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The elderly is among the most vulnerable groups in society due to progressive biological decline that weakens physical resistance, making them prone to chronic diseases such as hypertension. Hypertension is one of the most common multifactorial disorders in older adults, and its severity may be influenced by anxiety, which stimulates the sympathetic nervous system and increases blood pressure. This study aimed to examine the relationship between anxiety levels and hypertension among the elderly in the working area of Andalas Health Center, Padang City. An analytic study with a cross-sectional design was conducted involving 81 elderly participants diagnosed with hypertension, selected through accidental sampling based on inclusion and exclusion criteria. The Geriatric Anxiety Scale (GAS) was employed as the research instrument, while data analysis used the Chi-square test. Results showed that the majority of respondents experienced mild anxiety (67 respondents, 82.7%) and uncontrolled hypertension (54 respondents, 66.6%). Statistical analysis revealed a p-value of 0.534, indicating no significant association between anxiety levels and hypertension in the elderly population studied. These findings are consistent with several previous studies reporting that the relationship between anxiety and blood pressure in the elderly is often inconsistent, largely due to other risk factors including age, gender, low physical activity, comorbidities, and poor adherence to antihypertensive treatment. The implication of this study highlights the necessity of a holistic approach to hypertension management in the elderly, addressing not only psychological aspects but also lifestyle modification, treatment adherence education, and strengthening public health programs. Therefore, this research is expected to serve as input for health workers at community health centers to improve strategies for preventing and controlling hypertension in elderly populations.

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bite of Aedes aegypti mosquitoes. In 2023, 48 cases of DHF were reported in the Kebun Lada Public Health Center area, reflecting a high incidence rate and limited medical resources in managing the cases. This situation emphasizes the need for an alternative solution that can support a fast and accurate diagnostic process. This study aims to develop an expert system for diagnosing DHF using the Case-Based Reasoning (CBR) method. CBR functions by comparing the symptoms experienced by patients with previous cases stored in the knowledge base, thereby producing relevant diagnostic recommendations. The proposed system is implemented as a web-based application using PHP as the programming language and MySQL as the database management system. The expected outcomes of this study are to assist medical personnel in reducing diagnostic time, improving the accuracy of decision-making, and increasing the effectiveness of health services in primary healthcare facilities. In addition, the system is designed to provide wider access for the community to recognize early symptoms of DHF, which can contribute to preventive actions and reduce the risk of severe complications. Thus, the developed expert system has the potential to become a practical solution to overcome the shortage of medical personnel and enhance public health awareness.

This study discusses the level of participation of elderly people in Mantang Baru Village in routine health checks. The main objective is to see how active they are in participating and what makes them interested or reluctant to attend health checks. This study uses a quantitative approach with the aim of measuring the level of participation of elderly people in health check activities in Mantang Baru Village. Data was collected using direct surveys of each elderly person's home, which contained questions related to the frequency of health check visits, motivation, and barriers to health checkups for the elderly. The population in this study was all elderly people aged 60 years and above who reside in Mantang Baru Village. The results showed that most elderly people were quite diligent in attending health checkups because they realized the importance of maintaining their physical condition. Factors such as family support, ease of access to health check locations, and their knowledge about health significantly influence their decision to participate. In conclusion, if health education and facilities can be further improved, elderly participation will certainly increase, thereby helping to maintain their health better. The role of health cadres is very significant in encouraging elderly participation through a personal approach and continuous education.

Hypertension is one of the global public health issues with serious implications as it may lead to severe complications such as stroke, coronary heart disease, and kidney failure. Elderly individuals are among the most vulnerable groups, with the highest prevalence found in the age group of 65–74 years (57.6%) and those over 75 years (63.8%). Non-pharmacological treatment for hypertension includes regular and consistent elderly gymnastics. This study aims to examine the effect of elderly gymnastics on blood pressure among elderly individuals with hypertension at the Rumoh Sejahtera Geunaseh Sayang Nursing Home, Ulee Kareng, Banda Aceh. The study applied a quasi-experimental design with a deductive approach. The population consisted of 55 elderly individuals, and 17 were selected as the sample using total sampling technique. The elderly gymnastics intervention was conducted three times a week, from April 17th to 22nd, 2025. Blood pressure was measured before and after the intervention using a pre-test and post-test observation sheet. Data analysis was performed using the Wilcoxon test, suitable for non-parametric data. Results showed that on the first day, there was no significant difference in systolic and diastolic blood pressure (p = 0.091). On the second day, systolic blood pressure showed a significant decrease (p = 0.003), while diastolic pressure remained non-significant (p = 0.161). On the third session, a significant reduction occurred in both systolic (p = 0.000) and diastolic (p = 0.001) blood pressure. Conclusion: Elderly gymnastics has an effect on reducing blood pressure in elderly individuals with hypertension. This intervention may serve as an effective and applicable non-pharmacological therapy in daily life.

This community service initiative aimed to enhance public awareness in Lam Keumok Village regarding environmental cleanliness and health through the installation of educational posters. The project was motivated by the prevalence of environment-related diseases and limited public access to effective visual information. The method used was educational and observational with limited participatory engagement. Poster were designed to be visually appealing and easily understood, then placed in strategic public locations such as village halls and places of worship. Observations revealed increased public engagement, marked by spontaneous interactions like reading and discussing the posters. The media proved effective in directly conveying messages, strengthening collective awarenes, and fostering civic involvement. Use of local language and contextual visuals ensured message clarity. Despite the short implementation period, the long-term potential impact is promising as repeated visual exposure can influence behavioral change. The findings conclude that educational posters are a powerful communication tool in rural areas and suggest the strategi can be replicated in similar settings. Community participation in content planning was a key factor in enhancing ownership and ensuring program sustainability.

Cervical cancer remains one of the leading causes of death among women, particularly in developing countries such as Indonesia. This disease is largely preventable through early detection efforts; however, low levels of knowledge and awareness among women of reproductive age often hinder them from undergoing routine screening. Limited information leads to most new cases being diagnosed at advanced stages, thereby lowering treatment success rates and increasing the public health burden. This study aimed to analyze the differences in knowledge among mothers at Yayasan Harapan Anak Indonesia, North Jakarta, regarding early detection of cervical cancer before and after receiving health education using leaflets. The study employed a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 40 reproductive-age women selected using total sampling. A structured questionnaire was used as the research instrument, covering questions about the definition, risk factors, symptoms, and early detection methods of cervical cancer. The intervention was carried out through a lecture accompanied by leaflet distribution, which provided concise, clear, attractive, and easy-to-understand information. Data were analyzed using paired t-tests to evaluate differences in mean scores before and after the intervention. The results showed an increase in the mean knowledge score from 57.69 in the pretest to 88.08 in the posttest. Statistical analysis revealed a significant difference (p<0.05) between pre- and post-intervention. The study concludes that health education using leaflets is effective in improving mothers’ knowledge about cervical cancer early detection. Health workers are recommended to expand educational coverage using simple printed media as a sustainable strategy for prevention, to enhance community awareness more broadly, and ultimately to reduce cervical cancer incidence.

Plastic waste remains a pressing issue in Bakung Village, Teluk Betung Barat Subdistrict, Bandar Lampung City, as it affects public health, reduces environmental aesthetics, and triggers flooding due to poor waste management systems. In response, the 2025 Integrated Community Service Program (KKN) of UIN Raden Intan Lampung, through Group 98, applied the ecobrick method as a community-based alternative for managing plastic waste. This study adopted an appropriate technology approach with descriptive qualitative methods, namely observation, interviews, and documentation, to analyze field conditions and evaluate program outcomes. The results demonstrated the successful construction of a ±1-meter monument spelling “Bakung,” which incorporated more than 350 used plastic bottles as ecobricks. Beyond beautifying the environment and serving as a landmark, the monument inspired local residents to participate actively in sorting waste and making ecobricks. Community involvement was particularly visible during material collection and production stages, reflecting the effectiveness of a participatory approach. Additionally, this activity had an educational impact by showing that plastic waste can be transformed into useful and aesthetically valuable products. Although limited time and energy became major challenges, these were addressed through continuous mentoring. Overall, the program proved that ecobricks offer a practical and innovative solution for reducing plastic waste and contribute to achieving Sustainable Development Goals (SDGs) 11 and 12.

A fracture is a condition where the continuity of the bone is disrupted due to a hard impact, often causing significant pain in sufferers. Pain management does not only rely on pharmacological therapy but can also be combined with non-pharmacological therapies, one of which is through cold compresses using ice packs. This therapy is effective because it can reduce pain nerve conduction and reduce blood flow to the injured area, thereby suppressing pain. This activity aims to provide public education on the use of cold compresses as an alternative pain management in fracture cases. Before the activity began, vital signs were measured and a pain scale was assessed as a basis for evaluation. The education was carried out using leaflets by a team of lecturers and nursing students to 30 village community participants. Based on interviews, most participants had never received information about the benefits of cold compresses in pain management. Before the education, 23 participants were accustomed to managing pain with pain relievers, while the other 7 used other non-pharmacological methods such as hot compresses, deep breathing relaxation, and behavioral therapy. After participating in the activity, the community demonstrated an understanding that cold compresses using ice packs applied for 20 minutes when pain occurs can be a simple, inexpensive, and effective method for reducing pain caused by fractures. This activity involves village officials and the community as a collaborative effort to improve health literacy. It is hoped that the community will be able to implement cold compress therapy as a self-help option for managing fracture pain, thereby reducing reliance on analgesic medications.

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based perioperative care approach designed to minimize the stress response to surgery, preserve organ function, and improve clinical outcomes. A substantial body of evidence has demonstrated that implementing ERAS protocols in elective procedures not only accelerates patient recovery but also reduces healthcare costs. Surgery, one of the most commonly performed medical interventions worldwide particularly major procedures such as abdominal and colorectal surgery carries a high risk of postoperative complications. These complications contribute to increased morbidity, mortality, and economic burden for both patients and healthcare systems. This situation presents a particular challenge in the era of universal health coverage, which demands efficiency in terms of time, cost, and resource utilization. ERAS implementation has been proven to enhance postoperative recovery, shorten hospital stays, and expedite the return of normal physiological function compared to conventional surgical care, especially in lower abdominal surgeries and colorectal resections. A literature review was conducted by searching relevant articles through Google Scholar using inclusion criteria such as publications from 2018 onwards, focused on ERAS in abdominal surgery, full-text availability, and academic journal sources. The data were analyzed using a matrix table comparing research methods, study populations, research locations, and reported outcomes. ERAS protocols have shown to be effective in abdominal surgical procedures for improving patient recovery and reducing postoperative complications.

Bullying in schools is a serious issue that affects students’ mental health and therefore needs to be addressed through specific programs that create a safe, comfortable, and healthy environment. Increasing public awareness of the dangers of bullying has encouraged the emergence of anti-bullying programs in schools, including at SMA Dharma Karya UT. This study aims to analyze the implementation of such a program with four main objectives, namely to understand its execution, assess its effectiveness, identify existing obstacles, and provide relevant recommendations for improvement. The research method employed is quantitative with a descriptive approach using questionnaires developed based on program implementation and mental health indicators, tested for validity and reliability, and analyzed with SPSS version 25. The research sample involved 98 students from grades X, XI, and XII, selected through a representative quota sampling technique. The results show a significant relationship between the anti-bullying program and students’ mental health, with a correlation coefficient of 0.760 indicating a strong relationship. The program explains 57.8% of the variance in mental health, while 42.2% is influenced by other external factors. Simple regression analysis produced a constant of 43.783 and a coefficient of 1.814, meaning improvements in program implementation are directly proportional to improvements in mental health. Hypothesis testing confirmed significance with a value of 0.000 < 0.05, thus accepting the alternative hypothesis. The anti-bullying program has proven to be effective and can serve as a reference for other schools.

The rising demand for healthy food is driven by increasing along with public awareness of the importance of a balanced and nutritious diet. One innovation in healthy food products is the development of corn flour-based muffins as an alternative to wheat flour products. Corn flour is a good source contains fiber, B-complex vitamins, and antioxidants such as lutein and zeaxanthin, which are beneficial for health, particularly digestive health and vision. This research aims to formulate healthy corn flour-based muffins with a balanced texture, taste, and nutritional content. The method used includes partially or completely replacing wheat flour with corn flour, as well as adding natural ingredients such as palm sugar as a natural sweetener and vegetable oil as a source of healthy fats. Organoleptic tests were conducted on panelists to assess product acceptability based on appearance, taste, aroma, texture, and color. The results showed that muffins with a composition of 36.5% corn flour and 36.5% wheat flour scored highest in taste and texture, and met the criteria for a healthy food low in sugar and high in fiber. This research demonstrates that corn flour-based muffins are a potential healthy food alternative and can be further developed as part of a healthy lifestyle.

The purpose of this education is to increase public awareness, especially among teenagers, of the impacts of early marriage through educational seminars and Service-Learning-based outreach in Naga Kesiangan Village. Early marriage remains a critical issue in Indonesia, often associated with health risks, psychological stress, and limited educational and social opportunities for young people. The Service-Learning approach was chosen because it not only provides knowledge transfer but also actively engages participants in reflection and discussion, ensuring that the learning process is more contextual and sustainable. The method used was Service-Learning, involving 30 teenagers aged 15–19 years, 15 parents, and 5 community leaders who were purposively selected for their direct relevance to the issue. Activities included seminars, small group discussions, interactive question-and-answer sessions, and collective reflection. The results of the activity showed a significant increase in participants’ understanding, from 42% (pre-test) to 81% (post-test). Participants gained a deeper understanding of the health, psychological, social, and educational risks of early marriage and were encouraged to delay marriage by choosing positive alternatives through education and skill development. This program also strengthened the role of families and community leaders as preventive agents by fostering collective awareness and support. Thus, educational seminars integrated with Service-Learning prove to be effective and replicable strategies to prevent early marriage practices, while also empowering communities to build healthier, more resilient generations.

Public policies in the fields of health, environment, and safety are increasingly subject to disputes through the Investor-State Dispute Settlement (ISDS) mechanism. However, state efforts to protect the public often face claims from investors who consider themselves harmed. This situation carries serious consequences, as states not only bear high litigation costs but may also be required to pay significantly larger compensation if they lose the dispute. This gives rise to regulatory chill, a condition in which governments delay, weaken, or revoke regulations due to concerns over potential investment disputes. Even when some cases result in a state victory, the potential for regulatory chill remains significant, as investors do not need to win disputes to create regulatory uncertainty and pressure policymakers. This phenomenon can manifest in three forms precedential chill, anticipatory chill, and specific response chill, each affecting the policy-making process differently. Regulatory chill narrows the regulatory space, limits state capacity to protect public interests, and creates a deterrent effect on the implementation of new regulations. Using a normative juridical approach enriched with comparative case studies, this paper examines three primary sources of regulatory chill: the economic burden of arbitration and potential compensation, long-term commitments, and institutional limitations in meeting the standard of fair and equitable treatment.

This study aims to analyze the implementation of health education as an integrated marketing strategy for probiotic products through social media at PT Yakult Indonesia Persada. Health education is increasingly recognized as a strategic approach in value-based marketing, where companies offer not only products but also knowledge and added value for consumer well-being. The research employed a qualitative descriptive method using field observation, interviews with marketing staff, and a literature review of related studies. The findings indicate that PT Yakult Indonesia Persada successfully incorporates health education into its marketing activities through the Yakult Lady program, school visits, health seminars, factory tours, and interactive digital content on social media platforms. These strategies have proven effective in raising consumer awareness of digestive health, strengthening brand image, and maintaining customer loyalty. The study highlights the crucial role of social media integration in reaching younger demographics, fostering engagement, and amplifying educational messages. The consistent delivery of educational content, supported by visual storytelling and personalized approaches, has contributed significantly to Yakult’s sustainable growth in the Indonesian probiotic market. Theoretically, this study enriches the discourse on digital marketing and health communication, while practically, it offers insights for companies seeking to align promotional strategies with consumer education and public health improvement.

Waste management has become an increasingly complex environmental issue, particularly in urban areas and densely populated settlements. The lack of public awareness in disposing of waste properly has caused numerous negative impacts, including soil and water pollution, flooding due to clogged drainage systems, reduced environmental aesthetics, and the spread of infectious diseases. These conditions indicate that the waste problem is not merely a technical issue of collection and disposal, but also strongly related to people’s behavior and environmental awareness. Therefore, a simple, practical, and effective approach is required to encourage behavioral change in daily life. One alternative solution is through visual education by using waste signboards that display educational and persuasive messages. These signboards are installed in strategic locations to serve as direct reminders for residents to care more about environmental cleanliness. This study aims to analyze the effectiveness of waste education signboards in improving community understanding and discipline in waste disposal practices. The methods applied included counseling sessions, participatory discussions with residents, designing communicative and attractive signboards, and installing them in high-traffic areas such as main roads, schools, worship places, and public spaces. The results of the activity indicated an increase in public knowledge regarding the impacts of waste, active participation in maintaining cleanliness, and a significant reduction in littering behavior around the areas where the signboards were installed. Furthermore, residents gave positive feedback and expressed their willingness to expand the initiative by adding more signboards in other locations as part of sustainable action. In conclusion, educational signboards proved to be an effective, low-cost, and practical medium to raise community awareness. Beyond delivering environmental messages, the signboards also helped strengthen collective commitment among residents to create a clean, healthy, and sustainable living environment.

PayLater services are becoming increasingly popular among the public, offering convenience and flexibility in meeting daily needs and lifestyle demands. However, uncontrolled use has the potential to cause financial problems that significantly impact both mental and physical health. This community service activity aims to increase the understanding of community leaders regarding healthy financial management and the health risks that may arise from a PayLater-based consumer lifestyle. The outreach program was conducted by KKM students from Bina Bangsa University Group 22 in Banjar Negara Village, Ciwandan District, Cilegon City, with 30 participants consisting of local RT and RW heads. Methods used included interactive lectures, discussions, and question-and-answer sessions that encouraged active participation and contextual sharing of experiences. The results of the activity showed an increase in participants’ awareness of the importance of financial literacy as an integral part of maintaining overall quality of life. Participants recognized that financial health is closely related to mental well-being, as excessive financial pressure can trigger stress, anxiety, and even chronic illnesses. The program also emphasized practical strategies such as budgeting, distinguishing needs from wants, and limiting PayLater use to essential needs only. It is expected that RT and RW heads who have participated can act as educational agents in their communities, spreading financial literacy and awareness of health risks. In the future, similar programs need to be expanded to other community groups, supported by digital media and cross-sector collaboration to create a financially independent and physically and mentally healthy society.

Diabetes Mellitus (DM) is a non-communicable disease that is currently a major public health problem in Indonesia. The prevalence of DM continues to increase from year to year, not only in urban areas but also increasingly found in rural areas. One factor contributing to the high number of DM cases is a lack of public awareness of the importance of a healthy lifestyle, as well as the continued presence of many undiagnosed cases, resulting in delayed treatment. Therefore, early detection efforts and health education that can reach the community at the community level are needed. This community service program was designed to conduct random blood sugar screenings while increasing the knowledge of residents of RW 15 Kalibaru regarding the prevention and control of DM. The activity was carried out on August 24, 2025, involving 21 participants, most of whom were from adults to the elderly. The activity method consisted of two main stages: checking blood sugar levels using a glucometer and a health education session on a healthy lifestyle, a balanced diet, and the importance of regular physical activity. The results of the activity showed that the indicators of success were well achieved. This was indicated by the orderly implementation of the examinations, a high level of participation from residents, and increased awareness of the dangers of DM among participants. From the examination results, most participants had normal blood sugar levels, but several people were found with blood sugar levels above the normal limit who required medical follow-up.

The coverage of complete basic immunization (CBI) in Indonesia has experienced a significant decline, dropping from 93.7% in 2019 to 84.5% in 2021. Aceh Province was recorded as one of the lowest regions nationwide, achieving only 39.4% and ranking among the bottom three provinces. Low public awareness and knowledge, particularly in rural areas, have become the main factors contributing to the low participation in immunization programs. This study aimed to evaluate the effectiveness of door-to-door education in improving the knowledge and awareness of mothers with toddlers and its impact on immunization participation in Mukhan Village, Indrajaya Subdistrict, Aceh Jaya District. The research applied a quasi-experimental method with a pre-test design and no control group, involving 25 mothers of toddlers who were directly visited through a one-month door-to-door program. Data were collected using structured questionnaires and by recording the immunization status of the toddlers. The findings revealed that before the intervention, only 36% of toddlers had received complete basic immunization, while 64% had incomplete immunization. After the educational intervention, there was a positive shift in attitudes among several mothers who had previously doubted or refused immunization, including one mother who later agreed to participate in catch-up immunization. Door-to-door education proved effective in enhancing knowledge and awareness, as it enabled direct communication that clarified myths and addressed concerns about immunization. Although overall immunization coverage remains low, the observed positive change in attitudes highlights the potential for increased participation through continuous efforts, multi-stakeholder collaboration, and the active involvement of health cadres and local community leaders.

Malaria is an infectious disease caused by various species of Plasmodium, such as Plasmodium vivax, Plasmodium falciparum, Plasmodium malariae, and Plasmodium ovale, which are transmitted through the bite of Anopheles mosquitoes. The spread of this disease is highly influenced by the presence of mosquito breeding sites as vectors of transmission. This study aims to analyze the relationship between the knowledge and attitudes of outpatients toward malaria prevention behaviors at the ASA Enterop Clinic in Jayapura. The study design used a descriptive analytical method with a cross-sectional approach. The research instrument was a questionnaire, and data analysis involved both univariate and bivariate analysis, as well as Chi-square statistical testing. The results showed that 57 respondents (54.0%) had good knowledge with good prevention behavior, and 5 respondents (8.0%) had moderate knowledge with good prevention behavior. Meanwhile, 1 respondent (4.4%) had good knowledge but poor prevention behavior, and 5 respondents (5.0%) had moderate knowledge with poor prevention behavior. The conclusion of this study indicates a significant relationship between knowledge and attitudes with malaria prevention behavior in the research area. These findings highlight the importance of improving public knowledge and attitudes in preventing malaria and suggest that strengthening health education and awareness is crucial for disease prevention.

Hypertension is one of the most prevalent non-communicable diseases and a major risk factor for heart disease, stroke, and kidney disorders. The high prevalence of hypertension cases in the community, particularly in the working area of Puskesmas Kota Rantau Prapat, highlights the urgent need for more effective early detection efforts to prevent severe complications in the future. However, the limited capacity of healthcare workers in utilizing data analysis technologies has resulted in hypertension risk detection being dominated by conventional methods, which are often less accurate and inefficient. To address this issue, this community service program was conducted through training on the application of the Random Forest algorithm to analyze patients’ medical history data in order to detect hypertension risks. The training method included an introduction to the fundamentals of machine learning, data pre-processing stages, implementation of the Random Forest algorithm, and interpretation of prediction results. The outcomes of the program demonstrated that healthcare workers were able to understand the use of data analysis technologies to support more accurate early detection of hypertension. Furthermore, the participants gained practical skills in utilizing medical datasets to produce predictions that can serve as a decision-support tool for preventive medical actions.Thus, this training contributed to enhancing the capacity of community healthcare workers in integrating machine learning-based technologies into preventive healthcare services. This program is expected to serve as an initial step toward developing more effective, efficient, and sustainable data-driven health systems.