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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.

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.

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 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.

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.