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Background: Sixty percent of all maternal deaths occur during the postpartum period and 45% of these cases occur within the first 24 hours postpartum (WHO, 2018). Steps that can prevent postpartum bleeding management include active third stage, administration of uterotonics and early initiation of breastfeeding. Oxytocin hormone levels will increase in the third stage after separation of the placenta and when early initiation of breastfeeding is carried out because the pituitary gland releases the oxytocin hormone through the baby's stomping, touching and licking of the mother's skin so that it can prevent postpartum bleeding and speed up the expulsion of the placenta naturally. Objective: To determine the effect of early initiation on the number of post-delivery events at the Griya Mazaya midwifery clinic in 2023. Method: The research method uses analytical observational analysis with case control. The research design used a retrospective approach with a sample size of 44 respondents divided into 22 groups of respondents who did IMD and did not do IMD with a data processing test using Mann Whitney. Results: The results of Mann Whitney data processing showed a p value of 0.000, which means p value < sig (0.05) thus proving that there is a difference in the incidence of post-delivery bleeding. Mothers who did IMD had less bleeding than mothers who did not do IMD. Conclusion: Management of early initiation of breastfeeding immediately after the new baby is born can significantly reduce the rate of postpartum hemorrhage.

Background: Childbirth is a series of events when a baby is released from the mother's womb, followed by the expulsion of the placenta and fetal membranes from the mother's body. The main problem that is usually complained of by labor patients in labor during the first active phase is that pain causes the mother to feel stressed and excessively worried. Respiration and pulse will also increase thereby disrupting the supply of fetal needs from the placenta. The simple way that can be done to reduce labor pain is to give endorphins massage. Objective: Knowing the analysis of differences in pain intensity in the active phase of labor in the first stage of labor before endorphin massage and after endorphin massage. Method: This study used a quasy experimental design. This type of research is pre-experimental design with one group pret test-post test design. Results: The results of the study obtained by the researchers were 20 respondents during the active phase of the first active phase of brenatal mothers who experienced severe pain with a scale of 7-9 and very severe 10 as measured by a numeric rating scale. Before doing the endorphin massage, it was found that those who experienced pain on average had a minimum of 5 and a maximum of 10 after the endorphin massage had an average minimum of 4 pain and a maximum of 9. Conclusion: There is a difference in the decrease in pain intensity in labor in labor during the 1st active phase before and after being given endorphine massage treatment.

As the number of elderly people increases, this can cause various problems such as social, economic and health. The welfare of the elderly can be reflected through their health condition. Home Care as a form of assistance and social care for the elderly in the family or home environment can meet the needs of the elderly so that elderly exercise done regularly can prevent functional loss caused by cardiovascular disease and another benefit of this elderly exercise is that it can reduce weight and strengthens the heart muscles. Research Method: This research uses qualitative research with a pretest-posttest control design. This research was carried out in RW 005 Campurejo Village, Mojoroto District, Kediri City with a population of 20 elderly people with total sampling. Research Results: Blood pressure before and after elderly exercise also showed an average increase, namely 450.0, increasing to 750.0 with a p value of 0.004, which shows there is a significant relationship. Conclusion: there is a significant relationship between elderly exercise and physical fitness, namely blood pressure with a p value of 0.004.

The purpose of this study is to apply self-love to help maintain mental health and reduce the risk of disorders in one's psychological condition in Ghea Indrawati's "Sad Soul" video clip. This analysis focuses on how the depiction of self-love is contained in each scene, then continues on Charles Sanders Peirce's semiotic model (triangle meaning). This research is qualitative research and uses semiotic analysis owned by Charles Sanders Peirce. For Charles Sanders Peirce, the fundamental principle of the nature of signs is representative and interpretive nature. The music video of the song "Sad Soul" was chosen because the music video has many moral messages aimed at loving yourself, this concept encourages someone to be able to recognize and accept themselves then be able to treat themselves well and as they are. The results of this study have 3 aspects, namely self-love as soft love for oneself that focuses on planting, nurturing, and developing oneself. Self-love as a dynamic state of self-appreciation, which grows from actions that support physical, psychological, and spiritual growth. Self-love as a feeling of comfort and the ability to set aside time for self-care.      

Heat transfer in diesel engines is known to affect engine efficiency and emissions. Increased heat transfer to the combustion chamber walls reduces the pressure in the cylinder and the average gas temperature, which reduces the work transferred to the piston per cycle. Therefore, the amount of heat transfer in an engine largely depends on the efficiency of the engine. Changes in gas temperature due to heat loss from the combustion chamber also affect the formation of pollutant emissions. Higher temperatures in the cylinder promote NOx emissions, while lower temperatures in the cylinder create Particulate matter in the exhaust. Engine heat transfer is important, so engine heat transfer results must be accurately estimated.

Background: The problem of dysmenorrhea can be caused by lack of exercise, the age of menarche, the duration of menstruation, besides that the history of dysmenorrhea in the family is also a factor that can affect dysmenorrhea in adolescent girls. The incidence rate of dysmenorrhea in the world tends to be high. On average, more than 50% of teenagers suffer from dysmenorrhea. Dysmenorrhea gymnastics is a form of relaxation that is done to stretch the waist, abdominal and pelvic muscles that can provide comfort and can reduce pain. Objective : Knowing the change in the scale of pain in young women who experience dysmenorrhea before and after the application of dysmenorrhea. Method : This study uses a descriptive case study by observing 2 respondents of 17year old teenage girls who were given the implementation of dysmenorrhea exercises which was carried out during 3 meetings in 1 week with a time of ± 30 minutes per meeting. Result: After applying dysmenorrhea, there was a decrease in the pain scale and was included in the category of mild pain. Conclusion: This dysmenorrhea can reduce the scale of pain in young women who have dysmenorrhea.  

Dysmenorrhea is a medical condition that occurs during menstruation or menstruation, which can interfere with activities and requires treatment. Characterized by pain or tenderness in the abdomen or pelvis. The impact of dysmenorrhea is reduced concentration when studying, hampered sports activities and reduced time for social activities. With the increase in Covid-19 cases, people are becoming anxious if they have to come to health services for fear of contracting Covid-19. One action to reduce dysmenorrhea pain is using a warm compress combined with music therapy. This research is quantitative research using quasi-experimental research using a one-group pre-test-post-test design method and purposive sampling techniques. The location where the research will be conducted is STIKES Kesdam IV/Diponegoro with 30 respondents. The Numeric Rating Scale (NRS) is a tool used to evaluate dysmenorrhea pain. The Wilcoxon test was used to analyze research data. The results of this study show that giving a warm compress has an effect. with a combination of music therapy on the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Background; During pregnancy, the mother's body undergoes hormonal changes that affect the entire organ system. One of the common issues that arise is striae gravidarum, or stretch marks on the skin. Olive oil contains beneficial components for addressing striae gravidarum. An initial survey conducted at PMB Wulan Mardikaningtyas in Kartasura indicated that more than 20 pregnant mothers experience striae gravidarum. The objectives of the research; To investigate the effect of olive oil in reducing striae gravidarum in pregnant mothers. Method; This study utilized a one-group experimental design method. Univariate data analysis was employed to examine frequency distribution, while bivariate analysis was used to assess the impact of olive oil intervention on striae gravidarum. Results; Prior to intervention, the severity level of striae gravidarum was classified as moderate in 9 pregnant mothers (45%) and severe in 7 pregnant mothers (35%). Following the intervention, a majority of respondents exhibited reduced severity levels of striae gravidarum, with 9 pregnant mothers (45%) in the moderate category and 7 pregnant mothers (35%) in the mild category. A difference was observed in the striae gravidarum scale before and after the olive oil intervention. Summary: There is a difference in the striae gravidarum scale before and after the olive oil intervention among pregnant mothers.

Chalazion is granulomatous inflammation with lipogranuloma or chronic non-infectious inflammation of the eyelids, in the form of nodules formed by inflammation and obstruction of the Meibomian Tarsal or Zeis glands. This chalazion often occurs in all age groups, but is more common in adults than children, and affects men and women equally. A chalazion usually appears as a painless swelling of the eyelid that has been present for weeks to months, which can cause cosmetic deformity in the patient. The priority management of chalazion to reduce existing complaints is conservative management. Some methods for conservative management in cases of chalazion include warm compresses, cleaning the eyelids with baby shampoo, and massaging the eyelids. If conservative management fails, patients can be treated with pharmacotherapy or surgery

Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.

Background; The problem in postoperative patients is the pain felt due to surgical wounds. This results in patients feeling uncomfortable, uneasy, and various other emotional disturbances. So it is necessary to do dzikir therapy to treat pain. Purpose; Describe the effect of dhikr therapy on changes in postoperative pain scale. Method; Using a descriptive method in the form of a case study the two respondents focused on the implementation of dzikir therapy to reduce postoperative pain by giving dhikr therapy once for 3 days. Results; Dzikir therapy has an effect on changes in the postoperative pain scale so that the acute pain experienced by patients can be reduced. Patient 1 from a pain scale of 6 becomes a pain scale of 3 and Patient 2 from a pain scale of 6 becomes a pain scale of 2. Conclusion; Dzikir therapy in postoperative patients with pain can effectively reduce surgical pain and can be developed for further research

The background is financial reports have not complied with accounting standards and no digital-based financial system innovations. This will affect banking decisions to provide financing assistance and MSMEs difficulties in sustaining their business. This service aims to improve the quality of financial reports and digital-based financial innovation (fintech) then MSMEs can be highly competitive and continuously reduce banana stem waste in Cimenyan. The method used is training & mentoring so that more "bankable" to prospective borrowers from banks and a more updated financial application system is produced. The finding is the reduction of banana stem waste in Cimenyan. The implication, training program, that in the end the bank approves the application for funds. The output is partners have knowledge about financial reports that are according to standards, more practical in the fintech era. They can be highly competitive and profitable for the MSME industry on a national and international scale.  

Background: The elderly commonly undergo changes encompassing physical, psychological, and biological aspects. One such biological change is altered sleep patterns, resulting in poor sleep quality. Sleep quality disturbances among the elderly can be alleviated through the application of dhikr therapy. Objective: To determine the difference in sleep quality before and after the implementation of dhikr therapy for enhancing sleep quality. Method: This study employed a descriptive design involving 2 female participants, conducted from June 4th to June 10th, 2023, at the 'Aisyiyah Sumber Surakarta elderly care facility. Each participant received 7 consecutive days of intervention. The instrument used was the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality levels before and after the therapy. Results: Prior to intervention, participant 1 had a sleep quality score of 16 (poor category), and participant 2 scored 11 (poor category). After dhikr therapy, participant 1's sleep quality improved to 10 (poor category), and participant 2 achieved a score of 7 (poor category). Both participants experienced decreased sleep quality scores. Conclusion: Dhikr therapy can enhance sleep quality among the elderly. Despite reduced sleep quality scores post-intervention for both participants, these changes suggest improved sleep quality due to dhikr therapy's application.  

Background: According to the Indonesian Ministry of Health in 2016, the prevalence of adolescent girls in Indonesia who experienced menstrual pain was around 55% (Susanti, et al, 2018). Based on a preliminary study conducted by researchers on December 5 2022 at MTS Al Mukmin Cemani Grogol Sukoharjo. Information obtained was that 6 out of 10 students said they experienced menstrual pain at the beginning of menstruation as well as feeling lazy to move, weak body and easily felt tired. So from the results of the information obtained, it is necessary to reduce menstrual pain by giving chocolate to find out its effect. Objective: To determine whether there is an effect of giving chocolate on reducing menstrual pain in class VII MTS Al Mukmin Cemani Grogol Sukoharjo. Research method: this research uses a pre-experiment with a one group pretest posttest design. The sample of this research is 20 respondents. Results and discussion: This research uses the Wilcoxon statistical test with a pre-test mean of 3.10 and a post-test mean of 1.10 so that a p-value (asymp.sig 2-tailed) is 0.000 < 0.05, this means H0 is rejected and H1 is accepted. H1 is accepted, meaning there is a significant effect before and after being given chocolate on changes in pain reduction. Conclusion: There is an effect of giving chocolate on reducing the intensity of menstrual pain as proven by the analysis results of p value (0.000) < α value (0.05).

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia. Type 2 diabetes mellitus is the most common type of diabetes mellitus, accounting for about 90% of all diabetes cases. If not treated immediately can cause damage to the eyes, kidneys, heart disease, hypertension, stroke and even cause gangrene. One of the non-pharmacological treatments is progressive muscle relaxation therapy. Objective: To determine changes in blood sugar levels in patients with type 2 diabetes mellitus before and after progressive muscle relaxation therapy. Method: Descriptive method with a case study approach to 2 respondents in Jengglong Hamlet, Karanganyar Regency. The duration of giving progressive muscle relaxation therapy to respondents was 20 minutes in the morning and evening for 7 days from 25 May 2023 to 31 May 2023. Results: The blood sugar levels of the two respondents before applying progressive muscle relaxation therapy were 243 mg/dL and 255 mh/dL. After application, blood sugar levels dropped to 167 mg/dL and 221 mg/dL. Conclusion: The application of progressive muscle relaxation is able to reduce blood sugar levels in both type 2 diabetes mellitus patients in Jengglong Hamlet, Karanganyar Regency.

This study aims to describe the development of Asaik Dance which is seen from the aspects of use and function in the past and present in the most cognate village, Hamparan Rawang District, Sungai Penuh City. This type of research is qualitative research with descriptive methods. The main instruments in this study are the researchers themselves and are assisted by supporting instruments such as, stationery, video and photo cameras, tape recorders. Data collection techniques are carried out by means of observation, interviews, and documentation. The steps to analyze the data are data that has been successfully collected from the results of observations, interviews and reduced documentation and then presented and verified. The results showed that the development of Asaik Dance was seen from the aspects of usefulness and function in the past and in the present, nothing has changed, such as the use of dance for traditional medicine, namely medicine, which serves to overcome the problem of ghaib disease, or non-medical diseases. Although Islam has developed, this dance is still used and functioned as in the past.

Posyandu is a forum between professional services from health workers and community participation in overcoming public health problems, especially in efforts to reduce infant mortality. According to the 2022 Central Statistics Agency (BPS) report, Indonesia has an infant mortality rate of 16.9 per 1,000 live births. Posyandu Sari Kencana 1 dan 2 and 2, Pentur Village, Simo, and Boyolali shelter 2 RWs consisting of 5 RTs, namely RT 001–RT 005, with a total of 60–80 toddlers. This Posyandu has 10 cadres who assist in the process of implementing activities. In implementation, problems were found regarding a lack of service quality, especially data recording, which was still manual and unsystematic. In this service activity, service records are implemented into the posyandu register book (printed) and Ms. Exel and toddler posyandu cards for recording and reporting, which can be used to help posyandu performance in data and information management so that it can be carried out clearly, regularly, and quickly, which can later support smooth operations and policy making.

Sectio is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Compared with regular births, which only cause about 9% more suffering, births by cesarean section cause about 27.3% more pain. Pharmacology and non-pharmacology can be used together to treat pain. Within 24 hours after a caesarean section, patients can experience a five times greater reduction in pain thanks to lavender aromatherapy. There are no risks associated with using the main active components of lavender oil, linalyl acetate, and linalool, which may provide a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins which can calm and soothe. Lavender aromatherapy also has properties that make it antibacterial, analgesic, antidepressant and antispasmodic. By offering and using lavender aromatherapy, this research approach is descriptive and takes the form of a case report. The aim of this research is to determine whether the use of lavender aromatherapy can help patients after giving birth by caesarean section reduce their discomfort. After receiving lavender aromatherapy, the research findings changed from a scale of 7 to 3. Research findings show that the use of lavender aromatherapy can help postpartum patients undergoing cesarean section reduce their discomfort.

The decline in Covid-19 pandemic cases over the past few months before 2023 not only reduced Indonesia's challenges in dealing with other types of diseases. Surabaya city itself has health issues that need to be addressed, as indicated by an increase in several diseases in 2022. One attempt to handle disease cases is to predict the future case numbers to anticipate actions early on. By using data on the number of cases of Respiratory System Diseases during the year 2022, this data will be used to predict the number of cases in the coming months in 2023 by creating a variation of a univariate ARIMA forecasting model. Therefore, the research results show forecasted data that tend to increase when viewed from the analysis and the plotted graph of the forecast results.

Hypertension is a condition that experiences an abnormal increase in blood pressure, the elderly are said to be hypertensive if their blodd pressure reaches ≥130/80 mmHg and is a non-communicable disease. A study has been carried out regarding the Evaluation of Prescribing in Outpatient Geriatric Hypertension Based on the Beers Criteria for Internal Medicine at RSUD dr. Soekardjo City of Tasikmalaya using a descriptive method of retrospective medical record data of hypertensive geriatric patients. This study aims to determine the treatment profile and the percentage of drug use included in the 2019 beers criteria list. The results showed that the most commonly prescribed treatment combination in this study was the combination of the ACE Inhibitor drug class (Ramipril) and the CCB drug group (Amlodipine), and Inappropriate drug prescribing in geriatric patients with hypertension in the outpatient installation of RSUD dr. Soekardjo City of Tasikmalaya in the 2020 period is still high with the number of inappropriate prescriptions as many as 47 (67,1%) prescriptions classified as PIMs (Potentially Inappropriate Medication). So it can be concluded that the high mismatch of therapy can be caused becaused because patients receive more than one drug that is not suitable for geriatric when getting drug prescriptions and to reduce these incidents it can be done by increasing the selection os safe drugs in geriatric using the 2019 beers criteria