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Aging is an inevitable and complex process. Cognitive impairment and depression are often seen as comorbid conditions and major mental health problems affecting the elderly. Both of these have become global issues and place a heavy burden on the health care system and society. This cross-sectional study aims to determine the relationship between depression and the incidence of cognitive impairment in the elderly group (³60 years) who meet the criteria by total sampling at the Sasana Tresna Werda RIA Development Center in January 2019. Depressive disorder was measured using the Geriatric Depression Scale (GDS). The Mini-Mental State Examination (MMSE) is used to measure and identify cognitive impairments. Statistical analysis using the Fisher Exact test. Of the 56 respondents, the average age was 78.13 years with 69.6% of the respondents being women. From all respondents, it was found that 10 respondents experienced depression and 23.2% of the elderly had cognitive disorders. The results of the Fisher Exact statistical test stated that there was a significant relationship between the incidence of depression and the onset of cognitive impairment in the elderly group at Sasana Tresna Werda RIA Development (p-value: 0.041). Clinically, the elderly with depressive disorders have a 2.875 times higher risk of experiencing cognitive impairment compared to the elderly without depression. Treating depression can reduce the number of cognitive impairments in the elderly.    

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.    

Factors Associated with Completeness of Basic Immunization for Infants at Ulee Kareng Health Center. Basic immunization is a program carried out to protect a person's body from diseases that can be prevented by immunization (PD3I) caused by viruses or bacteria, including tuberculosis, polio, diphtheria, pertussis, tetanus, hepatitis B, flu, measles and rubella. Based on data from the Directorate General of Disease Prevention and Management, the Indonesian Ministry of Health in 2018, ranks of Aceh Province are the lowest in basic immunization coverage, which is 70%. This study aims to determine the factors associated with completeness of immunization in infants with quantitative analytical methods with a cross sectional design approach (Cut Latitude). The study was conducted in March-July 2021 and obtained as many as 62 samples with the sampling method by accidental sampling. The results of this study indicate that there is a relationship between mother's knowledge and completeness of infant basic immunization with a p-value of 0.000, there is a relationship between mother's education and completeness of infant basic immunization with p-value of 0.000001, there is a relationship between mother's employment status and completeness of infant basic immunization p-value 0.003, and there is a relationship between family support and completeness of basic infant immunization with a p-value of 0.000. The distance to the place of immunization service does not have a relationship with the completeness of infant immunization with a p-value of 0.054. The efforts of the puskesmas in achieving immunization completeness were scored well by conducting an assessment of planning, implementation and assessment activities using a questionnaire containing 5 questions on planning, 5 questions on implementation and 5 questions on assessment. Based on the results of this study, it can be concluded that the level of knowledge, education, employment status, and family support has a relationship with the status of completeness of infant immunization. The distance to the place of immunization service does not have a relationship with the infant's immunization status. The researcher's suggestion is to do research with a larger sample and add various other variables that have a relationship with the infant's immunization status.  

Background: Visceral fat is fat that is stored in the adipose tissue of the abdominal region. The accumulation of high amounts of visceral fat causes central obesity and the occurrence of metabolic syndrome which is a risk for degenerative diseases. Banten Province shows that the prevalence of obesity in 2018 is 22.5% and in 2020 it is 25.2%. Risk factors that cause obesity, especially in the workplace, are lack of physical activity, unhealthy eating patterns, and unhealthy lifestyles. Objective: to determine the relationship between glycemic load, physical activity, and work stress with visceral fat. Methods: The research was carried out in the Office of Manpower and Transmigration of Banten Province, from August 2021 to August 2022. This type of research is quantitative research which is an analytic survey using a cross-sectional research design with a research sample of 76 respondents. Data analysis used the Chi-Square test. Results: There was a relationship between glycemic load and visceral fat (p=0.000), there was a relationship between physical activity and visceral fat (p=0.002), and there was no relationship between work stress and visceral fat (p=0.137). This is because respondents still consume sufficient carbohydrate food on weekdays and holidays and respondents tend to do less physical activity which causes fat accumulation in the body.Conclusion: There is a significant relationship between glycemic load and physical activity to the formation of visceral fat.

In 2013, 4.6 million babies died worldwide before their first birthday, with 50% dying on the first day and nearly 75% within the first week. Most stillbirths and premature newborn deaths are attributable to birth complications that are preventable. The maternal profile in neonatal mortality cases plays an important role in understanding the factors that contribute to this high mortality rate. This cross-sectional study aims to determine the maternal profile of neonatal death cases at Ciawi Hospital, which were selected according to the criteria by total sampling based on medical record data from January 1, 2020, to December 31, 2020. The variables utilized in this study include maternal factors such as gestational age, type of delivery, twin pregnancy, presentation of pregnancy, medical condition of the mother, and obstetric problems. The data is presented in a descriptive format. Among the 58 respondents, the average age was 30.26 years, with a higher prevalence of preterm births (55.2%). The most frequently encountered medical condition in the maternal profile of neonatal deaths at Ciawi General Hospital is chronic hypertension. Conversely, the most common obstetric problems are premature rupture of membranes and oligohydramnios. Efforts to address medical issues in mothers can contribute to the reduction of neonatal mortality cases.    

North Sumatra's economic growth often experiences fluctuationsthere are changes in external and internal conditions. Studyit aims to find the Multivariate Adaptive Regression Splines model(MARS) on the GRDP growth rate in North Sumatra according to the fieldbest effort using Generalized Cross Validation (GCV) criteria. Methodquantitative research, where the data used is secondary datataken from the Central Bureau of Statistics of North Sumatra, namely Domestic Product data North Sumatra Regional Gross Regional Gross Domestic Product (GRDP) by business sector. Studyin the form of the best MARS model obtained from the piecewise-cubic model andThe level of importance of the predictor variables to the best modelobtained significantly affect the Growth Rate of Domestic ProductsGross Regional by Business Field in North Sumatra.

Background : Pregnancy is a physiological process that through by women. Its process begins with conception to the birth process. Prevention of emergency conditions during pregnancy is detected by early detection through pregnancy checks four times by observe the development and growth of the fetus and monitor the mother’s health. During pregnancy, the mother will experience hemodilution or blood dilution so that she is at risk from anemia. Method : This research was an analytic survey with a cross sectional approach. There were 30 pregnant women in third trimester at PMB Dewiady Medical, Margorejo District, Pati Regency were selected using a purposive sampling technique. The research data consists of primary and secondary data. Data analysis between variables used the Chi Square formula. Results : As many as 20 pregnant women (66.7%) adhered to taking Fe tablets, the rest did not comply as many as 10 pregnant women (33.3%). Pregnant women without anemia reached 20 pregnant women (66.7%), while 10 pregnant women (33.3%) had mild anemia. The results of the Chi Square test obtained a value of p(<0.001) <0.05 with a calculated X2 value = 30.000 which indicates a relationship between compliance of pregnant women in consuming Fe tablets and Hb levels in pregnant women. The more obedient pregnant women are in consuming Fe tablets, the more normal the Hb levels of these pregnant women will be. Conclusion : There is a relationship between adherence in consuming Fe tablets to Hb levels of third trimester pregnant women at PMB DewiAdy Medical, Pati District, Pati Regency.

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.

One of the causes of acne vulgaris is stress. According to the WHO (World Health Organization), almost more than 350 million people in the world experience stress, while in Indonesia, the population aged more than 15 years who experience mental emotional disorders or stress reaches 37,728 people based on Riskesdas (Riset Kesehatan Dasar) 2018. Stress can stimulate acne vulgaris by activating the HPA (Hypothalamic Pituitary Adrenal) thereby increasing CRH (Corticotrophin-Releasing Hormone), CRH will increase the production of androgen hormones which trigger the formation of sebum which can clog the sebaceous glands. Acne vulgaris have a psychological impact on teenagers such as dissatisfaction with appearance, lack of confidence, and social dysfunctions like reducing/avoiding social interaction with peers and the opposite sex. Therefore, this study was conducted to find out whether there is a correlation between stress levels and the severity of acne vulgaris at Class III Students of SMAN 1 Makassar in 2021/2022 Period. A cross-sectional, observational analytical methodology is used in this work. The sample size for the study was 102 students. In this study, a dermatologist evaluated the physical severity of acne vulgaris, and Perceived Stress Scale questionnaire was used to evaluate the level of stress. The p-value obtained from the Spearman's rho test employed in this inquiry was 0.317. to come to the conclusion that stress levels and severity of acne vulgaris at Class III Students of SMAN 1 Makassar in 2021/2022 Period are unrelated.

Nutritional status is a state of balance between the intake of nutrients consumed and the nutrients needed by the body which can be measured and assessed by child anthropometry. One of the dominant factors and can affect the nutritional status of toddlers is the attitude and behavior of mothers who lack awareness of the importance of toddler nutrition. The relationship between maternal behavior in feeding with the nutritional status of toddlers in the working area of the Putri Ayu Health Center, Jambi City is known. This study included quantitative research using a cross sectional design. The number of samples was 105 samples. Using the Spearman Rho statistical test. The results showed good maternal behavior obtained (88.6%), poor maternal behavior obtained (11.4%). Nutritional status of toddlers with good nutrition was obtained (79.0%), overnutrition (5.7%), undernutrition (8.5%) and poor nutrition was obtained (6.7%). The results of the Spearman Rho statistical test obtained a correlation coefficient of 0.587. The results showed that there was a relationship between maternal behavior in feeding with the nutritional status of toddlers in the Working Area of the Putri Ayu Health Center in Jambi City because the majority of respondents had good education and economic levels. It is expected that the community will increase their literacy from various sources related to toddler nutrition, especially for mothers who have toddlers to increase knowledge. The more public knowledge of the nutritional status of toddlers increases, the better the behavior of mothers in toddlers will be and the nutritional status of toddlers will increase.        

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).

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.

The problem of drug misuse among teenagers considered a national issue and becomes the concern quite hard to deal with. Teenagers are at risk for drug usage as this period is a phase of transition between childhood and adulthood known as a searching or self-identity period. This study aims to know the underlying factors to prevent drug use among teenagers at MAN 6 Kuta Baro, Aceh Besar. This research method used analytical design with a cross sectional approach with population of 118 adolescents and total sample of 54 teenagers. The proportional random sampling was used for data collection technique. This research was conducted on March 10, 2023 with univariate and bivariate analysis using the chi square test. The findings indicated that out of 54 respondents, 29 people (53.7%) made fewer attempts to prevent drug use, 32 people (59.3%) had less awareness of the dangers of using drugs, 35 people (64.8%) had negative atititude towards drugs, and less involvement from peers as many as 34 people (63%). These findings indicates that there is a relation between knowledge (p=0.003), attitudes (p=0.007), and the role of peers (p=0.017) with drug prevention attempts. In conclusion, the prevention of drug use is affected by knowledge, attitude, information, and the involvement of peers. It expects the research area to provide health counseling regarding drugs and collaborate with cross-sectoral organizations - The Health Offices and Public Health Centers.

Antenatal care is care or care provided to pregnant women before birth, which is useful for facilitating healthy and positive outcomes for pregnant women. Perfect health services have an impact on the quality of service that gives satisfaction to everyone. This study aims to determine the relationship between the quality of health services (tangible, reliability) to the level of satisfaction of the visit of TM I pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were all TM I pregnant women who visited the Labuhan Deli Health Center, namely 56 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was accidental sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a correlation between the satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on the tangible dimension (physical evidence), and there is no relationship between the level of satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on dimension of realibility (reliability).

A perineal tear is a tear that occurs at the time the baby is born either spontaneously or with a tool or action. The impact of perineal tears can result in continuous bleeding and infection of suture wounds in the birth canal, slow treatment can cause death in postpartum mothers to find out the relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. This study is a quantitative analytical research with a "cross sectional study" design. The population in this study is maternity mothers in the working area of the Wara Health Center, Palopo City. Sampling in this study uses a total sampling technique. Data collection uses questionnaires. The data that has been collected is then processed and analyzed using a laptop using Microsoft excel programs and statistical programs (SPSS). Data analysis includes univariate analysis by looking for frequency distribution and bivariate analysis with chi square test with significance level (.05). There was a relationship between the old partus and the incidence of perineal tears (p=0.020) and there was a relationship between the baby's birth weight and the incidence of perineal tears (p=0.007). There is a relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. for midwives in observing childbirth using a partograph is expected to be carried out well and be able to identify quickly and accurately to further increase vigilance in carrying out childbirth help so that perineal tears do not occur.

Ship KM. Egon is one of PT Indoneisan National Shiiping fleets that seves the Indonesian people for smooth sea transportation. This ship is a ship made in Germany in 1991 with a length of 94,30 meters and a windth of 16 meters which is one of the means of transportation that crosses various islands. In one voyage this ship is capable of transportation 500 pax of vehicles, loads of goods passengers with a capacity of 500 passengers with the destination of KM ship. Egon it self is Sheet Harbor, Waingapu Port, Surabaya Port, Batulicin Port, and Pare-pare Port. This study aims to determine the effect of Quality/Service Quality, Corporate Image, Safety Assurance on Passenger’s Decisions to Use the KM Ship Egon especially at PT. Pelni Surabaya Branch, the population in this study were passengers on the KM Egon ship owned by PT. Pelni Surabaya Branch and the sampels used in this study were 92 respondents. Data collection methods used are observation (Observation), interviews, and distribution of questionnaires. The sampling technique used is non-probability sampling purposive sampling type, then the data is analyzed using multiple linear regression with the help of (software) Statistical Package For Social Science (SPSS) Version 26. The regression formulation in this study is as follows:     Y = 1.785 + 0,310X1 + 0,202X2 + 0,220X3 + µ. From this equation, it is known that the most dominant variable influencing passenger decisions is the corporate image variable with a regression coefficient of 0.202. The R2 (R Square) test obtained results of 0.517 or 51,7% which means that Passenger Decisions are influenced by the variables of Quality/Service Quality, Corporate Image, Safety Assurance which are 51,7% and other factors that affect Shipping Safety at PT. Pelni Surabaya Branch, which is 48,3%.

Research aims to explore the comparison between Indonesian and Thai languages, focusing on structure, phonology, and grammar rules. The methodology involves historical and cultural analysis to understand their influences. Phonetic examination compares pronunciation of phonemes. The study also investigates morphological aspects like word formation, inflection, and affixation. Syntactic analysis examines sentence structures, grammar, and phrase roles. The findings provide a comprehensive overview of linguistic differences, alongside cultural and historical impacts. Implications include contributions to interlanguage understanding, development of teaching methods, and cross-cultural translation. This research serves as a foundation for linguistic practitioners, translators, and language instructors to comprehend and leverage the differences and similarities between both languages.

The growing development of shopping centers in the city of Medan creates business opportunities, starting from creating innovations in business opportunities. Currently, there are many kinds of markets emerging to accommodate business people, both new and old. So that many design problems have arisen in the display booth, the selection of appropriate materials and construction systems so as to answer the need for displays that have many functions (multifunctional), namely as accommodation for clothing display needs that are easy to disassemble (knockdown). In addition, to market their products, this market activity is an alternative to promote their brand, so that it can be known by the wider community. The method used in this design starts from the empathize and define stages starting from data collection, direct observation and interviews, both to tenants and pop-up market organizers. After the data collection stage is complete, the existing data is then analyzed. Then proceed to the ideate stage, through the process of brainstorming ideas, solving a problem, and determining the values ​​of the design. After the ideate stage, proceed to the prototype stage, where the process of visualizing ideas to get the desired results to the manufacturing stage is realized in the form of a prototype with a scale of 1:1. After the prototype is finished, a test is carried out to get feedback from users and refined through the implementation stage to perfect the product. The result of this design is that products that have been designed are oriented to be transformed into various models from the same material, with functions that can accommodate the needs of clothing displays that are still fulfilled in each module. The application of the modular concept is applied with a knockdown system, using a stalbuis pipe consisting of 3 sizes, namely, 40 cm, 21.2 cm, and 20 cm. To connect the stalbuis pipe using uno joker connections, nuts and bolts connections, and inner connections. As a flat cross section using canvas tarpaulin which consists of 2 sizes, namely, 13 cm x 51 cm and 4 cm x 51 cm.

The aim of this research is to determine the relationship between knowledge about danger signs in pregnancy and the regularity of Antenatal Care at the Batua Community Health Center, Manggala District. The research design used in this study is observational with a "Cross Sectional Study" approach, where the dependent variable and independent variables are collected simultaneously at the same time to obtain information about the relationship between pregnant women's knowledge about danger signs in pregnancy and the regularity of Antenatal Care. The population in this study were all 45 mothers who had their pregnancy checked. The sampling technique in this research was purposive sampling so that the sample obtained was 35 people. Data collection was obtained through questionnaires given directly to respondents. The data analysis techniques used are bivariate analysis and univariate analysis. The research results showed that knowledge of pregnant women about danger signs in pregnancy was mostly in the good category, namely 25 people (80.6%), the regularity of Antenatal Care among pregnant women was mostly in the regular category, namely 21 people (67.7%), and knowledge about danger signs in pregnancy. with the regularity of Antenatal Care for pregnant women at the Batua Community Health Center, Manggala District, Makassar City for the period February 2022 (p=0.003).

Elderly exercise is a sport that is easy to do, has low impact, and is suitable for the physique of the elderly. Gymnastics is highly recommended for those from the pre-elderly to the elderly because it has many benefits for the body. Sleep quality is a measure of how easy it is for a person to start sleeping and maintain sleep. The aim of this research was to determine the effect of elderly exercise on sleep quality at the Tresna Wredha Krikilan Glenmore Banyuwangi Social Services UPT. This type of research uses qualitative analytical research with a cross sectional approach with the chi square test. The sample from this research was the elderly who were at the Tresna Wredha Krikilan Glenmore Banyuwangi Social Services UPT, namely 55 respondents. Process data using SPSS. The results of this study show that the p-value is 816 which indicates that there is no relationship between elderly exercise and sleep quality at the UPT social service Tresna Wredha Krikilan Glenmore Banyuwangi. The conclusion of this study is that there is no relationship between elderly exercise and elderly sleep quality at the UPT social service Tresna Wredha Krikilan Glenmore Banyuwangi.