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One of the healthy lifestyles that must be carried out by the community is to routinely consume probiotic drinks. This drink is an immuno booster drink that can increase the immune system or body resistance to fight all kinds of diseases caused by microorganisms. One type of probiotic drink is Kombucha, this drink is produced from the tea fermentation process. The Kombucha fermentation process uses microorganisms that come from the symbiosis of bacteria and fungi or known as Scoby. Kombucha tea is made by brewing sweet tea and adding Scoby to the tea solution. The purpose of this study was to empower women's farmer groups in making Kombucha. The method used is a case study applied in the real work lecture program of the University of Muhammadiyah Lampung which was held in Pekon Kutadalom, Gisting, Tanggamus on July 24-September 2023. The workshop was given to 30 women's farmer groups. The stages of activity in this method are observation and coordination with village officials, counseling/workshops, training in making Kombucha tea, and evaluation of activities. The results of observations and coordination with village officials were obtained to find out the existing problems. The community tends not to know what foods and drinks can increase the body's immunity. Continued with a workshop attended by 30 participants, participants were enthusiastic with various questions asked. The delivery of the material focused on the history of kombucha, benefits, and fermentation process, so that kombucha tea can be consumed regularly. The workshop on making probiotic kombucha tea drinks conducted for women farmer groups has been effective and can increase knowledge about the importance of routinely consuming probiotic drinks as body immunity.

Patients who are going to undergo surgery often experience anxiety, and the inability to overcome this anxiety can lead to pathological behavior and psychological reactions. Anxiety that is not handled properly can result in longer recovery times, increased postoperative pain, and decreased immunity to infection. This study aims to assess the relationship between family support and preoperative anxiety levels in caesarean section patients undergoing spinal anesthesia at RSUD dr. Soedirman Kebumen. The method used is a quantitative approach with a cross-sectional design. The study sample consisted of 95 respondents of elective pre-operative caesarean section patients using measuring instruments in the form of the APAIS questionnaire and family support questionnaires. The results showed that there was no significant relationship between family support and preoperative anxiety levels in caesarean section patients with spinal anesthesia, with a p-value of 0.859> 0.05 and a correlation coefficient of -0.019, so it can be concluded that family support does not affect the level of anxiety in preoperative caesarean section patients.  

Vaccination actively seeks to create/increase a person's immunity against disease. Vaccination protects children from several immunization-preventable diseases (VPD).  The aim of this study is to determine the relationship between age and parity and the incidence of retained placenta in mothers giving birth at the Sonomartani Labura Health Center in 2023. The population in this study includes all women giving birth with retained placenta and recorded in the medical records in January 2022-December 2022 at the Sonomartani Labura Health Center as many as 16 patients. Data analysis using univariate, bivariate analysis. The results of this study show the relationship between age and parity and the incidence of retained placenta in mothers giving birth at the Sonomartani Labura Community Health Center in 2023.

Background : Breast milk is a substance produced by the body naturally by the breast glands. Breast milk is an emulsion of fat in a solution of protein, lactose, and organic salts, white blood cells secreted by the breast glands so that breast milk is the perfect food for growth and development and immunity of the baby. Breast milk production that is small or not smooth can interfere with exclusive breastfeeding, so efforts are needed to increase breast milk production by treating non-pharmacological techniques, one of which is breast care. Breast care is an action in maintaining the health and cleanliness of the mother's breasts, flexing and strengthening the nipples to stimulate the body to secrete lactogen and prolactin hormones, improve blood circulation, prevent obstruction of milk release so that breast milk production increases. Objective: to determine the results of the implementation of breast care techniques on breast milk production of postpartum women in the Cempaka Room of RSUD dr. Soehadi Prijonegoro Sragen. Method: This research is a case study research conducted on 2 postpartum mother respondents by doing breast care for 2 days with a frequency of 2 times a day for 30 minutes. Results: From the results of observations on both respondents there was a development of breast milk production from before and after breast care from the first and second days experienced a significant increase. Conclusion: There is an increase in breast milk production and before and after breast care from not smooth to smooth.    

Accination actively seeks to create/enhance a person's immunity to disease. Vaccination protects children from several immunisation-preventable diseases (VPDs). Some of the infectious diseases included in VPDs are tuberculosis, diphtheria, tetanus, hepatitis B, whooping cough, measles, polio, and meningitis. Vaccinated children will be protected from dangerous diseases that can cause injury or death. This study is included in analytical observational research, which does not conduct treatment on research subjects with the aim of providing a clearer picture of the problem in the subject. This type of research is a type of survey with a cross sectional design or where the data collection process is carried out at the same time between independent variables, namely factors that influence the provision of complete basic immunisation in infants. Based on the table, it can be seen that the majority of mothers have a high school education as many as 30 people, the majority of mothers who work as housewives as many as 46 people, the majority of mothers have less knowledge as many as 52 people, the majority of mothers with incomplete basic immunisation as many as 56 people.

Sleep is a vital process for human recovery, occurring predominantly during rest. High-quality sleep is essential for the recovery process, helping to alleviate excessive fatigue, while poor sleep quality can lead to reduced immunity. One significant issue affecting young people today is sleep quality, which is influenced by various factors, including smartphone use. This study aimed to investigate the relationship between smartphone addiction and sleep quality among the youth of the GMIM "Eben Haezar" Kaaten. Conducted in August 2024, this cross-sectional study included all 173 youth registered in the GMIM Youth SIT, with a research sample consisting of 63 respondents. The study variables were smartphone addiction and sleep quality, analyzed using univariate and bivariate methods. Results showed that 36 respondents (57.1%) experienced a high level of smartphone addiction, while 28 respondents (44.4%) reported poor sleep quality. The study concluded a significant relationship between smartphone addiction and sleep quality, with a p-value of 0.010 and a significance level of α = 0.05.

The immunity of Ploso Village residents is experiencing a decline, marked by increasing complaints of fever, dizziness and flu as a result of the current transition. Based on this, this service is carried out to utilize TOGA which has been planted by residents in their yards into a drink that can increase the body's immunity because it contains antioxidant compounds. This activity was carried out in Ploso Village in February-March 2024. Using socialization, discussion, practice and evaluation methods. Participants who took part in this training were women from PKK Prima Sejahtera. The results of this activity are 1) Participants understand that the bioactive compounds found in several plants can be used as drinks/wedang to increase the body's immunity. 2) Participants can make spiced wedang from TOGA grown in their yard. 3) Participants are very enthusiastic about this service activity.

Background: Complete Basic Immunization (IDL) is an indicator in the immunization program. IDL aims to actively gain early immunity. IDL data at Puskesmas X in 2021 was 83.5% and there was a decrease in the percentage rate in 2022 to 82.87%. Based on an initial survey, on May 9-19, 2023, it was found that out of 73 mothers who brought their children to the posyandu for immunization, around 22 children (30%) were not fully immunized. Objective: Knowing the factors that influence the completeness of immunization in the working area of Puskesmas X Pekanbaru City. Methods: Using analytic observational study design, with cross sectional research design. This research was conducted at Puskesmas X Pekanbaru city. The sampling technique was done by accidental sampling. Variables of knowledge level, and education were analyzed using Kendall Tau test, while variables of employment, family support, mother's attitude and number of children used contingency coefficient test. Results:  The results of the Kendall Tau test analysis of the variable level of knowledge, and education obtained a p value of 0.001 and 0.392 respectively. While in the contingency coefficient test the variables of employment, family support, maternal attitudes and number of children obtained a p value of 0.889; 0.000; 0.000 and 0.455 respectively. Conclusion: There is a significant relationship between the level of knowledge, mother's attitude and family support with the completeness of basic immunization of infants aged 12-24 months in the working area of Puskesmas X Pekanbaru City.

Protozoa is a microscopic, one-cell organism that belongs to the protista group. Some protozoa species are pathogenic and can cause a variety of serious diseases in humans, which are often spread through water, contaminated food, or vectors such as mosquitoes and flies. Diseases caused by protozoa, such as malaria, amebiasis, giardiasis, and leishmaniasis, have a significant impact on public health, especially in developing countries with poor sanitation and limited health systems. This research uses a method (literature review) with a keyword search for articles on protozoa disease against humans in the context of articles in Indonesia. Data collection techniques using search processes in Google Scholar Research results show that increased awareness, education, and training for medical personnel are also important to ensure that protozoa infections can be diagnosed and treated effectively, thus minimizing the impact of the disease on society. Overall, the study emphasizes the importance of sanitation, personal hygiene, health education, routine screening, and vector control to reduce the prevalence of intestinal protozoa infections and improve the health of people with weakened immunity

Background : poor sleep quality in babies will result in decreased immunity, impaired growth and physical development, and have an impact on the growth and development of the baby's brain. 1 year of age is a golden period for brain development. Baby Massage is a type of stimulation that will stimulate the development of the structure and function of cells in the brain. The improvement in the quality of baby's sleep during baby massage is due to an increase in the levels of serotonin secretion produced during massage. Apart from the Baby Massage method, adding Lavender Essential Oil also has an effect on improving the quality of baby's sleep because essential oil can influence brain function activities through the nervous system which is related to the sense of smell. Lavender contains esters which can calm and have a direct effect on the nervous system. Objective: to determine the effect of giving Baby Massage lavender essential oil on improving the sleep quality of babies aged 3-12. Method: Pre-Experiment with One Group Pretest Posttest design. Sample of 30 respondents. Respondents were given a massage once and then evaluated after 24 hours. Data analysis used the Wilcoxon test. Results: The quality of sleep before being given Baby Massage Lavender Essential was that all 30 respondents had poor sleep quality. The majority of sleep quality after being given Baby Massage Lavender Essential was good, namely 27 respondents (90%). The statistical test obtained a p-value of 0.000, <0.05. Conclusion: There is an effect of giving Baby Massage lavender essential oil on improving the sleep quality of babies aged 3-12.      

Background: The impact of anemia in adolescents can be in the form of decreased immunity, concentration, learning achievement fitness & activity, if not properly addressed, when pregnant continues to become pregnant women with anemia, at risk of giving birth to premature babies or LBW and giving birth to the next generation of stunting which is not only short but has low intelligence (IQ), psychological disorders and is at risk of diabetes, hypertension, and other chronic diseases in the future. Prevention of anemia can be started from increasing adolescent hemoglobin levels using red guava juice which in 100 grams contains 228.3 grams of vitamin C which can help iron absorption up to 30%. Objective: to determine the effect of giving Red Guava Juice on increasing hemoglobin levels in adolescent girls. Method: using Quasi Experiment with the research design used is two group pre test- post test design. Giving Red Guava Juice with a dose of 100 grams taken 1x a day for 7 days and giving health care to the control group. The number of 30 respondents was divided into 2 groups and the data were analyzed using the Independent Sample T Test statistical test. Results: the test results showed p=0.00 <0.05 which means Ha is accepted. Conclusion: There is an effect of giving Red Guava Juice on increasing Hemoglobin levels in adolescent girls at SMA Negeri 1 Seputih Agung Lampung Tengah.

Anemia is a condition in which there is a decrease in the number of erythrocytes in the blood indicated by a decrease in hemoglobin levels. In 2018 there was an increase of 13.6% from 2017. Which means that 3-4 out of 10 adolescents who experience anemia in adolescent girls, anemia can cause short-term effects such as decreased immunity, impaired concentration, decreased school performance, and menstrual problems. Dates can help prevent anemia because they are rich in iron and calcium, which are important for the formation of red blood cells and bone marrow. This type of research using Pre-experimental design with one group Pretest-Posttest. The population and sample in this study were adolescents with moderate anemia as many as 20 respondents. Sampling technique is Accidental Sampling and data collection is done by observation. Data analysis was performed using the Wilcoxon Test. Before given the dates of the lowest hemoglobin levels 8 gr/dl and the highest 10.9 gr/dl, after given the dates of the lowest hemoglobin levels 11 gr/dl and the highest 13.7 gr / dl. Wilcoxon test showed a P-Value of 0.000 that giving dates had a significant effect on increasing hemoglobin levels in adolescent girls in MTs Negeri 5 Sragen in 2024. There Is The Effect Of Giving Dates To Increase Hemoglobin Levels In Adolescent Girls In Mts Negeri 5 Sragen. Giving dates can be used as an additional alternative to iron to prevent anemia in adolescent girls in MTs Negeri 5 Sragen.

This research aims to analyze the determination of the internalization of BerAKHLAK work culture in constructing apparatus integrity within the Social Services Department of East Java Province. In the context of modern bureaucratic transformation, Civil Servants (ASN) are required to have a strong work culture foundation as a moral compass to avoid practices that deviate from professional ethics. The Social Services Department possesses unique characteristics as it interacts directly with vulnerable social groups, necessitating personnel with unwavering integrity and moral immunity against the temptation of abusive authority. Utilizing a qualitative descriptive approach with a case study design, this research dissects the phenomenon of value internalization holistically through in-depth interviews, observation, and documentation. The results indicate that the internalization process of BerAKHLAK (Service-Oriented, Accountable, Competent, Harmonious, Loyal, Adaptive, and Collaborative) is carried out through a social construction dialectic encompassing stages of externalization, objectification, and internalization. Phenomenological findings suggest a paradigm shift from formalistic integrity toward substantive integrity, where values ​​such as Accountability and Loyalty are no longer viewed merely as regulatory burdens but as manifestations of moral responsibility rooted in individual conscience. The habituation process through routine actions, such as consistently precise data verification, has created an "ethical sedimentation" that transforms honest behavior into an instinctive or automatic self-governing action. Furthermore, the Harmonious and Collaborative dimensions have successfully established peer-supervision mechanisms and a collective social identity that strengthens the organization's moral fortress through collective social shame against deviations. The integration of Competent and Adaptive values ​​also proves to be a primary determinant in mitigating ethical risks, where technical professionalism encourages personnel to remain transparent despite complex field pressures. Overall, the internalization of BerAKHLAK work culture has successfully reconstructed the integrity of the East Java Social Services apparatus into a stable social reality, which not only transforms work methods but also builds public trust through quality and equitable service.

The growth and development in toddlers is influenced by the cheir nutritional status, which is related to feeding practices. Improper nutrition can hinder  growth and development leading to  decreased immunity. Tui Na massage is a non-pharmacological therapy that can address eating difficulties and  increase appetite thereby aiding weight gain in toddlers. The objective of this study  is to understand and apply nursing care to malnourished toddlers using  Tui Na Massage innovation as a safe and effective non-pharmacological therapy to increasing  weight. Nursing care for malnourished toddlers from families  Tn. A and Tn.S included assessment, data analysis, nursing diagnosis, nursing plan, nursing implementation and evaluation from  April 22-28 2024. Tui Na massage for six consecutive days was proved to increase appetite and added  0 .5 kg toddlers weight. Tui Na massage can be recommended as a safe, effective, cost-effective non pharmacological therapy that parents can regularly,and correctly administer to help increase the child's weight.

Preschool children have weak immunity, which causes children to get sick easily and receive hospital treatment which causes anxiety due to hospitalization. Anxiety results in fear of new environments, frequent crying, being spoiled, aggressive, depression and even causing trauma. Playing at preschool age is an important activity, playing by matching pictures can influence a person's feelings by stimulating the nervous system in the brain to regulate emotions. This research uses a descriptive case study. The research subjects were three people, the data collection instrument was carried out using the FIS (Faces Image Scale) scale observation sheet. After being given play therapy, the results were obtained on the first day at F before being given the intervention, the anxiety scale was 4, after being given the intervention, the anxiety scale was 4, A anxiety before 5 and after 4, S anxiety before 4 and after 4. On the second day, F anxiety before 4 and after 3, A anxiety before 4 and after 3, S anxiety before 4 and after 3. The third day F anxiety before 3 and after 2, A anxiety before 3 and after 2, S anxiety before 3 and after 2. After intervention for 3 consecutive days, it can be concluded that providing picture-matching play therapy to preschool children can reduce hospitalization anxiety. Parents should continue to meet children's play needs by inviting children to play and facilitating games according to what the child likes, and nurses are expected to focus on modifying children's play.

The COVID-19 vaccination program is a new program initiated by the government to create herd immunity for COVID-19 with a target target of 70% of the population. Vaccination turns out to provide its own anxiety for the community. Anxiety occurs during the Covid-19 pandemic and is also felt when there is a vaccination program in the community. To find out the relationship between the vaccination program and the level of anxiety in the community during the Covid-19 pandemic in the Rt. 02 Bojong Baru Village, Bogor Regency in 2021. The type of research used is descriptive correlation research using a cross sectional study approach. Based on the results of the Spearman rank test, there is a correlation or relationship between the administration of the vaccination program and the level in the Rt.

The realization of a healthy school starts with students' habits of implementing a clean and healthy PHBS lifestyle, health is the main foundation in supporting an optimal learning process, in implementing clean and healthy living behavior and also one of the main factors driving good and correct PHBS for students is teacher, improving a person's quality of life is those who pay attention to the condition of their body, by diligently exercising, eating healthy food, and getting enough sleep, strategies for implementing a clean and healthy lifestyle at SDN Kunir Lor 3, and how this can contribute positively to health and student immunity, unhealthy student lifestyles such as students who usually eat instant food, junk food and unclean student habits. Seeing the situation of students who are unhealthy and lack immunity, we have the initiative to create a healthy lifestyle work program for students by means of exercise and bring supplies. Through direct analysis surveys before and after implementing the exercise program and bringing provisions, a decrease in the level of boredom and laziness among students was seen. The success of the gymnastics and carrying provisions program at SDN Kunir Lor 3 has been a positive experience. This positive experience has sparked interest in the integration of gymnastics and carrying provisions into educators' routines as a method for improving the quality of education.

Vaccination can increase the body's immunity and fight infectious diseases. The level of health of the Indonesian people is decreasing due to the high infant mortality rate, and one effort to overcome this is with a vaccination program for babies and young children. But this program still faces a problem: opposition from parents. Some say that parents' reluctance to vaccinate is caused by people's misunderstanding about vaccines, lack of education, lack of knowledge about vaccines, and the distance between Posyandu Nilla A and Posyandu Nila B, some argue that it is the same whether they want to carry out immunization or not, they will still experience fever, some say the reason is related to religion. This intervention aims to provide education to mothers who do not have access to basic health services. The method used is a lecture method using booklet media which provides direct information to mothers of babies and young children through open interaction. The results of the intervention showed that 81.0% of mothers had good knowledge and 19.0% of mothers had poor knowledge. The conclusion from this intervention is that most mothers know about vaccinations for their children, and it is hoped that good knowledge can help support good vaccinations for their children

The body's immunity is a system that works against foreign substances entering the body. The body's immunity must be well maintained so that it is not easily attacked by disease. Nurses can help people to increase their immune system by using complementary modalities. One of the complementary modalities that can be taught and is easy to do is the acupressure technique. Acupressure is a health method of applying pressure/massage to the surface of the skin which is expected to increase blood circulation, reduce tension and stress. The aim of implementing this community service is to provide education on the application of acupressure techniques to increase body immunity for students at SMK PAB-3 Medan Estate. The method used in carrying out this community service is by providing education through lectures and providing leaflets containing educational material at SMK PAB-3 Medan Estate. The targets for implementing the activities are students at SMK PAB-3 Medan Estate. The results of this community service have had a positive impact on the parties involved, especially for students at SMK PAB-3 Medan Estate. Students can increase their knowledge about the immune system in the body and how to increase the body's immunity with acupressure techniques as one of the complementary treatments. Apart from that, students can also improve their skills in increasing body immunity with acupressure techniques at points Li-4, PC6, and SP-6.

The increasing Covid-19 pandemic has resulted in a world health crisis. The Covid-19 virus can attack various age groups, starting from babies, toddlers, children, elementary school children, adults and even those who are very vulnerable, namely the elderly and elderly. The World Health Organization (WHO) has recommended a balanced nutritional menu during childhood. covid-19 pandemic. This means that every food menu must include complete nutrition, including macronutrients such as carbohydrates, protein, fat, as well as micronutrients from vitamins and minerals. Therefore, it is necessary to provide education through counseling about balanced nutrition for adults during the Covid-19 pandemic. This activity will be carried out on March 25 2022 in V-A Hamlet, Sambi Rejo Village, Binjai District. This extension targets 30 hamlet communities. The activity organizer started the education by explaining about balanced nutrition, Covid-19, and sources of nutrients that can be consumed during the Covid-19 pandemic to increase immunity and recovery. The activity organizer provided counseling for approximately 60 minutes and continued with a question and answer session. In this session, 5 people asked questions and discussed their experiences in consuming certain sources of nutrients during the Covid-19 pandemic.