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Vomitus is the forceful expulsion of gastric contents through the mouth, commonly occurring in children as a clinical manifestation of gastrointestinal diseases. Based on medical records of RSUD dr. Soeselo, Tegal Regency, vomitus cases increased to 355 cases in 2025. Therefore, comprehensive nursing care is needed to address problems arising from vomiting in children. This study used a descriptive method in the form of a case study through a nursing process approach, aimed at describing nursing care for a pediatric patient with vomitus. Three nursing diagnoses were identified in An. A with vomitus: Nausea related to gastric irritation/stimulation of the vomiting center, Risk of Fluid Imbalance related to repeated vomiting, and Knowledge Deficit related to lack of information exposure. Nursing interventions provided included Vomiting Management, Fluid Management, and Health Education. After three days of nursing implementation, all three nursing diagnoses were resolved, marked by the disappearance of nausea, improved appetite, normal hydration status (moist mucosa, good skin turgor, pulse 88x/minute), and the patient's mother and patient being able to understand and re-explain health education material about vomitus.

The optimal therapeutic impact of local vaginal drug delivery systems is strongly influenced by the physical characteristics balance of Solid Vaginal Suppositories. A comprehensive review regarding the comparison of mechanical profiles, specifically melting time and crushing strength parameters, from various base classifications constitutes the primary objective of this literature research. The implementation of a Literature Review study design was executed through the extraction of empirical data from twelve experimental journals published within the last ten years. Excessively rapid phase transformation characteristics at physiological basal temperatures and low compression resistance were consistently demonstrated by lipophilic bases such as Oleum Cacao. The risk of structural deformation during the distribution process is highly susceptible to unmodified lipid preparations. High surface elasticity accompanied by a delay in molecular hydration duration reaching 120 minutes was recorded in the utilization of Glycerinated Gelatin Base. Structural rigidity exceeding 4 kgF and disintegration time efficiency under 60 minutes were optimally demonstrated by Polyethylene Glycol (PEG) Base. An enhancement in mechanical resistance against external shocks during the storage period is offered by the thorough modification of the synthetic polymer ratios. Therefore, the determination of the PEG base as the most optimal material is recommended to maintain the quality stability of pharmaceutical products. Compendial regulation standards regarding the physical strength testing of pharmaceutical preparations must be obeyed by every institution to ensure long-term treatment effectiveness. Thus, the alignment between active substance release duration and physical preparation endurance can be realized for absolute patient comfort.

Modern infrastructure development often involves the use of mass concrete in large structural elements such as pile caps and foundations. However, massive concrete volumes trigger a significant temperature increase due to the heat of hydration that is difficult to dissipate, posing a risk of thermal stress and structural cracking. This study aims to analyze the temperature rise behavior of mass concrete and evaluate the effectiveness of combining chilled water and fly ash substitution in minimizing these thermal cracking risks.The research method employs a quantitative approach through laboratory testing at PT Adhimix RMC Plant Kaligawe. Specimen blocks measuring 40 x 40 x 100 cm were divided into three variations: normal concrete (BN), concrete with chilled water and 15% fly ash (BAF), and concrete with 25% fly ash (BF). Temperature was monitored using thermocouples at the core and surface for 14 days, then validated using the Portland Cement Association (PCA) formula. The results indicate that the integration of chilled water with 15% fly ash and the use of 25% fly ash significantly controlled extreme temperature surges at the 5th hour. The combination of chilled water and 15% fly ash produced the lowest core temperature of 37.3°C, far below the control concrete which reached 62.4°C. This proves that the combination of precooling methods and fly ash substitution is effective in reducing the heat of hydration during the early hardening period, although the use of 25% fly ash was found to be more stable in maintaining mass concrete temperature.

This review article evaluates the physical characteristics and stability of Oil in Water (O/W) and Water in Oil (W/O) creams through a comparative literature study published between 2021 and 2026. The evaluation focuses on important parameters, including viscosity, spreadability, adhesion, pH, and accelerated stability testing. The findings reveal that O/W creams generally have lower viscosity and greater spreadability, making them more suitable for daily cosmetic and therapeutic applications due to their lighter texture and better aesthetic acceptance. In contrast, W/O creams demonstrate higher physical stability, stronger adhesion, and superior occlusive properties, which are beneficial for protecting sensitive active ingredients and maintaining skin hydration over longer periods. The differences in performance are strongly influenced by the optimization of emulsifier Hydrophilic-Lipophilic Balance (HLB) values and the ratio between oil and water phases. Both cream types show good biocompatibility with skin pH ranging from 4.5 to 6.5, indicating their safety and effectiveness for topical pharmaceutical and cosmetic formulations.

Chronic kidney disease (CKD) is a growing global health concern that frequently remains undiagnosed until advanced stages. Early detection through simple laboratory screening is essential to prevent disease progression and associated cardiometabolic complications. This community service program aimed to assess kidney function using serum creatinine and estimated glomerular filtration rate (eGFR), while increasing public awareness regarding CKD prevention. A total of 59 participants were included, with a mean age of 39.15 ± 15.39 years (range 16–75 years), predominantly female (74.58%). The mean serum creatinine level was 1.0 ± 0.19 mg/dL, and the mean eGFR was 91.08 ± 20.53 mL/min/1.73 m². Most participants demonstrated normal kidney function (28.8%) or mild decline (21.6%). A progressive reduction in eGFR with increasing age was observed, reflecting the physiological decline in nephron mass and renal perfusion. The program also provided education on kidney-protective practices, including optimal blood pressure control, diabetes management, adequate hydration, and avoidance of nephrotoxic agents. This intervention improved participants’ understanding of CKD risk factors and the importance of regular screening. In conclusion, serum creatinine and eGFR evaluation offer simple, accurate, and practical tools for early CKD detection, supporting promotive–preventive strategies to slow disease progression and enhance quality of life in at-risk populations.

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.

Background: Constipation is a common functional gastrointestinal problem in infants aged 6–12 months, causing discomfort, hard stools, and reduced quality of life. Non-pharmacologic interventions, such as abdominal massage, have shown promise in improving bowel function, but evidence regarding the effectiveness of the I Love You massage technique in community settings remains limited. Objective: This study aimed  examine the effectiveness of I Love You massage in reducing constipation among infants aged 6–12 months attending South Bulango Health Center. Methods: A quasi-experimental design with a pretest-posttest control group was employed. Thirty infants with functional constipation were purposively selected and divided into an intervention group (n=15) receiving daily I Love You massage for 10 minutes over seven days, and control group (n=15) receiving standard care, including dietary guidance and hydration. Data were analyzed using SPSS version 25 with paired t-tests for within-group comparisons and independent t-tests for between-group differences. Results: The intervention group exhibited a significant increase in bowel movement frequency (2.1 ± 0.7 to 5.6 ± 0.9 per week) and improvement in stool consistency (1.2 ± 0.4 to 2.8 ± 0.5), along with a notable reduction in abdominal discomfort (6.5 ± 1.2 to 2.1 ± 0.8). In contrast, the control group showed minimal improvements. Statistical analysis confirmed significant differences between groups (p < 0.05). Conclusion: I Love You massage is an effective, safe, and low-cost intervention reduce constipation in infants aged 6–12 months. Its implementation in primary healthcare settings may enhance gastrointestinal function, relieve discomfort, and promote caregiver-infant interaction.

Background: Stroke is a medical condition characterized by a disruption in blood flow to the brain, most commonly resulting in ischemic stroke, which accounts for 70%–85% of all stroke cases. Prolonged immobility in stroke patients increases the risk of pressure ulcers. Effective prevention strategies Include regular repositioning and meticulous skin care. Effleurage massage, when combined with Virgin Coconut Oil (VCO), enhances blood circulation and skin hydration, thereby potentially reducing the risk of impaired skin integrity. Objective: To analyze the management of a non-hemorrhagic stroke patient Through the application of Effleurage Massage therapy using Virgin Coconut Oil (VCO) to reduce the risk of skin integrity impairment. Methods: This case study involved a non-hemorrhagic stroke patient who was observed during hospital visits over a three-day period. Effleurage massage using VCO was applied twice daily—once in the morning and once at night. Skin integrity was assessed before and after the intervention using the Braden Scale Results: A decrease in the risk of skin integrity impairment was observed following the intervention, as evidenced by improved Braden Scale scores. Conclusion: Effleurage Massage using Virgin Coconut Oil may serve as an effective complementary therapy to reduce the risk of skin integrity Impairment in non-hemorrhagic stroke patients.

Bottled Drinking Water (AMDK) “VOCA” is produced by the Teaching Factory Water Treatment, Vocational School of Diponegoro University, to meet the hydration needs of the academic community. However, several issues have been identified, such as packaging defects, uneven product distribution, and stock shortages during peak demand, particularly at large-scale campus events. These issues may affect consumer satisfaction with the VOCA product. This study aims to analyze the influence of product availability, distribution, and product quality on consumer satisfaction. The research uses a quantitative approach with a survey method involving respondents who have consumed VOCA. The sampling technique applied was purposive sampling, and the data were analyzed using multiple linear regression. The results show that all three variables—product availability, distribution, and product quality—have a positive and significant effect on consumer satisfaction, both partially and simultaneously. Among them, product quality is the most dominant factor. These findings highlight the importance of consistently maintaining product quality, improving distribution systems, and ensuring stock availability to meet consumer expectations and enhance the competitiveness of VOCA on campus.

Water is an essential component in the body that plays a role in various physiological functions, including concentration and learning performance in adolescents. However, teenagers' awareness to consume enough water is still low. This service activity aims to increase the knowledge and awareness of SMP Negeri 1 Kolaka students about the importance of drinking water through health education. The activity method was carried out by interactive counseling using PowerPoint media displayed through an LCD projector and conducted in the school hall on 19 November 2024, attended by 70 students from classes VII to IX. The material was delivered in an engaging manner and was complemented by discussion sessions. The results of the activity showed an increase in student enthusiasm and participation, as well as an awareness to start bringing drinking water to school and reduce the consumption of sugary drinks. This activity proved effective in fostering students' understanding of the importance of adequate hydration for health. The students expressed a greater willingness to incorporate healthier habits, particularly bringing water to school and making informed choices about hydration. Moreover, they became more aware of the negative impacts of sugary drinks. The activity's success highlights the importance of continued support from schools to create a healthy learning environment and to encourage healthy behaviors that can positively impact students' overall health and academic performance.

Visceral fat is metabolically active adipose tissue and plays a key role in the pathogenesis of various cardiometabolic diseases. The accumulation of visceral fat not only impacts systemic health but is also thought to be linked to the condition of the skin, which is the body's largest organ and sensitive to metabolic changes. This study aimed to explore the relationship between visceral fat and skin health indicators, including oil content, water content, and skin hydration in a population of young physicians. This group was selected because, although relatively clinically healthy, they are susceptible to subclinical metabolic disorders due to suboptimal work patterns and lifestyles. The study used a cross-sectional design on 96 young physicians at the Faculty of Medicine, Tarumanagara University. Data were collected through anthropometric measurements, body composition analysis using bioimpedance, skin examination with a skin analyzer, and blood lipid profiles. Spearman correlation analysis was used to assess the relationship between the study variables. The results showed that visceral fat had a significant positive correlation with oil content (r = 0.331; p = 0.001), skin water content (r = 0.338; p = 0.001), and skin hydration (r = 0.297; p = 0.004). This makes visceral fat the only body parameter that correlates consistently with all indicators of skin health. In contrast, blood LDL levels were negatively correlated with skin hydration (r = -0.222; p = 0.030), while other parameters did not show a significant relationship (p > 0.05). The conclusion of this study is that increased visceral fat is closely related to increased oil, water, and skin hydration levels through metabolic and inflammatory mechanisms, even in young, apparently healthy individuals. These findings emphasize the importance of visceral fat screening and the implementation of healthy lifestyle interventions as preventive measures to maintain skin health while reducing the risk of metabolic disorders.  

Tonsillitis is an inflammation of the pharyngeal tonsils, commonly caused by viral infections, and typically resolves on its own without medical intervention. The first-line treatment for tonsillitis generally involves supportive care, such as analgesics and hydration, to alleviate symptoms. However, in cases of chronic or severe tonsillitis that cannot be managed conservatively, tonsillectomy is the recommended surgical procedure. Tonsillectomy is typically performed by an ENT specialist, and candidates for this surgery must meet the absolute and relative criteria outlined in the 2004 Health Technology Assessment (HTA) Indonesia clinical guidelines. Although tonsillectomy is a common procedure, one of the serious complications that can arise post-surgery is hemorrhage, which can lead to fatal consequences if not managed appropriately. Post-tonsillectomy bleeding is a significant cause of mortality and requires immediate and effective management. Effective management of post-tonsillectomy hemorrhage is crucial to prevent life-threatening situations that may develop without appropriate intervention. Bleeding can be addressed through close observation, bedside interventions, or additional surgery if necessary, with the initial focus on stabilizing the patient's hemodynamics and controlling active bleeding. Given the high incidence and severity of post-operative bleeding, it is vital for healthcare professionals to identify patients who experience this complication and those at high risk, providing timely and appropriate interventions to reduce the risk of fatality. Therefore, in-depth knowledge of post-tonsillectomy hemorrhage management is essential for ENT specialists in daily clinical practice.

Infused water is a functional beverage made by soaking slices of fruits, vegetables, and herbs in mineral water to produce a natural flavor and enhance nutritional content. In recent years, infused water has become part of a healthy lifestyle trend due to its claimed benefits, including detoxification, improved hydration, and immune system enhancement. This article aims to review the latest scientific literature on the potential benefits of infused water on immune function, particularly in the context of regular consumption of natural ingredients such as lemon, ginger, strawberries, and herbs that are rich in vitamin C, antioxidants, and flavonoids. The review was conducted by searching scientific databases such as PubMed, Google Scholar, and ScienceDirect, using inclusion criteria that covered publications from 2020 to 2024. The findings indicate that infused water containing vitamin C, gingerol, and polyphenolic compounds can help improve immune function by reducing oxidative stress, suppressing inflammatory responses, and stimulating immune cell activity such as lymphocytes and macrophages. Furthermore, optimal hydration from infused water supports various physiological processes of the immune system. In conclusion, infused water holds potential as a simple, natural, and cost-effective strategy to support immune health. However, further research is needed to evaluate its efficacy, optimal formulations, and dosage for maximum benefit.

This study aims to analyze the representation of the figure of the prolific sundel in the 2025 version of Pocari Sweat #IONTahanBocor advertisement using Roland Barthes' semiotic approach. The ad features a local mystical figure sundel bolong in an unusual humorous narrative to convey an educational message about the importance of staying hydrated during fasting. This study uses a descriptive qualitative method with a constructivist paradigm and analyzes visual impressions based on three layers of Barthes' meaning: denotation, connotation, and myth. The results of the analysis showed that the sundel bolong was shown as a figure who was dehydrated and then recovered after consuming Pocari Sweat, which is interpreted as a symbolic form of loss and recovery of body fluids. This representation shows a shift in meaning from a creepy figure to a funny and educational figure. Visual symbols such as the body leaking and the transformation into a cactus reinforce the educational message about hydration that is popularly packaged and lightweight. These findings suggest that advertising not only becomes a promotional medium, but also builds new myths through the construction of popular culture and visual communication.  

This study aims to explore the effectiveness of optimal hydration on brain activity and mental health in students and workers through a biopsychological approach. Five participants (three students and two workers) participated in a hydration intervention by drinking at least 8 glasses of water per day for seven days. The design used was a one-group pretest-posttest, with measurements using the PANAS (Positive Affect Negative Affect Schedule) scale and daily reflection. The results showed an increase in positive emotion scores and a decrease in negative emotion scores after the intervention was carried out in both groups. Participants' daily reflections supported these findings, although some experienced discomfort such as bloating or nausea. Biopsychologically, adequate hydration can contribute to cognitive function, emotional control, and daily productivity. This study confirms that regular drinking habits are a simple but effective strategy in improving mental health and brain function in both students and workers.

Uric acid (UA) is a waste product formed when the body breaks down purines, which are natural compounds found in the body and can be found in various types of foods such as alcohol, shellfish, and liver. Hyperuricemia is caused by increased uric acid production, decreased excretion, or a combination of both processes. Most people with hyperuricemia are asymptomatic (85% to 90%), but increased levels of uric acid in the blood or urine can cause gout or nephrolithiasis. Hyperuricemia and hyperuricosuria are also associated with other disorders such as metabolic syndrome, diabetes mellitus, cardiovascular disease, hypertension, atherosclerosis, obesity, and chronic kidney disease. The Community Service (PKM) activity held in Grogol Village, West Jakarta, aims to increase awareness of the elderly community regarding the importance of early detection of hyperuricemia. This program uses the Plan-Do-Check-Act (PDCA) approach, starting from planning uric acid level examinations and compiling educational materials, followed by implementing interactive screening and counseling, evaluating results, and following up in the form of medical referrals for participants with abnormal results. Of the 71 participants involved, only 1 person had uric acid levels above normal. Through education on low-purine diets, the importance of hydration, and physical exercise, this activity is expected to be able to reduce the incidence of hyperuricemia and its complications, as well as support the realization of a healthier elderly community that is aware of its metabolic health.

Hyperuricemia contributes to various metabolic disorders, including gout and kidney disease. Detection of uric acid levels through simple screening is important for early risk identification. One non-pharmacological approach that can help reduce uric acid levels is maintaining adequate fluid intake. Uric acid level examination was performed by taking capillary blood from 104 adult participants. Results were obtained directly using the Point-of-Care Testing (POCT) instrument. Education was provided to all participants using a leaflet discussing the role of hydration in supporting uric acid excretion. The average uric acid level was recorded at 4.08 ± 1.00 mg/dL. A total of 103 participants (99.0%) were in the normal range, and 1 participant (1.0%) had high levels. Most participants have not experienced excessive urate accumulation, but still need education to maintain this status. Uric acid level screening is useful as an effort to detect the risk of metabolic disorders early. Education about the importance of fluid intake is the main strategy to maintain uric acid levels within normal limits and prevent complications due to hyperuricemia.

Adequate skin hydration is essential for maintaining skin elasticity, softness, and overall barrier function. Insufficient hydration can lead to various skin health issues, one of the most common being dry skin. This condition is more prone to irritation, itching, and cracking, which can increase the risk of infection. The Community Service Program (PKM) conducted in Tanjung Duren Selatan aimed to raise public awareness about the importance of maintaining skin moisture through educational activities and hydration level screening using a skin analyzer. This program was carried out using the Plan-Do-Check-Act (PDCA) approach, including skin hydration assessments and education on risk factors, the impact of skin dehydration, and appropriate skincare strategies. Of the 104 participants, 68 individuals (65.38%) were found to have low skin oil levels, and 82 individuals (78.85%) had low skin water content, indicating dry skin conditions. These results highlight the importance of skin hydration screening as an early detection tool for skin health risks and as a foundational step to promote preventive skincare awareness in support of overall health and quality of life.

Uric acid is the final product of purine metabolism, which can increase due to high purine intake or impaired renal excretion. Accumulation of uric acid in the body is at risk of causing joint inflammation and other metabolic disorders. Early detection and dietary education are strategic steps to prevent complications of hyperuricemia. This activity uses the Plan-Do-Check-Act (PDCA) approach by examining uric acid levels using POCT and education on managing purine consumption. The examination was carried out on 62 adult participants. Educational leaflets were delivered directly and individually to each participant. All participants had uric acid levels in the normal range (median 4.2 mg/dL), with the lowest value of 3.5 mg/dL and the highest 6.5 mg/dL. Most participants were women and were in the middle to elderly age group. Although no cases of hyperuricemia were identified, preventive education remains essential to maintain uric acid levels within optimal ranges and reduce future metabolic risks. Lifestyle interventions focusing on diet and hydration are critical for sustainable uric acid control and long-term health outcomes.   Keywords: Uric Acid, Purine, Hyperuricemia, Diet, Nutrition Education

Background: Skin hydration is influenced by both intrinsic and systemic factors, including blood biomarkers and body composition. Physiological conditions such as anemia, dyslipidemia, and hyperuricemia are known to affect skin barrier function; however, their relationship with skin hydration has not been comprehensively studied in healthy adult populations. Objective: To analyze the association between blood parameters (hemoglobin, fasting blood glucose, uric acid, total cholesterol, HDL, LDL, and triglycerides) and body composition (visceral fat, subcutaneous fat, skeletal muscle mass) with skin hydration status (water, oil, and moisture levels) in adults. Methods: A cross-sectional study was conducted on 210 adult participants from three educational institutions in Jakarta. Data were collected through fasting venous blood analysis, bioelectrical impedance measurements, and skin analysis. Statistical analysis used Spearman correlation with a significance level of p<0.05. Results: Hemoglobin, triglycerides, and uric acid showed a significant positive correlation with skin hydration (p<0.01), while total cholesterol, LDL, HDL, and body composition parameters did not show significant associations. Fasting blood glucose was also not significantly correlated with skin moisture. Conclusion: Certain blood parameters, particularly hemoglobin, triglycerides, and uric acid, play an important role in maintaining skin hydration. These findings highlight the importance of evaluating systemic biomarkers as part of a comprehensive approach in skin care and in preventing dry skin in adult populations.