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Dermatitis is a common skin disease that can be influenced by various internal and external factors. According to the Puskesmas Sungai Iyu report for 2023-2024, there were 180 cases of dermatitis. This study aims to analyze the factors associated with dermatitis symptoms among shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The independent variables studied include contact duration, years of employment, personal hygiene, and the use of Personal Protective Equipment (PPE), while the dependent variable is dermatitis symptoms, including itching, redness, and rashes. The method used was a correlational analytic study with a cross-sectional design, involving 54 respondents from a total of 112 shrimp pond workers in the village as samples. The population in this study consists of all shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The results show that there is no significant relationship between  the use of PPE (p-value = 0.047) and personal hygiene (p-value = 0.002) with dermatitis symptoms. In conclusion, factors associated with dermatitis symptoms in shrimp pond workers are personal hygiene, and the use of PPE. It is recommended that shrimp pond workers increase the use of PPE, practice good personal hygiene, and limit the duration of contact with pond water to reduce the risk of dermatitis.  

The utilization of biopore infiltration holes has become one of the simple and effective innovations in environmental management and soil resource conservation, with great potential to support a healthy environment. This community service activity aims to enhance farmers' understanding of the use of biopore infiltration holes as an effort for soil and water conservation as well as sustainable organic waste management. The outreach was conducted on September 7, 2024, at the Kesambi Village Hall, Pucuk District, Lamongan Regency, targeting 12 members of the farmer group. The implementation method of the activity included preparation stages, conducting a pretest, delivering material along with interactive discussions, and concluding with a posttest as an evaluation of the participants' understanding improvement. The results of the activity indicate an increase in the average knowledge score of participants from 81.25 in the pretest to 97.92 in the posttest. This demonstrates that the socialization method applied was effective in enhancing farmers' understanding of the functions, production techniques, and benefits of biopores. This activity is expected to encourage the independent implementation of biopores by farmer groups, both at the household and agricultural levels, as part of environmentally friendly and sustainable land management practices.

Clean and Healthy Living Behavior (PHBS) is a promotive and preventive effort aimed at improving the level of public health. The Baduy indigenous community in Leuwi Damar, Kanekes Village, Lebak Regency, Banten Province has local wisdom and traditional lifestyles that influence daily health practices. However, limited access to information and health services is a challenge in implementing PHBS optimally. This article aims to describe the implementation of PHBS education in the Baduy Leuwi Damar community and its impact on community knowledge and attitudes. The method used is a descriptive approach with educational activities through counseling, discussion and simple demonstrations adapted to local culture. Educational material includes personal hygiene, clean water management, environmental sanitation, and healthy living behavior in daily life. The results of the activity showed an increase in public understanding regarding the importance of personal and environmental hygiene, as well as the emergence of a positive attitude towards implementing PHBS without eliminating the traditional values adhered to. PHBS education carried out using a simple cultural and communication approach is considered effective in increasing the health awareness of the Baduy community. Therefore, health education programs based on local wisdom need to continue to be developed as a strategy to improve the health of indigenous communities. .(Riset Kesehatan Dasar,2019).

This community service programme was implemented in the coastal community of Padelegan Village, Pademawu Subdistrict, Pamekasan Regency, with a focus on strengthening health literacy and behaviour-based disease prevention at the household level. The background of the activity is based on the vulnerability of coastal communities to health problems related to hygiene, household drinking water management, and environmental cleanliness, as well as the need for an approach that not only increases knowledge but also encourages consistent preventive practices. The programme aims to improve residents' ability to understand and use health information in an applicable manner, while strengthening key disease prevention behaviours through education and mentoring. The activity will be carried out from February to April 2025 with a behaviour-based education design combined with practice demonstrations and community mentoring, involving 48 participants (40 residents/households and 8 posyandu/PKK cadres). The stages included initial assessment, development of KIE media (brief modules and leaflets/posters), two education-demonstration sessions, two home mentoring sessions, and final evaluation. The evaluation was conducted using pre-post knowledge, attitude, and practice (KAP) assessments and practice observation through a checklist. The results showed an increase in health literacy and improved consistency in preventive behaviour; knowledge increased from 5.4 to 7.8, and compliance with hand washing at critical times increased from 41.7% to 72.9%. Programme outputs included an information, education and communication (IEC) package, a household monitoring checklist, and capacity building for cadres as local facilitators. It was concluded that the integration of participatory education, practical demonstrations and cadre mentoring has the potential to be effective in encouraging preventive behavioural change in coastal communities, with recommendations for integrating monitoring into the routine agenda of integrated health service posts (posyandu) and community empowerment groups (PKK) and for follow-up monitoring for 3–6 months to maintain the sustainability of practices.

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in endemic areas, including Olat Rarang Hamlet, Labuhan Sumbawa Village. Effective dengue prevention requires active community involvement supported by entomological surveillance data. This community service activity aimed to enhance community awareness and participation in dengue prevention through the implementation of the 3M Plus Movement integrated with an entomological surveillance approach using the House Index (HI), Container Index (CI), and Breteau Index (BI) indicators. The activity was conducted on December 6, 2025, involving local community members and public health students. The methods included health education, larval surveys in houses and water-holding containers, and community-based mosquito breeding site eradication. The results indicated that houses and containers positive for Aedes larvae were still present, reflecting a moderate risk of dengue transmission. However, the implementation of the 3M Plus Movement improved community knowledge, awareness, and participation in vector control. Integrating the 3M Plus Movement with entomological surveillance is an effective promotive and preventive strategy based on community empowerment for sustainable dengue prevention.

This study aims to evaluate the level of heavy metal pollution and the potential ecological and human health risks in the waters of Selangan, Bontang City. The research focuses on analyzing the concentrations of iron (Fe) and mercury (Hg) in sediment, considering that both elements are toxic, persistent, and capable of bioaccumulating within the food chain. The study was conducted over six months, from January to June 2023, at four sampling stations representing the environmental conditions of Selangan waters. The methodology included sediment sampling, sample preparation through drying and grinding, and laboratory analysis using Inductively Coupled Plasma–Optical Emission Spectrometry (ICP-OES) to determine Fe concentrations. The results were then compared with quality standards established by the Washington Annotated Code 173-204-320 and Indonesia’s National Agency of Drug and Food Control (BPOM) Regulation No. 5 of 2018. The findings indicate the presence of heavy metal contamination across all sampling stations. Fe concentrations ranged from 2.35 mg to 6.308 mg, significantly exceeding the permissible limit of 0.3 mg/L. Meanwhile, Hg concentrations ranged from 0.015 mg to 0.028 mg, also surpassing the standard threshold of 0.001 mg/L. These results clearly demonstrate heavy metal pollution in the Selangan waters, posing potential threats to marine ecosystem health and coastal communities. Regular monitoring and mitigation measures are urgently recommended to prevent further environmental degradation.

This study aims to apply the Principal Component Analysis (PCA) method to identify the main factors influencing poverty in North Sumatra Province. Poverty rates in this region show significant variations among districts and cities, influenced by differences in social, economic, educational, and basic facility availability. The data used in this study include eleven indicators related to population, education, health, access to basic services, and economic conditions. All variables were initially normalized to ensure they had comparable scales, then PCA feasibility tests were conducted using MSA, KMO, and Bartlett's test, which indicated that the data were eligible for further analysis. The results of the PCA revealed three main components explaining a total of 69.91 percent of the variation. The first component represents regional population and economic factors, with the largest contributions coming from population density, open unemployment rate, and per capita expenditure. The second component reflects household living conditions, such as access to clean water, adequate sanitation, and health complaints. The third component describes the educational dimension through indicators of the population aged at the primary and secondary school levels. These findings indicate that poverty in North Sumatra is influenced not only by economic factors but also by the quality of basic services and education levels among the population. Therefore, this research is useful for policymakers at the central and regional government levels to consider the factors influencing the increase in poverty in North Sumatra.

This study aims to describe the condition of clean water access and its impact on public health in Swadaya Village. The research employed a qualitative approach through in-depth interviews with household heads, community leaders, health workers, and local water managers. The findings reveal that access to clean water in Swadaya Village remains very limited. Most residents rely on dug wells and river water for daily needs, while only a small portion use water from the local water utility (PDAM) due to high installation costs and limited pipeline coverage. The water quality often decreases during the dry season, becoming cloudy, odorous, and causing skin irritation. These conditions contribute to the increasing incidence of waterborne diseases such as skin infections, diarrhea, and typhoid fever. Besides infrastructure limitations, the lack of community awareness regarding hygiene and sanitation practices worsens the situation. Although the village government has proposed clean water development programs, their implementation has been hampered by budget constraints. The study concludes that clean water problems in Swadaya Village are not only related to resource availability but also to environmental management and community behavior. Therefore, improving water infrastructure must be accompanied by community education to promote a healthy, safe, and sustainable living environment.

Stunting remains one of the major chronic nutritional problems in Indonesia, including in Oesapa Village, Kelapa Lima District, Kupang City, East Nusa Tenggara Province. This condition is not only caused by inadequate nutritional intake but is also closely related to chronic infections resulting from poor hygiene and sanitation, particularly intestinal parasitic diseases. To reduce the risk of parasitic infections and improve children’s nutritional status, preventive efforts through education and health promotion are essential.This community service activity aimed to increase public awareness and knowledge, especially among parents and caregivers of stunted children, regarding the importance of maintaining hygiene and sanitation to prevent intestinal parasitic diseases. The methods used included participatory approaches such as interactive lectures, group discussions, and practical demonstrations of clean and healthy living behavior (PHBS), food hygiene, clean water management, and household waste disposal. Evaluation was conducted using pre-test and post-test instruments to measure changes in participants’ knowledge.The activities, carried out from May to September 2025 in Oesapa Village, showed a significant improvement in community understanding of hygiene and sanitation practices. Participants demonstrated greater commitment to maintaining environmental cleanliness and adopting healthier daily behaviors. Continuous educational efforts and multisectoral support are needed to help reduce the prevalence of stunting in the region

The normal flora of chickens refers to the microbial communities that naturally inhabit the gastrointestinal tract and body surfaces of chickens, playing a crucial role in health, digestion, and immunity. This community consists of beneficial bacteria such as Lactobacillus, Bifidobacterium, and Bacillus, which assist in feed fermentation, vitamin synthesis, and inhibition of pathogenic growth. Additionally, the normal flora may include potential pathogenic bacteria such as Escherichia coli, Salmonella spp., and Campylobacter, which can cause diseases if microbial balance is disrupted. The diversity and balance of the microbiota are influenced by various abiotic factors, including feed quality, access to clean water, ambient temperature, humidity, and environmental hygiene. Biotic factors, such as microbial interactions, rearing systems, and contact with other animals, also play a significant role in determining microbial composition. Several studies have shown that the use of feed additives, such as probiotics and phytogenics, can enhance populations of beneficial bacteria while suppressing pathogenic bacteria. Extensive rearing systems, which provide chickens with more space and exposure to natural environments, tend to increase microbiota diversity compared to semi-intensive systems with more restricted conditions. Understanding these factors is essential for developing effective health management strategies and optimizing safe and sustainable poultry production.

Sanitation is an important aspect in the fish feed industry to ensure product quality, product safety, and employee health. PT. CentralPertiwi Bahari is a fish feed industry that has implemented sanitation as part of its product quality assurance system. This study aims to examine the implementation of sanitation at PT. CentralPertiwi Bahari to obtain an overview of the implementation of sanitation based on Permenkes No. 70 of 2016. This study uses a qualitative descriptive method carried out in January-February 2025. Data collection was carried out through observation, interviews, document reviews and scientific literature. Aspects studied include external environmental sanitation, factory environmental sanitation, building sanitation, production process sanitation, raw material sanitation, and employee sanitation. The results of the study indicate that PT. CentralPertiwi Bahari has implemented sanitation in accordance with the provisions of Permenkes No. 70 of 2016 as indicated by clean environmental and building conditions, the availability of good sanitation facilities, proper management of raw materials, and employee sanitation that is consistently implemented. The implementation of sanitation at PT. CentralPertiwi Bahari has supported efforts to maintain quality and occupational health. However, conditions requiring attention, such as water pooling outside the factory during rainy seasons, require remedial measures to optimize sanitation implementation. The results of this study are expected to serve as a basis for company evaluation and a reference for similar industries in improving sustainable sanitation practices.

The danger of cadmium contamination in water sources remains a crucial environmental issue due to its persistent nature and high toxicity level, which poses serious risks to human health and ecosystems. Cadmium is a non-biodegradable heavy metal that can accumulate in living organisms over time. The presence of these toxic Cd²⁺ ions is known to trigger damage to vital organs such as the liver and kidneys; therefore, reducing their concentration in aquatic environments is of paramount importance for environmental protection and public health safety. Among various treatment methods, adsorption is considered one of the most effective and economical techniques for removing heavy metal ions from contaminated water. In this study, the capability of mesoporous silica MCM-48-NH₂ as an adsorbent for Cd²⁺ ions was systematically evaluated. The adsorption performance was examined by investigating several important parameters, including contact time, solution acidity level (pH), and initial Cd²⁺ concentration. Furthermore, the adsorption mechanism and interaction between Cd²⁺ ions and the adsorbent surface were analyzed using Langmuir and Freundlich isotherm models. The results demonstrate that the adsorption process of Cd²⁺ ions onto MCM-48-NH₂ tends to follow the Langmuir isotherm model, indicating monolayer adsorption behavior, with a maximum adsorption capacity of 0.66 mmol g⁻¹.

The age of 4-6 years is an age that is vulnerable to disease because it is at this age that children's motoric starts to be active. Without realizing it, what children do is often close to germs that can cause diseases such as flu, cough, diarrhea. Hand washing is the process of mechanically removing dirt and dust from the skin surface and reducing the number of microorganisms. The purpose of hand washing is to eliminate the number of microorganisms. This activity is carried out through the means of joint learning activities in the form of face-to-face in groups, given counseling, including: material and practice of wet hand washing with running water and soap and dry hand washing with a hand sanitaizer. The results of this activity were analyzed using a fun learning method. The data used is numerical data from the observation of hand washing skills checklist. From the test results there is an effect of providing counseling on hand washing techniques on the hand washing skills of kindergarten students. The habit of washing hands using soap from an early age, it is hoped that later they will become a generation that is aware of the importance of cleanliness, not only personal hygiene, but also environmental hygiene. Not only that, with this simple thing that is done regularly and purposefully, children will later learn to do other habits correctly. One way to prevent children from getting sick is by washing hands. This handwashing habit should be instilled since.

This study examines the impact of industrial activities in Bontang City, a major center for natural gas processing and fertilizer production, which potentially increases heavy metal contamination in coastal waters. Specifically, the research focuses on the accumulation of lead (Pb) and copper (Cu) in Anadara granosa, a benthic bivalve selected as a bioindicator due to its capacity to accumulate pollutants. The study aims to analyze Pb and Cu concentrations in Anadara granosa tissues collected from the waters of Selangan Hamlet, Bontang City, as an indicator of local environmental quality. The research was conducted over a six-month period, involving shellfish and water sampling from four observation stations. Heavy metal analysis was performed using Atomic Absorption Spectrophotometry, and the results were evaluated against relevant environmental quality standards, including Government Regulation of the Republic of Indonesia Number 22 of 2021. The findings revealed the presence of Pb and Cu at all sampling stations, with varying concentrations. The highest Pb and Cu levels were recorded at the South Station, while the lowest concentrations were observed at the East and North Stations. Overall, the measured concentrations of both metals significantly exceeded established safety limits, indicating serious risks to aquatic ecosystems and human health. These results confirm Anadara granosa as an effective bioindicator of heavy metal pollution and highlight the urgent need for further studies and mitigation efforts.

Dysmenorrhea, which is common in adolescent girls, is a painful menstrual cycle that frequently interferes with daily activities, both in the classroom and in social situations. Dysmenorrhea is a common condition that needs particular care as a reproductive health concern, notably among young people. Both pharmacological and non-pharmacological approaches can be used to treat dysmenorrhea. The use of warm water compresses is a simple, inexpensive, and effective non-pharmacological approach. By increasing blood vessel dilatation, enhancing blood circulation, lowering muscular tension, and lowering pain perceptions, warm water compresses aid in alleviating dysmenorrhea symptoms. The objective of this study is to assess the impact of warm compresses on the severity of dysmenorrhea pain scales in teenage girls at the Buntalo Community Health Center. The design of this trial was pre-experimental, using a one-group pretest-posttest technique. Using a purposive sampling method, a sample of 20 respondents was chosen. The Wilcoxon test was used to conduct the data analysis. According to the data, there was a statistically significant reduction in pain intensity, with a Z value of -4.065 and a p-value of 0.000 (p < 0.05). The average pain scale decreased from 2.95 to 1.80. Based on these findings, it is reasonable to conclude that warm water compresses are helpful in alleviating dysmenorrhea pain in young women. One of the suggestions for non-pharmacological treatments to help alleviate dysmenorrhea symptoms in adolescents is anticipated to be the outcome of this research.

Hypertension is a major global health risk that requires accurate early detection, yet conventional methods struggle with complex and imbalanced health datasets. This study aims to optimize hypertension prediction using a Logistic Regression model integrated with Borderline-SMOTE to enhance recall and provide model transparency through SHAP (Shapley Additive Explanations). The method utilizes the BRFSS dataset, applying Borderline-SMOTE to address class imbalance at the decision boundary and XAI techniques for global and local interpretation. The findings show that the model achieved an accuracy of 0.719, an AUC of 0.800, and a significantly improved recall of 0.756. SHAP analysis identified age, high cholesterol, and BMI as the most influential risk factors, while waterfall plots successfully clarified individual risk extremes, ranging from 1.72% to 99.43% probability. These results imply that the proposed approach provides a sensitive and transparent screening tool for public health practitioners, effectively balancing statistical efficiency with clinical accountability.

The increase in the consumption of bottled drinking water has become one of the main contributors to the generation of single-use plastic waste in various regions, including Bone Bolango Regency. This study aims to examine the role of refillable drinking water consumption in reducing household plastic waste and analyze it through the perspective of philosophy of science, including aspects of onology, epistemology, and axiology. The research uses a qualitative descriptive method with a literature review approach, empirical data analysis from government reports, and field observation. The results of the study show that the consumption of refillable drinking water contributes significantly to reducing the volume of plastic waste while increasing people's ecological awareness. From an ontological perspective, this phenomenon represents a change in consumption patterns that are more environmentally friendly. Epistemologically, the research confirms the importance of scientific knowledge in understanding the relationship between consumption behavior and ecological impacts. Meanwhile, from an axiological perspective, the research emphasizes the value of the benefits of science in shaping sustainable consumption behavior and encouraging the birth of more ethical and sustainability-oriented environmental policies. Thus, this study contributes to the development of plastic waste management strategies while strengthening the role of the community in realizing a healthier and more sustainable ecosystem.

Population density plays a critical role in shaping public health outcomes and environmental quality, particularly in rapidly urbanizing regions. This study aims to analyze the relationship between high population density and its impacts on sanitation conditions, air quality, access to clean water, and the incidence of various diseases in densely populated areas. The research adopts a qualitative descriptive approach by combining a comprehensive literature review with field observations conducted in several urban areas characterized by high population concentration. The findings reveal that increased population density is closely associated with environmental degradation, including inadequate sanitation systems, reduced air quality due to pollution, and limited availability of clean water. These environmental challenges contribute directly to a higher prevalence of health problems, such as respiratory infections, waterborne diseases, and other communicable illnesses. Overcrowded living conditions also intensify the spread of diseases, placing additional pressure on public health infrastructure. Furthermore, the study highlights that insufficient public facilities and poor environmental management exacerbate the negative effects of population density on both health and the environment. To address these challenges, effective strategies are required, including population growth control, improved urban planning, and enhanced investment in public health and environmental sanitation facilities. Strengthening community awareness and participation in maintaining environmental cleanliness is also essential. Overall, this study emphasizes the need for integrated policies that balance population management with sustainable environmental and public health development.  

Daily drinking water requirement for healthy individuals is a crucial factor in maintaining health and physiological balance. For individuals involved in intense physical activity or exercise, fluid requirements can increase significantly, with recommendations reaching 3 to 4 liters per day to replace fluid loss through sweat, so researchers consider it important to discuss the provision of clean drinking water installations with the application of Reverse Osmosis (RO) machines that utilize PDAM water as a source, which is in the Candrasa complex to support the fulfillment of drinking water needs for the Indonesian Navy Academy Cadets. AAL is a military educational institution that requires a supply of safe and high-quality drinking water for the Cadets so that the learning and training process can run smoothly. This study covers the daily drinking water needs of AAL Cadets, the current condition of the drinking water supply, and the concept of the RO machine itself in the Candrasa complex by utilizing PDAM water to produce healthy and suitable drinking water for AAL Cadets. The results of this study are expected to increase the availability of clean and safe drinking water for AAL cadets, facilitate drinking water distribution in the Candrasa complex, support their quality of life during their education, training, and foster care, and help maintain their health and safety. This study also underscores the importance of efficient and sustainable water management in the military environment.

The educational activity on the implementation of Clean and Healthy Living Behavior (PHBS) with a focus on the practice of washing hands and brushing teeth at SDN 07 Jati Mulya, Kerinci Kanan District, Siak Regency, aims to improve students' knowledge and skills in maintaining personal hygiene from an early age. This program was carried out for two days by applying educational, participatory, and demonstrative methods involving all students from grade I to grade VI. The learning media used is in the form of educational videos and the song "6 Steps to Wash Hands WHO 2024" to attract students' attention and facilitate the understanding of the material in a fun way. The results of the activity showed a significant improvement in students' understanding and skills related to the correct hand washing and brushing steps. In addition, students look more enthusiastic, actively ask questions, and begin to get used to doing cleaning practices independently in daily activities at school. The role of teachers as companions and support for school facilities, such as the availability of clean water and cleaning tools, has been proven to have a great influence on the success of activities. Therefore, integrated, planned, and sustainable PHBS education in the school environment is considered effective in forming healthy living behaviors and preventing diseases from elementary school age.