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Hypertension is defined as a systolic blood pressure greater than 120 mmHg and a diastolic blood pressure greater than 80 mmHg, measured twice within 5 minutes during rest. If left untreated, hypertension can lead to kidney and heart damage and increase the risk of stroke. This study aims to assess the community's knowledge regarding the use of antihypertensive medication, specifically the calcium channel blocker (amlodipine), in RT 006 RW 03 Kelurahan Johar Baru, Central Jakarta. The study involved 50 participants aged 17-64 years with a history of hypertension. A descriptive quantitative method was used, with data collected through questionnaires and analyzed using SPSS. The results show that 83% of the participants had good knowledge about hypertension, 76% had good knowledge about the dosage of amlodipine, 76% had good knowledge about the correct administration of amlodipine, and 50% had sufficient knowledge about the side effects of the drug. The average knowledge level based on the indicators was 71%, which is categorized as adequate.

Background: Perineal rupture is a common complication in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the possibility of perineal tissue tears. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum hemorrhage is still the main cause of 40% of maternal deaths. Purpose: This study aims to determine the relationship between birth weight and the incidence of perineal rupture in normal deliveries at the Independent Midwife Practice of Lusi Marbun, Simalungun Regency in 2022. Method: This study used an observational analytical design with a case-control approach. A sample of 30 mothers giving birth was selected using the total sampling method. Data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. Results: The study showed that the majority of infants had a birth weight <4000 grams (63.3%), and the majority of mothers experienced second-degree perineal rupture (70%). Bivariate analysis showed a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). Conclusion: There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the infant's birth weight, the higher the risk of perineal rupture in the mother during labor. It is important for health workers to detect fetal weight early, provide nutritional education during pregnancy, and optimally prepare for labor to minimize the risk of complications.

Background: Stunting is a chronic nutritional problem in children under five years old caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). Exclusive breastfeeding and maternal nutritional knowledge are key factors that influence the incidence of stunting. Indonesia faces a high prevalence of stunting, which can impact the quality of human resources in the future if not addressed immediately. Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of ​​Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021. Method: This study used a case-control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and analyzed using the Chi-Square test. Results: The results showed a significant association between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant association between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant association. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

Pregnancy is a physiological condition that causes physical and psychological changes, one of which is nausea and vomiting (emesis gravidarum), which often occurs in the first trimester. If left untreated, this condition can lead to nutritional disorders, dehydration, weight loss, and impact the health of the mother and fetus. Management can be carried out with pharmacological and non-pharmacological therapies, one of which is lemon aromatherapy, which is known to have a relaxing and refreshing effect and help reduce nausea symptoms. The purpose of this study was to determine the effectiveness of lemon aromatherapy in reducing nausea and vomiting in pregnant women in the first trimester at the Bies Community Health Center, Bies District, Central Aceh Regency in 2022. The study used a quasi-experimental design with a one-group pretest-posttest design for pregnant women in the first trimester. Thirty respondents were selected using a purposive sampling technique. The research instrument used an observation sheet, and data analysis was performed using the Wilcoxon test. The results showed that before the intervention, the majority of respondents experienced severe nausea (53.3%) and moderate vomiting (50%). After receiving lemon aromatherapy, the majority of respondents experienced mild nausea (90%) and mild vomiting (93.3%). The statistical test results showed a p-value of 0.000 (p < 0.05), indicating a significant difference between before and after the intervention. The conclusion of this study is that lemon aromatherapy is effective in reducing nausea and vomiting in pregnant women in the first trimester. Lemon aromatherapy can be recommended as a safe, simple, and easy-to-implement non-pharmacological therapy alternative for treating emesis gravidarum.

Background Low back pain is a common complaint experienced by pregnant women, with a prevalence reaching 50% in the UK and Scandinavia and 70% in Australia. In Indonesia, the number of pregnant women in 2020 was recorded at 5,298,285 people, with 114,392 of them in North Sumatra. Physiological changes in pregnancy such as uterine enlargement, shifting center of gravity, weight gain, and the influence of the hormone relaxin can cause ligament stretching and muscle spasms that trigger back pain. Although the coverage of antenatal visits (K1 and K4) in North Sumatra has reached the national target, many pregnant women still complain of back pain, mainly due to low participation in prenatal classes. One non-pharmacological intervention proven to be beneficial in reducing back pain is prenatal exercise. This study aimed to determine the effect of prenatal exercise on back pain in pregnant women at the Tiga Juhar Community Health Center, STM Hulu District, Deli Serdang Regency in 2023. Method: This study used a pre-experimental design with a One Group Pre-test and Post-test design without a control group. The study sample consisted of 32 pregnant women who met the inclusion criteria. Back pain intensity data were collected before and after the prenatal exercise intervention, then analyzed using the Wilcoxon Signed Rank Test. Results: Before prenatal exercise, the majority of respondents experienced moderate back pain (53.1%). After the intervention, the majority of respondents experienced mild pain (59.4%). The Wilcoxon test results showed a p-value of 0.002 (<0.05), indicating a significant difference between back pain intensity before and after prenatal exercise.Conclusion: Prenatal exercise has been shown to significantly reduce back pain in pregnant women. Therefore, prenatal exercise can be recommended as an effective non-pharmacological intervention to improve maternal comfort during pregnancy.

cesarean section is a delivery technique that involves making an incision in the uterine wall (hysterotomy) through the front abdominal wall (laparotomy). The action of a cesarean section causes a change in the continuity of body tissues that results in pain. This writing aims to apply the provision of lavender aromatherapy as a non-pharmacological nursing intervention at the Islamic Hospital Malahayati Medan, 2nd Floor New Room. This type of writing is a case study using a nursing care approach for a 35-year-old mother diagnosed with post-cesarean section. The intervention provided was the administration of lavender aromatherapy using inhalation methods with a diffuser, by adding 1 cc of lavender essential oil and 10 cc of clean water into the humidifier for 10 – 15 minutes over 3 consecutive days. This was indicated by the patient reporting that pain decreased to a pain scale of 3 from a pain scale of 6. Lavender aromatherapy therapy has proven to be effective as a non-pharmacological therapy in reducing pain intensity after Caesarean section

Stroke is a major neurological disease that occurs in adults and the elderly, based on the high number of emergencies and the main cause of disability and death. The most common disorder in stroke is weakness or deficits in the musculoskeletal system such as parese or plegia. These conditions will cause various disorders in patients such as decreased muscle tone and strength, muscle weakness which if not treated immediately will lead to contractures, which ultimately cause impaired mobilization. Impaired fulfillment of daily activities and disability. Nursing actions to overcome physical mobility disorders are muscle strengthening exercises, especially in the upper extremities by holding a rubber ball. Purpose:  Help solve the problem of physical mobility disorders to increase muscle strength in stroke patients with rubber ball grasping exercises. Methods: By collecting data from interviews and observations using case studies and subjects in stroke patients with nursing problems. Results:  After performing the exercise of grasping a rubber ball for 2 times in 7 days there is an increase in muscle strength with a muscle strength value of 1/5 to 3/5. Conclusion: The action of grasping rubber ball exercises can increase muscle strength to overcome physical mobility disorders in stroke patients

Background: Ischemic stroke is an acquired brain injury caused by blockage of blood vessels or inadequate blood supply resulting in infarction or hemorrhage in the brain parenchyma. Stroke is ranked as the second leading cause of death in the world and is the largest contributor to disability, resulting in a significant economic burden. The problem that often arises in ischemic stroke patients is the presence of a problem in the limbs so that the individual's ability to move cannot be free and limited which is commonly referred to as the problem of physical mobility disorders. Ischemic stroke is part of cardiovascular disease which is classified as a catastrophic disease because it has a wide economic and social impact. Ischemic stroke can cause permanent disability which can certainly affect the productivity of the sufferer. Purpose: Knowing the results of the application of Range Of Motion (ROM) exercises on the patient's muscle strength. Methods: Using case studies and subjects by collecting data from interviews and observations on Ischemic Stroke patients with nursing problems of Physical Mobility Disorders. Results: after carrying out Range Of Motion (ROM) therapy nursing actions on a routine schedule twice a day morning and evening for 6 days with 15-20 minutes, it was found that there was an increase in muscle to 4 5 4 5. Conclusion: there is an increase in muscle strength in Ischemic Stroke patients after Range Of Motion (ROM) therapy.

Mycobacterium tuberculosis is characterized by a thick, mycolic acid–rich cell wall that confers hydrophobicity, chemical resistance, and environmental stability, making cell wall biosynthesis inhibitors a major therapeutic target. Tuberculosis is not only a medical condition but also a social disease linked to high population density, malnutrition, and limited healthcare access. In 2023, Kedaton District was identified as the most densely populated area in Bandar Lampung, increasing the likelihood of pulmonary TB smear-positive (TB.Paru BTA+) transmission. Aerosol spread is highly distance-dependent: direct exposure within 0–1 meter poses very high risk, and WHO reports indicate that exposure <1 meter for ≥15 minutes in enclosed spaces significantly elevates infection risk, extending up to 5–10 meters without ventilation. This study employed spatial analysis to measure inter-household distances among 75 TB.Paru BTA(+) patients using Euclidean distance and smartphone-based field surveys. The method proved suitable for small-scale studies with high data accuracy, though resource-intensive for larger populations. Findings revealed some households only 3 meters apart, but this observation was not yet statistically significant to confirm transmission dynamics.

Terminal sanitation plays a crucial role in creating a clean, safe, and comfortable environment for public transportation users. This study aims to describe the sanitation conditions at Jakabaring Terminal, Palembang city, in the year 2025. The research employed a descriptive method with an observational approach. Data were collected through direct observation using a checklist that assessed four aspects of sanitation: environmental hygiene outside the building, hygiene of rooms and structures, sanitation facilities, as well as comfort and safety. The findings show that all four assessed aspects were below the required sanitation standards, with the following percentages: environmental hygiene outside (52%), hygiene of rooms and buildings (66%), anitation facilities (60%), and comfort and safety (57%). The low scores were caused by several factors, including substandard toilet conditions, lack of separated trash bins, inadequate ventilation and lighting, and the absence of first aid kits and fire extinguishers. The study concludes that the sanitation conditions at Jakabaring Terminal do not meet the standards of a healthy terminal. Greater attention and action are required from the terminal management and relevant authorities to improve sanitation quality and ensure user comfort.

This study aims to analyze the implementation of creative learning among lower-grade students at SDS Parulian 2 Medan. The research employed a descriptive qualitative method with data collected through observation and questionnaires. The subjects were 51 students from grades II and III. The observation results indicate that teachers still tend to use conventional methods; however, students appeared more enthusiastic when the lessons were accompanied by creative activities such as educational games, quizzes, and the use of concrete media. The questionnaire findings support this, showing that 66.1% of students expressed liking creative learning, 17.6% stated it was average, and 16.3% reported less interest. The combined average score of 2.49 indicates that students’ interest in creative learning is at a moderate to high level. These findings highlight that the application of simple creative strategies can provide more enjoyable and meaningful learning experiences for elementary students. The study recommends that teachers optimize the use of media and varied methods to make learning more engaging and aligned with students’ developmental needs.

Traditional and modern leadership are two approaches with distinct characteristics and advantages. Traditional leadership is rooted in culture, customs, and values passed down through generations, where the leader's legitimacy is often based on lineage, social status, or collective recognition within the community. This model emphasizes hierarchy, authority, and stability to maintain group harmony. However, in a constantly changing era, the traditional approach is often deemed less flexible as it tends to be static and resistant to adaptation. In contrast, modern leadership emerges in response to the needs of more dynamic and complex societies and organizations. Modern leaders prioritize competence, innovation, and member empowerment, emphasizing effective communication and the ability to adapt to change. Both approaches hold unique relevance in different contexts. Integrating the positive values of traditional and modern leadership can create a more holistic model of leadership aligned with contemporary demands.

This research aims to identify factors that significantly influence employee performance and formulate strategies to improve it. This research was conducted through a comprehensive literature study of various studies related to employee performance. The main focus of this research is on internal factors such as motivation, leadership, and organizational culture, as well as external factors such as technology and changes in the business environment. The research results show that employee performance is influenced by various interrelated factors. Motivation, both intrinsic and extrinsic, is a key factor that encourages employees to achieve optimal performance. Effective leadership, especially transformational and democratic leadership styles, also has an important role in improving performance. In addition, a positive organizational culture, conducive work environment, and appropriate use of technology can increase employee productivity and job satisfaction. To improve employee performance, organizations need to create a supportive and motivating work environment. This can be done by implementing various strategies, such as providing ongoing training and development, implementing a fair and transparent compensation system, building positive interpersonal relationships, and providing sufficient autonomy to employees. Apart from that, organizations also need to pay attention to external factors such as technological changes and evolving market dynamics.

This research is motivated by the results of initial observations that the Environmental Observation Strategy in the Development of the Ciung Wanara Area by the Ciamis Regency Tourism Office is not optimal. The purpose of this study is to determine the Environmental Observation Strategy in the Development of the Ciung Wanara Area by the Ciamis Regency Tourism Office. The method used in this study is a qualitative research method. There are 5 informants. Data collection techniques are literature studies, field studies (observations and interviews) and documentation. The author uses qualitative data analysis techniques through processing data from interviews and observations to draw conclusions so that they can answer the problems in the study. Based on the results of the study, it is known that: The Environmental Observation Strategy in the Development of the Ciung Wanara Area by the Ciamis Regency Tourism Office is not optimal, this is due to the lack of human resources in the Tourism Office so that it is still rare to provide training to staff, therefore to overcome the obstacles faced in the environmental observation strategy in the development of the Ciung Wanara area, the Tourism Office seeks to provide periodic HR competency improvement training, so that by conducting training, the HR competency owned will increase.

The background of this study is the significance of faith for Muslims in facing the challenges of the modern era, amidst the rapid development of technology and open access to information that often impacts the quality of faith. The purpose of this study is to analyze the role of faith in maintaining inner peace and mental well-being for Muslims, as well as to provide recommendations for strengthening faith in the digital age. The method used is a qualitative approach with in-depth interviews and questionnaires conducted with Muslims from various backgrounds. The results show that individuals with strong faith are more capable of handling social pressures and upholding Islamic values, even though social media can be a negative influence.

Ijtihad as a methodology for formulating Islamic law is an important approach in understanding and developing Islamic law. This journal discusses the definition of ijtihad, the basics of ijtihad, and its role in the context of social change and community needs. The purpose of this study is to see and explore how far our understanding of the role of ijtihad in responding to the challenges of Islamic law in the global era. This study uses a qualitative method by making books, magazines, articles, journals related to the research theme as the main reference in collecting data to be codified and then poured into a description. The results of the study show that ijtihad is not just reasoning, but also involves a deep understanding of legal sources such as the Qur'an and Hadith. In addition, this article describes the challenges and opportunities faced by mujtahids in the modern era, as well as the importance of ijtihad in overcoming contemporary problems. Thus, ijtihad is expected to contribute to producing laws that are relevant and responsive to the dynamics of society.  

The background to the Islamic concept as rahmatan lil alamin or mercy for all of nature has a broad and deep meaning. Islam is expected to make a positive contribution to all living creatures and ecosystems on earth, not just limited to Muslims. The challenges faced today, such as the social, economic and environmental crises, demand a deeper understanding and real application of this principle. However, in reality, the understanding and application of this concept is often limited or distorted, thus hampering Islam's role in creating a peaceful, just and prosperous life. The research aims to clarify and expand understanding of the concept of Islam as rahmatan lil alamin and to explore its application in the modern era. This research aims to explore the core values ​​of Islamic teachings that support this concept, including the principles of humanity, tolerance and solidarity. The methods used include literature studies, in-depth interviews with religious and community leaders, as well as case study analysis from various Islamic communities. The research results show that the application of Rahmatan Lil Alamin's values ​​can overcome various social challenges, such as intolerance and discrimination, as well as encourage interfaith dialogue. It is hoped that this research can provide insight and practical recommendations to strengthen the role of Islam in creating a more peaceful and just world

The modern retail industry in Indonesia is increasingly competitive, especially in the minimarket sector, which requires every business actor to continuously improve the quality of services and products to maintain consumer loyalty. Indomaret, as one of the main players, has introduced the Indomaret Fresh concept that offers a wider variety of products and a more modern shopping experience. However, despite various innovations, there are still complaints from consumers regarding prices, product diversity, and product quality available. This study aims to analyze the influence of price, product diversity, and product quality on consumer repurchase intentions at Indomaret Fresh in Medan City. The study used a quantitative approach with data collection through questionnaires distributed to 100 respondents, and data analysis was conducted using SPSS to test the partial and simultaneous effects of these variables. The results showed that price and product diversity had a negative and insignificant effect on repurchase intentions, while product quality had a positive and significant effect. Simultaneously, these three variables together had a significant effect on repurchase intentions. These findings emphasize that product quality is a major factor in building consumer loyalty, while aspects of price and product variety need to be adjusted to consumer preferences and expectations for a more effective Indomaret Fresh marketing strategy.

This study aims to analyze the effectiveness of online and offline marketing strategies in increasing used car sales at Yuna Mobil Showroom Rantau Prapat. The research background is based on the rapid development of information technology and digitalization, which encourage businesses to combine conventional and digital marketing strategies to reach a wider range of consumers. This research employed a descriptive qualitative method with data collection techniques including observation, in-depth interviews, documentation, and triangulation. The results indicate that online marketing plays a significant role in building brand awareness, expanding market reach, and providing fast and efficient access to information through social media, marketplaces, and instant messaging applications. However, this strategy has not been fully effective in converting consumer interest into actual purchase decisions, as customers still require direct product experience. Conversely, offline marketing is proven to be more effective at the decision-making stage due to direct interaction, test drives, and higher consumer trust in the actual condition of used cars. Therefore, the effectiveness of marketing will be optimized if online and offline strategies are implemented in an integrated and complementary manner. This study provides practical contributions for automotive business players in designing marketing strategies aligned with local consumer characteristics, as well as academic contributions to the development of marketing management studies in the digital era.

This study aims to map the development of literature on the implementation of ISO 31000:2018 as a risk management standard through bibliometric analysis. Using VOSviewer software, this study analyzed 500 scientific articles sourced from Google Scholar. Citation metric analysis results show significant research productivity and impact, with a total of 4,514 citations, an h-index of 34, and a collaboration pattern with an average of 2.40 authors per article. Keyword network mapping identified five main thematic clusters: (1) Risk Management Operational Processes and Stages; (2) Framework and Standard Implementation; (3) Specific Analysis Methods (FMEA); (4) Enterprise Risk Management and Case Study Approaches; and (5) Technology Application. The research findings reveal that this field of study has reached a good level of maturity, with the main focus still on the technical aspects of standard implementation, but has expanded towards integration with digital transformation and enterprise-level risk management approaches. The results of this study can serve as a guide for academics and practitioners in identifying research trends and future risk management development.