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Typhoid fever is a febrile illness that commonly occurs in urban areas with poor sanitation. It is usually caused by the consumption of untreated water and contaminated food. Because the S. typhi bacterium can survive in water for days, contamination of surface water—such as wastewater, freshwater, and groundwater—serves as the primary cause of typhoid fever. The patient presented to the Emergency Department of Cut Meutia General Hospital with complaints of high fever for approximately 4 days prior to admission, which had worsened over the past 2 days. The fever fluctuated and was accompanied by chills. It worsened at night and was not influenced by weather or temperature. These symptoms were accompanied by vomiting every time the patient tried to eat, nausea, abdominal pain, headache, and weakness. The patient reported vomiting the contents of their meal every time they ate, leading to a loss of appetite. These symptoms began when the patient first developed a fever. The patient also experienced abdominal pain. Spontaneous bleeding was denied. On physical examination, the patient appeared weak but was alert and oriented. On neck examination, palpable enlargement of the thyroid glands was found on the right and left sides of the neck, measuring 2x2 cm, mobile, and soft. On abdominal examination, increased bowel sounds were noted. Vital signs were normal except for the patient’s febrile temperature. Laboratory tests revealed a Tubex blood test result of scale 4 and a positive dengue IgG serology result.

The implementation of Clean and Healthy Living Behavior (PHBS) begins at an early age, particularly among school children, who learn extensively from their surrounding environment through the School Health Program (UKS). Although the family is the primary unit in shaping PHBS habits, parents’ busy schedules often lead children to interact more with teachers and peers at school. This study aims to determine the effectiveness of the UKS program on students’ PHBS at SD Lambaro Angan, Darussalam District, Aceh Besar Regency in 2024. This research employed a cross-sectional design with a population of 321 students and a sample of 76 respondents. Data collection was conducted on March 4, 2024. The results indicate that the UKS program has a significant effect on students’ PHBS, including habits such as washing hands with running water and soap, purchasing healthy snacks at the school canteen, disposing of waste properly, participating in physical exercise, not smoking at school, eliminating mosquito larvae, and using school sanitation facilities (p < 0.05). However, no significant effect was found on activities such as weighing body weight and measuring height. In conclusion, the UKS program is effective in improving students’ PHBS. These findings are expected to provide input for schools to optimize the implementation of UKS and enhance PHBS promotion so that students can apply clean and healthy living behaviors in their daily lives.

Hypertension is a global health issue and major risk factor for cardiovascular disease, requiring lifelong medication. In addition to pharmacological treatment, healthy lifestyle changes and non pharmacological therapies such as warm water foot soaks, can help prevent complications by inducing vasodilation to lower blood pressure. This study aims to describe nursing care for hypertensive patients, focusing on the application of warm water foot soaks to reduce blood pressure in an inpatient setting. Methods a descriptive case study approach was used three hypertensive respondents. The intervention involved 15 minute warm water foot soaks at a temperature of 39-40°C, conducted once daily for three days. Data were collected using digital sphygmomanometers and observation sheets, with measurements taken before and after the intervention. Results, after the therapy, all respondents showed an average reduction in blood pressure, with systolic pressure decreasing by 6,6 mmHg and diastolic by 2,3 mmHg. Respondents also reported felling more relaxed and experiencing lighter sensations in their legs. Conclusion, warm water foot soak therapy is an effective, safe, and cost efficient non pharmacological intervention for hypertensive nursing care, suitable for implementation by both nurses dan families.

Entamoeba histolytica is an intestinal protozoan that can cause diarrhea through fecal–oral transmission due to the consumption of food or water contaminated with parasitic cysts. Based on data from the Badan Pusat Statistik in 2017–2019, Simpang Keramat District, particularly Paya Leupah Village, still had limited access to clean water and low ownership of permanent sanitary latrines, which may increase the risk of environmental contamination. This study aimed to analyze the characteristics of dug wells and the risk factors associated with Entamoeba histolytica contamination in community well water. An observational analytic study with a cross-sectional design was conducted on 50 dug wells selected using purposive sampling. Data were obtained through field observations and laboratory examinations of well water samples. The results showed that most wells had distances to septic tanks that did not meet health standards (58%) and inadequate well floor conditions (82%), while the majority of wells had depths that fulfilled the recommended standard (76%). All well water samples tested negative for Entamoeba histolytica cysts; therefore, the association between risk factors and contamination could not be determined.

Gout arthritis, or often called gout, is a type of arthritis caused by the accumulation of uric acid crystals in the joints and surrounding tissues. Arthritis itself is a term used to describe inflammation of the joints. The process of gout begins with an increase in uric acid levels in the blood, called hyperuricemia. Gout arthritis sufferers in the world affect approximately 10% to 25% of the world's population, the WHO prevalence of gout arthritis in the world is 34.2%. The type of research used in this study is quantitative research using a quasi-experimental research method, namely the pre-posttest control one group design method. This study is a study conducted on 1 group using an intervention without a comparison. This study has been conducted with a total of 20 elderly people who meet the inclusion and exclusion criteria. It is known that the Sig. (2-tailed) value of 0.00 is greater than 0.05. then there is a significant difference between the results before and after the warm cinnamon water compress. So it can be concluded that there is an effect of warm cinnamon compresses (Cinnamomun Burmannii) on gout arthritis in the elderly at the Sei Pancur Community Health Center.

Family health is a fundamental component of public health development, as the family represents the smallest social unit shaping individual health behaviors. This study aimed to analyze the family health conditions of the community in Pulau Jambu Village, Kampar District, based on demographic, behavioral, socioeconomic, and environmental factors. A descriptive quantitative approach was employed with a total sample of 153 respondents selected using random sampling, ensuring equal probability for each population member to be included.The results indicated that most respondents were in the productive age group of 19–60 years (68.8%), with farming as the dominant occupation (47.1%). The majority relied on borehole wells as their water source (61.4%); however, 47.1% had septic tank distances ≤10 meters, posing potential risks of water contamination. Regular physical activity was reported by 60.8% of respondents, yet the prevalence of smoking was very high (78.4%). Most respondents had a junior high school education (45.1%), influencing health literacy levels, although 58.2% demonstrated good knowledge of clean and healthy living behavior (PHBS). Health service utilization was relatively high (86.3%), though some residents still practiced traditional treatment.In conclusion, family health conditions are influenced by a combination of behavioral, environmental sanitation, and socioeconomic factors. Strengthening family-based health interventions through PHBS education, smoking control, and environmental sanitation improvement is essential to enhance sustainable community health status.

Skin is the body's outermost organ, enveloping all parts of the human body. When the water content in the stratum corneum (SC) drops below 10%, the skin can become scaly, rough, and dry. Honey possesses humectant, emollient, and antioxidant properties, making it an effective moisturizer. The humectant properties of honey stem from its high sugar content, particularly glucose and fructose. These  sugars form hydrogen bonds with water, helping to retain moisture in the skin and thus providing a hydrating effect. Additionally, honey contains vitamin C, alpha hydroxy acids, and flavonoids, which contribute to the elasticity and firmness of the skin. Therefore, it is important to conduct a narrative review on the use of honey as a moisturizer in topical preparations, which can serve as a reference for future research. The literature search for this review was conducted using databases such as Google Scholar, Garuda Journal, MDPI, ResearchGate, and Publish or Perish, employing specific inclusion and exclusion criteria. The findings concluded that honey can be used as a moisturizer in various dosage forms, including body scrubs, anti-aging and moisturizing creams, serums, peel-off gel masks, lip moisturizers, and lip scrubs. The concentration of honey used in these formulations depends on the dosage form, its intended function in the formula (whether as an active substance, humectant, or emollient), and the comparison of honey concentration with other ingredients.

 Communicable diseases remain one of the leading public health burdens in Indonesia, particularly in densely populated residential areas and communities with inadequate sanitation. Poor housing conditions including insufficient ventilation, overcrowding, excessive humidity, inadequate lighting, and improper waste and wastewater management have been shown to increase the risk of respiratory infections, diarrhea, and other environment-related diseases. This literature review aims to identify effective environmental health strategies for preventing communicable diseases by synthesizing findings from 11 scientific articles published between 2014 and 2025. The review shows that basic sanitation, indoor air quality, waste management, and the implementation of the Community-Based Total Sanitation (STBM) program are key determinants in reducing disease incidence. Additionally, successful interventions depend heavily on clean and healthy living behaviors (PHBS) and active community participation. These findings highlight the importance of a comprehensive approach that integrates physical environmental improvements, health education, and community empowerment to create healthy settlements and sustainably reduce the risk of communicable diseases.

Gross motor development is an important aspect of an infant’s growth. Infants aged 6–12 months are in a golden period where physical stimulation plays a vital role in supporting coordination, balance, and muscle strength. Hydrotherapy provides an experience of free movement in water with light resistance, which can strengthen muscles and improve body control. This study aimed to determine the effect of hydrotherapy on the gross motor development of infants aged 6–12 months at Posyandu Dahlia, Palembang City. This research used a quasi-experimental design with a pretest–posttest control group involving 30 infants (15 intervention and 15 control). The intervention was conducted twice a week for four weeks in water with temperatures of 36–37°C. The Denver II instrument was used for assessment. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05The average gross motor development score increased significantly in the intervention group from 45.2 to 60.4 (p = 0.001), while the control group showed no significant change (p = 0.094). Hydrotherapy has a significant effect on improving the gross motor development of infants aged 6–12 months. Health workers are encouraged to use this therapy as an alternative stimulation for early childhood development in community health centers.

Diabetes mellitus is a non-communicable disease that causes global health problems in society. The International Diabetes Federation predicts that the prevalence of diabetes worldwide will increase to 853 million by 2050. The increase in the number of diabetes patients is due to unhealthy lifestyle habits, such as lack of physical activity. Therefore, interventions such as foot exercises and warm water baths are needed to help control blood glucose levels. The purpose of this study was to determine the effectiveness of a combination of foot exercises and warm water baths in reducing blood glucose levels in patients with diabetes mellitus. The study design used a descriptive case study. The sample size was n=2 people, conducted from May 25, 2025, to May 27, 2025, in the Sukoanyar Village RT 03/RW 03 area, Pakis District, Malang City. The results of this study showed that after three consecutive days of intervention, there was a decrease in blood glucose levels in both research subjects. In Mrs. S, the initial GDS level of 360 mg/dl decreased to 240 mg/dl after the third day of intervention. Meanwhile, in Mr. D, the initial GDS level of 349 mg/dl decreased to 220 mg/dl after the same intervention. Thus, the combination therapy intervention of foot exercises and foot soaking in warm water can lower blood glucose levels in diabetes mellitus patients.

The background of this study is the practice of open defecation (OD), which is a public health problem. OD refers to the act of disposing of feces in open areas such as rice fields, fields, bushes, rivers, and beaches, which can pollute the environment, soil, air, and water. This study aims to determine the knowledge, attitudes, and practices of the community in RT 05 Haya Village, Tehoru District, Central Maluku Regency regarding stopping ODD. This study used a descriptive method, with a sample of 40 families selected through a random sampling technique. Data were collected using a questionnaire. The results showed that most people had quite good knowledge about ODD, with 50% of respondents in the quite good category. Community attitudes were also quite good, with 70% of respondents showing a positive attitude towards stopping ODD. However, community actions were still less good, with 42.5% of respondents showing less good actions regarding ODD. The conclusion of this study is that although the knowledge and attitudes of the community in Haya Village were quite good, their actions were still lacking. Therefore, cooperation is needed between the village government, Tehoru Health Center, and community leaders to regularly hold outreach regarding BABS.

Handwashing with Soap (CTPS) is the activity of cleaning hands using clean, running water and soap to remove dirt, oil, and various germs such as viruses, bacteria, and parasites that may cling to the skin. As one of the most effective, simplest, and most affordable methods of preventing infectious diseases, CTPS is highly important to practice consistently, especially among students at Public Elementary School 283 located in Waitomu Hamlet, Leihitu District, Central Maluku Regency. However, observations indicate that after school activities or playtime, several students still show reluctance to wash their hands, which may be influenced by low awareness, limited understanding of hygiene, insufficient supervision, or the absence of strong daily habits related to cleanliness. This issue reflects the need for more structured hygiene education, continuous reminders, and interactive learning methods to instill good handwashing habits. In addition, improving supporting facilities—such as accessible handwashing stations, adequate soap supply, and visual posters—can motivate students to practice CTPS more regularly. Strengthening CTPS awareness and habits is expected to reduce the risk of disease transmission, foster a healthier school environment, and encourage students to adopt lifelong hygiene practices that benefit both their personal well-being and the wider community.

This study reports the green synthesis of vanadium pentoxide (V₂O₅) using virgin olive oil as a natural and environmentally benign reducing agent. The approach aims to minimize the environmental impacts associated with conventional synthesis routes. Structural and physicochemical characterizations confirmed the successful formation of nanoscale V₂O₅. X‑ray diffraction (XRD) analysis indicated an average crystallite size of approximately 16.57 nm, evidencing high crystallinity. Fourier‑transform infrared spectroscopy (FTIR) revealed characteristic V=O and V–O–V vibrations with bands associated with physisorbed water, confirming the correct oxide framework. Field‑emission scanning electron microscopy (FE‑SEM) showed irregularly shaped nanoparticles with a representative particle diameter of ~32.62 nm. Brunauer–Emmett–Teller (BET) and Barrett–Joyner–Halenda (BJH) analyses yielded a specific surface area of 10.817 m²/g, a total pore volume of 0.024277 cm³/g, and a broad mesoporous distribution (20–90 nm). Energy‑dispersive X‑ray spectroscopy (EDX) confirmed the purity of V₂O₅ with weight fractions of V (69.40%) and O (30.60%), consistent with the stoichiometric composition. Overall, the results demonstrate the effectiveness of olive oil as a green reducing agent for preparing nanoscale V₂O₅, which is promising for catalysis, energy storage, sensors, and clean‑energy applications.

The global environmental crisis caused by plastic pollution has intensified in recent years, particularly in aquatic ecosystems such as rivers, lakes, and oceans, creating an urgent need for effective and sustainable solutions. This article explores the potential role of aquatic bacteria in degrading plastic polymers by reviewing the biological and molecular mechanisms these microorganisms use to break down complex synthetic materials. Special attention is given to key genes and enzymes involved in plastic degradation, including PETase and MHETase, which play a critical role in the decomposition of polyethylene terephthalate (PET). In addition, the article highlights advanced gene expression and analysis techniques, such as metagenomics, transcriptomics, and proteomics, to better understand bacterial activity and degradation dynamics in natural environments. The main problem addressed is the continuous and unsustainable production and consumption of plastics, which has resulted in extensive pollution of freshwater and marine systems, while conventional waste treatment methods remain largely ineffective. The objective of this article is to provide a comprehensive scientific review of biotechnological approaches used to analyze and utilize aquatic bacteria for plastic degradation, focusing on molecular aspects and environmental applications. Using a literature review method, studies published between 2018 and 2024 were analyzed to evaluate effective bacterial models, technological challenges, and future prospects. The findings indicate that aquatic bacteria offer promising potential as biological tools for mitigating plastic pollution through sustainable environmental strategies.

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

Febrile illnesses can be caused by a wide variety of viruses, bacteria, and other pathogenic microbes, and their production originates from outside the body. These substances, known as exogenous pyrogens, can enter the human system through contaminated water, food, or direct human-to-human transmission. Once inside the body, exogenous pyrogens stimulate the immune system by triggering the release of endogenous pyrogens such as cytokines, which in turn act on the hypothalamus to increase body temperature as a defense mechanism. This physiological response, while protective, can also indicate an underlying infection that may need prompt medical treatment. According to the World Health Organization (WHO) in 2020, the number of fever cases worldwide reached approximately 11–20 million people annually, with an estimated 128,000–161,000 deaths each year due to complications from febrile illnesses (Meirita et al., 2024). The global burden of fever varies by region; for example, in the United States, South America, and Western Europe, the incidence of fever is estimated to reach 4–5% of the population. In contrast, several Asian countries report higher prevalence rates, such as Japan with 6–9%, India with 5–10%, and Guam with 14% (Ulum et al., 2024). These statistics highlight the ongoing public health challenge posed by febrile illnesses, emphasizing the need for improved surveillance, prevention strategies, and treatment protocols worldwide.

Eleutherine bulbosa (Mill.) and Allium cepa L. (including garlic and onion peel) are medicinal plants that have long been traditionally used to treat cancer, diabetes, hypertension, infectious diseases, and inflammation. Recent scientific studies emphasize the importance of extract standardization to ensure consistent quality, safety, and efficacy. Standardization includes specific parameters—such as organoleptic identification, water- and ethanol-soluble extract values, phytochemical profiles, and determination of marker compounds—and nonspecific parameters such as moisture content, loss on drying, total ash, and acid-insoluble ash. Ethanol extract of E. bulbosa showed moisture and drying loss values below 10%, total flavonoid content of around 1.2%, and positive phytochemical tests for alkaloids, flavonoids, saponins, and quinones. Onion peel extract contains a high flavonoid content (7.84 mg QE/g) with moderate antioxidant capacity (DPPH IC₅₀ 152.65 µg/mL), while fermented garlic (black garlic) contains more than 12% polyphenols and more than 2% flavonoids, as well as a high level of S-allyl-L-cysteine (SAC) as a stable bioactive compound. The pharmacological activities of these standardized extracts include strong antioxidant effects, α-glucosidase inhibition for antidiabetic activity, induction of apoptosis and anti-angiogenesis as anticancer potential, membrane disruption and enzyme inhibition for antimicrobial activity, as well as COX/LOX modulation for anti-inflammatory effects. These activities are directly correlated with the secondary metabolite composition of each material. With their phytochemical richness and diverse biological activities, E. bulbosa and A. cepa have great potential as raw materials for standardized herbal products. Further in vivo studies and clinical trials are needed to validate their therapeutic efficacy and to support the development of evidence-based phytopharmaceuticals.

Hypertension is an abnormal increase in blood pressure in the arteries that persists over a period of time. Hypertension is defined as an increase in systolic blood pressure of at least 140 mmHg or diastolic blood pressure of at least 90 mmHg. Symptoms experienced by people with hypertension include dizziness, irritability, ringing in the ears, difficulty sleeping, shortness of breath, heaviness in the neck, fatigue, and blurred vision. The purpose of this study was to determine the effect of warm foot baths with salt and recitation of prayers on the blood pressure of patients with hypertension. The method used is quantitative, with a pre-experimental research design using a one-group pre-test-post-test design. Hydrotherapy is performed by soaking the feet in warm water mixed with salt and reciting prayers using 3 liters of warm water at a temperature of 38-40ºC mixed with 15 grams or 3 teaspoons of salt for 15-20 minutes. In addition to warm water foot soaking therapy, it can also be combined with incorporating elements of faith, one form of which is recitation. Sampling was conducted using non-probability sampling techniques. For the sample size in this study, the researcher used the Slovin sample size formula, which is used to calculate the minimum sample size in a finite population with a total sampling approach and 16 respondents. Conclusion: Warm foot bath therapy with salt mixture and recitation has an effect on blood pressure changes in hypertensive patients.

Fever in children, if not properly managed, can lead to several negative effects such as excessive fluid loss through evaporation, dehydration, seizures, decreased consciousness, and even death if left untreated. Non-pharmacological interventions to reduce fever include water tepid sponge therapy and cool patch therapy. This study used a quasi-experimental design with a pretest and posttest three-group approach. Respondents were divided into three groups: water tepid sponge, cool patch, and control. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The Wilcoxon test showed a significance value of 0.000 in the Water Tepid Sponge group, 0.000 in the Cool Patch group, and 0.002 in the control group. The Mann-Whitney test showed no significant difference between the pre-test body temperature of the Water Tepid Sponge group and the control group (p = 0.063 > 0.05), while a significant difference was found in the post-test (p = 0.000 < 0.05). For the Cool Patch group, there was no significant difference in the pre-test compared to the control (p = 0.672), but a significant difference was found in the post-test (p = 0.001). The Mann-Whitney test comparing the pre-test and post-test temperature differences between the Water Tepid Sponge and Cool Patch groups showed a significance value of 0.000. The mean rank for temperature reduction in the Water Tepid Sponge group was 35,27, while in the Cool Patch group it was 17,73. Both Water Tepid Sponge and Cool Patch therapies have an effect on reducing fever in pediatric patients in the Parkit Ward of QIM Hospital Batang. Water Tepid Sponge therapy is more effective than Cool Patch therapy in reducing fever.

This research was carried out using a qualitative method through a direct survey conducted in Tangga Batu Village. The main goal of this study is to utilize corn cob waste into an alternative fuel product in the form of briquettes that is more environmentally friendly. Corn cobs are one of the abundant agricultural wastes, but they are often not used optimally. Through simple innovations, this waste can be processed into alternative energy sources that have economic value while having added value for the surrounding community. The process of making briquettes begins with the preparation of equipment which includes a kiln, mold, drying container, mash tool, strainer, and scale. The main ingredient is corn cobs that are first dried in the sun for 3–4 days to reduce the moisture content by 10–20%. Additional materials used are tapioca flour as an adhesive, small amounts of diesel, and water. The next stage is to compose the corn cobs in the burning pit for 20–30 minutes until they become charcoal. The charcoal is then scraped using a simple tool and sifted to separate the fine and rough parts. The fine charcoal is mixed with a starch adhesive from tapioca flour, then molded using a simple mold and compacted through a pressing process to produce good quality briquettes. Next, the briquettes are dried in the sun for 2-3 days until they are completely dry and ready to be used as fuel instead of wood or kerosene. The results of the study show that corn cob waste has great potential to be used as an alternative fuel. In addition to being environmentally friendly, these products also contribute to reducing dependence on fossil fuels.