Not Mandatory

Background: Diabetes mellitus is often called the silent killer and often causes complications for sufferers that require long-term treatment. Family support is the involvement provided by the family to the patient which includes a positive attitude, affirmation and assistance. Compliance is the degree to which patients carry out treatment methods and behavior recommended by health workers. This study aims to determine the relationship between family support and medication adherence to type 2 diabetes mellitus patients at the internal medicine polyclinic of Indonesian Hospital. Methods: Categorical comparative analysis in 2 groups was not paired with a cross-sectional approach. The population in this study is 325 respondents. Sampling was determined using the purposive sampling technique as many as 77 respondents who met the criteria. The instruments in this study used the Nursalam social family support questionnaire and the MMAS-8 (Morisky Medication 8-item Adherence Scale) questionnaire. Data analysis used univariate and bivariate analysis with the Fisher Exact test. Results: The results of the fisher exact test obtained a p-value of 0.00 or <0.05, namely there was a relationship between family support and medication adherence in type 2 diabetes mellitus patients. Conclusion: There is a significant relationship between family support and medication adherence in patients with type 2 diabetes mellitus at the internal medicine polyclinic of Cililin Hospital.

Background: Stunting was described as a toddler whose height was lower than the standard height for children of the same age, which was a characteristic that indicates repeated and long-term nutritional problems. The negative impact in the long term was decreased cognitive ability and learning achievement, body immunity, and a high risk of diabetes, obesity, heart and blood vessel disease, cancer, stroke, and disability in old age. The prevalence of stunting in Plaosan Subdistrict increased from 2021 by 7.54%, in 2022 by 7.91% and in 2023 by 8.52%. The "NETES" (Niat Engsun Tuntas cEgah Stunting/My Intention to Prevent Stunting Completely) program was one of the stunting management programs in Plaosan Subdistrict, implemented by giving one egg every day for 90 days to children under five at risk of stunting. This research aims to determine effectiveness of the NETES program to prevent stunting. Methods: Research design was ex post facto. The population were all children under five years old who were at risk of stunting, sample size 90 taken by total population. The independent variable was the NETES program and the dependent variable was stunting. The instruments used Endo brand stadiometer and Endo brand infantometer, observation sheets for egg feeding and body height. Analysis by the Wilcoxon Signed Rank test. Results: The results showed median HAZ value before the NETES program was –2.3 and after the NETES program was -1.8. Z value = 3.8541 and p value = 0.0001162 so it can be concluded that there is a difference HAZ value between before and after the implementation of the NETES program. Conclusions: Giving one egg a day for 90 days is effective to prevent stunting. It is recommended that the implementation of the NETES program can be continued and be applied in other areas.

Background: Poor personal hygiene behavior can cause vaginal discharge (fluor albus) in adolescent girls. As mentioned by Lawrence Green theory, three factors can influence a person health behavior, namely predisposing factors, supporting factors, and reinforcing factors. health behavior, namely predisposing factors, supporting factors, and reinforcing factors. Research Objective: This study aims to find out whether there is a relationship between vulva hygiene behavior and the risk of vaginal discharge (fluorine albus) in 8th grade adolescent girls at SMPN 1 Parongpong. Methods: This study is a correlative analytical study with a cross-sectional approach. The sampling technique in this study uses purposive sampling where sampling is in accordance with the researcher wishes, namely 67 people from all grade 8 girls at SMPN 1 Parongpong. This study used measuring tools in the form of questionnaires, vulvar hygiene behavior, and the incidence of vaginal discharge. Results: Most or about 34 (50,7%) of 8th grade female adolescent students with a risk of vaginal discharge at SMP N 1 Parongpong had vulvar hygiene behavior with the enough category. Most or about 38 (56,7%) female students in grade 8 with a risk of vaginal discharge at SMP N 1 Parongpong experience physiological vaginal discharge. physiological vaginal discharge. Conclusion: Most or around 34 (50.7%) of 8th grade adolescent girls with vulva hygiene behavior at SMP N 1 Parongpong behaved in the sufficient category. Most or around 38 (56.7%) of 8th grade adolescent girls at risk of vaginal discharge at SMP N 1 Parongpong experience physiological vaginal discharge. There is relationship between vulva hygiene behavior and the risk of vaginal discharge in 8th grade adolescent girls at SMP N 1 Parongpong with a p-value of 0.001.

Background: Santen Island Beach, Banyuwangi, faces significant challenges from waste mismanagement and its impact on marine ecosystems, particularly the endangered sea turtles. This study addresses these issues through a community empowerment program grounded in the Pentahelix framework, engaging stakeholders from government, academia, businesses, communities, and media. The program, active since 2022, aims to integrate sustainable waste management and turtle conservation into community development. Methods: The study employed a community empowerment approach, incorporating waste segregation, educational tourism initiatives, and turtle conservation training. Collaborations with local organizations like the Banyuwangi Sea Turtle Foundation and waste management entities ensured resource and expertise mobilization. Activities included waste alms programs and sea turtle egg relocation to sandless hatching boxes, supplemented by training and social media campaigns. Results: The program achieved key milestones, such as forming empowered cadres for waste management and turtle conservation, introducing effective waste segregation practices, and increasing hatchling survival rates through innovative relocation techniques. Outputs included community-led eco-tourism branding, scientific and media publications, and economic benefits for local stakeholders. Conclusion: This initiative highlights the potential of integrating environmental conservation and economic empowerment within a sustainable development framework. By leveraging the Pentahelix model, the program fosters local ownership and long-term impact, addressing SDG goals related to responsible consumption and marine ecosystem preservation. Continued efforts, such as enhancing cadre competencies and optimizing ecotourism branding, are recommended for sustained outcomes.

Background: Anemia in children is a global health problem that can affect their cognitive and physical development. Various supplementation interventions have been used to treat anemia, including iron, folic acid, vitamins, and other minerals. Although some studies have shown improvements in anemia status, challenges in adherence to treatment and side effects remain barriers. Objective: This scoping review aims to map the available scientific evidence related to interventions and supplementation in children with anemia. This study identifies the types of interventions used, the target population, and the outcomes reported in the studies. Methods: A literature search was conducted through PubMed and Google Scholar with the keywords "anemia," "intervention," "supplement," and "children." Included studies were publications from 2015 to 2024 involving children who received supplementation interventions to see the impact of supplementation on anemia, cognition, and growth in children. Data from relevant studies were collected and analyzed based on study design, type of intervention, and reported outcomes. Results: From the analysis of 10 studies, various interventions were found, including iron supplementation, combinations of iron and other micronutrients (folic acid, vitamin A, vitamin C), and food-based interventions. All interventions showed increased hemoglobin levels and improved anemia status, but adherence to treatment remains a challenge, especially in daily regimens. Conclusion: Appropriate supplementation interventions effectively reduce the prevalence of anemia in children. However, the management of side effects and the improvement of adherence are aspects that need further attention for long-term success.

Background: Chronic Energy Deficiency (CED) is a condition characterized by long-term inadequate intake of energy and protein, identified through Mid-Upper Arm Circumference (MUAC) measurements with a threshold of less than 23.5 cm. According to the 2013 Riskesdas data, the prevalence of CED among individuals aged 15-19 years in Indonesia was 46.6%, which decreased to 36.3% in 2018 for non-pregnant women. In East Java, the prevalence of CED among 15-19-year-olds was 52.5% in 2013 and 37.73% in 2018. Despite this decline, low albumin levels often signal poor nutritional status, typically resulting from prolonged nutrient deficiencies. Snakehead fish (Channa striata), known for its high protein content, particularly albumin, offers a potential solution for improving protein intake and blood albumin levels among adolescent girls at risk of CED. In this study, snacks made from snakehead fish provide significant protein, including 216.1 kcal and 8.01g of protein (Nugget), 214.88 kcal and 13.76g of protein (Siomay), and 216.4 kcal and 7.8g of protein (Ekado). When combined with vegetables, these snacks are expected to improve nutritional values, especially protein and albumin levels. This study aims to assess the impact of snakehead fish (Channa striata)-based snacks on protein intake and blood albumin levels in adolescent girls at risk of CED. Methods: The study used an experimental, quasi-experimental design with a one-group pretest-posttest approach. The intervention was provided twice a week for 2 months, with monitoring through 24-hour food recall forms and food records. Results: The results showed a significant improvement in protein intake (p = 0.009, paired sample T-test) and blood albumin levels (p = 0.000, Wilcoxon test) after the intervention. Conclusion: Snakehead fish (Channa striata)-based snacks effectively enhance protein intake and blood albumin levels in adolescent girls at risk of CED.