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Lifestyle changes, such as smoking habits, low physical activity, and suboptimal sleep patterns, have the potential to affect various health indicators. However, empirical evidence showing a direct link between lifestyle factors and objective health indicators still shows varying results. This study aims to analyze the relationship between lifestyle factors and health indicators in adult respondents, in an effort to provide an empirical picture of behavioral factors related to health conditions. This study used a quantitative approach with a cross-sectional observational analytic design. Data were obtained from 94 respondents who had complete lifestyle data and health examination results. Lifestyle factors analyzed included smoking habits, exercise frequency, and sleep duration, while health indicators included body mass index (BMI), systolic and diastolic blood pressure, blood sugar levels, cholesterol, uric acid, and pulse rate. Data analysis was performed using descriptive statistics, the Shapiro–Wilk normality test, and the Spearman correlation test according to the characteristics of the data distribution. The results showed that smoking habits were significantly associated with diastolic blood pressure (p < 0.05), exercise frequency was significantly associated with BMI and systolic blood pressure (p < 0.05), and sleep duration was significantly associated with uric acid levels (p < 0.05). Meanwhile, the relationship between lifestyle factors and other health indicators did not show statistical significance. These findings indicate that the influence of lifestyle on health is specific to certain indicators and is not evenly distributed across all health parameters. This study concludes that identifying lifestyle factors relevant to certain health indicators is important as a basis for formulating more targeted health promotion strategies.

Virgin Coconut Oil (VCO) is a high-quality coconut oil that is extracted from fresh coconut meat without the use of high heat or chemicals, preserving its natural nutrients and beneficial properties. The demand for VCO has increased in recent years due to its various health benefits, such as boosting the immune system, improving digestion, and providing antimicrobial effects. The oil is rich in medium-chain fatty acids, particularly lauric acid, which is known for its positive effects on cholesterol levels and cardiovascular health. This study focuses on the production of VCO using a natural fermentation method, a traditional technique that is gaining attention for its simplicity and environmental friendliness. In this method, mature coconut meat is grated and squeezed to extract the coconut milk, which is then fermented at room temperature for 24–48 hours. The fermentation process allows the separation of the oil from the milk, forming a clear oil layer on top, which retains the characteristic aroma of coconut. The quality of the produced VCO was analyzed by determining its acid value and saponification number. The saponification value, which indicates the amount of alkali required to saponify the fat, was found to be 50.49. The acid value, which reflects the free fatty acid content, was measured at 5.61. These results suggest that the VCO produced through natural fermentation is of relatively good quality, with a favorable acid value indicating lower rancidity. Overall, the study demonstrates that natural fermentation is an efficient, eco-friendly, and cost-effective alternative for VCO production. This method not only preserves the natural properties of the coconut oil but also offers a sustainable approach to producing high-quality oil for various health and cosmetic applications.

Successful development encompasses various aspects of community life and cannot be separated from progress in the health sector. Health is one of the key indicators in determining the quality of life of a population. Therefore, attention to health—especially for vulnerable groups such as the elderly—is of great importance. Regular health check-ups serve as a preventive measure to help the community detect illnesses early and encourage individuals to take an active role in maintaining their own health. Several types of examinations are commonly provided free of charge during community service activities, including blood pressure checks, random blood glucose tests, uric acid level tests, and cholesterol level screenings. These health checks are especially beneficial for the elderly, as they help monitor overall health conditions and enable early management of diseases to prevent further complications. In this activity, a total of 40 elderly individuals voluntarily participated in the health screening. The methods used included health education sessions and direct examinations of blood pressure, uric acid levels, and random blood glucose levels. The counseling was delivered using simple and clear language, and it included a question-and-answer session to help participants better understand the information provided. The results of the examinations showed that some of the elderly participants had high blood pressure and elevated blood glucose levels, which led to recommendations for follow-up visits to nearby healthcare facilities. Through this health screening initiative, the overall health quality of the elderly participants improved, and their awareness of the importance of early detection increased. This activity is expected to motivate the broader community to pay more attention to their health and to undergo regular health check-ups. By taking a proactive role in managing their well-being, individuals can reduce the risk of serious complications in the future and contribute to the creation of a healthier society overall.

Uric acid is the final product of purine metabolism, which can increase due to high purine intake or impaired renal excretion. Accumulation of uric acid in the body is at risk of causing joint inflammation and other metabolic disorders. Early detection and dietary education are strategic steps to prevent complications of hyperuricemia. This activity uses the Plan-Do-Check-Act (PDCA) approach by examining uric acid levels using POCT and education on managing purine consumption. The examination was carried out on 62 adult participants. Educational leaflets were delivered directly and individually to each participant. All participants had uric acid levels in the normal range (median 4.2 mg/dL), with the lowest value of 3.5 mg/dL and the highest 6.5 mg/dL. Most participants were women and were in the middle to elderly age group. Although no cases of hyperuricemia were identified, preventive education remains essential to maintain uric acid levels within optimal ranges and reduce future metabolic risks. Lifestyle interventions focusing on diet and hydration are critical for sustainable uric acid control and long-term health outcomes.   Keywords: Uric Acid, Purine, Hyperuricemia, Diet, Nutrition Education

The aim of this study is to show the yield, quality, and the fatty acids composition of VCO produced from coconut growing in several location having different altitudes in West Timor. In addition, it also determined the correlation between the yield, quality, and the composition at one side and the altitude at other side.   The coconut samples were taken from six locations at different altitudes. Virgin coconut oil is fermented using baker's yeast (Saccharomyces cerevisiae). The oil yield was calculated based on the oil volume ratio to the coconut cream volume, and the composition of fatty acid was then determined by a gas chromatography-mass spectrophotometer (GC-MS). The results showed that the quality of VCO obtained in this study is very good based on Indonesian National Standard (SNI) No. 7381:2008. The higher the growing location of coconut, the oil yield decreases slightly, the peroxide number increases slightly, the water content and free fatty acids are decrease. The correlation between the altitude of the coconut growing location and the fatty acid composition: lauric acid (strong and positive); palmitic and oleic acids (strong and negative); linoleic acid (very strong and negative); capric, myristic, and stearic acids (very weak and negative).

The use of drugs for hyperuricemia and gout arthritis is given for conditions that cause higher purine metabolism in the body. This study was conducted at RSU Royal Prima Marelan to determine the pattern of drug use for hyperuricemia and gout arthritis due to inflammation caused by uric acid deposits in the joints. Data collection in this study was carried out retrospectively by collecting medical records of patients with hyperuricemia and gout arthritis. The descriptive method used in this study was a cross-sectional plan. Qualitative descriptive analysis was applied to the data. Tables or narratives were used to present the data in this study. The results showed that 30 patients out of 50 were male and 20 were female. The results of the evaluation of the rationality of drug use for hyperuricemia and gout arthritis showed that patients who were given several versions of drugs with the xanthine oxidase inhibitor group 64% were allopurinol with patients with the most appropriate indications, the right patient, and the right dose of 96%.

Gout is an inflammatory arthritis caused by the accumulation of uric acid crystals. Dietary adherence is one of the managements of gout. The purpose of this study is to determine the influence of peer group therapy on the dietary adherence of gout sufferers in Mentor Village, Sumberasih District, Probolinggo Regency. This study uses a one-group pre-post test design (pre-experiment) research design. The total population was 36 respondents with gout, the sample studied was 33 respondents with gout using the Purposive Sampling technique, In accordance with the inclusion criteria willing to be a respondent, Permanent Resident of Mentor Village, Patients who have gout, Gout level value above seven point zero for men and Women more than six point zero Exclusion criteria Patients with comorbidities that interfere with the research (kidney, janttung, lung and so on), Patients do not participate in the entire activity or resign.Peer group therapy was carried out four times in 14 days. Statistical Test for dietary adherence using the Wilcoxon Test. The results of the study Before peer group therap was coalited, the Gout Diet Compliance value was moderate,  24 respondents (72.7%),while the after tritmen value of goud diet compliance of  31 respondents (93.9%), The results of the Wilcoxon statistical test,obtained p value = 0.000. This shows that Peer Group therapy affects dietary adherence of gout patients. Peer Group Therapy is a program that can be applied to gout patients who have low dietary adherence. Nurses are expected to be able to use Peer Group Therapy as a health promotion program. 

Background: A low-purine diet is one of the treatments that can be carried out by elderly who suffer from gout to control their uric acid levels. This study aims to determine the effectiveness of low purine diet education on the knowledge level of elderly with gout. Methods: This research used a quasi-experimental design with a non-equivalent control group approach. This research was carried out on May 16th – 20th 2024 in the Harapan Raya Health Center working area, Pekanbaru City with a total sample of 34 respondents selected based on inclusion criteria using purposive sampling technique. The analysis used is univariate and bivariate analysis with the Wilcoxon test and Mann-Whitney test. This research used a low-purine diet knowledge questionnaire and a flip sheet containing material about a low-purine diet. Result: There is an increase on knowledge in the experimental group by 29% with the majority of respondents having a level of knowledge in the good category of 47.1% after being given low-purine diet education. Statistical tests obtained the results of the p value (0.000) < α (0.05) which means that there is an increase in knowledge after the intervention. Conclusion: Low-purine diet education is effective on the knowledge of elderly suffering from gout.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

PT X is a chemical manufacturing company specializing in the production of phosphoric acid and sulfuric acid. In addition to waste generated from production processes, PT X also produces domestic wastewater originating from supporting activities such as employee barracks, offices, and laundry facilities. This domestic wastewater contains parameters that can potentially pollute the environment, such as BOD, COD, TSS, ammonia, and Total Coliform, some of which exceed the quality standards set by the Minister of Environment Regulation No. 68 of 2016. This study aims to design an effective Domestic Wastewater Treatment Plant (DWTP) system to process the domestic wastewater of PT X. The proposed DWTP system consists of a collection tank, Anaerobic Baffled Reactor (ABR), Aerobic Biofilter, and disinfection unit. Each unit is designed to reduce pollutant parameters to meet quality standards. Based on the calculations, this system can handle a wastewater flow rate of 21.91 m³/day with high treatment efficiency for critical parameters. The study results indicate that the proposed DWTP design can reduce environmental pollution, improve wastewater treatment operational efficiency, and comply with applicable regulations. Implementing this system is highly recommended to ensure environmental sustainability and the continued operations of PT X.

Gout is a type of inflammatory joint disease that occurs due to the accumulation of uric acid crystals. It usually occurs in several joints, such as the toes, ankles, knees, and big toes. Gout is also commonly called gout. This study aims to determine the Effect of Bay Leaf Decoction on Reducing Uric Acid in the Elderly at the Binjai Estate Health Center in 2024. The design of this study uses a descriptive correlation research method ( correlation study). The population in this study were all elderly people as many as 26 respondents, a total sampling of 26 samples. The variables in the study were the independent variable, namely boiled bay leaves and the dependent variable, uric acid levels in the elderly. The research instrument used a questionnaire and chi-square test. The results of the study show that regular elderly drink stew leaf greetings , grade sour tendon down as many as 16 people (84.2%) and elderly minority drink stew leaf regards regular , level sour tendon No down as many as 3 respondents (15.8%) while majority elderly who do not regular drink stew leaf greetings , grade sour tendon down as many as 1 respondent (14.2%) and a minority elderly who do not regular drink leaf greetings , grade sour tendon No down as many as 6 respondents (85.8%). The chi-square test shows that mark significant p-Value = 0.002< a( 0.05), so H 1 is accepted. Conclusion This research is There is connection influence stew leaf regards to decline level sour veins in the elderly at the Community Health Center Binjai Estate.

The screening and education program on the prevention of degenerative diseases was conducted in the coastal community of Panjang Island, Batam. This initiative aimed to address the high prevalence of degenerative diseases such as diabetes, hypertension, and dyslipidemia through health screenings and community education. The study involved 55 participants, primarily pre-elderly individuals, and included examinations of blood pressure, cholesterol, blood sugar, and uric acid. The results revealed that 65.5% of participants had hypertension (34.5% with Stage 1 and 31% with Stage 2), while 69.1% had high cholesterol levels. Blood sugar screening indicated that 14.5% of participants had elevated glucose levels. Uric acid levels were high in 47.3% of participants, predominantly among women. Additionally, 78% of respondents with comorbidities presented abnormalities in at least one biochemical parameter. Educational sessions resulted in a 26.4% increase in knowledge about disease prevention and healthy lifestyles. The program highlighted the importance of regular health screenings, lifestyle modifications, and community empowerment for sustainable health improvements. Collaboration with local health centers and the establishment of health cadres are recommended for ongoing support and monitoring of degenerative disease prevention efforts.

Uric acid is the end product of purine metabolism which can cause hyperuricemia if levels increase. Hyperuricemia, if left untreated, can cause joint inflammation, pain, and various other health problems. This study aims to evaluate Halu Oleo University students' understanding of gout and its impact on health. Using a quantitative approach and analytical descriptive design, this research involved 50 randomly selected respondents. Examination of uric acid levels is carried out by taking blood samples using the Nesco Multi Check device. The results showed that 70% of respondents had uric acid levels within normal limits, while 30% experienced hyperuricemia, which indicates a potential risk of developing gout. These findings suggest that unbalanced eating patterns, lack of physical activity, and inadequate fluid intake contribute to increased uric acid levels among college students. This research emphasizes the importance of education about healthy eating patterns and an active lifestyle to prevent health problems related to gout.

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.

Gout arthritis is a disease in which there is excessive accumulation of uric acid in the body. Based on WHO, the prevalence of gouty arthritis in the world is 34.2%. The impact of gouty arthritis pain can be caused in the form of decreased quality of life of sufferers due to pain that greatly interferes with daily activities: Research objectives the description of the pain level of gouty arthritis in UPTD Puskesmas 1 Baturetno Wonogiri. Methods: Descriptive with a quantitative approach. The research subjects were 196 patients with purposive sampling technique totaling 66 patients. Research instrument (NRS) nurmetic rating scale. Results: Characteristics The majority of gouty arthritis pain levels were elderly at 35 respondents (53%), female gender at 37 (56.1%), the majority of the length of suffering ≥ 5 years at 44 (67.7%), the majority of moderate pain levels with a scale of 4-6 at 31 (47%). Conclusion: the description of the pain level of gouty arthritis at UPTD Puskesmas 1 Baturetno is mostly elderly, female gender, long suffering ≥ 5 years, moderate pain level.

Gouty arthritis or gout is a joint disease caused by high levels of purines in the blood. A person is said to be suffering from gout if the uric acid level in their body exceeds the normal limit, the normal limit is 7 mg/dL for men and less than 6 mg/dL for women. Excessive uric acid can cause a buildup of purines in the joints and other body organs, causing pain and inflammation in the joints. This condition can make the joints feel painful when moved and can also cause joint abnormalities and disabilities (Efendi et al., 2022). In Central Java, the prevalence of gout sufferers is approximately 2.6 - 47.2%, which varies in various populations (Zakiudin et al., 2024). Based on data from the Kecipir Community Health Center, the prevalence of gouty arthritis at the Kecipir Community Health Center in 2023 will reach 13.67%. The percentage of residents in Kalibuntu Village who suffer from gouty arthritis in 2023 will reach 24.3% in old age (Kecipir Community Health Center, 2023).

Background: Gout is a disease associated with high levels of uric acid in the blood. Apart from the aging process, gout can also occur due to the inhibition of the secretion process and a decrease in the enzyme uricase. The aging process in the elderly causes various health problems, as a result of which they are susceptible to diseases, one of which is an increase in uric acid. Uric acid numbers can be said to be abnormal if >6 mg/dl for women and >7.2 mg/dl for men. Non-pharmacological therapy that can be done is ergonomic exercise. The purpose of this study is to compare measurements of uric acid levels before and after ergonomic exercise. Methods: A case study of 2 respondents was conducted three times a week, with a duration of 19 minutes for each exercise. Results: The application of the two respondents resulted in a significant decrease in uric acid levels; namely, Mrs. S obtained a result of 4.8 mg/dl, while Mrs. T obtained a result of 5 mg/dl. Conclusion: The results of this study concluded that there was a decrease in uric acid levels in both respondents after ergonomic gymnastics.    

Gouty arthritis or often known as gout is a disease that attacks the joints, this is caused by high uric acid levels caused by genetic or hereditary factors and a lifestyle that often consumes foods that contain lots of purines. Purine substances are the core part of protein, and protein is widely obtained in offal foods, meat and beans (Uric Acid, 2023). Complementary therapy is a natural therapy including herbal therapy. Herbal therapy can utilize surrounding fruits / plants such as pineapple fruit, soursop fruit, bay leaves, and soursop leaves. This research uses a case study method with a family nursing care approach with gout. data collection instruments use family nursing care assessment formats through the nursing process of assessment, diagnosis, intervention, implementation, evaluation. Based on the results of the study after implementation in the patient, the results showed a decrease in the pain scale and an increase in the patient's sense of comfort. Non-pharmacological pain management carried out is by drinking pineapple juice and honey regularly. Evaluation results found after treatment for 3 days with reduced pain data, pain scale 1-2. The evaluation found after treatment for 3 days of ineffective family health management problems related to the family's inability to care for sick family members with family data can understand about gout and its actions.

The utilization of coal as a fossil fuel causes several ecological problems, as for the consequences of the coal combustion process, namely pollution and emissions. Combustion of high sulfur coal produces sulfur dioxide gas (SO2). This sulfur dioxide (SO2) will become H2SO4 (sulfuric acid) which can directly or indirectly disrupt human life, such as causing acid rain, causing tightness in the respiratory tract and causing corrosion and shortening the life of factory equipment. To reduce SO2 gas, a reduction in sulfur content is carried out before combustion which is called desulfurization. This research was conducted using the leaching method with variations in leaching agent and solution concentration. Leaching agents used in this study are NaOH and HCl. The coal to be desulfurized is coal from PT Anugerah Krida Utama with an initial total sulfur content of 4,05% adb. 10 grams of coal with a size of 0,212 mm was leached with 250 ml of chemical solution using a hot plate stirrer at 80˚C and 250 rpm for 1 hour. The results showed that the optimum condition for leaching agent NaOH occurred at a concentration of 8 M showing the initial total sulfur content of 4,05% adb decreased to 1,69% adb with a maximum percentage decrease of 58,27% and at leaching agent HCl the optimum condition occurred at a concentration of 1 M showing the initial total sulfur content of 4,05% adb decreased to 2,91% adb with a maximum percentage decrease of 28,14%.    

The prevalence of gout in Indonesia is the fourth largest country in the world whose population suffers from gout. 35% of gout occurs in men over the age of 45 years. Joint disease in those aged 55-64 years is 45%. Age 65-74 years 51.9%. Age ≥ 75 years 54.8%. The incidence of joint disease based on diagnosis by health workers in Indonesia is 7.3 and based on diagnosis or symptoms 24.7% (RISKESDAS, 2018). This type of research is quantitative using a quasi-experimental research method with pre-test and post-test with control methods. The population of all elderly people suffering from gout who underwent examination and treatment in the Batu Aji Health Center UPT area, namely 140 people as of April 2021. The number of samples in this study was 30 people, divided into 15 elderly people in the experimental group and 15 elderly people in the experimental group. Control. Based on the results of research and data processing that has been carried out by researchers, regarding the effect of boiling bay leaf water on reducing uric acid levels in the elderly in the Batu Aji Health Center UPT area, Batam City in 2021 with a total of 30 respondents, consisting of 15 intervention groups and 15 control groups . The research carried out not only provides conclusions but also provides suggestions to various parties to help improve health and prevent complications in gout patients.