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Background: HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome) remain global health issues, including in Indonesia. One of the management strategies is antiretroviral therapy (ART), which requires a high level of adherence to be effective. Objective: This study aims to analyze the effect of reminders on adherence to ARV treatment among people living with HIV (PLHIV) at the Tembuku I Community Health Center. Methods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 30 PLWHA selected using total sampling, and data were analyzed using the Wilcoxon test. Results: Univariate analysis revealed that the average age of respondents was 35 years; the majority were female, had a high school education, and worked as homemakers and farmers. Bivariate analysis revealed that prior to the intervention, the majority of PLWHA (70%) had low adherence levels, whereas after the intervention, adherence levels increased to 100%. Statistical test results showed a p-value < 0.05, indicating a significant effect of social media-based reminders on improving ARV adherence in the Tembuku I Community Health Center area. Conclusion: The use of social media-based reminders is effective in improving adherence to ARV treatment among people living with HIV. This intervention can be recommended as a simple and practical strategy to support the success of ARV therapy in primary health care settings.

Anxiety is a common psychological issue among pregnant women in the third trimester, often triggered by fear of childbirth, concerns about fetal health, and hormonal changes. If not properly addressed, it may negatively affect both maternal and fetal outcomes. Non-pharmacological approaches, such as music therapy, are increasingly used to promote relaxation and emotional well-being. This study aimed to determine the effect of music therapy using spiritual songs on the anxiety levels of third-trimester pregnant women at GMIM Siloam Sonder Minahasa Hospital. A pre-experimental design with a one-group pretest–posttest approach was applied. The sample consisted of 30 pregnant women selected through total sampling. Anxiety levels were measured before and after the intervention using a validated instrument, and the data were analyzed using the Wilcoxon signed-rank test. The findings revealed a significant reduction in anxiety levels following the intervention. The statistical test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of spiritual music therapy on reducing anxiety. These results suggest that spiritual songs can provide emotional comfort, enhance relaxation, and foster a sense of peace among pregnant women. In conclusion, music therapy using spiritual songs is an effective, safe, and complementary non-pharmacological intervention to reduce anxiety in third-trimester pregnant women and can be considered as part of maternal healthcare support.

Breast cancer is one of the diseases with the highest incidence rates among women and can cause death if not detected early. Breast self-examination (SADARI) is a simple method for detecting breast abnormalities early on. However, the knowledge and practice of breast self-examination (SADARI) among adolescent girls are still low. The purpose of this research is to determine the effect of health education on breast self-examination (BSE) on the knowledge and practice of early breast cancer detection at Pondok Pesantren Darul Amanah Sukorejo Kendal. Quantitative research method with a quasi-experimental design and a one group pretest-posttest design. A sample of 50 respondents with total sampling. Ethics test no: 03/EC-LPPM/UWHS/I-2026. Data analysis used the Wilcoxon test. The results showed that there is an influence of health education on knowledge with a p-value of 0.001 and on the practice of early breast cancer detection with a p-value of 0.001. It can be concluded that health education can enhance the awareness, understanding, and ability of adolescents to perform breast self-examination (SADARI) independently as an early detection effort for breast cancer, making it important to continue this practice sustainably.

Aggressive behavior is one of the manifestations commonly found in individuals with mental disorders, and this can potentially cause harm both to themselves and to their surroundings. To address this condition, one non-pharmacological approach that can be implemented is the use of Mozart classical music therapy. This study aims to evaluate the impact of Mozart classical music therapy on patients who have the potential to exhibit violent behavior at Aceh Mental Hospital. The research activities were conducted from July 2 to 5, 2025. The research design adopted in this study is pre-experimental using the One group pretest-posttest Design method. The study subjects consisted of 15 inpatients who had been identified as being at risk for violent behavior, with sample selection carried out through purposive sampling. The findings of the study showed that the average score of signs and symptoms before the intervention was 5.73, with a score range of 3 to 8. After the intervention in the form of Mozart classical music therapy, the average score of signs and symptoms decreased significantly to 1.60, with a range between 1 and 2. Statistical analysis using the Wilcoxon Signed Rank test showed a Z value of -3.437 with a significance level of P = 0.000 (P < 0.05). Based on these results, it can be concluded that Mozart classical music therapy has a significant effect in reducing the risk of violent behavior in patients. Therefore, Mozart classical music therapy is recommended as an effective supportive intervention and can be routinely integrated into psychiatric care rooms.

The postpartum period is an important time for the mother's physiological recovery after childbirth, during which various bodily changes are still ongoing and health risks, including changes in blood pressure, may occur. One factor that is thought to affect blood pressure during the postpartum period is dietary patterns, particularly high sodium intake. Salted fish is a food commonly consumed by the community and is known to have a high salt content. This study aims to analyze the effect of salted fish consumption on blood pressure in postpartum mothers from day 1 to day 28. This study used a quantitative approach with an analytical observational design through a cross-sectional method. The study sample consisted of 20 postpartum mothers on days 1–28 who were selected using purposive sampling. The independent variable was salted fish consumption, while the dependent variable was the systolic blood pressure of postpartum mothers. Data were collected through interviews using a structured questionnaire and blood pressure measurements with a standard tensiometer. Data analysis was performed using univariate and bivariate methods. The Shapiro–Wilk normality test showed that the data were not normally distributed, so the analysis was continued with the Wilcoxon test. The results of the study show a significant difference between systolic blood pressure before and after exposure to salted fish consumption, indicating that consumption of foods high in salt affects changes in blood pressure in postpartum women. This study concludes that salted fish consumption has the potential to affect the blood pressure of postpartum women. Therefore, nutrition education related to limiting the intake of foods high in salt during the postpartum period needs to be improved as part of efforts to prevent postpartum hypertension.

Preoperative anxiety can lead to increased blood pressure, accelerated heart rate, and bleeding. One of the non-pharmacological interventions that can be provided is dhikr therapy, particularly tahlil dhikr (repeated recitation of La ilaha illallah). This study aims to determine the effect of tahlil dhikr on reducing anxiety in preoperative patients. This research is a quantitative study with a quasi-experimental design, using a one-group pretest-posttest approach. Data collection was conducted from May 22 to May 27, 2025, at Meuraxa Hospital. The population in this study consisted of 270 patients scheduled for surgery at Meuraxa Hospital, Banda Aceh, with a sample of 73 respondents selected through random sampling. The research instruments used were the Standard Operating Procedure (SOP) for Tahlil Dhikr Therapy and the Depression Anxiety Stress Scale 21 (DASS-21) questionnaire, which had a Cronbach’s Alpha score between 0.6 – 0.7 and was considered reliable with a result > 0.6. The results showed a decrease in the intensity of anxiety after the administration of tahlil dhikr. Data analysis using the Wilcoxon Signed-Rank Test showed a p-value = 0.000 (≤ 0.05), indicating a significant effect of tahlil dhikr on reducing preoperative anxiety among patients at Meuraxa Hospital, Banda Aceh. The study recommends the integration of tahlil dhikr as an alternative method for reducing anxiety in preoperative patients.

Anemia during pregnancy is a major public health issue, especially in developing countries like Indonesia, contributing to maternal morbidity and adverse pregnancy outcomes. The second trimester, marked by increased iron needs due to plasma volume expansion and fetal growth, is critical for preventing anemia. Moringa leaves (Moringa oleifera), rich in micronutrients, may serve as an effective nutritional intervention to enhance hemoglobin levels in pregnant women. This study aimed to assess the impact of moringa leaf supplementation on hemoglobin levels in second-trimester pregnant women. Using a one-group pretest-posttest quasi-experimental design, the study was conducted at the Tadoy Community Health Center in Bolaang Mongondow Regency from October to November 2025, involving 25 pregnant women selected via purposive sampling. Hemoglobin levels were measured before and after the supplementation. Data analysis, including the Shapiro-Wilk test and Wilcoxon Signed Rank Test, indicated significant changes in hemoglobin levels (p = 0.000). The results showed a notable increase in hemoglobin levels post-supplementation, supporting the potential of moringa leaves as a safe, affordable, and effective intervention. This finding suggests that moringa leaves could be integrated into antenatal care and nutrition education to help prevent anemia in pregnant women.  

Attention mechanisms have been widely incorporated into recurrent neural network architectures for financial time series forecasting, with most prior work reporting improvements in price-level error metrics. This study revisits that claim through a controlled empirical comparison of four deep learning architectures on nearly two decades of Telkom Indonesia (TLKM) closing price data from the Indonesia Stock Exchange (IDX). The models evaluated are a three-layer Gated Recurrent Unit (GRU) baseline, a comparable Long Short-Term Memory (LSTM) network, a Bahdanau end-attention GRU (Attn-GRU-V2), and a multi-head self-attention GRU hybrid (Attn-GRU-V3). Each architecture is trained over 30 independent runs with distinct random seeds, and performance is reported as 95% confidence intervals derived from the t-distribution. Statistical comparisons employ the Wilcoxon signed-rank test, a nonparametric paired test appropriate given the confirmed non-normality of residuals. The main finding is a consistent trade-off: the plain GRU achieves the lowest RMSE (94.02 ± 1.22 IDR) across all 30 runs, while Attn-GRU-V2 achieves the highest directional accuracy (45.91 ± 0.09%), surpassing GRU in every independent run. Bahdanau attention weights are nearly uniform across the 30-day lookback window (coefficient of variation: 3.21%), indicating that the mechanism cannot identify selectively informative timesteps in this univariate price series. This finding is consistent with the weak-form Efficient Market Hypothesis for the Indonesian market. An ablation study reveals that a 20-day lookback window maximizes directional accuracy (47.72 ± 0.21%) for the Attn-GRU-V2 model. These results suggest that Bahdanau end-attention consistently and significantly improves directional accuracy relative to a plain GRU baseline, providing an architecturally attributable advantage for direction-based applications, even when absolute price-level error is not reduced. The directional accuracy values remaining below 50% across all models are consistent with a weak-form efficiency characterization of the Indonesian market.

Anemia during pregnancy remains a major public health concern with significant implications for maternal and fetal health. One contributing factor to its high prevalence is the limited knowledge among pregnant women regarding early detection. Health education serves as a crucial promotive-preventive strategy to enhance awareness of anemia’s signs, symptoms, and risks. This study aimed to analyze the effectiveness of health education in improving knowledge of early detection of anemia among pregnant women in the Galala Community Health Center working area. A pre-experimental one-group pretest–posttest design with a quantitative approach was employed. The sample consisted of 30 pregnant women selected using total sampling. Respondents received structured health education on early detection of anemia, and their knowledge levels were assessed before and after the intervention using a questionnaire. Data were analyzed using univariate and bivariate methods, with the Wilcoxon signed-rank test applied due to non-normal distribution. Results indicated a significant improvement in knowledge after education (p = 0.000), with most respondents shifting from poor or moderate knowledge to good knowledge. The study concludes that health education effectively increases pregnant women’s knowledge of anemia detection and should be systematically integrated into antenatal care to prevent anemia and improve maternal health outcomes.

The most frequent complaint among pregnant women, particularly during the second and third trimesters, is sleep difficulties. Emotional disorders, physical exhaustion, and a higher chance of pregnancy difficulties can all result from poor sleep. Back massage combined with lavender aromatherapy is one non-pharmacological treatment that has been shown to be safe for enhancing the quality of sleep. The purpose of this study was to evaluate the impact of lavender back massage on pregnant women's sleep quality. Thirty third-trimester pregnant women in the West Halmahera Community Health Center (Puskesmas) operating area participated in the study, which employed a pre-experimental design and a one-group pretest-posttest methodology. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the quality of sleep. According to the findings, the majority of respondents (76.7%) experienced poor sleep quality before to the back massage, with an average PSQI score of 11.2. The PSQI score dropped to 6.1 following three days of lavender back massages, indicating a substantial improvement in sleep quality. The Wilcoxon statistical test revealed a substantial increase in sleep quality following the intervention, with p = 0.000. According to the study's findings, back massage with lavender can be suggested as a safe supplemental therapy in prenatal care services as it effectively improves pregnant women's sleep quality.

Stroke is one of the leading causes of death and long-term disability worldwide. Early detection and prompt first aid during the golden period are essential to improve patient outcomes, yet family knowledge regarding stroke management is often limited. This study aimed to analyze the effect of health education media, specifically audio-visual and leaflet, on family knowledge of early detection and first aid for stroke patients in the working area of Tamamaung Public Health Center, Makassar. This study used a quasi-experimental design with a two-group pre-test post-test approach. A total of 64 respondents were selected using purposive sampling and divided into audio-visual and leaflet groups. Data were collected using a structured questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests. The results showed a significant increase in knowledge in both groups after the intervention (p = 0.000), with a significant difference between groups (p = 0.016), where audio-visual media was more effective than leaflets. These findings indicate that both media improve family knowledge, but audio-visual media is more effective and can be recommended as a primary educational tool to improve family preparedness in stroke emergencies.

Gerakan Tutup Mulut (GTM), or “Refusal to Eat,” is a common nutritional problem among toddlers and contributes to reduced nutrient intake and an increased risk of malnutrition. Preliminary observations at Posyandu Aster 11 Way Kandis, Bandar Lampung, indicated that mothers had low levels of knowledge regarding the causes of GTM and limited exposure to responsive feeding education. This community service activity aimed to improve mothers’ understanding of the factors contributing to GTM and to introduce pisang barongko as an innovative, nutritious snack option to help prevent GTM. The methods utilized included educational sessions through leaflets, presentations, video demonstrations, and pretest–posttest evaluation using the Wilcoxon test. The activity involved 25 participants and resulted in an improvement in knowledge scores from an average of 66 to 94.8, demonstrating a significant increase of 28.80 (p < 0.05). High participant enthusiasm, effective material delivery, and the availability of educational outputs such as videos and leaflets supported the success of the program. These findings highlight the importance of nutrition education based on local food resources as a practical and sustainable strategy to prevent GTM in children.

Chronic Energy Deficiency (CED) in pregnant women remains a health problem in Indonesia, including in Sleman District. CED can be overcome through the provision of supplementary foods (PMT) based on local foods that are high in energy and protein. This study aims to determine the effectiveness of local PMT on upper arm circumference (UAC) in pregnant women with CED. The study design used an analytical observational approach with a cross-sectional approach. The sampling technique used in this study was total sampling, involving 47 pregnant women with CEM who received local PMT for at least 90 days in 2024 at the Cangkringan and Sleman Community Health Centers. The secondary data in this study were the results of LILA measurements before and after the provision of local PMT. The Wilcoxon Signed Test was used to analyze the difference in LILA. The results showed that the median LILA before PMT administration was 22 cm and after PMT administration was 23.6 cm, with an increase of 1.6 cm. There was a significant difference between LILA before and after local PMT administration (p = 0.000). After local PMT administration, 51.06% of pregnant women had LILA > 23.5 cm. It is hoped that further research can explore the intake of pregnant women with KEK during local PMT administration as additional data to examine the effectiveness of local PMT on LILA in pregnant women with KEK.

This study aims to determine the application of a mind-mapping Project-Based Learning (PjBL) model to the human digestive system in improving creative thinking skills and creativity in eighth-grade students at SMP Dakwah Pekanbaru. This study used a quantitative approach with a one-group pretest-posttest pre-experimental design. The subjects consisted of eighth-grade students at SMP Dakwah Pekanbaru. The research instruments included a creative thinking skills test, a product creativity assessment sheet, and learning documentation. Data were analyzed using descriptive statistics, the N-gain test, the Wilcoxon test, and the Spearman correlation test. The results showed an increase in students' creative thinking skills after implementing the mind-mapping-based PjBL model, as indicated by an increase in the average posttest score compared to the pretest and a low to moderate N-gain score. Furthermore, students' product creativity was in the good category and had a significant relationship with their creative thinking skills. Thus, implementing the mind-mapping-based PjBL model is effective in improving students' creative thinking skills and creativity in the human digestive system.

Breast milk is the optimal source of nutrition for infants, and adequate milk production is essential to support infant growth and development. However, many breastfeeding mothers experience difficulties in milk production, particularly during the early postpartum period. Rolling massage is a non-pharmacological intervention that is believed to stimulate the release of oxytocin and prolactin hormones, thereby enhancing breast milk production. This study aimed to determine the effect of rolling massage on breast milk production in breastfeeding mothers at Tidore City Hospital.This research employed a pre-experimental design with a one-group pretest–posttest approach. A total of 30 breastfeeding mothers were selected as the sample using purposive sampling techniques. Breast milk production was assessed before and after the implementation of rolling massage. The intervention was performed according to standardized procedures. Data were analyzed using the Wilcoxon signed-rank test to evaluate differences in breast milk production before and after the intervention.The results showed a significant increase in breast milk production after the rolling massage intervention. Statistical analysis using the Wilcoxon signed-rank test revealed a p-value of 0.000 (p < 0.05), indicating a significant effect of rolling massage on breast milk production in breastfeeding mothers.In conclusion, rolling massage has a significant positive effect on increasing breast milk production among breastfeeding mothers. This intervention can be recommended as a simple, safe, and effective complementary therapy to support successful breastfeeding, particularly in the early postpartum period.

This study aims to examine the effect of reproductive health education on adolescent knowledge as an indicator of sexual behavior prevention among students of SMA Negeri 11 Tidore Kepulauan. This study used a quantitative approach with a pre-post-intervention design involving 28 adolescent respondents. Data were collected through a structured questionnaire that measured respondents' age characteristics and knowledge levels before and after the reproductive health education intervention. Descriptive statistical analysis and frequency distribution were used to describe the respondents' characteristics, while the Wilcoxon Signed Rank Test was applied to analyze differences in knowledge levels before and after the intervention. The results showed that all data were valid with no missing values, and most respondents were aged 15-16 years. Before the intervention, respondents' knowledge levels varied, with the majority classified as having moderate knowledge. After the intervention, all respondents achieved a good level of knowledge, indicating a uniform increase. The Wilcoxon Signed Ranks Test revealed a statistically significant difference between pre- and post-intervention knowledge levels (Z = −4.001; p < 0.000), with no respondents experiencing a decrease in knowledge. These findings suggest that reproductive health education has a significant and positive impact on improving adolescent knowledge, which is crucial for encouraging healthier and more responsible sexual behavior among adolescents.

This study aimed to examine the effectiveness of emotion regulation training in improving the adjustment of adolescents living in orphan in Padang. The research employed a mixed method approach using a one group pre-test post-test experimental design supported by qualitative data. Participants were 26 adolescents from one orphan in Padang. Data were collected through an adjustment scale administered before and after the intervention, observation, and open-ended questionnaire  questionnaire  responses. Quantitative data were analyzed using the Wilcoxon Signed Rank Test with the assistance of IBM SPSS 23, while qualitative data were analyzed through thematic analysis using NVivo 12. The results showed a significant difference between pre-test and post-test scores, indicating an improvement in overall adjustment after the training. Most participants experienced increased scores across emotional maturity, intellectual maturity, social maturity, and responsibility. Qualitative findings revealed positive behavioral changes, including helping behavior, cooperation, rule compliance, and independent problem solving. These findings indicate that emotion regulation training is effective in enhancing adolescents adjustment in institutional care settings.

Anxiety and pain are common problems experienced by postoperative patients and may negatively affect physiological and psyhological conditions as well as the recovery process. Management of anxiety and pain can be carried out throught pharmacological and non-pharmacological approaches, one of which is the autogenic relaxation technique. This technique is safe, simple easy to learn and does not cause side effects so it can be applied by healthcare professionals and performed independently by patients. This study aimed to determine the effect of autogenic relaxation on anxiety levels and pain intensity in postoperative patients in the general ward. This study employed a pre-experimental design with a pretest-posttest without control approach. The sample consisted of 31 respondents selected using a purposive sampling technique. Data were collected using the Hamilton Rating Scale for Anxiety (HRS-A) to measure anxiety levels and the Numeric Rating Scale (NRS) to assess pain intensity. The result of the Paired Sample T-test showed a p-value of 0,0001 (< 0,05), indicating a significant decrease in the mean anxiety level from moderate to mild after the intevention. The wilcoxon test also showed a p-value of 0,0001 (< 0,05), demonstrating a significant difference in pain intensity before and after the intervention, from moderate pain to mild pain. It can be cocluded that the autogenic relaxation technique has a significant effect on reducing anxiety levels and pain intensity in postoperative patients. This technique is recommended as a non-pharmacological intervention that can be applied by healthcare professionals to enhance patient comfort and support the postoperative recovery process.

Anxiety is a common psychological problem experienced by third-trimester pregnant women, particularly as they approach labor. If left unaddressed, this condition can negatively impact both maternal and fetal health. This community service activity aimed to provide education on deep breathing relaxation techniques as an effort to reduce anxiety among third-trimester pregnant women at Juliana Harahap Clinic in 2025. The methods used included lectures, direct simulation, and question-and-answer sessions supported by leaflet media, involving 20 third-trimester pregnant women as participants. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention and analyzed using the Wilcoxon Signed Rank Test. The results showed that prior to the education, the majority of respondents experienced moderate anxiety (55.0%) and severe anxiety (30.0%). Following the intervention, a significant reduction was observed, with 30.0% of respondents categorized as anxiety-free and 55.0% classified under mild anxiety, with no respondents remaining in the severe anxiety category. Statistical analysis yielded a p-value of 0.000 (p < 0.05), with a decrease in the mean anxiety score from 2.15 to 1.15. It is concluded that deep breathing relaxation education significantly reduces anxiety levels in third-trimester pregnant women and is recommended for integration into routine antenatal care service programs at healthcare facilities.

Fractures are conditions where there is a separation or rupture in the continuity of the bone structure, caused by excessive pressure that the bone cannot withstand. According to the World Health Organization (WHO), the incidence of fractures is expected to increase with the growing number of vehicles. The productive age group is particularly vulnerable to injury due to accidents. A lack of knowledge about fractures and First Aid methods can exacerbate the situation. This study aims to determine the impact of fracture education and First Aid simulation methods on the knowledge of students at SMA N 1 Lhokseumawe. The research used a quantitative quasi-experimental design with a one-group pretest-posttest design, involving 91 students. The instrument used was a knowledge questionnaire. The results showed that before the education and simulation, 44 respondents (48.4%) had a poor knowledge category, while after the education and simulation, 84 respondents (93.4%) were in the good category. The Wilcoxon test resulted in a P-value of 0.000, indicating a significant impact. The conclusion of this study is that fracture education and First Aid simulation methods are effective in improving students' knowledge about fractures and First Aid.