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Serum uric acid (SUA) is the end product of purine metabolism in humans. When the body makes too much uric acid and the kidneys don't get rid of it quickly enough, this is called hyperuricemia. This leads to gouty arthritis because monosodium urate crystals build up in the joints. Normal SUA levels are 3.5–7.0 mg/dL in men and 2.6–6.0 mg/dL in women, influenced by diet, genetics, kidney function and medications. The prevalence of hyperuricemia is increasing globally, both in developed and developing countries. Although often asymptomatic, elevated SUA can cause tissue damage and increase the risk of hypertension, dyslipidemia, obesity, metabolic syndrome, type 2 diabetes, cardiovascular disease, and chronic kidney disease (CKD). This activity uses the PDCA (Plan-Do-Check-Action) method for early detection of hyperuricemia in the elderly at Hana Nursing Home, South Tangerang. Blood test results revealed hyperuricemia in 16 people (26.23%). Routine SUA screening helps identify individuals at risk and allows for preventive measures such as dietary changes and regular exercise.

The collaborative community service activity between the lecturers and students at MTs Hidayatul Insan aims to enhance the learning experience and academic support for students under the title "Optimizing Student Role in Strengthening 4 Language Skills Through Adverb of Frequency Material for Students of Mts Hidayatul Insan Palangka Raya." This initiative focuses on improving language skills, particularly in the use of adverbs of frequency for the students. Through interactive workshops, classroom sessions, and practical exercises, the lecturers and students work together to develop engaging and effective teaching materials tailored to the needs of the students. The collaborative effort fosters a conducive learning environment and promotes active engagement

Character training is a significant part in the advancement of moral schooling. Exploring training plays a significant part in molding the personality of understudies, particularly grade school understudies. Scout extracurriculars can assist understudies with creating mental, emotional and psychomotor abilities, as well as structure characters like discipline, participation, initiative, love of the nation and useful abilities. The expect to be accomplished is to figure out the job of scout extracurricular exercises in forming the personality of grade school understudies. The examination strategy utilized is library study or writing is one of the exploration methodologies utilized and considered. Scouting activities can assist students in developing responsible character, such as an awareness of responsibility and the capacity to make the right decisions. Scouting activities play an important role in forming students' social care character, such as concern for society and awareness of the environment.

Fatty liver is a medical condition in which fat builds up in liver cells, which can develop into steatohepatitis, fibrosis, cirrhosis and liver cancer if not treated properly. Fatty liver in the elderly causes an increased risk of serious complications due to the high prevalence of metabolic risk factors such as hypertension, diabetes, hyperlipidemia and obesity which are more common in the elderly. The importance of education and understanding risk factors so that the elderly community can adopt a healthy lifestyle is the main focus of this community service activity. Through the Plan-Do-Check-Act (PDCA) method, initial assessment, education, implementation of healthy eating and exercise patterns, and evaluation of the effectiveness of the intervention are carried out. The results showed that the majority of elderly people had cholesterol levels and liver function within normal limits, although 9.7% had hypercholesterolemia and 43% had SGOT levels that were not optimal. Continuous education and support are key in preventing and managing fatty liver and dyslipidemia in the elderly, thereby improving their quality of life.

Indonesia is the sixth largest country with diabetes in the world. Of the total, most people make rice as a staple food so that many people suffer from diabetes due to irregular eating patterns and lack of exercise. This review article is an overview of the importance of maintaining blood sugar levels. It is hoped that maintaining blood sugar levels can be started from a small-scale community so that it can reduce diabetes sufferers in Indonesia.

Effective communication is a crucial skill for educators, particularly in religious institutions like Pondok Pesantren. This community service project aimed to enhance the public speaking abilities of teachers and instructors at a Pondok Pesantren. Through interactive workshops and practical exercises, participants were trained in various aspects of public speaking, including voice modulation, body language, content organization, and audience engagement. The project emphasized the importance of clear and confident communication in imparting knowledge and religious teachings. Pre- and post-training evaluations showed significant improvements in the participants' public speaking skills, confidence levels, and teaching effectiveness. The project's success highlights the value of community service initiatives in promoting professional development and fostering a conducive learning environment within religious educational institutions

In the current globalized world, learning English is essential for teachers and students in Indonesia to develop effective teaching strategies. Engaging edducational media, like diorama, can increase students' comprehension and focus when learning English. This community outreach is being carried out at MI Fathul Jannah to promote the use of dioramas in English language instruction. The method that is used is called "Service Learning," which involves observation, execution, and assessment. This activity involves discussion and debate about family members as well as interactive activities like spelling bees, translation, and matching features. The results indicate an increase in the understanding of kosakata, teamwork, and self-awareness among the learners in English. Even if there are time constraints, using a diorama as an innovative and interactive teaching tool works very well. This exercise is intended to serve as a guide for teachers to adopt the method.

Leadership training for Intra-School Student Organization (OSIS) administrators at MA Al Hidayah Semarang to develop leadership skills in students who are responsible for leading organizations at school. This can help them learn concepts, and effective practices in the context of leadership. The methods used in this training are situation analysis, preparation, implementation, and evaluation. During the training, participants engage in various activities and exercises that involve understanding leadership concepts, effective communication, and organizational strategy. They learn how to communicate well with their peers, organize activities at school, motivate other students to participate, and make the right decisions and the importance of leadership ethics, such as integrity, responsibility, honesty, and a positive attitude. So that they can be good role models for other students and build a positive image of the OSIS at school. At the end of the training, participants are allowed to apply their new leadership skills through the OSIS work program. This service aims to provide practical experience to students in managing work programs, collaborating with members, working with teams, and facing organizational challenges that may arise. Leadership training aims to strengthen their leadership skills and make a real contribution to school development. It is hoped that this service can provide a strong foundation for them to become effective leaders and can have a positive impact on improving their school and community.

Childbirth is a series of physiological processes that will allow some major changes in a mother to be able to give birth to her baby through the birth canal. The occurrence of perineal stiffness can actually be prepared for and anticipated, starting in early pregnancy. Preparations that can be made include doing physical exercises such as pregnant yoga. Prenatal yoga is very useful for pregnant women, especially to overcome complaints during pregnancy, reduce anxiety, improve sleep quality, and prepare physically for the labor process by training pelvic floor muscles to be stronger and more elastic so as to facilitate labor. The purpose of this study is to analyze the effect of prenatal gentle yoga on the incidence of perineal lacerations in maternity mothers in the working area of the Ngletih Health Center, Kediri Regency, in 2024. In this study, we used the quasi-experimental research method with a post-test control design. The sample used in this study was mothers who gave birth from January to April 2024, which was distinguished between the control group and the treatment group. The results of the study obtained were the influence of pregnant yoga on the incidence of perineal lacerations in maternity women, with ρ values of 0.000 < α 0.05 and significant differences in lacerations of degrees 1 and 3. From the results of this study, it can be concluded that pregnant yoga is very effective in preparing the elasticity of the perineal muscles so that it can help prevent the rupture of the delivery process.  

Chronic Obstructive Pulmonary Disease (COPD) is a lung condition characterized by persistent and typically progressive respiratory symptoms and airflow limitation. This disease is associated with an excessive chronic inflammatory response in the airways and lung parenchyma due to exposure to harmful gases or particles. The objective of this study is to evaluate the changes in oxygen saturation and activity tolerance in COPD patients before and after performing home-based walking exercises, pursed lips breathing, and effective coughing. The research method used a descriptive design in the form of a case report with a nursing process approach. The instruments used included assessment sheets and oximetry to measure oxygen saturation. The study subjects were patients with COPD. The results showed that before the intervention, the patient's (Mrs. E) oxygen saturation was 96%, and she reported difficulty engaging in activities due to fatigue and shortness of breath. After three days of intervention, her oxygen saturation increased to 99%, and she was able to perform outdoor activities without experiencing shortness of breath. In conclusion, home-based walking exercises, pursed lips breathing, and effective coughing can improve oxygen saturation, increase activity tolerance, and reduce dyspnea and fatigue  

The urgency in several cases of student delinquency stems from law breaking attitudes and corruption cases which are increasingly common in our country, Indonesia. This occurs due to the dysfunction of several law enforcement agencies which are considered not to have emphasized their function in educating and anticipating cases of law violations in society. Some basic examples of legal awareness education and anti-corruption attitudes carried out in schools are students practicing through the honesty canteen, students practicing remembering their own assignments/exercises, students practicing identifying honest characters, schools providing special extracurriculars. So that way students and teachers understand the benefits of honesty and discipline. However, it should be noted that legal awareness education and an anti-corruption attitude should not be provided at elementary school level alone, this education must continue at subsequent educational levels because at the same time educational institutions at the upper level can be a strong milestone and reminder for building accountability and transparency.

The study introduces the use of hand puppets as a tool to strengthen English vocabulary acquisition among third-grade students at MI Fathul Jannah, Palangka Raya. This Student Creativity Program (PKM) employs a descriptive qualitative methodology involving fifteen students as participants. During instruction, the team uses hand puppets to introduce new vocabulary covering family members, followed by interactive exercises to assess vocabulary retention and application. The results of these activities indicate that the use of hand puppets not only enhances vocabulary retention but also boosts students' confidence in using English. Students show enthusiasm and active participation during learning activities, indicating that hand puppets effectively create a more engaging and interactive learning environment. These findings underscore the significant potential of hand puppets as aids in teaching English vocabulary to elementary school students.

Health and fitness for the elderly is important in maintaining their quality of life and independence. This community service activity aimed to increase cadres' knowledge about health and fitness for the elderly at Posyandu Lansia. Posyandu cadres are important in providing information and health services for the elderly. Through structured training and education, it is hoped that cadres better understand and implement optimal health practices for the elderly. The methods used counselling sessions, material discussions, assisting cadres in providing physical exercise to improve physical fitness, assisting cadres in carrying out elderly fitness checks using the six-minute walking test (6MWT), as well as pre-post tests to determine the success of cadres' understanding, about the material that has been given. The activity results showed a significant increase in cadres' knowledge regarding the fitness and health aspects of the elderly, with the average score on the pre-test being 65,625 to 90 on the post-test. In addition, cadres reported increased confidence in providing physical exercise education to the elderly and measuring physical fitness with the 6MWT. In conclusion, this training program effectively increases the knowledge and capacity of cadres, which can contribute to improving the quality of life of elderly people in elderly communities. This service activity recommends implementing similar programs in other posyandu to improve the fitness and health of the elderly at large.

The realization of a healthy school starts with students' habits of implementing a clean and healthy PHBS lifestyle, health is the main foundation in supporting an optimal learning process, in implementing clean and healthy living behavior and also one of the main factors driving good and correct PHBS for students is teacher, improving a person's quality of life is those who pay attention to the condition of their body, by diligently exercising, eating healthy food, and getting enough sleep, strategies for implementing a clean and healthy lifestyle at SDN Kunir Lor 3, and how this can contribute positively to health and student immunity, unhealthy student lifestyles such as students who usually eat instant food, junk food and unclean student habits. Seeing the situation of students who are unhealthy and lack immunity, we have the initiative to create a healthy lifestyle work program for students by means of exercise and bring supplies. Through direct analysis surveys before and after implementing the exercise program and bringing provisions, a decrease in the level of boredom and laziness among students was seen. The success of the gymnastics and carrying provisions program at SDN Kunir Lor 3 has been a positive experience. This positive experience has sparked interest in the integration of gymnastics and carrying provisions into educators' routines as a method for improving the quality of education.

This study aims to examine the effect of walking exercise on the sleep quality of the community in Makassar City. This research is an observational analytic study with a cross-sectional study design. The population in this study was the community in Makassar City, with a sample of the community who accessed the Walking Park in Makassar City. The sampling technique used was non-probability sampling with the accidental sampling method. Out of a total of 399 respondents, it was found that the majority were women aged 21-30 years, unmarried, and had a good perception of their health condition. Most respondents walked 1-2 times a week with a duration of less than 30 minutes. The results of the univariate analysis showed that the majority of respondents were women aged 21-30 years, unmarried, and had a good perception of their health condition. The profile of the walking habits of the respondents shows that the majority do this activity 1-2 times a week with a duration of less than 30 minutes, while only a small portion regularly walk with a duration of 30 minutes or more.

Diabetes mellitus (DM) is a disorder of carbohydrate, protein and fat metabolism characterized by hyperglycemia or increased blood glucose levels that occur as a result of abnormal insulin secretion or decreased insulin action (Buraerah, 2015). The DM management includes 4 main pillars, one of which is physical exercise. Physical exercise is one of the pillars in the management of DM which functions to improve insulin sensitivity and also to maintain a healthy body (Mala, 2018). However, when sufferers don’t go through this management, this is where the role of the family is as a support (Waspadji, 2014). To find out the description of family knowledge about physical exercise in diabetes mellitus patients at the Juwana Pati Healty Center. The type of research used is quantitative research using descriptive studies. The number of samples in this study were 55 respondents with a total sampling technique. The results showed that the family's knowledge of physical exercise in patients with diabetes mellitus was mostly female, 35 respondents (63.6%), housewife job level was 28 respondents (50.9%), high school education level was 16 respondents (29, 1%), the level of moderate physical exercise is 26 respondents (47.3), the level of sufficient family knowledge is 19 respondents (34.5%), and vulnerable aged 47-57 years as many as 22 respondents (40.0%). That most of the family's knowledge about physical exercise in patients with diabetes mellitus has sufficient knowledge as many as 19 respondents (34.5%).

This study explores how physical activity impacts mental health outcomes in college students. By examining data on exercise frequency, stress levels, and academic performance, the research identifies a positive correlation between regular physical activity and improved mental health, including reductions in stress and anxiety. The findings suggest that promoting physical activity could enhance mental well-being among students and improve academic performance.

The development of information and communication technology has influenced every aspect of human life. Smartphones, computers, and tablets have become everyday tools that we rely on for various purposes. However, the high dependence on digital devices also brings new challenges, including negative impacts on physical and mental health, particularly eye health. This research aims to educate 5th grade elementary school students about the importance of maintaining eye health in the digital age through the method of socialization. The research method involves socializing with 5th grade students using educational materials tailored to the children's level of understanding. The socialization activities include interactive presentations, question and answer sessions, and demonstrations of simple eye exercises. After participating in the socialization, students showed a significant increase in understanding regarding the negative impacts of excessive digital device use on eye health. The results of this research highlight the importance of ongoing educational programs and collaboration between various parties to create a healthier digital environment and support eye wellness for all users.

Prolonged sitting habits among university students increase the risk of postural abnormalities such as forward head posture and rounded shoulders, which may lead to low back pain and reduced quality of life. The lack of postural awareness and limited preventive interventions on campuses are pressing issues to address.This study aimed to analyze the effectiveness of an educational and corrective exercise program consisting of back strengthening and mobility exercises on improving student posture. This study applied a quasi-experimental design with a one-group pretest-posttest approach. A total of 30 students with ≥4 hours/day of sitting participated in a 4-week intervention program (3 sessions per week). Measured parameters included Forward Head Posture (FHP), Rounded Shoulder Posture (RSP), and the Postural Awareness Scale (PAS). Data were analyzed using paired t-tests. The results indicated significant reductions in FHP (mean decrease of 2.30 cm) and RSP (mean decrease of 7.2°), along with a significant increase in PAS scores (mean increase of 15.49 points) with p < 0.01. The program effectively improved both postural alignment and awareness. A combination of postural education and corrective exercises is effective in improving student posture. This intervention is recommended as a preventive and promotive approach to musculoskeletal health in university settings.

Background: Spinal (subaracnoid) anesthesia is a regional anesthesia with the injection of local anesthetic drugs into the subarachnoid space. Spinal anesthesia can be given for procedures involving the lower limbs, pelvis, and perineum. Patients with spinal anesthesia are evaluated to determine whether or not the patient can be transferred to the ward. The indicator currently used is the Bromage Score, which is an indicator of the achievement of lower limb movement ability. The Bromage Score is an instrument for assessing the strength of the lower extremity muscles in patients after spinal anesthesia (Texas Children's Hospital, 2016). Full motion assessment score 0, unable to move the leg extremities score 1, unable to flex, but able to move the total leg score 2, unable to move the leg score 3. Purpose: To determine the effect of passive ROM exercises of the lower extremities with bromage score acceleration in post-spinal anesthesia patients. Research method: Using a quasi-experimental method with a posttest only control group design. The sample of this study amounted to 20 respondents, 10 respondents in the intervention group and 10 respondents in the control group. The intervention group performed passive ROM and the control group did not perform passive ROM. Sampling was done by consecutive sampling. The research instrument was an observation sheet, a watch. Results: The results of the statistical test used were Mann Whitney, after the P Value test = 0.000 (P Value <0.005). Conclusion: There is an influence between passive ROM exercises of the lower extremities and the acceleration of the bromage score in post-spinal anesthesia patients in the conscious recovery room.