Association between Access to Clean Water and Health Services and the Incidence of Stunting in Sungai Landas Village, Banjar District, South Kalimantan

Stunting among infants and toddlers in Sungai Landas Village, Banjar Regency, remains above the national target. Access to clean water and healthcare services plays a crucial role in preventing stunting, but the relationship between these two factors in this area has not yet been studied simultaneously. The study aim to analyze the association between access to clean water and access to healthcare services with the incidence of stunting among children under five in Sungai Landas Village. A quantitative cross-sectional study was conducted involving 30 children under five selected through purposive sampling. Data were obtained using an adapted Indonesian Nutritional Status Survey (SSGI) questionnaire, which assessed water source quality and the frequency of access to healthcare services. Stunting status was determined by measuring height-for-age according to Regulation of the Minister of Health No. 2 of 2020. Bivariate analysis was run with Fisher’s Exact test to assess the association between access to clean water and healthcare services and stunting incidence. Bivariate analysis revealed no significant association between access to clean water and stunting (p = 0.267), nor between access to healthcare services and stunting (p = 0.469). There is no significant association between the type of drinking water source or the frequency of healthcare service access and stunting among children under five in Sungai Landas Village. Other factors, such as a balanced diet and hygienic practices, also play a role. Recommendations include strengthening education on water treatment and family nutrition, improving the quality of healthcare services, and implementing multisectoral programs for more effective stunting reduction

Economic Pressures and Occupational Health and Safety: A Qualitative Study of Workers’ Experiences in the Shipbuilding and Ship Scrapping Industry in Kendari

The shipbuilding and ship scrapping industries play a significant role in maritime economic development, especially in coastal areas such as Kendari. Within the framework of industrial economics theory, this sector reveals the complex relationship between cost-efficiency, market structure, and its influence on occupational health and safety (OHS) standards. This research endeavor aims to investigate the correlation between economic constraints in the shipbuilding and ship dismantling sectors and the prevalence of significant occupational hazards, as well as their impact on the accessibility of occupational health services in Kendari. A descriptive qualitative approach was employed, utilizing an intrinsic case study design. Data were gathered through comprehensive interviews with a cohort of 12 pivotal informants, comprising both laborers and proprietors of ship workshops, as well as direct observational analysis conducted at the workplace. The findings reveal that cost-efficiency pressures drive the neglect of occupational health and safety (OHS) practices. The majority of workers do not use personal protective equipment (PPE), have never participated in OHS training, and work in unsafe environmental conditions. Common health complaints include respiratory issues, skin irritation, fatigue, and hearing impairment. Access to occupational health services is also highly limited, with most workers lacking social security and relying on self-medication. This study concludes that the economic structure of the industry directly contributes to the lack of adequate workplace safety measures. Therefore, an inclusive, participatory, and community-based policy approach is essential for improving OHS protections in the informal sector

The Effect of Massage Therapy on Preventing Delayed Onset Muscle Soreness (DOMS) in Sprinters

Sports significantly contribute to students' physical and mental development, enhancing fitness and social skills. However, high-intensity training, such as sprinting, often results in Delayed Onset Muscle Soreness (DOMS), which can impair athletic performance and motivation. Massage manipulation therapy is a physiotherapeutic approach aimed at preventing and alleviating DOMS symptoms while increasing the Range of Motion (ROM) and reducing muscle pain in sprinter athletes at SMAN 91 Jakarta. This quasi-experimental study employed a pre-test and post-test design with three groups: ESK (effleurage, shaking, kneading, n=15), ESH (effleurage, shaking, hacking, n=16), and a control group (n=13). Interventions were administered once weekly over four weeks. ROM was measured using a goniometer, and muscle soreness was assessed via the Visual Analog Scale (VAS). Data were analyzed using the Kolmogorov-Smirnov and Shapiro-Wilk tests for normality, the Friedman test, and further analysis using the Kruskal-Wallis test for within-group differences. The ESK group showed a significant reduction in muscle soreness from a mean of 3.48 to 1.91 (p<0.005), while the ESH group exhibited a significant improvement in ROM from a mean of 1.56 to 3.06 (p<0.005). The control group showed no statistically significant changes in either variable. Massage manipulation therapy was effective in reducing muscle pain and enhancing ROM. ESH was more effective for improving ROM, whereas ESK was more effective for reducing pain. These findings emphasize the importance of combining multiple Massage techniques for comprehensive physiotherapy benefits in school-based athletic training

Correlation of Lifestyle and Gender with Hypertension Incidence

Hypertension is a disease whose initial cause is unknown, therefore hypertension is called a silent killer. Factors suspected of causing hypertension come from unhealthy lifestyles. In addition, gender is also a factor that affects blood pressure. The purpose of this study was to determine the relationship between lifestyle and gender and the incidence of hypertension. This study used a quantitative method, with a cross-sectional design. This population is based on research from a preliminary survey at Dr. Moewardi Surakarta Hospital of 10,252 patients. A sample of 109 participants was obtained using a purposive sampling technique. Research data were collected using a lifestyle questionnaire to measure the level of the patient's lifestyle. Data analysis used univariate tests and bivariate chi-square tests. From the study results, a p-value of 0.012 (<0.05) was obtained, which means a relationship exists between lifestyle and the incidence of hypertension. For the gender variable, a p-value of 0.013 (<0.05) was obtained, which implies a relationship exists between gender and the incidence of hypertension. The majority of 86 participants (78.9%) had a moderate lifestyle category. This study also showed that women tend to be at risk of hypertension, namely 48 participants (44.0%) of 64 female participants suffered from hypertension. Lifestyle and gender are significantly related to the incidence of hypertension. Men and women need to increase their knowledge about healthy lifestyles to improve hypertension prevention

Stunting and Child Development: Evidence from Pujo Basuki Village, Central Lampung

Stunting remains a significant public health issue due to its long-term effects on child development, especially in low- and middle-income countries. This study aims to explore the impact of stunting on multiple developmental domains, including gross motor skills, fine motor skills, speech and language, socialization, and overall child development, using the Developmental Pre-Screening Questionnaire (KPSP) as a developmental assessment tool. We hypothesized that children with stunting would exhibit significantly lower developmental scores across all domains compared to non-stunted children, even after controlling for age and number of siblings. A comparative cross-sectional design was employed, and data were analyzed using independent t-tests, Multivariate Analysis of Covariance (MANCOVA), and Analysis of Covariance (ANCOVA). MANCOVA revealed significant effects of both stunting and age on most developmental domains, with stunting having a powerful impact on fine motor skills (F=6.424, p=0.018, η²=0.211), speech and language skills (F=11.924, p=0.002, η²=0.332), and overall KPSP scores (F=46.874, p<0.001, η²=0.661). ANCOVA confirmed the unique effect of stunting after adjusting for age. These findings underscore the critical need for early nutritional interventions, as stunting not only affects physical growth but also hampers essential developmental milestones. Addressing stunting could significantly improve long-term developmental outcomes and reduce health disparities among children in affected populations

Pemanfaatan Kulit Buah Manggis (Garcinia mangostana L) Sebagai Pengganti Larutan Kristal Violet Pada Pewarnaan Jamur Candida albicans

Latar belakang: Jamur Candida albicans merupakan mikroorganisme yang diduga sebagai patogen oportunistik. Dalam laboratorium diagnosis, pewarnaan sangat diperlukan untuk identifikasi morfologi dan keberadaan Candida albicans pada spesimen. Pewarnaan Gram yang banyak digunakan untuk membedakan jenis bakteri juga dapat diterapkan untuk observasi morfologi jamur. Salah satu komponen utama pewarnaan Gram adalah larutan kristal violet, yang berfungsi memberikan warna ungu pada mikroorganisme dengan dinding sel tertentu. Namun kristal violet memiliki beberapa keterbatasan, seperti potensi toksisitas dan dampak lingkungan. Oleh karena itu, penelitian untuk mencari alternatif pewarna alami yang ramah lingkungan dan mudah didapat salah satunya yang belum pernah dilaporkan yaitu kulit buah manggis. Kulit buah manggis ( Garcinia mangostana L. ) yang kaya akan senyawa aktif, seperti antosianin, tanin, dan xanton. Tujuan: penelitian ini adalah untuk membandingkan kualitas sediaan jamur Candida albicans menggunakan larutan kristal violet dan ekstrak kulit buah manggis. Metode Penelitian: True-experiment dengan Analisis Univariat atau Descriptive Statistics dan Analisis bivariat, pengelolaan data menggunakan uji Kruskal walis. Hasil: didapatkan nilai  p> 0,050 yaitu didapatkan 0,510 , pewarnaan alami ekstrak kulit buah manggis konsentrasi 50% lebih optimal dalam melakukan pemeriksaan mendeteksi jamur Candida albicans  Simpulan hasil penelitian yaitu ekstrak  kulit buah manggis dapat menjadi alternatif potensial bagi pewarnaan Gram, khususnya dalam mendeteksi Candida albicans

Application of Supportive Therapy Group for Mental-Emotional Problems of Adolescents

Indonesia National Adolescent Mental Health Survey (I-NAMHS) shows that one in three adolescents aged 10-17 years in Indonesia had mental health problems in the last 12 months, equivalent to 15.5 million adolescents in the country and one in 20 adolescents aged 10-17 years in Indonesia also experience mental disorders equivalent to 2.45 million adolescents in the country. Of the 120 respondents, it was found that there were several emotional and mental problems, namely, the aspect of emotional problems in the high abnormal category. This study aims to determine the effect of implementing supportive therapy on adolescent mental problems. This study employs a quantitative, quasi-experimental pre-post-test design with a control group. The inclusion criteria are divided into class A and class B. The total sample used based on the screening results is 120 adolescents. 60 adolescents from class A were given the intervention group, and 60 adolescents from class B were made the control group and did not receive group supportive therapy. The sampling technique used in this study was the total sampling technique. The instrument used was the Strengths and Difficulties Questionnaire (SDQ). The results of the study obtained a range of mental and emotional problems of adolescents in the intervention group before therapy, namely emotional problems 48.3%, behavioral problems 26.7%, peer problems 12.5%, and hyperactivity 12.5%. after therapy, emotional problems were 45%, behavioral problems 16.6%, hyperactivity 3.33%, and peer problems 13.3%. This shows that there is a significant difference between the range of mental and emotional problems after being given supportive group therapy.Indonesia National Adolescent Mental Health Survey (I-NAMHS) shows that one in three adolescents aged 10-17 years in Indonesia had mental health problems in the last 12 months, equivalent to 15.5 million adolescents in the country and one in 20 adolescents aged 10-17 years in Indonesia also experience mental disorders equivalent to 2.45 million adolescents in the country. Of the 120 respondents, it was found that there were several emotional and mental problems, namely, the aspect of emotional problems in the high abnormal category. This study aims to determine the effect of implementing supportive therapy on adolescent mental problems. This study employs a quantitative, quasi-experimental pre-post-test design with a control group. The inclusion criteria are divided into class A and class B. The total sample used based on the screening results is 120 adolescents. 60 adolescents from class A were given the intervention group, and 60 adolescents from class B were made the control group and did not receive group supportive therapy. The sampling technique used in this study was the total sampling technique. The instrument used was the Strengths and Difficulties Questionnaire (SDQ). The results of the study obtained a range of mental and emotional problems of adolescents in the intervention group before therapy, namely emotional problems 48.3%, behavioral problems 26.7%, peer problems 12.5%, and hyperactivity 12.5%. after therapy, emotional problems were 45%, behavioral problems 16.6%, hyperactivity 3.33%, and peer problems 13.3%. This shows that there is a significant difference between the range of mental and emotional problems after being given supportive group therapy

Correlation Between Family Support and Adherence to Insulin Therapy in Patients with Type 2 Diabetes Mellitus

Diabetes Mellitus (DM) is a chronic disease caused by the body's inability to use insulin optimally. Insulin therapy is an effective treatment to replace the role of the insulin hormone. Adherence to insulin therapy is crucial for the health of DM patients. This study investigates the correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center, Yogyakarta. This study employed a quantitative cross-sectional design. Fifty-three type II DM patients who underwent control at Gamping II Health Center participated in this study. The family support instrument was measured using the Hensarling Diabetes Family Support Scale (HDFSS) Indonesian version, while adherence to insulin therapy was measured using the Morisky Insulin Adherence Scale-8 (MIAS). Kendall tau test was used for data analysis. The results showed a significant correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center (p=0.011). Effective family support, in the form of assistance, attention, or information, is crucial in improving adherence to insulin therapy among type II DM patients. Therefore, family involvement is highly recommended to control blood sugar levels among type II DM patients

The The Impact of the Benson Relaxation Technique in Alleviating Perineal Suture Pain Intensity in Postpartum Women

Perineal rupture is a frequent obstetric complication that may occur during vaginal delivery, either spontaneously or with instrumental assistance. This condition often results in significant perineal pain, potentially hindering the physical recovery and psychological well-being of postpartum women. Non-pharmacological methods, such as Benson’s relaxation technique, have shown promise in managing pain effectively without the risks associated with pharmacological treatments. This quasi-experimental study aimed to examine the effectiveness of Benson’s relaxation technique in reducing perineal suture pain in postpartum women. The study involved 32 participants, with 16 women assigned to the experimental group and 16 to the control group. Pain intensity was measured using the Numeric Rating Scale (NRS), and the data were analyzed using the Wilcoxon Signed-Rank Test. Results revealed a statistically significant reduction in pain scores within the experimental group, with an Asymp. Sig. (2-tailed) value of 0.000, indicating a p-value well below the 0.05 threshold. These findings support the use of Benson’s relaxation technique as an effective non-pharmacological intervention for alleviating perineal pain. Integrating this method into postpartum care may enhance maternal comfort and expedite recovery, offering healthcare providers a practical and low-risk approach to pain management in clinical settings

Community Readiness in Utilization of Android Application (mHealth) for Increasing Healthy Family Index

SIPISPeKa G-2 was introduced as an innovative mHealth solution to bridge this gap by enabling real-time communication between families and health workers. This study aims to evaluate the effectiveness of the SIPISPeKa G-2 mHealth application in improving the Healthy Family Index (IKS) in the work area of Kotabumi 2 Health Center, North Lampung. The quasi-experimental pre-test and post-test design was carried out on 150 families who were categorized as unhealthy based on 12 IKS indicators. The study was conducted from February to November, with a trial period of 3 months. Sampling using the Multi-Stage method, the results showed a significant increase in the Healthy Family Index (IKS) from an IKS value of 0.64 to 0.79 (p < 0.05). The most widely accessed services were smoking cessation services (29.01%), National Health Insurance 16.41%), and hypertension (16.03%). However, 16.03% of consultations were deemed irrelevant, indicating the need for further education. This study concluded that the mHealth application can effectively improve family health, with recommendations for optimization and broader implementation.SIPISPeKa G-2 was introduced as an innovative mHealth solution to bridge this gap by enabling real-time communication between families and health workers. This study aims to evaluate the effectiveness of the SIPISPeKa G-2 mHealth application in improving the Healthy Family Index (IKS) in the work area of Kotabumi 2 Health Center, North Lampung. The quasi-experimental pre-test and post-test design was carried out on 150 families who were categorized as unhealthy based on 12 IKS indicators. The study was conducted from February to November, with a trial period of 3 months. Sampling using the Multi-Stage method, the results showed a significant increase in the Healthy Family Index (IKS) from an IKS value of 0.64 to 0.79 (p < 0.05). The most widely accessed services were smoking cessation services (29.01%), National Health Insurance 16.41%), and hypertension (16.03%). However, 16.03% of consultations were deemed irrelevant, indicating the need for further education. This study concluded that the mHealth application can effectively improve family health, with recommendations for optimization and broader implementation