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Smoking is the activity of smoking smoke from the burning of tobacco in cigarettes, one end of the cigarette is burned and the smoke can be smoked through the mouth on the other end. If the amount or form of hemoglobin is abnormal, red blood cells cannot function properly in transporting oxygen and carbon dioxide. This can trigger various health problems, including anemia. From the results of this study, we can see that the average value or mean value of hemoglobin levels is 12.5 g/dL, the median value is 12.9 g/dL, the minimum value is 11.9 g/dL, and the maximum value is 16.2 g/dL. The results showed that most of the respondents had hemoglobin levels within normal limits. In detail, hemoglobin levels in the normal category were 23 respondents, low category was 1 respondent, and high category was 1 respondent. This shows that the majority of active smokers in Market VI of North Binjai Village still have normal hemoglobin levels, although smoking has the potential to affect oxygen transport capacity in the long term and increase the risk of health problems if it continues continuously.

This community service activity aims to improve the First Aid Awareness of students at SMAN 5 Tegal through health education and first aid simulation for accident management. The background of this program is based on the high potential for mild to moderate emergency incidents in the school environment, such as fainting, open wounds, nosebleeds, choking, and seizures, as well as the limited knowledge and practical skills of students in providing appropriate initial assistance. The implementation method consisted of three stages: preparation, delivery of health education using presentations and demonstrations, and hands-on simulation, followed by evaluation through knowledge assessment and skills observation. The participants were 54 students representing three grade levels. The expected outcomes of this activity include an improvement in students’ conceptual understanding and practical ability to perform first aid quickly, correctly, and safely before professional medical help arrives. In addition, this program is expected to foster emergency responsiveness, increase students’ confidence in handling accident situations at school, and contribute to the development of a safer and more prepared school environment. The outputs of this activity include increased knowledge and skill scores, documented implementation, and publication of a community service article in a SINTA-indexed journal.

Schools are formal educational institutions that play a crucial role in transferring knowledge and shaping students' cognitive, psychomotor, and character development systematically and responsibly. While the "school of life" is often defined as a non-formal learning space, formal schools retain a strategic position because they provide a clear ontological, epistemological, and axiological framework, including in the formation of students' character and self-concept. However, the reality on the ground shows that labeling practices are still prevalent in the school environment, both by teachers and fellow students, which negatively impact students' psychological, emotional, social, and self-concept. Negative labels such as stupid, lazy, naughty, or physical and social labels have been shown to cause "invisible wounds" that affect students' self-esteem and functioning in the long term. This study uses qualitative methods through a literature review to examine the phenomenon of labeling and its impact on the formation of students' self-concept within the framework of Christian Character Education. The results of the study indicate that Christian Character Education, which is based on the values ​​of love, acceptance, and respect for human dignity as God's creation, has a strategic role in restoring the self-concept of students affected by labeling. Christian character education not only instills moral and ethical values, but also builds students' inner and spiritual resilience so that they are able to interpret themselves positively, regardless of the negative labels they receive.

Academic stress is a prevalent issue among Indonesian students, affecting both their academic performance and mental well-being. This study investigates the effectiveness of short educational videos on social media in improving students' knowledge about academic stress. A descriptive quantitative approach was used, with a sample of 35 Nursing students from the 2024 cohort at Malahayati University. The data was collected through questionnaires administered before and after students were exposed to 1-3 minute educational videos. The results showed a notable increase in the average knowledge score, from 82.71 to 85. The findings suggest that short videos, which are visually engaging and easy to access, are highly effective for Generation Z learners. Social media platforms, particularly TikTok and Instagram, can be valuable tools for early psychological intervention, providing students with accessible resources to manage academic stress on their own. This study highlights the potential of leveraging digital platforms to support student well-being and offers insights into innovative approaches for addressing mental health challenges in educational settings.

Background: The prevalence of Chronic Energy Deficiency (CED) among pregnant women in West Papua remains very high, reaching 40.7%. The provision of manufactured supplementary food (PMT) in the form of biscuits often faces challenges due to low compliance caused by monotonous taste and nausea-triggering flavors. Sweet potato (Petatas) is a potential local food source with an energy content of 123 kcal/100g that could serve as an alternative PMT. Objective: To analyze the acceptability (taste, color, aroma, and texture) of sweet potato-based PMT products among pregnant women with CED. Methods: A quantitative study with a cross-sectional design was conducted from September to October 2025 at the Ransiki Health Center. The sample consisted of 22 pregnant women with CED. The research instrument used a 5-point hedonic scale questionnaire. Results: Respondent characteristics were dominated by the ideal age range of 20-35 years (81.8%) and low family income (63.6%). The acceptability test results showed high overall acceptance with an average score of 4.23 (Highly Liked). The color attribute obtained the highest score (4.27), followed by taste (4.18), texture (4.18), and aroma (4.14). Conclusion: Sweet potato-based PMT products have excellent acceptability and significant potential to be integrated into local nutritional intervention programs for pregnant women with CED.

Low levels of maternal knowledge and appropriate nutritional practices, combined with limited continuity of nutrition education from health workers, remain significant risk factors for maternal and child health problems, including stunting. The GEMPITA Program (Gerakan Edukasi MPASI Tepat dan Aman / Safe and Appropriate Complementary Feeding Education Movement) was implemented as a community service initiative to improve nutritional knowledge, skills, and practices among families in the working area of Teratak Public Health Center. The program employed structured methods, including socialization, education, training, demonstrations, mentoring, and non-formal monitoring and evaluation. The target participants were mothers with children aged 6–24 months, as well as health workers and community health cadres. Program effectiveness was assessed using pretest posttest measurements and direct observation of behavioral changes. The results demonstrated a significant improvement in maternal knowledge regarding appropriate complementary feeding, enhanced skills in age-appropriate food preparation, and improved hygienic and nutritious feeding practices. In addition, the capacity of health workers to deliver nutrition education was strengthened. Overall, the GEMPITA Program proved effective in improving family nutrition practices and reinforcing the role of the public health center in stunting prevention through a sustainable community empowerment approach.

Malnutrition and stunting among children under five remain major public health challenges in developing countries, including Indonesia. These conditions are associated with increased morbidity, mortality, impaired cognitive development, and reduced productivity in adulthood. Stunting reflects chronic nutritional deficiencies, while severe malnutrition indicates acute or prolonged inadequate nutrient intake, often exacerbated by infections, poor caregiving practices, and unfavorable socioeconomic conditions. This case report aims to describe the clinical condition, contributing factors, management, and outcomes of a 14-month-old female toddler diagnosed with severe malnutrition and stunting without complications in Blang Dalam Geuteung Village, Nisam Subdistrict, North Aceh Regency. The assessment was conducted using a family medicine approach, incorporating detailed history taking, physical examination, anthropometric measurements, and nutritional status evaluation based on World Health Organization Z-score indicators. Interventions included nutritional rehabilitation through appropriate dietary intake, family education on balanced nutrition and proper feeding practices, routine growth monitoring, and optimization of primary healthcare services. The results showed gradual improvement in the child’s nutritional status, evidenced by weight gain, better appetite, and improved feeding patterns following the intervention. This case highlights the importance of early detection, comprehensive family-centered management, and continuous monitoring in addressing malnutrition and stunting at the primary care level. Strengthening community-based interventions, improving caregiver knowledge, and enhancing collaboration between healthcare providers and families are essential to reduce the burden of malnutrition and support optimal child growth and development.

Anxiety is a prevalent mental health issue that affects psychological well-being and daily functioning. In Muslim communities, Islamic spiritual practices are commonly used as coping strategies, yet empirical evidence regarding their effectiveness in reducing anxiety has not been systematically consolidated. This study aimed to synthesize scientific evidence on Islamic spiritual interventions for anxiety reduction. A systematic literature review was conducted in accordance with PRISMA guidelines by searching Google Scholar, PubMed, ScienceDirect, and Elsevier. Observational studies published between 2019 and 2026 that examined Islamic spiritual interventions and reported anxiety outcomes were included and analyzed narratively. Ten eligible articles were identified. The review demonstrates that Islamic spiritual interventions, such as dhikr, prayer, Qur’an recitation, and Islamic spiritual counseling, are consistently associated with reductions in anxiety across diverse populations and settings. Although the magnitude of effects varied, the overall findings indicate a beneficial role of Islamic spiritual practices in anxiety management. These results suggest that Islamic spiritual interventions may be integrated as complementary approaches within mental health and public health services for Muslim populations, while further methodologically rigorous studies are required to strengthen the evidence base.

Local food innovation is not only focused on product development but also requires effective communication strategies to build positive perceptions and enhance market competitiveness. This study aims to analyze the implementation of innovation communication strategies by micro, small, and medium enterprises (MSMEs) in developing papaya-based chili chips as a flagship product in Nagori Karang Anyar, Gunung Maligas District, Simalungun Regency. The research employs a descriptive qualitative approach, focusing on the product innovation process, marketing communication patterns, and efforts to build product image amid competition in the local food industry. The findings indicate that innovation communication strategies play a crucial role in creating product differentiation through narratives of unique taste, utilization of local raw materials, and promotional strategies combining traditional methods and digital media. Papaya chili chips are positioned as a product that blends distinctive local flavors with a modern touch, attracting consumer interest and increasing the added value of papaya as a local commodity. This study emphasizes that the success of local food innovation depends not only on product quality but also on the ability of MSMEs to manage adaptive and persuasive communication strategies.

Tuberculosis (TB) is a chronic, infectious disease caused by the bacterium Mycobacterium tuberculosis. Primary infection occurs upon first exposure to bacillary tuberculosis, which often occurs in childhood, hence the term "childhood TB." The diagnosis of TB is usually made through a history that includes complaints of persistent cough, weight loss, fever, and weakness, along with a chest X-ray that shows typical abnormalities of pulmonary TB. In this case, a 21-month-old girl presented with a worsening, persistent cough accompanied by weight loss. The patient's mother reported that her child frequently had fevers and appeared weak. After a physical examination and supporting tests, the patient was diagnosed with TB. The patient was given pharmacological therapy in the form of anti-tuberculosis drugs (OAT), and parents were educated about the importance of adherence to TB treatment as prescribed by the doctor. Furthermore, providing a balanced, nutritious diet is recommended to support successful treatment.

Financial literacy is a fundamental skill that should be introduced from an early age to shape wise financial behavior. Elementary school students need to understand basic financial concepts to recognize the value of money, distinguish between needs and wants, and develop saving habits. However, many children still lack adequate financial literacy. This activity aims to improve financial literacy among elementary school students through a saving habituation strategy at SD Negeri 040530 Bunuraya, Bunuraya Village, Tigapanah District, Karo Regency, North Sumatra Province, Indonesia. The methods used included observation, teacher interviews, financial literacy socialization, and hands-on assistance in saving activities. The strategies implemented involved simple financial education, pocket money management simulations, creating piggy banks, and conducting regular saving programs at school. The results showed an improvement in students’ understanding of money functions, the importance of saving, and positive changes in financial behavior. Students became more accustomed to setting aside their pocket money and demonstrated more frugal and responsible attitudes. This activity indicates that consistent and structured saving habituation can be an effective strategy for improving children’s financial literacy from an early age.

Organizational commitment is essential for maintaining hospital performance, service quality, and healthcare continuity. Preliminary data from Brebes Regional General Hospital shows that 35% of medical doctors face issues with low organizational commitment, which may negatively impact the institution's effectiveness. This study examines how meritocracy strengthens the effects of transformational leadership and work motivation on medical personnel's organizational commitment. A quantitative approach with causal research design was used to analyze the relationships among these variables. The sample included 72 doctors, selected through purposive sampling. Data were collected via structured questionnaires and analyzed using Moderated Regression Analysis (MRA) to assess both direct and moderating effects. The findings show that transformational leadership, work motivation, and meritocracy together significantly influence organizational commitment. Transformational leadership and work motivation each have a positive impact on organizational commitment. Additionally, meritocracy serves as a moderating factor, enhancing the connection between leadership and commitment, as well as work motivation and commitment. These results suggest that meritocratic systems based on competence, performance, and achievement improve leadership effectiveness and motivation, fostering greater commitment among medical staff. The study suggests that hospital management should implement meritocratic principles consistently in leadership and human resource practices, alongside developing transformational leadership and motivation strategies, to maintain high levels of organizational commitment among medical personnel.

Viral hepatitis is a systemic disease that primarily affects the liver and is characterized by a necroinflammatory process that plays a significant role in clinical and laboratory manifestations. Chronic hepatitis is defined as liver inflammation lasting more than six months, with persistent elevations in aminotransferases and characteristic histological features, and carries a risk of progression to cirrhosis and hepatocellular carcinoma. Chronic hepatitis C virus infection occurs due to an ineffective host immune response to the virus, allowing the infection to persist. The innate immune system, particularly type I interferon, plays a key role in the initial defense mechanisms against viral replication. Various antiviral therapies, such as interferon, nucleoside analogs, and nucleotide analogs, are currently available, which have been shown to reduce viral load and inhibit disease progression. Appropriate therapy is expected to prevent long-term complications in patients with chronic hepatitis.

Academic stress is a common type of stress experienced by students, which greatly affects their self-esteem. This study aims to determine the relationship between self-esteem and academic stress levels among students. This study used a quantitative design with a cross-sectional approach and probability sampling technique. The sample consisted of 101 respondents from a total of 132 students. Data analysis was performed using Spearman's rank correlation test. The results showed a weak and negative relationship between self-esteem and academic stress levels with a p-value of 0.000 (p˂ 0.05) and a correlation coefficient (r) = -0.385. There is a relationship between self-esteem and academic stress levels in students, where low self-esteem is associated with higher academic stress levels.

Postpartum depression (PPD) is a common and serious mental health disorder for mothers after givingbirth, which is a public mental health problem because it not only has a direct impact on the baby, but also on the family. The most common symptoms of PPD are overwhelming sadness, feelings of hopelessness and helplessness, moodiness, an inability to experience joy with the baby, serve anxienty, loss of appetite, poor concentration and memory, sleep disturbances, prolonged fatigue, and suicidal ideation (American Psychological Association, 2013). The design used in this study was quantitative by measuring the prevalence of postpartum depression in postpartum mothers using the EPDS form. The research was conducted at Gandapura Community Health Center, this location wa used as the research site because it had not been exposed at all regarding the use of the EPDS form as part of the initial assessment of midwifery services. A population is all elements that meet certain criteria for inclusion in a study. The population in this study was all postpartum mothers who gave birth in the obstetrics ward. The sample criteria in this study are divided into two, namely inclusion criteria and exclusion criteria. Conclusion: Postpartum guidance provided to mothers influences the risk of postpartum depression. Postpartum women who receive assistance are less likely to experience postpartum depression, and mothe who do not receive assistance are depression.

The development of Islamic finance in Indonesia shown significant growth as alternative financial system based Islamic principles. Data from Bank Syariah Indonesia (BSI) shows the number of Hajj savings accounts reached 5.5 million accounts as of November 2024 and increased to 6.33 million in July 2025. This growth reflects the high level of public enthusiasm in preparing for Hajj funds early on through Islamic financial institutions. In various regions of South Sumatra, BSI has become one of the institutions widely used by the public to open Hajj savings accounts due to its service network and ease of access. The village of Pagar Banyu has great potential for increasing the use of Sharia-based Hajj savings, particularly through the dissemination of information about BSI products. Through appropriate outreach activities, the public can understand wadiah contracts, the benefits of hajj savings, and the process of opening an account and registering for a hajj quota. In this context, Bank Syariah Indonesia (BSI) plays an important role as it is one of the largest Islamic banks. The target audience for this outreach activity is the general public in Pagar Banyu Village, Pagaralam City, South Sumatra Province. This study aims to improve Islamic financial literacy among people Pagar Banyu Village, particularly regarding Hajj savings at BSI, by providing practical understanding of how to open a Hajj savings account, requirements, procedures, and benefits, and encouraging community to start planning for pilgrimage by saving gradually and building awareness of importance of managing finances in accordance with Islamic principles.

In the Independent Curriculum implemented in schools starting the 2024/2025 academic year, there are Learning Outcomes (CP) that read "Students are able to modify/deconstruct literary works for creative economic purposes" and "Students are able to translate one text into another for creative economic purposes". In reality, in schools, there are still few teachers who connect literary works with economic issues, many teachers are still unfamiliar with the concept of translation, not many teachers have participated in translation training, and there is no guidebook for translating literary texts into non-literary texts or vice versa. This also applies to high school Indonesian Language teachers in Rembang Regency. Combining these two Learning Outcomes and connecting them to conditions in society, this community service conducted training on translating literary works into advertising texts for high school Indonesian Language teachers in Rembang Regency. The training was carried out with the first stage providing material on translation and advertising and the second stage providing mentoring to teachers to practice translating literary works into advertising.

Adolescent mental health is an important aspect in human resource development because it affects learning ability, social relationships, and readiness to face adult life. Adolescence, especially at the junior high school level, is a transitional period that is prone to mental and emotional disorders due to biological, psychological, and social changes that occur simultaneously. This study aims to describe the mental health condition of adolescents using the Self Reporting Questionnaire (SRQ-20) instrument in students of SMPN 3 Ubud, Gianyar Regency. The study used a descriptive design with a cross sectional approach. The sampling technique was carried out in total sampling with a total of 117 students. The research instrument is in the form of an SRQ-20 questionnaire that has been proven to be valid and reliable. Data analysis was carried out descriptively to describe the distribution of symptoms and mental health categories of respondents. The results showed that most students were in the category of good mental health, although there were still a number of students with poor conditions. The most common symptoms are easy to feel tired and difficulty in making decisions. Based on the characteristics of respondents, students aged 13–15 years are more likely to experience poor mental health conditions than 11-13 years old, and the proportion of female students is higher than men in experiencing symptoms of mental emotional disorders. These findings affirm the importance of early detection of adolescent mental health in schools as the basis for promotive and preventive interventions, through optimizing the role of counseling guidance and creating a supportive school environment.

Work motivation is one of the important factors influencing time management and nurses’ performance in providing nursing care. Good time management enables nurses to complete tasks in a timely, efficient, and effective manner. This study was conducted to determine the relationship between work motivation and time management among staff nurses at ML Hospital in 2025. This research used a quantitative approach with a cross-sectional design. A total of 40 staff nurses were selected using a total sampling technique. The instruments used were questionnaires on work motivation and time management. Data were analyzed using the Spearman Rank statistical test with a significance level of < 0.05. The results showed that most respondents had good work motivation (62.5%), while the majority demonstrated a moderate level of time management (75%). The Spearman Rank test yielded a p-value of 0.005, indicating a significant relationship between work motivation and time management among staff nurses. In conclusion, there is a significant relationship between nurses’ work motivation and time management, in which higher work motivation is associated with better time management. It is recommended that hospitals enhance nurses’ motivation through managerial support and a positive work environment.

This study aims to describe dietary patterns, food consumption habits, hygiene awareness, and environmental and social factors related to digestive disorders in junior high school students. This study used a descriptive approach with a closed-ended interview method (Yes/No answers) with Thirty-five  junior high school students using 15 questions. The results showed that some students did not have consistent breakfast habits, had a high tendency to consume fried foods and sugary drinks, and demonstrated low awareness of food safety and hygiene habits such as washing hands before eating. In addition, the school environment, peer influence, and psychological well-being influence students’ eating patterns. These factors contribute to digestive problems in some students. Therefore, schools must actively participate in maintaining a clean environment, providing students with healthy food options, and providing ongoing nutritional instruction on digestive health.