Health Sciences Faculty Research Articles

Indication-based use of low molecular weight heparin during pregnancy: A retrospective study in Northern Greece

Introduction: Venous thromboembolism (VTE) is a condition with high morbidity and mortality rates and presents as the third leading cause of cardiovascular deaths, globally. During the antenatal period, the risk of VTE occurrence increases, therefore, in pregnant women at high-risk for VTE, the use of low molecular weight heparin (LMWH) is recommended. This study aimed to investigate the indication-based administration of LMWH in pregnancy. Material and methods: This was a retrospective cohort study (2019-2022) conducted at the Third Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece. All pregnant women at the first trimester of pregnancy were eligible. Their physical characteristics were recorded and information about their personal, familial, gynecological and obstetrical medical history was collected. By utilizing the above characteristics, a score of the risk of developing VTE during pregnancy was calculated for each woman, using the algorithm recommended by the Royal College of Obstetricians & Gynecologists. Results: In total, 2,716 pregnant women were included in the study. Of these, 149 (5.5%) received LMWH throughout their pregnancy with only 2 of them (0.1%) having appropriate indications. Of the women not prescribed LMWH, 2,567 (94.5%), none had an indication for LMWH administration. Notably, 495 (19.3%) women had a history of at least one miscarriage and 89 (59.7%) of them used LMWH, regardless of whether they had an indication or not. Conclusion: There was a high percentage of women with no indication for LMWH who, in fact, received this medication. Physicians should refrain their use following evaluation based on appropriate risk factors.

Peer Review Statement

All papers published in this volume have been reviewed through processes administered by the Editors. Reviews were conducted by expert referees to the professional and scientific standards expected of a proceedings journal published by IOP Publishing. • Type of peer review: Single Anonymous • Conference submission management system: Morressier • Number of submissions received: 20 • Number of submissions sent for review: 19 • Number of submissions accepted: 16 • Acceptance Rate (Submissions Accepted / Submissions Received × 100): 80 • Average number of reviews per paper: 2 • Total number of reviewers involved: 23 • Contact person for queries: Name: Ng Hien Fuh Email: hfng@utar.edu.my Affiliation: M. Kandiah Faculty of Medicine and Health Sciences

The effect of digital storytelling on nursing students' compliance with isolation precautions and their knowledge levels: A randomized controlled trial

AbstractBackgroundDigital storytelling is a teaching tool that can help nursing students master the curriculum and improve their skills. This study investigated the effect of digital storytelling on nursing students' knowledge levels and compliance with isolation precautions.MethodologyA pretest‐posttest open‐label randomized controlled trial. This study was conducted in the nursing department of the faculty of health sciences of a university in Türkiye. The sample consisted of 109 fourth‐year nursing students divided into experimental (n = 66) and control (n = 43) groups. Data were collected using a Demographic Characteristics Questionnaire (DCQ), the Isolation Knowledge Test (IKT), the Questionnaire of Students' Opinions on Digital Storytelling (QSODS) and the Scale of Compliance with Isolation Precautions (SCIP). The experimental group participated a digital storytelling activity, whilst the control group received an education based on the curriculum. The data were analysed using the Mann–Whitney U test, the Wilcoxon test, analysis of variance (ANOVA), and the Spearman correlation test.Results and ConclusionsThe experimental group had significantly higher posttest IKT and SCIP scores than the control group (p < 0.05). Both groups had lower IKT and SCIP scores 2 months after the experiment. However, the change was much smaller in the experimental group. Digital storytelling helped the experimental group participants learn about isolation precautions and how to comply with them. Digital storytelling also promotes learning retention. In conclusion, digital tools are effective in distance learning.

Determination of Salivary Cortisol Levels and Nutrition, Smoking and Physical Activity Status of University Students during the Exam Period

Objective: The aim of this study is to determine the salivary cortisol levels and nutrition, smoking and physical activity status of university students during the exam period. Method: This study was conducted at Bayburt University Faculty of Health Sciences during the 2023-2024 final exam period. A questionnaire determined the demographic characteristics, dietary and physical activity behaviors, while anthropometric measurements were taken and nutritional status was evaluated. ELISA analyzed the cortisol hormone levels in saliva samples taken before and after the final exam. Results: The study was conducted on 120 volunteer students between the ages of 18-25 who had no clinical health problems. In the study, a significant difference was found between the students' salivary cortisol levels before and after the exam (p

EVALUATION OF COGNITIVE STRUCTURES OF HEALTH MANAGEMENT STUDENTS TOWARDS BASIC HEALTH CONCEPTS

This study was conducted to examine the cognitive structures of Health Management students from the Health Sciences Faculty regarding the concepts of "health," "disease," "physician," "hospital," and "healing." In the study, which used phenomenology design, one of the qualitative research methods, the Word Association Test (WAT), was used as a data collection tool. Fifty-five final-year Health Management students participated. The data set obtained for each concept was transferred to Excel, categorized, and a concept map was created. As a result of the frequency analysis, it was found that the concept with the highest number of repetitions for "health" was "hospital," which is the primary service provider. For the concepts of "disease" and "healing," the most frequent word was "medicine." For the concept of "hospital," the word "doctor" had the highest number of repetitions, while for the concept of "doctor," it was "stethoscope." In addition, it was observed that the students knew the concepts of "health," "disease," "physician," "hospital," and "healing."

Spiritual Growth and Stress Management of Physical Education Sport and Health Students

The purpose of this research was to identify the spiritual growth and stress management of Physical Education, Health and Recreation students. The method of this research was qualitative. The respondents to this study were students of the Physical Education, Health and Recreation study program at the Faculty of Sports and Health Sciences, Universitas Negeri Surabaya. The sampling technique used was quota sampling, which was determined by researchers to include as many as 170 students. The data collection technique was a survey with a questionnaire filled out online. The research instrument used was the Health Promoting Lifestyle Profile II instrument, which was adjusted to the characteristics of the activities of Physical Education, Health and Recreation students in the sub-questions about spiritual growth and stress management. The research data were processed descriptively and correlatively using Pearson Correlation analysis. The results of the Pearson Correlation test showed a significance value of. 000 < 0.05, so it was stated that the two variables were correlated. Spiritual growth and stress management, with a Pearson Correlation value of.728, have a degree of relationship with a strong correlation. The significance value of.728 is positive, indicating that the relationship between spiritual growth and stress management increases with the assumption that the higher the spiritual growth, the higher the stress management. The conclusion of this study is that the spiritual growth of Physical Education, Health and Recreation students has a positive correlation with stress management. This study contributes to providing recommendations for conducting stress management activities for students.

Faculty development for supervisors of medical student rural attachments in Zimbabwe.

Reflective writing and keeping portfolios during rural hospital attachments has been shown to give medical students more confidence, better communication skills and clinical competence, thereby making them stronger adult learners. The role of supervisors as facilitators of learning during Community-based Education rural site visits is critical. The University of Zimbabwe Faculty of Medicine and Health Sciences established faculty development workshops to train supervisors to be better able to support students in becoming active learners and critical thinkers, giving them constructive feedback, and encouraging them to look for positive outcomes during their rural attachments. These educational skills were new to most supervisors, requiring a culture change from the usual didactic approaches. Educators had to learn about adult learning theories, the constructivist approach to knowledge creation, role-modelling and methods of assessment that were empowering for students. They were encouraged to form communities of practice through the faculty development process of training and assessment and to consider how to develop research and scholarship in documenting their experiences as facilitators and learning partners with their students and colleagues. These activities enhanced their professional identity formation as scholars, educators and facilitators. Their exposure to the functioning of rural hospitals, partly through narratives of the students' reflective writing, enabled them to develop a greater appreciation of the potential of primary care and the district health services as the foundation of the Zimbabwe health system. Future benefits could include application of this training to other health professional programmes, as part of interprofessional education.

Experiences, health needs, and access to health services of university students with female circumcision: A qualitative study.

This study aimed to assess the female circumcision (FC) experiences, healthcare needs, and access to health services of foreign university students who are victims of female genital mutilation and studying in Turkey. This descriptive qualitative study was conducted in the Faculty of Health Science in a state university in Turkey from December 2021 to January 2022. Eight students who had been subjected to FC participated in this study. Data were collected by conducting in-depth, semistructured online interviews and using a pilot-tested interview guide. The data were analyzed using inductive thematic analysis. Four themes emerged: "reasons for performing FC, 'health effects of FC,' 'psychological problems linked to FC,' and 'FC survivors' access to health services.'" Students stated that they exposed to this practice because of limiting their womanhood, they experienced problems, such as pelvic pain, infection, loss of sexuality, fear of pregnancy and birth, and they had healthcare needs due to FC but face some barriers. FC negatively affects women's health and has specific healthcare needs. Studying in a different country can be turned into an opportunity to solve the health problems they experience. For this, the right approach with knowledgeable and culturally sensitive health professionals can change stereotypes towards practice.

Uji Aktivitas Antibakteri Ekstrak, Fraksi Air, Fraksi Etil Asetat, Fraksi n-Heksan Daun Petai Cina (Leucaena leucocephala) Terhadap Bakteri Staphylococcus aureus ATCC 25923

Shina, mai., 2024, test of antibacterial activity of extract, water fraction, ethyl acetate fraction, and n-hexane fraction of chinese petai leaf (leuncaena leucocephala) against staphylococcus aureus atcc 25923, thesis, faculty of health sciences, duta bangsa university, surakarta one of the traditional medicines that currently has the potential to be developed is the chinese petai plant (leucaena leucocephala). Chinese petai leaves are used by the people of indonesia as a remedy for new and swollen wounds. Staphylococcus aureus is a gram-positive coccus bacterium that is the main pathogen in humans. Almost everyone has experienced a wide variety of staphylococcus aureus infections during their lifetime, from severe food poisoning to minor skin infections. The methods used in this study are diffusion and dilution. The purpose of this study was to determine the antibacterial activity of water extracts and fractions, ethyl acetate fractions, and n-hexane fractions of chinese petai leaves (leuncaena leucocephala), to find the most active extracts and fractions based on their inhibitory zones, and to determine the khm and kbm of the most active extracts against staphylococcus aureus atcc 25923. Based on research conducted on ethanol extract, water fraction, ethyl acetate fraction, and n-hexane fraction of chinese petai leaves have antibacterial activity against staphylococcus aureus atcc 25923. The most active extract in inhibiting staphylococcus aures atcc 25923 judging from its inhibition zone value is ethanol extract. Ethanol extract of chinese petai leaves has the same khm and kbm values, namely at a concentration of 25%.

Attitudes towards people living with HIV/AIDS through the EAPVVS-E: A descriptive analysis in nursing students

BackgroundDespite advances in antiretroviral treatment, stigma towards people with HIV/AIDS continues to exist. Nursing students, as future key players in health care, must advocate for the elimination of stigma through education, empathy and the creation of a supportive environment. This holistic approach is crucial to improving their quality of life and moving towards the eradication of HIV/AIDS. AimTo identify nursing students' attitudes towards people living with HIV or AIDS and their relationship with sociodemographic and academic-cultural variables of the participants. DesignA cross-sectional study was performed. SettingsThe research was carried out in the Nursing Degree of the Faculty of Health Sciences of the Ceuta Campus of the University of Granada. ParticipantsConvenience sampling was used to recruit 284 students of the degree in Nursing. MethodsData were collected voluntarily and on an anonymous basis, using the “Attitudes Towards People Living with HIV/AIDS Scale in Nursing Students”. Bivariate and multivariate analyses were performed. ResultsFactors 1 (Professional Practice), 2 (Social Integration) and 3 (Partner and Family) exhibited mean scores considered to be favourable attitudes (>4 points). In contrast, Factor 4, called Benevolent Stigma, had a mean score of 3.68 ± 0.97. Religious beliefs, academic year, sexual orientation, academic practices and age are considered influential variables in the different factors. ConclusionsNursing students present attitudes with favourable scores. However, these results highlight the importance of influencing the different factors, especially in the second year of the Bachelor's Degree in Nursing in our sample. Thus, an educational intervention in this area would be necessary to reinforce the values of humanised care.

The phenomenon of yoga in the imagination of Turkish nursing students: "The way to place goodness in the heart"

BackgroundThe aim of the research is to shed light on the experiences of a group of nursing students enrolled in a yoga elective course who practiced yoga regularly for 14 weeks, regarding yoga and the phenomenon of doing yoga, with a qualitative approach.MethodsThis qualitative study was conducted at a public university in Izmir, Turkey. The study sample consisted of 61 students enrolled in the 1st-year yoga course at the Department of Nursing, Faculty of Health Sciences. Except for two students, 59 of them participated in the study. Participants attended a face-to-face yoga course once a week for 1.5 h over a 14-week period. Each session comprised 30 min of theoretical instruction and 60 min of practice. In data collection, an interview form containing five questions was used to understand nursing students' experiences and thoughts about practicing yoga. In addition, A4 sized papers in different colors were presented to the participants. The participants were asked to draw and/or cut a shape by choosing the paper in the color that most evokes yoga. Then they were asked to explain why they chose this color and why they drew this shape. Participants were given one hour. After the data were collected, the pictures drawn by the participants and their descriptions of their drawings were transferred to the computer and included in the analysis. Qualitative data were hand-coded by the researchers. Within in-vivo coding, code names were formed from the participants' expressions. The findings analyzed by content analysis were interpreted with the literature under the themes by presenting quotations.ResultsIt was determined that the participants used nature figures (sun, cloud, tree, sky, flower) (f = 75), people doing yoga (f = 12), and sound, light and other figures (bird sound, wave sound, candle, light bulb, traffic light, heart, eye, left key, peace, swing, India, circle, etc.) (f = 29) in the shapes they drew and cut out on A4 sized papers in different colors to describe their experiences and thoughts about practicing yoga. The participants mostly chose blue-green-yellow colors (n = 41). With qualitative question analysis, a list of codes was created from the answers given by the students to the questions for the phenomenon of “doing yoga” (number of codes = 98). After the analysis of the data, four categories were reached. The category names and frequency numbers explaining the phenomenon of practicing yoga were distributed as “symbol of health and serenity (f = 345)”, “the way to place goodness in your heart (f = 110)”, “the most effective way to meet the self (f = 93)” and “no guarantee of relaxation (f = 71)”, respectively.ConclusionsThe results indicate that yoga is perceived by nursing students as a multifaceted practice that evokes a range of emotional and physical responses. Most participants associate yoga with symbols of health, serenity, and self-awareness, often using natural elements and blue-green-yellow the colors to represent these feelings. However, there is also recognition that yoga may not guarantee relaxation for everyone, as some students reported difficulties in meditation, physical discomfort, and challenges in focusing. The study highlights the variability in how individuals experience yoga, emphasizing both its positive effects on well-being and the potential challenges in practice. These findings suggest that while yoga is widely valued for its calming and health-promoting benefits, it may not be universally effective in achieving relaxation or mindfulness.

Being old is like…: perceptions of aging among healthcare profession students

BackgroundThis research explores the perspectives and attitudes of university students in health sciences towards aging and older adults. Given the intricate interplay of factors influencing attitudes toward aging, coupled with the demographic shift in Turkey from a youthful to an aging population, the study aims to discern how a cohort of university students perceives the aging process.MethodsEmploying a mixed-methods research strategy, which enhances the depth of data interpretation, the study utilized a questionnaire for quantitative data collection. Additionally, qualitative insights were gathered through a metaphor stem-completion item appended to the questionnaire and semi-structured interviews with students. The participants were selected from the Health Sciences Faculty and School of Medicine at a Turkish university.ResultsThe study revealed that participating students generally hold positive attitudes and demonstrate respect towards older adults. However, they also associate old age with negative aspects such as loss of autonomy and a constant need for assistance. Furthermore, older individuals are perceived as emotionally challenging and challenging to work with, irrespective of the nature and duration of interactions during their academic programs. These findings suggest a potential pathologizing perspective towards aging adults among health science students, who are prospective health professionals.ConclusionsThis paper discusses the implications of the study and offers insights for program coordinators, curriculum designers, and faculty members in health sciences. The results underscore the necessity for a heightened emphasis on gerontology-related subjects within health science curricula. This emphasis is crucial for cultivating a comprehensive understanding among students of the social, psychological, cognitive, and biological changes associated with aging.

Determination of the relationship between obesity prejudice status and eating behaviors of faculty of health sciences students

BackgroundPeople living with obesity receive treatment services from health professionals for their weight or other health needs. In order for the students of the Faculty of Health Sciences, who will be a member of the health team in the future, to raise awareness of the society, it is necessary to first determine their obesity prejudices and eating habits.MethodsThe study is a cross-sectional and descriptive research. The study data were collected from 406 students studying at the Faculty of Health Sciences by online questionnaire method using a personal characteristics identification form, GAMS 27-Obesity Bias Scale and University Students Eating Behavior Scale (USEBS). The data were analyzed with SPSS 26 statistical software.ResultsIn this study, all students were found to be prone to prejudice according to the mean total score of the Obesity Bias Scale and Obesity Bias Scale was higher in female students studying in perfusion department. In the sub-dimensions of the University Students Eating Behavior Scale, the enjoyment of food score was found to have the highest mean score.ConclusionAccording to the results of the study, there is a need to develop educational planning that will both increase the awareness of university students about the relationship between eating behaviors and obesity and eliminate obesity prejudice tendencies due to the fact that they are educated to provide services in the field of health.

The Relationship between Peer Social Support and Homesickness Incidents in Overseas Students at the Faculty of Health Sciences, Muhammadiyah University, Jember

Overseas students are students who are studying outside their area of ​​origin. Some overseas students tend to experience homesickness because they miss their parents and hometown, so they need support from their environment. Social support is information and feedback from other people that shows that someone is loved and cared for, appreciated and respected and is involved in a network of reciprocal communication and obligations. Quantitative research with a cross-sectional approach. The population in this study were overseas students at the Muhammadiyah University of Jember, Faculty of Health Sciences Class of 2023. The population in this study was 53 overseas students with a sample size of 47 people and was taken using simple random sampling techniques. The statistical test between peer support and the incidence of homesickness as measured using Spearman rho with α = 0.05 resulted in p value = 0.000, and r = -0.625, meaning that there is a relationship between social support from peers and the incidence of homesickness in overseas students. The suggestion of this research is that health institutions are advised to provide education related to social support from peers, especially overseas students, so that they are able to adapt to new environments.

The Relationship Between Students' Attitudes Towards Violence Against Women And Their Depression

Background: Violence against women, especially by an intimate partner in its various forms (sexual, physical, or stalking), and childhood violence (sexual or physical) are common and are associated with depressive symptoms. Method: The sample of this descriptive-analytic research was consisted of 895 students attending to the Faculty of Health Sciences of a public university in the East of Turkey. Data were collected between October and November 2021 via the "Personal Description Form", "ISKEBE Attitudes Towards Violence Against Women Scale" and "Beck Depression Scale". Descriptive statistics, independent group t-test, Pearson correlation analysis, Chi-square, and ANOVA tests were used for statistical analysis. Results: More than half of the students (56.1%) stated that they were exposed to violence. Verbal violence was reported to come from mothers (24.5%), fathers (20.0%) and sibling (20.2%). In addition, 23.2% of the students experienced emotional violence from their friends and 14.7% from their partners. The majority of participants indicated that an apology typically follows an act of violence as a means of restoring peace and order (28.3%). Attitude towards the body sub-dimension of ISKEBE was significantly related with the exposure to violence in general, experience of emotional and sexual violence, gender, grade and mother's educational level. Beck Depression Scale scores were significantly higher in students exposed to violence, were married, were in first grade and those under the18 years of age Conclusion: In this study, we found that as the age of the students increased, their attitudes towards violence against women became increasingly positive. The depression score of the students who had been exposed to violence at any point in their lives was found to be higher than those who had not experienced violence. Furthermore, it was observed that while students' depression scores increased, ISKEBE scores decreased. This indicates that individuals with elevated depression scores tend to adopt a positive approach to the issue of "violence against women". Nurse educators and nurses should plan interventions to protect the mental health of nursing students and to increase their awareness of violence against women.

Analysis and relationship between the volume of upper limb lymphoedema and pressure pain threshold, neural range of motion, pain intensity, kinesiophobia, pain hypervigilance and catastrophizing in breast cancer survivors.

Lymphedema of the upper limbs and persistent pain are frequent sequelae after surgical treatment of breast cancer. The aim of this paper was to analyze the upper limb volume, pressure pain threshold, neural range of motion, pain intensity, kinesiophobia, pain hypervigilance and catastrophizing in patients with and without lymphoedema after breast cancer surgery. Secondly, we aimed to investigated the association between upper limb volume and these variables. Descriptive observational study. Faculty of Health Sciences of the University of Granada. Fifty-eight post-surgical breast cancer survivors, 29 with upper limb lymphoedema and 29 without lymphoedema. We measured upper limb volume (perimetric method). Also, pressure pain thresholds were assessed with a digital algometer, neural range of motion (neurodynamic test for radial, ulnar and median nerves), pain intensity (visual analogue scale), kinesiophobia, pain hypervigilance and catastrophizing (validated tests). To detect differences between the groups for the measurement variables we performed a t-test for independent samples analysis. A simple linear regression analysis adjusting for age and body mass index was performed to check the association among upper limb volume and pain variables in the group with lymphoedema. The analysis showed that lymphoedema group had lower pressure pain threshold bilaterally in the masseter (origin P≤0.036; insertion P≤0.046), temporalis (insertion P≤0.021), suboccipitalis (P≤0.036); second (P≤0.014), third (P≤0.001) and tenth rib (P≤0.001); affected side of the temporalis (origin P=0.025); temporomandibular joint (P=0.024); neural range of motion in the median nerve (P=0.047), ulnar (P=0.042) on the affected side and radial (P=0.039) on the unaffected side; and greater kinesiophobia (P=0.042). Linear regression analysis only showed a significant association between upper limb volume and neural range of motion in the radial nerve (P=0.020) in the lymphedema group. No significant associations were obtained for the rest of variables. These findings suggest that the presence of lymphoedema may contribute to an increased level of generalized mechanosensitivity and fear to movement in this population. Upper limb lymphedema can lead to heightened mechanosensitivity and movement-related fear in breast cancer survivors. Therefore, fast track rehabilitation approach should be focus in screening and rehabilitation methods for detection and control this sequalae.

Researching Student Profiles in the Department of Child Development at Istanbul Gelişim University

Aim: This research is a descriptive study aimed at determining the profile of students enrolled in the Department of Child Development within Istanbul Gelisim University's Faculty of Health Sciences. Method: The study group consists of 389 students studying in the child development departments providing education in Turkish and English. In the study, 259 students who agreed to participate in the study were included without any sample selection. Result: Research findings have shown that the majority of child development department students are satisfied with both the department and the university. They choose the child development department voluntarily and rank it among their top three choices in the university preference form. Additionally, they have positive feelings towards both the department and the university. Conclusion: As a result of the research, it was determined that the students were satisfied with their departments and the university. Personality characteristics, professional knowledge, skills, and attitudes of child development professionals directly affect the target audiences with whom they will interact. For this reason, to train qualified child development experts, it is thought that it would be beneficial to take encouraging measures for candidates who will choose the child development profession and to support existing child development experts while doing their profession and help them solve the problems they encounter.

Optimization of Complete Blood Count Results with Variations in Specimen Handling and Whole Blood Secondary Homogenization Techniques

Specimen homogenization and the addition of anticoagulants are pre-analytical steps that influence the accuracy of the test results. Complete blood count (CBC) is a screening test that supports disease diagnosis and aids in determining the appropriate therapy for patients. Inadequate specimens are inappropriate for subsequent testing, as they can lead to inaccurate results in the CBC examination. This study aims to determine the optimization of complete blood count results with variations in specimen handling and secondary homogenization techniques for whole blood. The type of research used is quantitative analysis using laboratory experimental methods. The study was conducted in May 2024 in the Clinical Pathology Laboratory of the Diploma-4 Medical Laboratory Technology Study Program, Faculty of Health Sciences, Muhammadiyah University of Sidoarjo, using 48 blood samples. The results of the MANOVA test indicate that the type of anticoagulant has a significant effect on the erythrocyte count (p=0.041) but does not have a significant impact on the leukocyte count (p=0.844) and platelet count (p=0.920). Meanwhile, the homogenization technique does not significantly affect the erythrocyte count (p=0.959), leukocyte count (p=0.991), or platelet count (p=0.867). This study concludes that the secondary homogenization technique has no significant effect. In contrast, the type of anticoagulant significantly impacts the results of the Complete Blood Count (CBC) test. This research suggests collecting whole blood specimens using Ethylene Diamine Tetra Acetate (EDTA) vacutainers as the anticoagulant and applying a secondary homogenization technique before performing the CBC analysis.

The effect of social media uses on mental health: study among health vocational student at Universitas Esa Unggul, Jakarta, Indonesia

Background: Social media has growth significantly in terms of quality, consumption, and quantity. Social media consumers have made online social communication an important part of their daily lives, as evidenced by the increasing number of daily users. Many studies on the effects of social media have been conducted, and it has been found that frequent use of social media sites can be linked to negative symptoms and indicators of depression, anxiety, and stress. The purpose of this study is to determine the impact of social media use on the mental health of vocational students at the Faculty of Health Sciences, Esa Unggul University. Methods: This study used a cross-sectional design with a Chi-square test. Data were collected using the General Health Questionnaire 12 (GHQ-12) to assess mental health levels. Data on characteristics and social media usage behaviour were collected by asking a series of questions through a questionnaire. Results: The results of this study showed that 60.2% of the 108 respondents used 3-4 social media applications. A total of 47.2% of respondents accessed social media for more than 4 hours per day, and only 22.2% accessed social media for less than 2 hours per day. There was a significant relationship between the duration of social media use and mental health levels (p value=0.001). Meanwhile, there was no significant relationship between the number of applications used and mental health levels (p value=0.475). Conclusions: Based on the above study results, it is expected that students can limit the intensity of their daily social media use.

Effectiveness of Smoke-Free Campus Implementation on Smoking Behavior Control

The tobacco industry is a significant obstacle in the effort to control smoking behavior, especially since they are allowed to promote their products to the public, including students. To address this issue, the Ministry of Health developed a smoke-free zone that may be implemented in universities to reduce smoking rates among adolescents. To know the effectiveness of implementing a smoke-free campus policy on smoking behavior control at Universitas Prima Indonesia by assessing aspects of student knowledge and compliance levels. This research is a descriptive quantitative study with a cross-sectional design and uses purposive sampling techniques with the criteria of active smoker students, 74 people in the medical study program of the Faculty of Medicine, Dentistry, and Health Sciences at Universitas Prima Indonesia. Data was obtained in February-April by distributing questionnaires directly to student smokers. The results showed that smoking behavior control among students increased in 50 (67.6%) out of 74 respondents. This is supported by the relationship between the level of knowledge and students' attitudes toward smoking behavior control in the smoke-free campus area, as indicated by a p-value<0.05 (0.005<0.05 and 0.001<0.05). This study found that students’ knowledge and attitudes towards smoke-free campus areas are important aspects influencing the effectiveness of the smoke-free campus policy in controlling smoking behavior.