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This study aims to identify, analyze and mitigate the risks of work accidents at PT Dewa Ruci Agung. Occupational Health and Safety (K3) is very important to be implemented by every company. Prevention of work accidents can be done by knowing the existing risks, one of which is through the Hazard Identification, Risk Assessment and Determining Control (HIRADC) method. The data collection method used in this study uses primary and secondary data. From the results of the study it was found that there were 15 potential hazard risks including the Lifting Process of moving blocks/goods using a crane, the Cutting Process lifting material and placing it on the cutting machine, preparing the cutting machine, the Grinding Process lifting material and placing it in the grinding area, preparing grinding tools, Fitting Process and Working at Height plate installation process, Main Engine (ME) Overhaul Process, New metal seat removal process (ME) using manual tools, Removal process (ME) with Chain block, Cylinder liner (ME) removal process with chain block, Process Welding, Sandblasting and Painting Process, Zinc Anode Process, B3 Waste Disposal Process. Based on the results of the risk analysis, risk identification is then carried out using the HIRADC method which is most likely to reduce the level of risk severity. The risk identification proposed by the researcher is that it is recommended that every worker carrying out the task wear PPE in accordance with the provisions given by the company and the person in charge of the company's K3. So that unwanted events do not occur. Always check tools and Personal Protective Equipment (PPE) regarding their eligibility for worker safety.

Background: Preclampsia is a one of complication in pregnancy characterised by systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and proteinuria (≥300mg/24hours in urine; protein/creatinine ≥0.3; dipstick protein +1; and/or with additional symptoms. Eclampsia is a severe form of preeclampsia where the mother experiences seizures and/or coma.  There are various risk factors for preeclampsia and eclampsia, one of which is the mother's body mass index (BMI). Excessive maternal weight before pregnancy, as well as excessive weight gain during pregnancy are at risk for preeclampsia. Methods: This study used medical records from the Ciawi General Hospital in 2020, and cross-sectional observational study was carried out. Pregnant women with eclampsia and preeclampsia were the study's population. This study used total sampling as its sampling method, and body mass index measurements were made using information from medical records. The Kruskall Wallis alternative test was utilized in place of the One Way Anova as the hypothesis test in this investigation. In this investigation, a 5% level of significance is expected. Results: This study involved 190 respondents who met the inclusion criteria. The statistical test results showed no significant difference in mean body mass index between the eclampsia, severe preeclampsia, and mild preeclampsia groups (P-value: 0.688). This difference is expected due to the small number of samples and/or the high variability of the samples. Conclusion: Based on the results of the study, there was no significant association between body mass index and mild, severe, and eclampsia. Further research should be conducted and developed for prevention and lifestyle intervention in preeclampsia.    

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.

Flooding is a problem that still requires special attention from a number of parties, including the community and the government. Flooding is not a light matter. Flooding can occur due to rising water levels due to above-average rainfall, temperature changes, levees or dams bursting, or obstruction of water flow elsewhere. The lack of community management and preparedness for disasters is one of the causes of the high impact of post-disaster damage or loss, so disaster mitigation is needed as an effort to reduce disaster risk. The research aims to analyze public knowledge about flood mitigation and preparedness. This study used qualitative research methods with the sampling technique used was simple random sampling. It was found that among several questions in the interview that the author asked about flood management knowledge and preparedness in flood disaster mitigation, all informants responded and acted very well. From the research conducted, all informants expect attention from the government to make improvements to the drainage system again and make new drainage. And the author hopes that the arrangement of residential areas on the banks of the river will be carried out to overcome floods that often hit the Kampung Baru area, Medan Maimun District.  

Cholesterol is a form of fat that has an important role for the body, but if the body has high cholesterol levels it will cause health problems in the form of fatty deposits which will be at risk of blockage of blood vessels. Based on the results of Basic Health Research, it shows that the prevalence in Indonesia with total cholesterol levels > 200 mg/dL is 39.8%, the high prevalence rate is one of the reasons for the increased mortality rate in Indonesia (RI Ministry of Health, 2018). Controlling cholesterol levels can be done by controlling diet such as intake of calcium, fruit, vegetables and fish. The research was conducted in Cengkareng Timur Village, from 19 October 2022 to 2 November 2022. The type of research is quantitative which is analytic using a cross sectional research design, the research sample is 84 respondents. Data analysis used the Spearman correlation test. Based on the research results, it was found that there was a relationship between calcium intake and cholesterol levels (p=0.000) with a value of r = -0.924, there was a relationship between vegetable and fruit consumption and cholesterol levels (p=0.002) with a value of r = -0.496, and there was a relationship between consumption fish with cholesterol levels (p=0.001) with a value of r = -0.351. Workers handling public facilities infrastructure in Cengkareng Timur Village are expected to be able to consume fruits and vegetables because workers' consumption of fruits and vegetables is less than 400 g/day accompanied by a healthy lifestyle.

Elderly is a group of people over 60 years old which is one of the phases that all humans go through. In this phase there will also be various complex problems, especially falls. Falls are the main cause and often cause morbidity and mortality, especially in the elderly over 65 years. The purpose of this study was to see the effectiveness of reducing the risk of falling by implementing the Otago Exercise Program in the elderly. The method used is a case study conducted in February 2023. The duration of the Otago Exercise intervention is 3x a week for 2 weeks. Based on the results of the EOP implementation, it was found that there was a decrease in the Morse Fall Scale value from 90 to 75 (high risk category of falling). There was also a decrease in the TUG value before and after the exercise was carried out. In conclusion, the application of the Otago Exercise Program can reduce the risk of falling in the elderly.    

Inguinal hernia is a condition of protrusion of all or part of an organ through the locus minoris in the abdominal wall. The incidence of inguinal hernia is quite high, in the world there are approximately 20 million hernia repairs done every year. Hernia repair surgery is considered good if it does not experience recidivism, there are no complications, costs are not too expensive, and patients can immediately carry out their work routines. The incidence of residive hernia is influenced by many factors, including factors from the surgeon, namely the knowledge and skills of the surgeon, the selection of surgical techniques and meshes used, mesh fixation techniques, mesh size, lateral and medial hernia bag management, sliding hernias, lipomas in the inguinal canal, operating time, types of anesthesia, postoperative complications This study aims to determine the incidence of inguinal hernia and recidival inguinal hernia, Surgical techniques used and risk factors associated with recidivist inguinal hernia. This study used a cohort retrospective research design, sampling was carried out in total sampling on inguinal hernia patients who had undergone surgery in 10 government and private hospitals in North Aceh Regency and Lhokseumawe City as many as 1109 patients in the period 2018 to 2021. The results of this study found that the most hernia sufferers found in peripheral hospitals in Aceh were mostly under 60 years old with the most gender being men. The most common risk factors for inguinal hernia are people who are obese, have a history of heavy physical activity, have a history of chronic cough and have a history of constipation. Surgical techniques that are widely used in hernia management are surgical techniques using mesh graft and most patients with ingunal hernias do not experience recidivism.  

Sexually transmitted infections (STIs) are still a problem in Indonesia because the numbers are always increasing every year. STIs create a burden of morbidity and mortality and directly impacts a person's quality of life and reproductive health. This cross-sectional study aims to determine the relationship between sexuality and the incidence of STIs, which were selected consecutively using medical record data at one of the Primary Clinics in Jakarta from August 2022 to May 2023. The variables in this study were history of sexuality and current incidence of STIs at the time of the investigation. Statistical analysis using the Fisher Exact test. Of the 114 respondents, the average age was 30.93 years and 8.8% of respondents were positive for STIs status. The type of high-risk patient is non-MSM by 62.3%. The results of the Fisher Exact statistical test found that there was a significant relationship for the occurrence of STIs in the group of men with a tendency to be MSM (p-value: 0.040). Based on the data that has been analyzed, the group of men with a predisposition to MSM has a 3.853 times higher risk of being positive for STIs than the group of men without MSM.    

Hypertension is one of the cardiovascular disease, defined by World Health Organization as blood pressure ≥140/90 mmHg. The high prevalence of hypertension has always been a problem globally. This disease could cause many complications, including cerebrovascular disease, and often associated with cognitive impairment. This study is done to find out the relation between uncontrolled blood pressure and cognitive impairment in geriatric people. This study is an observational analytic study with cross-sectional design. Samples are geriatric people with minimum of 60 years of age in Sasana Tresna Werda RIA Pembangunan in January 2019. Sample was taken with total sampling method. The hypertension criteria in study is previous history of hypertension or blood pressure ≥140/90 mmHg. MMSE score interpretations are: (1) score of 25-30: normal cognitive function; (2) score of <21: indication of mild to severe cognitive impairment. Statistical analysis used in the study are Pearson Chi Square with Yates Correction, with alternative of Fischer Exact, with parameter of expected count of 5%. Significant relation expected in the study is 5%. The study found that there are no significant relation between history of hypertension with cognitive impairment in geriatric people in Sasana Tresna Werda RIA Pembangunan (p-value=0.098), but it is predicted that the group of geriatric people with history of hypertension has 27.7% more risk of getting cognitive impairment. However, the elderly group who have a history of hypertension has a proportion of 27.7% experiencing cognitive impairment.

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.    

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.    

Corona virus disease 2019 or Corona Virus Disease-19 (Covid-19) is a respiratory tract infection caused by a type of corona virus. Another name for this disease is Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COV2). In just a few months, the spread of this disease has spread to various countries, both in Asia, America, Europe, and the Middle East and Africa. The increase in the number of Covid-19 cases is increasing because it spreads so quickly, Covid-19 spreads and can infect a person regardless of age, therefore a communication strategy is needed to prevent the transmission of Covid-19 by the central government, regional governments and the government village. The importance of this communication strategy in tackling the corona virus is to minimize and prevent the spread of the virus in affected areas.Panjeng Village, Jenangan District, Ponorogo Regency, is one of the areas affected by the Covid-19 pandemic. In communicating with the Panjeng village community, the Covid-19 Task Force has an effective communication strategy in carrying out the process of handling the Covid-19 pandemic. Therefore, the purpose of this research is to find out the communication strategy of the Covid-19 task force in dealing with the Covid-19 pandemic in Panjeng Village. In this study, researchers used communication strategy theory according to Mintzberg and Waters, regarding the stages of communication strategy, namely communication strategy planning, communication strategy implementation, and communication strategy evaluation. The research method used in writing this thesis is using a descriptive qualitative research method and the type of research in the field, namely the method of observation, interviews, and documentation. Then the researcher analyzed the data using the reduction method, data presentation, and verification (conclusion) to obtain the expected data.

Indonesia is a disaster-prone area. One of the most common disasters is flooding. Water is one of the important components for human survival. Water has a direct impact on human health. Flood-prone areas are at risk of carrying a disease called water bone disease, especially environmental-based diseases such as diarrhea. The importance of community knowledge and attitudes towards clean water sanitation can reduce the risk of flooding. The purpose of this study was to describe the knowledge and attitudes of the community towards clean water sanitation in flood-prone areas on Pasar V Medan Tembung Street, Percut Sei Tuan District, Deli Serdang Regency. This research was conducted on May 25 2023, 12.30 WIB until finished. This research is a quantitative research with a descriptive research type. Data collection was carried out by interviews and questionnaires. The results showed that 100% of the data obtained from 10 respondents stated that their home environment was prone to flooding which disrupted the quality of clean water from each respondent's house which was prone to flooding, then 10% of the water quality was poor and polluted during floods and 30% of respondents said the water supply was unstable during floods , and 40% of respondents said they experienced diarrhea during floods and 20% of respondents said they experienced itching during floods. The conclusion of this study is that the area prone to flooding on the Tembung V market road, Percut sub-district, Sei Tuan, Deli Serdang district greatly affects the quality of clean water around the place.

The purpose of this research is to analyze the effectiveness of Geogebra learning media in solving math problems among students. The method used in this study is the literature review method with a qualitative approach, which involves a literature review of library sources such as books, articles, journals. Data collection techniques were carried out by conducting literature studies and distributing questionnaires and test questions given to 10 students from class 4C in the 4th semester of Mathematics Education at Indraprasta University PGRI, who were considered to represent the entire research subject. The data analysis technique uses descriptive analytic by collecting data then compiling, analyzing and drawing conclusions. The results of this study indicate that Geogebra is less effective in solving mathematical problems due to lack of knowledge about Geogebra and low interest in using Geogebra.

Floods are one of the major threats that frequently occur in various regions around the world. Floods can be caused by a variety of factors, including heavy rain, overflowing rivers, tidal floods, or water infrastructure damage. This research uses a qualitative descriptive approach, data collection methods using field observations and interviews. The purpose of this study aims to manage environmental health in flood disaster situations in Dusun II Bandar Village, Sibolangit District. The results of the discussion get based on the results of research related to the gender of the head of the household as a sample in this study obtained more men than women. Based on the results of research related to attitudes about disaster risk of household heads, it shows that, of the 12 samples, 50% chose to agree, then 25% disagreed, strongly agreed 15% and 10% disagreed less. Based on the results of research related to the availability of physical facilities and infrastructure for household heads, it shows that, out of 12 samples, 90% chose yes and 10% did not. Based on the results of research related to the existence of organizations or institutions of the head of the household, it shows that, out of 12 samples, 70% chose yes and 30% did not. Based on the results of research related to disaster risk reduction behavior of household heads, it shows that, of the 12 samples, 90% chose yes and 10% did not.  

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.

Every hospital, industry and other sector experiences shifts in activity on a regular basis, and if the pace of construction and progress of the plant continues, this is absolutely necessary for the foreseeable future. Each individual's experience of fatigue is unique and subjective. Various conditions can result in fatigue accompanied by a decrease in body capacity and endurance while on duty. This study aimed to investigate the relationship between work fatigue and shift work in industrial plant employees. The research method used was a survey using questionnaires distributed to employees of industrial factories working in a shift system. The results showed a significant relationship between work fatigue and shift work in employees of industrial plants. High job fatigue can have a negative impact on employees' physical and mental health, as well as increase the risk of workplace errors and accidents. These findings point to the importance of effective shift management in reducing burnout and improving employee well-being. This research contributes to the understanding of the relationship between work burnout and shift work in employees of industrial plants. The practical implication of this study is the importance of greater attention to shift management in order to maintain employee well-being and productivity..

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.    

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ​​the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City