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Background Stunting is one of the nation's problems that must be addressed immediately. According to the Ministry of Health's Basic Health Research (Riskesdas) data, the national stunting rate has decreased from 37.2% in 2013 to 30.8% in 2018. According to the Indonesian Toddler Nutrition Status Survey in 2019, this rate decreased to 27.7%. Stunting reduction has been declared a national priority program. This refers to the Sustainable Development Goals (SDGs) agenda which consists of 17 goals agreed upon by UN members, where the problem of stunting is one of the targets that must be considered. Purpose This activity aims to help improve the health status of the community, increase community knowledge, awareness and concern about stunting and increase community creativity in stunting prevention efforts through assistance in making nutritious food. Methods Face-to-face and counseling and conducting physical examinations of toddlers in Ulee Blang Manee Village. Results In Ulee Blang Mane Village there are 17 toddlers who are stunted. While the geographical conditions of Ulee Blang Mane village are still relatively close to the city center and also have the potential to grow the community's economy. This potential should be unique to the community in increasing family nutrition consumption so that it can reduce the problem of stunting. the results of the activity show that the Ulee Blang Mane village community has an increased understanding of how to prepare nutritious food to prevent stunting. Conclusion Appropriate and targeted socialization related to feeding toddlers is important to do and a more in-depth study is needed related to feeding by mothers or families including obstacles in its implementation.

Background: Children with disabilities, especially mentally retarded, have difficulty distinguishing between appropriate and inappropriate touches, which will make it difficult for disabled children to identify actions that lead to sexual harassment directed at them. Intellectual disability or mental disability is a condition where a person's intelligence development experiences obstacles so that they do not reach the optimal stage of development. Digital pop up books are very easy to understand in the learning process and are an effective medium in providing sexual education for mentally retarded children. Purpose: The aim of this community service is to increase awareness of mentally retarded teenagers about preventing sexual violence through digital pop up book media. Method: The stages include planning and preparation, implementation of service activities with workshops, Popi Dita fungame, barcode story corner hut and evaluation. The activity was held on Wednesday 7 June 2023 at SLB Samudra Lavender Bangkalan. Measuring the success of this digital pop up book media uses a pre-test and post-test with a questionnaire containing 16 short questions. Result: The results showed an increase in student knowledge scores from 4.95 to 7.36. The paired t-test obtained a p- value of 0.019 which shows that sexual violence prevention interventions can increase the knowledge or awareness of mentally retarded children regarding the prevention of sexual violence.    Conclusion: This activity was successfully carried out with high participation and enthusiasm from students in taking part in this activity. It is hoped that this pop up book can be a useful educational tool for schools in an effort to minimize the number of victims of sexual violence.

Background: Osteoporosis is a common disease that needs to be treated by a health professional promptly. To address this issue, osteoporosis prevention exercise instructors were trained and certified as part of empowerment initiatives. Purpose: The aims of this program was to create competent, nationally certified instructors. Method: The Indonesian Healthy Bones Community Association (PERWATUSI), a non-profit organization whose objective is to ensure that Indonesians have healthy and strong bones, is responsible for carrying out this empowerment program. The event took place on July 19–20, 2023, in a hall at Bali International University. Results: A total of 59 instructors were selected from various sports communities and trained to provide the public on how to prevent early osteoporosis, conduct suitable exercise program, and emphasize safety training. Before the training started, candidates had to have the necessary educational background, professional qualifications, training in osteoporosis preventive activity, and a commitment to continuing learning. All of participants (100%) met the qualification. Conclusion: These instructors are crucial to the fight against osteoporosis. Those who have earned certification are anticipated to be committed to encouraging healthy lives and lowering the risk of bone fractures.

Background: Diabetes Mellitus (DM) is a disease that is increasing every year in countries around the world. Reports from various regions in Indonesia show that the incidence and complications of DM are widespread, making it a national problem that requires more attention. A frequently encountered complication of DM is diabetic foot, which can manifest as ulcers, infection and gangrene. Actions to treat diabetic foot include preventive measures which include foot care education, diabetic shoes and foot exercises. Foot exercises are exercises carried out by DM sufferers and non-sufferers to prevent injuries and help improve blood circulation in the legs. Apart from their role in providing health education, nurses as members of the medical team can also play a role in teaching foot exercises so that DM patients are able to do foot exercises independently. Objective: To increase the knowledge and skills of DM sufferers by implementing foot exercises in an effort to prevent diabetes complications in the feet (diabetic foot). Method: Foot exercise activities are carried out on DM sufferers who do not have wounds on the feet. The methods used were lectures, questions and answers, and direct demonstrations using newspapers. Results: The results of the activities obtained were an increase in knowledge before and after providing counseling and demonstrations of foot exercises for DM sufferers. Conclusion: After carrying out this community service, the community's ability to do foot exercises has increased and can be done independently, so it is hoped that this can prevent complications in DM sufferers.

Background: Community service carried out at RW 09 Margahayu Utara Village, Babakan Ciparay Bandung District through community service activities which are an annual agenda for lecturers and students of the Immanuel Bandung Health Institute. In 2022, the Immanuel Bandung Institute of Health is concentrating on community service activities in Margahayu Utara Village and Babakan Ciparay Village, Babakan Ciparay District. The target of this community service group activity is the community in RW.09, North Marhagayu Village. Purpose:  the purpose of community service is to increase the knowledge of the RW.09 community, namely stress management education on early detection of breast cancer in RW. 09 Kelurahan Margahayu Utara, as well as knowing about education in health education. Methods: This activity was carried out in RW.09 Kel. Margahayu Utara by using a community empowerment approach. Results: The communities in question are the people of RT 1, RT 2, RT 3, RT 4, RT 5 and RT 6 Margahayu Utara, Babakan Ciparay District. The form of health counseling provided is through the provision of material with lectures, discussions and demonstrations. Based on the evaluation in the form of pre-test and post-test, it was found that there was an increase in knowledge of RW.09 from 50% to 90%. This health education also provides enrichment on good stress management for the community and health cadres in RW.09, Babakan Ciparay District.

Postpartum infections, such as sepsis, are still the main cause of maternal death in developing countries. This study aims to determine the relationship between knowledge about personal hygiene and perineal wound healing in post-partum mothers at the Batang Jambu Pratama Clinic, Sidodadi Village in 2023. The research method used is an analytical survey with a cross-sectional approach. The population was all 32 post partum mothers with birth canal lacerations, and all of them were used as research samples. The results of the research show that there is a relationship between knowledge about personal hygiene and healing of perineal wounds in post-partum mothers, seen from the results of the chi-square test, which showed a p value of 0.003 < 0.005. It is hoped that health workers at the Batang Jambu Pratama Clinic will provide counseling to post partum mothers about personal hygiene so that mothers get information about how to carry out personal hygiene correctly so that perineal wounds can heal in <6 days.

In pregnant women, iron plays an important role in fetal growth. This study aims to determine the relationship between husband's knowledge and support and compliance with pregnant women consuming Fe tablets at the Kampung Mesjid Community Health Center, Kec. Kualuh Hilir in 2023. This type of research is an analytical survey with a cross-sectional research design. The number of samples used was 40 people obtained using total sampling techniques. The data analysis technique uses chi square. Based on the chi square test results, there is a relationship between knowledge and compliance with pregnant women consuming Fe tablets with a P value = 0.002 < 0.05, there is a relationship between husband's support and compliance with pregnant women consuming Fe tablets with a P value = 0.008 < 0.05. It is recommended that pregnant women increase their compliance in consuming Fe tablets during their pregnancy to maintain the health of themselves and their womb.

Hypertension is a condition where there is an increase in systolic blood pressure of 140 mmHg or more and diastolic blood pressure of 90 mmHg or more. Hypertension can be caused by poor diet and lack of physical activity, The purpose of this study was to determine whether there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home in Manado. This study was conducted with a pre post test design where the sample was observed first before being given treatment (pre test) and after being given treatment (post test) the sample was observed again. Respondents were 12 people, data collection was carried out using observation sheets. Furthermore, the data was analysed with the Wilcoxon test with a significance level (α) of 0,05. The results of the study using the T-test statistical test obtained pre-post results with a ρ value = 0,000 where the ρ value < α = 0,05. The results of this study indicate that there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home. The conclusion of this study is that there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home in Manado. Suggestions for the elderly at Damai Ranomuut Nursing Home to increase knowledge and awareness about the importance of maintaining health in order to avoid high blood pressure disease.

Febris or fever is a state when the body temperature becoming higher than usual, and this is a symptom of illness. Body temperature that is said to be normal ranges from 36.5-37.50C. This study aims to determine the relationship between maternal knowledge and fever management in children aged 1-5 years in the working area of the Bohabak health center. This study used a correlation analytical method with  a cross sectional design. The sample was taken based on the number of subject as many as 30 people using purposive sampling. Data collection was carried out by means of interviews and filling out questionnaires. Furthermore, the data collected processed using the SPSS Version 16.0 of computer program to be analyzed using the Chi-Square  test with a meaning level (α) of 0.05. The results showed there were subjecet with the knowledge and fever management well as much as 5 (16.7%), and good maternal knowledge with poor fever management as much as 0 (0.0%). While the mother's knowledge is not good with good fever management as much as 4 (13.3%) and maternal resistance is not good with poor fever management as much as 21 (70.0%). In the ρ Value 0.000 This value ρ is smaller than the value α=0.005. The conclusion : there were the relationship between maternal knowledge and fever management in children aged 1-5 years in the Bohabak Health Center area. The suggestion  of this study is to increase the knowledge of mothers in handling fever.

The development of coastal and marine ecotourism must consider two aspects, namely the tourist destination aspect and the market aspect. Even though in its development it adheres to the concept of products and markets, the development of tourism products still ensures the preservation of natural and cultural resources of coastal and marine communities. Nowadays, ecotourism in mangrove forests is seen as being able to synergize with real conservation measures for the mangrove forest ecosystem. The potential of mangroves can be used as a tourist attraction as well as an effort to rehabilitate and conserve mangrove areas. The aim of writing this article is to find out the strategy for developing ecotourism, especially mangrove ecotourism, which is based on previous case study research. From the three case studies, it can be concluded that the ecotourism development strategy is determined by analyzing the conditions and feasibility of ecotourism.  

Mangroves have high ecological and economic value for local communities, as spawning grounds, nursery grounds, feeding grounds for marine life, and act as protection against abrasion. Protected mangrove forests provide many choices for coastal communities to meet economic needs. However, the activities and exploitation of humans that increase from time to time can threaten, destroy and even reduce the stability of the life, quantity and quality of mangrove forests. This study aims to determine the physical and chemical parameters of the environment, the species composition and structure of the mangrove forest community in Paradiso Beach, Oesapa Barat Village, Kelapa Lima District, Kupang City. This research is quantitative descriptive. This research is located at Paradiso Beach, Oesapa Barat Village, Kelapa Lima District, Kupang City. Methods of data collection by making observations and recording the results of observations and interviews in the field, analysis in the laboratory and documentation. Data analysis begins with data collection, data reduction, data presentation and drawing conclusions. The results showed that station I had parameters of temperature (270C), pH (8.08), salinity (20.5‰), DO (6.42mg/l) and station II had parameters of temperature (280C), pH (7.99), salinity (21.7‰), DO (7.43 mg/l), the parameters of the two points of this station meet the environmental quality standards for mangrove forest communities. The composition of mangrove forest types at the two station points only consisted of 3 families with 3 mangrove species, namely Sonnetaria alba, Rhizophora apiculata, and Avicennia alba. Community structures of the mangrove forest at station I and station II were categorized as damaged with rare criteria at the tree level, sapling level and seedling level. Importance Value Index (INP) of station I (258%) and station II (222.1%), this shows that Sonneratia alba has a higher level of spatial tenure in mangrove forest communities, diversity index (H') at station I (0.64) and station II (0.71), this shows that the mangrove forest community has environmental stability. and the uniformity index (J') of station I (0.68) and station II (0.76), this shows an unbalanced distribution pattern between tree species in mangrove forest communities, and dominance index (D) of station I (0,61) and Station II (0.51), this shows the concentration and distribution of the dominant Sonneratia alba species in the mangrove forest community of Paradiso Beach, West Oesapa Village, Kelapa Lima District, Kupang City.

Community service teaches to lecturers and trainers at the Training and Education Center of Muhammadiyah University of Malang (Pusdiklat UMM) plays a crucial role in enhancing the qualifications of lecturers and administrative staff to meet the established standards of human resources both nationally and internationally, in line with the dynamics of global human resource competencies. In this context, Smart Indonesia Academy, a management company, provides competency assessor training at Pusdiklat UMM as a community empowerment effort. This research adopts an analytical descriptive method to collect, analyze, and interpret data. The research findings indicate the smooth implementation of community service activities by Smart Indonesia Academy at the Pusdiklat UMM office. In conclusion, this study highlights the complexity and challenges of implementing competency-based training and education approaches in the workplace and higher education, emphasizing the importance of in-depth understanding and problem-solving efforts to enhance implementation effectiveness.

Medan Tuntungan Sub-district is one of the strategic areas in Medan City that has great potential in the development of the tourism sector. This research aims to identify and analyze the characteristics of tourism architecture and the attractiveness of tourist destinations in the area. The method used is descriptive qualitative with data collection techniques through literature study and observation of several leading tourist attractions, including Kenanga Garden, Royal Sumatra Golf Course, Rajasyah Outbound & Edu Center, and Graha Maria Annai Velangkanni. The results showed that each destination has its own charm in terms of attractions, accessibility, amenities, and ancillary facilities. The existence of adequate facilities and a natural atmosphere are the added value of these destinations. However, some locations still need improvement in terms of infrastructure and promotion. Therefore, collaboration between the government, tourism managers, and the community is needed to support the development of sustainable tourism in Medan Tuntungan Sub-district.

This study aims to analyze the influence of per capita income, education level, the productive-age population, and the human development index on poverty levels in Indonesian provinces. The data used in this study are secondary data obtained from the Indonesian Central Bureau of Statistics and the World Bank. The analysis method used is multiple linear regression. The results of the study show that per capita income, education level, and the human development index have a significant influence on poverty levels in Indonesian provinces. However, the number of productive-age population does not have a significant influence on poverty. These findings have important policy implications in efforts to reduce poverty levels in Indonesian provinces.

Chest X-ray report generation has become an important topic in vision-to-language research. However, fully generative models often create fluent clinical reports that may contain unsupported or inaccurate statements, leading to hallucination problems and reducing reliability. This study investigates evidence-grounded report generation using the Open-i (IU X-ray) dataset with two main goals: generating coherent radiology reports from X-ray images and minimizing unsupported clinical entities through evidence retrieval. Four experimental models were evaluated: a baseline image-to-report model (E1), an alignment-enhanced model using the InfoNCE objective (E2), a retrieval-grounded model that incorporates Top-K evidence sentences with citation markers such as [E#] (E3), and a reranking model that selects the most evidence-supported output (E4). Experimental results on the Open-i test dataset show that grounding methods significantly reduce hallucination rates and improve entity overlap performance. The reranking approach achieves the best grounding quality, although stronger grounding slightly lowers text-overlap scores and increases inference time. Overall, retrieval-based grounding with explicit citations and reranking offers an effective approach for improving factual consistency and reducing unsupported information in automated radiology report generation.

Early marriage can have negative impacts on reproductive health and the lives of those involved. This study in South Bangka Regency aimed to analyze the relationship between geographic and socio-cultural factors and early marriage. Using a cross-sectional design and Chi-Square statistical test with a 95% confidence level (ρ ≤0.05), the study found that geographic factors did not significantly relate to early marriage (p=0.102). However, logistic regression analysis indicated that female adolescents living in coastal areas had a 1.49 times higher risk of early marriage compared to those living on the mainland. Socio-cultural factors, particularly education, showed a significant relationship (p=0.016), with lower education levels correlating with a higher likelihood of early marriage. Conversely, ethnicity did not show a significant relationship (p=0.147). Although cultural factors were not statistically significant, traditions and cultural norms still influence marriage decisions. Therefore, enhancing education, increasing awareness of the negative impacts of early marriage, and community interventions are crucial. Health professionals are advised to improve education and counseling on reproductive health and the effects of early marriage, adopt a proactive approach in communities, especially in coastal and isolated areas, and collaborate with schools and community organizations. Regular training and effective monitoring systems are also necessary to ensure the success of early marriage prevention programs    

Brushing teeth properly and correctly is an important factor for maintaining oral health. The success of maintaining oral and dental health is also influenced by the pattern of brushing teeth. The pattern of brushing teeth includes the technique of brushing teeth, the time and frequency of brushing teeth. The problem in this study is poor oral and dental hygiene in elementary school children (46.4%). Dental and oral hygiene is an important factor for dental and oral health to be free from disease, therefore dental and oral hygiene must be maintained and maintained in order to create optimal health. Objective: Knowing the relationship of brushing patterns with dental and oral hygiene in elementary school children. Method:. Collecting data on brushing patterns by filling out a checklist on the observation sheet and interview sheet. Collecting dental and oral hygiene data using an examination sheet. Respondents in this study amounted to 110 students, who were taken by simple random sampling. The data analysis technique used was the Chi-square test. Results: The pattern of brushing teeth in the poor category is 89 respondents (80.9%), dental and oral hygiene is in the bad category, namely 51 respondents (46.4%). The results of the Chi-square test are P value 0.002.Conclusion: That there is a relationship between the pattern of brushing teeth with dental and oral hygiene in elementary school children.

Abortion is the termination of a pregnancy before 20 weeks of age and can also occur at 12 weeks of gestation or when the fetus weighs less than 500 grams. According to the World Health Organization (WHO), the incidence of abortion in Indonesia is the highest among other Southeast Asian countries, namely 2 million out of 4.2 million people. Incomplete abortion, that is, only part of the conception is removed, what remains is the decidua or placenta. Initially there is bleeding in the decidua basalis, followed by necrosis of the surrounding tissue, then part or all of the products of conception are released. Other complications of incomplete abortion are infection, perforation, and shock. The purpose of this study was to provide nursing care for patients with incomplete abortion in the couch room at Aisyiyah Pariaman Hospital. The research used a descriptive approach in the form of a case study to find out the problem of nursing care in patients with incomplete abortions in the couch room of Aisyiyah Pariaman Hospital with one patient. This research was conducted on 20-24 February 2023, The results of the study after the study found 3 diagnoses, namely: Anxiety related to situational crises,Riskfor hypovolemia related to active fluid lossand Acute pain related to physiological injury,. During the 5 days of the study the patient went home with thesuggestion that the patient could carry out home care and control according to the recommendations from the hospital.

Hypertension or high blood pressure is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in a state of sufficient rest/calm. One of the non-pharmacological therapies to reduce pain is a deep breathing relaxation technique consisting of slow, rhythmic chest and abdominal breathing which has the benefit of relieving acute and chronic pain by doing it constantly.

Postpartum mothers with HIV who have problems breastfeeding their babies are at risk of experiencing breast pain and swelling caused by milk dams. Breast care intervention is an important action for postpartum mothers with HIV who have problems breastfeeding. The aim of the intervention is to clean and improve blood circulation around the breasts, prevent breast swelling, and reduce discomfort in the breasts. This research method is a case study with pre-post intervention. The sample of this study was postpartum mothers with HIV on the first day. The measurement instrument uses a Numeric Rating Scale (NRS) measuring instrument to measure the pain scale. Breast care intervention was carried out for 3 days when the patient was hospitalized 2-3 times/day and observations were made to find out complaints of pain and swelling in the breasts. The results showed that there was a decrease in the pain scale from a scale of 5 (moderate) to a scale of 2 (mild) after 3 days of intervention. In conclusion, breast care interventions are effective in reducing the discomfort of pain and swelling in the breasts of postpartum mothers with HIV who have problems breastfeeding.