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ABSTRACT. Sectio Caesarea (SC) is a common and widely performed operation on pregnant women and its prevalence is increasing every year. The incidence of cesarean section in Indonesia is around 22.8% of all deliveries. Spinal anesthesia for cesarean section is very beneficial because of the simplicity of the technique, fast onset, reduced systemic toxicity but has the risk of complications that often occur after anesthesia and surgery are pain, nausea and vomiting. Objective: To analyze the comparison of the incidence of postoperative nausea and vomiting (PON-V) between fasting and non-fasting in patients with caesarean section who underwent regional anesthesia. Research Methods: Experimental research with clinical trials and including quantitative research. It will be held in March 2021 at IBS RSUD Caruban, Madiun Regency. The sampling technique was probability sampling using consecutive sampling where the sample consisted of 30 SC surgery patients who were divided into two groups, namely 15 fasting and non-fasting patients with spinal anesthesia. Data analysis using Paired Sample T Test with SPSS 22.00 for windows. Result : Post operative nausea and vomiting occurred in both groups . The difference in the incidence of PON-V in both fasting and non-fasting groups in cesarean section patients, the T test (independent T Test) showed a p value of 0.380 (p value > 0.05). Conclusion: There is no difference in the comparison of PON-V between fasting and non-fasting patients in sectio cesarean surgery patients at Caruban Hospital, Madiun Regency in 2021.  

This study aims to reveal the effectiveness of Blended Learning as an online and mixed learning strategy by analyzing various research studies related to Blended Learning obtained from the Google Scholar database. The method used in this study is a method with a library approach or what is known as a literature study from research articles for 2020-2022. Article selection is carried out through the process of identification, screening, and eligibility. So that 10 articles are relevant to the objectives and problems of the literature study. Based on the literature study that has been carried out, the results show that the use of Blended Learning by utilizing several digital technology-based applications as learning support can be said to be effective for increasing literacy skills, critical skills, problem-solving abilities, and cognitive learning outcomes of students.

The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risk of infectious and non-communicable diseases (NCDs), especially through nutritional interventions in the first 1000 days of life, improving balanced nutritional consumption patterns for the whole family, increasing regular and measurable physical activity. , improve healthy lifestyles, improve a healthy environment and reduce cigarette and alcohol consumption. Interview data showed that the majority of people, 48%, rarely had their health checked as early as possible, residents would go to the nearest health center if signs and symptoms of illness began to appear. Integrated counseling on prevention of emergency non-communicable diseases, Hypertension and Diabetes Mellitus, is carried out in one day, residents are gathered in the Mijen Village hall. The activity begins with simultaneous fitness exercises, then continues with a health check. The health checks carried out include anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and random blood sugar measurements. Of the 50 residents who took part in the implementation of integrated counseling on the prevention of non-communicable disease emergencies. Hypertension and Diabetes Mellitus, as many as 24% of residents (12 people) just found out that they suffer from pre-diabetes mellitus, 16% (8 people) already know that they suffer from hypertension and diabetes mellitus, as many as 6% (3 people) have a stomach circumference of more than 100 cm, 54% (27 people) were in good health. Residents were quite enthusiastic about the activities carried out. The data obtained in the integrated counseling activity for preventing emergency non-communicable diseases, hypertension and diabetes mellitus, was submitted to the Mijen Community Health Center as a recap of data on the health status of the target area. The data obtained will be followed up by motivating residents to have their health checked at the Mijen Health Center.

Globalization is a process of international integration that occurs due to the exchange of worldviews, products, thoughts, and other aspects of culture. Globalization has become a significant phenomenon in contemporary society and has had a great impact on the economy. One of the main impacts of globalization on the economy of contemporary societies and the acceleration of international trade. In addition, globalization has encouraged a freer flow of investment between countries. But the effects of globalization on the economy also pose challenges that need to be addressed. Increased global competition could threaten the survival of weaker sectors of the local economy. Local companies have to compete with multinationals that have greater resources, more advanced technology, and lower production costs. This can lead to a decline in local employment and difficulty for traditional sectors to survive. In addition, the effects of globalization also create greater economic inequality. Not all segments of contemporary society can access the same opportunities and benefits from globalization. Income inequality, social inequality, and economic inequality may increase, especially between groups connected to the global economy and groups. The impact of globalization on culture has also raised concerns about the loss of local cultural identity. Amid the influence of dominant global cultures, there is a risk that local traditions, languages and values become marginalized or forgotten.

Changes in society will continue for as long as people interact with one another. The phenomenon of urbanization is one form of social change. This is because of geographical, biological, economic, and cultural factors, as well as shifts in social norms, influenced social change. Social change cannot be viewed solely from one perspective because it can result in shifts in numerous social society sectors. This indicates that social change will always occur within society as a whole. Naturally, this social change occurs not only as a result of the individuals who wish to change but also as a result of developments in various fields, particularly technology. Based on theories of social change, the author tries to describe the social changes that take place in society. The type research used is field research while the data collection thecnique is carried out by observation and interview. This research was conducted in Sampung village, Sampung district, Ponorogo Regency to know of the reason why people urbaniz and the impact of urbanization on social and environtmental origin. The result of this study concluded that, 1) the reason how people urbanizm because the economic case, geographical, population compesition, ideology, biological,  and new discoveries, 2) the impact of urbanization can improve the economic case and the spread of technology on the other hand it also results in a redaction in agricultural land and social tempest within the family.

One of the causes of MMR and AKB in Indonesia mostly occurs due to hypertension (25%). Prevention of preeclampsia is by screening pre-eclampsia in pregnant women at >20 weeks gestation. The role of cadres is very important in helping midwives to detect high-risk pregnant women. The purpose of the study was to determine the effectiveness of health education on the use of pre-eclampsia screening on cadre skills in detecting high-risk pregnant women in posyandu working areas of Tanta Health Center. This research method includes experimental research using pre-experimental designs type Pretes-Posttest Design. The population is posyandu cadres for pregnant women and toddlers in the Tanta Health Center work area as many as 80 people with sampling techniques with Quota Sampling as many as 40 respondents. The data analysis technique uses the Wilcoxon signed Rank test. The results showed that there was a difference between cadres' skills in detecting high-risk pregnant women before and after health education about the use of pre-eclampsia screening.

Multiple nutritional problems include undernutrition and over nutrition at the age of five. Proper feeding by mother through responsive feeding can support the fulfillment of nutrition and give an impact on the nutritional status of children. The purpose of this research was to determine the relationship between mother's knowledge about responsive feeding and the nutritional status of toddlers aged 12-36 months. The research was a quantitative study using a cross-sectional research design. The research sample is 68 respondents. The instrument used a questionnaire. Methods of data analysis used univariate analysis on education, occupation, age, level of mother's knowledge about responsive feeding, and developmental status of toddlers as well as bivariate analysis to analyze the relationship between mother's knowledge about responsive feeding and nutritional status of toddlers aged 12-36 months. The results of the research that has been done show that mother's knowledge is in the good category of 52.9%, sufficient 23.8% and less 13.2%. An overview of the nutritional status of toddlers in the good weight category is 70.6%, the risk of being over weight is 19.1%, and the underweight is 10.3%. The results of the Somers’ d analysis showed that there was a relationship between mother's knowledge about responsive feeding and the nutritional status of toddlers aged 12-36 months which was indicated by a p value <0.05. Research recommends the need for responsive feeding education for toddler mothers.

Background: Mental health is a picture of positive characteristics with harmony and psychological balance that reflects the maturity of his personality. Meanwhile, mental disorders are behavioral patterns that clinically occur in individuals related to distress or disability or are accompanied by a significantly increased risk of death, illness, disability, or loss of independence. According to WHO (World Health Organization) the prevalence of mental disorders in the world is around 450 million people. The high rate of recurrence in people with mental disorders requires us to be more active in knowing the causes. The purpose of this study is to find out an in-depth description of the biological causal factors of a person experiencing mental disorders. This research method uses descriptive qualitative research. Samples were taken randomly with the criteria of someone with a Mental Disorder (ODGJ). The population of this study were mental patients who were treated at RSJD Dr. Amino Gondhohutomo Semarang. The research instrument used a mental disorder predisposition questionnaire. The questionnaire has construct validity and reliability and has been used during Residencies I to III. The results of this study showed that of the 106 respondents who had biological predisposing factors, a history of mental disorders was 39%, followed by a history of drug withdrawal of 38.1%, and the lowest was nutritional disorders.

Introduction: Chronic Kidney Disease (CKD) is a condition in which the kidneys have experienced functional or structural damage or disturbances. The condition of the kidney that has decreased function is unable to dispose of waste products through urination which can result in disruption of endocrine, fluid, electrolyte, metabolic and acid-base functions, one of the consequences of which is the occurrence of edema. The prevalence of kidney failure in Central Java reached 0.42% with a total of 96,794 sufferers. The impact of edema that is not treated will result in respiratory, cardiovascular systems, neurological systems. The purpose of this study was to see the effect of a combination of ankle pump exercise and 30° foot elevation on edema in CKD patients at the Sultan Agung Islamic Hospital in Semarang. Method: This research is a quantitative study using a pre-experimental pretest-posttest design approach. The sample is 12 respondents with purposive sampling technique. Results: The results of this study were mostly male with a total of 10 with a percentage of 83.3% with an average age of 44.50. the results of the bivariate analysis with the Marginal Homogeneity Test obtained a significant value of p = 0.001 (<0.05). Conclusion: There is an effect of a combination of ankle pump exercise and 30° foot elevation on foot edema in CKD patients.  

The mail management system is a much-needed development in the current era of information technology development, especially in an agency. However, at the Tourism, Youth and Sports Office of Ngawi Regency, the management of correspondence which can manage incoming mail and outgoing mail numbers is still done manually, namely by recording it in a large book because it collects data every year.The problem that occurs is the difficulty in finding recorded data, which must be searched manually in a book with the risk that the book will be damaged due to search activity. Furthermore, when making outgoing letter numbers, there is also a problem when you need a letter number on a date that has already passed.This research was carried out by using the extreme programming method which is a derivative of the Agile method which uses an object-oriented approach. The stages involved in the extreme programming method are Planning, Design, Coding, and Testing. The results of this study are Information System for Management of Incoming Mail and Outgoing Mail Numbers Web-Based at the Tourism, Youth and Sports Office of Ngawi Regency.

Reproductive health is one of the national and global development targets based on the 2030 sustainable development goals. The prominent problems among adolescents are grouped into three risks or the KRR Triad. Correct knowledge and good understanding of reproductive health can direct a teenager towards responsible sexual behavior. The purpose of this study was to describe the level of knowledge about adolescent reproductive health among students at SMPN 1 Batang Kapas. The research design uses a purely descriptive study using a quantitative approach. The sample in this study were 26 students of SMPN 1 Batang Kapas who fit the inclusion and exclusion criteria. Questionnaires are used as research data collection tools. The data were then analyzed univariately using the SPSS application. The average age of the respondents was 13.23 years with the youngest being 12 years and the oldest being 15 years. Respondents consisted of 8 men (30.76%) and 18 women (69.24%). The level of knowledge about reproductive health is good at 73.08% or 19 people. While the remaining 7 people (26.92%), have a sufficient level of knowledge. The majority of respondents have a good level of knowledge about adolescent reproductive health. This is because respondents have received information about reproductive health before. Provision of information sources is significantly related to adolescent knowledge regarding fertility, sexual intercourse, marriage plans, and the lowest safe age for childbirth so that it will encourage the formation of positive sexual behavior. The level of knowledge about reproductive health in this study is in the good category. It is hoped that this level of knowledge can lead to good reproductive behavior and function.  

The increase in the number of elderly population (elderly) in the city of Semarang, the increase in the elderly will bring problems due to the aging process which causes a risk of decreasing health status. The elderly will become the strength of a country if they are in a healthy, independent, active and productive condition. One solution to achieve this requires the optimal role of health cadres. As a religious institution, GKJ Jatingaleh Semarang has a service task, one of which is health care for the elderly. To support this service, the PPM FISIP UNTAG Semarang Team conducted PPM activities at the church. The purpose of the PPM activities is assisting in the formation of health cadres; provide medical examination services and provide medical equipment needed in examination activities. The method used is mentoring and practice of health checks. The results of these activities were the formation of a GKJ Jatingaleh health cadre team with 5 cadres as members; health checks have been carried out on 47 elderly residents of GKJ Jatingaleh; and delivery of medical equipment.

Penggunaan bahan alami sebagai terapi alternatif sangat membantu untuk menekan biaya terapi dan perawatan bagi klien diabetes mellitus. Salah satu jenis terapi yang paling baik dan mudah didapat untuk penderita diabetes mellitus adalah susu kedelai. Tujuan penelitian ini untuk pengaruh pemberian susu kedelai terhadap kadar gula pada penderita diabetes mellitus. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain penelitian quasy experimen. Penelitian ini dilaksanakan di wilayah kerja Puskesmas Telaga Biru. Analisis data menggunakan uji paired sample t test. Pengambilan sampel dilakukan dengan tehnik purposive sampling. Jumlah sampel sebanyak 30 orang. Berdasarkan hasil uji analisis didapatkan nilai p-value = 0,000 < dari nilai α 0,05, artinya Ha diterima dan H0  ditolak, maka ada pengaruh pemberian susu kedelai terhadap penurunan kadar gula darah pada penderita diabetes mellitus. Kesimpulannya, susu kedelai mengandung protein, isoflavin dan serat yang tinggi yang bermanfaat terhadap penurunan kadar glukosa darah. Saran diharapkan dapat meningkatkan asuhan keperawatan untuk masyarakat berupa terapi nonfarmakologi yang baik dikonsumsi untuk penderita diabetes mellitus.    

Ethics in the banking industry plays a crucial role in maintaining integrity and public trust. This study aims to explore the role of ethics in preventing violations that could damage the stability of the financial system and the reputation of banks. Using a qualitative approach, this research employs case studies and literature reviews to analyze various cases of ethical violations in the Indonesian banking industry. The findings reveal that strong professional ethics can reduce the risk of fraud and moral hazard among bankers. However, challenges such as weak oversight and profit pressures remain significant factors influencing ethical breaches. Implementing sound corporate governance principles, enhancing ethics education, and tighter regulatory oversight are considered essential to strengthening banking ethics. This study concludes that by reinforcing commitment to ethics, the banking industry can increase public trust and support sustainable economic growth.

The aging process is a natural phenomenon experienced by every individual, characterized by physical and mental changes that affect the body's functions and capabilities. The speed of the aging process can vary between individuals due to the influence of hormones and other factors. Elderly is often thought of as a disease, whereas aging is actually a natural process of decreasing the body's resistance to external and internal stimuli. During aging, the elderly experience physical, mental and psychological changes. Efforts to improve the health of older adults with chronic diseases are made through the adoption of a healthy lifestyle. This includes regular exercise programs, a healthy diet by limiting salt, fat, and cholesterol intake, quitting smoking, avoiding alcoholic beverages and caffeine, managing emotional stress, and undergoing regular monthly health check-ups. With age, older adults are at risk of various diseases, decreased body functions, imbalances, and the risk of falls. These challenges often conflict with older adults' desire to remain independent and active. The mismatch between expectations and conditions can even lead to depression. Therefore, there is a need for special attention to the health and well-being of the elderly with chronic diseases to maintain their quality of life.

Reformasi birokrasi bukan lagi sekedar tuntutan dari segenap elemen masyarakat yang mengharapkan agar birokrasi dan terutama aparatur dapat berkualitas lebih baik lagi. Oleh karena itu, pemerintah menegaskan kembali untuk mereformasi birokrasi guna mewujudkan clean government dan good governance dalam penyelenggaraan pemerintahan. Tujuan penelitian ini adalah menganalisis bagaimana SOP pelayanan tamu dan aplikasi buku tamu online dapat diterapkan sehingga memberikan kepuasan yang optimal kepada masyarakat. Fokus penelitian ini meliputi respon kepada pemberi layanan terhadap peningkatan pelayanan tamu. Lokus penelitian di Subbag Tata Usaha dan Rumah Tangga Wakil Gubernur. Hasil penelitian menunjukan berbagai manfaat baik bagi Pemerintah Provinsi Jawa Tengah sebagai pelaksanaan kewajiban penyediaan pelayanan publik yang prima. Manfaat bagi Biro Umum Setda Prov Jateng membantu pencapaian kinerja organisasi khususnya pencapaian target indeks kepuasan masyarakat, menciptakan pola data tamu yang sistematis sehingga data tersebut dapat menjadi pedoman dalam penyusunan anggaran pelayanan tamu di tahun yang akan datang. Bagi TU dan RT Wakil Gubernur Jawa Tengah dengan tersedianya Aplikasi Buku Tamu Online ini menjadikan pekerjaan sehari-hari lebih efektif dan efisien serta berfungsi juga sebagai alat monitoring hasil audiensi yang lebih optimal. Bagi masyarakat mendapatkan informasi yang jelas dan mendapatkan layanan tamu yang baik.    

In everyday life, trucks are used to transport goods. Not infrequently seen a lot of use of trucks that exceed the carrying capacity. Accidents on the highway include the impact caused by trucks that are overloaded or overloaded. The purpose of this study is to reduce the risk of accidents due to overloading or overloading. The truck load monitoring system aims to make it easier for truck users to see the truck load weight directly through a smartphone with an application. In addition, users can also see the excess weight of the load and there is an overweight indicator in the form of a buzzer. With this system, users can reduce the risk of accidents on their vehicles. This system consists of a load cell sensor and HX711 module as a weight detector, NodeMCU as a microcontroller and data transmission, firebase as a database, and android studio as a container for creating applications. Payload weight data can be monitored remotely or close according to the principles of the Internet of Things (IoT). The results of this study indicate that the system works well with the sensor accuracy level on the prototype truck 1 and truck prototype 2 above 95%. Writing data on firebase, reading firebase through the application and testing the buzzer has a 100% success rate percentage. There is no diference transmission delay between serial monitor and firebase.

The World Health Organization (WHO) estimates that the prevalence of parenting and stunting worldwide is 22 percent or as many as 149.2 million in 2020. Stunting is caused by multi-dimensional factors and not only caused by malnutrition experienced by pregnant women and children under five, another cause is poor parenting practices, including the lack of knowledge of mothers about health and nutrition before and during pregnancy, as well as after mothers give birth. Purpose of Writing : To determine the relationship between parenting style and the incidence of stunting in toddlers aged 12-59 months in Pasirhaur village in 2022. Research Methods : Case control research with a quantitative approach. A sample of 82 mothers with toddlers in November 2022. The sampling technique used is non-probability sampling with purposive sampling method. Results of the study : Poor parenting styles were more common in cases of stunting, with 31 people (75.6%) than good parenting styles for stunted toddlers, with 10 people (24.4%). In the chy-square test, the results of parenting variables for mothers' knowledge were lacking P value 0.008 <0.05, Not exclusive breastfeeding P value 0.03 <0.05, not MP-ASI P value 0.055 <0.05 , and care for sick children who lack P value 0.012 <0.05, so the analysis is that there is a relationship between parenting parents and stunting in toddlers aged 12-59 months in Pasirhaur Village in 2022. Conclusion : Good parenting can reduce the risk of stunting in toddlers and it is hoped that health workers, especially midwives

This study was conducted with the aim of finding out how the work safety procedures are in loading/unloading activities at PT. Buana Lintas Lautan Tbk, Batam Branch. The author obtained data using field research methods and library research methods. The company PT. Buana Lintas Lautan Tbk, Batam Branch is a freight forwarding service company engaged in loading/unloading activities. In loading/unloading work, it is closely related to work that can cause work accidents, whatever the work that moves, is stored and transported, has many risks. Work safety procedures in loading/unloading activities at PT. Buana Lintas Lautan Tbk, Batam Branch have been running well. This is done for the good of the company and loading/unloading workers. To ensure the safety and health of workers in carrying out loading/unloading work, work safety procedures are implemented so that all workers feel safe and comfortable in carrying out their work, although there are still workers who do not use personal protective equipment in the loading/unloading process.

PT Pelindo Multi Terminal is a subsidiary of the state-owned PT Pelabuhan Indonesia (Persero) which manages port business entities in the field of multipurpose terminal operations in Indonesia, such as liquid bulk, dry bulk, general cargo, and so on. PT Pelindo Multi Terminal / SPMT as the leading provider of non-container terminal services in Indonesia provides various services to service users. The services provided by SPMT include Stevedoring, Haulage, Receiving/Delivery, Stacking, Dock Services and Other Services. PT Pelindo Multi Terminal has a high commitment to implementing the principles of Good Corporate Governance (GCG) consistently and continuously. PT Pelindo Multi Terminal is responsible for loading and unloading activities at the port. Stevedoring Workers (TKBM) have an important role in achieving the performance of loading and unloading activities from the port to the ship and from the ship to the port. Loading and unloading workers are one part of the workforce that needs attention because the work process they carry out carries the risk of work accidents. Work safety issues are factors that must be taken into account when carrying out loading and unloading work at the port. To obtain data the author used the Field Research method together with employees of PT Pelindo Multi Terminal Belawan using interviews. The library research method is also used by reading books and research results related to the paper writer's object obtained from libraries and other trusted sources.