Educare: Journal Educational and Multimedia

The Relationship Between Backpack Use and Low Back Pain Complaints in Grade VIII Students of Muhammadiyah 1 Middle School, Medan

Pandu Dwipatmasari, Irfan Hamdani — Thu, 10 Sep 2026 00:00:00 +0000

Introduction: Carrying books and school supplies is one of the heavy burdens carried by school students every day. Using an inappropriate backpack will cause negative impacts for its users. Students who carry the heaviest backpacks and use backpacks for a long time have a higher risk of suffering from low back pain. Objective: To determine the relationship between backpack use and complaints of low back pain in eighth grade students of Muhammadiyah 1 Medan Junior High School. Method: This study is descriptive analytical with a cross-sectional design. The sampling technique used Purposive Sampling. Determination of the number of samples in this study used the Slovin formula. Results: Of the 78 students who became respondents, it was found that 18 students (23.1%) did not experience pain and 60 students (76.9%) experienced pain. The results of the Chi Square test showed that the p value was 0.019, where this value was smaller than 0.05. Conclusion: It was concluded that there was a relationship between the weight of the backpack and complaints of Low Back Pain in eighth grade students of Muhammadiyah 1 Medan Junior High School.

Evaluation of Chemotherapy Side Effects in Bladder Cancer Patients at Dr. Pirngadi Regional Hospital

Albi Maulana, Hasroni Fathurrahman — Thu, 10 Sep 2026 00:00:00 +0000

Introduction: Bladder cancer is a pathological condition in which there is uncontrolled and abnormal proliferation or growth of cells that form the lining of the bladder wall. One of the current methods of treating bladder cancer is chemotherapy. Chemotherapy has a substantial effect in reducing the number of cancer cells because its mechanism of action aims to induce cell death and inhibit the proliferation of cancer cells. However, patients undergoing chemotherapy treatment often experience various symptoms that can originate from the side effects of chemotherapy itself. This study aims to evaluate the description of the side effects of chemotherapy drugs in bladder cancer patients at Dr. Pirngadi Regional Hospital. Methods: This study was conducted using a retrospective observational study design with a cross-sectional design. Sampling in this study used the Total Sampling technique. The samples obtained were 42 samples. Data collection was obtained through secondary data taken from medical records obtained from Dr. Pirngadi Regional Hospital, Medan City and analyzed using univariate tests. Results: The most commonly used chemotherapy drugs by bladder cancer patients were the combination of gemcitabine-cisplatin (64.3%) and epirubicin (35.7%) and the most common side effects were dyspepsia (34.5%), followed by joint pain (23.6%), allergic responses and swelling (12.7%), infection (5.5%), thrombocytopenia and constipation (3.6%), hypovolemic shock (1.8%), vertigo, and neutropenia (0.9%). Conclusion: The most commonly used chemotherapy drugs by bladder cancer patients at Dr. Pirngadi Regional Hospital were gemcitabine-cisplatin with the most common side effect being dyspepsia.

Strengthening Self-Care through PHBS Education for Children with Special Needs at PKBM Rizqi Ananda

Tue, 22 Sep 2026 00:00:00 +0000

This community service activity aims to improve health knowledge, self-care skills, and awareness of clean and healthy living behaviors among children with special needs at PKBM ABK Rizqi Ananda, Hamparan Perak District. The activity was conducted on August 27, 2026, through interactive education, visual media, demonstrations, direct practice, and mentoring. Activities include body part recognition, six-step handwashing, and proper tooth-brushing practices, along with visual activities to support focus and simple instruction-following. The activity involved 16 students with diverse special needs and received positive responses and active participation. Participants were able to follow instructions and practice proper tooth-brushing techniques. Health screening was also conducted for 18 participants, including blood pressure, blood glucose, and uric acid measurements. The results showed that 14 participants (77.8%) had grade 1 and 2 hypertension, while 11 participants (61.1%) had high uric acid levels. Overall, the interactive and practical approach supported health education and self-care skills. The activity is expected to strengthen healthy living awareness, promote independence in personal care, and support early detection of health problems.

Level of Knowledge and Skills of Health Workers Regarding the Management of Feverish Seizures in Children at Haji General Hospital

Maulana Zikra Fajriansyah, Nurcahaya Sinaga, Juliana Batu Bara — Tue, 22 Sep 2026 00:00:00 +0000

Background: Febrile seizures are an acute neurological disorder that commonly occurs in children aged 6 months to 5 years, and are one of the main reasons for visits to the emergency department. Although benign, inappropriate treatment can lead to complications, including the risk of recurrence and the development of epilepsy. Therefore, the competence of health workers in recognizing and managing febrile seizures is very important. Objective: To determine the relationship between the level of knowledge and skills of health workers in managing febrile seizures in children with age, gender, education, and length of service at RSU Haji Medan. Methods: This quantitative study with a descriptive analytical approach and cross-sectional design involved 75 health workers, including doctors, nurses, and midwives, who were selected through simple random sampling. Data were collected using a questionnaire and analyzed univariately and bivariately using the chi-square test (α= 0.05). Results: A total of 54.7% of respondents had good knowledge and 50.7% had good skills. There was a significant relationship between age, education, and length of service with knowledge and skills (p < 0.001), but not with gender. Respondents aged ≥40 years, medical education, and having ≥10 years of service showed higher competence. Conclusion: The knowledge and skills of health workers are classified as good, but still need to be improved in groups with lower experience and education through routine training and continuous learning.