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Postoperative pain is a common clinical condition experienced by patients after surgical procedures and may hinder the recovery process if not properly managed. In addition to pharmacological therapy, safe and effective non-pharmacological interventions are needed, one of which is early mobilization. This study aimed to analyze the effect of early mobilization on pain reduction in postoperative surgical patients. A scoping review method was conducted based on the Arksey and O’Malley framework. Literature searches were performed using ScienceDirect, PubMed, and Google Scholar databases with a PICO strategy, including articles published within the last five years. From a total of 167,948 identified articles, 10 studies met the inclusion criteria and were included in the analysis. The results showed that early mobilization performed gradually and according to patients’ clinical conditions had a significant effect on reducing postoperative pain intensity. In addition, early mobilization was associated with improved comfort, enhanced functional recovery, and faster postoperative rehabilitation without increasing the risk of complications. Although variations were found in the timing and type of mobilization across studies, overall evidence supports that early mobilization is safe and effective. In conclusion, early mobilization can be recommended as an evidence-based nursing intervention for postoperative pain management.

This study examines the economic dynamics experienced by migrant women through the perspective of abstract painting as a medium for personal and social reflection. The study uses a qualitative method with an artistic research approach, which departs from the researcher's personal experience as a migrant woman facing increasingly complex economic realities. The rising cost of living, financial constraints, and intertwined academic demands create pressure not only on material aspects, but also on psychological, emotional, and mental conditions. This situation demands adaptation strategies, resilience, and the ability to survive in the face of uncertainty in migrant areas. The dynamics of these experiences are then translated into visual language through an abstract expressionist approach utilizing mixed media techniques. Dynamic line elements, contrasting colors, bubble textures, and layers of material are used as symbols of the tension, struggle, and economic instability experienced by the subjects. The research findings show that abstract painting functions not only as a means of personal expression, but also as a medium for social reflection that records and articulates the experiences of migrant women who are often marginalized. This research contributes to the enrichment of contemporary art discourse, particularly in presenting visual narratives that voice economic issues and women's life experiences in a critical and reflective manner.    

Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare, life-threatening mucocutaneous reactions characterized by extensive epidermal necrolysis and mucosal involvement. The entities represent a clinical continuum distinguished by the extent of epidermal detachment (SJS <10% body surface area [BSA], SJS/TEN overlap 10–30%, TEN >30%). Most cases are drug-induced, making early culprit-drug withdrawal and structured supportive care the cornerstones of management. Immunopathogenesis is primarily mediated by drug-specific cytotoxic T cells and NK cells through granulysin, Fas–Fas ligand, and perforin/granzyme pathways, with emerging roles of necroptosis and candidate biomarkers such as RIP3 and galectin-7. Diagnosis relies on timely recognition of the characteristic painful erythematous/targetoid lesions, Nikolsky/Asboe–Hansen signs, multi-site mucositis, accurate BSA assessment, and early severity scoring (e.g., SCORTEN) to guide referral and monitoring. Systemic immunomodulators (corticosteroids, cyclosporine, IVIg, anti-TNF agents) have variable evidence; thus, individualized selection and early multidisciplinary care particularly ophthalmologic involvement are essential to reduce acute mortality and long-term sequelae.

A creative and stimulating learning environment plays an important role in supporting early childhood development, particularly fine motor skills. One innovative learning environment that can be implemented is Kids Art Space, a specially designed art space that provides children with safe, enjoyable, and meaningful learning experiences through art activities. This study aims to describe the implementation of Kids Art Space as an innovative learning environment in supporting the development of fine motor skills in early childhood. The research employed a descriptive qualitative approach involving early childhood participants who took part in Kids Art Space activities, with parents serving as companions and supporting informants. Data were collected through observation, documentation, and activity reflection. The results indicate that the implementation of Kids Art Space effectively enhances children’s fine motor skills through various art activities such as sticking, painting, color mixing, and tap-tap plastic activities that involve hand–eye coordination. In addition, Kids Art Space positively influences children’s focus, enthusiasm, independence, and self-confidence during the learning process. Therefore, Kids Art Space can be considered an innovative and effective learning environment that supports fine motor development in early childhood through creative and interactive learning experiences.

Low back pain (LBP) is one of the most common musculoskeletal complaints globally and is the main cause of decreased work productivity. One of the risk factors that has been widely studied in the literature is prolonged sitting duration. Prolonged sitting activities cause increased static pressure on the lumbar spine, fatigue of the supporting muscles, as well as a decrease in local blood flow that can trigger chronic pain. This study is a literature review with a meta-analytical approach that aims to analyze the relationship between long-term sitting and the incidence of LBP. The review process was carried out following PRISMA guidelines through searches on PubMed, Scopus, ScienceDirect, and Google Scholar databases for publication in 2020–2025. Of the 20 previous studies analyzed, most showed a positive association between sitting time and an increased risk of LBP, both in adults, adolescents, and children. Sitting for more than 6 hours per day increases the risk of LBP by 33%, especially in individuals with low physical activity. In addition, longer sitting durations with poor posture and minimal active rest were found in the group of office workers and professional drivers who had a high prevalence of LBP. Physical activity has been shown to play a protective role against the risk of LBP, while ergonomic interventions such as lumbar support can reduce pain complaints. Although most studies were observational, the consistency of results supports the importance of prevention through reduced sitting time, increased physical activity, and ergonomic work environment settings. These findings provide a scientific basis for multidimensional interventions to effectively reduce the incidence of LBP.  

Postoperative pain is a common physiological response following surgical procedures, and its suboptimal management can have physiological and psychological effects, including sleep disturbances, decreased functional capacity, increased anxiety, and deterioration in quality of life. This scoping review aims to describe the empirical evidence regarding the effectiveness of music therapy in reducing the intensity of postoperative pain in surgical patients. A systematic search was conducted through four major databases (ScienceDirect, PubMed, Neliti, and Google Scholar) using Boolean operators and keywords such as ‘postoperative pain,’ ‘music therapy,’ and ‘pain scale.’ Inclusion criteria included articles published in the last decade, in English or Indonesian, and available in full text format. In accordance with PRISMA-ScR guidelines, this review analysed 10 articles. The synthesis of results showed that music therapy consistently reduced pain intensity, anxiety, and analgesic requirements through mechanisms such as increased endorphin secretion, decreased stress hormone levels, and activation of the gate control theory. Typically administered for 15–30 minutes, music therapy is a safe, cost-effective, and patient-acceptable non-pharmacological modality. This intervention is recommended as an adjunct component in perioperative pain management in nursing practice, although further standardised research is needed to improve consistency.

Inflammation is a physiological response to tissue injury, infection, or harmful stimuli, characterized by redness, swelling, heat, and pain. However, excessive or chronic inflammation may lead to tissue damage and degenerative diseases. Long-term use of non-steroidal anti-inflammatory drugs is associated with gastrointestinal and cardiovascular side effects, highlighting the need for safer natural alternatives. Taro leaves (Colocasia esculenta) are traditionally used to treat swelling and wounds and contain bioactive compounds such as flavonoids, alkaloids, tannins, saponins, and triterpenoids with potential anti-inflammatory effects. This study aimed to evaluate the anti-inflammatory activity of ethanol extract of taro leaves and determine the most effective dose. An experimental study was conducted using male white mice (Mus musculus) divided into five groups: negative control (Na-CMC), positive control (sodium diclofenac), and three treatment groups receiving extract doses of 25, 50, and 75 mg/kg BW. Inflammation was induced by 1% carrageenan injection. The extract significantly reduced inflammation, with the highest inhibition (84.13%) observed at 75 mg/kg BW, comparable to diclofenac.  

Aortic dissection is a cardiovascular emergency characterized by a tear in the aortic intima layer and the formation of a false lumen, posing risks of fatal complications such as rupture and organ malperfusion. Stanford type B dissections may be managed conservatively; however, complicated cases require intervention. Thoracic Endovascular Aortic Repair (TEVAR) has emerged as the preferred modality, offering lower perioperative morbidity and mortality compared to open surgery. To report the first TEVAR procedure performed in Manado on a patient with Stanford type B aortic dissection, highlighting the technical approach, operative challenges, and clinical outcomes. A 62-year-old male with a history of hypertension and chronic chest pain was referred following a CT angiography that revealed a Stanford type B aortic dissection with an entry site in the proximal descending aorta. TEVAR was performed with stent-graft placement in zone 2 and a chimney graft to preserve perfusion of the left subclavian artery (LSA). Intraoperative aortography confirmed false lumen exclusion without endoleak. The patient showed significant clinical improvement and recovered without postoperative complications. The procedure was technically and clinically successful, with no major complications. Postoperative evaluation confirmed stable stent position and maintained LSA perfusion. This case demonstrates that TEVAR can be safely implemented in non-tertiary regional hospitals with thorough preparation. The first TEVAR procedure in Manado illustrates that this technique can be an effective solution for complicated type B aortic dissections. This experience marks a milestone in the development of endovascular services in resource-limited settings and may serve as a reference for similar institutions in Indonesia.

Menstrual pain (dysmenorrhea) is a common complaint among adolescent girls and often disrupts school activities. Limited understanding of its causes and appropriate self-care practices contributes to the persistence of symptoms. This study examined the effect of dysmenorrhea health education on improving knowledge among female students at SMK Pasundan Jatinangor. A method A pre-experimental one-group pretest–posttest design was used in this study. A total of 42 students participated and completed a dysmenorrhea knowledge questionnaire before and after a 60-minute educational session delivered through presentation media and group discussion. The results were analyzed descriptively to observe changes in knowledge levels. Resulted The intervention produced a notable improvement in students’ knowledge. The proportion of participants with good knowledge increased from 45.2% at pretest to 73.8% at posttest, while those in the low-knowledge category decreased substantially. Participants demonstrated clearer understanding of dysmenorrhea symptoms, contributing factors, and simple management strategies. Dysmenorrhea education effectively enhanced students’ knowledge at SMK Pasundan Jatinangor. Regular reproductive-health education programs in schools are recommended to support adolescents in managing menstrual discomfort independently and appropriately.

Adolescent girls represent a population that commonly experiences primary dysmenorrhea. Inadequate dietary habits may contribute to inflammatory responses, while low levels of physical activity can reduce the body’s natural pain regulation, both of which may intensify menstrual pain. This study aimed to analyze the association between dietary habits and physical activity with the severity of primary dysmenorrhea among adolescent girls. A quantitative correlational study with a cross-sectional design was conducted. Participants were selected using proportional random sampling, involving 71 eleventh-grade students at SMAN 6 Malang. Dietary intake was assessed using a FFQ, physical activity levels were measured through the PAL indicator, and dysmenorrhea severity was evaluated using the WaLIDD score. The results showed that nearly half of the respondents had adequate dietary habits (49.3%) and moderate physical activity levels (47.9%), while most participants experienced moderate primary dysmenorrhea (53.5%). Statistical analysis using Somers’ d and Gamma tests yielded p-values of 0.039 and <0.001, indicating significant associations between dietary habits, physical activity, and dysmenorrhea severity. Correlation analysis demonstrated a moderate inverse relationship between dietary habits and dysmenorrhea severity (r = −0.301) and a strong association between physical activity and dysmenorrhea severity (r = 0.690).

During gravidity, back pain is a significant issue, especially due to changes in posture along with increasing physical load in the third trimester. Muscle relaxation and stretching exercises for pregnant women can help reduce back pain, one of which is the butterfly exercise. That study aims until determine the impact to the butterfly activity on gravidity in their third trimester at TPMB Amilia Intarti Klampisrejo, Pasuruan Regency. A quantitative method was used with a quasi-experimental approach employing a one-group pre-test also post-test design. The study involved 32 third-trimester gravidity as respondents. Data were collected using purposive sampling, before-and-after measurements, and assessed with the Numeric Rating Scale (NRS). The intervention be carried out over a period of four weeks. The findings show that the butterfly pregnancy exercise effectively reduces back pain in third-trimester gravid. Therefore, the butterfly exercise can serve as an alternative method to help alleviate back pain and enhance comfort during pregnancy.  

Research on the relationship between physical activity and morbidity levels of inmates, particularly in women's prisons, is still very limited. This study aims to provide empirical data that can be used as a basis for developing better physical training programs in women's prisons, while also supporting improvements in the quality of life of inmates and their readiness to return to society. This study used a quantitative design with a cross-sectional study approach. Activities carried out included data collection and measurement of the independent and dependent variables. This study analyzed variables related to the relationship between physical activity and morbidity levels among inmates at the Class II Pondok Bambu Women's Prison, East Jakarta. The results of the study showed (1) variations in the distribution of physical activity levels were relatively balanced between the low (34.6%), medium (33.3%), and high (32.1%) categories. (2) Morbidity rates in the sample indicated a significant burden of disease, the proportion of prisoners with low levels of morbidity was 39.7%, medium 24.4%, and high 35.9%. (3) Statistical analysis showed a significant relationship between physical activity levels and levels of morbidity in prisoners, the bivariate test (Chi-Square) produced p < 0.001, so the hypothesis that there is a relationship between physical activity and morbidity is accepted. (4) In an Islamic perspective, physical activity is believed to strengthen the body, prevent disease, and maintain physical and spiritual balance.

Acute pain is a complex phenomenon frequently experienced by post-surgical patients. If not properly managed, it can hinder the recovery process and increase the risk of chronic complications. This study aims to conduct an in-depth analysis of the concept of acute pain in surgical patients from a nursing perspective to improve the quality of care. The method used was a narrative literature review, analyzing various research articles and clinical protocols related to surgical pain management. The study findings indicate that acute post-surgical pain involves sensory and emotional dimensions influenced by the type of surgical procedure, individual pain threshold, and the effectiveness of pharmacological and non-pharmacological interventions. Furthermore, the role of nurses in conducting accurate pain assessments and patient education is a key factor in successful pain management. The implications of this study emphasize the importance of implementing integrated multimodality pain management protocols and improving nurses' competency in conducting intensive monitoring. Optimizing pain management is expected to accelerate patient mobilization, shorten hospital stays, and increase patient satisfaction with nursing services.

Knee osteoarthritis (OA) is one of the leading causes of disability among the elderly population. This degenerative joint disease is characterized by progressive damage to the articular cartilage and structural alterations of the knee joint, resulting in pain, reduced mobility, and diminished quality of life. This Community Service Program (PKM) aimed to promote early detection of knee OA through simple radiological screening as a preventive strategy to reduce the risk of musculoskeletal disability. The activity was conducted at Asisi Church, South Jakarta, involving 87 participants aged 54–87 years (mean 70.77 ± 7.32 years). Radiological examination was performed using standard anteroposterior knee X-rays, and results were classified according to the Kellgren–Lawrence grading system. Findings revealed that 98.9% of participants exhibited radiological signs of OA, predominantly grade II (60.9%), followed by grade III (21.8%), grade I (11.5%), and grade IV (4.6%), while only 1.1% showed normal results. Female participants (74.7%) predominated across all OA grades, indicating hormonal and biomechanical influences on disease progression. The mean age increased with OA severity, supporting the degenerative theory that aging leads to decreased chondrocyte function and cartilage elasticity. In addition to screening, participants received education on weight management, muscle strengthening exercises, and injury prevention. The results demonstrate that simple radiological screening is an effective, practical, and cost-efficient community-based approach for early detection of knee OA. Integrating such preventive strategies within primary care systems could significantly reduce the burden of disability among the elderly population.

This study explores the development of digital and storynomic-based tourism in Kamasan Tourism Village, Klungkung Regency, Bali. Kamasan is historically known as the center of classical Balinese wayang painting and traditional metal crafts such as gold, silver, and brass. Using a qualitative descriptive method through observation, interviews, and document studies, this research identifies the village’s cultural potential and formulates a sustainable tourism development model. The SWOT analysis reveals that Kamasan’s main strengths lie in its rich cultural heritage, community participation, and diverse local crafts, while weaknesses include limited digital promotion, lack of facilities, and low involvement of younger generations. Opportunities arise from the growing trend of cultural and educational tourism and strong government support for digitalization through the Anugerah Desa Wisata Indonesia (ADWI) program. The integration of storynomic tourism and digital media—such as e-brochures, promotional videos, and virtual tours can enhance destination competitiveness, strengthen local identity, and improve community welfare. This research emphasizes that combining cultural storytelling with digital innovation is a strategic approach to creating sustainable and engaging tourism experiences in Kamasan Village.  

Sleep quality is a crucial component of health and overall well-being among older adults, as the aging process is commonly associated with various physiological, psychological, and environmental changes that may significantly disrupt normal sleep patterns. Declining bodily functions, increased health problems, and changes in daily routines often contribute to sleep disturbances in later life. This literature review aims to analyze the factors influencing sleep quality in the elderly by synthesizing findings from relevant national and international studies published in recent years. Various factors were identified, including physiological conditions such as chronic diseases, pain, and hormonal changes; psychological factors such as anxiety, depression, stress, and cognitive decline; lifestyle-related factors such as levels of physical activity, dietary habits, medication use, and caffeine consumption; and environmental aspects including noise exposure, lighting conditions, temperature, and overall bedroom comfort. The reviewed literature consistently indicates that poor sleep quality is strongly associated with impaired physical health, reduced cognitive function, increased fatigue, and decreased emotional well-being in older adults. This review highlights the importance of comprehensive, multidisciplinary interventions that address both intrinsic and extrinsic determinants of sleep to effectively improve overall sleep quality among elderly populations.

The community service program entitled “Implementation of Digital Technology through Mapping MSME Locations on Google Maps to Enhance Consumer Accessibility in the Bukit Lawang Tourism Area” aims to improve digital literacy and business visibility among local micro, small, and medium enterprises (MSMEs) in Bukit Lawang, Langkat Regency, North Sumatra. The program was carried out using a participatory approach through socialization, training, and technical assistance involving four local MSMEs, consisting of two wildlife-themed painting craftsmen, one culinary business, and one souvenir craftsman. The results show that all MSMEs were successfully registered and verified on Google Maps, leading to increased consumer accessibility and customer interaction through digital reviews. In addition to expanding market reach, this activity also fostered awareness and independence among business owners in managing their online business profiles. This program demonstrates that location mapping through Google Maps serves as a simple yet effective strategy to support MSME digital transformation and strengthen community-based creative economies in rural tourism areas.

Musculoskeletal Disorders (MSDs) complaints in muscles, joints, and soft tissues can be caused by poor posture, repetitive movements, and excessive physical load. In the wet cake-making industry, workers often sit or stand for long periods, bend, and perform monotonous hand movements, which increases the risk of MSDs. The impact includes decreased work comfort, productivity, and quality of life. This study aims to assess the ergonomic risk level in wet cake-making workers and identify the relationship between work activities and MSD complaints. The method used is descriptive quantitative research with a cross-sectional design, involving 45 workers at Kue X Silaberanti. Ergonomic risk was assessed using the REBA method, while MSD complaints were measured using the Nordic Body Map questionnaire. The results show that in the mixing process, 58.8% of workers experienced a very high risk of MSDs. In the molding and baking processes, 52.9% and 68.8% of workers, respectively, were at high risk. The most frequent complaints were pain in the back, neck, shoulders, arms, and wrists due to poor posture and repetitive movements. To reduce the risk of MSDs, workers need to improve their posture, use ergonomic aids, rotate tasks, and undergo training in safe working techniques.

This study aims to analyze the internal and external conditions of Karel Workshop in Wairhubing, Sikka Regency, using a SWOT approach (Strengths, Weaknesses, Opportunities, and Threats) as a basis for formulating business development strategies. The research employed a qualitative descriptive method with data collected through in-depth interviews with the owner, employees, and customers, as well as secondary data from documents and official statistics. The findings indicate that Karel Workshop possesses several strengths, including meticulous service quality, strong interpersonal relationships with customers, and mechanic skills acquired through self-learning. However, the workshop also faces weaknesses such as limited equipment, the absence of a structured management system, and a lack of digital promotion. Opportunities that can be utilized include high public interest in motorcycle modification, potential motorcycle painting services, a strategic location, and possible partnerships with spare-part suppliers. Meanwhile, the main threats include rising spare-part prices, competition among workshops, and occupational safety risks. Overall, the study recommends strengthening digital promotion, improving business management, enhancing workshop facilities, and implementing safety standards to support the sustainable development of Karel Workshop. 

This study aims to comprehensively describe the psychological dynamics of Natta's character in the novel Rumah Tanpa Cahaya through the framework of Sigmund Freud's psychoanalytic theory. The main focus of the study is to analyze the structural interactions of personality including the Id, Ego, and Superego, and to identify various self defense mechanisms activated by the character due to the internal conflict he experiences. The method used is descriptive qualitative with a literary psychology approach as the main analytical basis for dissecting the hidden inner character. The results of the study indicate that Natta's character's behavior is a form of integrative struggle that demands immediate gratification (Id), rational consideration of painful reality (Ego), and strong moral pressure from the internalization of social norms (Superego). Natta's Id demands the fulfillment of basic needs for security and affection. Meanwhile, the Superego provides moral pressure that triggers disproportionate anxiety. Natta's Ego operates as a mediator that works hard to balance the drives of the Id and the demands of the Superego, which forces the Ego to activate self-defense mechanisms such as repression, rationalization, and especially sublimation. This mechanism serves as a psychic barrier to maintain her mental stability and prevent her from experiencing total collapse due to the accumulation of past trauma. Overall, this novel depicts the complexity of the human psyche in the face of existential crises and unresolved past wounds.