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Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia, particularly in densely populated areas. Control efforts require accurate data and spatial analysis to understand disease distribution patterns. Geographic Information System (GIS) is an effective tool for visualizing case distribution and supporting surveillance and planning of control programs at the primary healthcare level. This study aims to describe the spatial distribution of Dengue cases based on medical record data and produce a geographic distribution map to support Dengue control efforts at the Puskesmas level. This study used a quantitative descriptive design with secondary data from medical records at Karangsari Health Center. The sample consisted of 255 DHF patients in 2025, selected using a total sampling technique. Data were processed through editing, geocoding patient addresses, and spatial analysis using QGIS software.The results showed 255 Dengue  cases in 2025 with fluctuating monthly trends, peaking in April and lowest in December. Case distribution was uneven and tended to cluster. High-risk areas accounted for 15.7%–21.2%, moderate-risk areas 9.8%–15.7%, and low-risk areas 7.1%–9.8%. Megu Cilik Village had the highest proportion of cases, while other villages were categorized as moderate and low risk. This pattern indicates that Dengue incidence is influenced by environmental conditions, vector density, host factors, rainfall, and Aedes aegypti presence. GIS provides clearer spatial visualization, helping identify high-risk areas and supporting targeted public health interventions.

Leprosy is a chronic infectious disease caused by Mycobacterium leprae, an obligate intracellular bacterium that affects the skin, peripheral nerves, upper respiratory mucosa, and eyes. Type 2 diabetes mellitus (T2DM) is a comorbidity that can worsen the course of leprosy. The female patient, Mrs. D, aged 55 years came to the emergency room of Cut Meutia Hospital with the main complaint of red bumps accompanied by pain on the face, hands, chest, and back since 3 days ago and additional complaints such as fever, joint pain, and numbness and loss of feeling in the legs, weakness, frequent thirst, and frequent urination. Dermatologic status is obtained in the facial region in the form of erythema nodules with firm boundaries with numular size, multiple. Laboratory examination showed anemia and leukocytosis. The therapy given was MDT MB package, ferrous sulfate 1x325 mg and PRC transfusion 3 kolf. Complaints arose acutely after the patient resumed taking MDT (multidrug therapy) leprosy drugs which had previously been stopped for more than 3 months. Based on the time of onset of symptoms, history of leprosy treatment, and the manifestation of systemic inflammatory lesions with signs of neurotropism, it can be suspected that the patient is experiencing a type 2 leprosy reaction or Erythema Nodosum Leprosum (ENL).

Introduction: Dengue fever is a viral infection transmitted through the bite of infected female Aedes aegypti mosquito, caused by four dengue virus serotypes (DEN-1 to DEN-4), with clinical manifestations ranging from asymptomatic to severe disease and may be accompanied by warning sign. Concurrent infections, such as acute diarrhea, may worsen outcomes, particularly in children. Case Report: A nine-month-old female presented with a five-day history of intermittent fever and watery diarrhea. Additional symptoms included vomiting, lethargy, and decreased appetite. Physical examination showed a moderately ill appearance and sunken eyes. Laboratory findings revealed positive dengue IgM, negative dengue IgG, thrombocytopenia (22,000/µL), and hematocrit of 37%. The patient was diagnosed with dengue fever with warning sign and acute diarrhea. Management included intravenous crystalloid fluids, antipyretics, antibiotics, H2 receptor antagonists, and zinc supplementation. Conclusion: Dengue with warning sign and concurrent acute diarrhea in children increases the risk of morbidity and mortality. Early and appropriate management is essential to prevent disease progression and improve clinical outcomes.

Dengue fever is a disease commonly found in tropical and subtropical regions. This disease can cause severe symptoms, such as very high fever, accompanied by nausea, vomiting, headache, abdominal pain, and leukopenia (decrease in white blood cells). This infectious disease, known as dengue hemorrhagic fever (DHF), is a viral infection transmitted by the Aedes Aegyppti mosquito. This study aims to classify dengue-prone areas using the K-Means Algorithm, and to classify the factors that cause dengue in Purwodadi District, Grobogan Regency. The clustering results using the K-Means algorithm with Rapidminer tool from 266 data produced 3 clusters: cluster 0 (blue) with 138 patients dominated by Kuripan, Purwodadi, Ngambak villages, cluster 1 (green) with 31 patients in Ngraji, Nambuhan, Cingkrong villages, and cluster 2 (orange) with 97 patients in Danyang, Kalongan, Pulorejo villages. This study is expected to provide additional information for stakeholders in controlling dengue cases and increase awareness of the importance of environmental cleanliness as a preventive measure.

The use of medicinal plants has been an important part of people's lives since the time of our ancestors. Before the advent of modern medicine, people used various types of plants to treat mild to severe illnesses, such as fever, cough, wounds, digestive disorders, and skin diseases. Inventory of medicinal plants plays a very important role in exploring the potential of existing natural resources, especially as an effort to support the development of traditional medicine. The purpose of this study is to identify the types of medicinal plants used by local communities in traditional medicine. The method used in this study is a descriptive method through direct surveys at the research location. The findings obtained in the field concluded that all types of plants mentioned in this study are very beneficial for the people of Duhiadaa District, because they can help in treating various types of diseases experienced by the community. The types of diseases that can be treated include hypertension, gout, stomach acid, cholesterol, kidney disease, diabetes, inflammation, cancer, wounds, diarrhea and digestive disorders.

Tuberculosis (TB) is a chronic, infectious disease caused by the bacterium Mycobacterium tuberculosis. Primary infection occurs upon first exposure to bacillary tuberculosis, which often occurs in childhood, hence the term "childhood TB." The diagnosis of TB is usually made through a history that includes complaints of persistent cough, weight loss, fever, and weakness, along with a chest X-ray that shows typical abnormalities of pulmonary TB. In this case, a 21-month-old girl presented with a worsening, persistent cough accompanied by weight loss. The patient's mother reported that her child frequently had fevers and appeared weak. After a physical examination and supporting tests, the patient was diagnosed with TB. The patient was given pharmacological therapy in the form of anti-tuberculosis drugs (OAT), and parents were educated about the importance of adherence to TB treatment as prescribed by the doctor. Furthermore, providing a balanced, nutritious diet is recommended to support successful treatment.

The high cost of colloid fluids and the large number of patients are concerns in determining which treatment standard should be chosen from several treatment alternative, where the total cost for 43 cases with a combination of crystalloid colloid fluids is IDR 209.370.993 while the total cost for 45 cases of crystalloid fluids is only UDR 146.492.268 which causes hospital losses. This study aims to determine the difference in the cost-effectiveness between crystalloid fluids and crystalloid-colloid combinations in hospitalized dengue fever patients without shock at Tangerang City Hospital. The research design used was cross-sectional with a comparative quantitative analysis method, where cost effectiveness was analyzed using the Average Cost Effectiveness Ratios (ACER) method. There were two groups of study samples: the first group, 25 patients who received crystalloid fluids, and the second group, 23 patients who received crystalloid-colloid combination fluids. This study showed a difference in the average hospitalization costs for dengue patients between crystalloid fluid therapy and crystalloid-colloid combination therapy. Hospitalization costs for dengue patients were lower in the crystalloid fluid group, with a significant difference (p=0.000). It was also found that crystalloid fluids were more cost-effective than the crystalloid-colloid combination. The implications of the study results consist of theoretical implications and practical implications. Based on the results of the analysis carried out, the crystalloid solutions are more cost-effective than crystalloid-colloid combinations. This finding can be used as a consideration in making decisions and policies that are in accordance with quality control and cost control for patients covered by the National Health Insurance (BPJS Health insurance).

Latar Belakang: Lahan basah merupakan ekosistem yang kaya akan keanekaragaman hayati, namun juga menjadi habitat yang ideal bagi berbagai vektor penyakit, terutama nyamuk. Penyakit Demam Berdarah Dengue (DBD) adalah salah satu penyakit yang ditularkan oleh nyamuk Aedes aegypti. Masyarakat Kelurahan Pebatuan sepakat bahwa jumlah nyamuk di daerah kelolaan sangat mengganggu dan kondisi got yang sangat kotor perlu ditangani. Tujuan: Untuk meningkatkan pengetahuan masyarakat tentang pentingnya menghindari gigitan nyamuk dan penyakit DBD Metode: Penyuluhan dan demonstrasi pembuatan spray anti nyamuk berbahan alami yakni kulit jeruk nipis, serai, cengkeh, dan campuran minyak zaitun. Hasil: Meningkatnya pengetahuan warga mengenai DBD perihal pemanfaatan spray anti nyamuk berbahan alami dengan adanya peningkatan sebesar 31,4 poin. Dan warga aktif melakukan pencegahan DBD dengan membersihkan lingkungan sekitar, penyuluhan yang dilakukan memperoleh respon positif dari masyarakat Kesimpulan: Pada kegiatan pengabdian ini efektif dalam meningkatkan pengetahuan dan kesadaran masyarakat tentang pencegahan DBD melalui pemanfaatan spray anti nyamuk berbahan alami serta menjaga kebersihan lingkungan sebagai upaya berkelanjutan dalam mengurangi risiko penyebaran penyakit

Leaves of Etlingera walang (Blume) RMSm have been empirically used in traditional medicine to relieve stomach disorders and are known to contain secondary metabolites with potential antimicrobial properties. Salmonella typhi infection can cause typhoid fever with symptoms such as diarrhea and abdominal pain, while Candida tropicalis is a fungus that can infect the gastrointestinal tract and lead to digestive disturbances. This study aimed to evaluate the antibacterial and antifungal activities of the ethanolic extract of E. walang leaves against S. typhi and C. tropicalis. The antimicrobial assay was carried out using the disk diffusion method at extract concentrations of 25%, 50%, and 100%, with chloramphenicol and ketoconazole as positive controls, and DMSO as the negative control. Phytochemical screening revealed the presence of alkaloids, flavonoids, saponins, and tannins. However, the results showed that the extract did not produce inhibition zones against either test microorganism. Extract evaluation indicated a moisture content of 12.23%, total ash 13.39% (above the standard), acid-insoluble ash 1.25%, total plate count 1.8 × 10 ⁴ , and mold and yeast count 1.0 × 10 ³. The findings suggest that although the ethanolic extract of E. walang leaves contains secondary metabolites and is traditionally used for stomach ailments, it does not exhibit antimicrobial activity against S. typhi or C. tropicalis.

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bite of Aedes aegypti mosquitoes. In 2023, 48 cases of DHF were reported in the Kebun Lada Public Health Center area, reflecting a high incidence rate and limited medical resources in managing the cases. This situation emphasizes the need for an alternative solution that can support a fast and accurate diagnostic process. This study aims to develop an expert system for diagnosing DHF using the Case-Based Reasoning (CBR) method. CBR functions by comparing the symptoms experienced by patients with previous cases stored in the knowledge base, thereby producing relevant diagnostic recommendations. The proposed system is implemented as a web-based application using PHP as the programming language and MySQL as the database management system. The expected outcomes of this study are to assist medical personnel in reducing diagnostic time, improving the accuracy of decision-making, and increasing the effectiveness of health services in primary healthcare facilities. In addition, the system is designed to provide wider access for the community to recognize early symptoms of DHF, which can contribute to preventive actions and reduce the risk of severe complications. Thus, the developed expert system has the potential to become a practical solution to overcome the shortage of medical personnel and enhance public health awareness.

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

Typhoid fever is a significant health issue caused by the Salmonella Typhi bacteria, leading to symptoms such as fever, abdominal pain, diarrhea, muscle pain, and serious complications if not treated promptly. A common challenge faced by society is limited access to medical professionals, especially in remote areas, and delays in recognizing symptoms. To address this problem, this study designs and implements a web-based expert system using the Certainty Factor (CF) method, which helps diagnose typhoid fever quickly and accurately. The Certainty Factor method is used to calculate the certainty level of the symptoms experienced by the patient, providing a diagnosis result in the form of early-stage typhoid, mild typhoid, or severe typhoid. The system was developed using PHP programming language and MySQL database, and tested at RSUD Djoelham Binjai City. The research data was obtained from patients at RSUD Djoelham Binjai with a case study on patient number 22. The processing of symptoms through Certainty Factor calculation showed that the patient is most likely to have severe typhoid with a certainty value of 0.9443 or 94.43%. This result proves that the Certainty Factor method can be used to assist in providing an accurate early diagnosis of typhoid fever with a high degree of accuracy.

The low level of understanding among elementary school students regarding common diseases and their prevention can increase the risk of both communicable and non-communicable diseases from an early age. Therefore, effective health education efforts are essential to instill healthy habits in children. This community service activity aimed to improve the knowledge of elementary school students in the working area of Labuhan Sumbawa Public Health Center about common diseases and preventive measures through an interactive educational approach. The methods used included health counseling with visual media, engaging educational games, and small group discussions to encourage active participation. The activity was conducted in June 2025, involving 30 students from two elementary schools selected purposively. The educational content focused on dengue fever, diarrhea, influenza, helminthiasis, and acute respiratory infections (ARI), along with prevention strategies such as maintaining personal hygiene, consuming nutritious food, and the importance of immunization. Evaluation was carried out through pre-test and post-test assessments to measure the improvement in students’ understanding. The results showed a significant increase in students’ knowledge of the delivered material. Additionally, students demonstrated high enthusiasm and active involvement during the sessions, particularly in the educational games. These findings indicate that an interactive educational approach is effective in enhancing students’ understanding of disease prevention. This program is expected to serve as a model for sustainable health education in other elementary schools to prevent diseases from an early age and support the implementation of clean and healthy living behaviors within the school environment

Background: According to the 2020 Ministry of Health Profile, fever accounts for 7.3% of infant deaths in Indonesia. Fever is a common complaint in children, with 20–40% of parents reporting their child's illness each year. Approximately 19–30% of patients visiting doctors are children, and fever is one of the primary complaints. If not treated promptly, fever can lead to complications such as seizures and decreased consciousness. Fever management can be done through pharmacological (antipyretic, NSAID, diazepam) or non-pharmacological measures, one of which is by applying compresses. Objective: To determine the effectiveness of dry warm compresses and water tepid sponge compresses on reducing body temperature in pediatric patients at Pati Islamic Hospital. Method: Quantitative research with a quasi-experimental two-group pre–post test design using a purposive sampling technique. Results: The application of water tepid sponge compresses showed a significant decrease in temperature with an average difference of 1.2°C, while dry warm compresses only reduced the temperature by a difference of 0.2°C. Conclusion: Water tepid sponge compresses are more effective than dry warm compresses in reducing body temperature in children with fever at Pati Islamic Hospital.

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bite of the Aedes aegypti mosquito. The high risk of dengue transmission is greatly influenced by the density of mosquito larvae which correlates with environmental conditions and community behavior. This study aims to describe the density level of Aedes aegypti mosquito larvae in the working area of the Gandus Health Center in Palembang City in 2025 through the measurement of House Index (HI), Container Index (CI), Breteau Index (BI), Larvae-Free Numbers (ABJ), and Density Figure (DF). The method used was descriptive observational with a purposive proportional random sampling technique on 100 households in three RTs. Data was collected through direct observation using checklist sheets. The results showed that the HI was 66%, CI was 44%, BI was 107%, and ABJ was only 34%, which indicates that the larval density is very high and far below the WHO standard (≥ 95%). The DF value is in the range of 7–9, reinforcing the finding of high vector density. This condition shows that the area is at high risk of dengue transmission. Interventions are needed in the form of regular mosquito nest eradication (PSN), increasing public education, and strengthening the role of jumantic cadres in sustainable vector control.

In early 2024, deaths from Dengue Hemorrhagic Fever (DHF) increased again in Indonesia, with the number of cases higher than the previous year. This condition raises concerns because DHF remains a serious public health problem. The World Health Organization (WHO) emphasized that the key to reducing mortality lies not only in early detection but also in public access to fast, effective, and equitable health services. This statement aligns with the second point in the document "National Dengue Control Strategy 2021–2025" issued by the Ministry of Health, in which the government is committed to strengthening health security. In efforts to ensure this strengthening, public participation plays a crucial role, particularly through the public oversight function channeled through the media. The media acts as a bridge of information and a tool of social control over government performance, including in monitoring the provision of health services by BPJS Kesehatan. This study aims to analyze how news about health security reaches the public, using Brand24 media monitoring as an analytical tool. The research method used was descriptive qualitative, focusing on mapping issues, sentiments, and narratives developing in the digital space. The analysis showed that news containing the keyword "BPJS Kesehatan" was dominated by positive news, with several minor topics discussing aspects of public service. This finding indicates a media tendency to project a positive image of the institution, although further study is needed regarding media bias in the context of health security reporting in Indonesia. Future research is expected to explore the relationship between media framing, public interest, and the effectiveness of national health programs.  

Fever and cough are diseases that often attack humans. Fever and cough are early signs of infection of a disease that attacks the body. This qualitative study was initiated to identify the types of plants, organs used, and local wisdom inherent in the traditional medicine practices of the people of East Java Province in dealing with fever and cough. Data collection was carried out through literature survey methods and journal reviews. Data sourced from articles in the Google Scholar, Google, and ResearchGate databases were then analyzed using a qualitative descriptive approach.The results of the study showed that there were 9 species of plants used for fever and cough medicine, including turmeric (Curcuma domestica), lime (Citrus X aurantiifolia), fennel (Foeniculum vulgare), starfruit (Averrhoa bilimbi L), kencur (Kaempferia galanga), mengkudu (Morinda citrifolia), katuk (Sauropus androgynus (L.) Merr), tapakliman (Elephantopus scaber), lemongrass (Adropogon nardus). The plant has certain content that can cure fever and cough. Fruit, leaves, rhizomes, and roots are parts of the plant organs that are often used by the community.

Dengue Fever (DF) continues to be a major public health threat in Indonesia, especially in urban areas with high population density, such as Purwokerto City. This study aims to develop a predictive model to identify high-risk areas for DF outbreaks by integrating Machine Learning (ML) algorithms and Geographic Information Systems (GIS). The research utilizes historical dengue case data, meteorological parameters (rainfall, temperature, humidity), and population density as predictive variables. Three ML classification algorithms—Naïve Bayes, Logistic Regression, and Support Vector Machine (SVM)—were implemented to develop risk prediction models. Extensive data preprocessing, feature selection, and spatial integration were applied to ensure model robustness. The results show that the SVM model outperformed other methods, achieving the highest accuracy, precision, recall, and F1-score in classifying dengue risk zones. Risk maps generated through GIS visualization successfully identify priority areas for targeted interventions. The novelty of this research lies in the combination of local epidemiological data, multi-algorithm comparison, and geospatial mapping to improve early warning systems for DF in Purwokerto. This integrated approach is expected to support more effective prevention strategies and enhance public health preparedness.

Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Pidie Regency, Indonesia. Although digital surveillance systems such as SKDR have been introduced, the effectiveness of dengue control still largely depends on the role and capacity of surveillance officers. This study aimed to explore the experiences of dengue surveillance personnel in Pidie Regency, focusing on their knowledge, reporting mechanisms, encountered challenges, and expectations regarding the surveillance system. A qualitative method with a phenomenological design was employed, involving 11 purposively selected informants. Data were gathered through in-depth interviews and analyzed using the Miles and Huberman framework, encompassing data reduction, data display, and conclusion drawing. The analysis revealed six main themes: officers' knowledge and understanding of dengue, sources of data and case collection methods, the use of digital applications for reporting and analysis, implementation challenges in the field, cross-sectoral roles and support from village governments, and officers' expectations for improvement. The findings highlight that limited resources, technical issues, and insufficient intersectoral collaboration hinder effective surveillance. Strengthening the surveillance system requires responsive strategies that consider on-the-ground challenges. A deeper understanding of surveillance officers’ field experiences is crucial for developing adaptive and sustainable public health interventions for dengue control.

Dengue Hemorrhagic Fever (DHF) is transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes. Efforts that can be made to reduce the incidence of dengue fever are through the 3M plus movements (draining, burying and covering) and carrying out preventive activities such as sprinkling larvicide powder, using mosquito repellent, and planting mosquito repellent plants. The aim of this community service is to increase public knowledge about recognizing and preventing dengue fever as an effort to prevent and control the disease. The activities were carried out at Padukuhan Nologaten, Caturtunggal Village, Sleman Regency, Yogyakarta Province in May-June 2024. The activities carried out include situation analysis, preparation, implementation, monitoring and evaluation, and analysis and reporting. The participants of this activity numbered 37 people with the majority aged 46-65 years (48%) and college education background (48%). The average level of community knowledge about the prevention and control of dengue fever before counseling (pre-test) was good (89%) and sufficient (11%) and after counseling, the level of community knowledge increased to good (95%).