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BACKGROUND The exact incidence of infertility is not yet known with certainty, it varies greatly depending on geographical conditions, culture and social status of the country. Women who marry at an old age or mature and work actively will greatly affect a woman's fertility. It is estimated that around 2 million new infertile couples appear every year and this number continues to increase. It is estimated that a healthy couple will get fertilized within 1 year (Nuparma, 2017). Infertility data in the world according to the World Health Organization (WHO) and other reports estimates that 8-12% of couples experience infertility problems during their reproductive years. If eight percent of the global population figure is around 60-80 million couples who have not had children. OBJECTIVE To analyze the factors that influence the occurrence of primary infertility in couples of childbearing age at the Pegajahan Community Health Center, Pegajahan District, Serdang Bedagai District in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS: There is a significant relationship between age, menstrual cycle and no history of PMS and employment with the incidence of infertility and is a risk factor that has a significant influence on the incidence of infertility. Suggestions are given for research and for research sites and for educational institutions regarding exclusive breastfeeding and the implementation of IMD for newborn babies

Service quality can be measured by comparing perceptions between the expected service and the service received and felt by the patient. Patient satisfaction is the level of patient feelings after comparing with his expectations. If a patient is satisfied with the value provided by a product or service, it is very likely that they will become a customer for a long time. The aim of this research is to analyze the relationship between service quality in the registration section and patient satisfaction for pregnant women at the Highlands Assistant Health Center, Highlands District, Binjai City in 2023. The type of research used in this study is analytical with a cross-sectional approach with the research sampling technique being non-probability sampling. or non-random sampling was carried out at PMB Tuti Khairina, Serdang Bedagai Regency with a sample of 32 KF 1 post partum mothers from February to May 2023. The results of the chi-square test obtained a p value = 0.001 (p <0.05). This means that there is The Relationship between Early Initiation and the Smooth Expenditure of Breast Milk in Post Partum KF 1 Mothers in PMB Tuti Khairina Serdang Bedagai Regency in 2023    

Pityriasis capitis (dandruff) is a scalp disorder characterized by white scales and itching which causes a dilemma for sufferers because it can reduce appearance or attractiveness and cause a student to lack self-confidence. Pityriasis capitis (dandruff) is experienced by all groups, from children, teenagers to the elderly, of all genders. Paskibra members are an example of teenagers who often do outdoor activities. This research aims to identify the fungus Pityrosporum ovale which causes dandruff in Paskibra members. The research design used was descriptive observational, where the main aim was to obtain an overview of the Pytorosporum ovale fungus on the scalp of Paskibra SMA “X” Tangerang City and the sample of this study were 19 Paskibra members. The repair materials were scalp scrapings on dandruff sufferers to do microscopic examination with 10% KOH and Lactophenol Cotton Blue then followed by culture on Sabouraud Dextrose Agar with chloramphenicol at 37OC for 2-5 days. The results of the research on 19 respondents conducted at SMA “X” Tangerang City showed that 18 respondents (95%) were positively infected with the fungus Pityrosporum ovale and 1 respondent (5%) was negatively infected with dandruff. Macroscopically Pityrosporum ovale has a morphological form that is white in color and fine textured and microscopically has morphological characteristics of microconidia oval and budding.

Worms are one of the Neglected Tropical Disease (NTD) or neglected tropical diseases in Indonesia, this disease can attack all ages but mostly attacks children of unschooled age and elementary school age. This helminthic disease generally attacks people in developing countries, especially in people with low socioeconomic in rural areas. Poor environmental sanitation accompanied by an unhealthy lifestyle of the community is one of the factors in the ease of breeding worms. The purpose of this study was to determine the picture of worm egg infection in the feces of elementary school children in Karang Anyar Village, RT/01, RW/01, Kemiri District, Tangerang Regency. This research method was carried out by conducting fecal sampling in Karang Anyar Village RT/01 RW/01, Kemiri District, Tangerang Regency and examination of fecal samples by sedimentation method. The results of the examination of worm eggs in feces obtained negative results from 21 fecal samples.

Human Immunodeficiency Virus (HIV) is a virus attacking the human immune system can cause AIDS. Increasing HIV cases and there is transmission in teenager caused by their ignorance about information in risky things. Efforts that can be done is to provide prevention education to teenager. This prevention can be done using ABCDE method (absence of sex, be faithful, condom, drug no/not use drugs, education). It is known different levels of pre and post teenager knowledge about risk prevention education of HIV transmission.Tthis research is a quantitative research and uses a pre-experimental method with one group pretest-posttest design approach. Population in this research is ten grade totaling 524 studnts and sampling 45 respondents. Sampling uses non probability aksidental sampling technique. Education is given through animated videos. Data is analyzed using wilcoxon sign test.The result of this research is majority of respondents aged 16 years totalling 25 (58.1%). Majority of gender is 24 (55.8%) female. Statistical analysis result of wilcoxon sign test is got by p-value of 0.001 (<0.05), so that it can be interpreted that there is different levels of pre and post teenager knowledge about risk prevention education of HIV transmission. This research is expected to give resources about risk prevention of HIV transmission in students and can give motivation to the school in school facilities that can increase knowledge about health.

Background: Knowledge about wound care in families and patients with diabetes mellitus foot wounds needs to be increased so that families can assist in the optimal wound healing process and patients can understand more about wound care. The need for education with booklets and audiovisual media for families of diabetes mellitus patients is to increase the effectiveness of family understanding in detecting signs of diabetes mellitus foot problems and appropriate treatment. The purpose of the case study is to illustrate the application of education using booklets and audiovisual media to increase family knowledge about the treatment of diabetic foot wounds in the Sekaran Health Center target area. This research method uses a case study with a descriptive approach. The results of the study regarding family knowledge about the treatment of diabetes mellitus foot wounds were obtained in subject I before receiving education a good level of knowledge with a score of 24, after receiving education a good level of knowledge with a score of 28, subject II before receiving education a moderate level of knowledge with a score of 19, after receiving education level of knowledge is good with a score of 26. Conclusion: health education is very important to increase family knowledge about the treatment of foot wounds with diabetes mellitus, carried out at the Sekaran Health Center.

Background: Hypertension is an increase in systolic blood pressure of more than 140 mmHg and systolic blood pressure of more than 90 mmHg on two measurements with an interval of five minutes in a state of sufficient or rest/calm. Based on visit data at the general poly at the Regional Technical Implementation Unit (UPTD) of Sungai Durian Health Center, namely in 2020 as many as 46cases, in 2021 as many as 54 cases and in 2023 as many as 32 cases with the highest cases every year in the Kapuas Kanan Hulu Village area as many as 24 cases. Objectives: In general, this study aims to determine the factors associated with the incidence of hypertension. Methods: This research is a quantitative research design using a cross-sectional approach, the population in this study is the community with an age range of 18-45 years as many as 5,022 with a sample of 58 respondents. Data analysis using chi square test. Results: there is a relationship between age (p value 0.040), gender (p value 0.022), history of hypertension (p value 0.006), attitude (p value 0.017), knowledge (p value 0.012), physical activity (p value 0.032), stress (p value 0.001) and smoking (p value 0.015) with the incidence of hypertension. Conclusion: There is a relationship between age, gender, history of hypertension, attitudes, knowledge, physical activity, stress and smoking with the incidence of hypertension.

Immunization is one of the main goals of vaccination, which is basically can have passive or active immunity. Immunization is carried out in order to prevent the occurrence of diseases that can be prevented by carrying out immunization. The government is obliged to provide complete immunization for every baby and child. This study aims to analyze family knowledge and support for the completeness of basic immunization in the working area of the Parsoburan Health Center. This type of research is a quantitative study using a cross sectional approach. The number of samples in this study were 40 research samples. After conducting the research, it can be concluded that there is a relationship between knowledge and the infant's immunization status, a p-value of 0.000 is obtained, which is less than 0.05. There is a relationship between family support and infant immunization status with a p-value = 0.000 where the value is less than 0.05. It is hoped that the puskesmas will always provide information related to basic immunization for infants.

Background: Hallucinations are false perceptual distortions that occur in maladaptive neurobiological responses, sufferers actually experience sensory distortions as real things and respond accordingly. Hallucination sufferers will find it difficult to distinguish between stimuli that arise from internal sources such as thoughts, feelings, somatic sensations and external impulses and stimuli. According to the World Health Organization 2019 mental disorders around the world, according to data, there are 264 million people experiencing depression, 45 million people suffering from bipolar disorder, 50 million people experiencing dementia, and 20 million people experiencing schizophrenia. In this study, how to see an increase in the ability to control hallucinations by using the AHRS scale used to measure the score of auditory hallucinations Objective: Determine the results of the application of generalist hallucination therapy with increased ability to control hallucinations with hallucinatory sensory perception disorders Method: The application of generalist therapy was carried out using a case study descriptive method to 2 respondents for 2 consecutive days. The instrument used is the Auditory Hallucinations Rating Scale (AHRS). Results: based on the results of the application that has been carried out, there is a decrease in the symptoms of auditory hallucinations in patients, with a comparison of the final results between the two respondents for the level of auditory hallucinations, namely 29:34. Conclusion: Generalist therapy can be used as an intervention to improve the ability to control hallucinations in patients with auditory hallucination psychiatric disorders.

Old age is one of the risk factors that affect hypertension because the higher the age, the higher the risk of getting hypertension, this is caused by natural changes in the body that affect blood vessels, hormones, heart. by using non-pharmacological treatment, namely the administration of cucumber infused water and acupressure therapy at the point of LI 4 (Hegu) can reduce blood pressure for people with hypertension.  Purpose : This study aims to determine the effectiveness of cucumber infused water and acupressure therapy at the point of LI 4 (hegu) on reducing hypertension in the elderly. Methods: The population in this study was the elderly affected by hypertension with a total of 240 patients. In this study, the sample number was 30 respondents with each intervention group of 15 respondents. The type of this study is quantitative research that uses a two-group pretest-postest experimental model and is analyzed using statistical tests. Results: Based on the results of the study, it can be concluded that the results of the Wilcoxon test data there is an effectiveness between the administration of cucumber infused water and acupressure therapy at the LI4 (Hegu) point against reducing hypertension. With the results of v – palue 0.003 for the results of cucumber infused water against reducing hypertension and p-value 0.002 for the results of giving acupressure therapy at the LI4 point (Hegu) against reducing hypertension. In this study, there was a significant influence before and after intervention and blood pressure measurement was given in the working area of the Karangtengah Health Center. Conclusion : the effectiveness of cucumber infused water intervention and acupressure therapy at the LI4 (Hegu) point for the elderly affected by hypertension in the working area of the Karangtengah Health Center.

Background: Based on data from the World Health Organization for 2021, it is stated that the number of maternal deaths in the world reaches 830 people every day caused by complications of pregnancy or childbirth and most maternal deaths occur in developing countries including Indonesia. AKI in Indonesia in 2021 will reach 830 people. At the UPTD Puskesmas Cibugel, it was recorded that the number of pregnant women with CED in 2022 was 47 out of 359 people with a percentage of 13.2%. Objective: to determine the factors associated with Chronic Energy Deficiency (CED) in Pregnant Women at the UPTD Health Center Cibugel, Sumedang Regency in 2023. Design: quantitative study using a cross-sectional survey approach. The study population was 32 pregnant women in the working area of the UPTD Puskesmas Cibugel in the period April - May 2023. The sample technique used total sampling. Results: there is a relationship between health conditions (nutrition status) and KEK in pregnant women. There is a relationship between age and CED in pregnant women and there is no relationship between parity and CED in pregnant women. Conclusion: factors associated with the incidence of CED include nutritional status and age. Meanwhile, parity has no relationship with the occurrence of KEK. It is recommended to increase cooperation in efforts to prevent and reduce KEK in pregnant women through cross-programs and cross-sectors.

Based on data from the World Health Organization, the prevalence of anemia in pregnant women worldwide has decreased by 4.5%. In Sumedang Regency in 2022 the number of pregnant women is 17,877 and there are 491 pregnant women who experience anemia, including the UPTD area of the Cibugel Inpatient Health Center. The aim of the study was to determine the relationship between the knowledge of first trimester pregnant women and the incidence of anemia in the UPTD area of the Cibugel Inpatient Health Center, Sumedang Regency, in 2023. This research was a quantitative study with a cross sectional survey approach. The population of this study were all pregnant women in the working area of the UPTD Puskesmas Cibugel, totaling 167 people. The sampling technique used accidential sampling to produce 39 research samples. The results showed that most of the respondents had sufficient knowledge of 24 people. Most of the respondents did not experience the incidence of anemia in pregnancy as many as 26 people and there was a relationship between knowledge and the incidence of anemia in pregnancy with a value of p = 0.001 <? = 0.05 so it can be concluded that most of the respondents had sufficient knowledge and did not experience anemia in pregnancy and there was a relationship between respondents' knowledge of the incidence of anemia in pregnancy in the UPTD area of the Cibugel Inpatient Health Center, Sumedang Regency in 2023. It is recommended that pregnant women take an active role in fulfilling information from various media, especially about anemia..    

Background: Hypertension is a health problem in all parts of the world and one of the main risk factors for cardiovascular disease. It is estimated that 1.28 billion adults aged 30-79 years worldwide suffer from hypertension as well as the Karanganyar District Hospital where there have been 889 cases with hypertension since the last 1 year. One of the non-pharmacological therapies that can be used for hypertension is foot massage. Foot massage is one of the complementary therapies currently used for hypertension. Objective: To find out the results of the implementation of giving foot massage to reducing blood pressure in 2 respondents with hypertension at the Karanganyar Regency Hospital. Methods: Using a descriptive method with a case study design approach, respondents used 2 hypertensive patients. Determination of respondents according to the inclusion and exclusion criteria was carried out for 3 days. Foot massage and blood pressure measurement using a sphygmomanometer Results: Providing foot massage was able to reduce blood pressure in 2 respondents at the Karanganyar District Hospital Conclusion: There were changes in 2 respondents after foot massage was carried out for 3 days at the Karanganyar District Hospital.

This study was conducted to determine the antimicrobial effectiveness of chemical compounds from the water fraction of leunca fruit. Leunca fruit extract was obtained by maceration, then the results of maceration were evaporated and then fractionated. Antimicrobial activity testing was carried out using the agar diffusion method against Staphylococcus aureus ATCC 25923, Escherichia coli ATCC 25922 and Candida albicans ATCC 01231. The concentration variations of leunca fruit water fraction used were 10%, 20%, 30%, 40%, and 50%. The results of the antimicrobial activity test of leunca fruit water fraction compounds obtained the average inhibition diameter of Staphylococcus aureus ATCC 25923 microbes respectively 7.5 mm; 8.3 mm; 8.8 mm; 9.5 mm; and 10.4 mm. On the microbe Escherichia coli ATCC 25922 consecutively 7.8 mm; 8.1 mm; 9.3 mm; 10 mm; and 11.4 mm. while on the microbe Candida albicans ATCC 01231 the diameter of the bland chemical compound of leunca fruit water fraction is only found in the 50% concentration variation with an average inhibition diameter of 9.1 mm. Based on the results obtained, it can be concluded that the water fraction of leunca fruit (Solanum Nigrum L.) has activity as an antimicrobial against Staphylococcus aureus ATCC 25923, Escherichia coli ATCC 25922 and Candida albicans ATCC 01231 with the largest inhibition zone diameter shown in the 50% concentration variation.

Sectio caesarea (SC) is a surgical procedure performed to give birth to a baby. Caesarean sectio action can cause anxiety in preoperative mothers. Anxiety can cause discomfort, so therapy is needed to reduce anxiety levels. Giving lavender aromatherapy and lullaby classical music can reduce anxiety. This study aims to determine the effect of lavender aromatherapy and lullaby classical music on the anxiety level of preoperative sectio caesarea mothers at SMC Telogorejo Hospital. This type of research is a quasi experiment with a pretest-posttest design without a control group design, the consencutive sampling used is accidental, with a total sample of 40 respondents. The characteristics of the respondents were obtained by all respondents aged 20-30 years by 40 (100%), tertiary education by 30 respondents (75%), primigravida 21 respondents (52.5%). Wilcoxon test results, obtained a p-value of 0.000. So it can be concluded that giving lavender aromatherapy and lullaby classical music can reduce the level of anxiety in preoperative sectio caesarea mothers. For future research, it is expected to pay attention to the duration and the most effective time to reduce anxiety levels after being given an intervention.

Background: Cervical cancer is a type of deadly malignant cancer that attacks women. So that it can affect the quality of life for sufferers and Self Efficacy is needed. Purpose: Knowing the relationship of self-efficacy to the quality of life of cervical cancer patients. Research method: Quantitative research design with a sample of 50 respondents, the technique used is purposive sampling. Results: Based on age, education, and length of illness, bivariate results obtained using the sperman rank correlation test showed that the p-value was 0.002 (<0.05) meaning that there was a significant relationship between self-efficacy and the quality of life of cervical cancer patients. The correlation coefficient value obtained was 0.429, meaning that the relationship between self-efficacy and the quality of life of cervical cancer patients showed a moderate relationship with a positive direction, meaning that the higher the self-efficacy, the better the quality of life of cervical cancer patients. Suggestion: Future researchers can focus on one respondent who is undergoing chemotherapy or who is currently on an outpatient basis.

Background: The prevalence of extreme pain in medical and surgical patients admitted to the Intensive Care Unit (ICU) is more than 80.0%. One of the nonpharmacological therapies that can be used to control pain is the distraction technique with music therapy, where this application uses gamelan music therapy. Objective: To determine the results of the implementation of gamelan music therapy to reduce postoperative pain intensity in the Intensive Care Unit of Pandan Arang Hospital Boyolali. Method: The design used in this application is using a descriptive case study approach. Application is carried out for 30 minutes 2x a day in 4 consecutive days. Findings: Comparison of the final results of application showed that on the 4th day after the implementation of the VDS scale the two respondents were the same, namely on the pain scale 3. The results of the CPOT scale on the 4th day of Mrs. W after implementation are a scale of 4. The results of the CPOT scale on the 4th day of Mrs. S after implementation are a scale of 3. Implication: From the final results of the application before and after it can be concluded that gamelan music therapy can reduce the intensity of pain in postoperative patients in the ICU of Pandan Arang Hospital Boyolali.  

Background: Most hypertensive patients do not exhibit symptoms, although some symptoms occur unintentionally and are believed to be related to hypertension. This results in an increase in blood pressure with advancing age. Aging causes physiological changes in the body, such as the thickening of arterial walls due to the accumulation of collagen in the muscle layer, leading to the narrowing and stiffening of blood vessels starting at the age of 45 years. Objective: Aims to determine the results of implementing Isometric handgrip exercise in elderly hypertension patients. Method: A descriptive research design with a case study approach was conducted on two respondents. Results: Before the implementation of Isometric handgrip exercise, both respondents were at moderate risk of hypertension, however after performing the Isometric handgrip exercise with two contractions lasting 45 seconds each and a 15-second rest between the contractions, their blood pressure decreased. Conclusion: Isometric handgrip exercise shows a good influence on elderly hypertension patients.

Background: The prevalence of fractures in Indonesia is quite high, namely the incidence of fractures in the lower extremities is 46.2%. The habit of patients with extremity fractures does not mobilize, causing a negative impact on muscle and joint strength, namely physical mobilization barriers and followed by muscle atrophy. One of the efforts to improve muscle and joint strength is to do Range Of Motion independently. Objective: To determine the application of active Range Of Motion to muscle and joint strength in post op patients with extremity fractures in the operating room of RSUD Pandan Arang Boyolali. Method: This application is descriptive in the form of a case study conducted on 2 respondents using the standard operating procedure Range of Motion and the MMT (Manual Muscle Testing) observation sheet. Findings:  Before and after the application of active Range Of Motion, recovery of muscle and joint strength was obtained in the two respondents, Mrs. R from the value of bad muscle and joint strength to good and Mrs. S of the value of muscle and joint strength is slightly worse. Implication There are differences in development before and after active Range Of Motion in fracture post op patients

The perperium or postpartum period begins after parturition from 6-48 hours, and from 3-28 days until it ends approximately 29-42 days after delivery. The research design is a two group pretest post test design. The population in this study were all postpartum mothers who were selected from the Halilulik Health Center in Belu Regency based on the average deliveries per month with estimated days of birth (HPL) June-July 2019 which is 75. A sample of at least 10 postpartum women is added 20% of the sample size, namely 2 to 12 to anticipate samples that drop out. The results showed that there was a significant difference in the milk production of postpartum mothers before and after oxytocin massage and breast care with a p-value of 0.000. In conclusion, oxytocin massage is more effective than breast care in increasing the milk production of postpartum mothers with a p-value of 0.000.