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Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of peripheral vertigo, characterized by brief episodes of vertigo due to otoconia displacement. Although most previous studies have focused on intrinsic factors such as age, gender, osteoporosis, and metabolic disorders, evidence regarding the role of environmental factors, particularly occupational noise exposure, is limited. Chronic noise has the potential to affect vestibular function through both sensory and vascular mechanisms. This study aims to narratively review the effect of occupational noise exposure on the risk of BPPV by integrating clinical, epidemiological, and experimental findings. The method used is a literature-based narrative review of the PubMed, Scopus, Web of Science, and Google Scholar databases without year restrictions, using the keywords "BPPV", "occupational noise exposure", "vestibular dysfunction", "VEMP", and "otoconia displacement". The search results obtained 25 relevant articles linking BPPV to otolith, hormonal, vascular, lifestyle factors, and occupational noise exposure. The results indicate that chronic noise can cause sensory damage (otoconia and vestibular hair cells), vascular disorders (hypertension, cardiovascular disorders, and inner ear microvascular circulation disorders), and exacerbate lifestyle comorbidities (sedentary lifestyle, osteoporosis, hypertension, diabetes). The discussion confirms that these multifactorial mechanisms explain the susceptibility of industrial workers to BPPV despite normal hearing function. The conclusion of this study is that workplace noise exposure has been shown to play a significant role as a risk factor for BPPV, therefore, prevention strategies, vestibular health monitoring, and healthy lifestyle interventions need to be optimized in occupational health programs.

The increasing proportion of the elderly population in Indonesia has led to a rise in degenerative health problems, one of which is osteoporosis. Osteoporosis is a bone disease characterized by decreased bone density, increasing the risk of fractures, particularly among elderly women. Low calcium intake, lack of physical activity, and limited knowledge regarding osteoporosis prevention are major contributing factors. This community service activity aimed to improve the knowledge of Aisyiyah women in Cirebon Regency regarding osteoporosis in the elderly, including its definition, risk factors, impacts, and prevention strategies through proper nutrition and regular physical activity. The activity was conducted from October to December at the Aisyiyah Study Hall in Cirebon Regency, targeting pre-elderly and elderly women. The methods used included health education through lectures and interactive question-and-answer sessions, supported by laptops, LCD projectors, and PowerPoint presentations. Evaluation of participants’ knowledge was carried out using oral pre-tests and post-tests related to the delivered material. The results indicated an improvement in participants’ understanding of osteoporosis, the importance of adequate calcium intake, and the role of physical activity in maintaining bone health. This community service program is expected to contribute to increasing health awareness and reducing the risk and prevalence of osteoporosis among the elderly.

Disorders of the musculoskeletal system encompass a wide range of conditions affecting the bones, joints, and muscles. Bone-related disorders include osteoporosis, fractures, spinal deformities, osteopenia, osteomalacia, Paget’s disease of bone, osteopetrosis, achondroplasia, osteogenesis imperfecta, and osteomyelitis. Joint-related disorders consist of arthritis, bursitis, tendinitis, tendon injuries, tennis elbow, and carpal tunnel syndrome, while muscle disorders include myalgia, fibromyalgia, muscle injuries, muscular dystrophy, muscle atrophy, cramps, and spasms (Astuti et al., 2024). Fractures may lead to complications in surrounding tissues, such as soft tissue edema, bleeding into muscles and joints, joint dislocation, nerve damage, vascular injury, and tendon rupture (Rumapea, 2024). A patellar tendon rupture occurs when the fibrous tissue connecting the patella to the quadriceps muscle tears, and complete ruptures typically require surgical repair. The objective of this study was to design and implement a nursing care plan for patient A, who underwent post-operative management of a patellar tendon rupture in Mawar Ward 2 at RSUD dr. Soeselo, Tegal Regency, in 2025. This study applied a descriptive case study method. The findings revealed that the main complaint reported by the patient was pain in the left knee. Three nursing diagnoses were identified: acute pain, impaired physical mobility, and risk of infection. Nursing interventions were structured based on standardized guidelines from SDKI, SLKI, and SIKI, enabling systematic implementation. The results highlight the importance of comprehensive and evidence-based nursing care to optimize recovery outcomes for patients with post-operative tendon rupture.

Osteoporosis is a common health problem among the elderly, particularly in women, caused by decreased bone mass influenced by age, hormonal changes, lifestyle, nutritional intake, and physical activity. WHO data (2015) shows that the prevalence of osteoporosis in women increases significantly with age, and in Indonesia, the prevalence has reached an alarming level of 19.7% of the population. West Java has recorded an osteoporosis risk of 22.3% (Ministry of Health, 2015). Low calcium intake and lack of physical activity are modifiable factors that can help prevent bone density loss. This health education program aimed to increase the knowledge of Aisyiyah District Leaders in Cirebon Regency regarding osteoporosis in the elderly, its risk factors, prevention strategies, and its impact on joint health. The target participants were pre-elderly and elderly women, especially members of the Branch and District Leaders of Aisyiyah in Cirebon Regency. The method used included lectures and question-and-answer sessions supported by presentation media. Participants’ knowledge was evaluated using oral pre-tests and post-tests. The program outcomes are expected to raise awareness and understanding of the importance of consuming calcium-rich foods, getting adequate sunlight exposure, and engaging in regular physical activity as preventive measures against osteoporosis. Furthermore, this activity plays a role in reducing the incidence of osteoporosis among the elderly through continuous community-based health education.

Osteoporosis is a metabolic bone disorder characterized by a decrease in bone density and strength, making bones more fragile and susceptible to fractures. People with osteoporosis often complain of pain. One of the pain management methods for osteoporosis patients is progressive muscle relaxation. This community service activity empowers the public to practice progressive muscle relaxation techniques. The pre-test results showed that the majority of the community’s knowledge about osteoporosis and pain management was in the poor category, at 79.5%. After education and simulation of the progressive muscle relaxation technique were conducted, there was an increase in the community’s knowledge about osteoporosis and pain management, with 61.4% in the good category. The conclusion of this community service activity is that empowering the community to independently perform progressive muscle relaxation techniques is very beneficial in reducing pain in people with osteoporosis.

Osteoporosis is a metabolic bone disorder characterized by decreased bone density, resulting in brittle, porous, and easily broken bones. This condition is more common in the elderly, especially women over 60 years of age, due to hormonal changes, the aging process, and lifestyle factors. Common clinical manifestations experienced by sufferers include back pain that can interfere with daily activities and reduce quality of life. Osteoporosis treatment does not only rely on pharmacological therapy, but can also be done through non-pharmacological therapies such as progressive muscle relaxation techniques that aim to reduce muscle tension and pain perception. This study aims to determine the effect of progressive muscle relaxation techniques on pain reduction in elderly osteoporosis sufferers in Bangun Rejo Village, Tanjung Morawa District, North Sumatra Province. The research method used a quasi-experimental design with a pre-test post-test control group design. The study involved 28 elderly respondents who met the inclusion criteria, divided into two groups: an experimental group that received progressive muscle relaxation intervention and a control group that did not receive intervention. The intervention was carried out in a structured manner according to standard procedures throughout the study period. Pain levels were measured using a numeric pain scale before and after treatment. Data analysis showed a significant reduction in pain levels in the experimental group compared to the control group, with a p-value of 0.040. These results indicate that progressive muscle relaxation techniques are effective as a non-pharmacological method for reducing pain in elderly people with osteoporosis. The findings of this study are expected to provide input for healthcare professionals, particularly nurses, in developing simple, safe, and affordable interventions to improve the quality of life of elderly people with osteoporosis, as well as encourage the routine implementation of this therapy in primary and community healthcare settings.

Abstrak. Osteoporosis is a degenerative bone disease characterized by a decrease in bone mass and strength, particularly in postmenopausal women. Traditional plant-based therapy presents an attractive alternative given the rich local bioactive potential and limited access to pharmacological treatments. One important biochemical indicator in bone regeneration is the level of alkaline phosphatase (ALP). The aim of this study is to evaluate the potential of various Indonesian traditional medicinal plants as bioactive agents in the prevention of osteoporosis, with an emphasis on increasing ALP levels. This method employed a literature search by collecting several scientific articles discussing the anti-osteoporosis activity of traditional medicinal plants through in vitro, in vivo, and clinical observation studies. The results obtained show that traditional medicinal plants such as Turmeric (Curcuma longa), Black pepper (Piper nigrum), Bromelain (Ananas comosus), Papaya (Carica papaya), Japanese knotweed (Reynoutria japonica Houtt.), Veratrum nigrum, Sickle senna (Cassia tora), Red ginger (Zingiber officinale var. rubrum), Clove (Syzygium aromaticum L.), White turmeric (Curcuma zeadoaria), and Celery (Apium graveolens) are capable of reducing the number of osteoclasts and promoting bone formation. These findings consistently demonstrate a positive role in bone health through increased ALP levels. Indonesian traditional medicinal plants hold great potential as evidence-based anti-osteoporosis agents, particularly through enhancing ALP levels and osteoblast activity. This literature review supports the development of local herbal therapy as a promotive and preventive alternative against osteoporosis.

Postmenopausal osteoporosis is a condition that increases fracture risk due to decreased bone mineral density (BMD). Hormone replacement therapy (HRT) is often restricted due to side effects, prompting the search for natural alternatives such as phytoestrogens, particularly genistein. Genistein is a major isoflavone in soy that has the potential to increase bone mineral density and improve bone metabolic balance. This study aims to review the effectiveness of genistein on bone health of postmenopausal women through a literature review of various clinical studies in the last 10 years. Results showed that genistein significantly increased bone mineral density, osteocalcin, bone-ALP, and decreased sclerostin. In addition, genistein positively impacts lipid profiles and blood glucose levels, and improves bone calcium retention, especially when combined with calcium and vitamin D3. A mixture of isoflavones in a natural ratio is more effective than single genistein. In conclusion, genistein is a safe and effective natural alternative in preventing and managing osteoporosis in postmenopausal women.

Low back pain (LBP) is a common health issue that affects both adolescents and the elderly, impacting their daily activities and overall quality of life. This study aims to identify the causes, risk factors, and preventive measures associated with LBP in these two age groups. Various factors, including posture, physical activity, body weight, and occupational or academic demands, contribute to the prevalence of LBP. In adolescents, prolonged sitting, improper posture, and excessive screen time are significant contributors, while in the elderly, age-related degenerative changes, decreased muscle strength, and chronic conditions such as osteoporosis play a major role. This study utilizes a literature review and observational analysis to explore the similarities and differences in LBP risk factors across different age groups. The findings suggest that early prevention through proper ergonomics, regular exercise, and healthy lifestyle choices can help reduce the incidence of LBP. Additionally, awareness and education about spinal health should be emphasized in both adolescents and the elderly to mitigate future complications. This research highlights the importance of a multidisciplinary approach, including physiotherapy, medical interventions, and lifestyle modifications, in managing and preventing LBP effectively.

Low back pain (LBP) is a common health issue that affects both adolescents and the elderly, impacting their daily activities and overall quality of life. This study aims to identify the causes, risk factors, and preventive measures associated with LBP in these two age groups. Various factors, including posture, physical activity, body weight, and occupational or academic demands, contribute to the prevalence of LBP. In adolescents, prolonged sitting, improper posture, and excessive screen time are significant contributors, while in the elderly, age-related degenerative changes, decreased muscle strength, and chronic conditions such as osteoporosis play a major role. This study utilizes a literature review and observational analysis to explore the similarities and differences in LBP risk factors across different age groups. The findings suggest that early prevention through proper ergonomics, regular exercise, and healthy lifestyle choices can help reduce the incidence of LBP. Additionally, awareness and education about spinal health should be emphasized in both adolescents and the elderly to mitigate future complications. This research highlights the importance of a multidisciplinary approach, including physiotherapy, medical interventions, and lifestyle modifications, in managing and preventing LBP effectively.

Introduction: Osteoporosis is a disease that is often suffered by the elderly because the elderly's bones have lost a lot of nutrients. With the prevalence of osteoporosis in the elderly, to find out how to prevent osteoporosis, action is needed that can cover all aspects that cause a decrease in bone strength in the elderly and actions that can reach this aspect are by eating healthy food and doing physical exercise. The purpose of this research: To identify that physical exercise and healthy eating can prevent osteoporosis in the elderly. Research methods: By using a literature review as a search guide for research articles obtained from the internet using internet sites and Google Scholar. The results: Analysis of 10 selected research articles shows that physical exercise and healthy food can have several benefits: physical benefits can improve physical fitness, maintain body health and increase bone strength. The psychological benefits can increase the quality of life and keep feelings positive. Physical exercise and eating healthy foods can help prevent osteoporosis in the elderly due to a lack of protein and nutrients in their bones. Conclusion: The results of this literature review are that physical exercise and healthy eating have several benefits, namely: physical benefits can improve physical fitness, maintain body health and increase bone strength. The psychological benefits can improve the quality of life and keep feelings positive. Doing physical exercise 3 times a week with a minimum duration of 30 minutes and a maximum of 40 minutes with a time of >4 weeks will be more effective in getting many benefits and the quality of life for the elderly will also increase. 

Anchovies are widely consumed by the lower middle class, it turns out to be one of the best sources of calcium. The greatest calcium requirement occurs during growth and calcium is still needed even though it has reached adulthood to prevent osteoporosis. According to Hendradi (2009) anchovies are a source of calcium that is resistant and not easily dissolved in water. Anchovies are very good as a source of calcium that is cheap and easy to obtain. The development of the anchovy industry in empowering the economy of the Padelegan village community means that increasing the independence and welfare of the Padelegan village community is one of them through economic empowerment in the village in the digitalization era. Thematic KKN Group 05 Madura University activities carried out the development of the anchovy industry in empowering the economy of the Padelegan village community for one month with 11 work programs. This article was written using a qualitative study method with a descriptive approach.

This community service journal discusses the involvement of Universitas Muslim Indonesia (UMI) in addressing social issues, particularly in its partner villages, including Sanrobone Village in Takalar Regency. As part of UMI’s commitment to the Tri Dharma of higher education, which includes community service, new faculty members are assigned to contribute to the development of underprivileged areas. The program aims to improve community welfare through educational outreach, health initiatives, and literacy programs. The community service activities in Sanrobone, which took place from July 3 to August 3, 2024, involved three UMI faculty members: Aulia Mahardika, dr. Harry Supratama, and dr. Dhian Karina A. Hattah. The primary focus of these activities included health education, digital literacy, and contributing to the establishment of a community library. The service program was designed to enhance the community's understanding of osteoporosis, intestinal worms, and the importance of digital literacy in today’s technological age. Additionally, the faculty members contributed to building a library in the village to foster reading habits and knowledge acquisition. The journal also highlights the collaboration with the local government, emphasizing the importance of integrating academic expertise into community-based development. The outcomes of this community service initiative not only supported the local community's development but also provided valuable learning experiences for the faculty, contributing to their professional growth as educators and community leaders.

Extremely Low Frequency (ELF) electromagnetic waves are increasingly recognized for their potential in treating bone health as a safe and effective non-invasive method. Studies have shown that ELF can stimulate osteoblast activity, increase bone density, and accelerate fracture healing. This article reviews the mechanism of ELF, its application in the treatment of osteoporosis, and its safety in clinical practice. With standardized parameters, ELF can be an innovative solution for chronic bone disorders or abnormalities, as well as providing great benefits in the medical world.

Bone health is a vital element in the quality of life aspect, especially with the increasing risk of osteoporosis and fractures with age. Extremely Low Frequency (ELF) electromagnetic field therapy offers the potential for bone regeneration through collagen synthesis, osteoblast stimulation, and molecular signal modulation. This study evaluates the potential and efficacy of ELF for bone health based on scientific literature. The results of the analysis show that ELF is effective in accelerating healing, increasing bone density, and is safe at certain intensities. However, optimization of parameters such as duration and intensity of exposure is still needed. This study supports the development of standard protocols for safe and effective ELF applications in bone therapy.

Stunting is a chronic nutritional problem that occurs worldwide caused by suboptimal nutritional intake from pregnancy to 24 months or 2 years of age. Stunting in childhood is associated with delays in motor development and lower intelligence levels. Symptoms shown by stunting sufferers include a child's height that is shorter than children of the same age, the child looks smaller for his age, low body weight, and delayed bone growth (Laska et al., 2024). Stunting has short-term and long-term impacts. In the short term, stunting causes depression of immune function, metabolic changes, decreased motor development, low cognitive values, and low academic values (Widjayatri et al., 2020). Meanwhile, the long-term impacts of children with stunting include, when they grow up, they will be at risk of obesity, coronary heart disease, hypertension, osteoporosis, decreased work performance, and productivity (Dekasari & Gunawan, 2024)

Metabolic processes in the body decrease with age. One of them occurs in calcium, when the age of more than 50 years, the amount of calcium in the body decreases by 30%. Meanwhile, if more than 70 years old, it decreases by about 50%. The imbalance of calcium levels in the body causes various diseases, one of which is osteoporosis. Osteoporosis occurs because the bones experience a decrease in bone mass due to lack of calcium intake in the body so that the body uses calcium reserves in the bones and teeth to meet calcium needs in the body. Because of the use of calcium in the bones, it causes the bones to lose mass so that they become porous, brittle, and even broken. One group that is prone to osteoporosis is the elderly. The purpose of this study was to determine serum calcium levels below normal values and the percentage of serum calcium levels below normal values in the elderly. The research method used was analytic survey, while the examination method used Cresolphtalein Complexone (CPC). The population in the study were 33 elderly aged 60 - 74 years in RW 03 Kaliwadas Village, Sumber District, Cirebon Regency. This study used a total sampling technique, so the sample used was the entire elderly population aged 60 - 74 years in RW 03 Kaliwadas Village. The research data were analyzed using the SPSS chi-square test program, and the value of Asymp. Sig. (2- Sided) is less than 0.05 which is 0.010. There are serum casium levels that are below normal values in the elderly with a percentage of 66.7%.

Introduction Osteoarthritis (OA) is the most common articular disease of the developed country and cause of chronic disability, and may cause joint failure.Currently, it is more prevalent than it used to be, and it is predicted that this tendency will continue as life expectancy and the prevalence of obesity increase.OA is related to age, but is associated with a variety of both modifiable and non-modifiable risk factors, including obesity, lack of exercise, genetic predisposition, bone density, occupational injury, trauma, and gender. It is a major cause of disability in elderly populations around the globe, especially in developed countries. the aim of study to identify Knowledge about osteoarthritis and its related risk factors in fourth grade students in nursing department of Alfarabi collage  and to assess Knowledge about osteoarthritis and its related risk factors in fourth grade students in nursing department of Alfarabi collage . methodology The methodology for studying the knowledge about osteoarthritis and its related risk factors in fourth-grade students in the nursing department of Alfarabi College can be utilize a cross-sectional research design to assess the knowledge of fourth-grade nursing students about osteoarthritis and its related risk factors. A convenience sampling method will be used to select participants from the fourth-grade nursing students at Alfarabi College. The sample size will be determined based on the total number of fourth-grade students in the nursing department. Results The sociodemographic characteristics of 256 students at Al-Farabi College were analyzed. The majority of respondents were male (73.8%), over 22 years old (35.3%), and engaged in manual labor (53.0%). The study found that students had higher knowledge about certain aspects of osteoarthritis, such as postmenopausal women being more at risk for osteoporosis than osteoarthritis (87.5%), while their knowledge about female gender as a risk factor was lower (39.4%). Students also had higher knowledge about joint pain as a symptom of osteoarthritis (82.8%) compared to redness in the joint (53.1%).Finally, while there was a high significance between having a first-degree relative with knee osteoarthritis and knowledge, there was no significance between being clinically diagnosed with osteoarthritis and knowledge among the students. Conclusion  the study of sociodemographic characteristics and knowledge of osteoarthritis among students at Al-Farabi College revealed that there were significant associations between gender, occupation, awareness of knee osteoarthritis as a disease entity, and having a first-degree relative with knee osteoarthritis with knowledge about the condition. However, there was no significant association between age, being clinically diagnosed with osteoarthritis, and knowledge.

Background: The Celuk - Sukawati Village tourist area is one of the favorite tourist attractions in Gianyar Regency. Most of the population work as silver and gold craftsmen. Even though the local community has relatively high income and education, empirically the community still maintains the tradition of using herbal medicine to prevent or treat disease, but they do not understand how to process it and do not understand the correct dosage. Community service activities are organized by Udayana University and Bali International University, to educate the community. Method: the method of implementing this activity includes several important stages, namely socialization of osteoporosis prevention exercises to maintain bone health; followed by education regarding herbal medicines regarding their types and benefits; and ended with a discussion and question and answer session to deepen participants' understanding. The activity closed with a demonstration on making herbal drinks, where participants could see the making process directly and taste the results, so they could practice it themselves at home. Result: This activity involved around 100 people from various age groups, who actively participated in the entire series of events. The activities ran smoothly and were supported by extraordinary attention and positive responses from the community. Conclusion: The target and output of this service program is to provide knowledge and insight to the community about how to make herbal drinks and improve physical health through exercise to prevent osteoporosis. The implementation of community service with various parties needs to be intensified to provide benefits to improve the level of public health.

Background: Prioritising our health and well-being becomes more crucial as we become older. Bone health is a significant factor that is sometimes overlooked, particularly in light of the risk of osteoporosis and the possibility of falls in the senior population. Purpose: The goal of this community service project is to educate senior citizens about osteoporosis and how it increases their risk of falling. Method: On Saturday, November 9, 2023, at the office of the Republic of Indonesia Wredatama Association, Denpasar City, the activity was carried out using field education approaches. This program is part of National Health Day 2023. Results: 100 seniors took part in overall. The results of the survey demonstrated that participants' knowledge split into two categories: good (24.0%) and adequate (76.0%).  In conclusion, by providing seniors with information about the causes, preventative actions, and available resources, we may help them live safer and healthier lives.