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Organic waste is waste that can be decomposed such as food scraps, fruit, leaves, and so on. One of the factors that affect the environment is the problem of waste disposal and management. There are various ways to overcome the problem of organic waste, one of which is by processing organic waste into liquid organic fertilizer. In this research, the manufacture of liquid organic fertilizer used waste of banana peels, pineapple peels and dragon fruit peels with the addition of tape yeast and EM-4 bioactivators. The purpose of this study was to determine the effect of bioactivator concentration and type of bioactivator on phosphorus content in liquid organic fertilizer. The method used in this study is an experimental method using a randomized block design. Based on the results of the study, it was found that the concentration of bioactivators did not affect phosphorus levels in liquid organic fertilizer, but the type of bioactivator affects the phosphorus content in liquid organic fertilizer. but the type of bioactivator affects the phosphorus content in liquid organic fertilizer. The addition of 5 ml, 10 ml and 15 ml of EM-4 bioactivator resulted in phosphorus levels of 204.35 ppm, 217.85 ppm and 215.87 ppm respectively. The addition of 5 ml, 10 ml and 15 ml of tape yeast bioactivator resulted in phosphorus levels of 156.53 ppm, 134.07 ppm and 136.21 ppm respectively. The best treatment obtained in this study was the addition of 10 ml of EM-4 bioactivator, but the levels of phosphorus produced do not meet the standards of the Ministry of Agriculture No. 28 of 2009.

Hypertension is a condition where a person's blood pressure increases above normal which can inhibit the work of the heart. Strategies that can be used to reduce the incidence of hypertension is to utilize products favored by the public that have the potential to lower blood pressure. Food ingredients such as milkfish, white radish, and broccoli. All three have the opportunity to be processed into food products that are well known among the public, efficient, practical, and acceptable to all circles where the product is Nugget. This study aims to determine the effect of adding white radish and broccoli to the preference level of milkfish nuggets as an alternative snack for hypertensive patients. This study used an experimental design, namely RAL with 6 treatments. The treatment was factor L as the addition of white radish with 3 levels and factor B as the addition of broccoli with 2 levels. The results showed that the milkfish nuggets with the addition of 70% white radish and 30% broccoli were preferred by the panelists with a protein nutrient content of 9.48% using the Kjeldahl test, 16.4% fat using the Weibull test, 0.18% potassium using the ASS, 2.24% sodium using the ASS test, and 248.98 kcal energy using calculations.  

Background: Because of the very high mortality in children and children under the age of five, bronchopneumonia is the leading cause of death in children under the age of five worldwide. When viruses, bacteria, microbes and fungi enter the lungs through the respiratory system, they infect the lung parenchyma and cause pneumonia. Objective: Analyzing ineffective airway clearance nursing care in children with bronchopneumonia by collaborative action of administering a nebulizer in the Picu Room of Prof. Hospital. Dr. H Aloei Saboe Methods: Participants in this study, which used a quasi-experimental design, received treatment or intervention before measuring and analyzing the impacts. The pre-post-test group design method served as the basis for the research design. In children with bronchopneumonia, this strategy is used to check the results before and after administration of the nebulizer. Two young people who fight against crime become samples. Results: The results of the study show the overall evaluation results after nursing actions, namely: Based on the results before being given a nebulizer to patients the problem was not resolved in 2 patients and after being given a nebulizer to patients the problem was resolved in 2 patients Conclusion: Based on the description above, inhalation therapy to reduce symptoms of shortness of breath in children with bronchopneumonia is effective where inhalation therapy or steam inhalation therapy using drugs can widen the bronchial airways resulting in complaints such as shortness of breath and disappearance of breath sounds.

Heart attacks are caused by a blockage that keeps blood from flowing to the heart and to the brain, resulting in further complications such as failure of the heart muscle to get oxygen supply which results in a person's death. Therefore, patients with heart disease require Percutaneous Coronary Intervention to deal with their treatment. PCI is also known as cardiac angioplasty or percutaneous coronary intervention. PCI installation in patients with heart disease can affect physical activity so that patients really need family support. Family support will increase self-confidence and motivation to face problems and increase the standard of living to improve the patient's quality of life. This type of research uses a quantitative technique with a cross sectional approach. Sampling was carried out by purposive sampling technique with a total sample of 54 people.The results showed that the majority of respondents had good family support, with all dimensions of family support having a good percentage which showed a significant good percentage (100.00%), and had a very good quality of life (75.93%) , with those who have a good quality of life (24.07%). There is a significant relationship between family support and the quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room of Raden Mattaher Hospital, Jambi, with the Sig. (2-tailed) is 0.032 less than α (0.05). In addition to the analysis significance value, a correlation coefficient (cc) value of 0.293* was also obtained.The relationship between family support and quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room at Raden Mattaher Hospital Jambi in 2023 resulted in a relationship that was sufficient or strong enough and led to a positive relationship, that is, better family support.

This research is apreliminary research that contains efforts to implement the snowball throwing learning model at the elementary level, especially in grade 4. This study also aims to determine student responses to the application of the snowball throwing learning model at the elementary school level. This study used a research design with the "One Shot Case Study" design, namely research conducted by giving certain treatment to research subjects, in this case the snowball throwing learning model. The data obtained were analyzed using research methods for students. In this study the authors used a data collection technique in the form of a questionnaire technique. The questionnaire used in this research is a student learning motivation questionnaire. The results of this study indicate that students' responses to learning using the snowball throwing model received a positive response with a percentage of 88.43%.

This study aims to determine whether there is an effect of the scientific approach on the mathematical reasoning abilities of class X IPA students at SMA Negeri 11 Medan. The population in this study were all students in class X SMA Negeri 11 Medan which consisted of 10 classes, namely 360 students. Of the 10 classes randomly selected, class X IPA 6 was an experimental class that was taught using a scientific approach, and class X IPA 7 was selected as a control class that was taught using conventional learning. This type of research is quantitative research. The data collection instrument was in the form of a posttest in the form of a description, which consisted of 5 validated questions. Data analysis in this study used the SPSS 20 application. Before testing the hypothesis, the normality test was first tested using the Kolmogorov-Smirnov test and the homogeneity test using the homogeneity of variance test and the data linearity test. From the tests carried out, it was found that the data in the study of the two samples came from populations with normal, homogeneous, and linear distribution, thus the authors could provide treatment to both samples. The results of the study after being treated for two meetings, namely in the experimental class taught using the scientific approach obtained an average value of 90.17 and the control class taught using conventional learning obtained an average value of 74.17. To test the hypothesis, a simple linear regression test was used from the results of the calculations, then obtained an F count of 73.579 a significance level of 0.000

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.

Colorectal carcinoma, a malignant neoplasm originating from the epithelial cells of the large intestine or rectum, poses a significant health problem worldwide. The estimated global incidence of colorectal cancer was 2.17 million cases in 2019. Meanwhile, in Indonesia, colorectal cancer ranks fifth among the most common cancer cases with a mortality rate of 9.5%. Demographic characteristics, including age, gender, ethnicity, and geographic location, have been extensively studied in relation to colorectal carcinoma. Understanding the patterns of differentiation and demographic characteristics associated with this disease is crucial for the diagnosis, treatment, and overall prognosis of patients. This study is a descriptive observational study that examines the demographic characteristics and differentiation of colorectal carcinoma patients. The study sample consists of a subset of the research population at Ciawi Regional General Hospital who underwent surgery from June 2021 to May 2023. A total of 21 respondents met the inclusion criteria, with a mean age of 54 years, and were predominantly female (57.1%). The results of this study indicate that poorly differentiated colorectal carcinoma generally occurs at a younger age compared to well and moderately differentiated cases. In terms of gender, females are more likely to experience colorectal carcinoma compared to males. Further research is needed to uncover the interactions between tumor biology, demographics, and clinical outcomes, with the ultimate goal of improving the prognosis and survival rates for individuals with colorectal carcinoma.    

Elderly is someone who is over 65 years old and the elderly are also a risk group whose population is increasing. Elderly is not a disease, but an advanced stage of a life process which is marked by a decrease in the body's ability to adapt to environmental stress. The purpose of doing perceptual stimulation group activity therapy is that the client can reduce the depression he is experiencing and follow the treatment program optimally. Health counseling was held on Wednesday, June 7 2023. The population in this counseling were officers and the elderly in the Wisma Durian Room Tresna Werdha Budi Mulia 2 Social Institution. After carrying out group activity therapy "ball relay" the results (100%) were officers and the elderly understand, understand and be able to exemplify how to play the ball relay.  

Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.    

Atopic dermatitis (AD) is a skin inflammation in the form of chronic, recidive dermatitis, accompanied by itching, and hitting certain parts of the body, especially on the face in the baby (infantile phase) and the flexible part of the extremities (in the child phase). Atopic dermatitis often occurs in infants and children, about 50% will disappear in adolescence, but sometimes it can also persist, or even only begin to appear in adulthood. The prevalence of AD is increasing and the increase in the incidence of AD is related to a history of atopy. The etiology of AD is not known with certainty, but it is known to be caused by the interaction of intrinsic and extrinsic factors in AD. Clinically, itching and skin disorders are found according to specific morphology and distribution. Risk factors that are proven to cause and induce AD are skin barrier disorders due to FLG mutations, environmental changes, and diet. FLG mutations can damage the skin barrier function with impaired pH and maintenance of skin hydration. It is known that the causes of multifactor AD and AD cannot be cured, however, only controlled. Therefore, preventive efforts are important, where doctors need to communicate with patients and their families, provide information and education on diseases, and how to treat and prevent recurrences. Because until now there is no ideal treatment regimen for AD patients, so thorough and appropriate management is needed, especially in reducing signs and symptoms, healing and preventing recurrences.    

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Introduction: Stroke sufferers really need good treatment to prevent physical and mental disability because stroke patients can recover completely and quickly handled within the first 6 hours (golden period), but if more than that time does not get maximum treatment then there will be disability and physical weakness such as hemipares. Objective: This literature summary aims to review the relationship between the effectiveness of active range of motion (ROM) on increasing muscle strength in stroke patients.  Research method: In compiling this research literature researchers use the PIO method: Population is a stroke patient, Intervention with active ROM, Outcome muscle strength.Results: Based on 5 journals, it was found that there was an influence after Rangge Of Motion (ROM) therapy in healing stroke that experienced muscle weakness. Conclusion: ROM exercise is effective for increasing muscle strength and preventing muscle weakness, by giving exercise 2x a day morning and evening about 15-30 minutes.

Fish is a biological resource in the form of aquatic biota which has the widest number and distribution on earth. The wide distribution of fish supports the large number of species diversity so that it occupies the largest percentage of vertebrate groups. SEAMEO BIOTROP (Southeast Asian Regional Center for Tropical Biology) is a Southeast Asian Ministers of Education’s Organization that provides programs for agricultural students. SEAMEO BIOTROP has several apprenticeship divisions, one of which is Sustainable Urban Agriculture Practitioner (PPB) which studies various problems and solutions to agriculture in the environment urban area. The sub-topic in the internship activities of the PPB division is Red Tilapia (Oreochromis sp.) cultivation with the Yumina and Bumina techniques which can be carried out in urban areas. The activities carried out include: 1. Seeding, 2. Maintenance, 3. Treatment. The purpose of this activity is to provide knowledge, understanding, and skills in cultivating red tilapia properly and correctly so that it can grow and generate large profits at harvest for the community.  

Background: Self-efficacy is the perception of the ability to consider and implement behavior patterns as self-regulation that is obtained through motivation and determining achievement of expectations. Good self-efficacy is needed not only for healthy people but also for sick people, especially people with chronic illnesses. Decreased self-efficacy can occur in people with chronic illnesses. We know that people with chronic diseases have long treatment programs, even for a lifetime, such as taking medication and sometimes this feels boring or boring. Consuming drugs or running a continuous treatment program can lead to boredom so that it is possible to want to stop taking medication. This is the background for wanting to know what actions can be taken to increase self-efficacy in people with chronic diseases. Self-efficacy increases if there is effort in dealing with existing obstacles. Interventions can be provided by health workers in increasing self-efficacy in people with chronic diseases. Objective: This study aims to describe the effect of Beapreasi therapy on self-efficacy in patients with chronic diseases at the Bergas Health Center, Semarang Regency. Methods: The research design used was descriptive and was carried out on 6 respondents, all of whom became the experimental group or all of whom became respondents. The method used to determine respondents is a purposive sampling technique. All respondents were assessed for self-efficacy using a self-efficacy scale questionnaire which was measured 2 times, namely before and after being given Beapreasi therapy. Results: The study showed that the mean value of the self-efficacy scale in the experimental group before the intervention was 81.79 and the value of the efficacy scale in the experimental group after the intervention was 89.36. this shows that there is an increase in the value on the self-efficacy scale and there is a difference in the mean value on the self-efficacy scale in the experimental group before giving the intervention with after giving the intervention with a p value of 0.00, p value <0.05 so that there is a significant/significant effect of giving reward therapy on improvement self-efficacy. Conclusion: Beapreasi therapeutic intervention can be used to maintain self-efficacy or increase self-efficacy in patients with chronic diseases, with the hope that patients will remain enthusiastic in carrying out their care and life. Beapreasi therapy can be used as a nurse's independent intervention in accompanying the care of patients with chronic diseases who require lifelong treatment and this is in an effort to increase self-efficacy in sufferers of chronic diseases.  

Hadith is one of the pillars of Muslims in carrying out Islamic law. Besides that, hadith is also a sharp weapon for orientalists in bringing down Islam. One of the bases used by orientalists in overthrowing Islam is the hadiths that seem textually contradictory. Hadith that appear to be textually contradictory can cause misunderstandings for the general public if they do not examine them in depth. One example is the hadith narrated by Abū Dāwud which contradicts the permissibility and prohibition of using illicit objects in medicine. Therefore, researchers conducted research on the meaning and completion of the two hadiths. This type of research is qualitative in nature (library research) with descriptive presentation and analysis methods. This research also uses the book of Sunan Abū Dāwud and is assisted by other standard books, then it is analyzed by studying the Mukhtalif al-Ḥadīṡ method of Syaikh Shāliḥ al-Uṡaimin to resolve the two contradictory hadiths. The result of this study is that the two hadiths can be solved using the al-Jam'u method. Based on the compromise of the two hadiths, it is known that the use of illicit objects is permissible with certain considerations and conditions.

HIV screening services are the main entry point for services aimed at prevention, treatment, support and treatment. The use of HIV screening services by key populations, including transgender women, is important so that HIV status is monitored. Many transgender women work as commercial sex workers, so the spread of HIV is a cause for concern, so the use of HIV screening is important. The causes of the underutilization of HIV screening services need to be investigated. This study aims to examine the relationship between transgender perceptions of HIV screening services in the health center laboratory. The method used in this research is cross sectional with interview method. 80 transgender women in PERWAKOS were interviewed fulfilling the inclusion and exclusion criteria. The data were analyzed using the bivariate test to determine the relationship, the multivariate test to determine the simultaneous relationship, and the binary multiple regressions test on the IBM SPSS Statistics 23.0 for Mac software. Result: The sample size was 80 and it became 73. As many as (78%) 57 chose no stigma, (79.5%) 58 chose fast waiting time, (84.9%) 62 chose the distance from home to a close laboratory, (60.3 %) 44 perceived complete, (53.4%) 39 chose less professional. There is a relationship between the perception of transgender women on stigma by the laboratory staff (p = 0.000), the distance from the house to the laboratory (p = 0.000) and HIV screening services in the health center laboratory. In conclusion, there is a relationship between transgender perceptions of stigma by laboratory assistants, the distance from the house to the laboratory and the use of its services.

Job satisfaction of employees is one of the successes for a person who leads an organization. A leader is appointed based on the results of his hard work during his previous work, of course as a leader is appointed because of his work that is considered good and trusted from the organization. Employee job satisfaction can be seen from the leader's treatment of them. The purpose of the study is to analyze whether the situational leadership style affects the job satisfaction of employees in carrying out their duties. By using the literature review study method, data obtained from books and several previous studies. Situational leadership affects job satisfaction. Most employees are more likely to like the situational leadership style because it can make it easier for employees to make work plans for the organization and control employees to prevent unwanted things. Therefore, good leadership in environmental adjustment often leads to job satisfaction.

Background: Dengue hemorrhagic fever is caused by transmission of the dengue virus by the Aedes aegypti mosquito. Dengue hemorrhagic fever is common in tropical countries such as Indonesia, where new cases are found every year. According to WHO that dengue fever is the leading cause of hospitalization for children. Dengue hemorrhagic disease is more susceptible to infection in children because the child's immune system is still very weak, so the virus is easy to multiply quickly in the body. Knowing the pattern of treatment and analysis of potential drug interactions in pediatric patients with dengue hemorrhagic fever at the East Kalimantan Hospital. Methods: The research is non-experimental observational with a descriptive research design. The approach method used is the cross sectional method. Identification of data collection is carried out retrospectively, by taking sources from medical records for the years 2020-2021. Results: Of  the 47 patient samples, the most cases were male patients as many as 27 patients (57%) with the age of 11 years as many as 11 patients (23%) with a length of stay of less than 7 days as many as 45 patients (96%). Based on the pattern of treatment, the most widely used therapy was the rehydration group (RL) 28 patients (60%). In the case of drug interactions occurred as many as 2 cases (3%). Conclusion: In this study show that there are cases of drug interactions.

Background: Arthritis, better known as rheumatism, is a disease that attacks the joints and surrounding structures. Society often perceives rheumatism as a trivial disease because it does not cause death, even though if it is not treated immediately, rheumatism can cause abnormal limb function, ranging from lumps, stiff joints, and walking difficulty, to lifelong disability. Based on data from the Tungoi Health Center in 2022 the number of patients affected by rheumatoid arthritis was 127 people which was among the 10 highest number of diseases in the Tungoi Health Center. The study aimed to analyze the relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Methods: This study used a cross-sectional study approach. The location of the research was the Tungoi Health Center in October 2022. The study population consisted of patients seeking treatment in the working area of Tungoi Health Center with the number of study samples obtained was 92 patients using total sampling. Data analysis was carried out using the chi-square test. Results: the study showed that there was a relationship between rheumatoid pain and the level of independence in the elderly with a value of ? = 0.000. Conclusion: There was a relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Suggestion: Health workers who are responsible for the Integrated coaching unit (POSBINDU) are to provide support to elderly families so that they participate regularly in the elderly programs provided by the Integrated coaching unit (POSBINDU) and Integrated Healthcare Center (POSYANDU).