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Vitamin A Deficiency (VAD) and iron deficiency anemia (IDA) are global nutritional issues affecting children, particularly in developing countries. The interaction between these two conditions can lead to a more complex condition known as Vitamin A Deficiency Anemia (VADA). This study aims to review the molecular relationship between Vitamin A deficiency and iron metabolism leading to VADA, as well as its impact on children's health. The methodology used in this article is a literature review of various clinical studies, epidemiological research, and relevant molecular experiments. The results show that VADA is primarily a functional iron deficiency, where iron absorption is impaired despite overall body iron levels not being critically low. This mechanism involves the regulation of hepcidin, redistribution of iron, and its effects on erythropoiesis. Additionally, therapy with Vitamin A supplementation has been shown to increase erythropoietin and hemoglobin production in children with dual deficiencies. The implications of these findings highlight the need for more integrated therapeutic strategies that consider both Vitamin A and iron status simultaneously. Further research is needed to understand the molecular mechanisms more deeply involved in this interaction and to develop more effective therapies for children with VADA.

This research is driven by the low level of student motivation in completing homework at SD Negeri 104237 Dalu Sepuluh B. Motivation serves as a key factor that encourages students to be enthusiastic about learning. This study applies a descriptive qualitative method, which aims to present events or facts as they occur in the field, where the researcher acts as the main instrument in the process. Data were collected through observation, interviews, and documentation. The findings reveal that students’ motivation to do homework at SD Negeri 104237 Dalu Sepuluh B is relatively low. This is reflected in the first indicator, namely the willingness to make efforts despite repeated failures, where students appear indifferent toward homework assignments. The second indicator concerns the habit of completing homework early, which shows that students rarely work on assignments and only do so when they have spare time. The third indicator is activeness during lessons, where students are less engaged in responding to teachers, resulting in minimal interaction between students and teachers in the classroom, and their attention to lessons is limited. The fourth indicator relates to punctuality in submitting homework, as students are less disciplined in turning in assignments, often prioritizing tasks from the Islamic boarding school. The main inhibiting factor of students’ motivation in doing homework is the busy schedule of boarding school activities, which makes it difficult for students to manage their time to complete assignments.

In toddlerhood, child development is an important period (golden age), because at that time there is a basic development that runs rapidly so that it can influence and determine the child's future development. The use of the KIA (Maternal and Child Health) book by parents of toddlers in stimulating child development has not been implemented optimally. The purpose of this study was to analyze the empowerment and skills of mothers in conducting child development screening using the KIA (Maternal and Child Health) book at Kartika IV - 41 Kindergarten and Melati 1 PAUD Post, Kesatrian Village, Malang City. The research design used descriptive analytic with a cross-sectional approach, sampling technique using purposive sampling with a total of 77 respondents who had children attending Kartika IV - 41 Kindergarten and Melati PAUD Post. Data collection using a maternal empowerment questionnaire and a skills observation sheet. The results of the statistical test using the Spearman Rank test showed that the ρ value was (0.000). The proposed research hypothesis is an alternative hypothesis, where, Ha: ρ ≠ 0. Which shows that maternal empowerment contributes to maternal skills in conducting independent child development screening using the KIA book for children attending PAUD Melati 1 Post and Kartika IV – 41 Kindergarten, Kesatrian Village, Malang City.

Traditional games are an important part of cultural heritage that carry educational values and can serve as an enjoyable and effective learning medium for children. Through the Community Service Program (KKN), university students organized traditional game competitions during the Independence Day celebration with village children. The activities aimed not only to provide entertainment but also to foster children’s learning motivation, enhance social interaction, and develop their personal character. This study employed observation, interviews, and documentation to collect accurate data. A total of 30 children were recorded as participants, although the actual number of participants in the competitions was higher. Ten children were purposively selected as interview respondents to gain deeper insights into their experiences. The results revealed that most children felt happy and enthusiastic while participating in the competitions. They also acquired important educational values such as teamwork, concentration, patience, perseverance, and enthusiasm for learning. Moreover, the majority of respondents stated that participating in the traditional games motivated them to be more engaged in school learning and encouraged them to study harder after the activities. Therefore, the revitalization of traditional games during the Independence Day celebration can serve as an effective alternative medium to enhance children’s learning motivation, strengthen social interaction, and preserve local cultural heritage. This study suggests that integrating cultural activities into educational practices can positively influence children’s attitudes toward learning while maintaining the community’s cultural identity.

Traditional games are an important part of cultural heritage that carry educational values and can serve as an enjoyable and effective learning medium for children. Through the Community Service Program (KKN), university students organized traditional game competitions during the Independence Day celebration with village children. The activities aimed not only to provide entertainment but also to foster children’s learning motivation, enhance social interaction, and develop their personal character. This study employed observation, interviews, and documentation to collect accurate data. A total of 30 children were recorded as participants, although the actual number of participants in the competitions was higher. Ten children were purposively selected as interview respondents to gain deeper insights into their experiences. The results revealed that most children felt happy and enthusiastic while participating in the competitions. They also acquired important educational values such as teamwork, concentration, patience, perseverance, and enthusiasm for learning. Moreover, the majority of respondents stated that participating in the traditional games motivated them to be more engaged in school learning and encouraged them to study harder after the activities. Therefore, the revitalization of traditional games during the Independence Day celebration can serve as an effective alternative medium to enhance children’s learning motivation, strengthen social interaction, and preserve local cultural heritage. This study suggests that integrating cultural activities into educational practices can positively influence children’s attitudes toward learning while maintaining the community’s cultural identity.

Child developmental delay is a public health issue that needs to be identified early to prevent long-term impacts on children’s quality of life. In Rantau Prapat Sub-district, cases are still found among toddlers with undernutrition, incomplete immunizations, and suboptimal developmental stimulation, which may pose risks of growth and developmental delays. This study aims to apply the Naive Bayes method in identifying child developmental delays based on health data collected through medical records and questionnaires. The research method includes data collection, pre-processing (cleaning, transformation, and normalization), classification using the Naive Bayes algorithm, and model validation with the k-fold cross-validation technique. The results showed that out of 150 toddler data samples, 30.7% experienced developmental delays, with the dominant influencing factors being nutritional status and immunization completeness. The Naive Bayes algorithm achieved an accuracy rate of 87.3% with a precision of 84.1%, recall of 85.7%, and F1-score of 84.9%. These findings demonstrate that Naive Bayes can be used as a decision support system in the early identification process of child developmental delays. Therefore, the results of this study are expected to assist healthcare workers, particularly midwives, in improving the quality of early detection and delivering more targeted interventions for children in the Rantau Prapat area.

Dengue Hemorrhagic Fever (DHF) is an endemic disease that can cause serious complications due to dehydration and plasma leakage, affecting the body temperature of patients. This study aims to examine the effect of oral fluid therapy on body temperature in pediatric patients with febrile DHF at RSU Comal Baru Pemalang. This study used a quasi-experimental design with a pretest-posttest and control group, involving 30 respondents (15 intervention and 15 control) selected through consecutive sampling based on inclusion and exclusion criteria. Body temperature data were measured using a thermometer before and after the oral fluid therapy, then analyzed using the Wilcoxon Signed Rank Test, Paired t-test, Independent t-test, and Mann-Whitney U Test with a significance level of p<0.05. The results showed that the initial body temperature of both groups was comparable (38.08°C in the intervention group and 38.13°C in the control group; p=0.739). After oral fluid therapy, the body temperature of the intervention group significantly decreased to 36.39°C, while the control group only decreased to 37.56°C, with statistical tests showing a significant difference (p<0.001). This study concludes that oral fluid therapy is effective in reducing body temperature in pediatric patients with DHF and can be recommended as part of supportive nursing management.

Diarrhea remains a major public health problem among children in Indonesia, with a high prevalence that impacts morbidity, mortality, and child development. One of the key risk factors is non-compliance with hygiene practices, particularly handwashing behavior. This study aimed to determine the relationship between handwashing compliance and diarrhea cases among children treated in the Pediatric Ward of Dahlia, RSUD Dr. H. Soewondo Kendal. The research employed a quantitative analytic method with a cross-sectional design, involving a total sampling of 39 child respondents aged 5–10 years who met the inclusion criteria. Data were collected using a handwashing compliance questionnaire and a diarrhea incidence questionnaire, and analyzed using Spearman’s Rank Correlation test. The results showed that most respondents were in the moderately compliant (53.8%) and compliant (43.6%) categories for handwashing, while the incidence of diarrhea remained relatively high at 51.3%. Bivariate analysis indicated a significant negative relationship between handwashing compliance and diarrhea cases (ρ = -0.538; p = 0.000), meaning that the higher the level of handwashing compliance, the lower the incidence of diarrhea. In conclusion, handwashing compliance is an important protective factor in reducing the risk of diarrhea among children. These findings emphasize the need for continuous education for children and parents regarding proper handwashing practices, as well as the integration of Clean and Healthy Living Behavior (PHBS) promotion into healthcare and educational services to prevent diarrhea from an early age

Phlebitis is one of the most common complications that occur as a result of intravenous infusion, especially in pediatric patients. This condition is characterized by inflammation of the vein wall, which can cause pain, redness, and swelling around the puncture site. The high incidence of phlebitis in children requires serious attention because it can prolong hospitalization, increase healthcare costs, and reduce the overall quality of care. This study aimed to identify the factors associated with the occurrence of phlebitis in pediatric patients at RSUI Harapan Anda, Tegal City. This research employed a correlational analytic design with a cross-sectional approach. The sample consisted of 46 pediatric patients undergoing intravenous therapy in the inpatient ward, selected using purposive sampling. The research instrument was an observation sheet that included independent variables such as age, chronic illness, duration of infusion, infusion site, type of infusion fluid, and nurses’ skills. The dependent variable was the incidence of phlebitis. Data were analyzed using the chi-square test to determine the relationships between variables. The results showed that most patients were in the toddler age group (1–3 years), had chronic illnesses, underwent infusion for more than 72 hours, had high-risk puncture sites, used hypotonic fluids, and were treated by nurses with insufficient skills. Statistical analysis revealed significant associations between all independent variables and the occurrence of phlebitis. These findings highlight the importance of improving nurses’ competence through continuous training, strict monitoring of infusion duration and fluid type, as well as special attention to high-risk pediatric patients. Such efforts are expected to reduce the incidence of phlebitis and improve the quality of nursing care in hospitals.

The problem of Out-of-School Children (OSC) in Lebak Village, Grabag Subdistrict, Magelang Regency, represents a complex educational issue that requires appropriate handling strategies. This study aims to analyze the factors influencing the high number of OSC while evaluating the strategies implemented by Universitas Tidar students through the Community Service Program (KKN) in addressing this challenge. The findings reveal three main causes of OSC: zoning, learning motivation, and local culture. The zoning factor is related to limited access to public schools due to distance, while low learning motivation emerges from the lack of family support. Cultural factors are reflected in parents’ tendency to prioritize religious education in traditional Islamic boarding schools that do not follow a formal curriculum, which results in children not receiving general education diplomas. The strategies applied by KKN students included socialization about the importance of education to both students and parents, installing learning schedule banners to build study discipline, and providing direct mentoring for children at risk of becoming OSC. This approach highlights the importance of collaboration among families, schools, communities, and the government in creating a supportive environment for children’s education. The outcomes of the program show an increase in community awareness regarding the importance of formal education and the emergence of renewed motivation among children to continue schooling. Thus, it can be concluded that the KKN strategies contributed positively to reducing the number of OSC and can serve as a sustainable model of community empowerment in the field of education.

Alcohol abuse is a serious issue that not only affects the individual experiencing addiction but also has profound consequences for families, particularly parents. Parents often face significant emotional, social, and psychological burdens when dealing with a child struggling with alcohol dependence. This study aims to gain an in-depth understanding of parental acceptance of children with alcohol addiction. The research employed a qualitative phenomenological approach with two parents as participants, each having a child with alcohol dependence. Data were collected through semi-structured interviews, which allowed for a rich exploration of personal experiences, and analyzed using the Interpretative Phenomenological Analysis (IPA) technique. The thematic analysis revealed six major themes: the dynamics of parent–child interactions, emotional responses of parents, changes in the child’s behavior due to addiction, the influence of parents’ past experiences, self-harming behavior as a coping mechanism, and the normalization of the child’s behavior. Findings indicate that parents’ past experiences, including trauma and parenting patterns, strongly influenced how they accepted their child’s condition. Furthermore, maladaptive coping strategies, such as self-harm, emerged as part of the acceptance process when parents faced situations beyond their control. This study underscores the importance of trauma-informed family interventions to help parents develop healthier coping mechanisms. It also highlights the need for comprehensive psychoeducational programs that involve all family members to foster resilience and mutual support. In doing so, the research contributes to the development of more effective psychological support systems for families affected by alcohol addiction.

Improving caregiver literacy regarding early childhood development is a strategic step to ensure optimal child growth and development. This educational activity was conducted at the Mawar Integrated Health Post (Posyandu Mawar), Tampingan Village, Boja District, involving 20 caregivers as active participants. The series of activities were systematically arranged, including a pre-test to determine the level of initial understanding, counseling through a lecture method accompanied by comprehensive material delivery, interactive discussions that allowed participants to exchange experiences, practice of child development stimulation as a form of direct skills, and a post-test to assess improvements in learning outcomes. The analysis results showed that the educational activity had a significant impact on improving caregiver literacy. The average pre-test score of 53.25 (SD = 9.54) increased to 69.60 (SD = 10.30) in the post-test. The average difference of 16.35 (SD = 5.84) with a 95% confidence interval between 13.62–19.08 indicated a significant increase. The paired t-test yielded a value of t(19) = 12.515 with p < 0.05, confirming a significant difference between the scores before and after the program. The percentage increase of 30.7% indicates the effectiveness of the applied educational method. The recommendation from this activity is the need to develop an educational program that is carried out in a sustainable and structured manner, accompanied by mentoring involving health workers, PAUD educators, and support from the village government, so that caregiver literacy can continue to increase and optimal child growth and development can be guaranteed from an early age.

Patient safety is one of the main components in determining the quality of hospital services. Every hospital is required to minimize incidents that may harm patients. Among various patient safety incidents, falls in children rank second after medication errors, making them a serious issue that requires attention. This study aims to evaluate the relationship between nurses’ motivation and compliance in conducting fall risk assessments with the incidence of falls among pediatric patients in the inpatient ward of QIM Hospital Batang. This study employed a descriptive quantitative design with a correlational approach. A total of 44 nurses who met the inclusion criteria were recruited as respondents. Research instruments included a motivation questionnaire, an observation sheet on compliance, and records of patient fall incidents. Data were analyzed using the Spearman Rank test to measure the strength of the relationship between variables. The findings showed that most respondents (84.1%) had a high level of motivation, and all nurses (100%) demonstrated full compliance in performing fall risk assessments according to standard operating procedures. During the study period, no cases of pediatric falls were reported in the inpatient ward, indicating the effectiveness of fall risk assessment implementation. Statistical analysis produced a p-value of 0.011, indicating a significant relationship between motivation and nurses’ compliance. These findings emphasize that work motivation plays an important role in maintaining nurses’ consistency in adhering to safety procedures. Motivation can be enhanced through managerial support, continuous training, and the establishment of a strong patient safety culture, thereby reducing the risk of falls and improving the overall quality of healthcare services.

Fever in children, if not properly managed, can lead to several negative effects such as excessive fluid loss through evaporation, dehydration, seizures, decreased consciousness, and even death if left untreated. Non-pharmacological interventions to reduce fever include water tepid sponge therapy and cool patch therapy. This study used a quasi-experimental design with a pretest and posttest three-group approach. Respondents were divided into three groups: water tepid sponge, cool patch, and control. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The Wilcoxon test showed a significance value of 0.000 in the Water Tepid Sponge group, 0.000 in the Cool Patch group, and 0.002 in the control group. The Mann-Whitney test showed no significant difference between the pre-test body temperature of the Water Tepid Sponge group and the control group (p = 0.063 > 0.05), while a significant difference was found in the post-test (p = 0.000 < 0.05). For the Cool Patch group, there was no significant difference in the pre-test compared to the control (p = 0.672), but a significant difference was found in the post-test (p = 0.001). The Mann-Whitney test comparing the pre-test and post-test temperature differences between the Water Tepid Sponge and Cool Patch groups showed a significance value of 0.000. The mean rank for temperature reduction in the Water Tepid Sponge group was 35,27, while in the Cool Patch group it was 17,73. Both Water Tepid Sponge and Cool Patch therapies have an effect on reducing fever in pediatric patients in the Parkit Ward of QIM Hospital Batang. Water Tepid Sponge therapy is more effective than Cool Patch therapy in reducing fever.

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

Student motivation is crucial to success in learning a foreign language. This study focuses on analyzing the motivation of students studying Indonesian as a foreign language in the Bipas in-country learning program at Udayana University in Bali. Specifically, the study is aimed at investigating the motivations of foreign students learning Indonesian in the program, and whether students' learning motivation shifts by the end of the course. The study involved 38 foreign students and five Indonesian lecturers during the Spring 2024 semester as respondents, and applied an explanatory sequential mixed methods design which consists of two phases, namely a quantitative phase and a qualitative phase to collect data. The results show that, despite strong support from the Balinese community for using the Indonesian language, students' motivation shifted from instrumental to integrative at the end of the course. Integrative motivation, which is prevalent, is defined as a desire to connect with the culture and community. Instrumental motivation ,on the other hand,  such as the expectation that learning Indonesian will open up career opportunities or improve social status, remains relatively low. To increase overall motivation, the learning programme should combine the two types of motivation, strengthening the sense of social connection and emphasising the practical value and tangible benefits of learning Indonesian.

Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.

This community service research aimed to empower elementary school children’s creativity through fun, educational, and environmentally friendly activities. Conducted at Bimbel Arsal in Tolokan Village, the project focused on ecoprinting training on tote bags using local natural resources. The activity followed a three-stage implementation process: preparation, execution, and reflection. The preparation stage included coordination with tutoring teachers and the gathering of tools and materials. During the execution stage, children were introduced to ecoprinting and practiced the pounding technique with guidance from the KKN team. The reflection stage involved discussions, a question-and-answer session, and product evaluation. The results showed that the children successfully learned ecoprinting techniques, understood the environmental benefits, and expressed their creativity through unique and beautiful ecoprint designs on tote bags. Although challenges arose—such as difficulties selecting natural materials with strong color yields and technical issues during the beating process—the activity proceeded smoothly, thanks to the children’s enthusiasm, support from the tutoring center, and careful planning. Ultimately, the project proved effective in enhancing the children’s creativity, self-confidence, and environmental awareness. This activity not only empowered children but also contributed to promoting sustainable practices and fostering environmental consciousness among young learners. The success of the program highlights the importance of creative, hands-on learning activities in promoting both personal development and environmental responsibility.

Immune Thrombocytopenic Purpura (ITP) is a bleeding disorder characterized by a low platelet count (<100,000/µL) caused by decreased platelet production or opsonization by antibodies, leading to platelet destruction by the reticuloendothelial system. ITP is one of the most common etiologies of bleeding disorders, especially in children. The prevalence of ITP in children is estimated to be around 1.9 to 6.4 cases per 100,000 children annually, while in adults, the prevalence is lower, at about 3.3 cases per 100,000 people per year. In the United States, the incidence of ITP is reported to be around 1.6 per 10,000 people annually. Clinical manifestations of ITP include petechiae, purpura, and/or ecchymosis, which are usually found on the upper and lower extremities. Mucocutaneous bleeding symptoms such as epistaxis and gum bleeding are also common in patients. These symptoms can vary depending on the severity of thrombocytopenia and individual responses to the condition. Diagnosis of ITP is made through a thorough medical history, physical examination, and rapid supportive tests to confirm the diagnosis and differentiate ITP from other conditions with similar symptoms. Proper and timely management is crucial to prevent further complications, including more severe bleeding or organ damage. With effective management, the quality of life of patients can be improved, and the risks associated with ITP can be minimized. Therefore, early detection and optimal management are key in addressing ITP, particularly in children who are more vulnerable to this bleeding disorder.

 A workshop addressing the hazards of gadget usage in early infancy was conducted as community service at Posyandu ILP Kelinci, Keradenan Village, Banyuwangi Regency, East Java.  This initiative aimed to enhance parents' awareness and understanding of the significance of gadget usage while equipping them with practical skills to assist their children in utilizing gadgets securely and constructively.  The utilization of devices in early childhood can pose risks if not well monitored and restricted.  This workshop activity must be undertaken to inform parents about the potential effects of devices on children.  This program aims to educate parents and children about the advantages and dangers of gadget usage, along with strategies for prudent management.  This workshop activity employs a hybrid approach, integrating lecture and question-and-answer techniques.  Activity evaluation occurs both throughout the process and upon completion, concentrating on factors such as the attainment of objectives and the arrangement of activities.  The method and results were evaluated through documentation.  The assessment of the components of activity organization was conducted by observation.  The success metrics for the execution of the workshop on the Dangers of Using Gadgets in Early Childhood employ two methodologies: (1) evaluation during the activity process, and (2) post-evaluation of workshop activities.