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Postoperative nausea and vomiting is one of the side effects that often occurs in spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room at the Imelda Workers Indonesia General Hospital, Medan. This type of research is quantitative research with quasi-experimental research methods. Data reports in the province of North Sumatra showed that there were 25,602 patients who underwent surgery. Meanwhile, at the Indonesian Umim Workers Hospital in Medan, data on surgical patients for January-March 2024 totaled 666 patients, and 250 patients had spinal anesthesia. This research was carried out in February - June 2024 at the Imelda Indonesian Workers General Hospital, Medan. The research sample was taken as many as 20 respondents. incidence of nausea and vomiting after spinal anesthesia at the Imelda Workers Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, namely 55%, based on gender, the majority of respondents were women, namely 60%, respondents based on smoking history were the majority 65%, the distribution of respondents with a history of nausea and vomiting was the majority 55% and the majority of respondents with nausea and vomiting were 60%. The recommendation for this research is that acupressure therapy can be applied in nursing practice so that patients are able to perform it independently. For the Imelda Workers Indonesia General Hospital, Medan, it is necessary to score the risk of nausea and vomiting in patients before surgery to minimize the incidence of post-operative nausea and vomiting.

Using a mixed-method approach, This study examines emotional support for Quranic memorization students (santri tahfidz) in Islamic boarding schools (pesantren). Quantitative analysis of 515 santri tahfidz revealed high levels of emotional support (M = 3.74, SD = 0.68) with two primary dimensions: reliable relationships (74.96%) and trusted guidance (75.17%). Multiple regression analysis uncovered a significant relationship between emotional support and Quranic memorization achievement (β = 0.42, p < .001, R² = 0.18). A meta-analysis of 28 studies (N = 3,627) confirmed a positive correlation between emotional support and students' psychological well-being (r = 0.39, 95% CI [0.34, 0.44]). MANOVA results indicated significant differences in santri tahfidz's perceptions of emotional support based on gender (Wilks' λ = .97, F(2, 512) = 7.85, p < .001, partial η² = .03) and age (Wilks' λ = .95, F(4, 1022) = 6.73, p < .001, partial η² = .03). These findings extend previous research by Hasfi (2018) and Vista (2018) by identifying the specific roles of teacher support (β = 0.31, p < .01) and peer support (β = 0.28, p < .01) in enhancing student resilience. Furthermore, this study contributes to a more comprehensive understanding of emotional support dynamics in pesantren tahfidz education, integrating Bronfenbrenner's (1979) ecological perspective and Deci and Ryan's (2000) self-determination theory. Finally in a practical context, the researcher evaluates this study has implications for the development of more structured and efficient emotional support intervention programs in tahfidz pesantren.

This study aims to find out and analyze the protection of human rights in cases of gender discrimination. This research is a normative legal research using a statue approach, conceptual approach, historical approach and case approach. This research is a research using primary, secondary and tertiary legal materials obtained using literature study techniques. The results of the study show that (1) the form of handling gender discrimination in Indonesia can be carried out by state institutions related to gender discrimination such as the Ministry of Women's Empowerment and Child Protection and the National Commission on Anti-Violence against Women. (2) There are several factors driving gender discrimination in Indonesia, including economic factors, cultural and social factors, legal factors and educational factors.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Labor Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Labor Indonesia Hospital, Medan, the data on surgical patients as of January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Labor Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Labor Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Labor Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Buruh Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Buruh Indonesia Hospital, Medan, the data on surgical patients per January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Buruh Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Buruh Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Buruh Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Acute Respiratory Infection (ARI) is a significant public health issue, particularly in areas with suboptimal environmental conditions. Community Health Centers (Puskesmas), as the primary healthcare providers, play a crucial role in managing ARI cases. This study aims to analyze the prescribing patterns of medications for ARI patients at Pekanbaru Community Health Center to evaluate whether the prescribed treatments adhere to existing guidelines and to provide recommendations. The sample for this study comprises ARI patients who sought treatment at Pekanbaru Community Health Centers in March 2024. Secondary data from the monthly report of Pekanbaru Community Health Centers in March 2024 was used as the research instrument. The collected data was analyzed by calculating the percentage of medication usage. Based on the findings from Pekanbaru Community Health Centers, the following conclusions were drawn: Most patients consuming ARI medications were female, with 80 respondents, compared to 70 males. The age group with the highest number of ARI medication consumers was [missing data]. Paracetamol 500mg was the most commonly prescribed medication at the health center."

Colorectal cancer is a malignant epithelial tumor originating from colorectal mucosa. Clinicopathology factors including age, gender, location, histopathological type, differentiation, depth of invasion, lymph node metastasis, and lymphovascular invasion are known affect the prognosis. This study aims to determine the clinicopathological characteristics of colorectal cancer at Anatomical Pathology Laboratory RSUP. Dr. M. Djamil Padang in 2017-2020 This study was descriptive observational with total sampling technique from medical records. Samples included all colorectal cancer patients in 2017-2020 who were fulfilled inclusion criteria, with total 251 samples. The results showed that the most patiens were female (52.2%), the age group were > 50 years (66.1%), mostly located in the rectosigmoid (71.7%). Most of the histopathological types were adenocarcinoma (79.7%), with low grade differentiation (88.8%). More than a half of tumor invasion was at T3 (58.2%). Mainly metastatic status to lymph nodes was Nx (54.2%) and lymphovascular invasion were positive in 60% samples that included the lymphovascular invasion examination. The conclusion of this study is most of colorectal cancer in Anatomical Pathology Laboratory RSUP. Dr. M. Djamil Padang in 2017-2020 are in advanced stage, Early detection needs to be done so that colorectal cancer can be diagnosed at an early stage.

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05.   

The combination of hormone treatment and genetic liabilities in transgender women leads to a complicated situation for breast cancer growth particularly linked to BRCA1 mutations. Gender-affirming treatment relies heavily on estrogen and causes intense cell growth and differentiation in breast tissue driven by estrogen receptor mechanisms. Mutations in BRCA1 lead to weak DNA repair processes which enhance an individual's vulnerability to cancerous changes. Rodestrogens enhance the functioning of proliferative pathways like PI3K/AKT and MAPK pathways in cells with dysfunctional BRCA1. This collaborative action elevates the threats posed by benign growths such as fibroadenomas leading to invasive breast cancer. By affecting the expression of vital regulatory proteins linked to cell proliferation estrogen further compromises the genomic integrity in cells harboring BRCA1 mutations. The hormone environment influenced by exogenous estrogen therapy can shape the tumor microenvironment for better cancer progression and metastasis. Comprehending the relationship between estrogen signaling and pathways related to BRCA1 is important for identifying the enhanced risk of cancer in transgender women using hormone therapy. This detailed study aligns recent discoveries regarding genetic vulnerability and hormonal impacts with cell mechanisms to reveal a detailed insight into breast cancer progression in these individuals. The study emphasizes the necessity for custom-designed cancer screening methods and targeted treatments to help mitigate risks and support transgender care. Understanding these pathways greatly enriches our knowledge of hormone-induced carcinogenesis among those who carry certain genetic markers while also guiding the creation of personalized care for transgender women at enhanced risk of breast cancer.

Leprosy is a chronic infectious disease caused by Mycobacterium leprae that attacks several parts of the body, especially the upper respiratory tract, skin, and peripheral nerves. Indonesia is the third country with the most leprosy in the world. This study aims to determine the profile of leprosy patients at the Dermatology and Venereology Polyclinic Dr. M. Djamil Padang Hospital in 2018-2021. This research is descriptive retrospective with total sampling technique using secondary data in the form of medical records. The sample of this study were all leprosy patients in 2018-2021 who were fulfilled inclusion criteria, with a total of 39 patients. The results showed that the most age group was >14 years (100%), the most gender was male (74.36%), the most residence was Padang (33.33%), and almost all leprosy patients (92.31%) had no history of household contact with leprosy patients. Most of the leprosy patients were of the multibacillary type (74.36%) with positive smear results (46.15%), without leprosy reaction (61.54%), and the most disability level that occurred was grade 0 disability (48.72%). The conclusion of this study is that most cases of leprosy at the Dermatology and Venereology Polyclinic RSUP Dr. M. Djamil Padang in 2018-2021 aged >14 years, male, having address in Padang City, had no history household contact, multibacillary type, positive smear result, without reaction, and level 0 disability.

This study examines the relationship between educational attainment, gender inequality in education, and their impact on unemployment rates and economic resilience across various regions. Gender inequality in education has long-term consequences on labor market outcomes and economic stability. In regions with higher gender inequality, the underutilization of female talent results in higher unemployment rates and weaker economic resilience. In contrast, regions with higher gender equality in education show improved labor market performance and a more resilient economy. The study utilizes cross-regional regression analysis, incorporating data on education levels, gender inequality indices, unemployment rates, and economic resilience metrics. The findings suggest that gender inequality in education plays a more significant role in shaping unemployment rates and economic resilience than traditional macroeconomic variables such as GDP and inflation. Furthermore, the results highlight the importance of improving access to education for underrepresented genders, particularly women, to foster more inclusive and sustainable economic growth. The study emphasizes the need for policies that promote gender equality in education as a means to enhance labor market outcomes and strengthen economic resilience. Limitations of the study include potential data constraints and regional variations in cultural, economic, and policy contexts, which may affect the generalizability of the findings. Future research could expand this study by exploring different regions and countries to gain a deeper understanding of the long-term effects of reducing gender inequality in education on economic outcomes.

Along with ongoing economic changes and globalization, people's shopping behavior is also changing. Sometimes, someone buys something not because of need, but just for pleasure. This leads to wastefulness known as consumptive behavior. This research aims to determine the differences in consumptive behavior based on gender among students of the Faculty of Economics at Muhammadiyah University of Gresik. This type of research is quantitative research. The participants in this research numbered 285 students. The measuring instrument used is the consumptive behavior scale (Fromm, 1995). The statistical analysis method used is comparative analysis with chi-square testing. The results of this research show no difference in consumptive behavior between male and female students with a significance value of 0.840 > 0.05. The data categorization results show that the majority of subjects are at a moderate level of consumptive behavior, with a percentage of 72% for male students and 73% for female students. It is hoped that both male and female students can manage their finances as well as possible by saving and prioritizing needs over wants.

Approximately 5-10% of children worldwide experience impaired motor development. Disrupted child development will contribute to morbidity that occurs throughout the child's life cycle, the transmission of poverty between generations, and in the long term can hold back the pace of a country's development. The purpose of this study was to determine the factors associated with motor development in toddlers aged 2-3 years at the Nagaswidak Health Center, Palembang. The research design used observational analytic with a cross-sectional approach. The population was all mothers who had toddlers aged 2-3 years in the Nagaswidak Health Center working area in January - March 2024, totaling 32 people. Sampling used the total population technique . Data analysis used the Spearman rank test. The results of the study obtained a relationship between knowledge and gross motor development (p value 0.080) and fine motor (p value 0.135), a relationship between gender and gross motor development (p value 0.144) and fine motor (p value 0.135), a relationship between nutritional status and gross motor development (p value 0.000) and fine motor (p value 0.003). There is a relationship between nutritional status and motor development, there is no relationship between knowledge and gender and motor development. It is expected that all related parties will increase stimulation for children related to motor development.

This study examines the use of impoliteness strategies and their relationship with gender in the animated series "Family Guy," with a specific focus on the 20th season. The objective is to determine whether the creators differentiate the use of impolite language between male and female characters and which gender employs these strategies more frequently. Using Jonathan Culpeper's 1996 frameworks, impoliteness strategies were categorized into five types: bald on record, positive impoliteness, negative impoliteness, sarcasm, and withhold politeness. A qualitative descriptive method was employed to analyse dialogues transcribed from the animations. The findings reveal six instances of impoliteness from Lois Griffin, including three bald on record utterances, two positive incivility utterances, and one withhold politeness utterance. In contrast, Peter Griffin exhibited 11 instances of impoliteness, consisting of one bald on record utterance, six positive impoliteness utterances, one negative impoliteness utterance, and three sarcastic utterances, with no examples of withhold politeness. The analysis indicates that female characters' impoliteness utterances are fewer than male characters, potentially due to limited screen time. However, the nature of Lois Griffin's impoliteness was similar to Peter's, suggesting that the creators did not design female characters to be more polite. This challenges traditional gender stereotypes regarding language use.

Diabetes mellitus is a chronic disease of insulin metabolism which is characterized by glucose levels exceeding normal values.  Diabetic ulcers are one of the causes of the risk of infection if not treated properly and correctly.  Factors that cause diabetic ulcers are poor blood circulation, age, gender, lack of physical activity, and an increase in diabetes mellitus. This application aims to determine the effect of foot exercises on the risk level of diabetic ulcers in people with diabetes mellitus. Descriptive by conducting an application to 2 respondents 3 times in 1 week with an interval of 2 days.  Respondents measured the highest systolic blood pressure between the right and left brachials and the right and left ankles which was then divided to obtain the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises. After implementing it 3 times, the result was that the ABI value for both respondents increased, namely by the difference between Mrs.  Sa 0.25 mmHg and Mrs.  Si 0.30 mmHg. It was found that there was an increase in the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises in both respondents.

Prospective students who wish to enter higher education must first choose the study program they desire, as this program will provide them with the knowledge and skills needed for their future. Selecting a study program may seem easy for prospective students, given the wide range of options available at a university. However, they also need to consider other factors, both internal and external, when making their choice. This study aims to identify the factors that influence the interest of prospective students in choosing the D3 Accounting Program at Politeknik Negeri Banjarmasin and to provide information regarding the profile of respondents based on student status, gender, and the level of decision-making in selecting the D3 Accounting Program at Politeknik Negeri Banjarmasin. The data analysis techniques used in this study include descriptive analysis, instrument testing, classical assumption testing, and hypothesis testing to analyze the effect of two or more independent variables on the dependent variable using regression equations for two or more variables. The t-test is used to examine the significance of each independent variable's constant, determining whether each variable has a partial (individual) effect on the dependent variable, while the F-test is used to assess the simultaneous impact of the independent variables on the dependent variable, determining whether the influence is significant or not. The results of the hypothesis testing using the F-test and t-test indicate that all alternative hypotheses (Ha) are accepted, and null hypotheses (Ho) are rejected. Thus, the findings reveal that social factors, job opportunities, accreditation, and education costs collectively influence the interest of prospective students in choosing the D3 Accounting Program at Poliban

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.

Gout arthritis is a disease in which there is excessive accumulation of uric acid in the body. Based on WHO, the prevalence of gouty arthritis in the world is 34.2%. The impact of gouty arthritis pain can be caused in the form of decreased quality of life of sufferers due to pain that greatly interferes with daily activities: Research objectives the description of the pain level of gouty arthritis in UPTD Puskesmas 1 Baturetno Wonogiri. Methods: Descriptive with a quantitative approach. The research subjects were 196 patients with purposive sampling technique totaling 66 patients. Research instrument (NRS) nurmetic rating scale. Results: Characteristics The majority of gouty arthritis pain levels were elderly at 35 respondents (53%), female gender at 37 (56.1%), the majority of the length of suffering ≥ 5 years at 44 (67.7%), the majority of moderate pain levels with a scale of 4-6 at 31 (47%). Conclusion: the description of the pain level of gouty arthritis at UPTD Puskesmas 1 Baturetno is mostly elderly, female gender, long suffering ≥ 5 years, moderate pain level.

Bullying cases in Indonesia often occur in educational settings. In recent years, incidents of bullying among children in schools, ranging from elementary to college levels, have become more frequent. This phenomenon shows a decline in morality among children today. This socialization activity is carried out by observation, namely direct observation to the field (field research), where after that, preparation and planning are carried out and prepare materials for presentation as well as the use of film media as one of the learning media. Bullying is a form of abuse of power, with various forms such as verbal, physical, and social actions that aim to humiliate and hurt their victims. The consequences can be severe and long-lasting, affecting mental and emotional health. Bullying can be influenced by various conditions including physical, psychological, economic, social, cultural and gender differences

Domestic violence (DV) remains a persistent social issue that requires serious attention, particularly in rural areas like Wonoharjo Village. This community service program aimed to enhance the understanding and awareness of the community regarding DV prevention through a series of educational activities, conflict resolution training, and group discussions. A participatory approach was employed to actively involve the community in each stage of the program. The results demonstrated a significant improvement in the knowledge and skills of the community concerning DV prevention. Furthermore, the formation of community task forces and the emergence of local leaders served as key indicators of social change. This program successfully raised collective awareness about gender equality and women's rights in the village. The recommendation is to continue education and support programs to ensure sustainable prevention of domestic violence.