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Background: Type 2 Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. One of the influencing factors for this condition is lifestyle, particularly dietary patterns and physical activity. Objective: This study aims to describe the dietary patterns and physical activities of Type 2 Diabetes Mellitus patients at Kalisat Regional Hospital (RSD), Jember. Method: The research design used is a case study involving two patients diagnosed with Type 2 Diabetes Mellitus. Data were collected through interviews, observations, and documentation studies, and analyzed using nursing care stages. Results: The study found that both patients consumed high amounts of simple carbohydrates such as sugar, sweet cakes, and noodles, exceeding the normal daily intake limits. Physical activity was minimal, limited to light household chores like cleaning and short-distance walking. Conclusion: Both patients were diagnosed with ineffective health management. Nursing interventions focused on behavioral health education to improve patients’ knowledge and motivation in managing Diabetes Mellitus independently.

The community service program activities that have been carried out are related to ecoprint techniques, which involve printing using natural materials such as leaves, flowers, and plant stems to produce patterns or motifs on fabric media. This training activity aims to enhance the knowledge and skills of the young girls in Bintungan Nagari, so they can be creative and innovative through ecoprint techniques. It provides knowledge and broadens their understanding of how to utilize the natural potential available in the environment around Bintungan Nagari. This training also aims to create environmentally friendly products to foster a healthy and clean environment. The hope for this activity is to have a positive impact on improving the knowledge and skills of young girls as the generation that brings about change. The training uses an approach of counseling, demonstration, training, and mentoring, along with evaluation. The results of the training program indicate a high level of enthusiasm from the participants, with knowledge and skills acquired, they have been able to produce sheets of fabric with unique motifs from the ecoprint technique. This has opened up space for participants to generate new ideas and create interesting motif patterns from natural materials. The products produced not only serve as a medium of expression but also have the potential to be developed as environmentally friendly, local creative products.

Aging is often accompanied by sleep problems that have a negative impact on the well-being of older adults, such as reducing their quality of daily life and triggering a higher risk of chronic diseases, depression, and cognitive decline. To address this issue, the physiotherapy team held an educational program at the Arjosari Village ILP in Malang City, which aimed to equip older adults with knowledge about the value of quality sleep. The material was delivered through simple brochures, two-way discussion sessions, and assessments through initial and final tests. A total of 15 people participated, and from the opening discussion, about 80 percent of them admitted to having frequent sleep disturbances. Before the event, a survey showed that their understanding was still minimal, especially regarding what healthy sleep is, the triggers of sleep disturbances, the benefits of good sleep, the signs of sleep disturbances, and steps to overcome them. After the counseling, there was a significant increase, with the level of understanding reaching more than 86 percent on all topics. These results prove that community-based educational approaches such as this are very effective as a means of empowerment and early prevention. Activities such as this should be made a routine to support the overall health of the elderly.

Rabies is a deadly disease transmitted through animal bites, especially dogs, and is still a serious threat in Indonesia. As of April 2023, more than 31,000 bite cases have been recorded, with Southeast Sulawesi being the region with the highest cases. In Kendari City, data shows that bite cases have fluctuated since 2018. Research objectives: To develop a prediction model for rabies prevention measures to enforce an EWS in high school students in Kendari City. Research methods: Cross-sectional quantitative research, involving 350 students from three sub-districts (Baruga, Poasia, and Kadia) with independent variables in the form of knowledge, attitudes, and beliefs, and the dependent variable in the form of rabies prevention measures. Data were collected in February 2025 through a hybrid/online questionnaire. Research results: Knowledge, attitudes, and beliefs have a significant effect on rabies prevention measures in high school students in Kendari City. Knowledge is the most dominant factor (p = 0.000; Odds Ratio (B) = 8.747), followed by attitude (Odds Ratio (B) = 5.725) and belief (Odds Ratio (B) = 2.545). Students with good knowledge are 8.7 times more likely to take rabies prevention. If the three variables are at a low level, the probability of rabies prevention actions among students is 14.4%, but it increases significantly to 95.6% when all three variables are at a good level. Research Conclusion: There is a significant influence of knowledge, attitude, and belief on rabies prevention behavior to support the EWS among high school students in Kendari City in 2025. The probability of engaging in preventive behavior is 14.4% when all three variables are at a low level, but it increases significantly to 95.6% when all variables are at a high level. Knowledge contributes the most, while attitude and belief synergistically strengthen the overall effect.

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. It is transmitted through the air, specifically through droplets expelled by sufferers when coughing or sneezing. TB is divided into two main types: pulmonary TB, which attacks the lungs, and extrapulmonary TB, which can affect other organs such as the pleura, lymph nodes, skin, bones, and meninges. In the Community Health Center (Puskesmas) work area, 77 new cases of pulmonary TB were recorded from January to April 2025. Meanwhile, coverage of Tuberculosis Prevention Therapy (TPT) only reached 44.7%, still below the national target of at least 50%. This condition indicates the need for increased health promotion activities and community diagnostic approaches as promotive and preventive measures, in order to increase TPT coverage and reduce the incidence of TB. The results of the respondent questionnaire showed that the level of public knowledge about TB reached 64.6%, positive attitudes at 94%, and preventive behavior at 72%. Based on these findings, it is recommended that outreach activities be conducted regularly to improve public understanding, which can ultimately encourage behavioral changes and reduce TB cases.

This study aims to improve farmers' knowledge and attitudes towards African Swine Fever (ASF). This study uses a qualitative descriptive method. The variables measured are the level of farmers' knowledge and attitudes towards ASF. Data analysis was performed using a paired sample t-test with the Statistical Product and Service Solution (SPSS) software version 25. The target of this study was 36 pig farmers, who were sampled using purposive sampling techniques with specific criteria that had been determined, supported by documentation. Pre-tests and post-tests were used to measure the level of knowledge and attitudes towards ASF. The results of the analysis showed an increase in knowledge from the low category by 25%, the medium category by 22.22%, and from the medium category to the high category by 47.22%, and from the high category to the very high category by 11.11%. There was an increase in attitude among 44.44% of farmers who were in the disagree category, 33.33% in the neutral category, an increase in the agree category among 58.33% of farmers, and 27.77% in the strongly agree category. The t-test results showed that the extension activities on ASF affected changes in farmers' knowledge and attitudes toward ASF. Factors influencing the increase were farmer characteristics based on age, education level, and farming experience.

Financial and accounting governance practices are a regulatory framework that aims to control financial and accounting behavior within organizations by promoting the principles of transparency, disclosure, accountability, and internal control. The importance of these practices has become more important with the increase in financial crises and corruption scandals in the last two decades, highlighting the need for stricter governance systems to protect the interests of investors and stakeholders. In the context of entrepreneurial projects, which are characterized by high levels of risk and uncertainty, the quality of financial reporting is a key factor in building trust and attracting Financing and facilitating investment decisions. This study aims to analyze the relationship between financial and accounting governance practices and the quality of financial reporting, and to measure the impact of this relationship on the chances of success of entrepreneurial projects. The importance of the study stems from the fact that it seeks to bridge a knowledge gap represented by the lack of research that has linked these variables in the startup environment in developing economies. Based on a review of the literature, the study assumes that financial and accounting governance practices positively affect the quality of financial reporting, which in turn is reflected in enhancing the sustainability of entrepreneurial projects and raising their capacity competitiveness.

This community service activity through the Real Work Lecture (KKN) program aims to increase students' understanding and awareness of the importance of personal branding as a strategy for forming a positive identity for Generation Z. The socialization was held on August 28, 2025, at SMA Negeri 4 Siak Hulu, Teratak Buluh Village, targeting 12th grade students. The methods used were face-to-face counseling through PowerPoint presentations, interactive discussions, and evaluations in the form of pre-tests and post-tests to measure the level of understanding before and after the material was delivered. The results of the activity showed a significant increase in the average student understanding score, from 14.70 on the pre-test to 22.55 on the post-test, with a difference of 7.85 points. A paired t-test also showed a significant difference (p < 0.001), confirming that personal branding socialization is effective in improving student understanding. Thus, this activity not only adds to students' knowledge but also provides them with practical skills in building a positive self-identity, increasing their self-confidence, and preparing them to face the challenges of education and work in the digital age.

Hair loss is one of the common health problems experienced by many people and often causes psychological impacts, particularly on self-confidence. The factors contributing to hair loss are diverse, ranging from genetics, diet, and stress to lifestyle. The lack of public knowledge about these risk factors, as well as the low level of digital literacy in the use of predictive technology, makes it difficult for people to take early preventive measures. This community service activity aims to provide education and simple training on predicting hair loss risk using the Support Vector Machine (SVM) algorithm for residents of Rantau Prapat Village. The implementation methods include a pre-test to measure initial understanding, interactive counseling on hair loss risk factors, practical simulation of risk prediction using SVM based on a simple dataset, and evaluation through a post-test. The results of the activity showed a significant increase in participants’ understanding, from an average of 45.2% in the pre-test to 81.6% in the post-test, with a participant satisfaction level reaching 92%. This counseling not only improved health literacy but also introduced the practical application of artificial intelligence in the health sector.

Hypertension is defined as a systolic blood pressure greater than 120 mmHg and a diastolic blood pressure greater than 80 mmHg, measured twice within 5 minutes during rest. If left untreated, hypertension can lead to kidney and heart damage and increase the risk of stroke. This study aims to assess the community's knowledge regarding the use of antihypertensive medication, specifically the calcium channel blocker (amlodipine), in RT 006 RW 03 Kelurahan Johar Baru, Central Jakarta. The study involved 50 participants aged 17-64 years with a history of hypertension. A descriptive quantitative method was used, with data collected through questionnaires and analyzed using SPSS. The results show that 83% of the participants had good knowledge about hypertension, 76% had good knowledge about the dosage of amlodipine, 76% had good knowledge about the correct administration of amlodipine, and 50% had sufficient knowledge about the side effects of the drug. The average knowledge level based on the indicators was 71%, which is categorized as adequate.

Teeth and mouth are the first part of the digestive system, where germs and bacteria can enter and cause health problems. Teeth are also part of the body. Tooth decay can affect the health of other body parts, which can disrupt daily activities. Brushing your teeth plays a very important role in preventing the development of bacteria that can cause tooth decay. Therefore, effective educational efforts are needed to care for teeth by brushing your teeth at least twice a day at the right time, in the morning after breakfast and at night before bed. The behavior of eating sticky and sweet foods can affect the occurrence of tooth decay. One method that is considered effective is education that can increase knowledge about how to brush your teeth properly. The purpose of this study was to analyze the effect of providing education on how to brush your teeth properly and correctly to increase the knowledge of elementary school children. This study used a quasi-experimental research method (Quasi Experimental Design), a pre-experimental design with a pre-post design Single group that is quantitative. The population in this study was 55 people. The research sample was 35 people using the Slovin formula with a margin of error (0.1). with a significance level of p <0.05.

Iron deficiency anemia is a significant public health problem in pregnant women, because it can cause maternal and fetal complications. Compliance with iron tablet consumption is often low due to limited knowledge, side effects, and cultural misconceptions. Leaflet-based education is a low-cost intervention that has the potential to improve understanding and compliance. This study aims to analyze the effect of leaflet education on the adherence of iron tablet consumption in pregnant women at the Pujon Health Center, Batu. The research design used a quasi-experiment with a pretest-posttest control group design. A total of 40 pregnant women were divided into an intervention group (n = 20) that received leaflet education and a control group (n = 20) that received standard counseling. Compliance was measured over four weeks through self-consumption records and tablet count calculations, while knowledge was assessed with a structured questionnaire. Data analysis used the Chi-square test with a significance level of p < 0.05. Results showed a significant improvement in adherence in the intervention group, with 70% of pregnant women complying compared to 15% in the control group (p = 0.001). Leaflet education also increased knowledge scores and consistency of iron tablet consumption. The conclusion of this study confirms that leaflet education is effective in increasing iron supplementation adherence, so it is recommended to be integrated into routine antenatal services to prevent anemia and support maternal and fetal health.

Refusal of Visual Inspection with Acetic Acid (VIA) examination remains a major challenge in cervical cancer early detection, particularly among women of reproductive age. This study aimed to analyze factors influencing refusal of VIA examination among women of reproductive age in Beringin Jaya Village, Oba Tengah District. A quantitative analytic study with a cross-sectional design was conducted involving 74 respondents. Data were collected using a structured questionnaire assessing educational level, knowledge, information, and the role of health workers. Data analysis included univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using ordinal logistic regression.The results showed that most respondents refused or hesitated to undergo VIA examination. Bivariate analysis demonstrated that educational level, information, and the role of health workers were associated with refusal of VIA examination, while knowledge level showed a tendency toward association. However, multivariate analysis revealed that only the role of health workers had a statistically significant effect on refusal of VIA examination. Educational level, knowledge, and information were not significant predictors after adjustment.These findings indicate that service-related factors, particularly the role of health workers, are more influential than individual factors in shaping decisions regarding VIA examination. Strengthening health workers’ roles through effective communication and interpersonal counseling is essential to improve VIA examination uptake.

Anemia among pregnant women remains a significant public health concern in Indonesia, contributing to adverse maternal and fetal outcomes such as preterm birth, low birth weight, and impaired fetal development. The third trimester represents a critical stage, as iron requirements increase substantially due to rapid fetal growth and expanded maternal blood volume. Insufficient hemoglobin (HB) levels during this period are closely linked to negative health outcomes, highlighting the need for effective prevention strategies. Health education has been widely recognized as an important intervention to enhance knowledge, attitudes, and practices related to nutrition, iron supplementation, and anemia prevention. This study aimed to examine the effect of health education on anemia prevention by assessing hemoglobin levels in third-trimester pregnant women. A quantitative pre-experimental design with a one-group pretest-posttest approach was applied to 30 participants selected through purposive sampling. Hemoglobin levels were measured before and after structured health education sessions covering anemia prevention, iron tablet adherence, dietary improvement, and healthy lifestyle practices. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The findings showed a significant increase in hemoglobin levels after the intervention (p = 0.000). These results indicate that structured health education effectively improves hemoglobin levels and supports anemia prevention in pregnant women.

The first trimester of pregnancy is a crucial phase characterized by various physiological and psychological changes that can cause complaints in pregnant women. Adequate knowledge about these changes is essential for mothers to recognize pregnancy problems and take appropriate action. This study aims to assess the effectiveness of antenatal counseling on pregnant women's knowledge in dealing with first trimester pregnancy problems at Manembo-nembo Hospital, Bitung City. The study used a quasi-experimental design with a one-group pretest-posttest approach on 28 respondents selected through total sampling. The intervention was structured antenatal counseling that covered physiological changes, common complaints, danger signs, and their management. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of α = 0.05. The results showed an increase in the average knowledge score from 42.18 to 61.75, with a p-value = 0.000. The high knowledge category increased from 14.3 % to 64.3%, while the low knowledge category decreased from 50% to 7.1%. These findings indicate that antenatal counseling is effective in increasing pregnant women's knowledge about first-trimester pregnancy issues, thereby supporting the readiness and health of both mother and fetus from the beginning of pregnancy.

This Community Service Program (PKM) aims to support the achievement of Sustainable Development Goal (SDG) No. 3 (Good Health and Well-Being) by raising public awareness of the importance of a healthy lifestyle. The program was conducted in Pari Island, Kepulauan Seribu, involving 30 participants from the local community. The activities included health screenings such as blood glucose measurement, blood pressure monitoring, and uric acid level testing, as well as health education on adopting a healthy lifestyle, including balanced nutrition and regular physical exercise. Through this initiative, participants gained a better understanding of how to maintain their health and prevent non-communicable diseases such as diabetes, hypertension, and uric acid disorders. The health screening results indicated that some participants had elevated blood glucose and blood pressure levels, highlighting the need for further intervention through education and lifestyle modifications. Increased awareness was evident from participants' enthusiasm during the health education sessions and interactive discussions with the facilitators. Overall, this program successfully enhanced community knowledge and awareness regarding the importance of a healthy lifestyle while also providing a concrete initial step through early health screenings. It is hoped that this program serves as a starting point for fostering a healthier and more prosperous community in Pari Island, supporting the achievement of SDG No. 3.

The low level of students’ understanding of religious practices and Islamic values in daily life poses a significant challenge in teaching Islamic Religious Education (PAI). In the topic of “Hajj and Umrah” for Grade IX students at SMP PGRI Bencoy, Cireunghas District, Sukabumi, the learning process plays a vital role in shaping Islamic character and instilling noble morals. This subject not only emphasizes theoretical knowledge but also promotes a deeper understanding of the procedures for performing Hajj and Umrah in accordance with Islamic law. This study aims to critically analyze the learning objectives, content, methods, evaluation, references, and teaching materials used by teachers in the instructional process. A qualitative approach was employed, with data collected through classroom observations, interviews with teachers and students, as well as an analysis of learning documents. The findings reveal that PAI instruction on the topic of Hajj and Umrah is aligned with the basic competencies and curriculum requirements. However, shortcomings remain in the relevance of the material to real-life contexts, the limited use of technological media, and the less-than-optimal assessment of affective and psychomotor domains. Strengthening students’ understanding of Islamic teachings in their daily lives is essential for developing a holistic Islamic personality. Overall, while the teaching materials are relatively appropriate, further development is needed to make them more applicable, contextual, and impactful in enhancing students’ comprehension and practice of Islamic teachings in everyday life.

This study was motivated by the high number of stunted children found in stunting locations, namely in Kelurahan Kahean and Sigulang-gulang, Kecamatan Siantar Utara, Kota Pematangsiantar. This study also found indications of inadequate parenting patterns in terms of nutrition and child health care. This condition is a serious concern because stunting not only affects children's physical growth but also influences their cognitive development and future quality of life. To understand this phenomenon in depth, this study used a qualitative method with a descriptive approach. Data were collected through in-depth interviews, observations, literature studies, and documentation, involving six main informants. The results of the study revealed that 4 of the 6 parents with stunted children practiced inadequate parenting, particularly neglectful parenting, which was the most dominant parenting style. This neglectful parenting style was characterized by a lack of adequate supervision and attention to providing nutritious food and health care for children. Parents who apply this parenting style tend to consistently ignore their children's nutritional and health needs, thereby increasing the risk of stunting. In addition, some parents also apply a permissive parenting style, which is characterized by allowing children to freely choose food without clear boundaries or rules. As a result, children often consume unhealthy foods and have irregular eating schedules. In addition to parenting factors, limited socioeconomic conditions also exacerbate the risk of stunting. Parents' low level of knowledge about balanced nutrition and child health care further increases the likelihood of children experiencing stunting. This shows that economic and educational factors are major obstacles in efforts to prevent stunting in the Kecamatan Siantar Utara.

Hypertension is a condition in which systolic blood pressure exceeds 140 mmHg and diastolic pressure exceeds 90 mmHg persistently. Uncontrolled high blood pressure can cause disorders in the circulatory system and vital organs such as the heart and brain. One non-pharmacological effort to lower blood pressure in hypertensive patients is through deep breathing relaxation exercises, performed twice a day for ten minutes. RSU Siaga Medika Purbalingga, located in Padamara District, has recorded the highest number of hypertension cases in the area, totaling 4,470 patients. Based on a preliminary survey, many hypertensive patients were unaware of the benefits of deep breathing relaxation therapy; therefore, a Community Service (PkM) activity was conducted in the hospital’s Internal Medicine Clinic. The method involved educational sessions using lectures and demonstrations, supported by leaflets and videos. Participants’ knowledge was evaluated using pretest and posttest questionnaires. The results showed that most respondents were female (60%) and aged between 46–55 years (40%). Knowledge levels significantly improved, from the “low” category (40%) before education to the “good” category (90%) after education. Thus, deep breathing relaxation therapy has the potential to be an effective alternative method to help reduce blood pressure in patients with hypertension.

Acne is a common health problem experienced by adolescents, a skin disease found particularly in teenagers. Acne begins to emerge during puberty, and the main factors causing it are a lack of facial hygiene, excessive sebum production, clogged pores, and Propionibacterium acnes bacterial infection. The purpose of this study was to determine the effect of education on Piper crocatum in treating acne. This was a quasi-experimental study using a one-group pretest-posttest design. The population consisted of all 55 eleventh-grade students at Futuhiyyah Mranggen High School. Total sampling was used as the sampling technique. Data collection was done using pre- and post-questionnaires to assess the level of knowledge about Piper crocatum. Data were analyzed using the Wilcoxon test. The results showed a p-value of 0.00 (<0.05), indicating that there was an effect of providing education about Piper crocatum in treating acne in adolescents. The Z-value was -6.681, which means that the education about Piper crocatum had a significant effect, leading to an improvement in facial condition before and after the education was provided. In conclusion, providing education had a significant effect on the knowledge of adolescents about Piper crocatum in treating acne. The recommendation is that educating adolescents can increase their knowledge, understanding, and awareness of Piper crocatum as a treatment for facial acne.