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The postpartum period is a critical phase in which mothers experience physiological and psychological recovery. Bengkung, a traditional abdominal binding cloth, is commonly used by Indonesian postpartum mothers, but inappropriate application may cause discomfort and may not support recovery optimally. This community service program aimed to improve postpartum mothers' knowledge and skills regarding safe and appropriate bengkung use. The activity was conducted through counseling, demonstration, guided practice, and evaluation using a one-group pre-test and post-test approach involving 30 postpartum mothers at a community-based maternal health service setting. The educational content covered postpartum physiological changes, indications and contraindications, safe binding principles, hygiene, duration of use, warning signs, and when to seek professional care. The evaluation showed an increase in good knowledge from 26.7% before education to 86.7% after education, and correct practice skills increased from 20.0% to 83.3%. Participants also reported better understanding of avoiding overly tight binding, maintaining breathing comfort, and discontinuing use when pain, shortness of breath, excessive bleeding, or wound problems occur. This activity indicates that structured education and demonstration can strengthen postpartum self-care and support safer integration of traditional practices into maternal health services.

Introduction: Dengue fever is a viral infection transmitted through the bite of infected female Aedes aegypti mosquito, caused by four dengue virus serotypes (DEN-1 to DEN-4), with clinical manifestations ranging from asymptomatic to severe disease and may be accompanied by warning sign. Concurrent infections, such as acute diarrhea, may worsen outcomes, particularly in children. Case Report: A nine-month-old female presented with a five-day history of intermittent fever and watery diarrhea. Additional symptoms included vomiting, lethargy, and decreased appetite. Physical examination showed a moderately ill appearance and sunken eyes. Laboratory findings revealed positive dengue IgM, negative dengue IgG, thrombocytopenia (22,000/µL), and hematocrit of 37%. The patient was diagnosed with dengue fever with warning sign and acute diarrhea. Management included intravenous crystalloid fluids, antipyretics, antibiotics, H2 receptor antagonists, and zinc supplementation. Conclusion: Dengue with warning sign and concurrent acute diarrhea in children increases the risk of morbidity and mortality. Early and appropriate management is essential to prevent disease progression and improve clinical outcomes.

Background: Malaria transmission in Indonesia exhibits substantial spatial and temporal heterogeneity, particularly between stable endemic areas and remote outbreak-prone areas. Although routine surveillance is crucial for malaria control and elimination efforts, its limitations can obscure early warning signals, particularly in geographically isolated areas. Objective: This study aimed to analyze malaria epidemiology by integrating routine surveillance data from endemic primary health care settings with results from high-mortality outbreak investigations in remote highland districts in Indonesia, focusing on temporal trends, spatial clustering, Plasmodium species patterns, diagnostic gaps, and mortality. Methods: A mixed epidemiology approach was used. A retrospective longitudinal analysis of routine malaria surveillance data was conducted for the period 2023–2025 in endemic settings, while a cross-sectoral outbreak investigation was conducted in remote highland districts. Descriptive analyses were conducted to assess trends, demographic characteristics, species distribution, spatial heterogeneity, case detection methods, and outbreak-related mortality. Results: Routine surveillance data revealed fluctuations in malaria transmission, with a significant decline in cases in 2024 followed by a sharp increase in 2025. Conversely, outbreak investigations documented high case fatality rates, particularly affecting children and older adults, caused by delayed diagnosis, limited diagnostic capacity, and limited access to timely treatment. Conclusions: These results highlight the dynamic and context-dependent nature of malaria epidemiology in Indonesia. Integrating routine surveillance with outbreak investigations provides a comprehensive understanding of endemic trends and systemic vulnerabilities. Strengthening adaptive surveillance, improving diagnostic capacity, and implementing spatially targeted interventions are crucial for preventing outbreaks and reducing malaria-related mortality, particularly in remote and high-risk areas.

Aceh Tamiang Regency is one of the regions in Aceh Province that is highly vulnerable to annual flooding due to river overflow and high rainfall intensity. Flood disasters often cause significant material and non-material losses, which are exacerbated by the limited public understanding of flood mitigation, early warning signs, and appropriate self-rescue procedures. This community service activity aims to increase public awareness, knowledge, and preparedness in facing flood threats through disaster mitigation socialization programs. The method applied in this activity includes participatory socialization, interactive discussions, and simulations of emergency response actions involving local communities, village officials, and volunteers. The program emphasizes recognizing early signs of flooding, understanding emergency evacuation routes, and improving coordination during disaster response. The results indicate a significant improvement in community knowledge regarding flood risks, early warning indicators, and emergency measures that should be taken before and during flooding events. Furthermore, the activity successfully strengthened coordination between village authorities and local volunteers in managing emergency response posts and distributing aid effectively. Through this socialization program, the community of Aceh Tamiang is expected to develop greater disaster resilience and preparedness. Increased awareness and coordinated response mechanisms are anticipated to minimize the adverse impacts of future flooding events, thereby reducing potential losses and enhancing community safety.

Injuries represent a common health issue associated with physical activity in both recreational and competitive sports settings. Appropriate initial management is essential to prevent complications and to facilitate optimal recovery. This study aims to describe the management of minor sports injuries at the Surisina Primary Health Center based on observational findings Sports and structured interviews with healthcare professionals. The study employed direct observation and structured interviews involving physicians and nurses at Surisina Primary Health Center on November 24, 2025. The findings indicate that sports injury management at the primary healthcare level involves a systematic initial assessment, comprehensive physical examination, and the implementation of simple immobilization techniques tailored to the type and severity of injury. Common injuries treated include sprains, muscle cramps, contusions, lacerations, ankle injuries, and minor fractures. Despite limitations in the availability of immobilization equipment, healthcare services were delivered effectively, supported by adequate patient education on injury care, warning signs, and activity recommendations during recovery. This study demonstrates the critical role of primary health centers in providing initial sports injury management and serving as practical learning sites for students in physical education and health programs.  

This study examines disaster mitigation efforts in minimizing disaster risk in Manado City and identifies the key challenges as well as the strategies implemented by the Regional Disaster Management Agency (BPBD: Badan Penanggulangan Bencana Daerah). Employing a qualitative descriptive approach, data were collected through interviews, direct observations, and document analysis, with the Head of BPBD serving as the primary informant. The analysis was conducted using Miles et al.’s (2014) interactive model, which consists of data condensation, data display, and conclusion drawing, thereby ensuring systematic interpretation of findings.The results indicate that disaster mitigation efforts in Manado consist of both passive and active strategies. Passive measures include strengthening institutional frameworks, enhancing governance capacity, integrating disaster management planning into regional development programs, and advancing education and research to support long-term disaster risk reduction. In contrast, active mitigation emphasizes community-based actions, such as the installation of disaster warning signs, the provision of basic disaster training for officials and volunteers, the establishment of temporary evacuation shelters, and the implementation of both structural interventions (e.g., drainage construction, flood control) and non-structural measures (e.g., socialization, counseling, and public campaigns). Despite these initiatives, several challenges persist. Limited public awareness, inadequate infrastructure and facilities, a shortage of skilled human resources, weak planning and socialization, complex disaster causes, and environmental vulnerabilities all reduce the overall effectiveness of disaster risk reduction efforts. To address these obstacles, BPBD Manado fosters collaboration with various stakeholders, including government institutions, academia, non-governmental organizations, and local community groups. Moreover, the agency emphasizes the use of disaster risk assessments and hazard mapping as evidence-based foundations for policy formulation and implementation.

Signs of danger in the third trimester of pregnancy are important indicators for preventing obstetric complications that can potentially increase the risk of maternal morbidity and mortality. However, the level of awareness and preparedness of mothers in recognizing signs of danger often depends on access to education and the quality of information received during pregnancy. Maternity classes are one of the educational strategies recommended in antenatal care to improve mothers' attitudes and understanding of pregnancy health. This study aims to analyze the effect of antenatal classes on mothers' attitudes toward danger signs in the third trimester at the Galala Inpatient Health Center. This study used a quantitative analytical design with a post-test only design approach. The study sample consisted of 30 pregnant women in their third trimester who were selected using total sampling technique. Data collection was conducted using a closed-ended questionnaire based on a Likert scale that had been tested for validity and reliability (α = 0.82). Data analysis was performed descriptively because the distribution of respondents' attitude scores was homogeneous. The results showed that all respondents (100%) had a fairly positive attitude towards pregnancy danger signs after attending the pregnancy class. These findings indicate that pregnancy classes play a role in increasing mothers' awareness of health risks during pregnancy, although they have not yet reached the optimal attitude category. The conclusion of this study confirms that pregnancy classes contribute to improving maternal attitudes and need to be improved through a variety of educational methods and increased frequency of meetings to support stronger attitude change.

This study analyzes the legal responsibility of road organizers, legal protection for road users, and public participation in the maintenance of provincial roads in East Java. The background of this research is the significant road damage, covering 154 kilometers, which impacts the safety of road users and the smoothness of socio-economic activities. This research is based on Law Number 22 of 2009 on Traffic and Road Transportation (UU LLAJ) and Law Number 38 of 2004 on Roads, which regulate the obligation of road organizers to ensure safe and adequate infrastructure. The research method used is a juridical normative approach with an analysis of legislation, using primary and secondary legal materials, with data collected through library studies and deductive analysis. The results show that the government is legally obligated to repair damaged roads, place warning signs on roads that have not been repaired, and allocate funds to prevent traffic accidents. However, various challenges such as limited budgets and geographic conditions affect the implementation of these obligations. Additionally, the Citizen Lawsuit mechanism grants the public the right to sue negligent organizers. This study recommends strengthening road maintenance management based on risk, improving transparency and accountability, and empowering the public to ensure safe roads that support regional economic growth.

Hypertension is a widespread health problem and is often called a "silent killer" because it often has no warning signs or symptoms, and many people don't realize they have it. The purpose of this study is to determine the effectiveness of alkahil  point cupping therapy and acupuncture therapy on blood pressure in hypertensive patients in Karangbong Village, Pajarakan District, Probolinggo Regency. The method in this study is Pre-Experiment, with  a Two-group pre-post test design, the sample in this study is patients with hypertension totaling 36 patients who were taken using the  purposive sampling instrument technique which was used were cupping devices, acupuncture tools, tension meters and observation sheets. Furthermore, it was analyzed using the Paired t-test,  the Wilxocon test, the Independent t-test, and  the Mann-Whitney test. The results of the study showed that before the alkahil point cupping therapy  was carried out, an average value of 149/102 mmHg was obtained, and the average value before acupuncture therapy was 149/99 mmHg. After alkahil point cupping therapy  , an average value of 139/92 mmHg was obtained and after acupuncture therapy was 134/90 mmHg. It is known that the average value  of the pre-post sistole difference of alkahil  point cupping therapy is 10.33, and the average value of the pre-post difference of  acupuncture therapy is 15.00 with a pV of 0.000 which means < 0.05. Meanwhile, the average value  of the pre-post diastole difference in alkahil  point cupping therapy was 19.61 and acupuncture therapy was 17.39 with a pV > 0.05. It can be concluded that the average value  of the difference in pre-post sistole of acupuncture therapy is more effective than alkalil  point cupping therapy in reducing blood pressure in hypertensive patients Alkahil point cupping therapy and acupuncture therapy can be traditional alternative treatments that can be done routinely for the hypertension healing process by doing acupuncture therapy.  

he construction sector is a dynamic industry that produces projects in terms of infrastructure and buildings. This sector faces challenges, particularly in worker safety and health (K3) in every project. Statistics show that the increase in fatalities and permanent disability cases due to accidents at construction sites in Indonesia is among the highest compared to other industrial sectors. This study examines the key factors and challenges in meeting occupational safety and health (K3) standards to achieve quality infrastructure. The method used in this study is a literature review conducted through databases such as PubMed, Science Direct, and Google Scholar. After selection, 42 articles were used as sources for analysis in this study. The results indicate that technical aspects, both Internal Risks and Project Risks, are the most influential causes of health and safety risks in a building construction project. Meanwhile, External Non-Technical Risks are the least influential causes of health and safety risks in a building construction project. Risk control can be carried out through good working methods, the use of tools according to warning signs, the appropriate use of personal protective equipment (PPE), and clear explanations of accident risks and risk control methods by the contractor.

KM 22 of 2005 describes the application of SNI 03-7094-2005 regarding signs at airport terminals as a mandatory standard which explains that every area within the passenger terminal must be equipped with clear and easy-to-understand warning signs. Obstacles found by researchers when carrying out initial observations were finding deficiencies in installing warning signs at Terminal 1 of Juanda International Airport, Surabaya. The purpose of this study is to find out how to optimize the warning sign facility in improving passenger service at the Juanda International Airport Surabaya terminal, to find out the obstacles faced and the solutions in optimizing the warning sign facility at Juanda International Airport.             This study uses a qualitative method. This research was conducted at Juanda International Airport in Surabaya which was held in June 2023. The data collection techniques used were observation, interviews, and documentation. The validity test of the data used is source triangulation and technique triangulation. Data analysis used is data reduction, data presentation, and conclusions.             The results of research based on service indicators show that: (1) physical evidence (tangibles) includes an imbalance in the placement of signboards; (2) reliability includes the use of available tools and the application of clear service standards; (3) responsiveness, including responsiveness to complaints and input from passengers; (4) guarantee (assurance) includes routine maintenance, as well as providing accurate information; (5) empathy (empathy) includes providing individual and responsive services. The obstacles encountered are that the warning sign is only visible from the west side of the terminal area, but not visible from the east side, the placement of the no smoking sign is not optimal, the no smoking sign is damaged, there are instructions for using a hydrant box that is less strategic .

Tujuan penelitian ini adalah untuk: 1) Untuk mengetahui bagaimana peran masyarakat dalam manguatkan pendidikan karakter tanggung jawab dan peduli lingkungan.2)Mengidentifikasi hambatan yang ditemui masyarakat dalam menguatkan karakter tanggung jawab dan peduli lingkungan bagi pendaki gunung lawu tahun 2019. 3)Untuk mengetahui pendekatan dan upaya yang digunakan masyarakat dalam menguatkan karakter tanggung jawab dan peduli lingkungan bagi pendaki gunung lawu tahun 2019. Metode penelitian menggunakan pendekatan deskriptif kualitatif, sumber data menggunakan data primer maupun data sekunder. Subjek penelitian ini adalah masyarakat di Desa Gondosuli Kecamatan Tawangmangu. Teknik pengumpulan data menggunakan wawancara, observasi dan dokumentasi. Keabsahan data menggunakan triangulasi sumber dan triangulasi metode. Teknik analisis data menggunakan model analisis interaktif. Berdasarkan hasil penelitian diperoleh kesimpulan bahwa: 1) Peran masyarakat dalam menguatkan pendidikan karakter tanggung jawab dan peduli lingkungan yaitu tokoh masyarakat Desa Gondosuli sudah menghimbau mendaki merupakan kegiatan untuk mengenal alam bebas sehingga menimbulkan rasa cinta kepada alam yang menjadikan mereka pantang berbuat kerusakan dengan presentase 42,86% sangat memahami dan 14,28% kurang memahami.2) Faktor-faktor yang hambatan  masyarakat dalam menguatkan karakter tanggung jawab dan peduli lingkungan bagi pendaki gunung lawu yaitu pendaki jail yang kurang sadar akan rasa tanggung jawab sesuai dalam kode*etik kepecinta alaman dengan presentase sebesar 42,86%, faktor ekonomi sebesar 28,57%, terbatas nya sumberdaya manusia dalam melaksanakan pengawasan secara langsung sebesar 28,57%.3)Upaya pendekatan yang digunakan masyarakat dalam menguatkan karakter tanggung jawab dan peduli lingkungan yaitu memberi dan menambah rambu-rambu peringatan, memperketat peraturan dalam pendakian, melakukan pengawasan rutin dengan besar presentase pemahaman sebesar 71,43% Sangat memahami dan 28,57% cukup memahami.Kata Kunci: Peran Masyarakat, Karakter Tanggung Jawab dan Peduli Lingkungan, Pendaki ABSTRACTThe research were aimed at: (1) to know how the role of community in strenghtening character of liability and care of environment in mountain climbing activity (2) identify obstacles that faced by community in strengthening character of liability and care of environment to lawu mountain climbers in 2019 (3) to know approach and efforts doing by community to strengthen character of liability and care of environment to lawu mountain climbers in 2019. The research method used wae qualitative descriptive, source of data used primary and secondary data. The subject og this research were people in gondosuli village tawangmangu subdistrict. The technique of collecting data used interview, observation, and documentation. Data validity technique used were source triangulation and method triangulation. The technique og analiysis data used was interactive analysis model. Based on finding, it can be concluded that (1) the role of community in strenghtening character of liability and care of environment from the public figure of gondosuli who has been explained that climbing in an activity to understand wild that initiate love feeling to nature which make them aware of doing damage with 42,86% in the level of very undwerstand, and 14,28% less of understanding. (2) The obstacles factor are ignorant climbers who are less aware og their liability based on the ethics regulation in 42,86%, economic factors 28,57%, limitation of human resources who directly supervise 28,57%. (3) efforts that has been done by community in strenghtening character of liability and care of environmentto lawu mountain climbers are giving and adding the warning signs, tightening climbing regulations, doing regular supervision with the level of understanding 71,43% very understanding and 28,57% qiute understand.Â