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Childbirth, also known as giving birth is a normal process prior pregnancy completion in women in their fertile period. Anxiety constitutes as a psychological disorder that affects childbirth process. This study aims to know the factors affecting the third trimester pregnant women’s anxiety level preceding the childbirth at Kuta Baro Public Health Center. This research designed under quantitative with analytical design, using cross sectional study method. The data collected through a questionnaire and conducted from March 6 to July 11, 2023. Population in this study was all third trimester pregnant women in Kuta Baro Public Health Center. The sample was 62 pregnant women chosen by using total sampling technique. Chi Square Test used to analyze the data. The results shows that pregnant women age with p-value 0,033, knowledge with p-value 0,088, education with p-value 0,054, and family support with p-value 0,003. In conclusion, age and family support have a significant correlation, while knowledge and education have no significant correlation to the anxiety level of third trimester pregnant women’s. This study suggests that the health officers add more programs and activities to socialize and educate the family by producing more detailed flyers and counseling on pregnancy disorders prior childbirth. Thus, the family support and their presence during the pregnancy to the childbirth process is also strongly recommended to reduce the anxiety level on pregnant women during their pregnancy.

In the context of globalization and intense competition, the work environment is the key to organizational success.  Employees, as key assets, must operate in an environment that supports physical and mental well-being.  High target pressure often has a negative impact, making work stress a serious problem.  The stress-free office concept emerged to create a work environment that is conducive to employee well-being, with Ergonomic Interior Design as an important element.  This research uses literature studies to explore the application of Ergonomic Interior Design in supporting worker health and happiness.  The results show that ergonomic design has a significant impact in creating a conducive work environment.  Factors such as lighting, ventilation and efficient workspace layout have been proven to contribute to employee well-being.  Challenges such as costs, awareness, and changes in organizational culture need to be addressed.  This research emphasizes the importance of a deep understanding of the mechanisms of ergonomic design and its impact on employee well-being.    

Dengue Hemorrhagic Fever (DHF) is an infectious disease that is influenced by the environment and people's behavior. In Jambi City, Dengue Fever is still a public health problem. This research aims to distribute dengue hemorrhagic fever (DBD) incidence in Jambi City. This research uses Global Moran's analysis and Local Indicator of Spatial Association (LISA) to determine the Hot Spot and Cold Spot areas for dengue cases in Jambi City in 2018 -2022 with a sub-district analysis unit of 62 sub-districts. During 5 years of observation, the results showed that the distribution pattern of dengue fever cases was in the form of a clustered pattern (I>E[I]) in 2018-2022. The research results on the distribution of dengue fever cases from 2018-2022 showed that the lowest cases were in 2021, namely 132 cases, while the highest cases were in 2019, 698 cases. The results of this study are expected to provide an overview of the distribution of dengue fever incidence in Jambi City in 2018 - 2022 so that it becomes a recommendation material for the Jambi City Health Office or the Jambi City Government in an overview of environmental factors related to dengue fever incidence in Jambi City to prevent various diseases due to poor environmental sanitation in Jambi City. Knowing the distribution pattern of dengue fever can determine regional priorities in implementing dengue fever prevention and control intervention programs in Jambi City.

Mental health in employees refers to a psychological condition that encompasses emotional, psychological, and social well-being, affecting how they think, feel, and act in the workplace. It involves employees' ability to manage stress, work productively, contribute to the work community, and build positive relationships with colleagues. Good mental health in employees positively impacts their performance, productivity, and attendance at work. At the Land Lease Service Office of the Bandung City Government, a government agency responsible for land leasing services in the Bandung area, there are no existing programs or policies that support employee mental health. This study aims to identify the level of awareness and perceptions of employees at the Land Lease Service Office of the Bandung City Government regarding the importance of mental health and its impact on their performance, productivity, and attendance. The subjects of this research are the employees of the Land Lease Service Office of the Bandung City Government, and the object of this research is mental health concerning performance. The research method used is a case study with a qualitative research approach. Data collection techniques include interviews and questionnaires. The results of this study indicate that the mental health of employees at the Land Lease Service Office of the Bandung City Government has a significant impact on their performance, productivity, and attendance.  

The development of digital technology has significantly changed the work paradigm, creating a work environment that is not bound by geographical boundaries through the utilization of cloud platforms, online collaboration tools, and advanced digital communications. This transformation increases productivity and enables collaboration between employees, even if they work in different locations. However, these changes also bring new challenges related to employee well-being. One of the main issues is stress due to the blurring of working time boundaries, with employees often struggling to distinguish between work and personal time. In addition, there is an increased risk of physical injury due to the use of non-ergonomic digital devices, including injuries from improper keyboard and mouse use. To overcome these challenges, companies must implement ergonomic office equipment to support the physical and mental health of their employees. Modern technology, including artificial intelligence (AI), plays an important role in selecting and customizing ergonomic office equipment to the individual needs of employees. AI analyzes equipment usage and posture data and recommends adjustments to prevent injuries and improve work comfort. The purpose of this study is to discuss the importance of office technology and ergonomics in improving employee productivity and well-being. By integrating advanced technology and ergonomic principles, companies can create a more comfortable and healthy work environment. This not only increases productivity, but also improves job satisfaction, creativity and employee retention. An ergonomic work environment reduces stress and fatigue, allowing employees to work more effectively and efficiently. The research method used in this study is a literature review that collects and analyzes information from various sources regarding office technology, ergonomics, and their impact on work productivity. The study found that the use of ergonomics-enabled technology in the workplace significantly increases employee happiness. Companies that invest in ergonomic technology and equipment can create a sustainable competitive advantage through a healthier and more productive workforce. This study shows that a balance between technology and ergonomics is key to creating a productive and sustainable work environment.

To find out more closely how the shipping company PT. Tirtha Dasa Lintas Nusa Belawan in handling the docking process of ships loaded with liquid bulk. In this paper, it is explained how to handle berthing of MT ships. CLARICE contains liquid bulk and the ship departure process as well as any agencies involved in the ship berthing process. From handling arrival to departure, the ship must be served efficiently and effectively so that service is maintained well. The methodology used in this paper is first the field observation method and the library approach method. In carrying out ship berthing activities, the agent must notify the ship's arrival to several related agencies such as the harbormaster's office, the PT office. (Persero) Pelindo I, Immigration Office, Customs and Excise Office, Port Authority Office, Port Health Quarantine Office.

The rapid development of information technology has penetrated into various sectors of life, including in the health sector, which has also had an impact on the development of computer-based medical record systems. The purpose of this study was to determine the implementation of Electronic Medical Records at the Internal Medicine Clinic at Kembangan Hospital. The research method uses descriptive methods with qualitative analysis on 10 informants by means of observation and interviews which will provide an overview and see directly a situation when the use of electronic medical records is carried out. The results showed that the hospital already had an SOP for filling in electronic medical records, which was not implemented according to what the officers did. The use of Electronic Medical Records, especially in the Internal Medicine Polyclinic, has gone well. Constraints from 5M Factor, namely Man, there are still registration officers who are incomplete or incorrect in filling in patient identity data, PPA (Professional Caring Provider) is incomplete in filling in patient diagnoses, Internet network material is sometimes slow, and the server is sometimes down, user complaints include display is less efficient, when filling. It is suggested to the Medical Record Unit, IT team and hospital management to evaluate the SOP, revise and socialize it in order to reduce the human error factor. Kembangan Hospital needs to improve the appearance of SIMRS Khanza to make it more attractive so as to increase the enthusiasm of the officers in inputting medical record data at SIMRS. Kembangan Hospital should improve network quality in the hospital environment to improve the performance of SIMRS.

Based on adolescent report from Pandeglang Regency Health Office, there are 1178 cases of menstrual disorders in adolescents. Based on adolescent program report at UPTD Puskesmas Cikeusik until November 2022, 43.5% of adolescents experience dysmenorrhea or menstrual disorders. The impact of dysmenorrhea causes discomfort, difficulty concentrating in learning and decreased motivation to learn because of the pain felt, can limit women to carry out daily activities so that the need for handling dysmenorrhea in adolescents. The aim is to determine the effectiveness of green coconut water on reducing primary dysmenorrhea pain in adolescent girls in 2023. The sample population in this study were 2 respondents, namely adolescents who experienced primary dysmenorrhea by comparing directly to the response of green coconut water and warm water compresses. The research time was carried out on February 6, 2024 to February 10, 2024 and February 9 to February 11, 2024. Methods Data collection methods by means of assessment, namely interviews to explore the data needed related to the research to be carried out on adolescent girls with primary dysmenorrhea. The results showed a reduction in the pain scale after being given green coconut water. Conclusion In the results of the study, significant results were obtained in reducing primary dysmenorrhea, namely drinking green coconut water 1-3 days of menstruation, because the results obtained reduced pain from scale 4 to scale 2. Suggestions It is expected to apply the green coconut water method and warm water compresses on reducing dysmenorrhea pain.

This research aims to analyze ambient air quality in the city of Surabaya, with a focus on four main locations: industry, transportation, offices and residential areas during two different periods, the dry season and the rainy season in 2023. This analysis is important for assessing the influence of urbanization and industrial activity. to the environment and public health. The method used is descriptive and comparative observational, where measurements are made of main pollutant parameters such as SO2, CO, NO2, O3, Pb, NMHC, PM10, PM2.5, and TSP. Sampling was carried out twice at each location, in accordance with SNI 19-7119.6-2005 and PPRI No. 22 of 2021 standards. The research results showed that the concentrations of all pollutants were below the specified threshold, indicating the effectiveness of existing air control policies. However, there are differences in pollutant concentrations between locations and significant seasonal changes, requiring more dynamic and tailored pollution management strategies. The study's conclusions suggest the importance of continuous monitoring, increased green space, public education about pollution, as well as stricter policies to control pollutant emissions. This research provides valuable empirical data for policy makers to develop effective strategies for managing air quality and reducing health risks in Surabaya..

Contraceptive methods are effective methods for delaying and spacing pregnancies and stopping fertility. Decision making in choosing a contraceptive device needs to consider the fertility needs and health conditions of the prospective contraceptive user. This research aims to: 1) To analyze the simultaneous influence of education level, income, husband's support, and the role of family planning officers on the decisions of couples of childbearing age (CCA) in choosing contraception in West Denpasar District. 2) To analyze the partial influence of education level, income, husband's support, and the role of family planning officers on the decisions of couples of childbearing age (CCA) in choosing contraception in West Denpasar District. This data uses primary data with a quantitative approach obtained from interviews and a combination of secondary data. The population of this study was 18,236 thousand people using 100 samples from this population. Data analysis techniques use descriptive statistical analysis, binary logistic analysis, model fit test, multiple linear analysis. These results show that: 1) education, income, husband's support, and the role of family planning officers simultaneously influence the decision to choose contraception in West Denpasar District. 2) education partially has a positive effect on the decision to choose contraception in West Denpasar District. 3) income partially has a positive effect on the decision to choose contraception in West Denpasar District. 4) husband's support partially has a positive effect on the decision to choose contraception in West Denpasar District. 5) the role of family planning officers partially has a positive influence on the decision to choose contraception in West Denpasar District.

This study to determine the use of revenue sharing funds of tobacco products excise as a health restoration instrument in Kediri City in 2023 and the effectiveness of Minister of Finance Regulation Number 215/PMK.07/2021 related to the use of revenue sharing funds of tobacco products excise as a health restoration instrument in Kediri City. Qualitative empirical legal research constitutes this study. Data sources and types consist of primary and secondary information. Interviews with representatives of the Kediri City Health Office and the Kediri City Regional Secretariat were utilised to acquire the data. The findings of this study indicate that the health recovery efforts in Kediri City have been largely ineffective due to inadequate implementation of the budget plan. In addition to the aforementioned, the efficacy of Minister of Finance Regulation Number 215/PMK.07/2021 is hindered by a number of obstacles pertaining to law enforcement, facilities, the community, and culture.

The problems faced in this study include (1) How does the workload affect the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? (2) What is the effect of training education on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? (3) How does workload and training education affect the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? This study aims to study, know, and analyze (1) The effect of workload on the performance of immunization officers at health centers in the working area of the Banjar City Health Office. (2) The effect of education and training on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office. (3) The effect of workload and training education on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office. The method used in this study is an explanatory survey, while the data analysis technique is validity test, reliability test, descriptive statistics, Inductive Statistical Analysis with Multiple Regression. The results of the study inform that (1) The workload at the Health Center in the work area of the Banjar City Health Office is very high. With the highest score on the physical demand indicator and the lowest score on the task demand indicator. The workload has a positive effect on the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office. This means that if the workload is increased, the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office will also increase. (2) Training education at Puskesmas in the work area of the Banjar City Health Office is very high. With the highest score on the behavior indicator and the lowest value on the reaction indicator. Training education has a positive effect on the performance of immunization officers at health centers in the work area of the Banjar City Health Office. This means that if training education is improved, the performance of immunization officers at health centers in the work area of the Banjar City Health Office will also increase. (3) The performance of immunization officers at the Health Center in the work area of the Banjar City Health Office is very high. With the highest value on the quantity indicator produced and the lowest value on the reaction indicator. Workload and training education have a positive effect on the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office. This means that if the workload and training education are increased, the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office will also increase.

Bronchial asthma is a chronic inflammatory respiratory disease due to increased sensitivity of the airways to various stimuli. Bronchial asthma is not only a public health problem in developed countries, but also occurs in developing countries (WHO, 2016). Anxiety is a vague feeling of worry due to discomfort or fear accompanied by an autonomic response (the source is often unspecific or unknown to the individual), a feeling of worry caused by the anticipation of danger. Anxiety is a sign of increased alertness to impending danger and allows individuals to take action to face the threat (Doenges, 2015). The prevalence of anxiety disorders ranges from 6-7% of the general population (females are more prevalent than males) (Stuart, 2006). Lecturers and students from the Nursing and Nursing Study Program at Imelda University, Medan, chose to hold health education activities with the aim of helping as well as training both individuals and families regarding deep breathing exercises. This makes them aware and more diligent in practicing their breathing. The health education carried out in the courtyard of the sub-district office in Tanjung Mulia downstream began with holding talk activities and continued with outdoor counseling activities. This health education activity is of great interest to families in the community and it is hoped that it can be used as a lesson and make individuals and families more aware of the importance of deep breathing exercises to reduce anxiety in people with asthma.

This study investigates the pivotal role played by the Regional Health Office of North Sulawesi Province in managing the COVID-19 patient referral system. The COVID-19 pandemic has placed immense pressure on healthcare systems worldwide, necessitating efficient coordination and management of patient referrals to ensure timely and appropriate care. The Regional Health Office of North Sulawesi Province plays a critical role in overseeing and optimizing the patient referral process, which includes triage, transportation, and coordination among healthcare facilities. This research aims to analyze the effectiveness and challenges faced by the Regional Health Office in managing COVID-19 patient referrals, with a focus on improving the overall healthcare response to the pandemic.

This research was conducted with the aim of determining the influence of PMIK (Medical Recorder and Health Information) professional competence on the performance of medical record officers at the Dr. Air Force Hospital. Esnawan Antariksa. The research method used is quantitative with inferential analysis. The data collection techniques used were observation, interviews and questionnaires. The sampling technique used a total saturated sampling technique of 14 people. Obtained from 7 PMIK competency standard indicators (Noble Professionalism, Ethics and Legal, Introspection and Personal Development, Effective Communication, Health Data and Information Management, Clinical classification skills, Disease coding and other Health Problems as well as Clinical Procedures, Health Statistics Applications, Basic Epidemiology, and Biomedicine, Management of Medical Records Services and Health Information, there are still 2 indicators in the percentage that are not good, and in the 5 performance indicators of medical record officers (Quality of Work, Quantity of Work, Supervision, Attendance, Conservation) there are still 2 indicators in the percentage not good. It was found that 3 officers had a D-III RMIK education and 11 officers still had a high school education. Based on the results of the T test, it was found that the Sig. value was 275. It could be concluded that there was no influence of PMIK competency on the performance of medical records officers.    

Health service in home is one of the health service that do in the family’s home stay for improving and defending family’s health. Home care gives priority to the fulfilment of health service with organizing the health service that have a quality with out an affense of code of ethics and standard of the quality of medical care profession in home care service in Batua Public Health Center jobs area in Makassar City. This study was do it with using descriptif survey with cross sectional study appraoach with amount of sampels 76 people wiht total sampling method. The results of this study showed that raliable has a relation with patients family statisfaction with p (0,002) < (0,05), assurance has a relation with patients family statisfac- tion with p (0,000) < (0,05), tangible has a relation with patients family statisfaction with p (0,000) < (0,05), emphaty has a relation with patients family statisfaction with p (0,002) < (0,05), responsiviness has a relation with patients family statisfaction with p (0,003) < (0,05). According to the results, its can be con- cluded that reliable, assurance, tangible, emphaty and responsiviness in home care service have a relation with patients family statisfaction. Suggested to the home care service officer in Batua Public Health Center to promote more about hme care service and always stay defending the nersing care service now.

According to WHO (2022) the MMR in the world is 91.46/100,000 live births, the MMR in ASEAN (2022) is 235/100,000 live births (ASEAN secretariat, 2022). In Indonesia, the MMR in 2022 is 230/100,000 live births (Indonesian Ministry of Health, 2022). The MMR in Central Java in 2022 was 98.6/100,000 live births (Central Java Health Office, 2022) and the MMR at the Bumiayu health center in 2022 was 2 cases (Bumiayu Health Center, 2020-2022). Objective : To reduce morbidity and mortality rates of mothers and infants in Brebes district, especially the working area of Puskesmas Bumiayu. this research is a qualitative descriptive study, the type of research used in this study is using a comprehensive case study approach. Comprehensive case study research is a method for understanding individuals that is carried out interactively (Notoadmojo, 2019). Research Results : This comprehensive care found a gap in theory and practice in pregnancy and childbirth care. Conclusion: Comprehensive Midwifery Care for Mrs. S aged 43 years with preeclampsia and high risk factors at BPM Mrs. R in the working area of the bumiayu health center from third trimester pregnancy, childbirth, newborns, postpartum and family planning with the Varney and soap midwifery approach.

Posyandu is a form of Community Resource Health Effort (UKBM) which is managed from, by, for and with the community, in order to empower the community and make it easier for the community to obtain basic health services. Improving the quality of health services can be seen from the ease of obtaining services, speed and accuracy of services and affordable costs. To fulfill the provision of good services is determined by the abilities, attitudes and behavior of service officers in their interactions with the community as service recipients. The implementation of the Posyandu program did not run smoothly due to a lack of participation from the community using the service. Adequate service facilities and facilities do not necessarily make residents active in going to Posyandu. Only a small portion of the healthy behavior of mothers and children in the community are willing to implement it and obtain it through Posyandu, so the role of cadres is very influential in increasing community participation through a pick-up system and going directly into the community

Posyandu is a form of Community Resource Health Effort (UKBM) which is managed from, by, for and with the community, in order to empower the community and make it easier for the community to obtain basic health services. Improving the quality of health services can be seen from the ease of obtaining services, speed and accuracy of services and affordable costs. To fulfill the provision of good services is determined by the abilities, attitudes and behavior of service officers in their interactions with the community as service recipients. The implementation of the Posyandu program did not run smoothly due to a lack of participation from the community using the service. Adequate service facilities and facilities do not necessarily make residents active in going to Posyandu. Only a small portion of the healthy behavior of mothers and children in the community are willing to implement it and obtain it through Posyandu, so the role of cadres is very influential in increasing community participation through a pick-up system and going directly into the community

The success of stroke treatment is determined by the speed and accuracy of treatment. The golden time in treating stroke is ± 3 hours. Integrated Referral System SISRUTE is a tool that facilitates the transfer of health services between various health facilities.Rapid reporting through the web application is facilitated by this system.. The aim of this research is the relationship between the use of an integrated referral system (SISRUTE) and the speed of success in emergency treatment of stroke cases in the0AGD0of the0DKI0Jakarta0Health Office. The research method that will be used is an analytical research design with a correlational The design was cross-sectional, with a population of 340 participants and 77 participants chosen for the sample size. Using the parametric Chi-Square test. The results show a relationship between using the integrated road system (SISRUTE)..and the success rate of speed of emergency treatment of stroke cases in the0AGD0of the0DKI0Jakarta Health0Office0with a p-vlue of 0.014 < 0.05. Conclusion: The use of an integrated referral system can influence the success rate of stroke emergency treatment.