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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.

Chemical exposure during the dyeing process in the Textile industry has the potential to cause health problems, particularly allergic reactions mediated by Immunoglobulin E (IgE). Non-compliance with the use of Personal Protective Equipment (PPE) may increase the risk of chemical exposure through inhalation and skin contact, thereby triggering an allergic immune response characterized by elevated total IgE levels in the blood. This study aimed to determine the relationship between compliance with the use of Personal Protective Equipment (PPE) and total Immunoglobulin E (IgE) levels among Textile industry workers. This research was an analytic observational study with a cross-sectional design. The sample consisted of 15 Textile industry workers who met the inclusion and exclusion criteria, selected using purposive sampling technique. Data on PPE compliance were obtained through questionnaires and interviews, while total IgE levels were measured using the Electrochemiluminescence Immunoassay (ECLIA) method. The relationship analysis was conducted using Fisher’s Exact test. The results showed a significant relationship between PPE compliance and total IgE levels (p<0.05). It can be concluded that there is a significant association between compliance with the use of Personal Protective Equipment and total Immunoglobulin E (IgE) levels among Textile industry workers.

Cutaneous fungal infections caused by Malassezia furfur remain a significant health concern in tropical regions, highlighting the need for safe and effective alternative therapies. Moringa oleifera L. leaves are reported to contain various secondary metabolites, including flavonoids, tannins, and saponins, which exhibit potential antifungal activity. This study aimed to develop a topical suspension formulation of Moringa oleifera leaf extract and to evaluate the effect of varying extract concentrations on the physical characteristics of the preparation. An experimental method was employed using four formulations: F0 as the control, and F1, F2, and F3 containing 9%, 10%, and 11% extract, respectively. Evaluation parameters included organoleptic properties, homogeneity, pH, viscosity, and adhesiveness, as well as stability testing using a cycling test method for 12 days. The results demonstrated that all formulations exhibited good organoleptic characteristics, homogeneity, and viscosity. The pH values remained within the acceptable range for skin preparations, although slight fluctuations were observed during storage. Adhesiveness also showed variations across several testing cycles. Overall, the formulations met acceptable physical quality criteria and demonstrated potential for further development as topical suspensions; however, formulation optimization is still required to enhance stability during storage.

Cutaneous fungal infections caused by Malassezia furfur remain a significant health concern in tropical regions, highlighting the need for safe and effective alternative therapies. Moringa oleifera L. leaves are reported to contain various secondary metabolites, including flavonoids, tannins, and saponins, which exhibit potential antifungal activity. This study aimed to develop a topical suspension formulation of Moringa oleifera leaf extract and to evaluate the effect of varying extract concentrations on the physical characteristics of the preparation. An experimental method was employed using four formulations: F0 as the control, and F1, F2, and F3 containing 9%, 10%, and 11% extract, respectively. Evaluation parameters included organoleptic properties, homogeneity, pH, viscosity, and adhesiveness, as well as stability testing using a cycling test method for 12 days. The results demonstrated that all formulations exhibited good organoleptic characteristics, homogeneity, and viscosity. The pH values remained within the acceptable range for skin preparations, although slight fluctuations were observed during storage. Adhesiveness also showed variations across several testing cycles. Overall, the formulations met acceptable physical quality criteria and demonstrated potential for further development as topical suspensions; however, formulation optimization is still required to enhance stability during storage.

Diabetes Mellitus Type II is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. Globally, the number of people with diabetes in 2024 is estimated to reach 800 million, with more than 95% being Type II Diabetes Mellitus. At RSUD Prof. M. Yamin, SH Pariaman in 2025, there were 189 recorded cases of Type II Diabetes Mellitus without complications. The purpose of this scientific paper is to provide nursing care to a patient with Type II Diabetes Mellitus in the Internal Medicine Ward of RSUD Prof. M. Yamin, SH Pariaman. The method used is a case study with a nursing process approach, including observation, interviews, physical examination, and data collection from medical records. This study was conducted in the internal ward for 5 days, from February 6, 2026 to February 10, 2026, with the subject Mrs. N. The assessment results identified nine nursing problems: unstable blood glucose levels, acute pain, impaired skin/tissue integrity, ineffective peripheral perfusion, impaired physical mobility, sleep pattern disturbance, fatigue, risk of infection, and risk of nutritional deficit. The evaluation after 5 days of nursing care showed that five diagnoses were resolved, namely unstable blood glucose levels, ineffective peripheral perfusion, fatigue, risk of infection, and risk of nutritional deficit. Meanwhile, the other four diagnoses were not fully resolved but showed improvement. It is expected that the patient and family will maintain adherence to a healthy lifestyle, therapy, diet, and regular follow-up in order to prevent complications.

Allergic rhinitis (AR) is a chronic inflammatory disorder of the nasal mucosa mediated by immunoglobulin E (IgE) in response to allergen exposure. This condition has become a significant global health concern because of its increasing prevalence and substantial impact on quality of life, sleep, cognitive function, and work productivity. AR is also commonly associated with other atopic diseases, including asthma and atopic dermatitis. This article aims to review the current understanding of allergic rhinitis, focusing on epidemiology, pathophysiology, clinical manifestations, diagnostic approaches, and evidence-based management strategies. This study used a narrative literature review method by analyzing scientific articles, clinical guidelines, and peer-reviewed journals published between 2015 and 2025. Literature sources were obtained from PubMed, Google Scholar, and relevant medical databases using keywords related to allergic rhinitis, IgE, diagnosis, and immunotherapy. The findings indicate that allergic rhinitis involves complex immune mechanisms characterized by Th2 lymphocyte activation, IgE production, and inflammatory mediator release. Diagnosis is primarily established clinically and supported by allergy testing such as skin prick tests or serum-specific IgE measurement. Intranasal corticosteroids remain the first-line therapy for moderate to severe cases, while antihistamines and leukotriene receptor antagonists are used as adjunctive therapies. Allergen immunotherapy has shown effectiveness in modifying disease progression and improving long-term outcomes. In conclusion, allergic rhinitis is a manageable chronic disease that requires a comprehensive and individualized treatment approach involving environmental control, pharmacotherapy, and immunotherapy.

School-age children are vulnerable to environmental-based diseases due to suboptimal hygiene practices and inadequate school sanitation. Lack of handwashing habits, maintaining personal hygiene, and choosing safe foods can increase the risk of diarrhea, respiratory infections, worms, and skin diseases. This community service activity aims to increase students' knowledge and awareness regarding clean and healthy living behaviors, personal hygiene, and food hygiene and sanitation. The method used was a one-day counseling through interactive lectures, discussions, educational video screenings, and demonstrations of proper handwashing and tooth-brushing practices. The results of the activity showed an increase in student participation and understanding of the importance of maintaining personal hygiene and the school environment. It was concluded that the counseling was effective in increasing students' knowledge and awareness, so ongoing support is needed so that clean and healthy living behaviors can be implemented consistently at school and at home.

The use of synthetic pesticides in the agricultural sector remains the primary choice for farmers in Indonesia due to their high effectiveness, but their massive use has negative impacts on human health and the environment. Therefore, there is a need for environmentally friendly and sustainable pesticide innovations. Red onion peel waste with the addition of TiO₂ nanotechnology is a strategic development step as a solution to the dangers of synthetic pesticides. Red onion peel contains bioactive compounds such as acetogenin, squamocin, gibberellin, cytokinin, and abscisic acid, which have the potential to be natural pest control agents. The process of making organic pesticides is carried out through the maceration of onion skins, followed by the addition of TiO₂ nanoparticles that act as photocatalytic catalysts to increase pesticide effectiveness and degrade synthetic pesticide residues. The development of these organic pesticides is in line with the principles of Green Chemistry, particularly designing safer chemicals, catalysis, design for degradation, and real-time pollution prevention. Through the implementation of strategic steps such as research, testing, socialization, and continuous evaluation, TiO₂ nanotechnology-based organic red onion peel pesticides have the potential to become a safe, effective, and environmentally friendly alternative in supporting sustainable agriculture in Indonesia.

Ballast water plays a crucial role in maintaining ship stability during shipping, but it also carries environmental and human health risks due to the heavy metals it carries. This study aims to examine the health risks posed by exposure to heavy metals in ballast water and to assess the effectiveness of management practices implemented in the maritime industry. Using a literature review method, this study examines various scientific sources related to the content of heavy metals such as lead (Pb), cadmium (Cd), copper (Cu), and zinc (Zn) in ballast water, as well as their impacts on human health and marine ecosystems. The results indicate that heavy metals in ballast water can cause long-term toxic effects such as neurological disorders, kidney damage, and respiratory and reproductive disorders. The greatest risk is experienced by maritime workers who are directly exposed through inhalation or skin contact during the ballast water sampling and processing process. To minimize these risks, strict work safety protocols, improved ballast water treatment technology, and regular monitoring of heavy metal levels are required. Thus, this study emphasizes the importance of strengthening ballast water management policies and practices that are oriented towards human health and environmental sustainability.  

Leprosy remains a significant public health problem in various developing countries, including Indonesia. This disease is caused by Mycobacterium leprae, which attacks the skin and peripheral nerves and can cause long-term physical, psychological, and social impacts if not treated early and adequately. Health-seeking behavior in leprosy patients is also influenced by structural factors such as the availability of health facilities, distance, transportation costs, and the quality of communication between health workers and patients. Research in various endemic countries confirms that friendly, accessible primary health care services that provide comprehensive education can improve early detection and therapy adherence. Patient SA, an 11-year-old child diagnosed with multibacillary (MB) leprosy and has been undergoing treatment for four months. The progression of the disease to MB indicates limitations in early symptom recognition and the family's health-seeking behavior, which may be influenced by low perceptions of disease susceptibility and severity, lack of knowledge, and barriers to accessing health services. However, after the diagnosis was confirmed and education provided by health workers, positive behavioral changes occurred, indicated by the patient's adherence to routine therapy as recommended.

The increasing use of facial cosmetics among adolescents and young adults is not always accompanied by adequate cosmetic literacy, potentially leading to skin health problems. Many consumers choose products based on trends without understanding their skin type, ingredients, and safety aspects, which can lead to skin barrier damage, irritation, and long-term dermatological disorders. This study aims to analyze the influence of cosmetic choices on facial skin health through a literature review. The method used was a qualitative literature study with a purposive sampling technique of scientific articles published between 2015 and 2025 that were relevant to the behavior of adolescents and young adults and the impact of cosmetic ingredients on the skin. Data were analyzed using content analysis to identify the relationship between knowledge, attitudes, and cosmetic choices. The results show that cosmetic knowledge tends to be high, but is not always followed by appropriate selection behavior, with varying correlation strengths. These findings confirm that cosmetic literacy contributes to the tendency to choose more appropriate products, but is not the sole determining factor. Therefore, education is needed that emphasizes cognitive aspects while fostering critical attitudes in choosing cosmetics safely and responsibly.

Fishermen face a high risk of occupational health problems, including skin diseases and infections, due to exposure to extreme marine environments and poor personal hygiene practices in their daily work activities.3 These skin diseases can include contact dermatitis, fungal infections, bacterial infections, and other chronic skin disorders that affect fishermen's work productivity and quality of life.5 This Community Service Research aims to improve fishermen's knowledge, awareness, and skills in implementing effective personal hygiene practices through health education and practical preservation. The methods used were field observation, initial health surveys, health education, and reflection on personal hygiene practices as promotive-preventive interventions. The results showed an increase in participants' understanding of the importance of hand and body hygiene, and the care of minor wounds after the intervention. This activity was concluded to be effective and is recommended for continuous implementation for fishermen in coastal areas.

Herpes zoster is a skin infection caused by the reactivation of the varicella-zoster virus, characterized by unilateral skin lesions corresponding to dermatome distribution and complaints of pain or itching. This disease is more common in adults and the elderly, especially in individuals with reduced immunity due to stress or work overload. A case was reported of a 40-year-old woman who worked as a nurse and came to a primary health care facility complaining of itching and red spots on her right breast area that had spread to the surrounding area two weeks before the examination and had worsened in the last few days. Physical examination revealed unilateral red skin lesions in a dermatomal pattern without crossing the midline of the body, consistent with the early phase of herpes zoster. Management was comprehensive, including medication, patient education about the disease and skin care, prevention of complications, and family support. A holistic approach is necessary to improve the success of therapy and the patient's quality of life.

The use of cosmetics, especially day creams, is increasing along with the high public interest in facial skin care. However, day cream products are still found to potentially contain hydroquinone, a skin whitening agent whose use is restricted because it can cause harmful side effects on skin health. This study aims to identify the presence and determine the levels of hydroquinone in day cream products circulating in District X, Sukoharjo Regency, and to assess their compliance with the regulations of the Food and Drug Monitoring Agency (BPOM). This study was a descriptive analytical study using a purposive sampling technique. A total of 15 day cream products were analyzed, consisting of 8 BPOM-registered products and 7 products not registered with BPOM. Qualitative analysis was conducted using color reaction tests with FeCl₃, Benedict’s, and o-phenanthroline reagents. Furthermore, quantitative analysis was performed using the High Performance Liquid Chromatography (HPLC) method to accurately and specifically confirm the presence and determine the levels of hydroquinone. The results showed that the color reaction test has limitations in specifically identifying hydroquinone. HPLC confirmation revealed the presence of hydroquinone in several day cream samples, with concentrations ranging from 0.024% to 0.150%. These findings indicate the need for stricter monitoring of day cream distribution to ensure the safety of cosmetic products for the wider public.

This study examines the utilization of Aloe vera as a herbal medicine by the community of Sobawagoli Village, Indonesia. The research aims to document local knowledge related to the processing, application, and perceived benefits of Aloe vera in traditional healthcare practices. A qualitative descriptive approach with a case study design was employed. Data were collected through direct field observations, in-depth interviews with community members, and documentation of preparation methods. The findings reveal that Aloe vera is widely used for both internal and external treatments, including digestive disorders, internal heat, hypertension, burns, skin inflammation, and natural skin and hair care. The plant is processed through simple methods such as boiling, blending, and direct topical application, reflecting the accessibility and practicality of herbal medicine in rural settings. Community perceptions toward Aloe vera are highly positive, viewing it as a safe, effective, and culturally embedded alternative to chemical medicines. These practices are supported by empirical experiences and align with recent scientific studies highlighting the therapeutic properties of Aloe vera. The study underscores the importance of preserving indigenous herbal knowledge and integrating it with modern health education to promote sustainable, community-based healthcare systems.

Skin diseases are common health problems in boarding school environments due to communal living conditions. The implementation of Clean and Healthy Living Behavior (PHBS) plays an important role in preventing skin diseases and can be strengthened through pharmaceutical education. This study aimed to determine the relationship between PHBS knowledge based on pharmaceutical education and skin disease prevention behavior among Islamic boarding school students. This study employed an analytic observational design with a cross-sectional approach. A total of 31 students were included using a total sampling technique. Data were collected using structured questionnaires and analyzed using appropriate bivariate statistical tests. The results showed that most respondents had a high level of PHBS knowledge (61.29%) and good skin disease prevention behavior (58.06%). Bivariate analysis revealed a significant relationship between PHBS knowledge and skin disease prevention behavior (p < 0.05). This study concludes that PHBS knowledge based on pharmaceutical education is associated with skin disease prevention behavior among boarding school students. Continuous pharmaceutical education is recommended as a promotive and preventive strategy to improve students’ health in boarding school settings.

Personal hygiene is an essential factor in maintaining the health and quality of life of the elderly, as aging is often accompanied by a decline in physical strength, mobility, and cognitive function that can reduce the ability to maintain personal cleanliness independently. Limited understanding of the importance of personal hygiene may increase the risk of infections, skin disorders, and other health complications, making education and awareness crucial for promoting better hygiene behavior. This study used a descriptive correlational design with a cross-sectional approach involving 204 elderly individuals residing at the Pucang Gading Elderly Social Service Home in Semarang and Wening Wardoyo Ungaran, with 135 respondents selected using a non-probability sampling technique. Data were collected using validated and reliable questionnaires measuring the level of understanding and personal hygiene practices and were analyzed using the Somers’d statistical test. The results showed that most respondents were female (60%) and aged between 70–79 years (48.9%). The level of understanding of personal hygiene among the elderly was predominantly in the moderate category (72.6%), and their personal hygiene practices were also mostly categorized as moderate (72.6%). Statistical analysis revealed a p-value of 0.000 (<0.05) with a correlation coefficient (r) of 0.472, indicating a positive and significant relationship between the level of understanding and personal hygiene practices. These findings suggest that improving knowledge through continuous education and guidance from health workers is necessary to enhance awareness, independence, and hygiene behavior among the elderly.

Dermatitis is a common skin disease that can be influenced by various internal and external factors. According to the Puskesmas Sungai Iyu report for 2023-2024, there were 180 cases of dermatitis. This study aims to analyze the factors associated with dermatitis symptoms among shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The independent variables studied include contact duration, years of employment, personal hygiene, and the use of Personal Protective Equipment (PPE), while the dependent variable is dermatitis symptoms, including itching, redness, and rashes. The method used was a correlational analytic study with a cross-sectional design, involving 54 respondents from a total of 112 shrimp pond workers in the village as samples. The population in this study consists of all shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The results show that there is no significant relationship between  the use of PPE (p-value = 0.047) and personal hygiene (p-value = 0.002) with dermatitis symptoms. In conclusion, factors associated with dermatitis symptoms in shrimp pond workers are personal hygiene, and the use of PPE. It is recommended that shrimp pond workers increase the use of PPE, practice good personal hygiene, and limit the duration of contact with pond water to reduce the risk of dermatitis.  

Aceh Tamiang Regency is an area with a high risk of annual flooding. This emergency condition often triggers a surge in environment-related diseases such as skin diseases, respiratory infections, and diarrhea. The success of managing health crises heavily depends on pharmaceutical logistics management, especially the availability of essential medicines and ease of access for refugees at evacuation points. This study aims to analyze the extent of medicine availability at community health centers and health posts, as well as to evaluate the barriers to medicine accessibility for flood victims in Aceh Tamiang Regency. This study uses a qualitative/quantitative descriptive method (choose one) with a case study approach. Primary data were collected through in-depth interviews with pharmaceutical logistics officers and surveys of flood survivors. Secondary data were obtained from the drug stock reports of the Aceh Tamiang District Health Office. Analysis was conducted on variables such as drug types, stock amounts (Buffer Stock), and distribution channels during the emergency response period. The results of the study indicate that the availability of drugs in the initial disaster phase tends to be (state the prediction, e.g., sufficient/limited). However, accessibility is often hindered by damaged road infrastructure and uneven distribution to remote posts. There is an urgent need to strengthen the logistics early warning system so that the types of medicines available match the disease patterns that emerge after floods. Although medicine stocks are generally available in central pharmacy warehouses, geographical constraints and distribution coordination are the main factors hindering accessibility. It is recommended that local governments map out alternative distribution routes and provide disaster-specific buffer stock of medicines at the sub-district level.

The elderly are highly susceptible to ascariasis infection because, in addition to the occurrence of immunosenescence, helminths possess the ability to evade host immune responses, making them difficult to eradicate. This community service activity aimed to improve health literacy and early detection of diseases among the elderly in Pejaten, South Jakarta, with a specific focus on Ascariasis. The program was successfully attended by approximately 70 residents, where a medical team from the Faculty of Medicine and Health conducted comprehensive health history assessments and free medical check-ups. This education proved vital as a catalyst for behavioral change, shifting the community's initial perception that worm infections only affect children to an understanding that adults and the elderly are also at high risk. Through health screenings, residents also gained critical insights into their physical condition, including blood pressure, heart, lung, digestive, and skin health, as well as identifying personal risk factors for Ascariasis.