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Background: Recurrent Aphthous Stomatitis (RAS) is a common disorder characterized by recurrent ulcers limited to the oral mucosa. The etiology of RAS itself is not yet known for certain, but it is suspected that there are several predisposing factors, including hormonal changes, trauma, malnutrition, stress. Purpose: This study aims to determine the description of RAS in patients at the Oral Medicine Department of Dental Hospital University of Jember based on classification, general condition, suspected predisposing factors, and management. Method: This research is a descriptive observational study with a research population of 722 data from the Department of Oral Medicine, Dental Hospital of University of Jember. The number of samples that met the researchers' criteria was 171. Results: RAS patients is more common in women, 64.91% . RAS occurs in 69.60% of patients aged 21-30 years. RAS were mostly found in patients who did not experience symptoms of systemic factors, in 91.22%. The type of RAS that often occurs is the minor type in 78.37%. 68.42% RAS patients had no suspected predisposing factors. Based on RAS management, pharmacological therapy is divided into two parts, topical pharmacological therapy 59.07% and supportive pharmacological therapy 40.93%. Communication, information and education service was done for all 171 RAS patients. Conclusion: Based on the research conducted, that minor RAS is more prevalent in female 21-30 age group, with absence of underlying diseases, and the most frequently therapeutic modality is topical agents.

Background: Recurrent Aphthous Stomatitis (RAS) is a common disorder characterized by recurrent ulcers limited to the oral mucosa. The etiology of RAS itself is not yet known for certain, but it is suspected that there are several predisposing factors, including hormonal changes, trauma, malnutrition, stress. Purpose: This study aims to determine the description of RAS in patients at the Oral Medicine Department of Dental Hospital University of Jember based on classification, general condition, suspected predisposing factors, and management. Method: This research is a descriptive observational study with a research population of 722 data from the Department of Oral Medicine, Dental Hospital of University of Jember. The number of samples that met the researchers' criteria was 171. Results: RAS patients is more common in women, 64.91% . RAS occurs in 69.60% of patients aged 21-30 years. RAS were mostly found in patients who did not experience symptoms of systemic factors, in 91.22%. The type of RAS that often occurs is the minor type in 78.37%. 68.42% RAS patients had no suspected predisposing factors. Based on RAS management, pharmacological therapy is divided into two parts, topical pharmacological therapy 59.07% and supportive pharmacological therapy 40.93%. Communication, information and education service was done for all 171 RAS patients. Conclusion: Based on the research conducted, that minor RAS is more prevalent in female 21-30 age group, with absence of underlying diseases, and the most frequently therapeutic modality is topical agents.

Oral candidiasis pseudomembranous is an infection of the oral cavity caused by microorganisms such as fungi, specifically due to the overgrowth of Candida albicans. It frequently manifests in individuals with impaired local or systemic immunity, or those with specific behavioral risk factors. Predisposing factors, such as habitual alcohol consumption and smoking, play a significant role in reducing the resilience of the oral mucosa and altering the balance of the normal oral flora. This case report aims to examine the correlation between behavioral risk factors and the development of pseudomembranous oral candidiasis. A 22-year-old male was reported to have a lesion consisting of thick, raised, whitish plaques that were non-scrapable and asymptomatic. The patient had an unhealthy lifestyle, including alcohol consumption and smoking two packs per day, along with poor oral hygiene. To confirm the suspicion of oral thrush, a potassium hydroxide (KOH) examination was performed, which revealed the presence of Candida albicans. This led to therapeutic management using Nystatin (Candistatin) and Chlorhexidine, complemented by mechanical treatment with a tongue scraper. Pseudomembranous oral candidiasis in this 22-year-old male patient is a classic example in which local behavioral risk factors and lifestyle act as the main triggers of infection.

Background: Recurrent Aphthous Stomatitis (RAS) is one of the most frequently encountered oral mucosal conditions. Although RAS has been extensively considered clinically and through research, ulcer occurrence remains unavoidable, and most treatment approaches are primarily symptomatic. Objective: To identify anxiety as a predisposing factor in patients with minor RAS. Case Report: A 24-year-old female patient presented to Soelastri Dental and Oral Hospital with a complaint of an ulcer on the right upper lip. The patient reported pain and a burning sensation for the past four days. The pain worsened when consuming hot food or beverages. The patient had experienced similar episodes previously but had never sought treatment for this condition. Intraoral examination revealed a single shallow ulcer with an oval shape, regular margins, a yellowish-white base surrounded by an erythematous halo, measuring 3 × 2 mm on the right upper lip, and was symptomatic. Case Management: The treatment provided focused primarily on Communication, Information, and Education (CIE). The patient was informed about the predisposing factor experienced, which may contribute to the occurrence of RAS, namely anxiety. The patient also received education regarding maintaining oral hygiene, consuming fruits and vegetables, increasing water intake, eating more regularly, attending a follow-up visit seven days after treatment, and managing anxiety. Conclusion: In this case, RAS management was focused on eliminating predisposing factors, particularly anxiety, which was strongly suspected to be the triggering factor for minor RAS in this patient.

Adolescents are at greater risk of mental health conditions. Good or bad mental health conditions in adolescents cannot be separated from the factors that influence it. Factors that influence adolescent mental health include religiosity, smartphone addiction, parenting patterns and peer interaction. The aim of this research is to determine the mental health picture and predisposing factors in young women in Mekarbakti Village, Pamulihan District, Sumedang Regency. The type of research is descriptive, the population is 508 young women in Mekarbakti Village, Pamulihan District, Sumedang Regency. The sample was taken using stratified random sampling so that 84 people were obtained. Data collection is done by filling out a questionnaire. Data analysis uses univariate analysis in the form of frequency distribution.  The research results showed that more than half had good mental health, 52 people (61.9%), more than half had high religiosity, 49 people (58.3%). more than half of them are not addicted to smartphones as many as 48 people (57.1%), more than half have democratic parenting as many as 59 people (70.2%), more than half of them have high peer interaction as many as 48 people (57.1%). The conclusion was that more than half of young women's mental health was good, their religiosity was high, they were not addicted to smartphones, their parenting was democratic and their peer interaction was high. Suggestions for research sites could be to hold positive activities for young women, such as by encouraging more young people to take part in Karang Taruna activities

Hyperemesis gravidarum is a condition of excessive nausea and vomiting during pregnancy, which can lead to dehydration, weight loss, potassium deficiency (hypokalemia), and serious metabolic disorders. If left untreated, this condition can trigger complications such as ketosis, liver dysfunction, and even death. The exact cause is unknown, but several predisposing factors, such as multiple pregnancies, hydatidiform moles, psychological conditions (such as stress, fear of pregnancy), and a decreased immune system in pregnant women, are believed to play a role (Maryunani, 2018). Persistent nausea and vomiting cause the body to use carbohydrate and fat reserves for energy, which produces toxic metabolites. As a result, body tissues receive fewer nutrients and oxygen. Furthermore, potassium loss through vomiting and urine can contribute to hypokalemia and worsen vomiting. According to Maryunani (2019), this condition occurs more frequently in 60–80% of primiparous pregnant women and 40–60% of multiparous pregnant women during the first trimester. This study used an analytical method with a cross-sectional approach to determine the relationship between knowledge and attitudes of pregnant women towards the occurrence of hyperemesis gravidarum. The results showed a significant relationship between knowledge (p = 0.015) and attitudes of pregnant women (p = 0.006) towards the occurrence of hyperemesis gravidarum. It is hoped that health workers, especially in Community Health Centers, will be more active in providing education to pregnant women regarding the prevention of hyperemesis gravidarum. Pregnant women are also expected to regularly check their pregnancies and seek appropriate information to maintain their health during pregnancy. This study used an analytical method with a cross-sectional approach to determine the relationship between knowledge and attitudes of pregnant women towards the occurrence of hyperemesis gravidarum. The results showed a significant relationship between knowledge (p = 0.015) and attitudes of pregnant women (p = 0.006) towards the occurrence of hyperemesis gravidarum.

The 2023 Indonesian Health Survey stated that the proportion of exclusive breastfeeding in Sumatera Utara Province was quite low, namely 43.9%. The low coverage of exclusive breastfeeding is closely related to the lack of knowledge of postpartum mothers, which is a predisposing factor that encourages mothers to only give breast milk for 6 months to their babies. The purpose of this study was to determine the factors related to postpartum mothers' knowledge of exclusive breastfeeding in the Tuntungan Health Center work area, Pancur Batu Subdistrict. This study was an observational analytic study with a cross-sectional design. The sample in the study were postpartum mothers in the Tuntungan Health Center work area who met the inclusion and exclusion criteria, namely 50 people. The data collected were primary data obtained through questionnaires distributed to postpartum mothers. Bivariate analysis was carried out using the chi-square test to determine the relationship between the independent and dependent variables. Based on the study conducted, it is known that there is a relationship between age (p-value = 0.015), education (p-value = 0.026), and parity (p-value = 0.008) with postpartum mothers' knowledge of exclusive breastfeeding. There is no relationship between occupation (p-value = 0.224) and postpartum mothers' knowledge of exclusive breastfeeding. It is recommended that health workers in the Tuntungan Health Center work area, Pancur Batu Subdistrict, to improve the knowledge of postpartum mothers, especially for young mothers (<20 years) and primigravida mothers. It is also recommended that postpartum mothers improve their knowledge through various media, especially social media.

HB 0 immunization in Bandar Baru Health Center, Sibolangit District is still low at 39.0%. The low HB 0 immunization in infants is related to predisposing factors such as knowledge and attitudes, supporting factors, namely the place of delivery and reinforcing factors that support the family. This study aims to analyze predisposing, supporting and reinforcing factors related to the provision of HB 0 immunization in the Bandar Baru Health Center area, Sibolangit District. This type of research is a survey using an explanatory research approach. The population in this study were all mothers who had babies at the Bandar Baru Health Center, Sibolangit District, as many as 68 people and a sample of 68 people. Data were obtained by means of interview questionnaires and observations, analyzed using Multiple Logistic Regression statistical tests at = 5%. The results of the study showed that there were significant predisposing factors such as knowledge and attitudes, supporting factors were the place of delivery, reinforcing factors were family support for HB 0 immunization in the Bandar Baru Health Center area, Sibolangit District and the variable that most influenced HB 0 immunization in the Bandar Baru Health Center, Sibolangit District where the workforce was a variable with Exp B = 12,733. It is possible for health workers to provide socialization to mothers about HB 0 immunization to increase HB 0 immunization, the Deli Serdang Regency Health Office should further improve implementation and provide education to the community about the HB 0 program and the community at the Bandar Baru Health Center, Sibolangit District must carry out hepatitis B prevention.

Background: In 2021, there were 38 deaths for every 1000 live births in the world's under-five population. Predisposing factors, enabling resources, need, and health service usage are the three primary elements that make up Andersen's theory and have an impact on health care utilisation. Goal: To ascertain how patient trust and service quality relate to Sekanak Raya Village's whole basic immunisation program. Method: This study is quantitative in nature and uses a cross-sectional, analytical observational methodology. The mothers who had children in Sekanak Raya Village made up the study's population. Tools for gathering data include questionnaires and observation sheets. In data analysis, the chi-square test was employed. Result: The findings indicate that 15 out of 100 underdog moms believe in complete basic immunisation status, whereas 18 out of 100 underdog mothers believe that the quality of service is good with complete basic immunisation status. For patient confidence, the chi square statistical test yielded a p-value of 0.022 < 0.05, whereas for service quality, the p-value was 0.004 < 0.05. In Sekanak Raya Village, UPTD Working Area, Puskesmas, Rear Padang, Batam City, total basic immunisation quality and patient trust are significantly correlated in 2024.

Background: Cervical cancer remains a major cause of morbidity and mortality among women, particularly in developing countries. Although early detection methods such as visual inspection with acetic acid (IVA) and Pap smear are effective, participation among women of reproductive age is still low. Identifying factors that influence women’s interest in cervical cancer screening is essential to strengthen prevention programs at the primary healthcare level. Method:  This study used a quantitative analytical observational design with a cross-sectional approach. The research was conducted in the working area of UPT Puskesmas Rawat Inap Ome Tidore. Participants were women of reproductive age (15–49 years) selected through purposive sampling. Data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge, attitudes, access to health information, family or husband support, and interest in early detection of cervical cancer. Data analysis included univariate and bivariate analysis using Chi-square or Fisher’s exact tests. Results: The results showed that age, education level, knowledge, attitudes, access to health information, and family or husband support were significantly associated with women’s interest in early detection of cervical cancer. Women aged 25–49 years, those with higher education, good knowledge, positive attitudes, adequate access to information, and strong family support demonstrated higher interest in screening. Fear, embarrassment, lack of time, and misconceptions were identified as common barriers. Conclusion: Women’s interest in cervical cancer early detection is influenced by predisposing, enabling, and reinforcing factors. Strengthening health education, improving information access, and involving family support are key to increasing screening participation.

  Unhealthy sexual behavior among adolescents, especially unmarried adolescents, tends to increase. Risky sexual behavior has an impact on the high number of unwanted pregnancies and early marriages as well as the increasing number of HIV/AIDS cases among adolescents. According to Green, a person's behavior is influenced by; predisposing, supporting, and driving factors. From the preliminary study conducted in December 2023, students of Bhinneka Karya 2 Boyolali High School have low knowledge about premarital sexual behavior. The purpose of this study was to determine the relationship between knowledge, and self-efficacy with premarital sexual behavior in adolescents. The population in this study were students of class X SMA Bhinneka Karya 2 Boyolali as many as 50 teenagers. The sampling technique in this study was accidental sampling, which obtained a sample of 40 respondents. The data used in this study are primary data with a research instrument in the form of a questionnaire about knowledge, self-efficacy, and premarital sexual behavior in adolescents. Univariate analysis was performed by conducting frequency distribution analysis, while the bivariate analysis used was chi-square.

Background: Postpartum care is needed in the period after delivery to detect early problems or treat postpartum illnesses. More than 65% of maternal deaths occur during the first 42 days postpartum. This study aims to analyze the factors that influence postpartum visits in Indonesia. Method: The research uses quantitative research in the form of an analytical survey with a cross sectional design. Units. Results: Based on the results of logistic regression, predisposing factors that have the opportunity to influence complete postpartum visits are maternal age 20-35 years (OR 0.885), higher education (OR 1.167), parity ? 2 (OR 1.090), delivery by cesarean/vacuum/ forceps, etc. (OR 1.491), delivery in a health facility (OR 1.489), complete pregnancy check-up (OR 1.613), and regional Sumatra (OR 0.510). Enabling factors that have the opportunity to influence postpartum visits are unemployed status (OR 0.954) and having health insurance (OR 1.141). The need factor that has the opportunity to influence postpartum visits is having a history of pregnancy complications (OR 0.948). Conclusion: Factors that influence postpartum visits are maternal age, education, parity, method of delivery, place of delivery, prenatal check-up, regional residence, employment status, ownership of health insurance, and history of pregnancy complications.

Problems that are often experienced by adolescents today are problems around sexuality, especially premarital sex The formation of premarital sexual behavior resulting in various impacts on health is influenced by several factors that affect sexual behavior in adolescents, especially in Indonesia. The techniques include a national and international litrature review through the use of key words and selections based on predetermined inclusion and exclusion criteria, as well as 10 articles, 8 of which were published in national journal and 2 of which were published in international journals. The health behavior of a person or community is formed from three main factors, namely predisposing factors, enabling factors, and reinforcing factors, several factors that influence sexual behavior, namely knowledge, information media, parental attitudes, peers. that there are factors that influence the use of premarital sexual behavior in adolescents in Indonesia, many of which are influenced by predisposing factors, namely knowledge and attitudes, the second supporting factor is the role of parents and the third driving factor is the influence of peers.

Pregnancy is a very important experience for a woman. Based on the journal Of Midwifery issued in 2020, it is stated that lower back pain is the most common complaint in the third trimester of pregnancy. Predisposing factors for back pain include uterine growth which causes changes in posture, weight gain, the influence of the relaxin hormone on ligaments, previous history of back pain, parity and activity. Research Objective: to determine the effect of progressive muscle relaxation on lower back pain in third trimester pregnant women at the Malifut Community Health Center. This type of research is experimental research involving one group of subjects with a pre-experimental approach, one group pretest posttest design. The respondents for this research were 30 people. Purposive sampling technique. Results: This study showed that 30 respondents who had not been treated with progressive muscle relaxation techniques experienced moderate pain as many as 18 people (60%) and experienced mild pain as many as 12 people (40%). Shows that 30 people (100%) experienced a reduction in pain. The results after it was discovered that the Wilcoxon test was carried out above the P value = 0.000 (< 0.05) so that there was a significant difference between lower back pain before the relaxation intervention was given. Advice for pregnant women who experience levels of pain is to carry out progressive muscle relaxation to reduce the level of lower back pain  

Healthy latrines are an important sanitation facility that aims to maintain environmental health and improve public health in general. However, in Aster Hamlet ownership of healthy latrines is still low. Of the 345 families in Aster Hamlet, only 73 have healthy toilets, leaving 272 other families who do not. The habit of defecating into the river is a common practice there, considering that most of the houses are located near the river The aim was to identify factors related to the behavior of using healthy toilets in Aster Hamlet. This research used a cross-sectional design. The research population was 345 heads of families. The research sample was taken from 73 heads of families who had healthy latrines using total sampling technique. The analysis carried out included univariate, bivariate and multivariate analysis to gain a comprehensive understanding of the factors that influence healthy latrine use behavior. The results showed that all the variables studied, namely knowledge (p = 0.003), attitudes (p = 0.000), facilities and infrastructure (p = 0.002), and water availability (p = 0.000), had a significant relationship with latrine use behavior. Healthy. In particular, the most related variable is water availability, with the highest Exp(B) value of 2.505. This shows the importance of the water availability factor in influencing the behavior of using healthy latrines in Aster Hamlet, Village      

The main cause of the bleeding trimester is KET, abortion and molar pregnancy. KET occurs when products of conception implant, grow and develop beyond the normal endometrium. Genesis KET is the largest gynecological cases which is third in hospitals Bangkinang years 2019. There are some predisposing factor KET them are maternal age, maternal parity, KET Previous history and history of hormonal contraceptive use. The research objective was to determine the factors predisposing KET in space Bangkinang Obstetrics Hospital in 2019. Methode performed using analytical research with case control study design with a population of 314 mothers then retrieved a sample of 62 mothers who consisted of 31 mothers in the sample cases were taken using purposive sampling and 31 mothers as a control sample taken using systematic random sampling technique. The analysis used were univariate and bivariate using Chi Square test, it was found that four independent variables (age, parity, previous KET history and history of hormonal contraception has a significant relationship to the occurrence of KET for the value pvalue < a (0.05) . Hoped that staff health can provide antenatal care according to the standard so that if there is a sign of danger to the mother can be immediately detected.

Components that influence the use of health services are based on Andersen's (1995) theory which explains that there are three main factors that influence a person's actions in using health services, namely predisposing factors, enabling factors and need. The aim of this research is to analyze the factors that influence the utilization of Antenatal Care services at the Pargarutan Tapanuli Selatan Community Health Center. 1 Utilization of antenatal care services Utilization of antenatal care services. ANC utilization is the use of ANC services by pregnant women to check their pregnancy at a health service center in accordance with the provisions for the use of antenatal care services, namely, once in the first trimester, once in the second trimester, and at least twice in the third trimester. The type of research used in this research is quantitative research with a cross-sectional research design. The variable that has no effect on the use of ANC services is the work variable with a p value = 0.354 (>0.05). The attitude variable has a 2 times greater influence (with a value of Exp(B)= 2.566) on utilizing ANC services than the variable of knowledge and family support for pregnant women to pay attention to their womb by carrying out ANC checks at health services regularly so that it can be monitored by health workers.    

Abstract.Hypertension is one of the main risk factors for heart problems. Apart from causing heart failure, hypertension can also result in kidney failure and cerebrovascular disease. This disease is often called the silent killer because there are no symptoms and without realizing it, sufferers experience complications in vital organs. This study aims to assess factors influencing adherence to taking anti-hypertensive medication in hypertensive patients at the Pekkae Community Health Center. This research presents the characteristics of respondents, Univariate data analysis of each variable to see the relationship between the Independent Variable and the Dependent Variable using the Chi-Square test. Based on the results of research conducted in the Pekkae Community Health Center working area, it was found that there was a relationship between predisposing factors including knowledge, beliefs, values ​​and attitudes towards compliance with taking antihypertensive medication for hypertension sufferers at the Pekkae Public Health Center, Barru Regency.

Antenatal care visits are influenced by two main factors. Based on the theory of Lawrence Green (1980), namely behavioral factors (behavioral causes) and factors outside of behavior (non-behavioral causes). Furthermore, the behavior itself is determined or formed from three factors, namely predisposing factors including age, level of education, parity of pregnant women, employment status, knowledge of pregnant women and attitudes of pregnant women. Enabling factors include family income, distance from residence and information media. Reinforcing factors include husband/family support. The aim of this research is to determine the factors that influence ANC visits at the South Tapanuli Pargarutan Community Health Center in 2023. This research method is analytical with a cross sectional approach with quantitative methods. The results of the research conducted showed that the number of respondents who had a negative attitude was 42 people and 31 people ( 73.8%) did not regularly make ANC visits, while 18 respondents who were positive and 14 people (77.8%) had regular antenatal visits. The RP value obtained was 3.32 (95%CI=1.37 - 8.03) indicating that mothers who had a negative attitude were 3.32 times more likely to have irregular ANC visits. People who have the principle of always living a healthy life will do anything for their health, especially for the fetus and pregnant mother. part of their family and life, one of which is by making good ANC visits  

Erysipelas is an infection of the nonnecrotic superficial skin accompanied by lymphangitis. This infection will cause a clinical picture in the form of well-defined erythematous plaques. Most cases of erysipelas are caused by bacteria, most often the normal skin flora such as Streptococcus bacteria but erysipelas can also be caused by S. aureus and group C or G Streptococcus. Erysipelas can occur at any age. Erysipelas is closely related to the patient’s physical condition and cellular immune status which underlies or facilitates the occurrence of infections, including chronic systemic diseases suffered by these patients, such as diabetes mellitus, immunocompromised states. The lower extremities are the most common predilection for erysipelas. Most erysipelas patients come for treatment with the main complaint of swelling, redness, and pain experienced by the patient accompanied by other complaints such as burning and itching which are predisposing factors to the occurrence of this infection. The diagnosis of erysipelas is based on anamnesis, physical examination and laboratory tests. The management of erysipelas is the administration of antibiotics and wound care.