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Pregnancy and childbirth are natural processes and changes occur physically and psychologically that women need to adapt. Psychological changes that occur during pregnancy, one of which is anxiety that occurs in the third trimester. Anxiety in pregnancy is associated with increased obstetric complications. One of the obstetric cares performed to reduce anxiety in the labor with relaxation, prenatal yoga. The purpose of this study was determine the effect of the application of relaxing prenatal yoga on the level anxiety of pregnancy women in the thirdh trimester. This research uses qualitative methods with a case study approach. The results of the study of respondents who were given a relaxing prenatal yoga intervention experienced a decrease in anxiety scores. Meanwhile, respondents who were not given the intervention experienced a decrease in anxiety scores but at each meeting different anxiety scores. From the results of the study, it can be concluded that relaxing prenatal yoga can help control the anxiety of pregnant women in the third trimester if routinely done. This study can provide a means of information or additional knowledge about the effect of relaxing prenatal yoga to the anxiety level of pregnant women in the third trimester.

Proses persalinan adalah proses di mana bayi, plasenta, dan membran dikeluarkan dari rahim. Ciri-ciri bahwa seorang ibu telah memasuki tahap persalinan meliputi kontraksi yang teratur dan semakin menyakitkan, keluarnya lendir bercampur darah dari area vagina, pecahnya kantung ketuban, dan perut yang turun sehingga membuat ibu lebih mudah bernapas. Penelitian ini dilatarbelakangi oleh berbagai metode non-medis yang mendukung ibu selama proses melahirkan, antara lain teknik pernapasan, relaksasi, pijat, posisi atau gerakan, musik, imajinasi, akupresur, serta aromaterapi. Salah satu metode pernapasan adalah contoh dari teknik non-medis yang mudah dan tidak memerlukan biaya. Tujuan dari penelitian ini adalah untuk mendapatkan gambaran implementasi pernapasan tiup-tiup dalam proses persalinan. Metode penelitian deskriptif kuantitatif dengan kohort retrospektif, lokasi penelitian di PMB Permata Hati Matesih dengan data sekunder Januari-Desember 2023. Sampel yang digunakan dalam penelitian ini sebanyak 30 responden dengan teknik sampling jenuh. Dari hasil penelitian, didapatkan bahwa mayoritas ibu bersalin berusia 20-35 tahun sebanyak 23 responden, dan ibu dengan riwayat bersalin/memiliki pengalaman bersalin sebanyak 27 responden. Tetapi, dalam implementasi pernapasan tiup-tiup dalam proses persalinan, hanya 14 dari 30 ibu yang melakukannya. Kesimpulan dari hasil penelitian ini adalah meskipun sebagian besar ibu berada pada usia dan kondisi reproduksi yang ideal, serta memiliki pengalaman melahirkan sebelumnya, penerapan teknik pernapasan tetap membutuhkan edukasi yang sistematis, latihan berulang, dan pendampingan yang konsisten.

Introduction: The high rates of maternal and neonatal mortality remain a major global health challenge, with non-obstetric complications and hypertensive disorders being the dominant causes of death. Although the Maternal and Child Health (MCH) Handbook is used as a monitoring instrument, incomplete data recording by healthcare providers continues to hinder the early detection of high-risk conditions. Objective: The purpose of this study is to determine the relationship between attitudes, workloads, and work environment to the performance of midwives in filling out the KIA book in the early detection of high-risk pregnant women in the Tarogong Kidul sub-district area in 2024. Method: The research method is quantitative research, with a descriptive analytical method with a Cross Sectional design. The sample of this research is a midwife in the working area of Tarogong Kidul Garut District with a sampling technique using total sampling. The data analysis used used the Chi square statistical test. Results: The study showed that workload and work environment can affect the work performance of midwives with a sig value (p=<0.05) in filling out the KIA book in the early detection of high-risk pregnant women. Conclusion: this study shows that workload and work environment are significantly related to midwife's performance in filling out the KIA book.

Background: Gastroesophageal Reflux Disease (GERD) is a digestive tract disorder caused by gastric acid reflux that causes typical symptoms, such as heartburn and regurgitation. Unhealthy lifestyle and diet are the main risk factors for GERD. Therefore, it is important to identify knowledge and behavior factors as preventive components. Objective: To determine the relationship between the level of knowledge and GERD prevention behavior at the Mampang Prapatan District Health Center. Method: This study used a descriptive correlation design and a cross-sectional approach. The sample of this study was 97 respondents with a history of GERD, taken using a total sampling technique. Data collection used a questionnaire and was analyzed using the Fisher-Freeman-Halton Exact Test. Results: The results showed that 80.4% of respondents had good knowledge and 47.4% showed good prevention behavior. Statistical tests showed a p-value <0.001, which indicates a significant relationship between the level of knowledge and GERD prevention behavior. Conclusion: A good level of knowledge has a positive effect on GERD prevention behavior. This study emphasizes the importance of developing health education, both directly and through digital media, to increase public awareness of preventive behaviors and improve the quality of life of GERD sufferers in a sustainable manner.

Background: Hope is an essential psychological resource that enables children with cancer to cope with the stress and uncertainty of long-term treatment. However, research focusing on the level of hope among children with Acute Lymphoblastic Leukemia (ALL) in Indonesia or Southeast Asia remains limited, as most studies have centered on adults or on depression and anxiety rather than hope. Understanding hope among pediatric cancer patients is crucial for developing psychosocial interventions that enhance emotional resilience and treatment adherence. Purpose: to describe the levels of hope among children under 18 years old with ALL who were undergoing chemotherapy. Method: This was a quantitative descriptive study involving 66 respondents selected through convenience sampling. Data were collected using the Children’s Hope Scale (CHS), consisting of six items that assess agency and pathway thinking. Ethical approval and parental consent were obtained prior to data collection. Descriptive statistics were applied to analyze respondents’ demographic characteristics and hope scores. Result: The findings showed that most respondents were aged 8–12 years (56.1%), male (59.1%), and diagnosed with high-risk ALL (89.4%). More than half (54.5%) demonstrated a high level of hope, while 45.5% had a low level of hope. Younger children exhibited higher hope levels compared to adolescents. The mean hope score was 22.9 ± 3.95, with a median of 23 and a score range of 16–32, indicating a moderate to high overall level of hope. Conclusion: Most children with ALL in this study maintained a moderate to high level of hope during chemotherapy. These results emphasize the importance of assessing hope as part of psychosocial care. Strengthening hope through supportive communication and family-centered interventions can enhance children’s PWB and promote better adherence throughout the treatment process.

Stunting remains a public health problem in Indonesia with long-term impacts on health, education, and productivity. Prevention efforts starting from adolescent girls are crucial because mothers' knowledge influences the risk of stunting in the next generation. This study aimed to assess the effectiveness of Artificial Intelligence (AI)-based educational videos in improving adolescent girls' knowledge about stunting prevention. A quasi-experimental pretest–posttest design was conducted on 72 respondents, selected proportionally from the student population. The intervention took the form of education through AI-based video media, with respondents' knowledge measured before and after the intervention, and then analyzed using paired statistical tests. The results showed that the average knowledge score increased significantly from moderate to high after the intervention (p < 0.05). These findings support previous studies that confirm the effectiveness of digital media and AI in improving adolescent health literacy. In conclusion, AI-based video media are effective in increasing adolescent girls' knowledge about stunting prevention and have the potential to be integrated into health education programs as a preventive strategy to reduce the prevalence of stunting in Indonesia.

Introduction: The adolescent age group is closely associated with high levels of physical activity, putting them at risk for injury, including bleeding. Therefore, proper first aid literacy and skills are essential through education and training. This community service activity aims to improve first aid literacy and psychomotor skills in bleeding among adolescents through education and training on PEC (Pressure-Elevation-Cover) techniques. Methods: The activity was carried out in July 2025 at Senior High School 1 Puncu involving 35 students of 5 students per class from 7 classes. The activity began with interactive education related to the concept of bleeding for 60 minutes and continued with training with a simulation approach using simple equipment on how to provide first aid for bleeding for 120 minutes with pressure techniques, and covering. Pre and post data for literacy were measured using questionnaires and observation sheets for psychomotor abilities. Results: An increase in the average literacy score (from 60 to 85) and psychomotor skills (most of the sufficient category became the majority in the good category). The results of statistical analysis using the Paired t-Test and Wilcoxon also showed a significant difference in literacy and skills pre and post with p = 0.001. Conclusion: Education and training using the PEC technique simulation method are effective in improving literacy and psychomotor skills in first aid for bleeding in adolescents. The simulation method provides hands-on experience in quickly and accurately performing first aid for bleeding. Similar activities can be conducted periodically with a broader target audience.

Fast and precise service must be done in handling patients in the emergency room. Services in the emergency room can be hampered if there is a condition of accumulation of patients in the emergency room which is usually caused by an imbalance between the number of patients entering the emergency room with the number of nurses. This study aims to determine the relationship between nurse characteristics and length of stay (LOS) in the emergency department of dr. Slamet Garut Regional General Hospital. This research design uses cross sectional with a sample size of 50 people. The sampling technique uses total sampling. Data collection will use a questionnaire. Data analysis of gender variables (nominal) and length of stay (ordinal) uses the chi-square test, while for variables of age, education level, length of work, (ordinal) and length of stay (ordinal) uses the spearman-rho test. The research location will be carried out in the emergency department of General Hospital dr. Slamet Garut for 2 months from August to September 2025. The results of the study show that no relationship between the educational level of nurses and the length of stay of patients in the emergency room with a p-value of 0.40, no relationship between the gender of nurses and the length of stay of patients with a p-value of 0.94, no relationship between the age of nurses and the length of stay of patients with a p-value of 0.21, and no relationship between the work experience of nurses and the length of stay of patients with a p-value of 0.91. The high workload of nurses can lead to fatigue, loss of concentration, narrowed focus and attention, which impacts the speed and accuracy of nurses in performing emergency procedures on patients, thereby increasing the length of stay of patients in the emergency room. Overall, there was no correlation between the age, gender, educational level, and work experience of nurses and the length of stay of patients in the emergency room at dr. Slamet Garut Hospital.

This study aims to analyze the long-term impact of stunting in childhood on cognitive development and educational attainment through a meta-analysis approach. Stunting, which is indicated by stunted linear growth due to chronic malnutrition, has long been associated with various negative consequences on health and social aspects. By systematically examining the results of quantitative studies from various countries and socio-economic contexts, this study identified a consistent pattern of association between stunting in early life and decline in cognitive function and academic achievement in adolescence and adulthood. Data were obtained from 25 studies that met the inclusion criteria published in the 2015 to 2024 range, and were analyzed using fixed-effect and randomized effects models with the help of the JASP application. The results of the meta-analysis showed that children who experienced stunting had an effect on cognitive and education with a pooled effect size value (Hedges' g = 1.10 t= 9.103; p < 0.001) with a high effect size category. These findings confirm that stunting not only has an impact on short-term physical conditions, but also has significant consequences for human resource development in the long term. Therefore, comprehensive nutrition and education interventions in early life are essential to break the chain of loss due to stunting.

Pengetahuan yang tepat mengenai faktor risiko, gejala, komplikasi, dan pentingnya pengelolaan diabetes melitus memiliki keterkaitan dengan pencegahan ulkus diabetikum pada penderita diabetes melitus. Semakin luas pengetahuan yang diperoleh maka akan semakin efektif juga penanganan yang dilakukan. Pengetahuan juga dapat membantu meningkatkan efikasi diri dalam pengambilan keputusan dan menghadapi suatu masalah yang dialami. Tujuan penelitian untuk mengetahui tentang gambaran tingkat pengetahuan tentang pencegahan ulkus diabetikum dan efikasi diri pada penderita diabetes melitus. Metode yang digunakan adalah deskriptif kuantitatif dengan teknik purposive sampling sebanyak 68 responden. Hasil penelitian menunjukkan bahwa mayoritas responden memiliki pengetahuan kurang sebanyak 35 (51,4%) responden dengan mayoritas memiliki efikasi diri cukup sebanyak 43 (63,2%).