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The background of this research is relevant to evaluate and improve services in Mayapada Hospital Kuningan , especially in the obstetrics polyclinic. By understanding the relationship between family support and medical personnel, medical personnel competence, patient experience to the obstetrics polyclinic as an intervening variable, and the decision of the birth plan. In addition, there is also a need to evaluate the factors that influence the decision of the birth plan. The purpose of the study is to analyze influence family support and medical personnel, the competence of medical personnel simultaneously with patient experience at the obstetrics polyclinic regarding the decision to plan childbirth at Mayapada Hospital Kuningan. Method Study, this is study associative causality with cross sectional design. This study aims to determine the influence of family support and medical personnel (X1), the competence of medical personnel (X2) on the decision of birth plan (Y) with the patient's experience to the obstetric polyclinic as an intervening variable (Z). The findings of this study are from the statistical test analysis we can find that the most influential variables on the decision of birth plan are family support and medical personnel. The results of the study say that the patient's experience to the polyclinic as an intervening variable does not affect the decision of birth plan. The implications of this study can help management in improving the system for family support and medical personnel, the competence of medical personnel and the patient's experience to the obstetric polyclinic so that it is expected to improve the decision of birth plan to the hospital.

Breast Milk (ASI) is the primary source of nutrition for infants and provides long-term health benefits. However, some mothers experience insufficient breast milk production. Moringa leaves (Moringa oleifera) are known as a natural galactagogue that can enhance breast milk production. This study aims to evaluate the effectiveness of moringa leaves in increasing breast milk production through a systematic literature review and meta-analysis. Literature searches were conducted in the PubMed, Scopus, and Cochrane Library databases using relevant keywords. The meta-analysis results showed that moringa leaf supplementation significantly increased breast milk volume and prolactin levels compared to the control. However, further research is needed to evaluate its mechanism of action and long-term safety.

This study analyzes the intergenerational transmission of war trauma across three generations of Palestinian families through a systematic meta-analysis of 47 longitudinal studies (1948–2024), comprising 12,873 participants. The findings confirm a PTSD prevalence rate of 73.4% in the first generation (n=4,291), 61.2% in the second generation (n=4,582), and 48.7% in the third generation (n=4,000). Furthermore, hierarchical regression analysis reveals a significant correlation between the severity of first-generation trauma and its manifestation in subsequent generations (r=0.68, p<0.001). The most dominant intergenerational trauma symptoms include anxiety (89.3%), depression (82.1%), and attachment disorders (76.5%). Structural equation modelling identifies three primary mediators of trauma transmission: parenting patterns (?=0.59), family trauma narratives (?=0.47), and epigenetic factors (?=0.41). Consequently, this study extends the findings of Danieli et al. (2016) on intergenerational trauma mechanisms and contributes to Kellermann's (2013) theoretical model on protective factors in trauma resilience. Unlike previous research by Hassan (2019), which focused on two generations, these findings reveal an adaptive pattern in the third generation through the development of collective resilience (82.3%) and positive coping strategies (77.8%), offering a novel perspective on the potential for intergenerational trauma healing in the context of prolonged conflict.

This case report discusses a 54-year-old female patient diagnosed with Stage V Chronic Kidney Disease (CKD) undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD). The patient presented with clinical symptoms such as nausea, vomiting, abdominal pain, and reduced ultrafiltration volume, raising suspicion of Encapsulated Peritoneal Sclerosis (EPS). EPS is a rare but serious complication in long-term CAPD patients. Management includes discontinuation of CAPD, adequate nutritional support, and symptomatic therapy. This report aims to enhance understanding of the diagnosis and management of EPS in Stage V CKD patients.

Diabetes Mellitus is a condition that continues to worsen and requires adjustments to one's way of life, especially regarding diet. This adjustment can cause anxiety for the individual who experiences it, so self-management is needed in the diabetes treatment process. Objective: To determine the relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet at the Jampangtengah Community Health Center, Sukabumi. Method: Cross-sectional research with 79 samples using purposive sampling. Data analysis was carried out using the chi-square test. Results: The statistical test shows a p value = 0.000 (<0.05), which means there is a significant relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet in the working area of ??the Central Jampang Health Center, Sukabumi Regency. Conclusion: There is a relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Compliance with iron and folic acid supplementation is an important factor contributing to the prevention and treatment of anemia in pregnant women to meet the nutritional needs of the fetus during pregnancy. The use of mobile health interventions (mHealth) such as SMS reminders, voice messages, videos and telephones can provide behavioral support and health education needs of pregnant women. determine the effectiveness of mHealth use on compliance with iron and folic acid supplementation (IFAS) among pregnant women. Systematic review and meta-analysis wre conducted using PRISMA guidelines and PICO models which included Population = pregnant women; Intervention = mHealth, Comparison = does not use mHealth; Outcome = compliance with iron and folic acid supplementation. Articles were collected through databases such as BMJ, Google Scholar, PubMed, Open Journal System. 6 articles met the inclusion criteria for meta-analysis and were assessed using RevMan 5.3. Meta-analysis from Kenya, India, Brazil and Indonesia showed that pregnant women who used mHealth services were 1.87 times more likely to adhere to iron and folic acid supplements compared to those who did not use mHealth and the effect was statistically significant (OR= 1.87; 95% CI= 1.10 to 3.16; p <0.001). The use of mHealth can improve compliance of pregnant women in consuming iron and folic acid supplements.

Colostrum is the first fluid secreted by the mammary glands. The highest content in colostrum is antibodies that are ready to protect the baby when the baby is still very weak. The protein content in colostrum is higher than the protein content in mature milk. The purpose of this study was to analyze the factors of colostrum administration to postpartum mothers in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The method in this study is an analytical research type with a research design using cross-sectional, namely a study in which variables including risk factors and variables including effects are observed at the same time. This study uses data taken retrospectively. This research was conducted in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The population in this study was 35 people, then the sample was part of all the objects studied and was considered to represent the entire population (Notoatmodjo, 2015). The number of samples used was 29 people using the Accidental Sampling technique. Data collection techniques using questionnaire sheets and respondent observation sheets. Data analysis techniques using the chi-square statistical test show that the p-value shows that p = 0.005 which means Ho is accepted (p value <0.05), so it can be concluded that there is a significant relationship between the knowledge category and the provision of colostrum. Conclusion: This study means that there is a significant relationship between the factors of Knowledge, Family Support, Support, Information Sources, Parity, Role of Health Workers, Provision of Colostrum in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022.

Background. City Ambon is Mother city province Maluku Which consists of from 5 sub-district, and has a population that is increasing day by day Which not balanced with the area. The density of motorized vehicles is increasing also increased with the presence of various vehicles. This will potentially increase the level of pollution air Which caused by by a number of pollutant Which produced from disposal smoke motorized. Objective. For know quality air ambient at Mardika terminal Ambon city. Methods. Type study This is study descriptive that is study about inspection level nitrogen dioxide (NO 2 ) at the terminal Mardika city Ambon, with study direct to field For to obtain sample Which Then done examination at the Environmental Health Technology Center (BTKL) Laboratory, Ambon. Results. Measurement temperature at the terminal Mardika Ambon Sunday First 39.9 ºC, Sunday second -34.4 ºC, Sunday third 34.2 ºC, Sunday fourth 29.4 ºC. Measurement speed wind in terminal Mardika Ambon on Sunday First 0.3-1.7 m/sec, Sunday second 1.8 m/s, Sunday third 0.3-1.7 m/sec, Sunday fourth 1.2-3.9 m/sec. Measurement level NO 2 in terminal Mardika Ambon that is Sunday First <5.22 µg/Mm³, Sunday second <5.22 µg/Nm³, Sunday third <5.22 µg/Nm³, Sunday fourth <5.22 µg/Nm³. Conclusion. Measurement Temperature, Speed Wind and Nitrogen Dioxide (NO 2 ) all results measurement fulfil standard.

Arumanis mango rind is an organic waste that contains secondary metabolites such as flavonoids. Many flavonoids are found in the rind of the arumanis mango, which acts as a very strong antioxidant and has the potential to heal wounds, including infected wounds. This study aims to determine the effect of arumanis mango (Mangifera indica L.) rind extract ointment on healing infected wounds caused by Pseudomonas aeruginosa bacteria, determine the effective concentration for healing infected wounds, and the histopathological decripstions. This research was an experimental study using male white rats which were divided into 5 groups, namely group I (control), group II (Gentamicin), group III (5% concentration), group IV (10% concentration) and group V (15% concentration). The parameters observed were the percentage of healing of infected wounds, epithelialization time, and histopathology. Then the data were analyzed using the ANOVA test followed by Duncan's further test.The results of the study were based on the group order above, from the parameters the average percentage of infected wound healing on 3rd day  was 29.73%; 48.84%; 45.95%; 42.81%; 42.33%, on 7th day it was 70.96%; 85.79%; 83.25%; 76.95%; 73.87%, and on the 14th day it was 89.89%; 93.32%; 93.87%; 92.67%; 91.48%. Epithecization time is 9; 6; 7; 8; 9 (day), for histopathology of fibroblast cells with a score of 1; 3; 3; 2; 2; for collagen fibers 1; 3; 3; 3; 3; for re-epithelialization 2; 3; 2; 2; 2; for inflammatory cells 0; 3; 2; 2; 2. The conclusion of the research is that arumanis mango peel extract ointment (Mangifera indica L.) has an influence on the healing process of wounds infected by Pseudomonas aeruginosa bacteria in male white mice, the most effective concentration and the best histopathological descriptions at a concentration of 5%.  

Combined care is a care system where babies and mothers are treated in one unit. In its implementation, the baby must always be by the mother's side from birth until he returns home. The advantages of combined care are that it promotes the use of breast milk, emotional contact between mother and baby is established from an early age, mothers can learn to take care of babies and mothers can immediately report strange baby conditions they encounter. The purpose of this study is to determine the relationship between postpartum maternal knowledge and the benefits of combined care at Bhayangkara Hospital Banjarmasin, South Kalimantan. This research method uses a type of analytical descriptive research with data collection techniques using a cross sectional approach and the instrument used is a questionnaire. The population of this study is all postpartum mothers at Bhayangkara Hospital Banjarmasin with a sampling technique using accidental sampling, with a sample of 30 respondents. The results obtained from the bivariate analysis of the chisquare statistical test showed that the value of p = 0.000 > ? = 0.05. The results obtained were that most postpartum mothers had insufficient knowledge, namely 15 people (50%) with most of them having a high school education of 14 people (46.7%), and never carried out combined care as many as 19 people (63.3%). The conclusion shows that most postpartum mothers have less knowledge about the benefits of combined care at Bhayangkara Hospital Banjarmasin. This shows that a person's level of education also affects the level of mother's knowledge.

One of the government's steps to reduce maternal and infant mortality rates starts from adolescence by giving blood-boosting tablets to pregnant women Anemia is defined as a low hemoglobin (Hb) concentration in the blood. The high coverage of giving 90 Fe tablets to pregnant women does not guarantee a reduction in anemia if adherence to Fe tablets is still low. The research aims to determine the relationship between the level of compliance with the consumption of Fe tablets and the incidence of anemia in third trimester pregnant women. The observational research design uses a cross-sectional design. The research sample of third trimester pregnant women at Bhayangkara Banjarmasin Hospital consisted of 25 respondent. Sampling used Random Sampling technique. Data analysis includes univariate analysis and bivariate analysis using the Chi-Square statistical test. The statistical test results showed that there was a relationship between the level of compliance with the consumption of Fe tablets and the incidence of anemia in pregnant women in the third trimester at Bhayangkara Hospital, Banjarmasin. The lower the mother's level of compliance with taking Fe tablets, the greater the risk of developing anemia. The results of this study were that the majority of respondents studied had non-compliance in consuming blood supplement tablets (28%) and respondents who experienced anemia were (72%). The result was a p value <0.01, so there was a relationship between adherence to iron consumption and anemia. Respondents who did not comply with iron consumption had a 25.0 times greater risk of anemia. The conclusion in this study is that there is a relationship between compliance with Fe tablet consumption in TM III pregnant women and the incidence of anemia at Bhayangkara Banjarmasin Hospital.

Cases of Sexual Violence in Southeast Sulawesi have been increasing from year to year, in Kendari City recorded cases of violence against women and children in the year 2022 from January 2022 to December 2022 as many as 40 cases. There were 38 cases in 2021, while in 2022 there were 40 cases. This research aims to find out the difference in the role of parents in the prevention of sexual violence in school age children between SMAN 1 Kendari and SMAN 3 Kendari. This research uses a cross sectional study design. The population in this research is all 2nd and 3rd grade students who are 758 people in SMAN 1 and 746 people in SMAN 3 in Kendari City. The sample in this research is 85 students of SMAN I Kendari and 85 students of SMAN 3 Kendari, sampling using the proportional random sampling technique using the Mann-Whitney test. Obtained the results of the research by comparing between SMAN 1 & SMAN 3 Kendari City, it is seen that there is no significant difference in the role of parents as counselors, the value of p = 0.134 is found, and there is a significant difference in the role of parents as caregivers, the value of p = 0.000 is found. This research is expected to indicate the importance of the role of parents as a key factor in creating a safe and supportive environment for PKS in children.

Good pharmaceutical procurement management can prevent stock shortages, reduce costs, and improve healthcare service quality. However, issues such as medication shortages, delayed procurement, and discrepancies between demand and supply are still common. This literature review aims to analyze pharmaceutical procurement management in hospital pharmacy units. The literature search yielded 10 relevant articles on pharmaceutical procurement management in hospital pharmacy units. The databases used were Google Scholar, ScienceDirect, and Semantic Scholar. The keywords used were management, pharmaceutical procurement, and hospital. The search results underwent a screening process using the PICO elements and the CRAAP method. The findings indicate that pharmaceutical management in various hospitals has shown progress, but still faces challenges such as inaccurate data collection, delayed drug supply, and storage facilities that do not meet standards. Other obstacles include limited funds, inability to pay on time, and a lack of integrated information systems. However, some aspects are well-managed, such as the use of e-purchasing and proper drug storage categorization.

Herbal cosmetic products are increasingly being used by women nowadays because they are made from natural ingredients which have many benefits. For example, moisturizing the skin, the aim of this research is to discuss what natural ingredients can be used as ingredients in skin moisturizers. The method used in the research uses literature studies from national and international journals. The results obtained from research using this literature study show that the ingredients are natural. which contains ingredients such as hyaluronic acid and glycerin for skin moisture.

The stunting rate of Acehnese toddlers ranks 31st out of 34 provinces in Indonesia at 37, 3 percent. This number indicates that stunting is one of the public health problems in Aceh and become a threat to future generations. This study aims to see the correlation between parenting and stunting incidences of toddlers in Kajhu Public Health Center, Baitussalam, Aceh Besar. This study was a descriptive-analytical study with a cross-sectional design. The interview and questionnaire were used as data collection instruments. The population was mothers with toddlers in Kajhu Public Health Center involving 77 respondents. The sample was determined by non-probability sampling, namely a total sampling technique. The sample was 77 respondents chosen by a Total Sampling technique. This study was done in March 2024 using the Chi-Square Test ( =95%). The result of univariate analysis shows that toddlers with stunting (59, 7%), exlusive breastfeeding (42, 9%), and complementary feeding (36, 4). Further, the result of the bivariate analysis reveals there is a correlation beetwen exclusive breastfeeding (p=0,035), and complementary feeding (P 0,052), towards the stunting incidences of toddlers in Kajhu Public Health Center, Baitussalam, Aceh Besar, 2024. This study recommends that the healthworkers improve the services of Posyandu for infants and toddlers, espicially thise with body weight problems and height to prevent malnutrition and stunting problens.

The nutritional status of toddlers is an important thing that every parent must know. Malnutrition during this golden age is irreversible (cannot be recovered). Malnutrition can affect a child's brain development. Malnutrition among children under five in Indonesia appears to be increasing from year to year. Malnutrition can occur due to internal and external factors that are not prevented or addressed as early as possible and have an impact on health conditions, growth and development of toddlers, and productivity in adulthood. This phenomenon reveals the importance of preventive efforts to prevent the risk of malnutrition in children under five from all possible risk factors. This article aims to review and analyze factors that influence the nutritional status of toddlers through the literature review method. There are 5 main articles used and have been selected through search results on the Google Scholar database. The results of the study found that factors that influence nutritional status in toddler include infectious diseases, knowledge, birth spacing, socio-economics, parenting patterns.

During pregnancy, a woman must be able to adapt to various physical changes that often occur and can cause uncomfortable conditions, such as back pain which begins to be felt in the second and third trimesters. If this condition is not treated immediately, it can cause anxiety and disruption to the pregnant woman's activities. As a way to reduce complaints of back pain, pregnant women can do prenatal gentle yoga exercises. This study aimed to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. This study aims to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. Research method: This research adopted a quantitative design with a Pre-Experimental design, using the One Group Pretest-Posttest method. The sample of pregnant women in the second and third trimesters was 31 respondents. The sampling method involved Total Sampling and the use of a pain level measuring tool with the Numeric Rating Scale (NRS), while data analysis used the Wilcoxon Test. Research Results: Before carrying out prenatal yoga exercises, the majority of pregnant women felt lower back pain on a mild scale, the number of respondents was 17 (54.8%). After doing prenatal yoga exercises twice in 2 weeks, the majority of pregnant women no longer felt back pain, the number of respondents was 18 pregnant women (58%). The p-value of the analysis using the Wilcoxon test is 0.000.

Down Syndrome is a fairly common genetic disorder, this is one of the diseases caused by the emergence of an extra chromosome from 21 pairs of chromosomes or known as trisomy 21. This study aims to determine the provision of Occupational Therapy in Down Syndrome Children at the Liliput Clinic. Occupational Therapy in Improving Fine Motor Skills in Down Syndrome Children and supporting and inhibiting factors. This study uses a Qualitative Method, the informant sampling technique uses the Purposive Sampling Technique. And data collection is obtained from the results of Interviews, Observations, and Documentation. Data analysis is carried out through the stages of Data Reduction, Data Presentation, and Conclusion Drawing. The location of this study is at the Liliput Clinic, Jl. Cipete IV No. 06, Rt. 02 Rw 03, South Cipete, Cilandak District. The results of the study showed that the provision of Occupational Therapy for Down Syndrome Children, namely, Down syndrome children still tend to be limp, such as when doing activities they get tired more easily, then Down syndrome children have not been able to regulate their emotions stably. In improving fine motor skills in Down syndrome children, therapists train and instruct children how to hold objects properly such as pencils, pens and small scissors. Then the child is instructed how to write correctly. Supporting factors in Occupational Therapy for Down Syndrome Children are an experienced therapy background, supporting infrastructure, and support from parents of Down syndrome children. And the inhibiting factors are Down syndrome children who have high emotional levels and physical problems in Down syndrome children.

Background: The highest cause of maternal death is hypertension in pregnancy which includes severe preeclampsia or what we know as PEB. Preeclampsia itself is a pregnancy condition that has problems characterized by hypertension, protein in the urine, and edema that occurs in pregnant women at 20 weeks. If the preeclampsia condition worsens and does not receive proper treatment, pregnant women can experience eclampsia with additional symptoms of seizures. Research Objective: To determine the most influential determinants of the incidence of severe preeclampsia in pregnant women at RSIA Anugrah Kubu Raya. Method: This study used a case-control study design with a retrospective approach. The study sample consisted of 76 respondents (38 controls and 38 cases). Data analysis used logistic regression tests. The study was conducted at RSIA Anugrah Kubu Raya. Results: The most influential determinants were a history of hypertension and a history of preeclampsia. Conclusion: The most influential variable in the incidence of preeclampsia was a history of preeclampsia.