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Dysphagia in extremely elderly patients represents a significant clinical challenge because it is frequently associated with frailty, malnutrition, and an increased risk of aspiration. Multifactorial etiologies and atypical clinical manifestations may complicate diagnosis and delay appropriate management. This study aimed to describe the diagnostic evaluation and clinical findings of dysphagia in an extremely elderly patient through a case report supported by a scoping review. A 105-year-old woman with chronic progressive dysphagia underwent comprehensive assessment, including physical examination, upper gastrointestinal endoscopy, histopathological evaluation, and chest radiography. Relevant literature on dysphagia in geriatric populations was reviewed to provide contextual understanding of diagnostic challenges and underlying etiologies. The evaluation revealed chronic active gastritis and a hamartomatous polyp in the gastroesophageal region without evidence of malignancy. Comprehensive assessment successfully excluded malignant and acute obstructive causes, emphasizing the complexity of dysphagia diagnosis in extremely elderly individuals with frailty and aspiration risk. These findings underscore the importance of endoscopic and histopathological examinations in distinguishing benign from malignant etiologies and support early recognition of multifactorial non-malignant causes to optimize clinical management and reduce the risk of adverse outcomes in this vulnerable population

Postoperative pain is a prevalent condition encountered by patients after surgical interventions and may negatively influence physical recovery as well as psychological well-being when inadequately managed. Conventional pain management strategies that primarily depend on pharmacological agents may lead to undesirable side effects, thereby emphasizing the importance of complementary non-pharmacological approaches. One intervention increasingly applied in nursing care is guided imagery. This review aimed to systematically evaluate the effectiveness of guided imagery in alleviating pain intensity among postoperative patients. A scoping review methodology was employed, with article identification guided by the PICO framework across national and international academic databases. Eligible studies included full-text research articles published within the past five years, written in either Indonesian or English, and specifically examining the use of guided imagery in postoperative settings. A total of ten studies met the inclusion criteria and were subjected to in-depth analysis. The results consistently demonstrated a significant reduction in pain intensity following the implementation of guided imagery across various surgical procedures, including cesarean delivery, appendectomy, fracture surgery, cholelithiasis, and abdominal operations. The intervention, delivered for 10–20 minutes per session, effectively reduced pain levels from moderate to severe to mild, with statistically significant outcomes (p < 0.05). Moreover, guided imagery was found to enhance patient relaxation, comfort, and psychological stability. These findings indicate that guided imagery represents a safe and effective non-pharmacological nursing intervention that can be integrated into evidence-based postoperative pain management.  

Cold compresses or cryotherapy are one of the non-pharmacological therapies often used in nursing practice to help reduce pain, especially in patients with fractures. Fractures are often accompanied by acute pain that can inhibit mobilization, prolong recovery time, and reduce patient comfort. Therefore, a safe, effective, and easy-to-use pain management method is needed. This article was compiled with the aim of identifying and mapping scientific evidence regarding the effectiveness of cold compresses in reducing pain intensity in fracture patients. This study used the Arksey and O'Malley model in conducting the analysis, with articles searched through PubMed, ScienceDirect, and Google Scholar for the 2021–2025 publication period. The article selection process followed the PRISMA flow. A review of ten articles showed that most studies used quantitative designs, both experimental and quasi-experimental. The results of the analysis of 11 articles consisted of 8 quantitative articles with experimental and quasi-experimental designs, while 2 articles were case studies. These articles generally discuss the effectiveness of cold compresses in reducing pain intensity in fracture patients using various measurement instruments, such as NRS, VAS, Wong-Baker Faces Scale, and Bourbanis Pain Scale. In addition to reducing pain, several studies also reported that cold compresses can reduce edema, increase mobility, and improve patient comfort. However, variations in the duration, frequency, and method of cold compress application were still found, so there is a need to develop a more standardized protocol in nursing practice.

Postoperative pain is a common clinical condition experienced by patients after surgical procedures and may hinder the recovery process if not properly managed. In addition to pharmacological therapy, safe and effective non-pharmacological interventions are needed, one of which is early mobilization. This study aimed to analyze the effect of early mobilization on pain reduction in postoperative surgical patients. A scoping review method was conducted based on the Arksey and O’Malley framework. Literature searches were performed using ScienceDirect, PubMed, and Google Scholar databases with a PICO strategy, including articles published within the last five years. From a total of 167,948 identified articles, 10 studies met the inclusion criteria and were included in the analysis. The results showed that early mobilization performed gradually and according to patients’ clinical conditions had a significant effect on reducing postoperative pain intensity. In addition, early mobilization was associated with improved comfort, enhanced functional recovery, and faster postoperative rehabilitation without increasing the risk of complications. Although variations were found in the timing and type of mobilization across studies, overall evidence supports that early mobilization is safe and effective. In conclusion, early mobilization can be recommended as an evidence-based nursing intervention for postoperative pain management.

Postoperative nausea and vomiting (PONV) is one of the most common complications following surgery under general anesthesia, with an incidence of 20–70% in the general population and exceeding 80% in high-risk patients. PONV can reduce patient comfort, delay recovery, and increase the risk of dehydration, electrolyte imbalance, and surgical wound dehiscence. This article aims to analyze the effectiveness of single antiemetic therapy compared with combination antiemetic therapy in reducing the incidence of PONV in adult patients after general anesthesia, based on evidence from randomized controlled trials (RCTs). This study applied the Arksey and O’Malley framework for analysis. Literature was obtained from ScienceDirect, PubMed, and the Cochrane Library, published between 2020 and 2025. Identification and selection of studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Moher et al., 2009). A total of 10 articles were included and analyzed, focusing on outcomes such as the incidence of nausea and vomiting, complete response rates, and the need for rescue antiemetic therapy. The findings indicate that single antiemetic therapy remains effective in low-risk patients, whereas combination antiemetic therapy with multiple mechanisms of action provides more optimal protection, particularly in high-risk patients. These results provide an evidence-based foundation for healthcare professionals in selecting the most effective PONV prevention strategies according to individual patient risk and clinical conditions.

Postoperative pain is a common physiological response following surgical procedures, and its suboptimal management can have physiological and psychological effects, including sleep disturbances, decreased functional capacity, increased anxiety, and deterioration in quality of life. This scoping review aims to describe the empirical evidence regarding the effectiveness of music therapy in reducing the intensity of postoperative pain in surgical patients. A systematic search was conducted through four major databases (ScienceDirect, PubMed, Neliti, and Google Scholar) using Boolean operators and keywords such as ‘postoperative pain,’ ‘music therapy,’ and ‘pain scale.’ Inclusion criteria included articles published in the last decade, in English or Indonesian, and available in full text format. In accordance with PRISMA-ScR guidelines, this review analysed 10 articles. The synthesis of results showed that music therapy consistently reduced pain intensity, anxiety, and analgesic requirements through mechanisms such as increased endorphin secretion, decreased stress hormone levels, and activation of the gate control theory. Typically administered for 15–30 minutes, music therapy is a safe, cost-effective, and patient-acceptable non-pharmacological modality. This intervention is recommended as an adjunct component in perioperative pain management in nursing practice, although further standardised research is needed to improve consistency.

Hypotension following spinal anesthesia is a frequent perioperative complication, particularly among pregnant patients, with an incidence ranging from 60% to 80%. This condition may compromise uteroplacental perfusion and pose serious risks to both mother and fetus. Leg elevation represents a simple, safe, inexpensive, and effective non-pharmacological intervention that functions through gravitational autotransfusion, enhancing venous return and improving cardiac output. This scoping review was conducted using the Joanna Briggs Institute (JBI) methodology and the PRISMA-ScR framework, guided by the PICO approach. The population included adult patients undergoing spinal anesthesia, with the intervention consisting of elevating the legs at an angle of 20–30° or approximately 30 cm for 10–15 minutes, compared with the standard supine position. Literature searches were performed through PubMed  and Google Scholar, focusing on primary studies published within the last five years. Of the 130 articles identified, 10 met the inclusion criteria and were analyzed descriptively. The findings demonstrate that leg elevation significantly increases systolic and diastolic blood pressure as well as mean arterial pressure (MAP), while reducing the incidence of post-spinal hypotension. The technique also decreases vasopressor requirements without notable adverse effects, particularly in obstetric populations. Based on the available evidence, leg elevation is recommended as an effective and feasible initial non-pharmacological strategy for preventing hypotension after spinal anesthesia, especially in resource-limited clinical settings, with an optimal elevation of 20–30° for 10–15 minutes.

Intraoperative hypotension, particularly during spinal anesthesia in cesarean sections or major surgeries, is a common complication that can adversely affect maternal hemodynamics and organ perfusion, including fetal circulation. Vasopressors such as norepinephrine, phenylephrine, and ephedrine are widely used to manage this condition. This study employed a scoping review, defined as a type of research synthesis aimed at mapping the literature on a specific topic or field, providing an opportunity to identify key concepts, research gaps, and types and sources of evidence to inform clinical practice, policy-making, and further research. A systematic search was conducted across 10 recent experimental and clinical studies evaluating the effectiveness and safety of vasopressors in adult patients, particularly ASA I–II parturients, during surgical procedures. The results indicate that norepinephrine tends to maintain blood pressure with a lower incidence of tachycardia compared to ephedrine, while phenylephrine effectively prevents systemic vascular resistance decline but may reduce heart rate and cardiac output in a dose-dependent manner. Effects on fetal cerebral perfusion and cerebral oxygenation were generally similar across vasopressors. No significant differences were observed in neonatal Apgar scores or maternal complications. In conclusion, norepinephrine and phenylephrine are effective alternatives for managing intraoperative hypotension, whereas ephedrine increases cardiac output but may elevate the risk of tachycardia. Selecting the appropriate vasopressor is crucial to ensure maternal and neonatal safety.

Disasters are global phenomena that continue to increase in both frequency and impact, posing serious challenges to health systems worldwide. One of the crucial components in disaster management is the preparedness of Emergency Medical Services (EMS) during the pre-hospital phase, which determines the speed and effectiveness of the initial medical response. However, multiple studies indicate that EMS preparedness and response capacity remain suboptimal, particularly in areas such as personnel training, intersectoral coordination, communication systems, infrastructure, and policy support. This study aims to map the preparedness and emergency response capacity of EMS in disaster situations using a scoping review approach. The research follows the methodological framework of Arksey and O’Malley (2005), which includes formulating research questions, conducting literature searches, selecting relevant studies, extracting data, and synthesizing findings. Literature searches were conducted through PubMed, ScienceDirect, Cochrane Library, and Google Scholar databases. From 114 identified records, 12 studies met the inclusion criteria. The review reveals that EMS disaster preparedness varies across countries. The main factors influencing EMS response capacity include: (1) training and competency development of EMS personnel, (2) effectiveness of interagency coordination and communication, (3) availability of medical facilities and infrastructure, (4) national policy and system support, and (5) the use of technology to enhance response efficiency. This scoping review underscores the need for stronger national policies, improved cross-sectoral coordination, and sustainable capacity-building programs to enhance the effectiveness of EMS in disaster response, particularly in developing countries such as Indonesia.

Anesthesiology and emergency care require rapid and accurate clinical decision-making. Artificial intelligence (AI) offers substantial potential to support triage, monitoring, and decision-making in critical and emergency anesthesiology settings. This scoping review maps the use of AI in clinical decision-making and emergency patient management in anesthesiology and identifies existing research gaps. A literature search was conducted in ScienceDirect, PubMed, Cochrane Library, and Google Scholar for articles in Indonesian or English published between 2020 and 2025. Study selection followed Tricco’s scoping review framework, and methodological quality was assessed using Joanna Briggs Institute (JBI) tools. Ten articles met the inclusion criteria. AI was shown to improve triage accuracy and efficiency (predictive accuracy up to 99.1% and reductions in waiting time of around 30%). Machine learning models effectively predicted critical care needs and emergency risk, while AI-based clinical decision support systems (CDSS) enhanced the speed and quality of clinical decisions. Key challenges include data bias, ethical and privacy issues, clinician readiness, and integration with hospital information systems. AI and CDSS have strong potential to improve patient safety and clinical decision-making in emergency anesthesiology. Strengthening AI literacy, supportive regulation, and transparent, context-appropriate predictive models are needed for safe and sustainable implementation.

Hypothermia during surgery is a common occurrence among pediatric patients due to their immature thermoregulation system, higher body surface area-to-weight ratio, and thinner subcutaneous fat layer. This condition can lead to several complications, including increased bleeding, coagulation disorders, surgical wound infections, and delayed healing. Prevention strategies include active and passive warming methods. The purpose of this study is to evaluate the effectiveness of active and passive warming in preventing intraoperative hypothermia in pediatric patients. A scoping review approach was applied to interpret the evidence based on predetermined inclusion and exclusion criteria, followed by data exploration, analysis, and synthesis of findings. The results indicate that active warming methods—such as forced-air warming, blanket warming, and warmed intravenous fluids—are more effective than passive warming in maintaining normothermia during surgery. Moreover, combining both approaches provides optimal prevention against hypothermia. Overall, active warming plays a vital role in stabilizing body temperature and enhancing patient safety during pediatric surgery. Therefore, its implementation should be considered a standard practice in perioperative nursing care.

Background: Maternal Mortality Rate (MMR) in Indonesia remains a significant health challenge, with the majority of deaths related to preventable pregnancy complications. Empowering pregnant women through increased knowledge and skills in early detection is a key strategy to encourage timely care seeking. Objective: To review and analyze policies and implementation of programs empowering pregnant women in early detection of complications in Indonesia over the past five years (2020–2025), including policy frameworks, implementation models, research findings related to impacts and barriers, and policy recommendations. Methods: A scoping review using the Population-Concept-Context (PCC) approach was conducted. The literature search included scientific publications, national policy documents, and program reports published between 2020–2025. Relevant works included quasi-experimental studies, program reports, and policy documents. Main results: Maternal empowerment programs are driven by national policies to improve maternal health literacy and reduce MMR. Implementation is often integrated into Pregnant Women's Classes (KIH) or through digital media. Educational interventions have shown significant improvements in maternal knowledge of danger signs, but challenges include the low quality and availability of educational materials, as well as issues with outreach to mothers in remote areas. Conclusion: Empowering pregnant women in early detection is an important policy initiative to reduce maternal mortality. However, standardization of the curriculum, strengthening the role of cadres, and increased digital support are needed to ensure equitable reach and effectiveness.

In recognition of the need for sustainable design philosophies and practices that can be incorporated into the design of new products with an environmentally sustainable perspective throughout the life cycle, this research used a scoping review approach to x-ray the utility of the Sustainable Value Framework (SVF) in enhancing the application of reinforced composite products for ecological efficiency. An extensive search was performed using the electronic databases of articles such as PubMed, Google Scholar, Scopus, and Semantic Scholar. The study selected and extracted data from the literature according to the PRISMA-SCR (Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews) to map the current literature for gaps in knowledge. The research studies show that SVF promotes the product design by incorporating characteristics such as environmental, economic, and social factors to attain optimal reduction of resources and sustainable uses of the environmental resources as well as improving the quality of the products. The study discussed the principles of sustainable value creation and their work evaluates new solutions of composite material selection, design method and technology for sustainable products. It also discusses policy drivers as well as industry and consumer practices with regards to reuse of surfaces in sustainable design. This study is beneficial to various stakeholders like the policymakers, the professionals in industries and construction, and the scholars.

Stress and burnout among healthcare workers represent a global crisis with significant implications for psychological and physical health, job performance, and interpersonal skills. These conditions are linked to anxiety, depression, suicidal ideation, substance use, poor quality of life, digestive disorders, and cardiovascular diseases. Burnout is characterized by emotional fatigue, depersonalization, and reduced personal accomplishment, often caused by chronic workplace stress. Factors such as demographics, fatigue, and resilience influence its development and severity. Traditional stress management interventions, such as counselling and leave, often prove insufficient in addressing these challenges. Recent advancements in Artificial Intelligence (AI) provide innovative tools for stress and burnout management, including mobile applications offering mindfulness, meditation, and self-care resources. AI systems like IBM Watson and Google DeepMind are being tested to enhance accessibility and effectiveness in stress management. Additionally, Stress Inoculation Training (SIT), involving methods such as meditation, yoga, cognitive-behavioural therapy, and biofeedback, has been recognized as a proactive approach to mitigating stress. This review explores the factors contributing to stress and burnout in healthcare workers and evaluates interventions aimed at improving well-being and productivity, emphasizing the potential of AI and SIT in preventing and managing these conditions.

Objective: This scoping literature review is intended to identify factors that influence Psychological well-being and see the gap synthesis of previous studies. Introduction: Students as the next generation of the nation often face various challenges, both in academic, social, and personal fields. These challenges can affect their psychological well-being, which is an important aspect in supporting the success of studies and life as a whole. Methods and analysis: This study uses 5 main stages, namely the stage of identifying questions, identifying relevant studies, selecting study results, data extraction, data synthesis. Specifically using the PCC framework and paying attention to inclusion and exclusion criteria so that the final results are obtained. Results: The results found from the data selection found a total of 8,401 articles from 1 database and duplication was done twice (in the first check using Rayyan.ai the second work during data selection with Rayyan.ai n = 807 After duplication of data selection based on inclusion exclusion criteria, 63 relevant articles were found. After manual re-detection, the final results were 13 articles that were most relevant to the research topic.    

Stress and burnout among healthcare workers represent a global crisis with significant implications for psychological and physical health, job performance, and interpersonal skills. These conditions are linked to anxiety, depression, suicidal ideation, substance use, poor quality of life, digestive disorders, and cardiovascular diseases. Burnout is characterized by emotional fatigue, depersonalization, and reduced personal accomplishment, often caused by chronic workplace stress. Factors such as demographics, fatigue, and resilience influence its development and severity. Traditional stress management interventions, such as counselling and leave, often prove insufficient in addressing these challenges. Recent advancements in Artificial Intelligence (AI) provide innovative tools for stress and burnout management, including mobile applications offering mindfulness, meditation, and self-care resources. AI systems like IBM Watson and Google DeepMind are being tested to enhance accessibility and effectiveness in stress management. Additionally, Stress Inoculation Training (SIT), involving methods such as meditation, yoga, cognitive-behavioural therapy, and biofeedback, has been recognized as a proactive approach to mitigating stress. This review explores the factors contributing to stress and burnout in healthcare workers and evaluates interventions aimed at improving well-being and productivity, emphasizing the potential of AI and SIT in preventing and managing these conditions.

Female Genital Mutilation and Injury (FGM) or female circumcision is an old practice that is still widely practiced in various parts of the world, including Indonesia. Female circumcision is a process of removing or cutting half or all of the clitoris (clitoridectomy), removing the clitoris and half or all of the labia minora (excision), or cutting some or all of the extero-genital (outer genitals) by sewing or narrowing the vaginal area (infibulation). Female circumcision currently has no medical indication and has not been proven to have health benefits. Female circumcision is still widely practiced for various reasons, both cultural traditions and religious recommendations. The purpose of this study was to determine the risk factors for female circumcision. Research methods: This type of research uses a scooping review to identify literature in depth and comprehensively obtained from various sources with various research methods and interest in the research topic. Results: The results of this study state that female circumcision has several risk factors including bleeding, bacterial infection, can cause trauma and shock and reduce sexual sensitivity and libido. Female circumcision is just a tradition or culture in society where the act has no benefits and health basis. It is expected that monitoring of female circumcision or the practice of circumcision and seeking the latest information on circumcision in girls will be carried out in order to maintain the health of the community.

Stunting is a growth disorder due to malnutrition that occurs in children under five years old. Stunting in children under five is a consequence of several factors that are often associated with poverty, including nutrition, health, knowledge and social and cultural factors. The aim of this research is to look at the factors that cause stunting in toddlers. The research method uses Scoping Review to map literature and identify problems or shadows in the research area to be studied. The results of the research show that data obtained that the number of stunting cases in Jorong Lubuk Sao can be worrying, the results of the data show that there is an average for each stunting indicator (TB, BB, LK) which indicates stunting. The intervention that has been carried out from the data above is by providing outreach and counseling regarding healthy food as well as introducing the electronic application ready for marriage and pregnancy (elsimil) to the local community, this is an accompanying screening application for prospective brides (catin), prospective couples of childbearing age (CaPUS) , pregnant women, postpartum mothers, and families with babies aged 0-59 months. The conclusion of this research is that the stunting prevalence rate in Indonesia is still above 20%, meaning it has not reached the WHO target. Influencing factors are low levels of exclusive breastfeeding, low protein energy intake, poor provision of MP-ASI, low family income, completeness of immunizations.

Introduction: Autism Spectrum Disorder (ASD) presents significant challenges in emotional regulation, often leading to behavioral difficulties such as anger outbursts, tantrums, and depression, particularly in early childhood development. Recognizing the need for effective interventions. Objective: To explore management interventions to improve emotion regulation for children with ASD. Methods: We conducted a review of interventions to improve emotion regulation for children with ASD. The search process uses appropriate populations, concepts, and contexts. The search was carried out through the PubMed, Science direct, ProQuest, and SAGE Journal databases published between 2011 - 2021. The selection process was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method. Critical assessment using The Joanna Briggs Institute checklist. Results: Of 4,157 articles, 7 articles were selected for this review. Several interventions to improve emotional regulation that can be used include Cognitive behavior therapy (CBT), Physical Activity, Stress and Anger Management Program (STAMP), and Stress and Anger Management Program (STAMP). In general, this intervention can be used to improve emotional regulation in children with ASD aged 4-17 years. Conclusion: All interventions can be used to improve emotional regulation in children with ASD

Alcohol abuse is a growing problem around the world. Especially in adolescents, alcoholic beverages are often consumed excessively for specific purposes. Looking at the problem, the question arises what influences adolescents to become addicted to alcohol, so this paper aims to find out what factors influence adolescents in Indonesia to become addicted to alcohol. This research was conducted using a descriptive literature review method. Literature was searched and found through Google Scholar with the keywords "addiction", "alcohol", "adolescents", and "alcohol". The inclusion criteria based on these keywords were (1) presenting articles in Indonesian or English, (2) published in 2018-2023, (3) discussing factors affecting alcohol addiction, and (4) downloadable. The exclusion criteria used were (1) the article was a thesis, thesis, case study, scoping review and (2) published before 2018. The results found that adolescents who are addicted to alcohol are influenced by various factors. Namely, environmental, cultural, and personal factors. Often teenagers who are addicted to alcohol are influenced by the environment.