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DAGUSIBU is one of the efforts to improve public health that is organized through health service activities by pharmaceutical workers. Health services that can provide community pharmaceutical workers include providing information on the use and storage of pharmaceutical preparations and medical devices. The public needs to know the importance of drug management from when they get a prescription to when they throw it away if it is not needed. So that the impact of community errors cannot be prevented. The lack of public curiosity about this is very dangerous. They should not underestimate the procedures for drug management. Starting from when they first get a prescription from a doctor, to how to dispose of it if it can no longer be used. In fact, if we make a slight mistake in managing drugs, it will have fatal consequences for consumers of the drug. The results of the Dagusibu Drug Management counseling (Get, Use, Store, Throw Away) in Bingkat, Serdang Bedagai Regency can provide insight and education on drug management from when they get a prescription to when they throw it away if it is not needed. So that the impact of mistakes made by the Bingkat village community cannot be prevented. Participants can apply the knowledge they have gained in their family and community environments.

One of the important indicators in hospital quality standards is the level of patient satisfaction with the services provided. Therefore, improving the quality of health services is very crucial, not only in the medical aspect, but also in terms of communication and empathy of health workers to patients. This study aims to determine the description of the quality of service of registration staff at the outpatient polyclinic of General Hospital X, South Jakarta, in 2023, based on patient perceptions. This study is a quantitative study with a descriptive approach, conducted on 50 respondents. Data were collected using a questionnaire covering five dimensions of SERVQUAL: Tangibles, Reliability, Responsiveness, Assurance, and Empathy. Data analysis was carried out by presenting the frequency distribution and percentage of each service dimension. The results showed that: in the Tangibles dimension, 66% of respondents rated it good and 34% less good; Reliability, 70% good and 30% not good; Responsiveness, 52% good and 48% not good; Assurance, 72% good and 28% not good; and Empathy, 66% good and 34% less good. In conclusion, although most respondents rated the service of the registration staff as good, there are still aspects that need to be improved. Improving the overall quality of service, especially in the dimensions of Responsiveness and Empathy, is needed as a strategic step in an effort to increase patient satisfaction and loyalty.

Nephrotic syndrome is a group of diseases characterized by massive proteinuria that causes hypoalbuminemia, resulting in hyperlipidemia, edema, and various complications. One of the etiologies of nephrotic syndrome itself is primary and secondary glomerulonephritis in the form of infection, malignancy, connective tissue disease, drugs or toxins and due to systemic diseases. The incidence of nephrotic syndrome cases in adults does not have a significant difference between genders, where the cases are 3 per 100,000 population. The broad clinical manifestations of nephrotic syndrome require health workers to conduct anamnesis, physical examination, and supporting examinations carefully. When nephrotic syndrome has been established, management will be carried out. Management that can be given to this disorder is non-pharmacological such as a low protein and salt diet and pharmacological especially for the underlying disease. Non-specific treatment to reduce proteinuria, control edema, and treat complications that may occur. The prognosis for nephrotic syndrome depends on the underlying cause.

Occupational safety and health (K3) is an important factor in ensuring the physical and mental health of workers and creating a safe work environment. This research discusses the implementation of K3 management to minimize work hazards, especially those caused by developments in industrial technology and the use of hazardous materials such as asbestos. As a destructive material, asbestos can cause serious diseases such as lung and pleural cancer if not managed properly. Referring to the K3 management system policy in the Minister of Manpower Decree No. 05 1996, this research emphasizes the important role of company management in integrating K3 into the operating system. It is hoped that the results of this research can serve as a guide for the business world to identify hazards, assess risks, and implement control measures to create a safe and secure work environment.

The results of the Population Census data carried out in 2020 showed that the maternal mortality rate reached 189 per 100 thousand live births. And based on these figures, Indonesia is ranked second highest in ASEAN, which is further than other countries such as Thailand, Malaysia, Vietnam and Brunei, which have achievements below 100 per 100 thousand live births. The maternal mortality rate is one of the important programs for the Ministry of Health (Kemenkes) to pay attention to. Therefore, through this, the Ministry of Health carries out a care program from before pregnancy, pregnancy, childbirth, babies. And a number of cases of pregnant women giving birth include anemia 48.9%, hypertension 12.7%, KEK 17.3% and complications as much as 28%. The impact of childbirth on maternal mortality is also something that cannot be separated from the occurrence of maternal death. As a health worker with high integrity, it is very necessary to implement Mother and Baby Care. Indicators of quality service are in the process of pregnancy care, postpartum delivery carried out by health workers to the mother. One of them is carried out in the delivery process by explaining to the mother the technique of pushing when the opening is complete or 10cm. Do not do forced pushing (Valsalva) or tell the mother to push forcibly before it is certain that the opening is complete. This is one of the strict prohibitions conveyed by Bergastrom in his book. The process of delivering a baby can generally cause tears in the vagina and perineum. So when leading pushing in a mother in labor, it is necessary to do so as not to cause irregular tears in the birth canal. However, the process of delivering a baby through the birth canal or through normal delivery requires deliberate tearing to widen the birth canal. However, for further action, it is necessary to do hecting or stitches on the episiotomy wound which aims to restore the original shape of the perineal incision scar and stop bleeding as well as healing.

Complications during childbirth are the leading cause of maternal mortality in Indonesia. The incidence of labor complications can be prevented by frequent antenatal care (ANC) visits. Low frequency of antenatal care (ANC) may increase the risk of labor complications. The purpose of this study is to examine the correlation between the frequency of antenatal care and the incidence of labor complications in Independent Midwifery Practice Jati Area, Probolinggo City. This study used a cross-sectional research design with using secondary data from the Maternal and Child Health book and observation sheets. The number of samples in this study were 26 laboring mothers in the area in June 2024. The results of this study showed that the majority with low ANC frequency majority was 57.7%, incidence of labor complications was 61.5%. Fisher's test showed a significant correlation between the frequency of antenatal care and the incidence of labor complications with the result (p = 0.000). Suggestions for health workers, especially midwives, are expected to always provide motivation and knowledge about the importance of the frequency of antenatal care visits and need to improve the quality of antenatal care to prevent complications of labor.

One of the causes of the high Maternal Mortality Rate (AKI) is long childbirth. If the delivery process lasts a long time, it can cause the mother to be exhausted because she runs out of energy. This results in inadequate uterine contractions (his) so that it can cause failure in the progress of labor. In addition to the inadequacy of uterine contractions (his), psychological conditions are also one of the factors that affect the length of labor progress. The psychological condition in question is the mother's perception of anxiety and pain during the childbirth process. One of the non-pharmacological therapies is self-healing , which is one of the methods used to manage emotions in order to avoid things that cause stress. This study aims to analyze the Effectiveness of Self-Healing to Reduce the Intensity of Pain in Maternal Mothers at PMB Winda Nainggolan, Hutabayu District, Simalungun Regency, North Sumatra Province in 2024. This research method uses a quantitative research approach with a quasi-experimental design research method in one group (one group prestest posttest). The research will be conducted in May 2024-July 2024. The sample size was 16 people with nonprobability sampling techniques. The data analysis used was using the Pairet t Test with an error value of α 0.05. The results of the study based on the output test statistics obtained a significance value of 0.000 which is smaller than the significance level of 5% (p-value = 0.000 < 0.05). The conclusion of the study is that Ha is accepted, which means that there is an effect of self-healing on the reduction of Period I labor pain in Primigravida mothers at PMB Winda Nainggolan, Hutabayu District, Simalungun Regency, North Sumatra Province in 2024. It is hoped that health workers can improve the quality of service, self-healing can be an intervention as one of the non-pharmacological therapies for maternal mothers.

Chronic Energy Deficiency (CED) is a manifestation of malnutrition characterized by an inadequate energy intake over a prolonged period in pregnant women, resulting in adverse health outcomes due to a relative or absolute deficiency of one or more essential nutrients. The 2023 SKI results indicate that malnutrition among pregnant women remains a problem, with nearly 3 out of 10 pregnant women experiencing anemia and 17% at risk of CED. According to data from the Jambi City Health Office, Putri Ayu Public Health Center (Puskesmas Putri Ayu) has the highest number of CED cases, with 67 affected pregnant women. The main objective of this study is to explain the underlying factors contributing to the high prevalence of Chronic Energy Deficiency (CED) and to inform the development of evidence-based health interventions aimed at reducing this condition. This study employed a quantitative research method with a case-control design. The sampling technique used was purposive total sampling, involving 78 pregnant women in the Putri Ayu Public Health Center area, Jambi City. Data collection was conducted in October 2024, using a questionnaire as the research instrument. Data were analyzed using the chi-square test. The results showed a significant relationship between CED and parity (p=0.034), anemia (p=0.013), attitude (p=0.000), and the role of health workers (p=0.000). No significant relationship was found between CED and age (p=1.000), pregnancy spacing (p=0.615), and knowledge (p=0.359) in pregnant women. The findings indicate that parity, anemia, attitude, and the role of health workers are significantly associated with the occurrence of CED in pregnant women, while age, pregnancy spacing, and knowledge are not significantly associated.

Background: According to data from the World Health Organization (WHO, 2023), antepartum hemorrhage, especially placenta previa, accounts for 15% to 20% of maternal deaths. Placenta In addition, previa accounts for 3% of all maternal deaths in Indonesia due to bleeding. Abnormal implantation of placental tissue above the endocervical os is a characteristic of placenta previa. Parity, age, endometrial hypoplasia, tumors, slow luteal response, endometrial abnormalities, history of cesarean section, curettage, multiple pregnancies, and history of placenta previa in previous pregnancies are some of the factors that can increase the risk of placenta previa. Research Objective: This is to determine the characteristics of pregnant women with the incidence of placenta previa in pregnant women at the HKBP Balige Hospital in 2024. Research Method: This is analytical with a cross-sectional design. The sampling technique uses total sampling with a sample size of 45 people. The entire data processing and analysis process uses the SPSS application. Research Results: The characteristics of pregnant women were obtained as follows: the majority of the age at risk (<20 and >35 years) as much as 55.6%; the majority of parity >3 as much as 53.3%, the majority of Ever CS as much as 60%. Results: statistical tests showed a significant correlation with the characteristics of pregnant women with age (p = 0.007), parity (p = 0.031) and history of CS (p = 0.001). Suggestion: It is expected to facilitate health workers in increasing knowledge and skills through training in maternal and neonatal emergency services as an effort to prevent complications in the mother and fetus.

Given the increasing prevalence of mental health challenges in digital work settings, especially among IT remote workers, early detection mechanisms have become critically important. This study aims to improve the prediction accuracy of mental health conditions among IT remote workers by integrating feature engineering techniques within machine learning models. Five algorithms consisting of Random Forest, Logistic Regression, K-Nearest Neighbors, Decision Tree, and Naive Bayes were evaluated. The Random Forest model achieved the best performance, with 83% accuracy, 83% precision, 100% recall, and a 90% F1-score, followed closely by Logistic Regression with 82% accuracy. Nevertheless, the results demonstrate the feasibility of applying machine learning to support the early detection of mental health risks, offering a strong foundation for future research in predictive analytics and the development of intelligent support systems within digital work environments.

This study discusses the effectiveness of medical and psychosocial interventions in the rehabilitation of drug addicted children. Drug abuse in children is a serious problem that can damage a person's physical and mental health and threaten the future of the nation. The main solution in a situation like this is rehabilitation, which aims to eliminate the child's physical dependence and also restore the child's social and psychological condition so that they can interact with others normally again. This study examines how rehabilitation programs are implemented in Indonesia. This study examines problems such as limited facilities, social stigma, lack of personnel, and the ineffective combination of medical and psychosocial approaches. In addition, this study examines Law Number 35 of 2009 concerning Narcotics which regulates the rehabilitation of drug addicted children. This study shows that successful rehabilitation must combine medical treatment and psychological and social support from families, health workers, psychologists, and the surrounding environment and society also need to help. This method not only helps children recover from addiction, but also prevents them from being treated as criminals and helps them be accepted back into the social environment. Therefore, in order for this program to be more friendly, continue to run well, and provide long-term benefits for children and society, cooperation from various parties and improvement of the quality of rehabilitation services are needed.

Infant and toddler mortality is a global issue and one of the targets of the Sustainable Development Goals (SDGs). Mothers and children are family members who should be prioritized in healthcare services. The national coverage of healthcare services for infants, toddlers, and preschool children remains low at 69.9%. Posyandu (Integrated Health Post) is a community-based maternal and child healthcare service (UKBM) organized by and for the community to reduce maternal and child mortality rates. The coverage of mothers with toddlers visiting Posyandu Melati in Kuta Alam District, Banda Aceh City, is only 31.38%, far below the national strategic plan target of 70%. Objective: To determine the relationship between knowledge, attitude, and family support with maternal visits to Posyandu Melati in Kuta Alam District, Banda Aceh City. Research Method: This study used an analytical research design with a cross-sectional approach. The sampling technique employed probability sampling using systematic sampling, with a total of 58 mothers with toddlers. The research instruments included a questionnaire and the Maternal and Child Health (KIA) book. The study was conducted from July 11 to July 13, 2023, at Posyandu Melati, Kuta Alam District, Banda Aceh City. Data processing involved editing, coding, data entry, tabulating, and univariate and bivariate analysis. Research Results: Univariate analysis showed that the majority of respondents had good knowledge (23 respondents, 39.7%), received supportive family support (35 respondents, 60.3%), and had irregular Posyandu visits (30 respondents, 51.7%). Bivariate analysis revealed significant relationship between knowledge (p-value = 0.030), attitude (p-value = 0.015), and family support (p-value = 0.013) with maternal visits to Posyandu. Conclusion and Recommendations: There is a significant relationship between knowledge, attitude, and family/husband support with maternal visits to Posyandu Melati in Kuta Alam District, Banda Aceh City. Healthcare workers should continue providing education and counseling on the benefits of Posyandu in maintaining maternal and child health.

Management and characteristics of B3 waste at PT Ketenagalistrikan based on the potential hazards produced have been carried out by grouping and storing B3 waste based on physical, chemical and based on potential hazards with the aim of security and safety in the Temporary Storage Warehouse for B3 Waste. PT. Ketenagalistrikan has implemented a comprehensive Hazardous and Toxic Materials (B3) waste management system based on Government Regulation No. 22 of 2021 and Regulation of the Minister of Environment and Forestry No. 6 of 2021. Power plant operational activities produce various types of B3 waste such as used oil, used batteries, and other contaminated materials. B3 waste management is carried out through the stages of identification, sorting, containerization, labeling, temporary storage at licensed B3 TPS, as well as transportation and processing by licensed third parties. A quarterly recording and reporting system to environmental agencies is also carried out routinely. This program has succeeded in reducing the risk of environmental pollution and increasing the company's compliance with applicable B3 waste management regulations. Occupational Safety and Health (K3) at PT. Electricity, especially in the handling and storage of Hazardous and Toxic Materials (B3) waste, also plays an important role in avoiding unwanted things. B3 waste generated from PT. Ketenagalistrikan office operations such as used lubricants, batteries, used TL lamps, printer cartridges, and other electronic equipment require special handling in accordance with Government Regulation No. 22 of 2021. Compliance with K3 standards in the storage of B3 waste is an effort to minimize the risk of environmental pollution and potential health problems for workers. The implementation of K3 in the storage of B3 waste in PT. Ketenagalistrikan offices not only fulfills regulatory obligations but also supports the company's commitment to environmental sustainability in accordance with ISO 14001:2015, as well as ensuring the safety and health of its workers.

Monitoring child growth and development can be one of the efforts in preventing stunting. The role of mothers is very important in monitoring child growth and development so that providing education to mothers about monitoring child growth and development can be an effort to prevent stunting in the future. This activity was carried out at the Bengkong Abadi Baru Posyantu in Batam City using lecture and direct practice methods. The material presented included child growth and development, and the use of child growth and development monitoring media. The results of the activity showed that participants had a high interest in understanding how to monitor child growth and development according to their age. In addition, the role of cadres in providing further guidance encouraged an increase in participants' willingness to participate in the program. This activity shows that providing education that is in accordance with the abilities of participants and involving cadres can be an effort to prevent stunting. The success of this program in the long term requires ongoing support from health workers to make this education program a routine activity in every posyandu. Through this activity, it is hoped that a community attitude can be created that is aware of the importance of monitoring growth and development to prevent stunting.

Work fatigue and Musculoskeletal Disorders (MSDs) are common health issues among workers in the weaving industry. Fatigue often results from excessive workload, while MSD complaints typically include pain in the back, neck, wrists, elbows, and legs. This study used a cross-sectional design with a total sample of 45 active weavers in Numponi Village. The results showed significant associations between work fatigue and age (p=0.003), work duration (p=0.007), working posture (p=0.002), workload (p=0.014), and working hours (p=0.017), but not with temperature (p=0.561). Similarly, MSD complaints were significantly associated with age (p=0.001), work duration (p=0.003), working posture (p=0.025), workload (p=0.003), and working hours (p=0.002), with no significant link to temperature (p=0.826). It is recommended that weavers apply proper ergonomic principles to reduce the risk of fatigue and MSDs.

This study aims to examine the role of gratitude in enhancing the psychological well-being of healthcare workers during times of crisis, particularly within the context of the COVID-19 pandemic. Using a qualitative approach through literature review and thematic analysis, the study finds that gratitude positively contributes to aspects of psychological well-being such as self-acceptance, life purpose, personal growth, and positive relationships with others. Gratitude also functions as an adaptive coping mechanism that strengthens the mental resilience of healthcare workers in facing work-related stress and high emotional risks. These findings highlight the importance of gratitude-based psychological interventions to support the mental health of healthcare professionals during crises.

Hospital information systems are technologies used in hospital information management. Dr. Cipto Mangunkusumo Hospital has kept up with technological developments by using HIS which is used to simplify the service process in the medical record unit from incoming patients to outpatients. The purpose of this study is to find out the overview based on the Technology Acceptance Model (TAM) dementia, which is an information system theory of how users can accept and utilize technology. The RME evaluation considers five perceptions, namely perceived ease of use, perceived usefulness, attitude toward using, behavioral intention, and actual technology use. The method of this study is quantitative description research and the object of this study is 96 Hospital Information System (HIS) respondents. The results of this study show that as many as (61.5%) respondents who received HIS and (38.5%) who have not received HIS with details of the perceived ease of use HIS obtained (75%), perceived usefulnesss (70.8%), Attitude toward using was obtained (79.2%), behavioral intention was obtained (62.5%) and in terms of Actual Technology Use as many as 70.8% used every day with a duration of 3 hours per day. It can be concluded that the perception of HIS users has gone well and provided benefits for officers including increased productivity in doing work, but there are still several shortcomings so that there is a need for monitoring and socialization of users who are still not skilled in using HIS and developing HIS features that are more responsive to the needs of health workers and improving technological infrastructure so that HIS can run more easily.

This study investigates the profound impact of the protracted humanitarian crisis in the conflict zone of Syam on the mental health of healthcare professionals, employing a systematic meta-analytical approach across 47 independent studies (N = 12,487) published between 2011 and 2023. The findings reveal an alarmingly high prevalence of burnout, reaching 78.3% (95% CI [75.2–81.4]), with emotional exhaustion recorded as the most dominant dimension (M = 3.89; SD = 0.76). Additionally, secondary trauma was identified in 65.7% of all respondents (95% CI [62.4–69.0]), with the primary symptoms manifesting as post-traumatic stress disorder (PTSD) at 44.2% and depression at 39.8%. Meta-regression analysis demonstrated that the duration of exposure to conflict (β = 0.42; p < 0.001) and the intensity of workload (β = 0.38; p < 0.001) served as significant predictors of burnout. Meanwhile, the lack of psychosocial support (OR = 2.34; 95% CI [1.89–2.79]) and critical resource scarcity (OR = 1.98; 95% CI [1.65–2.31]) were strongly correlated with the emergence of secondary trauma among healthcare professionals. Furthermore, diverging from the more individualistic frameworks employed in the studies of Bdaiwi et al. (2020) and Bou-Karroum et al. (2020), this research explores the intricate entanglement of organizational and situational determinants that concurrently shape the mental health landscape of medical personnel operating in the Syam conflict zone. Moreover, the study's original contribution lies in identifying resilience adaptation patterns observed in 34.2% of participants, revealing that endurance capacity was cultivated through collective coping strategies and close peer support. According to the researchers, this study offers a new lens for designing community-based psychological interventions that are both sustainable and contextually grounded for healthcare providers affected by the protracted armed conflict in Syam.

Health service management has an important role in managing resources effectively and efficiently, dealing with the dynamics of community needs, and ensuring quality health services through a systematic and humanistic approach. However, there are still shortcomings in the availability of adequate resources and managerial skills of implementing officers in service units that do not meet the standards. This study aims to analyze the direct impact of health management on accessibility, quality, effectiveness, and policy-making in health services.This study uses a literature review method with data sources obtained from Google Scholar, National Library e-Resources, and Garuda Portal. The research data was taken from 2015-2025. Based on the literature review, effective health management includes strategic planning, strengthening internal management, managing human resources, community involvement, and utilizing technology. The implementation of health management is proven to improve the competence of health workers, accelerate service processes, and increase patient satisfaction. In addition, good health management also encourages the expansion of health facility distribution, maintains the availability of drugs and medical devices, and improves the quality of infrastructure. However, there are challenges that need to be overcome, such as limited human resources and challenges in implementing Electronic Medical Records (EMR) in various healthcare facilities. The review shows that health management positively impacts accessibility, service quality, effectiveness, and evidence-based policymaking. Effective strategies include strategic planning, internal managemen human resource management, technology use, and community involvement, although challenges like limited human resources and Electronic Medical Record implementation remain

Technicians in radiology departments are continuously exposed to ionizing radiation, which can affect biological systems. This study aimed to investigate the effects of low-level ionizing radiation (IR) on antioxidant enzymes and blood components in radiology personnel. The study involved forty participants aged 30 to 45 years, divided into three groups: G1 as the control group (n=10), G2 consisting of 15 radiologists, and G3 comprising 15 radiology technology workers. Participants in G2 and G3 had work experience ranging from 5 to 15 years and were employed in X-ray and CT scan departments at General K1 Hospital, Kirkuk. The measured parameters included white blood cells (WBCs), platelets, and lymphocytes, as well as malondialdehyde (MDA), superoxide dismutase (SOD), total antioxidant capacity (TAC), and albumin as indicators of redox status. The results showed a significant increase in MDA levels among radiology workers compared to the control group, while SOD, TAC, and albumin levels decreased (P<0.05). Additionally, radiation-exposed workers had a higher mean count of WBCs and lymphocytes than the control group (P<0.05), whereas platelet levels were significantly lower (P<0.05). This study indicates that occupational radiation exposure can cause short-term changes in blood cells and increase the circulating redox state in healthcare workers operating in CT and IR environments compared to those not exposed to radiation. These findings highlight the importance of regular health monitoring for radiology personnel to mitigate potential long-term effects of radiation exposure.