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Tape is a traditional fermented food whose benefits can be increased by adding probiotic cells such as Saccharomyces boulardii and Lactobacillus plantarum Dad-13. Tape tends to be easily damaged, so to maintain the viability of probiotics and as a food diversification, tape can be substituted for ice cream dough. The purpose of this research was to determine the effect of substitution and the proportion of substitution of glutinous rice and cassava tape in the manufacture of ice cream on the characteristics and preference level of probiotic ice cream. This research method was carried out using a completely randomized design with a factorial pattern with two factors, the first factor was the type of tape, and the second factor was the proportion of substitution. The type of tape used are white cassava tape, yellow cassava tape, white glutinous rice tape, and black glutinous rice tape with substitution proportions of 0%, 10%, 20%, 30%, and 40%. Analysis of probiotic sticky rice tape and cassava ice cream included water content, total solids, melting time, antioxidant activity, total lactic acid bacteria, total yeast, and preference level. The data obtained will be calculated using the Anova statistikal method. If there is a significant difference between treatments, it is carried out with Duncan's Multiple Range Test significant difference test at a confidence level of α= 5%. The results showed that glutinous rice and cassava tape types and their substitution proportions affected the water content, total solids, melting time, antioxidant activity, total lactic acid bacteria, total yeast, and preference level. Based on the preference level and antioxidant activity, the best ice cream was produced with the substitution of 20% white cassava tape or 20% yellow cassava tape, which had an antioxidant activity of 32.41% and 33.17% RSA and total lactic acid bacteria of 1.79 x 108 and 1.67 x 108 CFU/g, respectively.

Cases of death due to COVID-19 have also increased the number of children who have become orphans.  Thus, these children are now in need of social welfare service (PPKS). Children who have lost their parents due to COVID-19 in Pekanbaru City are the highest compared to all regencies/cities in Riau Province, these children belong to a vulnerable group  so that inclusiveness (partiality) is needed for them. This study aims to look at inclusive governance in handling children who have lost their parents due to COVID-19 in Pekanbaru city. This study uses qualitative research methods with descriptive nature. Data collection techniques were carried out by observation, interviews and documentation. The results showed that the handling of children who lost their parents due to COVID-19 in Pekanbaru City had fulfilled three elements of inclusive governance, namely transparency, participation, and equal treatment. However, in the implementation of the three elements of inclusive governance, there are still obstacles, namely changing policies and disproportionate assistance.

This community service aims to provide comprehensive education about trichiasis, a condition in which eyelashes grow into the eye as well as provide an explanation of the definition, causes, symptoms, and risks associated with trichiasis and eye health. This counseling also provides education on various available treatment methods, ranging from medical treatment and prevention that can be taken to keep the eyes healthy. The form of community service is counseling using the media in the form of powerpoint slides and brochures accompanied by pre-test and post-test to assess the level of public knowledge. information about trichiasis. The level of knowledge before counseling regarding trichiasis and eye health was obtained by all respondents who were still lacking and after counseling there was an increase in the level of knowledge of respondents as much as 89% with a good level of knowledge.

This community service aims to provide comprehensive education about trichiasis, a condition in which eyelashes grow into the eye as well as provide an explanation of the definition, causes, symptoms, and risks associated with trichiasis and eye health. This counseling also provides education on various available treatment methods, ranging from medical treatment and prevention that can be taken to keep the eyes healthy. The form of community service is counseling using the media in the form of powerpoint slides and brochures accompanied by pre-test and post-test to assess the level of public knowledge. information about trichiasis. The level of knowledge before counseling regarding trichiasis and eye health was obtained by all respondents who were still lacking and after counseling there was an increase in the level of knowledge of respondents as much as 89% with a good level of knowledge.

Adolescence is a period of transition or transition due to biological and psychological growth, development, and changes. Biological changes are marked by the growth and development of primary sex, while psychological changes are characterized by changes in attitudes, feelings, and emotions. This transitional period is dubbed a period full of storms and stress, because it causes emotional upheaval, anxiety, and discomfort because the teenager is required to adapt and accept all the changes that occur. The role of nurses that can be used is to provide complementary therapies, namely a combination of aromatherapy and music therapy in reducing anxiety during online learning. The method in this study is a quasi-experimental design with a pre-post test with control group. The sampling technique used was purposive sampling with a total of 60 respondents. The treatment was given in 4 sessions for 4 weeks. The treatment given is a combination of aromatherapy and music therapy. The measuring instrument used is the RCMAS anxiety instrument. The results of this study showed the effect of giving a combination of aromatherapy and music therapy on adolescent anxiety levels during online learning during the covid-19 pandemic (p <0.05). The results of the study are recommended to be able to reduce anxiety in adolescents during online learning during the covid-19 period.    

Background: Autism or ASD (Autism Spectrum Disorder) is a range of conditions characterized by some degree of impaired social behavior, communication and language, and a narrow range of interests and activities that are unique to the individual and performed repetitively. The majority of the phenomenon of maternal stress is higher than paternal stress. The purpose of this study was to explore more deeply the experiences of mothers who have children with autism in SLB Negeri Jepara. Methods: This study used a qualitative method with a phenomenological approach. The informants of this study are mothers who have children with autism. The selection of informants was carried out using purposive sampling technique (nonprobability sampling). The data collection technique used is in-depth interviews and data collection tools used such as interview guideline formats, notebooks, pens and other supporting tools such as cellphones as recording devices during interviews. Results: The results of this study are in accordance with the themes that the researcher has identified. According to the participants, it was not easy to immediately accept the child's condition when diagnosed with autism, so they experienced a variety of feelings, participants also made efforts to seek treatment for the child, during the process of caring for the child, participants said that the child had special care and some received social support. Conclusion: In this study it can be seen that there are four corresponding themes in the results. However, the four themes are less varied, so further research needs to be done on the experiences of mothers who have children with autism by developing these themes.   autism

Shivering a complication that often occurs due to spinal anesthesia, due to postoperative hypothermia. Risk factors shivering include: age, weight, operating room temperature and anesthetic drugs. One of the nonpharmacologi was to reduce grade shivering is by giving hot packs and thick blankets to samples with temperatures < 35.5⁰C. This research to determine the effectiveness comparison between use of hot packs and thick blankets. The design Quasi Experiment with post test control group design. The population all post spinal anesthesia shivering patients in the IBS Recovery Room of RST Slamet Riyadi. The sample are 2 groups,shivering patient with hotpack treatment and shivering patient with thick blanket controls. The sample 32 respondents, 16 respondents treatment group and 16 respondents control group. Data analysis Mann Whitney statistical test. The results showed that p value = 0.008 < α = 0.05 ,that H0 is rejected Ha is accepted, that  difference in the effectiveness of using hot packs with thick blankets on grade shivering in post spinal anesthesia patients in the recovery room.

A study has been conducted in the village of Noelbaki research was conducted in August to October 2022 Month in the Village Oebelo District of Central Kupang Kupang regency, with the aim of knowing the effect of growth regulators on the growth, hasildan konsentari most effective plant eggplant. Research using a completely randomized design (CRD), which consists of four fertilizer treatments Atonik namely T0: without treatment (control); T1: 0.5 ml / liter of water; T2:: 0.75 ml / liter of water -; T3:: 1.0 ml / liter of water is repeated 3 times. Anova test results if there is a real effect then continued with Duncan Multiple Test.The results showed that treatment Atonik fertilizer with a dose of 1.0 ml / liter of water provide the best results on plant height number of leaves and number of fruits and fruit number even though the treatment is not significant to the treatment amount of interest and the amount of fruit.

Pulmonary tuberculosis is an infectious infectious disease caused by bacteria, which can attack the respiratory system, namely the lungs. This disease annually contributes to the highest mortality in the world, including one of developing countries. To achieve successful treatment, patients must patiently take TB drugs thoroughly. There are several factors that influence the failure of treatment, namely from the patient himself, education, knowledge, and other social support.  The purpose of this study was to determine the relationship of knowledge and motivation to adherence to taking medication for pulmonary tuberculosis patients in hospitals. H.Adam Malik in 2020.This type of research is descriptive correlation with cross sectional research design. The number of samples was 31 from April to June 2020. The research was conducted at RSUP. H. Adam Malik  at TB Polyclinic. Bivariate analysis using the chi-square test to determine the relationship of Knowledge and Motivation to medication adherence in pulmonary TB patients.  Based on a hypothesis test using chi-square with a confidence level of 95%, there was no significant relationship between knowledge and medication adherence (p = 0.473). There was a significant relationship between motivation and medication adherence (p = 0.001). The conclusion of this study is that there is no relationship of knowledge with adherence to taking medication and there is a relationship of motivation with adherence to taking medication in TB patients.

The combination of low-dose intrathecal morphine with spinal anesthesia provides an effective and safe postoperative analgesia effect and may enhance the analgesia effect of bupivacaine. At Vita Insani Hospital, almost all patients who will undergo S.C surgery are generally carried out with spinal anesthesia by an anesthesiologist with habitual drug use and the dose used is bupivacaine 0.5% hyperbaric 12.5 mg plus adjuvant morphine 0.2 mg. Seeing the phenomenon of this case, the researcher wanted to see how the description of the effect of giving bupivacaine 0.5% hyperbaric 12.5 mg plus adjuvant morphine 0.2 mg which is commonly used in spinal anesthesia on the duration of analgesia and pain response time that will be felt by patients after sectio caesarea surgery at RS Vita Insani. The research design used is a quantitative descriptive method with a cross sectional approach, with the method used in this research is a prospective descriptive conducted in the post-surgical treatment room (recovery room) Central Surgical Installation (IBS) Vita Insani Hospital from May 2021 to July 2021. This study only uses one group because it only describes the results of a condition. The number of samples as many as 63 samples with purposive sampling technique in accordance with the inclusion and exclusion criteria that have been determined The respondents felt the most pain starting at 3 hours of postoperative assessment with respondents who felt mild pain as many as 31 cases (49.2%) and at least respondents who felt severe pain as many as 5 cases (7.9% ). and pain increased at 4 hours postoperative assessment, namely moderate pain. However, it can also be seen at 0 to 2 hours of postoperative pain assessment that more respondents still do not feel pain. That the duration of analgesia began to decrease in the first hour and then the most significant postoperative pain was felt at 3 hours postoperatively. So that other pain management is needed to reduce the pain experienced by patients such as relaxation techniques, distraction and collaboration of pharmacological therapy in dealing with postoperative pain.

Background : Asphyxia neonatorum is an emergency in infants caused by a lack of oxygen supply and an increase in carbon dioxide in the lungs which results in death. Good antenatal care and delivery assistance by health workers are highly recommended for early detection and treatment of obstetric complications that may occur in pregnant women and newborns. The purpose of this research is Studi analysis of the factors causing asphyxia in newborns at the Siti Aisyah Hospital. Methods: This study uses an analytical survey method with a case control approach.The sampling technique in this study used systematic random sampling, the samples in this study was 206 Respondens. Analysis data used univariate and bivariate analysis. statistical test using chi square. Results: The results of the study showed that there was a relationship between preeclampsia, premature delivery, post-term delivery, and the second (two) long stage with the incidence of asphyxia in newborns with a value of 0.000, this value < 0.05. Conclusion: Asphyxia neonatorum is serious and threatens the baby's life, so good knowledge is needed for mothers in routinely carrying out antenatal care and assisting health workers for pregnant women who check their wombs.

Background: The spread of Covid-19 during a pandemic is a problem that is of the utmost concern. One of the activities that are at risk of being infected with Covid-19 is going out of the house and visiting health facilities which are the most frequently done. One of the groups who are susceptible to disease are children. Many diseases that often occur in children, including diarrhea. When a child has diarrhea, mother will take the child to a health facility, even though there are the prone place to Covid-19 transmission. Therefore, there is a need for socialization about mother’s vigilance of diarrhea in children at home, so that mothers can make the best decisions for their children. Purpose: The purpose of this study was to determine the effect of the Mother's Smart Card, which is a simplification of the MTBS book, on maternal vigilance in the management of children with diarrhea in the pre-hospital phase. Methods: This study used a quasi-experimental design with a pre and post-test approach with purposive sampling technique on 30 mothers. Mother's vigilance is measured by the way the mother behaves and the mother's accuracy in making decisions when the child has diarrhea. The measurement uses a questionnaire Results: The results of data analysis using paired t-test showed that there was a significant effect of the Mother's Smart Card on maternal alertness in the management of children with diarrhea at home with a p value of 0.000. Conclusion: This means that the Mother's Smart Card can increase mother's vigilance in the management of pre-hospital child diarrhea. With this result, it is hoped that the Smart Mother Card can be a reference in increasing mother’s vigilance, and minimizing treatment at inappropriate health facilities that can put the risk of Covid-19 transmission at risk.

Background: The emergency Room (IGD) is one of the main doors in emergency assistance in patient survival. One of the conditions that require emergency treatment is a fracture. Purpose: This research aims to determine the factors that influence the actions of nurses in handling emergency fracture patients. Methods:The research design used was observational non-experimental with a cross-sectional approach. The research sample is the nurse in the Emergency Unit. Data processing was arranged by the data group and data analysis using the SPSS program computer and presented in tables and frequencies Results: The results showed that there was a significant relationship between the level of knowledge, level of experience and level of training in emergency management (<0.05) of fracture patients at Tk.II Pelamonia Hospital Makassar. Conclusion: the factors that influence the emergency management of fracture patients are knowledge, training and experience.

Breast milk production can be increased, one way is by consuming vegetables. The types of vegetables that can increase breast milk production include katuk leaves, young papaya leaves, moringa leaves and lembayung leaves. Consumption of young papaya leaves is still rarely done by breastfeeding mothers. Young papaya leaves are a natural plant that acts as a lactogogum because it can increase and facilitate breast milk. Research objective: The effect of giving boiled papaya leaves on breast milk production in postpartum mothers in the working area of the Tinondo District Health Center. East Kolaka in 2021. The type of research used was a quasi-experimental method. The sample in the research was all postpartum mothers who were not breastfeeding smoothly at the Tinondo District Health Center. East Kolaka, namely 21 people using a purposive sampling technique. There is an effect of giving boiled papaya leaves on breast milk production in postpartum mothers in the working area of ​​the Tinondo District Health Center. East Kolaka in 2021 where the results of measuring breast milk production before being given treatment obtained an average value of 3271.43 to an average value of measuring breast milk production of 3590.48 after being given boiled papaya leaves with a sig value (2-tailed) 0.000 < 0.05. Suggestions for health workers should be used as information about the smoothness and production of breast milk for postpartum mothers.

The emergence of the current COVID-19 pandemic has a significant impact on people's activities from various aspects of life, both in foreign countries and in this country in various sectors, namely economic, political, social and cultural. The Covid-19 pandemic has hit almost 3 years and has not been fully controlled. Government policies that have been made and implemented require good management, for that full support from the community is also needed. The implementation of existing policies, ranging from PSBB, transitional PSBB, emergency PSBB, New Normal PSBB, Emergency PSBB 2, PPKM, emergency PPKM, Micro PPKM is felt to have not shown a significant decline, this makes the government continue to strive to continue to make policies and regulations. To reduce the rate of suspected Covid-19 contamination, the last government policy through the Java and Bali Level PPKM showed good results, was able to suppress and control the Covid-19 pandemic, Covid-19 control will not work if only the government does it, but requires participation of all elements of society in their respective areas. The government really needs the participation of various parties, namely the business world, the community, Covid-19 volunteers, community leaders and the media. In addition, community behavior is expected to be disciplined in implementing the health protocol, namely 3M (maintaining distance, wearing masks and washing hands frequently), with 3M discipline being the key to strengthening the implementation of 3T (testing, tracing, treatment) down to the village level. In addition, social distancing, long-distance travel restrictions, and proper promotion and education to the public are forms of public health efforts in breaking the chain of the spread of the Corona virus. In fact, there are still people who don't follow the rules, go out on motorbikes, don't wear masks and helmets, don't maintain social distancing, still crowd in the market, they tend to ignore the rules for wearing masks, even though there are rules from PerWali Semarang number 57 of 2020 article 6 paragraph 3

  Addition of Palm Enzymes in with Different Variations in Chicken Performance of Undergraduate. The purpose of this study was to determine the effect of giving palm oil enzymes to the weight gain of broiler chickens. the consumption of broiler chicken feed. To determine the administration of palm enzymes influence the increase in broiler chicken feed conversion. The design used in this study was a Completely Randomized Design (CRD), the provision of Palm Enzymes and without the provision of Palm Enzymes. By giving chicken ration given to Broiler Chicken P0: Without the addition of 0% palm enzyme (control), P1: addition of 25 ml palm enzyme + 75 commercial feed, P2: addition of 50 ml palm enzyme + 50 commercial feed P3: addition of palm enzyme 75 ml + 25 commercial feed. On the parameters of observation of body weight, feed consumption and broiler chicken feed conversion obtained during the study were best found in treatment P1: addition of 25 ml palm enzyme + 75 commercial feed. In the sidik analysis, the various effects of body weight, feed consumption and feed conversion between treatments different significantly.    

The purpose of this study was to determine the effect of the NHT type cooperative learning model on learning outcomes of basic volleyball passing techniques. This type of research is a quasi- experimental (quasi-experimental) research design using the non-randomized control group pretest- posttest design. The research subjects were 53 students of class XI AKL 1 SMK Darussalam Karangpucung Kabupaten Cilacap Regency for the 2019/2020 academic year. Learning outcome data were collected through the pretest and posttest. Data analysis used t-test with SPSS 16.0 for Windows. Experiments were carried out 3 times beyond pretest-posttest treatment. Learning outcome data were collected through objective tests, observation and performance. In the experimental group the pretest score was 66.48, while the control group was 64.0. The results of the posttest score in the experimental group obtained an average value of 82.76. While the control group obtained an average value of 78.18. The average normalized gain score obtained in each group is in the experimental group of 0.5 while the control group is 0.4. The significance number obtained is sig 0.001 <0.05. From the research results, it can be concluded that the learning outcomes of students who were given treatment using the NHT type of cooperative learning model were more improved compared to the control group given the conventional learning model. The NHT type cooperative learning model has a significant effect on the improvement of learning outcomes of the basic techniques of volleyball passing in class XI AKL 1 SMK Darussalam Karangpucung Kabupaten Cilacap.

Hypertension is an abnormal increase in blood pressure in the arteries continuously over a period of time. A person is said to be hypertensive if the systolic blood pressure is equal to or above 140 mmHg and/or the diastolic blood pressure is equal to or above 90 mmHg. The high prevalence of hypertension is one of the problems that affect public health status. The purpose of this study was to determine the effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado This research design is a pre-experimental research design (one-group pre-post test design). The population in this study amounted to 53 patients with the sample used was 17 respondents. The sampling technique used is Accidental Sampling. Data collection using blood pressure observation sheet. The results of the study found that giving boiled celery leaves before giving boiled celery leaves were 12 respondents (70.6%). And after giving boiled celery leaves, 13 respondents (76.5%). The result of p value 0.000 (<0.05) so Ha is accepted. There is an effect of giving boiled celery leaves on blood pressure in hypertensive patients in Mahawu, Manado. The conclusion in this study is that there is an effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado. Suggestions to respondents who often experience hypertension can do their own treatment when high blood pressure by boiling celery leaves.

Background: Chronic kidney disease is a progressive and irreversible renal function disorder in which the body's ability to fail to maintain the metabolism and balance of fluids and electrolytes causes uremia. One medicine for the treatment of chronic kidney failure is hemodialysis therapy. Ironically, many patients undergoing hemodialysis experience anxiety. This study aims to determine the efforts to overcome the anxiety of chronic kidney failure in patients undergoing hemodialysis in the Hemodialysis Room of Sanglah Hospital, Denpasar. Method: The research design used was a descriptive analysis approach survey. The study sample used was kidney failure patients who experienced chronic hemodialysis anxiety and light using consecutive sampling technique. Data obtained in April 2012 by filling out a questionnaire about efforts to overcome data analysis anxiety in univariate. Results: Of the 40 respondents who underwent hemodialysis, there were 28 people (70%) experiencing moderate anxiety and 12 people (30%) experiencing mild anxiety. And to overcome anxiety is 27 people (67.50%) doing cognitive therapy and 13 people (32.50) doing relaxation techniques. Conclusions: Some efforts made such as cognitive therapy and relaxation techniques can reduce anxiety in patients with chronic renal failure undergoing hemodialysis.Keywords : Chronic Kidney Failur; Hemodialysis; Fear

Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance