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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.

Japanese papaya leaves (Cnidoscolus aconitifolius) contain active compounds such as flavonoids, tannins, saponins, alkaloids and terpenoids which have the potential to have antibacterial activity. The aim of this research is to determine the antibacterial activity of Japanese papaya leaves against Staphylococcus aureus bacteria. Extraction of Japanese papaya leaves has been carried out using the maceration method and 96% ethanol solvent. The antibacterial activity test used the agar diffusion method using a cylindrical plate. Sterile distilled water was used as a negative control while as a positive control the antibiotic ciprofloxacin was used. The concentrations of Japanese papaya leaf ethanol extract used in testing were 10%, 20%, and 30%. The research results showed that Japanese papaya leaf ethanol extract with a concentration of 30% had the widest inhibition zone diameter, namely 17.296 mm. Meanwhile, at a concentration of 20%, the average inhibitory zone diameter was 15,222 mm, and at a concentration of 10%, the average inhibitory zone diameter was 13,018 mm. These three concentrations were included in the strong category based on Greenwood classification.  

Arumanis mango seeds (Mangifera indica L.) are organic waste, which in previous research contained many secondary metabolite compounds such as flavonoids and had very strong antioxidant activity. Arumanis mango seeds have the potential to heal wounds, including excision wounds. Excision wounds are characterized by the loss of a certain amount of tissue volume that can be filled with wound healing material. The aim of this research was to determine the effect of arumanis mango seed extract ointment on the healing of excision wounds, variations in concentration and histopathological features. The experimental animals were divided into 5 groups, namely the control group (ointment base), the arumanis mango seed extract group with concentrations of 2.5%, 5% and 7.5% and the comparison group (T® ointment). Applying is done 2 times a day for 14 days. The parameters observed were the percentage of wound healing, epithelialization time, and histopathology. Results from the average percentage of healing of excision wounds in the control group (82.4%), concentration 2.5% (85.5%), concentration 5% (90.5%), concentration 7.5% (92.1%) and comparison (95.3%). Results of epithelialization time in the control group (10 days), 2.5% concentration (9 days), 5% concentration group (7 days), 7.5% concentration group (7 days) comparison group (7 days). For histopathology, the scores for epithelialization, collagen fibers and fibroblasts were obtained respectively in the control group (2,1,2), 2.5% concentration (2,2,3), 5% concentration group (2,3,3), concentration group 7.5% (2,3,3) and comparison (3,2,2). The results of the one-way ANOVA test showed that administration of arumanis mango seed extract ointment significantly influenced the parameters of wound healing area and epithelialization time (p<0.05). The conclusion is that arumanis mango seed extract ointment is effective in healing excision wounds. The most effective group for healing excision wounds was the 7.5% concentration group, with good histopathological results.

World Health Organization 4.5% of 149/100.00 maternal deaths worldwide are caused by anemia. One of the indirect causes of maternal death is anemia. Anemia is a condition where hemoglobin levels decrease below normal limits. The general aim of this research is to find out whether there is an effect of giving green beans on increasing hemoglobin in pregnant women in the Sambau Community Health Center Working Area, Batam City. This type of research is a quasi-experimental design with a pre-test post-test with control group design. The sampling technique used was purposive sampling with a total sample of 32 pregnant women, 16 pregnant women in the intervention group and 16 in the control group. Each respondent was given treatment by administering 500 ml of green beans, 2 times a day for 7 days. Hemoglobin levels were measured twice, namely pre-test before being given green beans and post-test after being given green beans. The results of the analysis using the Independent T Test analysis showed that the mean difference between the intervention group and the control group was 0.86, which means the average hemoglobin in the intervention group was greater than the average hemoglobin in the control group. And data obtained sig(2-tailed) 0.000 <0.05, which means there is an effect of giving green beans on increasing hemoglobin in pregnant women. It is hoped that health workers can apply green beans to pregnant women to increase Hb levels.?

During pregnancy, pregnant women experience changes that occur physiologically, one of which is changes in the cardiovascular system which results in a blood volume greater than the growth of blood cells, then hemodilution or blood thinning occurs, causing a decrease in hemoglobin levels which results in pregnant women being anemic. World Health Organization (WHO) 4.5%? 10,000 Maternal Deaths worldwide are caused by anemia. The general research objective of this study was to determine whether there was an effect of giving red dragon fruit on increasing hemoglobin in pregnant women at Sambau Health Center, Batam City. This type of research is Pre-Experimental with one group Pre-test Post-test design. The sampling technique used was purposive sampling with 15 pregnant women respondents, each respondent was given the same treatment by giving dragon fruit as much as 100 grams per day on the first day. Measurements were carried out 2 times once during 7 days of treatment and the last measurement was on day 14. The results of the analysis using the Paired sample t-test analysis showed that the data was fig (2-tailed 0.000 < 0.05, so H0 was rejected and Ha was accepted, which means there is The effect of giving dragon fruit to pregnant women on increasing hemoglobin. It is recommended that health workers be able to pay attention and recommend the consumption of fruit rich in iron, one of which is giving red dragon fruit to help increase hemoglobin levels.

Soft Tissue Neck MRI Examination Technique With Liposarcoma Clinical At The Mayapada Hospital Installation, South Jakarta. MRI examination techniques have a very important role in the medical field because of their ability to produce visual images of the body's soft tissue and metabolic processes. Liposarcoma is a malignancy of mature fat cells in the connective tissue space1. Liposarcoma is the most common type of soft tissue sarcoma, appearing slowly, enlarging, painless, non-ulcerated submucosal mass in middle-aged people, some lesions grow rapidly and become ulcerated early, Liposarcoma is a rare malignant tumor. The purpose of this examination is to find out whether the image results produced using the sequence at Mayapada Hospital can produce a firm image in confirming the diagnosis of liposarcoma. This research is a qualitative study with a case study method using 3 patients who underwent an MRI examination of neck soft tissue with clinical liposarcoma. Data was collected using observation, documentation and interviews with radiographers and radiologists. The results of the data that have been collected can be concluded that the results of the soft tissue MRI examination of the neck with clinical liposarcoma carried out at Mayapada Hospital, South Jakarta are good in confirming the diagnosis and the results of a more detailed anatomical picture.

Management Of External Radiotherapy Irradiation In Vaginal Cancer Using Intensity Modulated Radiation Therapy (IMRT) Technique At The Cancer Center Radiotherapy Santosa Hospital Bandung Kopo. Vaginal carcinoma constitutes approximately 2% of all malignant neoplasms that occur in the female genital tract. Vaginal carcinoma can arise from various types of cells within the vaginal wall and is often associated with risk factors such as exposure to certain carcinogens (8). Cancer is one of the main causes of death throughout the world. Based on GLOBOCAN data, the International Agency for Research on Cancer (IARC) in 2018, deaths caused by cancer reached around 9.5 million people, with 60% of cancer deaths in Asia. (7) Radiotherapy is a cancer treatment approach that uses light. ionizer to damage tumor cells while maintaining the integrity of surrounding healthy tissue. The main focus is to eliminate as many cancer cells as possible while reducing the negative impact on normal tissue around the tumor area. (20) There are several treatments for patients suffering from vaginal cancer, namely surgery, radiation, brachytherapy, and  external radiation based on the size and stage of the tumor suffered by the patient. (3) Based on the book "Target Volume Dileniation And Filed Setup" (a practical guide for conformal and Intensity-Modulated Radioation Therapy), Arno.J, (2013: 201), all vaginal cancer patients who undergo radiation using the IMRT technique must simulated in a supine position and the patient's legs straight with a thermoplastic immobilization mask and adjusted immobilization of the upper and lower body (16).

Health services which is execllent is able to refer to prime levels that are implemented on basis of service and code of ethics. Those will create a satisfaction for each patient. To measure the quality of service, there are several references, including; tangibles, reliability, empathy, assurance, and responsiveness. This study investigated the correlation between service quality and outpatient satisfaction at Manguharjo Lung Hospital (RS Paru Mangunharjo), Madiun, East Java. All the specimens in this research were outpatients where purposive sampling is used to determine the research sample. Data Accomodation technique is carried out by questionnaire. The  output of the research, from 80 respondents asked about the relation between service quality and outpatient satisfaction at Manguharjo Lung Hospital, it can be concluded that there are dealings among Reliability, Assurance Tangibles, Empathy, and Responsiveness. The outcome of this research is ecpected to contribute theoritically such escalating quality development especially in public institutions, namely hospitals. Practically, It can be a consideration in arranging the policies that relate about hospital service particularly for outpatient service cases.

This research aims to determine the role of Red Cross Youth extracurricular activities in shaping students' skills. This type of research is research and development with a qualitative method which uses three main techniques, namely interviews, observation and documentation studies. Based on the results of interviews conducted, it can be concluded that there are several extracurricular activities of the Youth Red Cross (PMR) which play a role in forming students, including First Aid Training, Humanitarian Activities, Community Service, Management Training and Leadership Training.

The elderly who are cared for in an elderly care home require spiritual needs to be met, and there are times when the elderly use the resources available either from the family, people who are religious experts either in the hospital or others in the elderly community. Therefore, the fulfillment of the spiritual needs of the elderly must be done so that the elderly on the eve of death can die in a calm and peaceful state. The purpose of this study was to determine the description of the fulfillment of spiritual needs in the elderly near death from the perspective of the caregiver at the Kendal elderly Social Service Center (PPSLU). This study uses descriptive survey research design. The sample in this study amounted to 36 respondents. Sampling using total sampling. The results showed that the majority of hospitalists were aged based on a median value of 41 years, male gender as much as 53%, high school education as much as 53%, have long worked >3 years as much as 89% and meet the fulfillment of spiritual needs in the elderly near death as much as 44%. The caregiver is only limited to fulfilling the spiritual needs of meaning, purpose and hope in life but in the spiritual needs of relationship with God; spiritual practice has not been fulfilled. This is because the caregiver's understanding of spiritual needs is only limited to religion or belief.

Supervision and care during pregnancy is something that is important to do for the survival of the mother and the baby to be born. Antenatal care (ANC) is a pregnancy examination to optimize the mental and physical health of pregnant women. So that they are able to deal with childbirth, the postpartum period, preparation for breastfeeding and the return of reproductive health in a natural way. This study was conducted to determine the experience of midwives in providing counseling about ante natal care to pregnant women at the Puskesmas in Padangsidimpuan City. The research design is phenomenology. The method of data collection was carried out by in-depth interviews. Purposive sampling method was used to select participants who met the criteria as participants. Participants involved in this study were midwives who worked at the Puskesmas in Padangsidimpuan City, totaling 3 people. The results of the interviews were transcribed and analyzed using the Collaizi method and obtained 5 themes, namely: 1) The motivation of midwives to provide counseling, 2) Obstacles faced by midwives in providing counseling, 3) Strategies to motivate pregnant women to participate in counseling, 4) Responses of pregnant women after receiving counseling , and 5) Support from health institutions for puskesmas activities. Keywords: Midwife, counseling, pregnant women

This study focuses on the impact of Pursed Lips Breathing (PLB) exercises on the Respiratory Rate (RR) of Pulmonary Tuberculosis (TB) patients. Tuberculosis, caused by Mycobacterium tuberculosis bacteria, often leads to abnormal breathing patterns. The objective of this research is to determine the influence of Pursed Lips Breathing (PLB) exercises on the RR of TB patients. The research methodology employs a pre-experimental design with a One group Pretest-Posttest Design. The study includes a population of 30 respondents, and a total sample of 30 respondents selected through total sampling technique. Research instruments consist of observation sheets, SOP, and a Stopwatch. Data analysis utilizes the Dependent T-test. The study's findings indicate a significant impact of PLB exercises on the RR of TB patients, with a p-value of 0.000 (? ? 0.05). This underscores the importance of considering PLB exercises as an effective alternative therapy for managing changes in respiratory rate. Furthermore, it can be applied by families at home, ensuring that the therapy's benefits are more widely realized.

Hypertension is a disease that often attacks the elderly. Health promotion that has been carried out so far has only been through outreach media, and creative media is needed to be able to convey the message of preventing worsening of hypertension sufferers. The aim of the research was to determine the influence of health promotion using film media on knowledge of hypertension prevention in the elderly at the Tanjung Unggat Community Health Center UPTD. This research used a pre-experimental design with a one-group pre-test-post-test design, with a population of 150 people and a sample of 33 respondents selected using purposive sampling. This research data collection tool uses a knowledge questionnaire. The results of this research are that the majority of respondents' knowledge before being given health promotion, 28 respondents (84.8%) were in the poor category. Meanwhile, after being given health promotion, 26 respondents (78.8%) were in the high category. The bivariate test results in this study used the Wilcoxon test with a p value of 0.000 (p value < 0.05). In conclusion, it is stated that health promotion using film media on knowledge of hypertension prevention in the elderly has a significant influence. Suggestions for future researchers to use other creative methods so that optimal health can be achieved.

Hepatic cirrhosis (SH) is a disease/group of diseases that infects the liver, characterized by loss of liver lobular architecture due to fibrosis and damage to parenchymal cells and their regeneration which ultimately forms a nodular structure. According to its clinical manifestations, this disease has a long latent period but is followed by sudden abdominal swelling, abdominal pain, hematemesis, edema and jaundice. In the next phase, the most prominent symptoms include jaundice, ascites, portal hypertension, and central nervous system abnormalities that end in coma. SH is infecting the whole world. SH is the eleventh leading cause of mortality and the fifteenth leading cause of morbidity worldwide. There are many things that have been proven to cause SH, including infections, toxins, hereditary conditions, and even autoimmune processes. Some of the complications that arise from SH include gastroesophageal varices (affecting the stomach and esophagus), hypersplenism (affecting the splenic organs), hepatorenal syndrome (affecting the kidneys) and even hepatic encephalopathy (affecting the central nervous system).

. Helminth infection is one of the health problems in all tropical countries in the world including Indonesia. Ascaris lumbricoides is one of the Soil Transmitted Helminths (STH). Stunting are the age group that is vulnerable to helminth infection including ascariasis. A. lumbricoides infection can cause serious effects if not treated and without a clean and healthy lifestyle. Therefore, it is necessary to conduct research on the prevalence of A. lumbricoides infection and hemoglobin (Hb) level in its infected hosts. The design of this study was observational analytic with cross sectional study. The subjects of the stunting in Bone Village. The sample technique used in this method is the total population. Diagnosis was performed microscopically by Kato-Katz method and Hb levels were measured using a hematology analyzer. Microscopy examination found 6.4% eggs of A. lumbricoides and a low hemoglobin level of 22,5%, students infected with A. lumbricoides in Bone Village with very low hygiene and sanitation.

Babies get their main nutrition, namely breast milk, through the breastfeeding process. However, in some cases breast milk can be low, one of the reasons is the mother's psychological condition. Mothers who feel unhappy, not calm, not relaxed, this will affect their breast milk. Hypnobreastfeeding is a relaxation technique to help smooth the breastfeeding process, by adding positive affirmations to your mind when you relax. Deep and regular relaxation makes the endocrine system, blood flow and other systems in the body function better because the endorphins produced by the mother will flow to the baby through breast milk and also make the baby feel comfortable and calm. Research objective: to determine the effect of hypnobreastfeeding on the smooth flow of breast milk in postpartum mothers at PMB Soraya Palembang. Method: This research uses a pre-experimental research design (one-group pre-post test design). The sampling technique used was total sampling with a total of 32 people. Univariate data analysis for homogeneity and bivariate tests used the dependent t test. The results of this study showed that respondents experienced an increase in breast milk production obtained from the pretest and posttest. The results of the dependent t test obtained a Z value of -2.129 and Asymp Sig of 0.001 < 0.005. The conclusion of this research states that there is an influence of the hypnobreastfeeding technique in expressing breast milk to the mother

Flour albus or vaginal discharge is a problem that often occurs in women. Efforts that can be made to reduce the occurrence of flour albus include pharmacological (drugs from doctors) and non-pharmacological. The use of natural ingredients as herbal medicine is considered safer than the use of modern medicine because the side effects of herbal medicine are relatively small if used correctly. Betel leaves can be used as a cure for flour albus because they have the power to kill germs. The content of betel leaves is usually used in cleaning soap specifically for women. Objective: to determine the effect of green betel leaf decoction in reducing vaginal discharge in women of childbearing age. Method: pre-experimental research design (one-group pre-post test design). The sampling technique used purposive sampling totaling 15 people. Data analysis used the dependent t test to see the effect before (pre test) and after (post test) using boiled green betel leaf water by washing it directly into the vaginal area. Research results: respondents experienced a decrease in the scale of vaginal discharge from itchy to non-itchy, a reduction in the level of turbidity and viscosity. increased breast milk production obtained from the pretest and posttest. The results of the dependent t test showed a Z value of -2.111 and Asymp Sig of 0.004 <0.005. The conclusion of this study states that there is an effect of betel leaf decoction on vaginal discharge in women of childbearing age  

Postpartum hemorrhage is a frequent cause of death in mothers with 1,280 cases. One of the causes of postpartum bleeding is a uterus that does not contract or is called uterine atony. Uterine atony keeps the blood vessels open so that blood continues to flow. Efforts to make the uterus contract are by uterine massage. Uterine massage helps make the blood vessels close and stimulates contractions so that the height of the fundus decreases, indicating that the uterus is slowly shrinking. Research objective: to determine the effect of uterine massage on reducing the height of the uterine fundus as an effort to prevent post-partum bleeding. Method: This research uses a quasi-experimental design, namely post test control group design. The sample in this study was part of normal postpartum mothers at BPM. The sample was divided into a treatment group and a control group. The sampling technique uses purposive sampling. Data were analyzed using the unpaired sample t test. The results of the independent t test obtained a p value of 0.071 (p > 0.05). This means that there is no effect of uterine massage on reducing the height of the uterine fundus.  

Background: The prevalence of elderly people continues to increase every year. This is directly proportional to the problems that continue to occur. One of them is a decrease in cognitive abilities which results in dementia. One of the risk factors for dementia is the level of physical activity. Decreased physical activity is believed to be one of the causes of dementia in the elderly, along with other risk factors. Objective: To determine the relationship between physical activity levels and risk factors for dementia in elderly posyandu participants in RW 03, Dinoyo Village. Research Method: This research uses descriptive analytical methods with a cross-sectional design. The method with sampling of both variables is carried out in the same time period. The total sample was 51 elderly posyandu participants in RW 03 Dinoyo Village who met the inclusion criteria. The measurement instrument uses the IPAQ-SF questionnaire to measure physical activity levels and the MMSE questionnaire to measure cognitive abilities. The correlation test used the Spearman Rho test with IBM SPSS 25. Results: Based on the Spearman Rho correlation test, the result was p = 0.339 (p > 0.05). The results showed that there was no relationship between the level of physical activity and the risk of dementia. Conclusion: There is no significant relationship between the level of physical activity and the risk of dementia in respondents. The lack of results in this study was caused by several factors, namely the limited research design and other supporting factors that were not studied.