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Gout is an inflammatory arthritis caused by the accumulation of uric acid crystals. Dietary adherence is one of the managements of gout. The purpose of this study is to determine the influence of peer group therapy on the dietary adherence of gout sufferers in Mentor Village, Sumberasih District, Probolinggo Regency. This study uses a one-group pre-post test design (pre-experiment) research design. The total population was 36 respondents with gout, the sample studied was 33 respondents with gout using the Purposive Sampling technique, In accordance with the inclusion criteria willing to be a respondent, Permanent Resident of Mentor Village, Patients who have gout, Gout level value above seven point zero for men and Women more than six point zero Exclusion criteria Patients with comorbidities that interfere with the research (kidney, janttung, lung and so on), Patients do not participate in the entire activity or resign.Peer group therapy was carried out four times in 14 days. Statistical Test for dietary adherence using the Wilcoxon Test. The results of the study Before peer group therap was coalited, the Gout Diet Compliance value was moderate,  24 respondents (72.7%),while the after tritmen value of goud diet compliance of  31 respondents (93.9%), The results of the Wilcoxon statistical test,obtained p value = 0.000. This shows that Peer Group therapy affects dietary adherence of gout patients. Peer Group Therapy is a program that can be applied to gout patients who have low dietary adherence. Nurses are expected to be able to use Peer Group Therapy as a health promotion program. 

Indonesia, as the world's sixth largest sugar market, faces an imbalance between sugar consumption and production, opening up opportunities for natural sweetener alternatives such as stevia. Stevia, which is low in calories and has the potential to reduce the risk of chronic diseases, is increasingly in demand. However, optimal business strategies to market stevia in Indonesia are still limited. This article aims to analyze PT Sweet on Stevia's business strategy by using Porter Five Forces and SWOT analysis. The method used is to link the two analyses to determine strategies in the aspects of service, marketing and sales, and operations. The results of the analysis show the importance of improving service quality, social media-based marketing, and operational efficiency in facing market competition. The findings provide insights for PT Sweet on Stevia to optimize its business strategy and contribute to the promotion of healthier sugar consumption patterns in Indonesia.

"Insider" practices and "privileges" are often overlooked in human resource management (HRM) discourse, despite their significant impact on organizational justice, employee motivation, and overall performance. This article explores how informal connections and preferential treatment undermine meritocratic systems, distort perceptions of fairness, and reduce job satisfaction and employee commitment. Using a qualitative case study approach, the findings reveal that perceptions of injustice caused by informal practices—such as promotions based on personal ties, biased performance evaluations, and exclusive access to opportunities—can significantly weaken both intrinsic and extrinsic employee motivation. The study highlights the urgency of implementing transparent, accountable, and performance-based reward systems as strategic efforts to foster a fair and healthy organizational culture. Practically, organizations must develop HRM policies that are not only procedurally fair but also perceived as equitable to sustain long-term employee productivity and retention.

Indonesia faces various nutritional problems, one of which is central obesity. This condition occurs due to excessive energy intake that surpasses the amount of energy used for metabolism and daily activities. The excess energy is stored as fat tissue, which eventually leads to weight gain and increases the risk of various metabolic diseases. This study aims to examine the risk factors for central obesity in the community at Mon Geudong Public Health Center, Lhokseumawe City.This study employs a descriptive observational method with a cross-sectional survey design. The population consists of 1,121 individuals, and the sample was obtained using a non-probability sampling technique with accidental sampling, resulting in a total of 100 respondents. Data collection was conducted through questionnaires and waist circumference measurements using a measuring tape. Data were analyzed using univariate analysis to examine the distribution of respondent characteristics.The results indicate that the most affected age group is 56–65 years (49.0%). Based on gender, more women (80.0%) experience central obesity compared to men (20.0%). The majority of respondents are unemployed, possess good knowledge levels, and 69.0% have a family history of central obesity.The study concludes that the primary risk factors for central obesity include age, gender, occupation, and family history. However, knowledge level is not considered a risk factor for central obesity. This research is expected to serve as a basis for central obesity prevention efforts through education and the promotion of a healthy lifestyle in the community.

Stunting is a health problem that is still a concern in Indonesia, including in Panton Village, Nisam District, North Aceh. This village has a fairly high stunting rate, influenced by various factors such as exclusive breastfeeding, maternal knowledge, and family support. This study aims to analyze the relationship between exclusive breastfeeding, maternal knowledge, and family support on the incidence of stunting in Panton Village. The study used an observational analytical design with a cross-sectional approach and involved 30 respondents selected by purposive sampling. Data were collected through questionnaires and analyzed using the chi-square test with a significance level of 0.05. The results showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting (p = 0.003). In addition, maternal knowledge was also related to the incidence of stunting (p = 0.005). Family support also had a significant relationship to the incidence of stunting (p = 0.001). In conclusion, exclusive breastfeeding, maternal knowledge, and family support play an important role in preventing stunting. Therefore, it is suggested to health workers, especially the health promotion and nutrition division, to improve education for mothers and families regarding the importance of exclusive breastfeeding, balanced nutrition, and parenting patterns that support optimal child growth.

This study aims to determine health promotion in the hospital environment. The method used is qualitative where the data obtained is analyzed to be described qualitatively. The results obtained that health promotion in the home environment can increase the insight of patients, patient families, and hospital visitors about various diseases and the correct way to prevent them, in addition health promotion in hospitals is an effort by hospitals to improve the ability of patients, families and hospital visitors to be able to play a positive role in efforts to cure and prevent diseases so that they can accelerate the healing and rehabilitation process, improve health, prevent health problems, and develop health efforts through learning according to each socio-culture independently    

Introduction: One form of health service that physiotherapy can provide is using communication and education to the community, such as education in the toddler posyandu community. Methods: the method used is the provision of health promotion counseling on baby massage and oral motor exercise in infants to toddlers. This counseling was conducted on October 14, 2024 in the toddler class RW 03, Arjosari village, Blimbing District, Malang City with 10 mothers of toddlers being targeted in this counseling. The implementation of this counseling uses leaflets as promotional media. Giving pre-test and post-test as an instrument to measure the effectiveness of this counseling. Results: the results showed that the second question of the pre-test obtained a value of 0% and the post-test value obtained a result that increased to 90%. Then, for the third question, the pre-test score was 0% and the post-test score increased to 70%. Conclusion: The evaluation results state that the counseling activities carried out in the toddler class have increased knowledge to participants regarding oral motor exercise and baby massage.

This research investigates maritime health literacy among cadets, focusing on its alignment with international standards and implications for professional practice in the maritime industry. Using qualitative methods, the study explores cadets' perceptions and experiences regarding health management practices onboard ships. Findings reveal a strong alignment with safety and environmental protocols outlined by the International Maritime Organization (IMO). However, gaps in practical training effectiveness and continual professional development highlight areas for improvement. Cadets express the need for enhanced practical simulations and lifelong learning initiatives to better prepare for health-related challenges at sea. The study also identifies positive perceptions of health promotion policies mandated by the maritime labour convention, underscoring industry commitment to promoting occupational health and safety standards. Recommendations include integrating comprehensive mental health support, fostering collaborative research efforts, and conducting longitudinal studies to assess the sustainability of health literacy interventions. By addressing these recommendations, stakeholders can enhance operational efficiency, promote crew welfare, and sustain a culture of safety within the maritime sector.

Background: Exclusive breastfeeding is a crucial factor in improving infant growth and health during the first six months of life. However, the achievement of exclusive breastfeeding is often influenced by various maternal factors, including the mother’s occupation. Working mothers frequently face challenges related to time constraints, workplace support, and breastfeeding facilities, which may affect their ability to provide exclusive breastfeeding. Understanding the relationship between maternal occupation and exclusive breastfeeding is essential to improve breastfeeding promotion programs at primary health care levels. Objective: This study aimed to determine the relationship between mother’s occupation and exclusive breastfeeding at the Posi Posi Community Health Center. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 30 mothers who had infants aged 6–12 months, selected using a total sampling technique. Data were collected through structured questionnaires and maternal health records. Statistical analysis was performed using the Wilcoxon test to examine the relationship between mother’s occupation and exclusive breastfeeding practices. Results: The results showed a statistically significant relationship between mother’s occupation and exclusive breastfeeding practices. The Wilcoxon test analysis obtained a p-value of 0.001 (p < 0.05), indicating that maternal occupation significantly influenced the provision of exclusive breastfeeding at the Posi Posi Community Health Center. Conclusion: There is a significant relationship between mother’s occupation and exclusive breastfeeding. Working mothers tend to experience more barriers in providing exclusive breastfeeding compared to non-working mothers. Strengthening workplace support, breastfeeding-friendly policies, and continuous health education is recommended to improve exclusive breastfeeding coverage.

TB is a serious infection caused by the Mycobacterium tuberculosis. Even now, tuberculosis paru remains one of the world's most pressing health issues. Even though many nations have taken steps to combat this illness, if it is not treated, it could lead to kematian. The goal of health promotion is to increase awareness of how to prevent tuberculosis in children. In order to conduct a thorough investigation, this community's pengabdian uses a quantitative approach and a kuesioner's lembar to understand the experiences of TB patients and other members of the community. Following the dissemination of health education about TB Paru to the general public at Puskesmas Negeri Lima, the general public's knowledge increased by 70–80%. This score is higher than the pre-test score of roughly 62%. This health education is provided in a gentle manner via ceramah, discussion, and tanya jawab. The results of the test indicate that the general public's knowledge has increased.

The implementation of Universal Precaution in hospitals is crucial to prevent the transmission of infectious diseases through blood and body fluids between patients and healthcare workers. This study aimed to evaluate the effectiveness of health promotion using leaflets in improving nurses' knowledge and skills regarding Universal Precaution for HIV/AIDS at Tere Margareth General Hospital Medan. The study employed a quasi-experimental design with a *Pre-Test and Post-Test with Non-Equivalent Control-Group Design* approach. The study population consisted of 36 nurses, all of whom were included as the sample using a saturated sampling technique. Data were analyzed using univariate, bivariate, and multivariate methods with a paired *t-test* at a 95% confidence level (P<0.05). The results showed that health promotion through leaflets significantly improved knowledge (sig. 0.004) and skills (sig. 0.000) of nurses regarding Universal Precaution for HIV/AIDS. It is recommended that nurses continue to enhance the implementation of Universal Precaution in hospital settings to optimize infection prevention. Education through leaflets can be an effective method to improve the understanding and skills of healthcare professionals. 

A healthy lifestyle is an important issue that needs to be instilled early in life, especially during adolescence. Adolescents living in hinterland areas often face greater challenges in accessing adequate health information and facilities. Therefore, efforts to promote healthy lifestyles among adolescents, especially in hinterland areas, are very important to prevent health problems and improve quality of life. One potentially effective approach to improve the motivation and healthy lifestyle behavior of adolescents in hinterland areas is the Peer Empowerment program. This program utilizes the strong influence of peers in motivating and encouraging positive behavior change among adolescents. This research will use the research and development (R&D) method with an experimental approach. The results of this study are useful for providing recommendations for effective health promotion methods for healthy lifestyle changes in adolescents.

Chronic diseases are degenerative conditions that significantly impact an individual's quality of life. Various degenerative diseases, such as diabetes mellitus, hypertension, and heart stroke, require immediate attention. Indonesia faces a dual burden in healthcare, grappling with both rampant infectious diseases and the rising prevalence of chronic degenerative illnesses. Therefore, health promotion efforts are crucial in preventing degenerative diseases among adolescents. This initiative targets teenagers due to their unhealthy lifestyle choices, which are evident in their smoking habits, poor dietary practices, insufficient consumption of fruits and vegetables, and a lack of physical activity. The primary objective of this initiative is to enhance awareness regarding the prevention of degenerative diseases among youth and to address the emergence of such conditions in this age group. The results of the community service activities indicate a notable increase in average knowledge from 6.61 to 13.80 and an improvement in attitudes from 9.61 to 14.47. The community service activities were successfully executed, as evidenced by the smooth conduct of the events and the active participation of the adolescents. To improve health quality, it is essential to foster awareness and enhance education among teenagers about the prevention of degenerative diseases.

Background: Anemia is a condition that describes the total number of red blood cells that operate to carry oxygen has decreased to meet the body's physiological needs. Pregnant women are said to be anemic if their hemoglobin (Hb) level is <11g/dL. Anemia in pregnant women is caused by lack of intake of iron-rich foods, lack of vitamin C intake, short pregnancy intervals (parity). Objective: To carry out midwifery care for Mrs M G1P0A0H0, 25 years old, 30-31 weeks pregnant with a mild case of anemia. Methodology: with a midwifery care approach, namely SOAP which includes subjective, objective, assessment, plan, and implementation and evaluation sheets, carried out on 09 September 2024 to 23 September 2024 at the patient's house in Aik Are Hamlet, Ubung Village, Jonggat District. The results of the midwifery care that was carried out on Mrs M G1P0A0H0, 25 years old, 30-31 weeks pregnant with mild anemia, were carried out by giving Fe blood supplement tablets, Vitamin C, Vitamin B complex, and Calcium lactate. After 1 week of midwifery care, the mother experienced improvement. Hb 11.3 gr/dL and no discrepancy was found between theory and case. Conclusion: There was an increase in Hb in pregnant women after consuming Fe tablets, vitamin B complex, Vitamin C, and Calcium lactate for 1 week. Health workers are expected to be able to carry out health promotions about the importance of consuming Fe tablets, Vitamin C, Vitamin B complex, and Calcium lactate to increase iron absorption in the body.

The development of science and technology is increasingly rapid along with globalization and changes that are always happening in the world today. The development of science and technology also has a significant impact on the world of education, especially in the health sector, one of which is the community, which of course will get access to health services. In conveying health information messages to the community, of course, it will be more interesting and have a wide reach if you use digital media to design and create an attractive appearance to look at. This is because the development of digital technology has caused many people to utilize modern technology because of the importance of information in the digital era. This study aims to Increase Student Knowledge in Making Digital-Based Health Promotion Media in the Nursing Study Program at Timor University. This type of research is pre-experimental research with a One-Group Pretest-Posttest Design (One Group Pretest-Posttest). The sample in this study were 29 patients. Respondents will be given training in using the Canva application in making health promotion media, then their knowledge before and after regarding the Canva application and its use in making health promotion media will be measured. The results of the study showed that the average respondent had a pre-test score of 62.24 and the average respondent after being given training was 83.28. The results of the Kolmogorov-Smirnov test showed that the data was normally distributed with a p value> 0.05. Furthermore, in the Difference Test using the Paired Sample T-Test, a p value of 0.000 <0.05 was obtained. This shows that there is a difference in the knowledge of respondents before and after being given training related to the Canva application and its use in creating health promotion media. The conclusion is that providing training to increase respondent knowledge is very important to do so that the world of education is able to produce a generation that is always able to adapt to the development of science and technology that occurs.

The fitness supplement industry in Indonesia is experiencing rapid growth due to increasing public interest in healthy lifestyles. In this competitive market, the Evolene brand faces the challenge of maintaining customer loyalty. This study aims to analyze the effect of price, product quality, and promotion on customer loyalty to the Evolene brand. The research uses a quantitative approach with the Structural Equation Modeling (SEM) method based on Partial Least Squares (PLS). Data was collected through a questionnaire distributed to 100 respondents who had purchased Evolene products. The results showed that the three variables price, product quality, and promotion had a significant effect on customer loyalty. Promotion has the greatest influence compared to other variables, followed by product quality and price. In addition, the validity and reliability of the measurement instruments have been tested using outer model analysis, which shows valid and reliable results. Limitations of the study include sampling limited to Evolene customers as well as external factors such as market trends that cannot be fully controlled. This study recommends companies to integrate competitive pricing strategies, maintain product quality, and optimize digital promotions to strengthen customer loyalty.  

Non-communicable diseases (NCDs) have become the leading cause of death in Indonesia, particularly among young adults, with an increasing incidence rate. Technological advancements, lifestyle changes, and environmental factors have contributed to the rising prevalence of NCDs, especially among the younger generation. In light of this, it is essential to implement prevention through health screening and education on healthy lifestyles, particularly among young adults. This community service activity was conducted on December 20 and 21, 2024, with the aim of raising awareness among young adults in West Jakarta about the importance of adopting a healthy lifestyle through health screenings and the promotion of an active lifestyle, including education on nutrition status, physical activity, quality sleep, and the dangers of smoking, especially the use of e-cigarettes. The results of the activity showed that the majority of participants experienced sleep difficulties, and most did not smoke, although some used e-cigarettes. The results of nutrition status measurements also indicated that most participants fell into the obese category. Participants' physical activity levels were relatively low, with many engaging in less than 30 minutes of exercise per session and struggling to find time for regular physical activity. Education and promotion of healthy lifestyles need to be continuously improved to prevent NCDs among young adults, with a focus on improving eating habits, increasing physical activity, and managing stress.

Midwives are one of the health workers in reducing maternal and infant mortality rates by providing continuous midwifery services, promotion through partnerships and empowering communities with other health workers. The sample in this study was 24 pregnant women in the second and third trimesters consisting of 12 respondents for the control group and 12 respondents for the intervention group. The time of the study was May to June at the Negri Lama Health Center in 2022. The time of the study was May to June at the Negri Lama Health Center in 2022. The results of the bivariate analysis test using Mann Whitney showed a P-Value of 0.022 (P <0.05) so Ho was rejected, which means that there is a significant effect of giving dates on increasing hemoglobin in pregnant women in the second trimester. Pregnant women, especially pregnant women who experience anemia, are expected to routinely consume iron tablets and dates because if consumed properly, dates have many benefits, especially for pregnant women and dates do not have side effects on the fetus or mother so that they can meet the nutritional needs required by the body and can maximize iron absorption.

Product placement is a promotional strategy which can be identified as a purposeful incorporation of product into an influential manner with a use of any other media. However, most of the countries have prohibited advertising soft liquor products via traditional media because of health issues caused by soft liquor products. Thus, the soft liquor manufacturers tended to invest in product placement. This paper reports the findings of how product placement influence on consumer purchases intention of soft liquor products. The study has focused on investigating the possible reasons for consumers to influence on product placement strategies and the product elements that they exposed to and used to, even in the presence of a wider range. Suggestions for further research are presented in the form of propositions.

Physiotherapy is a form of health service aimed at individuals and communities. The scope of physiotherapy services is to develop, maintain, and restore movement and body function throughout the life span. This service can be done through a promotive, preventive, curative, and rehabilitation approach. One of the many cases of physiotherapy is musculoskeletal complaints. Musculoskeletal complaints can occur due to habits carried out during work. If the body position is not correct and maintained for a long duration, it can trigger the emergence of musculoskeletal complaints. Work that lasts for a long time will decrease a person's body ability and can cause complaints and disorders in the body, especially musculo problems, one of which is neck pain. Neck pain is a multifactorial disease and is a major problem in society today. Some risk factors for neck pain, such as old age, female gender, low social support, and non-ergonomic work postures. The method of community physiotherapy activities used is to provide health promotion counseling and education regarding physiotherapy management in the form of stretching that can be done independently. The media used are leaflets and posters. The purpose of this counseling is to provide education and physiotherapy treatment related to neck pain in Keripik Tempe Sanan workers so that they can improve the complaints that have been felt and minimize the occurrence of injuries.