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Diabetes Mellitus (DM) is a chronic metabolic disease characterized by persistently high blood sugar levels, which can lead to complications such as diabetic foot issues. A crucial aspect for healthcare professionals providing care to DM patients is assessing the patient's level of adherence and understanding regarding self-care and disease management. Data from the 2023 SKI (Indonesian Health Survey) indicates there were 118,184 cases of Diabetes Mellitus in Central Java. Foot care education delivered via remote services assists patients in performing proper foot care to prevent complications associated with the condition. This study aimed to determine the effectiveness of an animated video based on the Theory of Planned Behavior in improving the knowledge and adherence of patients with diabetic ulcers. A quasi-experimental design was employed, utilizing a one-group pre-test and post-test approach with a control group. Incidental sampling was used to select 60 respondents. The Mann-Whitney test yielded a p-value of < 0.05 (0.017), demonstrating that the animated video based on the Theory of Planned Behavior was effective in enhancing both adherence and knowledge among patients with diabetic ulcers. The findings suggest that this animated video, leveraging audiovisual media, can be implemented in educational settings to help prevent foot complications in patients with diabetes.

Introduction: Hypertension is an increase in systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg that has the potential to cause serious complications. The prevalence of hypertension in Indonesia is 34.11% (Riskesdas, 2018), in Central Java 37.57%, and in Tonjong Village 15,951 patients aged ≥15 years were recorded (Tonjong Health Center, 2025). Purpose: To provide direct and comprehensive family nursing care to Ny. T, the family of Tn. D, with hypertension in Tonjong Village, Dukuh Kauman RT 03 RW 04, Tonjong District, Brebes Regency. Method: Case study with a nursing process approach. Data were collected through interviews, observation, physical examination, and documentation, conducted on December 26–29, 2025. Results: Assessment revealed that Ny. T complained of dizziness, neck pain, difficulty sleeping, and soreness in both legs with blood pressure of 167/100 mmHg. The family had no knowledge about hypertension. Two diagnoses were established: Acute Pain (D.0077) and Knowledge Deficit (D.0111). Interventions included complementary foot massage therapy to address acute pain and health education on hypertension. After three visits, the Acute Pain diagnosis was partially resolved with a decrease in pain scale from 3 to 2 and blood pressure from 167/100 mmHg to 150/95 mmHg, while the Knowledge Deficit diagnosis was fully resolved. Conclusion: Family Nursing Care with the SDKI, SLKI, and SIKI approach had a positive impact on improving the condition of Ny. T. It is recommended that the client continue foot massage independently, implement the five family health tasks, and routinely utilize health facilities.

Hypertension is a chronic condition characterized by systolic blood pressure >130 mmHg and diastolic >80 mmHg, which can lead to serious complications such as stroke and heart failure if left unmanaged. This study aims to describe the application of warm water foot soak intervention in reducing blood pressure among hypertensive patients in the Dongkelan Kauman area. This was a descriptive study with a case study approach involving three elderlies with hypertension. The intervention was conducted for 20 minutes daily using warm water at a temperature of 38-40°C for three consecutive days. Data were collected through interviews and blood pressure measurements using a tensimeter before and after the intervention. The results showed a decrease in blood pressure in all three subjects after routinely implementing the intervention. The highest systolic reduction reached 15 mmHg, while the average diastolic reduction was 5 mmHg. Physiologically, warm water stimulates blood vessel vasodilation, which facilitates blood flow and reduces muscle tension. The study concludes that warm water foot soak therapy potentially effective as a non-pharmacological complementary intervention for controlling blood pressure in elderly patients with hypertension.

Hypertension is a chronic condition characterized by systolic blood pressure >130 mmHg and diastolic >80 mmHg, which can lead to serious complications such as stroke and heart failure if left unmanaged. This study aims to describe the application of warm water foot soak intervention in reducing blood pressure among hypertensive patients in the Dongkelan Kauman area. This was a descriptive study with a case study approach involving three elderlies with hypertension. The intervention was conducted for 20 minutes daily using warm water at a temperature of 38-40°C for three consecutive days. Data were collected through interviews and blood pressure measurements using a tensimeter before and after the intervention. The results showed a decrease in blood pressure in all three subjects after routinely implementing the intervention. The highest systolic reduction reached 15 mmHg, while the average diastolic reduction was 5 mmHg. Physiologically, warm water stimulates blood vessel vasodilation, which facilitates blood flow and reduces muscle tension. The study concludes that warm water foot soak therapy potentially effective as a non-pharmacological complementary intervention for controlling blood pressure in elderly patients with hypertension.

The elderly often experience a decline in physical function that can interfere with the ability to carry out daily activities. This condition is more common in the elderly who have had a stroke, which is always accompanied by a decrease in muscle strength. Inactivity of the joint over a long period of time can lead to contracture. One of the nursing interventions that can be done to prevent this condition while increasing muscle strength is  passive Range of Motion (ROM) exercises. The purpose of this case study is to apply nursing measures to the elderly with a decrease in muscle strength that is already research-based. This scientific paper uses a case study design  with passive ROM training interventions. The number of respondents in this study was three patients. The intervention was carried out for three days on each respondent, with a frequency of twice a day for 20 minutes in the Stroke Nursing Room of Charitas Hospital Palembang. The results of the application showed an increase in muscle strength based on Manual Muscle Testing (MMT) scores in all respondents. Mr. P experienced an increase in the muscle strength of the left hand and leg from 2 to 4, Mrs. L from 2 to 3 in the right hand and foot, and Mr. A from 0 to 4 in the right hand and foot. This application is expected to add information about the use of passive ROM in stroke seniors who have decreased muscle strength.

The implementation of the 6S work culture (Seiri, Seiton, Seiso, Seiketsu, Shitsuke, and Safety) to improve neatness and work safety in the production environment of PT. Adonia Footwear Indonesia has challenges faced, namely a poorly organized work area, lack of attention to cleanliness, and minimal employee discipline in using personal protective equipment. This field experience practice aims to integrate the theory obtained during lectures with real practices in the industrial world, especially in the implementation of the 6S work culture. Using a qualitative descriptive method with a mentoring approach that includes initial observation, interviews, documentation and Literature Study. The results of the activity show that the implementation of 6S has a positive impact on the condition of the work environment. The production area becomes neater and cleaner, employee awareness of the importance of work discipline increases, and the risk of work accidents can be minimized. Therefore, mentoring for the 6S work culture has proven effective in supporting the creation of a productive, safe, and sustainable work environment in the shoe industry sector.

Flat foot is a common foot condition in humans and can lead to health problems if not properly managed. Education on flat foot prevention is very important to increase awareness and knowledge within the toddler community regarding ways to prevent and manage flat foot conditions. This study aims to determine the effectiveness of educational interventions in improving awareness and knowledge of parents of toddlers regarding flat foot prevention in Madyopuro Village, Kedungkandang District, Malang City. The methods used included counseling and educational sessions on flat foot prevention, as well as evaluation of mothers’ and children’s knowledge and awareness before and after the educational intervention. The results showed that education was effective in increasing parents’ awareness and knowledge regarding flat foot prevention. Therefore, education on flat foot prevention can serve as one of the strategies to reduce the prevalence of flat foot among children in Madyopuro Village, Kedungkandang District, Malang City.

Severe preeclampsia is a condition characterized by systolic blood pressure exceeding 160 mmHg and diastolic pressure exceeding 110 mmHg, occurring after 20 weeks of gestation and accompanied by edema and proteinuria. One intervention used to save both mother and fetus is a cesarean section. This final nursing scientific paper analyzes the implementation of evidence-based practice, specifically warm foot soak therapy, for mothers with severe preeclampsia during the pre- and postpartum periods who are at risk for ineffective cerebral perfusion. This descriptive case study method used a nursing care approach. Assessment results identified five major nursing problems, including the risk for ineffective cerebral perfusion. After four days of warm foot soak therapy, this problem was resolved, as blood pressure decreased from 147/101 mmHg to 120/88 mmHg. Conclusion: Warm foot soak therapy effectively lowers blood pressure in pre- and postpartum mothers with severe preeclampsia. Recommendation: Nurses can implement warm

The advancement of automotive technology has accelerated the adoption of renewable‑energy‑based electric vehicles, including the integration of solar panels on electric scooters. Indonesia’s tropical climate provides abundant solar energy potential; however, the limited surface area of scooters often restricts panel placement to the footrest section. This study aims to evaluate the impact of using a 10 mm clear acrylic cover on the performance of a 50 Wp monocrystalline solar panel in an electric scooter battery‑charging system. An experimental method was employed by comparing the panel’s performance under two conditions: without a cover and with the acrylic cover installed. Key parameters observed included voltage, current, and charging power, recorded using a data logger. Tests were conducted for 30 minutes under varying solar radiation intensities. The results indicate that the acrylic cover reduces the panel’s output power, from 55 W to 45 W at a solar radiation intensity of approximately 1100 W/m². These findings suggest that the use of an acrylic cover must be carefully considered to maintain optimal charging system performance.

The advancement of automotive technology has accelerated the adoption of renewable‑energy‑based electric vehicles, including the integration of solar panels on electric scooters. Indonesia’s tropical climate provides abundant solar energy potential; however, the limited surface area of scooters often restricts panel placement to the footrest section. This study aims to evaluate the impact of using a 10 mm clear acrylic cover on the performance of a 50 Wp monocrystalline solar panel in an electric scooter battery‑charging system. An experimental method was employed by comparing the panel’s performance under two conditions: without a cover and with the acrylic cover installed. Key parameters observed included voltage, current, and charging power, recorded using a data logger. Tests were conducted for 30 minutes under varying solar radiation intensities. The results indicate that the acrylic cover reduces the panel’s output power, from 55 W to 45 W at a solar radiation intensity of approximately 1100 W/m². These findings suggest that the use of an acrylic cover must be carefully considered to maintain optimal charging system performance.

Physical condition is a very important aspect to support a student's achievement, so condition factors must be considered by students. The aim of this research was to determine and assess the level of physical condition of football extracurricular students at SMA Negeri 1 Purwosari. This type of research uses a quantitative descriptive survey design, the variable studied is the level of physical condition. In this study, the samples were taken from all students who were active in taking part in extracurricular football at SMA Negei 1 Purwosari, totaling 30 students. The results of the physical condition of extracurricular football students at SMA Negeri 1 Purwosari obtained several criteria, namely: the 30 meter sprint test of 30 students got a frequency of 15 with a percentage of 50% and was included in the poor category. In the T-test, the frequency was 15 with a percentage of 50% and was included in the medium criteria. In the Sit and Reach test, the frequency was 19 with a percentage of 63.3% and was included in the good criteria. In the Standing Long Jump test, the frequency was 20 with a percentage of 66.7% and was included in the medium criteria. In the Yo-yo Test, the frequency was 13 with a percentage of 47.6% and was included in the medium criteria. In the Push-up test, the frequency was 20 with a percentage of 66.7% and was included in the medium criteria. It is hoped that by conducting this research, students can further improve their physical condition so they can play optimally.

Traffic congestion is a persistent challenge in urban areas in Indonesia, where increasing vehicle density creates the need for intelligent traffic monitoring systems. This study aims to develop a real-time vehicle parking system using the YOLOv8 object detection model to provide efficient traffic analysis from live CCTV broadcasts and recorded videos. This study uses a quantitative experimental approach with the implementation of the YOLOv8m model using the Ultralytics library in Python, tested on data collected from CCTV cameras A TCS Dishub Medan and additional footage from mobile devices. Vehicles are detected and counted in two directions up (Up) and down (Down) using virtual detection lines on the video frame. The system performance is evaluated by automatic detection counting with manually recorded ground truth data. The results show that on live CCTV broadcasts, the YOLOv8m model achieves an average precision of 98.96%, a recall of 96.59%, and an F1 score of 97.74% for upstream traffic, while for downstream traffic it achieves 100% precision, 95.64% recall, and an F1 score of 97.730/0. On the other hand, on high-quality recorded videos, all performance metrics achieve 100%, indicating perfect detection accuracy. These findings confirm the effectiveness of YOLOv8 in real-time traffic monitoring, but also indicate that video quality and stream stability affect detection performance. In conclusion, the developed system shows strong potential to support smart city traffic management solutions. Future research should focus on performance optimization under low-resolution live streaming conditions to improve accuracy in practical applications.  

An autoimmune condition that targets the joints is rheumatoid arthritis. The joints and surrounding tissues are inflamed due to this disease. Symptoms of this arthritis include joint stiffness, edema, and persistent discomfort. Women are more likely to suffer from rheumatoid arthritis than men, especially those between the ages of 40 and 75. Chronic pain is a sensory or affective experience that lasts >3 months, has mild to severe intensity, and can begin suddenly or gradually. This is related to real or functional tissue damage. To minimize the chronic pain experienced by rheumatoid arthritis patients, this case study aims to assess the effectiveness of cutaneous stimulation, also known as skin stimulation (foot massage). The nursing care method provided to patients with rheumatoid arthritis who complained of discomfort during five morning sessions using skin stimulation therapy (Foot Massage) is described in this case study using descriptive methodology. The application questionnaire was used to measure pain levels before and after the procedure, and the Rheumatoid Arthritis Pain Scale (Raps) was used to evaluate the results. After five sessions, the patient's pain level decreased, according to the case study findings. Conclusion: Discomfort is reduced by applying cutaneous stimulation (foot massage). Since foot massage helps alleviate pain, it can be used as an intervention for RA patients experiencing chronic pain.

Diabetes mellitus is a chronic disorder that arises when the pancreas does not produce enough insulin or when the body cannot use the insulin it produces properly, diabetic ulcers also referred to as diabetic foot ulcers, are medical conditions characterized by chronic, non-healing, sunken ulcers with edema with clear boundaries. Wounds in diabetic patients occur due to partial or complete damage to the skin that extends to the tissue under the skin, tendons, muscles, bones, or joints that occur in a person suffering from diabetes mellitus. Wound care that is currently developing is modern wound care which has a better rate of development of diabetic wound repair compared to using conventional wound care. The use of dressings must be considered to maintain wound moisture balance, one of the dressings that can be used is zinc cream as a primary dressing. Purpose: To prevent infection and help accelerate granulation growth in diabetic foot wound patients using zinc cream. Methods: By means of data collection and observation using case studies and subjects in diabetic foot wound patients with nursing problems of skin / tissue integrity disorders. Results: After taking wound care measures using zinc cream primary dressing for 12 times in 6 weeks there is a BWAT value in the dorsum pedis area from 37 to 22 and in the planta pedis area from 39 to 24. Conclusion: Treatment using zinc cream as a primary dressing proved effective in accelerating the healing process of diabetic foot wounds.

Renewable energy is non-fossil energy that can be renewed and managed sustainably, such as solar, wind, water, and biomass. To overcome dependence on weather conditions, this energy can be combined with alternative energy sources such as piezoelectric sensors, which can convert pressure into electrical energy. This study aims to design a prototype monitoring system for hybrid electric energy using solar panels, wind turbines, and piezoelectric elements as alternative energy sources on board ships. The use of Internet of Things (IoT) technology is key to monitoring and managing these energy sources in real-time and automatically through integrated sensors and software. This research uses the Research and Development (R&D) method by creating a prototype that combines solar panels, wind turbines, and piezoelectric components as energy sources and designing a monitoring system based on the Internet of Things (IoT) using the Kodular application. Several system components were tested through two types of testing: static and dynamic testing. The test results showed that the solar panel had the most stable performance with a voltage of approximately 16.50V and a current of 2.41A occurring between 13:00 and 16:00 WIB. The wind turbine was able to operate at low wind speeds and reached its highest voltage of 3.63V and current of 1.14A on the fifth day at 20:00 WIB with a wind speed of 1.1 knots. The piezoelectric system generated power according to the pressure and frequency of footstep impacts. The highest voltage recorded for a 70kg subject was 4.11V with a current of 0.19A. This hybrid system has the potential to be an environmentally friendly energy support solution on board ships.

Diabetes mellitus continues to be an alarming health challenge, especially in the context of public health, where there are so many cases of diabetes mellitus that patients do not know how to manage and prevent it. The aim of this community service program is to integrate local community empowerment with herbal innovations, especially clitoria ternatea and diabetic foot exercises as a holistic way to manage blood glucose levels. The program was delivered in RW XIII of Beringin village, Ngaliyan sub-district and included health education components and training sessions, including the production of herbal products. The initiative changed participants' knowledge and attitudes towards diabetes and enabled them to take control of managing their condition. This model proves that combining traditional herbal innovations with physical activity at the community level can effectively prevent and help manage diabetes mellitus at minimal cost.

Hypertension is a global health problem whose prevalence continues to increase every year. This condition is not only a major cause of cardiovascular disease but also contributes to high morbidity and mortality rates in various countries, including Indonesia. One risk factor mitigating this problem is low public awareness of the importance of routine blood pressure monitoring. Therefore, promotive and preventive efforts are needed through health education that is easy to understand and can be applied in everyday life. This community service activity aims to increase public knowledge, especially among the elderly, about hypertension and the application of simple non-pharmacological therapies. One method introduced is soaking feet in warm water with added salt. This method is considered safe, practical, and cost-effective, making it suitable for elderly people in rural communities. The activity was carried out in Mauleng Hamlet, Paccing Village, Awangpone District, Bone Regency, with 15 elderly participants. The activity method included a pre-test to determine the participants' initial level of knowledge, counseling on hypertension, direct compression using warm water and salt foot soaks, and a post-test to measure knowledge improvement. The results showed a significant increase in participants' level of knowledge. Prior to the outreach program, only 7% of respondents had sufficient knowledge about hypertension and non-pharmacological therapy. After the outreach and reinforcement program, this figure increased to 87%. These results indicate that health education combined with practical demonstrations is highly effective in increasing public knowledge. Therefore, it can be concluded that educational activities and warm salt foot soak therapy have proven effective in increasing public understanding of non-pharmacological hypertension management and have the potential for widespread implementation as a health promotion measure.

Athletic physical condition is a key factor in determining an athlete's performance during competitions. This study aims to assess the physical condition of Unesa Women FC athletes using a descriptive quantitative method, involving 20 athletes as the sample. Data was collected through a series of physical tests to measure various aspects of physical fitness, including aerobic endurance, speed, agility, leg strength, and explosive power. The tests conducted included the Multistage Fitness Test (MFT) for aerobic endurance, a 30-meter sprint for speed, Illinois Agility Run for agility, Leg Dynamometer for leg strength, and Jump MD for explosive power. The results of the study show that the average VO2Max of the athletes is 30.8 ml/kg/min, which falls into the "Poor" category. This indicates that the athletes' aerobic endurance has not yet reached the optimal standard required for competitive performance. The 30-meter sprint time recorded was 5.53 seconds, categorized as "Good," indicating that the athletes have adequate speed. However, the agility score obtained from the Illinois Agility Run was 21.97 seconds, classified as "Poor," suggesting that the athletes need to improve their agility for quicker movements on the field. The explosive power score, measured by the Jump MD test, was 45.75 cm, which also falls into the "Poor" category, while leg strength, measured using the Leg Dynamometer, resulted in a score of 57.47 kg, classified as "Very Poor." These findings indicate that most components of the physical condition of the Unesa Women FC athletes are still below optimal levels. Therefore, the study emphasizes the need for a more structured and targeted physical training program tailored to the individual needs of each athlete. A training program designed based on these test results will help improve the physical fitness components that are lacking and support the enhancement of their performance during competitions.

Uric acid is a byproduct of purine breakdown, which is a component found in DNA and food. Purine is broken down into uric acid in the body, and if not excreted properly, it can lead to the accumulation of uric acid in the blood, known as hyperuricemia. If left untreated, this condition can develop into gout, which is characterized by joint pain and inflammation, particularly in the foot joints. In addition to medical treatment through medications, uric acid levels can also be naturally reduced through the consumption of certain foods, one of which is pineapple juice. Pineapple juice is known to have beneficial properties in reducing uric acid levels. Pineapple contains vitamin C, flavonoids, and bromelain. Vitamin C plays an important role in increasing the excretion of uric acid through urine, thereby helping to lower uric acid levels in the body. In addition, the flavonoids in pineapple act as antioxidants, inhibiting the enzyme xanthine oxidase, which is involved in the purine metabolism that produces uric acid. By inhibiting this enzyme, the process of uric acid formation can be reduced. Bromelain, a protease enzyme found in pineapple, also provides additional benefits. Bromelain helps accelerate the healing of swelling and joint pain caused by uric acid, as well as having anti-inflammatory effects that help reduce inflammation. This study was conducted using a case study method with a one-group pretest-posttest design to observe changes in uric acid levels in respondents after consuming pineapple juice. For 7 days, four respondents consumed 200 ml of pineapple juice per day. The results showed a reduction in uric acid levels in all four respondents, indicating that pineapple juice is effective as a supportive therapy in lowering uric acid levels. These findings suggest the potential of pineapple juice as a natural alternative to help manage uric acid levels.

Type II diabetes mellitus (Type II DM) is a chronic disease that requires long-term self-care skills to prevent serious complications. However, many patients have difficulty managing blood sugar levels independently due to a lack of structured and ongoing education. The Student Creativity Program (PKM) aims to improve the self-care skills of Type II DM patients through an educational approach based on the Self-Care Deficit theory from Dorothea Orem. The activity was carried out in Bonto Ramba, the working area of the Tamalanrea Makassar Health Center, involving 35 participants (33 women and 2 men). Interventions were carried out through interactive counseling, demonstrations of diabetic foot wound care, practice simulations, and the distribution of easy-to-understand educational media. Evaluation was carried out using a pre-post test to measure knowledge improvement and an observation sheet to assess the ability of self-care practice. Results showed a significant improvement in participants' self-care knowledge and skills after the intervention. In addition, family involvement in assisting patients has also increased, strengthening the sustainability of self-care behavior. Participants gave positive feedback on the method of delivering material that was contextual and relevant to daily life. The supportive-educational approach used has been proven effective in empowering patients and building awareness of the importance of self-control of health conditions. This program not only contributes to improving the quality of life of Type II DM patients, but also strengthens the role of the family as the main support in the treatment process. In conclusion, structured education based on Orem theory can be used as an intervention model that can be replicated in other areas with high prevalence of DM, as a promotive and preventive strategy in community-based management of chronic diseases.