triggering the release of endogenous pyrogens such as cytokines, which in turn act on the hypothalamus to increase body temperature as a defense mechanism. This physiological response, while protective, can also indicate an underlying infection that may need prompt medical treatment. According to the World Health Organization (WHO) in 2020, the number of fever cases worldwide reached approximately 11–20 million people annually, with an estimated 128,000–161,000 deaths each year due to complications from febrile illnesses (Meirita et al., 2024). The global burden of fever varies by region; for example, in the United States, South America, and Western Europe, the incidence of fever is estimated to reach 4–5% of the population. In contrast, several Asian countries report higher prevalence rates, such as Japan with 6–9%, India with 5–10%, and Guam with 14% (Ulum et al., 2024). These statistics highlight the ongoing public health challenge posed by febrile illnesses, emphasizing the need for improved surveillance, prevention strategies, and treatment protocols worldwide.

Lymphadenopathy is a condition characterized by the enlargement of lymph nodes, commonly encountered in clinical practice, and may indicate both infectious and non-infectious disorders. This condition often causes anxiety as it is frequently associated with chronic diseases or malignancies. This study aims to describe nursing care in patients with lymphadenopathy through a case study approach and theoretical review. The method used was a descriptive case study with data collected through interviews, physical examinations, observations, and documentation. The results revealed the main complaint of pain in the anterior neck following surgical intervention. The identified nursing diagnoses included acute pain, knowledge deficit, and risk of infection. Interventions were carried out in the form of infection prevention, pain management, and health education. Evaluation showed significant improvements. The study concludes that comprehensive nursing care for patients with lymphadenopathy is effective in reducing symptoms, alleviating anxiety, increasing patient knowledge, and positively impacting quality of life.

Bullying remains a serious issue in the education sector, particularly at the junior high school level. The lack of students’ understanding regarding forms of bullying often leads to behaviors considered jokes, such as calling peers by their parents’ names, which can cause psychological harm. This community service program aimed to raise awareness among students of SMP Negeri 6 Pagelaran about the dangers of bullying and to build a collective commitment to its prevention. The method employed was Asset-Based Community Development (ABCD) through four stages: Discovery, Dream, Design, and Destiny. The results revealed that students developed a better understanding of the definitions, forms, and impacts of bullying. Active participation through discussions, games, and reflections encouraged students to design simple preventive strategies and establish class-wide agreements. The collective commitment generated by this program demonstrated that interactive educational approaches are effective in fostering awareness, empathy, and shared responsibility to create a safe, inclusive, and bullying-free school environment.

This research aims to analyze the risk factors of occupational accidents and identify effective prevention efforts within the context of Micro, Small, and Medium Enterprises (MSMEs), specifically at Inkside Sablon. This qualitative study, employing a case study approach, utilized in-depth interviews, participant observation, and documentary analysis for data collection. The findings indicate that occupational accident risk factors at Inkside Sablon are influenced by several aspects, including human factors such as lack of safety awareness and fatigue, environmental factors like inadequate ventilation and suboptimal lighting, and equipment factors such as non-ergonomic tools and insufficient maintenance. The prevention efforts implemented by Inkside Sablon are still partial and not well-structured, thus requiring the integration of more comprehensive safety programs, such as enhanced safety and health (OSH) training, provision of appropriate personal protective equipment (PPE), and improvements in management and supervision systems. It is expected that the implementation of these measures will increase worker awareness and reduce the number of occupational accidents, thereby creating a safer and more productive work environment

Kuala Indah Village in Sei Suka, Batubara, North Sumatra, is a coastal village whose economy relies on fisheries and aquaculture. The community is predominantly Muslim and also practices small-scale agriculture and animal husbandry. The Community Service Program (KKN) provides a platform for students to apply academic theory in real-world contexts, while also encouraging active community involvement. KKN students implement various programs, such as stunting prevention, religious moderation, skills training for poverty alleviation, and education for children and adolescents. They also play a role in increasing community participation through cultural activities and supporting local businesses by strengthening digital visibility. These initiatives support the creation of inclusive villages, providing equal access and opportunities regardless of gender, religion, or socioeconomic status. This collaborative approach reinforces the value of mutual cooperation and enriches social and educational life in the village. Through KKN, universities demonstrate their tangible contribution to village development. The success of this program underscores the importance of social inclusion and collective work in promoting sustainable development in rural areas like Kuala Indah.  

Extreme poverty remains a major challenge in rural areas of Indonesia, including Nagori Bandar Manik, Pamatang Sidamanik District, Simalungun Regency. The 2025 UINSU Community Service Program (KKN) was carried out to empower local communities through various activities covering economic, educational, religious, social-environmental, and health aspects. This program employed a qualitative approach by involving active community participation in needs assessment, socialization, training, and evaluation. In the economic aspect, workshops on dishwashing liquid and herbal pesticide production were implemented as alternative household businesses. The educational sector included religious moderation through a short movie screening Mabbere, anti-bullying campaigns, ecoprint totebag training, and teaching at kindergarten, elementary, and junior high school levels. In the religious field, activities included Qur’an learning after Maghrib with children and Yasin recitals for both men and women. The social-environmental aspect was realized through community clean-up, educational boards on waste decomposition, distribution of garbage bins, and environmental awareness campaigns. Meanwhile, the health aspect focused on education about clean and healthy living behaviors, stunting prevention campaigns, and community exercise. The findings revealed improvements in entrepreneurial skills, children’s literacy, spiritual values, environmental awareness, and healthy lifestyles. The implication highlights that multidimensional community empowerment can serve as an effective strategy to reduce extreme poverty and promote sustainable village development.  

Personal hygiene and nutritional balance are very important for everyone to know, including children during their most critical growth period, to know. This Community Service Lecture (KKN) activity aims to increase the knowledge and awareness of students at Public Elementary School 101848, Kuala Lau Bekeri Village, Kutalimbaru District, regarding the prevention of malnutrition and self hygiene through educational counseling. The method used was a descriptive method with a qualitative approach, implemented through interactive lectures, presentation media, and question and answer sessions. The number of participants were 90 students from grades I to VI. And with the teachers support in maintaining regularity and reinforcing the educational presentation about the counseling material included the definition of nutrition and malnutrition, signs, causes, healthy eating patterns, and clean and healthy living behaviors. The results of the activity showed high enthusiasm from the participants in participating in the counseling and their ability to name examples of healthy foods and the importance of a healthy lifestyle. This counseling successfully increased participants' understanding of the importance of balanced nutrition and healthy living behaviors that play a role in supporting the optimal growth and development of school-age children. The involvement of teachers and schools greatly supported the success of this activity. It is hoped that this counseling can form positive habits in maintaining students' nutrition and health in a sustainable manner.

Background: Anemia is one of the public health problems commonly found among adolescent girls, especially in developing countries like Indonesia. This condition affects concentration, academic performance, and productivity, making early detection an essential step to prevent long-term complications. Objective: This study aims to determine the results of early detection of anemia based on clinical symptoms and hemoglobin (Hb) levels among adolescent girls at SMPN 18 Palembang. Methods: This research used a descriptive design with a cross-sectional approach. A total of 132 seventh-grade female students were selected randomly. Data were collected through an anemia symptom questionnaire and hemoglobin level measurement using a hemoglobinometer. Results: The study found that 23.5% of respondents were anemic (Hb < 12 g/dL), and 48.5% showed symptoms of anemia. However, the sensitivity of symptoms in detecting anemia was only 39%, specificity was 19%, with a positive predictive value (PPV) of 60.93% and a negative predictive value (NPV) of 8.82%. Conclusion: Based on the findings, symptom-based detection alone is not sufficiently accurate to diagnose anemia. Hemoglobin level examination is still required as a more valid and objective screening method for the early detection of anemia in adolescent girls In addition to medical intervention, the study advocates for increased awareness and education about anemia, its causes, and prevention methods among students, parents, and educators. Addressing nutritional deficiencies, especially iron intake, through dietary improvements and supplementation is essential in combating anemia in adolescent girls.

This article examines the role of students of the Real Work Lecture (KKN) of the State Islamic University of North Sumatra in Stabat Lama Village in supporting community development through an integrative approach that covers three main areas, namely religious moderation, stunting prevention, and extreme poverty alleviation. The religious moderation program is carried out through Maghrib Mengaji, Gebyar Islami, and interfaith dialogue, which has been proven to strengthen tolerance and social harmony in the community. The stunting prevention program is realized through the provision of supplemental food (PMT) based on local ingredients, which is able to improve the nutritional status of toddlers while preventing the risk of new stunting. Furthermore, the community economic empowerment program is carried out through ecoprint training with eco pounding techniques that produce works of selling value and open up opportunities for environment-based businesses. The results of the activities show that the three programs complement each other and contribute to improving health, economic independence, and socio-religious harmony. The real impact of the implementation of this program is not only felt in the short term, but also provides the foundation for the development of a more independent and sustainable society. Through the active involvement of students, KKN activities succeeded in connecting academic theory with real practice in the field, so that it was able to provide contextual solutions to village problems. The empowerment carried out also emphasizes inclusive community participation, especially vulnerable groups such as housewives and toddlers, so as to provide more equitable benefits. Thus, KKN in Stabat Lama Village represents a holistic, sustainable, and relevant service model to the achievement of the Sustainable Development Goals (SDGs).

Flour Albus is one of the reproductive health problems commonly experienced by young women. Vaginal discharge is a condition of vaginal discharge other than blood that occurs outside of normal conditions, this fluid can be odorless or not, and is often accompanied by itching in the area around the vagina. The purpose of this study was to determine the effect of reproductive health education on knowledge of flour albus in young women. This type of research is quasi-experimental with a one-group pretest posttest design approach. The population taken was all 10th grade girls with a total of 40 respondents at SMK Theresiana Semarang. The sampling technique was total sampling. The data collection tool used a knowledge questionnaire. Data analysis used the Wilcoxon Test. The results of this study obtained a p-value of 0.002 (<0.05) which means there is an influence on reproductive health education on knowledge of flour albus in young women, with this Z-value of 3.052 which means that providing reproductive health education on flour albus has a 3-fold increase in knowledge in adolescents. Conclusion There is an influence on reproductive health education on knowledge of flour albus in young women. The suggestion that can be put forward is that young women can increase their understanding, awareness, knowledge and prevention methods because many young women still do not know the impacts and treatment and prevention of Flour Albus that occurs in themselves.