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This community service research was motivated by the significant challenges faced by Generation Z in maintaining a balance between physical and mental health and productivity in the digital age. The increasing prevalence of mental health disorders and declining discipline among adolescents are important indicators of the need for character building integrated with health education. This study uses a descriptive qualitative approach to describe in depth the process of implementing health and productivity values through observation, interviews, and documentation of activities at school. The results show that interactive education approaches are effective in increasing students' awareness of healthy lifestyles, time management, and personal responsibility. Activities such as thematic education, congregational prayers, and reflective classes serve as a platform for building productive character that emphasizes balance between spiritual, social, and academic aspects. Students showed positive changes in behavior, such as increased regularity in studying, awareness of maintaining cleanliness, and the ability to manage stress and time more effectively. In conclusion, character building based on health and productivity values has a significant impact on shaping a resilient, disciplined, and competitive young generation, and can be used as a model for character education development in Indonesian vocational schools.

The World Health Organization (WHO) stated that the prevalence of exclusive breastfeeding data globally, although there has been an increase, has not increased significantly, which is around 44% of the target of 50%. Factors suspected of influencing failure are knowledge, perception, family support, and employment. Objective: To determine the factors influencing the failure of exclusive breastfeeding in mothers with babies aged 6-12 months. Method: This type of research is descriptive analytical using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 62 people and all of them were used as samples (total sampling). Sampling was done by purposive sampling. The data used were primary data and secondary data. The analysis was conducted univariately and bivariately using the Chi-Square test. Results: Factors that influence the failure of exclusive breastfeeding at the Murni Teguh Rosiva Mother and Child Hospital Medan are perception (p = 0.000 <0.05), family support (p = 0.015 <0.05), and work (p = 0.032 <0.05), while the knowledge variable has no effect (p = 0.654 > 0.05). Conclusion: perception, support, family and work influence the failure of exclusive breastfeeding. Suggestion: It is recommended that nurses at the Murni Teguh Rosiva Medan Hospital encourage new mothers to only give breast milk to their babies until they are 6 months old

Knee osteoarthritis is one of the most prevalent musculoskeletal disorders in the elderly, characterized by progressive degeneration of articular cartilage, chronic pain, joint stiffness, and reduced functional capacity. In Indonesia, the prevalence of knee osteoarthritis is notably high, affecting over 30% of individuals aged above 60 years. This condition leads to significant health burdens, impaired quality of life, and increased economic costs. Non-pharmacological management strategies such as hydrotherapy and quadriceps exercise are widely recommended to relieve pain and improve joint function. Hydrotherapy utilizes the physical properties of water including buoyancy, hydrostatic pressure, viscosity, and warmth to reduce joint loading, enhance circulation, and promote relaxation. Quadriceps exercise, on the other hand, focuses on strengthening the quadriceps muscle to stabilize the knee joint, thereby reducing pain and improving functionality. The combination of these two interventions is expected to provide greater benefits than a single modality. Research Design: This study employed a quasi-experimental design with a one-group pre-post test approach on 12 elderly respondents with knee osteoarthritis at OSF Magdalena Daemen BSB Convent. Pain was measured using the Visual Analogue Scale (VAS) before and after the intervention, which consisted of hydrotherapy and quadriceps exercise administered twice a week for four weeks. Results: The findings showed a decrease in the mean pain score from 4.42 to 3.08, with the Wilcoxon test yielding p = 0.001 (p < 0.05), indicating a significant difference in pain levels before and after the intervention. Conclusion: The combination of hydrotherapy and quadriceps exercise is effective in reducing pain in patients with knee osteoarthritis.

This study aims to evaluate the Resource Development and Installation (RDI) technique to reduce symptoms of Posttraumatic Stress Disorder (PTSD) in female victims of domestic violence. Domestic violence (which falls under the category of intimate partner violence/IPV) is a global public health problem that contributes significantly to women's mental health disorders, including post-traumatic stress disorder (PTSD). Recent systematic evidence shows a strong association between various forms of IPV and adverse mental health outcomes in women, with large variations in prevalence across contexts. Resource Development and Installation (RDI) is a psychological stabilization procedure within EMDR aimed at generating positive resources in individuals exposed to traumatic experiences. The research method used in this study was multiple baseline with a single case (single case research), namely research conducted on subjects with the aim of determining the magnitude of the effect of treatment given repeatedly over a certain period. This study involved three adult female participants who experienced trauma symptoms due to violence perpetrated by an intimate partner in a domestic context. The data analysis technique used in this study was visual inspection by comparing changes in trauma scores in respondents between the baseline and intervention phases. Trauma symptoms were measured using the Harvard Trauma Questionnaire (HTQ). There was a decrease in HTQ scores from an average of 2.9 (presence of PTSD symptoms) before the intervention to 2.1 (minimal). Resources Development and Installation were effective in reducing trauma symptoms in female victims of violence. This was evident in the decrease in trauma symptom scores between before and after the provision of Resources Development and Installation to female victims of violence.

Background: Early marriage remains prevalent among adolescents aged 15–19 years, a period during which individuals are often medically and psychologically unprepared to assume marital responsibilities. Decisions to marry early are influenced by internal factors such as psychological readiness, emotional maturity, and critical thinking ability, as well as external factors including family pressure, cultural norms, and economic challenges. Objective: This study aims to explore the factors influencing adolescents' decisions to engage in early marriage and examine its impacts on their lives. Method: This research employed a qualitative descriptive design. A purposive sampling technique was used to select 10 adolescents who had experienced early marriage. Data were collected through in-depth interviews and document review, and analyzed thematically. Results: The primary factors contributing to early marriage in Delu Depa Village, Kodi Bangedo District, were premarital pregnancy (2 cases), economic hardship (4 cases), and limited educational attainment (4 cases). The consequences included psychological, health, and social impacts. Psychologically, participants reported experiencing stress, anxiety, and depression. Health-related risks included complications associated with immature reproductive organs, such as premature birth, obstructed labor, and preeclampsia. Social impacts included stigma, limited social interaction, school dropout, and employment in low-skilled jobs to fulfill daily needs. Conclusion: Early marriage poses significant risks to adolescents' psychological well-being, physical health, and social functioning. Strengthened preventive efforts and targeted interventions are needed to reduce its prevalence and mitigate negative consequences.

Background: Indonesia, as an agrarian country, has a large workforce engaged in physically demanding activities that increase the risk of myofascial pain. The prevalence of myofascial pain syndrome (MPS) in the upper trapezius muscle in Indonesia reaches 40% annually, with a higher rate in women. This condition often causes complaints in the neck, shoulders, and lower back, leading to a decline in quality of life. Various management strategies exist, but many are less effective in the long term and carry potential side effects. Lidocaine, as a local anesthetic, offers an alternative therapy due to its simple procedure, affordable cost, rapid effect, and good safety profile; therefore, its effectiveness in managing myofascial pain needs to be evaluated. Methods: This study was an observational research with a prospective cohort design conducted at PKU Muhammadiyah Gamping Hospital. Patients with myofascial pain who received lidocaine injections were followed for 4 weeks, and pain intensity was measured using the Numeric Rating Scale (NRS) to assess the relationship between lidocaine administration and pain reduction. Results: The study showed that lidocaine injection was effective in significantly reducing myofascial pain. The Wilcoxon Signed Rank Test produced negative Z values with p = 0.000 (<0.05) for all comparisons from pretest to the fourth week. The Friedman test also indicated significant differences between weeks (χ² = 9.731; p = 0.021), with optimal pain reduction observed in the second week. Although lidocaine provided significant analgesic effects, its effectiveness tended to decrease in subsequent weeks, indicating a short-term effect that should be combined with other interventions for sustained outcomes. Conclusion: Lidocaine injection proved effective in reducing pain among patients with myofascial pain syndrome, with the most optimal reduction occurring in the second week after therapy. The dominant factors influencing the outcomes were the relatively short duration of lidocaine’s action and individual variability in response. This implies that lidocaine can be used as an effective initial therapy, but should be combined with other interventions such as physiotherapy or activity modification to achieve more stable and sustainable pain management.

This research is driven by the prevalence of patriarchal perspectives within the Christian theological tradition, which frequently marginalises the role of women. Contemporary feminist theology emerges in this context as a critical effort to reinterpret women’s experiences of faith and suffering in light of God’s liberating love. This study analyses the martyrdom of the Virgin Mary and Neerja Bhanot as examples of witnessing to faith and humanity, affirming the spiritual power and courage of women in the face of patriarchal structures. The study employs a qualitative descriptive method, adopting a literature review approach to the Holy Scriptures, church documents and feminist theological literature. The results show that Mary’s martyrdom reflects quiet, prophetic faithfulness as a white martyr, while Bhanot displays universal humanitarian martyrdom. Both reveal a God who is present in love and solidarity with human suffering. This research affirms that feminist theology is a reflective praxis of liberation, demanding a transformation in the Church’s and society’s views on the dignity and role of women in the work of salvation.

Pregnant women with Chronic Energy Deficiency (KEK) are in a condition that can affect the health of both the mother and the fetus. KEK in pregnant women increases the risk of Low Birth Weight (LBW) babies, premature birth, maternal and infant mortality. Various efforts have been made to address KEK during pregnancy, yet its prevalence remains high. The aim of this community service is to improve the knowledge and nutritional fulfillment of pregnant women with KEK, as well as the prevention and management of KEK, through education for pregnant women with KEK and also explaining how to improve the nutrition of pregnant women. The target of this community service activity is pregnant women with KEK at the UPTD Camplong Health Center. The implementation of community service was carried out using a quasi-experimental approach with a pre-test and post-test design in the form of questionnaires for all pregnant women. The goal of this activity is to increase pregnant women's knowledge about KEK and balanced nutrition fulfillment. The results and benefits obtained from this community service activity include educating about fulfilling a balanced diet and improving nutrition, as well as increasing knowledge and insight for the community, especially pregnant women with KEK. The conclusion of this community service activity is that education and assistance can be an effective strategy to improve the health of pregnant women with KEK.

Musculoskeletal disorders (MSDs) represent a prevalent health issue among clinical medical students, with global studies reporting incidence rates of 73% in India and 81.9% in Saudi Arabia. Pain is most frequently reported in the neck, lower back, and shoulder areas. However, similar data from Indonesia, particularly Papua, remains limited. This study aims to identify the prevalence and risk factors of MSDs among clinical medical students at the Faculty of Medicine, Cenderawasih University. The research employed a cross-sectional design with a sample of 78 clinical students selected through purposive sampling. Data collection utilized the Standardized Nordic Musculoskeletal Questionnaire (NMQ) to measure prevalence and the Nordic Body Map to localize pain. Data analysis used Chi-Square test to evaluate the relationship between risk factors (such as Body Mass Index/BMI and physical activity) and musculoskeletal complaints. Results showed the majority of respondents were female (74.4%) and aged ≥25 years (51.3%). Most respondents experienced pain at the "moderate pain" level (57.7%), with the most frequently reported pain areas being the back, waist, calves, knees, shoulders, and wrists. There was a statistically significant relationship between BMI and pain complaints (p=0.035), but no significant relationship was found between physical exercise and musculoskeletal complaints (p=0.129). This study concludes that BMI is a risk factor for MSDs in the studied population. Evidence-based recommendations are needed to reduce MSD risk and improve students' quality of life during clinical education.

Osteoarthritis is a degenerative joint disease whose exact cause is not yet fully understood. This condition is characterized by damage to the articular cartilage, resulting in pain, joint stiffness, decreased muscle strength, muscle spasms, and reduced functional activity of the patient. Several factors contribute to the development of osteoarthritis, including age, gender, race, genetic factors, smoking habits, history of trauma, type of occupation or physical activity, exercise habits, and obesity. The prevalence of osteoarthritis increases with age; among individuals aged 65–74 years, approximately 39% experience knee osteoarthritis and 23% experience hip osteoarthritis. In those over 70 years old, almost all individuals, both men and women, show symptoms of this condition. Osteoarthritis is a chronic progressive disease characterized by inflammation of the articular cartilage and synovial membrane, which causes persistent pain, joint stiffness, decreased muscle strength, and reduced mobility. Physiotherapy management for this condition aims to reduce pain, improve muscle strength, and enhance joint function. Common therapeutic modalities used include Shortwave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), and the Hold Relax exercise technique, which helps relax muscles and increase joint range of motion

Myopia is an eye refractive disorder in which the light entering the eye is focused in front of the retina, causing long-distance vision to become blurry. This condition is often experienced by teenagers, including students in Islamic boarding schools, due to the habit of reading in close proximity, excessive use of gadgets, and lack of exposure to natural light. The high prevalence of myopia in young age groups needs serious attention so that it does not develop into permanent vision disorders. One of the prevention efforts that can be done is to provide education about myopia, including the definition, causes, prevention, and importance of maintaining eye health and a healthy lifestyle. This study aims to determine the effectiveness of myopia education on improving knowledge, attitudes, and behaviors of students of the Ta'mirul Islam Islamic Islamic Boarding School in Surakarta. Based on the results of the Wilcoxon Signed Rank Test and Paired Sample t-Test, there was a significant improvement in the aspects of knowledge and attitude, although behavioral changes have not shown meaningful results. These findings confirm the importance of continuous education to form healthy behaviors related to the prevention of myopia as a whole.

Sexually transmitted infections (STIs) are infections that are transmitted mainly through sexual intercourse. Indonesia's 2020 health profile reported that STIs such as HIV are increasing every year. The prevalence of STIs in Indonesia in indonesia was 11,133 cases. The prevalence of syphilis was 3,868 cases, gonorrhea 2,486 cases, and HIV/AIDS 9,327 cases. The purpose of this study was to determine the knowledge of adolescents about sexually transmitted infections (STIs) at Senior High School 1 Mandirancan Class XI MIPA. This study used descriptive research design. With a population of 216 students and a sample of 68 respondents taken by random sampling. The research was conducted at Senior High School 1 Mandiracan in April-June 2024. By using research instruments in the form of questionnaires, this study used primary and secondary data, the analysis in this study used univariate analysis with frequency distribution. The results of this study obtained the results of adolescent knowledge about STIs as many as 50 students (73.5%) were well informed and 28 students (26.5%) were moderately knowledgeable. Adolescents knowledge about sexually transmitted infections at Senior High School 1 Mandirancan Class XI MIPA has good knowledge category. It is expected that the school will collaborate with health workers to conduct socialization about STIs and conduct counseling to students about STIs.

Myopia is an eye refractive disorder in which the light entering the eye is focused in front of the retina, causing long-distance vision to become blurry. This condition is often experienced by teenagers, including students in Islamic boarding schools, due to the habit of reading in close proximity, excessive use of gadgets, and lack of exposure to natural light. The high prevalence of myopia in young age groups needs serious attention so that it does not develop into permanent vision disorders. One of the prevention efforts that can be done is to provide education about myopia, including the definition, causes, prevention, and importance of maintaining eye health and a healthy lifestyle. This study aims to determine the effectiveness of myopia education on improving knowledge, attitudes, and behaviors of students of the Ta'mirul Islam Islamic Islamic Boarding School in Surakarta. Based on the results of the Wilcoxon Signed Rank Test and Paired Sample t-Test, there was a significant improvement in the aspects of knowledge and attitude, although behavioral changes have not shown meaningful results. These findings confirm the importance of continuous education to form healthy behaviors related to the prevention of myopia as a whole.

According to the World Health Organization (WHO), in 2023, around 305,000 per 100,000 live births of women will die due to prevalence due to CED related to pregnancy throughout the world, MMR in ASEAN in 2023 will be 100 per 100,000 live births with prevalence due to CED 40%, MMR in Indonesia in 2023 will be 4,129 with a prevalence due to KEK of 17.3%, MMR in Central Java will be 183 per live birth with a prevalence due to KEK of 6.7%. The MMR in Brebes is 1,083 with a prevalence due to CED of 5%, in Paguyangan women with a prevalence of CED from 2023-2024 is 119 cases. To find out about cases of pregnancy, childbirth, childbirth, postpartum and birth control Mrs. A with CED and history of TB. Qualitative descriptive research method with a case study approach. Comprehensive Care for Mrs. A was found to have problems with pregnancy with CED and a history of TB. Childbirth was carried out by induction based on KPD indications, there were no problems or abnormalities in the postpartum period, the postpartum period was still CED and had mild anemia, there were no complications during the postpartum period. Mrs. A chose the KB implant and there were no complaints after installation. It can be concluded that comprehensive midwifery care for Mrs. At 26 years of pregnancy, childbirth and postpartum there is a gap between theory and practice.

Background: Globally, stunting in children under five years old in 2022 is around 22.3% or 148 million children under 5 years old. In Southeast Asia alone, the prevalence of stunting is 26.4% or 14.4 million. Objective: This study was to determine the correlation complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Methods: This research is a quantitative study observational analytic design with a case control approach. The sample is 42 toddlers and using purposive sampling technique. Data collection tools use observation sheets and the chi-square test. Findings: The results of the chi square statistical test obtained a p-value of 0.005 <0.05 (OR = 6.400 (95% CI (1.654 - 24.770)). There is a significant relationship between complete basic immunization and the incidence of stunting in toddlers in the Working Area of UPT Puskesmas Batu Aji Batam City. Implication: Complete basic immunization has a significant impact on the growth and development of toddlers

Hypertension is a "silent disease" with a high prevalence that can be triggered by modifiable risk factors such as stress and smoking. Sei Langkai Community Health Center shows the highest hypertension service rate (20.12%) in Batam City with Sei Langkai Village having 50% of hypertension sufferers from the health center's working area. The purpose of this study was to analyze the relationship between stress and smoking with the incidence of hypertension in Sei Langkai Village, the Working Area of ​​UPTD Sei Langkai Community Health Center, Batam City. This research method is an analytical observational study with a cross-sectional design. The accessible population is residents aged >17 years in RW 17 RT 05 Sei Langkai Village (334 people). A sample of 75 respondents was selected using a cluster random sampling technique. Data collection used the Perceived Stress Scale (PSS) questionnaire to measure stress and the Fagerstrom Test for Nicotine Dependence (FTND) to measure smoking dependence, as well as blood pressure observations. Data analysis used the chi-square test and Spearman correlation. The results showed a significant association between stress and hypertension (p=0.001; PR=5.688; 95% CI: 2.200-14.705). Of the 47 respondents experiencing stress, 87.2% had hypertension. There was a significant association between smoking and hypertension (p<0.001; r=0.585). Of the 28 respondents with heavy smoking habits, 96.4% had hypertension. The study concluded that stress and smoking are significantly associated with hypertension. Respondents with stress had a 5.688-fold higher risk of developing hypertension. The more severe the smoking habits, the higher the risk of hypertension.

Intestinal parasitic infections caused by non-Soil Transmitted Helminths (non-STH), particularly Enterobius vermicularis, remain a public health problem in developing countries, including Indonesia. Transmission does not require soil as a medium but occurs through direct contact, autoinfection, or unclean household environments. In children, infection may cause perianal itching, sleep disturbances, loss of appetite, and secondary infections due to scratching, which can affect nutritional status, sleep quality, and overall growth and development. This study was conducted in Kupang City, an endemic area of helminthiasis, to determine the prevalence and risk factors of E. vermicularis infection among children aged 1–5 years. A cross-sectional design with total sampling was applied to 30 children living in RT 008/RW 003, Penfui Timur Village, Kupang Tengah District, from February to May 2025. Risk factor data were collected using structured questionnaires covering personal hygiene, environmental sanitation, socioeconomic status, and parental education. Infection was identified using the scotch tape technique and microscopic examination. The results showed a prevalence of 7% (2 out of 30 children), mainly among boys aged ≥4 years, with poor personal hygiene, inadequate sanitation, low economic status, and parental education at elementary school level or below. In conclusion, enterobiasis in children is influenced by a combination of behavioral, environmental, and socioeconomic factors. Prevention should not rely solely on mass deworming programs but also require continuous health education for parents, improved hygiene practices, and household sanitation.

Type 2 Diabetes Mellitus is a chronic metabolic disease with a continuously increasing global prevalence. Understanding the characteristics of patients is essential for early detection, clinical management, and prevention of complications. Objective: To identify the characteristics of patients with type 2 diabetes mellitus at Dukuh Kupang Primary Health Center, Surabaya, based on age, gender, routine check-ups, duration of illness, body mass index (BMI), and complications. Methods: This descriptive observational study employed a cross-sectional approach and was conducted from January to February 2025. A total of 30 respondents were selected using purposive sampling. Data were obtained from medical records and supplemented by questionnaires. Results: Most patients were aged >60 years (57%), female (60%), had a normal BMI (50%), and adhered to routine medical check-ups (97%). The majority had been diagnosed for more than 5 years (53%) and experienced complications (83%), with neuropathy being the most common type (73%). Conclusion: Patients with DM type 2 at Dukuh Kupang Health Center were predominantly elderly, female, had a normal BMI, and experienced neuropathic complications.

Cervical cancer is a malignant tumor that grows in the cervix caused by infection with the Human Papilloma Virus, acquired through sexual intercourse. Indonesia ranks 8th in the highest incidence of cancer in Southeast Asia, the highest prevalence of cancer is Yogyakarta Province where Sleman Regency ranks the highest IVA positive at 2.5% and Halis IVA at the Pakem Health Center is suspected of cervical cancer reaching 13 out of 22 positive IVA results. This achievement is still very low, because there is still low public awareness to carry out early detection of cervical cancer. To determine the relationship between attitude and behavior for early detection of cervical cancer. Quantitative research with a Case Control approach. A sample of 160 women with a proportional sampling technique. Data collection was in the form of filling out questionnaires online using Google Forms with chi square test data analysis and logistic regression. There was a relationship between positive attitude p-value=0.017 and OR of 3.462, women aged >35 years p- value=0.038, multipara parity p-value=0.007, with early detection behavior of cervical cancer. Parity provided a great chance of 7,038 times that women performed early detection behaviors of cervical cancer (CT 95%= 0.187-264,350). To improve early detection examinations, health workers can design health education and promotion models, increase educational socialization to cadres, the public and the community continuously and sustainably.

Background: Obesity has become a global epidemic, with substantial implications for musculoskeletal health, particularly in weight-bearing joints like the knee and ankle. Aim: To determine the prevalence of obesity with respect to age and gender and to assess its effect on the knee and ankle joints among adults in Ekpoma, Edo State. Materials and Methods: A descriptive cross-sectional study involving 60 obese adults was conducted using a structured, validated questionnaire. Ethical approval and informed consent were obtained. Results: Respondents were predominantly aged 40–45 years (35%) and female (80%). 65% reported pain in the knee and/or ankle joints; 56.7% reported joint stiffness or reduced range of motion. Conclusion: Obesity significantly affects the knee and ankle joints, contributing to pain, stiffness, and a reduced range of motion. These results reinforce the need for targeted public health interventions aimed at obesity prevention and management, particularly in populations at risk of joint-related complications.