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Food Additives (BTP) in current consumer products increase the risk of non-communicable diseases such as diabetes, kidney failure, and cancer, particularly in children. Housewives play a central role in managing family consumption to minimize these risks. This community service activity aims to enhance the knowledge and awareness of 'Aisyiyah women in Buluspesantren, Kebumen Regency, regarding food safety and BTP regulations. The implementation method included preparing materials based on BPOM regulations, interactive education, product discussions, and simulations on reading nutrition labels. The results showed high enthusiasm from participants who are now more critical in distinguishing between natural and synthetic additives. Participants reported a significant improvement in their ability to identify food ingredients and additives in everyday products. The final evaluation recorded a 22.2-point increase in participant understanding. By establishing the habit of reading food labels, it is expected that the risk of non-communicable diseases within the family environment can be reduced, thus improving public health literacy and dietary choices within the community.

Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia which can lead to serious complications if not properly managed. This community service activity aimed to increase public knowledge regarding diabetes mellitus and its prevention among residents of Rejomulyo Village, Jati Agung District, South Lampung. The method used was health education through lectures supported by leaflets and blood glucose screening, followed by evaluation using pre-test and post-test. A total of 25 community members participated in this activity. The results showed a significant improvement in participants’ knowledge after the educational intervention. Pre-test results indicated limited understanding of blood glucose control and dietary management, while post-test results showed increased knowledge levels in both aspects. This activity demonstrates that health education is effective in improving community awareness and knowledge regarding diabetes mellitus prevention and management. This educational program is effective in increasing the knowledge of the people of Rejomulyo Village, Jati Agung District, South Lampung Regency regarding diabetes mellitus.

Depression is one of the mental health problems that often arise in patients with chronic diseases, such as diabetes mellitus, hypertension, and chronic kidney failure. This condition not only impacts the patient's quality of life, but also affects the treatment process and the burden on the family. However, mental health literacy in the community is still low, so targeted preventive and curative efforts are needed. The Community Service Program (PKM) aims to improve people's mental health through educational interventions with scientific booklet media that are easy to understand and apply. The activity method is carried out in a participatory manner, including the preparation stage, socialization, educational implementation, and evaluation. Education is provided to the community with a focus on preventing depression through a healthy lifestyle, stress management skills, and early intervention efforts by seeking professional support. Evaluation is carried out through pre-post tests, observations, and group discussions. The results of the activity showed an increase in public knowledge about depression, a change in attitudes to be more open in expressing feelings, as well as practical skills in relaxation, maintaining sleep patterns, and building social support. Participants also better understand the importance of seeking professional help when depressive symptoms are getting worse. The conclusion of this PKM is that the scientific booklet has proven to be effective as a preventive and curative educational intervention medium, and can be an innovative strategy in improving the mental health of people affected by chronic diseases.

Consumption of sweetened beverages contributes to increased blood glucose levels that lead to the risk of pre-diabetes and type II diabetes mellitus. Fasting blood sugar examination is an early screening tool to detect hidden metabolic disorders and educate the public about the importance of controlling sugar consumption. The examination was conducted through capillary blood sampling and point-of-care testing (POCT) analysis of 91 adult participants. Education was delivered in the form of a leaflet emphasizing the impact of sweetened beverage consumption on glucose regulation and the risk of insulin resistance. The results were classified into three categories: normal, pre-diabetes, and diabetes. The majority of participants (86.8%) were in the normoglycemic category. As many as 9.9% were classified as pre-diabetes and 3.3% were in the diabetes category. The average fasting blood sugar of the participants was 89.5 ± 20.1 mg/dL. These results emphasize the need for counseling regarding limiting the consumption of sweetened beverages to maintain stable blood glucose. Fasting blood sugar examination accompanied by education about sweetened beverages contributes to early detection of the risk of glucose disorders. Interventions based on examination results have the potential to increase awareness of fluid consumption patterns and encourage healthier lifestyle changes.   Keywords: Fasting Blood Sugar, Sugary Drinks, Pre-Diabetes, Type II Diabetes Mellitus, Nutrition Education

Hypertension and diabetes mellitus, which many elderly suffer from, are a significant problem in Indonesia because they pose a risk of serious complications and even death. At the Olak Kemang Community Health Center, the incidence of hypertension and diabetes mellitus in the elderly has increased. However, the scope of elderly people's active participation in various hypertension and diabetes mellitus management programs is still low. Based on the results of the team's research and initial observations, it is known that the main cause of this problem is a lack of family support and limited knowledge about the efforts that families must make in managing illnesses in the elderly. This situation indicates weak family functioning which has an impact on health. This community service activity aims to strengthen family functions and self-care behavior for elderly people with hypertension and diabetes mellitus in the work area of the Olak Kemang Community Health Center through the implementation of Posdaya (Family Empowerment Post). Posdaya activities include counseling about family functions, developing family skills to manage hypertension and diabetes mellitus in the elderly, as well as assisting families to be able to access various application-based health services for the elderly and families. The activity was attended by 20 elderly people and their families. The results of the activity showed that 80% of participants experienced increased knowledge. In addition, participants provided statements of attitude to improve family function and implement self-care behavior for elderly people with hypertension and diabetes mellitus.

The aim of this inquiry is to excavate a profound comprehension concerning the quest for a polygamy license, by delving into the judicial decree regarding the rationale of the Surabaya Religious Tribunal in bestowing such a license, scrutinizing and dissecting the juridical and communal dimensions of ruling number 1751/Pdt.G/2024/PA. Sby. Here, the Seeker sought approval for polygamy against the Opponent due to the Opponent’s incapacity to satisfy the Seeker’s carnal desires, attributed to the presence of diabetes. The quandaries investigated pertain to the statutes and stipulations governing polygamy petitions and the Jurist’s rationale in adjudicating the polygamy license request. This investigation employs a normative jurisprudence technique, drawing upon an examination of texts, and adopts a legislative framework in its approach. The findings of this examination indicate that the Panel of Jurists factors in both legal and compassionate facets in its deliberations.

Fatty liver is a medical condition in which fat builds up in liver cells, which can develop into steatohepatitis, fibrosis, cirrhosis and liver cancer if not treated properly. Fatty liver in the elderly causes an increased risk of serious complications due to the high prevalence of metabolic risk factors such as hypertension, diabetes, hyperlipidemia and obesity which are more common in the elderly. The importance of education and understanding risk factors so that the elderly community can adopt a healthy lifestyle is the main focus of this community service activity. Through the Plan-Do-Check-Act (PDCA) method, initial assessment, education, implementation of healthy eating and exercise patterns, and evaluation of the effectiveness of the intervention are carried out. The results showed that the majority of elderly people had cholesterol levels and liver function within normal limits, although 9.7% had hypercholesterolemia and 43% had SGOT levels that were not optimal. Continuous education and support are key in preventing and managing fatty liver and dyslipidemia in the elderly, thereby improving their quality of life.

Abstract: Obesity is a global epidemic and a significant public health problem. In the elderly population, obesity is defined as a BMI ≥ 25 kg/m². In the United States, the prevalence of obesity among the elderly is 37.1% in men and 33.6% in women over the age of 60. Obesity increases the risk of chronic diseases such as type 2 diabetes, hypertension and cardiovascular disease, and can cause psychological problems such as sleep disorders and lack of self-confidence. Accurate obesity risk assessment involves measuring Body Mass Index (BMI) and waist circumference. This activity uses the Plan-Do-Check-Act (PDCA) methodology to screen for obesity in the elderly at Hana Nursing Home, South Tangerang. The screening includes anthropometric measurements of BMI and waist circumference, followed by evaluation and nutritional counseling for at-risk individuals. 9 people (14.75%) had overweight nutritional status, 3 people (4.92%) had obese nutritional status, and 35 people (57.38%) were at risk of central obesity. Routine anthropometric measurements are critical for monitoring obesity and implementing preventive measures to improve overall health outcomes, improve quality of life, and reduce obesity-related morbidity and mortality rates. Keywords: Obesity, Central Obesity, Elderly, Body Mass Index, Waist Circumference

Temporary blood sugar is the level of glucose in the blood that measured without considering the time of the last meal, and often used to detect diabetes mellitus or impaired glucose tolerance. This community service activity aims to describe the distribution of blood sugar levels in 68 men and women of productive age at  Kalam Kudus II High School, Jakarta. This community service activity is carried out using the Plan-Do-Check-Action method. The results showed that the majority of respondents had normal fasting blood sugar levels (97.1%), with an average of 113.26 mg/dL and a median of 104 mg/dL. Lifestyle factors, nutrition, genetics, and chronic medical conditions can affect blood sugar levels at any time. Regular monitoring of blood sugar levels is essential for early detection and management of diabetes mellitus, which can prevent serious complications such as cardiovascular disease and nephropathy. Prevention strategies include a healthy diet, physical activity, patient education, and appropriate medical interventions. Comprehensive public health programs are needed to increase awareness and management of diabetes, as well as improve the quality of life of individuals affected by this disease.  

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.

The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risk of infectious and non-communicable diseases (NCDs), especially through nutritional interventions in the first 1000 days of life, improving balanced nutritional consumption patterns for the whole family, increasing regular and measurable physical activity. , improve healthy lifestyles, improve a healthy environment and reduce cigarette and alcohol consumption. Interview data showed that the majority of people, 48%, rarely had their health checked as early as possible, residents would go to the nearest health center if signs and symptoms of illness began to appear. Integrated counseling on prevention of emergency non-communicable diseases, Hypertension and Diabetes Mellitus, is carried out in one day, residents are gathered in the Mijen Village hall. The activity begins with simultaneous fitness exercises, then continues with a health check. The health checks carried out include anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and random blood sugar measurements. Of the 50 residents who took part in the implementation of integrated counseling on the prevention of non-communicable disease emergencies. Hypertension and Diabetes Mellitus, as many as 24% of residents (12 people) just found out that they suffer from pre-diabetes mellitus, 16% (8 people) already know that they suffer from hypertension and diabetes mellitus, as many as 6% (3 people) have a stomach circumference of more than 100 cm, 54% (27 people) were in good health. Residents were quite enthusiastic about the activities carried out. The data obtained in the integrated counseling activity for preventing emergency non-communicable diseases, hypertension and diabetes mellitus, was submitted to the Mijen Community Health Center as a recap of data on the health status of the target area. The data obtained will be followed up by motivating residents to have their health checked at the Mijen Health Center.

One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need assistance from professional staff. Elderly people are an age group that is vulnerable to falls. The aim of implementing this service is to detect the risk of falls in the elderly and provide assistance with balance exercises as an effort to prevent the risk of falls in the elderly. Falls occur due to an unintentional loss of balance which results in failure of postural stability, or an unexpected and sudden change which results in the position landing on the floor . Associated risk factors include current health status (living in the community, nursing home, hospital, weak or active state), existing diseases (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, strength muscle, visual disturbances, etc.). The output targets to be achieved include publication of accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued by providing balance training, so that elderly people who are at risk of falling can be identified as early as possible so that providing balance training can maintain and improve the elderly's body balance.