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Electrolytes are essential minerals that play a critical role in various physiological processes within the body, including the maintenance of fluid balance, proper neuromuscular function, and the transmission of nerve impulses. They are vital for the stability of the heart and other crucial organs. When electrolyte levels become imbalanced, as seen in conditions such as hyponatremia (low sodium), hypernatremia (high sodium), hypokalemia (low potassium), hyperkalemia (high potassium), and hypocalcemia (low calcium), serious health issues can arise. These imbalances can result from factors like malnutrition, excessive losses through the kidneys or gastrointestinal tract, hormonal disorders, and certain systemic diseases. Understanding the underlying pathophysiological mechanisms and clinical manifestations of these disturbances is essential for effective diagnosis and treatment. Healthcare providers must identify the root causes of electrolyte imbalances while assessing their severity to implement appropriate management strategies. This often involves gradually correcting electrolyte levels to mitigate the risk of life-threatening complications such as arrhythmias, cerebral edema, and neurological impairment. By fostering a comprehensive understanding of electrolyte imbalances, healthcare professionals can improve diagnostic accuracy and therapeutic effectiveness, ultimately leading to better patient outcomes. This knowledge is crucial in minimizing morbidity and mortality associated with these disruptive conditions, ensuring that individuals receive prompt and effective care to restore balance and maintain overall health.

Background: The Maternal and Child Health (MCH) Book plays an essential role in enhancing pregnant women's knowledge of pregnancy health and labor preparation. However, its utilization remains suboptimal, which may affect a mother's readiness for childbirth. Objective: This study aims to analyze the relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar in 2025. Method: This research employs a quantitative design using purposive sampling with 86 pregnant women as respondents. Data were collected using a knowledge questionnaire about the MCH Book and a birth preparedness questionnaire. Data analysis was conducted using the Chi-Square statistical test. Results: The majority of pregnant women demonstrated good knowledge of the MCH Book (75.6%) and were categorized as prepared for childbirth (70.9%). Statistical testing indicated a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness (p = 0.001). Conclusion: There is a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar. Health workers are expected to enhance education and optimization of MCH Book utilization to support birth preparedness.

This study aims to determine the level of knowledge of U16 women's national team athletes regarding injury management using the PRICES (Protect, Rest, Ice, Compression, Elevation, Support) method to improve athlete safety.. The study used a quantitative descriptive method with a cross-sectional approach. Data were collected through a Google Form questionnaire with 21 athletes as subjects. Data were classified using the Guttman scale and a dichotomous scale, then converted into a five-criteria scale. The data were processed using SPSS 22. The average score obtained was 136.81 with the lowest score being 117 and the highest score being 150. There were 8 (38.10%) subjects in the very high category, 10 (47.62%) subjects in the high category, and 3 (14.29%) subjects in the moderate category. These results indicate that the average subject's knowledge of the PRICES method is in the high or fairly good category. This indicates that most athletes have understood the basic principles of PRICES. An integrated educational program and practical simulation are needed in routine training to ensure that all athletes are able to apply the PRICES method quickly, precisely, and effectively when an injury occurs.

Skin diseases are common health problems in boarding school environments due to communal living conditions. The implementation of Clean and Healthy Living Behavior (PHBS) plays an important role in preventing skin diseases and can be strengthened through pharmaceutical education. This study aimed to determine the relationship between PHBS knowledge based on pharmaceutical education and skin disease prevention behavior among Islamic boarding school students. This study employed an analytic observational design with a cross-sectional approach. A total of 31 students were included using a total sampling technique. Data were collected using structured questionnaires and analyzed using appropriate bivariate statistical tests. The results showed that most respondents had a high level of PHBS knowledge (61.29%) and good skin disease prevention behavior (58.06%). Bivariate analysis revealed a significant relationship between PHBS knowledge and skin disease prevention behavior (p < 0.05). This study concludes that PHBS knowledge based on pharmaceutical education is associated with skin disease prevention behavior among boarding school students. Continuous pharmaceutical education is recommended as a promotive and preventive strategy to improve students’ health in boarding school settings.

Aceh Tamiang Regency is one of the regions in Aceh Province that is highly vulnerable to annual flooding due to river overflow and high rainfall intensity. Flood disasters often cause significant material and non-material losses, which are exacerbated by the limited public understanding of flood mitigation, early warning signs, and appropriate self-rescue procedures. This community service activity aims to increase public awareness, knowledge, and preparedness in facing flood threats through disaster mitigation socialization programs. The method applied in this activity includes participatory socialization, interactive discussions, and simulations of emergency response actions involving local communities, village officials, and volunteers. The program emphasizes recognizing early signs of flooding, understanding emergency evacuation routes, and improving coordination during disaster response. The results indicate a significant improvement in community knowledge regarding flood risks, early warning indicators, and emergency measures that should be taken before and during flooding events. Furthermore, the activity successfully strengthened coordination between village authorities and local volunteers in managing emergency response posts and distributing aid effectively. Through this socialization program, the community of Aceh Tamiang is expected to develop greater disaster resilience and preparedness. Increased awareness and coordinated response mechanisms are anticipated to minimize the adverse impacts of future flooding events, thereby reducing potential losses and enhancing community safety.

Nutritional problems in adolescents are complex, as evidenced by the high rate of iron deficiency anemia, especially among girls (23%), as well as malnutrition and overnutrition. According to SKI (2023), nutritional problems in adolescents include thinness and extreme thinness reaching 7.6%, while adolescents who are overweight reach 12.1%, and those who are obese reach 4.1%. The objectives are to determine the knowledge of balanced nutrition and eating habits of students in their daily lives and to identify the relationship between knowledge and eating habits with nutritional status. This study used a cross-sectional design with a population of 45 students from the Midwifery Study Program at Harkat Negeri University. The sampling technique used was total sampling. The research instrument was a questionnaire distributed via Google Form, while nutritional status was obtained by measuring BMI. Univariate and bivariate analyses were used. The majority of respondents were aged 20 years (44.5%), had good nutritional knowledge (59.1%), poor eating habits (63.6%), and normal nutritional status (68.2%). In the bivariate analysis, there was no significant relationship between nutritional knowledge and eating habits with the nutritional status of students (p-value >0.05). Conclusion The majority of students had good understanding of nutrition, but not of eating habits. It is hoped that students can maintain eating habits with balanced nutrition in order to achieve normal nutritional status. Keywords: Nutrition Knowledge; Eating Habits; Nutritional Status

This study aims to analyze the relationship between production techniques, selection of textile materials and the level of sustainable fashion implementation in MSMEs in the fashion sector in Indonesia. The method used in this study is a quantitative approach with an expplanatory descriptive design. Data was collected through a questionnaire distributed to MSME respondents in the fashion sector and collected 100 respondents. The variables tested in this study are knowledge of sustainable fashion, production techniques used by MSMEs and textile materials applied in production. Data analysis used validity, readiness, t-test and multiple linear regression tests. The results of the study show that production techniques have a significant influence on the level of sustainable fashion implementation, with a p-value of 0.041. Meanwhile, textile knowledge and materials did not show a significant influence on the implementation of sustainable fashion with a p-value of >0.05. The value of the determination coefficient (R2) for production techniques is very high at 0.95, which shows that production techniques are the most influential factor in the implementation of sustainable fashion in MSMEs in the fashion sector to prioritize the development of sustainable production techniques as the main step towards increasing sustainability in the fashion sector.

Background: Breastfeeding is a crucial practice that provides optimal nutrition and immunity for infants while supporting maternal health. However, inadequate knowledge and limited understanding about the importance of breastfeeding often lead to low motivation among pregnant women in preparing for breastfeeding. Providing structured education is expected improve pregnant women’s readiness and commitment to breastfeeding after childbirth. Objective: This study aimed to determine the effect of providing education about the importance of breastfeeding on the motivation of pregnant women in preparing to breastfeed at the Paguat Community Health Center UPTD. Methods: This study employed a pre-experimental design with one-group pretest–posttest approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniques. Data on mothers’ motivation to prepare for breastfeeding were collected before and after the educational intervention using a structured motivation questionnaire. The data were analyzed using the Wilcoxon signed-rank test to assess differences in motivation levels before and after the intervention. Results: The results of the Wilcoxon signed-rank test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of breastfeeding education on the motivation of pregnant women in preparing breastfeed. The findings demonstrate that educational interventions significantly increased maternal motivation following the provision of education. Conclusion: Providing education about the importance of breastfeeding has a significant positive effect on the motivation of pregnant women in preparing to breastfeed. Therefore, breastfeeding education should be strengthened and routinely implemented during antenatal care services to improve maternal readiness and support successful breastfeeding practices.

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.

Hypertension is a public health problem that requires educational approaches and nonpharmacological interventions. This community service activity aimed to improve knowledge and support community-based hypertension management through health education, hypertension exercise, and cucumber juice therapy in RT 03 RW 08 Lenteng Agung, South Jakarta. The activity was conducted in three stages. The preparation stage included site selection, door-to-door screening of individuals with hypertension, which identified 32 hypertensive residents, obtaining informed consent, and preparing the instruments. The implementation stage consisted of hypertension education with pre-test and post-test knowledge assessments, as well as demonstrations of hypertension exercise and cucumber juice preparation involving 29 participants. Participants were encouraged to perform the exercise and consume cucumber juice regularly for seven days at home. The evaluation stage assessed changes in blood pressure after the intervention. The results showed improved knowledge and reduced blood pressure in most participants. This activity was effective in supporting hypertension management in the community.

This study discusses the implementation of the Yanbu'a Method at Pondok Pesantren Tanwirul Qulub. The education sector today faces various changes influenced by the rapid advancement of knowledge, technology, and the impact of globalization, which also affects religious education, particularly in the teaching of the Qur'an. One of the main obstacles in Qur'anic teaching is the use of methods that do not align with the tajwid or makhorijul huruf as taught by Prophet Muhammad SAW. This can lead to critical errors in reading the Qur'an. Therefore, this study aims to explore the challenges that arise in the process of teaching the Qur'an using the Yanbu'a Method at Pondok Pesantren Tanwirul Qulub, which is applied by KH. Agus Musta'in Ilyas. This research uses a qualitative approach based on Max Weber's Verstehen theory. The results show that the obstacles in implementing the Yanbu'a Method include a lack of coordination among teachers, significant differences in students' abilities, low student discipline in muroja'ah, and students' activities outside Qur'anic learning hours. To optimize the implementation of this method, it is recommended to provide teacher training and workshops, group students based on their abilities, strengthen evaluation and monitoring, establish consistent learning schedules, and increase student motivation.

The Maternal Mortality Rate (MMR) is primarily caused by pregnancy complications that are actually preventable through early detection; however, maternal understanding of the Maternal and Child Health (MCH) Handbook remains very low. This community service aims to empower pregnant women at Sarfina Primary Clinic, Medan, by enhancing their MCH Handbook literacy. The implementation utilized a Community-Based Participatory Action (CBPA) approach conducted over four weeks, involving 30 pregnant women. The activity stages included a pre-test, interactive education, self-assessment simulations, and a post-test. Evaluation results indicated a significant surge in health literacy; pregnant women's knowledge in the "Good" category drastically increased from 13.3% to 86.7%, while the "Poor" knowledge category was successfully eliminated from 50% to 0%. In conclusion, this educational and simulation intervention proved highly effective in transforming pregnant women's behavior, making them proactive individuals in the early detection of pregnancy danger signs which is expected to reduce the risk of pregnancy complications and reduce maternal mortality rates.

Exclusive breastfeeding is the provision of only breast milk without any other food or drink from birth to six months of age. The practice of exclusive breastfeeding is very important in supporting infant growth and development and reducing infant morbidity and mortality. However, the coverage of exclusive breastfeeding is still not optimal, including for mothers with first-born children (first-born toddlers). This study aims to determine the determinants of exclusive breastfeeding in first-born toddlers in the work area of ​​Dewantara Health Center, North Aceh with variables of knowledge, attitude, and support for breastfeeding. This study uses a quantitative research type with a cross-sectional design. The population in this study were all mothers who had their first-born children (first-born toddlers) in the work area of ​​Dewantara Health Center, as many as 30 people. The sampling technique used total sampling so that the entire sample population was used. Data collection was carried out using a questionnaire and analyzed using the Chi-Square test. The results showed no significant relationship between maternal knowledge and exclusive breastfeeding (p=0.241), no relationship between maternal attitudes and exclusive breastfeeding (p=0.786), and no relationship between breastfeeding support and exclusive breastfeeding (p=0.850). The conclusion of this study is that knowledge, attitudes, and support for breastfeeding are not significantly related to exclusive breastfeeding in first-born toddlers. It is recommended that health workers improve breastfeeding education and support, and strengthen family support for the success of exclusive breastfeeding.

Background: The maternal mortality rate in Indonesia reaches 177 per 100,000 live births, with 75 percent of deaths occurring in the first week of the postpartum period. The partnership between midwives and village shamans is an adaptive strategy to optimize maternal health services, but its implementation still faces various systemic obstacles. Objective: To analyze factors related to the partnership of village midwives and shamans in caring for postpartum mothers in the BLUD area of the Tumpung Laung Health Center UPT. Methods: A quantitative study with a cross-sectional design involved 50 respondents using a total sampling technique. Data were collected through a structured questionnaire and analyzed using the Chi-square test with a significance level of p<0.05. Results: There was a significant relationship between age (p=0.032), work experience (p=0.048), education (p=0.000), knowledge (p=0.000), competence (p=0.000), quality of communication (p=0.000), frequency of interaction (p=0.000), policy support (p=0.000), and availability of facilities (p=0.000) with partnership effectiveness. Conclusions: Effective partnerships are influenced by a multiplicity of factors at the individual, interpersonal, and structural levels, requiring holistic interventions through capacity building, communication strengthening, and comprehensive policy support to accelerate maternal mortality reduction.

The application of Large Language Models (LLM) in public services encourages government agencies to adopt Retrieval Augmented Generation (RAG)-based chatbots as interfaces for regulatory knowledge and official documents. Although RAG is designed to increase the supportability of answers to authoritative sources, various studies show that this system is still vulnerable to hallucinations, which have the potential to reduce public trust and pose legal risks. This article presents a Systematic Literature Review (SLR) on the use of RAG in government chatbots with a focus on the definition, mitigation strategies, and evaluation of groundedness. The literature search was conducted in the period 2021–2025 through the SpringerLink, Scopus, and Taylor & Francis databases, resulting in 7,947 articles filtered using the PRISMA framework to obtain 100 articles Q1–Q2. Based on eight research questions, this study maps publication trends, document domains, RAG architecture, retrieval strategies, definitions of groundedness, and evaluation metrics used. The SLR results indicate conceptual fragmentation in the definition and measurement of groundedness, with the dominance of text-similarity-based metrics that are inadequate for regulatory contexts. As a conceptual contribution, this article formulates the Semantic Alignment Score (SAS) as a groundedness metric based on semantic alignment, evidence coverage, and entailment relationships, positioned to support the evaluation and auditing of government document chatbots.

The development of the digital era demands that youth possess practical and applicable information technology (IT) skills to enhance competitiveness in the workforce and entrepreneurship. However, the gap between theoretical knowledge and basic technical skills—such as computer assembly, installation, and troubleshooting—remains a real challenge among youth, particularly in community settings such as the Patitech Academy in Pati Regency. The training program was implemented using experiential learning methods and a participatory approach over three days. A total of 25 participants engaged in a series of activities, including socialization, technical training, intensive mentoring, and evaluation. Measurement instruments included written pre- and post-tests, practical performance observation, and satisfaction questionnaires. Data analysis showed a significant improvement in participant competencies. The average post-test score increased by 40.2% compared to the pre-test, with 85% of participants demonstrating mastery in assembling computers, installing operating systems, and performing basic troubleshooting independently. The troubleshooting aspect recorded the highest increase (45%). The success of the program was supported by direct learning methods, an ideal participant-instructor ratio, and a curriculum relevant to industry needs. Hands-on training proved effective in significantly improving youth technical IT competencies. The program not only built hard skills but also increased participants' self-confidence and independence. For sustainability, it is recommended to develop advanced modules, strengthen industry networking, and establish a digital alumni forum. The findings of this study can serve as a model for developing youth empowerment programs based on digital skills in other communities.

Flat foot is a common foot condition in humans and can lead to health problems if not properly managed. Education on flat foot prevention is very important to increase awareness and knowledge within the toddler community regarding ways to prevent and manage flat foot conditions. This study aims to determine the effectiveness of educational interventions in improving awareness and knowledge of parents of toddlers regarding flat foot prevention in Madyopuro Village, Kedungkandang District, Malang City. The methods used included counseling and educational sessions on flat foot prevention, as well as evaluation of mothers’ and children’s knowledge and awareness before and after the educational intervention. The results showed that education was effective in increasing parents’ awareness and knowledge regarding flat foot prevention. Therefore, education on flat foot prevention can serve as one of the strategies to reduce the prevalence of flat foot among children in Madyopuro Village, Kedungkandang District, Malang City.

Stunting is a major public health problem that reflects chronic malnutrition and adversely affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life represent a critical window during which stunting develops and determines long-term health outcomes. This study aims to review evidence on the determinants of childhood stunting and the effectiveness of prevention interventions within public health policy frameworks in Indonesia.A literature review was conducted using peer-reviewed articles, policy documents, and national reports published in the last decade. The literature was analyzed to identify key risk factors, intervention strategies, and policy impacts on stunting reduc-tion.The findings show that stunting is primarily driven by inadequate dietary intake, low socioeconomic status, limited caregiver nutrition knowledge, and poor access to health and sanitation services. National data indicate a decline in stunting prevalence in Indonesia from 24.4% in 2021 to 21.6% in 2022. Evidence consistently highlights that integrated interventions targeting the first 1,000 days of life, including maternal nutrition improvement, breastfeeding promotion, appropriate complementary feeding, and multisectoral collaboration, are effective in reducing stunting.In conclusion, reducing childhood stunting requires sustained, integrated, and policy-based interventions that prioritize early-life nutrition to improve human capital and support long-term national development.

The rapid development of information technology requires improved digital literacy and basic technological skills beginning at the secondary education level. One important competency that needs to be introduced to students is an understanding of computer networks, particularly Local Area Networks (LAN), along with the development of communication and public speaking skills as essential soft skills. This activity aimed to increase the interest and understanding of students at SMP Negeri 6 Sorong City regarding information technology through LAN network education integrated with public speaking training. The activity was implemented using an experiential learning approach combined with student-centered learning, which emphasized active student participation through material presentations, demonstrations, hands-on network cabling practice, and interactive discussions. The program was conducted in three main stages: preparation, implementation, and closing evaluation. The results indicated that students were able to follow all learning activities effectively and demonstrated strong enthusiasm in understanding basic LAN network concepts and cabling techniques. Additionally, students showed increased confidence in expressing ideas and actively participating in discussions. The integration of technical training and soft skill development created a more contextual, engaging, and practical learning environment. This activity also provided valuable experience for the community service team in strengthening communication abilities and applying academic knowledge in real educational settings. Overall, the practice-based LAN education program proved to be an effective approach for increasing students’ interest in information technology while simultaneously developing communication skills from an early age.

This study aims to analyze the development of marine tourism in Makassar City. The city of Makassar has rich maritime potential with a combination of coastal areas and small islands that have underwater ecosystems and beautiful beach scenery, supporting the formation of marine tourism. Although there is regulatory support from various relevant national regulations and regional policies to support the development of marine tourism, the facilitation of this development still faces several challenges, including sectoral ego, poor coordination between institutions, and inadequate participation from the local community. This research was examined through the adaptive capacity theory by Emerson and Gerlak (2014), which includes structural arrangements, leadership, knowledge and learning, and resources, while the research method used was a qualitative method examined using descriptive analysis. The results of this study indicate that increasing adaptive capacity through joint efforts, participatory leadership, collective learning, and effective resource management is crucial in promoting sustainable marine tourism. In this regard, the implementation of marine tourism in Makassar City needs to be formulated as a tourism management system that adapts to social, economic, and ecological changes in order to achieve sustainable regional development through marine tourism.