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Vaginal discharge or flour albus is an excessive discharge from the vagina that is not menstrual blood. Pathological fluoride albus caused by vaginal infections (fungi, bacteria, parasites, viruses). The prevalence of causes is 25%-50 candidiasis, 20%-40% bacterial vaginosis and 5%-15% trichomoniasis. The characteristics of pathological vaginal discharge are smelly, itchy, yellowish or greenish, thick and cloudy and large in quantity. If this condition does not receive immediate treatment, it will have a negative impact on women's health. Infection will develop and affect the function of the reproductive organs. Medical treatment efforts include administering drugs in the form of capsules, tablets and ovules (vaginal tablets). Meanwhile, for non-medical or complementary therapy, betel leaf decoction can be used (Dame, 2023). The aim of this outreach is to provide education about the benefits of boiled betel leaves for vaginal discharge in women of childbearing age. The activity was carried out at the Nyalabu Daya Pamekasan village hall in July 2024, the subject was women of childbearing age in at the Nyalabu Daya Pamekasan village hall. Activity results: Counseling participants learned about the benefits of boiled betel leaf water for vaginal discharge. The results of the questionnaire measuring knowledge before and after counseling showed an increase in knowledge of women of childbearing age by an average of 94%. It is hoped that women of childbearing age can maintain personal hygiene to prevent vaginal discharge and can use boiled water from betel leaves to treat vaginal discharge that occurs.

According to WHO, 13 million toddlers in the world die every year and most of these deaths occur in developing countries. Riskesdas data (2018), the prevalence of ARI in Indonesia ranks first as a disease with the highest number of cases of 60,126 people. ARI prevention efforts can be done by providing health education about ARI to mothers who have toddlers at the integrated health post. Uses a one group pre-test post-test design. The intervention of this study was through health education with animated video media. This study was conducted at the integrated health post in Melur Loa Janan Ilir. Respondents in this study were 30 mothers who had toddlers who were confused with the total sampling technique. Data collection was done by filling out questionnaires. Data analysis using the Wilcoxon test. This study shows that there is an effect of knowledge after being given the Wilcoxon test intervention p-value 0.000. and attitudes after being given test intervention p-value 0.001. There is a significant effect on the knowledge and attitudes of respondents between before and after being given the research intervention using animated video media.

Stunting is a serious health problem that affects the growth and development of children, especially in Cikaso Village, Banjaranyar District, Ciamis Regency. This article discusses the socialization of handling and prevention of stunting carried out in the village. Through a series of socialization activities to the community by providing an understanding of the importance of balanced nutrition and a healthy lifestyle to prevent stunting. The results of the socialization showed an increase in public awareness of the impact of stunting and active participation in nutrition programs. In addition, the nutritional assistance program and nutritious cooking training also succeeded in increasing family nutritional intake. This discussion emphasizes the importance of the involvement of all parties in efforts to prevent stunting to create a healthy and productive generation in the future. Thus, effective socialization can contribute significantly to reducing the prevalence of stunting in Cikaso Village.

Stress and depression problems can have many negative impacts on teenagers, including mental health problems in teenagers, and can even lead to dangerous behavior. In Indonesia, the prevalence of stress in the younger generation is increasing from year to year, reaching 6.0% of the population. Maybe 6% still feels small. However, this number continues to increase every year as more and more young people participate in bullying, and bullying has become more common these days. The ability to maintain self-control in the face of overwhelming situations, people, and events is also the definition of stress management. If managed well, stress transforms from an obstacle to a motivator of social, intellectual, and psychological well-being. The aim of this activity is to increase knowledge in teenagers about stress management. It is hoped that students will be able to understand and implement stress management by means of deep breathing exercises and progressive muscle relaxation. The results of the questionnaire obtained from these four categories were 910 points. Apart from that, the findings from this activity were that 46 respondents (100%) could do deep breathing and progressive muscle relaxation exercises very well. It is important for students to know how to deal with stress, especially since the source of stress comes from the academic process

Low back pain (LBP) is a musculoskeletal disorder that is most often found in work activities (Anggraika et al., n.d.). The Directorate General of Health Services, Ministry of Health of the Republic of Indonesia (Kemenkes RI) reports that the prevalence of Low Back Pain (LBP) in Indonesia is 18%. This figure is based on patient visits from several hospitals, and around 3-17% of all LBP complaints occur in Indonesia (Hasby et al., n.d.). This outreach aims to increase the knowledge of Dinoyo ceramic workers about low back pain. This outreach activity includes explanation of the definition, causes, signs and symptoms, prevention, and exercises for LBP. The method of physiotherapy activities used is providing health promotion outreach and physiotherapy exercises carried out independently regarding low back pain. From the results of observations and interviews, several workers complained of lower back pain. It is hoped that this outreach activity can increase workers' knowledge regarding low back pain. The hope is that all ceramic industry workers in Malang City will gain knowledge and prevention about low back pain.

This study was motivated by the high prevalence of high blood pressure (hypertension) and uncontrolled blood sugar levels among the elderly, particularly in Kalitengah Village, Blitar Regency. The elderly are a vulnerable group to health problems due to a decline in physiological function, which can lead to serious complications such as stroke, heart failure, and diabetes mellitus. This study aims to determine the relationship between elderly exercise activities and blood pressure and blood sugar levels. The method used is quantitative with a correlational design. The study subjects consisted of 30 elderly individuals who actively participated in regular exercise activities at the Kalitengah Village Health Post. Measurements were taken of systolic and diastolic blood pressure and blood sugar levels before and after the exercise intervention. Based on the findings supported by previous literature reviews, it is known that physical activities such as elderly exercise significantly reduce blood pressure and help control blood sugar levels. The findings of this study indicate that regular exercise can improve blood pressure and blood glucose parameters. The results of this study are expected to serve as a basis for promotive and preventive efforts to improve the quality of life of the elderly through community-based interventions that are easy, affordable, and effective, namely elderly exercise.

Data from RISKESDAS 2018 Indonesian adolescents aged 15-20 years, found that adolescents consume instant noodles or other instant foods with a prevalence of more than 1 time per day 11.2%, more than 1 to 6 times per week 67.6%, and less than 3 times per month 21.2%. This can cause health problems Objective: This study aims to determine the relationship of fast food consumption patterns with nutritional status in adolescents at SMP N 1 Ngawen. Research method: This research is a type of quantitative correlation. With a cross sectional approach. Sampling using simple random sampling obtained 89 respondents. The instrument used ffq questionnaire and tools using scales and microtoice. Data were analysed using spearman rank. Results: Characteristics of respondents in this study the majority of 14 years (36.0%), female gender 44 (49.4%), male 45 (50.6%), the majority of patterns 45 (50.6%) and consumption of the majority of nutritional status 57 (64.0%). Spearman rank results obtained a value of 0.772 (> 0.05). Conclusion: There is no relationship between fast food consumption patterns and nutritional status in adolescents at SMP N 1 Ngawen.

Data from RISKESDAS 2018 Indonesian adolescents aged 15-20 years, found that adolescents consume instant noodles or other instant foods with a prevalence of more than 1 time per day 11.2%, more than 1 to 6 times per week 67.6%, and less than 3 times per month 21.2%. This can cause health problems Objective: This study aims to determine the relationship of fast food consumption patterns with nutritional status in adolescents at SMP N 1 Ngawen. Research method: This research is a type of quantitative correlation. With a cross sectional approach. Sampling using simple random sampling obtained 89 respondents. The instrument used ffq questionnaire and tools using scales and microtoice. Data were analysed using spearman rank. Results: Characteristics of respondents in this study the majority of 14 years (36.0%), female gender 44 (49.4%), male 45 (50.6%), the majority of patterns 45 (50.6%) and consumption of the majority of nutritional status 57 (64.0%). Spearman rank results obtained a value of 0.772 (> 0.05). Conclusion: There is no relationship between fast food consumption patterns and nutritional status in adolescents at SMP N 1 Ngawen.

Background: The most common site of metastases in people with breast cancer is bone metastasis. Patients with advanced phases of cancer are associated with an increased prevalence of several types of metastases, one of which is bone metastasis. Object: Assessment of the risk factors for bone metastases in patients with breast cancer. Patients and Methods: This is a retrospective study of 316 patients with breast cancer who either had bone metastases at the time of diagnosis or developed it later on. The study was carried out between January 2013 and April 2018. Three hundred and sixteen patients were assigned into two groups. In the case group, 100 patients with breast cancer had been diagnosed with bone metastasis by CT, MRI, bone scan, and PET scan; in the control group, there were 216 cases in are control group with breast cancer metastasis to sites other than bone. The questionnaire was created to record all factors (with the exception of demographic information), such as age, histopathological reading for invasive lobular carcinoma, invasive ductal carcinoma, or another type of cancer, ER status, PR status, Her2neu status, lymph node status and stage, and menopausal status. Results: The majority were 45 years of age or younger, and 96.5% of them had invasive ductal carcinoma in terms of hormonal status. Positive ER and PR status is found in 67.7% and 67.1% of the cases, respectively; 40.5% of the cases had amplified Her2neu receptors, 78.5% of the cases had positive lymph nodes, and 41.9% of the cases had (N1) stage. The highest proportion of bone metastasis was associated with negative ER and PR receptors (46.2% and 49%, respectively), while no significant statistical association (P= 0.65). Conclusion: negative ER, PR status, and Her2neu receptors not amplified, lymph node involvement, age 45 and less, infiltrating lobular carcinoma (ILC) histological type, and menopausal state are significant risk factors for bone metastasis in breast cancer.

Background: Anemia is a body condition where the hemoglobin level in red blood cells is lower than the normal standard. Pregnant women are said to be anemic if their Hb content is <11gr/dL. According to WHO, the prevalence of pregnant women throughout the world who experience anemia is 41.8%. The percentage of anemia in pregnant women in Indonesia is 37.1%. For the Special Region of Yogyakarta, the prevalence in pregnant women is 19.01%, and the highest incidence of anemia is in Bantul Regency (27.67%). Data from the Bantul District Health Service, from 27 Community Health Centers, there are 5 Community Health Centers with the highest number of anemia, namely at Sewon II Community Health Center. From this data, Sewon II Community Health Center is in second place. Objective: To determine the effectiveness of consuming fe tablets with lime juice on increasing Hb levels in mildly anemic pregnant women at the Sewon II Bantul Community Health Center, Yogyakarta. Method: This quasi-experiment research uses a one group pretest-posttest design. The sample in the study consisted of 30 pregnant women. The sampling technique uses total sampling. The research instrument gave lime to pregnant women with mild anemia for 2 weeks. Then the hemoglobin level was checked before and after drinking lime using a hemoglobin meter checking device in collaboration with the Puskesmas lab section. Results: The results of this research are based on univariate analysis of the characteristics of respondents aged 20-35 years as many as 26 (86.3%) respondents, the majority have a high school education as many as 26 (86.7%) respondents, the occupation of respondents is housewives 28 (93.3%) ) respondents. The results of the bivariate analysis showed that there was a significant effect on the average value of increasing hemoglobin levels before (10.21) and after drinking lime (11.23) with an average of (1.02). Conclusion: Based on the research results, it can be concluded that there is an effect of giving lime juice on hemoglobin levels in pregnant women in the second trimester at the Sewon II Bantul Community Health Center.

Background: The prevalence in the world according to WHO data (2020) is approximately 972 million people or 26.4% of the population with hypertension. The prevalence rate in Surakarta City, Jebres sub-district is 92,614 people, Mojosongo village is the first with a prevalence of hypertension incidence of 12,447 patients. The development of complementary medicine has a very rapid percentage increase. Globally, complementary therapy to reduce blood pressure has been widely practiced, for example, such as finger clasp therapy and deep breathing. Objective: Knowing the difference in blood pressure before and after the application of finger grip relaxation and deep breathing to lower blood pressure. Methods: Handling hypertension with finger grasping therapy is carried out on hypertensive patients with a research method carried out by means of before being given treatment / treatment, the variables are observed first (pretest) after which measurements are taken again after being given treatment (post test). Results: Handling hypertension with finger clasp therapy and deep breathing which is given once a day. This therapy is given for 1 day, the therapy is carried out for 30 minutes in one meeting. This therapy can reduce the patient's blood pressure. Conclusion: Finger grasping therapy and deep breathing can reduce high blood pressure in patients with hypertension.

Background: The prevalence of elderly hypertension in the world according to WHO data is approximately 972 million people or 26.4% of people worldwide have hypertension, which is likely to continue to increase.The prevalence of elderly people in Indonesia in 2020 reached 10.7% of the total population.The prevalence of hypertension in Central Java Province based on the criteria for measuring hypertension in the population in 2019 reached 37.2%, in 2020 it reached 32.9% and in 2021 it reached 50.9% of the decline in all organ functions in blood vessels. Objectives: To describe the results of the application of 20-minute walking therapy in elderly patients with hypertension in the Sukomangu Village area, Purwantoro District. Method: Case study is a series of scientific activities carried out intensively, at the beginning of the study, interviews and blood pressure measurements were carried out on the respondents, then after the application, blood pressure measurements were carried out again on the respondents. Results: There was a decrease in blood pressure after giving 20-minute walking therapy to Mrs. W. and Mrs. K from stage 2 hypertension to stage 1 hypertension.Conclusion: The application of 20-minute walking therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

Background: Final year students must complete a final assignment or thesis, on a topic in a particular field. Students experience a lot of stress and anxiety during the process of compiling their final assignment. The prevalence of anxiety disorders in adolescents in Central Java was recorded at 7.71%, up 4.7% from 2013 to 2018. To overcome anxiety can be done with pharmacology or non-pharmacology. Five-finger hypnosis is one type of relaxation therapy that can reduce anxiety and tension. Objective: To determine the effect of 5-finger hypnosis on reducing anxiety at Universitas 'Aisyiyah Surakarta. Method: Using a pre-test-post-test design. Samples of two students who are working on their final assignment and experiencing moderate to severe anxiety levels. The HARS questionnaire was used to measure anxiety levels. Results: The level of anxiety before and after being given Five Finger Hypnosis was that Ms. R's anxiety changed from moderate to mild and Ms. M's anxiety changed from severe to moderate. Conclusion: There is an influence on the anxiety experienced by students who are completing their final assignments before and after being given Five (5) Finger Hypnosis at 'Aisyiyah University, Surakarta.

Background: Perineal wounds are wounds due to tearing of the birth canal either due to rupture or due to episiotomy at the time of delivery of the fetus. One of the impacts of normal labor is the risk of perineal infection. The prevalence in Indonesia of post partum infection reaches 7.3% and ranks third in causes of death after bleeding. For this reason, it is necessary to make efforts in taking care of the wound to keep it clean and dry, and avoid infection. Objective: Application of betel leaf and honey decoction to accelerate the healing process of perineal wounds. Methods: This type of research uses descriptive research methods and observes 2 respondents with post partum conditions and is given the implementation of wound care carried out in Boyolali with the application time of June 18, 2024-June 24, 2024. Results: The REEDA score after being given the intervention experienced an improved status with a comparison of the results of the application of the 7th action on the first respondent, the initial REEDA score of 2 decreased to 0 while the application of the 7th action on the second respondent, the initial REEDA score of 1 decreased to 0. Conclusion: There is an effect on the application of wound care using betel leaf decoction water and honey which shows that green betel leaves and honey are effective in healing perineal wounds.

Myopia or nearsightedness is a visual impairment whose prevalence is increasing, especially among adolescents living in urban areas. This study aims to analyze the risk factors that contribute to the increasing incidence of myopia in adolescents in urban areas. The risk factors studied include near visual activity, exposure to natural light, duration of digital device use, reading habits, and genetic and environmental factors. This study design used a cross-sectional approach involving 300 adolescents aged 12-18 years who were randomly selected from several schools in city X. Data were collected through questionnaires that measured visual habits, daily activity patterns, and family health history, and were strengthened by eye refraction examinations by medical personnel. Data analysis was carried out using logistic regression to identify the relationship between risk factors and the incidence of myopia. The results showed that excessive near visual activity, use of digital devices for more than 4 hours per day, and lack of exposure to natural light were significant risk factors for myopia in adolescents. In addition, genetic factors also play an important role in the predisposition of myopia. These findings are expected to provide a deeper understanding of the factors causing myopia among adolescents and become the basis for formulating effective prevention strategies.

Fibroadenoma of the breast (FAM) is a benign tumor that is painless, movable, has clear boundaries, and a rubbery texture. The incidence of cancer worldwide has increased, with the most common cancers reaching 24.5% and deaths reaching 15.5%, according to the WHO. In Indonesia, the prevalence reached 1.79% per 1,000 population in 2018, and in Central Java, it was 0.7% in 2019. Data from Dr. Soeselo Hospital in Tegal shows an annual increase of 2%, with prevalence reaching 1.9% in 2023, up from 1.7% in 2022. The aim of this research is to provide an overview of nursing care for patients who have undergone left breast tumor surgery. This research specifically focuses on the study involving diagnosis, determination of interventions, implementation, and evaluation. Using a case study design, a descriptive method was employed in this research. The writer narrates and explains the important events that occurred with the patient. Patients who have undergone surgery may experience pain after the operation, which could potentially lead to the risk of infection and a decline in knowledge. As a result, the nursing diagnosis that arises for the patient is acute pain. In the concept of pain, pain measurement is assessed using a numerical rating scale, and the patient's pain management involves relaxation breathing therapy and analgesics.

The rapid development of technology in the globalization era has significantly impacted various aspects of life, including the healthcare sector. RSU Bidadari Binjai, as a healthcare provider, faces challenges in diagnosing and preventing Gastroesophageal Reflux Disease (GERD), a condition with high prevalence and serious complications such as Barrett’s esophagus and esophageal cancer. Therefore, a predictive system capable of early detection is needed to ensure quicker and more effective medical intervention. This research develops a computer-based predictive system using the backpropagation method in artificial neural networks to assist in diagnosing GERD by processing patient symptom data. The system's test results show an accuracy rate of 100% in predicting GERD complications based on the given symptoms, thus supporting more timely and accurate medical interventions.    

Gout arthritis is a disease in which there is excessive accumulation of uric acid in the body. Based on WHO, the prevalence of gouty arthritis in the world is 34.2%. The impact of gouty arthritis pain can be caused in the form of decreased quality of life of sufferers due to pain that greatly interferes with daily activities: Research objectives the description of the pain level of gouty arthritis in UPTD Puskesmas 1 Baturetno Wonogiri. Methods: Descriptive with a quantitative approach. The research subjects were 196 patients with purposive sampling technique totaling 66 patients. Research instrument (NRS) nurmetic rating scale. Results: Characteristics The majority of gouty arthritis pain levels were elderly at 35 respondents (53%), female gender at 37 (56.1%), the majority of the length of suffering ≥ 5 years at 44 (67.7%), the majority of moderate pain levels with a scale of 4-6 at 31 (47%). Conclusion: the description of the pain level of gouty arthritis at UPTD Puskesmas 1 Baturetno is mostly elderly, female gender, long suffering ≥ 5 years, moderate pain level.

Background: The prevalence of elderly hypertension in the world according to World Health Orgaization data there are approximately 972 million people or 26.4, which is likely to continue to increase in 2025 to as much as 29.2%.  The prevalence rate in Surakarta City, Jebres sub-district is 23,398 people, Mojosongo village is the first with a prevalence of hypertension incidence of 12,296 patients. The development of complementary medicine has a very rapid percentage increase. Globally, complementary therapy to reduce blood pressure has been widely practised, for example Swedish massage. Objective: Describe the results of the implementation of Swedish massage therapy in elderly patients with hypertension in the Mojosongo urban area of Surakarta City. Method: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 1x a day for 3 meetings in 1 week with a time of 20-30 minutes in 1 session. The instruments used are observation sheets, Blood Pressure Monitors, and SOP sheets. Results: There is a decrease in blood pressure after giving swedish massage therapy to Mr T. T and Mr. S from grade 1 hypertension to prehypertension. Conclusion: The application of swedish massage therapy can reduce blood pressure in the elderly with hypertension in both respondents.  

Background: The prevalence of gouty arthritis has increased significantly by 2023, reaching 33.3% according to WHO. In Indonesia, 35% of cases occur in men aged over 45 years, while Central Java has a prevalence of 26.4%. In Sukoharjo District, Mandan Village recorded the highest number of gout patients with 150 cases, followed by Gayam (75 cases) and Sukoharjo (35 cases). The use of warm water compresses is recommended to relieve joint pain due to gouty arthritis by increasing blood flow and reducing joint stiffness. Objective: Knowing changes in the pain scale in two respondents with gouty arthritis before and after a warm compress method: This research is applied research with a case study using pre-post test results: There was a decrease in Mrs. S's pain scale which initially 6 decreased to 3 while in Mr. T, the pain scale 7 decreased to 5. Mr. T is a pain scale of 7 decreasing to 5. Conclusion: After the application of warm compresses on Mrs. S and Mr. T, there was a decrease in the pain scale. T there is a decrease in the pain scale. Mrs. S from moderate pain to mild pain, Mr. T from severe pain to moderate pain. T from severe pain to moderatepain. This shows that warm compresses can reduce pain in people with gout.