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Based on the 2023 Indonesian Health Survey, the prevalence of overweight among adults reached 23.4% nationally and 24.5% in East Java Province. This condition highlights the need for food innovation, particularly high-fiber snacks suitable for overweight adults. This study aimed to develop cereal based on okara (soy pulp) flour and mung bean flour as an alternative high-fiber food product. Organoleptic testing was conducted on 30 semi-trained panelists evaluating color, aroma, texture, and taste using hedonic and hedonic quality tests. Data were analyzed using the Kruskal–Wallis test followed by the Mann–Whitney test, while nutrient content analysis was analyzed using One Way ANOVA followed by Duncan’s post hoc test. The results showed that in the hedonic test, color, texture, and taste parameters were significantly different (p<0.05), while aroma was not significantly different (p>0.05). In the hedonic quality test, color and taste showed significant differences (p<0.05), whereas aroma and texture did not (p>0.05). Overall, formulation 922 was the most preferred by panelists. The nutritional content of the cereal ranged from 407–410 kcal for energy, 76.44–77.53% carbohydrates, 8.91–9.66% protein, 6.80–7.30% fat, 5.20–5.51% moisture, 1.26–1.41% ash, and 9.72–10.90% total dietary fiber. The developed cereal is classified as a high-fiber food and has potential as a healthy snack for overweight adults.

Myopia is a multifactorial disease, affected by various hereditary and environmental conditions. This literature review aims to evaluate the association between risk factors in incidence of myopia in children aged 6 to 12 years old. A cross-sectional study of elementary students in MI Patihan Kidul, Ponorogo, East Java was performed. Eligible samples were 6 to 12 years old students. Examination was performed on September 7th 2023. The students underwent short history taking, body mass index (BMI), and visual acuity examination. Age, sex, BMI, family history of myopia, sleeping time, screen time, and duration of outdoor activity were examined as risk factors. A total of 336 children met the inclusion criteria, of which 48 (14.2%) of them had myopia. Family history of myopia was proven to increase the risk for myopia on their children (p value 0.012, OR 0.436).  Heredity is a well-established risk factor for myopia. This literature review provides evidence on the positive correlation between family history and the occurrence of myopia in children. 

Puger Kulon Village, located in Puger District, Jember Regency, is a coastal area in East Java with significant marine and fisheries potential. Most of the population earns their living as fishermen and small-scale fishery product processors (MSMEs). Unfortunately, the capacity of MSMEs in this area is still very limited, both in terms of technical skills and product variety. Processed fish products produced by the community are mostly shrimp paste and shredded fish. This community service activity aims to increase knowledge and additional skills for coastal MSMEs regarding the diversification of local processed fish products by encouraging the development of various processed fish products as an effort to increase product added value such as fish nuggets, fish balls, fish dumplings, and fish dim sum. The method used is counseling and technical training with direct practice in diversifying various fish products (fish nuggets, fish balls, dumplings, and fish dim sum). Evaluation was carried out using a pretest and posttest approach on 20 MSME participants using a knowledge assessment instrument. The results showed an increase in knowledge regarding fish processing diversification, with an average score of 74 before the training, increasing to 93 after the training, a 27% increase. Thus, the extension and training on fish processing diversification have proven effective in increasing the knowledge and skills of coastal MSMEs. This activity has the potential to improve the quality and diversity of local fish-based products, while strengthening the role of MSMEs in providing nutritious food from local potential as an effort to prevent stunting in coastal communities.

This research aims to formulate a strategy to enhance the competitiveness and sustainability of SMEs in East Java, supporting their independence. Using a descriptive qualitative method, data collection involved observation, interviews, and documentation. Key informants included SME actors, relevant agency officials, representatives from SME Banks in East Java, and academics. The analysis revealed that the strategy for enhancing competitiveness focuses on adopting digital marketing, product and process innovation, and strengthening partnerships with government, financial institutions, and large companies to expand market access and resources. Sustainability is supported by effective financial management, compliance with legal requirements, and potential circular economy practices for resource efficiency. The strategy for independence emphasizes entrepreneurship training, mentoring, easier access to capital, and facilitating business matching and exhibitions for market expansion. The government and supporting institutions play a vital role in creating a conducive ecosystem. The relationship between competitiveness, sustainability, and independence is synergistic: increasing competitiveness enhances sustainability, which in turn stabilizes the business environment. Independence allows SMEs to be proactive in achieving both competitiveness and sustainability. With sustained support, East Java's SMEs have significant growth potential, contributing to the economy, but policies, empowerment programs, and resource access facilitation will be crucial to realizing their full potential.

The purpose of this research is to formulate a model for the Strategy to Enhance Competitiveness and Sustainability of SMEs in Supporting Independence in East Java. The research method is descriptive qualitative. Data collection techniques include observation, interviews, and documentation. Data analysis techniques use 1) Data reduction, 2) Data display, 3) Data triangulation, 4) Data verification. The informant determination technique uses indepth interviews with key informants such as SME actors, relevant agency officials, representatives from East Java's SME Banks, and academics. The results of data analysis and literature review indicate that the Strategy to Enhance Competitiveness of SMEs in East Java focuses on the adoption of digital marketing (utilization of social media, marketplaces, and e-commerce), product and process innovation (development of unique and quality products, production efficiency), as well as strengthening partnerships and collaborations with various parties (government, financial institutions, large companies) to expand market access and resources. The strategy for enhancing the sustainability of MSMEs in East Java heavily relies on prudent financial management practices (cash flow management, access to affordable financing such as Prokesra and Dagulir), compliance with legal and certification requirements (PIRT, halal, BPOM), as well as the potential implementation of circular economy concepts for resource efficiency and waste reduction. The strategy supporting the independence of MSMEs in East Java focuses on a comprehensive empowerment program, including entrepreneurship training and intensive mentoring for capacity building, ease of access to capital, and facilitation of business matching and exhibitions/bazaars for network and market expansion. The active role of the government and supporting institutions is crucial in creating a conducive ecosystem. The relationship between competitiveness, sustainability, and independence of SMEs is synergistic and mutually reinforcing. Increasing competitiveness directly contributes to economic sustainability. Sustainability creates stability that allows SMEs to continue innovating and enhancing their competitiveness. Meanwhile, independence empowers SMEs to be proactive in achieving competitiveness and sustainability, with the ability to make strategic decisions and adapt to changes. Overall, SMEs in East Java have great potential to continue growing and contributing to the economy. However, sustained support through appropriate policies, relevant empowerment programs, and facilitation of access to essential resources will be key to realizing SMEs that are not only competitive and sustainable but also fully independent.

Significant changes occurring today are characterized by technological disruption, demographic shifts, globalization, and economic instability. The combination of these factors creates complex challenges for human resources (HR) in adapting and enhancing their capabilities. The purpose of this study was to examine the relationship between organizational commitment and perceptions of transformational leadership style with Organizational Citizenship Behavior of teachers in Surabaya. The research subjects were 397 teachers in Surabaya, East Java. The sampling technique used was purposive sampling. Data was collected through scale filling using Google Forms. The measurement instruments in this study were the Organizational Citizenship Behavior Scale, the Organizational Commitment Scale, and the Transformational Leadership Style Perception Scale. The data analysis used multiple linear regression analysis. The results showed that there was a significant positive relationship between organizational commitment and perceptions of transformational leadership style with Organizational Citizenship Behavior. The higher the organizational commitment and perceptions of transformational leadership style, the higher the Organizational Citizenship Behavior among teachers. There was a significant relationship between organizational commitment and Organizational Citizenship Behavior, and there was also a significant positive relationship between perceptions of transformational leadership style and Organizational Citizenship Behavior. The higher the perceptions of transformational leadership style, the higher the Organizational Citizenship Behavior among teachers.

The plastic recycling industry generates wastewater that poses a potential threat to aquatic environments if not managed optimally. Performance evaluation of Wastewater Treatment Plants (WWTP) is typically conducted partially by comparing outlet parameters against effluent standards, often failing to depict water quality conditions holistically. Therefore, this study employs the Water Quality Index (WQI) approach using the Canadian Council of Ministers of the Environment (CCME) method to evaluate the performance of PT X's WWTP in East Java. This research utilized secondary data from inlet and outlet wastewater quality tests over 23 months (January 2024–November 2025), covering 10 parameters. Analysis was conducted by calculating removal efficiency and determining factors F1 (scope), F2 (frequency), and F3 (amplitude) as the basis for the WQI-CCME calculation. The results indicate that the WWTP achieved high efficiency (>80%) in reducing dominant parameters such as TSS, TDS, BOD, and COD. However, violations of effluent standards were still observed in certain parameters. The obtained WQI-CCME value was 69,30, categorized as "Fair" with a moderate level of violation. These findings demonstrate that although the WWTP meets regulatory standards, the WQI-CCME approach provides a more comprehensive assessment of performance. Optimization of advanced treatment units is recommended to improve effluent quality and sustainable WWTP performance.                                                                   

Advancements in modern technology have reshaped people’s lifestyles, including how individuals carry out their daily activities. These changes have influenced individuals to make less realistic decisions in an effort to align themselves with their desired lifestyle. This study aims to examine whether college students with certain lifestyle tendencies are more likely to engage in impulsive buying when shopping online. The study involved 392 college students residing in Surabaya, East Java, selected through a random sampling technique. Data were collected using a Google Form–based questionnaire containing measurement instruments developed by the researcher: (1) the Impulsive Buying Scale (15 items; α = 0.858) and (2) the Lifestyle Scale (22 items; α = 0.898). Multiple linear regression was used to analyze the data.The findings reveal a significant positive relationship between lifestyle and impulsive buying. The strongeran individual’s consumerist lifestyle tendency, the more likely they are to make impulsive purchases.  

This study examines how integrating local ecological wisdom and eco-literacy education fosters environmental awareness, behavioral transformation, and health outcomes among Indonesian primary school students. The research responds to the ecological paradox of rapid technological growth amid worsening environmental degradation, where youth eco-literacy remains below 45%, indicating a gap between environmental knowledge and sustainable action. The study aims to develop a culturally responsive model of sustainability education that connects environmental ethics, cultural identity, and public health. Using a qualitative case study design, the research was conducted at SD Islam Kreatif Mutiara Anak Sholeh, Sidoarjo, East Java, from July to August 2025, involving 60 students and six teachers. Data were collected through semi-structured interviews, observations, and document analysis. Four major themes emerged: (1) cultural narratives as catalysts for environmental awareness, (2) eco-literacy as experiential and behavioral transformation, (3) collaborative learning as collective environmental agency, and (4) eco-health as psychosocial and physical well-being. Findings show that integrating Majapahit-era ecological values and local storytelling into eco-brick and composting projects enhanced students’ responsibility, cooperation, and emotional balance. The study synthesizes Eco-pedagogy, Constructivism, and Eco-health frameworks into a Culturally Responsive Eco-Health Pedagogy, demonstrating that sustainability learning rooted in culture and participation promotes both environmental and health outcomes. This model contributes to the global Education for Sustainable Development (ESD) 2030 agenda by linking culture, ecology, and well-being in primary education.

Based on the findings of the Indonesian Nutritional Status Study Survey (SSGI), the growth rate of stunting in toddlers in East Java reached 19.2%. The prevalence of stunting in Wedoroanom Village is included in the highest category in Driyorejo District, Gresik Regency, reaching 36%. The purpose of this study was to describe the prevalence of stunting, growth of gross motor skills, fine motor skills, and cognitive abilities, and to determine the relationship between these factors and the development of these skills in toddlers in Wedoroanom Village, Driyorejo District, Gresik Regency. This study used a cross-sectional technique and was quantitative. The sample consisted of 110 children aged between 12 and 60 months who were selected through a convenience sampling approach. Anthropometric measurements, interviews, and observations were used to obtain data. The chi-square test and odds ratio were used in data analysis to determine the relationship between variables. The study findings showed that the incidence of stunting and gross motor development were not related. However, there was a relationship between the incidence of stunting and cognitive and fine motor development. Chronic malnutrition, maternal education, maternal occupation, and history of exclusive breastfeeding are some of the factors that can cause developmental disorders in children. The findings of this study indicate that the incidence of stunting in Wedoroanom Village, Driyorejo District, Gresik Regency, is related to fine motor and cognitive development but not related to the development of gross motor functions.

High blood pressure is a problem that is widely suffered by the community, especially in Indonesia. Hypertension that is not detected early and treated properly can trigger coronary heart disease, heart failure, stroke, chronic kidney failure, blindness due to hypertensive retinopathy and peripheral arterial disease. The purpose of community service is to lower blood pressure in people with hypertension. It is hoped that through this activity it will be a source of information to increase the knowledge of people with hypertension about finger grip gymnastics techniques to lower blood pressure. The implementation method in this community service is to carry out finger grip gymnastics activities and before the activity, blood pressure measurements are carried out. This community service activity was carried out on people with hypertension aged >40 years as many as 36 elderly people at the Posyandu, Bogoarum Village, Plaosan District, Magetan Regency, East Java Province. The results of the blood pressure of people with hypertension who participated in finger grip gymnastics obtained pretest blood pressure with a mean blood pressure value of 157.78 / 92.22 mmhg. While the posttest blood pressure with a mean blood pressure value of 145 / 83.3 mmhg. It was concluded that there was a decrease between the pretest and posttest blood pressure values. This service is expected to be a preventive recommendation that can be given to hypertension sufferers, namely so that the community remains active in participating in finger grip gymnastics activities that can be done routinely at the integrated health post so that it can reduce the number of hypertension complications.

One of the leading factors contributing to neonatal mortality is low birth weight (LBW), which is often associated with maternal conditions such as Chronic Energy Deficiency (CED). Cases of CED remain relatively common in the operational area of Puskesmas Turi. In 2022, East Java reported an LBW prevalence of 3.96%, which is 0.66% higher than the national average. The coverage of antenatal care (ANC) visits shows a declining trend: 100.8% for the first visit (K1), 94% for the fourth visit (K4), and only 83.1% for the sixth visit (K6), indicating irregular adherence to ANC schedules among pregnant women.This study aims to evaluate the relationship between infant birth weight and maternal weight gain during pregnancy, as well as the level of ANC compliance in the Puskesmas Turi area. The study design employed a cross-sectional approach with a multistage random sampling technique involving 84 mothers. Data were collected through direct interviews and documentation from the maternal and child health (KIA) book. Data analysis was conducted using the chi-square test and Fisher exact test. The results revealed a significant association between maternal weight gain and infant birth weight (p = 0.000), as well as between ANC compliance and infant birth weight (p = 0.002). The role of health cadres is crucial in improving ANC adherence and the nutritional status of pregnant women.

Hypertension is a chronic disease whose prevalence increases with age and significantly affects the quality of life among the elderly. Tulungagung Regency is one of the regions in East Java with a high number of hypertension cases among the elderly, with a prevalence of 35.62%. This study aimed to determine the factors that influence the quality of life of elderly people with hypertension in the Kauman Health Center working area. This research was an analytical observational study using a cross-sectional approach. The population consisted of all elderly individuals with hypertension within the Kauman Health Center’s coverage area. The sample included 140 respondents selected using a simple random sampling technique. The instruments used were questionnaires on individual characteristics, the MMAS-8 for medication adherence, the HPLP-II for healthy lifestyle behaviors, and the WHOQOL-BREF for assessing quality of life. Data were collected through interviews and documentation, then analyzed using univariate and bivariate (chi-square test) methods. The results showed that 64.3% of elderly people with hypertension had a poor quality of life. Factors that had a significant relationship with the quality of life among hypertensive elderly were nutritional intake, physical activity, duration of illness, stress management, and the presence of comorbidities. These findings indicate the need for integrated interventions focusing on promoting healthy lifestyles, improving stress management, and monitoring comorbid conditions to enhance the quality of life in elderly individuals with hypertension. It is expected that this study can serve as a reference in the development of more effective primary health care programs for the elderly population

This study aims to analyze the effect of stress on emotional eating among whitewater rafting athletes in East Java. Stress, caused by the demands of competition and intensive training, often triggers emotional eating behavior, which involves overeating as a response to negative emotions. This research employs a quantitative approach with a cross-sectional design, involving 68 athletes from the East Java Whitewater Rafting Federation. Data were collected through an online questionnaire using a stress scale and an emotional eating scale. The results show that the majority of athletes (70.6%) experience high levels of stress, and most (39.7%) exhibit moderate levels of emotional eating. Regression analysis indicates a significant positive relationship between stress and emotional eating (p < 0.05), with stress contributing 9.2% to the variation in emotional eating. This study highlights the importance of stress management to prevent emotional eating, which can affect athletes' health and performance. Recommended stress management strategies include emotional regulation training and providing psychological counseling services.

Early marriage has become a national problem in the field of reproductive health which we still encounter in the surrounding environment. Difficult economic conditions, lack of knowledge and family education so that children must be married at a young age. The purpose of this study is to explore the phenomenon of early marriage, both the experience and reasons for doing the early marriage.The method used in this study is a qualitative method using a phenomenological approach to explore in depth the experiences and reasons for early marriage. The research location is in Kokop, Bangkalan Regency, East Java. Data collection techniques were carried out by in-depth interviews with six women who had early marriage as main informants and one religious leader, and one health worker as triangulation. The data obtained were analyzed by describing and finding statements then grouped into the main points of the statements found.The results of the analysis of this study resulted in 4 themes discussed, namely the demands of parents, personal factors, culture and past experiences. The cause of this early marriage is due to arranged marriages and forced by parents, in addition to this reason those who do early marriage on consensual basis without knowing well the impact of early marriage. The experience of early marriage that has been experienced has made an important lesson that their children will not be married at an early age on the grounds that they are not ready and mature economically and healthily.The study of these three themes can provide benefits for understanding the experiences and reasons for early marriage, and we can prevent this from happening according to the reasons for each occurrence.

Stunting remains a significant public health challenge in Indonesia, especially in rural areas. The national stunting prevalence was recorded at 24.4% in 2021, still far above the maximum threshold of 14% set in the SDGs for 2024. To tackle this problem, the KKN-T Bela Negara Group 8 team of the National Development University "Veteran" East Java in collaboration with UPT Puskesmas Tawangsari carried out a socialization program on stunting prevention in Muteran Hamlet, Kejagan Village, Trowulan District, Mojokerto Regency on August 2, 2024. This program involved 38 participants of mothers with children under five years old and focused on three main interventions including measuring children's height, weighing children, and giving vitamin A. This activity aims to know how to prevent stunting from various aspects, knowing how to measure and weigh toddlers appropriately according to health procedures and learning how to give vitamin A to children. Through this collaborative effort, it is hoped that the prevalence of stunting in Muteran Hamlet can be significantly reduced so that it can contribute to improving the quality of human resources in the future.

PT.X is a business located in Banyuwangi district, East Java. PT.X is engaged in manufacturing which produces mineral water. PT.X Banyuwangi's work procedures have implemented K3 in its work processes. The Lockout/Tagout (LOTO) locking and marking system has been implemented, but unsafe behavior is still found by workers when carrying out work processes using the Lockout/Tagout (LOTO) system, such as not using PPE during machine repair/maintenance processes, and not installing tags. . . during repairs. This research aims to analyze the level of K3 knowledge about Lockout/Tagout regarding unsafe actions in implementing Lockout/Tagout among workers at PT. In general, this research is a type of quantitative research. The aim of using the crosstab method is to identify data patterns, such as the distribution of variable preferences based on the level of knowledge in carrying out actions. The results of the analysis were that 3 respondents in the good knowledge category carried out unsafe actions in the high category representing 37.5% of the total respondents, 5 respondents in the good knowledge category carried out unsafe actions in the low category representing 62.5% of the total respondents. total respondents. Then for the poor knowledge level category, there were 13 respondents who carried out unsafe actions in the high category, representing 56.5% of the total respondents, and 10 respondents who had poor knowledge levels carried out unsafe actions in the low category. representing 43.5% of the total respondents.

As a person ages, various changes often arise due to a decrease in biological function caused by the aging process. Hypertension is one of the NCDs that is a threat, especially to the elderly. Based on data from the World Health Organization (WHO) in 2019, it shows that around 1.13 million people in the world experience hypertension. Nguri Village is one of the villages in Lembeyan District, Magetan Regency, East Java Province. The problem from the results of the study in Nguri Village is that there are still many people, especially the elderly, who suffer from hypertension and a lack of understanding in preventing hypertension, namely 75% or 45 out of 60 elderly people. The aim of community service is to increase knowledge regarding efforts to prevent hypertension. The implementation method uses health education in the form of doing tera exercises to prevent hypertension in the elderly. Previously, blood pressure was measured. Activities were carried out on 30 hypertensive elderly aged >40 years. The results of the activity were that the elderly knew about preventing hypertension, namely 95% of the 30 elderly were able to understand and the elderly were able to carry out tera and exercise activities. The elderly play a very active role in this activity.

Mood or mood is an important part of a person's psychological well-being. Several studies show that physical exercise can positively influence mood. One of the factors that influences an athlete's mental and emotional readiness is mood. Mood Profile for Weightlifting athletes is an important factor that needs to be analyzed. This research aimed to determine the relationship between athletes' moods and the success rate of snatches in weightlifting athletes at PABSI Jatim Surabaya before PORPROV 2025. This qualitative research used mixed methods. Mixed methods is a research approach that combines or associates qualitative and quantitative forms. A research method that uses qualitative data and is described descriptively. The Total Sample Method is a sampling method with the number of samples equal to the population. The sample was taken using total sampling because the population was less than 100 and the entire population was used as the research sample (Masturoh & Anggita, 2018). The sample that can be used is the population sample taken from Provincial Weightlifting athletes (aged 13 - 23 years) totaling 8 people and is only limited so that they can be used as one training group by filling in a mood profile questionnaire and recording the snatch technique. Of the 8 respondents who took the snatch test, all appeared confident. However, when holding and doing the snatch, there is a feeling of doubt and anxiety about whether or not you can accept the weight of the snatch if it is already above. However, after doing the snatch test, he also felt happy by releasing endorphins in his body. The results of the before and after research show that the "Medium" category with the highest percentage is the anger indicator (AMR) of 71.43% and 42.86%, and the confused mood indicator (SSB) of 53.57% and 71%. Indicators with moderate percentages include full energy indicators (PNT) of 85.71% and 75%, self-assessment (PDR) of 80.36% and 80%, and depression (DPS) of 44.64% and 63%. The percentage of fatigue indicators (KLH) was 53.57% and 42.85% and tension indicators (KTG) were 57.14% and 50%. The conclusion of the research on the analysis of the relationship between athlete's mood and the success rate of snatches in weightlifting athletes at PABSI East Java, Surabaya is in the "Medium" condition. Negative mood conditions in the "Medium" category such as fatigue, anger, tension, confusion, and depression indicate that athletes are not feeling stressed mentally and physically. Meanwhile, positive mood conditions in the "Medium" category make athletes have a good mood, such as being full of energy and self-confidence. This is possible because the training portion is good and the conditions leading to PORPROV 2025 are still quite long. So there are still many athletes who experience good mood conditions so the presence of this athlete's mood also supports the athlete's successful performance both during training and during competitions.      

As a company engaged in transportation services, the airport located in East Java Province produces liquid waste with a quite large discharge in a day, which is 1120 m3. To treat the wastewater, the company has a Sewage Treatment Plant (STP) to adjust its quality standards before being discharged into the river. Every WWTP has the potential to cause environmental impact, both from the processing process and from the operation supporting tools. This study aims to analyze the three largest environmental impacts resulting from wastewater treatment activities at the airport in East Java, which are the impacts of Aquatic Ecotoxicity, Non-Renewable, and Ionizing Radiation. In addition, the author also provides recommendations for alternative STP operations that are more environmentally friendly. The approach used is the Life Cycle Assessment method using the OpenLCA application with the IMPACT 2002+ method.