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Stress in older adults needs attention because it can negatively affect physical, emotional, and social well-being, as well as overall quality of life. Elderly individuals living in social welfare institutions are particularly vulnerable to stress due to environmental changes, limited family involvement, loneliness, daily routines, and reduced independence. This study aimed to determine the effect of art painting group activity therapy on stress levels among older adults at Budi Mulia 2 Cengkareng Social Welfare Home. A quantitative pre-experimental study with a one-group pretest-posttest design was conducted involving 33 participants selected through total sampling. Stress levels were measured using the DASS-21 stress subscale. The intervention consisted of four art painting sessions lasting 30–45 minutes each. Data were analyzed using the Wilcoxon test. The mean stress score decreased from 22.18 before the intervention to 15.94 after the intervention. The Wilcoxon test showed a significant difference (p = 0.000), indicating that art painting group activity therapy effectively reduced stress levels among older adults.

Indonesia, as a country located at the intersection of three tectonic plates, is highly vulnerable to earthquakes. This has led to the development of various innovations in earthquake-resistant housing. An interesting phenomenon can be found in Sigi District, Central Sulawesi, where several vernacular houses of the Kaili people constructed with a hybrid design (wooden frame and mud walls) have proven to withstand the major earthquake that struck Palu, Central Sulawesi, in 2018. This study aims to examine the architectural typology of non-engineered hybrid houses within the Kaili community using a qualitative descriptive approach and typological analysis. Data collection involved direct observation, interviews, and literature reviews, with a focus on the spatial and physical systems of the buildings. The sample for the study was determined through purposive sampling with specific criteria. Data analysis was conducted using a qualitative descriptive approach. The results of the study indicate that, despite changes in materials due to adaptations to technological advancements and reconstruction policies, the spatial layout and fundamental structure of the houses have maintained traditional philosophies. These houses demonstrate the integration of cultural values, local knowledge about seismic activity, and the use of local materials, which allow for both structural flexibility and some rigidity, contributing to the buildings’ resilience. These findings highlight the importance of combining technical and cultural approaches in designing earthquake-resistant houses within a local context.

Hypertension is one of the most common chronic diseases encountered in primary healthcare and may lead to serious complications if left uncontrolled. This case report aims to describe the management of a 48-year-old female patient with grade II hypertension through a family medicine approach at Nisam Primary Health Center, North Aceh Regency. The patient presented with intermittent headaches for one week, which worsened after physical activity and were accompanied by numbness in both legs. She had a five-year history of hypertension with poor adherence to antihypertensive medication. Physical examination revealed a blood pressure of 165/70 mmHg, leading to a diagnosis of grade II hypertension. Comprehensive management was conducted using patient-centered and family-centered approaches, including education regarding hypertension, lifestyle modification, DASH diet implementation, physical activity, medication adherence, and family support through home visits and family folders. The interventions were expected to improve blood pressure control, prevent complications, and enhance the patient’s quality of life. A family medicine approach plays an important role in comprehensive hypertension management at the primary healthcare level.

Golf participation has increasingly become a lifestyle-oriented recreational activity that combines physical exercise, social interaction, and personal identity. However, participation decisions are not only shaped by individual interest, but also by demographic readiness, psychographic orientation, digital promotional exposure, and psychological commitment to the sport. This study aims to examine the influence of demographic factors, psychographic factors, and digital promotion on golf participation decisions in Bandar Lampung, with sport commitment as a mediating variable. A quantitative survey approach was employed using purposive sampling. Data were collected from 287 golf participants through a structured questionnaire measured with a five-point Likert scale. The data were analyzed using multiple linear regression and Sobel mediation testing. The findings show that demographic factors, psychographic factors, digital promotion, and sport commitment have positive and significant effects on golf participation decisions. Sport commitment was found to be the strongest predictor and significantly mediated the relationship between demographic factors, psychographic factors, digital promotion, and golf participation decisions. These results indicate that golf participation is influenced not only by access, lifestyle, and digital promotion, but also by the level of commitment developed by participants. This study contributes to sport marketing literature by integrating individual, psychological, and digital factors into one empirical model of golf participation behavior.

This study aims to analyze the representation of healthy lifestyle ideology in government digital campaigns through the Instagram content of the Ministry of Youth and Sports of the Republic of Indonesia (@kemenpora). The rapid development of social media as a medium for public communication has encouraged government institutions to utilize digital platforms to deliver policy messages in a more persuasive, visual, and interactive manner. In this context, social media content functions not only as a source of information, but also as a space  for the production of meaning and ideology that shapes public understanding of health and lifestyle. This research employs a qualitative approach using Kress and van Leeuwen’s multimodal semiotic analysis, which includes three metafunctions of meaning: representational, interactive, and compositional. The analysis is further enriched by Roland Barthes’ semiotic framework at the levels of denotation, connotation, and myth to uncover the deeper ideological meanings embedded within the campaign visuals. The findings reveal that @kemenpora’s visual content constructs a dichotomy between unhealthy food consumption and physical activity as opposing lifestyle choices. At the mythological level, the campaign reproduces the ideology of healthism, which positions health as solely an individual responsibility while obscuring the social and structural dimensions influencing public health conditions. This study concludes that government digital campaigns function not only as instruments of public education, but also as strategic communication tools that construct healthy lifestyle ideology within the digital sphere.

The health of elementary school-aged children is a crucial phase for physical growth and cognitive development, but the school environment is often vulnerable to the spread of disease due to a lack of understanding of hygiene. This community service activity aims to increase students' awareness of the dangers of germs at SD Negeri Sumberbulu 1 through education on Clean and Healthy Living Behavior (PHBS) with a primary focus on Handwashing with Soap (CTPS). The implementation method is carried out through three stages: preparation and coordination, educational implementation using animated videos and live demonstrations of the 6 steps of CTPS, and the follow-up stage. The results of the activity showed that the use of visual media and icebreakers effectively increased students' enthusiasm and understanding in absorbing the health steps taught. As a form of sustainability, the team coordinated with the school, which then expressed its willingness to integrate the CTPS scheme into the school's daily routine independently. Thus, this program successfully transformed healthy behavior into a permanent school culture to maintain the quality of life for the next generation.

Background: Acute respiratory infection (ARI) remains a major public health concern, particularly in primary care settings. Lifestyle factors such as dietary patterns and physical activity are increasingly recognized as potential contributors to respiratory health. Objective: This study aimed to examine the association between dietary patterns, physical activity, and ARI among primary care patients in East Halmahera, Indonesia. Methods: A cross-sectional study was conducted at a primary health care facility in East Halmahera, Indonesia, from January to February 2026, involving 106 respondents selected using a total sampling technique. Data were collected using structured questionnaires and medical records. Variables included sociodemographic characteristics, dietary patterns, physical activity, and ARI status. Data were analyzed using descriptive statistics and Chi-square tests with a significance level of p < 0.05. Results: The prevalence of ARI among respondents was 77.4%. Bivariate analysis showed that dietary patterns (p = 0.006) and physical activity (p = 0.015) were significantly associated with ARI. In contrast, age, gender, marital status, education level, employment status, smoking, and alcohol consumption were not significantly associated with ARI (p > 0.05). Conclusion: Dietary patterns and physical activity were significantly associated with ARI among primary care patients in East Halmahera. These findings highlight the importance of lifestyle-related factors in addressing respiratory infections at the primary care level.  

Diabetes mellitus, as a persistent non-infectious metabolic pathology increasingly prominent in the global epidemiological spectrum, is fundamentally characterized by dysfunctional hyperglycemia rooted in primary disruptions of pancreatic insulin hormone synthesis or peripheral resistance to its biological action, thereby inducing dynamic imbalances in gluconeogenesis and glycolysis pathways; amid the hypothesis that body mass index (BMI) as a measure of central adiposity potentially mediates variability in serum glucose levels, this quantitative observational study with a cross-sectional design rigorously tests the causal relationship between BMI and fasting/random blood glucose concentrations in a cohort of 134 adult subjects with type 2 diabetes mellitus affiliated with primary care services at Puskesmas Bongo II, Boalemo Regency, through an inclusive total sampling recruitment strategy, precision anthropometric measurement instruments (height, weight, WHO BMI categorization), and laboratory-validated glucometric validation, with multivariate inferential processing based on the Chi-Square independence test at a Type I error rate of α=0.05 using the latest edition of the SPSS analytical suite; the demographic profile highlights female gender supremacy (90 individuals, 67.2%), the normoweight group (78 cases, 58.2%), concurrent with substantial glycemic elevation prevalence (78 subjects, 58.2%), but the crucial statistical output reveals a p-value of 0.831 (>0.05) that negates any probabilistically meaningful association, thus the substantive conclusion affirms the non-significance of the BMI-glucose relationship in this local context, while implying the dominance of alternative etiopathogenic factors such as hypercaloric macronutrient intake patterns, deficits in aerobic/anaerobic physical activity, non-adherence to multidisciplinary pharmacological protocols (e.g., metformin/oral hypoglycemics), and a comprehensive management paradigm integrating behavioral education, continuous monitoring, and personalized interventions to mitigate long-term cardiovascular risks across the diabetes mellitus spectrum.

Diabetes mellitus, as a persistent non-infectious metabolic pathology increasingly prominent in the global epidemiological spectrum, is fundamentally characterized by dysfunctional hyperglycemia rooted in primary disruptions of pancreatic insulin hormone synthesis or peripheral resistance to its biological action, thereby inducing dynamic imbalances in gluconeogenesis and glycolysis pathways; amid the hypothesis that body mass index (BMI) as a measure of central adiposity potentially mediates variability in serum glucose levels, this quantitative observational study with a cross-sectional design rigorously tests the causal relationship between BMI and fasting/random blood glucose concentrations in a cohort of 134 adult subjects with type 2 diabetes mellitus affiliated with primary care services at Puskesmas Bongo II, Boalemo Regency, through an inclusive total sampling recruitment strategy, precision anthropometric measurement instruments (height, weight, WHO BMI categorization), and laboratory-validated glucometric validation, with multivariate inferential processing based on the Chi-Square independence test at a Type I error rate of α=0.05 using the latest edition of the SPSS analytical suite; the demographic profile highlights female gender supremacy (90 individuals, 67.2%), the normoweight group (78 cases, 58.2%), concurrent with substantial glycemic elevation prevalence (78 subjects, 58.2%), but the crucial statistical output reveals a p-value of 0.831 (>0.05) that negates any probabilistically meaningful association, thus the substantive conclusion affirms the non-significance of the BMI-glucose relationship in this local context, while implying the dominance of alternative etiopathogenic factors such as hypercaloric macronutrient intake patterns, deficits in aerobic/anaerobic physical activity, non-adherence to multidisciplinary pharmacological protocols (e.g., metformin/oral hypoglycemics), and a comprehensive management paradigm integrating behavioral education, continuous monitoring, and personalized interventions to mitigate long-term cardiovascular risks across the diabetes mellitus spectrum.

Travertine is a non-marine carbonate rock precipitated from calcium- and bicarbonate-rich waters, commonly associated with hot springs, streams, and lakes in tectonically active regions. This study presents a systematic literature review of travertine deposit characteristics, encompassing mineralogical composition, geochemical signatures, petrographic textures, morphological types, isotopic properties, biotic–abiotic controls on formation, early diagenesis, and petrophysical implications. The synthesis indicates that travertine is predominantly composed of calcite, with aragonite forming under conditions of elevated temperature, high Mg/Ca ratios, and rapid CO₂ degassing. Travertines display exceptional textural diversity, ranging from abiotic crystalline crusts to microbially mediated fabrics such as shrub, peloidal, and stromatolitic structures. Major morphologies include fissure ridges, mounds, terraces, cascades, and slopes, strongly governed by tectonic setting, topography, hydrology, and substrate geology. Stable isotopes (δ¹³C and δ¹⁸O), strontium isotopes, trace elements, and REE patterns effectively constrain fluid provenance and distinguish thermogene from meteogene travertines. Microbial activity plays a crucial role in biomineralization, influencing precipitation rates, crystal morphology, and lamination patterns. Early diagenetic processes occurring during active deposition may significantly modify primary fabrics and geochemical signals. Travertine petrophysical properties exhibit distinctive porosity–velocity relationships, making them valuable analogues for subsurface carbonate reservoirs. This review highlights that travertines record complex interactions among physical, chemical, biological, and geological processes and hold significant value for paleoenvironmental reconstruction and carbonate reservoir studies.

Background: Ischemic stroke is one of the leading causes of death and disability, especially in the elderly population. The impact of stroke is not only limited to physical activity, but also greatly affects the psychosocial condition of the sufferer. From a psychological aspect, stroke sufferers often experience various complex emotional disorders. Research tends to be deep sadness, anger, disappointment, and feelings of helplessness. One of the significant psychosocial problems experienced by stroke survivors is a decrease in low self-esteem. Methods: The approach used in this study is a qualitative approach. The data source in this study came from informants. This research was conducted at Royal Prima Hospital, Jambi City. Results: Based on the results of the research that has been conducted, it was found that stroke patients experience various psychological changes due to physical limitations that arise after having a stroke. Family support is the most influential factor in the psychological condition of stroke patients.  Families who always accompany patients are able to help patients accept sick conditions and increase patient morale during the rehabilitation process. However, the results of the study show that psychological support from nurses is still not fully optimal. Conclusion: Based on the results of the study, stroke patients experience psychological changes such as feeling embarrassed, insecure, feeling a burden on the family, withdrawing from the social environment, and losing their zest for life due to physical limitations. This condition shows that the stroke has an impact not only on the physical, but also on the psychological of the patient. Family support in the form of attention, motivation, affection, mentoring, and medical assistance is very helpful in increasing the patient's enthusiasm and confidence during rehabilitation. Nurses also play a role in the recovery process through health education, motivation, and treatment assistance. However, emotional support and therapeutic communication from nurses are still not optimal because services are more focused on medical measures.

Pumpkin seeds (Cucurbita spp.) are a byproduct of pumpkin that has great potential to be developed as a functional food ingredient due to their high nutritional content and bioactive compounds. This article aims to examine the valorization (utilization) of pumpkin seeds in various food products and their potential as a functional food. The method used was a narrative literature review through a search of the Google Scholar, ScienceDirect, PubMed, and MDPI databases for the period 2016–2026. The results of the study indicate that pumpkin seeds have been applied in various food products such as cookies, crackers, bread, biscuits, cakes, muffins, and snack bars. The addition of pumpkin seeds generally increases the content of protein, fiber, unsaturated fatty acids, minerals, and bioactive compounds that contribute to antioxidant activity. However, increasing the proportion of pumpkin seeds also affects the physical and sensory characteristics of the product, such as darker color, decreased volume, and changes in texture due to reduced gluten content in the dough. Therefore, formulation optimization is needed to achieve a balance between increasing nutritional value and consumer acceptance. Overall, pumpkin seeds have the potential to be used as an ingredient in the development of functional foods.

Background: Pregnancy is a crucial period that requires special attention to the mother's physiological and psychological aspects. Many pregnant women experience poorly understood physical and emotional changes, lack of early detection of high-risk pregnancies, and lack of knowledge about a healthy lifestyle during pregnancy, including physical activity and balanced nutrition. The main problems faced are pregnant women's lack of understanding of normal physiological and psychological changes during pregnancy, lack of knowledge about danger signs and how to detect high-risk pregnancies, low participation of pregnant women in physical activities such as prenatal exercise, lack of knowledge regarding balanced nutrition for pregnant women, and limited comprehensive health education facilities in the community. Objective: This community service activity aims to improve the health of pregnant women by strengthening promotive and preventive pregnancy classes. Methods: This community service activity included screening for high-risk pregnancies, providing materials on physiological and psychological changes in pregnancy, maternal nutrition, and early detection of complications in high-risk pregnancies. A demonstration of prenatal exercise practices was also conducted at the Pondokgebangsari Village Hall, Kuwarasan District, Kebumen Regency. The training, conducted in February 2026, involved 15 pregnant women in their first, second, and third trimesters. Results: This activity demonstrated an increase in mothers' knowledge about physiological, psychological changes, and pregnancy nutrition after education, with 8 receiving good and 7 receiving adequate education. Education on Early Detection and Danger Signs of High-Risk Pregnancy also increased, with 9 receiving good and 6 receiving adequate education. Thus, families are aware of the importance of attending pregnancy classes and see them as essential for a healthy pregnancy. Conclusion: Community service programs to strengthen pregnancy classes through education, high-risk screening, and nutrition counseling support efforts to improve maternal and infant health, and are an investment in the future.

Chronic Coronary Syndrome (CCS) is a contemporary term that replaces stable coronary artery disease (CAD) and describes a spectrum of clinical conditions resulting from chronic abnormalities of the coronary arteries. This condition is characterized by a mismatch between myocardial oxygen supply and demand that is transient and reversible, commonly presenting as stable angina pectoris. CCS contributes significantly to global cardiovascular morbidity and mortality, including in Indonesia. The underlying pathophysiology primarily involves atherosclerosis and microvascular dysfunction leading to myocardial ischemia. Diagnosis is established through comprehensive history taking, physical examination, and both invasive and non-invasive investigations such as electrocardiography, stress testing, and cardiac imaging. Risk stratification using pre-test probability plays a crucial role in guiding further diagnostic evaluation. The management of CCS aims to relieve symptoms and prevent adverse cardiovascular events through pharmacological and non-pharmacological approaches, as well as revascularization when indicated. Pharmacological therapy includes antianginal agents, antiplatelet drugs, and lipid-lowering agents, while lifestyle modifications such as smoking cessation, healthy diet, and regular physical activity are essential in preventing disease progression. With accurate diagnosis and comprehensive management, the morbidity and mortality associated with CCS can be reduced.

Fahombo (Hombo Batu) is a cultural heritage of the South Nias people that not only displays visual beauty and symbolic meaning, but also contains educational values for character building for the younger generation. This study aims to explore the pedagogical aspects contained within it while examining its relevance to the integration of arts and culture in holistic learning in the modern era. A qualitative approach with descriptive methods was chosen to understand the meaning, function, and educational messages that are alive and passed down through this cultural practice. Data collection was conducted through field observations, in-depth interviews, and documentation involving traditional leaders, parents, and actively participating youth. Analysis was carried out through stages of reduction, presentation, and drawing conclusions by applying triangulation of sources and techniques to ensure the validity of the findings. The results of the study indicate the existence of character-building values such as courage, discipline, responsibility, perseverance, and social solidarity. Furthermore, this activity reflects a comprehensive learning process because it involves the physical, mental, emotional, social, and cultural dimensions in an integrated manner. These findings confirm that local wisdom can be utilized as a relevant contextual learning resource to develop a holistic education model that is adaptive to current developments while rooted in cultural identity.

Inguinal hernia is a common abdominal hernia occurring in the groin region and generally requires surgical management, with postoperative pain control being an important aspect of patient recovery. This case reports a 55-year-old male presenting with a left groin mass for 6 months, which was initially reducible but subsequently became difficult to reduce, accompanied by severe pain and activity limitation. Physical examination revealed a left inguinal mass measuring approximately 3.03 × 2.17 cm, with firm consistency, well-defined borders, immobility, and tenderness, while ultrasonography demonstrated dilation of the left inguinal canal after provocation; based on these findings, a diagnosis of left inguinal hernia with ASA physical status II was established. The patient was managed with herniorrhaphy under regional anesthesia using a subarachnoid block, followed by ultrasound-guided ilioinguinal and iliohypogastric nerve blocks with levobupivacaine and pehacain for postoperative analgesia. Intraoperatively, the patient remained hemodynamically stable, and postoperatively, pain intensity decreased gradually from a VAS score of 6 to 2 within 24 hours and reached 0 on the second postoperative day without significant complaints. This case demonstrates that regional anesthesia combined with ultrasound-guided peripheral nerve block may support postoperative pain control after herniorrhaphy, maintain clinical stability, and improve patient comfort during recovery.

Background: Diabetes mellitus (DM) is a significant global health problem and continues to increase worldwide. Chronic and uncontrolled hyperglycemia is a major risk factor for macrovascular complications such as Peripheral Arterial Disease (PAD). Buerger Allen Exercise (BAE) is a recommended physical activity therapy to prevent peripheral arterial disease. Objective: This study aims to determine the effect of Buerger Allen Exercise on the Ankle Brachial Index (ABI) in diabetes mellitus patients. Methods: This study is a Quasi-experimental study with a pre-posttest with control group design. The study population was all Diabetes Mellitus patients at the Kusuma Bangsa Community Health Center, Pekalongan City with a sample of 32 respondents selected using a purposive sampling technique and divided into a control group and an intervention group. Buerger Allen Exercise in the intervention group was carried out for 5 consecutive days with a duration of 15 minutes. Data were analyzed using the Mann-Whitney Test. Results: In the control group, there was no significant difference in the average ABI value of the control group on day 1 and day 5 with a p-value = 0.195. In the intervention group, there was a difference in ABI scores before and after being given Buerger Allen Exercise with a p-value of 0.000. Conclusion: There is an effect of Buerger Allen Exercise on the Ankle Brachial Index value in diabetes mellitus patients at the Kusuma Bangsa Community Health Center.  

Sweet orange peel (Citrus x aurantium L.) is an agricultural by-product rich in bioactive compounds including flavonoids, phenolics, terpenoids, and vitamin C with antioxidant and moisturizing potential. This study aimed to formulate and evaluate a body lotion using 15% ethanol extract of sweet orange peel obtained by maceration with 96% ethanol. Evaluations included organoleptic, homogeneity, pH, adhesion, spreadability, viscosity, irritation, cycling test, cream type, and DPPH antioxidant activity assessments. The preparation was semisolid, yellow, with a characteristic herbal aroma, homogeneous, pH 8, adhesion time of 4.10 seconds, spreadability of 9.9–11.1 cm, and acceptable viscosity. The preparation caused no skin irritation, remained stable through six cycling test cycles, and formed an oil-in-water (O/W) emulsion. Antioxidant activity showed an IC₅₀ of 284.6 ppm (weak category) compared to vitamin C as positive control (IC₅₀ 4.2 ppm). It was concluded that ethanol extract of sweet orange peel can be formulated into a stable and safe body lotion, though further optimization is needed to enhance its antioxidant activity.

Primary education is crucial for child development, especially at the elementary school level. Children begin to acquire various basic knowledge that will shape their cognitive, social, and emotional abilities. However, reality shows that schools can also become sites of aggressive behavior in the form of bullying. According to the Ministry of Women’s Empowerment and Child Protection (2023), cases of bullying in elementary schools have shown an increasing trend over the past five years. The purpose of this activity is to broaden students' understanding of bullying and its impacts, foster empathy and mutual respect, and strengthen the roles of teachers and parents in creating a safe and inclusive school environment. Findings indicate the presence of students who still lack understanding regarding types of bullying, with a high category showing that some individuals remain frequent targets of bullying. This may be caused by factors such as physical differences, social status, family background, or weak social support from peers. This condition indicates that schools still need to implement preventive and intervention approaches to protect students who are vulnerable to bullying.

This community service activity aims to instill religious values in the students at TPQ Miftakhul Huda by establishing the habit of praying before and after wudu, as an effort to transform worship practices from mere physical routines into profound spiritual experiences. Using the Asset-Based Community Development (ABCD) approach, this program is carried out through five main stages: discovery, dream, design, define, and do. The results of the activity indicate that through intensive demonstration and practical guidance, the students experienced significant improvement in discipline, awareness of maintaining purity, and moral responsibility as manifestations of Muslim character from an early age. Integrating prayer into the wudu practice has proven effective as an educational tool in building the foundation of faith from an early age, or the “golden age.” The synergy between the student team, educators, and the utilization of institutional facilities proved effective in establishing operational standards for character education that comprehensively integrate physical, mental, and theological aspects. Thus, the practice of wudu prayer serves as a strategic educational tool in strengthening children’s foundational faith during the golden age amidst the challenges of shifting global values.