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Intrauterine device is one of the long-acting contraceptives made of plastic wrapped in copper that is inserted into the uterus through the vagina to prevent pregnancy. IUD is one of the contraceptives that has high effectiveness. IUD has side effects, namely menstrual disorders, spotting, spulsion, vaginal discharge. to determine the relationship between the use of IUD contraceptives with menstrual disorders. type of research correlative with cross sectional design. This research was conducted at PKU 'Aisyiyah Boyolali Hospital in December 2023. The subjects of this study were 58 IUD birth control acceptors at PKU 'Aisyiyah Boyolali Hospital during April – November. The sampling technique uses purposive sampling. The measuring instrument uses medical records and questionnaires. The data analysis method uses the chi-square test.  the majority aged 31-40 years are 73.1%, have a high school education of 43.6%, the majority use a Nova-T IUD of 58.9% and have menstrual disorders as much as 57.1%. The results of the chi-suare  test obtained results of nilia p-value 0.000 <0.05, then Ha is accepted so that there is a relationship between the use of contraceptives and menstrual disorders. There is a relationship between the use of intrauterine devices and menstrual disorders at PKU 'Aisyiyah Boyolali Hospital

Urbanization is a social phenomenon that continues to increase and has a major impact on rural communities. This study aims to examine the impact of urbanization on the social and economic life of the Puncak village community. The study was conducted using a qualitative approach and case study method in Puncak Village with data collection techniques through in-depth interviews, observations, and documentation studies. The sample in this study was the Village Head, Communities who carried out urbanization in various regions and community leaders. Based on this study, the author can conclude that the impacts that occur in society due to the influence of urbanization include; increasing income used by urbanists to build houses, buy land for assets, provide assistance to the community for self-reliance. Universally, urbanization has a positive impact on the lives of urbanists, although some urbanists are unable to survive and choose to return to the Village.

Spinal anesthesia or Block (SAB) is one of the regional anesthesia techniques, which is one technique to obtain analgesia as high as certain dermatons and relax skeletal muscles by injecting spinal anesthesia drugs into the subarachnoid space of the block. One of the complications that can occur is Postoperative nausea and vomiting (PONV). PONV can be caused by many factors, one of which is the length of fasting. Preanesthesia fasting about 6-8 hours before surgery is performed as an effort to minimize the incidence of aspiration of stomach contents or nausea and vomiting. Objective:Determine the relationship between the length of fasting and the incidence of nausea and vomiting in post-spinal anesthesia. This type of research is an observational study with a Cross-sectional research design. The population in this study is all patients who will undergo spinal anesthesia in the IBS room of RSUD Kab. Batang. Sampling in this study was using the Purposive Sampling method of 49 samples and using the Spearman Rank analysis test. The research instrument uses observation sheets. The age of most respondents in this study was 36-40 years as many as 26 respondents (53.1%), the most gender is women 32 respondents (65.3%), and those who experienced the most fasting length of 2-6 hours with 30 respondents (61,3%), while PONV as many as 29 respondents (59.2%). Based on the results of the Spearman Rank test to determine the relationship between the length of fasting and the incidence of Post Operative Nausea and Vomiting (PONV) obtained a result of 0.007 (P0.5). The majority of respondents who did not experience PONV were 14 respondents (28.6%). There is a significant relationship between the length of fasting and the incidence of Post Operative Nausea and Vomiting (PONV).

Background : Spinal anesthesia techniques are mostly used in obstetric surgery, especially sectio caesarea, which can be seen from the birth rate through sectio caesaria, which is 9.8% of 49,603 births in Indonesia, data collected from 2010-2013. The most common complication is post-anesthesia shivering. Shivering after anesthesia can occur in 33-56.7% of patients using spinal anesthesia. Objective : This research aims to describe post-anesthetic shivering the use of the spinal anesthesia enhanced recovery after surgery (ERAS) method with the NON-ERAS.. Research Methods : This research uses Quasi Experiment Observational design. Sampling technique with purposive sampling. Samples were 60 samples of sectio caesarea patients. Test data analysis with Mann Whitney. Shivering incident data was taken from the shivering score observation sheet with a value of 0 to 4. Results : The analysis indicated that the most frequently observed degree of shivering was grade 0, accounting for 16 samples (53.3%) in the ERAS spinal anesthesia group and 15 samples (50%) in the Non-ERAS group. The absence of shivering was more prevalent in both groups, observed in 26 samples (86.7%) in the ERAS spinal anesthesia group and 19 samples (63.3%) in the Non-ERAS group. Conclusion : Conclusions of the research, there is a difference in the incidence of shivering in the ERAS spinal anesthesia method and the non-ERAS spinal anesthesia method.

The stigma is wrong in the community that TB disease can not be cured so that the sufferer is ostracized by the surrounding community, one of them is the TB patient is difficult to get a job, Some even get laid off from their jobs because the person is diagnosed with a contagious disease. This raises many psychiatric problems with the consequent decline in labor productivity or human resources that can ultimately become a social burden for the family. Approximately 75% of TB patients are productive age group (15 - 50 years). The purpose of this study to determine the description of families whose members suffer from tuberculosis. Desain penelitian menggunakan deskriptif. The population in this study is all family members who have tuberculosis patients in Puskesmas Ambulu Kab. Jember as many as 96 respondents. The sample in this study were 54 respondents by using purposive sampling. Variables in this research is family stress level .. Data analysis using crosstab. Data collection using PSS-10 questionnaire with interview technique. The result of crosstab analysis showed that almost half of respondents had moderate stress level, 25 respondents (46%), had light stress level as many as 15 respondents (28%), heavy stress 14 respondents (26%). The incidence of stress is the relationship between the respondent and the patient, the number of sick relatives, and the length of treatment. The relation of the respondent to the patient shows that on average they are a member of the nuclear family. Knowledge and understanding of the danger of contracting pulmonary TB disease to other family members, becomes stressors (suppressors) against behavior that must be done by other family members. The inability of the family to perform its role in maintaining and maintaining a family member suffering from illness, will cause stress to other family members.

A fixation device is a tool used to make it easier for a radiographer to carry out examinations in radiology. Bontranger, 2014 The use of this tool has a specific nature, this tool can only be used for certain examinations, for example the Babygram examination. The aim of this research is to determine the effectiveness of the design and construction of fixation equipment in the Radiology Installation at TK.II Pelamonia Makassar Hospital in March – May 2024. The independent variables in this research are the aspects of equipment feasibility, equipment safety, equipment function and radiographic results. This type of research is Quantitative Descriptive Analytical. The data collection technique uses a questionnaire. The population and sample were 11 respondents, namely 10 radiographers and 3 radiology specialists. The sampling technique was carried out by accidental sampling. Data analysis uses descriptive analysis and is presented in the form of a frequency distribution table.  Based on the research results, it can be concluded that the design of the Babygram fixation tool from the feasibility test aspect of the tool was obtained as Very Suitable (100%) for use and Fairly Good (100%) set on the examination table. For the safety aspect test results, the results were quite safe (100%) for supporting the baby and the results were very safe (100%) for the quality of the materials used. Meanwhile, for the test results of whether the tool can be used, the results obtained are very suitable (100%), it can be adjusted and adjusted to the shape and size of the baby's body, but quite a long time (100%) is needed during the examination. The radiographic test results obtained were Very Good (100%) showing anatomical structures and None (100%) showing radiographic results free from artifacts.  It is best to have a fixation tool available in Radiology because it really helps radiographers treat non-cooperative patients and with a fixation tool the time required is very faster compared to without using a fixation tool.

Adolescence is a period of transition from childhood to adulthood characterized by accelerated physical, mental, emotional, and social development. At the education level, adolescents will find many new things in their lives. Bullying behavior carried out verbally, which generally attacks in the form of psychological (psychological/mental), is often carried out by students. The impact of bullying victims experiences a variety of disorders including low psychological well-being. Anxiety is one of the symptoms resulting from bullying. Expressive writing therapy is methods to express emotional feelings with the aim of reducing stress experienced. This case study aims to describe the application of expressive writing therapy to reduce anxiety levels in adolescent victims of bullying in high school n 14 Semarang. The research method used descriptive using a case study method. There were 2 subjects according to the inclusion criteria. The instrument used the Depression Axiety Stress Scale (DASS) questionnaire sheet. The results of subject I experiencing a decrease in anxiety levels from 19 (severe) to 14 (moderate). Subject II experienced a decrease in anxiety levels from 16 (severe) to 12 (moderate). The study concluded that expressive writing therapy is proven to reduce anxiety levels..

This study aims to describe the use of the Betawi language in the Sundanese environment. The reason is that it is a unique phenomenon that occurs in the nearest environment. In addition, this phenomenon is said to be unique because it is rarely found in every region. So this research is very interesting to develop. The subject in this study is one of the figures in the area. In addition, the community was also included. In this study, the were involved as interview respondents while the community was the object of observation. This research method uses Descriptive Qualitative, so the data from interviews and observations are described descriptively. The process of this research is the first to be carried out is observation whose results will be described in the discussion. After that, interviews were conducted to reveal the results of the phenomenon. Thus, researchers found that the use of the Betawi language in the Sundanese order has existed since before Indonesian independence and the people are indigenous people from the original Betawi.

Improving the efficiency of engineering project scheduling through the implementation of Microsoft Project for CV Panca Bersaudara, a company specializing in construction projects, forms the background of this outreach activity. Conducted over three days from May 27-29, 2024, the program engaged four actively participating attendees in direct theoretical and practical training. Initial needs assessment, evaluation using pretests and posttests, and the use of educational licenses for Microsoft Project were integral to the structured approach aimed at measuring participant understanding and skills enhancement. Results demonstrated a significant increase from 68.29% in pretest scores to 88.96% in posttest scores, with positive feedback from CV Panca Bersaudara regarding the training's benefits in enhancing operational efficiency and project management.

Dhiffie Farm Hydroponics is located in Bantar Gebang District, Cikiwul, Bekasi City. This farm has not implemented a good marketing strategy, so it is very important for Dhiffie Farm Hydroponics to implement a good STP (Segmenting, Targeting, Positioning) marketing strategy and marketing mix, so that it influences consumer decisions. This research is an analytical descriptive research. Data sources obtained in research include primary data and secondary data. A survey method using purposive sampling data collection techniques was used to select respondents. The final result of this internship activity is increasing sales of this plantation and successfully implementing the STP marketing strategy and marketing mix well.

Revitalization of the Aisyiah Kindergarten school environment is one of the most important aspect in improving the quality of early childhood education. The physical and social environment in kindergarten has a significant impact on children's development. This study aims to explore the concepts, methods, and impacts of revitalizing the kindergarten school environment. Through a literature review and case studies, this research investigates how a holistic approach to learning and physical changes in schools can provide better experiences for kindergarten children. The results show that an integrated approach between learning, the physical environment, and children's active participation can result in improvements in aspects such as creativity, social interaction, and environmental understanding. This research also identified several challenges that needed to be overcome, such as limited resources and the active role of parents and teachers in implementing change. Therefore, revitalizing the kindergarten school environment, one of which is revitalizing murals that have begun to fade, can be an effective means of creating an environment that supports the optimal development of early childhood.

This study aims to describe the relationship between parenting styles and achievement motivation in elementary school children. Using a descriptive qualitative approach, the research analyzes various literature and secondary data sources to provide an in-depth understanding of how different parenting styles influence children's motivation to learn. The findings show that democratic parenting has the most positive impact on children's achievement motivation, characterized by two-way communication, emotional support, and responsible freedom. In contrast, authoritarian and permissive parenting styles tend to hinder children's motivational development. This study emphasizes that the synergy between appropriate parenting, a supportive learning environment, and active parental involvement significantly contributes to improving children's motivation and academic performance in elementary school.

This research analyzes teachers' perceptions and practices regarding technology integration in English language teaching within the Indonesian educational context. Using a mixed methods approach, this study involved 120 English teachers from various educational levels (primary, junior high, senior high, and higher education) through an online survey, with 15 teachers selected for in-depth interviews and classroom observations. The findings reveal a gap between teachers' positive perceptions of technology (M=4.21 on a 5-point scale) and actual implementation in teaching practices (M=3.15). Statistical analysis identified four main factors influencing technology integration: teachers' digital competence (β=0.43, p<0.01), institutional support (β=0.38, p<0.01), teachers' pedagogical beliefs (β=0.35, p<0.01), and infrastructure accessibility (β=0.32, p<0.01). Qualitative data revealed that while teachers acknowledge the potential of technology to increase student motivation and create authentic language learning environments, they face challenges in aligning technology use with learning objectives, classroom management, and learning assessment. This research provides recommendations for teacher professional development and educational policies that support effective technology integration in English language teaching.

Problems related to waste have become a hot issue in the community and have received serious attention from policymakers. One practical way to overcome this problem is to manufacture eco-enzyme products whose raw materials use organic waste. Eco enzyme is a fermented process from organic kitchen waste such as fruit and vegetable pulp, sugar, and water until it becomes the final product in liquid fertilizer. This service aims to describe community social activities to overcome waste problems using the eco enzyme concept. The activities carried out were providing counseling related to how to manage household organic waste into eco-enzyme products, introducing and training the use of composter technology to process household organic waste into eco-enzyme products, and motivating and encouraging people to manage household waste into products of economic value. This study uses several methods such as presentation, discussion, question and answer, training, and evaluation handled by lecturers of the Faculty of Agriculture, Timor University. The study results show that people can apply eco enzyme technology, know how to use it, and produce economic value from organic waste.

Nyadran is a series of traditional ceremonies, which are part of cultural heritage and believe that certain places are sacred or holy places. Nyadran traditions like this are a from of salvation carried out as a from of gratitude and respect for ancestors. The data collection technique used in this research was interviews with the main sources, the head of the Nyadran committee and the of Brayo village. The location of this research was in Ujung Biru Hamlet, Brayo Village, Wonotunggal District.  Nyadran activities in Ujung Biru Hamlet are held in the month of Muharrom because Muharrom is not the Hijri New Year. Nyadran implementation in Brayo Village has been carried out since ancient times, as time goes by, the nyadran tradition has undergone many changes

Patient safety in surgical procedures is a critical element that must be addressed by medical professionals, including anesthesiologists. The World Health Organization's (WHO) Surgical Safety Checklist (SSC) is designed to enhance patient safety during surgery, but its implementation still encounters several challenges, such as insufficient training and limited resources. This study aims to improve anesthesiologists’ understanding and compliance with the SSC through the use of educational video media. The research methods involved socialization, video-based training, hands-on practice, and evaluation with a participatory approach. The participants were anesthesiologists who received a structured training session using videos that explained the SSC steps and emphasized its importance. Pre- and post-training assessments were conducted to measure changes in understanding and compliance.The results demonstrated a significant improvement in both the anesthesiologists’ understanding and compliance with the SSC after the training. The average understanding score increased from 60.5 to 85.3, while compliance rose from 55.2 to 88.7. These findings indicate that educational videos are an effective tool for enhancing anesthesia service quality and increasing medical personnel’s access to training. The study emphasizes the importance of technology-based education to overcome barriers related to limited resources and training opportunities. Based on these results, the study recommends the implementation of similar video-based educational methods in training programs for other medical personnel, aiming to improve patient safety across various healthcare settings.

This study aims to explore the role of marine fisheries students in the hotate aquaculture internship program at the Hotate Business Fishery Cooperative Association in Japan. This internship program is designed to provide practical experience and in-depth knowledge of the hotate aquaculture industry, one of the important fisheries sectors in Japan, especially in Hokkaido. Students who participate in this program are directly involved in various aspects of hotate cultivation, including seed selection, environmental maintenance, catching, processing, and distribution. This study uses a qualitative method with in-depth interviews and participatory observation to collect data from participating students, mentors, and program managers. The results of the study showed that participation in the internship program provided significant benefits for students, including improved technical skills, an understanding of best practices in hotate farming, and the ability to adapt to modern technologies and methods in the fishing industry. In addition, the program also strengthens the relationship between educational institutions and industry, as well as opens up career opportunities for students in the global fisheries sector.This study concludes that the internship program at the Hotate Business Fishery Cooperative Association has an important role in developing quality and competitive human resources in the fishing industry, as well as contributing to sustainability and innovation in hotate cultivation in Japan.

Shipping activities, especially for fishermen, have significant risks. In addition to the unexpected challenges of nature, one of the serious threats that is often overlooked is the risk of ship fires. Fires can occur due to a variety of factors, such as mechanical failures, fuel leaks, or other accidents. The purpose of this study is to find out the socialization of ship fire prevention for fishermen in East Sapa village. The research method used in the socialization of ship fire prevention is a qualitative method. This approach was chosen to deeply understand the knowledge, attitudes, and skills of fishermen related to fire prevention and safety at sea. The results of this study show that community service activities carried out by the North Sulawesi Shipping Polytechnic in collaboration with the East Sapa Village government have succeeded in achieving their goals in providing education and practical skills to the fishing community. The program, which combines interactive counseling and training, has successfully increased the fishermen's knowledge and awareness of various important aspects of their work, including boat maintenance, life safety at sea, and fire prevention.        

Introduction: Hypertension (HTN), defined as systolic blood pressure (SBP) >140 mmHg or diastolic blood pressure (DBP) >90 mmHg, is a major health problem that is growing worldwide. It is the most common risk factor for cardiovascular disease and affects nearly two-thirds of adults aged 60 years or older. The side effects caused by experiencing prolonged high blood pressure are kidney damage (kidney failure), heart (coronary heart disease) and brain which can lead to stroke if not detected early and receive adequate treatment. And can also cause death. Risk factors for complications of hypertension include elderly age, medication compliance, and lifestyle. Empowerment of the elderly can be through non-pharmacological therapy. An example of non-pharmacological therapy is by doing anti-hypertension exercises. The purpose of this program is for the elderly to be able to learn about hypertension and apply how to do anti-hypertension exercises. The method used is providing education to the elderly and applying anti-hypertension exercises with participants (elderly). Implementation of health education and anti-hypertension exercise activities for the elderly at the UPTD for Elderly Social Services in Binjai in November 2023. Most participants were able to answer questions during the question and answer session after the presentation of the material and participants were able to follow the instructor's exercise movement directions. Health education about hypertension and anti-hypertension exercise for the elderly is a program that can help increase physical activity in the elderly which can lower blood pressure in the elderly.

The utilization of natural materials in household products is increasingly in demand along with the increasing awareness of the importance of maintaining environmental sustainability.One innovative way to utilize natural materials is by utilizing pandanus leaves into natural dyes. Pandanus extract was chosen because of its active compounds that have antibacterial properties and a refreshing aroma.This activity was carried out with the women of the Forum Kesehatan Keluarga (FKK) in Jogoprono RW VI Sadeng Village, Gunungpati District, Semarang City. The purpose of this activity is to increase community awareness and skills in using environmentally friendly soaps that are not only beneficial for health but also contribute positively to the environment.The methodology used in this paper uses a qualitative method with an experimental approach.The results of the activity show that the utilization of pandanus extract in liquid soap not only provides an alternative cleaning product that is safer for the environment but also empowers the local community through active involvement in the production process. In addition, this activity is expected to serve as a model for similar initiatives in creating eco-friendly products that empower communities and support environmental conservation.