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Hypertension is difficult for sufferers to realize because it has no specific symptoms. Hypertension in the elderly is a problem that is often found in the elderly today. One of the life habits that contributes to hypertension includes smoking and work history as triggers for hypertension in the elderly. The aim of this study was to determine the relationship between smoking behavior and work history with the incidence of hypertension in the elderly at the Internal Medicine Clinic, Graha Husada Hospital, Bandar Lampung. This type of quantitative research uses an analytical survey research design and a cross-sectional approach. The research was carried out in October 2024 at Graha Husada Hospital in Bandar Lampung. The population in this study was elderly people who suffered from hypertension with a sample size of 64 respondents. The sampling technique in this research used purposive sampling. The instruments used were questionnaires, blood pressure monitors and stethoscopes to measure blood pressure. Data analysis used the chi square test. The results of this study show that there is a relationship between smoking behavior with a p-value <0.001 (<0.05) and work history with a p-value <0.001 (<0.05) on the incidence of hypertension in the elderly. It is hoped that hospitals can provide reading media to increase patient awareness by socializing smoking behavior and reducing heavy work or doing friendly or light work so as not to trigger an increase in blood pressure.

This study aims to analyze the factors that cause smoking behavior in class XI students at SMP X Surakarta. Smoking behavior among teenagers, especially in school environments, is a significant problem, because it can affect students' physical and mental health. This research uses observation and interview methods with students who are involved in smoking behavior. The results of the research show that the main factors influencing students' smoking behavior are the influence of peers, boredom during class, and the emotional pressure or stress felt by students. Apart from that, family factors also play a role in smoking habits, such as the presence of family members who smoke. Smoking intensity varied between students, with the most frequently chosen smoking areas being hidden areas at school and home. The impacts of this behavior include serious health risks and reduced quality of life. Therefore, this research suggests increasing health education in schools, providing education to parents, strict supervision in the school environment, and providing alternative positive activities for students. It is hoped that this research will provide insight into efforts to prevent smoking among teenagers and create a healthier environment.

According to World Health Organization (WHO), about 1.3 billion people in the world were active smokers in 2020. Smoking causes more than 8 million deaths each year, of which about 1.2 million are victims who do not smoke, but are exposed to secondhand smoke. Children and adolescents are a group that is very vulnerable to the dangers of smoking. The WHO notes that about 90% of adult smokers start smoking before the age of 18. The methods used in this socialization are the lecture and question and answer method, then questionnaires are distributed before and after counseling to find out adolescents' understanding of the dangers of cigarettes. The suggestion for this activity is that students of SMAN 1 Krueng Barona Jaya, Aceh Besar Regency. This socialization activity was carried out for 1 hour. The result obtained from this socialization activity was that there was a change in students' understanding of cigarettes, in this activity was also attended by the Principal, Dewa teachers and students as many as 30 people. It will be held on Thursday, November 7, 2024 at the Hall of SMAN 1 Krueng Barona Jaya, at 09:00 WIB. This socialization activity was carried out by lecturers and students of Diploma Three Nursing.  

Teachers hold a crucial responsibility in every stage of students' development, including intellectual and spiritual growth. This role is vital in fostering students' emotional maturity, enabling them to adapt to changes and advancements in their environment. This study aims to explore the efforts of Islamic Religious Education (IRE) teachers in addressing behavioral deviations among students at SMP Negeri 03 Padang Panjang. The research employs a descriptive qualitative method by gathering information through interviews, observations, personal documents, notes, and other relevant materials. The identified forms of student behavioral deviations at SMP Negeri 03 Padang Panjang include smoking, bullying, lack of attention and concern toward teachers during lessons, failure to complete assignments, disrespectful behavior and lack of politeness, absence from congregational prayers, bringing mobile phones to school without permission, skipping classes, and using inappropriate language.

The aim of this research is to determine the role and importance of communication in implementing the smoke-free area policy in the city of Medan. National research is descriptive research, data collection techniques are carried out by reviewing the literature through collecting secondary data from relevant scientific and international journals. Data analysis uses data reduction techniques, data presentation and drawing conclusions. The results of the research show that communication in implementing the smoke-free area policy in the city of Medan has been implemented through outreach efforts or using the media, but has not worked optimally. Communication is an important aspect and indicator in the success of a public policy. Communication plays a very important role in disseminating policies and information, transmitting information, creating partnerships between policy makers and the public, gaining public support, expanding information, maintaining information ethics so as to avoid distorted information. and expanding coordination. Communication also plays a very important role in policy because it helps policy implementers know what must be done, explains the responsibilities and rights of the community so that it encourages the community to implement the smoke-free area policy in the city of Medan.  

The heart is a vital organ that plays a crucial role in the circulatory system, responsible for pumping oxygen-rich blood and nutrients throughout the body and returning blood containing carbon dioxide to the lungs. Anatomically, the heart consists of four chambers. The coronary vascular system supplies oxygen and nutrients to the heart muscles. The physiology of the heart involves the cycle of heart muscle contraction (systole) and relaxation (diastole), heart rate regulation, and the electrical conduction system that coordinates the heartbeat. Coronary artery disease (CAD) is a disorder of the coronary blood vessels due to atherosclerosis, causing narrowing or blockage of the arteries, hindering blood flow, and leading to ischemia. Prevention of CAD can be done by maintaining a healthy diet, exercising regularly, avoiding smoking, and controlling blood pressure, cholesterol, and blood sugar levels. Understanding the anatomy, physiology, and coronary artery disease is essential for maintaining heart health and preventing cardiovascular disorders.

Adolescence is a transition phase towards adulthood which is marked by physical, behavioral, cognitive, biological and emotional changes. WHO defines adolescence as the period between the emergence of secondary sexual signs to sexual maturation and the transition to independence. The concept of toxic masculinity is a problem, reinforced by the culture of smoking which is seen as a symbol of masculinity. The increase in the number of teenage smokers in Indonesia is related to the transmission of smoking culture from generation to generation. Efforts to increase awareness about the dangers of smoking are carried out through social media such as Instagram. The use of visual animation video and strong messages on Instagram can be effective in increasing teenagers' awareness about the dangers of smoking and changing their perception of cigarettes as a symbol of masculinity. This research uses qualitative methodology. To collect data using interview, observation, literature and documentation methods. The aim of this research is to produce an effective Public Service Advertisement to raise awareness of the dangers of normalizing cigarette consumption due to Intergenerational Toxic Masculinity among adolescent boys in Semarang City which is disseminated via Instagram.

Driving discipline is an important attitude that must be possessed by all drivers or drivers in order to arrive safely at their destination. Traffic violations still occur frequently, one of which is smoking and calling while driving. The Transportation Service is an implementing element of the Regional Government in the field of Transportation which has the main task, namely Organizing Government affairs in the field of land, sea and air transportation, in accordance with the Laws and Regulations. This type of research shows empirical juridical research, with data collection techniques through interviews, observations, and literature/document studies. The data collected is analyzed descriptively, the data that has been processed will be analyzed using the descriptive analysis method. The results of this study show: (1) The implementation of the duties and functions of the Kupang City Transportation Office for motorcyclists who smoke and call while driving is not / or has not been effective in accordance with the provisions of applicable laws and regulations. (2) There are several factors that hinder the implementation of the duties and functions of the Kupang City Transportation Office for motorcyclists who smoke and call while driving, including the legal factors themselves and the factors of facilities and infrastructure, namely the main obstacle is the unavailability of the budget. These two factors certainly have an interest that always hinders or affects the implementation of the rules regarding the prohibition of smoking and calling while driving, making the rules ineffective. Based on the results of the research, the author has several suggestions, namely improving the implementation of duties and functions for motorcyclists who smoke and call while driving, in accordance with the provisions of applicable laws and regulations and add educational programs and campaigns in the community related to the dangers of smoking and calling while driving, in addition to law enforcement must be carried out consistently by providing clear sanctions so that it has a deterrent effect,  and local governments need to allocate budgets to improve facilities and infrastructure that support control.      

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition characterized by severe inflammation and damage to the alveoli, leading to impaired oxygen exchange in the lungs. Older adults are particularly vulnerable to ARDS due to age-related physiological changes and the presence of comorbidities. This literature review aims to explore the risk factors, pathophysiology, and management strategies of ARDS in the elderly population. The review identifies key factors such as immunosenescence, decreased lung elasticity, and the presence of chronic conditions like hypertension, diabetes, and cardiovascular disease as contributing to the increased susceptibility to ARDS in older adults. Infections, especially pneumonia and sepsis, are found to be significant triggers for the onset of ARDS. Additionally, environmental factors, such as long-term exposure to air pollution and smoking, further elevate the risk. Prevention through vaccination and the management of comorbidities are highlighted as essential strategies for reducing the incidence of ARDS. The review also emphasizes the importance of lung-protective ventilation strategies in the treatment of ARDS in older adults. Overall, this paper underscores the need for comprehensive healthcare approaches, including early detection, vaccination, and integrated care for managing comorbid conditions to mitigate the impact of ARDS in the elderly. Further research is recommended to develop more effective and tailored treatment approaches for this vulnerable population. 

Cholesterol is a lipid compound produced by the body and obtained from food, functioning to build cell membranes, produce certain hormones, and support metabolic processes in the body. Excessive cholesterol levels can increase the risk of cardiovascular diseases. This Community Service initiative aims to enhance the understanding and awareness of staff and employees at St. Yoseph High School, Cakung, regarding the risks of high cholesterol and preventive measures through routine screenings and health education. The program follows the Plan-Do-Check-Act (PDCA) approach, encompassing planning for education and screenings, conducting information sessions and cholesterol measurements, evaluating program effectiveness, and implementing follow-up actions for continuous improvement. Education on a healthy lifestyle, which includes a balanced diet, physical activity, and avoidance of alcohol and smoking, plays a vital role in maintaining normal cholesterol levels. Routine screenings are also essential for the early detection of high cholesterol risks. This initiative is expected to promote healthy behaviors and support improved workplace health by raising awareness about the importance of cholesterol prevention in the work environment.

This research aims to analyze the awareness of Medan State University and Medan Area University (UMA) students as citizens in understanding social rights and responsibilities regarding the use of dangerous chemicals in cigarettes. The background to this research is based on the increasing consumption of cigarettes among students and its impact on health and the environment. The method used in this research is a qualitative approach with data collection techniques through interviews and observation. Interviews were conducted with students from various departments at both universities to explore their knowledge and attitudes regarding chemicals in cigarettes. Apart from that, observations were carried out in the campus environment to see cigarette consumption behavior among students. The research results show that students' awareness of their rights to obtain accurate information about the dangers of smoking and their social responsibility to educate their friends is still low. Therefore, more effective educational programs are needed to increase students' understanding of this issue and encourage proactive action in protecting themselves and the environment from the negative impacts of smoking.

Problematic Internet use is the inability to control the desire to use the Internet, which is associated with psychological, social, educational and vocational problems. The internet is a place where young people can get all the information they need. Therefore, the use of the Internet by the younger generation must be directed so that they do not encounter information that is false, misleading, or even detrimental to themselves. Excessive internet use can also worsen the quality of teenagers' sleep, and teenagers may even be at risk of experiencing more serious mental health problems, such as depression. The aim of this activity is to increase knowledge about preventing internet addiction by doing physical activity. The results of the questionnaire obtained from the ASSIST questionnaire showed that of the 36 respondents there were 12 respondents (33.3%) who were addicted to smoking. Meanwhile, the Self Reporting Questionnaire (SRQ) 20 questionnaire shows that out of 36 respondents there were 8 respondents (22.2%). Internet addiction in teenagers can affect the content of their thoughts regarding the life goals they pursue

Postoperative nausea and vomiting is one of the side effects that often occurs in spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room at the Imelda Workers Indonesia General Hospital, Medan. This type of research is quantitative research with quasi-experimental research methods. Data reports in the province of North Sumatra showed that there were 25,602 patients who underwent surgery. Meanwhile, at the Indonesian Umim Workers Hospital in Medan, data on surgical patients for January-March 2024 totaled 666 patients, and 250 patients had spinal anesthesia. This research was carried out in February - June 2024 at the Imelda Indonesian Workers General Hospital, Medan. The research sample was taken as many as 20 respondents. incidence of nausea and vomiting after spinal anesthesia at the Imelda Workers Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, namely 55%, based on gender, the majority of respondents were women, namely 60%, respondents based on smoking history were the majority 65%, the distribution of respondents with a history of nausea and vomiting was the majority 55% and the majority of respondents with nausea and vomiting were 60%. The recommendation for this research is that acupressure therapy can be applied in nursing practice so that patients are able to perform it independently. For the Imelda Workers Indonesia General Hospital, Medan, it is necessary to score the risk of nausea and vomiting in patients before surgery to minimize the incidence of post-operative nausea and vomiting.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Labor Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Labor Indonesia Hospital, Medan, the data on surgical patients as of January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Labor Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Labor Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Labor Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Buruh Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Buruh Indonesia Hospital, Medan, the data on surgical patients per January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Buruh Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Buruh Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Buruh Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05.   

The Implementation of Smoke-Free Areas (KTR) is an important effort in tobacco control to protect the public from the dangers of smoking. This research aims to analyze the comparative implementation of KTR regulations between Indonesia and Singapore using Lawrence M. Friedman's legal system approach, which includes components of legal substance, legal structure, and legal culture. The research method employed is normative juridical with a comparative legal approach, using secondary data collected through literature study and analyzed qualitatively. The research results show that in terms of legal substance, KTR regulations in Singapore are more comprehensive and stringent with heavy sanctions, while in Indonesia they remain partial with relatively light sanctions. In the legal structure aspect, Singapore has a more effective system of supervision and law enforcement with technological support and adequate human resources, whereas Indonesia still faces coordination challenges between institutions and limited supervisory personnel. From the legal culture perspective, the level of awareness and compliance of Singaporean society towards KTR regulations is higher compared to Indonesia, which is still influenced by a permissive culture towards smoking behavior.    

Non -communicable disease (PTM) is one of the increasing health problems in society every year and contributes to the largest proportion of death worldwide. According to a global status report on non -communicable diseases, non -communicable diseases can occur due to lack of exercise, smoking and malnutrition, which causes increased blood pressure, increased blood sugar levels and increased blood lipids. If not prevented, this increase will get worse and lead to chronic diseases such as hypertension, diabetes, cholesterol, dysplidemia, gout arthritis and obesity. The World Health Organization (WHO) reports that 40 million people worldwide suffer from non -communicable diseases, with the cause of cardiovascular disease, diabetes and injuries to be the main cause (Syam'ani, 2023).      

This study aims to identify the potential and development strategies for a community-based tourism village in Asap Indah Tourism Village. Data were obtained from observations, interviews, and literature studies. A SWOT analysis was applied to determine the weaknesses, strengths, opportunities, and challenges of developing Bedono tourism village, which can be used to determine the appropriate strategies for community-based tourism development in Bedono Village, Sayung District, Demak Regency. In this research, the process of data reduction, data presentation, and conclusion drawing was carried out simultaneously. The research results concluded that Asap Indah Tourism Village in Wonosari Village, Bonang District, Demak Regency has high potential for development into a community-based tourism village, including fish smoking, water apple agro-tourism, local restaurants, and Bule fishing spots. Based on the SWOT analysis, several strategies can be enhanced to develop Asap Indah tourism village in Wonosari Village, Bonang District, Demak Regency, including strategies for developing tourist attractions, such as creating integrated tourism packages and holding special events; forming a tourism management team; enhancing promotion strategies; improving infrastructure; improving tourism human resources; and strengthening cooperation with stakeholders and investors. If these potentials are developed by involving and empowering the local community, they can increase the value and benefits for the local population in terms of economy, socio-culture, religion, and environment.

The incidence of type 1 diabetes mellitus mostly occurs in children and adolescents has increased significantly every year, especially in developed countries in Western Europe which continue to experience the highest increase. The purpose of this study was to analyze the risk factors for type 1 diabetes in children and adolescents in developed countries in Western Europe. This type of research is a systematic literature review. The literature search strategy as a source of information was carried out by accessing electronic databases online, namely Science Direct, PubMed, and Google Scholar. Article quality assessment using Critical Appraisal Skill Programme (CASP). The results showed that out of 10 (2014-2024), conducted in the United Kingdom (n=1), Sweden (n=1), Germany (n=1), England (n=2), Denmark (n=3), Norway (n=1) and conducted in Norway and Denmark (n=1). Of the 10 articles, 5 out of 10 articles examined BMI on the development of type 1 diabetes in children and adolescents. The results of this systematic review found that age, gender, race, family history of diabetes, socioeconomic, BMI, nutritional intake in mothers and children, physical activity, infection and smoking will increase the risk of type 1 diabetes mellitus in children and adolescents in developed countries in Western Europe.