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The good growth period for children aged 7-12 years can be determined by providing nutritional needs in terms of quality and quantity of food and drink consumption levels. Children aged 6-7 years are vulnerable to nutritional deficiencies with nutritional status that can interfere with their development and growth. The aim of the research is to determine the relationship between nutritional intake and the incidence of stunting among toddlers in Miruk Lamredeup Village, Baitussalam District, Aceh Besar Regency. The type and design of this research uses quantitative methods through a cross sectional approach. The population in this study were 64 children aged 1-5 years in Miruk Lamredeup Village, Baitussalam District, Aceh Besar Regency. The sample in this study used Total Sampling, so the sample in the study was 64 children and parents. This research was carried out in Baitussalam District, Aceh Besar Regency. This research was carried out from 01 to 14 May 2024. The results of the research were that there was a relationship between nutritional intake and the incidence of stunting in toddlers in Miruk Lamredeup Village, Baitussalam District, Aceh Besar Regency with a value of p = 0.035. Researchers hope that the parents of respondents can improve the health and quality of life of toddlers by providing appropriate nutritional intake

Acute respiratory infection, or ARI, is an acute inflammation that most often occurs in children. It is caused by infection with microorganisms, bacteria or viruses or without or accompanied by inflammation of the lung parenchyma (David, 2019). Data from the World Health Organization (WHO) in 2019 shows that lower respiratory tract infections reduce life expectancy by 2.09 years in sufferers (WHO, 2019). The group most at risk is toddlers. This research uses a case study approach. Participant 1 was a three-year-old child patient who underwent ARI, data collection using interviews, observation, and physical examination. The tools and instruments used in this research were eucalyptus aromatherapy (eucalyptus oil), warm water and a family nursing care assessment format. After the data was collected, data analysis was carried out using the nursing process. The intervention emphasized airway clearance, but it was not adequate, so Eucalyptus aromatherapy was given for three days. The final evaluation was reached on the 3rd day, and the problem was resolved. The evaluation results showed that giving Eucalyptus aromatherapy to a three-year-old child who had respiratory problems was very effective so that on the third day, the child no longer experienced shortness of breath, the secretions were no longer there, and breathing became more accessible. Conclusions and suggestions for research sites should be made on how to apply eucalyptus aromatherapy to ARI to help expel secretions and relieve breathing.

Background: Workplace stress affects 20% of nurses at RSUD Pringsewu, even though nurses are medical professionals who have continuous direct contact with patients. Perception of workload, perceived urgency, poor supervision, toxic work environment, lack of authority, conflict, and value differences between management and staff are all factors that can cause workplace stress. Of the fifteen nurses surveyed for the preliminary study at RSUD Pringsewu, seventy-three percent said they were bored and tired of their daily routines. Of the fifteen nurses surveyed, 66.7% said that mental burdens such as punctuality were a result of the hospital's work culture. In addition, more than three-quarters of these nurses have been working in the field for at least ten years. Knowing what makes nurses at RSUD Pringsewu anxious in their work in 2024 is the main driving force behind this research. Research method: Research method: quantitative research with a cross-sectional design. A total of 219 individuals, including all nurses working in the inpatient wards of RSUD Pringsewu, formed the population used for this study. The purposive sampling technique was used to select 156 respondents. Surveys were used to collect data, which were then analyzed using bivariate (chi-square test) and univariate methods. (frequency distribution). Research results: Research results: Nursing stress at Pringsewu Regional General Hospital in 2024 correlates with factors such as workload (p-value = 0.000), organizational culture (p-value = 0.010), length of service (p-value = 0.000), and relationship with superiors (p-value = 0.010). On the other hand, dual roles do not correlate with nursing stress at Pringsewu Regional General Hospital in 2024 (p-value = 0.941). The issue of nurses being overworked should be addressed by upper management, who should recruit more nurses or improve the hospital's infrastructure and facilities.

Diabetes mellitus is a chronic metabolic disease characterized by increased blood glucose levels (hyperglycemia) caused by insulin secretion deficiency and / or insulin resistance which over time can cause serious damage to various body systems, especially to nerves and blood vessels, Pumpkin (Cucurbita moschata) is one of the fruits that contains antioxidant compounds Pumpkin (Cucurbita moschata) can also overcome poisoning, clean digestion, and play a role in overcoming hyperglycemia. The purpose of this study was to determine the Nursing Care of Families with the Implementation of the Yellow Pumpkin Diet for Patients with Diabetes Mellitus in the Sukoharjo Health Center Work Area. Data collection methods Data is obtained by interview and observation. The results are written with field notes, then copied in the form of transcripts (structured notes). The activity plan was carried out on Tuesday, June 25, 2024 regarding education on the implementation of the Pumpkin Diet for Diabetes Mellitus Patients in the Sukoharjo Health Center Work Area. The results of the evaluation of the diagnosis of blood sugar instability and given pumpkin diet therapy. The first day before giving pumpkin 250mg/dl after giving pumpkin 247mg/dl on the first day. During the 3 days of giving a diet of yellow pumpkin to 238mg / dl.

Tablets are solid preparations consisting of active drug substances and fillers. The purpose of adding a crushing agent is to reduce the pressure that occurs in making tablets, especially during the tablet release process which begins with breaking it. This study aims to investigate a number of components that influence the disintegration or breaking time of tablets, such as the choice of disintegrating agent, excipient composition, and environmental conditions such as pH and temperature. The research results show that choosing the right disintegrating agent, such as starch or starch, can accelerate tablet disintegration by increasing its ability to swell in liquid. Faster disintegration times can be achieved through the addition of appropriate disintegrating agents and optimization of tablet formulation, which ultimately supports increased drug therapeutic effectiveness. The methodology employed in this analysis is predicated on a survey of the literature on electronic data sources. Based on existing literature, starch or starch granules have the ability to swell up when exposed to water, amylose also has similar properties, namely that they both function as disintegrating agents. Concluded that amylum or starch derived from various plants is effectively utilized as a tablet disintegrating agent due to its superior to interact with water, but also because the evaluation results almost all meet the established standards.

Stunting is a growth disorder caused by chronic nutritional issues, resulting in shorter stature in children compared to their age group. In 2021, Semarang City recorded a stunting prevalence of 21.3%, with Sukorejo Village among the affected areas. By June 2022, there were 14 stunting cases among 124 children in Sukorejo Village, increasing by 10 new cases in March 2023. This study aimed to evaluate differences in pregnant women's knowledge and attitudes toward stunting prevention before and after receiving education via WhatsApp groups. Using a quantitative and qualitative approach with a quasi-experimental one-group pretest-posttest design, the study involved 60 respondents selected through purposive sampling from a population of 97 pregnant women, utilizing questionnaires for data collection. Results showed significant improvements in knowledge (p = 0.000) and attitudes (p = 0.000) among pregnant women following the WhatsApp-based education. The study concluded that this method effectively enhanced the knowledge and attitudes of pregnant women in preventing stunting in Sukorejo Village

Background: Postpartum care is needed in the period after delivery to detect early problems or treat postpartum illnesses. More than 65% of maternal deaths occur during the first 42 days postpartum. This study aims to analyze the factors that influence postpartum visits in Indonesia. Method: The research uses quantitative research in the form of an analytical survey with a cross sectional design. Units. Results: Based on the results of logistic regression, predisposing factors that have the opportunity to influence complete postpartum visits are maternal age 20-35 years (OR 0.885), higher education (OR 1.167), parity ? 2 (OR 1.090), delivery by cesarean/vacuum/ forceps, etc. (OR 1.491), delivery in a health facility (OR 1.489), complete pregnancy check-up (OR 1.613), and regional Sumatra (OR 0.510). Enabling factors that have the opportunity to influence postpartum visits are unemployed status (OR 0.954) and having health insurance (OR 1.141). The need factor that has the opportunity to influence postpartum visits is having a history of pregnancy complications (OR 0.948). Conclusion: Factors that influence postpartum visits are maternal age, education, parity, method of delivery, place of delivery, prenatal check-up, regional residence, employment status, ownership of health insurance, and history of pregnancy complications.

Nowadays, insomnia symptoms are experienced by many people, especially those who are in the final semester and are working on their final assignments. The common causes of insomnia are anxiety and stress. Therefore, this study tries to investigate the correlation between anxiety and stress levels and the incidence of insomnia among college students completing the thesis at the Health Sciences Faculty of Universitas Abulyatama. This study employs an analytical design with a cross-sectional approach involving 134 college students as the sample chosen using a total sampling technique. The data was analyzed using univariate and bivariate data with the Chi-Square test. The result reveals that from 134 respondents, the majority experienced sleep disorder indicated by 51 students (38, 1%). On the anxiety variable, the majority experienced severe anxiety 36 students (26, 9%), and the variable of stress level indicated that the majority experienced moderate stress 63 students (47%). Based on the Chi-Square test, there is a correlation between the anxiety variable (p=0,008) and stress level variable (p=0,005) towards the incidence of insomnia in final-year students. This study concludes that the incidence of insomnia in final-year students is influenced by anxiety and stress. This study recommends campuses provide information consultation on insomnia, such as health socialization through social media on how to deal with anxiety and stress management.

This research is a comprehensive midwifery care case study on Mrs. K from pregnancy to postpartum family planning conducted at the PMB Okta Saprina, S.Tr.Keb and Mrs. K's home from October-December 2023. The assessment during pregnancy found complaints of frequent urination which were addressed by counseling on reducing drinking at night. During labor, Mrs. K experienced severe pain on a scale of 8, which was reduced to moderate pain on a scale of 5 after being given lavender aromatherapy. Labor care stages I-IV were normal according to theory and without complications. The baby was born spontaneously, full-term, without complications. During the postpartum period, Mrs. K experienced breast engorgement which was treated with aloe vera compresses for 7 days until the complaint was resolved. Care for the newborn and postpartum period was according to standards. At 42 days postpartum, Mrs. K chose to use 3-month injectable contraception after being screened with the KLOP wheel. The management provided to Mrs. K was in accordance with evidence-based practice in providing comprehensive midwifery care, namely counseling for frequent urination, lavender aromatherapy for labor pain, and aloe vera compresses for breast engorgement with satisfactory results.

Continuity of care (COC) or sustainable care is the care provided by a midwife to clients or patients from pregnancy, childbirth, the puerperium, newborn care, and family planning. This study aimed to provide continuity of midwifery care for a primigravida pregnant woman, Mrs. D, at a midwife practice. A case study method was used. The subject was Mrs. D, G1P0A0. Data collection was carried out from September to December 2023. The results showed that during pregnancy Mrs. D complained of sleep difficulties, during childbirth there was bloody show, in the puerperium period milk production was insufficient, the baby had diaper rash, and for family planning she wanted to use the pill. Interventions provided were health education on third trimester discomforts, normal childbirth management with 60 steps of APN, oxytocin massage, and olive oil for the baby. In conclusion, continuity of midwifery care was provided for Mrs. D with oxytocin massage and olive oil interventions. Milk production increased and the baby's diaper rash reduced.

Around 41.8% of pregnant women around the world experience anemia. The prevalence of anemia in pregnant women in the world is estimated at around 57.1% in Africa, 48.2% in Asia, 25.1% in Europe and 24.1% in America. The results of Basic Health Research (Riskesdas) in 2013, the prevalence of anemia in pregnant women in Indonesia was around 37.1%, with hemoglobin levels < 11.0 g/dL approaching the proportion between urban areas 36.4% and rural areas 37.8%. Based on the 2001 Household Health Survey (SKRT), the prevalence of anemia in pregnant women was 40.1%. Meanwhile, the 2004 DKI Jakarta survey showed that the prevalence rate of anemia in pregnant women was 43.5%. The general aim of this research was to determine differences in hemoglobin levels in pregnant women in the first, second and third trimesters at the Gebang Health Center, Langkat Regency in 2024. Hemoglobin examination in pregnant women aims to To find out whether the mother is experiencing blood deficiency or not, namely by checking hemoglobin levels during pregnancy. The method is quantitative research with an analytical survey method using a cross sectional design, namely, a study that concerns risk factors using a retrospective approach. Analysis shows that there are differences in hemoglobin levels in the first, second and third trimesters. The average hemoglobin levels in the first trimester (11.7 g/dL) and II (11.0 g/dL) were still within normal limits, while the hemoglobin in the third trimester (10.2 g/dL) was abnormal. Hemoglobin levels < 11.0 g/dL in pregnant women can be said to be anemia, whereas if hemoglobin levels in pregnant women are > 11.0 g/dL it is not said to be anemia. So it can be seen that hemoglobin levels in the third trimester are lower than hemoglobin levels in the first and second trimesters. Pregnant women are expected to be able to check their pregnancy by carrying out an HB examination.

Good communication between midwives and pregnant women greatly influences maternal satisfaction in receiving health services from midwives, so that a sense of mutual trust is built between midwives and pregnant women. This mutual trust will have an impact on changes in attitudes for both service providers and service recipients. the proportion of pregnancy checks in North Sumatra Province was 92.4%, while those who did not have pregnancy checks was 7.6%. The ANC K1 coverage rate in North Sumatra Province was 90.0%, while ANC K4 was 85.9%. This shows that ANC coverage in North Sumatra Province is still low because the national ANC target is 95%. The general aim of this research is to analyze the relationship between midwife communication and the level of satisfaction of pregnant women with ANC services at the Gebang Community Health Center, Langkat Regency in 2024. The research method used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all midwives in the Gebang Health Center working area, totaling 40 people. Data analysis uses univariate and bivariate analysis. From the statistical test results, it was obtained that p.value = 0.004 and ? = 0.05, where the value of P.value (0.004) < ? (0.05), so it can be concluded that there is a relationship between midwife communication and pregnant women's satisfaction with antenatal care services in Health Center. Gebang Langkat Regency in 2024. Midwives are expected to further improve their good communication skills with patients by participating in training on effective communication methods so that patients feel satisfied with the services provided.

Hand hygiene is an important aspect in maintaining individual health and preventing the spread of disease, an effective practice for maintaining hand hygiene is washing hands regularly. Health education is an application of educational concepts in a learning process, namely health education using animated videos. This research aims to determine the effect of health education using animated videos on hand and nail hygiene in elementary school children at SDN Sekarputih 01 Bondowoso. The method in this research used a pre-experimental design with a one-group pre-post test approach. The population was 90 student respondents at SDN Sekarputih 01 Bondowoso, 73 samples studied were taken using purposive sampling. Data collection includes editing, coding, scoring, and tabulating. The instruments used are Animation Videos, SOPs, and Modules. The data obtained from this research was analyzed using the Wilcoxon Test. The results of this research showed that the cleanliness of hands and nails before being given health education using animated videos was mostly poor 31 (42.5%), after health education using animated videos was mostly very good 52 (71.2%), from the test results The Wilcoxon Signed Rank Test shows a value of p = 0.000 with ? = <0.05 (p = 0.000 with ? = <0.05) p is smaller than ?, then H0 is rejected and H1 is accepted, it can be concluded that there is an influence of health education using animated videos on hand hygiene and nails. It is hoped that respondents who has lack knowledge about washing hands and cutting nails can apply health education using animated videos very effective because animated videos have interesting advantages and can make respondents focus on their interest in the images displayed.

The impact of hospitalization on children is anxiety. To reduce this, it can be done by applying atraumatic care, which focuses on family-centered care in carrying out nursing actions. This study aims to determine the relationship of the application of atraumatic care to anxiety in children experiencing hospitalization at Pertamedika Ummi Rosnati Hospital Banda Aceh. This type of research is quantitative with a correlation study analytic design. Data collection was carried out on 5 to 26 July 2024. The population in the study were all children admitted to Pertamedika Ummi Rosnati Hospital Banda Aceh and a sample of 33 respondents with sampling techniques using purposive sampling. Data analysis using chi square test showed there was a relationship between the application of traumatic care and anxiety in children at Pertamedika Ummi Rosnati Hospital Banda Aceh with a p value of 0.000 (p <0.05). So it can be concluded that there is a relationship between the application of atraumatic care and anxiety in children who experience hospitalization. It is expected that parents know how to care for children while hospitalized so that children do not experience anxiety.

Chronic kidney failure patients experience excess fluid, so fluid restrictions are needed. Fluid restrictions in hemodialysis patients cause dry mouth.  The dry mouth experienced by the patient can cause high thirst, high thirst can cause non-compliance with a fluid restricted diet. As a result of limiting fluid intake carried out ini hemodialysis patients, it results in a feeling of thirst which causes the patient to have the desire to drink. The aim of this study is to determine the effect of giving slimber ice on the intensity of thirst in patients with chornic kidney failure undergoing hemmodialysis. This research uses one group pretest-posttest design. The sampling technique is purposive sampling with a total of 20 respondents. The instrument used in this research is the Visual Analogue Scale fo Assessment of Thirst Intensity. The research results showed that the average thirst intensity score of patients with chronic kidney failure undergoing pre-intervention hemodialysis was 4.80, standard deviation 1,936, and post test intervention 3.10,, standard deviation 1,410. The result of statistical tests show that there is an effect of giving slimber ice on the intensity of thirst in patients with chronic kidney failure undergoing hemodialysis. The results of the paired t-test, obtain p value = 0.001. This intervention can be a form of therapeutic management that can be applied to reduce complaints of thirst at home or in hospital.

Arumanis mango rind (Mangifera indica L) usually becomes organic waste, but contains flavonoid secondary metabolites. Arumanis mango rind extract was chosen so that it can be used as an antioxidant compound, which is an antidote to free radicals. The aim of this research was to examine the antioxidant activity and toxicity tests of arumanis mango rind extract. The result is that the maximum absorption wave of DPPH is 518 nm, with an absorbance of 0.788. The results of comparative antioxidant activity for gallic acid obtained IC50 = 4.424 µg/mL, while the arumanis mango rind extract sample had an IC50 value = 18.294 µg/mL. For toxicity test results, the LC50 value = 169.043 µg/mL. Based on the research results obtained, it can be concluded that the antioxidant activity of arumanis mango rind extract is classified as very strong (<50 µg/mL) and the toxicity is classified as toxic (<1,000 µg/mL).

Diabetes Mellitus (DM) is a chronic metabolic disease that often occurs in the elderly, characterized by hyperglycemia due to impaired insulin secretion or action. This research focuses on family nursing care for Mr. A, a DM sufferer, in Kalibuntu Village, Losari District, Brebes Regency. Based on data, the prevalence of diabetes in Indonesia is very high, with Indonesia ranking third in Southeast Asia. In Brebes Regency, the prevalence of DM is also significant, requiring special attention in management. The Friedman model is used in family nursing care, which emphasizes the role of the family in supporting the patient's health management. The care process includes assessment, diagnosis, planning, implementation, and evaluation. The assessment is carried out by collecting family data using clear and simple language. Nursing diagnoses are established based on data analysis, while nursing interventions are designed to meet the patient's specific needs. Implementation is carried out by carrying out the plans that have been prepared, followed by ongoing evaluation to assess the effectiveness of the intervention and make necessary adjustments. Management of DM in Mr. A involves five main pillars: education, meal planning, physical exercise, pharmacological interventions, and blood sugar checks. A positive attitude towards treatment plays an important role in achieving good glucose control and improving quality of life. These findings emphasize the importance of family involvement in DM care to ensure effective and sustainable management.

This study evaluates the impact of positive emotions on rheumatoid arthritis (RA) treatment outcomes through a meta-analysis of 47 studies (2015-2024) involving 12,384 patients. The primary findings reveal a significant positive correlation between positive emotions and improved RA treatment outcomes (r = 0.42, p < 0.001), with the strongest effects observed in enhanced quality of life (r = 0.51) and physical function (r = 0.45). Patients exhibiting high positive emotions demonstrated greater reductions in pain (d = 0.38), decreased inflammation (d = 0.29), and improved physical function (d = 0.45) compared to control groups. Moreover, moderator analyses uncovered stronger effects among elderly patients (? = 0.012, p = 0.025) and those with longer RA duration (? = 0.018, p = 0.009). Finally, mediational analyses indicated that positive emotions contributed to improved treatment adherence (indirect effect = 0.09, 95% CI [0.05, 0.13]) and increased physical activity (indirect effect = 0.07, 95% CI [0.03, 0.11]) in RA patients. These findings extend Fredrickson's (2001) Broaden-and-Build theory and support Keefe et al.'s (2002) biopsychosocial model. Compared to meta-analyses by Brosseau et al. (2018) and Zhou et al. (2020), this study provides more comprehensive evidence on the role of positive emotions in various RA treatment outcomes. The novelty of this research lies in the analysis of previously unexplored mediating and moderating mechanisms, as well as a comparison of effectiveness with pharmacological interventions (SMD = 0.18, 95% CI [-0.05, 0.41], p = 0.124). These results support the integration of positive emotion-based interventions in RA management and expand upon Strand et al.'s (2019) findings on patient expectations in RA treatment.

Typhoid fever is an acute infection of the small intestine caused by Salmonella typhi, commonly occurring in developing countries with poor sanitation, including tropical regions such as Indonesia, where the climate supports the proliferation of this bacterium (Yustati & Dinata, 2023). The primary symptoms include high fever, nausea, abdominal pain, and gastrointestinal disturbances. This study employs a descriptive method with a case approach to identify and address nursing issues such as hyperthermia, knowledge deficit, and risk of nutritional deficit. The aim of this writing is to provide and describe comprehensive nursing care for typhoid fever patients at RSUD Dr. Soeselo, Tegal Regency, in accordance with established nursing standards, to ensure effective care and improved patient outcomes.  

Gouty arthritis or gout is a joint disease caused by high levels of purines in the blood. A person is said to be suffering from gout if the uric acid level in their body exceeds the normal limit, the normal limit is 7 mg/dL for men and less than 6 mg/dL for women. Excessive uric acid can cause a buildup of purines in the joints and other body organs, causing pain and inflammation in the joints. This condition can make the joints feel painful when moved and can also cause joint abnormalities and disabilities (Efendi et al., 2022). In Central Java, the prevalence of gout sufferers is approximately 2.6 - 47.2%, which varies in various populations (Zakiudin et al., 2024). Based on data from the Kecipir Community Health Center, the prevalence of gouty arthritis at the Kecipir Community Health Center in 2023 will reach 13.67%. The percentage of residents in Kalibuntu Village who suffer from gouty arthritis in 2023 will reach 24.3% in old age (Kecipir Community Health Center, 2023).