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Hypertension is a disease whose prevalence continues to increase and occurs frequently in the elderly. The severity of hypertension is often linked to non-adherence to medication consumption. The objective of this community service activity is to improve the knowledge and skills of the elderly and their caregivers regarding the use of herbal therapy as a reliable and effective complementary treatment for controlling blood pressure. The activity was conducted through health education and practical demonstrations involving 29 participants. The main instrument that used in the health education was a leaflet. The results of the pre- and post-activity assessment showed an average increase in knowledge scores regarding herbal therapy for blood pressure control. In conclusion, this community service activity successfully enhanced the health literacy and practical skills of the elderly in utilizing evidence-based herbal therapy to lower blood pressure. Further effort is needed to achieve comprehensive and self-managed blood pressure control in elderly.

Type 2 diabetes mellitus (DM type 2) is a chronic metabolic disorder marked by elevated blood glucose due to insulin resistance and impaired insulin secretion. Its prevalence continues to rise worldwide, including in Indonesia. Psychological stress is known to worsen glycemic control by activating the sympathetic nervous system and increasing cortisol levels, which can cause fluctuations in blood glucose. This case report aims to describe the effect of combining Benson relaxation techniques with warm foot soaking on blood glucose regulation in a type 2 DM patient. The subject was Mrs. M, a 52-year-old woman diagnosed with type 2 DM. The intervention was conducted for seven consecutive days and consisted of daily Benson relaxation followed by warm foot soaking for 15–20 minutes. Blood glucose levels were measured before and after each session using a glucometer and analyzed descriptively. After seven days, the patient’s blood glucose level decreased from 248 mg/dL to 186 mg/dL. She also reported improved relaxation, better sleep quality, reduced anxiety, and decreased fatigue. These findings suggest that Benson relaxation helps activate the parasympathetic response and reduce stress hormones, while warm foot soaking supports improved circulation and metabolic processes. In conclusion, the combination of Benson relaxation and warm foot soaking is a simple, safe, and effective complementary therapy to support blood glucose regulation in type 2 DM patients. This intervention can be integrated into self-care routines and community nursing practice as part of evidence-based non-pharmacological management.

Smoking behavior among adolescents in Indonesia remains a serious public health challenge with increasing prevalence. Adolescence is a vulnerable period where psychological factors and the social environment significantly influence the decision to smoke. This study aims to review the factors influencing smoking behavior among adolescents based on the Health Belief Model (HBM) theoretical framework. This study is a literature review that analyzes various research findings related to the determinants of smoking behavior using HBM components. The analysis shows that all dimensions of HBM play a role in shaping smoking behavior. Self-efficacy and perceived susceptibility were found to be the strongest predictors. Although adolescents have a good perceived severity of the dangers of smoking, they are often hindered by high perceived barriers, such as peer pressure and psychological dependence. Consistent cues to action and perceived benefits are proven to encourage prevention and smoking cessation efforts. Adolescent smoking behavior is strongly influenced by individual beliefs in self-ability and health risks. Health interventions should focus on strengthening self-control and managing social influences to reduce the number of adolescent smokers.

The rapid development of the digital era has led to a major shift in the modern workplace, with over 1.5 billion people spending more than six hours daily in front of computer screens. This working condition poses significant occupational health risks, including Musculoskeletal Disorders (MSDs) such as Low Back Pain (LBP) and neck strain, with a global prevalence of 60-80%. Furthermore, prolonged screen exposure and high workload contribute to mental health issues like chronic stress and digital fatigue. This community service aimed to increase awareness among PT. XYZ employees regarding the importance of integrated ergonomics to achieve optimal productivity. The method used was an informative sharing session through a presentation and discussion. The material emphasized a three-pronged intervention approach: physical ergonomics (workstation adjustment), technology-based interventions (wearable devices, break reminder apps, and electromagnetic radiation prevention), and mental well-being integration (mindfulness and relaxation techniques). The results showed a significant increase in participant understanding of the health risks and the practical steps to implement integrated ergonomic solutions. It was found that combining technology-based reminders and mindfulness exercises can reduce health complaints by up to 40% better than physical interventions alone. The implication of this service is the recommendation for PT. XYZ to adopt an integrated ergonomic policy that addresses physical, technological, and mental aspects to create a healthier, safer, and more productive work environment for its employees.

The prevalence of chronic diseases in Jambi City has tended to increase in the last three years, especially hypertension and diabetes mellitus. Chronic diseases that are high risk, high volume and high cost have an impact on the household economy of sufferers who tend to incur health costs that exceed the family's financial capacity (catastrophic). The existence of the Chronic Disease Management Program (Prolanis) from BPJS Health should contribute to reducing the number of chronic diseases, reducing the burden of disease and improving the social relations of chronic disease sufferers, however the coverage of Prolanis activity is still low and several responses from community experience indicate there are problems with the acceptability of the program. This research aims to measure the level of community acceptability of health interventions and social relations in the Prolanis practice as assessed by analyzing affective attitudes, burden, ethics, intervention coherence, costs, perceived effectiveness and self-confidence of chronic disease sufferers in Jambi City in 2023. The research was conducted with Quantitative research methods use a cross-sectional design. Respondents were selected based on a purposive sampling technique totaling 180 respondents spread across five Puskesmas work areas in Jambi City. The research instrument is a questionnaire. The research results show that the indicators of burden, ethics and effectiveness are the most dominant factors in influencing the acceptability of Prolanis participants. As a recommendation, it is suggested to the government and BPJS Health to increase public understanding of the importance of using Prolanis in an effort to reduce the number of chronic diseases in Jambi City.

Mental health has become a major global issue, particularly after the COVID-19 pandemic, which significantly increased the prevalence of psychological disorders. Early detection of stress and other mental health problems remains a major challenge, as traditional methods are generally subjective and unable to provide real-time results. This study aims to design and test a wearable sensor based on Heart Rate Variability (HRV) as a physiological indicator for detecting stress levels. The research employed an experimental approach through the development of a wearable sensor prototype equipped with a stress detection algorithm based on HRV analysis, including both time-domain and frequency-domain parameters. The prototype was tested on 100 respondents with varying stress levels under controlled conditions. Instruments used in this study included the HRV sensor prototype, psychological questionnaires, and standard validation devices. Data were analyzed by comparing the sensor detection results with respondents’ psychological data and calculating prediction accuracy. The findings showed that the wearable sensor was able to predict stress conditions with an accuracy rate of 80%. The distribution of sensor detection results was generally consistent with psychological data, especially in the low-stress category, although slight deviations were observed in moderate and high-stress categories. These results demonstrate that an HRV-based wearable sensor can serve as a practical and non-invasive tool to monitor mental conditions in real time. The implications of this research highlight the potential of wearable technology as an innovative solution for mental health monitoring, both for individual use and as support for healthcare systems. Therefore, this study contributes to the development of adaptive and responsive health technologies in addressing global mental health challenges.

Pneumonia is one of the leading causes of mortality in children under five, especially those living in households with active smokers. This study aims to determine the risk of pneumonia in toddlers from smoking families in the working area of Meuraxa Public Health Center, Banda Aceh City. The research used a case-control design with 33 respondents, consisting of 11 cases (toddlers with pneumonia) and 22 controls (toddlers without pneumonia). Data collection was conducted through a structured questionnaire and analyzed using the chi-square test. The findings revealed that the prevalence of pneumonia among toddlers from smoking households was 33.3%. There were significant associations between pneumonia incidence and several factors, including nutritional status (p = 0.024), immunization status (p = 0.034), exclusive breastfeeding (p = 0.027), parental smoking behavior inside the house (p = 0.009), and household ventilation (p = 0.017). Toddlers who were not exclusively breastfed, had poor nutritional status, incomplete immunization, poor air ventilation, and exposure to cigarette smoke at home were at higher risk of developing pneumonia. This study emphasizes the vital role of the family in creating a healthy, smoke-free home environment that supports children's well-being. Community-based interventions and educational programs are essential to prevent pneumonia and improve the quality of life of children, particularly in urban public health areas like Meuraxa.

Indonesia's adolescent pregnancy prevalence necessitates comprehensive determinant identification for evidence-based preventive strategy formulation. This research analyzes correlations between reproductive health knowledge, parental role functioning, and peer influence on teenage pregnancy among female adolescents in Ciseeng Health Center, Bogor Regency, West Java Province. Cross-sectional design employed among 65 adolescents aged 15-19 years during October 2024-January 2025 using stratified random sampling. Data collection utilized validated questionnaires based on WHO Adolescent Sexual and Reproductive Health Indicators, Parental Monitoring and Support Scale, and Peer Pressure Inventory with Cronbach Alpha (α=0.84; 0.81; 0.79). Demographic characteristics showed 60% aged 17-19 years, 40% aged 15-16 years, with 55.4% experienced pregnancy validated through medical records. Univariate analysis identified knowledge deficiency (64.6%), parental dysfunction (63.1%), and high peer influence (66.2%). Chi-Square analysis confirmed associations of low knowledge (p=0.001; OR=3.5; 95% CI=1.8-6.7), inadequate parental roles (p=0.002; OR=3.2; 95% CI=1.6-6.1), and dominant peer influence (p=0.001; OR=3.8; 95% CI=1.9-7.2) with adolescent pregnancy. Multivariate logistic regression identified peer influence as strongest predictor (AOR=3.80; 95% CI=1.67-8.65).

Toxoplasma gondii (T. gondii), intracellular parasite that cause abortion in infected pregnant women with the parasite. Aim of the study: the present investigation aimed to assessment the prevalence of T. gondii in aborted women and evaluated level of interferon- gamma, Toll-like receptor 2 (TLR2) and lactoferrin. Materials and methods: From September 2024 to May 2025, we examined 90 women, 70 of them spontaneous abortion, while an additional 20 blood samples were obtained from healthy individuals serving as controls, in Tikrit Teaching hospital and many private hospitals in Tikrit city. Result: The incidence of parasite infection in aborted women was 56 (80%) out of a total of 70%. The level of IFN, TLR2, and Lactoferrin in the group of aborted women infected with T. gondii (45.4 ±7.1, 17.04 ±2.28, 59.6±12.6), as compared with control group (19.4 ±2.12, 8.2 ±2.1, 29.2±9.4). Conclusion: The present study concluded increase prevalence of toxoplasma gondi in aborted woman may indicate the main cause of abortion. Furthermore, increase level of immunological parameters that may indicate resolve the parasite infection.

This research is inspired by the extraordinary success of the domestic animated film titled Jumbo, which managed to set a new record and trigger a wave of overwhelmingly positive sentiment responses on the Instagram social media platform. Its main focus is to provide a deep qualitative interpretation of audience sentiment data that was previously collected and quantitatively evaluated by Prasetia (2025) from 764 original comments, which were then filtered down to 221 samples. The approach applied involves secondary data analysis by reviewing the frequency of Prasetia's data through the lens of social identity theory and collective efficacy theory. The results of the analysis reveal that the prevalence of positive sentiment at 68.7% does not merely reflect a simple evaluation of the film but also serves as a fundamental expression of shared pride and in-group preference. Expressions of support that emphasize appreciation for the achievement and national pride over the work of local creators act as a tool for strengthening social bonds, reinforcing the national identity linked to achievements in the film sector while also demonstrating the audience's collective belief in the potential of the domestic animation industry (mastery experience). Practically, the recommendation for local film promotion strategies is to highlight narratives about shared accomplishment and national pride to build audience loyalty and continuous interaction in the digital environment.

The prevalence of hypertension in the elderly continues to increase and is a major cause of morbidity and mortality. Uncontrolled blood pressure can lead to serious complications such as heart disease, stroke, and kidney failure. Anxiety, which is often experienced by the elderly, also plays a role in worsening hypertension through activation of the sympathetic nervous system and increased stress hormones. This study aims to determine the relationship between anxiety levels and the incidence of hypertension in the elderly at the Kuta Alam Community Health Center in Banda Aceh City. The study used a quantitative method with a cross-sectional analytical design. The study population consisted of 145 elderly people with hypertension, with a sample of 59 people selected through a purposive sampling technique. The study was conducted from April 28 to May 8, 2025. Anxiety levels were measured using the Geriatric Anxiety Inventory (GAI) questionnaire, and blood pressure was measured using a digital sphygmomanometer. Data analysis was carried out univariately and bivariately using the Chi-square test. The results showed that the majority of respondents experienced panic anxiety (39.0%) and Grade III hypertension (44.1%). There was a significant relationship between anxiety levels and the incidence of hypertension in the elderly (ρ = 0.000; ρ < 0.05). In conclusion, anxiety influences the severity of hypertension, so psychological aspects need to be considered in elderly health services at the Kuta Alam Community Health Center.

The rapid growth of online paylater services has raised concerns about their impact on students’ financial behavior, particularly given the increasing prevalence of consumptive lifestyles and limited financial literacy. This study investigates the influence of Lifestyle (X1) and Financial Literacy (X2) on the use of online paylater systems (Z) and their implications for Spending Behavior (Y) among students of the Faculty of Economics and Business at Dian Nuswantoro University. The study population consisted of 2,100 students from the 2021 and 2022 cohorts, with a sample of 117 respondents determined using the Slovin formula. The sample was selected purposively based on the criteria of being 18–24 years old and active users of paylater services. Primary data were collected through an online questionnaire employing a 5-point Likert scale and analyzed using SmartPLS 3.2 with the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique. The results reveal that Lifestyle has a significant positive effect on both Spending Behavior and Paylater use, while Paylater use itself also positively influences Spending Behavior. In contrast, Financial Literacy shows no significant effect and does not mediate the relationships. The novelty of this study lies in integrating Lifestyle, Financial Literacy, Paylater adoption, and Spending Behavior into a single explanatory model, thereby offering new insights into the financial decision-making patterns of Generation Z students in the context of digital financial services.

Diabetes Mellitus is a common non-communicable disease in the community and is now a global health problem with prevalence rates that continue to increase every year. Age and gender are thought to play a role in influencing the incidence of diabetes mellitus. This study aims to analyze the relationship between age and gender with the incidence of diabetes mellitus in the community in the Jaya Baru Health Center Work Area, Banda Aceh. The research design used was analytical with a cross-sectional approach. The population in this study amounted to 552 people, with a sample of 85 respondents obtained through the Proportional Random Sampling technique. The study was conducted in the Jaya Baru Health Center Work Area, Banda Aceh from May 3 to 15, 2025. Data analysis was carried out univariately and bivariately using the chi-square test. Data collection was carried out through questionnaires and random blood sugar level examinations. The results of the study showed a significant relationship between age and the incidence of diabetes mellitus (ρ-Value = 0.008), and there was no significant relationship between gender and the incidence of diabetes mellitus (ρ-Value = 0.650). In conclusion, there is a significant relationship between age and the incidence of diabetes mellitus, but there is no significant relationship between gender and the incidence of diabetes mellitus in the community in the Working Area of ​​the Jaya Baru Banda Aceh Health Center. It is hoped that the community will increase awareness of the importance of regular health checks, especially individuals in the at-risk age group and the more vulnerable gender.

Growth resulting from chronic hunger from birth to two years of age is called stunting. Children who experience stunting are more susceptible to problems related to their cognitive and motor development, as well as an increased risk of disease. The purpose of this study was to determine the relationship between maternal knowledge and the prevalence of stunting in toddlers in the service area of ​​the Krueng Barona Jaya Community Health Center. The purpose of this study was to investigate the relationship between maternal knowledge and child stunting. Quantitative research using cross-sectional and correlational methodologies. A sample of 59 respondents was selected using a proportional sampling design technique. The time period for this investigation was May 8-16, 2025. This study used univariate and bivariate analysis. The research data were collected using a closed questionnaire paradigm with multiple-choice questions, and the Chi-Square test was used for analysis. A P-value of 0.047 (P < 0.05) indicates a relationship between maternal knowledge and the prevalence of stunting in toddlers in the work area of ​​the Krueng Barona Jaya Community Health Center. Research shows a link between stunting in toddlers and maternal knowledge. Stunting is more likely to affect toddlers born to mothers with less knowledge than those with more knowledge. Mothers of toddlers are advised to receive regular counseling and educational materials to raise awareness and reduce the prevalence of stunting.  

Nutritional problems among preschool children remain a global and national concern. WHO (2017) reported that approximately 54% of child mortality under five is caused by malnutrition, while in Indonesia the prevalence of picky eaters reaches 20%, with West Java recording as high as 41.9%. The 2018 Basic Health Research (Riskesdas) data showed that the national stunting rate was still high at 30.8%, far from the national target of 19% in 2024. This study aimed to examine the relationship between picky eating behavior and physical activity with the nutritional status of preschool children at PAUD Kiddy Kid Center Banda Aceh. This was an analytical study with a cross-sectional design. The population included all 42 preschool children at the institution, selected through total sampling. Data analysis was carried out using univariate and bivariate (Chi-Square test) analyses. The results showed a significant relationship between picky eating behavior and nutritional status (p = 0.001), as well as between physical activity and nutritional status (p = 0.001). Conclusion: There is a significant association between picky eating behavior, physical activity, and the nutritional status of preschool children. It is recommended that schools and parents collaborate in promoting healthy eating patterns and encouraging physical activity from an early age.

This community service research was motivated by the significant challenges faced by Generation Z in maintaining a balance between physical and mental health and productivity in the digital age. The increasing prevalence of mental health disorders and declining discipline among adolescents are important indicators of the need for character building integrated with health education. This study uses a descriptive qualitative approach to describe in depth the process of implementing health and productivity values through observation, interviews, and documentation of activities at school. The results show that interactive education approaches are effective in increasing students' awareness of healthy lifestyles, time management, and personal responsibility. Activities such as thematic education, congregational prayers, and reflective classes serve as a platform for building productive character that emphasizes balance between spiritual, social, and academic aspects. Students showed positive changes in behavior, such as increased regularity in studying, awareness of maintaining cleanliness, and the ability to manage stress and time more effectively. In conclusion, character building based on health and productivity values has a significant impact on shaping a resilient, disciplined, and competitive young generation, and can be used as a model for character education development in Indonesian vocational schools.

Stunting is a serious problem because it impacts long-term development, preventing children from reaching their full potential, leading to lower cognitive abilities, and increasing their susceptibility to future illnesses. It also impacts both macroeconomic and microeconomic income. SSGI data from 2022 shows that the stunting rate in Central Java was 20.8%, with the highest stunting rate in Central Java Province being in Brebes Regency at 29.1% in 2022. Pandansari Village is one of the villages in Paguyangan District with the highest stunting prevalence, with 129 children in 2023. This study aims to determine the effectiveness of the stunting reduction acceleration program in Pandansari Village. This study uses a descriptive qualitative method. Data collection was carried out through observation, interviews, and documentation. The focus of this study uses Budiani's effectiveness theory, namely. The results of the study are seen from five aspects, the first is the accuracy of the target in the aspect of the accuracy of the target of toddlers recorded by the posyandu cadres and village midwives so that the program is in accordance with the targets that have been previously determined and is in accordance with existing policies. Second, the aspect of program socialization where the existing program has been well socialized to program recipients through various existing activities which include stunting prevention. Third, the program objectives from this aspect, the objectives of the existing program have been effective because the stunting rate in Pandansari Village has decreased every year and also parents of toddlers have better understanding and pay more attention to healthy lifestyles for toddlers. And fourth, program supervision in this aspect, village cadres and midwives have provided regular supervision to program recipients and also provided reports to the village government, sub-district government and community health center every six months.  

The World Health Organization (WHO) stated that the prevalence of exclusive breastfeeding data globally, although there has been an increase, has not increased significantly, which is around 44% of the target of 50%. Factors suspected of influencing failure are knowledge, perception, family support, and employment. Objective: To determine the factors influencing the failure of exclusive breastfeeding in mothers with babies aged 6-12 months. Method: This type of research is descriptive analytical using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 62 people and all of them were used as samples (total sampling). Sampling was done by purposive sampling. The data used were primary data and secondary data. The analysis was conducted univariately and bivariately using the Chi-Square test. Results: Factors that influence the failure of exclusive breastfeeding at the Murni Teguh Rosiva Mother and Child Hospital Medan are perception (p = 0.000 <0.05), family support (p = 0.015 <0.05), and work (p = 0.032 <0.05), while the knowledge variable has no effect (p = 0.654 > 0.05). Conclusion: perception, support, family and work influence the failure of exclusive breastfeeding. Suggestion: It is recommended that nurses at the Murni Teguh Rosiva Medan Hospital encourage new mothers to only give breast milk to their babies until they are 6 months old

Knee osteoarthritis is one of the most prevalent musculoskeletal disorders in the elderly, characterized by progressive degeneration of articular cartilage, chronic pain, joint stiffness, and reduced functional capacity. In Indonesia, the prevalence of knee osteoarthritis is notably high, affecting over 30% of individuals aged above 60 years. This condition leads to significant health burdens, impaired quality of life, and increased economic costs. Non-pharmacological management strategies such as hydrotherapy and quadriceps exercise are widely recommended to relieve pain and improve joint function. Hydrotherapy utilizes the physical properties of water including buoyancy, hydrostatic pressure, viscosity, and warmth to reduce joint loading, enhance circulation, and promote relaxation. Quadriceps exercise, on the other hand, focuses on strengthening the quadriceps muscle to stabilize the knee joint, thereby reducing pain and improving functionality. The combination of these two interventions is expected to provide greater benefits than a single modality. Research Design: This study employed a quasi-experimental design with a one-group pre-post test approach on 12 elderly respondents with knee osteoarthritis at OSF Magdalena Daemen BSB Convent. Pain was measured using the Visual Analogue Scale (VAS) before and after the intervention, which consisted of hydrotherapy and quadriceps exercise administered twice a week for four weeks. Results: The findings showed a decrease in the mean pain score from 4.42 to 3.08, with the Wilcoxon test yielding p = 0.001 (p < 0.05), indicating a significant difference in pain levels before and after the intervention. Conclusion: The combination of hydrotherapy and quadriceps exercise is effective in reducing pain in patients with knee osteoarthritis.

This study aims to evaluate the Resource Development and Installation (RDI) technique to reduce symptoms of Posttraumatic Stress Disorder (PTSD) in female victims of domestic violence. Domestic violence (which falls under the category of intimate partner violence/IPV) is a global public health problem that contributes significantly to women's mental health disorders, including post-traumatic stress disorder (PTSD). Recent systematic evidence shows a strong association between various forms of IPV and adverse mental health outcomes in women, with large variations in prevalence across contexts. Resource Development and Installation (RDI) is a psychological stabilization procedure within EMDR aimed at generating positive resources in individuals exposed to traumatic experiences. The research method used in this study was multiple baseline with a single case (single case research), namely research conducted on subjects with the aim of determining the magnitude of the effect of treatment given repeatedly over a certain period. This study involved three adult female participants who experienced trauma symptoms due to violence perpetrated by an intimate partner in a domestic context. The data analysis technique used in this study was visual inspection by comparing changes in trauma scores in respondents between the baseline and intervention phases. Trauma symptoms were measured using the Harvard Trauma Questionnaire (HTQ). There was a decrease in HTQ scores from an average of 2.9 (presence of PTSD symptoms) before the intervention to 2.1 (minimal). Resources Development and Installation were effective in reducing trauma symptoms in female victims of violence. This was evident in the decrease in trauma symptom scores between before and after the provision of Resources Development and Installation to female victims of violence.