Dengue Hemorrhagic Fever (DHF) is an acute febrile illness found in tropical regions and caused by four serotypes of viruses from the Flavivirus genus, family Flaviviridae, also known as breakbone fever. DHF has now become an epidemic in more than 100 countries. This disease can be effectively managed through prevention efforts that focus on changing community behavior, including knowledge, attitudes, and actions in responding to the disease. This study aims to describe community behavior regarding the Dengue Fever Eradication Program (PSN) in Toba Regency. The method used in this study was descriptive analytical with a cross-sectional approach. The sample used in this study was 100 randomly selected respondents. Data were collected through a questionnaire designed to explore community knowledge, attitudes, and actions towards the dengue eradication program. Data were then presented in tabular form and analyzed quantitatively. The results showed that community knowledge of the National Dengue Fever Prevention and Eradication Program (PSN) was quite good, with a score of 90.14%. However, knowledge about dengue fever itself varies, with nearly half of respondents reporting poor knowledge. Public attitudes toward dengue fever eradication efforts were very positive, with 100% of respondents expressing support for dengue eradication efforts. Public support for dengue fever eradication efforts was also generally positive, with a score of 87.25%. The study concluded that public attitudes toward dengue fever eradication efforts in Toba Regency were generally positive. However, there are still gaps in public knowledge about dengue fever that need to be addressed through further education. This study provides important insights for the government and relevant parties to improve the effectiveness of dengue eradication programs in the region.

Pain is one of the most common and distressing symptoms experienced by patients with cervical cancer. It significantly affects patients' quality of life, leading to both physical and psychological burden. Conventional pharmacological interventions often come with side effects and may not fully address the multidimensional nature of pain. As an alternative, non-pharmacological approaches such as acupressure therapy have gained attention for their potential effectiveness and minimal risk profile. Acupressure is a form of traditional Chinese medicine that involves applying manual pressure to specific points on the body to stimulate healing and relieve discomfort. This case study highlights the outcome of a three-day acupressure intervention administered to a cervical cancer patient suffering from moderate pain and anxiety. Before the intervention, the patient's pain level was recorded at a score of 4, accompanied by noticeable anxiety. Following consistent acupressure sessions, both the pain and anxiety scores decreased to 2, indicating a meaningful improvement in comfort and emotional state. The underlying mechanism of acupressure is believed to involve the stimulation of the central nervous system, which enhances the release of endorphins—natural painkillers that act as analgesics. These findings suggest that acupressure not only provides symptomatic relief but also contributes to emotional well-being, making it a viable complementary therapy for cancer pain management. While this case study offers promising results, it is limited by its single-subject design. To validate these outcomes, further research using a randomized controlled trial (RCT) methodology and a larger sample size is highly recommended. This will provide more robust evidence on the efficacy of acupressure and support its integration into holistic cancer care.

Bioactive compounds are chemical compounds formed through metabolic processes in plants, contributing to their beneficial properties. Cocoa fruit, derived from 22 cultivated Theobroma species, contains a variety of bioactive compounds that offer several health benefits. Identifying these bioactive compounds in plants can be achieved through extraction using various solvents, depending on their polarity properties. This study aims to explore the content of bioactive compounds in dried cocoa fruit peel (Theobroma cacao L.) extract, focusing on variations in solvent polarity. The results of the study showed that the 96% ethanol extract (polar solvent) of cocoa fruit peel contained a range of bioactive compounds, including flavonoids, tannins, alkaloids, and saponins. Ethanol, being a polar solvent, effectively extracted a variety of bioactive compounds due to its ability to dissolve polar substances. This extract is significant due to its wide range of potential health benefits attributed to the presence of flavonoids, tannins, alkaloids, and saponins, all known for their antioxidant, antimicrobial, and anti-inflammatory properties. Additionally, the acetone extract (semi-polar solvent) of cocoa fruit peel also contained alkaloids, flavonoids, tannins, and saponins. Acetone, as a semi-polar solvent, was able to extract a variety of compounds with moderate polarity, making it a versatile solvent for bioactive compound extraction. The presence of alkaloids and saponins in this extract indicates its potential use for various medicinal purposes. On the other hand, the n-Hexane extract (non-polar solvent) of cocoa fruit peel produced primarily alkaloids and terpenoids. Hexane, being non-polar, tends to extract non-polar compounds, which include alkaloids and terpenoids known for their various biological activities. In conclusion, the study demonstrates the varying effectiveness of solvents with different polarities in extracting bioactive compounds from cocoa fruit peel, which can be utilized for health-promoting purposes.

Postpartum obesity increases the risk of postnatal complications and is often triggered by low physical activity. Fatigue, hormonal changes, and the responsibilities of caring for a baby all contribute to this condition. Motivational Interviewing (MI) is a client-centered counseling technique that aims to awaken intrinsic motivation for adopting healthy behaviors, including increased physical activity during the postpartum period. This study analyzed the effect of MI intervention on the physical activity of obese postpartum mothers. A total of 30 respondents were selected through purposive and convenience sampling based on inclusion criteria and accessibility. Physical activity was measured using the International Physical Activity Questionnaire–Short Form (IPAQ-SF). Before the intervention, 63.3% of respondents were in the low physical activity category, indicating a sedentary lifestyle. After a series of MI sessions, there was a significant increase in physical activity levels to the moderate category. The Wilcoxon signed-rank test showed a p-value of 0.000 (< 0.05), indicating a statistically significant improvement in postpartum mothers’ physical activity following the intervention. This finding highlights the effectiveness of Motivational Interviewing in encouraging behavior change during the critical postpartum period. MI not only promotes increased activity but also empowers mothers to make healthier choices through reflective listening, goal setting, and self-efficacy building. Given the positive outcomes, this strategy is highly recommended for integration into midwifery and maternal health education programs. It can play a pivotal role in preventing long-term complications associated with obesity, such as cardiovascular disease, diabetes, and depression. Further studies are encouraged to evaluate the long-term adherence to physical activity and to examine the potential psychological benefits of MI in the postpartum population.

This study aims to identify hazards and assess occupational health and safety (OHS) risks in the animal feed production process using the HIRARC (Hazard Identification, Risk Assessment, and Risk Control) method. The feed industry involves various operational stages that pose significant safety risks to workers, particularly due to exposure to dust, noise, chemicals, and physically demanding tasks. A descriptive qualitative approach was employed, utilizing field observations and direct interviews with workers across different departments involved in the production line. The findings reveal a wide range of potential hazards at each stage of the feed manufacturing process. These include respiratory risks caused by airborne particles in confined spaces, noise exposure from machinery, musculoskeletal injuries due to repetitive and manual handling of heavy materials, and exposure to hazardous substances such as cleaning agents and chemical additives. Each identified hazard was assessed based on its likelihood of occurrence and severity of impact, resulting in a risk rating that was then used to prioritize necessary control measures. Risk mitigation strategies were proposed according to the hierarchy of controls, starting with elimination and substitution, followed by engineering controls such as improving ventilation and using noise-reducing equipment. Administrative controls like work rotation schedules, safety training, and the development of standard operating procedures were also emphasized. The use of personal protective equipment (PPE) is recommended as a supplementary measure rather than a primary control. By systematically applying the HIRARC method, this study provides a comprehensive overview of occupational risks in the animal feed industry. The recommended interventions are expected to contribute to a safer working environment, reduce accident rates, and improve the overall well-being and productivity of workers in feed production facilities.
 

Hypertension is a critical health indicator that reflects an individual's cardiovascular condition. This study aims to analyze risk factors associated with hypertension among seafarers in Semarang, focusing on age, smoking habits, and noise exposure. Using a cross-sectional design, the study involved 43 seafarers from three ships at Tanjung Mas Port. Data were collected through questionnaires and blood pressure measurements using a sphygmomanometer, while noise exposure was measured with a sound level meter. The results showed a significant association between age and blood pressure, with individuals over 30 years of age having higher levels of prehypertension and hypertension (p = 0.021). Conversely, no significant correlation was found between smoking habits (p = 0.880) or noise exposure (p = 0.290) and blood pressure levels. These results suggest that while age is a significant risk factor for hypertension, smoking and noise exposure may not have a direct impact. This study highlights the need for comprehensive health monitoring and interventions targeting lifestyle changes among seafarers to reduce the risk of hypertension and improve overall health and safety in the maritime work environment.

Advances in information technology have driven the transformation of health services towards digitalization, one of which is through the Mobile JKN application provided by BPJS Kesehatan. This study aims to analyze the level of satisfaction of the Medan City community with the online registration process using the Mobile JKN application. The research method used is a descriptive quantitative approach with a purposive sampling technique on 100 respondents who meet the criteria: domiciled in Medan City, aged over 17 years, and have used the Mobile JKN application. Data were collected through a closed questionnaire based on a Likert scale covering aspects of ease of use, speed of service, clarity of information, and general satisfaction. The results showed that the majority of respondents were satisfied with the ease of access and speed of registration through the application, although there were still technical obstacles and lack of information felt by some users. These findings can be the basis for improving the digitalization system of health services, especially in optimizing features and delivering information on the Mobile JKN application.

Stunting and undernutrition remain serious public health issues among under-five children, particularly in developing countries. Community-based nutrition interventions are considered effective in integrating both specific and sensitive approaches to address these challenges. This study aims to review the effectiveness of various community-based nutrition interventions in preventing stunting and undernutrition among under-five children. A narrative review approach was employed to analyze six peer-reviewed articles published in the last five years (2021–2025), selected from PubMed, ScienceDirect, and Google Scholar using relevant keywords and inclusion criteria. The findings demonstrate that community-based nutrition interventions positively impact stunting reduction and improve child nutritional status. The most effective interventions included family-based nutrition education, growth monitoring, supplementary feeding, lipid-based nutrient supplementation, and innovative programs such as child-owned poultry. Active community participation, engagement of health cadres, and multi-sectoral collaboration were critical to the success of the programs. Community-based nutrition interventions are effective strategies to improve child nutrition and prevent stunting, particularly when implemented participatively and sustainably. These findings provide a basis for community nursing practices and the formulation of contextually appropriate and impactful nutrition policies.

Stigma is a negative label attached to an individual by society and influenced by the surrounding environment. In reality, individuals with mental disorders often experience greater stigma and discrimination from the community compared to those suffering from other medical illnesses. Ideally, the community should serve as a support system for people with mental disorders. This study aims to determine the influence of stigma on community attitudes toward individuals with mental disorders in Juli Seupeng Village, Juli Subdistrict, Bireuen Regency. This research is a quantitative study with a cross-sectional design. The sample consisted of 46 respondents, selected using purposive sampling. The study was conducted in Gampong Krueng July from August 10 to August 15. Data were analyzed using the Chi-square test. The univariate analysis showed that the majority of respondents had a high level of stigma (32 respondents or 69.6%), and most community attitudes were categorized as negative (38 respondents or 82.6%). The bivariate analysis revealed a p-value of 0.016, which is less than the significance level of 0.05 (ρ = 0.016 < α = 0.05), indicating a significant relationship between stigma and community attitudes toward individuals with mental disorders. Therefore, the alternative hypothesis (Ha) is accepted, and the null hypothesis (Ho) is rejected. It is recommended that communities change their mindset and perspectives, as negative attitudes can trigger relapses in people with mental disorders.

Obesity is a problem in various parts of the world where its prevalence is increasing rapidly, both in developed and developing countries. It is estimated that there are 1.5 billion people in the world experiencing being overweight and obese. Obesity can occur because there is an imbalance between the energy from the incoming food greater than the energy used by the body. This study is aimed to determine the best anthropometric index to predict abnormalities in biomedical examination (inflammation and lipid profile) in adulthood in urban areas of Indonesia. The study was a cross-sectional study. The data were taken from Health Research (Riskesdas). The population in this study were those age 20-59 years both sexes. The analysis conducted in this study are univariate, bivariate, ROC analysis, and logistic regression analysis. The results indicate that in general obesity and central obesity increases with age, with the highest prevalence was in the 40-59 year age. In adults, cut-off point value based on BMI and waist circumference to predict cardiovascular disease risk in Indonesian society is lower than the WHO recommendation.

Rapid progress in Makassar City increases awareness will importance protect skin from effect bad ultraviolet light with use sunscreen . The height request will sunscreen , has produce various types and products sunscreen so that an effective marketing strategy is needed in increase decision purchase sunscreen in the community in Makassar City. Research This aiming For know influence labeling , price , and quality product to decision purchase sunscreen and its effects to interest buy repeat product sunscreen in the community in Makassar City. Research This is study descriptive with approach quantitative , using questionnaire as tool help For data collection with sample totaling 100 people. Observed variables covering Labeling (X1), Price (X2), Quality Product (X3), Purchase Decision (Y1) and Purchase Interest (Y2). Data analyzed use SmarPLS 4.0. Research results show that the most influential factor decision purchase is Quality Product with loading factor 0.387 then followed with Labeling with loading factor 0.339, while price No influential significant to decision purchases and decisions purchase influence level interest buy repeat product with loading factor 0.603. So can concluded that Labeling and Quality Product influence Purchasing Decisions which have an impact on the Purchasing Interest of the community in Makassar City.

Health development is carried out by making human resources healthy as early as possible, this is to improve the quality of life of children with optimal growth and development both physically (motor), mental, cognitive and social. The process of growth and development in children takes place very naturally, to realize children's motoric development according to their age, parents must have knowledge about child development and the role of parents in parenting to stimulate children to be confident in their basic motor development. The purpose of this study was to determine the relationship between knowledge and the role of parents in stimulating gross motor development in children aged 3–24 months. This research method uses an analytic survey with a cross sectional design. The sample in this study were parents who had children aged 3–24 months as many as 53 respondents, the sampling technique was simple random sampling. Data analysis using chi square. The results showed that there were 55.6% of parents with good knowledge and normal children's gross motor development, then 75% of parents had a good role with normal children's gross motor development. The results of the bivariate analysis of knowledge showed no significant relationship (p= 0.777), while the role of parents had a significant relationship (p = 0.002). There is a need for education and outreach to increase parental knowledge and play an involved role in stimulating children's development to achieve optimal

Performance is the work of an employee qualitatively and quantitatively in carrying out his duties in accordance with the obligations imposed on him. The purpose of this study was to see how burnout affects the performance of employees at RSU Aliyah I Kendari City in 2023. Using complete sampling, the population consists of 42 permanent nurses. Data collection methods include observation, interviews, and distributing questionnaires. Chisquare is the analytical approach used. Based on the research findings, 11 (68.3%) of the 16 respondents who experienced burnout in the low group performed well in the good category. Furthermore, 17 (65.4%) of the 26 respondents in the high burnout category were satisfied with patient satisfaction. On the other hand, the value of ρ<1. We get α = 0.031 < 0.05 and Ho is discarded. Therefore, at Aliyah I General Hospital in Kendari City in 2023, burnout can be interpreted as affecting nurse performance. Efforts to improve performance must pay attention to the comfort of nurses' work, need to pay attention to the skills and workload of nurses, and foster a sense of responsibility.

The suboptimal handling and care of newborns are among the factors contributing to perinatal mortality. One of the reasons for the suboptimal handling and care of newborns is the lack of knowledge among mothers about newborn care, especially among primiparous mothers who lack direct experience in caring for newborns. This situation leads to maternal anxiety during the first week of the baby's life. The objective of this study is to determine the relationship between knowledge and anxiety among primiparous postpartum mothers in the care of newborns at the North Buton Regional General Hospital. The research design used is analytical, employing a Cross-Sectional study approach with a sample size of 30 postpartum mothers. Data collected include both primary and secondary sources, and the data analysis involves the chi-square statistical test. The research results indicate a correlation between maternal knowledge and anxiety among primiparous postpartum mothers in the care of newborns, with a p-value of 0.003 < α = 0.000. Consequently, the null hypothesis (H0) is rejected, and the alternative hypothesis (Ha) is accepted. In other words, there is an influence of knowledge on the anxiety levels of first-time postpartum mothers in the care of newborns at the North Buton Regional General Hospital.
 
 

The maternal mortality rate (MMR) in Indonesia related to pregnancy, childbirth and the puerperium is still high, although on the other hand there has been a decrease from 359 per 100,000 live births (KH) in the 2016 Indonesian Demographic and Health Survey (IDHS) to 273 per 100,000 KH in 2018.The purpose of this study was to determine the effect of giving rose aromatherapy to reducing the intensity of labor pain in the first stage of labor at PMB Umi in 2022 The research method used is a quasi-experimental method with a one group pretest-posttest design approach. Univariate and bivariate research analysis using paired sample t-test statistical tests. The results of the analysis show that the t-test value is 6.08 and the p-value is 0.000 <α 0.05, which means that there has been a significant reduction in pain intensity in the first stage of labor before and after being given rose aromatherapy. And the results of the analysis of the paired sample test before and after giving rose aromatherapy, with a t-test value of 15.96, Sig. (2-tailed)/ p-value = 0.000 < α 0.05. It can be concluded that there is a significant influence between giving rose aromatherapy to reducing the intensity of labor pain in the 1st stage of labor at PMB Umi Salamah in 2022. Health workers can use aromatherapy as an alternative way of dealing with labor pain in the first stage of labor, providing adequate information to mothers about the delivery process so that mothers have proper preparation.
 
 

This research aims to analyze the role of each actor involved in realizing health services so as to be able to find out each actor's perspective regarding health services through the Desa Siaga in Watupute Village. Apart from that, it is necessary to determine the actions of each actor in order to improve the health service system in Watupute Village. This research method is descriptive-qualitative by determining the research sample using purposive sampling, data collection through observation, document study, interviews with several actors involved in this program, and data analysis using the Miles and Huberman model. The results of this research were able to identify the actors involved in health services in Watupute Village, namely, the Health Departement of East Kolaka, Desa Siaga cadres, Watupute village government, and the Watupute village community. Each actor has a role in developing health services through Desa Siaga. However, there are still actors who cannot carry out their roles, so achievements in program implementation are not optimal. In determining actions, the Health Office of East Kolaka has determined regulations that must be obeyed in implementing the Desa Siaga, the Watupute Village Government has provided a budget that comes from village funds, the Desa Siaga cadres have carried out their duties in implementing the Desa Siaga, and the community has participated in the success of the village program. Standby. Based on the results of this research, the researcher suggests equalizing perceptions between actors so that there is a understanding and health services in Watupute village can run effectively.
 
 

Background : Postpartum anxiety is very important to know because of the mother's lack of knowledge at this stage, because it will undergo many changes both emotional (psychologically), physical (physiological) changes and environmental (social) changes experienced by postpartum mothers. Such changes can affect the emotional instability of the mother after childbirth, which is characterized by a deep and sustained feeling of fear or worry. Continued postpartum anxiety negatively affects both mother and baby.
The anxiety rate of postpartum mothers is still a high category in various countries such as Pakistan as much as (70%), Hong Kong as much as (54%), Bangladesh as much as (29%) and Portugal as much as (18.2%) %), anxiety levels in Indonesia as much as (28.7 %) (Agustin and Septiyana, 2018).
Mindfulness therapy can be used to reduce the level of anxiety towards postpartum mothers, when a person is in a mindfulness situation, the emotional stability of postpartum mothers will be more improved, and the effect is regarding the decrease in anxiety levels (Triyono. H. G, Dwidiyanti, M. & Widyastuti, 2018). According to Oktavia (2018), defining mindfulness therapy aims to help a person in gaining awareness so that there is no reaction to what is happening (good, bad or neutral events / events) and a person is able to overcome his emotions when in a state of depression or frustration and build peace for himself.
 

Minimum Service Standards (SPM) are contained in the Regulation of the Minister of Health of the Republic of Indonesia Number 4 of 2019 which regulates the type and quality of basic services required by regional affairs and are entitled to be obtained by everyone at least. The annual target of SPM requires inputs and processes as a performance plan for puskesmas activities within a certain time span. Data on program performance achievements at the Sengeti Health Center for the maternal and child health and family planning Program in 2021 and 2022 are still below target on average. Pemerintah daerah harus menyusun dan menghitung besaran anggaran untuk pemenuhan kewajiban tersebut agar melaksanakan tugas wajib sesuai dengan standar pelayanan minimal. The purpose of this study is to identify the planning and budgeting process of the Kia-Kb program related to the implementation of Minimum Service Standards (SPM) in the health sector at the Sengeti Health Center. This research uses qualitative research methods with a case study approach with 9 informants. Data was collected by conducting in-depth interviews and observations at the Sengeti Health Center from January to March. The results of this research in the aspect of input consisting of human resources, funds, and infrastructure facilities were obtained, namely in quantity and quality according to standards, but training held by the Health Office was only required for program holders. Facilities and infrastructure in the maternal and child health and family planning program are fairly incomplete. Obstacles in terms of funds are often late disbursement of funds. Aspects of the budget planning process have been carried out with 5 stages. Output aspects in the form of RUK and RPK preparation are carried out at the end of each year. The outcome aspect of the Kia-Kb Program has not reached the SPM target where the desired target is 100%.
 
 

 
Background: Integrated Antenatal Care (ANC) is a comprehensive service effort for pregnant women in the early detection of complications of pregnancy whose scope of visits has the aim that pregnant women can have a positive experience in undergoing pregnancy and childbirth. The government presents the JKN program for pregnant women with the aim of reducing costs in obtaining services, so as to reduce MMR. In Jambi City, there are still several health centers that have not met the target of the coverage of Integrated ANC visits. The purpose of this study was to determine the determinants of integrated ANC visits to participants in the National Health Insurance program at the Jambi City Health Center in 2022. Methods: This study used a quantitative research type with a descriptive approach and a cross sectional design. The data were obtained from a sample of 103 pregnant women respondents at the Jambi City Health Center, the research variables consisted of knowledge, education, employment, income, husband's support and support from health workers. The sampling technique uses proportional random sampling. Results: Bivariate analysis using the Chi-Square test found that factors related to integrated ANC visits were knowledge (0.006), occupation (0.001), income (0.01), husband's support (0.001), health worker support (0.000). There is no educational relationship (0.47). Conclusion: Variables that have a relationship are knowledge, work, income, husband's support, and support from health workers, while education does not.

Background: Postoperative ileus is a major and transient problem in patients undergoing abdominal operative. Postoperative ileus commonly occurs at 25% of patients undergoing abdominal surgery. Signs symptoms of postoperative ileus include abdominal distension, nausea, vomiting, inability to the oral diet both eating and drinking, absence of flatus, and changes in defecation (gastrointestinal motility). Due to the presence of ileus patients are at high risk of developing complications, expensive treatment costs, lengthy stay, and late oral administration to the diet According to guidelines for post-surgery in digestion as well as gynecology in guidline enhanced recovery after surgery community recommends the use of chewing gum (shame feeding) to prevented post-operative ileus or ileus post-surgery.
So there are several types of interventions to reduce postoperative ileus, namely implementing chewing gum as an evidence-based practice aimed at improving intestinal motility and minimizing side effects of postoperative ileus. Chewing gum is inexpensive, easily available, and a non-pharmacological intervention capable of producing changes in gastrointestinal motility and rapidly reducing the ileus post-operative. Furthermore, chewing gum interventions are relatively easy for nurses to implement. Research purpose: Effect of chewing gum on postoperative ileus prevention in postoperative abdominal patients. Research Methods: This type of research is quantitative research with a pre- and post-control quasi-experimental approach with a total  of 30 respondent. Sampling using the accidental sampling method because respondent in hospital Jayapura city for abdominal surgery are still limited. The examinations used were the Wilcoxon and Man Whitney tests. Results: For the univariate analysis, it was found that male respondents were 20 respondents (66.7%) and women were 10 respondents (33.3). The age of the most respondents was  16 - 35 years old as many as 19 respondents (63.3%) and the least between 56 - 75 years old as many as 2 respondents (6.7%). Wilcoxon test results obtained p-value of 0.001 < 0.005 its mean that there is The chewing gum on improved intestinal motility of patients after abdominal operative. summary: chewing gum on the decline of ileus postoperative.
 

POSYANDU (Integrated Service Post) is a monthly activity post to monitor the health status of pregnant women and toddlers (children under the age of five). This activity is carried out to monitor the growth and nutritional status of children under five on a regular basis and to understand the situation of pregnant women who are at risk so that preventive measures can be taken to prevent the death of pregnant women and malnourished children. However, in practice there are some difficulties such as searching for data and recording the same name in different formats. This study uses a qualitative method with a cross-sectional approach, where the aim of this research is to design and build a system that can manage Posyandu data in an integrated and well-computerized manner based on WEB cloud computing. The result of this study is a posyandu application consisting of immune data, vaccine data, child data, mother data, officer data, and posyandu data. The accuracy of the application implementation based on the blackbox method by posyandu officers who focus on the functionality side, especially on the input and output of the application by the officers, results of the application running according to the design requirements.
 

Stunting is a problem in child growth that is caused by malnutrition over a long period of time. Malnutrition can begin when the child is still in the womb. Stunting can cause a child's body to become stunted or short, the child's intelligence is low, so that the child is susceptible to disease. The stunting prevalence rate in Indonesia was 27.67% in 2019, with a percentage of 30.38% coming from North Sumatra. The causes of stunting are a lack of nutritional support and the presence of infectious diseases in children. In addition, knowledge of nutrition and knowledge of stunting also has an indirect impact on stunting. The phenomenon seen in Suka Maju Village, Tanjung Tiram District is that pregnant women and breastfeeding mothers do not know stunting well, some of them have never even heard of the term stunting, and some others know that stunting is a malnourished child but do not understand what causes it and the impact of children suffering from stunting. With this knowledge, there are no preventive activities carried out by pregnant women and nursing mothers in Suka Maju Village, including the parenting style they apply. Parenting practices that do not support stunting prevention are pregnant women who do not consume highly nutritious foods, provide complementary foods that are not varied, and do not cultivate exclusive breastfeeding.
 

                Background Stunting is a chronic nutritional problem caused by a long-term lack of nutrients. Early marriages that are commonly practiced in the community can have a negative effect on the health conditions of mothers and children and can increase the incidence of stunting.                Objective to see if there is a relationship between early marriage and other factors on the incidence of stunting in the working area of the Prabugantungan Health Center, Lebak Regency                Research methods This type of research is quantitative research with a Cross Sectional Study approach. Using a cluster sampling technique with a total sample of 128 with the criteria of a village with a high stunting rate. Statistical analysis test with Chi-Square with a significance level of α = 5%.                Research result Most of the toddlers have normal nutritional status, namely 89.1% and only 10.9% of them are stunted. 78.1% of mothers were married at the age of 19 and over and a small number of mothers (21.9%) had early marriages. There is a relationship between early marriage and the incidence of stunting in the Work Area of the Prabugantungan Health Center (p-Value 0.007). There is no relationship between education, work, and place of delivery of mothers with the occurrence of stunting in Work Area of the Prabugantungan Health Center.                Conclusions and recommendations Midwives need to socialize the prevention of early marriage in adolescents in anticipation of stunting prevention by involving cross-sectors.

Stunting conditions due to chronic malnutrition and nutritional deficiencies that caused the child to fail to grow according to his age, Stunting prevalence is 21.6% of the number of newborns in Indonesia, and the number of stunting sufferers is increasing due to several factors, one of which is the economy, so that families ignore the nutritional needs of the newborn. The method used in this study is simple random sampling. The number of samples used as respondents was 112 households. There are several factors that influence stunting: the mother's knowledge of exclusive breastfeeding, sanitation of the environment, antenatal care, and visits of health officials based on statistical tests. There is a significant relationship where the p-value value is 0.015   = 0.07; this proves to be a relationship for every factor causing stunting. The conclusion and recommendation of increased stunting incidence are indicators of inequality in health care, so it is expected that health workers should improve nutritional status.

Urinary Tract Infection (UTI) is an infectious disease that is often found in general practice. Urinary tract infection (UTI) can be defined as the presence of bacteria in the urine where these bacteria may invade the tissues of the urinary tract. The type of research used in this research is descriptive research. This research was conducted in June 2021, in the medical records section of the Kotaraja Health Center, Jayapura City. The population in this study were all patients with UTI who were treated at the Kotaraja Publical Center in June - December 2020 with a total of 30 patients. The results showed that there were more female patients than male, namely 17 people (57%). most patients came from the age group 26-35 years as many as 11 people (37%). The most dominant type of antibiotic prescribed was ciprofloxacin in 24 patients (80%). The most dominant group of prescribed antibiotics was Fluroquinolone as many as 24 patients (80%). The most widely used dose of antibiotic preparations was Ciprofloxacin 500 mg for 24 patients (80%). The most frequent duration of antibiotic administration was 5 days for ciprofloxacin as many as 20 patients (67%). Conclusion: The most frequently used antibiotic at the Kotaraja Publical Center is Ciprofloxcacin

Elementary school children are susceptible to various diseases related to PHBS such as diarrhea, DHF, etc. Currently PHBS in Indonesia is still low. The purpose of this study was to determine the factors related to PHBS in elementary school children in the working area of ​​the Pakuan Baru Health Center, Jambi City, in 2022. This research is quantitative with a cross sectional design. Sampling by simple random sampling, a total sample of 105 fifth grade students. Data collection was carried out using questionnaires and observations. Analysis using the chi-square test. The results of this study indicate that respondents with good PHBS were 64.8%. The results of the analysis show that The role of parents is related to PHBS p=0.003. And the role of health workers is not related to PHBS p=0.227. There is a relationship between the role of parents with PHBS in elementary school children, while the role of health workers is not related to PHBS.
 
 

Introduction, the Covid-19 pandemic and the Large-Scale Social Control Policy (PSBB) have a very significant effect on health services, especially the visit of mothers under five to posyandu. The purpose of this study was to determine the factors that influence the visit of toddler mothers to posyandu at the Kebun Kopi Health Centre, Jambi City. Materials and Methods, this study is descriptive analytic with Cross Sectional approach with accidental sampling technique. The respondents in this study were mothers who had toddlers aged 12-59 months, the working area of the Kebun Kopi Health Centre, Jambi City  was 101 people. The analysis in this study used univariate analysis and bivariate analysis using Chi Square. The results/findings, this study showed that the variables related to visits by mothers of toddlers to posyandu during the Covid-19 pandemic were the role of cadres (p = 0.000), family support (p = 0.003) and anxiety (p = 0.034), while unrelated factors were knowledge (p = 0.158), sources of information (p = 0.561), and work (p = 0.290). In conclusion, the factors that influence the visit of mothers of toddlers to posyandu during the Covid-19 pandemic are the role of cadres, family support and anxiety. The need for education about Covid-19 transmission to mothers under five and posyandu strictly implements health protocols.
 
 

Background : Diarrhea is still a global problem today and is still a serious concern from various countries. This was reported in the World Health Organization (WHO) which describes cases of diarrhea in the world in 2017 stating that there are nearly 1.7 billion cases of diarrheal disease that occur in children with 525,000 deaths every year worldwide. The occurrence of diarrhea will cause children to lose the nutrients that children need for growth and development, so diarrhea is the main cause of malnutrition in school-age children. The World Health Organization (WHO) states that washing hands with soap can reduce diarrhea rates by up to 47%.
Purpose : Analyzing the effect of personal hygiene puzzle media washing hands with soap on students' knowledge of SDN 6 Parakan Kauman Temanggung
Research Method: Pre-experimental design with one group pre-post test. The sampling technique used total sampling, namely 29 students at SDN 6 Parakan. Data analysis with Wilcoxon test
Research result : The majority of respondents' knowledge before being given puzzle media was in the good category, namely 15 (51.7%) respondents, while after giving puzzle media, the majority were good, namely 22 (75.9%) respondents. The results of the Wilcoxon test found a p value of 0.000 <0.05 meaning that there was an effect of giving hand washing personal hygiene puzzle media with knowledge to elementary school students in Temanggung
Conclusions and recommendations : Giving puzzle media can affect students' knowledge about personal hygiene hand washing. It is hoped that the hand washing puzzle media can be used as a medium in increasing student knowledge

Workload becomes a source of stress if the amount is not proportional to both physical ability and expertise and the time available to nurses. In addition, nurses are faced with the covid-19 pandemic situation which requires them to work longer and more carefully due to the infectious nature of the virus, especially in intensive care rooms. Patient care in the ICU during the pandemic requires nurses to go the extra mile because they are at the forefront of their response. This study will examine the relationship between workload and stress in nurses in the ICU room of Merauke Hospital. The method used is quantitative association with Cross Sectional approach. A total of 40 nurses were designated as research samples with total sampling techniques. The research measuring instrument used questionnaires using univariate data analysis using frequency distribution and bivariate data analysis using rho spearman. The results of the analysis of the relationship between the two variables using the Spearman rho correlations statistical test with the help of the SPSS program showed significant (p) = 0.000 smaller than (α) = 0.05. This means that there is a significant relationship between workload and nurse work stress in the ICU room of Merauke Hospital. With the Spearman correlation coefficient rho (r) = 0.964. This means that it has a strong level of relationship strength and a positive correlation coefficient value so that the relationship is unidirectional. There is a meaningful relationship between workload and nurse work stress in the ICU room of Merauke Hospital. The higher the workload, the higher the nurse's work stress level
 
 

Public places have the potential to become places for disease transmission and environmental pollution, for example, tourist spots. Muaro Jambi Temple is one of the cultural heritage complexes of the largest Hindu-Buddhist temple complex in Southeast Asia. It is also the most visited tourist spot in Muaro Jambi Regency.  This study aims to evaluate the implementation of sanitation at the Muaro Jambi Temple tourist area. The method used in this research is qualitative research with an evaluation approach. There were 8 informants in this study who were taken by purposive sampling. Data collection was carried out by means of in-depth interviews, observation, and document review. Data analysis with content analysis method. The validity test of the research was carried out using the triangulation method. The results showed that the human resources of the Jambi Kecil health center had not met the standards, the cleaning staff or caretakers at the temple were sufficient in quantity but had not been assigned specifically to implement standardization of sanitation for tourist attractions. Funds for the implementation of the program from the Public health center come from BOK, while the tourism management has not prepared funds for implementing sanitation. The facilities and infrastructure of the Public health center are adequate, but the sanitation facilities in the temples are not up to standard. There is no policy that regulates STTU. Examination and assessment of sanitation in the temple had never been done before. When a sanitary inspection was carried out, it was found that the Muaro Jambi temple did not meet health requirements, namely 42.63%. It is hoped that the regional government will make regional regulations regarding the application of STTU and tourism managers will start implementing standardization of sanitation as a necessity. Public places can potentially become places for disease transmission and environmental pollution, for example, tourist spots. Muaro Jambi Temple is one of the cultural heritage complexes of the largest Hindu-Buddhist temple complex in Southeast Asia. It is also the most visited tourist spot in Muaro Jambi Regency.

Background: Everything without proper planning is susceptible to disturbances that will affect it. This holds true for families as well. Without thorough planning, a family cannot stand firmly. A formed family will lack resilience and the ability to withstand disruptions in the course of life. Social dynamics can render a family unstable, leading to a higher divorce rate that signifies family breakdown. Research Objective: This study aims to determine the relationship between knowledge, attitudes, relationship status, and relationship behavior among prospective healthcare professional students at STIKes RSPAD Gatot Soebroto. Research Methodology: This research employs a quantitative approach with a cross-sectional survey design. Snowball sampling technique is used to gather samples from students of midwifery and nursing programs at STIKes RSPAD Gatot Soebroto, resulting in a sample size of 283 respondents. Data analysis involves univariate and bivariate analysis, and the statistical test used is the Chi-square test. Research Findings: The study confirms that there is a significant relationship between knowledge and family planning with a p-value of 0.000. Similarly, a significant relationship is observed between attitudes and family planning with a p-value of 0.000. The study also establishes a significant association between relationship status and family planning with a p-value of 0.000, as well as a significant connection between relationship behavior and family planning with a p-value of 0.000. Conclusion: This research concludes that there is a correlation between knowledge, attitudes, relationship status, and relationship behavior with family planning among prospective healthcare professional students at STIKes RSPAD Gatot Soebroto.

Exclusive breastfeeding is the only good nutrition for the growth and development of babies aged 0-6 months. Based on data from the Central Statistics Agency, exclusive breastfeeding coverage in Jambi Province in 2021 was 71.37%. The achievement of exclusive breastfeeding at the Paal X Health Center in JCity in 2019 was 52.80%, so it is considered that it is still less than the target of the local government. This is due to several factors, namely limited knowledge, attitudes, education, duration of work and the age of the mother, greatly affecting exclusive breastfeeding. This research is a quantitative study with a cross-sectional design. The sample was selected by accidental sampling and obtained by 63 respondents. The data obtained from filling out the questionnaire and interviews were carried out univariate and bivariate analysis with chisquare or Fisher exact tests. The results of the statistical test obtained several variables related to the behavior of exclusive ASi distribution to babies at the Paal X health center in Jambi City are knowledge, attitudes, education, work with a p value of < 0.05. There is no relationship between the age of the mother and exclusive breastfeeding at the Paal x Health Center in Jambi City. Factors related to exclusive breastfeeding behavior at Puskesmas Paal X Jambi City are knowledge, attitudes, education, work. Meanwhile, the age factor is not associated with exclusive breastfeeding. 
 
 

Painful menstruation (Dysmenorrhea) is the most common cause of repeated absences from school. Several studies have shown that adolescents with dysmenorrhea experience a decrease in academic achievement, social and sports activities. Pain management pharmacologically, menstrual pain can be treated with analgesic therapy, which is the most commonly used method for pain relief (Potter and Perry, 2006). Meanwhile, Harahap's research (2020) found the effect of giving pineapple juice and honey on a decrease in menstrual pain in female adolescents. The purpose of this study was to determine the effect of giving pineapple juice and honey on reducing menstrual pain in young women at SMPN 1 Rangkasbitung Lebak Banten. The samples taken were 32 people with the criteria of being menstruating and dysmenorrhea, the data is not normally distributed then use the willcoxson test. Statistical test results using the SPSS 21 for Windows program obtained a Z value of -3.873 with a p value of 0.000, at alpha 0.05 it was known that p <alpha, it could be concluded that there was an effect of giving pineapple juice and honey on menstrual pain in young women.

The number of inmates in the detention center has increased, resulting in increased levels of stress on inmates namely mild stress levels (11.1%) and moderate stress (33.3%) in 2015. All the pressure that occurs on prisoners in prison will result in mental and physical illness and prolonged stress will result in mental disorders such as depression, anxiety and even psychotic disorders. Stress management is used to overcome and reduce stress levels. Progressive muscle therapy is a therapeutic that is superior to other therapies because it is the cheapest and it's easy to do independently and shows the importance of restraining stress responses by trying to relieve conscious muscle tension. The design of this study used a pre - experimental design with a design of one group pre test - post test design. The population in this study were criminals in the Prison of Class II B Kudus. The sampling technique uses total sampling so that the sample size is 13 respondents. Data was collected using observation of stress levels and then analyzed using paired T test. The result of the paired T test showed that there was a significant effect between progressive muscle relaxation therapy on the reduction of stress levels in criminals in the Prison Class II B Kudus with a p-value of o,oo1 (p<0.05). There is the Effect of Progressive Muscle Relaxation Therapy on Drecreasing Stress Levels of criminal in Prison Class II B Kudus.
 
 

Backgrounds : Based on the guidelines for Integrated Ante Natal Care pregnancy checks issued by the Minister of Health at every level of MCH services, health workers in health care facilities are required to test all pregnant women for HIV, syphilis and hepatitis B at least once as part of routine laboratory examinations during pregnancy. antenatal checks at visit 1 (K1) until just before delivery. Research objectives : To determine the relationship between the level of knowledge and attitudes of pregnant women with their behavior towards the HIV pretest at the Kota Baru Health Center. Type of research : Research conducted in June. The sample in this study was 60 samples in the Kota Baru Health Center area. This study uses a questionnaire and checklist with a quantitative approach method with a cross-sectional research design. Total sampling technique. The results of the study : The distribution is known from 60 respondents, the majority of respondents have good knowledge about preventing mother to child transmission as many as 47 people 78.3%, the less good there are 13 people 21.7% distribution of attitudes from 60 respondents, the negative value is less than 20 regarding prevention of mother to child transmission, namely as many as 12 or 20.0% of respondents, while positive values ​​of more than 20 were 48 students or 80.0% of distribution of the behavior from 60 respondents, who participated in preventing mother to child transmission, namely as many as 41 68.3% of respondents, who did not participate in preventing mother-to-child transmission, namely 19 or 31.7% of respondents. Based on the results of the chi-square statistical test, it is obtained that the p value = 0.002 is smaller than the value α = 0.005. Research conclusion : There is a significant relationship between knowledge and the use of HIV testing at the Kota Baru Health Center, while the results of the chi-square statistical test obtained p=0.006, meaning that there is an attitude relationship between knowledge and the use of HIV testing at the Baru City Health Center.

Background: Dental and oral health problems in the community, one of which arises because of behavioral factors or attitudes of ignoring dental and oral hygiene. In Indonesia, dental and oral health problems are relatively high, based on data from the 2018 Basic Health Research that 57.6% of the Indonesian population has dental and oral health problems with 10.2% of dental health workers. Papua Province has dental and oral health problems as of 48. The lowest tooth brushing behavior in Indonesia is 54.4% from the national data of 94.7% with a ratio of dental medical personnel still very low at 8%. Methods: The design of this study used a cross-sectional study, the sample used the Probability Proportional Size sampling technique and obtained 90 respondents, and the data analysis in this study used the chi-square test. Results: Based on the results of research and discussion in this study, the distribution of respondents with knowledge of Dental and oral health with the poor category as much as 58.9%, the sufficient category 20%, and the good category as much as 21.1%, the distribution of respondents who have chewing betel nut behavior is 66.7%, and do not have betel nut chewing behavior 33.3%, and the results of the analysis using the chi-square test obtained p-value 0.000 < = 0.05. Conclusion: there is a relationship between the level of knowledge of respondents about dental and oral health with betel nut chewing behavior in the Yapen Islands Regency. It is necessary to do health promotion about dental and oral health in the Yapen Islands Regency. It can increase the knowledge and behavior of adolescent health in maintaining dental and oral health in the Yapen Islands Regency.

Breast milk is the main nutrient for babies to protect them against possible disease attacks. The balance of nutrients in breast milk is at its best and the milk is in the best form for the baby's body. The purpose of this study is to deter-mine the effectiveness of the application. The research design used in this study was observational with a prospective cohort approach. Where this research intends to look at several groups based on certain characteristics by taking pur-posive sampling and samples of 30 babies including 15 Exclusive Breastfeeding Groups, 15 Formula Milk Mix Groups, IMD Groups and Formula Milk Mixes in the Work Area of the Bara-Baraya Health Center in 2022. Instru-ments The research used is an observation sheet analyzed using the Chi-Square Fisher Exact test analytical test. Re-search Results There is a significant relationship between Exclusive Breastfeeding, and Mixed Formula Milk to in-crease body weight, and body length. While the results obtained a p value of 0.023 which means there is a significant relationship between the application of exclusive breastfeeding to stunting prevention. In the exclusive breastfeeding group, the stunting rate was lower than those using formula milk, and those who carried out early initiation of breast-feeding according to the standard, which was 1 hour long, tended to give exclusive breastfeeding on demand.

Background: Blood transfusion is a valuable aid to handle patients with severe anemia, inherited blood disorders, severe injury, surgery, liver disease, and reduce maternal mortality. In Indonesia, about 500,000 pregnant women die each year, 28% of them due to loss of blood. Theory of planned behavior Ajzen is used to study the intention to donate blood on a regular voluntary blood donors.
Objective:  to know the  relationship between attitude, subjective norm and PBC with intention to donate blood regularly in blood donor service (udd) Indonesian Red Cross (pmi) Yogyakarta
Method: This is an observational Study with cross sectional design. The Sample uses a systematic random sampling method with 276 respondents. The Measuring instruments are a questionnaire to take explanatory test and test-try questionnaire. Analysis of data used a product moment correlation and multiple linear regression.Results: Respondents had positive attitude, subjective norm and PBC to the intention. Significant relationship with intention on attitude variables (r-value = 0.330, p = 0.000), subjective norm (r-value = 0.341, p = 0.000), and PBC (r-value = 0.362, p = 0.000). The role of each variable based on regression coefficients obtained by the equation to donate blood regularly = 7.682 + 0.175 attitude + 0.215 subjective norms + 0.191 PBC. Adjusted R Square value of 0.20 indicates a 20% change of intention is influenced by attitude, subjective norm and PBC.Conclusion: There is a significant relationship between attitude, subjective norm and PBC with intention to donate blood regularly. Subjective norm has the largest positive effect (0.215) to the intention compared with PBC (0191) and attitudes (0175).
 
 

The first stage process accompanied by pain which is a physiological process, is a subjective experience of physical sensations associated with uterine contractions, dilation and cervical thinning. Primiparous mothers are often worried because they do not understand how to deal with labor. Primipara tends to experience more anxiety to cause tension and fear so that it cannot withstand the pain.
The purpose of this study was to look for the effect of an upright position on pain in the first phase of the active phase of primiparous labor in the Puskesmas Jumpandang Baru Makassar in 2019.
The study was conducted in January to October 2019 at the Jumpandang Baru Public Health Center in Makassar. This type of research is a quantitative experiment with the Post Test Only Group Design approach. The population in this study were all women giving birth at the Jumpandang Baru Makassar health center in January to October 2019. The sample in this study was part of the population of women giving birth at the Jumpandang Baru Makassar health center in January to October 2019 as many as 15 people with Purposive Sampling.

The Covid 19 pandemic of the past three years has necessitated certain modifications to the management strategy, as health care professionals and diabetic patients cannot communicate directly. Technology is used to ensure that the management of Diabetes Mellitus remains intact. Using a bibliometric methodology, this study intends to examine the breadth of research on the application of telehealth to the management of Diabetes Mellitus during the Covid 19 Pandemic. Google scholar, Pubmed, and Science Direct are used to search for research databases, and VOS-viewer is used to retrieve the search results. The analysis of 902 articles from 2020 to 2022 reveals the existence of three clusters (red, green, and blue) that illustrate the relationship between topics. Bibliometric mapping using three distinct visualization techniques, including network visualization, overlay visualization, and density visualization. The most frequent keywords are Covid, Diabetes Mellitus, and Telemedicine. Telemedicine plays an essential role in the care of Diabetes Mellitus during a pandemic since it is simpler to communicate with patients due to limited interaction during lockdown, as seen by the analysis of the visualization above. Telehealth visits could be the subject of research that could be utilized to future studies.
 

Background:Puskesmas in the JKN/BPJS system have a major role in health services. If the puskesmas services provided are good, then JKN participants will use health services more at the puskesmas. Puskesmas Kumun is one of the puskesmas that has a wide working area and serves 9 villages. The number of BPJS participants in puskesmas has reached 61%, but the use of national health insurance shows a less percentage. The purpose of this study was to determine the factors associated with the use of national health insurance at the Kumun Health Center.
Method: This type of research is a quantitative study using a cross sectional approach, with a sample of 100 samples. This research was conducted in the district of Kumun Debai. Sampling with accidental sampling technique. Data obtained by filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate (chi-square) tests.
Result:Based on the statistical test in this study, it showed that the factors related to the utilization of the national health insurance were knowledge (p=0.019), education (p=0.000), occupation (p=0.013), income (0.011), and health facilities. And there is no relationship between attitude (p = 0.069), and trust (p = 0.054) with the use of the national health insurance.
Conclusion: There is a relationship between the variables of knowledge, education, occupation, income, and health facilities with the use of national health insurance at the Kumun Community Health Center in Sungai Penuh City.

Losses experienced by BPJS Health due to payment of contributions that have been stopped for participants who have used maternity services of more than 200 billion in a span of 2 years. It was recorded that 64.7% of mothers who were about to give birth registered as participants a month before giving birth and then quit (43%) or did not comply with the payment after delivery. The largest percentage comes from independent participants or non-wage recipients (PBPU). In Jambi Province, non-compliance in paying BPJS Health contributions is the highest in Jambi City. There were 77,489 participants in arrears in 2021 which resulted in a loss of 60.1 billion. Non-compliance in paying dues comes from multiple factors. The purpose of this study is to analyze the factors causing the non-compliance of independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. A quantitative study approach with a cross-sectional design conducted in Jambi City in 2022. There were 96 respondents who were selected based on the accidental sampling technique. The study instrument was a questionnaire. Quantitative data processing through the stages of editing, coding, entry and cleaning with SPSS. Data analysis consisted of univariate analysis and bivariate analysis using chi-square test. The results of the study found that as many as 33.3% of independent participants did not comply in paying BPJS Health contributions after using childbirth services. There is a significant relationship between the number of family members (p = 0.001), knowledge (0.000), perception of illness (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP) with the non-compliance of independent participants in paying BPJS Health contributions. after the use of maternity services. It is recommended for BPJS Health to consider the application of the waiting period method for participants who will take advantage of maternity services. As well as increasing promotive activities for the Jambi City Government in educating and increasing public awareness about the importance of health insurance in protecting household financing.

Introduction: Universal Health Coverage (UHC) is a health financing system that ensures every individual has equitable access, quality and financially affordable health services. BPJS as the organizing body has made efforts to encourage the achievement of UHC but in it’s implementation there are many obstacles.Method: This research is an analytical qualitative research. Result: Public knowledge about health insurance is still low, the availability of health facilities and coverage of health services are in accordance with standards.Discussion: There are still many people who do not know the importance of being a participant in health insurance.

Background : Muscle pain or it can also be called myalgia is one of many disorders and diseases in the body. In general, myalgia is caused by misuse of muscles or muscles that are too tense. Several nursing action therapies for joint pain management using non-pharmacological therapy, one of which is Cupping Therapy, Research Objectives: The results of the application of the wet cupping technique to reduce the pain scale in the shoulder with Trapezius Myalgia in the work area of the Sidorejo Health Center 2022., Research Methods: The Type of This research is descriptive by using the case method. The study was conducted in April 2022. The subjects in this case study were two clients with a diagnosis of Trapezius Myalgia who met the inclusion and exclusion criteria. Research Results: After cupping therapy was performed for 1 time in 2 weeks, the results showed that the pain scale in the subjects decreased in Subject I from pain scale 5 (moderate pain) to pain scale 2 (mild pain) and in subject II there was a decrease in pain scale from pain scale 6 (moderate pain) to pain scale 3 (mild pain). Conclusion: The implementation of cupping therapy can reduce the pain scale in patients with Trapezius myalgia according to the subject's condition and lifestyle factors in each subject in the working area of the Sidorejo Health Center, Lubuklinggau City.

Primary dysmenorrhea is menstrual pain that is found without obvious abnormalities of the genital organs. Primary dysmenorrhea often occurs in adolescent girls aged 10-14 years (early adolescence). Primary dysmenorrhea refers to pain without obvious pathological pelvic disease or menstrual pain with normal pelvic anatomy, usually beginning in adolescence after their ovulatory cycle has established. The purpose of this study was to determine the relationship between age of menarche, duration of menstruation and exercise habits in adolescent girls in Sitinjau Laut District.
This research is a quantitative research with a cross sectional design. Data collection was carried out in March-April 2021. The research population was... Young Women with a research sample of 198 young women. Sampling was done by using proportional random sampling technique. This study consisted of the independent variable "age of menarche, duration of menstruation and exercise habits" and the dependent variable "primary dysmenorrhea". Data analysis using Chi-Square test.
The incidence of primary dysmenorrhea in adolescent girls is 74.2%. Factors related to the incidence of primary dysmenorrhea in adolescent girls were age at menarche (P=0.000; 1.870; 95% CI 1.371-2.552) and length of menstruation (P=0.001; 0.720; 95% CI 0.635-0.817). And there is no relationship between exercise habits (P=0.720; 1.184 95% CI 1.012-1.835).
There is a relationship between the age of menarche with the incidence of primary dysmenorrhea and the length of menstruation in adolescent girls in the District of Sitinjau Laut.

Background : According to WHO, every day in 2019 around 810 women died, by the end of the year 295,000 people from 94% of them were in developing countries. The direct cause of maternal death by 90% are complications that occur during delivery and after delivery. Chronic Energy Deficiency is a condition caused by an imbalance in nutritional intake between energy and protein, so that the nutrients needed by the body are not fulfilled. Based on the results of the Nutrition Status Monitoring in 2017, it was found that the percentage of pregnant women with chronic energy deficiency in Indonesia was 14.8%. The prevalence of CED in pregnant women in Indonesia based on Riskesdas data in 2018 is 17.3% and based on the Indonesian Health profile that the incidence of CED in pregnant women in 2019 is 17.9%
Objective : Knowing the relationship between age and the incidence of chronic energy deficiency (KEK) in pregnant women
Methods : Analytical with cross sectional approach. The sample in this study were all maternity mothers registered in the register from March 2021 to May 2022 as many as 224 people (total sampling).
Results : The distribution of the frequency of CED incidence in pregnant women is 366.6%. Age of pregnant women mostly aged 20-35 years 69.2%, LBW 3.6% and 3.1% bleeding. There is a significant relationship between age and the incidence of CED in pregnant women with a p value of 0.000.
Conclusions and Suggestions: There is a significant relationship between age and the incidence of CED in pregnant women. It is expected that health workers, especially midwives, provide counseling to pregnant women about nutritional needs during pregnancy.

Background: Performance is a function of encouragement and expertise for a person in carrying out an obligation and work in order to have a certain degree of ability and ability. Jambi Health Department report in 2020 it was known that of the 12 types of health services in the Jambi City Health Office, there are 8 health service performances that have decreased. This research aims to analyzed the performance of employees at the Jambi City Health Office.
 
Methods: This type of research was a quantitative research with a cross sectional research design. Total population in this research were 140 respondents with a total sample of 82 respondents. Data collected was carried out in January 2022 to March 2022. Data collected used questionnaires that had been tested for validity and reliability. Data analyzed with SPSS with multiple linear regression test.
 
Results: Based on the results research, the final model found that employee performance = 1.709 - 0.062 age + 0,098 vision and mission + 0.355 measure of success + 0.121 satisfaction with insentive + 0.262 satisfaction with superiors + 0.109 satisfaction with colleagues. The most influential factor on employee performance was the measure of success where if you increase it 100% (1 point) then the performance will increase by 31.7%.
 
Conclusion: The most influential factor on employee performance was measure of success where if  increased by 100% (1 point) then the performance will increase by 31.7%. It is hope that employees who are expected to use time effectively, know the results that each program wants, have supporting factors in achieving success, pay attention to employee incentives, superiors must be firm in giving warnings to employees who violate, and employees increase interaction with co-workers achieved.

Pregnant women are a group that is vulnerable to Covid-19 due to physiological changes that result in changes in response to Covid-19 infection. Pregnant women with Covid-19 are at risk for preeclampsia, stillbirth, premature birth, and maternal death. The magnitude of the impact, it is necessary to have a Covid-19 vaccine to reduce the incidence and reduce the severity caused by Covid-19, especially in pregnant women. This study aims to determine the relationship between knowledge, perception, and disease history with the willingness of pregnant women to take the Covid-19 vaccine. This research is a descriptive analytic with a cross sectional study design. The population is all pregnant women in the second and third trimesters who are in the Work Area of ​​the Tomalehu Health Center, West Seram Regency, as many as 41 respondents. The sample is pregnant women in the second and third trimesters who are in the Working Area of ​​the Tomalehu Health Center as many as 37 respondents with purposive sampling. Processing and analysis using Chi Square test. The results showed that there was a relationship between perception (p = 0.000) and the willingness of pregnant women to vaccinate against Covid-19. Researchers suggest that health workers and the government should increase the socialization of giving vaccinations to pregnant women. vaccination coverage can be increased

Family Planning Program (KB) using contraceptives is an effort to suppress the rate of population growth. In 2020, the proportion of LACMs (13.4%) in the working area of ​​the Depati Tujuh Health Center is smaller than the proportion of non-LACMs (86.6%) meaning that this achievement has not met the target of the 2020-2024 Strategic Plan (25.11%). The purpose of the research  was to determine the determinants of the use of the Long-Acting Contraceptive Methods (LACMs) on family planning acceptors in the working area of ​​the Depati Tujuh Koto Tuo Health Center, Kerinci Regency. This type of research is quantitative research with a cross-sectional research  design and an analytical survey research method. The number of research samples was 117 respondents who were taken using the proportional random sampling technique. Data collection in April-May 2021. The dependent variable is the use of LACMs while the independent variables are work status, knowledge, attitudes, husband's support, and the role of health workers. Data analysis using chi-square and cox regression. The results showed that the proportion of LACMs was 17.9%. There was a relationship between working status (PR=1.33; 95% CI=1.01-1.75), knowledge (PR=1.23; 95% CI=1.06-1.42), husband's support (PR= 1.30; 95% CI=1.10-1.53), and the role of health workers (PR=1.40; 95% CI=1.17-1.67) with the use of LACMs. There was no relationship between attitude (PR=1.15; 95% CI=0.98-1.36) with the use of LACMs. The dominant factor in the use of LACMs in the working area of ​​the Depati Tujuh Health Center in 2021 is the role of health workers (RR=6.34; 95% CI=1.45-27.71).

Waste that cannot be recycled and processed properly will be very dangerous for human health and the environment. Based on data from the Environmental Service of Jambi City, garbage in Jambi City reached a total of 465,693,805 kg/day, and the largest waste generation data was in Alam Barajo District where the waste generated was 75,409,004 kg/day. This research is an observational study that uses a quantitative approach with a cross sectional method. The population of Alam Barajo sub-district is 30,786 families. The sampling technique is a disproportionate stratified random sampling technique. Bivariate analysis using thetest Chi-Square, the relationship between the independent variable and the dependent variable, namely knowledge (p = 0.000), attitude (p = 0.122), support from community leaders (p = 0.607), support from health workers (p = 0.227) with waste management household. There is a relationship between knowledge and household waste management in Alam Barajo sub-district and there is no relationship between attitudes, support from community leaders, support from health workers and household waste management.

ABSTRACK
Background: According to the World Health Organization (WHO), hypertension is a condition where the increase in systolic blood is above the normal limit, which is more than 140 mmHg and diastolic blood pressure is more than 90 mmHg. Hypertension can increase the workload of the heart and arteries which if it continues can cause damage to the heart and blood vessels. Swedish massage therapy is a complementary therapy that is believed to be able to provide a relaxation response, beside that it can also reduce blood pressure. Research Purpose: The purpose of this research was to obtain an overview of nursing care in the implementation of Swedish Massage to elderly hypertension sufferers at the Simpang Periuk Public Health Center, Lubuklinggau City. The Research Method: The research method was descriptive with a case study approach. The subjects of this study were two elderly people in the work area of Simpang Periuk Public Health Center, Lubuklinggau City. The Evaluation Results: The evaluation results that was obtained from the management of a decrease in blood pressure after the Swedish Massage intervention was done to the hypertensive patients with both elderly subjects with the changes in blood pressure of 10 mmHg. The conclusion: The conclusion from the research was that the implementation of Swedish Massage is an intervention that can be done to reduce the symptoms that arise due to high blood pressure. This technique is one of the non-pharmacological techniques that can be used to minimize high blood pressure. Suggestions: Suggestions were expected to increase knowledge and can be done independently to lower blood pressure.Keywords: Hypertension, Blood Pressure, Swedish Massage

      Dengue Hemorrhagic Fever (DHF) is an acute viral-febrile disease, often characterized by headache, bone or joint pain and muscle, and rash as a symptom. In Indonesia in 2011 there were 65,432 cases with 595 deaths. East Java Province has determined outbreaks of DHF since 2015 in 37 districts / cities, with a total of 3,136 cases of dengue fever and 52 deaths. Pasuruan Regency is one of Kabupeten in East Java with the highest death rate from DHF compared to other regencies or cities, which is 28 people in 2020. There are many factors that can affect, pray the only environment and vector. The purpose of this research is to see the relationship of environmental factors and vector with the incidence of DBD in Pasuruan Regency. This research is an observational research with case control design. The sample in this research were 76 respondents consisting of 38 case groups and 38 control groups representing from 3 sub-districts in Pasuruan Regency (Gempol, Beji and Kraton Sub-district). Data analysis with Chi-Square test. The results showed that there was a relationship between water pH in house (p = 0.005, OR = 5,343), indoor air temperature (p = 0.046, OR = 3,221), air humidity in house (p = 0.049, OR = 3,923) and presence of larvae (p = 0.037, OR = 3.032) with the incidence of DHF in Pasuruan Regency. The most influential factor in increasing the risk of DHF incidence in Pasuruan Regency is the pH of water, the temperature inside the house and the presence of larvae around the house. It needs cross-sector cooperation to pay attention to the condition of environmental sanitation so it will not be a good place for Ae mosquito development. aegypti. Providing counseling to people who focus on the source of the problem, and the community in order to prevent the occurrence of transmission of DHF by breaking the chain of transmission.

Good logistic management can have a big impact on service quality, therefore, logistic management needs to be monitored to know the weakness and strengths in its operatoonal implementation so that corrective can be taken for the implementation of logistic management which is not optimal. This studi aims to determine the implementation process of Non-Medical logistic management at the Syekh Yusuf Regional Public Hospital Gowa which focuses on the procurement process, storagr process, process of distribution, usage process, maintenance process, and process of deletion. This type of research used qualitative which aims to determine more deeply about the management of non-medical logistic at the Syekh Yusuf Hospital of Gowa. By conducting in-depth interviews and observations to informans.The research result from the procurement process indicators had not been categorized good, even though in essence the procurement of goods had used direct procurement and tender process. The strorage process had been categorized good. The distribution process had not been categorized as good because if the goods suddenly arrived when needed, the user had to wait because of logistic procurement once in a while a year. Then in the process of maintaining the goods has been effective. Management logistic on the elimination process can be categorized as good. Syekh Yusuf Hospital Gowa is expected to I,prove the procurement process at least every 6 month.

The disease caused by the Corona Virus has afflicted hundreds of millions of individuals. The virus that causes the disease is SARS-CoV-2. To treat a variety of ailments, the Indonesian population favours the usage of medicinal herbs. The 1,8- cineol, karyophyllene, limonene, α-terpineol, α-pinene, dan β-pinene chemicals are present in eucalyptus oil (Melaleuca cajuputi) used in traditional medicine. This research was undertaken in silico to investigate the efficacy of these drugs as SARS-CoV-2 Main Protease (Mpro) inhibitors. The 1,8- cineol, karyophyllene, limonene, α-terpineol, α-pinene, dan β-pinene chemicals were molecularly docked using AutoDock Vina. Berdasarkan hasil molecular docking diperoleh Gibbs free energy (ΔG) dari kariofilen (-5.6 Kkal/mol), 1,8-cineole (-5.2 Kkal/mol), α-terpineol (-5.0 Kkal/mol), α-pinen (-4.9 Kkal/mol), β-pinen (-4.9 Kkal/mol), dan limonen (-4.8 Kkal/mol). Based on the results, the molecular docking data on these compounds likewise demonstrated no RMSD value greater than 2 Å. It indicates that the connection between the receptor and ligand is stable and that the response can occur spontaneously. The active site of the Mpro enzyme is the amino acid residue, where the interaction between the receptor and ligand occurs. Based on the bioactivity test, it can be inferred that the 1,8- cineol, karyophyllene, limonene, α-terpineol, α-pinene, dan β-pinene chemicals have varying bioactivities on different pharmacological targets. Because they satisfy Lipinski's requirements, these chemicals can also be utilized as oral medications. In addition, the toxicity test demonstrated that the test ligands exhibited minimal toxicity.

Sexual intercouse during pregnancy is not just an ordinary but useful activity as a pelvic floor preparation for labor. Health care efforts undertaken to alter the public view of sexual activity during pregnancy is to provide careful and precise service The purpose of this study was to determine the factors that influence sexual relations in pregnant women Trimester III at Puskesmas Batua Kota Makassar Year 2018. Data analysis was performed by Chi-square test. This research use Analytic Survey design with cross sectional Study approach. The sample size in this research is 23 people. Sampling was done using Purposive sampling. This research was conducted at Puskesmas Batua Kota Makassar Year 2018. From result of statistical analysis concluded there is significant influence between pregnant woman's anxiety with sexual relationship where (value p = 0,021), there is significant correlation between physical condition of pregnant woman with intercourse where (p value = 0,006) and there is significant relation between knowledge of pregnant women with intercourse where (p value = 0,005). Therefore, the puskesmas is expected to add information to the public, especially pregnant women about sexual relations of pregnant women trimester III and for pregnant women do not think negatively about pregnancy.

The provision of health services is one way to meet the needs and demands of the community for health, in the process including health financing. There are six financing patterns applied, one of which is out of pocket financing and Social Health Insurance Administration Body. The ability to buy health services depends on the readiness of the family to finance the household, so socioeconomic status influences the use of health financing patterns. This study uses quantitative methods with a cross-sectional research design. The population is the head of the family who seeks treatment at Abdul Manap Hospital, with as many as 89 respondents. Data collection using a questionnaire and data analysis using chi-square. Based on the analysis, the variables that have a relationship with the pattern of Social Health Insurance Administration Body financing are income (p-value 0.000), occupation (p-value 0.003), number of family members (0.028), and asset ownership (0.000). Meanwhile, the one that does not have a relationship is education (0.276). The conclusion of this study is that income, occupation, the number of family members, and asset ownership have a relationship with the use of financing patterns, while education has no effect.

This study aimed to analyze the production of chitosan-encapsulated vicenin-2 extracted from basil leaves and its effect on non-small cell carcinoma lung cancer. Vicenin-2 Extract from Chitosan-Encapsulated basil (Ocimum sanctum Linn.) leaf extract is produced by library research and laboratory practice. In non-small cell carcinoma lung cancer, vicenin-2, one of the components in basil leaves, and chitosan capsules, which are deacetylated chitin, had a substantial anticancer effect. It is required to investigate the effectiveness and safety of basil leaf powder containing mostly vicenin-2 and encapsulated in chitosan capsules.

The existence of waste at this time was still a problem that hit almost all regions in Indonesia. Keliling Danau Districts in 2019 has produces 33,311 m3 of waste per year with a population of 22,207 people. The purpose of this study was to determine the determinants behavior of waste management in elementary school students at Kerinci Regency, 2021. This study aims to determine the relationship between knowledge, attitudes, and Availability of Facilities with Waste Management in State Elementary School 52 of Koto Dian students, Kerinci Regency. This research is quantitative with a cross sectional research design. Sampling using random sampling technique with a total sample of 44 students consisted of class III, IV, V to class VI. Data was collected by distributed of questionnaires. Analysis used chi-square test. The results of this study indicate that 18 of 44 (40.9%) respondents with poor behavior of waste management and 26 (59.1%) respondents with good behavior waste management. From the results of the bivariate test, it was found that Knowledge has a PR value = 3.33 CI = 1.73-6.39 and a p-value of 0.001 indicates that there is a relationship between knowledge and behavior of waste management. Attitude has a value of PR = 3.75 CI = 1.62-8.68 and a p-value of 0.001 indicates that there was a relationship between attitude and behavior of waste management and there was not relationship between availability of facilities and behavior of waste management with a p-value of 0.222. The conclusion of this study is that there is a relationship between knowledge and attitudes with behavior waste management. And the availability of facilities has no relationship between behavior of waste management in elementary school students.

Tooth discoloration is one of the most common concerns associated with dental appearance or cosmetic issues. Teeth whitening is one of the conservative procedures that may be utilized to overcome tooth discoloration (bleaching). Utilizing natural bleaching agents is a safer, less expensive, and more accessible option. Malic acid (malic acid) and elegat acid (allegic acid) obtained from fruits can be used to whiten teeth. White pomegranate (Punica granatum L.) is one of these all-natural components. The purpose of this research was to evaluate the efficacy of white pomegranate extract gel as a bleaching agent against tooth discoloration. This research utilizes an experimental laboratory design. There were 24 mandibular second premolars utilized as samples. All teeth were submerged for seven days in the coffee solution. Utilizing spectrophotometry, tooth discoloration was measured. After being soaked in a coffee solution and then a white pomegranate extract gel, the item was dried. Group 1: teeth soaked in white pomegranate extract gel with a concentration of 70%. Group 2: teeth soaked in white pomegranate extract gel with a concentration of 80%. Group 3: teeth soaked in white pomegranate extract gel with a concentration of 90%. Group 4: 10% carbamide peroxide gel as a positive control.  Each specimen was immersed for 56 hours. Using a spectrophotometer, tooth discoloration was assessed following immersion in white pomegranate gel extract and carbamide peroxide gel. Based on the results of the LSD test, the % group was determined to be the most effective as a teeth whitening agent. White pomegranate extract gel has an influence on tooth discoloration and tooth whitening attempts.

This study aims to analyze the effect of management practices on improving service quality through the integrated core practice of EFQM and Six Sigma Public Health Centers in Jambi Province. This research is a quantitative research using a cross sectional design approach through two stages of research. The research data was obtained using a questionnaire from a sample of 560 civil servant employees in 24 health centers that were randomly selected and analyzed by second order using Smart-PLS 3.0. The results of the study found that the implementation of management practices and core practices had a fairly good average by employees and each had a direct effect on the service quality of the Public Health Center. The core practice is able to partially mediate between management practices and the quality of Public Health Center services. However, in practice, not all Public Health Center have implemented quality management practices.

The coverage of JKN PBI participation is higher than that of non-PBI participants, but the utilization of health services by JKN PBI participants in Indonesia is still relatively low. This study aims to determine what factors are related to the utilization of health services for PBI group National Health Insurance (JKN) participants in Jambi City. This study is a quantitative study using a cross sectional approach. The sample amounted to 106 samples with a sampling technique using accidental sampling. The independent variables in this study were education, occupation, knowledge, attitudes, perceptions of health conditions, affordability and information, while the dependent variable was the utilization of health services. Data were obtained by filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate (chi-square) tests. The results of this study indicate that most of the 61.3% of respondents do not use health services. Based on statistical tests in this study indicate that factors related to the utilization of health services are knowledge (0.000), attitudes (0.003), perception of health conditions (0.012), and information (0.000). And there is no relationship between education (0.147), occupation (0.295) and affordability (0.787) with the utilization of health services for participants of the National Health Insurance (JKN) PBI group. There is a relationship between the variables of knowledge, attitudes, perceptions of health conditions and information with the utilization of health services for the participants of the National Health Insurance for the PBI Group in Jambi City.

Knowledge is the result of knowing, and this happens after people sense a certain object. Sensing occurs through the human senses, namely the senses of sight, hearing, smell, taste, and touch. Most of human knowledge is obtained through the eyes and ears. Vaccines are one of the most effective and economical ways to prevent infectious diseases, making the development of vaccines to attenuate coronavirus infections very necessary. The purpose of this study was to determine the level of knowledge with community compliance in receiving the COVID-19 vaccine. This type of research uses analytic observational, with a cross-sectional design. A sample of 115 people used the accidental sampling technique, in which the researcher used an instrument in the form of an online questionnaire via a google form and distributed via whatsapp, instagram, and zendly applications to the community in RT-III Binanga environment. The results of the study using the Chi-Squar test showed a p-value = 0.027, which means that there is a relationship between the level of knowledge and community compliance in receiving the COVID-19 vaccine.

This study focuses on determining the role of organizational citizenship behavior or OCB as a mediator the relationship between self-actualization, psychological well-being, and the work environment on the performance of health workers with studies during the COVID-19 pandemic in Indonesia. Data were collected from 89 nurses who work in hospitals owned by police institutions in Manado City, Indonesia. Respondents were surveyed directly about their perceptions related to the research topic. The results showed that OCB acts as a mediator between self-actualization, psychological well-being, and the work environment on the performance of health workers. Directly only the work environment has an insignificant effect on the performance of health workers, while other variables indicate a positive and significant relationship. These findings contribute to hospital management and other relevant institutions, as well as human resource research during the COVID-19 pandemic. Some of the limitations of this study are described at the end of this article.

The elderly are the largest contributor to hypertension worldwide. Hypertension or an increased blood pressure > 140/90 mmHg. Brisk Walking Exercise therapy is a non-pharmacological therapy to control blood pressure. This case study aims to describe the application of Brisk Walking Exercise to reduce blood pressure in the elderly with hypertension. This research method uses a descriptive method involving 2 respondents with the criteria of elderly aged >6O years.category 1 hypertension.the results of this case study show a decrease in blood pressure between before and after brisk walking exercise therapy. Subject I experienced an average decrease of 3.71 mmHg in systolic and diastolic an average decrease of 1.71 mmHg.subject II experienced an average decrease of 4.41 mmHg in systolic blood pressure while in diastolic blood pressure there was an average decrease of 1.71 mmHg. Subject II experienced an average decrease of 4.14 mmHg in systolic and diastolic an average decrease of 3.14 mmHg.the conclusion of this case study is that brisk walking exercise therapy is effective in reducing blood pressure in both subjects.brisk walking exercise therapy is recommended as a nursing intervention in hypertension management in the elderly with hypertension.

Elderly is a population at high risk of impaired cognitive function.Reduced memory, intellectual function and the ability to learn are changes in cognitive function that can reduce the quality of life of the elderly. Playing “Remi” card is one of the non-pharmacological therapies that can improve cognitive function in the elderly. Types of research used is descriptivewith a case study debiting method. The subjects used were 2 people with criteria aged 60-74 years, not color blind , not illiterate, can sit. Measurement of cognitive function using Mini Mental State Examination (MMSE). Intervention playing “remi” card games with the method of “tepuk nyamuk”for 5x meetings in 2 weeks. The results of the analysis, subject Iincreased from a score 23 to 27, subject II from a score of 26 to 28. The results of the case study concluded that there was an increase that reaching 8.66 cognitive function. “Remi” cards game with the method “tepuk nyamuk” is recommended as a nursing intervention in the management of cognitive enhancement function in elderly.

Decreased physical abilities, the emergence of disease, and psychosocial changes are sources of stress in the elderly ehich can develop into depression and even suicide. Treatment with anti-depresant in the long run cause dangnerous side effects. Blue color therapy is a safe complementary therapy using electromagnetic radiation spectrum which produces a relaxing effect and reducing stress in the elderly This therapy is one of the non pharmacological therapies that can reduce stress levels in the elderly in the area of puskesmas rowosari semarang.the type of research used is descriptive method of case study approach. The subject used by 2 people with the criteria of being willing to be an opponent, no suffer from color blindness, elderly with mild to moderate stress levels, elderly who like the blue color. Measurement of stress levels using depresion anxiety stress scale (DASS42), interventions of blue color therapy for 7 consecutive days, the results of the analysis obtained by subject 1 decreased from 20 (moderate stress) to 14 (mild stress), subject II from 22 (moderate stress) to 16 (moderate stress). The result of the case studies concluded that there was a reduction in stress levels reaching 6 score DASS42. The application of blue color therapy is recomended as a nursing intervention in the management of reduced stress levels in the elderly.the application of blue therapy is effective in reducing stress in the elderly, so it is recomended as  a nursing intervention in the management of reducing stress levels in the elderly

Poor waste management can result in chemical exposure and health issues. With a %age of 42.63 %, Kerinci district is the district in Jambi province with the largest number of river trash disposals, while Penawar Village is the village with the highest number of river waste disposals. This study aims to investigate waste management training effectiveness on community behaviour in household waste to reduce the waste number into the river in Penawar village, Kerinci Regency. This research is a quasi-experimental study employing a pretest-posttest design group with a research sample of 46 houses and simple random sampling. The results showed that before the intervention, the majority of housewives' knowledge was lacking (34.8%), the majority attitude was negative (69.6%) and the majority action was poor (71.7%). After the implementation of the Household Waste Management Training, the majority of housewives' knowledge was good (89.1%), positive attitude (100%) and majority action was good (73.9%). Compared before intervention. The application of the training proved to be effective in increasing household waste management behavior with (p) < 0.05. Waste management training effectively enhances the knowledge, attitudes, and behaviors of housewives in managing home trash to lower the rate of garbage disposal into the river in Penawar Village, Kerinci Regency.

Hypertension is a condition in which a person experiences an increase in blood pressure above normal which is prone to occur in the elderly, thereby reducing the quality of life of the elderly. Gardening therapy is one of the modalities of therapy that aims to improve the quality of life. This case study aims to describe the application of gardening modality therapy to improve the quality of life of the elderly with hypertension. This case study method uses a descriptive method involving 2 subjects with cooperative elderly criteria, the elderly aged > 60 years and having a history of hypertension (systolic blood pressure 140 mmHg and diastolic blood pressure > 90mmHg). The results of this case study indicate an improvement in the quality of life of the elderly. between before and after gardening therapy was carried out for 2 weeks. Subject I experienced an increase in quality of life from sufficient, namely 85 to good, namely 98. Meanwhile, subject II increased quality of life from sufficient, namely 86 to good, namely 105. The conclusion of this case study is that gardening therapy is effective in improving the quality of life of the elderly with hypertension in both subjects. Gardening therapy is highly recommended as a nursing intervention in hypertension management in the elderly with hypertension

Toddlerhood is a golden era in children's growth and development because it is a period of real growth that influences and determines children's subsequent development. Through the Toddler Family Development (Bina Keluarga Balita/BKB) movement. Every family would be able to enhance their talents, particularly in caring for their toddlers and pre-school-aged children, to promote optimum child growth and development. Health cadres play a significant role in efforts to strengthen the community's capacity to reach optimal health status independently. This study seeks to identify the elements that influence the involvement of cadres in providing family care services for toddlers in the city of Jambi. This study used a quantitative, cross-sectional methodology. This study's population consisted of 450 cadres from the Toddler Family Development (Bina Keluarga Balita/BKB) program. This study's sample consisted of 81 the Toddler Family Development (Bina Keluarga Balita/BKB) cadres selected using Probability Sampling with Proportional Stratified Random Sampling. The chi-square test demonstrates that there is a correlation between the variables attitude (p-value = 0.001) and motivation (p-value = 0.002). Moreover, there is no correlation between knowledge and BKB cadres' roles (p-value = 0.180). Attitude and motivation variables are substantially associated with the role of the Toddler Family Development (Bina Keluarga Balita/BKB) Cadres in Jambi City. The Office of Population Control and Family Planning will hold online discussions. Hence, cadres are always aware of the most recent developments in activities of the Toddler Family Development (Bina Keluarga Balita/BKB). The Office of Population Control and Family Planning will monitor activities even when not on the ground. The Office of Population Control and Family Planning will reproduce books on the Toddler Family Development (Bina Keluarga Balita/BKB) so cadres can gain more knowledge and not rely solely on training experience.

Diabetes mellitus is pancreas disorder which can't produce any insulin as needed body. Diabetes diet education and legs exercise are one of combination non pharmacology theraphy which safe for increase knowledge level and decrease blood sugar level in diabetes mellitus sufferer. This study’s aim is to determine the description of the applicaton of diabetes diet education and legs exercise toward knowledge level and blood sugar level in diabetes mellitus sufferer trough a family nursing care approach. This type of research is descriptive with a case study approach. Subject used a number of 2 people with criteria age 40-75 years old, can verbal communication, don't have any physical disorder, and GDS is between 160-240 mg/dL. Knowledge level and GDS measurement using questionnaire sheet and glukometer. Diabetes diet education for 1 day and legs exercise intervention for 3 consecutived days. The results of data analysis showed that subject I experienced a increase in knowledge level score from 12 (enough) to 18 (good) and decrease in blood sugar level from 208 mg/dL (high) to 191 mg/dL (high), subject II experienced a increase in knowledge level score from 9 (less) to 16 (good) and decrease in blood sugar level from 182 mg/dL (high) to 169 mg/dL (high). The result of this case study concluded that there were increase of knowledge level and decrease of blood sugar level in diabetes sufferer. Diabetes diet education and legs exercise are reccomended as nursing intervention in diabetes management because they are able to increase knowledge level and decrease blood sugar level significantly and easily applied.