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Hypertension is a disorder characterized by elevated blood pressure originating from abnormalities in blood vessels, leading to impaired delivery of oxygen and nutrients to essential body tissues. Family involvement in assisting relatives afflicted with hypertension constitutes a supportive mechanism to facilitate effective self-care management of the condition.This study aimed to investigate the correlation between familial support and self-care management in hypertensive patients at Tuminting Health Center. Cross-sectional methods. The study sample comprised 49 individuals selected by purposive sampling. A questionnaire was employed as the study instrument. The gathered data was analyzed with the SPSS 16.0 software employing the Chi Square statistical test at a significance level (α) of <0.05. The results indicated that the predominant age group was 56-65 years, including 27 respondents, which represents 55.1%. The majority of respondents were female, totaling 39 individuals, accounting for 79.6%. The most common educational attainment was high school, with 22 respondents, corresponding to 44.9%. The statistical test yielded a P value of 0.0001, which is less than the alpha value (α) of ≤0.05. This study concludes that a correlation exists between family support and self-care management in hypertension patients at Tuminting Health Center. The findings of this study are anticipated to serve as a resource for individuals with hypertension, emphasizing the importance of self-care management to prevent problems and facilitate recovery.

The predictive role of oxidative stress in the pathophysiology of human pregnancy is of particular interest, as oxidative stress is increased in normotensive pregnant women through systemic inflammatory response, reactive oxygen species (ROS), and reactive nitrogen species (RNS). This study involved 40 consenting pregnant women recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Data obtained were analyzed using GraphPad Prism 9. Results were expressed as mean ± SEM, with a P-value of ≤ 0.05 considered statistically significant. Malondialdehyde (MDA) increased from 3.75 ± 0.42 U/L in normotensive women to 4.53 ± 0.59 U/L in preeclamptic women. However, this increase was not statistically significant (p<0.05; 0.2903). Catalase activity decreased from 114 ± 8.07 U/L in normotensive women to 84.02 ± 21.58 U/L in preeclamptic women, but this decrease was also not statistically significant (p<0.05; 0.1909). Superoxide dismutase (SOD) increased from 40.82 ± 1.23 U/L in normotensive women to 71.90 ± 5.61 U/L in preeclamptic women. This increase was statistically significant (p<0.05; <0.0001). Glutathione peroxidase (GSH) decreased from 66.74 ± 10.35 U/L in normotensive women to 50.63 ± 8.96 U/L in preeclamptic women, but this decrease was not statistically significant (p<0.05; 0.2466). These findings suggest the potential predictive roles of these biomarkers in identifying and monitoring preeclampsia.

Community Health Centers (Puskesmas) are facilities established to implement promotive, preventive, curative, and rehabilitative health services by the government, local authorities, and the community. The system of drug planning and procurement plays a pivotal role in determining drug availability and the budget allocation required. This study aims to evaluate the process of drug planning and procurement using a combination of the ABC-VEN and Reorder Point (ROP) methods at the Belik Community Health Center, Pemalang Regency. This research is a descriptive analysis employing a retrospective case study design with data collection from January to December 2023 and supported by interviews. The results show that the ABC-VEN combination analysis identified: AV group (1 item; 0.29%; cost IDR 4,662,000), AE (45 items; 12.86%; IDR 271,578,813), AN (7 items; 2.00%; IDR 65,272,502), BV (7 items; 2.00%; IDR 7,825,526), BE (53 items; 15.14%; IDR 70,352,382), BN (11 items; 3.14%; IDR 15,283,936), CV (19 items; 5.43%; IDR 3,687,488), CE (194 items; 55.43%; IDR 42,690,036), and CN (13 items; 3.71%; IDR 2,779,589). Drugs in groups AN, BN, and CN (Additional group) should be prioritized for reduction; AE, BE, and CE (Main group) are second priority; while AV, BV, and CV (Priority group) must always be available. The highest Reorder Point (ROP) was for Dexamethasone at 64,067 tablets, while the lowest was Betason skin ointment with 0 tubes.

This study employs a descriptive method with a case study approach. The participants in this research were pediatric patients who suffered from hyperthermia. The non-pharmacological intervention of tepid water sponge compresses is utilized effectively to lower body temperature in children. The compresses are applied to the forehead and axillary regions, and this procedure is conducted for 3 days, with each compress lasting 15 minutes. The findings from this study over the course of 3 days indicate that the use of tepid water sponge compresses is effective in reducing body temperature in children with hyperthermia.

The high birth rate in Indonesia is one of the major problems and requires special attention in handling it. One form of special attention from the government in overcoming the high birth rate is implementing comprehensive family planning. The national family planning movement is prepared to build optimal human resources, characterized by increasing community participation in meeting the needs to be able to build prosperous families in the context of family planning services. The purpose of the study was to identify the relationship between family support and the participation of Women of Childbearing Age in the Family Planning Program at the Aramo Health Center, Aramo District, South Nias in 2023. The results of the cross-tabulation study showed a relationship between family support and the participation of women of childbearing age in the family planning program at the Aroma Health Center, South Nias in 2023 with a P value of 0.000 (P value <0.005), so Ho was rejected and Ha was accepted. Suggestions for midwifery services to provide education to increase family support with the participation of women of childbearing age.

Exclusive breastfeeding plays an important role in the growth and development of infants. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life, followed by complementary foods (MPASI). However, many mothers do not provide exclusive breastfeeding, which can affect the growth and development of infants in old age. This study aims to analyze the relationship between exclusive breastfeeding and the growth and development of infants aged 7-12 months.This study uses a quantitative research type using Retrospective research. The design of this study was carried out with a cross-sectional approach, the sample in the study was 62 people using the Random Sampling System. The data collected in the study were primary data, namely data obtained directly from respondents. The data analysis used was Chi Square. Exclusive breastfeeding in infants aged 7-12 months is mostly given exclusive breastfeeding (56.6%), growth in infants aged 7-12 months is mostly fat (37.1%), development in infants aged 7-12 months is mostly normal (54.8%), there is a relationship between exclusive breastfeeding and growth in infants aged 7-12 months with a p-value of 0.000, there is a relationship between exclusive breastfeeding and development in infants aged 7-12 months with a p-value of 0.000. So Ho is rejected and Ha is accepted which means there is a relationship between exclusive breastfeeding and development in infants aged 7-12 months. For further researchers, it is expected to be able to conduct further research by developing other variables in order to get better results.

This systematic review examines the effectiveness of antenatal classes in improving pregnant women's attitudes towards stunting prevention. The review analyzed 28 studies published between 2018 and 2023, focusing on developing countries, particularly in Southeast Asia. The methodology followed PRISMA guidelines, utilizing multiple academic databases. The analysis revealed that structured antenatal classes significantly improved maternal knowledge about stunting (68% increase in knowledge scores) and led to positive behavioral changes in nutritional practices. Regular attendance at comprehensive antenatal classes was associated with better pregnancy outcomes, with participants showing 75% higher rates of implementing recommended nutritional guidelines. Key success factors included regular class frequency, interactive teaching methods, cultural sensitivity, and strong community support. However, significant challenges were identified, including resource limitations, access barriers, and cultural resistance. The review highlighted successful adaptations such as hybrid learning models and community-based approaches. Recommendations include strengthening program design through evidence-based approaches, enhancing community engagement, developing sustainable funding mechanisms, and implementing robust monitoring systems. This review underscores the vital role of antenatal classes in stunting prevention while emphasizing the need for continued research to address existing challenges and enhance program effectiveness across diverse settings.

The problem of under-five nutrition, especially stunting, is still the focus of the government. Stunting in toddlers can have an impact on physical, mental and emotional development, as well as brain development. Children who suffer from stunting, as adults, will be more susceptible to diseases, both infectious and non-communicable diseases. Jambi Province's stunting prevalence of 13.5% in 2023 has not yet reached the reduction target. Based on SSGI in 2021, the stunting prevalence rate in Jambi City is 14.0%. This study aims to determine the effect of healthy food education on the knowledge of mothers of toddlers. This study is a quasi-experimental study (pre- test and post-test), the respondents were mothers of toddlers in Pinang Merah Village, Jambi City. Data analysis using the Wilcoxon test. The results of the study were an increase in knowledge seen from the results of the pre- test and post-test which statistically proved a significant increase in knowledge (p-value <0.001). It is concluded that there is an effect of healthy food education on the knowledge of mothers of toddlers. It is hoped that local health centers will often carry out counseling or educational activities to the community to increase knowledge, attitudes and behavior so as to increase the degree of public health.

Takokak fruit contains bioactive compounds that can be used as antidiabetics. This study aims to identify bioactive compounds of ethanol extract of takokak fruit and antidiabetic test of n-Hexane fraction. The method used to obtain the extract is maceration using ethanol . Antidiabetic testing is carried out through in vivo testing with the Oral Glucose Tolerance Test (OGTT) method on white rats. Secondary metabolites are compounds contained in taakokak fruit that are identified as flavonoids, saponins, tannins, steroids and terpenoids . The results of the antidiabetic test showed that the n-Hexane fraction with glibencamide as a comparator has the ability as an antidiabetic in terms of the amount of difference in blood glucose levels in the test animal group from T 30 to T 120 . The average decrease in blood glucose levels in the negative control group (Na-CMC) was 108.67 mg/dL, the positive control group ( glibencamide ) 174.67 mg/dL, the 5% concentration fraction group 35.33 mg/dL, the 10% concentration fraction group 30.67 mg/dL, the 20% concentration fraction group 47.67 mg/dL.

Takokak fruit is one of the plants that can be used to lower blood sugar levels. This study aims to identify the bioactive compounds of ethanol extract of takokak fruit and test the antidiabetic ethyl acetate fraction. Antidiabetic testing was carried out by in vivo testing using the Oral Glucose Tolerance Test (OGTT) method to see the decrease in blood glucose levels using white rats as test animals. The test results showed that takokak fruit contains flavonoids, steroids, and tannins. Fractionation is the process of extracting compounds from the extract using two types of solvents that do not mix with each other. The results of the antidiabetic test showed that the ethyl acetate fraction with glibenclamide as a comparator had the ability as an antidiabetic measured by the amount of difference in the decrease in blood glucose levels in the test animal group T₃₀ to T₁₂₀. From the results obtained, the average decrease in blood glucose levels in the negative control group (Na CMC) was 5.8 mg/dL, the positive control group (Glibenclamide) 21.03 mg/dL, and the fraction group 9.86 mg/dL. Takokak fruit has antidiabetic activity. Compounds that have antidiabetic activity are flavonoids, tannins, and steroids.

Hypertension is difficult for sufferers to realize because it has no specific symptoms. Hypertension in the elderly is a problem that is often found in the elderly today. One of the life habits that contributes to hypertension includes smoking and work history as triggers for hypertension in the elderly. The aim of this study was to determine the relationship between smoking behavior and work history with the incidence of hypertension in the elderly at the Internal Medicine Clinic, Graha Husada Hospital, Bandar Lampung. This type of quantitative research uses an analytical survey research design and a cross-sectional approach. The research was carried out in October 2024 at Graha Husada Hospital in Bandar Lampung. The population in this study was elderly people who suffered from hypertension with a sample size of 64 respondents. The sampling technique in this research used purposive sampling. The instruments used were questionnaires, blood pressure monitors and stethoscopes to measure blood pressure. Data analysis used the chi square test. The results of this study show that there is a relationship between smoking behavior with a p-value <0.001 (<0.05) and work history with a p-value <0.001 (<0.05) on the incidence of hypertension in the elderly. It is hoped that hospitals can provide reading media to increase patient awareness by socializing smoking behavior and reducing heavy work or doing friendly or light work so as not to trigger an increase in blood pressure.

The purpose of this study is to improve the health status of families so that healthy and prosperous families are realized. The study was conducted by collecting all available data through interview techniques and physical and supporting examinations. Subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition was good, anemic conjunctiva and Hb levels of 9.2 g%. The results of the study are the need for immediate action and collaboration on Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the result that in this case no collaborative action was taken because there were no indications and data to support the action. Has determined a midwifery care action plan for Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the results of planning care based on actual diagnoses/problems and potential problems that can occur and evaluating the results of the actions that have been carried out on Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the result that the care that has been given was successful as indicated by changes in the mother's Hb levels which were initially 9.2 g% to 10.8 g%.

The assessment has been carried out by collecting all available data through interview techniques and physical examinations or examinations. Subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition is good, anemic conjunctiva and Hb levels of 9.2 g%. Has identified the need for immediate action and collaboration on Mrs. With mild anemia in the Mong Village, Kuta Village with the result that in this case no collaborative action was taken because there were no indications and data to support the action. Has determined a midwifery shelter action plan for Mrs. W with mild anemia in the Mong Village, Kuta Village with the results of care planning based on actual diagnoses/problems and potential problems that can occur. Has carried out the planned care actions for Mrs. W with mild anemia in the Mong Village, Kuta Village with the result that all planned actions can be carried out properly without any obstacles.

This study aims to improve the health status of families so that a healthy and prosperous family is realized in the family of Mr. "Z" with menorrhagia in adolescent girls in Ngalong Hamlet, Kuta Village, Pujut District. The study was carried out by collecting all available data sheet formats through interview techniques and systemic observation. Subjective data, especially on the main complaint of menstruation for more than 10 days and changes, Blood Pressure (BP): 98/80 mmHg, Respiration (P): 18 x / i, Pulse (N): 88 x / i, Temperature (S): 36.5o C, eyes are not edematous, pale conjunctiva, white sclera. The potential diagnosis in this case is endometrium but it did not occur because it has been handled properly. Immediate action that can be taken is to collaborate with health workers and patients. The planning carried out on Ms. M aged 14 years is: informing about the results of the examination, explaining the signs and symptoms, handling menorrhagia and consulting a Sp.OG doctor. The implementation given to Ms. M with Hypermenorrhea is: informing about the results of the examination that Ms. M's general condition informs about the results of the examination, explains the signs and symptoms, treatment of menorrhagia, and consultation with a Sp.OG doctor. Evaluation is a stage of assessment of the success of the maintenance given in overcoming consultation with a Sp. DAN doctor.

This study aims to analyze the effect of waiting time on patient satisfaction undergoing ultrasound examinations at Kertha Usada Buleleng General Hospital. A quantitative survey method was employed, involving 50 respondents. Data were collected using a questionnaire measuring waiting time and patient satisfaction levels. The results indicate that the average waiting time is 90 minutes, and there is a significant negative correlation between waiting time and patient satisfaction (r = -0.58, p < 0.05). Approximately 80% of patients reported being satisfied or sufficiently satisfied, while 20% expressed dissatisfaction. The study concludes that improved management of waiting times and enhanced service quality are essential for increasing patient satisfaction. Recommendations for the hospital include developing a more efficient waiting time management system and improving communication with patients.

Delayed development is a condition when there is a delay in the child's growth and development process in one or more areas compared to children of the same age. Delayed development in the motor aspect is a significant lag in physical, including physical activities in daily life such as crawling, sitting, standing and walking in children when compared to normal children of the same age. To determine the effectiveness of a combination of interventions such as Expression Head Massage, Myofacial Release, Complete Neurosenso, General Massage, Patterning, Balance Exercise, and Approximation. The evaluation results showed an increase in gross motor skills in children. A 21-month-old child was diagnosed with Motor Delay when first treated, the child could not walk a few steps and standing had to have a handhold, after undergoing routine physiotherapy 3 times a week, now the child can walk a few steps without a handhold.

Introduction: ED (Eating Disorders) is one of the most difficult mental disorders to treat and treat, and the cost is even higher than schizophrenia. Secondary somatic complications due to malnutrition, severe weight loss and low levels of micronutrients. Objective: To determine the effectiveness of a combination of interventions such as Expression Head Massage, Myofacial Release, Neurosenso Komplit, General Massage, Patterning, Play Therapy, Brain Gym, Oral Reflex Stimulation. Method: A single-subject study was conducted on a 22-month-old child with ED. Results: The results of the sensory examination evaluation showed an increase in sensory in the child. Conclusion: A 22-month-old child was diagnosed with Eating Disorder, initially given physiotherapy, the child did not want to eat rice at all, only wanted to drink milk and sometimes the child liked to hit and bite, but after doing routine physiotherapy and home programs, now the child is willing to feed 15 mouthfuls of rice and focus on the child has also begun to exist and the child's balance is increasing.

To carry out the constitutional mandate to overcome the very complex problems arising among youth, the Indonesian government, through the BKKBN organization, has launched a program called Generasi Beplan, or GenRe for short, for teenagers. Planning Generation, integrated into the Youth/Student Information and Consulting Center (PIK R/M), aims to provide communication, information, and education services to reproductive health adolescents to create quality adolescents. Many countries have issued regulations on reproductive health services, but implementation is still limited. The author uses a qualitative research method using a descriptive analysis method. The data collected is secondary data in the form of legal regulations related to adolescent reproductive health services. The results of this study indicate that UKM PIK-M Garuda Bhakta has implemented adolescent reproductive health services in the form of KIE provided during peer teacher training. At the same time, KIE (communication, information, and education) is provided formally and informally, as well as activities that empower the younger generation as peer educators. Therefore, implementation of adolescent reproductive health services at Bhakti Wiyata Kediri Institute of Medical Sciences through UKM PIK-M Garuda Bhakta has been carried out in accordance with the constitutional provisions of PP No. 61 of 2014.

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

Pregnancy is the growth and development of an intrauterine fetus starting from conception and ending until the start of labor. The duration of pregnancy from ovulation to parturition is approximately 280 days (40 weeks). One of the problems that often occurs is anemia in pregnancy. Many pregnant women do not know about anemia and how to prevent it. The factors that influence the level of maternal knowledge about preventing anemia are education, age, type of work, gestational age. The purpose of this study was to determine the level of knowledge and support of families towards pregnant women. This study used a quantitative descriptive design with a Spearman rho statistical test research design and used the technique snowball sampling. The instrument in this study was a questionnaire about the level of knowledge of pregnant women, family support and preventive behavior. The location was at the Genteng Kulon Health Center, Genteng District in July 2024. From the results of the study with the Spearman rho statistical test using SPSS on the level of knowledge, it was found that the level of significance value of 0.001. At the Genteng Kulon Health Center, Genteng District. From the results of this study, it is suggested that there is a need for direction and counseling from officers for IEC to pregnant women regarding increasing pregnant women and family support for anemia prevention behavior in pregnant women.