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Adolescence is a period marked by a tendency to imitate behaviors associated with adulthood, including risky behaviors such as smoking. Smoking is a common habit among adolescents and can have negative long-term effects on health. This study aims to examine the relationship between parental supervision and family history with smoking habits in adolescents in Lemah Putih Village. The study used a quantitative approach with a cross-sectional design and involved 144 adolescents selected through purposive sampling. The instruments used were questionnaires on adolescent smoking behavior, the level of parental supervision, and family history of smoking. The results showed that the majority of respondents were in the late adolescent age group (17-20 years) at 51.4%, mostly male (87.5%), and had a high school education level (53.5%). About 50.7% of respondents had a high level of parental supervision, while 61.8% had a family history of smoking. Moderate smoking behavior was found in 45.1% of respondents. Data analysis revealed a significant relationship between parental supervision and adolescent smoking behavior, as well as a connection between family history of smoking and smoking habits in adolescents in Lemah Putih Village. Therefore, strict parental supervision and awareness of family history play an important role in reducing smoking behavior in adolescents. It is expected that the findings of this study will provide insights for parents and relevant parties to pay more attention to supervising their children and reduce smoking habits among adolescents.

Acute myocardial infarction is a leading cause of death both in Indonesia and globally, with incidence rates remaining quite high. This disease is closely associated with various modifiable risk factors, including hypertension, diabetes mellitus, dyslipidemia, obesity, and smoking. Various literature reviews confirm that patients with myocardial infarction often have complex clinical conditions, especially when comorbidities worsen the prognosis and increase the burden on healthcare services. This study reviews the latest national literature on risk factors, clinical profiles, nursing management, prognostic predictors, and non-pharmacological interventions such as relaxation techniques. The analysis demonstrates the need for a comprehensive and integrative approach to the management of myocardial infarction patients. This includes early detection using clinical risk scores, intensive nursing interventions in severe cases such as Killip III NSTEMI, and the use of simple prognostic tools that are easily implemented in healthcare facilities. A supportive approach also plays a crucial role in improving patient comfort and adherence to therapy. The integration of these strategies is expected to improve clinical outcomes, reduce morbidity and mortality, and enhance patients' overall quality of life. This study emphasizes the importance of updating local evidence-based clinical practices tailored to the needs of the Indonesian healthcare system, so that the management of myocardial infarction does not only focus on medical therapy, but also on aspects of prevention, non-pharmacological interventions, and ongoing care.

A 64-year-old male patient presented to the emergency department (ED) of RS Cut Meutia with complaints of left-sided chest pain radiating to both arms, which had been occurring for two days prior to his hospital admission. The chest pain was described as sharp, sudden, and progressively worsening, and it persisted without relief from positional changes. The pain intensity was rated as 9/10 and was accompanied by cold sweats and nausea. The patient had a history of type 2 diabetes mellitus for 15 years and had been on antidiabetic medications, although he could not recall the names of the medications. The patient was a smoker but had quit smoking upon being diagnosed with diabetes. Vital signs and general status were within normal limits upon examination. Local examination of the heart revealed a murmur on auscultation. Laboratory results showed anemia, leukocytosis, hyperglycemia, and hypercholesterolemia. Electrocardiography (EKG) indicated signs of inferior STEMI (ST-Elevation Myocardial Infarction). The patient was treated with furosemide 1 amp/12 hours, atorvastatin 1x20 mg, arixtra 1x0.25 mg, aspilet 1x8 mg, clopidogrel 1x75 mg, nitrokaf retard 2x2.5 mg, and bisoprolol 1x2 mg, along with non-pharmacological management, including three-way catheter insertion and oxygen therapy at 2-4 liters per minute. Acute Coronary Syndrome (ACS) carries a poor prognosis if not managed promptly and correctly. Understanding the appropriate management of ACS is crucial in preventing further myocardial occlusion and improving patient outcomes. Therefore, rapid and accurate intervention is vital in improving the prognosis for patients with ACS.

Heart failure is a major cause of morbidity and mortality worldwide. Based on data from the World Health Organization (WHO), one of the most non-communicable diseases in the world is cardiovascular disease, whose spectrum is heart failure. To diagnose heart failure, a clinical history, physical examination and investigations are required. This study aims to determine the characteristics of heart failure patients at the heart polyclinic of RSUD Dr. M. Haulussy Ambon City March 2022. This research is a descriptive study. The number of samples in the study was determined using a categorical descriptive formula and the samples were taken using a simple consecutiv sampling technique. The data obtained were analyzed using the Statistical Package for the Social Science (SPSS). The results showed that from 74 samples of heart failure patients, 37 people aged >60 years (50%), 42 men (56.8%), 55 people had a history of coronary heart disease (74.3%). , as many as 21 people had a history of hypertension grade 1 (35.1%), as many as 7 people had a history of diabetes mellitus (9.5%), as many as 27 people took diuretic drugs (36.5%), as many as 34 people had a history of smoking (45.9%), as many as 31 people had a history of hospitalization (41.9%), as many as 26 people had a history of arrhythmias (35.1%), as many as 8 people had a history of valve abnormalities (10.8%).

This study aims to determine the effect of peer pressure on smoking behavior among adolescents at SMP Negeri 16 Kupang. The background of this study is based on the phenomenon of increasing smoking behavior among adolescents, which is greatly influenced by the dynamics of social relationships, especially peer groups. Adolescents are at a developmental stage where social acceptance and the need to be part of a group are very important, so they are vulnerable to the influence of the social environment, including peer pressure to try smoking behavior. This study uses a quantitative approach with the product moment correlation analysis method. The study sample consisted of 223 adolescent respondents aged 11–17 years who were selected proportionally from various classes at SMP Negeri 16 Kupang. The research instrument was a questionnaire that had been tested for validity and reliability. The results showed a significant relationship between peer pressure and smoking behavior, with a significance value of p = 0.000 (p < 0.05), which means the hypothesis is accepted. The correlation value (R) of 0.317 indicates a positive relationship between the two variables, although in the moderate category. The coefficient of determination (R Square) of 0.100 indicates that peer pressure influences smoking behavior by 10%, while the remaining 90% is influenced by other factors such as family environment, media influence, self-esteem, and adolescent psychological conditions. The correlation between peer pressure and smoking behavior was mostly moderate. Interestingly, the results also showed that female adolescents in this study were more likely to exhibit high smoking behavior than male adolescents, indicating a shift in social behavior patterns in female adolescents. These findings have important implications for educators, parents, and policymakers in designing more effective smoking prevention programs that take into account social pressure factors and gender differences.

Premature rupture of membranes (KPD) is the rupture of the membranes before there are signs of labor, and after waiting for an hour the signs of labor have not yet begun. The time from when the membranes rupture until uterine contractions occur is called premature rupture of membranes. Factors that are closely related to PROM include infection, socio-economic factors, blood type factors, smoking behavior, history of PROM, incompetent cervix and intrauterine enhancement that is high or excessively high, fetal disproportion, multigravidity, multiple pregnancies, previous history of PROM , polyhydramnios, trauma, age and parity. The danger of premature rupture of membranes is the possibility of infection in the uterus and premature birth which can increase morbidity and mortality for mother and baby. Premature rupture of membranes causes a direct connection between the outside world and the space in the uterus, making it easier for infection to occur. The aim of this study is to determine the relationship between age and parity with the incidence of premature rupture of membranes in women giving birth at Harapan Bunda Hospital, Batam City in 2023. This research design uses analytical observational with a cross sectional approach, where data is taken using secondary data with a sample size of 65 people. The processing technique uses the chi-square test. The data obtained from the results of statistical tests is with p-value for age = 0.028 and for parity p-value = 0.039. The conclusion of this research is that the majority of mothers give birth at a non-risk age (20-35) and at a parity that is not at risk (2-3). There is a relationship between the age and parity of mothers giving birth and the incidence of KPD at Harapan Bunda Hospital, Batam City in 2023. With the p-value is 0.028 for age and the p-value is 0.039 for parity so that the p-value < α (0.05).

Bronchial asthma is a chronic inflammatory disease of the airways that is often triggered by exposure to cigarette smoke, both active and passive. This exposure contains harmful substances such as nicotine, tar, and carbon monoxide that can irritate the airways, increase inflammation, and worsen asthma symptoms. This study aims to determine the relationship between cigarette smoke exposure and the incidence of bronchial asthma in patients at the Pulmonary Polyclinic of Dr. H. Moch. Ansari Saleh Regional General Hospital, Banjarmasin. The research method used a quantitative approach with a cross-sectional design. A sample of 47 patients was selected through purposive sampling according to the inclusion criteria. Data were collected through questionnaires and medical records, then analyzed using the Chi-Square test (α = 0.05). The results showed that the majority of respondents were passive smokers (61.70%), had family members who smoked (57.45%), and were exposed to cigarette smoke daily (55.32%). All respondents had been diagnosed with asthma by medical personnel, and 91.49% reported worsening symptoms after exposure to cigarette smoke. The chi-square test results showed a significant association between cigarette smoke exposure and the incidence of bronchial asthma (p = 0.026). This finding confirms that cigarette smoke exposure is an important risk factor that must be avoided to prevent relapse and worsening of asthma. Therefore, patient and family education regarding the dangers of cigarette smoke, the implementation of smoke-free areas, environmental support, and smoking cessation programs need to be continuously improved as strategies for controlling bronchial asthma.

Bananas are a tropical fruit that is popular because of its sweet taste and high nutrient content. However, bananas have a major drawback, which is a short shelf life. After reaching perfect ripeness, the banana will undergo a change in mushy texture, the skin will appear black spots, and there will be a growth of yeast that causes the appearance of the banana to be damaged and unfit for consumption. However, ripe bananas that look visually bad still contain high glucose, which can be used in fermentation or advanced processing. One of the solutions to avoid losses due to ripe banana spoilage is to process it into banana sale. Banana sale is a processed product produced from ripe bananas that go through a drying process to reduce the moisture content to a safe level, so that it can extend its shelf life. This drying process can be done by two methods, namely drying in the sun and smoking. The purpose of both methods is to reduce the water content of bananas, so that they are not easily damaged by microorganisms. Using this technique, bananas that are prone to spoilage can be transformed into more durable products, have a distinctive taste, and have a high selling value. The quality of banana sales is influenced by various factors, such as its color, taste, aroma, texture, and shelf life. By processing bananas for sale, their economic value can increase significantly. Farmers can not only reduce losses due to bananas that do not sell well in the fresh market, but also earn additional income from value-added processed products. Banana sale products have great potential to be developed as one of the processed food products that have economic value and are beneficial to the community (Masuku, M. A., 2023; Lestari, S., et al., 2024).

Lungs are vital organs in the human respiratory system, responsible for fulfilling the body's oxygen needs. If the lungs experience health problems, it can have adverse effects on the human respiratory system. Common causes of lung diseases are usually due to inhaling air contaminated by dust, smoke, viruses, and bacteria. This study aims to compare the performance of two classification algorithms, namely Random Forest and Naive Bayes, in predicting lung diseases. The data used was obtained from the Kaggle website and processed using RapidMiner software. The attributes involved include smoking habits, pre-existing conditions, staying up late, exercise activities, age, and outcomes. Based on the test results, the Random Forest algorithm demonstrated the best performance with an accuracy of 93%, while the Naive Bayes algorithm achieved an accuracy of 87%. These findings indicate that the Random Forest algorithm outperforms the Naive Bayes algorithm in terms of lung disease prediction accuracy.

Lung adenocarcinoma is one of the most common types of lung cancer, especially in non-smoking women. This disease can develop progressively to cause complications such as pleural effusion and hydropneumothorax. Risk factors involved include exposure to secondhand smoke, air pollution, radon, and a history of previous tuberculosis. A 61-year-old woman came with complaints of right chest pain radiating to the back, shortness of breath, dry cough, weakness, and weight loss. The medical history showed that the patient had undergone chemotherapy for lung cancer and had a history of pulmonary tuberculosis that had been resolved. Supporting examinations such as CT-scan, bronchoscopy, and cytology showed a mass in the right lung inferior lobe and massive pleural effusion leading to a diagnosis of stage IVA right lung adenocarcinoma (T3N1M1A) complicated by hydropneumothorax. The patient underwent management in the form of chemotherapy, supportive therapy, and symptomatic care.

Jambi Province has the highest prevalence of tobacco smoking among individuals aged 15 years and above in Indonesia within the past month. In addition, Jambi also records the highest average number of cigarettes smoked per day by individuals in this age group, with an average of 18 cigarettes per day. This situation highlights the significant level of tobacco consumption in the province, which may affect adolescent smoking behavior, including among vocational school students. Objective: To analyze the factors influencing smoking behavior among students of SMKN 3 Kota Jambi.  This study was a quantitative research with a cross-sectional design. The sample consisted of 114 students selected using random sampling techniques. The study was conducted at SMKN 3 Kota Jambi. The dependent variable was smoking behavior, while the independent variables included knowledge, parental influence, peer influence, and exposure to cigarette advertisements. Data were analyzed using univariate and bivariate analyses with the chi-square test at a 95% confidence interval. The proportion of students who smoked at SMKN 3 Kota Jambi in 2025 was 46.5%. There were significant associations between smoking behavior and knowledge (p-value = 0.008; PR: 1.730; 95% CI: 1.163–2.573), parental influence (p-value = 0.023; PR: 1.597; 95% CI: 1.081–2.357), and peer influence (p-value = 0.001; PR: 2.038; 95% CI: 1.346–3.086). However, no significant association was found between exposure to cigarette advertisements and smoking behavior (p-value = 0.127; PR: 1.366; 95% CI: 0.929–2.010).The factors influencing smoking behavior among students of SMKN 3 Kota Jambi were knowledge, parental influence, and peer influence.

Coronary Heart Disease (CHD) is the leading cause of death in Indonesia. CHD is a disease caused by blockages in blood vessels (atherosclerosis) that disrupt blood flow to the heart. There are several risk factors for CHD, including smoking and hypertension. The purpose of this study was to determine the relationship between smoking and hypertension in patients with CHD. This research method uses the methodliterature review. Data were obtained from secondary data using documentation techniques. This documentation was done by searching for articles through Google Scholar and Pubmed. The selected articles were in accordance with the research variables and inclusion criteria. The articles were analyzed using the procedurecompare, contrast, criticize, synthesize, dan summarize. From the study, 3 articles were obtained that had data related to smoking and CHD variables (p < 0.05) and 3 articles that had data related to hypertension and CHD variables (p < 0.05). Conclusion: There is a significant relationship between smoking and hypertension in CHD patients.

Pulmonary function disorders are commonly underdiagnosed health issues, especially in urban areas with high air pollution and prevalent smoking habits. Early detection through spirometry plays a crucial role in the promotion and prevention of respiratory diseases such as asthma and Chronic Obstructive Pulmonary Disease (COPD). However, public awareness and access to spirometry remain limited, including in the Tanjung Duren Selatan subdistrict of West Jakarta. This community service program was conducted using the Plan-Do-Check-Act (PDCA) cycle management approach. The target population consisted of productive-age residents willing to participate in health education and lung function screening. Spirometry examinations were conducted alongside interactive counseling about respiratory health and risk factors. Evaluation was carried out through spirometry results and participant satisfaction surveys. A total of 92 participants took part in the activity, consisting of 70 females (76.1%) and 22 males (23.9%), with a mean age of 43.78 years (SD ±12.93). The average Vital Capacity (VC) was 2.26 L, Forced Vital Capacity (FVC) was 2.13 L, and Forced Expiratory Volume in 1 Second (FEV1) was 1.95 L. The mean FEV1/FVC ratio was 107.12%, with 100% of participants showing normal lung function. This activity demonstrates that spirometry is an effective tool for monitoring lung function and increasing community awareness. Similar screening initiatives should be expanded to support early detection of respiratory disorders at the community level.

Cigarette and alcohol abuse among young people is a major issue that can have a negative and detrimental impact on the health and future of younger generations. The number of smoking-related deaths in Indonesia ranges from 217. 000 to 240,000 people each year. The “Cerdas tanpa Candu” program was held as a preventive measure through counseling on smoking and alcohol consumption prevention to students of SMP Negeri 19 Kendari. This activity was carried out using a lecture method involving 26 respondents, using power points, banner media, pre-test, post-test, ice breaking, then continued with the presentation of the banner contents, interactive quizzes and group photos. The purpose of this counseling is to increase students' awareness of the hazardous materials in alcohol and cigarettes. Method: This counseling uses the lecture method and interactive quizzes, using a one group pretest and posttest design. The distribution of knowledge levels based on pre-test and post-test scores is displayed in the results of the counseling activities. Eight respondents (30.8%) were included in the “good” category, seventeen respondents (65.4%) were included in the “sufficient” category, and one respondent (3.8%) was included in the “less” category according to the pre-test results. After the test was conducted, there was a significant increase in the post-test results, with around 22 participants (84.6%) included in the “good” category and 4 participants (15.4%) included in the “sufficient” category. The results of the paired sample t-test showed a p-value of 0.03, which is lower than α = 0.05. This indicates that the null hypothesis (Ho) is rejected and the alternative hypothesis (H1) is accepted, which shows a significant difference between the average pre-test and post-test results. It is expected that educators at SMP Negeri 19 Kendari provide balanced counseling between consistent ones through the UKS program, and they can provide high motivation for their students to behave away from cigarettes and alcohol.    

Cervical cancer is a significant public health problem globally, including in Indonesia. This disease ranks fourth as the most common cancer in women in the world, with an estimated 604,000 new cases and 342,000 deaths in 2020. Analyzing the current condition of cervical cancer in Indonesia including prevalence, risk factors, impacts, prevention efforts, and treatment based on data to provide a comprehensive picture of the situation of cervical cancer in Indonesia. Cervical cancer is defined as a malignant tumor in the cervix that attacks the epithelial layer and has the potential to spread. Human Papilloma Virus (HPV) infection is the main cause of cervical cancer. In addition, several supporting risk factors include risky sexual behavior, long-term use of oral contraceptives, smoking habits, nutritional deficiencies (especially vitamins C, E, and folic acid), and poor personal hygiene. The Indonesian government has attempted to identify the disease early through the Visual Inspection of Acetic Acid (IVA) method used for early detection of cervical cancer in women aged 30 to 50 years. However, community participation in this program still needs to be improved sustainably. Treatment for cervical cancer can include surgery (eg cryosurgery, LEEP, hysterectomy), radiation, and chemotherapy. Cervical cancer remains a major health challenge in Indonesia. Improved education programs, participation in early detection of IVA, and strengthening of the health system as a whole are needed to effectively reduce morbidity and mortality caused by this disease.

Low awareness of students about PHBS allows for a lack of knowledge obtained by students due to the lack of information obtained. Therefore, health education is important to be encouraged. One strategy that can be used in providing health education to students is peer education. To determine and analyze the effect of peer education on the scope of Clean and Healthy Living Behavior in students. The type of research used in this study is quasi-experimental, with a pretest-posttest control group design. Data analysis using variate and bivariate tests. The subjects of this study were students of Class VII-A and Class VII-B of SMP Negeri 3 Kutacane in the 2024/2025 Academic Year. The research instrument used was a test sheet. The results of the Mann-Whitney test showed a significant increase in students' understanding of each indicator including PHBS, except for the indicator of not smoking, although there was an increase but it was not statistically significant. This can be seen based on the average value of the experimental class at the time of the posttest which was greater when compared to the pretest, with a value of p = <0.05, while for the non-smoking indicator the value of p => 0.05. These results indicate the influence of health education with the peer education method on the understanding of the scope of PHBS in experimental class students. Peer Education is able to improve students' understanding of the scope of PHBS better, compared to students who do not receive peer education intervention.

Pulmonary function disorders such as asthma and chronic obstructive pulmonary disease (COPD) remain major public health challenges, particularly in densely populated urban areas like Kapuk, Cengkareng, which are characterized by high exposure to air pollution and smoking habits. Early detection using spirometry is a crucial preventive strategy to identify respiratory dysfunction before the onset of clinical symptoms. This community engagement program aimed to conduct lung function screening using spirometric evaluation, focusing on the FEV1/FVC ratio (FEV1%) as a primary indicator. The program was conducted in Kapuk, Cengkareng, involving 64 participants from the public. Spirometry was used to measure Vital Capacity (VC), Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 Second (FEV1), and the FEV1/FVC ratio. Activities began with community outreach, participant registration, brief anamnesis, and standardized spirometry procedures performed by trained health professionals. The results were immediately shared with participants along with individualized health education. Most participants were female (68.7%), with a mean age of 41.86 years. The average VC was 2.62 L, FVC 2.36 L, and FEV1 2.10 L. The mean FEV1/FVC ratio (FEV1%) was 91.66% (SD = 8.07), indicating that all participants (100%) had normal pulmonary function. These findings demonstrate that spirometry effectively provides an objective overview of respiratory health status and serves as a preventive monitoring tool. Spirometry-based pulmonary screening represents an effective preventive intervention to increase community awareness of respiratory health. The FEV1% value has been proven to be a vital parameter for early assessment of lung function. This program offers a replicable model for community-based early detection strategies in other high-risk urban areas. Keywords: Spirometry, FEV1%, Lung Function, Early Detection, Community Service

Background: Smoking among adolescents in Pidie, Aceh, is a growing public health concern, marked by increasing prevalence and significant household expenditure despite known health risks. This behavior persists due to cultural and social influences and a lack of motivation to quit, with adolescents' perceptions of risk, though crucial, not fully understood. Method : This analytical cross-sectional survey of 303 male high school students in Pidie used Partial Least Squares (PLS) to examine the relationship between Health Belief Model (HBM) factors and smoking cessation efforts. Result : The findings revealed that perceived barriers (t-statistic = 4.284 > t-table = 1.96), perceived susceptibility (t-statistic = 2.050 > t-table = 1.96), and perceived benefits (t-statistic = 4.082 > t-table = 1.96) had a direct significant relationship with cessation attempts, while perceived severity did not. Conclution: This study concluded that perceived barriers actually motivate quitting, with negative experiences like health problems for themselves or family acting as triggers. Therefore, understanding both the benefits and barriers is key to increasing smoking cessation motivation among adolescent males.

The purpose of this study is to identify and analyze the effects of inflation on household consumption in Indonesia. Thus, the focus on the dynamics of people's spending is based on basic needs and non-smoking. This study uses a descriptive qualitative approach enhanced by secondary data from macroeconomic literature and primary data in the form of national statistical reports published by the Central Bureau of Statistics (BPS). This analysis is carried out based on the concept of Keynes' consumption theory, Friedman's permanent income hypothesis, and Modigliani's life cycle theory. The results show that increasing inflation has a significant impact on lower household consumption. In particular, the low group with moderate sorting shows a large allocation of income for basic needs. Groups with higher incomes through alternative strategies or delayed consumption tend to be more adaptable. These results suggest that price control policies and social security networks are strengthened as an effort to maintain consumption stability in the budget. This summary includes the background, objectives, methods, results, and conclusions related to explaining the actual conditions and political impacts of the relationship between Indonesian inflation and household consumption.

College students, as a group of young adults, often face life transitions that involve academic, emotional, social, and economic pressures. One of the effects of these pressures is smoking behavior. According to pre-survey data, most college students who are active smokers consume 5-10 cigarettes per day. These students admitted to having tried to quit smoking at least once, but their efforts were unsuccessful, and they returned to their old habits. This difficulty indicates challenges in self-control. Participants in this study were active smokers across Indonesia, with a minimum consumption of 5–10 cigarettes per day. This study is quantitative in nature, using a self-control scale and a nicotine dependence scale to determine the absence of self-control influence on nicotine addiction. Data analysis in this study was conducted using simple linear regression analysis, yielding a p-value of 0.070 (>0.05). Therefore, it was concluded that self-control does not significantly influence addiction in the study sample.