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.

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.

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.