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Sleep disturbances are a common complaint among perimenopausal women due to hormonal, psychological, and physiological changes, which impact their health and quality of life. Safe and easy-to-apply non-pharmacological approaches, such as lemongrass aromatherapy (Cymbopogon citratus), have the potential to be a supportive alternative in overcoming sleep disturbances during this phase. However, empirical evidence regarding the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women. This study used a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 30 perimenopausal women selected using total sampling technique in the working area of Pustu Paring Lahung UPT Tumpung Laung. The intervention in the form of lemongrass aromatherapy through inhalation was carried out regularly before bedtime. Sleep quality was measured before and after the intervention using a standardized questionnaire. Data analysis was performed descriptively and bivariately using Fisher's Exact Test. Descriptively, there was an improvement in sleep quality after the administration of lemongrass aromatherapy, marked by a decrease in the proportion of poor sleep quality and an increase in good sleep quality. However, the statistical test results showed that the relationship between sleep quality before and after treatment was not statistically significant (p = 0.515). Lemongrass aromatherapy showed a tendency toward clinically significant improvement in sleep quality, but this was not statistically significant. Further research with a stronger design and longer intervention duration is needed to confirm the effectiveness of lemongrass aromatherapy on the sleep quality of perimenopausal women.

Adolescents are at greater risk of mental health conditions. Good or bad mental health conditions in adolescents cannot be separated from the factors that influence it. Factors that influence adolescent mental health include religiosity, smartphone addiction, parenting patterns and peer interaction. The aim of this research is to determine the mental health picture and predisposing factors in young women in Mekarbakti Village, Pamulihan District, Sumedang Regency. The type of research is descriptive, the population is 508 young women in Mekarbakti Village, Pamulihan District, Sumedang Regency. The sample was taken using stratified random sampling so that 84 people were obtained. Data collection is done by filling out a questionnaire. Data analysis uses univariate analysis in the form of frequency distribution.  The research results showed that more than half had good mental health, 52 people (61.9%), more than half had high religiosity, 49 people (58.3%). more than half of them are not addicted to smartphones as many as 48 people (57.1%), more than half have democratic parenting as many as 59 people (70.2%), more than half of them have high peer interaction as many as 48 people (57.1%). The conclusion was that more than half of young women's mental health was good, their religiosity was high, they were not addicted to smartphones, their parenting was democratic and their peer interaction was high. Suggestions for research sites could be to hold positive activities for young women, such as by encouraging more young people to take part in Karang Taruna activities

BPJS Health has incurred losses exceeding 200 billion rupiah over a two-year period due to the payment of contributions that were discontinued by participants who had utilized maternity services. Data show that 64.7% of mothers registered as BPJS Health participants only one month prior to childbirth, after which 43% either withdrew their membership or failed to continue paying contributions following delivery. The highest proportion of this behavior was observed among independent participants or non-wage recipients (PBPU). In Jambi Province, the highest level of contribution non-compliance occurs in Jambi City. In 2023, there were 77,489 participants with contribution arrears, resulting in financial losses amounting to 60.1 billion rupiah. Contribution non-compliance is influenced by various factors. This study aims to analyze the factors contributing to non-compliance among independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. The findings revealed that 33.3% of independent participants were non-compliant in paying BPJS Health contributions after using maternity services. Significant associations were found between contribution non-compliance and the number of family members (p = 0.001), level of knowledge (p = 0.000), illness perception (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP). Based on these findings, it is recommended that BPJS Health consider implementing a waiting period policy for participants intending to utilize maternity services. In addition, the Jambi City Government should strengthen promotive efforts to educate the public and raise awareness of the importance of health insurance in safeguarding household financial security.  

Syphilis is one of the reproductive health problems that remains a challenge in Indonesia, with a trend of increasing cases, while the level of adolescent knowledge about this disease is still low. Educational efforts are needed to improve adolescent understanding, one of which is through video media which is considered more interesting because it combines visual and audio elements. This study aims to evaluate the effectiveness of video as an educational medium in improving adolescent knowledge about syphilis at SMKS Al Hikmah 2 Sirampog, Brebes Regency. This type of research is a pre-experimental study with a one group pretest-posttest design. The study sample consisted of 47 students selected using a purposive sampling technique. The research instrument was a syphilis knowledge questionnaire administered before and after the educational video intervention. Data analysis used the Wilcoxon Signed Rank Test and N-Gain calculation. The study showed that Results Before the intervention, the level of knowledge of respondents was in the good category for 24 students (51.1%), sufficient for 11 students (25.5%), and poor for 12 students (23.4%). After being given the educational video intervention, there was a significant increase with all respondents (100%) being in the good category. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest scores (p-value = 0.000). N-Gain analysis categorized the increase in knowledge as high. The study concluded that video media has proven effective as an educational tool in increasing adolescent knowledge about syphilis, making it a viable alternative learning medium in reproductive health programs.

Significant changes occurring today are characterized by technological disruption, demographic shifts, globalization, and economic instability. The combination of these factors creates complex challenges for human resources (HR) in adapting and enhancing their capabilities. The purpose of this study was to examine the relationship between organizational commitment and perceptions of transformational leadership style with Organizational Citizenship Behavior of teachers in Surabaya. The research subjects were 397 teachers in Surabaya, East Java. The sampling technique used was purposive sampling. Data was collected through scale filling using Google Forms. The measurement instruments in this study were the Organizational Citizenship Behavior Scale, the Organizational Commitment Scale, and the Transformational Leadership Style Perception Scale. The data analysis used multiple linear regression analysis. The results showed that there was a significant positive relationship between organizational commitment and perceptions of transformational leadership style with Organizational Citizenship Behavior. The higher the organizational commitment and perceptions of transformational leadership style, the higher the Organizational Citizenship Behavior among teachers. There was a significant relationship between organizational commitment and Organizational Citizenship Behavior, and there was also a significant positive relationship between perceptions of transformational leadership style and Organizational Citizenship Behavior. The higher the perceptions of transformational leadership style, the higher the Organizational Citizenship Behavior among teachers.

Primary Healthcare Facilities (Fasilitas Kesehatan Tingkat Pertama, FKTP) represent the first level of contact in the healthcare system and play a central role in infection prevention and control. Despite mandatory Infection Prevention and Control (IPC) training in Indonesia, evidence regarding its effectiveness in improving cognitive abilities among primary healthcare workers remains limited. This study aimed to evaluate the effectiveness of IPC training in enhancing the cognitive abilities of healthcare workers in FKTP. A quasi-experimental study with a one-group pretest–posttest design was conducted involving 91 healthcare workers who participated in IPC training across three cohorts in 2024. The training was delivered online through a Learning Management System and consisted of structured learning modules accompanied by a pre-test and a final quiz. Cognitive improvement was assessed using paired samples t-tests, while the magnitude of training impact was evaluated using Cohen’s dz effect size. The results showed statistically significant improvements in cognitive scores across all cohorts (p < 0.001), with mean score increases ranging from 16.10 to 23.35 points. Effect size analysis revealed large to very large effects, with an overall Cohen’s dz of 1.19, indicating substantial and practically meaningful cognitive gains. In conclusion, IPC training was effective in improving cognitive competence among FKTP healthcare workers. These results reinforce the value of well-structured training programs as an essential component of efforts to strengthen infection prevention capacity in primary healthcare settings.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Advancements in modern technology have reshaped people’s lifestyles, including how individuals carry out their daily activities. These changes have influenced individuals to make less realistic decisions in an effort to align themselves with their desired lifestyle. This study aims to examine whether college students with certain lifestyle tendencies are more likely to engage in impulsive buying when shopping online. The study involved 392 college students residing in Surabaya, East Java, selected through a random sampling technique. Data were collected using a Google Form–based questionnaire containing measurement instruments developed by the researcher: (1) the Impulsive Buying Scale (15 items; α = 0.858) and (2) the Lifestyle Scale (22 items; α = 0.898). Multiple linear regression was used to analyze the data.The findings reveal a significant positive relationship between lifestyle and impulsive buying. The strongeran individual’s consumerist lifestyle tendency, the more likely they are to make impulsive purchases.  

Low Birth Weight (LBW) remains a critical global health issue that significantly contributes to neonatal morbidity and mortality, particularly in developing countries such as Indonesia. The main challenge in addressing LBW lies in its complex and multifactorial risk profile, which involves biological, social, environmental, and healthcare-related determinants. This study aims to analyze and synthesize the risk factors associated with LBW based on recent scientific literature. A literature review method was applied by searching articles from Portal Garuda, DOAJ, PubMed, and Google Scholar published between 2020 and 2025 using relevant keywords. The findings indicate that maternal age, interpregnancy interval, nutritional status, anemia, preeclampsia, infections, socioeconomic conditions, environmental exposure, and the quality of antenatal care are significant determinants of LBW. The synthesis of evidence confirms that LBW is influenced by the interaction of multiple individual and healthcare system factors rather than a single cause. In conclusion, this study highlights the urgent need to strengthen antenatal care services, improve maternal nutritional status, control maternal diseases during pregnancy, and implement community-based promotive and preventive strategies as key efforts to reduce the incidence of LBW.

Abortion remains a complex reproductive health issue due to the interplay of multiple interrelated determinants. This study aimed to map the factors influencing the incidence of abortion based on recent scientific evidence. A literature review design was applied by analyzing ten selected articles published within the last five years and retrieved from major scientific databases. The selection process was conducted systematically through title, abstract, and full-text screening based on predefined inclusion criteria. The extracted data included study characteristics, type of abortion, examined determinants, and key conclusions. The synthesized findings indicate that abortion incidence is shaped by a combination of biological, social, and healthcare system related factors. Clinical determinants such as maternal age, endocrine disorders, uterine anatomical abnormalities, obstetric history, anemia, and hypertension play a substantial role in spontaneous and recurrent miscarriage. In contrast, structural factors including income level, contraceptive access, and legal regulations predominantly influence induced abortion. The discussion highlights that abortion should not be viewed as an isolated clinical event, but rather as the cumulative outcome of risks operating across multiple levels of influence. In conclusion, abortion represents a multifactorial phenomenon that requires comprehensive prevention strategies extending beyond medical interventions alone. These strategies should also address healthcare accessibility and broader social conditions. This review contributes to a deeper understanding of the complexity of abortion determinants and provides an evidence-based reference for developing more effective preventive approaches in the future.

Prelabor rupture of membranes (PROM) remains one of the most frequently encountered obstetric complications and continues to contribute substantially to maternal and neonatal morbidity and mortality. Numerous factors have been associated with PROM; however, the available evidence presents considerable variation, highlighting the need to re-evaluate these determinants using recent empirical findings. This review aims to identify and synthesize the principal factors influencing PROM based on ten studies published within the last five years. A systematic search was conducted across PubMed, Scopus, Web of Science, and Google Scholar using predefined keywords, followed by screening through established eligibility criteria. Relevant data from each study including study design, geographical setting, assessed risk factors, and statistical outcomes such as odds ratios or relative risks  were extracted and compared. The review indicates that reproductive and urinary tract infections, inadequate nutritional status, high-risk obstetric history, and short interpregnancy intervals consistently emerge as major determinants. Social factors and the quality of antenatal services were also shown to heighten the likelihood of PROM. Overall, the findings emphasize that PROM arises from a combination of medical and non-medical influences, reinforcing the need for preventive strategies that adopt a comprehensive and integrated approach.

Carpal tunnel syndrome (CTS) is the most common chronic neuropathy of the upper limb, characterized by compression of the median nerve within the carpal tunnel. It typically results from repetitive hand movements or trauma and leads to pain, numbness, and weakness, making it a significant occupational health concern. Increased intracarpal pressure causes venous stasis, edema, and ischemic damage, which slow nerve conduction and are detectable through electrodiagnostic (EDX) studies. Recently, ultrasonographic measurement of the median nerve cross-sectional area (CSA) has been proposed as a noninvasive diagnostic option. This study aimed to evaluate the diagnostic accuracy of ultrasound-based CSA measurement compared with EDX findings in CTS patients. The research was conducted at Al-Imamain Al-Kadhimain Medical City in Baghdad from November 2024 to March 2025 and included 100 patients (200 hands). All individuals underwent both EDX and high-resolution ultrasonography using a 5–13 MHz linear probe, with CSA calculated by the direct tracing method. CTS was confirmed in 102 hands (51%). Affected hands demonstrated significantly prolonged distal motor and sensory latencies, reduced amplitudes, and lower conduction velocities (p < 0.001). Mean CSA was significantly larger in CTS hands (13.75 ± 3.95 mm²) than in non-CTS hands (10.15 ± 3.33 mm², p < 0.001). ROC analysis produced an AUC of 0.776 and an optimal cutoff of 11.5 mm² (72% sensitivity, 76% specificity). CSA also increased with CTS severity. Moderate accuracy was observed when differentiating mild from moderate CTS at a 12.5 mm² cutoff, and moderate from severe CTS. In conclusion, median nerve CSA measurement by ultrasound is a reliable, noninvasive, and rapid tool for diagnosing and grading CTS, complementing EDX assessment.  

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.

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.

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.

Despite global efforts, maternal mortality remains a critical public health challenge. A major contributing factor is the delay in recognizing and responding to obstetric emergencies. A pregnant woman's awareness of potential danger signs and her subsequent proactive attitude toward early detection are considered pivotal in facilitating timely and life-saving healthcare access. This study was undertaken to investigate the direct correlation between the level of knowledge pregnant women possess regarding pregnancy danger signs and their attitude toward the early identification of maternal emergencies.This research utilized an analytic survey design, a cross-sectional approach. The study sample was drawn using accidental sampling, comprising 110 pregnant women. Data were collected via structured questionnaires and analyzed statistically using the Spearman Rank correlation test. The descriptive analysis revealed a positive outcome regarding knowledge: the majority of participants (70) demonstrated a sufficient level of knowledge about pregnancy danger signs. However, this did not translate into a desired behavioral disposition, as a majority of participants (40) simultaneously displayed a poor attitude toward the early detection of maternal emergencies. The inferential statistical analysis confirmed this disconnect: the Spearman Rank test yielded a calculated ρ-value (pcount) of 0.068, which was less significant than the critical ρ-table value (ptable) of 0.364. Crucially, the significance level(p=0.72) exceeded the predetermined alpha (α=0.05).The study concludes that there is no significant relationship between a pregnant woman's knowledge of obstetric danger signs and her attitude toward seeking the early detection of maternal emergencies.

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.

In order to guarantee the best possible maternal health and fetal growth throughout pregnancy, complementary services for expectant mothers are required. These services include nutrition, mental health, and supplementary medical treatment. According to data, 70% of pregnant women have low back discomfort. According to a different poll, eight out of ten third-trimester pregnant women report having back pain. Doing Childpose (Balasana) exercises is one more way to lessen this problem. This study sought to ascertain if Childpose (Balasana) exercises were beneficial in lowering low back pain complaints among pregnant women in their third trimester at the South Bolango City Health Center. This study employed a quasi-experimental pretest-posttest approach with a sample of 34 pregnant women in the third trimester. There were twenty participants in the study's sample. Childpose or balasana exercises are beneficial in relieving back discomfort in third trimester pregnant women at the South Bolango Health Center, according to the data, which indicated a P-value of 0.000 <0.05.

This research aims to describe the implementation of Physical Education learning at Madrasah Pondok Pesantren Miftahul Muta'alimin (Miftahul Muta'alimin Islamic Boarding School). Learning implementation in this research includes planning, implementation, and assessment/evaluation, as well as the obstacles and supports that influence these implementations. This research used a descriptive qualitative approach. The data were obtained through interviews, observations, and documentation. The data validity was tested by using source triangulation. Observations and documentation were used as supporting data to strengthen the interview results. The research subjects consisted of the principals of Islamic Junior High Schools (MTs) and Islamic Junior High Schools (MA), a Physical Education teacher, and four students (two from each MTs and two from the MA). The data analysis was conducted through data reduction, data presentation, and conclusion drawing. The research findings indicate that the implementation of Physical Education learning has followed the planning, implementation, and evaluation stages, but has not been optimal. Planning remains administrative in nature and has not fully adapted to student characteristics. Learning implementation includes an introduction, core, and closing phase, but lacks of method variation and active student involvement. Assessment/evaluation has covered cognitive, affective, and psychomotor aspects, but it is still limited to final assessments and it is not yet sustainable. Furthermore, limited infrastructure and teacher backgrounds pose challenges. Despite this, madrasah and Islamic boarding schools (pesantren) generally support the implementation of Physical Education (PE) learning.

Chronic kidney disease (CKD) is a progressive and irreversible decline in kidney function that, if left untreated, can lead to serious complications. Ultrasonography (USG) is a widely used imaging modality for detecting CKD, yet its interpretation remains highly dependent on the radiologist’s expertise. This study aims to develop a CKD detection system using a convolutional neural network (CNN) on kidney ultrasound images based on estimated glomerular filtration rate (eGFR), and to evaluate the system’s performance. This research employed a research and development (R&D) approach with an experimental design. The dataset consisted of kidney ultrasound images from CKD and non-CKD patients with corresponding eGFR values. The methodology included image preprocessing, CNN model training, and accuracy evaluation using classification metrics. The results demonstrated that the developed CNN model achieved a total accuracy of 97% on internal test data and 95.8% on external validation. The model’s sensitivity reached 100% for the normal category, 91.67% for CKD stage 4, and 90% for CKD stage 5. Specificity exceeded 96% across all categories, with high precision and F1-scores above 94% for all classes. This system has proven to be effective as a diagnostic support tool for automatically detecting CKD through kidney ultrasound imaging. Its advantages lie not only in accurately classifying CKD from USG images but also in correlating the classification results with patients' eGFR values. This provides more precise clinical information and supports appropriate CKD staging and management planning.