Loneliness is a problem that is often experienced by adolescents. Many factors can influence the occurrence of loneliness in adolescents. This systematic literature review aims to explore what factors influence adolescent loneliness. Journal searches were conducted using Scopus and Google Scholar databases with the keywords “loneliness in adolescents and young adulthood”. A total of 6 studies that fit the inclusion and exclusion criteria were then analyzed to identify the factors that cause loneliness in adolescents. These factors included gender, friendship quality, social media use, social relationships with peers, self-esteem and social acceptance. The results of this study are expected to provide a deeper understanding of the factors that cause loneliness in adolescents so that its negative impact can be anticipated and prevented.

Admission services in the emergency department (IGD) are an important part of hospital operations that require effective management to support health services. Optimal medical record management requires human resource planning according to actual workload. This research was conducted to analyze the need for admission registration at the Duren Sawit Regional Special Hospital (RSKD) with a quantitative approach using descriptive methods. The research results show that RSKD Duren Sawit has Standard Operational Procedures (SPO) which refer to Minister of Health Regulation No. 33 of 2015 in planning health human resource needs (HRK). Health workload analysis indicates that the ideal requirement is seven admissions officers, while currently only five officers are available, so there is a shortage of two officers. Factors that influence the workload of admission registration include: Man, namely the limited number of officers in the medical records unit, Machine, namely the BPJS server down and power outages, Material, namely the mixed admissions work room with the cashier so the medical record files are still in one room, Method, namely the HR application process at RSKD Duren Sawit found no obstacles, Money, namely there is no budget planning for additional officers in the medical records unit.

Electronic Health Records (EHRs) have become an important component in the digital transformation of the healthcare system in Indonesia. However, EHR implementation in many health facilities in Indonesia is still fragmentary and not fully integrated. The main challenges in integrating health data into the national health system are issues of interoperability, data security, and inter-institutional coordination. This study aims to identify and analyze the main challenges in integrating health data from various EHR systems into Indonesia's national health system and its impact on the quality of health services, operational efficiency, and data security. The research method used was a descriptive qualitative approach, which combined literature study and in-depth interviews with experts in the field of health information technology and health policy. A literature study was conducted to identify technical, operational, and policy challenges faced in EHR implementation in Indonesia. Expert interviews were used to validate the findings obtained from the literature and provide additional insights into the local context. Thematic analysis techniques were used to organize and interpret the data. The results showed that the lack of common data standards is a major obstacle in the integration of EHR systems in Indonesia.A total of 45% of healthcare facilities adopt HL7 standards, 30% adopt FHIR, and 25% use proprietary systems, leading to the inability to efficiently share data between institutions. In addition, data security issues are also a major concern, with many healthcare facilities yet to implement adequate security protocols. Limited coordination between health institutions also hinders wider integration. Nonetheless, EHR integration has the potential to improve operational efficiency, with up to 25% reduction in administrative time in institutions that have integrated their systems.

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.

This study aims to analyze the relationship between gadget usage and sleep quality among high school students at SMA Pertiwi Medan. Excessive gadget use, especially before bedtime, is often associated with sleep pattern disturbances that can affect students' sleep quality. This research employs a quantitative method with a descriptive correlational approach. Data were collected through questionnaires involving 100 students selected using random sampling techniques. The results show a significant relationship between the duration and frequency of gadget use and students' sleep quality. The higher the intensity of gadget use, the lower the quality of sleep experienced by students. Factors such as usage time, types of activities on gadgets, and sleep duration also influenced the findings. These results provide important implications for students, teachers, and parents to regulate gadget usage

The National Health Insurance Program (JKN) organized by BPJS Health aims to improve access and quality of health services for all levels of Indonesian society. This research examines the effectiveness of the JKN program, with a focus on the use of the JKN mobile application, program implementation in health facilities, and factors that influence service quality. Based on case studies in several regions, the research results show that the JKN mobile application makes it easy for participants to access health-related services and information, although there are still obstacles such as a lack of public understanding of the application and technical problems. Apart from that, health services in hospitals and community health centers still face challenges such as a shortage of medical personnel, delays in services, and timeliness in administrative processes. Although the JKN program has expanded access to services, challenges in equal distribution of service quality and health resources still need to be overcome. Overall, the JKN program plays an important role in improving people's health and welfare, but improvements are needed in terms of community understanding, infrastructure and service efficiency to achieve more optimal and equitable health goals throughout Indonesia.

Gadgets greatly impact the pattern of human life both in terms of mindset, taste patterns and behavior patterns. The use of gadgets in everyday life does not only have an impact on the thoughts, feelings and behavior of adults, but children are also not spared from its impact. Child attachment early in life can be directed at someone who has nothing to do with child rearing, but it can happen tosomeone the child chooses as the object of attachment. The purpose of this study was to find out whether there is a correlation between people's attachment to early childhood gadget addiction at Early Childhood Education. This research is a descriptive research. Total population of 30 people. A sample of 30 people was taken by total sampling technique. The research instruments used were the IPPA questionnaire and the smartphone addiction test questionnaire for mobile motoring. Bivariate analysis using the Chi Square Statistical Test. The results showed that the respondents had high attachment to their parents, namely 16 children (53.3%), moderate attachment of 7 children (23.3%), and low attachment of 7 children (23.3%). From the results of the smartphone addiction test questionnaire for mobile motoring, it was found that 15 children (50.0%) were not dependent on gadgets, 4 children had mild dependence (13.3%), 3 children were moderately addicted (10.0), and 8 children were addicted. (26.7%). Based on the Chi Square test, it is known that the P Value is 0.004 with ? 0.05. Because the significance value is < ?, H0 is rejected and H1 is accepted, which means that there is a correlation between parents and early childhood attachment to gadget addiction at PAUD Intan, Asembagus village kraksaan. It is hoped that the results of this research can be used as input for parents regarding the importance of accompanying children so that children do not experience gadget addiction.

Elderly is the end of the human life process which causes decreased activity. The stress that arises during the aging process can cause three types of changes, namely changes in self-perception, changes in relationships with other people, and philosophical changes regarding priorities, perseverance, and spirituality. Apart from that, spirituality can also help someone develop their awareness. Stress can be avoided if a person has a high level of spirituality, spirituality can be understood as a relationship between a person and God. The aim of this research is to determine the relationship between spirituality and the stress level of elderly people in Social Service Homes. This study used a cross-sectional design. The sample in this study was 105 respondents using purposive sampling. Spirituality data was collected using the SAS questionnaire and Stress Levels using the DASS questionnaire. This research shows a high level of spirituality of 52.4%, moderate spirituality of 40%, low spirituality of 7.6% and a level of severe stress of 24.8%, a level of moderate stress of 58.1%, a level of light stress of 17.1%.

Iron anemia is the biggest macro nutritional problem in Indonesia, which occurs in toddlers, pregnant women and adolescent girls. Adolescent girls with anemia are at risk of giving birth to LBW babies (<2500 grams), giving birth to premature babies, neonatal infections and death in the baby's mother during delivery. The aim of this study was to analyze the relationship between screen time and sleep quality with hemoglobin levels in adolescent girls.  This research method uses quantitative observational research with a cross-sectional design and a sample size of 76 respondents using a purposive sampling technique. The results of this study show that 55 respondents (72.4%) had normal hemoglobin levels and 21 respondents (27.6%) had poor hemoglobin levels. The bad screen time category was 40 respondents (52.6%) and the good one was 36 respondents (47.4%). And the category of poor sleep quality was 57 respondents (75.0%) and good sleep quality was 19 respondents (25%). The results of this study showed that there was no relationship between screen time and sleep quality and hemoglobin levels in young women at SMA Karya Bakti and SMKN 6 Palu.
 

Abstract.Hypertension is one of the main risk factors for heart problems. Apart from causing heart failure, hypertension can also result in kidney failure and cerebrovascular disease. This disease is often called the silent killer because there are no symptoms and without realizing it, sufferers experience complications in vital organs. This study aims to assess factors influencing adherence to taking anti-hypertensive medication in hypertensive patients at the Pekkae Community Health Center. This research presents the characteristics of respondents, Univariate data analysis of each variable to see the relationship between the Independent Variable and the Dependent Variable using the Chi-Square test. Based on the results of research conducted in the Pekkae Community Health Center working area, it was found that there was a relationship between predisposing factors including knowledge, beliefs, values ??and attitudes towards compliance with taking antihypertensive medication for hypertension sufferers at the Pekkae Public Health Center, Barru Regency.

Oxidative stress is a condition where there is an imbalance between oxidants and antioxidants in the body which can trigger psychological stress. Oxidative stress can be reduced by consuming exogenous antioxidants (antioxidants from outside), where green tea is thought to be able to reduce oxidative stress. The aim of this study was to examine the effect of steeping green tea on blood glucose and Malondialdehyde (MDA) levels in male Wistar Strain white rats exposed to psychological stress. The design used in this research was Randomized Post Test Only Group Design. There were 5 groups of mice; 2 are a normal control group and a stress control group, and 3 treatment groups. Previously, the mice were given psychological stress 1 x 24 hours in the form of disturbed sleep patterns, so that the experimental animals experienced oxidative stress, then green tea was given to the treatment group with a single dose of 3.6 ml/head in the 1st hour in the group. treatment 1, 6th hour in treatment group 2, and 24th hour in treatment group 3. Statistical analysis used the Manova test.  Based on statistical analysis, it shows that there was a decrease in blood glucose and Malondialdehyde (MDA) levels in all treatment groups given exposure to psychological stress and steeping green tea.  A single dose of green tea brewing in experimental animals experiencing oxidative stress was proven to be able to neutralize oxidative stress in the 1st hour after administration of green tea brewing and the antioxidant activity still lasted up to 24 hours.

The lack of reproductive health knowledge about personal hygiene during menstruation among young women, obtained from parents and schools, causes the knowledge and behavior of young women about personal hygiene during menstruation to be very lacking. One effort to increase knowledge of adolescent reproductive health is by providing health education using poster media. The aim is to determine the effect of poster media education on female students' knowledge of personal hygiene during menstruation at the Assalam Islamic boarding school, in Manado City. The method used in this research was pre-experimental with a one-group pretest-posttest design approach. The sample taken was 18 subjects using purposive sampling. Data collection uses questionnaire sheets and SAP (Extension Event Unit). The collected data was processed using test. Statistical tests use the McNemar Test with a significance level of ? 0.05. The research results obtained a value of p = 0.000 (? ? 0.05) so that Ha was accepted, meaning that there was an influence of poster media education on female  students' knowledge of personal hygiene during menstruation at the Assalam Islamic Boarding School, Manado City. The conclusion based on the research results is that there is an influence of poster media education on female students' knowledge of personal hygiene during menstruation at the Assalam Islamic Boarding School, Manado City. Suggestions for future researchers can use other media as comparison material so that they can add more information

Breast cancer is a type of cancer that affects the breast organs and is characterized by abnormal cell growth and development. The treatment for breast cancer can impact both the physical and psychological conditions of patients. One of the physical impact is body image, while the psychological impact includes the emergence of negative feelings that can affect breast cancer patients’ self-efficacy. This study aims to determine the relationship between body image and self-efficacy in breast cancer patients. The study was conducted at Dr. Kariadi Central Public Hospital Semarang, with a sample size of 63 respondents. The sampling technique used was purposive sampling, where subjects were selected based on inclusion criteria set by the researcher. The instruments used in this research were the Body Image Scale and the General Self-Efficacy Scale. This study employs quantitative methods with a cross-sectional research design. Based on the Spearman rank statistical test, the p-value was 0.000 (<0.05), indicating that Ha is accepted, and Ho is rejected. This shows that there is a significant correlation between body image and self-efficacy in breast cancer patients at Dr. Kariadi Central Public Hospital Semarang. It is hoped that the recommendations from the research results can enhance nursing knowledge related to body image and self-efficacy in breast cancer patients.

This comprehensive analytical overview provides a meticulous exploration of the incidence, types, and management of tumors impacting women's reproductive organs in Indonesia. Drawing upon authentic references spanning 2016 to 2023, the study delved into the epidemiological landscape with a specific focus on uterine fibroids, ovarian tumors, and cervical cancers. A detailed analysis of regional variations and demographic influences on tumor occurrence sheds light on the intricate interplay between health disparities and reproductive organ tumors. The management section underscores personalized treatment modalities, encompassing surgery, chemotherapy, and radiotherapy, emphasizing a multidisciplinary approach. This holistic strategy integrates psychological and palliative care, acknowledging the diverse aspects of a patient's journey. The findings contribute significantly to informed healthcare policies, urging the development of targeted interventions based on the nuanced understanding of reproductive organ tumors in the Indonesian context. Furthermore, the study suggests fruitful directions for future research in women's health, paving the way for continuous advancements in the field.

Tumor is a disease that is currently one of the health problems that causes death, soft tissue tumor or soft tissue tumor is an abnormal lump that is formed due to the growth of new cells (Irsal et al., 2020). The signs and symptoms in soft tissue tumor patients include pain due to the surgical process. The purpose of this writing is to find out and provide nursing care to Mr. A with a medical diagnosis post-operative soft tissue tumor (STT) left flank in the rose room 2 RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that Mr. A complains of pain. Three diagnoses were found, namely acute pain, impaired physical mobility and knowledge deficit. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.
 
 

Introduction: Hypertension or high blood pressure is a disease characterized by an increase in blood pressure above normal that is progressive. Hypertension has become a world health problem due to its high prevalence and risk of causing heart, stroke, and kidney complications. The purpose of this study was to see if stress, smoking, diet and physical activity had a relationship with the incidence of hypertension in the working area of the UPTD Ladang Tuha Health Center, Paya Ateuk Village. Methods: This study uses a quantitative research design that uses an analytical descriptive method with a cross sectional approach. The population in this study is all heads of families in Paya Ateuk Village as many as 558 people. The sample selection technique used was purpose sampling which was determined by the slovin formula and obtained 85 samples. The collected data was then tested univariately to see the frequency distribution and bivariate using the chi-square (P-Value) test to see the influence between the variables. Results:  The level of community stress was related to hypertension (p-value 0.000 < 0.05). Smoking habits also had a significant relationship (p-value 0.037 < 0.05). Diet was shown to be closely related to hypertension rates (p-value 0.000 < 0.05). Physical activity showed a significant correlation with hypertension (p-value 0.001 < 0.05). Conclusion: stress, smoking, diet and physical activity have a relationship with the occurrence of hypertension, this is supported by test results that get a P-value of less than 0.05.
 

Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.
 
 

Urinary Tract Stones (Urolithiasis) are a pathological condition due to hard masses such as stones that form along the urinary tract and can cause pain, bleeding, or infection in the urinary tract. The formation of stones is caused by urine being saturated with salts that can form stones or because the urine lacks materials that can inhibit stone formation, lack of urine production, and other idiopathic conditions. To find out the results of applying five finger hypnosis therapy to reduce anxiety levels in pre-operative ureteral stone patients in the Mawar Room at RSUD dr. Soehadi Prijonegoro Sragen. The type of research used is descriptive quantitative with survey methods. The research results showed that after being given 5 finger hypnosis to patients Mr.S and Mrs. K both respondents experienced a decrease in anxiety to mild anxiety level where Mr.S's anxiety level was 43 while Mrs. K anxiety level 44. Solid 5 finger hypnosis reduces anxiety levels in preoperative patients

One measure of neonatal health is birth weight. Both the mother's weight increase and her overall health during the pregnancy have an impact on the baby's birth weight. This study sought to ascertain how pregnant women's weight gain related to the interpretation of fetal weight prior to delivery at Telogorejo Semarang Hospital. Research Design: Correlation design using quantitative research methodology. All of the pregnant patients that underwent ANC at Telogorejo Hospital in April 2024 made up the study's population. Purposive sampling was the method employed in the sampling process. acquired a 52-person sample. instruments for gathering data from medical records. Chi square testing is the method employed. Findings: Pregnant women's weight gain and fetal weight gain prior to birth have a substantial correlation (p = 0.000). As many as 24 respondents (46.2%) reported a normal weight gain of 9–12 kg, and as many as 22 respondents (42.3%) reported a fetal weight of more than 2.9 kg. Conclusion: At SMC Telogorejo Hospital, there is a noteworthy correlation between pregnant women's weight rise and the weight gain of the fetus prior to birth. Recommendation: The hospital should prepare a strategy for early identification of changes in weight gain during pregnancy that could affect the developing fetus and for counseling.

Congestive Heart Failure (CHF) is a medical condition that affects various body systems and causes the heart to be unable to pump blood properly to meet metabolic needs. To increase oxygen levels in CHF patients, one approach is to change body position. This study used a descriptive method to evaluate the impact of the semi-Fowler position on oxygen levels. This study involved 10 patients in the ICU Room of RSUD Ir. Soekarno Sukoharjo, with the semi-Fowler position at a 45° angle applied for 15 minutes after eating at 13:00, from 23 to 25 May 2023. Patients who met the inclusion criteria were those with oxygen saturation <95%, while patients who refused or experienced complications were not included. The instruments used included the SOP for the 45° semi-Fowler position and the Mindray PM 60 oximeter. The results showed that the 45° semi-Fowler position could increase oxygen saturation by around 2%, with a variation in increase between 2% and 4%. In conclusion, the 45° semi-Fowler position can increase oxygen levels by around 3-4% in CHF patients, as well as help reduce shortness of breath.
 
 

Background : In old age, there is a decline in the body's immune function, including a decline in heart function, one of the diseases of which is hypertension. Hypertension is high blood pressure with systolic blood pressure results >140 mmHg or diastolic blood pressure ? 90 mmHg.. The prevalence of hypertension cases according to the Surakarta City Health Service showed an increase in the incidence of hypertension in 2023 reaching 67,355 cases. One of the non-pharmacological therapies that can be used is deep breathing relaxation techniques. Objective: This study describes a comparison of blood pressure development before and after the application of deep breathing relaxation techniques. Method: This study used a case study of 2 respondents conducted on May 11-13, 2024 for 2 times in a row with a therapy duration of 10 minutes. Results: The application of Deep Breathing Relaxation Therapy to both respondents obtained comparative results of development before and after therapy in Mrs. S systolic 24 MmHg and diastolic 17 MmHg while Mrs. T showed a decrease with systolic 25 MmHg and diastolic 13 MmHg. Conclusion: The results of the study can be concluded that there is an effect of deep breathing relaxation techniques on reducing systolic and diastolic blood pressure in both respondents.

In general, people in the world today have bilingualism to communicate. Without language, a person will not be able to communicate with others. So this language skill must be developed since children are at an early age. Language development begins in infancy and relies on its role in experience, mastery and language growth. Children learn language since infancy where before learning to speak they communicate through crying, smiling and body movements. Learning language is very crucial at the age of before six years. Therefore, early childhood education is a very important vehicle in developing children's language so that this condition can facilitate the development of language skills in early childhood. This study aims to identify the application of bilingual learning in early childhood in the village of Kabuna Haliwen Atambua, East Nusa Tenggara. The design of this study is quantitative with a pre and post control approach. 12 early childhood children in Kabuna Haliwen Atambua Village, East Nusa Tenggara. The largest number of early childhood children is 6 years old, 5 people, 3 people, and 4 years old. gender is male, 7 people and female, 5 people. The Implementation of Bilingual Learning in Early Childhood has increased by 37% from an average of 60% to 97%. The implementation of bilingual learning in early childhood is very important to be implemented in everyday life. Implement the Implementation of Bilingual Learning through simulation activities. Become evidence in the development of English language science, especially in improving the Implementation of Bilingual Learning in Early Childhood.

Generalized exfoliative dermatitis, also known as erythroderma, is a skin disease with dermatological features in the form of diffuse erythema and scaling that affects more than 90% of the skin surface. This report describes the case of a 65 year old man who came with the main complaint, the skin all over his body felt itchy and peeling since approximately 2 years ago. The itching experienced by the patient worsens during hot weather/temperature, usually occurring during the day and night, but the itching experienced is more severe at night. The patient's complaints began with the appearance of redness on the skin in the left and right hand area, then spread to the chest area, groin/genital area, both legs, and throughout the body up to the head. Dermatological status examination revealed diffuse erythema macules accompanied by rough scales all over the body. The patient was diagnosed with generalized exfoliative dermatitis. In management, patients are given education to maintain skin moisture, avoid scratching the skin, and consume foods high in protein such as red meat. The pharmacological management given is in the form of corticosteroid drugs, antibiotics, proton pump inhibitors, antihistamines, and several topical drugs to reduce complaints of itching and peeling skin in patients.

Background: Analysis of Radiation Exposure Levels in the Thyroid Area of ??Interventional Cardiology Doctors During Percutaneous Coronary Intervention (PCI) Diagnostic Examinations in the Cath Lab Room at Dr Soedarso Pontianak Hospital, is research related to patient examinations in the Percutaneous Coronary Intervention Diagnostic Room. The main object in this research is the doctor who examines or treats patients in the room. Researchers wanted to see how many doses of radiation exposure were received by officers examining patients. Method: The research used in this research is quantitative methods. Quantitative research is research that emphasizes analysis on numerical data processed using statistical methods. Based on the type of research, this quantitative research leads to analytical (inferential) research, namely analyzing the relationship between variables by testing hypotheses. The object of focus in this research is an Interventional Cardiology doctor, using 30 patients who have received treatment from a doctor in the cath lab room then the data analysis process uses the measurement results from the pen dose, by conducting research for ten days from 10 August 2023 - 17 August 2023 Results: The results obtained from the average value of radiation dose exposure received by Dr. Interventional Cardiology in the Cath Lab Room at Dr. Soedarso Pontianak Hospital while examining 30 patients, were 0 Sv or the equivalent of 0.000 mSv. Based on these results, it was concluded that the PPE used in the cath lab room at Soedarso Regional Hospital was in accordance with applicable regulations.  Conclusion: Based on the data that has been analyzed, it can be concluded that the average value of radiation dose exposure received by Dr. Interventional Cardiology in the Cath Lab Room at Dr. Soedarso Pontianak Hospital while examining 30 patients, is 0 Sv, and is equivalent to 0.000 mSv. Based on the average value of the exposure dose received, which is 0 Sv, the PPE used can reduce the radiation exposure received by doctors. The personal protective equipment includes: Hat, Google Glasses, Thyroid, Apron and protective screen used in accordance with applicable regulations can reduce radiation exposure received by cardiology doctors in the cath lab room at Dr Soedarso Hospital Pontianak.
 
 

This study aims to explore the role of nutrition in disease prevention and identify the factors influencing the nutritional status of the population in Indonesia. Using a qualitative descriptive approach, this research analyzes scientific literature and secondary data from official sources such as the Central Statistics Agency (BPS) and the Indonesian Ministry of Health. The analysis results indicate that macro and micronutrients, such as complex carbohydrates, plant-based proteins, healthy fats, and vitamins and minerals, play a significant role in reducing the risk of chronic diseases such as type 2 diabetes, heart disease, and cancer. The Mediterranean diet and plant-based eating patterns have proven effective in improving health and preventing disease. However, Indonesia faces complex nutritional challenges, including a high prevalence of stunting in children and rising obesity rates in adults. Stunting is primarily caused by limited access to nutritious food and lack of nutritional knowledge, while obesity is associated with high-calorie diets and low physical activity. This study suggests increasing nutrition education, access to nutritious food, and promoting healthy lifestyles as essential steps to address nutritional problems in Indonesia and improve the overall quality of life.
 

The implementation of the No Smoking Area is important in the campus environment because the campus is one of the places that should implement the No Smoking Area. In addition, the campus is a place of learning, where people in it are not only people who smoke, but there are also many passive smokers. Student smoking behavior that is carried out every day inside and outside the lecture hall causes the prevalence of cigarette smoke in the campus environment. With several reasons, there are many male students who smoke. This study aims to determine the implementation of the KTR policy by academics within the scope of the Faculty of Sport and Health Sciences, Makassar State University. This research uses a qualitative study design with data collection methods in this study, namely interviews and participatory observation. The results of this study, namely the implementation of academics regarding communication, resources, bureaucratic structure, and disposition towards KTR policies in the FIKK UNM environment become an obstacle to the enforcement of policy compliance. The conclusion of the results of interviews with observations of research variables in the campus environment is not in line in its implementation. It is recommended to the Faculty of Sport and Health Sciences UNM to increase compliance with KTR policies in the campus environment by increasing communication variables, disposition, resources and bureaucratic structures so that it will reduce the prevalence of smoking rates in the campus environment.

Satisfying excellent service will definitely have an impact on achieving a standard value of satisfaction for patients or service recipients. Patient satisfaction is the best assessment of the description of the diversity of service quality received by patients. This research was conducted with the aim of knowing the relationship between service quality and patient satisfaction at the general polyclinic at the Mamburungan Health Center, Tarakan City, by applying the RATER concept, namely responsiveness, assurance, tangible, empathy, and reliability. This research is descriptive quantitative using the Cross Sectional Study method conducted on 165 respondents, using a questionnaire, with the result that the quality of service is good, and patient satisfaction at the Mamburungan Health Center is satisfied. The results of the data analysis test Rho Spearman's P value (Sig. (2-tailed) 0.00 and ? 0.05 which proves that there is a significant relationship between service quality and patient satisfaction in the general polyclinic at the Mamburungan Health Center, Tarakan City. It is hoped that the Mamburungan Public Health Center can further improve quality services by creating separate examination rooms so that patient privacy can be better maintained, not combining multiple services so that patient privacy and comfort can be increased, and building cleanliness, service rooms, tidiness, and the appearance of officers so that they can be further improved so that maximum patient satisfaction can be achieved.
 

This research reviews the relationship between body weight and increased cholesterol levels. This research was carried out at the Kebun Jatirono Health Center, Kalibaru District, Banyuwangi using observational analytical research and using cross-sectional measurements because in this research the researcher aims to determine the existence of a relationship between the two variables being studied by only observing without intervention on the variables to be studied and measurements or observations of respondents who were overweight were 22 employees or 73.3%. Then, most of the employees at the Kebun Jatirono Health Center, Kalibaru Banyuwangi District who were respondents experienced increased cholesterol levels, namely 14 people or 46.7% had moderate cholesterol levels. And there is a relationship between employee overweight and increased cholesterol levels at the Kebun Jatirono Health Center, Kalibaru Banyuwangi District. Using the Spearman Rank Correlation statistical test, the calculated ? value = 0.573 > from the table ? value = 5% Error Degree = 0.363 and 1% Error Degree = 0.478.

School children are susceptible to various snacks sold both at school and outside school. Lack of attention to the consumption of healthy snacks, resulting in the impact of decreased health, ranging from poisoning due to unhygienic storage and presentation processes to the risk of cancer due to the use of harmful food additives (Anak et al., 2019). This study aims to determine the relationship between students' knowledge of the observance of healthy snacks consumption behavior in sdn 03 source salak ledokombo jember, This type of research is a quantitative descriptive research, the sample in this study is students with a total of 40 students. Two variables, namely the relationship between students' knowledge of the observance of healthy snack consumption behavior in sdn 03 source salak ledokombo jember, the instrument used is using a questionnaire, based on table 4.6, the results obtained are categorized as good (22.8%) as many as 29 students, categorized as moderate (7.2%) as many as 11 students and categorized as less none. Based on the results of research that has been conducted by researchers regarding the relationship between students' knowledge of eating healthy snacks, it can be concluded as follows: the relationship between students' knowledge of eating healthy snacks is categorized as good there are 29 students (22.8%) and categorized as moderate as 11 students (7.2%).

Compliance with regular use of asthma control drugs is still low, which can increase morbidity and mortality rates. One factor that influences compliance is knowledge. Asthma is a chronic inflammatory disorder of the airways that involves many cells and elements. The aim of this research is to determine the level of compliance with the use of the drug Symbicort 160 Micrograms in asthma patients at the outpatient pharmacy installation at Dokter Hafiz Cianjur Hospital. This research uses descriptive research methods with a quantitative approach. Research sampling was carried out using a total sampling technique using the time limited sampling method, namely all patients suffering from asthma who met the inclusion criteria of the study and entered the specified research time period, namely 1 May-31 July 2023. The number of respondents was 52 people, 43 people were selected. because there are several factors, namely age. The instrument used in this research was the Morisky Medication Adherence Scale (MMAS) questionnaire. Of the 43 respondents, 22 (51.16%) respondents had a high level of compliance, 20 (46.51%) respondents had a medium level of compliance, and 1 (2.33%) respondent had a low level of compliance. The compliance level of most patients using Symbicort 160 Microgram medication is at a high level, namely 22 respondents (51.16%) indicating a good understanding and commitment to asthma treatment. The conclusion of this study is that the level of compliance with the use of Symbicort 160 Microgram medication in asthma patients shows that the level of compliance of most patients using Symbicort 160 Microgram medication is at a high level, namely 22 respondents (51.16%) indicating a good understanding and commitment to asthma treatment.

Balance limitations pose a significant concern for individuals of productive age. Productive age people who work in offices tend to have less physical activity. Lack of physical activity can affect the decrease in muscle strength, joints which results in a decrease in motion, steps tend to be short, feet cannot tread firmly and are easily unsteady. The decrease in motion function causes balance problems. If this continues to be allowed, it will cause the risk of falls and a decrease in the quality of life of workers in productive age. So it is important for office workers, especially workers at the Yogyakarta Environment and Forestry Service, to understand the importance of maintaining balance. One of the tests that can be used to assess balance is the Fukuda stepping test. This examination is carried out with the Fukuda test and vital sign checks to find out that this test is safe to be carried out by participants. The number of participants in this activity was 27 people consisting of men and women of productive age. This activity was held on Friday, October 13, 2023 at the Yogyakarta Environment and Forestry Service. After this test was carried out, it was found that 23 out of 27 office workers of productive age had balance disorders. After this test, the participants became more aware of the importance of maintaining balance and how to maintain it.