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Patient satisfaction influences their desire to return to the same place, and if they are not satisfied, they will look for another place of health, prolonged helminths will result in patients experiencing psychological disorders and will result in the decline of patients caused by the threat of death, overall economic problems and medical problems. Cognitive factors can influence the health and well-being of patients with kidney failure because patients with kidney failure can feel psychologically tired because they have to undergo hemodialysis. The aim of this research is to determine the description of patient satisfaction undergoing hemodialysis at Santa Elisabeth Hospital. The design method for clinical treatment is delscrilptilf which will analyze or observe a picture of the population of patients who underwent hemodilalization at Rulmah Hospital Santa Ellilsabelth with a sample size of 50 respondents. The total sampling technique was taken. Research Results The results of this research were to determine the description of patient satisfaction undergoing hemodialysis at Santa Elisabeth Hospital in Medan with a total of 50 respondents. Where the research uses tables and provides an explanation of the frequency distribution of characteristics based on age, gender, religion, occupation, marital status, education. And this research was obtained from primary data obtained from the respondents themselves. After the data is obtained, it is processed and the results will be analyzed using univariate analysis.

Hospitalization is a condition that requires a child to be admitted to the hospital. This situation causes children to experience anxiety, restlessness, and fear. One of the nursing interventions to reduce anxiety due to hospitalization is play therapy. A form of play therapy appropriate for preschool children is puzzle play therapy. Puzzle play therapy is an activity in which children arrange pieces of pictures or specific shapes to form a complete image. This therapy encourages children to develop patience, stimulates concentration, and provides feelings of comfort and enjoyment, thereby reducing anxiety. The method used in preparing this Final Nursing Scientific Paper was a descriptive case study with the implementation of puzzle play therapy. The respondents consisted of three children experiencing anxiety due to hospitalization. Puzzle play materials and the Facial Image Scale (FIS) were used as measurement tools. The intervention was conducted over three consecutive days, with a duration of 15 minutes per session. The results showed a decrease in anxiety levels after puzzle play therapy: respondent 1 decreased from anxiety scale 5 to scale 1, respondent 2 from scale 4 to scale 1, and respondent 3 from scale 5 to scale 1. It can be concluded that puzzle play therapy is effective in reducing anxiety due to hospitalization in preschool children with dengue hemorrhagic fever. The implementation of puzzle play therapy is expected to become a routine nursing intervention to reduce hospitalization-related anxiety in preschool children with dengue hemorrhagic fever.

Excessive smartphone use among adolescents, especially students, can develop into smartphone addiction and potentially disrupt learning concentration. At SMP Negeri 11 Jambi City, most students use smartphones for long periods for entertainment and social media until late at night, which leads to drowsiness and reduced focus during lessons. This study employed a quantitative method with a cross-sectional design. The population consisted of all seventh-grade students at SMP Negeri 11 Jambi City, totaling 352 students, with a sample of 175 respondents selected through stratified proportionate random sampling. Data were collected using the Smartphone Addiction Scale–Short Version (SAS-SV) questionnaire and a learning concentration questionnaire. Data analysis was conducted using univariate and bivariate methods with Kendall’s tau-b test. The results showed that 84% of respondents experienced smartphone addiction, while 61.7% had a good level of learning concentration. Kendall’s tau-b test indicated a significant relationship between smartphone addiction and learning concentration (p-value = 0.000; r = 0.243), showing a weak association. Higher levels of smartphone addiction were linked to decreased learning concentration. Therefore, active involvement from schools and parents is needed to guide adolescents in managing stress and boredom positively.

Hypertension contributes to numerous complications such as heart disease, stroke, kidney failure, and is a risk factor of disability and death. Hypertension Prevalence in Jatinangor is 37.8%, that is higher than national rate. The control of hypertension is low and the education at the primary health facility is short. Therefore, another buffer system for education such as posbindu is needed. Activities that educate people with hypertension become very important, but need to be adjusted as needs. Aim of this study is to determine form and intensity of education preferred by hypertension patients Method: Qualitative descriptive with case study approach using focused group discussion (FGD) method, led by main moderator and assisted by a second moderator. Participants consisted of 15 people with hypertension chosen purposively with the inclusion criterias female and parallel to the research objective. The discussion used semi-structured questions. This study is conducted in two villages in Jatinangor, Desa Cipacing and Desa Cilayung from February to May 2017. Results: Participants wanted education in the form of traditional learning, game simulation, written notes, and video recording. The intensity of education preferred until patients understand, it tends to be performed more than once, and preferred place are performed within Posyandu (Integrated Health and Nutrition Post) with education frequency varies from once a week to once a month. Conclusion: Hypertension patients have variable preference of education forms and its intensity. Innovations in the development of methods in accordance with hypertension patients’ needs must be continued, so that interventions can become more effective for hypertension patients.

The IV infusion process will cause pain that can be disturbing for children. Pain is a form of uncomfortable sensation that is felt personally by each individual. In addition, there will be changes in vital signs such as increased pulse, blood pressure, and respiration so that it will be an unpleasant experience for children. Non-pharmacological therapy as an intervention to reduce pain perception in children and increase comfort during medical procedures. One form of non-pharmacological technique is audio visual distraction using a smart book. Smart books are fun and interactive play therapy that can support cognitive, fine motor, and sensory aspects in children and to divert children's attention from pain by displaying more pleasant and interesting images and musical sounds so that it can reduce the pain scale after IV installation. The design used in the preparation of this Final Scientific Paper for Nurses is a case study with an intervention in the form of audio visual distraction using a smart book for ± 10 minutes. The number of respondents was 3 people, the intervention was carried out on September 14, October 7, and November 24, 2025, located in the Theresia Charitas Hospital Palembang room. After the smart book audio visual distraction therapy, there was a decrease in the pain scale for 3 respondents, namely in An. A from a pain scale of 7 to a pain scale of 4, An. G from a pain scale of 10 to a pain scale of 4, and An. R from a pain scale of 7 to a pain scale of 4. The application of EBP smart book audio visual distraction therapy can be used to reduce the pain scale in preschoolers after IV installation.

Background: Diabetes Mellitus (DM) is a disease that cannot be completely cured or cannot even be completely cured. The vile shard plant is empirically used by the community to treat diabetes (DM). This study aims to conduct phytochemical screening and test the activity of 96% ethanol extract of kejibeling leaves (Strobilanthes crispus (L.) Bl.) as a herbal antidiabetic in male white mice (Mus musculus) with alloxan induction. Method: This research is an experimental laboratory research with a true experimental posttest control design using a completely randomized design (CRD) with 5 treatments and 5 replications. Treatment P1 (without treatment) as normal control (N), P2 as positive control (+), P3 as negative control (-), P4 kejibeling leaf extract 250 mg/kg BW, P5 kejibeling leaf extract 500 mg/kg BW. Result:The results of phytochemical screening showed the presence of alkaloids, flavonoids, tannins, saponins, terpenoids and steroids. SPSS results show that the data is normally distributed (p>0.05) and homogeneous (p>0.05). The results of the ANOVA on the treatment of giving keji beling leaf extract 250 mg/Kg BW showed a sig. 0.393 (p>0.05) and treatment of 500 mg/Kg BW obtained a sig value. 0.517 (p>0.05). Conclusion:The conclusion from the research results shows that administering doses of 250 mg/kg BW and 500 mg/kg BW of keji beling leaf extract can reduce blood sugar levels in mice. It is hoped that the results of this research will be useful for the community as an antidiabetic therapy using kejibeling leaves (Strobilanthes crispus (L.) Bl.).

This study evaluates the effectiveness of the Free Nutritious Meal Program (MBG) in improving students' cognitive abilities based on nutritional status in Brangsong Village, Indonesia. The research used a mixed-methods approach, combining quantitative and qualitative designs. Quantitative data were collected from 30 student beneficiaries via questionnaires and analyzed using descriptive statistics and Pearson correlation coefficients. Qualitative data were gathered through in-depth interviews with managers of the Nutrition Fulfillment Service Unit (SPPG), school authorities, students, and parents, and analyzed thematically. The results show a positive and significant relationship between nutritional status and academic achievement, but no significant relationship with students' cognitive ability. Nutrient intake, however, was positively and significantly associated with both cognitive ability and academic achievement. The strongest relationship was observed between cognitive ability and academic achievement. These findings suggest that the MBG program effectively supports academic achievement by improving nutrient intake and cognitive ability. However, its impact on students’ nutritional status has not been uniformly distributed.

Exclusive breastfeeding (EBF) is essential for infant growth and immunity during the first six months of life. Despite its benefits, many primiparous mothers face challenges in maintaining EBF due to lack of experience, stress, and insufficient support. Husband support has been identified as a crucial social factor that can influence a mother’s confidence and success in breastfeeding. This study aimed to examine the relationship between husband support and the success of exclusive breastfeeding among primiparous mothers in the Kalibaru Public Health Center area. A cross-sectional correlational design was employed, with 90 primiparous mothers selected through purposive sampling. Data were collected using structured questionnaires measuring husband support, including emotional, informational, and instrumental dimensions, and exclusive breastfeeding practice, following the World Health Organization (WHO) definition. Descriptive statistics summarized participants’ demographic characteristics and levels of support, while inferential analysis using the Chi-square test and Pearson correlation determined the association between husband support and EBF success. The results indicated that higher levels of husband support were significantly associated with successful exclusive breastfeeding among primiparous mothers (p < 0.05). Among the types of support, emotional and informational support were particularly influential in enhancing maternal confidence and overcoming breastfeeding challenges. These findings suggest that encouraging husband involvement through prenatal education, counseling, and family-based interventions can improve EBF rates. In conclusion, husband support plays a vital role in the successful practice of exclusive breastfeeding among first-time mothers. Health programs should actively involve fathers to provide emotional, informational, and practical support, thereby promoting optimal breastfeeding outcomes and infant health in the community.

The PESIAR Program (Petakan, Sisir, Advokasi, dan Registrasi Map, Screen, Advocate, and Register) is an operational instrument of BPJS Kesehatan designed to accelerate the achievement of Universal Health Coverage (UHC) by increasing National Health Insurance (JKN) membership at the local level. However, the effectiveness of this program’s implementation is strongly determined by the institutional capacity and configuration that support it. This article aims to reposition institutional determination not only as a factor influencing program effectiveness, but as a model of administrative governance in achieving UHC. The study uses a mixed methods approach with a sequential explanatory design. Quantitative data were obtained through a survey of PESIAR Agents in Semarang City, while qualitative data were collected through open-ended questionnaires and interviews. The results show a strong, positive relationship between institutional determination and the effectiveness of the PESIAR Program. Qualitative findings further clarify that issues of program effectiveness largely originate from institutional capacity, the quality of cross-sector coordination, and the role of PESIAR Agents as field implementers. This study concludes that institutional determination deserves to be positioned as an administrative governance model for the PESIAR Program in promoting the achievement of UHC at the local level.

Dysmenorrhea or menstrual pain, is a common health issue among adolescent girls, often disrupting daily activities and quality of life. Effective management of dysmenorrhea is strongly influenced by the level of knowledge and attitudes of adolescent girls toward this condition. This literature review aims to analyze the relationship between knowledge and attitudes regarding the management of menstrual pain among adolescent girls. Various studies indicate that while adequate knowledge about dysmenorrhea is important, the correlation between knowledge and attitude is not always significant. Some research finds that good knowledge does not necessarily translate into a positive attitude towards pain management, as other factors such as stress, anxiety, and reluctance to take action also play a role. However, there are studies that show a positive relationship between increased knowledge and better attitudes toward dysmenorrhea management,  although the strength of this association is very weak. Most adolescents tend to choose non-pharmacological management, such as rest and warm compresses, but many still ignore menstrual pain due to a lack of knowledge and information. Therefore, educational interventions and counseling in schools are essential to improve knowledge and foster positive attitudes in managing dysmenorrhea among adolescent girls. These efforts are expected to help adolescent girls manage menstrual pain more effectively and enhance their quality of life.

Pendahuluan: Kehilangan gigi dapat dikelompokan menjadi 2 jenis, yaitu kehilangan gigi sebagian ataupun seluruhnya. Kehilangan gigi sebagian atau partial edentulous digambarkan sebagai suatu kondisi hilangnya satu atau beberapa gigi, namun tidak hilang secara keseluruhan. Dalam dunia kedokteran gigi salah satu cara untuk mengatasi masalah partial edentulous yaitu dengan melakukan perawatan pengantian gigi menggunakan gigi tiruan sebagian lepasan (GTSL). GTSL merupakan solusi prostetik yang paling umum dipilih karena terbuat dari berbagai jenis bahan, seperti resin akrilik, kerangka logam dan termoplastik. GTSL resin akrilik menjadi pilihan yang paling disukai, karena sifatnya yang ekonomis, mudah dibentuk dan ringan. Laporan kasus ini menjelaskan tatalaksana kasus edentulous partial dengan pembuatan GTSL resin akrilik. Laporan Kasus: Pasien laki-laki berusia 56 tahun datang dengan keluhan adanya beberapa gigi atas dan bawah yang. Pasien menyatakan bahwa kondisi ini membuat pasien menjadi tidak nyaman saat menguyah makanan. Dari seluruh hasil pemeriksaan dapat diketahui bahwa diagnosis kasus pasien yaitu Kennedy kelas I modifikasi I dan Applegate Kennedy kelas I modifikasi 1P dengan rencana perawatan yaitu pembuatan GTSL akrilik. Tatalaksana: Tatalaksana kasus partial edentulous dengan menggunakan gigi tiruan sebagian lepasan (GTSL) akrilik ini dilakukan atas persetujuan pasien dengan rencana perawatan yang telah dijelaskan sebelumnya saat kunjungan pertama. Kesimpulan: Tatalaksana partial edentulous dengan menggunakan gigi tiruan sebagian lepasan (GTSL) berbahan resin akrilik dalam kasus ini mampu mengembalikan fungsi pengunyahan, fungsi bicara dan estetika pasien. Hasil pemeriksaan saat kontrol pasca penggunaan GTSL 1 minggu, diketahui bahwa gigi tiruan sangat nyaman selama digunakan dan tidak ditemukan adanya traumatik pada mukosa rongga mulut.

Achilles tendon rupture is a common lower extremity injury that significantly affects functional mobility and gait performance. Post-operative patients frequently experience pain, edema, limited range of motion (ROM), muscle weakness, and impaired ambulation. Physiotherapy rehabilitation plays a crucial role in restoring tissue integrity and functional capacity. This case study aimed to analyze the effectiveness of combined electrotherapy modalities and therapeutic exercises in a post-operative left Achilles tendon rupture patient. The intervention included ultrasound therapy, Transcutaneous Electrical Nerve Stimulation (TENS), infrared therapy, dry needling combined with Percutaneous Electrical Nerve Stimulation (PENS), and progressive therapeutic exercises such as isometric training and calf raises. Clinical outcomes were evaluated through ROM measurement, Manual Muscle Testing (MMT), edema observation, and gait analysis across four therapy sessions. Results demonstrated gradual improvement in dorsiflexion and plantarflexion ROM, reduction of edema, increased gastrocnemius-soleus muscle strength, and restoration of independent ambulation without assistive devices. The multimodal physiotherapy approach appears to support tendon healing, enhance neuromuscular activation, and accelerate functional recovery during the subacute post-operative phase.

The development of digital technology has increased the popularity of online games among adolescents. Excessive intensity of online gaming may have negative effects on health, particularly sleep quality and aggressive behavior. This study aimed to determine the relationship between the intensity of online gaming and sleep quality as well as aggressive behavior among tenth-grade students at SMAN 38 South Jakarta in 2025. This research is quantitative associative method with a correlational analytic design using a cross-sectional approach. The population in the study was 145 students, with a sample of 117 respondents selected using random sampling. Data analysis was conducted using the Chi-Square test. The results showed a significant relationship between the intensity of online gaming and sleep quality with a p-value of 0.001 (p < 0.05), as well as a significant relationship between the intensity of online gaming and aggressive behavior with a p-value of 0.001 (p < 0.05). Therefore, the null hypothesis (H0) was rejected and (Ha) was accepted. In conclusion, higher intensity of online gaming is associated with poorer sleep quality and increased aggressive behavior among adolescents. It is expected that adolescents can manage and limit their online gaming time wisely to reduce its negative impact on health and behavior.

The rapid development of technology in the era of the Industrial Revolution 4.0 has driven the education sector to continuously adapt to the evolving demands of digital-based industries. One of the key technological innovations supporting this transformation is the Internet of Things (IoT), which enables data acquisition, real-time monitoring, and remote control of systems through internet networks. In response to these developments, a community service program was conducted to enhance the understanding and technical skills of students at SMK Negeri 1 Sindang through the provision and utilization of an IoT Trainer Kit Simulator as a practical learning medium. This activity aimed to bridge the gap between theoretical knowledge and industry-relevant technological applications by introducing students to hands-on IoT system implementation. The program included demonstrations and guided practice on the use of sensors, microcontrollers, and web-based monitoring platforms to simulate real-world industrial scenarios. The results indicate that students showed high enthusiasm and active participation throughout the activity. Moreover, participants were able to grasp the fundamental concepts of IoT systems, understand component integration, and recognize the relevance of IoT applications in supporting automation and digital transformation. Overall, this community service activity contributed positively to strengthening students’ digital competencies and preparedness for the demands of the contemporary industrial and technological landscape.

The "Educating Social Awareness Creativity Through Craft Skills and Social Service Programs at the Karya Kasih Nursing Home" activity is part of a community service program implemented by lecturers and students at Budi Luhur University. This activity aims to provide moral and social support to the elderly through educational and social activities. The program includes craft skills training, providing basic food assistance, and entertainment activities involving lecturers, students, and nursing home residents. The activity implementation method uses a participatory approach, where students interact directly with the elderly for two weeks. This approach is designed to create positive social relationships, increase emotional engagement, and provide contextual learning experiences for students. The results of the activity indicate that this program has a positive impact on the elderly, particularly in increasing happiness, social interaction, and creative activities. In addition, this activity also contributes to the development of students' soft skills, especially in terms of social empathy, intergenerational communication, and social awareness. Thus, this community service program not only provides benefits for the elderly as recipients of the program

Data from the National Commission on Violence Against Women (Komnas Perempuan) shows that between May 2022 and December 2023, there were 4,179 cases of sexual violence, including 2,776 cases of Electronic-Based Sexual Violence (KSBE) and 623 cases of rape. Adolescents' knowledge and attitudes play a crucial role in preventing sexual violence in schools. Objective: To determine the level of adolescents' knowledge and attitudes regarding sexual violence prevention at State Senior High School 1 Surakarta. Methods: A quantitative descriptive study with a cross-sectional approach involving 89 students in grades X and XI was conducted on January 20, 2026. Results: The results showed that most respondents had good knowledge (65 respondents, 73.0%), and 3 respondents (3.4%) had poor knowledge. The results also showed that most respondents had good attitudes (44 respondents, 49.4%) and 9 respondents (10.1%) had poor attitudes. Conclusion: Most Students had good  knowledge and attitudes regarding sexual violence prevention at SMA Negeri 1 Surakarta.

Family health is a fundamental component of public health development, as the family represents the smallest social unit shaping individual health behaviors. This study aimed to analyze the family health conditions of the community in Pulau Jambu Village, Kampar District, based on demographic, behavioral, socioeconomic, and environmental factors. A descriptive quantitative approach was employed with a total sample of 153 respondents selected using random sampling, ensuring equal probability for each population member to be included.The results indicated that most respondents were in the productive age group of 19–60 years (68.8%), with farming as the dominant occupation (47.1%). The majority relied on borehole wells as their water source (61.4%); however, 47.1% had septic tank distances ≤10 meters, posing potential risks of water contamination. Regular physical activity was reported by 60.8% of respondents, yet the prevalence of smoking was very high (78.4%). Most respondents had a junior high school education (45.1%), influencing health literacy levels, although 58.2% demonstrated good knowledge of clean and healthy living behavior (PHBS). Health service utilization was relatively high (86.3%), though some residents still practiced traditional treatment.In conclusion, family health conditions are influenced by a combination of behavioral, environmental sanitation, and socioeconomic factors. Strengthening family-based health interventions through PHBS education, smoking control, and environmental sanitation improvement is essential to enhance sustainable community health status.

Hypertension is a chronic disease with a high prevalence worldwide and is a major risk factor for cardiovascular diseases. The management of hypertension not only relies on pharmacological therapy but also requires non-pharmacological interventions as effective complementary therapy. This study aims to analyze the implementation of health education and acupressure therapy in lowering blood pressure in hypertensive patients. This descriptive study involved three hypertensive patients from RT 35 Lebung Jaya, Talang Betutu Village, Palembang. The intervention included structured health education and acupressure therapy given over three consecutive days, with a duration of 15-20 minutes per session. The results of this study showed a reduction in systolic blood pressure between 10-20 mmHg and diastolic blood pressure between 2-7 mmHg. Additionally, there was an increase in knowledge and medication adherence among the patients. From these results, it can be concluded that the integration of health education and acupressure therapy can be an effective nursing intervention for hypertension management, particularly in a community setting. The implementation of this method is expected to become an alternative approach in managing hypertension within the community with a more holistic approach.

Abstract: One of the most common harmful bacteria, particularly in hospitals, is Pseudomonasaeruginosa, which is also the most frequent cause of wound infections. Because it leads to antibioticresistance and persistent infections, one of the most significant virulence factors it produces isbiofilm. The goal of the current study is to prevent P. aeruginosa isolates from wound patients fromforming biofilms by using plantaricin, which is a peptide with broad-spectrum antibiotic generated byLactobacillus plantarum. In order to produce plantaricin, so that Lactobacillus plantarum isolates from rawbuffalo milk were screened. The plantaricin was then purified using ammonium salts and a gelfiltration column, with a final 40% recovery. The isolates of P. aeruginosa with more production tobiofilm from wound infections were tested for the inhibitory impact of pure plantaricin. The resultsshowed that the plantaricin reduced the development of biofilms in a dose-dependent manner, with alarger percentage of biofilm inhibition reaching 46–68% at 150 µg/ml.

Teachers’ managerial competence plays a crucial role in ensuring effective and relevant learning, particularly in vocational education. Teachers are required not only to master subject matter but also to plan, manage, and evaluate learning through well-structured and contextual learning tools. This Community Service activity aimed to strengthen teachers’ managerial competence through training on the development of learning tools using a deep learning approach at SMK Muhammadiyah 2 Tangerang Selatan. The implementation method included conceptual material delivery, practical training, and mentoring in designing learning tools. The deep learning approach was applied to encourage learning designs that emphasize deep understanding, critical and reflective thinking, and alignment with workplace demands. The results showed an improvement in teachers’ understanding and skills in developing more systematic, innovative, and adaptive learning tools aligned with 21st-century competencies. This activity contributed positively to strengthening teachers’ roles as learning managers and supporting the improvement of learning quality in vocational schools.