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Problematic Internet use is the inability to control the desire to use the Internet, which is associated with psychological, social, educational and vocational problems. The internet is a place where young people can get all the information they need. Therefore, the use of the Internet by the younger generation must be directed so that they do not encounter information that is false, misleading, or even detrimental to themselves. Excessive internet use can also worsen the quality of teenagers' sleep, and teenagers may even be at risk of experiencing more serious mental health problems, such as depression. The aim of this activity is to increase knowledge about preventing internet addiction by doing physical activity. The results of the questionnaire obtained from the ASSIST questionnaire showed that of the 36 respondents there were 12 respondents (33.3%) who were addicted to smoking. Meanwhile, the Self Reporting Questionnaire (SRQ) 20 questionnaire shows that out of 36 respondents there were 8 respondents (22.2%). Internet addiction in teenagers can affect the content of their thoughts regarding the life goals they pursue

Postoperative nausea and vomiting is one of the side effects that often occurs in spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room at the Imelda Workers Indonesia General Hospital, Medan. This type of research is quantitative research with quasi-experimental research methods. Data reports in the province of North Sumatra showed that there were 25,602 patients who underwent surgery. Meanwhile, at the Indonesian Umim Workers Hospital in Medan, data on surgical patients for January-March 2024 totaled 666 patients, and 250 patients had spinal anesthesia. This research was carried out in February - June 2024 at the Imelda Indonesian Workers General Hospital, Medan. The research sample was taken as many as 20 respondents. incidence of nausea and vomiting after spinal anesthesia at the Imelda Workers Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, namely 55%, based on gender, the majority of respondents were women, namely 60%, respondents based on smoking history were the majority 65%, the distribution of respondents with a history of nausea and vomiting was the majority 55% and the majority of respondents with nausea and vomiting were 60%. The recommendation for this research is that acupressure therapy can be applied in nursing practice so that patients are able to perform it independently. For the Imelda Workers Indonesia General Hospital, Medan, it is necessary to score the risk of nausea and vomiting in patients before surgery to minimize the incidence of post-operative nausea and vomiting.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Labor Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Labor Indonesia Hospital, Medan, the data on surgical patients as of January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Labor Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Labor Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Labor Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Buruh Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Buruh Indonesia Hospital, Medan, the data on surgical patients per January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Buruh Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Buruh Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Buruh Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05.   

The Implementation of Smoke-Free Areas (KTR) is an important effort in tobacco control to protect the public from the dangers of smoking. This research aims to analyze the comparative implementation of KTR regulations between Indonesia and Singapore using Lawrence M. Friedman's legal system approach, which includes components of legal substance, legal structure, and legal culture. The research method employed is normative juridical with a comparative legal approach, using secondary data collected through literature study and analyzed qualitatively. The research results show that in terms of legal substance, KTR regulations in Singapore are more comprehensive and stringent with heavy sanctions, while in Indonesia they remain partial with relatively light sanctions. In the legal structure aspect, Singapore has a more effective system of supervision and law enforcement with technological support and adequate human resources, whereas Indonesia still faces coordination challenges between institutions and limited supervisory personnel. From the legal culture perspective, the level of awareness and compliance of Singaporean society towards KTR regulations is higher compared to Indonesia, which is still influenced by a permissive culture towards smoking behavior.    

The fish smoking business in Badarharjo Village has quite large potential to continue to grow. The smoked fish industry is carried out traditionally by the community and grows well with fresh fish as raw materials supplied from TPI in surrounding villages. Smoked fish entrepreneurs are dominated by mothers. Based on the situation analysis, the smoked fish produced was not stored properly, because most of the smoked fish had been cooked by buyers within a short time. Meanwhile, packaging is still done simply, namely using teak leaves or used newspaper as wrapping and then putting it in a plastic bag. Based on this, it is very important to hold Community Empowerment in Increasing Smoked Fish Production in Badarharjo Subdistrict Village in the form of training on storing and packaging processed Smoked Fish into Fozen Food. This community service activity was carried out to provide knowledge about the process of storing smoked fish properly and packaging smoked fish to make it attractive. The target output of this community service activity is publication in national journals with ISSN, news publication in mass media and video highlights of service activities uploaded to the YouTube channel. The training method in this activity is PRA (Participatory Rural Appraisal) which includes team formation, goal formulation, identification of target communities, collection and analysis of needs, determining problem solution priorities, preparation, implementation, mentoring, review and evaluation, then the final stage is determining needs. and new targets based on the results of evaluations that have been carried out. Activities are planned in two stages over two days. The first day was socialization on the importance of entrepreneurship and an introduction to vacuum equipment, the second day was training on making food packaging and labels as well as practicing the process of storing and packaging fish using vacuum techniques. This activity aims to ensure that people are able to increase their knowledge and skills in smoked fish entrepreneurship, have skills in using vacuum equipment, are able to carry out good fish packaging so that they can increase the added value of their products, and smoked fish entrepreneurs are able to increase their competitiveness in the market.

Non -communicable disease (PTM) is one of the increasing health problems in society every year and contributes to the largest proportion of death worldwide. According to a global status report on non -communicable diseases, non -communicable diseases can occur due to lack of exercise, smoking and malnutrition, which causes increased blood pressure, increased blood sugar levels and increased blood lipids. If not prevented, this increase will get worse and lead to chronic diseases such as hypertension, diabetes, cholesterol, dysplidemia, gout arthritis and obesity. The World Health Organization (WHO) reports that 40 million people worldwide suffer from non -communicable diseases, with the cause of cardiovascular disease, diabetes and injuries to be the main cause (Syam'ani, 2023).      

This study aims to identify the potential and development strategies for a community-based tourism village in Asap Indah Tourism Village. Data were obtained from observations, interviews, and literature studies. A SWOT analysis was applied to determine the weaknesses, strengths, opportunities, and challenges of developing Bedono tourism village, which can be used to determine the appropriate strategies for community-based tourism development in Bedono Village, Sayung District, Demak Regency. In this research, the process of data reduction, data presentation, and conclusion drawing was carried out simultaneously. The research results concluded that Asap Indah Tourism Village in Wonosari Village, Bonang District, Demak Regency has high potential for development into a community-based tourism village, including fish smoking, water apple agro-tourism, local restaurants, and Bule fishing spots. Based on the SWOT analysis, several strategies can be enhanced to develop Asap Indah tourism village in Wonosari Village, Bonang District, Demak Regency, including strategies for developing tourist attractions, such as creating integrated tourism packages and holding special events; forming a tourism management team; enhancing promotion strategies; improving infrastructure; improving tourism human resources; and strengthening cooperation with stakeholders and investors. If these potentials are developed by involving and empowering the local community, they can increase the value and benefits for the local population in terms of economy, socio-culture, religion, and environment.

The incidence of type 1 diabetes mellitus mostly occurs in children and adolescents has increased significantly every year, especially in developed countries in Western Europe which continue to experience the highest increase. The purpose of this study was to analyze the risk factors for type 1 diabetes in children and adolescents in developed countries in Western Europe. This type of research is a systematic literature review. The literature search strategy as a source of information was carried out by accessing electronic databases online, namely Science Direct, PubMed, and Google Scholar. Article quality assessment using Critical Appraisal Skill Programme (CASP). The results showed that out of 10 (2014-2024), conducted in the United Kingdom (n=1), Sweden (n=1), Germany (n=1), England (n=2), Denmark (n=3), Norway (n=1) and conducted in Norway and Denmark (n=1). Of the 10 articles, 5 out of 10 articles examined BMI on the development of type 1 diabetes in children and adolescents. The results of this systematic review found that age, gender, race, family history of diabetes, socioeconomic, BMI, nutritional intake in mothers and children, physical activity, infection and smoking will increase the risk of type 1 diabetes mellitus in children and adolescents in developed countries in Western Europe.  

Hypertension is a non-communicable disease (ncd) which is a major problem in the health sector and continues to increase every year even though many preventive and promotive measures have been developed following advances in science and technology. to find out analysis of risk factors related to the incident of hypertension in heads of families in tatinang and tita mandiri village waesala regency seram bagin barat tahun 2024. This type of research uses quantitative methods with a cross sectional approach. sampling method used a total sample population of 133 people. data analysis was carried out using univariate, bivariate analysis with chi square and multivariate analysis with logistic regression. Based on the results of the stress logistic regression test, p = 0.042; smoking p = 0.998; alcohol p = 0.996, and diet p = 0.000. diet is the dominant factor with a logistic regression value of p = 0.000 with an or or exp (b) = 12,722. There is a relationship between stress levels, smoking, alcohol and diet. these are the most dominant factors related to the incidence of hypertension in the tatitang and tita mandiri hamlets, while the age factor is not related to the incidence of hypertension.

Background: Diabetes mellitus (DM) is the most common metabolic disorder worldwide. DM is the most common chronic illness in adults. It is estimated that 300 million people will have DM by 2025, and it will reach approximately 439 million and the prevalence is estimated to be 7.7% by 2030. The decrease of blood glucose levels in patients with DM decreases the mortality and morbidity rates significantly.Objective: To identify the potential risk factors of poor glycemic control among patients having type2 Diabetes mellitus in Al-diwaniya city. Methods: A total of 340 patients were included in the study. This was cross sectional study conducted in the Diabetes  Center at Al-diwaniya city, Iraq, from period of 1st of February to the 1st September2023. Based on the cutoff point of Glycosylated hemoglobin of 7, the poor control were the patients with (Glycosylated hemoglobin is ≥ 7) and the good control were the diabetic patient with Glycosylated hemoglobin is <7. A questionnaire developed to gather the demographic, lipid profile, disease characteristics and lifestyles behaviors and filled by the researcher through direct interview. Results: The total number of poor controls was 221 and the good control was 119 patients. There was no significant difference between the two groups regarding sex, age, marital status and occupation. A significant association was observed between the control status and high education level (p=0.001) dyslipidemia (p=0.001), cholesterol level (P=0.002), high TG level (p<0.001), and LDL level (p=0.025). Smoking, Body Mass Index and HDL level were not significant factors (p>0.005). All disease characteristics including the duration, family history of DM, FBS, type of medication were significant factors (p<0.001). Lifestyles  behaviors including  self-monitoring, healthy diet, physical activity, and adherence were significant factors (p<0.001). Conclusion: The most important potential risk factors for poor control diabetes were dyslipidemia, poor adherence and longer duration of diabetes. Enhancement of education of the patients and their healthcare providers on these factors are great benefit in glycemic control.

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N  The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.  

Background: This research is motivated by the high prevalence of smoking among students, necessitating effective interventions. The research problem is whether there is a significant influence of anti-smoking campaign messages on the intention to quit smoking among active smokers in FIKOM Unpad. Purpose: The purpose of this study is to determine the influence of anti-smoking campaign messages, as well as the influence of attitudes, subjective norms, and behavioral control on the intention to quit smoking among active smokers in FIKOM Unpad. Methods: This study uses a quantitative approach with a survey method through questionnaires distributed to 120 respondents who are active smokers among FIKOM Unpad students. Data were analyzed using the coefficient of determination test and the T-test to measure the significance of the influence of these variables. Results: The results of the study show that anti-smoking campaign messages have a significant influence on the intention to quit smoking. Additionally, attitudes, subjective norms, and behavioral control also have a significant influence on the intention to quit smoking. The conclusion of this research is that anti-smoking campaign messages are effective in increasing the intention to quit smoking among active smokers in FIKOM Unpad. This research provides an important contribution to the development of effective health communication strategies through campaign messages.

Excessive fat accumulation is called obesity. Obesity occurs at all ages, but is most common in the first year of life, at school age and in adolescence. The main behavioral and risk factors for obesity include an unhealthy or unbalanced diet, lack of beneficial activities, such as smoking, and lack of fiber, such as vegetables and fruit. Therefore, preventing and controlling obesity is very important. Nutrition education is an educational approach that functions to increase teenagers' knowledge, attitudes and behavior towards nutritional problems. Education can be done using media, one of which is posters. Posters are a type of media that contain health information with a combination of clear visuals to attract readers' attention. Posters as a health promotion media have the advantage of increasing awareness, trust and attitudes towards health. The aim of this research is to develop poster media for obesity prevention for students at Senior High School 5 Surakarta. This research method uses Research and Development (R&D), with the ADDIE model being developed in 5 stages, namely (Analysis, Design, Development, Implementation, Evaluation). The results of this research showed that the assessment of poster media from stage 1 material experts was 59% inadequate, stage 2 material experts were 62% with decent results, and stage 3 material experts were 76% with decent results. Stage 1 media experts were 88% very decent results, and stage 2 and 3 media experts were 100% very decent. The media aspect got a percentage result of 91%, the media usefulness aspect was 89% which was very feasible. Overall, the average final assessment score was 89.9%, a very decent category. And a field trial was carried out which was attended by 30 students, producing results of 85% from the media aspect and 84% from the media usefulness aspect, including the very feasible category, so it can be concluded that the media developed is "very suitable" for use in preventing obesity in teenagers in Senior High School 5 Surakarta.

Smoking becomes a common phenomenon among teenagers because due to internal and external factors affecting smoking behavior. Efficacy of self, confidence of one of his abilities, affects the smoking habits and efforts to stop. FGD (Focus Group Discussion) is an effective method of collecting information and troubleshooting through group discussions. FGD can increase the knowledge and efficacy of the participants' sourcing, including students at school. This study aims to determine how health promotion interventions can cultivate self effecty so that teens still do not smoke using the health promotion intervention method of FGD (Focus Group Discussion) and to know the success of self efficacy based on 3 aspects: (Level, Strenght, and Generality). This research uses a Quasi Experimental method with a type of quantitative research that uses a pre-test group post-test approach. The sample in this study were 10 students in class X and XI from SMK Igntaius Slamet Riyadi Surakarta. The sampling technique uses a purposive sampling method. Data collection techniques use interviews. The data analysis technique uses the non-parametric Wilcoxon Signed Ranks Test. The results of this study show that there is no influence of self-efficacy on the behavior of maintaining not smoking among students at SMK Igntaius Slamet Riyadi Surakarta. Indicates because there is no influence between the FGD variable and the self efficacy of maintaining behavior to remain non-smoking.

Background: Hernia Nucleus Pulposus (HNP) is a condition when the pad or disc (soft gel disc or nucleus pulposus) between the vertebrae (spine) comes out of its original position or is torn and pinches the nerve behind it. Many people know it as "pinched nerve". HNP most often occurs in the cervical (neck) and lumbar (waist) vertebrae. The neck has 7 vertebrae. Cervical HNP (pinched neck nerve) most often affects the C6-C7 segment followed by the C5-6 segment because this segment is the part that moves most often and is easily affected by the degeneration process. Neck HNP most often occurs in men aged 45-55 years. Risk factors that increase the appearance of cervical HNP or pinched neck nerves include genetics, smoking, being overweight (obesity), work that often involves bending over and lifting heavy objects or operating machines with vibrating forces, and injury. Nerve mobilization in the Upper Limb Tension Test ( ULTT) is performed on branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating cervical HNP patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Introduction: Anesthesia is a complex pharmacological Response induced by a chemically heterogeneous class of Drugs, the so-called general anesthetics Every year, tens of Millions of patients are exposed to general anesthetics Drugs that remove the most precious human attribute Consciousness. By allowing for prolonged invasive Procedures, general anesthesia is one of the foremost Achievements of modern medical science However, there Is no objective or widely accepted definition of general Anesthesia. Aim of the study: The aim of study uses of prophylactic nebulized steroids therapy on postoperative cough in a heavy smoker patient under elective extra thoracic surgery. Results: The data was analyzed using the statistical program IBM SPSS Statistic 28 the results attached below were obtained based on the following hypotheses and aim of this study (The aim of study use of prophylactic steroids therapy on postoperative cough for heavy smoker patient under elective extra thoracic surgery). Discussion: In this study, it was attempted to determine the effect of steroids therapy on post-operative cough in patients ­smoking. And there was high-significant data for each drug group. From this data we note that from study questionnaire the use of nebulizer pulmicort which is making less side effect on patients from than using systemic dexamethasone to patients. and be better drug used for patient who have chronic disease such as (hypertension, diabetic mellitus, problem in respiratory system and complication. Conclusion: from all results in this study, we can conclude that there is a significant effect on shortness of breath and high significant data variable effect on cough according to data research. 

Body composition refers to the distribution of fat, muscle, bone, and other tissues in the human body, which is often expressed as a percentage of total body weight consisting of fat mass and lean body mass. Obesity, characterized by excess fat in adipose tissue, poses a significant health risk and is increasing in countries with low and medium mortality rates, especially in metropolitan areas. Factors contributing to this include genetics, a lack of physical activity, socioeconomic status, unhealthy eating patterns, psychosocial factors, smoking, and alcohol consumption. Excess body fat significantly contributes to morbidity and mortality. Although optimal body fat levels vary, excess fat increases the risk of health issues such as joint problems and cardiovascular disease. People widely use bioimpedance analysis (BIA), an efficient, non-invasive method, to assess nutritional status and body composition. This activity uses the PDCA (Plan-Do-Check-Action) method, which is carried out at PT. Narindo, North Jakarta, in the productive age population. The examination results showed that the average levels of total body fat, visceral fat, total subcutaneous fat, total muscle mass were 28.6%; 11%; 22.2%; 28.3%. Early detection of body composition is critical for assessing nutritional and health status as well as diagnosing disease, potentially reducing obesity-related morbidity and mortality.

This study compares the performance of Convolutional Neural Network (CNN) and Support Vector Machine (SVM) algorithms in detecting and classifying smoking activities. Using an image dataset containing two classes, Smoking and Non-Smoking, this research implements transfer learning using the InceptionResNetV2 model for CNN and the SVM method. Evaluation results show that CNN has higher accuracy compared to SVM in detecting smoking activities. This research contributes to the development of surveillance systems for smoke-free areas in smart cities.