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RFA treatments, pain is a frequent issue that might interfere with comfort and postpone recovery. Pharmacological treatment continues to be the mainstay of pain management after RFA, whereas non-pharmacological nursing treatments like cold compress therapy are not regularly used. The purpose of this research was to investigate how cold compress therapy affects pain severity in individuals following radiofrequency ablation. At the central general hospital in central Java, a quantitative quasi-experimental design was used, employing a one-group pre-test and post-test methodology. Twenty-eight participants were chosen using purposive sampling. The NRS was used to assess the intensity of pain both before and after applying a cold compress for 15–20 minutes. The Wilcoxon Signed Rank Test was used to examine the data. Following the intervention, the median pain scores fell from 5 (moderate pain) to 2 (mild pain), which was a statistically significant change (p = 0.001). These results suggest that cold compress therapy can be advised as a non-pharmacological nursing intervention in post-procedural treatment since it helps lessen post-RFA pain

This community service initiative aims to enhance the managerial capacity and digitalization skills of MSME owners in Mencirim Village, East Binjai. Initial observations revealed five structural issues: weak financial record-keeping, conventional marketing strategies, minimal use of social media for promotion, lack of brand identity, and limited understanding of pricing strategy. The methodology employed a Participatory Action Approach (PAA), encompassing needs identification, structured training, practical workshops, and six weeks of intensive mentoring for 25 MSME participants. Results indicate a substantial increase across all measured indicators: 84% of participants implemented simple bookkeeping, 76% actively used social media for promotion, 72% developed brand identities, and 80% demonstrated improved pricing strategies all surpassing the established targets. Wilcoxon Signed-Rank Test confirmed statistical significance (p < 0.05). The program also fostered entrepreneurial mindset shifts, the formation of local business networks, and the emergence of community-based local leaders. Continuous mentoring and cross-stakeholder collaboration are recommended to sustain long-term economic impact.

Maternal Mortality Rate (MMR) is a critical indicator for evaluating maternal health programs, and insufficient knowledge of pregnancy danger signs remains a significant factor in preventable maternal complications and mortality. This issue is particularly prevalent among third-trimester pregnant women. Health education has proven to be an effective strategy for enhancing maternal knowledge, promoting early detection of obstetric emergencies, and supporting timely decision-making. This study aimed to evaluate the impact of health education on improving knowledge of pregnancy danger signs among third-trimester pregnant women in Nunkurus Village. A pre-experimental study with a one-group pre-test–post-test design was conducted, involving 42 third-trimester pregnant women, with 40 selected through purposive sampling. Structured questionnaires were used to collect primary data, and the Wilcoxon signed-rank test was employed to analyze the knowledge differences before and after the intervention. Results showed a statistically significant increase in knowledge after the health education intervention (p-value = 0.000; p < 0.05). In conclusion, health education significantly enhances knowledge of pregnancy danger signs among third-trimester pregnant women. Strengthening community-level educational interventions can help in early detection of pregnancy complications and contribute to reducing maternal morbidity and mortality.

Background: Dysmenorrhea is commonly experienced by female adolescents and may interfere with daily activities and academic concentration. Non-pharmacological interventions such as listening to the murottal of Surah Ar-Rahman and the use of lemon aromatherapy have been reported to provide relaxation and analgesic effects. However, evidence regarding the effectiveness of their combined use remains limited. Therefore, this study aimed to evaluate the effect of combined therapy using Murottal Surah Ar-Rahman and lemon aromatherapy on dysmenorrhea pain levels among female adolescents at SMA Negeri 10 Semarang. Method: This study was conducted at SMA Negeri 10 Semarang using a Quasi-Experimental design with a Pretest–Posttest Group approach. The population consisted of 188 students who met the inclusion criteria. The sample size was determined using the Slovin formula, resulting in 40 respondents selected through purposive sampling. A normality test was performed prior to analysis, and the bivariate analysis utilized the Wilcoxon Signed Rank Test. Result: The Wilcoxon Signed Rank Test showed a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that the combination of Murottal Surah Ar-Rahman and lemon aromatherapy is effective in reducing dysmenorrhea pain among female adolescents at SMA Negeri 10 Semarang. Conclusion: The combined therapy of Murottal Surah Ar-Rahman and lemon aromatherapy is effective in reducing dysmenorrhea pain levels among female adolescents.  

Physiological changes in adolescents during the transition period, both biologically, cognitively, psychosexually, and psychosocially, are very vulnerable to various risky behaviors such as premarital sexual behavior, abortion, unwanted pregnancy, STIs, and drug use. One effort to increase adolescent awareness about premarital sex is health education. This study identified the effectiveness of audiovisual media and leaflets about premarital sexual behavior on the knowledge and attitudes of adolescents at SMA Negeri 20 Seram Bagian Barat. The study used a quasi-experimental approach, pre-post-test control group design, with 40 samples. The Wilcoxon test results for the intervention group showed a p-value of 0.001 (p < 0.05), indicating a significant difference in adolescent knowledge and attitudes before and after health education using audiovisual media. The control group showed a p-value > 0.05, indicating no significant difference in adolescent knowledge and attitudes before and after health education using leaflets. The Man-Whitney test results showed a p-value < 0.000 (p value < 0.05) for the intervention group post-test. It was concluded that there was a significant difference in health education using audiovisual media and leaflets regarding premarital sexual behavior on adolescent knowledge and attitudes at State Senior High School 20, West Seram.  

Background: Breast cancer is one of the leading causes of death in women in Indonesia. Early detection through SADARI is important from adolescence, but many still lack the knowledge, attitudes, and behaviors necessary to implement it. Health education, such as the SALINDI education package, which contains interactive materials about SADARI. Aims: to determine the effect of providing the SALINDI education package on the knowledge, attitudes, and behavior of SADARI among adolescent girls at SMA Negeri 10 Semarang. Method: This research was conducted at SMAN 10 Semarang. The research design used was a Quasi-Experimental with Pretest-Posttest. The population was 100 female students in grade 11. The sampling technique used was purposive sampling with the Slovin formula, resulting in a sample size of 89 respondents. Normality tests were performed first, followed by bivariate tests using the Wilcoxon t-test. Result: The Wilcoxon statistical test for the effect of the Salindi Education Package on BSE knowledge, attitudes, and behavior showed a p-value of 0.000 <0.05. This indicates that the Salindi education package has an effect on BSE knowledge, attitudes, and behavior. Therefore, it can be concluded that the Salindi education package has an effect on improving BSE knowledge, attitudes, and behavior among adolescent girls at SMAN 10 Semarang. Conclusion: The Salindi education package has an effect on improving BSE knowledge, attitudes, and behavior among adolescent girls.

Background: Fatigue is a common complaint experienced by patients with pulmonary tuberculosis during the course of treatment and may negatively affect physical functioning, psychological well-being, and overall quality of life. Inflammatory processes, side effects of anti-tuberculosis medications, and psychological factors are believed to contribute to the development of fatigue. Therefore, non-pharmacological interventions are needed as complementary therapies to help reduce fatigue levels in patients with pulmonary tuberculosis. Objective: This study aimed to determine the effect of a combination of aromatherapy and Benson relaxation therapy on fatigue levels in patients with pulmonary tuberculosis. Methods: This study employed a quasi-experimental design with a one-group pre-test and post-test approach. The sample consisted of 18 respondents selected using accidental sampling. Fatigue levels were measured using the Fatigue Assessment Scale (FAS). Data were analyzed using the Wilcoxon test because the data were not normally distributed. Results: The results showed a reduction in fatigue levels among patients with pulmonary tuberculosis after receiving the combination of aromatherapy and Benson relaxation therapy. Statistical analysis indicated a significant difference in fatigue levels before and after the intervention, with a p-value of 0.000 (p < 0.05). Conclusion:The combination of aromatherapy and Benson relaxation therapy had a significant effect on reducing fatigue levels in patients with pulmonary tuberculosis. This intervention may be recommended as a complementary therapy in nursing care for patients with pulmonary tuberculosis.

Organic and inorganic waste is often left to accumulate behind the school or burned, which can cause air pollution and threaten the health of the surrounding environment. This study aims to determine the effectiveness of health promotion media on students' knowledge and attitudes about waste management at SMP Negeri 6 Birem Bayeun, East Aceh Regency. Method: This research is a quantitative study with a quasi- experiment design using a one-group pretest-posttest design. The total sample in this study was 98 respondents, which were divided into two groups: 49 students received intervention through video media and 49 students through leaflets. The sampling technique used simple random sampling, and data analysis was conducted using the Wilcoxon Signed-Rank test. Results: The results of the analysis showed that the average knowledge score after the video and leaflet media intervention had a p=0.000 value, indicating a significant increase. However, the average attitude score after the intervention showed a value of p=0.266, which was not significant. Mann- Whitney test showed no difference in effectiveness between video and leaflet media.Conclusion: It is recommended that schools work together with the government to address waste management issues, so that the practice of burning waste can be minimized for better health and environment.

Background: Clean and Healthy Living Behavior in Indonesia includes household.. In Indonesia, the level of knowledge and handwashing behavior of is still relatively low, an indication can be seen from the high prevalence of diarrhea. Research Objective: to determine the Relationship of Information Sources to Knowledge and Behavior of Adolescents About Clean Living in Nunkurus Village, East Kupang District. Research Method: This type of research uses Quasi Experiment One Group PreTest-PostTest Non Control Group, namely research with one subject who is given treatment or intervention before and after treatment. The population in this study is the community in this case adolescents in Nunkurus Village, East Kupang District, totaling 45 people. Sampling uses a total sampling technique. There are 3 research instruments used in this study including: respondent characteristic questionnaire, PHBS knowledge and health promotion educational video about PHBS. Data analysis using univariate in percentage and bivariate using Willcoxon Test. Results: the results of the study revealed the level of knowledge of the community before health promotion regarding PHBS, of the 45 respondents studied as many as 2 respondents (4.4%) had insufficient knowledge, 14 respondents (31.1%) had sufficient knowledge, and 29 respondents (64.4%) had good knowledge. From the results of the study, it was known that the level of knowledge of the community after health promotion regarding PHBS, of the 45 respondents studied as many as 17 respondents (37.8%) had good knowledge, 20 respondents (44.4%) had sufficient knowledge, and 8 respondents (17.8%) had insufficient knowledge. This is demonstrated by the results of the Wilcoxon ρ test (Asymp. Sig. 2-tailed) = 0.000 <0.05, indicating a relationship.

Childbirth is the time after labor to restore health again which takes 6-12 weeks. Giving Moringa and banana heart aims to increase the milk production. The result of a survey conducted on 15 postpartum,obtained the result of 9 people (64,28 %) experienced less milk production. The purpose of this study is to analyze the effect of Moringa leaf and banana heart on the increase of milk production in postpartum in  Nunkurus Village, East Kupang District, Kupang Regency. This research is pre experimental research. The population in this study were all postpartum in the work area of Nunkurus Village, East Kupang District, Kupang Regency.Sample size is 15 people obtained from purposive sampling technique. The result of the study were analyzed using the Wilcoxon statistical test. The result of the research showed that before the leaves were given moringa leaf and the banana heart mostly (73,3%) had milk production not smoothly and after given moringa leaf and banana heart almost whole (86,7%) experienced milk production smoothly. Based on Wilcoxon test result show data that the value of ρ = 0,003 and value a = 0,05  can be said that ρ-value <a. So H0 rejected and H1 accepted which means there is an influence of Moringa leaf and banana heart to increase milk production in postpartum mothers in Nunkurus Village, East Kupang District, Kupang Regency. It is Expected that the results of this study can provide information about the benefits of Moringa leaf and banana heart to increase milk production in postpartum in the working area of Nunkurus Village, East Kupang District, Kupang Regency.

Background: Regular antenatal care is essential to ensure maternal and fetal health during pregnancy and to prevent complications. The level of maternal education plays an important role in shaping health knowledge, attitudes, and behaviors related to pregnancy care. Mothers with higher education levels tend to have better awareness and understanding of the importance of routine pregnancy check-ups. However, irregular antenatal visits are still found in several regions, including the working area of the Gandasuli Community Health Center, South Bacan District, South Halmahera Regency, North Maluku Province.Objective: This study aimed to analyze the relationship between mother’s education level and the regularity of pregnancy check-ups at the Gandasuli Community Health Center, South Bacan District, South Halmahera Regency, North Maluku Province.Methods: This study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 30 pregnant women selected using a total sampling technique. Data were collected using structured questionnaires and maternal health records to assess education level and the regularity of antenatal care visits. Data analysis was performed using the Wilcoxon test.Results: The results of the Wilcoxon test showed a significant relationship between mother’s education level and the regularity of pregnancy check-ups, with a p-value of 0.000 (p < 0.05). Conclusion: There is a significant relationship between mother’s education level and the regularity of pregnancy check-ups at the Gandasuli Community Health Center. Improving maternal education and strengthening health education programs are essential to increase compliance with routine antenatal care visits and improve maternal and fetal health outcomes.  

Background: Adolescence is a transitional phase marked by biological changes, one of which is menstruation. A common problem during menstruation is dysmenorrhea or lower abdominal pain, which can interfere with quality of life and daily activities. One non-pharmacological effort to address this is consuming dark chocolate, which contains magnesium and triggers the release of endorphins as a natural pain reliever. Methods: This study used a quantitative method with a pre-experimental design through a one-group pretest-posttest design. The research population and sample consisted of 30 adolescent girls experiencing menstrual pain, selected using total sampling technique. Data analysis used the Wilcoxon Test to examine the effect before and after the intervention. Results: Before consuming dark chocolate, the majority of respondents experienced moderate pain (76.7%) and severe pain (16.7%). After the intervention, a significant reduction in pain level occurred, with 90% of respondents falling into the mild pain category and no respondents experiencing severe pain. The mean pain level decreased from 2.07 to 1.20 with a p-value = 0.000. Conclusion: The administration of dark chocolate has a significant effect on reducing the level of dysmenorrhea pain in adolescents at Puskesmas Ibu.

Compliance with taking medication is very important for pulmonary tuberculosis patients because it can ensure that the tuberculosis infection is controlled and does not spread to other people. Motivational interviewing counseling can help tuberculosis patients increase medication adherence with an empathetic and supportive approach to providing information. Through this technique, counselors can foster the patient's internal motivation to overcome obstacles that arise related to taking medication regularly. This research has gone through an ethical process with No. 000.9/002/KEPKRSUDBTG/1/2025. This type of research is quantitative, a quasi-experimental method with a one group pretest-posttest without control design. The sampling technique in this research used purposive sampling of 30 respondents. Data analysis used univariate and bivariate analysis with the Wilcoxon rank test. The research results show: The patient's level of compliance with taking TB medication before Motivational Interviewing counseling is in the medium category and the low category. The level of patient compliance in taking TB medication after Motivational Interviewing counseling has increased, namely the high category and the medium category. There is an influence of motivational interviewing counseling on medication adherence in pulmonary tuberculosis patients at Batang Regional Hospital. There is a significant difference between the results of compliance with taking TB medication before and after counseling motivational interviewing at Batang Regional Hospital.

Background: Breastfeeding is a crucial practice that provides optimal nutrition and immunity for infants while supporting maternal health. However, inadequate knowledge and limited understanding about the importance of breastfeeding often lead to low motivation among pregnant women in preparing for breastfeeding. Providing structured education is expected improve pregnant women’s readiness and commitment to breastfeeding after childbirth. Objective: This study aimed to determine the effect of providing education about the importance of breastfeeding on the motivation of pregnant women in preparing to breastfeed at the Paguat Community Health Center UPTD. Methods: This study employed a pre-experimental design with one-group pretest–posttest approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniques. Data on mothers’ motivation to prepare for breastfeeding were collected before and after the educational intervention using a structured motivation questionnaire. The data were analyzed using the Wilcoxon signed-rank test to assess differences in motivation levels before and after the intervention. Results: The results of the Wilcoxon signed-rank test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of breastfeeding education on the motivation of pregnant women in preparing breastfeed. The findings demonstrate that educational interventions significantly increased maternal motivation following the provision of education. Conclusion: Providing education about the importance of breastfeeding has a significant positive effect on the motivation of pregnant women in preparing to breastfeed. Therefore, breastfeeding education should be strengthened and routinely implemented during antenatal care services to improve maternal readiness and support successful breastfeeding practices.

This study analyzes the impact of fixed asset revaluation on corporate income tax liabilities in the domestic shipping sector. The background of this research is based on the importance of accurate fixed asset valuation in tax calculations, particularly for assets subject to value fluctuations, such as ships. The objective of this study is to identify the difference between the book value and the revalued value of ship fixed assets, and to analyze its implications for tax liabilities. This research uses a quantitative approach with descriptive analysis methods, utilizing secondary data from the financial statements of PT. ABC as a case study. The Wilcoxon signed-rank test was used to test the significant difference between the book value and the revalued value of assets. The results show a significant difference between the book value and the revalued value of PT. ABC's ship assets, resulting in an increase in tax liabilities. This research has significant implications for companies in implementing proper accounting practices and complying with applicable tax regulations, as well as for tax authorities in improving supervision and tax compliance.

Diabetes mellitus and hypertension can be prevented through the consistent adoption of a healthy lifestyle. Women participating in religious study groups are an important segment of the community, as they play a significant role in shaping family lifestyles. A total of 30 Muslim women from the Perwiritan Muslimat Al-Jamiatul Amaliyah in Kampung Lalang, Sunggal, Deli Serdang, participated in the community service activities consisting of education and training on the prevention and management of diabetes mellitus and hypertension. The activities began with socialization of the community service program, followed by preparation by the team, including the development of educational materials and the design of pre- and post-test instruments. Based on the Wilcoxon test, the educational intervention was found to have a significant effect. This was reflected in an increase in participants’ knowledge regarding diabetes mellitus and hypertension after the intervention. Among the 30 participants, 43.3%  were classified as pre-hypertensive, 40% had stage 1 hypertension, 10% experienced a hypertensive crisis, 3.3% had stage 2 hypertension, and only one participant had normal blood pressure. Of the 30 women whose fasting blood glucose levels were measured, 43.3% were classified as pre-diabetic, 23.3% had diabetes mellitus, and 33.3% had normal glucose levels. The participants expressed their hope that future activities would include cholesterol level examinations.

Umbilical cord infection is one of the leading causes of neonatal mortality in Indonesia. Appropriate umbilical cord care is essential to accelerate separation and prevent infection. In the working area of UPT Puskesmas Alai, variations in cord care practices and delayed separation cases were still found. This study aimed to analyze the effect of umbilical cord care using sterile gauze method on cord separation duration at UPT Puskesmas Alai. The study employed quasi-experimental design with one-group pre-test post-test approach on 32 respondents selected through purposive sampling. Pretest data were obtained from medical records, while posttest data through direct observation. Analysis used Wilcoxon Signed Rank Test (α=0.05). Results showed mean cord separation time in pretest group was 9.2 days (SD=1.08) and posttest group 6.0 days (SD=0.84). Wilcoxon test showed Z=-4.94 with p-value=0.000, indicating significant difference. Umbilical cord care using sterile gauze method effectively accelerates separation time compared to conventional methods. Healthcare workers are recommended to implement this method as standard care.

Adolescents are a vulnerable group to digital sexual violence, including sextortion, which involves sexual extortion through threats to distribute sexually explicit content. Low levels of self-control may increase adolescents’ vulnerability to such risks. This study aimed to examine the effectiveness of psychoeducation in enhancing self-control understanding as a preventive effort against sextortion among adolescents. A quantitative approach with a pre-experimental one-group pre-test–post-test design was employed. The participants consisted of 36 students aged 15–17 years from a public senior high school in Samarinda. The psychoeducational intervention was delivered through interactive lectures, Focus Group Discussions (FGD), and educational video screenings. Data were analyzed using the Wilcoxon Signed-Rank Test. The results of the analysis showed a statistically significant difference (Z = −2.201; p = 0.028 (p < 0.05)). This indicates that there was a difference in adolescents’ self-control before and after the psychoeducation intervention. The post-test mean score (M = 8.39) was higher than the pre-test mean score (M = 8.00). These findings suggest that psychoeducation was effective in improving adolescents’ understanding of self-control as a preventive effort against sextortion. Self-control psychoeducation can therefore be considered a relevant preventive approach to be implemented in school settings.

This study aims to analyze the reaction of the Indonesian capital market to the announcement of Donald Trump’s import tariff policy using an event study approach. Market reactions are measured through abnormal return and trading volume activity of exporting companies listed on the Indonesia Stock Exchange (IDX), with an event window of three trading days before and three trading days after the initial tariff announcement on April 2, 2025 and the revised tariff announcement on July 15, 2025. This study employs secondary data in the form of daily stock prices and trading volumes, analyzed using descriptive statistics, normality tests, and the Wilcoxon Signed Rank Test. The results indicate that the Indonesian capital market reacts to the announcement of Donald Trump’s import tariff policy, as reflected by differences in abnormal return and trading volume activity before and after the announcements, thereby supporting signaling theory and the semi-strong form of market efficiency.

Choking is a dangerous thing for children, especially children with special needs who require proper handling, and parents as the closest people to the child must have first aid skills for choking. The purpose of this study is to determine the effect of ANSIVI (Animation and Simulation Video) Choking Management on parents' ability in first aid for choking. The research design was a pre-experimental design with a one-group pretest-posttest approach without control. The purposive sampling technique obtained 36 respondents. The research instrument used an observation sheet for first aid for choking. The statistical test was the Wilcoxon Signed Rank Test with α 0.05. The results of the study before being given the ANSIVI (Animation and Simulation Video) Choking Management intervention showed that all (100%) respondents had insufficient ability, and after the intervention the majority (52.8%) of respondents had sufficient ability. The results of the statistical analysis obtained a p-value of 0.013 < α 0.05, so there is an effect of ANSIVI (Animation and Simulation Video) choking management on parents' ability in first aid for choking. The ANSIVI method (Video Animation and Simulation) combines two methods so that it is more interesting, interactive, and effective because the video is captured by the eyes and ears and then will be detected and converted into signals to the optic nerve and auditory nerve and forwarded to the brain, program area, and frontal area to be associated so that it will affect the respondent's ability. The ANSIVI method can be used in education for all parents and school residents as a first aid effort for choking, especially for children with special needs.