Publication Search

The rapid development of digital technology has increased the intensity of social media use among adolescents, particularly Instagram, leading to a decline in social interaction, low emotional regulation, and an increased tendency toward addictive behavior. Within the context of guidance and counseling, art possesses therapeutic potential, enabling students to express themselves and manage digital behaviors more adaptively. This study is a literature review analyzing seven selected scientific articles regarding the utilization of art in group counseling services. The analysis was conducted through data extraction of article characteristics, including research design, instruments, findings, and implications. The results indicate that art plays a significant role in supporting group dynamics, enhancing emotional regulation, and providing alternative activities capable of diverting students' attention from excessive Instagram use. Structured art activities also facilitate the development of self-awareness and self-control, thereby reducing the frequency of Instagram usage. These findings suggest that art-assisted group counseling is an effective and relevant strategy for guidance and counseling teachers to implement in addressing digital challenges within the school environment.

The study was conducted at Middle Technical University (College of Health & Medical Techniques, Baghdad) from 29Th October 2024 to 15Th January 2025, enrolling 148 students aged 20–24 years (47.3%), 25–29 years (41.9%), 30–39 years (9.5%), and over 40 years (1.4%), Participants completed a structured questionnaire to assess attitudes toward drug abuse. Regarding protective attitudes, 66.2% agreed that educational programs aid prevention, 68.9% viewed better education as protective, 58.8% cited close family ties, and 72.2% recommended avoiding friends who use drugs, Departmental analysis showed the highest proportion of ―good knowledge in Anesthesia Techniques (95.3%) and the lowest in Physical Therapy Techniques (80.2%) While overall awareness of drug abuse is high among health and medical students, misconceptions regarding its symptoms and effects persist. Targeted educational interventions—especially within departments showing lower knowledge—and reinforcement of accurate prevention and treatment strategies are recommended to strengthen students’ competencies in addressing drug abuse.

Anxiety is a common psychological response experienced by contraceptive users, particularly among implant acceptors. Feelings of anxiety may arise due to hormonal changes, fear of side effects, and unpleasant experiences during contraceptive insertion. Aromatherapy using lavender essential oil has been shown to produce a calming effect through the activation of the limbic system and regulation of neurotransmitters, making it a potential method for reducing anxiety. This study aimed to determine the effect of lavender essential oil therapy on reducing anxiety among contraceptive implant acceptors at Tiley Health Center. A quasi-experimental design with a pretest-posttest control group approach was employed. A total of 30 respondents were randomly divided into treatment and control groups. The treatment group received inhalation of lavender essential oil for 10 minutes daily over three consecutive days, while the control group received no intervention. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). The results indicated a significant reduction in anxiety scores in the treatment group before and after the intervention (p < 0.001), while the control group showed no meaningful difference (p > 0.05). These findings demonstrate that lavender essential oil aromatherapy is effective in reducing anxiety among implant contraceptive acceptors. This non-pharmacological therapy can be recommended as an easy, affordable, and safe complementary intervention in midwifery care services.

Sleep disorders are a common complaint among pregnant women, especially in the third trimester, and have the potential to negatively impact maternal well-being and pregnancy outcomes. Physiological, hormonal, and psychological changes during pregnancy increase the risk of decreased sleep quality, while pharmacological therapy options are limited due to safety considerations. Therefore, safe and easy-to-apply non-pharmacological interventions are needed. This study aimed to analyze the effectiveness of lavender aromatherapy in overcoming sleep disorders in third trimester pregnant women at the Bongo Nol Community Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 third trimester pregnant women selected purposively. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the administration of lavender aromatherapy through inhalation for seven consecutive days. Data analysis was performed using the Wilcoxon signed-rank test. The results showed a significant decrease in PSQI scores after the intervention, indicating an improvement in sleep quality among the respondents. Lavender aromatherapy proved to be effective as a non-pharmacological intervention in reducing sleep disturbances in pregnant women in their third trimester. In conclusion, lavender aromatherapy can be considered a safe, simple, and applicable complementary therapy to improve the sleep quality of pregnant women in primary health care.

The development of modern biotechnology has brought fundamental changes to the life sciences through the application of molecular biology, genetic engineering, and bioinformatics techniques. This article aims to examine the transformation of life sciences through modern biotechnology approaches and its impact on health, agriculture, the environment, and industry. The method used is a descriptive-analytical literature review based on international journal sources and relevant scientific publications. The results of the study indicate that technologies such as CRISPR-Cas9 enable precise gene editing for genetic disease therapy, while the mRNA vaccine platforms developed by Pfizer and Moderna demonstrate the acceleration of biomedical innovation in response to the global pandemic. In the agricultural sector, genetic engineering increases crop productivity and resilience, while in the environmental sector, biotechnology supports environmentally friendly bioremediation processes. However, ethical and regulatory challenges remain important concerns in its implementation. In conclusion, modern biotechnology plays a key role as a catalyst for sustainable, innovation-driven transformation in the life sciences.

Elderly people are individuals aged 60 and over who have equal rights in community life. The emotional state of the elderly is a psychological state that encompasses the ability to think, feel, and act, as manifested through behavior. To stabilize the emotions of the elderly, cadres and their families must have an adequate level of emotional intelligence. One non-pharmacological approach currently being studied is the Spiritual Emotional Freedom Technique (SEFT), an emotional healing method that combines spiritual elements, positive affirmations, and stimulation of the body's meridian points. SEFT is believed to reduce psychological stress that contributes to high blood pressure. This therapy is easy to learn, can be performed independently, and requires no special equipment, making it highly suitable for use in elderly communities with limited access to advanced medical services. At this event, counselors provided support in delivering material on Motivation and Prevention of Psychological Disorders in the Elderly using the SEFT. The purpose of this material is to provide motivation, reduce, and prevent psychological impacts. Participants benefited from the material, knowledge, and experience sharing, as well as solutions, resulting in a better understanding of motivation, reduction, and prevention of psychological impacts. This community service program was conducted with approximately 33 participants in the "Teratai" elderly group. It is hoped that this community service program will be beneficial and provide considerations for solutions and decisions, adding information and insight related to motivation, reduction, and prevention of psychological impacts.

ABSTRACT Background: Pain is the most common complaint and can interfere with patient comfort. Pain management can be done pharmacologically and non-pharmacologically. Acupressure that can reduce pain is Li 4 acupressure. Objective: The purpose of this study was to determine the difference in pain intensity of post-cesarean section wounds before and after acupressure point Li 4. Method: The research method used was Pre Experiment using the One Group Pretest Postest Design research design approach. The number of samples in this study was 50 people using purposive sampling techniques. The pain measurement instrument used a numeric scale and the statistical test used was the Wilcoxon test. Results: Based on the Wilcoxon test, the difference between the average value of pain intensity before and after therapy was 1.3 points, a p-value of 0.00 or <0.05. Conclusion: Li 4 acupressure therapy can reduce pain intensity.

Lower back pain is one of the most common discomforts experienced by third-trimester pregnant women due to increased uterine size, postural changes, and musculoskeletal strain. Complementary therapies such as effleurage massage offer a non-pharmacological, safe, and easily applicable technique to reduce pregnancy-related pain. This study aimed to examine the effect of effleurage massage on reducing lower back pain among third-trimester pregnant women at TPMB Lina Contesa. This research employed a quasi-experimental one-group pretest–posttest design. The study was conducted from October to November 2025 involving 32 third-trimester pregnant women selected through purposive sampling. Pain intensity was measured before and after the intervention using the Visual Analog Scale (VAS). Effleurage massage was administered for 15–20 minutes on the lower back region following standard midwifery procedures. Data were analyzed using the Wilcoxon test. The findings showed a significant reduction in lower back pain intensity after the intervention (p < 0.001). The proportion of respondents in the moderate-pain category decreased from 65.6% to 21.9%, while those in the mild-pain category increased from 34.4% to 78.1%. The mean VAS score dropped from 5.81 ± 1.12 before intervention to 2.47 ± 1.03 after effleurage massage. Effleurage massage is effective in reducing lower back pain among third-trimester pregnant women and can be recommended as a complementary therapy in midwifery care to improve maternal comfort.

Children living in orphanages face various psychological pressures, such as the loss of attachment figures, unstable social dynamics, and difficulty expressing emotions adaptively. These conditions require appropriate coping strategies to build emotional resilience. This community service activity utilizes a Service Learning (SL) approach, which integrates academic learning with community service. It aims to provide psychoeducation on emotions and coping strategies, and implements expressive writing as a means of emotional processing. The activity methods included interactive lectures, a pretest and posttest to measure understanding, an expressive writing therapy session, and a reflective interview at the end of the activity. Results showed an increase in understanding of emotions and coping strategies, as evidenced by improved posttest scores. Furthermore, expressive writing helped children express previously suppressed emotions, reduced psychological tension, and fostered a sense of relief, calm, and insight into personal problems. Overall, expressive writing has proven effective as a coping strategy in building emotional resilience in orphanage children, and the Service Learning approach has the potential for sustainable application in psychosocial support programs.

Early childhood is a critical period for growth and development, characterized by rapid changes in neurological, motor, sensory, and emotional systems. Stimulation during this stage plays a vital role, and non-pharmacological interventions such as massage and aromatherapy may enhance developmental outcomes. This quasi-experimental study employed a pretest–posttest control group design to evaluate the effectiveness of infant massage combined with aromatherapy. Twenty infants aged 3–12 months who met inclusion and exclusion criteria were recruited and assigned to either a control group (infant massage only) or an intervention group (infant massage with aromatherapy). Growth parameters (weight, length, head circumference) and developmental outcomes were measured using the Developmental Pre-Screening Questionnaire, covering gross motor, fine motor, language, and personal-social domains. Infants in the intervention group demonstrated significantly greater improvements in body weight, body length, head circumference, and developmental scores compared to the control group. These findings indicate that the addition of aromatherapy to infant massage provides measurable benefits for both physical growth and developmental progress. Combined infant massage and aromatherapy represent effective non-pharmacological strategies for early stimulation, supporting optimal growth and developmental trajectories in infants.

The prevalence of cancer in West Sumatra Province is around 2.4 per 1000 population, higher than the national prevalence of around 1.7 per 1000 population and really requires the development of appropriate prevention and control programs for cancer, especially in West Sumatra. One of the solutions provided by the Cancer Foundation in Padang City to help overcome the pain of children suffering from cancer is the COMPACT (Communication on Palliative Care Treatment) application. This activity is carried out between June and June. September 2024 in around 20 children with cancer. The activity began with creating the COMPACT application, providing socialization on the application regarding self-management of cancer patients in the form of communication in the form of audio-visual hypnocommunication therapy, guided imagery and murrotal Al-Quran to evaluating the self-management of cancer patients. The evaluation results show that there is a decrease in pain intensity before and after being given pain management intervention through the COMPACT application, namely that there is a decrease in the average pain before and after with an average difference of 2.50-2.00 and there is an increase in self-management so it can be concluded that the use of the application COMPACT can be an option for self-management for cancer patients both at home and in hospitalization. It is hoped that this application will be useful for increasing public knowledge in self-management due to cancer at home.

Gross motor development is an important aspect of an infant’s growth. Infants aged 6–12 months are in a golden period where physical stimulation plays a vital role in supporting coordination, balance, and muscle strength. Hydrotherapy provides an experience of free movement in water with light resistance, which can strengthen muscles and improve body control. This study aimed to determine the effect of hydrotherapy on the gross motor development of infants aged 6–12 months at Posyandu Dahlia, Palembang City. This research used a quasi-experimental design with a pretest–posttest control group involving 30 infants (15 intervention and 15 control). The intervention was conducted twice a week for four weeks in water with temperatures of 36–37°C. The Denver II instrument was used for assessment. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05The average gross motor development score increased significantly in the intervention group from 45.2 to 60.4 (p = 0.001), while the control group showed no significant change (p = 0.094). Hydrotherapy has a significant effect on improving the gross motor development of infants aged 6–12 months. Health workers are encouraged to use this therapy as an alternative stimulation for early childhood development in community health centers.

This study critically examines the effectiveness of early intervention programs in addressing war-related trauma in the Middle East by meta-synthesizing forty-seven interventions implemented between 2010 and 2024. The analysis demonstrates that cognitive behavioral therapy (CBT) based interventions achieved a success rate of 78.3 percent with p value less than 0.001 in reducing post-traumatic stress disorder symptoms, with an effect size of d equal to 0.86 indicating substantial therapeutic strength. Group based interventions showed higher effectiveness (83.2 percent) than individual approaches (71.5 percent), and programs involving family support yielded better recovery outcomes (84.7 percent) than those without family involvement (69.3 percent). Regression analysis identified three primary predictors of successful intervention outcomes, namely intervention duration (beta 0.42, p value less than 0.001), therapist cultural competence (beta 0.38, p value less than 0.001), and the integration of social support systems (beta 0.35, p value less than 0.001). These findings expand on prior studies by Ennis et al. (2020) and Mawar et al. (2025), which were limited to evaluating CBT effectiveness, and also reinforce the significance of cultural dimensions and social support systems as critical determinants. In contrast to the meta analysis by Nocon et al. (2017), which reported an effectiveness rate of 65 percent for individual interventions, the present study reveals the superiority of group based approaches in communal Middle Eastern societies. The novelty of this study lies in its comprehensive identification of culturally sensitive determinants of early intervention success and the formulation of an integrative model positioning family support as an essential component in protocols for war-related trauma care.

Oxygen is vital therapy where delivery accuracy is crucial, especially for infant patients, to ensure treatment effectiveness and prevent the risks of hypoxia or toxicity. With the implementation of the mandatory Domestic Product Utilization Policy (TKDN+BMP ≥ 40%), evaluating the quality of local products has become an urgent necessity. This study aims to test and analyze the quality and accuracy of domestically produced infant oxygen flowmeters compared to an imported product. The method used was experimental testing, measuring three brands of domestic products and one brand of foreign product at flow rate settings of 0.5, 1, 1.5, and 2 liters per minute (LPM). Each setting point was measured 10 times using a standardized calibrator to ensure data reliability. The measurement results were analyzed to identify the deviation level of each product. The findings of this study are expected to provide an objective conclusion on the quality equivalence of domestic products with imported ones and to identify which product has the lowest deviation rate. This can serve as scientific consideration for hospitals in selecting high-quality infant oxygen flowmeters, thereby supporting the domestic product policy.

Anxiety is an emotional response that children often experience when facing medical procedures, including circumcision. Unresolved anxiety can have a negative impact, such as increasing pain, disrupting the process of action, and causing trauma. Non-pharmacological efforts such as audiovisual administration and puzzle game therapy can be used to reduce anxiety. This study aims to analyze the difference in anxiety levels in pre-circumcision children between audiovisual giving and puzzle games at Pondok Khitan, Bancang Village, Tahulu Village. Research design using quantitative with post test design only design. The research population is pre-circumcision children at Pondok Khitan, Bancang Hamlet, Tahulu Village with a sample of 40 respondents taken with the purposive sampling technique. Consists of 20 children of the Audiovisual group and 20 children of the Puzzle Game Group. The research instrument is in the form of a child anxiety questionnaire. The research results were analyzed using the Mann-Whitney test with a significance level of α = <0,05 with an Asymp value. Sig. (2-tailed) = 0.029 < 0.05. the mean rank value of the Audiovisual group of 24.23 and the Puzzle Game group of 16.77 shows that the Puzzle Game is more effective in minimizing anxiety in pre-circumcision children which means H1 is accepted. The discovery of meaningful differences between Audiovisual and Puzzle Games towards anxiety so that the technique can be used as an interactive educational medium.

Hypertension is one of the main risk factors that can cause damage to target organs, including the eyes. One of the complications that often occur in hypertensive patients is hypertensive retinopathy, which is damage to retinal blood vessels due to a persistent increase in blood pressure. This damage can be progressive and asymptomatic in the early stages, so it often goes undetected until severe visual disturbances appear. This study aims to identify and analyze the role of blood pressure control in the prevention of ocular complications in hypertensive patients through a literature review. The method used is literature review by selecting national and international research articles published in 2021–2025 from the PubMed, ScienceDirect, Google Scholar, and Cochrane Library databases. Inclusion criteria include full-text articles, relevant research designs, and discussing the relationship between blood pressure control and ocular complications. The results of the study showed that uncontrolled blood pressure increased the risk of retinal damage, decreased ocular perfusion, and microvascular changes detected through funduscopy and Optical Coherence Tomography Angiography (OCTA) examinations. Some studies have concluded that stable blood pressure control, not just the average value of blood pressure, has a significant effect in preventing the progression of hypertensive retinopathy. In addition, regular eye exams have been proven to be able to detect retinal changes early, so that preventive interventions can be carried out in a timely manner. Thus, optimal blood pressure control, therapy adherence, healthy lifestyle education, and regular retinal examinations are effective strategies in preventing ocular complications and maintaining vision quality in hypertensive patients.

Hypertension is one of the major health problems among the elderly and poses a risk of serious complications if not properly controlled. Slow deep breathing is a relaxation technique that can be used as a non-pharmacological intervention to reduce blood pressure. This study aimed to determine the effect of slow deep breathing on blood pressure in elderly patients with hypertension at the nursing home X Jakarta. The study employed a quasi-experimental design with a pretest-posttest control group approach. A total of 26 respondents were divided into two groups: intervention and control, each consisting of 13 people. The slow deep breathing intervention was performed for 10 minutes with a breathing frequency 6-10 breaths per minute. The results showed a significant reduction in systolic and diastolic blood pressure in the intervention group after the slow deep breathing exercise. Data analysis using the Wilcoxon and Mann-Whitney tests showed a p-value <0.05, indicating a significant difference before and after the intervention. Slow deep breathing proved to be effective in reducing blood pressure and can serve as a safe, simple, and affordable non-pharmacological therapy for elderly individuals with hypertension. This intervention also has the potential to improve quality of life and reduce dependence on antihypertensive medication.

Diabetes mellitus is a non-communicable disease that causes global health problems in society. The International Diabetes Federation predicts that the prevalence of diabetes worldwide will increase to 853 million by 2050. The increase in the number of diabetes patients is due to unhealthy lifestyle habits, such as lack of physical activity. Therefore, interventions such as foot exercises and warm water baths are needed to help control blood glucose levels. The purpose of this study was to determine the effectiveness of a combination of foot exercises and warm water baths in reducing blood glucose levels in patients with diabetes mellitus. The study design used a descriptive case study. The sample size was n=2 people, conducted from May 25, 2025, to May 27, 2025, in the Sukoanyar Village RT 03/RW 03 area, Pakis District, Malang City. The results of this study showed that after three consecutive days of intervention, there was a decrease in blood glucose levels in both research subjects. In Mrs. S, the initial GDS level of 360 mg/dl decreased to 240 mg/dl after the third day of intervention. Meanwhile, in Mr. D, the initial GDS level of 349 mg/dl decreased to 220 mg/dl after the same intervention. Thus, the combination therapy intervention of foot exercises and foot soaking in warm water can lower blood glucose levels in diabetes mellitus patients.

Acute respiratory tract infections (ARTIs) indicate a higher prevalence among children compared to other infections, contributing to over 870,000 deaths of children under five years of age each year, or approximately 2,320 children every day. Eucalyptus oil contains chemical compounds such as eucalyptol, cineole, linalool, and terpineol, which produce a warming sensation when applied to the skin. Inhaling eucalyptus oil can relieve respiratory problems because the vapor acts as a decongestant, helping reduce nasal congestion, ease breathing, thin mucus for easier expulsion, and maintain moisture in the respiratory mucosa.The purpose of this study was to analyze nursing care for children with acute respiratory tract infections (ARTIs) experiencing ineffective airway clearance using the intervention of warm water vapor and eucalyptus oil inhalation. The method used was a case study, with data collected through interviews with the patient’s family, observation, physical examination, and nursing documentation.The coloring therapy intervention was given once daily for three consecutive days during the implementation phase. After the administration of warm water vapor and eucalyptus oil therapy to patient An.D, who had an acute respiratory tract infection with ineffective airway clearance, there was an observable improvement in cough intensity and mucus expulsion. The patient’s respiratory rate decreased from 42 breaths per minute to 30 breaths per minute, and oxygen saturation (SpO₂) returned to normal.It can therefore be concluded that warm water vapor and eucalyptus oil therapy has a positive effect on children with acute respiratory tract infections (ARTIs) who experience ineffective airway clearance.

This meta-synthesis examines in depth the effectiveness of technology-assisted therapy (TAT) in the treatment of war-related trauma through a systematic analysis of 47 empirical studies with a total of 6,842 participants published between 2010 and 2024. The quantitative synthesis indicates that the implementation of TAT demonstrates statistically significant effectiveness in reducing the severity of post-traumatic stress disorder symptoms (d=0.78, 95% CI [0.65, 0.91]), anxiety (d=0.69, 95% CI [0.54, 0.84]), and depression (d=0.72, 95% CI [0.58, 0.86]) among populations affected by armed conflict. Among the various digital modalities, Virtual Reality Exposure Therapy (VRET) exhibits the strongest therapeutic effect (d=0.85) compared with mobile-based intervention (d=0.71) and teletherapy (d=0.68). Further moderator analysis identifies the optimal intervention duration as 12 to 16 weeks, with a significant effect contribution (β=0.34, p<.001) and a relatively moderate dropout rate of 18.7%. These findings extend Tng et al. (2024) by confirming the superiority of VRET and by confirming the significance of therapist support for the effectiveness of TAT (Wu et al., 2025). In contrast to the meta-analysis by Eshuis et al. (2021), which emphasized a single approach, this study reveals that hybrid interventions that integrate multiple digital platforms simultaneously (d=0.89) are superior to single-platform interventions (d=0.67). Overall, the results of this meta-synthesis provide a strong empirical foundation for the development of more comprehensive, adaptive, and contextually relevant TAT protocols for war-related trauma.