International Conference on Sustainable Health Promotion

The Experience of Female Nurses Working in the Emergency Room in Balancing Their Personal Lives With Their Work: A Phenomenological Study

Naia Prita Laora — 2025-10-20

The nursing profession is inherently demanding, characterized by irregular working hours, high workload, and substantial responsibility, all of which can significantly impact nurses’ ability to maintain a healthy work-life balance. Female nurses working in emergency rooms face unique challenges due to the high-pressure nature of the work environment and their dual roles as healthcare providers and mothers. This study aims to explore the lived experiences of female ER nurses in managing and balancing their professional and personal responsibilities using a phenomenological approach. Data were collected through in-depth, semi-structured interviews with three nurses who have children under the age of 10, selected via purposive sampling. Thematic analysis revealed that the primary challenges include unpredictable work schedules, heavy workload, and emotional strain, which often result in fatigue and reduced quality time with family. Nevertheless, participants employed various coping strategies such as task prioritization, seeking social support, and implementing self-management techniques to effectively navigate these challenges. The findings underscore the importance of flexible work arrangements and supportive organizational environments in enhancing nurses’ work-life balance, thereby improving their overall well-being and professional performance.

Loneliness in Elderly Who Lost The Partner

Ignacia Nabila Djorsy — 2025-10-20

Loneliness among the elderly is a common psychological issue, particularly among those who live alone. This phenomenon is important to study because loneliness can have a negative impact on mental health, reduce quality of life, and increase the risk of depression in the elderly. This study used a qualitative method with a phenomenological approach to explore the subjective experiences of the elderly in interpreting loneliness. The participants consisted of three elderly people over the age of 60 who lived alone in Sidoarjo. Data was collected through semi-structured interviews. The results of the study show that elderly people with introverted personalities tend to be more prone to loneliness, while those who are more outgoing are better able to cope with loneliness. Social support from the community plays an important role in reducing loneliness, while the loss of a partner is a major factor in the emergence of feelings of emptiness among elderly people who live alone.

Forgiveness for Adolescents in Orphanages

Nur Laili Rohmah — 2025-10-20

This research aims to explore the process of forgiveness among adolescents live in orphanages. This research uses a qualitative case study design method to understand the experience of forgiveness among adolescents living in orphanages through their perspective in depth. The data collection method used was in-depth interviews to explore participants' experiences regarding the forgiveness they experienced in facing various challenges in life in an orphanage environment. The result illustrates the complexity of the forgiveness process which involves not only pain management, but also emotional transformation that allows individuals to release anger and trauma, moving towards inner peace and psychological healing.

Dynamics of Self Control in Single Mother : A Case Study

Lailatul Badriah — 2025-10-20

Self control is an individual's ability to regulate behavior, emotions, and thoughts to achieve goals, especially in challenging situations. This study aims to describe the dynamics of self-control in a 56-year-old single mother of six, wich is five of whom successfully completed college, and the factors influencing her self-control. The method used was a qualitative case study design involving one participant who met the inclusion criteria. The data were collected through interviews and documentation, then analyzed using content analysis techniques. The results indicate that participants developed self-control strategies that included behavioral control, cognitive control, decision-making, information seeking, and reflection on past experiences. Influencing factors included family support, social activities, and high religiosity. These findings emphasize the importance of self-control in facing daily challenges for single mothers.

The Development of Student Engagement Scale in Vocational High School Students

Hanun Adinayya Najwa — 2025-10-20

This study aims to develop a student engagement scale by testing the validity and reliability of the measuring instrument so that it can measure the level of student engagement. Student engagement is a factor that determines student success in academic terms, including behavioral, cognitive, and emotional involvement. The research method used is quantitative research. Data collection using convenience sampling obtained 315 students at SMK Pawiyatan Surabaya. Data analysis used validity and reliability tests, including confirmatory factor analysis (CFA). The results showed a Cronbach's Alpha value of 0.888, consisting of 34 items. In addition, CFA analysis using a GFI value of 0.960 and an RMSEA of 0.072 showed that the student engagement scale had high validity. However, the CFI value of 0.716 indicates that the student engagement measurement tool is not sufficiently reliable, requiring improvement so that the student engagement scale can be used optimally.

Adapting Beyond Educational Background: Self-Adjustment Strategies of Workers in Nonlinear Careers

Devita Dwi Saputri — 2025-10-20

Self-adjustment in the workplace becomes a challenge for individuals working outside their field of study. This study aims to understand the experiences of workers adapting to jobs unrelated to their educational backgrounds. In-depth interviews and observations were conducted with two early adult female participants whose educational backgrounds differ from their work fields. Data were analyzed using a qualitative approach with phenomenology. The study results identified five key dimensions of self-adjustment: accurate perception of reality, stress and anxiety management, positive self-image, emotional expression, and interpersonal relationships. Strategies such as self-directed learning, emotional management through spiritual approaches or relaxation activities, effective communication building, and social support from the work environment proved helpful for participants in adapting to their jobs. This research provides insights for companies to create a supportive work environment that fosters employee development.

Description of Forgiveness Among Teenagers Victims of Bullying

Zabrina Rara Andini — 2025-10-20

This study aims to determine the description of forgiveness by bullying victims in terms of three aspects of forgiveness, namely Avoidance Motivation, Revenge Motivation, and Benevolence Motivation. There were two adolescent participants in this study who had experienced bullying in junior high school and were selected using purposive sampling. This study is a qualitative research using a phenomenological analysis method with semi-structured interviews and thematic analysis. The results show the diversity of responses and the time needed by victims to forgive the perpetrators. Additionally, this study also shows that forgiveness helps reduce negative feelings, supports psychological well-being, and contributes to post-traumatic healing, although the process differs for each individual.

Finding Meaning in Late Adulthood: A Qualitative Study on Subjective Well-Being among Childless Elderly

Hana Rifda Afifah — 2025-10-20

The purpose of this study is to describe subjective well-being in older adults without children using a phenomenological qualitative approach. The study participants consisted of two women aged 68 and 71 years who were selected through purposive sampling. Data were collected through semi-structured interviews and analyzed using thematic methods. The results showed that subjective well-being in elderly people without children was reflected in six cognitive themes, namely life satisfaction, spirituality, social relationships, productive activities, physical and mental health, and material sufficiency, as well as two affective themes, namely positive affect and negative affect. The elderly define happiness through harmonious relationships with their spouses, fostering children, spiritual activities, and involvement in social and productive activities. Positive affect, such as gratitude and happiness, is more dominant than negative affect, such as anxiety and loneliness, which are managed through social support and meaningful activities. These findings emphasize the importance of social support, spirituality, and meaningful activities in improving the quality of life of older adults without children.

Self-Concept of Adolescent Girls Who Dropped Out of School Due to Early Marriage

Noviatul Rahmadanti — 2025-10-20

This study analyzes the self-concept of adolescent girls who dropped out of school due to marrying at a young age. The research method employed a qualitative phenomenological approach, using in-depth interviews and observations involving three subjects in Rejeni Village, Krembung District, Sidoarjo Regency. The findings revealed that early marriage influences their self-concept in various aspects, including self-identity, behavior, self-evaluation, body image, ethics, family roles, and social roles. The respondents faced significant challenges in adjusting to their new responsibilities, such as becoming a wife and mother, which affected their self-confidence, academic opportunities, and social adaptation.

Resilience Pathways of Motherless Children Post-Divorce: An Exploratory Study

Naura Faradiba Nurul Widad — 2025-10-20

Using a qualitative case study design, the research involved two participants: an 18-year-old male and a 22-year-old female who have lived without a maternal role since their parents’ separation. Data were collected through structured interviews and analyzed using thematic analysis to identify resilience dimensions. The findings revealed that despite the absence of maternal support, participants demonstrated adaptive strategies in emotional regulation, impulse control, optimism, empathy, problem analysis, self-efficacy, and positive aspects. The uniqueness of the participants lies in their ability to develop resilience in different yet complementary ways, reflecting how cultural and personal factors shape coping mechanisms. This study emphasizes the importance of social support and internal strengths in fostering resilience, while also highlighting the need for further research with larger and more diverse samples.

The Influence of Type of Display (Visual and Audio) and Gender Differences on Positive Mood in Early Adolescents

Tegar Bagus Samudra — 2025-10-20

This study aimed to examine the effect of media exposure and gender on positive mood among early adolescents. A true experimental design with a 2x2 factorial model was employed, involving two independent variables: type of media exposure (visual and audio) and gender (male and female). Participants were early adolescents aged 10–19 years, randomly assigned to ensure balanced distribution across groups. The Positive and Negative Affect Schedule (PANAS), focusing only on the positive dimension, was administered as a pre-test and post-test to measure changes in positive mood. Data were analyzed using two-way Analysis of Variance (ANOVA). The results revealed no significant main effects of media exposure type or gender on positive mood, nor a significant interaction effect between the two variables. These findings suggest that positive mood among early adolescents is not influenced by media type or gender, but may be shaped by other factors such as initial emotional state, individual media preferences, or social context.

Death Anxiety Among Online Loan Borrowers: A Psychological Perspective

Ayu Marcelia Rahma Dewi — 2025-10-20

Terror acts and intimidating behavior by debt collectors cause debtors to feel fearful, anxious, and threatened, leading to mental health issues that can lead to death anxiety. The purpose of this study is to examine and determine how the effects of online lending can trigger death anxiety, as assessed using Irvin Yalom's perspective. The method used in this study is descriptive qualitative with a phenomenological approach to describe the problems and important elements of the information obtained from the two respondents. Based on the analysis conducted according to Yalom's theory, the fear of death can actually trigger change. Death anxiety in both respondents encouraged them to seek life goals, accept responsibility, and reorganize their lives in a healthier way. The problems faced by both respondents in this study involved coping strategies consisting of nine dimensions, including seeking information support, confronting, planned problem solving, seeking social support, maintaining emotional distance, escape, avoidance, self-control, and accepting responsibility, positive reappraisal. The threats felt by the respondents caused anxiety and excessive fear about their situation and the uncertainty of life in the future. This condition became one of the drivers for the formation of problem-solving strategies, where both respondents tried to find a way out so that the online loan issues could be resolved properly, allowing them to avoid being pursued by debt collectors.

Dynamics of Self-Regulation: A Study of College Students Who Occupy Dual Roles as Couples and Young Academics

Dea Riski — 2025-10-20

Self-regulation is an individual's ability to plan, control, and reflect on thoughts, emotions, and behaviors in order to achieve desired goals. College students who marry while still studying face unique challenges in the form of dual roles: student and spouse. This situation demands strong self-regulation skills to maintain balance between the two. This study aims to explore the dynamics of self-regulation in married seventh-semester college students. This study used a qualitative approach with phenomenological methods to explore the participants' subjective experiences. Data were collected through in-depth interviews and direct observation of two married seventh-semester female college students. Analysis was conducted thematically, emphasizing the interpretation of the meaning of the participants' experiences. The results showed that both participants were able to apply self-regulation through time management aligned with their daily schedules, active communication with their partners, and setting academic and family priorities. Motivation to study was driven by personal responsibility, promises to family, and emotional support from their partners. Despite facing the pressures of dual roles, both participants demonstrated different adaptation strategies, both structured and flexible, to maintain academic and family balance. This study confirms that self-regulation, social support, and personal discipline are important factors for the academic success of married college students. Keywords: self-regulation, married students, dual roles

The Process of Self-Acceptance in Patients with Paranoid Schizophrenia

Siavina Meiliana Putri — 2025-10-20

Self-acceptance is an important aspect for paranoid schizophrenic patients because it affects their ability to adapt

and their quality of life. This study aims to describe the process of self-acceptance in paranoid schizophrenic patients. A qualitative design was used with semi-structured interviews of patients diagnosed with paranoid schizophrenia who were undergoing treatment at a mental hospital in East Java. The results showed that the subjects experienced five stages of self-acceptance, including aversion, curiosity, tolerance, allowing, and friendship. The subjects also experienced emotional dynamics: denial, anger, bargaining, depression, and acceptance. The implications of this study on the self-acceptance process of paranoid schizophrenia patients, through interrelated cognitive and emotional stages, are not always linear and require time and environmental support. The results of this study are expected to contribute to the development of psychological interventions to support the self-acceptance process in patients with similar disorders.

Coping Stress in Thyroid Cancer Patients

Adelia Zalfa — 2025-10-20

A diagnosis of thyroid cancer often triggers stress that affects the physical and psychological condition of patients. This study aims to explore the stress coping strategies used by thyroid cancer patients in facing health challenges. This qualitative study uses a case study approach with purposive sampling, involving subjects relevant to the research objectives. The results show that subjects apply problem-focused coping strategies, such as seeking medical information and planning treatment, as well as emotion-focused coping, such as utilizing social support and maintaining emotional stability. The implications of this study indicate that good stress coping is very important to reduce the negative psychological and physical effects caused by cancer. Conversely, poor coping can worsen the quality of life of patients and increase other risks. This study emphasizes the importance of insight in managing stress more effectively

Nutrition Education and Local Food Processing Training as a Strategy to Address Undernutrition among Children under Five

Naja Naura Noor Indrastata — 2025-10-23

Undernutrition among children under five remains a major public health challenge requiring continuous intervention. This study aimed to improve the knowledge and skills of posyandu cadres through nutrition education and demonstrations of local food processing in the working area of Medokan Ayu Public Health Center, Surabaya. An observational study with a cross-sectional design was employed, and samples were selected using cluster random sampling. Primary data were obtained from pre-tests, post-tests, and observations of cadre participation, while secondary data included the health center profile, socioeconomic conditions, and child nutrition data. The intervention consisted of nutrition education and demonstrations of local supplementary feeding (PMT) in the form of moringa leaf and turmeric dim sum. The results showed a significant increase in cadre knowledge, with mean pre-test scores rising from 80.33 to 88.00 in the post-test (a difference of 7.67 points). The Wilcoxon test produced a p-value of 0.001 (<0.05), indicating a statistically significant improvement. A total of 53.3% of respondents experienced increased knowledge, 40% remained unchanged, and 6.7% decreased. These findings demonstrate that nutrition education combined with local PMT cooking demonstrations is effective in enhancing the knowledge and skills of posyandu cadres as community change agents to reduce the

prevalence of undernutrition among

children under five.

Gluten-Free Cookies Innovation Made from Arrowroot Flour (Maranta arundinacea L.) with the Addition of Spinach (Amaranthus sp.)

Alfina Uli Musfirotin — 2025-10-23

Cookies are generally high in calories and contain wheat flour, which contains gluten, making them unsuitable for individuals with gluten intolerance. This study developed gluten-free cookies using arrowroot flour (Maranta arundinacea L.) and spinach (Amaranthus sp.) as sources of iron and natural pigments. This study aims to determine the panelists' acceptance level of cookies made from arrowroot flour with added amaranth. This is an experimental study to evaluate sensory acceptance through a hedonic organoleptic test using a scale of 1–5 for the parameters of appearance, color, aroma, taste, and texture. Thirty untrained panelists aged 19–22 years old were selected to represent general consumers. Appearance received an average score of 4.57; color 4.33; aroma 4.00; taste 3.90; and texture 4.03. These scores indicate that the panelists' level of liking ranged from like to very like. This product has the potential to be an alternative gluten-free cookie made from local foods enriched with iron..

Nutritional Analysis and Organoleptic Test of Spinach Dimsum for Pregnant Women

Rezandy Alif Bima Luckyto — 2025-10-20

Pregnancy was an important phase that affected the health of both mother and fetus; therefore, fulfilling balanced nutrition needed to be considered to prevent stunting. Spinach contained iron, folic acid, and vitamin A, which played a role in preventing anemia, supporting fetal growth, and maintaining maternal health. To improve acceptability, spinach was processed into dimsum as an innovative local supplementary food that was more attractive and easier for pregnant women to consume. This study aimed to analyze the nutritional content and acceptability of spinach dimsum as a local supplementary food. Nutritional content was analyzed using the Indonesian Food Composition Table, although this calculation was limited and required further laboratory testing. An organoleptic test was conducted using a hedonic scale questionnaire involving 34 pregnant women to assess color, aroma, taste, texture, and appearance. The results showed that each (one piece serving) contained 33.08 kcal energy, 0,61 g carbohydrates, 2.90 g protein, and 2.02 g fat, along with vitamin A (35.83 µg), iron (0.24 mg), and folic acid (8.5 µg). The organoleptic test indicated that most panelists liked the color (82.4%), aroma (73.5%), taste (85.3%), texture (88.2%), and appearance (91.2%). In conclusion, spinach dimsum is suitable for use as a local supplementary food option for pregnant women to help increase their energy and folic acid intake

Nutritional and Organoleptic Analysis of Tilapia Roulade As a Local Complementary Food Innovation to Prevent Stunting in Toddlers

Nisrina Azzah Umamah — 2025-10-20

Fish was a valuable source of animal protein, rich in essential nutrients, and had great potential as a complementary food product. However, limited innovation in modified fish-based products contributed to the low acceptance of fish among children. This study was conducted to evaluate the nutritional content and organoleptic properties of tilapia (Oreochromis mossambicus) roulade as a locally based complementary food product. The nutritional composition of the tilapia roulade was analyzed using the Indonesian Food Composition Table (DKBM). Organoleptic evaluation was performed by panelists through a hedonic test, which assessed parameters including color, aroma, taste, texture, appearance, and overall acceptability. The analysis showed that each serving of tilapia roulade contained 162.7 kcal of energy, 9.96 g of carbohydrates, 15.1 g of protein, and 6.52 g of fat, along with a complete profile of vitamins. Results from the organoleptic test indicated a high level of acceptance across all sensory attributes. These findings suggested that tilapia roulade, as a locally sourced innovation, had strong potential as an acceptable and nutritious complementary food product to support stunting prevention efforts.

The Relationship Between Eating Habits and Gastritis Incidence Among Female Students at Al-Barokah Sruni Islamic Boarding School

Ines Puspita Sari — 2025-10-20

Gastritis is an inflammation of the stomach lining often triggered by unhealthy eating habits or irregular eating patterns. This study aims to analyze the relationship between eating habits (meal frequency, portion sizes, and types of food) and the incidence of gastritis among female students at Al-Barokah Sruni Islamic Boarding School. Poor eating habits, such as irregular meals, consuming overly spicy, fatty foods, or foods containing high caffeine, are known to cause digestive issues, including gastritis. This study uses an observational analytic design with a cross-sectional approach. The sample consists of 55 female students selected using simple random sampling from a population of 65 students. Data were collected from September to October 2024 and analyzed using the Phi coefficient test. The results indicate a significant relationship between meal frequency (ρ-value = 0.001), portion sizes (ρ-value = 0.002), and types of food (ρ-value = 0.004) with the occurrence of gastritis, with each relationship categorized as moderate. Of the total of 55 female students, 24 (43.64%) had gastritis, while 31 (56.36%) did not have gastritis. Based on these findings, it can be concluded that poor eating habits increase the risk of gastritis among the students. It is recommended that the pesantren provide education on healthy eating habits and stress management to prevent the occurrence of gastritis among the students.

Innovative Low-Calorie Apple Pie Product with Natural Sweeteners as an Alternative Snack for Low-Calorie Diets

Isna Rizky Maulidina — 2025-10-20

Healthy food innovations are urgently needed to address the rising prevalence of obesity and diabetes caused by excessive sugar consumption. Therefore, choosing healthy snacks or foods is crucial in today's era to avoid unwanted diseases. This study aims to develop a low-calorie apple pie product with natural honey sweetener as a healthy snack alternative. The method used is a research and development model (R7D) 4D (Define, Design, Develop, Deploy). The apple pie product is formulated using apples as a source of fiber and antioxidants, and honey as a natural sweetener to replace sugar. Nutritional content calculations show that one serving of apple pie contains 84 kcal, categorizing it as a low-calorie snack. Organoleptic tests on 30 respondents indicated good acceptance, particularly in terms of taste (57% strongly liked, 33% liked), and appearance (37% strongly liked, 43% liked). Thus, this low-calorie apple pie innovation has the potential to become a diet-friendly dessert alternative that can be consumed by various groups, including diabetics, obese individuals, and those on a low-calorie diet.

Healthy Spinach Noodles: A Functional Food Innovation for Children Who are Reluctant to Eat Vegetables

Salwa Maziatun Najah — 2025-10-23

Vegetable consumption among children in Indonesia is still very low, while instant noodle consumption is very high. This raises concerns about long-term health impacts. A food innovation is needed that can insert vegetable intake into foods that are already popular with children, such as noodles. This study aims to create and test consumer acceptance of a functional food innovation in the form of healthy spinach noodles as an alternative strategy to increase vegetable consumption. This study is an experimental study with organoleptic testing of 34 respondents. Data were collected through a questionnaire with a hedonic scale of 1-5. The results of the organoleptic test showed a very high overall acceptance level of 83.2%. In detail, the appearance aspect achieved acceptance of 97%, taste 91%, texture 79%, color 85%, and aroma 64%. No respondents gave a rating of dislike or somewhat dislike in all aspects. The healthy spinach noodle innovation was successfully created and very well received by respondents in terms of organoleptic. This product has great potential to be an effective strategy to increase vegetable intake, especially in children who are reluctant to consume vegetables in their whole form.

The The Relationship between Nutrition Knowledge and Physical Activity with the Nutritional Status of Adolescents at SMP Negeri 2 Jogorogo, Ngawi Regency

Najwa Laska Halqi — 2025-10-20

Adolescence is a transitional period characterized by accelerated physical growth and psychosocial changes, resulting in increased nutritional needs. Although the majority of adolescents have normal nutritional status, the prevalence of overnutrition is still quite high. One factor that can be related to nutritional status is nutritional knowledge and physical activity. This study aims to determine the relationship between nutritional knowledge and physical activity with nutritional status in ninth-grade adolescents at SMP Negeri 2 Jogorogo, Ngawi Regency. This study used a quantitative method with a correlational analytical approach and a cross-sectional design. The study population was all 30 ninth-grade students selected using a total sampling technique. The independent variables were nutritional knowledge and physical activity, while the dependent variable was nutritional status measured using the Body Mass Index for Age (BMI/U). Data were obtained through questionnaires and anthropometric measurements, then analyzed using the Chi-Square test and ordinal logistic regression with a significance level of 0.05. The results showed that the majority of respondents had good nutritional knowledge (80%), heavy physical activity (53.3%), and normal nutritional status (76.6%). However, the ordinal regression test results obtained a significance value of 0.612 (p > 0.05) and a McFadden's Pseudo R² of 0.026. This indicates that nutrition knowledge and physical activity are not significantly related to adolescent nutritional status, with an explanatory contribution of only 2.6%. Nutrition interventions for adolescents need to be implemented comprehensively, taking these various factors into account.

The Effect of Staying Up Late on Food Consumption Patterns and Nutritional Status of Nutrition Students at the Faculty of Psychology and Health, UIN Sunan Ampel Surabaya

Septiana Safitri — 2025-10-20

Staying up late has become a common phenomenon among college students. As many as 40% of adolescents in Indonesia do not sleep 8 hours or more every night. The causes of this habit are diverse, one of which is academic demands in the form of assignments or entertainment games. This habit affects the decline in adolescent health, especially food consumption patterns and nutritional status. This study was conducted to analyze the direct and indirect effects of staying up late on food consumption patterns and nutritional status. This study used a cross-sectional design with a sample of 33 students selected using purposive sampling. Data were collected using questionnaires to assess the habit of staying up late and food consumption patterns, while nutritional status was determined through anthropometric measurements based on Body Mass Index (BMI). Data analysis was performed using path analysis. The results showed that staying up late had no significant effect on dietary patterns (p = 0.705), but had a very significant effect on nutritional status (p = 0.000) with a contribution of 39.1%. Meanwhile, dietary patterns did not significantly affect nutritional status (p = 0.752). Thus, it can be concluded that night owl habits are directly related to the nutritional status of students, while dietary patterns do not act as mediators in this relationship.

Dietary Patterns, Physical Activity, and Nutritional Status among Adolescents in Tahfidzul Qur'an Klinterejo Sooko Boarding School in Indonesia

Uus Eka Maskhuriyah — 2025-10-20

A balanced diet and physical activity are important for maintaining physical health because both affect the body's energy balance and metabolism. An improper diet and lack of physical activity can affect nutritional status, both malnutrition and overnutrition. This study aims to determine whether there is a relationship between diet and physical activity and the nutritional status of adolescents. The research design used was a cross-sectional study with a sample size of 85 people. The data collected included age characteristics, dietary patterns, physical activity, and nutritional status. Dietary patterns were measured using a FFQ instrument, physical activity was measured using a questionnaire, and nutritional status was measured using anthropometry. The sampling method used was random sampling, and the researchers determined the normality of the sample using Spearman's rank correlation test to determine the relationship between the two variables. The results of the study showed that dietary patterns were related to nutritional status in children with a p-value of 0.001. There was a relationship between physical activity and nutritional status in children with a p-value of 0.010. The conclusion of this study is that there is a relationship between dietary patterns, physical activity, and nutritional status

Breakfast Habits and Nutritional Status of Female Students in an Islamic Boarding School

Nurul Aulia — 2025-10-20

Breakfast was very important as the main source of nutrients needed for the brain to function properly. Adolescents who frequently skipped breakfast were less selective in choosing their food at lunch due to excessive hunger, leading to overeating in the afternoon or evening. This risked them consuming calories exceeding their daily needs, which in the long term could have a negative impact on their health, such as weight gain and the risk of obesity. This research was an analytical observational study using a cross-sectional design. The research was conducted at Islamic Boarding School from October to November 2024. Sampling was done using Simple Random Sampling technique on 44 respondents from a total population of 54. Data collection was carried out by distributing questionnaires to respondents who met the predetermined inclusion and exclusion criteria. The obtained data was analyzed using the Spearman correlation test with a significance level of 5% (p<0.05). The results showed that there was a relationship between breakfast habits and nutritional status among the female students at Islamic Boarding School, with p=0.035 < 0.05. The conclusion of this study was that low, moderate, and high breakfast habits could influence nutritional status. This is because with breakfast, the energy intake entering the body is met, neither too much nor too little.

Organoleptic Test of Instant Lemongrass-Ginger Tea Bags as a Local Herbal Beverage Product of Kedungbanjar Village, Sugio, Lamongan

Diana Sofia — 2025-10-20

Background: Lemongrass and ginger tea is a traditional herbal drink that has health benefits and the potential to be developed as a local product. Objective: This study aims to assess the level of public acceptance of lemongrass-ginger tea bags in Kedungbanjar Village, Sugio District, Lamongan Regency. Methods: This study used a descriptive analytical design with a cross-sectional approach through organoleptic testing of 48 housewife respondents. The assessment was carried out on the aspects of taste, aroma, color, and packaging appearance using a 1–5 Likert scale. Result: The results showed that the taste aspect received an average score of 3.7 (like), aroma 3.9 (like), color 3.4 (like), and packaging appearance 4.1 (like). Overall, this product was well received by respondents due to its practicality, consistent taste, and health benefits from the bioactive compounds in lemongrass and ginger. However, the color aspect still needs improvement, flavor variations need to be added, and the packaging design needs to be enhanced to increase the product's appeal. With further development, lemongrass-ginger herbal tea has the potential to become a healthy local herbal drink with economic value

The Effect of Supplementary Feeding (PMT) on the Nutritional Status of Toddlers Aged 2-5 Years

Ilma Salsabilla Hidayah — 2025-10-20

The nutritional status of toddlers plays a crucial role in determining the health quality and human resources of a nation. Although there has been a decline in stunting rates, nutritional challenges remain high, thus requiring appropriate intervention strategies, including supplementary feeding (PMT). Objective: This study aims to examine the effect of supplementary feeding consumption on improving the nutritional status of undernourished toddlers and to measure the success of PMT implementation within community health centers. Methods: This study utilized an analytic quasi-experimental design with a cross-sectional approach. Samples were taken using total sampling technique with a total of 12 samples. Inclusion criteria included toddlers with undernutrition status (weight-for-age and height-for-age between -3 SD and less than -2 SD) who received supplementary feeding. Normality tests showed data were normally distributed; therefore, the parametric Paired T-Test was used for statistical analysis. Result: The study results showed that among toddlers monitored during PMT consumption, one toddler (8.3%) experienced improvement, while the others remained stable with possible weight gain. Conclusion: This study indicates that supplementary feeding (PMT) has a significant effect on improving the nutritional status of undernourished toddlers (P=0.004).

The Correlation of Stress Level and Hypertension in Student of Nutrition Departmen of UIN Sunan Ampel Surabaya

Devita Catur Puspitasari — 2025-10-20

One non-communicable disease that has grown to be a major cause of death and a global health concern is hypertension. This study aims to determine the relationship between stress levels and the incidence of hypertension among third- and fifth-semester students in the Nutrition Study Program, Faculty of Psychology and Health, UIN Sunan Ampel Surabaya. Simple random sampling was used to select 85 students for this quantitative investigation. Systolic and diastolic blood pressure readings as well as a stress level questionnaire were used to gather data. According to the findings, the majority of the respondents had high systolic and diastolic blood pressure (63.5% and 60.0%, respectively) and significant stress (81.2%). Statistical analysis using the phi coefficient found a significant relationship between stress levels and systolic (p=0.008) and diastolic (p=0.041) blood pressure. Stress triggers an increase in adrenaline hormones, which raises blood pressure, so effective stress management is necessary to prevent hypertension in students.

The Effect of Breakfast Habits on Learning Concentration Among First Semester Students of The Faculty of Psychology and Health UIN Sunan Ampel Surabaya

Hendryanto Maulana Ghani — 2025-10-20

Breakfast is an essential activity that supports energy availability and cognitive functions, particularly students’ learning concentration. However, breakfast is often neglected due to time constraints and a lack of awareness regarding the importance of morning nutrition. This study aims to examine the effect of breakfast habits on the learning concentration of first semester students at the Faculty of Psychology and Health, UIN Sunan Ampel Surabaya. The method used was quantitative research with a cross-sectional design involving 74 respondents, determined through simple random sampling. The research instrument was an online questionnaire that had been tested for validity and reliability. Data were analyzed using the Independent Sample T-Test to determine differences in concentration based on breakfast habits. The results showed a significant difference between students who regularly had breakfast and those who did not, with a p-value of 0.020. The average concentration score of students who had breakfast was 34.97, higher than those who did not, with a score of 32.70. This study concludes that breakfast has a significant effect on students’ learning concentration and should be promoted as part of a healthy lifestyle to support academic success.

Multisectoral Strategies To Address Stunting Among Fisherfolk Children: An Evidence-Based Literature Review

Zuardin — 2025-10-20

Stunting among children in coastal fishing communities remains a critical public health issue, with prevalence rates often exceeding national averages. This literature review synthesizes findings from 50 peer-reviewed studies focusing on nutritional status, food security, sanitation, and socio-cultural factors contributing to stunting among fisher families. Despite abundant marine resources, children in fishing communities continue to face high risks of undernutrition due to limited economic access to diverse and nutritious food, poor maternal education, inadequate sanitation, and deeply rooted cultural feeding practices. The review highlights that household food insecurity, low dietary diversity, and misconceptions about protein-rich foods (e.g., fish and eggs) significantly affect child growth outcomes. Environmental conditions, such as a lack of clean water and poor waste management, exacerbate infection risks, further impairing nutrition. Effective interventions require a multisectoral approach that integrates community-based nutrition education, promotion of local marine foods, improvement of sanitation infrastructure, and economic empowerment of fisher households. Culturally adapted strategies that involve both mothers and fathers have shown promise in improving child nutrition outcomes. Addressing stunting in coastal communities demands not only technical solutions but also attention to social justice, cultural context, and sustainable livelihoods.

Comparative Nutrient Profiles and Functional Activities of Animal- and Plant-Based Milks and Their Roles in the Prevention of Metabolic Syndrome: A Literature Review

Romyun Alvy Khoiriyah — 2025-10-20

Milk contains various bioactive components that required to maintain normal human physiological activities. Both animal and plant-based milks have benefits that can be used to minimize the risk of noncommunicable diseases (NCDs). This review aims to compare the nutritional profiles of animal and plant-based milks and highlight their involvement in reducing the risk of NCDs. A literature review used papers from 2014 to 202, with PubMed and ScienceDirect as key databases. The study found that soy milk includes aglycone isoflavones, which have been demonstrated to inhibit inflammatory pathways in human intestinal cells. On the other hand, animal milk is high in proteins, bioactive peptides, and milk fat globule membrane (MFGM) components, all of which help with brain function, immunological health, and metabolic balance. It is concluded that appropriate animal and plant-based milk consumption may help avoid degenerative diseases and promote overall health by controlling inflammation, increasing antioxidant capacity, and improving energy metabolism. When deciding between animal and plant-based milks, evaluating their nutritional profiles and bioactive components is best to maximise possible health advantages.

Modern Lifestyle and Mental Health: An Observational Study Among Young Adults

Ika Mustika — 2025-10-20

Mental health is increasingly recognized as a global priority in the digital era. Recent data show that 6.2% of individuals aged over 15 years experience emotional mental disorders, often manifested as symptoms of anxiety. Lifestyle factors such as diet, physical activity, and sleep duration are thought to play a critical role in influencing anxiety risk. This study aimed to investigate the association between ultra-processed food consumption, physical activity, sleep duration, and anxiety disorders among young adults. A quantitative, cross-sectional design was applied with a total of 175 respondents aged 18–23 years. Data were analyzed using the chi-square test with a significance level of 0.05. The findings revealed no significant association between ultra-processed food consumption or physical activity and anxiety. However, sleep duration showed a significant association with anxiety (p = 0.031, <0.05). Insufficient sleep may contribute to dysregulation of stress hormones, thereby increasing the risk of anxiety disorders.

Food Variety and Nutritional Status Among Adolescents in MAN Bangkalan

Arlen Chandra Saputra Wibowo — 2025-10-20

Food variety was one of the methods to improve nutritional status. Maintaining nutritional status is important to improve their productivity. This study aimed to determine the impact of food variety on the nutritional status of MAN Bangkalan students. The population of this research was students from MAN Bangkalan. This study used a cross-sectional design with a binary logistic regression analysis test, using simple random sampling with a total of 55 participants, consisting of 24 males and 31 females. The result was statistically significant p-value 0.009 < 0.05 with an OR of 1,645. The students who had a better variety of foods were more likely to have better nutritional status 1,6 times higher than students who did not do the same. Students needed to improve their food variety to maintain their nutritional status. Student could improve food variety by consuming foods from different sources. They could also increase food variety by choosing a more diverse range of snacks

Nutritional Status and Psycological Resilience in Middle Adolescent of MAN Bangkalan

Tera — 2025-10-20

The aim of this study was to describe the body mass index (BMI), resilience, self-development, and nutritional health of adolescents at MAN bangkalan. Adolescence is a period of tremendous physical growth and resilience, making teenagers susceptible to nutritional issues and psychological challenges. This study used a descriptive quantitative design with 55 respondents selected through purposive sampling. Data were collected using a modified Connor-Davidson Resilience Questionnaire and anthropometric measurements (height and weight). The data were analyzed using descriptive statistics such as mean, standard deviation, frequency distribution, and percentage. The findings showed that although most respondents had a normal BMI 52.7%, a considerable proportion were underweight 63.6% and demonstrated suboptimal levels of psychological development. The study concluded that adolescents at MAN bangkalan required optimization of both nutritional status and resilience to better support their learning processes during this developmental stage. Integrated interventions are needed, including mental health promotion, resilience building, nutrition education, and consistent support from both family and school.

Synergistic Impact of High-Fat Diets and Smoking on Cardiovascular Health: A Literature Review

Zendy Indah Permatasari — 2025-10-20

Cardiovascular disease continues to be a global public health challenge with multiple complex risk factors. The combination of high-fat diet and smoking habits has a synergistic effect that increases the risk of cardiovascular disease. This study aimed to determine the relationship between a high-fat diet and smoking habits and cardiovascular disease, and to emphasize the importance of dual interventions targeting dietary changes and smoking cessation as the primary strategy to reduce the burden of coronary heart disease and stroke. This study used a literature review method. The results of this study indicate that smoking and excessive fat consumption are two major risk factors contributing to the increasing incidence of cardiovascular disease (CVD). Smoking has been shown to accelerate the process of atherosclerosis by increasing blood pressure, vascular inflammation, and decreasing HDL cholesterol levels. Consuming saturated fat makes this condition worse by raising levels of easily oxidized LDL cholesterol and lowering levels of HDL cholesterol, which speeds up the accumulation of plaque in blood vessels. Nutritional interventions like lowering saturated fat and raising MUFA intake through a nutritious diet, like the Mediterranean diet, can lower this risk. This all-encompassing approach is anticipated to dramatically lower the incidence of coronary heart disease in at-risk groups when paired with smoking cessation initiatives.

Analysis of Secondary Metabolite Compounds of Papaya Leaf Extract (Carica papaya L.) and Noni Leaf Extract (Morinda citrifolia L.) as Neuroprotective Agents in Alzheimer's Disease

Nasywa Sayyida Amaliyah — 2025-10-20

Alzheimer's disease is a neurological disorder associated with the accumulation of amyloid proteins in the brain. Papaya (Carica papaya L.) and noni (Morinda citrifolia L.) are known as natural sources with high antioxidant activity, which have the potential to function as neuroprotective agents. This study aims to identify secondary metabolites and evaluate the antioxidant activity of ethanol extracts from papaya and noni leaves. Extraction was performed using the maceration method with 40% ethanol. Phytochemical testing was performed qualitatively with several reagents appropriate for testing each compound. Phytochemical screening revealed that papaya and noni leaf extracts contain similar secondary metabolite compounds, namely alkaloids, flavonoids, phenolics, tannins, saponins, and triterpenoids. However, only papaya leaf extract showed the presence of steroid compounds, indicating a difference in the composition of secondary metabolites that could potentially affect the activity of each extract as a neuroprotective agent in Alzheimer's disease.

Identification of Antioxidant Activity of Ethanol Extracts from (Hedyotis corymbosa L.) Pearl Grass Leaves Against Oxidative Stress

Nurul Faiza — 2025-10-20

Oxidative stress is the main causative factor of various degenerative diseases, and the search for natural antioxidant sources becomes important to overcome this problem. This study aims to identify the activity of antioxidant compounds from ethanol extract of pearl grass (Oldenlandia corymbosa) leaves in neutralizing free radicals. The methods used include leaf extraction with 70% ethanol and antioxidant activity testing using UV-Vis spectroscopy at a wavelength of 517 nm. Results showed that the extract with a concentration of 80 ppm produced a maximum inhibition of 51.60%, indicating significant antioxidant potential. Qualitative phytochemical tests identified the presence of phenolic compounds and flavonoids, which act as electron donors in the free radical penetration process. The IC50 value of the ethanol extract obtained was 46 µg/mL, indicating the effectiveness of the extract in inhibiting free radicals. These findings support the potential of pearl grass as a source of natural antioxidants that can be further developed for the prevention and therapy of oxidative stress-related degenerative diseases.

Analysis of Function Groups in Manihot esculenta and Hedyotis corymbosa Extracts Using Fourier Transform Infrared (FTIR) as Potential Immunomodulators

Tafdila Faza Rusyda — 2025-10-20

Immunomodulators are substances that can help improve immune system function. Immunomodulators are clinically used for the treatment of immune disorders, such as cancer, HIV/AIDS, malnutrition, allergies and others. The use of synthetic drugs is effective in restoring immune system imbalances, but is at risk of causing side effects, so the search for safer natural alternatives is important. Cassava leaves (Manihot esculenta) and pearl grass (Hedyotis corymbosa) are plants rich in bioactive compounds, such as flavonoids, saponins, and triterpenoids, which have potential as immunomodulators. The mechanism of immunomodulation is thought to be through suppression of proinflammatory cytokines (TNF-α, IL-6, IL 1β, IL-17) and an increase in anti-inflammatory cytokines (IL-4, IL-10), while the effect on IL-2 is variable and IFN-γ tends to be lowered, thus supporting the achievement of a balanced immune response. This study aims to analyze the functional groups in Manihot esculenta and Hedyotis corymbosa extracts using Fourier
Transform Infrared (FTIR) as a potential immunomodulator. The extracts were obtained through maceration method with 96% ethanol. The analysis showed that both extracts have main functional groups OH (alcohol/phenol), C=O (carbonyl), and CH (alkane) that support immunomodulatory activity. Hedyotis corymbosa extract showed a higher concentration of bioactive compounds, which could potentially provide a stronger immunomodulatory effect compared to Hedyotis corymbosa extract.

Analysis of Bioactive Compounds in Functional Groups of Morinda Citrifolia Leaf Extract and Pearl Grass Using FTIR (Fourier Transform Infrared) Spectrophotometer as Antioxidants against Kidney Cell Damage Caused by Kidney Failure

Anggik Eka Nurmansyah — 2025-10-20

Kidney failure is a non-communicable disease that can be life-threatening. One plant that is often used as herbal medicine is noni leaf and pearl grass because they contain bioactive compounds. The purpose of this study was to analyze the differences in functional groups found in noni leaf and pearl grass extracts as antioxidants against kidney cell damage caused by kidney failure. Leaf extraction was performed using the maceration method with 70% ethanol as the solvent. Phytochemical testing was conducted qualitatively and also involved a literature review to determine the effects of bioactive compounds. The results of the pearl grass extract test showed strong peaks at wavelengths of approximately 3291 cm⁻¹ (O–H group), 1637 cm⁻¹ (aromatic C=C group), and 1034 cm⁻¹ (C–O alcohol group), indicating the presence of phenolic and flavonoid compounds. The FTIR spectrum results on noni leaves showed peaks at 3278 cm⁻¹ (O–H/N–H), 1630 cm⁻¹ (C=O/aromatic C=C), and 1052 cm⁻¹ (C–O), indicating the presence of carboxylic acid compounds, amines, and phenolic components. The functional groups of these compounds have significant potential to repair kidney cell damage caused by kidney failure. Based on the FTIR analysis results and supporting literature, it can be concluded that noni leaves are more effective than pearl grass in reducing kidney cell damage caused by kidney failure.

Analysis of Differences in the Function Groups of Bioactive Compounds of Noni and Papaya Leaf Extracts as Antibacterial Agents Using FTIR Spectrophotometer

R. M. Pradikalisatryo Rizqiravendra Al-Hakiim — 2025-10-20

Noni (Morinda citrifolia) and papaya (Carica papaya) are plants that are abundant in Indonesia and have traditionally been used as medicine. This study aims to analyze the differences in functional groups of noni and papaya leaf extracts as antibacterial agents. The extracts were obtained through maceration using 96% ethanol as the solvent. Fourier Transform Infrared Spectroscopy (FTIR) was used in this study to identify the functional groups of bioactive compounds in each extract. The FTIR spectrum of noni leaves showed the presence of alkaloid functional groups due to the characteristic absorption of the -NH functional group of alkaloids at a wavelength of 3335.96736 cm-1, while papaya leaves showed the presence of saponin functional groups due to the characteristic absorption of the -OH functional group of saponins at 3337.83103 cm-1. Both compounds exhibit broad biological activity, including as antibacterial agents. Alkaloids from noni leaves have been proven effective against Staphylococcus aureus bacteria (causing acne), while saponins from papaya leaves are effective against Escherichia coli (the cause of diarrhea). Extracts from noni and papaya leaves show significant potential as natural antibacterial agents, supported by the identification of alkaloid and saponin functional groups through FTIR analysis.

Identification of Phytochemical Compounds of Noni Leaf Extract (Morinda Citrifolia) and Its Activity in Increasing Leukemia Cell Apoptosis

Diana Rahma Wati — 2025-10-20

Leukemia is a blood cancer characterized by overgrowth of abnormal white blood cells due to disruption of the apoptosis process, which is cell death that controls the number of cells in the body. This malignancy causes the accumulation of cancer cells that damage normal tissues and disrupt the immune system. One of the plants that can stimulate apoptosis and inhibit the development of blood cancer cells is noni leaves. Noni (Morinda citrifolia) leaves are known to contain antioxidant compounds such as flavonoids, phenols, and saponins that play a role in neutralizing DNA damage and supporting apoptosis mechanisms. This study aims to identify the phytochemical content of noni leaf extract and review its potential activity in increasing leukemia cell apoptosis. The extraction process was carried out by maceration method using ethanol solvent, then the extraction results were tested phytochemically to determine the content of active compounds such as alkaloids, flavonoids, tannins, saponins, and phenolics. The results of the phytochemical test showed that noni leaf extract was positive for flavonoids, saponins, and phenolics which are known to have antioxidant, cytotoxic, and apoptosis induction activities.

Phytochemical Analysis of Papaya, Mengkudu, Cassava, and Pearl Grass Leaf Extracts as Natural Anti-Hyperglycemic Agents

Intan Edo Setiowati — 2025-10-20

Hyperglycemia is a medical condition in which blood glucose levels exceed normal limits, and is a characteristic feature of diabetes mellitus (DM). This disease is characterized by high blood sugar levels due to impaired insulin production. This study aims to determine the effect of secondary metabolites contained in papaya leaf extract, noni leaf extract, cassava leaf extract, and pearl grass extract as antihyperglycemic agents. The research method used maceration with 70% ethanol solvent to obtain a thick extract, followed by phytochemical testing. This method also used a literature review to determine the effect of bioactive compounds in cassava leaf extract (Manihot esculenta), noni leaf extract (Morinda citrifolia), papaya leaf extract (Carica papaya), and pearl grass extract (Hedyotis corymbosa) as natural hyperglycemia agents. The results showed that the four extracts contained various secondary metabolites, namely flavonoids, alkaloids, tannins, phenolics, saponins, steroids, and triterpenoids. Papaya leaves had the best extract with complete secondary metabolites to overcome hyperglycemia. Although the three extracts, namely cassava, noni, and pearl grass, did not have complete secondary metabolite content like papaya, they contained flavonoids, phenolics, saponins, and alkaloids to treat hyperglycemia. Thus, these local plants have the potential to be developed as sources of raw materials for natural hyperglycemia phytopharmaceuticals.

Analysis of Total Phenolic Content Of Moringa Oleifera Leaf Extract Using Uv-Vis Spectrophotometer

Marisa — 2025-10-20

Background: Moringa leaves (Moringa oleifera) are known to contain phenolic compounds that act as antioxidants, which can help reduce free radical activity and potentially provide health benefits. Objective: This study aimed to determine the total phenolic content of moringa leaf extract. Methods: Moringa leaf extract was prepared by maceration using methanol as the solvent, and the total phenolic content was determined using a UV-Vis spectrophotometer with gallic acid as the standard. Results: Based on the absorbance measurement at a wavelength of 764 nm, the moringa leaves had a concentration of 188.9 mg/L and a total phenolic content of 18.89 mg GAE/g. Conclusion: Based on this research, the extract of moringa leaves contains phenolic compounds, so it has the potential to act as an antioxidant and is beneficial for health.

Comparison of Bioactive Compound Content in Carica papaya and Manihot esculenta Leaf Extract Based on FTIR (Fourier Transform Infrared) Analysis in Traditional Dengue Hemorrhagic Fever (DHF) Therapy

Sistani Huzainiyah — 2025-10-20

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus transmitted by Aedes aegypti, often leading to thrombocytopenia. Herbal-based traditional therapies, such as papaya leaves (Carica papaya L.) and cassava leaves (Manihot esculenta Crantz), are considered potential supportive treatments. This study aims to compare the bioactive compounds of both plants through phytochemical screening and Fourier Transform Infrared (FTIR) analysis. The phytochemical results revealed that papaya leaves contain alkaloids, flavonoids, phenolics, tannins, saponins, steroids, and triterpenoids, while cassava leaves contain alkaloids, flavonoids, phenolics, tannins, and triterpenoids. FTIR analysis identified functional groups O–H, C=O, aromatic C=C, C–H, and C–O, indicating the presence of flavonoids, polyphenols, and glycosides. Pharmacologically, papaya leaf extract demonstrated greater potential as it has been clinically proven to increase platelet count through hematopoiesis stimulation and gene regulation. In contrast, cassava leaf extract exhibited antioxidant and hematopoietic potential but with limited clinical evidence. Therefore, papaya leaves are considered more effective as a traditional supportive therapy to aid
platelet recovery in DHF patients.

Digital Health Literacy and Its Role in Promoting Health Lifestyle Behaviors Among University Student: A Literature Study

Libi Bewijsshodaa — 2025-10-20

The development of digital technology has changed the pattern of access to health information, especially among students who live as digital natives. This situation requires Digital Health Literacy (DHL) so that students are able to sort through information, avoid exposure to hoaxes, and adapt a healthy lifestyle. This study aims to examine the role of DHL in three main dimensions such as strengthening students' critical abilities to evaluate health information, the role of DHL to reduce the spread of hoaxes through education-based literacy practices, and its contribution to encourage the implementation of healthy lifestyles. The study is based on a literature study method, drawing on scientific sources from 2019 to 2025 that were relevant to the research theme. The findings suggest that students with high DHL levels tend to stick consistently to healthy habits, more selective before sharing health-related content, and demonstrate sharper to think critically, thereby contributing to both academic quality and health. In short, DHL is not only a technical skill, but also intellectual and social capital that shapes the digital health ecosystem on campus. Future studies are recommended to included empirical research across diverse socio-cultural contexts to deepen the understanding of DHL’s role.

Identification of Bioactive Compound Function Groups in Mangosteen Fruit Peel Extract (Garcinia mangostana L.) and Lime Extract (Citrus aurantifolia Swingle) as Anticholesterol Agents Using Fourier Transform Infrared (FTIR)

Ananda Nur Faizah — 2025-10-20

Hypercholesterolemia is one of the major risk factors for cardiovascular diseases such as atherosclerosis and coronary heart disease. The main commonly used therapy is synthetic drugs such as statins, but long-term consumption is known to cause side effects such as liver damage, muscle disorders, and metabolic disorders. Therefore, the search for safer natural alternatives is important. Mangosteen rind (Garcinia mangostana L.) and lime peel (Citrus aurantifolia Swingle) are known to contain bioactive compounds such as xanthones, flavonoids, and phenolic acids that have potential as anticholesterol agents. This study aims to identify the functional groups of bioactive compounds in mangosteen and lime peel extracts using Fourier Transform Infrared (FTIR) and compare their potential as anticholesterol candidates. The extracts were obtained through maceration method using 70% and 96% ethanol solvents. FTIR analysis showed the presence of O-H (phenol), C=O (carbonyl), and C-O (ester) functional groups, indicating the presence of active compounds such as α-mangostin in mangosteen peel and flavonoids such as quercetin in lime peel. The peak absorption intensity of O-H and C=O groups in mangosteen peel extract is higher than that in lime peel extract. These results indicate that mangosteen peel extract contains a higher concentration of bioactive compounds, so it has the potential to provide an anticholesterol effect.

From Workload to Wellness: How Time Availability Shapes Family Healthy Lifestyle in Working Mothers

Yulian Sri Lestari — 2025-10-17

This study aims to examine the effect of working mothers’ workload on family healthy lifestyle, with time availability as a mediating variable, particularly in relation to food quality. A quantitative approach was used, employing multiple regression analysis with SPSS. The sample consisted of 250 working mothers who met the following criteria: working at least 30 hours per week, having a spouse and/or child living in the same household. The results revealed that workload had a significant negative effect on time availability (β = -0.268; p = 0.000), and time availability had a significant positive effect on food quality (β = 0.575; p = 0.000). However, the direct effect of workload on food quality was not significant (β = -0.040; p = 0.494). This indicates that workload affects food quality indirectly through limited time availability. The findings emphasize that time management is a key factor in maintaining a healthy family lifestyle, especially among working mothers facing dual roles. Partner support and workplace flexibility play essential roles in helping mothers balance domestic and professional responsibilities effectively

Overview of Work Stress Based on Work Divisions in The Health Department X

Haidar Rifqi Albadii — 2025-10-17

Work stress is a serious challenge in the health sector, affecting productivity and service quality. This study aims to analyze the level of work stress by division in the Health Office of City X using a quantitative cross-sectional approach involving 115 respondents in 2025. The results show that 53% of employees experience work stress, with disparities across divisions: Disease Prevention and Control (P2P) recorded the highest prevalence (66.7%), followed by Health Services (60%), and Public Health (54.2%), while Health Resources (SDK) had the lowest rate (36%). Employees with less than 8 years of service were more prone to stress (59.6%) compared to those with ≥8 years of experience (48.5%). Task complexity showed a unique pattern, with high stress levels in both low (57.1%) and high (54.8%) complexity tasks, indicating that both monotonous and challenging work carry risks. These findings highlight the importance of division-based interventions, such as workload redistribution in P2P and stress management training for new employees. The study recommends a periodic assessment system and mental health protection policies in accordance with Law No. 17 of 2023. This research contributes to occupational health literature by emphasizing a contextual approach to stress mitigation.

Factors Influencing the Incidence of Leptospirosis in the Work Area of the Tulakan Community Health Center, Pacitan Regency in 2025

Agung Trianto — 2025-10-17

Introduction : Leptospirosis is zoonotic diseases caused by by bacteria Leptospira interrogation And transmitted from animal to man through contact direct with urine infected animals or polluted environment . Animals transmitter main is mice , although dogs , cows , and pigs can also become a reservoir . Research purposes this aim For analyze factor Gender and age risk factors influence the incidence of leptospirosis. in the working area of the Tulakan Community Health Center, Pacitan Regency in 2025. Method : Research observational analytic with a case control approach . Sample study This amounts to 84 people , for sample case totaling 42 people taken from all leptospirosis sufferers in January – August 2025 and for the control sample totaling 42 people with purposive sampling technique . Data collection using technique observation of secondary data, then data analysis in this study is analysis univariate (frequency distribution), bivariate analysis (chi square test). Results : Results study This show that There is no relationship between gender and the incidence of leptospirosis (p=0.274 ) and there is no relationship between age and the incidence of leptospirosis (p=0.867 ). Conclusion : There is no relationship between gender and age with the incidence of leptospirosis in the work area of the Tulakan Community Health Center, Pacitan Regency in 2025.

Capturing Review of Protein and Vitamin D Needs in the Elderly

Bunga Janviera Firnanda — 2025-10-17

Background: Aging is a complex biological process, resulting in various physiological changes, psychosocial behavior, and cognitive changes. In addition, the elderly also experience changes in protein metabolism, and vitamin D. Where protein and vitamin D are very important for the elderly to stay healthy and the body's metabolism continues to work normally. Objective: The aim of this study was to determine the protein and vitamin D requirements of the elderly population and evaluate the impact of these nutritional deficiencies on their physical and cognitive health. Methods: This research uses a literature review method using relevant quantitative or qualitative methods. Results: The results of the review of 22 journals showed that 9 out of 22 journals resulted in an influence between protein and elderly health problems, while 3 journals said there was no influence. Another 7 journals also showed an effect of vitamin D on the health problems of the elderly, while the other 3 journals showed no effect. Conclusion: Most studies show that there is an influence between protein and vitamin D requirements on physical and cognitive health problems in the elderly

The Effectiveness of Relaxation Techniques in Reducing Academic Burnout among University Students: A Systematic Literature Review

Sirri Nahzatun Qowimah — 2025-10-17

University students face various academic pressures that can lead to physical and mental exhaustion, a condition known as academic burnout. One intervention approach believed to reduce the level of academic burnout is relaxation techniques. This study aims to systematically review the effectiveness of relaxation techniques in reducing academic burnout among university students. The method used is a systematic literature review with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach as a guideline in the process of searching and selecting literature. The results show that relaxation techniques are effective in reducing academic burnout among university students. The techniques used include affirmation relaxation, mindfulness, biofeedback, progressive muscle relaxation, deep breathing, and spiritual approaches such as ablution therapy and Benson relaxation. Relaxation techniques have been proven to be an effective non-pharmacological approach that is flexible and adaptable to the student context.

Climbing the Resilient Path: Stages of Resilience for Children in Conflict with the Law

Nailatin Fauziyah — 2025-10-17

To examine in depth how ABH navigate difficult situations during the legal process for their cases, the author conducted in-depth interviews with ABH in their respective locations to understand the stages of resilience and insecurity they experienced during the legal process. Four children under 18 years old were charged with theft and assault. The case was resolved using a restorative justice approach through police diversion. Verbal statements from the children were recorded and organized into themes, then categories were created to form the basis for developing a conceptual framework for the stages of resilience. Four stages were found in the development of ABH resilience: stress, deteriorating, adapting and recovering, and strengthening. The stress stage occurs during the process of being arrested for a crime. ABH at this stage feels very stressed because the legal impacts that occur are never previously thought of. The deteriorating stage is where ABH due to the stressful situation experiences a psychological decline, does not know what to do, and feels helpless. The adapting and recovering stage is the stage where ABH begins to develop adaptive behaviors to the existing situation and recover from the psychological conditions experienced previously. In the strengthening stage, ABH has begun to demonstrate success in adapting to the situation and developing positive behaviors. The success of this stage is influenced by the strength of protective factors during the legal process.

Exploring The Psychological Impact, Decision-Making Process, Resilience, Emotional Recovery, and Forgiveness in Wives Affected by Husband’s Infidelity

Abdul Haris Fitri Anto — 2025-10-17

A husband's infidelity can precipitate significant psychological repercussions for the wife. These repercussions often manifest as anger, sadness, disappointment, feelings of worthlessness, betrayal, and hatred. Additionally, wives subjected to their husband's infidelity may exhibit symptoms of depression, stress, and anxiety disorders. Despite extensive research on the psychological dynamics of wives affected by infidelity, findings have been varied. Therefore, this article aims to synthesise and critically analyse existing research to provide a comprehensive understanding and inspire future studies. Employing a scoping review method, literature selection was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. The data were drawn from the literature on Google Scholar, covering publications from the last decade (2014-2024). Furthermore, the inclusion criteria included: empirical research, full-text available, wives as the research participants, and the result/discussion sections focus on psychological dynamics as the victims of the husband’s infidelity. While literature research, books/e-books, book chapters, unaccessible full-texts, final assignment repositories, and working papers were excluded from the criteria. The screening resulted in the identification of 30 relevant articles. The analysis revealed several core themes: the psychological impact of infidelity, the decision-making processes of wives post-infidelity, resilience among wives experiencing infidelity, strategies for emotional recovery, and the role of forgiveness towards unfaithful husbands. These themes will be further explored in the discussion section.

From Crisis to Resilience: How Female Adolescents Cope with Early Marriage Resulting from Unplanned Pregnancy

Eli Nuzul Wahyuni — 2025-10-13

Early marriage due to “Married by Accident” is a phenomenon that creates various emotional, social, and financial challenges for adolescents, which may affect their psychological well-being and prospects. This study aims to explore the experiences and coping strategies employed by young women who entered early marriage as a result of unplanned pregnancy. A qualitative method with a case study approach was applied, involving three participants who met the inclusion criteria. Data were collected through semi-structured interviews and analysed using thematic analysis. The findings indicate that all three participants adopted two forms of coping strategies: problem-focused coping and emotion-focused coping. Problem-focused coping was reflected in efforts to seek medical information, prioritise plans for continuing education, and take practical steps to meet family needs. Meanwhile, emotion-focused coping appeared in their ability to accept circumstances, find positive meaning in the experience, and obtain emotional support from family and spouses. These results highlight that the combination of effective coping strategies and social support plays an essential role in helping adolescents deal with psychosocial pressures arising from early marriage due to unplanned pregnancy.

Reducing Students’ Public Speaking Anxiety with Gamification Methods

Alice Kirana Ammara Aqila — 2025-10-13

Fear of public speaking is a challenge for junior high school students. This study aims to reduce students' fear of public speaking through gamification. This study used a single-group pretest-posttest design with 10 students selected purposively. The instruments used included a questionnaire, a Public Speaking Anxiety Scale, and observations. This intervention used prompt cards as a game-based medium for speaking practice. Data analysis using a paired-sample t-test showed a significant difference between pretest and posttest scores, with an effect size of 1.33, which is categorized as large. These findings indicate that gamification is effective in increasing students' confidence in public speaking and can be an alternative strategy for teachers in teaching speaking skills.

Literature Review: Effectiveness of Family Support to Improve Quality of Life People With Mental Disorders

Rahma Tri Aristawidya — 2025-10-13

Mental disorders are currently a major problem in various parts of the world. People with mental disorders often receive negative stigma from the surrounding community regarding the mental disorders they experience. This stigma will have an impact on the quality of life of people who have mental disorders. However, in order for their quality of life to continue to improve, people with mental disorders not only need medical treatment from the hospital, but also need support from their families. This research aims to explore further the effectiveness of family support in improving the quality of life of people with mental disorders through a literature review method. This method was carried out by searching for literature from Google Schooler and ResearchGare and obtained 5 suitable journals. The results of this research show that the quality of life of people with mental disorders is influenced by the family support provided, so that family support can be said to be effective in improving the quality of life of ODGJ.

Subjective Well-Being Among Women in Early Marriages

Erfina Shakila — 2025-10-13

Subjective Well-Being is a scientific term that refers to happiness, which includes individuals’ affective and cognitive evaluations of their lives. This study aims to analyze Subjective Well-Being among women who engage in early marriage. Using a qualitative approach and a case study design, the research involved two participants who married under the age of 18. The results of the interviews indicate that different marriage experiences, in terms of both reasons for marriage and social support, influence their levels of Subjective Well-Being. Participants who married for love experienced higher levels of Subjective Well-Being compared to those who married through arranged marriages. Although both participants felt happiness during childbirth, they also faced emotional challenges and difficult situations that negatively impacted their well-being. These findings highlight the importance of social support and emotional stability in enhancing the Subjective Well-Being of women who marry at an early age.

Portrait Quality of Life of a Mother Raising a Child with Autism

Alvina Rachma — 2025-10-13

This study aims to explore what life is like for a mother raising a child with autism. A mother’s quality of life in this situation is shaped by four main aspects: physical health, psychological well-being, social relationships, and the environment. The research used a qualitative case study design with one participant—a mother of a 4.5-year-old child with autism. Data were collected through in-depth interviews and direct observation. The results show that the mother experienced many challenges in these aspects, such as feeling physically exhausted from lack of sleep, emotional stress, and financial struggles in paying for her child’s therapy. On the other hand, family support, acceptance of the child’s condition, and a supportive environment—like access to good special school facilities—helped her improve her quality of life. This study is expected to give useful insights for strengthening support systems for mothers raising children with autism so that their lives can become healthier and more balanced.

Description of Emotion Regulation of Hwdi Leaders Who Experience Physical Limitations

Sholahuddin Yusuf Al Mauludi — 2025-10-13

This study aims to describe emotion regulation among leaders of the Indonesian Women with Disabilities Association (HWDI) with physical impairments. The background of this research lies in the emotional challenges often faced by leaders with disabilities in carrying out leadership roles, where emotion regulation plays a crucial role in maintaining psychological well-being and organizational effectiveness. A qualitative approach with a phenomenological design was employed, involving three respondents selected through purposive sampling. Data were collected using a semi-structured interview guide focusing on two dimensions of emotion regulation: cognitive reappraisal and expressive suppression. The results indicate that cognitive reappraisal was applied through strategies such as viewing situations positively, recalling pleasant experiences, planning flexible steps, and adopting others’ perspectives, while expressive suppression was performed by controlling facial expressions, regulating breathing rhythm, practicing brief meditation, listening to music, diverting attention, and seeking a comfortable environment. These findings suggest that cognitive reappraisal is more adaptive in reducing stress and enhancing social relationships, whereas expressive suppression is useful in maintaining self-image but may cause internal pressure.

Portrait Of Psychological Well-Being In Single Parent Mothers: A Qualitative Case Study

Aulia Azkiyatul Wardah Priandini — 2025-10-13

This study aims to explore the psychological well-being (PWB) of single mothers, related to their experiences managing dual roles and the challenges of raising children independently. The study used a qualitative phenomenological-hermeneutic approach with purposive sampling, involving one 43-year-old participant who had been a single mother for eight years. Data were collected through in-depth interviews and anal yzed thematically. The results revealed six dimensions of PWB: self-acceptance, autonomy, positive relationships with others, purpose in life, environmental mastery, and personal growth. Participants demonstrated the ability to self-regulate, make independent decisions, manage emotions in relationships, prioritize children's well-being, and continue to develop themselves. Self-efficacy, faith in God, and family support played a significant role in improving PWB of single mothers. These findings can form the basis for interventions to improve PWB of single mothers and the quality of life of their children.

The Psychological Well-Being of Mothers Raising Deaf-Mute Children: A Qualitative Case Study

Asharayya Mulia Izzati — 2025-10-13

This study explores the psychological well-being of a mother raising a deaf and mute child. Using a qualitative single case study with in-depth interviews, findings were analyzed thematically based on Ryff’s six dimensions of psychological well-being. Results show that the mother demonstrated self-acceptance through emotional regulation, built positive relationships with family and community, maintained autonomy in parenting decisions, managed her environment by balancing household and caregiving, pursued life goals by focusing on health and her child’s future, and experienced personal growth through improved emotional maturity and learning sign language. These findings highlight the importance of family support, community involvement, and self-development in fostering maternal psychological well-being.

Meaning of Life in Breast Cancer Survivors: A Qualitative Phenomenological Study

M. Imam Sya Roni — 2025-10-13

Breast cancer is one of the most common cancers worldwide and a major cause of mortality among women, significantly impacting their physical, psychological, and social well-being. Understanding how individuals find meaning in life is crucial to support their mental health and recovery process. This study aims to explore the lived experiences of breast cancer patients in constructing and understanding the meaning of life after diagnosis and treatment. Using a qualitative design with a phenomenological approach, three participants were selected through purposive sampling based on specific inclusion criteria. Data were collected through in-depth interviews and analysed using Interpretative Phenomenological Analysis (IPA) to identify emerging themes. The analysis revealed four main themes: self-acceptance, reflecting the process of accepting personal limitations and circumstances; life motivation, highlighting inner strength driven by family and spiritual values; support group, emphasizing the role of psychological and social support from communities and peers; and positive body image, showing how participants cope with changes in physical appearance and societal perceptions. These findings indicate that the meaning of life plays a central role in enhancing psychological resilience and improving quality of life among breast cancer patients. This study suggests that holistic interventions focusing on psychological, social, and spiritual aspects are essential to help individuals cope with the challenges of breast cancer and foster a sense of purpose and well-being.