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Cholesterol is a fatty substance that circulates in the body which is produced by the liver and is very important for the body. Excessive cholesterol in the blood will first cause problems in the blood vessels and brain. The aim of this study was to determine the effect of giving dragon fruit juice on total cholesterol levels in the elderly at Posbindu Kebayoran Lama Utara, South Jakarta. The research method used a pre-experimental pre-post-test group design including administration of dragon fruit juice, analysis of measurements of total cholesterol levels before and after the intervention, and analysis of food cholesterol consumption. The Wilcoxon test results were chosen because the data did not meet the normality assumption. The p value resulting from the Wilcoxon test is 0.028, which is smaller than the significance level which is generally set at 0.05. This shows that the difference between total cholesterol levels before and after the intervention is statistically significant. The conclusion from the results of this research that has been carried out can be concluded that there is a significant difference between total cholesterol levels before and after the intervention (p<0.05).

Stunting caused by malnutrition during the growth and development process has a higher risk of illness and death in adulthood, so it can hamper motor skills and reduce the level of productivity and competitiveness of a nation (Rahmadhita, 2020). National nutritional status survey data (SSGI) in 2022, the prevalence of stunting was 21.6%. The target stunting rate in Indonesia is 14% in 2024 and the WHO standard target is below 20%, therefore how important it is to handle stunting in Indonesia. The aim of this research is to determine the factors that influence the incidence of stunting in toddlers. The method in this research is a full text critical review in Indonesian. Articles were selected in stages using the appraisal tool preferred reporting items for systematic reviews and meta analyzes (PRISMA), then duplicate filtering was carried out, screening was carried out based on title and abstract, full text, feasibility studies and until the final stage 11 articles were found that met the inclusion and study criteria. appropriateness. The results of this research show that the factors that influence the incidence of stunting in toddlers are exclusive breastfeeding, low birth weight, infectious diseases, mother's height, mother's education, family income, and nutritional status of pregnant women.

In the era of globalization, the development of increasingly sophisticated information technology not only makes it easier to carry out online activities but can also be exploited, as in the case of online gambling. The decline of the country's economy and the morale of its youth are two direct effects of Indonesia's growing online gambling market. Research Objective: To determine the relationship between the level of online gambling addiction and casual sexual behavior among teenagers in Tugu Cimanggis Village, Depok in 2023. The research uses a quantitative type with a correlational descriptive design. The research population was 133 respondents in Tugu Cimanggis Village, Depok. The sampling technique used in the research was non-probability sampling with purposive sampling. Data collection uses a questionnaire via Google Form. Research Results: The research results show that there is a significant relationship between the level of online gambling addiction and free sexual behavior among teenagers in Tugu Cimanggis Village, Depok in 2023 (p value 0.002). There is a relationship between the level of online gambling addiction and promiscuous sexual behavior among teenagers in Tugu Cimanggis Village, Depok in 2023.    

Dengue Fever (DBD) is an infectious disease caused by dengue virus of the genus Flavivirus, family Flaviviridae which can be transmitted through the bite of Aedesaegypti mosquitoes infected with dengue virus to humans. The purpose of the study was to determine the factors that influence the prevention of dengue fever in the Working Area of Puskesmas Aekkota Batu, North Labuhanbatu Regency. The research design used quantitative methods carried out analytical surveys with a Cross Sectional Study approach. The population in this study were all people in the Aekkota Batu Health Center Working Area consisting of 9 villages, namely 19,271 family heads. The sample used a Stratified Random Sampling system of 99 family heads. Data analysis used univariate, bivariate and multivariate analysis with logistic regressionThe results showed that there was an influence of knowledge, attitudes, the role of health workers, water reservoirs and the presence of garbage on the prevention of dengue fever in the Working Area of Puskesmas Aekkota Batu, North Labuhanbatu Regency. While the most dominant factor is knowledge p = 0.000 < 0.025 and 95% CI = 7,270-385,013 with OR = 52,907. This means that knowledge has 52 times the risk compared to other variables.The conclusion of this study is that knowledge, attitudes, the role of health workers, water reservoirs and the presence of garbage affect the prevention of dengue fever in the Aekkota Batu Health Center Working Area, North Labuhanbatu Regency. It is recommended to the Puskesmas Aekkota Batu to conduct routine flick checks every 3 months, carry out fogging and increase health promotion to the community on how to prevent DBD by implementing 3M plus in order to reduce the incidence of DBD.

Resource management is very important to achieve organizational goals through management which is a tool to achieve these goals. The results of the initial survey found that the lack of discipline of officers due to not knowing and not understanding their responsibilities, this is because the responsibilities given are not in accordance with the educational background, the problem of low work motivation. The purpose of the study was to determine the factors that influence the performance of health workers at the Tangan-Tangan Health Center, Southwest Aceh Regency. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all health workers at the Tangan-Tangan Health Center as many as 75 people, all of whom were used as research samples. Data analysis with logistic regression. The results showed that there was an influence of leadership p = 0.000, motivation p = 0.000, discipline p = 0.000, incentives p = 0.002, work environment p = 0.000 and work ability p = 0.017 on the performance of health workers at the Tangan-Tangan Health Center, Southwest Aceh Regency. While the most dominant variable is discipline p = 0.003 and 95% CI = 6,862-11243,720 with an Exp (B) value = 277,759. The conclusion of this study is that there is an influence of leadership, motivation, discipline, incentives, work environment and work ability on the performance of health workers at the Tangan-Tangan Health Center, Southwest Aceh Regency. It is recommended to the leadership of the Puskesmas to always monitor the work of health workers in carrying out their duties, so that health workers can be monitored when carrying out their work and always provide opportunities to attend various trainings for health workers as an effort to develop themselves and be able to update their knowledge according to their expertise.

accordance with their age. While the stunting data at Tarempa Health Center is 58 cases. The purpose of the study was to analyze the factors that influence the incidence of stunting in toddlers in the Tarempa Health Center Working Area, Siantan District, Riau Islands. Anambas Islands Riau Islands. Design The research design used the Case Control method. The population in this study were all toddlers who experience stunting in the Tarempa Health Center Working Area, which is as many as 58 people. The sample in this study were toddlers who experienced stunting 58 people and 58 people were not stunted with the maching technique with a ratio of 1: 1. Analysis Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression. The results of logistic regression research show that there is an influence of parenting patterns p = 0.017, exclusive breastfeeding history p = 0.000 and history of infectious diseases p = 0.005. While the dominant factor influencing the incidence of stunting in toddlers is the history of exclusive breastfeeding p = 0.003 <0.05, with Exp (B) = 11.041 and 95% CI = 3,610-33,768. The conclusion of this study is that there is an effect of parenting, exclusive breastfeeding history and history of infectious diseases, which does not affect knowledge, attitudes, feeding patterns and immunization status. The dominant factor, namely exclusive breastfeeding history, influences the incidence of stunting in toddlers in the Tarempa Health Center Working Area, Siantan District, Anambas Islands Regency, Riau Islands. It is suggested that the Tarempa Health Center can create interesting education for mothers, such as conducting workshops/ demonstrations on how to provide good and correct and nutritious food for their children, as well as how to process diverse and nutritious foods so that children get good nutritional intake.

The performance of health workers as a consequence of public demands for the need for excellent service or highquality service. It is expected to be able to show its professional contribution significantly in improving the quality of health services. The purpose of the study was to analyze the effect of internal communication on employee performance at the Anambas Islands Regency Population Control and Family Planning Health Office. The research design used the Analytical Survey method with a Cross Sectional approach. The population in this study were all employees as many as 98 people, all of whom were used as research samples with total sampling technique. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression. The results of logistic regression research show that there is an influence of leadership p = 0.001, motivation p = 0.000, trust p = 0.000, and appreciation p = 0.000. While the dominant factor that affects employee performance is appreciation p = 0.000 with Exp(B) 55.590. The conclusion of this study is that there is an influence of leadership, motivation, trust and appreciation. The dominant factor, namely appreciation, affects employee performance at the Anambas Islands Regency Population Control and Family Planning Health Office. It is recommended that the Anambas Islands Regency Population Control and Family Planning Health Office needs to provide direction to employees at work so that they have creativity at work so that employees continue to improve so that employee performance increases.

Knowledge of the rights and obligations of the community as consumers to receive professional healthcare services is increasing. Therefore, companies in the service sector continue to improve the quality of services for consumers with the aim of creating user satisfaction. One of them is the Regional General Hospital, which becomes the choice for the wider community because it is cheaper compared to private hospitals. Even though sometimes the service is less satisfactory. This research was conducted in April - May 2015 in the Obstetrics Inpatient Room of Wijaya Kusuma Hospital, Dr. Drajat Prawiranegara Regional General Hospital, Serang. This research is a quantitative descriptive study using a cross-sectional approach with accidental sampling technique that meets the inclusion criteria. The results of this study are from 155 respondents, 54.8% assessed the quality of obstetric services in the obstetrics inpatient ward of RS Dr. Drajat Prawiranegara as not good. Descriptive analysis results show respondents are aged between 20-30 years (55.5%), have a low level of education (54.8%), do not work (56.1%), use costs from government/private insurance (81.9%), and have a new patient status (69.7%). The conclusion of this study is that there are significant factors related to the assessment of the quality of obstetric services, namely the source of cost (p=0.031), while factors that are not related are age (p=0.219), education (p=1.000), occupation (p=0.218), and patient status (p=0.25). There is one factor that has the most influence on the assessment of the quality of obstetric services based on multivariate analysis, namely the source of cost with an exp (B) value of 0.339.

Introduction:  Report Global School Health Survey (GSHS) shows that 3.3% of teenagers aged 15-19 years suffer from AIDS, only 9.9% of women and 10.6% of men aged 15-19 years have in-depth knowledge about HIV/AIDS and 0.7% of women and 4.5% of men have had premarital sex. Goal: KnowFactors Associated with Adolescent Reproductive Health in the Youth Posyandu, Sumber Sari Village, Toto Rejo Community Health Center Working Area, East Oku Regency. Method: The research design used isCross Sectional. The population in this study were 65 teenagers aged 10-19 years in Sumber Sari village. Sampling technique by means of accidental sampling namely as many as 65 teenagers. This research was conducted in May-June 2023. Data analysis techniques, namelyWho – Square. Results: research shows that there is a relationship between socio-economic factors (p=0.020) and biological factors (0.020) on adolescent reproductive health at the youth Posyandu in Sumber Sari village, working area of ??Toto Rejo Community Health Center, East Ogan Komering Ulu (OKU) Regency in 2023  and No relationshipCultural and environmental factors (0.588) and psychological factors (0.827) on adolescent reproductive health at the youth Posyandu in Sumber Sari village, working area of ??Toto Rejo Health Center, East OKU Regency in 2023.

Background: Health is something that is very important for human life. Health and lifestyle are influenced by developments over time. One example is the lack of consumption of foods with fiber to meet daily needs, which causes health problems, namely appendicitis. Appendicitis is a common cause of acute inflammation of the right lower quadrant of the abdominal cavity, which is treated by emergency abdominal surgery. The inflammatory process that occurs in the appendix increases intraluminal pressure which causes the pain to become more severe, generalized or periumbilical and move to the right lower quadrant. One way to deal with pain is by applying the effleurage technique (massage/touch therapy). The aim of this case study is to determine the reduction in pain scale in post-appendectomy patients after effleurage technique therapy (massage/touch therapy). The method used in this case study is case study design with a nursing care process approach. The subjects in this case study were 2 patients, who were obtained from inclusion and exclusion criteria, data collection using the numeric rating scale (NRS). The results of the case study show that the average pain level of the two patients after being given effleurage technique therapy intervention (massage/touch therapy) for 3 days experienced a change from moderate pain to mild pain. The conclusion of this case study shows that there were changes that occurred after the effleurage technique (massage/touch therapy) was given to the 2 patients and they experienced a decrease in the pain scale.

The support of a cancer patient's family has a significant impact on the experience and treatment outcomes of chemotherapy. Family support encompasses four main dimensions: emotional, esteem, instrumental, and informational. The presence of emotionally supportive family members can reduce stress levels and improve the mental well-being of patients. Cancer patients undergoing chemotherapy often experience feelings of sadness, despair, and a loss of interest in activities. Some even discontinue chemotherapy. This study aims to investigate the relationship between family support and the stress levels of chemotherapy patients in the Anggrek Tewu Room at RSUD dr. Murjani Sampit. This research employs a quantitative research method, a cross-sectional research design, and total sampling technique. The sample consists of 45 individuals. A questionnaire instrument is used, and Spearman Rank statistical test is applied to examine the relationship between family support and the stress levels of chemotherapy patients. The statistical analysis results with Spearman rho show that the ? value is 0.160 where (? = 0.05), so ?>?, thus Ha is rejected, meaning: "There is no relationship between family support and the stress levels of chemotherapy patients in the Anggrek Tewu Room at RSUD dr. Murjani Sampit." The research concludes that the stress levels depend on the characteristics of the chemotherapy patients themselves and how individuals cope with the life problems they face. One of the factors is an individual's beliefs and health values, as well as their ability to determine a treatment program for their own mental readiness to accept changes both physically and socially and the effects of chemotherapy.

This study aims to determine the relationship between peer pressure and cybersex behavior in adolescents. This study used a correlational quantitative approach with 270 subjects aged 15-19 years, which were determined by snowball sampling technique. The measuring instruments used were the Cybersex Scale and the Peer Pressure Scale compiled by researchers based on aspects of Delmonico & Miller (2003) and Kiran-Esen (2003). Data analysis using product-moment correlation resulted in a hypothesized correlation coefficient of 0.700, P = 0.000 (p < 0.05) indicating that there is a positive relationship between peer pressure and cybersex behavior in adolescents.

The quality of nursing care services is a form of professional service and an integral part of healthcare. Patient satisfaction with nursing care is when patients and their families feel that everything meets their expectations. The current phenomenon is that some patients still report not receiving optimal nursing care, lack of communication in providing services, leading to dissatisfaction during their hospital stay. The aim of this research is to determine the relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The research method uses a correlation research design with a cross-sectional method. The instruments used in this study were questionnaires and the Rank Spearman statistical test aimed at 66 patients in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The Spearman rho test result is 1.000, and the P-value is 0.000, which means the alpha value is 0.05, indicating that H1 is accepted. Therefore, there is a positive and significant relationship between the quality of nursing care services and patient satisfaction. The conclusion of this study is that there is a relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. It is recommended for dr. Murjani Regional General Hospital Sampit to evaluate service satisfaction, especially improving the quality of nursing care services in the Bougenville Room.

Wrong relationships influence sexual behavior, especially among teenagers. Casual sex is a relationship between a man and a woman that does not involve marriage. To prevent this from happening, the role of parents is very important. However, in reality, many parents feel that their children do not receive enough attention due to busy schedules and limited supervision time, so that many teenagers have problems. Apart from that, environmental influences (peers) can have a negative impact. The aim of this socialization activity is to spread knowledge through education about free sex among teenagers, and it is hoped that students' knowledge and behavior regarding free sex among teenagers will change. In Indonesia, sexual and reproductive health education for adolescents has not been fully accepted by society. This is influenced by the complex environment of social, cultural and religious life. Many people consider sexual and reproductive health education to be a taboo topic for the younger generation. This situation makes teenagers feel anxious when making reproductive health decisions. However, as time goes by, the influence of Western culture brings freedom and open access to information, thus providing opportunities for teenagers to take negative actions towards reproductive health.

The purpose of preparing this article is to describe the juridical basis for inclusive education. This study uses a qualitative method. Data collection techniques include: observation using the Google Scholar search tool. The results of this research are that inclusive education is education that is friendly to all children, with an education service system that requires children with special needs to study in nearby schools in regular classes with friends their age. The juridical basis for inclusive education can be found in several laws and regulations and can be applied in schools with the principles of Law NO. 8 of 2016 Chapter III Part 6 Article 10 Concerning the Right to Education. States that, The right to education for Persons with Disabilities.