Proceeding Cendekia International Conference Health and Technology
Institut Teknologi Kesehatan Cendekia Utama Kudus
The Effect Of Xanthan Gum Concentration Variations On The Physical Quality Of Serum Containing Ethanol Extract Of Brown Seaweed (Sargassum Polycystum)
Brown seaweed (Sargassum polycystum) is an Indonesian marine resource rich in secondary metabolites with potent antioxidant activity, making it a potential active ingredient for anti-aging cosmetics. Facial serum formulations require thickening agents, such as xanthan gum, to achieve optimal and stable physical characteristics during application. This study aimed to investigate the effect of varying xanthan gum concentrations on the physical quality of the serum and to determine the best formula based on physical quality parameters. The serum was formulated with varying xanthan gum concentrations F1 (0.5%), F2 (1%), and F3 (1.5%). Physical quality evaluations included tests for organoleptic properties, homogeneity, pH, spreadability, adhesiveness, viscosity, and drying time. Data analysis was conducted using both descriptive and quantitative methods, specifically calculating means and standard deviations. Phytochemical screening of the brown seaweed (Sargassum polycystum) ethanolic extract tested positive for flavonoids, phenolics, steroids, saponins, tannins, and triterpenoids. The obtained concentrated extract had a yield of 1.66%. Physical quality test results indicated that all formulas were homogeneous and met the requirements for viscosity (230–3000 cPs) and ideal drying time (< 5 minutes). Formulas II and III, containing 1% and 1.5% xanthan gum respectively, yielded the most ideal serum characteristics: homogeneity, optimal viscosity (within the 230–3000 cPs range), and a drying time of less than 5 minutes, allowing for effective absorption of the active ingredients into the skin.
Copyright (c) 2026 Proceeding Cendekia International Conference Health and Technology
Formulation And Physical Quality Evaluation Of Body Scrub Preparations From Coffee Grounds And Brown Seaweed Extract (Sargassum polycystum)
Brown seaweed (Sargassum polycystum) is a natural ingredient rich in secondary metabolite compounds with high potential as antioxidants, antibacterials, and anti-inflammatory agents. This study aims to extract this seaweed, identify the metabolite content, and evaluate the effect of variations in stearic acid concentrations (15%, 16%, and 17%) on body scrub preparations. Extraction was carried out using the maceration method using 70% ethanol for 3 days. Phytochemical results showed bioactive compounds such as flavonoids and phenols. Physical quality tests showed a homogeneous preparation with a distinctive aroma and light brown color. Statistical analysis using One-Way ANOVA showed that variations in stearic acid significantly affected pH and viscosity. Formulation 1 (15% stearic acid) had the best pH and spreadability, while Formulation 3 (17% stearic acid) had optimal viscosity.ormulation 3 (17% stearic acid) is considered the best because it produces the most optimal viscosity.
Integrated Primary Health Care Strategies for Hypertension and Type 2 Diabetes Management: Analysis of Three-Month Morbidity Data Surveillance from an Indonesian Primary Health Center
Non-communicable diseases, particularly hypertension and type 2 diabetes mellitus, continue to impose a substantial burden on primary health care systems. Routine morbidity surveillance at primary health centers provides valuable epidemiological information, but it is often used mainly for administrative reporting rather than integrated service planning. This study aimed to analyze three-month morbidity surveillance data and explore its implications for integrated hypertension and type 2 diabetes management in primary health care. A retrospective descriptive epidemiological design was used based on secondary routine outpatient morbidity data from Puskesmas Purwosari, Kudus, Indonesia, from March to May 2026. Diagnoses were classified using ICD- 10, and data were analyzed using frequencies, percentages, monthly trend analysis, and an integrative public health interpretation. Hypertension accounted for 111 cases in March, 72 in April, and 87 in May, while type 2 diabetes mellitus accounted for 70, 85, and 73 cases, respectively. Across the observation period, hypertension contributed 270 cases and type 2 diabetes mellitus 228 cases among the selected chronic disease burden. These patterns indicate a persistent need for continuous, multidisciplinary, and community-based chronic disease management. Routine morbidity surveillance can support early detection, risk stratification, health promotion, Posbindu PTM strengthening, Prolanis optimization, self-management, family-centered care, digital follow-up, and local policy planning. The study concludes that routine health service data can be transformed into practical evidence for integrated chronic disease management in Indonesian primary health care.
The Effect Of Spiritual Emotional Freedom Technique (Seft) On The Blood Pressure Of Elderly People With Hypertension
Hypertension is a disease often referred to as a silent killer because it doesn't cause symptoms in its early stages. It can lead to serious complications if it is not managed. Hypertension is usually suffered by elderly people. Aging decreases blood vessel elasticity, increasing the risk of hypertension. Hypertension management, in addition to pharmacological therapy, also requires non-pharmacological therapies such as complementary therapies to help control blood pressure. SEFT is a therapy that combines a spiritual approach with tapping techniques to produce relaxation and emotional balance. The objective of this study was to analyze the effect of SEFT on the blood pressure of elderly people with hypertension in Mijen Village, RT 06/RW 04, Kaliwungu District, Kudus Regency. The research method was a pre-experimental study with a one-group pretest-posttest design. Twenty-one elderly people with hypertension were selected using purposive sampling. Blood pressure was measured before and after the SEFT intervention. The Data were analyzed using the Shapiro–Wilk normality test and the paired sample t-test with a significance level of 0.05. The blood pressure mean score before the intervention was 158.76/89.76 mmHg and decreased to 140.62/79.81 mmHg after the SEFT intervention. The paired sample t-test showed a statistically significant difference between pre- and post-intervention blood pressure measurements (p < 0.001). The result shows that SEFT therapy is effective in decreasing blood pressure among elderly people with hypertension and may be considered a complementary non-pharmacological therapy to support hypertension management in the community.
Effectiveness Of Endorphin Massage On Back Pain Intensity In Pregnant Women In The Thirty-Three Trimester At Pati I Public Health Center Pati Regency
Around 60-80% of pregnant women in Indonesia experience back pain during pregnancy, with the intensity of pain increasing as the uterus enlarges. Endorphin massage is a massage technique that stimulates the release of endorphins , the body's natural hormones that act as pain relievers and relaxants. It has no side effects on the mother and baby, and is inexpensive. This study aims to determine the effectiveness of endorphin massage on the intensity of back pain in pregnant women in the third trimester at the Pati I Community Health Center, Pati Regency. This study used a pre-experimental method with a One Group research design. Pretest-Posttest The design and technique of purposive sampling . The population in this study were 48 pregnant women in their third trimester at Pati I Community Health Center with a sample of 43 respondents. The level of pain before endorphine massage was 100% experiencing moderate pain with a mean value of 5.2105 and after endorphine massage 100% experienced moderate pain with a mean value of 5.2105. massage is 68.42% experienced moderate pain and 31.58% experienced mild pain with a mean value of 3.8421. The results of the Wilcoxon test showed a sig value (-2 tailed) P value <0.001 <0.05 indicating that there was a difference in the intensity of back pain in pregnant women in the third trimester before and after endorphine massage at the Pati I Community Health Center, Pati Regency, which means that endorphin massage is effective in reducing the intensity of back pain in pregnant women in the third trimester. It is recommended that education and the application of endorphin massage be provided as a non-pharmacological alternative to improve the quality of obstetric services and address back pain in pregnant women.
The Relationship Between Access To Reproductive Health Information And Participation In The Family Planning Program
One of the government's major initiatives to manage population increase while enhancing family welfare is the Family Planning program. Public availability to reproductive health information is believed to be partially responsible for the unsatisfactory participation rate of eligible couples in the Family Planning program across different locations. The purpose of this research was to examine how many people enrolled in the Family Planning program and how many had access to reproductive health resources. The research methodology for this study was a cross-sectional analytical observational design. Tondomulyo Village, Pati Regency was the site of the study, and 35 women of childbearing age were chosen at random from the community. The chi-square test was used for univariate and bivariate analysis with a significance level of α=0.015 after the data was obtained from a structured questionnaire that had already been validated for validity and reliability. According to the findings, the majority of participants in the Family Planning program had easy access to information on reproductive health. Participation in the KB program was significantly related to having access to reproductive health information, according to the chi square test (p<0.05). Researchers found that Family Planning program engagement was greater among reproductive-age women who had easier access to reproductive health information. Health care providers may do more to raise family planning acceptor coverage by bolstering information, education, and communication initiatives that are focused on digital media and direct counselling.
Provision Of Stigm A To People With Hiv/Aids (Odha) In Students In Pati District
Negative stigma related to HIV/AIDS is one of the the barrier that faced People living with HIV/AIDS For prevention And treatment disease HIV/AIDS(Wahyuni S & Ronoatmodjo , 2017). Impact from giving negative stigma to PLWHA can cause feeling rejected and isolated so that PLWHA try For covering up their health status . As a result , negative stigma can hinder effort For reach HIV information , HIV testing , treatment , and prevention HIV /AIDS (Boakye &Mavhandu-Mudzusi, 2019). The aim of this study was to determine the stigma given to people with HIV/AIDS (ODHA) among Islamic boarding school students in Pati Regency. Type of research used is quantitative research. Amount a sample of 10 students was taken random sampling. Statistical test using distribution test frequency. Level of knowledge of students part big Good namely 6 students (60%), while 3 students (30%) have knowledge enough and 1 student (10%) has knowledge lack and stigmatization of students part big There were no stigma , namely 7 students (70%), while 3 students (30%) gave stigma. It is hoped that the students Keep going increase knowledge through various source reliable information​ so that can form more attitude​ positive and reduce the emergence of stigma against PLWHA.
The Difference Between Circulo Massage And Effleurage Massage In Reducing Low Back Pain Among Third-Trimester Pregnant Women
Low back pain is one of the most common discomforts experienced by women during the third trimester of pregnancy. Non-pharmacological interventions such as massage therapy are widely recommended to reduce pain without posing risks to the fetus.Objective: This study aimed to determine the difference in effectiveness between circulo massage and effleurage massage in reducing low back pain among third-trimester pregnant women. Methods: A quantitative quasi-experimental study with a two-group pretest-posttest design was conducted at Fathma Medika Clinic from February to July 2024. Twenty pregnant women in the third trimester who experienced low back pain were selected as participants. Respondents were divided into two groups: circulo massage (n = 10) and effleurage massage (n = 10). Pain intensity was measured using the Numerical Rating Scale (NRS) before and after the intervention. Data were analyzed using paired t-tests and independent t-tests. Results: The mean pain score in the circulo massage group decreased from 6.85 ± 0.91 before intervention to 3.30 ± 0.60 after intervention. In the effleurage massage group, the mean pain score decreased from 6.95 ± 0.88 to 4.25 ± 0.70. Independent t-test analysis showed a significant difference between the two groups (t = 3.75; p = 0.001).Conclusion: Both circulo massage and effleurage massage significantly reduced low back pain among third-trimester pregnant women. However, circulo massage was more effective than effleurage massage in reducing pain intensity.
The Effect Of Different Drying Methods On The Antioxidant Activity Of Ethanol Extracts Annona squamosa L. Leaves
Background: One medicinal plant believed to possess anticancer activity is the srikaya leaf (Annona squamosa L.). According to empirical data, srikaya leaves can be used as an astringent, anti-inflammatory, anthelmintic, antifertility agent, abscess-ripening agent, and antitumor agent. Srikaya leaves contain antioxidants such as flavonoids, total phenols, glycosides, alkaloids, saponins, and tannins. The objective of this study was to determine the antioxidant activity of ethanol extracts from leaves of Annona squamosa L. using oven-drying and air-drying methods. Methods: The extraction method used was maceration with ethanol as the solvent. Evaluations included moisture content testing and phytochemical screening. The antioxidant activity of the extract was determined using UV-Vis spectrophotometry at 515 nm over 52 minutes. Results: The IC50 of the ethanol extract of leaves of Annona squamosa L. obtained via air-drying was 344.11 ppm, whereas that obtained via oven-drying was 372.66 ppm. Conclusion: The ethanol extracts of leaves of Annona squamosa L. obtained via air- and oven-drying methods, at 344.11 ppm and 372.66 ppm, respectively, exhibit weak antioxidant activity. Keywords: Ethanol extract of leaves Annona squamosa L., antioxidant, UV-Vis spectrophotometry.
The Relationship Between Food Handler Hygiene And The Presence of Escherichia coli Bacteria in Boba Ice
Food and beverage processing must be carried out hygienically, as it will affect the quality of the food and beverages served to consumers. This study aims to determine the relationship between food handler hygiene and the presence of E. coli bacteria in boba drink vendors in Kudus Regency. This study uses an observational analytic design with a cross-sectional approach. The population and sample in this study consisted of 20 boba ice traders. The instruments used include questionnaires, observation sheets, and laboratory tests to determine the presence of E. coli bacteria in boba ice. Data analysis in this study used the Spearman rank test. Based on the research results that have been conducted, 40% of boba drink vendors have adequate personal hygiene, while 35% have poor personal hygiene. Only 25% of the vendors have good personal hygiene. The presence of E. coli bacteria is only found in 40% of bubble tea. The results of the bivariate analysis indicate a significant relationship between personal hygiene and the presence of E. coli, with a p-value of 0.011 and a correlation coefficient of -0.557. Boba tea vendors have poor personal hygiene, which is supported by their low awareness of the importance of handwashing.
Overview Of Consumer Knowledge Level On The Use Of Analgesic Drugs In Self-Medication At Zivana Jiwan Pharmacy
This study aimed to describe the level of consumer knowledge regarding the use of analgesic drugs in self-medication at Zivana Jiwan Pharmacy. Self-medication with analgesic drugs needs to be supported by good knowledge so that its use is safe, effective, and rational. This study used a descriptive method with a quantitative approach. Data were collected using a questionnaire administered to 96 respondents who met the inclusion criteria. The research instrument consisted of 13 questions covering indications, dosage, drug use, side effects, contraindications, and follow-up actions in the use of analgesic drugs. The results showed that 74 respondents (77.0%) had a good level of knowledge, 18 respondents (18.8%) had a sufficient level of knowledge, and 4 respondents (4.2%) had a poor level of knowledge. Respondents were dominated by the 31–40 year age group (44.8%), female sex (67.8%), and senior high school/vocational school education (66.7%). Thus, the level of consumer knowledge regarding the use of analgesic drugs at Zivana Jiwan Pharmacy is classified as good. Nevertheless, education and counseling by pharmacists and pharmacy technical personnel are still needed to improve the safe, effective, and rational use of analgesic drugs.
Implementation of Swedish Massage Therapy for Reducing Blood Pressure in Elderly Patients with Hypertension
Hypertension is a major health problem among older adults and requires appropriate management to prevent serious physical and psychological complications that can reduce quality of life. In addition to pharmacological treatment, nonpharmacological interventions are increasingly recommended as complementary approaches to blood pressure control. Swedish massage has been recognized as a safe and effective relaxation therapy that may help reduce blood pressure through improved circulation and decreased muscle tension. This study aimed to determine the effect of Swedish massage therapy on blood pressure in elderly patients with hypertension. A quantitative pre-experimental study with a one-group pretest-posttest design was conducted in Kedungdowo Village, Kaliwungu District, Kudus Regency. Blood pressure was measured before and after the intervention. Swedish massage, consisting of effleurage, petrissage, friction, tapotement, and vibration techniques, was administered for 20–30 minutes per session, three times a week for two weeks. Before the intervention, 72.7% of participants had Grade 1 hypertension and 27.3% had Grade 2 hypertension. After the intervention, 90.9% of participants were classified as prehypertensive, while only 9.1% remained in the Grade 1 hypertension category. The mean diastolic blood pressure decreased from 93.42 mmHg before treatment to 83.52 mmHg after treatment. The Wilcoxon Signed-Rank Test showed significant reductions in both systolic and diastolic blood pressure (p = 0.003 for each), indicating that Swedish massage significantly lowered blood pressure in elderly patients with hypertension. These findings suggest that Swedish massage is an effective complementary therapy for reducing blood pressure and may be incorporated into non-pharmacological hypertension management for older adults.
Effectiveness Of A Combination Of Lady's Tea Extract (Aloe Vera L.) And Celedri Leaf Extract (Apium Graveolens L.) In Healing Wounds In Rats (Rattus Norvegicus)
Abstract: Incision wounds are tissue injuries caused by sharp objects that require rapid and effective healing. Aloe vera and celery leaves are known to contain secondary metabolites such as flavonoids, tannins, and saponins, which are believed to accelerate wound healing. This study aims to determine the effectiveness of combining both extracts in promoting the healing of incision wounds in male rats and to identify their secondary metabolite content. This experimental study used a Post-test Only Control Group Design. Male rats were divided into five groups: negative control (lanolin ointment), positive control (gentamicin ointment), and three treatment groups receiving combinations of aloe vera and celery extracts at ratios of 24.8%:72.5%, 48.6%:48.6%, and 72.5%:24.8%. A 2 cm incision wound was made on each rat and observed macroscopically on days 3, 6, and 9. Wound healing percentage was calculated based on wound length. Phytochemical screening was conducted to identify the secondary metabolites in both extracts. The combination of aloe vera and celery extracts at a ratio of 48,6%:48,6% showed the highest healing percentage, with 40% on day 3, 85% on day 6, and 89% on day 9. Phytochemical tests confirmed the presence of flavonoids, tannins, and saponins in both extracts, which contribute to the wound healing process. Aloe Vera extract and Celery leaf extract were proven to contain secondary metabolite compounds in the form of flavonoids, tannins, and saponins. The combination of Aloe Vera extract and Celery leaf extract can heal cuts in mice. The optimal concentration can be in a ratio of 48,6%: aloe vera and 48,6% celery leaves.
The Effect of Yoga and Meditation on Menstrual Cycle Regularity Among Adolescent Girls at SMK Bakti Utama Pati
Menstrual cycle irregularity is one of the most common reproductive health problems among adolescent girls and is frequently associated with hormonal imbalance, psychological stress, physical inactivity, and unhealthy lifestyles. Non-pharmacological interventions, such as yoga and meditation, have been widely recognized for their potential to improve hormonal regulation through stress reduction and neuroendocrine modulation. This study aimed to determine the effect of yoga and meditation on menstrual cycle regularity among adolescent girls at SMK Bakti Utama Pati. A quasi-experimental study with a one-group pretest-posttest design was conducted involving 22 respondents selected from a population of 116 adolescent girls using purposive sampling. Participants received a structured yoga and meditation intervention, while menstrual cycle regularity was assessed based on menstrual cycle length recorded using a menstrual cycle monitoring sheet. Data were analyzed using the Wilcoxon Signed Rank Test. Before the intervention, 18 respondents (81.8%) had irregular menstrual cycles and 4 respondents (18.2%) had regular cycles. After the intervention, the number of respondents with regular menstrual cycles increased to 17 (77.3%), while only 5 respondents (22.7%) remained irregular. The median menstrual cycle length decreased from 40 days before the intervention to 31 days after the intervention, with a statistically significant difference (p<0.001). These findings indicate that yoga and meditation effectively improve menstrual cycle regularity and may serve as safe, non-pharmacological interventions to support reproductive health promotion among adolescent girls.
Comparison of the Hepatoprotective Effectiveness of Ethanol Extract of Moringa oleifera L. and Elephantopus scaber Linn. Leaves on ALT (SGPT) Levels in Mice
Hepatoprotective agents are substances that help protect the liver from damage caused by hepatotoxic compounds. Liver injury can be identified by elevated serum glutamic pyruvic transaminase (SGPT) levels, which indicate hepatocellular damage. Moringa oleifera L. (moringa) leaves and Elephantopus scaber L. (elephant's foot) leaves contain bioactive compounds, including flavonoids, alkaloids, saponins, and tannins, which are believed to exert hepatoprotective effects through their antioxidant properties. This study aimed to compare the hepatoprotective activities of ethanolic extracts of Moringa oleifera leaves and Elephantopus scaber leaves against SGPT elevation in mice induced with a toxic dose of paracetamol. This experimental study employed a posttest-only control group design using 20 male Swiss Webster mice randomly assigned to four groups: negative control (0.5% CMC), positive control (silymarin 200 mg/kg BW), Moringa oleifera leaf ethanolic extract (250 mg/kg BW), and Elephantopus scaber leaf ethanolic extract (450 mg/kg BW). One hour after treatment administration, mice received oral paracetamol at 2 g/kg BW for 14 consecutive days. Serum SGPT levels were measured spectrophotometrically. The results demonstrated that both extracts significantly reduced SGPT levels compared with the negative control. The hepatoprotective activity of the Moringa oleifera leaf extract was significantly greater than that of the Elephantopus scaber leaf extract (p≤0.05) and was not significantly different from that of silymarin (p>0.05). In conclusion, both extracts exhibited hepatoprotective activity; however, the ethanolic extract of Moringa oleifera leaves showed superior hepatoprotective efficacy and was comparable to silymarin in protecting against paracetamol-induced liver injury
Analysis of Factors That Affect Anxiety in Postpartum Mothers
Postpartum anxiety in mothers can negatively impact the baby, the mother's own mental health, and the marital relationship. According to several studies that have been conducted, symptoms of severe depression tend to develop in postpartum blues. More than 20% of women who suffer from postpartum blues experience symptoms of severe depression within the first year after giving birth. This study is a quantitative study with a cross-sectional design, conducted in Tondomulyo Village in March 2024. The respondents of this study were 34 postpartum mothers. Sampling was done using purposive sampling technique. The research instrument used was a questionnaire. Univariable and bivariate analyses were conducted using Chi-Square (p<0.05). The results of this study show that there is a relationship between age and anxiety in postpartum mothers with a p-value of 0.006; there is a relationship between education level and anxiety in postpartum mothers with a p-value of 0.000; there is no relationship between parity and anxiety in postpartum mothers with a p-value of 0.001; there is a relationship between income and anxiety in postpartum mothers with a p-value of 0.138; there is a relationship between mothers' knowledge and anxiety in postpartum mothers with a p-value of 0.004; there is a relationship between husband support and anxiety in postpartum mothers with a p-value of 0.003; there is a relationship between family support and anxiety in postpartum mothers with a p-value of 0.016; there is a relationship between adaptation to the new role as a mother and anxiety in postpartum mothers with a p-value of 0.002; there is a relationship between postnatal yoga and anxiety in postpartum mothers with a p-value of 0.004.
The Effect Of Tuina Massage And Infant Weight Gain
Tuina massage involves stimulating specific body points to address feeding difficulties in infants by enhancing blood circulation in the spleen and digestive system; it functions as a needle-free form of acupuncture. This technique can alleviate picky eating habits, thereby improving appetite and promoting weight gain. Tuina massage can be administered as early as the neonatal period. This study aimed to analyze the effect of Tuina massage on infant weight gain. A quantitative research method was employed using a quasi-experimental design a control group approach. The sample consisted of 30 infants 6–9 months, divided into an intervention group (n=15) and a control group (n=15). The results showed a weight gain of 0.03 kg in the control group compared to 0.51 kg in the intervention group. With a significance value of 0.001 (p < 0.05), the study demonstrates that tuina massage significant effect on infant weight gain.
Length Of Hospital Stay Of Patients In The Icu Of Dr. Loekmono Hadi Regional Hospital Kudus
Length of stay is the average length of stay of a patient in an inpatient care unit at a hospital from the time they are registered as an inpatient until the patient is discharged from the hospital. Length of stay is often an important indicator to improve the efficiency of health services, it is known that the shorter the patient's stay, the more effective the resources are used, but a longer stay in the intensive care unit causes higher costs and can be a burden for their families. The purpose of this study was to determine the description of the length of stay of patients in the ICU. This type of research used is a non-experimental quantitative study with a correlational method using a cross-sectional approach. The population in this study were patients treated in the ICU Room of Dr. Loekmono Hadi Kudus Hospital. The sampling method was carried out by purposive sampling by paying attention to the inclusion and exclusion criteria so that 63 respondents were obtained, then the data obtained was processed using product moment correlation analysis with a p value of 0.000 with a correlation coefficient of 0.633. The results of the study on patient families, reviewed in terms of length of stay, showed that the majority of patients were treated in the ICU for ≤ 3 days (41 respondents (65.1%), and those treated for > 3 days (22 respondents (34.9%). It can be concluded that the majority of patients were treated in the ICU for ≤ 3 days. It is recommended that nurses always coordinate with the patient's family regarding patient actions.
Yoga Pranayama as a Non-Pharmacological Approach to Managing Nausea and Vomiting in the First Trimester of Pregnancy
Background: Nausea and vomiting are common symptoms in early pregnancy and may interfere with daily activities, appetite, physical comfort, and quality of life. Evidence-based guidance recognizes the importance of supportive and individualized approaches, including non-pharmacological strategies, for managing pregnancy-related symptoms. Objective: This study aimed to determine the effectiveness of Pranayama Yoga in reducing nausea and vomiting among first-trimester pregnant women. Methods: This pre-experimental study used a one-group pretest-posttest design. Seventeen first-trimester pregnant women experiencing nausea and vomiting in Tondomulyo Village, Jakenan District, Pati Regency, Indonesia, were selected using total sampling. Nausea and vomiting were assessed using the Pregnancy-Unique Quantification of Emesis (PUQE-24) questionnaire before and after the intervention. Participants practiced Pranayama Yoga twice daily for 15 minutes over one week. Data were analyzed using a paired t-test. Results: Before the intervention, 58.8% of participants were categorized as having moderate symptoms, whereas after the intervention, 70.6% were categorized as having mild symptoms and no participants remained in the severe category. The mean measurement decreased from 1.00 ± 0.791 to 0.29 ± 0.470, representing a mean reduction of 0.71. The paired t-test showed a statistically significant difference between pre-intervention and post-intervention measurements (p < 0.001). Conclusion: Pranayama Yoga was associated with a significant reduction in nausea and vomiting measurements among first-trimester pregnant women and may be considered a simple complementary non-pharmacological approach for managing pregnancy-related discomfort.
The Association Between Picky Eating Behavior and Stunting Among Children Under Five in the Tlogowungu Public Health Center Service Area, Pati Regency
Stunting remains one of the major nutritional problems among children under five years of age in Indonesia and has become a significant public health concern due to its long-term impact on physical growth, cognitive development, and future productivity. One factor associated with stunting is picky eating behavior, which limits children’s dietary variety and may result in inadequate nutritional intake. This study aimed to determine the relationship between picky eating behavior and the incidence of stunting among toddlers in Tlogosari Village, Tlogowungu Public Health Center Working Area, Pati Regency. This quantitative study employed a crosssectional design involving 49 toddlers selected through stratified random sampling. Picky eating behavior was assessed using the Children’s Eating Behaviour Questionnaire (CEBQ), while stunting status was determined based on Height-for-Age measurements according to the World Health Organization (WHO) Child Growth Standards. Data were analyzed using univariate analysis and Fisher’s Exact Test. The findings showed that 35 toddlers (71.4%) exhibited picky eating behavior, while 16 toddlers (32.7%) were classified as stunted. Statistical analysis revealed a significant relationship between picky eating behavior and stunting incidence (p = 0.019). The study concludes that picky eating behavior is significantly associated with stunting among toddlers. Therefore, parents and healthcare providers should encourage balanced nutrition, healthy eating habits, and regular growth monitoring to reduce the risk of stunting.
The Application Of Spiritual Emotional Freedom Technique (SEFT) Therapy On Anxiety Levels In Chronic Kidney Disease (CKD) Patients Undergoing Hemodialysis At Sunan Kudus Islamic Hospital
Abstract. Background: Chronic Kidney Disease (CKD) is a chronic condition causing progressive decline in kidney function, necessitating routine hemodialysis therapy. This condition causes not only physical problems but also impacts psychological well-being, particularly regarding anxiety. One non-pharmacological intervention to reduce anxiety is the Spiritual Emotional Freedom Technique (SEFT), a therapy combining a spiritual approach with tapping techniques on the body's energy points to induce relaxation and alleviate anxiety. Objective: To determine the anxiety levels of CKD patients undergoing hemodialysis before and after receiving SEFT therapy. Methods: This study employed a pre-experimental design using a one-group pretest- posttest approach. The sample consisted of 15 CKD patients undergoing hemodialysis at at Sunan Kudu Islamic Hospital, selected via purposive sampling. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis was performed using the Paired Sample t-Test. Results: The mean anxiety level was 24.93 prior to SEFT therapy and decreased to 21.00 following the intervention, representing a mean reduction of 3.933. The Paired Sample t-Test yielded a p-value of 0.000 (p < 0.05), indicating that SEFT therapy significantly influenced the reduction of anxiety levels in CKD patients undergoing hemodialysis. Conclusion: SEFT therapy is effective in reducing anxiety levels among CKD patients undergoing hemodialysis; therefore, it can be utilized as a non-pharmacological intervention in nursing care.
An Overview Of Self-Reliance and Self-Development In Children With Intellectual Disabilities
Abstract Children with intellectual disabilities have limitations in performing self-care activities independently, such as bathing, dressing, and using the toilet. Although training has been implemented at SLB Negeri Pati, most children still show a high level of dependence on others. To describe the level of self-care independence among children with intellectual disabilities at SDLB Negeri Pati. This study used a descriptive quantitative method with a cross-sectional design. A total of 61 respondents were selected from 72 students using simple random sampling. The instrument consisted of a 15-item questionnaire on a 4-point Likert scale (Cronbach's Alpha = 0.924). Data were analyzed using univariate analysis. The findings showed that 34.4% of the children were independent, 52.5% were less independent, and 13.1% were not independent. Higher independence was observed in children with mild intellectual disabilities, aged ≥10 years, in upper grades, and with parents aged ≥40 years. Most children with intellectual disabilities at SDLB Negeri Pati were still less independent and require continuous self-care training both at school and at home.
Prevalence And Distribution Of Stroke Cases: A Descriptive Study In Kudus Regency 2022-2025
ABSTRACT Stroke is a medical emergency that occurs due to impaired blood flow to the brain, either due to blockage or bleeding. This can lead to brain cell death, permanent disability, and death if not treated quickly and appropriately. The prevalence of stroke in the world and in Indonesia continues to increase annually, making it a leading cause of disability and death. A similar situation also occurs in Central Java Province, where the incidence of stroke remains relatively high and poses a burden on public health. Kudus Regency is one of the areas that has experienced an increase in the number of stroke cases in recent years; therefore, monitoring and data analysis efforts are necessary to determine the distribution of cases and support the planning of prevention programs. This study aims to determine the distribution of stroke cases in Kudus Regency as a basis for planning promotive and preventive efforts in the field of public health. This study uses a descriptive method with a secondary data analysis approach obtained from regional health reports and official publications of the Kudus Regency government regarding stroke cases. Data analysis was conducted by examining the number of stroke cases based on annual reports and the increasing trend in the number of health service visits. The conclusion of this study shows that stroke is still an important public health problem in Kudus Regency with a tendency for an increasing number of cases every year, so that promotive and preventive efforts are needed through health education, risk factor control, and early detection to reduce the incidence of stroke in the future.
THE EFFECTIVENESS OF HEALTH BELIEF MODEL-BASED POSTER MEDIA IN PROMOTING SMOKING CESSATION BEHAVIOR AMONG LOW-INCOME FAMILIES IN GAJAH VILLAGE, GAJAH DISTRICT, DEMAK REGENCY
Abstract The high prevalence of smoking habits among poor families in Gajah Village, Gajah Sub-district, Demak Regency, has become a serious problem because it affects the health and economic conditions of the family. This study aims to analyze the effectiveness of poster media based on the Health Belief Model in promoting smoking cessation behavior among poor families. This study uses a quantitative approach with a pre-experimental one group pre-test and post-test design. The population in the study is 124 families who are beneficiaries of the Family Hope Program and the sample consisted of 55 respondents obtained through a simple random sampling technique using the Spin The Wheel method based on the calculations of the Slovin formula. Data collection was carried out through pre-test and post-test using questionnaires that had been tested for validity and reliability. The data were analyzed using univariate and bivariate analysis, with the Wilcoxon to determine the differences before and after the intervention. The results showed that the average knowledge of respondents experienced an increase in score between pretest and posttest by 4.1%, while in the average attitude it was known that the score increase between pretest and posttest was 10.3%. The results of the analysis of the Effectiveness of Poster Media Based on the Health Trust Model to Promote Smoking Cessation Behavior using the wilcoxon test obtained a knowledge p value of 0.000 (p < 0.05) and an attitude p value of 0.002 (p< 0.05). Poster Media Based on Health Trust Model Effective in Promoting Smoking Cessation Behavior in Gajah Village, Gajah District, Demak Regency
Qualitative Analysis Of Anxiety Among Women Of Reproductive Age In Choosing Long-Acting Reversible Contraceptive Method
Abstract. Background: Reducing the Maternal Mortality and Infant Mortality Rate remains a major public health challenge in Indonesia and worldwide. The use of safe and effective contraceptive methods contributes significantly to preventing unintended pregnancies. However, the utilization of Long-Acting Reversible Contraceptives remains low, particularly in Pati Regency. Anxiety associated with misconceptions and limited knowledge about contraceptive side effects is considered one of the major. Objective: This study aimed to explore the anxiety experienced by women of reproductive age in selecting Long-Acting Reversible Contraceptives. Methods: A descriptive qualitative study was conducted among women of reproductive age who experienced anxiety regarding Long-Acting Reversible Contraceptives selection in Tondomulyo Village. Participants were recruited using purposive sampling, and data collection continued until data saturation was achieved. A total of four participants were included in the study. Data were analyzed using Roy's Adaptation Model as the theoretical framework. Results: Seven major themes emerged from the analysis: (1) negative perceptions, (2) inadequate knowledge, (3) psychological distress, (4) environmental influences and experiences, (5) rejection, (6) stress management strategies, and (7) social support. Conclusion: Anxiety related to LARC selection is influenced by cognitive, psychological, environmental, and social factors. Strengthening health education, counseling, and family support is essential to reduce anxiety and improve informed decision-making regarding the use of long-acting contraceptive methods among women of reproductive age.
Application-Based Digital Support for Labor Pain Across Cervical Dilatation: A Rapid Scoping Review and Evidence-Informed Design Framework
Abstract. Application-based non-pharmacological support is increasingly used during childbirth, yet its effects on labor pain are frequently conflated with effects on cervical progress. This rapid scoping review mapped patient-facing digital applications for labor-pain support, examined how intervention delivery related to cervical dilatation, and derived requirements for an intrapartum mobile-health application. PubMed/MEDLINE, Europe PMC, and OpenAlex were searched for empirical reports published from January 2015 to 26 July 2026. Eligibility followed a Population-Concept-Context framework, and reporting was guided by JBI methodology, PRISMA-ScR, and PRISMA-S. Thirty-three reports representing 31 unique studies or development programs were included. Immersive virtual reality dominated the evidence and generally reduced pain during or immediately after exposure; anxiety, fear, comfort, and satisfaction also commonly improved. Cervical dilatation was primarily used to determine eligibility, time intervention sessions, or standardize pain measurement. No study validated an increase in cervical dilatation rate, and findings for labor duration were inconsistent. An evidence-informed application should therefore make pain coping its primary claim, use clinically confirmed stage information, offer calming audio, affirmation, paced breathing, and mindfulness, support offline one-tap use and partner-midwife integration, and remain separate from clinical labor-progress monitoring.
Irfana Tri Wijayanti Irfana Tri Wijayanti
Literature Review: The Use Of Aroma Therapy As A Tretment For Emesis Gravidarum
Abstract. Nausea and vomiting in early pregnancy, often called morning sickness, doesn't mean the nausea only occurs in the morning. Nausea can occur at any time, at night, during the day, or anywhere. Morning sickness usually begins around 8 weeks and lasts until 12 weeks. Each woman will experience varying degrees of nausea; some may not experience much, while others may experience nausea, and some may even experience severe nausea and vomiting constantly, requiring treatment (Supriyanto, 2015). According to the World Health Organization (WHO), in 2015, the incidence of emesis gravidarum reached 12.5% of all pregnancies worldwide. Management of emesis gravidarum during pregnancy can be done through pharmacological and non pharmacological measures. One non-pharmacological method that can be provided is the use of aromatherapy, such as inhaling essential oils like lemon, lemongrass, ginger, and lavender. The purpose of this study was to analyze the literature related to aromatherapy, which is effective in treating emesis gravidarum. PICOST analysis was used to determine keywords and criteria for the literature to be used. In this study, the data collection process included compiling a literature review according to the topic approved by the reviewer, determining keywords and criteria for the literature used using PICOST, determining the database to be used, conducting a literature search using the PRISMA guidelines and assessing its feasibility using JBI Critical Appraisal, and finally conducting a literature analysis and reporting the results of the literature review. From the seven articles reviewed, it was concluded that ginger, lemon inhalation, and peppermint can reduce nausea and vomiting in pregnant women. Based on a literature review, the most effective intervention for reducing emesis gravidarum is lemon inhalation therapy, with a p value of 0.000 compared to other research journals that obtained p values >0.000.
Oxytocin Versus Endorphin Massage for Breast Milk Flow in Mothers of Infants Aged 0–6 Months
Abstract. Difficulty with breast milk flow may disrupt breastfeeding and is influenced by neuroendocrine and psychological factors. Oxytocin massage and endorphin massage are non-pharmacological approaches intended to promote relaxation and support the milk-ejection reflex. This study compared the effects of the two massage techniques on breast milk flow among mothers breastfeeding infants aged 0–6 months in Sinomwidodo Village, Pati Regency, Indonesia. A pre-experimental two group pretest–posttest study was conducted in May–June 2021. Twenty mothers were recruited by purposive sampling and allocated to an oxytocin-massage group (n = 10) or an endorphin-massage group (n = 10). Each intervention was monitored for 12 treatment sessions. Breast milk flow was assessed using a 10-item questionnaire and classified as adequate (scores 9–10), moderately adequate (7–8), or inadequate (<7). Data normality was examined using the Shapiro–Wilk test, followed by the Mann–Whitney test for the post-intervention comparison. Before intervention, inadequate flow was reported by 7 mothers in the oxytocin group and 8 in the endorphin group. After intervention, adequate flow was reported by 8 and 7 mothers, respectively. The between-group difference was not statistically significant (p = 0.429). Both techniques were associated with favorable descriptive changes, but neither demonstrated superiority. The techniques may therefore be selected according to maternal preference, provider competence, and service feasibility.
Dietary Patterns and Occupation as Characteristics of Pregnant Women with Anemia at the PMB of Midwife Millatin Khusniyati, S.Tr.Keb, in Mayong Jepara
Abstract. Poor nutrition, malabsorption issues, and unhealthy dietary habits during pregnancy can increase the risk of anemia among expectant mothers. Women often shoulder a dual burden—managing reproductive tasks within the household while also engaging in productive work to earn a living—resulting in shorter rest periods compared to men. This dual burden makes women more susceptible to health issues, including anemia. The general objective of this study is to describe the dietary patterns and employment status of pregnant women suffering from anemia at the Independent Midwifery Practice (PMB) of Midwife Millatin Khusniyati, S.Tr.Keb. This is a descriptive study. The population consists of all pregnant women diagnosed with anemia, with a sample size of 53 respondents selected via total sampling. Data processing involved editing, coding, and tabulation, followed by univariate analysis. The results indicate that the majority of the pregnant women (35 respondents or 66.6%) had poor dietary habits; the majority (30 respondents or 56.6%) were employed; and the majority (31 respondents or 58.3%) suffered from mild anemia. Consequently, healthcare providers are encouraged to enhance health services—particularly during Antenatal Care (ANC) visits—by consistently providing information, education, and communication (IEC) regarding healthy diets, adequate rest, and the nature of anemia during pregnancy.
Determinants Of Infant Development A Scoping Review For Digital NCDs Management
Abstract. Infant development between 6–12 months is a critical phase for neurodevelopment, where environmental and psychosocial stress can impact long-term growth and increase non-communicable disease (NCD) risks. To optimize developmental monitoring and support, an integrated approach combining digital health technology and non-pharmacological interventions is needed. The purpose of this study is to map the determinants of infant development and evaluate digital health strategies in primary care. This study uses a scoping review design following the PRISMA-ScR framework. Literature was sourced from Google Scholar and Crossref (2021–2026) using Publish or Perish software, with 15 relevant studies selected for synthesis. The assessment revealed that maternal toxic stress, urban environmental conditions, and gut microbiome health are key determinants affecting motor and cognitive scores. Interventions combining digital monitoring and complementary care (such as physical stimulation protocols) showed positive improvements in tracking milestones and reducing developmental deterioration. Evaluation of the synthesized evidence demonstrates that technology-driven primary care enhances early detection accuracy by 25–30% and improves developmental outcomes. Recommendations for healthcare providers are expected to integrate digital health monitoring alongside complementary interventions in primary care settings for infants aged 6–12 months to optimize neurodevelopmental health and prevent future NCD risks.
Formulation and Physical Stability Evaluation of Bitter Melon (Momordica charantia L.) Leaf Extract Shampoo
Shampoo is a cosmetic preparation used to cleanse the scalp, and its effectiveness can be enhanced by incorporating natural ingredients.Bitter melon leaves (Momordica charantia L.) contain active flavonoids and alkaloids that have the potential provide beneficial effects on hair and scalp health. This study aimed to determine the physical characteristics and stability of bitter melon leaf extract shampoo preparations with varying concentrations of the gelling agent carbopol 940. This was an experimental study using a completely randomized, one-factor design, where variations in carbopol 940 concentration affected the physical characteristics of the shampoo preparations. The formulations were evaluated for organoleptic properties, pH, viscosity, foam height, and mechanical stability.and mechanical stability tests using centrifugation at 3,600 rpm for 30 minutes. Statistical analysis was performed using normality and homogeneity tests, followed by ANOVA and post hoc tests or Kruskal-Wallis and Mann-Whitney tests with a 95% confidence level (α=0.05). The results showed that increasing the concentration of carbopol 940 significantly increased the specific gravity (0.9821– 1.0240 g/mL) and viscosity (520–3.440 cPs). The Kruskal-Wallis test showed a P value <0.05 for the specific gravity (P = 0.027) and viscosity (P = 0.020), indicating a significant difference between the formulas. All formulas met SNI 06-2692-1992 for pH (9.0), foam height (4.5 cm), and organoleptic parameters. Stability tests showed reversible phase separation, thus all three formulas were declared stable. In conclusion, the concentration of carbopol 940 significantly affected the specific gravity and viscosity and exhibited reversible stability.
The Relationship between Vasomotor Symptoms and Quality of Life in Premenopausal Women
Premenopause is a transitional phase preceding menopause characterized by hormonal changes, particularly declining estrogen levels. Vasomotor symptoms, including hot flashes and night sweats, are the most common complaints during this period and may adversely affect physical, psychological, and social well-being, resulting in reduced quality of life. However, evidence regarding the relationship between vasomotor symptoms and quality of life among premenopausal women in Indonesian primary healthcare settings remains limited. Objective: To examine the relationship between vasomotor symptoms and quality of life among premenopausal women at Jati Primary Health Center, Kudus Regency, Indonesia. Methods: This quantitative study employed an analytical observational design with a cross-sectional approach. A total of 50 premenopausal women aged 40–55 years were recruited using purposive sampling. Vasomotor symptoms were assessed using the vasomotor subscale of the Menopause Rating Scale (MRS), while quality of life was measured using the MenopauseSpecific Quality of Life Questionnaire (MENQOL). Both variables were analyzed as continuous data. Normality was assessed using the Shapiro–Wilk test, which demonstrated non-normal data distribution (p<0.05). Therefore, the relationship between variables was analyzed using Spearman's rank correlation test with a significance level of 5%. Results: The mean vasomotor symptom score was 2.84 ± 0.97, with a median of 3, ranging from 0 to 4. The mean MENQOL score was 84.62 ± 20.31, with a median of 83, ranging from 39 to 146. Spearman's rank correlation analysis demonstrated a statistically significant strong positive correlation between vasomotor symptoms and quality of life (r = 0.612; p < 0.001). Higher vasomotor symptom scores were associated with higher MENQOL scores, indicating poorer quality of life. Conclusion: There was a statistically significant strong positive relationship between vasomotor symptoms and quality of life among premenopausal women. Increasing severity of vasomotor symptoms was associated with poorer quality of life. Early identification, health education, and appropriate management of vasomotor symptoms in primary healthcare settings are recommended to improve women's quality of life during the menopausal transition.