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The duration of the second stage of labor is a significant factor influencing maternal and neonatal outcomes. Maternal and neonatal mortality rates remain a major global health challenge, and various risk factors, including prolonged second stage of labor, contribute to this issue. Successful childbirth is influenced by risk factors such as maternal age, parity, and body mass index (BMI). This cross-sectional study aimed to analyze the relationship between maternal age, parity, and BMI on the duration of the second stage of labor among 224 postpartum women at TPMB M in 2023. The results showed that women with advanced maternal age (<20 years or >35 years), nulliparity or grand multiparity, and underweight or obese BMI were at significantly higher risk of prolonged second stage of labor. These findings highlight the need for special attention to pregnant women with these risk factors to prevent obstetric complications. Healthcare providers are encouraged to enhance risk factor monitoring through education, screening, and comprehensive management during pregnancy.

Anemia is a medical condition characterized by a decrease in the number of red blood cells (erythrocytes) or hemoglobin (Hb) levels in the blood which results in impaired oxygen transport to body tissues. Mild anemia is more common and is asymptomatic and does not require treatment. Anemia can have a negative impact on endurance, productivity, and is high risk during pregnancy because it can affect fetal growth and development, increase the risk of pregnancy and childbirth complications, and even maternal and child death. The Community Service (PKM) activity carried out at the Asisi Church, Tebet District aims to increase public awareness of the importance of early detection of anemia through hemoglobin and hematocrit screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes capillary blood tests with Point-of-Care Testing (POCT) tools and education about symptoms, risk factors, and prevention of anemia. Of the 68 participants involved, 40 people (58.82%) were identified as having anemia, while 28 people (41.18%) had normal hemoglobin levels. These results emphasize the importance of early anemia screening to prevent long-term complications and build public awareness of the importance of maintaining optimal hemoglobin levels to support ongoing health and quality of life.   Keywords: Anemia, Early Detection, Hemoglobin, Hematocrit, Screening

Uric acid is the final product of purine metabolism, which can increase due to high purine intake or impaired renal excretion. Accumulation of uric acid in the body is at risk of causing joint inflammation and other metabolic disorders. Early detection and dietary education are strategic steps to prevent complications of hyperuricemia. This activity uses the Plan-Do-Check-Act (PDCA) approach by examining uric acid levels using POCT and education on managing purine consumption. The examination was carried out on 62 adult participants. Educational leaflets were delivered directly and individually to each participant. All participants had uric acid levels in the normal range (median 4.2 mg/dL), with the lowest value of 3.5 mg/dL and the highest 6.5 mg/dL. Most participants were women and were in the middle to elderly age group. Although no cases of hyperuricemia were identified, preventive education remains essential to maintain uric acid levels within optimal ranges and reduce future metabolic risks. Lifestyle interventions focusing on diet and hydration are critical for sustainable uric acid control and long-term health outcomes.   Keywords: Uric Acid, Purine, Hyperuricemia, Diet, Nutrition Education

One chemical substance that can enhance the function and activity of the immune system is an immunomodulator. Immunomodulators can be found in various plants, including sembung leaves (Blumea balsamifera). This study aims to evaluate the potential of sembung leaf extract as an immunomodulator in experimental animals using a systematic literature review method. Articles were collected based on the keywords “immunomodulatory,” “sembung leaves,” and “body immunity” from the Google Scholar, Science Direct, and PubMed databases. The results of animal studies indicate that the administration of ethanol extracts of Sembung leaves at various doses has potential as an immunomodulator with anti-inflammatory, antipyretic, diuretic, and antidiarrheal effects. Additionally, Sembung leaf extracts have been shown to effectively inhibit bacterial growth and act as anti-inflammatory, diuretic, antipyretic agents, and anti-diarrheal.

The development of trade has provided very free space for movement in every transaction so that goods and services are easily owned and consumed by consumers, one of which is thrifting clothing which is one of the most basic needs for humans which is very important to use to cover and protect the body in every his activities. The aim of this research is to analyze the influence of brand image on consumer trust, the influence of product quality on consumer trust, the mediating role of consumer trust on the relationship between brand image and product quality, the mediating role of consumer attitudes on the relationship between brand image and product quality, the influence of brand image on buying interest, and the influence of product quality on purchasing interest. The influence of brand image and product quality on interest in buying thrift clothes in the growing fashion industry. This research also examines the mediating role of consumer beliefs and attitudes in the Islamic business perspective. By using regression and mediation analysis methods, the results of this research can provide valuable insight for business people, especially in understanding the preferences and behavior of Muslim consumers who are increasingly consuming fashion products. The research results conclude that the relationship between brand image has a positive and significant effect on consumer trust. , The relationship between product quality has a positive and significant effect on consumer trust, The mediating role of consumer trust strengthens the relationship between brand image and product quality, The mediating role of consumer attitude strengthens the relationship between brand image and product quality, The relationship between brand image has a positive and significant effect on purchase intention, and The relationship between product quality has a positive and significant effect on purchasing interest.

Plyometric training is an effective training method in increasing muscle power, especially in the lower body which is very much needed in various sports. This study aims to examine the effectiveness of two types of plyometric training, namely Single Leg Hop and Double Leg Hop, on increasing leg muscle power. The study was conducted using a literature review approach to eight previous relevant studies. The results of the review showed that both types of training had a positive and significant effect on increasing leg muscle power. However, most studies concluded that Single Leg Hop training was superior in increasing unilateral strength and specific muscle explosive power, especially in sports such as futsal, basketball, and long jump. Thus, Single Leg Hop training can be recommended as a more effective method for developing lower muscle power, although the selection of training types still needs to be adjusted to the characteristics and needs of athletes.

Stunting as a condition of malnutrition with potentially irreversible results due to poor nutritional intake. The negative impacts caused by stunting include impaired brain development, decreased intelligence, impaired physical growth and body metabolism. The purpose of the study was to examine the incidence of stunted toddlers in Kedalon Village, Kalikajar District, Wonosobo Regency. The research method used descriptive analytical observation by conducting secondary data observation of the results of height measurements in Kedalon Village, a population of 193 toddlers was obtained and a sample of 10 toddlers who experienced stunting and the data was analyzed using descriptive. The results of the study showed that the height of stunted toddlers was the highest in the very short category of 6 (60%) and short as many as 4 (40%) toddlers, there were 10 stunted toddlers.

Central obesity in women of reproductive age can have a negative impact on their health and is associated with the occurrence of metabolic diseases. This study aims to determine the factors associated with central obesity in women aged 15-49 years in Indonesia in 2023 using 2023 SKI data with a cross-sectional study design. The study sample was 213,309 women of reproductive age obtained using the linear systematic sampling technique. Data analysis was carried out up to multivariate analysis using the Cox Regression test. The results showed that the prevalence of central obesity in women of reproductive age was 49.11%. Age [PR = 1.96 (95% CI: 1.93 - 2.00)], occupation [PR = 1.20 (95% CI: 1.19 - 1.22)], and place of residence [PR = 1.08 (95% CI: 1.07 - 1.10)] were found to be associated with an increased risk of central obesity. Meanwhile, education level [PR = 0.97 (95% CI: 0.95 – 0.98)], physical activity [PR = 0.93 (95% CI: 0.91 – 0.94)], and emotional mental disorders [PR = 0.75 (95% CI: 0.70 – 0.80)] were found to be protective factors against central obesity. The most dominant factor with the occurrence of central obesity is age. Therefore, it is important for WUS to be aware of the risk of central obesity and implement appropriate preventive measures. Preventive efforts can be done by maintaining hormonal balance and body metabolism through a healthy lifestyle, as well as undergoing regular health checks.

Nutritional problems such as obesity warrant serious attention, due to their potential to contribute to various other health complications. One modifiable factor associated with obesity that can be targeted through intervention is dietary pattern, including adoption of vegetarian diet. Several previous studies have suggested that vegetarian diets may be effective in promoting weight loss. This study aims to examine the potential role of vegetarian diets in the management of obesity. The method employed in a literature review of relevant studies published within the last ten years. The findings indicate that vegetarian diets are effective in reducing body weight, insulin resistance, blood glucose levels, trimethylamin N-oxide (TMAO), low-density lipoprotein (LDL), triglycerides (TG), and total cholesterol levels. Additionally, they are associated with increased high-density lipoprotein (HDL) levels and improvements in lipid profiles, as well as kidney and liver function. Nevertheless, the implementation of vegetarian diets among individuals with obesity should be carefully supervised and planned by qualified professionals to minimize the risk of nutritional deficiencies.

This article is a community service report on assistance in drafting village regulations for members of the Village Consultative Body (BPD) throughout Sejangkung Subdistrict, Sambas Regency. Based on field observations, it was found that no BPD had yet demonstrated the capability to propose and draft village regulations jointly with the village head. This study aims to optimize one of the main duties and functions of the BPD, namely to discuss and approve Draft Village Regulations in collaboration with the village head. The implementation method included organizing activities such as:Preparation, which involved preparing correspondence, providing materials/content, and media for delivering the material;Activity Execution, which began with an opening session, presentation on the stages of drafting village regulations, identification of subjects or themes that require regulation, and assistance in drafting the proposed village regulations.The results of this activity showed an increase in knowledge among all BPD members in Sejangkung Subdistrict regarding the drafting and discussion of village regulations. In addition, one village succeeded in producing a finalized village regulation.

Service-based leadership is a leadership approach that prioritizes devotion to others as the center of a leader's function. In the Christian view, this model is rooted in the example set by Jesus Christ who came to serve, not to be served (Mark 10:45). The concept of servant leadership emphasizes values such as simplicity, love, sacrifice, and moral responsibility towards those being led. This study aims to explore how servant leadership influences and shapes the formulation of vision and mission in the context of Christian organizations or ministries. Vision and mission not only function as strategic guidelines, but also reflect the calling and obedience to God's will. A Christian leader who adopts the principle of servant leadership will create a vision that focuses on the common good, spiritual growth, and empowerment of community members. Meanwhile, the mission is designed to manifest the love of Christ in real terms through actions and programs that have a broad impact. In this context, sensitivity to the leadership of the Holy Spirit, integrity in leadership, and the ability to motivate and support the development of others are needed. This study concludes that servant leadership from a Christian perspective not only functions well in organizations, but also strengthens the spirituality and unity of the body of Christ. Therefore, the formulation of the vision and mission resulting from the principle of serving not only reflects the direction, but also becomes a testimony of faith that lives in the community. Thus, servant leadership becomes a strong foundation in building a Christian organization that is relevant, impactful, and oriented towards the values of the kingdom of God, and is able to answer the challenges of the times with love, exemplary behavior, and sincere devotion and glorify God in service.

The resurrection of the body is a key foundation of the Christian faith, as it demonstrates the power of Jesus to overcome death and sin, and provides hope for life after death for His followers. This teaching is clearly presented in the Bible. Many people wonder about the condition of the soul after death. Whether the resurrection of the body is in accordance with the teachings of the Bible, how the resurrection process takes place, whether there is a difference between the resurrection for believers and unbelievers. This article therefore aims to provide an in-depth insight into the concept of bodily resurrection in the Bible, including key verses. The glorious resurrection of the body is the essence of Christian hope and a promise that changes the way believers view life and death. By understanding the Bible's teaching on resurrection, Christians can find comfort, motivation, and purpose in their lives, as well as confidence in a future filled with promise and glory. This article is expected to be a source of reflection and a deeper understanding of the resurrection of the body in the context of Christian faith.” This writing is done using a descriptive qualitative method, which is using literature from books or journal articles that have been made. The Bible teaches that death is not the end of everything, but rather a transition to the promised resurrection. This concept is rooted in the resurrection of Jesus.

This abstract discusses the characteristics of the true church according to Christian views, emphasizing the importance of faithfulness to the Word of God as the primary foundation. The true church is a community that faithfully proclaims the Gospel of Christ purely, without addition or subtraction from the teachings of the Bible. This faithfulness serves as the basis for the church’s existence as the living body of Christ, functioning to spread salvation to all people. Besides faithfulness to the Word, the proper administration of the sacraments is also an important characteristic of the true church. Sacraments such as baptism and the Lord’s Supper are conducted according to Christ’s commands and serve as means of grace that strengthen the faith of the congregation. The spiritual discipline practiced within the church maintains the holiness of the members and encourages repentance and restoration, so that the community continues to live in truth and love. Unity and holiness reflect the church’s calling to live in love and truth, while the apostolic nature shows its adherence to the teachings of the apostles. Catholicity affirms that the true church is universal and transcends cultural and geographical boundaries.

Indonesia has around 3,500 species of therapeutic plants, one of which is utilized by the individuals of Selilau Town, Aru Islands Rule, Maluku Area.. This study aims to examine 15 types of medicinal plants that are used traditionally, including plant parts, properties, active compound content, and pharmacological activity based on scientific literature from the last 10 years. This survey points to recognize species of restorative plants commonly utilized in neighborhood conventional medication, look at the plant parts utilized, handling strategies, and maladies treated based on neighborhood experiences and to survey logical writing to decide the dynamic compound substance and pharmacological movement of each distinguished plant. The comes about of the think about appeared that the foremost broadly utilized plant is the leaf portion. Some of them are: Momordica charantia (bitter melon) for cough; Urena lobata (pulutan) to smooth postpartum blood; Morinda citrifolia (mengkudu) for broken bones; Erythrina variegata (dadap) for body recovery; Myrmecodia pendens (ant nest) for swelling and beriberi; and Carica papaya (papaya) for malaria. Other plants such as Manihot esculenta, Tradescantia spathacea, Graptophyllum pictum, Hemigraphis alternata, Mimosa pudica, Jatropha curcas, Psidium guajava, Nypa fruticans, and Stachytarpheta jamaicensis are also used for various health complaints. Active compounds such as flavonoids, alkaloids, tannins, and saponins support pharmacological activities such as anti-inflammatory, antioxidant, antipyretic, gastroprotective, and immunostimulant. This study emphasizes the importance of documenting traditional knowledge as an effort to preserve and develop local wisdom-based medicines.

Personal hygiene plays a significant role in food contamination, influenced by several factors including the cleanliness of eating utensils. The human body can be a source of contamination, especially when hygiene is not maintained properly, leading to the contamination of food and utensils. Contamination is not only derived from food and water sources but also from unsanitary eating equipment. In Indonesia, regulations have been established under the Minister of Health Regulation No. 1096/Menkes/SK/VI/2011 concerning hygiene and sanitation requirements for food service providers. This study aims to assess the personal hygiene of ready-to-eat food handlers in Latta Village, Teluk Ambon Baguala District. The research is descriptive in nature, using interviews and observations. The study population consisted of 22 ready-to-eat food vendors, with a sample of 5 vendors selected. The results showed that all five food handlers (Vendors I to V) did not meet the hygiene requirements according to the Ministry of Health Regulation No. 1096/Menkes/Per/VI/2011, with a contamination level of 0 CFU. This indicates that the personal hygiene of the five food handlers in Latta Village, Teluk Ambon Baguala District, does not meet the required standards.

Sleep is a basic need for every human being. Every human being needs adequate sleep in order to obtain a healthy and good body. Poor sleep quality is one of the causes of many medical ailments and has a strong relationship between physical, psychological and sleep health. According to several studies on sleep quality, a person's sleep quality is influenced by several factors such as physical activity, stress and emotion, surfing the internet, watching television and having other habits such as drinking alcohol, smoking and fast food. The student group is a group that has a fairly solid activity. Students can experience disturbances in the circadian cycle due to increased pressure from the academic environment so that groups of students do not have enough sleep. Some of the stressors from Medical Faculty students include busy class schedules, piled up assignments, anxiety before exams that affect the sleep quality of the Medical Faculty students. To determine the relationship between physical activity and emotional stress on decreased sleep quality in students of the Faculty of Medicine, UMSU class 2018. This study used an analytical descriptive method with a cross sectional design. The data was processed using the SPSS Chi-Square test in June 2022 at the Faculty of Medicine, University of Muhammadiyah North Sumatra. Based on the results of the analysis, the demographic characteristics of the average age of respondents were 22 (range 22-24) years and 97 (74%) of respondents were women, the frequency of poor sleep quality was the highest (79.4%), the frequency of light physical activity as much as (55%) and the frequency of moderate emotional stress (84%). Multivariate analysis showed that the factors that influence the decrease in sleep quality were emotional stress with p value = 0.001. Physical activity statistically did not affect the decrease in sleep quality with p value = 0.993. There is a significant relationship between emotional stress and decreased sleep quality in students of the Faculty of Medicine, University of Muhammadiyah North Sumatra, Class of 2018.

Immunization is an effort to provide immunity to infants and children by introducing vaccines into the body. This vaccine stimulates the body to produce antibodies that function to prevent certain diseases. The coverage of Complete Basic Immunization in Banda Aceh City/District from 2022 to 2024 has decreased each year by (43.9%) in 2022, (37.8%) in 2023, and (34.9%) in 2024. The immunization coverage is still very low and below the national target of (95%). To determine the factors influencing maternal behavior in basic immunization within the working area of the Banda Aceh City Health Center. Research. Quantitative research with a Cross Sectional Study approach using primary data. The population in this study consists of all mothers with infants aged 6-11 months within the working area of the Banda Aceh City Health Center. The sample in this study consisted of 200 respondents, with data collection methods using questionnaires and analyzed univariately to describe the distribution and proportion, as well as bivariately. Bivariate data analysis with Spearman correlation test. This study found a relationship between each variable and maternal behavior regarding basic immunization with the variables Attitude Toward Immunization (p=0.000), Subjective Norm of Immunization (p=0.000), Perceived Behavioral Control of Immunization (p=0.000), Actual Behavioral Control of Immunization (p=0.000). All variables are related to maternal behavior in basic immunization within the working area of the Banda Aceh City health center.

The prevalence of cardiovascular disease has continued to increase over the years, leading the World Health Organization (WHO) to designate it as a global health threat. Pycnogenol, a proprietary name for proanthocyanidins—a specific class of bioflavonoids—is known for its potent antioxidant properties. It neutralizes unstable oxygen molecules, or free radicals, that damage body cells. One of the notable benefits of Pycnogenol is its positive effect on cardiovascular health. This study aims to evaluate the effects and potential benefits of Pycnogenol consumption in relation to cardiovascular disease. This article uses a literature review method by collecting scientific articles published within the last ten years (2014–2024) from reputable online sources such as PubMed, ScienceDirect, and SpringerLink. The results of the study show that Pycnogenol, as a phytochemical compound, plays a beneficial role in maintaining cardiovascular function and preventing heart disease, atherosclerosis, and other cardiovascular conditions. All reviewed articles consistently describe the connection between Pycnogenol intake and the prevention of cardiovascular diseases. In conclusion, Pycnogenol demonstrates strong antioxidant activity that may contribute significantly to the prevention and management of cardiovascular diseases.  

Drugs are an abbreviation of narcotics and dangerous drugs. Napra which is an abbreviation of Narcotics, Paicotropics and Addictive Substances. Are substances that can affect the body, especially the central nervous system In an effort to realize a prosperous society, the seriousness of the community and government is needed to achieve it. One of the applications is a strategy in government. Qualitative descriptive research is intended to describe and illustrate existing phenomena, both natural and human engineering, which pay more attention to the characteristics, quality, interrelationships between activities, manipulation or changes in the variables studied, but rather describe a condition as it is. The only treatment given is the research itself, which is carried out through observation, interviews, and documentation. The purpose of descriptive research is to make systematic, actual and accurate recording of the facts and characteristics of a particular population or area. This study uses a qualitative approach with a descriptive research type. While the data collection technique is carried out through observation, interviews and documentation studies and for the selection of informants the author uses the Purposive sampling technique, namely samples taken intentionally. The location of this study is in Siantat Martoba District, especially in Naga Pita Village. This study aims to describe and analyze the Strategy in preventing Drugs in Naga Pita Village. The theory used in this study is the Prevention Strategy theory according to Wuccanti 2005,61. The results of this study are that the people of Naga Pita Village have not fully followed all the existing stages, they only participate in the implementation stage, and seen from the form of participation that is only in the form of thoughts and involvement not in the form of money. And for the influencing factors, it can be seen from the age and income factors.

Post-stroke condition is a neurological dysfunction condition that has an impact on changes and decline in body condition for a fairly long period of time. The need for support during recovery and rehabilitation by the family is very much needed by post-stroke patients in managing themselves to optimize their well-being and quality of life. The purpose of this study was to determine the relationship between family support and self-care management in post-stroke patients. The design of this study was correlational using a cross-sectional approach. A population of 23 respondents with purposive sampling obtained 21 samples. The measuring instrument used was a questionnaire and data analysis using the Spearman rank test. The results of the study showed that almost half of the respondents (47.8%) had good family support, and almost half of the respondents (47.8%) had good self-care management. The results of the statistical test from the Spearman's rho test showed a P value of 0.0001 <α 0.05, so it can be concluded that there is a positive (unidirectional) and very strong relationship (r = 0.870) meaning that the better the family support provided by the family, the stronger the self-care management in post-stroke patients. Family support is a health component that influences a person to improve their health status and quality of life.