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Health education at the elementary school level represents a long-term investment in developing a stronger and more capable generation. By fostering a proper understanding from an early age, children are expected to build a resilient defense against various health threats. This community service program aims to broaden the knowledge and awareness of students at SDN 054945 Dogang Village, Gebang District, Langkat Regency, North Sumatra, regarding Clean and Healthy Living Behavior (known as PHBS). As a promotive and preventive strategy, PHBS is essential to instill from childhood to cultivate healthy habits and prevent various health disorders. This study utilizes a qualitative approach, applying the Miles and Huberman interactive analysis model. The activity, conducted on July 20, 2024, involved 77 fourth and fifth-grade students and followed three main stages: preparation, implementation, and evaluation. Socialization was carried out interactively through handwashing tutorial videos, physical exercises, PHBS-themed songs and rhythmic clapping, and Q&A sessions. The results indicated an improvement in students' understanding of various PHBS indicators, including handwashing habits, waste management, healthy food consumption, physical activity, growth monitoring, avoiding tobacco smoke, maintaining toilet cleanliness, and eradicating mosquito larvae. The active participation shown by the students reflects a heightened awareness of practicing PHBS within the school environment. In conclusion, this educational initiative has delivered a positive impact on student knowledge and holds the potential to foster a sustainable culture of clean and healthy living, both at school and in their daily lives.

Adolescence is a crucial period in human development, characterized by biological, psychological, and social changes. At this stage, adolescents require proper understanding of reproductive health to prevent risky behaviors and to support the development of healthy and responsible attitudes. This community service activity aimed to improve students’ knowledge of reproductive health through socialization at State Vocational High School (SMKN) 1 Mempura, Siak Regency. The method used was descriptive qualitative with a focus on education through material delivery, interactive discussions, and question-and-answer sessions. The activity was conducted on August 14, 2025, at the SMKN 1 Mempura Hall, involving 39 students out of 50 targeted participants. Data were obtained through observation of students’ participation and documentation of the activity, and were then analyzed descriptively and qualitatively. The results showed that students were enthusiastic in attending the socialization and demonstrated improved understanding of reproductive health concepts, reproductive organ functions, personal hygiene, and the risks of unsafe sexual behaviors. The interactive discussion also revealed students’ willingness to ask questions and share perspectives, reflecting stronger attitudes and confidence in maintaining reproductive health. In conclusion, the socialization of reproductive health at SMKN 1 Mempura successfully enhanced students’ knowledge and awareness. Despite limitations in terms of time allocation and long-term evaluation, this activity provided tangible benefits. Future efforts are recommended to develop sustainable programs supported by additional learning media and closer collaboration with the school.

Reproductive health is a crucial factor in adolescent development, particularly among Generation Z, characterized by rapid technological advancements, changing lifestyles, and increased exposure to risky behaviors. A lack of understanding of reproductive health among adolescents can lead to various physical and mental health problems, including reproductive infections, sexually transmitted infections, and mental health issues. This community service program aims to broaden adolescents' knowledge and awareness of the importance of maintaining reproductive health in the Generation Z era. The activity was held on December 6, 2025, at Nur Adia High School and involved 60 students as participants. The methods applied in this program included health education, interactive discussions, and question-andanswer sessions. The results showed an increase in participants' understanding of reproductive health, personal hygiene practices, healthy lifestyles, and prevention of risky behaviors. It is hoped that this activity can be a preventative measure in increasing awareness of reproductive health and supporting the development of a healthy and responsible young generation. Keywords: Reproductive Health, Gen Z Youth, Health Education

The use of radiation-based medical equipment such as CT Scan poses potential risks of radiation leakage that may endanger patients, medical personnel, and the surrounding environment if not properly managed. This study aims to analyze radiation safety policies in anticipating radiation leakage in the CT Scan unit of Royal Prima General Hospital Medan, covering policy frameworks, physical protection measures, implementation challenges, and supervision and evaluation systems. This research employed a qualitative approach with a case study design. Data were collected through in-depth interviews, observations, and document reviews related to radiation safety policies. The results indicate that radiation safety policies at Royal Prima General Hospital Medan have referred to BAPETEN regulations and international standards, particularly in the structural protection of the CT Scan room, which has been proven effective in maintaining radiation exposure levels below the permissible limits. However, policy implementation still faces several obstacles, including budget limitations, non-compliance of some medical staff with the use of personal protective equipment, and suboptimal discipline in adhering to standard operating procedures. Supervision and evaluation have been conducted internally by certified Radiation Protection Officers and externally through periodic inspections by BAPETEN, yet further strengthening is required in terms of staff behavior and safety culture. In conclusion, radiation safety policies have been technically effective, but continuous improvement in compliance, supervision, and safety culture among medical personnel is essential to sustainably minimize the risk of radiation leakage.

Organizational commitment is essential for maintaining hospital performance, service quality, and healthcare continuity. Preliminary data from Brebes Regional General Hospital shows that 35% of medical doctors face issues with low organizational commitment, which may negatively impact the institution's effectiveness. This study examines how meritocracy strengthens the effects of transformational leadership and work motivation on medical personnel's organizational commitment. A quantitative approach with causal research design was used to analyze the relationships among these variables. The sample included 72 doctors, selected through purposive sampling. Data were collected via structured questionnaires and analyzed using Moderated Regression Analysis (MRA) to assess both direct and moderating effects. The findings show that transformational leadership, work motivation, and meritocracy together significantly influence organizational commitment. Transformational leadership and work motivation each have a positive impact on organizational commitment. Additionally, meritocracy serves as a moderating factor, enhancing the connection between leadership and commitment, as well as work motivation and commitment. These results suggest that meritocratic systems based on competence, performance, and achievement improve leadership effectiveness and motivation, fostering greater commitment among medical staff. The study suggests that hospital management should implement meritocratic principles consistently in leadership and human resource practices, alongside developing transformational leadership and motivation strategies, to maintain high levels of organizational commitment among medical personnel.

Health counseling is one of the strategic approaches to increase students' knowledge and awareness of the importance of maintaining holistic health which includes physical, mental, social, and reproductive aspects. This activity will be held on March 19, 2025 at Sekolah Tinggi Ilmu Kesehatan Mitra Sejati with interactive lecture methods and educational games "Smart Cards". This study aims to determine the effectiveness of educational methods in improving students' understanding of health issues such as balanced nutrition, personal hygiene, reproductive health, and the dangers of smoking. Through pre-test and post-test analysis of 35 students, a significant increase in participants' understanding was found after participating in counseling. In addition, a fun and participatory approach has been shown to be effective in encouraging active engagement of students, including those who were previously passive. Educational games help to convey material in a more engaging and easy-to-understand way. The results of this activity show that the combination of interactive methods and visual educational media is able to strengthen students' understanding and awareness of the importance of healthy living behaviors. This program has the potential to be replicated in other educational environments to encourage the implementation of a healthy lifestyle among adolescents and students.

Bitter melon (Momordica charantia) is a medicinal plant traditionally used to control blood glucose levels and improve digestive health. These benefits are closely associated with its bioactive metabolite content. This article aims to characterize the bioactive metabolites of bitter melon and to review their potential bioactivity in glycemic control and digestive function. The method employed includes a literature-based characterization of metabolites, identification of major classes of active compounds, and evaluation of analytical techniques commonly applied in natural product research, such as phytochemical screening, chromatography, and spectroscopic analysis. The results indicate that bitter melon contains various bioactive metabolites, including flavonoids, alkaloids, saponins, triterpenoids, and polyphenols, which contribute to blood glucose reduction by enhancing insulin sensitivity and inhibiting glucose absorption. Furthermore, these compounds support digestive health by improving digestive enzyme activity, exhibiting anti-inflammatory effects, and maintaining gut microbial balance. In conclusion, bitter melon represents a promising source of natural bioactive compounds with significant potential for application in health and pharmaceutical development.

This study aims to describe dietary patterns, food consumption habits, hygiene awareness, and environmental and social factors related to digestive disorders in junior high school students. This study used a descriptive approach with a closed-ended interview method (Yes/No answers) with Thirty-five  junior high school students using 15 questions. The results showed that some students did not have consistent breakfast habits, had a high tendency to consume fried foods and sugary drinks, and demonstrated low awareness of food safety and hygiene habits such as washing hands before eating. In addition, the school environment, peer influence, and psychological well-being influence students’ eating patterns. These factors contribute to digestive problems in some students. Therefore, schools must actively participate in maintaining a clean environment, providing students with healthy food options, and providing ongoing nutritional instruction on digestive health.

Personal hygiene is an essential factor in maintaining the health and quality of life of the elderly, as aging is often accompanied by a decline in physical strength, mobility, and cognitive function that can reduce the ability to maintain personal cleanliness independently. Limited understanding of the importance of personal hygiene may increase the risk of infections, skin disorders, and other health complications, making education and awareness crucial for promoting better hygiene behavior. This study used a descriptive correlational design with a cross-sectional approach involving 204 elderly individuals residing at the Pucang Gading Elderly Social Service Home in Semarang and Wening Wardoyo Ungaran, with 135 respondents selected using a non-probability sampling technique. Data were collected using validated and reliable questionnaires measuring the level of understanding and personal hygiene practices and were analyzed using the Somers’d statistical test. The results showed that most respondents were female (60%) and aged between 70–79 years (48.9%). The level of understanding of personal hygiene among the elderly was predominantly in the moderate category (72.6%), and their personal hygiene practices were also mostly categorized as moderate (72.6%). Statistical analysis revealed a p-value of 0.000 (<0.05) with a correlation coefficient (r) of 0.472, indicating a positive and significant relationship between the level of understanding and personal hygiene practices. These findings suggest that improving knowledge through continuous education and guidance from health workers is necessary to enhance awareness, independence, and hygiene behavior among the elderly.

In Indonesia, mental health issues among adolescents are prevalent. Mental health of both victims and offenders is affected by bullying, and it could lead to ongoing mental health issues such as worry and sadness. The objective of this study is to investigate the connection between bullying and teenage mental health in SMP Negeri 2 Blang Bintang. The study was implemented from June 17 to June 19, 2025, using a cross-sectional design and a quantitative research methodology. A sample of 60 teenagers was chosen via proportional random sampling from the total population of 151 adolescents.The General Health Questionnaire-12 (GHQ 12) and the Olweus Bully/Victim Questionnaire (OBVQ) were the research tools utilized. The chi-squared test was used to evaluate the data. The findings revealed that out of 54 victims of bullying, the majority (48 individuals or 88.9%) had impaired mental health. Conversely, among 6 non-victims, most (5 individuals or 83.3%) did not have impaired mental health. The chi-square test indicated p = 0.001, meaning bullying victims and mental health are significantly correlated.. Additionally, among 49 bullying perpetrators, most (46 individuals or 93.9%) had impaired mental health, while among 11 non-perpetrators, most (8 individuals or 72.7%) did not have impaired mental health. The chi-square test also showed p = 0.001, indicating a strong correlation between the mental health of bullies and their behavior. The researchers recommend the importance of maintaining mental health and collaborating across various sectors to reduce bullying behavior.

Breast cancer is a chronic disease that affects not only physical health but also psychological, social, and spiritual aspects of patients’ lives. Spiritual well-being is an important internal resource that helps patients cope with illness, maintain hope, and find meaning in life during long-term treatment. This study aimed to describe the level of spiritual well-being among breast cancer patients undergoing treatment. This research employed a quantitative descriptive design with a cross-sectional approach. A total of 142 breast cancer patients were selected using purposive sampling at the Oncology Center of RSUD dr. Zainoel Abidin Banda Aceh. Data were collected using the Spiritual Well-Being Scale (SWBS), which measures religious and existential well-being, and were analyzed descriptively. The results showed that the majority of respondents had a high level of spiritual well-being (66.2%), while 23.9% were categorized as moderate and 9.9% as low. These findings indicate that breast cancer patients generally have strong spiritual resources, particularly in maintaining their relationship with God and finding meaning and purpose in life despite living with a chronic illness. This study highlights the importance of integrating spiritual assessment and spiritual care into holistic nursing practice, especially in palliative and supportive care settings.

Increasingly complex environmental problems, including pollution, ecosystem degradation, and climate change, demand greater awareness and active participation from all sectors of society, particularly students as agents of change. A clean and green campus environment is essential for supporting comfort, health, and the sustainability of academic activities. As centers of education and innovation, universities hold a strategic responsibility to cultivate environmental awareness through the implementation of the green campus concept. This study aims to examine the level of student awareness regarding campus cleanliness and greening based on findings from previous research. The method employed is a literature review, analyzing various relevant sources such as scientific journal articles, academic books, and policy documents related to sustainable campus management. The analysis was conducted using a descriptive qualitative approach to identify recurring patterns, prevailing trends, and key factors influencing students’ environmental awareness and behavior. The results indicate that student awareness levels generally fall within the fair to good category. Students with higher environmental awareness tend to participate more actively in maintaining cleanliness and supporting campus greening initiatives. However, the development of environmentally responsible behavior is strongly influenced by adequate facilities, supportive institutional policies, and a sustainability-oriented campus culture. Therefore, strengthening the role of higher education institutions through comprehensive environmental policies and structured sustainability programs is crucial to fostering clean, green, and sustainable campuses.

A healthy and sustainable company is the primary measure of financial performance. Approaches such as financial ratios are not sufficient to assess financial performance; methods that provide a more comprehensive picture of a company's economic value creation are also needed. Economic Value Added (EVA) is one method that can be used in performance measurement. This study aims to determine the financial performance of PT Astra Otoparts Tbk from 2020–2023 using the Economic Value Added (EVA) method, through a quantitative descriptive approach. The annual financial reports of PT Astra Otoparts Tbk from 2020 to 2023 obtained from the official website of the Indonesia Stock Exchange and the company's official website are the data used in this study. The financial performance of PT Astra Otoparts Tbk from 2020 to 2023 is considered good based on the results of the study, because the company was able to generate a positive EVA value each year, indicating that the company has succeeded in creating economic added value for shareholders and maintaining its business continuity.

This study investigates the influence of Apparatus Competency and Information Systems on Community Political Participation in the Local Government Head Election during the COVID-19 pandemic era in Karawang Regency. The COVID-19 pandemic has posed significant challenges to democratic processes, particularly in maintaining voter participation while ensuring public health safety. Employing a mixed-methods approach combining quantitative and qualitative data with Structural Equation Modeling (SEM) analysis, this research analyzed data from 263 respondents across various election administrative units. The results indicate that: (1) Apparatus Competency does not have a significant positive effect on Community Political Participation (T-value = 1.01 < 1.96); (2) Information Systems have a significant positive effect on Community Political Participation (T-value = 2.78 > 1.96; path coefficient = 0.67). The combined contribution of both variables explains 76% of the variance in political participation. From these findings, the study proposes the Skills Democracy Model, emphasizing that digital information skills and organizational experience are critical determinants of democratic participation quality during pandemic conditions. These findings have significant implications for election governance reform and e-democracy development in Indonesia.

Antibiotics are one of the main pillars in the treatment of bacterial infections and have contributed significantly to increasing human life expectancy. However, long-term use of antibiotics has serious consequences for the balance of the body's microbiome, especially the gut microbiome which plays an important role in maintaining homeostasis through the regulation of the immune system, metabolism, and protection against pathogens. This literature review aims to comprehensively analyze the impact of long-term antibiotic use on the structure, diversity, and function of the human microbiome. The scientific articles reviewed were obtained from PubMed, Scopus, ScienceDirect, and Google Scholar databases, including empirical research, systematic review, and meta-analysis published in the last ten years. The results showed that prolonged exposure to antibiotics consistently decreased microbiota diversity, altered the composition of bacterial communities, and triggered dysbiosis, which is often persistent even when therapy is stopped. Dysbiosis is associated with impaired immune system function, increased systemic inflammation, risk of allergic and metabolic diseases, and potential disorders on the intestinal-brain axis. This impact is more pronounced in vulnerable groups such as neonates and children, especially when exposure occurs during a critical period of development. In conclusion, long-term antibiotic use has broad systemic implications, so a more rational, prudent, and sustainable use strategy is needed to maintain the health of the human microbiome.

Diabetes mellitus is a chronic disease with a steadily increasing prevalence in Indonesia. This condition not only affects physical health but also requires patients to make significant lifestyle changes to maintain stable blood glucose levels. Efforts to adopt a healthy lifestyle such as regulating diet, exercising regularly, and managing stress are often met with various challenges. In this context, family support plays a crucial role in helping patients adapt and remain consistent in self-management. This study aims to describe the experiences of type 2 diabetes patients in maintaining a healthy lifestyle and the forms of family support they receive. A qualitative phenomenological approach was used, involving three participants undergoing outpatient treatment at RSUD Sultan Iskandar Muda Nagan Raya. Data were collected through in-depth interviews, observations, and documentation, then analyzed thematically. The findings show that patients face challenges in maintaining dietary control, consistent exercise, and emotional balance. However, family support such as reminding patients to take medication, providing healthy meals, and offering emotional motivation serves as a key factor that strengthens patients’ commitment to a healthy lifestyle. The study concludes that the success of diabetes management is highly influenced by active family involvement. Therefore, educational and health intervention programs should integrate families as essential partners in supporting patients with diabetes.

Parental mental health plays a critical role in fostering healthy parenting practices, particularly during early childhood. Nevertheless, many parents, including homemakers and working mothers, continue to demonstrate limited awareness of the importance of maintaining psychological well-being in the parenting process. This community service initiative aimed to enhance parents’ mental health literacy and raise awareness of its implications for parenting practices. The program employed a mental health education and outreach approach, incorporating structured presentations, interactive discussions, question-and-answer sessions, and the provision of practical coping strategies applicable to daily life. The activity was implemented among parents of kindergarten pupils. The findings indicated a notable improvement in participants’ understanding of parental mental health, increased awareness of stress management in parenting contexts, and an enhanced capacity to apply simple strategies to maintain emotional regulation. Moreover, participants demonstrated active engagement and positive responses throughout the programme. This initiative contributes to strengthening parental mental health awareness as a preventive measure to support healthier and more adaptive parenting practices within the family setting.

This study aims to examine the activity of ginger (Zingiber officinale) on metabolism and digestion through a laboratory experimental approach. Metabolism and the digestive system play a crucial role in maintaining physiological balance, and disturbances in these systems can affect nutrient utilization and overall health. Ginger has long been used as a traditional herbal remedy and is known to contain bioactive compounds such as gingerol, shogaol, and zingerone, which are believed to support digestive and metabolic functions. The research was conducted using ginger extract prepared through an extraction process under controlled laboratory conditions. Observations focused on changes in metabolic responses and digestive activity following the administration of ginger extract. The study employed a descriptive experimental design to provide an objective overview of ginger’s biological activity. The results indicated a gradual improvement in digestive activity and metabolic responses after treatment with ginger extract. These changes suggest that ginger extract has the potential to enhance digestive efficiency and support metabolic processes. The findings provide scientific support for the traditional use of ginger as a natural ingredient in maintaining metabolic and digestive health and may serve as a preliminary reference for further research using quantitative and clinical approaches.

Low public awareness of eye health and rational use of eye medications may increase the risk of eye disorders and infections. This community service activity aimed to improve public knowledge and awareness regarding the importance of maintaining eye health and applying the DAGUSIBU principle (Get, Use, Store, and Dispose of medicines properly) in the use of eye drops. The activity was conducted at the Klinik Pratama Nusantara Kesehatan through interactive counseling, demonstrations of proper eye drop administration techniques, and education on the prevention of common eye disorders and the role of healthcare professionals. Pre-test and post-test evaluations showed a significant increase of approximately 35% in participants’ knowledge regarding eye hygiene and correct eye medication use. This educational program is expected to contribute to long-term improvements in rational eye medication use, reduce the risk of misuse, and serve as a model for sustainable eye health education in a primary healthcare settings.

Children at the elementary school level are in a phase of rapid growth, encompassing intellectual, physical, and social development. Within the age range of 6–12 years, children are expected to begin managing their own self-care, including maintaining daily personal hygiene. Personal hygiene refers to a set of self-care practices performed to maintain physical health and psychological well-being. Independence in personal hygiene can be defined as a child’s ability to carry out personal hygiene activities independently without reliance on others, related to both physical cleanliness and psychological comfort. This study aimed to describe the level of personal hygiene independence among school-age children at SD Negeri 1 Gianyar. The research employed a quantitative descriptive design with a cross-sectional approach. The study population consisted of 376 students from grades I to III, with a sample of 194 students selected using proportionate stratified random sampling. The results showed that the majority of respondents demonstrated good independence in personal hygiene, with 186 children (95.9%) categorized as independent, while 8 children (4.1%) were categorized as moderately independent. Children’s independence tended to increase with age, and no significant differences were found between male and female students. These findings indicate that the role of families and schools, through consistent habituation and support, plays a crucial role in fostering children’s independence in maintaining personal hygiene.