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Anemia during pregnancy remains a common health problem and may lead to adverse outcomes for both mother and fetus. Hemoglobin and erythrocyte indices examination are important to identify anemia and describe erythrocyte morphology in pregnant women. This study aimed to describe hemoglobin levels and erythrocyte indices among anemic pregnant women at Sentosa Maternity Hospital. This research used a descriptive design with secondary data obtained from hematological examination results of pregnant women who underwent laboratory testing at Sentosa Maternity Hospital from January to December 2023. Data were analyzed descriptively and presented in frequency distribution tables. The results showed that out of 58 pregnant women undergoing hematological examination, 28 women (48%) were anemic with a mean hemoglobin level of 10.2 g/dL, while 30 women (52%) had normal hemoglobin levels with a mean of 12.8 g/dL. Based on erythrocyte indices, most anemic pregnant women had microcytic hypochromic anemia, accounting for 19 women (67%) with mean MCV of 72.3 fL, MCH of 29.8 pg, and MCHC of 33.9 g/dL, whereas 9 women (33%) had normocytic normochromic anemia with mean MCV of 83.4 fL, MCH of 29.6 pg, and MCHC of 33.4 g/dL. It can be concluded that nearly half of the examined pregnant women experienced anemia, with microcytic hypochromic anemia being the most dominant type.

Anemia masih menjadi masalah kesehatan yang banyak terjadi pada remaja putri dan wanita usia subur. Rendahnya pengetahuan mengenai pentingnya konsumsi tablet tambah darah dan vitamin B kompleks dapat meningkatkan risiko terjadinya anemia yang berdampak pada kesehatan dan produktivitas. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan masyarakat mengenai pentingnya konsumsi tablet tambah darah dan vitamin B kompleks sebagai upaya pencegahan anemia. Metode yang digunakan adalah penyuluhan kesehatan melalui media leaflet yang dilaksanakan pada masyarakat Gintungan RT 06/RW 02, Desa Gogik, Ungaran Barat. Kegiatan diikuti oleh 37 peserta yang terdiri atas remaja putri, wanita usia subur, ibu hamil, ibu menyusui, dan masyarakat umum. Materi yang diberikan meliputi pengertian anemia, faktor risiko, manfaat tablet tambah darah dan vitamin B kompleks, aturan konsumsi, efek samping, faktor yang memengaruhi penyerapan zat besi, serta pola makan bergizi untuk mencegah anemia. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta sebesar 35,1% setelah penyuluhan. Peserta juga menunjukkan pemahaman yang lebih baik mengenai manfaat suplemen, cara konsumsi yang benar, dan upaya pencegahan anemia. Penyuluhan menggunakan media leaflet efektif sebagai sarana edukasi dalam meningkatkan pengetahuan masyarakat mengenai pencegahan anemia.

Anemia pada ibu hamil merupakan salah satu masalah kesehatan yang masih memiliki prevalensi tinggi di Indonesia dan berkontribusi terhadap meningkatnya risiko komplikasi pada ibu maupun janin. Penanganan anemia memerlukan asuhan kebidanan yang komprehensif melalui pendekatan keluarga dan komunitas untuk meningkatkan pengetahuan, kepatuhan konsumsi tablet tambah darah, serta perbaikan pola makan ibu hamil.  Memberikan asuhan kebidanan komunitas pada keluarga Tn. S dengan kasus anemia ringan pada ibu hamil di Dusun Pegading Luar, Desa Batunyala, Kecamatan Praya Tengah melalui penerapan manajemen kebidanan sehingga masalah kesehatan dapat diidentifikasi, ditangani, dan dievaluasi secara komprehensif. Laporan ini menggunakan metode studi kasus dengan pendekatan asuhan kebidanan komunitas. Proses asuhan meliputi pengkajian data subjektif dan objektif, identifikasi masalah, penetapan diagnosis, penyusunan rencana asuhan, pelaksanaan intervensi berupa edukasi gizi, anjuran konsumsi tablet tambah darah, pemantauan kondisi ibu, serta evaluasi hasil asuhan. Asuhan kebidanan komunitas menunjukkan bahwa ibu hamil dengan anemia ringan memerlukan edukasi berkelanjutan mengenai pemenuhan nutrisi kaya zat besi, kepatuhan mengonsumsi tablet Fe, serta dukungan keluarga dalam penerapan perilaku hidup sehat. Pendekatan berbasis keluarga dan komunitas membantu meningkatkan pemahaman ibu dan keluarga mengenai pencegahan komplikasi anemia selama kehamilan serta mendukung keberhasilan asuhan kebidanan. Penerapan asuhan kebidanan komunitas pada keluarga Tn. S dengan anemia ringan pada ibu hamil dapat dilaksanakan secara sistematis melalui manajemen kebidanan. Pendekatan promotif, preventif, edukatif, dan kolaboratif berperan penting dalam meningkatkan kesehatan ibu hamil, mencegah komplikasi kehamilan, serta mewujudkan keluarga yang lebih mandiri dalam menjaga kesehatan

Anemia merupakan salah satu masalah kesehatan yang sering terjadi pada remaja putri dan dapat berdampak pada penurunan konsentrasi belajar, kebugaran fisik, serta produktivitas. Salah satu faktor yang diduga berhubungan dengan kejadian anemia adalah pola makan. Mengetahui hubungan antara pola makan dengan kejadian anemia pada remaja putri di SMA Widyagama Malang. Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan simple random sampling dengan jumlah responden sebanyak 24 siswi. Pengumpulan data pola makan menggunakan kuesioner Food Frequency Questionnaire (FFQ) yang telah dimodifikasi, sedangkan kadar hemoglobin diukur menggunakan alat Easy Touch. Analisis data menggunakan uji korelasi Spearman Rank dengan tingkat signifikansi ? = 0,05. Sebagian besar responden memiliki pola makan sehat sebanyak 13 responden (54,2%), pola makan kurang sehat sebanyak 9 responden (37,5%), dan pola makan tidak sehat sebanyak 2 responden (8,3%). Sebagian besar responden memiliki kadar hemoglobin normal sebanyak 20 responden (83,3%), sedangkan 4 responden (16,7%) memiliki kadar hemoglobin tinggi. Hasil uji Spearman Rank menunjukkan nilai koefisien korelasi (r) sebesar 0,051 dengan nilai p-value sebesar 0,812 (p>0,05), yang berarti tidak terdapat hubungan yang signifikan antara pola makan dengan kadar hemoglobin pada remaja putri di SMA Widyagama Malang. Tidak terdapat hubungan yang signifikan antara pola makan dengan kadar hemoglobin pada remaja putri di SMA Widyagama Malang.

Diabetes melitus tipe 2 (DMT2) merupakan penyakit metabolik kronis yang ditandai oleh hiperglikemia akibat resistensi insulin dan gangguan sekresi insulin. Kondisi hiperglikemia yang tidak terkontrol dalam jangka panjang dapat menyebabkan berbagai komplikasi kronis, seperti neuropati diabetik, penyakit kardiovaskular, dan penyakit ginjal kronis hingga end-stage renal disease (ESRD). Komplikasi tersebut berkontribusi terhadap peningkatan angka morbiditas, mortalitas, serta penurunan kualitas hidup pasien. Laporan kasus ini bertujuan untuk menggambarkan manifestasi klinis dan penatalaksanaan pasien DMT2 tidak terkontrol dengan komplikasi multisistem. Dilaporkan seorang wanita berusia 52 tahun dengan riwayat DMT2 tidak terkontrol yang datang dengan keluhan lemas, mual, dan muntah. Pemeriksaan laboratorium menunjukkan hiperglikemia berat dengan kadar glukosa darah sewaktu 650 mg/dL, disertai gangguan fungsi ginjal, anemia, dan gangguan elektrolit. Pemeriksaan ultrasonografi abdomen menunjukkan adanya kolesistitis. Pasien didiagnosis dengan DMT2 tidak terkontrol disertai komplikasi hiperglikemia berat, neuropati diabetik, end-stage chronic kidney disease, dan kolesistitis. Penatalaksanaan dilakukan melalui pemberian terapi cairan, insulin, antibiotik, koreksi elektrolit, serta terapi suportif lainnya. Selama perawatan, kondisi klinis pasien menunjukkan perbaikan secara bertahap. Kasus ini menegaskan bahwa pengendalian glikemik yang optimal, pemantauan rutin, serta penatalaksanaan komprehensif sangat penting dalam mencegah progresivitas komplikasi kronis dan multisistem pada pasien DMT2.

Due to its effect on the caliber of generations to come, iron deficiency anemia in teenage females is one of Indonesia's most pressing reproductive health concerns. Adolescents' awareness to autonomously adopt preventative actions is shaped mostly by their knowledge. The purpose of this research is to determine whether there is a correlation between the prevalence of anemia among teenage females in Boyolali Regency and their degree of education. Using a cross-sectional design, this study employs quantitative correlational analytic methods. An accidental sampling approach was used to obtain a sample size of 80 respondents from the population of seventh grade female pupils. A digital POCT device was utilized to quantify the incidence of anemia variables based on hemoglobin (Hb) levels, while a structured questionnaire instrument was employed to gather data for knowledge variables. The Chi-Square test was used to assess the bivariate data analysis. According to the univariate analysis, 62.5% of the participants (50 respondents) had a decent level of knowledge, and 73.8% of the participants (59 respondents) did not suffer from anemia (Hb > 12 g/dL). With a p-value of 0.000 (p < 0.05), the results of the bivariate test were generated. Anemia is more common among female students at MTs Al Ihsan Doglo who have a higher degree of expertise, according to this study. School districts should keep an eye on students' iron pill use and improve their nutrition education programs.

Thalassemia is an inherited hemolytic anemia caused by genetic abnormalities in chromosomes 11 and 16 that impair globin chain production, leading to insufficient hemoglobin and red blood cells. This study aims to describe nursing care for An. W with thalassemia at the Anggrek 2 Ward of RSUD dr. Soeselo, Tegal Regency. The method used was a descriptive approach through anamnesis, documentation, observation, and literature review. Nursing care was carried out over two days (January 13–14, 2026). Physical examination results on January 12, 2026 showed a pale face, anemic conjunctiva, weakness, CRT >3 seconds, decreased skin turgor, weak peripheral pulse, cold extremities, and laboratory hemoglobin of 5.9 g/dL, with vital signs of pulse 111x/minute, temperature 36.7°C, and respiration 22x/minute. Two nursing diagnoses were established: ineffective peripheral perfusion related to decreased hemoglobin concentration (D.0009), and activity intolerance related to weakness (D.0056). Nursing interventions included circulatory care (I.02079) and energy management (I.05178). Nursing implementation was carried out according to plan. Evaluation on January 14, 2026 showed that both nursing diagnoses were resolved; the patient's hemoglobin improved to 10.7 g/dL after two blood transfusions, and the patient was declared fit for discharge. It is recommended that hospitals establish support groups for thalassemia patients to provide adequate emotional and social support.

A common health problem, especially in developing countries, is anemia. This is common among adolescent girls due to their lack of knowledge about anemia. This puts them at risk of developing anemia, particularly because menstruation is a contributing factor. Providing health education is expected to change behaviors toward a healthy lifestyle and contribute to preventing anemia among adolescent girls. This community service activity was held on May 26, 2026, at SMK Bhakti Indonesia Medika, and was attended by female students of childbearing age. The methods used included lectures, discussions, question-and-answer sessions, and sharing sessions. Pretests and posttests were used as evaluation materials to measure the increase in students' knowledge. The average pretest score was 7, while the average posttest score was 12, indicating a 5 point increase in knowledge about anemia among adolescent girls. The students demonstrated interest and enthusiasm during this activity. The results and conclusions of the e-booklet-based education program proved to be an effective alternative medium for increasing students' knowledge about anemia prevention. It is hoped that similar education can be implemented sustainably to improve the quality of healthy life in adolescent girls.

Iron deficiency anemia (IDA) is a condition of insufficient iron that lowers hemoglobin levels and disrupts erythrocyte formation. This condition commonly occurs in children and can weaken the immune system, thereby increasing the risk of recurrent respiratory tract infections such as bronchiolitis, pneumonia, and Acute Respiratory Tract Infections (ARTI). Children with IDA are also at risk of worsening clinical conditions. This study employed a literature review method with a descriptive-analytical approach. A total of 10 journals (2020–2026) from Google Scholar, PubMed, ResearchGate, Elsevier, and the National Center for Biotechnology Information (NCBI) were analyzed using the Population, Intervention, Comparison, Outcome, Study Design (PICOS) framework and synthesized narratively. The results of the review indicate that iron deficiency anemia is significantly associated with an increased risk of recurrent respiratory tract infections in children. Children with IDA have a 2–5 times higher risk of developing bronchiolitis and pneumonia, and up to 10 times greater susceptibility to recurrent ARTI. This condition is also associated with increased disease severity, characterized by low hemoglobin levels, mean corpuscular volume (MCV), and serum iron, as well as elevated total iron-binding capacity (TIBC). Iron supplementation has been proven effective in reducing the incidence of recurrent infections. In conclusion, iron deficiency anemia is associated with an increased risk and severity of recurrent respiratory tract infections in children. Early detection and iron supplementation are essential to reduce morbidity and prevent infection recurrence.

Anemia pada ibu hamil masih menjadi salah satu masalah kesehatan yang berkontribusi terhadap tingginya angka kematian ibu dan bayi di Indonesia. Anemia dalam kehamilan dapat meningkatkan risiko perdarahan postpartum, persalinan prematur, berat badan lahir rendah, serta komplikasi lainnya pada ibu dan janin. Penelitian ini bertujuan untuk melaksanakan asuhan kebidanan komunitas pada ibu hamil trimester II dengan anemia ringan di Dusun Bentek, Desa Menggala, Kecamatan Pemenang, Kabupaten Lombok Utara. Metode penelitian yang digunakan adalah studi kasus dengan pendekatan manajemen asuhan kebidanan meliputi pengkajian, analisis data, penentuan diagnosis, perencanaan, implementasi, dan evaluasi. Subjek penelitian adalah Ny. “R” usia 32 tahun G1P0A0H0 usia kehamilan 27 minggu dengan kadar hemoglobin 9,0 g/dL. Hasil pengkajian menunjukkan bahwa ibu mengalami anemia ringan disertai kurangnya pengetahuan mengenai pentingnya konsumsi tablet tambah darah dan pemenuhan nutrisi selama kehamilan. Asuhan yang diberikan meliputi edukasi kesehatan, konseling gizi, pemberian tablet tambah darah, pemantauan kehamilan, serta kolaborasi dengan petugas gizi. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan ibu dan kepatuhan dalam mengonsumsi tablet tambah darah yang ditandai dengan peningkatan kadar hemoglobin menjadi 10,9 g/dL pada kunjungan ulang. Dengan demikian, asuhan kebidanan komunitas yang diberikan efektif dalam membantu mengatasi anemia ringan pada ibu hamil trimester II serta meningkatkan kesehatan ibu dan janin.

Anemia masih menjadi problematika gizi utama pada remaja putri di Indonesia yang berdampak buruk terhadap performa akademik serta kesehatan reproduksi jangka panjang. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran gizi terkait pencegahan anemia melalui intervensi edukasi sadar gizi di SMAN 1 Sampang. Metode yang diterapkan berbasis pendekatan partisipatif interaktif, meliputi ceramah, pemanfaatan media visual (leaflet dan poster), simulasi penyusunan menu sehat kaya zat besi, serta kuis edukatif. Evaluasi program diukur secara kuantitatif melalui instrumen pre-test dan post-test, serta secara kualitatif melalui observasi keaktifan peserta. Hasil pelaksanaan menunjukkan adanya peningkatan pemahaman yang signifikan mengenai definisi, dampak, dan pencegahan anemia, serta perubahan sikap positif terhadap pola konsumsi seimbang dan kepatuhan sarapan. Kesimpulannya, edukasi gizi yang terstruktur dan interaktif terbukti efektif dalam membangun kesadaran kesehatan remaja, sehingga dapat dijadikan strategi preventif yang berkelanjutan di lingkungan sekolah.

Anemia pada ibu hamil merupakan masalah kesehatan yang sering terjadi dan berisiko terhadap kesehatan ibu dan janin. Rendahnya pengetahuan serta kepatuhan dalam mengonsumsi tablet Fe menjadi salah satu penyebab tingginya kasus anemia selama kehamilan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan kesadaran ibu hamil tentang pentingnya konsumsi tablet Fe sebagai upaya pencegahan anemia. Metode yang digunakan berupa pemeriksaan kadar hb, penyuluhan melalui ceramah, diskusi. Kegiatan dilaksanakan pada 31 Januari 2026 di PMB Bidan Irma dengan peserta 13 ibu hamil. Hasil kegiatan menemukan 1 peserta ibu hamil yang terkena anemia, pentingnya peningkatan pengetahuan dan kesadaran ibu hamil mengenai bahaya anemia dan pentingnya konsumsi tablet Fe secara rutin. Peserta memberikan respons positif dan berharap kegiatan serupa dapat dilakukan secara berkelanjutan. Edukasi ini diharapkan mampu meningkatkan kepatuhan konsumsi tablet Fe serta mencegah komplikasi selama kehamilan, persalinan, dan masa nifas.

The problem of malnutrition in pregnant women is a health issue that risks causing serious complications, both for the mother and the fetus, such as anemia, premature birth, and low birth weight. Anemia in pregnancy has a negative impact on fetal development, including the risk of miscarriage, premature babies, and suboptimal growth. Globally, anemia is considered a major public health problem in more than 80% of countries, with prevalence in pregnancy reaching more than 20%. This service activity aims to increase pregnant women's knowledge about the importance of nutrition in preventing anemia and other complications during pregnancy. The method used is in the form of health education with a promotive-preventive approach, through interactive counseling and group discussions. The material provided includes the nutritional needs of pregnant women, signs and symptoms of anemia, as well as prevention strategies through the consumption of balanced nutritious foods and adherence to iron supplementation. The results of the activity showed an increase in pregnant women's understanding of the risk of anemia and the importance of maintaining nutritional status during pregnancy. Thus, this activity is expected to support the achievement of a healthy pregnancy, reduce the risk of complications, and ensure the welfare of mothers and babies.

Background: The prevalence of Chronic Energy Deficiency (SEZ) of pregnant women nationally is still 16.9%, and anemia reaches 27.7%, so the development of local food-based Supplementary Feeding (PMT) is needed. Brownies with the substitution of red spinach as a source of iron and purple sweet potato flour as an energy source have the potential to be developed as an alternative to PMT. This study aims to determine the acceptability and nutritional content of red spinach brownies with the addition of purple sweet potato flour as an interlude food for pregnant women. Method: Design using the Complete Random Design (RAL) method. The formulation of making brownies consists of three treatments with a comparison between (red spinach pureee and purple sweet potato flour) as follows: F1 (50:50), F2 (60:40), and F3 (40:60). The acceptance test was conducted using a hedonic test of color, aroma, taste, and texture on 30 semi-trained panelists. Analysis of nutritional content includes moisture content (thermogravimetry), ash content (dry ashing), protein (Kjeldahl), fat (Soxhlet), carbohydrates (by difference), and Fe (Atomic Absorption Spectrophotometry). The data were analyzed using the Kruskal-Wallis test. Research Results: The acceptability test showed that there was no significant difference between the formulations. The F3 formulation with a ratio of 40% red spinach pureee and 60% purple sweet potato flour obtained the highest preference value and was determined as the best formulation. The nutritional content of the F3 formulation includes protein 10.447%, fat 8.047%, carbohydrates 1.5579%, Fe 0.0005%, moisture content 20.68%, and ash content 1.4875%. Conclusion: There was no significant effect of each formulation on the acceptability of Brownis Suggestion: It is hoped that the next researcher can improve product formulation and processing processes to maintain and increase iron (Fe) levels in brownies.

Anemia is a condition with hemoglobin and erythrocyte levels lower than normal, which is 12 grams/dl for adolescents. Iron deficiency anemia in adolescent girls is at higher risk because it causes a decrease in immunity, making them susceptible to health problems. One of the causes is the lack of knowledge of adolescent girls about healthy lifestyles and self-motivation regarding the importance of balanced nutrition in preventing anemia. The purpose of this study was to determine the effect of education on the level of knowledge of adolescent girls about anemia. The type of research used was quantitative research with a quasi-experimental research design with a pre-test-post-test research design. The sample consisted of 90 adolescent girls. The results showed that before being given education, the majority of respondents were in the sufficient category (45.6%), while after being given education, the majority were in the good category (84.4%). The results of this study showed that there was a significant difference in the level of knowledge of adolescent girls about anemia before and after being given education with a significance value of 0.000, which means there was a significant effect of education on the level of knowledge of adolescent girls about anemia.

Anemia is a condition with hemoglobin and erythrocyte levels lower than normal, which is 12 grams/dl for adolescents. Iron deficiency anemia in adolescent girls is at higher risk because it causes a decrease in immunity, making them susceptible to health problems. One of the causes is the lack of knowledge of adolescent girls about healthy lifestyles and self-motivation regarding the importance of balanced nutrition in preventing anemia. The purpose of this study was to determine the effect of education on the level of knowledge of adolescent girls about anemia. The type of research used was quantitative research with a quasi-experimental research design with a pre-test-post-test research design. The sample consisted of 90 adolescent girls. The results showed that before being given education, the majority of respondents were in the sufficient category (45.6%), while after being given education, the majority were in the good category (84.4%). The results of this study showed that there was a significant difference in the level of knowledge of adolescent girls about anemia before and after being given education with a significance value of 0.000, which means there was a significant effect of education on the level of knowledge of adolescent girls about anemia.

Thalassemia is a chronic genetic disease that requires long-term treatment and affects children's quality of life physically, psychologically, socially, and academically due to chronic anemia and regular blood transfusion needs. This study aimed to determine factors influencing the quality of life of children with thalassemia at Rumah Sakit Anak dan Bunda Harapan Kita. A descriptive design with a cross sectional approach was used, involving 41 respondents through total sampling. Data were collected using the Pediatric Quality of Life Inventory (PedsQL 4.0 Generic Core Scale) and respondent characteristics including age, gender, socioeconomic status, parental education, and frequency of blood transfusions. Data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results showed most respondents were under ten years old, female, from families with socioeconomic status below the minimum wage, had parents with high school or higher education, and received blood transfusions every three weeks. Bivariate analysis indicated only the frequency of blood transfusions was significantly associated with quality of life, while other variables were not. Thus, transfusion frequency is the main factor influencing quality of life in children with thalassemia.

Anemia is a common nutritional problem among adolescent girls and can affect health, learning ability, and the quality of future generations. Hemoglobin (Hb) levels can be influenced by dietary intake, such as folic acid and vitamin C, as well as consumption behaviors, including tea drinking habits and adherence to iron supplementation (TTD). This study aimed to examine the relationship between folic acid intake, vitamin C intake, tea drinking habits, and adherence to TTD consumption with hemoglobin levels among adolescent girls in senior high schools in Tuban District. This study used a cross-sectional design with a sample of 325 respondents selected through probability sampling. Data on folic acid and vitamin C intake were obtained using a 24-hour dietary recall method, while tea drinking habits and adherence to TTD consumption were collected through questionnaires. Hemoglobin levels were measured directly using a hemoglobin testing device. Data analysis was performed using the Spearman correlation test. The results showed significant relationships between folic acid intake and hemoglobin levels, vitamin C intake and hemoglobin levels, adherence to iron supplementation and hemoglobin levels, and tea drinking habits and hemoglobin levels, with a negative direction of association. This study concludes that folic acid intake, vitamin C intake, tea drinking habits, and adherence to TTD consumption influence hemoglobin levels in adolescent girls. Efforts to prevent anemia should focus on improving dietary patterns, proper use of iron supplementation, and regulating tea drinking habits.

Uterine myoma is a benign smooth muscle tumor of the uterus commonly found in women of reproductive age and may cause symptoms related to mass effect and hematologic disturbances. We report the case of a 41-year-old woman presenting with progressive vaginal pain for 3 months, accompanied by low back pain and impaired daily activities, without vaginal bleeding, vaginal discharge, fever, or urinary or defecatory symptoms. Laboratory examination revealed severe microcytic hypochromic anemia with a hemoglobin level of 4.7 g/dL, while ultrasonography demonstrated a 9.93 × 10.32 cm mass described as symmetric, well circumscribed, and hyperechoic, leading to a working diagnosis of uterine myoma with anemia. The patient was managed with general condition monitoring, intravenous fluids, analgesics, transfusion of four units of packed red cells, and laparotomy as definitive intervention. Following transfusion and surgery, the hemoglobin level increased to 9.4 g/dL and subsequently to 11.0 g/dL, accompanied by improvement in postoperative symptoms and clinical condition. This case demonstrates that a large uterine myoma may present predominantly with pelvic pain and functional impairment in the absence of vaginal bleeding. A comprehensive approach involving systematic evaluation, preoperative correction of anemia, appropriate surgical intervention, and postoperative monitoring is essential to improve safety and clinical outcomes in patients with symptomatic pelvic masses.

Household food security and nutrition are crucial determinants of public health, especially in regions with limited access to high-quality animal protein. This study aims to analyze the impact of organic chicken farming and maggot utilization on household food security and family nutrition in Jayapura, Papua. An exploratory case study with a mixed-method approach was used, involving observation, in-depth interviews, and documentation. The findings revealed that maggot-based feed significantly improved chicken growth, health, and egg production while reducing feed costs. Families experienced improved protein intake, reduced food expenditure, and additional income from the sale of eggs, maggots, and compost. Furthermore, the integration of maggot farming into organic poultry systems supported waste management and environmental sustainability through a circular economy model. This research implies that maggot-based organic farming can be replicated as a sustainable community food security strategy in similar regions across Papua and Indonesia.