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Sleep is a basic need for every human being. Every human being needs adequate sleep in order to obtain a healthy and good body. Poor sleep quality is one of the causes of many medical ailments and has a strong relationship between physical, psychological and sleep health. According to several studies on sleep quality, a person's sleep quality is influenced by several factors such as physical activity, stress and emotion, surfing the internet, watching television and having other habits such as drinking alcohol, smoking and fast food. The student group is a group that has a fairly solid activity. Students can experience disturbances in the circadian cycle due to increased pressure from the academic environment so that groups of students do not have enough sleep. Some of the stressors from Medical Faculty students include busy class schedules, piled up assignments, anxiety before exams that affect the sleep quality of the Medical Faculty students. To determine the relationship between physical activity and emotional stress on decreased sleep quality in students of the Faculty of Medicine, UMSU class 2018. This study used an analytical descriptive method with a cross sectional design. The data was processed using the SPSS Chi-Square test in June 2022 at the Faculty of Medicine, University of Muhammadiyah North Sumatra. Based on the results of the analysis, the demographic characteristics of the average age of respondents were 22 (range 22-24) years and 97 (74%) of respondents were women, the frequency of poor sleep quality was the highest (79.4%), the frequency of light physical activity as much as (55%) and the frequency of moderate emotional stress (84%). Multivariate analysis showed that the factors that influence the decrease in sleep quality were emotional stress with p value = 0.001. Physical activity statistically did not affect the decrease in sleep quality with p value = 0.993. There is a significant relationship between emotional stress and decreased sleep quality in students of the Faculty of Medicine, University of Muhammadiyah North Sumatra, Class of 2018.

The No Smoking Area (KTR) is a form of protection for the community from the adverse effects of smoking, which is regulated in Regional Regulation Number 2 of 2016. This study aims to analyse the implementation of the KTR policy in the Regional Apparatus Organisation (OPD) of Merangin Regency by reviewing four aspects of policy implementation, namely communication, resources, disposition, and bureaucratic structure. This research used a descriptive qualitative approach with data collection techniques in the form of interviews, observation, and documentation. The research informants consisted of OPD parties involved in the implementation of KTR. The results showed that in the communication aspect, KTR policies have been socialised through print and electronic media, but delivery training has not been carried out optimally. In the resource aspect, limited human resources, funds, and facilities are the main obstacles in implementing KTR. In the disposition aspect, most OPDs show commitment in implementing KTR, but have not been supported by providing incentives or awards. In the aspect of bureaucratic structure, there is no special SOP or organisational structure in each OPD for KTR implementation, so the implementation is still not running optimally. In conclusion, the implementation of the KTR policy in Merangin Regency has not run optimally because there are still weaknesses in the four aspects, especially related to coordination, human resources, and supporting institutions.

Cervical cancer remains one of the leading causes of mortality among women, particularly in developing countries such as Indonesia, where prevalence is high and early detection is often delayed. This study aims to identify and synthesize the major risk factors for cervical cancer through a systematic review of both national and international literature. The core problem addressed is the lack of a comprehensive and context-relevant risk framework for Indonesian women, resulting in suboptimal preventive interventions. The proposed method is a qualitative descriptive literature review, analyzing 15 selected scientific articles based on defined inclusion criteria. Key findings indicate that age ≥35 years, high parity, early sexual activity, smoking habits, prolonged use of hormonal contraceptives, low educational attainment, and physically demanding occupations are significant determinants of increased cervical cancer risk. The synthesis of ideas shows that biological, behavioral, social, and environmental factors interact in complex ways to influence vulnerability to cervical cancer. This study concludes that cervical cancer prevention requires a multidimensional approach that integrates education, routine screening, and increased public awareness of modifiable risk factors. The findings are expected to inform more effective and context-sensitive health policy development in Indonesia.

Pregnancy, labor, and the postpartum period can all be more hazardous for the health of the mother and fetus in high-risk pregnancies. By doing a thorough literature analysis, this study seeks to determine the contributing factors to high-risk pregnancies. Methods: A systematic review of the literature utilizing ten national journals from PubMed and ten foreign journals from Google Scholar. The inclusion criteria were observational and cohort research articles published between 2020 and 2024, as well as systematic reviews of research articles with their determinants found in databases like PubMed and Google Scholar. Maternal factors (age <20 or >35 years, history of chronic diseases, and maternal health condition), obstetric factors (pregnancy spacing too close, multiparity, or history of previous pregnancy complications), and socioeconomic factors (low education, limited access to health services, and poor economic status) are the factors that contribute to high-risk pregnancies, according to the analysis. Furthermore, bad lifestyle choices like drinking alcohol, smoking, and not eating enough food all play a big part. The study's findings emphasize the value of multifaceted initiatives that include education, better access to healthcare, and a comprehensive approach to policy in order to lower high pregnancy risk.

The study aims to develop self-help book media to understand the dangers of smoking. The method used is Research and Development (R&D) with the development of ADDIE Analysis, design, development, implementation and evaluation). The evaluation was carried out by validators of media experts, materials, language experts and expert practitioners. Based on these data, the results of the evaluation of the validity of media experts were 85%, material experts were 80%, the percentage obtained from language experts was 96.4% and the percentage from practitioners was 84.6%. The average feasibility result was 86.5% with the category "feasible" for use. Self-help books can be used independently and packaged systematically. Limited trials were conducted on 19 guidance and counseling students from the 2023 and 2024 intakes. So it can be concluded that the development of self-help books to provide an understanding of the dangers of smoking is a self-help book that is feasible to implement.

Oxidative stress is caused by regular smoking. If oxidative stress is higher than the level of antioxidants, there is said to be oxidative stress. SOD, CAT and GPx enzymes in the plasma help to reduce the harm caused by oxidative stress. This study aimed to discover if smoking regularly had any impact on the enzymes found in adults. A total of 120 people, with 60 chronic smokers and 60 nonsmokers, took part in the study and each group of 60 had equal numbers of men and women. All donors of blood and plasma had their levels of SOD, CAT and GPx checked using regular spectrophotometric procedures. I carried out the analysis using SPSS software version 26.0. The levels of SOD (1.82 ± 0.29 U/mL), CAT (31.5 ± 4.8 IU/mL) and GPx (3.21 ± 0.52 IU/mL) were lower in smokers compared to non-smokers. The gender levels showed the same effect on the study results as the smoking levels and did not interact with one another. Generally, regular smoking can decrease the amount of this enzyme working in plasma, so the body becomes less able to protect itself from oxidation for both men and women. It indicates that smoking leads to a health issue and advises taking actions to decrease risks for smokers.  

Tuberculosis (TB) is currently a public health problem in the world, especially in Indonesia. Pulmonary TB is ranked 2nd as the main cause of death from infectious diseases after Human Immuno deficiency Virus (HIV). Pulmonary Tuberculosis is easily spread through the air when people who are sick with Pulmonary Tuberculosis release bacteria through the coughing mechanism. The spread of these bacteria is through sputum splashes or droplet nuclei released by TB sufferers through coughing, sneezing or talking face to face. The increase in TB cases is related to the degree of health in the community. The biggest factors that affect the degree of health are environmental factors and community behavior itself which can be detrimental to health. Risk factors for Tuberculosis transmission are environmental factors and behavioral factors, environmental factors include ventilation, housing density, temperature, lighting and humidity. While behavioral factors include smoking habits, spitting or throwing phlegm anywhere, coughing or sneezing without covering the mouth and the habit of not opening windows and not implementing clean and healthy living behavior (PHBS). This research method is a quantitative study with statistical tests with a cross-sectional design. This study was conducted at SMP 4 Ulee Rubek, North Aceh in November 2024. The research sample consisted of 15 children, Data collection techniques using questionnaires. Data analysis used descriptive statistical tests to test adolescents' knowledge about how to prevent TB. In addition to effective coughing, there are several ways to control pulmonary tuberculosis, namely by cultivating a clean and healthy life and cultivating ethical coughing behavior.

The smoking habits of family members are one  the causes of Bronchopenumonia in toddlers since smoking can damage the air quality around toddlers. The purpose of this research was to find out the correlation between family members' smoking behavior with the incidence of bronchopneumonia in toddlers at the GMIM Pancaran Kasih General Hospital Manado. This study used an analytic descriptive method with a cross-sectional approach. It was conducted at the GMIM Pancaran Kasih General Hospital Manado from January to February 2025. The sample of this study amounted to 30 respondents. Data collection used a family member smoking behavior questionnaire and Bronchopneumonia data observation sheet. The results showed that there are 22 toddlers had severe bronchopneumonia with severe smoking of their family members, and 8 toddlers had mild bronchopneumonia with mild smoking behavior of their family members. The Chi-Square test showed p=0.007, with a p value smaller than alpha (α) = 0.05. The conclusion in this study is  that there is a highly significant correlation between family members' smoking behavior and the incidence of bronchopneumonia in toddlers at the GMIM Pancaran Kasih General Hospital Manado. Suggestions for families should be able to stop smoking behavior that will have an impact on toddlers and surrounding people.

One way to convert conventional cigarettes to electronic cigarettes is by using vapes. Electronic cigarettes have been widely available since 2014 and have gained popularity among various customer demographics. The number of people using electronic cigarettes in Indonesia continues to increase every year. The trend of vape pods has gained popularity among Generation Z and other young generations. Many people use vape pods because they provide a variety of flavors and less concentrated smoke. The use of vapes, or electronic cigarettes, has become common among young Generation Z. The purpose of this study was to determine the substantial impact of vaping and smoking on the lifestyle of Generation Z. The methodology used was a literature review using a qualitative descriptive study approach. Literature analysis was conducted using fifteen publications from national and international databases, including Google Scholar and PubMed, published between 2020 and 2025. The findings of the review indicate that a number of factors, such as family, friends, and environment, influence vape user adherence.

AInfertility is a condition in which a person or couple is unable to achieve pregnancy after 12 months or more of regular sexual intercourse without contraception. Based on available data, the infertility rate in North Sumatra reaches 15% to 17% per year of all married couples, However, specific data on the level of infertility. This study uses a descriptive method that aims to identify the factors that cause infertility in fertile couples in Purwodadi Mulyorejo Village, Sunggal District, in 2023. The population in this study were all mothers of fertile couples who lived in Purwodadi Village, Sunggal District, in the period January-May 2023, with a total of 145 people. The sample is part of the population studied and has characteristics that are in accordance with the study. In this study, the sample used was 30 mothers of fertile couples. Of the 30 respondents who had a smoking habit, 20 people (66.7%) experienced infertility. Meanwhile, from respondents who did not smoke, as many as 10 people (33.3%) did not experience infertility. The results of the analysis showed p-value = 0.001 <α = 0.05, which means there is a significant relationship between lifestyle, especially smoking habits, and the incidence of infertility.

Smoking remains a major public health issue that is difficult to address, particularly among adolescents. The rising number of young smokers is a concerning issue due to the long-term detrimental consequences it poses, both in terms of health, social, and economic aspects. Adolescence is a period of identity exploration and challenges, and unfortunately, many young people fall into the habit of smoking. The community service conducted at SMA Negeri 1 Seram Bagian Barat on october 17, 2024, aimed to raise awareness about the dangers of smoking and prevention efforts. The activity involved socialization, interactive discussions, and pre-test and post-test assessments to measure participants' knowledge changes. The results showed an increase in students' knowledge about the dangers of smoking. Additionally, interviews with participants revealed that peer influence and family environment played a significant role in influencing adolescent smoking behavior. These findings support Bandura's Social Learning Theory, which states that behavior is largely influenced by observation of one's social environment. Efforts to prevent smoking among adolescents need to involve active participation from families, schools, and communities.

Type 2 diabetes mellitus is a chronic disease caused by metabolic disorders, characterized by impaired insulin secretion and action, with its prevalence continuously increasing. This study aims to describe blood glucose levels and blood pressure in patients with type 2 diabetes mellitus at the Kalibagor Health Center based on respondent characteristics. The method used is descriptive quantitative with a cross-sectional design, involving 50 patients with type 2 diabetes mellitus selected through total sampling technique. Data were collected through random blood glucose tests, blood pressure measurements, and interviews regarding smoking habits and family history. The results showed that 58% of respondents had high blood glucose levels, while 70% had normal blood pressure. Respondents with a family history of diabetes were more likely to experience high blood glucose levels, while smokers had a higher risk of experiencing high blood pressure. This study also found the influence of age, gender, and family history on blood glucose and blood pressure levels. Therefore, further education on healthy lifestyle and risk factor management is needed to prevent further complications in patients with type 2 diabetes mellitus.

Hypertension or high blood pressure is defined as a continuous increase in blood pressure that exceeds normal limits (Nuraini et al., 2023). Hypertension occurs due to several factors, the first being modifiable and non-modifiable factors. Among the modifiable risk factors for hypertension are smoking and obesity. People who smoke more than one pack of cigarettes per day will be twice as vulnerable as people who do not smoke (Luh et al., 2020). The purpose of this study was to determine the correlational between smoking and BMI with the incidence of hypertension in adult men in Alassumur Lor Besuk Probolinggo. The research design used an Correlational Analytic with a cross-sectional approach. The population in this study was 35 with a total sampling technique. The research instrument used a questionnaire, then the data obtained will be tested by Spearman rank. The results of the study obtained the smoking variable ρ = 0.018, the BMI variable ρ = 0.071. This shows that there is a corelation between smoking behavior and BMI with the incidence of hypertension. Smoking behavior that is increasingly uncontrolled will cause hypertension and accumulation of fat on the walls of blood vessels can cause narrowing and hardening, increasing blood flow resistance and ultimately increasing blood pressure. It is hoped that respondents will reduce their smoking habits and start a healthy life by maintaining a diet, exercising regularly and eating nutritious foods.

Hypertension is a major cause of heart failure, stroke and kidney failure. Prevalence of hypertension in Indonesia in the urban and rural areas ranged between 17-21%. Smoking is one cause that can affect blood pressure. The aim of this research is to discover the relationship between the smoking activity and hypertension on men aged 45 year-old and older in Klinik Pratama Cinangsih Medika Cianjur. This research is a correlative descriptive. The approach used cross-sectional with total samples were 98 respondents. The sampling technique used was purposive sampling. The instrument used in this study was questionnaire. Data was obtained through questionnaires distribution and interviews, and blood pressure measurement. The data collected was processed by using Chi-square statistical test with degree of significance p value < 0.05. The result showed 74 people (75,5%) smoked and those who suffered hypertension were 75 people (76,5%). From bivariate test result showed there is relationship between number of cigarettes taken and hypertension (p = 0,005), there is relationship between way of smoking and hypertension (p = 0,008), there was no relationship between smoking duration and hypertension (p = 0,059), there is relationship between type of cigarette and hypertension (p = 0,027), and there is relationship between the activity of smoking and hypertension (p = 0,007). Suggestions the researcher can propose concerning this research are to reduce hypertension risk as the effect of smoking, cigarette consuming should be decreased gradually to stop smoking in advance, the result of this research can be served as reference in dealing with patients suffering for hypertension, especially, in Cianjur. Keywords: Smoking activity (number of cigarette, way of smoking, smoking duration, sort of cigarette), Hypertension.  

Reported that hypertension contributes to around 9.4 million deaths worldwide each year. This makes it one of the main risk factors for cardiovascular disease and related deaths. The prevalence of hypertension in individuals aged 18-39 years shows a figure of around 7.5%. At the global level, stroke, heart disease, and hypertension rank first, second, and twenty-ninth in causes of death. In Indonesia, the percentage of deaths from 50 diseases that cause death shows that stroke contributes 23.48%, heart disease 9.89%, and hypertension 3.02%. This study is a quantitative descriptive study with a cross-sectional approach that aims to describe the blood pressure profile in students. The population in this study were active students aged 18-23 years. The sampling technique used the purposive sampling method. The results showed that the average blood pressure in men tended to be higher than in women. Blood pressure in male students was an average of 128.9 / 83.25 mmHg and women 118.25 / 76 mmHg. The average blood pressure in men is included in the pre-hypertension category. Various factors cause hypertension at a young age, mainly caused by lifestyle, diet, smoking behavior and lack of physical activity. High blood pressure in young adults is strongly associated with an increased risk of heart and kidney disease later in life. Therefore, various forms of prevention are needed, especially related to behavioral changes so that complications do not occur in the future.

Smokers in Indonesia are increasing every year, cigarettes are one of the bad effects on health that are not only detrimental to smokers but also have a bad impact on the people around them, some of the factors that can influence a person to quit smoking are the level of knowledge of the dangers of cigarettes and good family support. The purpose of this study is to determine the relationship between the level of knowledge and family support and the desire to quit smoking in students Quantitative research, independent variables of knowledge and family support, dependent variables of desire to quit smoking, using a cross-sectional study design, descriptive analytical approach, with a total sampling technique of 90 respondents using a valid and reliable questionnaire. The analysis uses the Somers'd test The level of knowledge showed a good category of 73.4%, medium family support of 75.6% while the desire to quit smoking was a high category of 49.2%. The relationship between the level of smoking knowledge and the desire to quit smoking of students was significant with a p value of 0.000, a correlation value of 0.602, a strong category correlation, a positive relationship direction while the relationship between family support and a significant desire to quit smoking was a p value of 0.000, a correlation value of 0.424, a moderate category correlation, a positive relationship Conclusion: There is a relationship between the level of knowledge and family support and the desire to quit smoking of students. The research has a positive impact on encouraging students' awareness to stay away from smoking habits so that they can implement a good lifestyle in the community. The researchers suggested that a larger number of samples could be involved with more than 1 observation and use other study designs in the study.

This research aims to design a closed fish smoking device using coconut fiber as an energy source to smoke cursed fish or snakehead fish, which is different from traditional smoking equipment. This research was carried out in the tool making stage and the tool testing stage. This fish smoking tool modification is designed from an iron, aluminum frame and stainless steel rack. The open process of smoking fish at home has disadvantages such as unknown temperature and smoke, resulting in uneven maturity levels and longer smoking times. The research method was carried out by making tools and testing the tools. The time required for the process of smoking fish using this modified tool is around 50 to 60 minutes with the fuel amount being 2 kg of coconut husks and coconut shells with 150 ml of kerosene. This smoking tool is more efficient in carrying out smoking because the smoke is trapped in the drum tube, there is only one chimney so that the smoke is more easily absorbed by the fish and has a more distinctive characteristic in smoking.

Background : Smoking is a dangerous habit that causes various diseases and death.  Passive smokers, especially children and teenagers, are more susceptible to disease than active smokers.  The prevalence of passive smoking in Indonesia is quite high, especially among women (66%) and teenagers (12.7%).  Jambi Province has a high number of active smokers (27.47%), resulting in an increase in passive smoking among children and teenagers.  Therefore, this study aims to analyze the factors that influence passive smoking behavior among elementary school children in Jambi Province. Methods : This research uses quantitative methods with an analytical observational design.  The design of this research is cross-sectional, where each subject is only observed once.  Data collection was carried out through approaches, observations and data collection simultaneously on students at Elementary School 59/IV, Jambi City. Results : The results showed that 9 respondents (13.8%) were passive smokers, while 56 respondents (86.2%) did not smoke passively.  Statistical analysis found a significant relationship between knowledge and attitudes and passive smoking behavior (p < 0.05).  However, the influence of peers and family did not have a significant relationship. Conclusion : This research concludes that increasing knowledge and positive attitudes can reduce the risk of passive smoking behavior in elementary school children.  Therefore, prevention programs should focus on health education and the formation of positive attitudes.

World Health Organization (WHO) hypertension is the leading cause of premature death worldwide. Changes in dietary patterns have occurred almost all over the world, both in developed and developing countries. Based on a preliminary study conducted at Posbindu Semanan 1 Jakarta on August 4, 2024, researchers interviewed elderly people with hypertension, elderly people still consume a lot of foods containing excess sodium (salt), salted fish, smoking, consuming caffeine, stress, and staying up late. All of these factors cause some respondents to experience hypertension. This study is a quantitative study with a cross-sectional analytical survey design. The population is the elderly living in RW.006, Semanan Village, in the working area of ​​UPT Puskesmas Semanan 1. The sampling technique for this study was nonprobability sampling with a purposive sampling method. The results showed that the majority of elderly people aged <60 were 21 (52.5%), the majority of elderly people were female as many as 27 (67.5%), and the majority of elderly people had elementary school education as many as 23 (57.5%). The results of the identification of the majority of elderly people with good knowledge were 23 (57.5%), the majority of elderly people experienced hypertension as many as 27 (67.5%). The results of the bivariate analysis showed a relationship between elderly knowledge about the food consumed and the incidence of hypertension, the majority of elderly people with poor knowledge were 15 (88.2). The relationship between elderly knowledge about the food consumed and the incidence of hypertension p-value 0.039 <0.05. The conclusion is that there is a relationship between knowledge and the behavior of food consumed and the incidence of hypertension.

Adaptive mall behavior, can be said as behavior that is not according to demands environment maladaptive behavior as behavior that is not desired that could be disruptive individual adaptive function in his daily life. This research aims to know about spiritual services to address behavior adaptive mall children become adaptive. This research uses qualitative approach with descriptive methods. Informant determination techniques with purpusive sampling, data collection techniques using interviews, observation and documentation Meanwhile, analysis techniques data using triangulation. The research results show that form of behavior children's adaptive mall in Women's Charitable Orphanage Foundation includes: likes playing truant, fighting and smoking. As for service needs spiritual includes reciting the Koran , prayer, and studying religious knowledge.