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This case report examines the effectiveness of a combined pulmonary rehabilitation and musculoskeletal physiotherapy program for a 26-year-old male post-pulmonary tuberculosis patient with lumbar tuberculous spondylitis. The patient, who had completed anti-tuberculosis treatment, presented with low back pain, shortness of breath, fatigue, and limited mobility. Spirometry indicated severe restrictive ventilatory impairment (FVC 1.28 L, 32% of predicted), and lower extremity muscle strength was reduced (MMT 2-3/5). The patient used a TLSO brace and walking aid. Over a three-week physiotherapy program, the patient participated in breathing exercises, spinal mobilization, muscle strengthening, functional exercises, and education on brace use. Evaluation occurred at the first, second, and third weeks. After treatment, pain intensity decreased from VAS 6 to VAS 3, FVC improved to 1.72 L, chest expansion increased, muscle strength improved to MMT 4/5, and performance on the Five-Times Sit-to-Stand Test showed progress. The Functional Independence Measure (FIM) score increased from 98 to 115, reflecting improved functional independence. These findings suggest that the combination of pulmonary and musculoskeletal physiotherapy effectively improved respiratory function, muscle strength, and the patient’s overall functional capacity.

Stroke is one of the leading causes of death and long-term disability worldwide. Early detection and prompt first aid during the golden period are essential to improve patient outcomes, yet family knowledge regarding stroke management is often limited. This study aimed to analyze the effect of health education media, specifically audio-visual and leaflet, on family knowledge of early detection and first aid for stroke patients in the working area of Tamamaung Public Health Center, Makassar. This study used a quasi-experimental design with a two-group pre-test post-test approach. A total of 64 respondents were selected using purposive sampling and divided into audio-visual and leaflet groups. Data were collected using a structured questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests. The results showed a significant increase in knowledge in both groups after the intervention (p = 0.000), with a significant difference between groups (p = 0.016), where audio-visual media was more effective than leaflets. These findings indicate that both media improve family knowledge, but audio-visual media is more effective and can be recommended as a primary educational tool to improve family preparedness in stroke emergencies.

Fractures are conditions where there is a separation or rupture in the continuity of the bone structure, caused by excessive pressure that the bone cannot withstand. According to the World Health Organization (WHO), the incidence of fractures is expected to increase with the growing number of vehicles. The productive age group is particularly vulnerable to injury due to accidents. A lack of knowledge about fractures and First Aid methods can exacerbate the situation. This study aims to determine the impact of fracture education and First Aid simulation methods on the knowledge of students at SMA N 1 Lhokseumawe. The research used a quantitative quasi-experimental design with a one-group pretest-posttest design, involving 91 students. The instrument used was a knowledge questionnaire. The results showed that before the education and simulation, 44 respondents (48.4%) had a poor knowledge category, while after the education and simulation, 84 respondents (93.4%) were in the good category. The Wilcoxon test resulted in a P-value of 0.000, indicating a significant impact. The conclusion of this study is that fracture education and First Aid simulation methods are effective in improving students' knowledge about fractures and First Aid.

This community service activity aims to improve the First Aid Awareness of students at SMAN 5 Tegal through health education and first aid simulation for accident management. The background of this program is based on the high potential for mild to moderate emergency incidents in the school environment, such as fainting, open wounds, nosebleeds, choking, and seizures, as well as the limited knowledge and practical skills of students in providing appropriate initial assistance. The implementation method consisted of three stages: preparation, delivery of health education using presentations and demonstrations, and hands-on simulation, followed by evaluation through knowledge assessment and skills observation. The participants were 54 students representing three grade levels. The expected outcomes of this activity include an improvement in students’ conceptual understanding and practical ability to perform first aid quickly, correctly, and safely before professional medical help arrives. In addition, this program is expected to foster emergency responsiveness, increase students’ confidence in handling accident situations at school, and contribute to the development of a safer and more prepared school environment. The outputs of this activity include increased knowledge and skill scores, documented implementation, and publication of a community service article in a SINTA-indexed journal.

Syncope or fainting is an emergency condition that commonly occurs during sports activities due to reduced blood flow and oxygen to the brain. Rapid and appropriate management is essential to prevent further complications. This study aims to determine the syncope management procedures following sports activities performed by healthcare professionals at primary healthcare facilities. This study employed direct observation and structured interviews with healthcare workers at Puskesmas Boba, Ngada on November 28, 2025. Observed aspects included initial patient condition, initial actions, vital signs examination, medical assistance provision, condition monitoring, and follow-up actions. Healthcare workers performed management according to first aid procedures by positioning patients supine, elevating both legs, loosening tight clothing, checking vital signs using sphygmomanometer and stethoscope, providing oxygen and fluids when necessary, and monitoring until condition stabilized. Main causative factors of syncope were dehydration, physical fatigue, hypoglycemia, and anemia. Syncope management requires systematic actions and adequate medical equipment. Preventive education for athletes and the community, as well as collaboration among healthcare workers, coaches, and physical education teachers is crucial to prevent recurrence.

Cardiovascular diseases are the leading cause of death worldwide, accounting for 17.9 million deaths annually. Stroke and heart attacks often go undetected due to their silent nature. This community service activity aimed to increase community knowledge about stroke and heart attacks and conduct early detection through health screening. The activity was conducted in Lalimbue Village, Kapoiala District, Konawe Regency on May 11 and 18, 2025. Methods included healthy exercise, educational talk show, first aid workshop, and health screening (blood pressure, blood glucose, cholesterol). Knowledge evaluation used pre-test and post-test with 10 questions. Results showed 56 participants on implementation day and 17 on follow-up. Pre-test showed 23% had good knowledge, 34% moderate, and 43% poor. Post-test showed 87% good knowledge and 13% moderate. Health screening found 10.7% with hypertension and 10.7% with diabetes mellitus on implementation day. Follow-up found 47.1% with hypertension and 23.5% with diabetes mellitus. This study concluded that health education is effective in increasing community knowledge about stroke and heart attack prevention, and health screening is important for early detection of cardiovascular and metabolic diseases.

Choking is a dangerous thing for children, especially children with special needs who require proper handling, and parents as the closest people to the child must have first aid skills for choking. The purpose of this study is to determine the effect of ANSIVI (Animation and Simulation Video) Choking Management on parents' ability in first aid for choking. The research design was a pre-experimental design with a one-group pretest-posttest approach without control. The purposive sampling technique obtained 36 respondents. The research instrument used an observation sheet for first aid for choking. The statistical test was the Wilcoxon Signed Rank Test with α 0.05. The results of the study before being given the ANSIVI (Animation and Simulation Video) Choking Management intervention showed that all (100%) respondents had insufficient ability, and after the intervention the majority (52.8%) of respondents had sufficient ability. The results of the statistical analysis obtained a p-value of 0.013 < α 0.05, so there is an effect of ANSIVI (Animation and Simulation Video) choking management on parents' ability in first aid for choking. The ANSIVI method (Video Animation and Simulation) combines two methods so that it is more interesting, interactive, and effective because the video is captured by the eyes and ears and then will be detected and converted into signals to the optic nerve and auditory nerve and forwarded to the brain, program area, and frontal area to be associated so that it will affect the respondent's ability. The ANSIVI method can be used in education for all parents and school residents as a first aid effort for choking, especially for children with special needs.

Syncope or fainting is a common clinical problem in children and adolescents, as many as 15% of children experience at least one episode before the end of adolescence. The purpose of this community service is to provide HIPOS (Hydration, Positioning, & Stress Management) Training with the 3E Method (Explain, Example, Experience) on Syncope First Aid Skills given to PMR Members at SMKN 1 Ngasem. The training was carried out for 2 days. The first day consisted of providing training to selected PMR cadres. On the 2nd day, PMR cadres provided training to all PMR members at SMKN 1 Ngasem and also evaluated their ability to perform syncope first aid. The results of the pre-test and post-test showed a significant increase in ability, namely during the pre-test almost all (76.7%) had sufficient ability and after the post-test almost all had good ability (83.3%). It can be concluded that HIPOS (Hydration, Positioning, & Stress Management) training using the 3E method (Explain, Example, Experience) can improve First Aid Skills for Syncope among Red Cross (Red Cross) members at SMKN 1 Ngasem.

ABSTRACT Background: Traditional medicinal plants play a significant role in public health in Indonesia, particularly in Bali, where the local wisdom of Usada is upheld. One of the commonly used plants is sandalwood (Santalum album L.), which is empirically believed to treat skin issues and minor injuries. Purpose: This study aimed to examine the community's perceptions of sandalwood in Perean Tengah Village using the HBM approach. Method: A qualitative method with an ethnographic study design was employed, and five informants (four sandalwood users and one traditional healer) were purposively selected. Data were gathered through in-depth interviews, participant observation, and documentation, and they were analyzed thematically using NVIVO software. Results: The results indicated that the community recognizes their susceptibility to minor injuries resulting from daily physical activities and uses sandalwood as a form of first aid. Sandalwood is perceived as beneficial because it provides a cooling sensation, reduces pain and swelling, and is considered safe and practical for use. However, the main barriers to its use include the limited availability of sandalwood in the local area and reliance on supplies from other regions. Conclusion: The tradition of using sandalwood is preserved through intergenerational practices and positive personal experiences. This study emphasizes the significance of sandalwood for health applications, cultural identity, and the local wisdom of the Balinese community.

Community preparedness for disasters and emergencies is an essential component in reducing morbidity and mortality. This community service program aimed to empower the community in emergency response through optimizing the role of tourism actors based on Tourism Health Nursing in Versel Village, Pasean District. The methods implemented included socialization, risk screening, the establishment of health cadres, the development of an emergency response handbook, creation of health education media, as well as training and simulation activities. The training covered topics such as recognizing emergency conditions, management of cardiac arrest and respiratory failure, choking, first aid (P3K), utilization of household materials in emergency response, management of febrile seizures, and stress management. The results showed a significant improvement in cadres’ understanding, where prior to education, training, and simulation, most participants (60%) had low comprehension, while after the intervention, almost all (90%) demonstrated good understanding. These findings indicate that the program successfully enhanced the capacity and preparedness of the community—particularly health cadres—in managing emergencies and disasters within the tourism-based community environment.

First aid is the initial action taken quickly and accurately for someone who has experienced an injury. One way to improve knowledge about injury management is by providing education or counseling. This study aims to determine the relationship between first aid counseling experience and knowledge of the PRICE technique for first aid for minor injuries. The study design was correlational. The study population was 68 members of the Indonesian Red Cross (Rural Red Cross), with 30 respondents selected using a purposive sampling technique. Data were collected using a questionnaire and analyzed using the Spearman's rho test. The Spearman's rho test yielded a p-value of 0.000 (α: 0.05) with an r (correlation strength) of 0.796, indicating a significant relationship between counseling experience and knowledge of the PRICE technique for first aid for minor injuries. Experience is a valuable learning experience that can enhance one's knowledge in dealing with health problems encountered in the surrounding environment. It is recommended that respondents increase their experience in various ways to address health problems that frequently occur in daily life.

This community service program aims to describe the implementation and impact of “Persekutuan Hamba Tuhan,” a diaconal initiative conducted by GBI Jemaat Kasih Surabaya to support 80 pastors serving in small congregations around the M3 area of Surabaya. The background of the program stems from ongoing socioeconomic challenges affecting church ministers in the post-pandemic period, particularly those serving in churches with limited resources and unstable financial support. Using a descriptive qualitative approach, data were collected through observation of the program activities, documentation of the distribution process, and testimonies from both recipients and church members. The results show three major outcomes. First, the distribution of food packages and basic daily necessities significantly reduced the economic burden of the participating pastors, providing a sense of relief and stability for their households. Second, the program strengthened congregational solidarity, as more than fifty church members actively engaged in fundraising, packaging, and direct service, building a stronger culture of compassion and shared responsibility. Third, the fellowship activities—consisting of worship, preaching, prayer, and personal encouragement—provided emotional and spiritual strengthening that renewed the pastors’ motivation and confidence in their ministry. Overall, this program demonstrates that integrated diaconal service combining material aid, spiritual encouragement, and relational support can offer meaningful impact for vulnerable church ministers. The findings also highlight the potential of this model to be replicated in other church settings as a holistic, community-based ministry approach. It is recommended that future programs expand coverage, incorporate long-term follow-up, and explore empowerment components to enhance sustainable impact.

Fifth grade students' consistently poor reading comprehension abilities, which impeded their overall academic development and participation in language acquisition, served as the driving force for this study. Using a comic assisted problem based learning (PBL) model, the study, which involved 39 students at SDN Purwamekar, aimed to improve learning activities in order to increase teacher and student participation and, eventually, improve fifth grade students' reading comprehension skills. By using comic strips to illustrate issues, this creative method made learning more engaging and accessible for younger students. In order to enable iterative improvements, the study was conducted over two cycles using classroom action research technique. Only 25% of students (eight people) successfully completed the learning objectives in the first cycle, according to preliminary findings, while 75% (24 students) failed, suggesting difficulties with student motivation and comprehension. This led to changes like improving comic material and fostering more cooperative conversations. Significant progress was seen by the second cycle, with 30 students meeting the completion criteria and only four falling short of the objectives, indicating improved engagement and skill growth. In conclusion, the comic assisted PBL model effectively boosted reading comprehension skills among fifth grade students. The research underscores the value of integrating visual aids and problem solving in education, offering practical insights for teachers to create more dynamic classrooms. Nonetheless, factors like time constraints and resource availability warrant further exploration to ensure sustainable implementation in diverse educational settings.

Terminal sanitation plays a crucial role in creating a clean, safe, and comfortable environment for public transportation users. This study aims to describe the sanitation conditions at Jakabaring Terminal, Palembang city, in the year 2025. The research employed a descriptive method with an observational approach. Data were collected through direct observation using a checklist that assessed four aspects of sanitation: environmental hygiene outside the building, hygiene of rooms and structures, sanitation facilities, as well as comfort and safety. The findings show that all four assessed aspects were below the required sanitation standards, with the following percentages: environmental hygiene outside (52%), hygiene of rooms and buildings (66%), anitation facilities (60%), and comfort and safety (57%). The low scores were caused by several factors, including substandard toilet conditions, lack of separated trash bins, inadequate ventilation and lighting, and the absence of first aid kits and fire extinguishers. The study concludes that the sanitation conditions at Jakabaring Terminal do not meet the standards of a healthy terminal. Greater attention and action are required from the terminal management and relevant authorities to improve sanitation quality and ensure user comfort.

This research aims to comprehensively describe and understand the utilization of the SINKARKES system (Ship and Health Information System) in the issuance of the Ship Sanitation Control Exemption Certificate (SSCEC) and the First Aid for Accidents (P3K) Certificate for vessels managed by PT. Surya Samudera Indah Batam. Compliance with ship sanitation and health standards is a mandatory prerequisite for preventing disease spread and ensuring occupational safety in accordance with prevailing regulations. The research methodology employed is field research (field research) to observe direct operational procedures in the field, supplemented by literature review (library research) to strengthen the theoretical and regulatory foundations of the Ministry of Health. The findings indicate that the process of issuing the certificates through SINKARKES begins with agent login access to the official application (sinakarkes.kemkes.go.id) using a registered company account. Subsequently, the agent submits an application for SSCEC and P3K issuance, followed by the completion of data and the uploading of mandatory supporting documents. These documents include the Maritime Health Declaration (MDH), previous SSCC/SSCEC certificates, the P3K certificate, crew list, voyage memo, and the list of last ports of call. Once the documents are verified, the Special Health Quarantine Officer (KarKessus) proceeds to conduct a physical survey onboard the vessel. The main obstacle encountered is poor internet network connectivity in the port area, which often leads to data input failures and double entry errors during certificate printing.

First aid in emergencies is an essential skill that must be possessed by nursing students as prospective health workers. Educational media in the form of practical guidebooks is believed to be able to improve students' knowledge and skills, but their effectiveness needs to be proven empirically. This study aims to determine the effectiveness of the educational media of the Emergency First Aid Guide in improving the knowledge and skills of Basic Life Assistance (BHD) for nursing students. The research design used was pre-experimental with a one group pretest-posttest design approach. The research sample consisted of nursing students selected through purposive sampling techniques. The research instruments include a knowledge questionnaire and a BHD skill observation sheet. Data analysis was carried out by the normality test and the Wilcoxon Signed Rank Test. The results showed a significant improvement in respondents' knowledge from an average of M: 12; SD ± 2.52 to M: 17; SD ± 1.55 (Z = -7.789; p = 0.00), as well as an improvement in BHD skills from M: 83; SD ± 9 to M: 99; SD ± 10.2 (Z = -7.789; p = 0.00). These findings show that educational media in the form of handbooks is effective in improving the ability of nursing students to deal with emergency situations. This media can be used as an alternative strategy in emergency nursing learning to support students' clinical readiness.

This study aims to improve elementary school students' storytelling skills through the application of the Whole Language approach combined with ebook-based image media. The Whole Language approach was chosen because it emphasizes the integration of natural language skills in meaningful contexts, while the ebook-based image media was used to provide engaging visual stimuli, facilitate comprehension of the story, and motivate students in the learning process. The study was conducted at Pekuncen Elementary School in Pasuruan City, with 18 fifth-grade students as subjects. The method used was Classroom Action Research (CAR), implemented in two cycles, each consisting of planning, implementation, observation, and reflection. Data were collected through observation, storytelling skills tests, student interviews, and documentation of the learning process. The results showed a significant improvement in students' storytelling skills. Learning completion increased from 44.44% in the pre-cycle to 66.67% in the first cycle, and reached 88.88% in the second cycle. This improvement included aspects of speaking fluency, the use of a more varied vocabulary, coherent story structure, and the ability to convey appropriate expression and intonation. Furthermore, this approach encourages students to participate more actively in learning, increases self-confidence, and fosters courage in expressing opinions in class. These findings indicate that implementing Whole Language with the aid of illustrated ebooks is effective in developing elementary school students' storytelling skills. The combination of communicative learning methods and engaging media can create a fun, interactive, and meaningful learning environment. This study recommends that Indonesian language teachers at the elementary school level consider using a similar approach as an alternative strategy for teaching speaking skills, particularly in the context of storytelling.

Choking is a significant cause of morbidity and mortality among children, particularly those aged 3 years or younger. According to the World Health Organization (WHO) in 2011, there were approximately 17,537 reported cases of choking, with the majority of these incidents occurring in children aged between 12 to 36 months. In 2013, about 34 children per day were taken to emergency departments due to choking (Pendigrot et al., 2019). Furthermore, in Indonesia, it was reported that around 10% of the 430 infant deaths were caused by choking during breastfeeding (Suartini & Kusniawati, 2020). Given this, the need for effective first aid knowledge, especially among mothers of young children, becomes imperative. This community service activity aimed to empower 27 mothers with toddlers in the village of Bangun Rejo, Tanjung Morawa, Deli Serdang, North Sumatra, on the essential skills for performing first aid in cases of choking. The program was structured in three phases: preparation, implementation, and evaluation. During the implementation, the participants received theoretical lectures, live demonstrations, and informational leaflets on how to perform first aid for choking. Following the training, an evaluation was conducted to assess the mothers' proficiency in performing the procedure. The results showed a promising outcome, with 19 mothers (70.3%) becoming proficient in first aid for choking, while 8 mothers (29.7%) still lacked the necessary skills despite the training. This outcome highlights the importance of continuous education and practice for parents, especially mothers, to ensure that they can act quickly and effectively in emergency situations. This activity is expected to equip mothers with the skills needed to perform first aid for choking as an immediate response before seeking medical assistance, ultimately helping to reduce the risks associated with choking incidents.

Breast cancer and cervical cancer are two leading causes of death among Indonesian women, yet they are preventable through early detection. Tanjung Anom Village in Pancur Batu Subdistrict is a rural area with low health literacy, particularly regarding cancer screening. This community service aimed to improve women's knowledge and awareness through SADARI (Breast Self-Examination) training and IVA (Visual Inspection with Acetic Acid) examination. A community-based participatory approach was applied, involving health cadres, village leaders, and women of reproductive age as key participants. The results showed a significant increase in participants’ knowledge scores, from an average of 52.4 to 76.2 after the intervention. A total of 48 women voluntarily underwent the IVA test, and a Women's Health Working Group was established to sustain ongoing education. The emergence of local leaders and collective awareness reflects a successful health-based social transformation. This program has proven effective and can be replicated in other rural settings.

The main issue faced by the community of Tanjung Anom Village, especially in Dusun I, is the lack of knowledge and basic skills in providing first aid for minor trauma incidents at the household level. This community service activity aims to enhance family capacity in trauma management through community-based training. The method used is Participatory Action Research (PAR) with a community organizing approach, starting from preliminary observation, focus group discussions, training sessions, to post-activity evaluation. The results showed that the training positively impacted residents' knowledge and skills, led to the formation of local trauma cadres, and fostered new social structures supporting community preparedness for emergencies. The activity also encouraged behavioral change and collective awareness regarding the importance of basic trauma care in households.