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The attitude of the bride and groom is a form of active community participation in premarital health checks. The bride and groom are expected to be able to carry out activities in order to improve health status because. This study aims to assess the relationship between perceptions, knowledge, and awareness, about premarital health with premarital examination attitudes. The research design used is Crosssectional. Collecting data using a questionnaire that is served and analyzed using Multiple Regression. The sampling method used is probability sampling. The data quality test used is a validity test using Corrected Item Total and a reliability test using Cronbach Alpha. To test the hypothesis in this study, the researcher used F test. The results of this study indicate that the variables of perception, and awareness have an influence on premarital examination..

Family planning is an attempt by a married couple to regulate the number and distance of children desired. The effort in question is contraception or prevention of pregnancy and family planning, the basic principle of contraceptive methods is to prevent male sperm from reaching and fertilizing a woman's egg. This study aims to determine the relationship between knowledge and attitudes of mothers with the use of implantable contraceptives at the Kedai Sianam Health Center in 2022. This research is an analytical research with a cross-sectional study design. The population in this study was all mothers who used contraceptive implants at the Kedai Sianam Health Center as many as 157 people. Samples were obtained as many as 61 people. Data analysis using univariate and bivariate analysis with Chi Square test. The results showed that there was a relationship between maternal knowledge and the use of implantable contraceptives (p = 0.008). There is an attitudinal relationship with the use of implantable contraceptives (p = 0.000). Thus, it is recommended that mothers take the time to attend counseling organized by health workers at Puskesmas about family planning services so as to increase knowledge, attitudes of mothers about implanted contraceptives.

The purpose of this study was to analyze and test the influence of position characteristics and team work on employee performance. This research was conducted at the Office of the Public Works & Public Housing Agency, Bogor Regency, West Java. The population in this study were all employees with the status of State Civil Apparatus (ASN) at the Bogor District Public Works & Public Housing Service. The population in this study were 287 people. By using the Slovin formula, a total sample of 167 people was obtained. The analysis technique used is multiple regression analysis. The results of the analysis show that job characteristics and team work have a significant effect on employee performance.    

The results of initial observations in class X of SMK Elpida Informatika showed that students' process skills were less trained. Although in the learning process the teacher had tried to apply inquiry learning, in its implementation the students depended on each other in their groups. In addition, the average PAK test score for class X had not met the KKM. The application of the inquiry strategy approach in the learning process will be centered on students who emphasize the ability to search for themselves or find themselves. This study aims to determine the improvement in student learning outcomes by applying process skills and discussions between group members can make students active in their learning activities which results in maximum results achieved. This study is a classroom action research carried out in three cycles consisting of planning, implementation, observation, and reflection. The subjects of the study were students of class X of SMK Elpida Informatika. Data collection was carried out by observation. Based on the analysis of the research data, the average cognitive results of students in cycle I were 51.07, cycle II 60.5 and increased to 85.71 in cycle III. The affective learning outcomes of students obtained in cycle I were 85%, cycle II 95% and cycle III increased to 100%. Psychomotor learning outcomes in the form of process skills increased with the average learning outcomes of students obtained in cycles I, II and III respectively being 61.34; 84.10; and 93.4.    

This study aims to analyze the principal’s efforts in improving the quality of Islamic Religious Education (PAI) learning at SMP Hikmah Yapis Jayapura. PAI learning plays a significant role in shaping students’ faith, morals, and personality in accordance with Islamic teachings derived from the Qur'an and Hadith, as well as the exemplary conduct of the Prophet Muhammad SAW. In this context, the principal, as an educational leader, holds a strategic role in managing, guiding, and enhancing the performance of PAI teachers to ensure that the learning process is carried out effectively and contributes positively to students’ spiritual and character development.This research employs a qualitative approach with a descriptive design. The subjects of the study include the principal, PAI teachers, and students of SMP Hikmah Yapis Jayapura. Data were collected through observation, in-depth interviews, and documentation to obtain comprehensive and contextual information regarding the implementation of PAI learning. The data analysis process was conducted through data reduction, data presentation, and conclusion drawing. To ensure the validity and reliability of the findings, source and technique triangulation were applied.The results indicate that PAI learning at SMP Hikmah Yapis Jayapura is not only conducted in the classroom through the delivery of materials related to aqidah, morals, fiqh, and the Qur'an and Hadith, but is also strengthened through various religious programs integrated into the school culture. The principal’s efforts to improve learning quality include conducting regular academic supervision, involving teachers in professional development programs, providing work motivation, and consistently monitoring the learning process. Additionally, religious activities such as Qur'an memorization programs, daily Qur'an recitation before lessons, and routine dhikr and salawat activities support the internalization of Islamic values.Supporting factors include the principal’s active leadership and professional experience, while inhibiting factors consist of limited infrastructure, administrative burdens, and varying levels of teacher competence. Overall, these efforts have contributed positively to improving the quality of PAI learning and fostering students’ character development.

Surgery still often causes various problems, one of which is pain, but the problem of pain during and after surgery can be overcome by anesthesia technique. One of them is spinal anesthesia technique. However, spinal anesthesia still has drawbacks where the duration of sensory and motor blockade is still very short. Various methods are used to prolong the duration of sensory and motor blockade of spinal anesthesia, one of which is the addition of adjuvants such as fentanyl and clonidine. This study was conducted to compare the speed of onset of action of sensory-motor blockade and the lengthening of duration of action of sensory-motor blockade between the addition of 25 g fentanyl compared to 50 g conidine in 10 mg hyperbaric 0.5% bipivacaine administered under spinal anesthesia. This study used a Randomized Control Trial (RCT) design with a double-blind randomized control trial and was conducted at Mitra Plumbon Hospital Cirebon from March-April 2021. There were 42 patients who met the inclusion criteria who underwent surgery with spinal anesthesia. Patients were divided into 2 groups, group 1 used 10mg hyperbaric 0.5% bupivacaine plus 25µg fentanyl, while group 2 used 10mg hyperbaric 0.5% bupivacaine plus 50µg clonidine. We investigated the onset of action and duration of action of sensory-motor blockade, the effect of hemodynamic shock, the effect of sedation levels and intraoperative adverse effects (side effects). Data analysis using SPSS 20.0. In the group of 10 mg bupivacaine 0.5% hyperbaric plus clonidine 50 g, the onset of action of sensory-motor blockade was faster and the duration of action was longer than in the group of 10 mg bupivacaine 0.5% hyperbaric plus 25 g fentanyl with a P value <0.05. Likewise, the effect of hemodynamic fluctuations in the 10mg hyperbaric 0.5% bupivacaine group plus 50 g clnidine was more stable than the 10mg hyperbaric 0.5% bupivacaine group plus 25 g fentanyl. While the effect of the level of sedation and intraoperative side effects are comparable

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

Background: Coronary artery disease (CAD) is the main cause of death in the world. In this study we assessed the ankle-brachial index (ABI) as a screening tool for CAD. Methods: Between 2020 and 2023, a large population-based cross-sectional study was conducted on 4,207 new patients referred to Harapan Kita Hospital. The patients underwent selective coronary angiography via a radial artery approach. ABI was calculated for all patients. Researchers compared ABI with coronary angiography results to determine the specificity and sensitivity of ABI as a screening tool. Results: Abnormal ABI was significantly more common in patients with proven severe CAD (893, 54.8%) than in patients with proven mild CAD (33, 4.7%) or no CAD (94, 5.3% ). The specificity of the ABI was 95.3% and the sensitivity was 54.8%. ABI is associated with risk factors such as smoking, male gender, hypertension, diabetes mellitus and dyslipidemia. Conclusion: ABI can be used as a screening test to prevent CAD with a specificity of 95.3%. We need to consider risk factors other than ABI to improve screening sensitivity. Multidimensional scoring systems should consider risk factors and other noninvasive tests in addition to ABI to develop an ideal screening system for CAD

This study aims to evaluate the effectiveness of lying leg curl exercises in increasing leg muscle strength among futsal players. Optimal leg muscle strength is crucial for futsal players to enhance performance and reduce the risk of injury. The research employed an experimental method with a pre-test and post-test design, involving 20 futsal players divided into two groups: the intervention group, which participated in an 8-week lying leg curl exercise program, and the control group, which did not receive any intervention. Leg muscle strength was measured using a dynamometer before and after the training program. The results showed that the intervention group experienced a significant increase in leg muscle strength compared to the control group (p < 0.05). These findings indicate that lying leg curl exercises are effective in improving leg muscle strength among futsal players, contributing to better on-field performance. This study is expected to provide insights for coaches and athletes in designing more effective training programs to enhance muscle strength.

Online media news is known for its lack of credibility in conveying information and its lack of prioritizing objectivity (accuracy, fairness , completeness) in pursuit of instantaneousness. There is quite a bit of news that puts Muslims in a corner, creating a negative image of the Islamic religion . This research aims to find out how the Radar Bogor media presents news content, as well as knowing the accuracy of news content about Islam on the Radar Bogor online media. This research uses the library research method or library study using Roland Barthes' Semiotics. The assessment categories in analyzing accuracy are in accordance with research conducted by the Press Council in reporting research on 28 newspapers in Java in 2004, including checking, writing errors, relevant news sources, title and content accuracy, photo and content accuracy. The results of the research show that in terms of checking and rechecking, suitability of photos and news content, relevant news sources, suitability of news titles and content, Radar Bogor accurately presents news about Islam. However, in news writing, the 5W 1 H element is complete, the sentences are connected to each other. In spelling, typos or typos were found in 6 news stories which did not reduce the original meaning.

Background: Post spinal anesthesia complications, one of which is urinary retention, it is an inabity of the bladder to partially of completely empty urine during urination. In performing injections on the subarachnoid can be done on the patient in a sitting position on the surgery table or in a tilted/lateral decubitus position. Objective: To analyze the corellation between spinal position an the occurrence of post-anesthesia urinary retention, with the inclusion criteria of patients undergoing spinal block anesthesia in sitting position. Research Methods: The design of this research is analytical observation with a cross sectional approach, sampling using pusposive sampling technique. The number of samples as many as 42 people, the sample was taken in the Central Surgical Installation Room of RSUD dr. H. Jusuf SK. Collecting data using observation sheets that have been prepared and given instructions on how to fill them, regarding the patient’s sitting position in spinal surgery, that is the sitting position with both legs straight or sitting sitting position with both knees flexed, as well as the patient’s ability to urinate after spinal surgery, which is less than 8 hours or more than 8 hours after spinal surgery. From the study, the were 16 respondents who experienced post-spinal urinary retention, 13 respondents who received a spinal sitting position with both legs straight and 3 respondents who received a spinal sitting position with both knees flexed. Result: Statistical test using chi square, obtained P value = 0.715, thus P value > alpha (0.05), so Ho is accepted, it means that it can be concluded that there is no correllation between spinal anesthesia block position and the ccurance of post-anesthesia urinary retention.

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

Electricity is one of the vital needs that is indispensable for all humans and other places, one of which is PT. Cemindo Gemilang, engaged in the cement-producing industry, requires a huge electricity capacity. To reduce or reduce the cost of electrical energy, a power plant unit and a WHRS (waste heats recovery system) were made to supply electrical energy to the cement plant area. PT. Cemindo Gemilang and the Power Plant rely heavily on electric motors, almost all of which operate using electric motors. The electric motor is a single-phase or three-phase type with a voltage of 11 KV, 6.6 KV or 400 volts. When all generating units operate, all electric motors that play an essential role will continue to be active so that damage is often caused by operation and service life therefore in the power plant department, and there is an electrical and mechanical maintenance division to maintain the continuity of the power plant operational system. This study's aim 1). Explain about electric motors, 2). Explain the definition of the water jet pump, 3). Explain how the water jet pump works 4). Explain the components used in electric motors and their repair and maintenance.

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

Basic sanitation is a community effort that focuses on controlling the physical structure, where people use it as a shelter that affects the degree of human health. The purpose of this study was to determine the description of basic sanitation facilities in Kairatu Village, Pakarena Coastal Area in 2021 which includes facilities for providing clean water, toilet and bathroom facilities, waste water management facilities and waste disposal facilities. This type of research is descriptive research, namely the research method carried out with the aim of making a description or descriptive of an objective situation. which was carried out in Kairatu Village, Pakarena Coastal Area in 2021. Provision of clean water facilities in Pakarena hamlet, there are 11 existing families, own property, odorless, colorless, tasteless while there are 4 existing families, but not their own, odorless, colorless and tasteless. On average, Pakarena hamlet residents have a latrine, the type of latrine used is goose neck and has a saptic tank of 14 families and 1 family who does not use a goose neck latrine. Waste water management facilities have not met the requirements. A total of 14 families of waste water are channeled into open sewers and 1 family has SPAL that does not pollute the water. Garbage disposal facilities do not meet the requirements, garbage boxes are not available at all and residents only throw garbage in rivers near settlements while some residents manage waste by burning so that it can pollute the environment.

Gamesis an activity done for fun or enjoyment that has rules so that someone wins and someone loses. Addiction to playing games excessively is known as Games Addiction. The aim of this research is to find out the description of online game addiction among teenagers in Kebun Cengkeh Rt.01/Rw.09, Batu Merah Village, Sirimau District, Ambon City in 2020. This research method is descriptive research. The sample in this study consisted of 51 teenagers located in Kebun Cengkeh Rt.01/Rw.09 Batu Merah Village, Sirimau District.This research has one variable, namely online game addiction. From the results of data analysis withFrequency distribution results showed that the level of online game addiction was mostly mild, as many as 24 respondents (47.1%) among teenagers in Kebun Cengkeh Rt.01/ Rw 09 Batu Merah Village. The conclusion is that it can be described that there is a medium level of online game addiction, severe online game addiction among teenagers in Kebung Cengkeh Rt.01/ Rw 09 Batu Merah Village.  

One effort that can be done to control breast cancer is to carry out primary prevention such as controlling risk factors and increasing communication, information and education. Secondary prevention is carried out through early detection of breast cancer, namely breast self-examination (BSE). This study aims to determine the level of knowledge and attitudes of young women about early detection of breast cancer through self-examination (breast self-examination) in the working area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. This study used a collaborative research design with a cross-sectional approach. With a total population of all young women in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency, namely 130 pure women with a sample of 58 using the simple random sampling method. Data collection in March-June 2022. This analysis was carried out to test the hypothesis using the Chi Square test at significant and if the p-value < 0.05. Based on the results of the study between knowledge and BSE actions, the Chi Square statistical test obtained a p value = 0.010 so that p <0.05. And the attitude with the BSE action that the Chi Square statistical test obtained a p value = 0.038 so that p <0.05 then H0 is rejected and Ha is accepted. There is a Relationship between Knowledge and Attitudes of Young Women About Early Detection of Breast Cancer Through Self-Examination (Breast Self-Examination) in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. It is hoped that this can be one of the therapies given to young women to prevent breast cancer from being carried out as early as possible.    

The decrease in blood donors at UTD PMI occurred during the pandemic by 30% while the need for people who needed blood increased.  Youth is a group of potential donors.  Based on the results of a preliminary study, 90.3% of youth in Terong Dlingo Village Bantul have never donated blood.  Knowledge is closely related to the awareness of donating blood.  The purpose of the study was to determine the relationship between knowledge and interest in blood donation among youth in Sendangsari Hamlet during a pandemic.  The type of research used is an analytic survey with a cross sectional design.  The sample technique chosen is total sampling.  The results of the correlation test using the Kendall's tau-b test with a significance level of 5% there is a significant relationship between knowledge and interest in donating blood (p-value 0.006) and the correlation coefficient value of 0.314 which means it has a fairly strong close relationship.  There is a significant relationship between knowledge and interest in donating blood during the pandemic in youth in Sendangsari Hamlet, Terong Kapanewon Village, Dlingo, Bantul in 2021.  

Hypertension or high blood pressure is a non-communicable disease that is one of the main causes of premature death worldwide. Generally, hypertension is found in people with old age, but in its development, hypertension also affects people of reproductive age, such as women of childbearing age. This study aimed to analyze the risk factors for hypertension in WUS in the working area of ​​the Naibonat Health Center. The type of research used is quantitative, with a case-control study approach. The case population in this study was 511 WUS, then 55 case samples were taken using a simple random sampling technique, and 55 control samples were taken from the respondent's closest neighbors. The data obtained were analyzed using the chi-square statistical test. The dependent variable in this study was hypertension, while the independent variables were age, family history, use of hormonal contraception, obesity, and stress. The results showed that three variables had a relationship with hypertension in women of childbearing age, namely age (p=0.000, OR=7.111), family history (p=0.002, OR=3.710), and physical activity (p=0.000, OR=4.495). in comparison, the use of hormonal contraception, obesity and stress did not have a relationship with the incidence of hypertension in women of childbearing age. The Puskesmas is expected to increase efforts to prevent hypertension by optimally improving services, especially in increasing public knowledge about hypertension so that people can maintain normal blood pressure and can avoid risk factors that can cause hypertension.

This study aims to determine and analyze the influence of tourism promotion, tourist attractions, tourist facilities, accessibility, service quality, accommodation, tourist age, and tourist income in Batu Katak Tourism Object, Batujonjong Village, Bahorok District, Langkat Regency. This study used primary data collected to see the classification of tourist visit levels using a sample of 90 visitors to tourist attractions, using the Confirmatory Factor Analysis (CFA) analysis method and then using Multiple Linear Regression. The results of the study showed that of the 8 variables analyzed using a factor analysis model that affects the level of tourist visits to Batu Katak, only 3 factors affect the level of tourist visits, namely tourism promotion, service quality, and tourist income. Based on the results of multiple linear regression analysis, it shows that tourism promotion and service quality have an effect and are signed on the factors of Batu Katak tourism visitation rates, while tourist income has an effect and is not significant on the level of tourist visits to Batu Katak Batujongjong Village, Bahorok District, Langkat Regency.