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Background: Anemia is one of the public health problems commonly found among adolescent girls, especially in developing countries like Indonesia. This condition affects concentration, academic performance, and productivity, making early detection an essential step to prevent long-term complications. Objective: This study aims to determine the results of early detection of anemia based on clinical symptoms and hemoglobin (Hb) levels among adolescent girls at SMPN 18 Palembang. Methods: This research used a descriptive design with a cross-sectional approach. A total of 132 seventh-grade female students were selected randomly. Data were collected through an anemia symptom questionnaire and hemoglobin level measurement using a hemoglobinometer. Results: The study found that 23.5% of respondents were anemic (Hb < 12 g/dL), and 48.5% showed symptoms of anemia. However, the sensitivity of symptoms in detecting anemia was only 39%, specificity was 19%, with a positive predictive value (PPV) of 60.93% and a negative predictive value (NPV) of 8.82%. Conclusion: Based on the findings, symptom-based detection alone is not sufficiently accurate to diagnose anemia. Hemoglobin level examination is still required as a more valid and objective screening method for the early detection of anemia in adolescent girls In addition to medical intervention, the study advocates for increased awareness and education about anemia, its causes, and prevention methods among students, parents, and educators. Addressing nutritional deficiencies, especially iron intake, through dietary improvements and supplementation is essential in combating anemia in adolescent girls.

Obesity among college students is a public health issue that is gaining increasing attention because it is associated with an increased risk of chronic diseases such as diabetes mellitus, hypertension, and heart disease, and can reduce quality of life and academic productivity. College students, as a group of early adults, are in a transition phase towards independence and are therefore vulnerable to lifestyle changes, including unhealthy eating patterns, fast food consumption, low physical activity due to busy studies, irregular sleep habits, and high academic stress. This study aims to determine the risk factors associated with obesity among students at the Islamic University of Ogan Komering Ilir in 2025. This study used a cross-sectional design with a quantitative approach. A sample of 95 students was selected using a purposive sampling technique. Data were collected through a structured questionnaire and body mass index (BMI) measurement to determine respondents' nutritional status. Independent variables included diet, physical activity, sleep quality, stress levels, and a family history of obesity. The results showed a prevalence of obesity of 17.9%. Bivariate analysis found a significant association between obesity and unhealthy diet (p=0.002), low physical activity (p=0.000), poor sleep quality (p=0.000), and high stress levels (p=0.001). Meanwhile, a family history of obesity showed a tendency to have an effect but was not statistically significant. These findings indicate that obesity in college students is largely influenced by modifiable lifestyle factors. Therefore, this study emphasizes the importance of health promotion interventions on campus, such as balanced nutrition counseling, increased access to sports facilities, stress management, and education on healthy sleep patterns. Promotive and preventive efforts undertaken from a young age are expected to reduce the risk of obesity and chronic disease in the future.

This study aims to improve the mathematics achievement of third-grade elementary school students through the implementation of the Problem-Based Learning (PBL) model within the framework of Classroom Action Research (CAR). The research was conducted at UPT SD Negeri Kutorejo 1 Tuban and involved 27 students over two instructional meetings. The study was carried out in two cycles, each comprising the stages of planning, implementation, observation, and reflection. Data collection techniques included learning outcome tests, interviews, and documentation. The data were analyzed using both quantitative and qualitative descriptive approaches. The findings indicate a notable improvement in students’ average mathematics scores, increasing from 79.47 in the first cycle to 83.91 in the second cycle. This improvement reflects the positive impact of the PBL model on students' conceptual understanding, problem-solving abilities, and active participation during the learning process. Throughout the intervention, students demonstrated increased engagement in group discussions, greater confidence in expressing ideas, and enhanced independence in addressing given problems. The PBL model proved effective in fostering active, collaborative, and meaningful learning. By presenting real-world contextual problems, the model not only enhanced students’ academic performance but also promoted the development of critical thinking, communication, and social skills. These outcomes align with 21st-century educational goals, which emphasize the cultivation of higher-order thinking skills. Theoretically, this study reinforces the effectiveness of PBL as an innovative pedagogical approach for mathematics instruction at the elementary level. It is recommended that educators systematically and consistently implement the PBL model in classroom practice. Future research is encouraged to explore the interaction between individual student characteristics and instructional models, in order to further optimize learning outcomes across various subject areas.

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

This study aimed to examine the relationships among mindset, anxiety, and the achievement of the Assessment of Regional Education Standardization (ASPD) results among ninth-grade students in public junior high schools in Yogyakarta City. Using a quantitative survey approach, the study involved 871 students selected through stratified random sampling based on the TPM stage 1 test scores from schools categorized into high, medium, and low strata for the 2022/2023 academic year. Data were collected using a questionnaire instrument, validated by two expert validators, and construct validity was confirmed through standardized loading factors, showing all items to be valid. Reliability was measured using Cronbach's Alpha, yielding 0.508 for mindset and 0.724 for anxiety. Data analysis employed Structural Equation Modelling (SEM) in R Studio, with model fit assessed through RMSEA, GFI, AGFI, and CFI criteria. Results revealed that the mindset measurement model demonstrated an excellent fit, and the anxiety measurement model also fit the data well after minor modifications. Structural model testing confirmed a good overall fit. Findings indicated that anxiety directly influenced ASPD achievement, with higher anxiety associated with lower results. Mindset did not have a direct effect on ASPD outcomes but negatively influenced anxiety, meaning a stronger growth mindset led to lower anxiety levels. Furthermore, mindset indirectly affected ASPD achievement through its impact on anxiety, demonstrating that fostering a growth mindset can enhance students’ performance by reducing anxiety.

Brushing teeth among elementary school students continues to be a concern for everyone, especially in maintaining their dental health. To generate the level of the students’ knowledge, it can be seen from a video-based learning method. The survey in SD Negeri 71 Banda Aceh showed that most students have a misunderstanding of how to do proper brushing of teeth. The other way to monitor mouth health is to have never watched educational media in the form of videos. This study aims to determine the video-based learning method on tooth brushing knowledge among fourth and fifth-grade students of SD Negeri 71 Banda Aceh. This study is a quantitative study using a correlational approach with quasi quasi-experimental design of Pre-Test and Post-Test. This study consisted of one group that examined the knowledge using the instrument of video therapy. The sample was 45 students that never chosen by using a total sampling technique of all population. Data analysis using univariate and bivariate analyses with a normality test and the Wilcoxon Signed Rank Test. The findings indicate that knowledge with Cronbach's Alpha (0.758) > r table (0,361) and video-based learning. The result of the bivariate analysis obtained the average statistical value for the pretest as 157. The calculation for the post-test value is 170 with a p-value = 0,000 (≤ 0.05). Therefore, this study proves that there is an effect of the video-based learning method on tooth brushing knowledge of fourth and fifth-grade students in SD Negeri 71 Banda Aceh. It is expected that students can apply the information provided on brushing their teeth in daily life.  

This study aims to describe the lifestyle and potential participation of financial institution pension funds (DPLK) among young workers in Jakarta. The study respondents included 42 young workers with various occupational backgrounds and income levels. The results showed that 46% of young workers have a low-cost lifestyle, so they stated that preparing for retirement funds early is important. Furthermore, 46% of respondents have the ability to save in DPLK with monthly contributions between Rp100,000–Rp300,000, 28% can contribute more than Rp300,000, while 26% can only set aside less than Rp100,000 per month. This level of awareness shows variations in financial readiness influenced by several factors. First, a still dominant consumptive lifestyle causes some young workers to delay retirement planning. Second, low financial literacy regarding pension funds makes them less aware of the benefits and urgency of DPLK participation. Third, the perception that retirement is still far away encourages delays, thus reducing commitment to active participation. To increase young worker participation, several strategies can be adopted, including relevant and contextual pension fund education, providing digital platforms that facilitate access, implementing incentive systems to attract interest, and positioning Pension Funds (DPLK) as part of a modern lifestyle. Furthermore, innovative ultra-micro DPLK products can reach workers with limited financial resources. If these strategic steps are implemented consistently, young worker participation in DPLK has the potential to increase significantly. Thus, pension funds in Indonesia can enter a "dawn" era marked by early awareness, rather than being seen as a "twilight era" relevant only near retirement age.

Cancer is still one of the leading causes of death in Indonesia and poses a major challenge in the world of health. Cancer patients undergoing chemotherapy generally face various psychological problems, one of which is anxiety arising from side effects of therapy, uncertainty of treatment, and deterioration of physical condition. This study aimed to analyze the relationship between family support and anxiety levels in patients undergoing chemotherapy. The research design uses a quantitative approach with a cross-sectional method. The research sample amounted to 40 chemotherapy patients at RSI Sultan Agung Semarang who were selected using a total sampling technique. The research instruments were in the form of family support questionnaires and the Hamilton Anxiety Rating Scale (HARS). Data analysis was carried out using the Marginal Homogeneity test. The results showed that most patients received family support in the moderate to high category (75%) and experienced mild to moderate levels of anxiety (70%). Based on statistical tests, a value of p = 0.001 was obtained, which showed a significant relationship between family support and anxiety levels in chemotherapy patients. The conclusion of this study confirms that good family support plays an important role in helping patients reduce anxiety during treatment. These findings indicate the importance of active family involvement in accompanying patients, both emotionally, informationally, and instrumentally. Therefore, educational programs involving families are highly recommended to improve the quality of care and support the psychological condition of cancer patients.

Background: Pregnant women with poor nutritional status are at risk of experiencing low breast milk production, which in turn can affect the fulfillment of infant nutrition from an early age. Suboptimal breast milk production impacts the growth and development of infants and has the potential to increase the incidence of malnutrition. Based on preliminary data in the Siti Hajar Room of Sultan Hadlirin Islamic Hospital, Jepara, it was found that several postpartum mothers experienced delayed breast milk production with a history of malnutrition. This condition shows the importance of maternal nutritional status during pregnancy as a factor that directly influences lactation. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and postpartum breast milk production in the Siti Hajar Room of Sultan Hadlirin Islamic Hospital, Jepara. Method: The study used a cross-sectional design with a total sampling technique. A total of 30 postpartum mothers were selected as respondents. The independent variable consisted of the nutritional status of pregnant women as measured by Body Mass Index (BMI), Upper Arm Circumference (LILA), and hemoglobin (Hb) levels. The dependent variable was postpartum breast milk production as observed clinically. Data analysis was performed using the Chi-Square test with a significance level of p < 0.05. Results: The results of the study showed a significant relationship between the nutritional status of pregnant women and breast milk production. Statistical tests found that BMI (p = 0.018), LiLA (p = 0.027), and Hb levels (p = 0.006) had a significant association with the adequacy of breast milk production. Conclusion: The nutritional status of pregnant women was proven to be closely related to postpartum breast milk production. Mothers with good nutritional status tend to produce sufficient breast milk production. This finding emphasizes the need for routine nutritional monitoring of pregnant women and nutritional education during pregnancy to support the success of exclusive breastfeeding.

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.   Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.

Quality education is the key to improving skills and knowledge for students. However, there are still many challenges faced in improving the quality of education, especially at the primary level. Collaborative Madrasah Ibtidaiyah Lecturers and Teachers in book writing can be one of the strategies to improve the quality of Education. This research aims to be active through collaboration in writing Madrasah Science Competition books between Tarbiyatut Tholabah Islamic Institute Lecturers and Madrasah Ibtidaiyah 02 Mazro'atul Ulum teachers. The results of the service showed an increase in the quality of lecturers and teachers in presenting learning and academic materials in order to provide excellent service for students, especially Madrasah Science Competition participants. And the most important thing is the creation of a collaborative book masterpiece entitled Madrasah Science Competition which contains a summary of material from science, social studies, mathematics, Arabic English and religious sciences such as Fiqh, Aqidah, Islamic Culture History and the presentation of sample questions and discussions. Moreover, the project has had a positive impact on the educators involved. It has allowed them to deepen their understanding of the subjects and improve their ability to present complex concepts in an accessible way. The collaborative nature of the project has fostered a supportive learning community, where educators learn from one another's expertise and experiences. The resulting Madrasah Science Competition book is not only a valuable educational resource but also a testament to the power of collaboration in enhancing the quality of education.

The comprehensive field of Islamic education encompasses not only all levels of schooling but also includes religion, ethics, history, law, and the Quran and Hadith. As part of Islamic religious education (PAI), students are taught to live in harmony with Allah, themselves, other humans, all living things, and the natural world, embodying the concept of Hablun Minallah wa Hablun Minannas. The main objective is to shape students' belief, understanding, and practice of Islamic teachings through planned learning activities, training, and guidance. Islamic religious education is an endeavor by educators to shape students' beliefs and practices via structured instruction, training, and guidance. This study explores the features of Islamic education resources across various educational levels, examining the types of instruction designed to identify these materials and evaluate their pros and cons. The study discovered that Islamic Religious Education (PAI) materials from different grade levels and educational types exhibit distinct characteristics. These differences include variations in content, weight, depth, as well as psychological, philosophical, sociological, and technological aspects. Understanding the characteristics of PAI materials at various educational levels is crucial for developing more effective, relevant curricula and teaching methods tailored to students' developmental needs. The findings of this study are also intended to serve as a reference for educators when developing PAI learning materials suitable for students' educational and developmental levels.

This study aims to analyze the relationship between self-acceptance and fear of missing out (FoMO) among Generation Z students who use the TikTok application in West Sumatra. A quantitative approach was employed with 386 Generation Z students selected through purposive sampling. The self-acceptance variable was measured using an instrument developed by the researchers based on Bernard’s (2013) theory, while the FoMO variable used a scale adapted into Indonesian by Kurniawan and Utami (2022) based on Sette et al. (2020). Data were analyzed using correlation techniques. The findings reveal a significant negative correlation between self-acceptance and FoMO (r = –0.522; p = 0.000 < 0.05). This indicates that the higher the level of self-acceptance, the lower the level of FoMO experienced by Generation Z students using TikTok. Conversely, lower self-acceptance is associated with higher levels of FoMO. These results support the notion that low self-acceptance may trigger negative social comparison on social media, increased anxiety, and dependence on external validation. This study offers practical implications for students, parents, and higher education institutions to pay closer attention to self-acceptance as a preventive factor against the negative effects of excessive social media use.  

At the higher education level, students are expected to develop independence in their learning process. One crucial aspect that influences the achievement of self-directed learning is the ability to manage time effectively. This study focuses on the relationship between time management and self-regulated learning among students of the Diploma Three in Nursing Program at Abulyatama University. The research employed a quantitative approach using a correlational design and a cross-sectional method. A total of 85 participants were selected through proportional random sampling from a population of 554 students. The instruments used were the Time Management Questionnaire (TMQ) with a Cronbach's Alpha reliability of 0.910, and the Motivated Strategies for Learning Questionnaire (MSLQ) with a Cronbach's Alpha of 0.909. Data collection took place within the Diploma Three in Nursing Program at Abulyatama University from April 26 to May 9, 2025.The results showed that the majority of students had a moderate level of time management, with 63 students (74.1%), and a high level with 22 students (25.9%). Meanwhile, the level of self-regulated learning among students was moderate in 59 students (69.4%) and high in 26 students (30.6%). Analysis using the Chi-Square test revealed a significant correlation between time management and self-regulated learning, as indicated by a p-value of 0.000 (p ≤ 0.05). These findings suggest that students who are skilled in time management are more likely to possess higher self-regulated learning abilities. It is hoped that the results of this study will enhance students' understanding of the importance of time management, thereby encouraging them to adopt a more structured, focused, and sustainable self-learning pattern. Time management skills are believed to be a foundational element in strengthening self-regulated learning in students’ academic activities.

Adolescents represent an age group highly susceptible to health issues, particularly sexually transmitted infections (STIs), due to limited knowledge and restricted access to accurate information. This study aimed to examine the effectiveness of health education in improving adolescents’ knowledge about STIs at SMK Tamansiswa Boja Kendal. The study employed a quantitative pre-experimental method using a one-group pretest-posttest design. A total of 32 students were selected using accidental sampling. The intervention consisted of health education delivered through booklets and posters. Data were collected using a structured questionnaire and analyzed using the Wilcoxon test. Findings revealed a substantial increase in knowledge after the intervention. Prior to the education, 96.9% of respondents demonstrated low knowledge, and only 3.1% had sufficient understanding; after the intervention, 100% of participants achieved a high level of knowledge. The Wilcoxon test yielded a significance value of p = 0.000 (p < 0.05), indicating a statistically meaningful difference before and after the intervention. These results confirm that health education is effective in enhancing adolescent understanding of STIs. Similar programs are recommended to be implemented regularly in educational settings as part of reproductive health promotion and disease prevention efforts..

Perfectionism is a personality trait that reflects high standards to be perfect, but at excessive levels. The feeling of perfectionism leads to students' mental health. One of the factors influencing perfectionism is the fear of negative evaluation, which is the fear of negative judgments from others. This study aims to investigate the correlation between fear of negative evaluation and perfectionism in students of the Diploma III Nursing Study Program at Universitas Abulyatama. The research is conducted from April 26th to May 9th, 2025. This study is a correlational quantitative design with a cross-sectional approach. The population consisted of 554 students. Of 85 respondents chosen as the sample, who were selected using a proportional random sampling technique. The data was gathered by using the Brief Fear of Negative Evaluation (BFNE) questionnaire to measure Fear of Negative Evaluation and the Perfectionism Inventory (PI) to measure perfectionism. Then, the data was analyzed by using univariate and bivariate analysis. The results prove that off out 85 respondents, the majority of students who were in the medium category of Fear of Negative evaluation were 63 respondents (74.1%), high category of fear of negative evaluation were 22 respondents (25,9%), medium category of perfectionism were 54 respondents (63,5%) and, high category of perfectionism were 31 respondents (36,5%). The result of the Chi-Square test indicates a p-value = 0,005. It can be concluded that there is a correlation between fear of negative evaluation and perfectionism among the students of the Diploma III Nursing Study Program at Universitas Abulyatama. This study is expected to serve as a reference for students and educational institutions in providing support for mental health and the development of students' character. By addressing fear of negative evaluation, universities can help students build healthier perspectives, improve self-acceptance, and balance high achievement with psychological well-being.

Elementary education is the fundamental stage in shaping students’ character, attitudes, and learning motivation. Learning interest plays a vital role in determining students’ success in understanding and mastering the lessons. However, differences in background, abilities, and learning styles often cause significant variations in students’ interest. Therefore, it is necessary to apply an analytical method that can group students based on their level of learning interest so that teachers can provide appropriate learning strategies. This study aims to implement the K-Means Clustering algorithm to identify the learning interest of students at Sekolah Dasar Negeri Puu Naga. The research method used is a quantitative approach with data collected through questionnaires consisting of several indicators of learning interest, such as perseverance in completing assignments, enthusiasm during lessons, attention to teacher explanations, and participation in class activities. The collected data were then analyzed using the K-Means algorithm to form several clusters of learning interest. The data processing stages included determining the number of clusters, selecting the initial centroid, calculating the distance of data to the centroid, grouping data, and iterating until a stable clustering result was achieved. The results of the study show that the K-Means algorithm successfully grouped students into three main categories, namely high, medium, and low learning interest. Students in the high-interest group consistently demonstrated active learning behavior and strong intrinsic motivation, while those in the medium group showed fluctuating interest influenced by external factors such as the learning environment and teaching methods. Meanwhile, students in the low-interest group displayed a lack of attention and motivation, thus requiring special interventions. These findings provide valuable insights for the school, especially teachers, in designing adaptive and personalized teaching strategies. In conclusion, the application of the K-Means algorithm is proven effective as an analytical tool to identify students’ learning interest.

This study discusses the level of participation of elderly people in Mantang Baru Village in routine health checks. The main objective is to see how active they are in participating and what makes them interested or reluctant to attend health checks. This study uses a quantitative approach with the aim of measuring the level of participation of elderly people in health check activities in Mantang Baru Village. Data was collected using direct surveys of each elderly person's home, which contained questions related to the frequency of health check visits, motivation, and barriers to health checkups for the elderly. The population in this study was all elderly people aged 60 years and above who reside in Mantang Baru Village. The results showed that most elderly people were quite diligent in attending health checkups because they realized the importance of maintaining their physical condition. Factors such as family support, ease of access to health check locations, and their knowledge about health significantly influence their decision to participate. In conclusion, if health education and facilities can be further improved, elderly participation will certainly increase, thereby helping to maintain their health better. The role of health cadres is very significant in encouraging elderly participation through a personal approach and continuous education.

This research was conducted on fourth-grade students of SD Negeri 01 Karang with the aim of analyzing the effect of the implementation of the Javanese culture-based Project Based Learning (PjBL) model on students' communication skills in the 2025/2026 academic year. The research subjects were 25 students, consisting of 12 male students and 13 female students. This type of research is quantitative with a One Group Pre-Test Post-Test Design. The research procedure began with the administration of a pre-research questionnaire to determine the level of instrument validity, and the results of the validity test showed that there were 10 questionnaire items that met the valid criteria for use in data collection. Data analysis was carried out through a normality test using the One-Sample Shapiro-Wilk formula and a hypothesis test using the Paired Sample T-Test formula. The results of the analysis showed a significance value <0.000 with a probability <0.05, so it can be concluded that the research hypothesis is proven, namely there is a significant effect of the implementation of the Javanese culture-based PjBL model on improving the communication skills of fourth-grade students. These findings confirm that project-based learning linked to local cultural contexts not only improves communication skills but also helps students better understand and appreciate their local cultural values. Thus, cultural integration in the PjBL model is an effective strategy for improving the quality of learning, both academically and strengthening students' cultural identities.

Cervical cancer remains one of the leading causes of death among women, particularly in developing countries such as Indonesia. This disease is largely preventable through early detection efforts; however, low levels of knowledge and awareness among women of reproductive age often hinder them from undergoing routine screening. Limited information leads to most new cases being diagnosed at advanced stages, thereby lowering treatment success rates and increasing the public health burden. This study aimed to analyze the differences in knowledge among mothers at Yayasan Harapan Anak Indonesia, North Jakarta, regarding early detection of cervical cancer before and after receiving health education using leaflets. The study employed a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 40 reproductive-age women selected using total sampling. A structured questionnaire was used as the research instrument, covering questions about the definition, risk factors, symptoms, and early detection methods of cervical cancer. The intervention was carried out through a lecture accompanied by leaflet distribution, which provided concise, clear, attractive, and easy-to-understand information. Data were analyzed using paired t-tests to evaluate differences in mean scores before and after the intervention. The results showed an increase in the mean knowledge score from 57.69 in the pretest to 88.08 in the posttest. Statistical analysis revealed a significant difference (p<0.05) between pre- and post-intervention. The study concludes that health education using leaflets is effective in improving mothers’ knowledge about cervical cancer early detection. Health workers are recommended to expand educational coverage using simple printed media as a sustainable strategy for prevention, to enhance community awareness more broadly, and ultimately to reduce cervical cancer incidence.