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Desa Karangrau di Kecamatan Banyumas memiliki lahan subur yang sebagian besar ditanami durian hasil persilangan lokal dan Musangking. Pertanian, terutama budidaya durian, menjadi mata pencaharian utama warga. Para petani tergabung dalam Gapoktan Sumber Makmur dan KWT Setia Tani yang berperan dalam pengelolaan hasil panen. Namun, terdapat beberapa kendala seperti keterbatasan pengetahuan teknik budidaya modern, perawatan tradisional tanpa dukungan teknologi, serta sistem irigasi yang belum optimal. KWT Setia Tani juga menghadapi tantangan dalam pengolahan produk turunan durian akibat minimnya pengetahuan diversifikasi. Padahal, durian berpotensi diolah menjadi roti, selai, tepung, hingga pemanfaatan limbah sebagai bahan bakar alternatif. Melalui peningkatan pengetahuan, teknologi, dan inovasi pengolahan, Desa Karangrau berpeluang menjadi sentra durian unggulan yang mampu meningkatkan nilai tambah dan kesejahteraan masyarakatnya.Desa Karangrau di Kecamatan Banyumas memiliki lahan subur yang sebagian besar ditanami durian hasil persilangan lokal dan Musangking. Pertanian, terutama budidaya durian, menjadi mata pencaharian utama warga. Para petani tergabung dalam Gapoktan Sumber Makmur dan KWT Setia Tani yang berperan dalam pengelolaan hasil panen. Namun, terdapat beberapa kendala seperti keterbatasan pengetahuan teknik budidaya modern, perawatan tradisional tanpa dukungan teknologi, serta sistem irigasi yang belum optimal. KWT Setia Tani juga menghadapi tantangan dalam pengolahan produk turunan durian akibat minimnya pengetahuan diversifikasi. Padahal, durian berpotensi diolah menjadi roti, selai, tepung, hingga pemanfaatan limbah sebagai bahan bakar alternatif. Melalui peningkatan pengetahuan, teknologi, dan inovasi pengolahan, Desa Karangrau berpeluang menjadi sentra durian unggulan yang mampu meningkatkan nilai tambah dan kesejahteraan masyarakatnya.

Hipertensi merupakan salah satu kondisi medis yang dapat menyebabkan berbagai komplikasi serius, seperti penyakit jantung koroner, stroke, dan gagal ginjal . Manajemen perawatan diri (self-care management) menjadi faktor penting dalam mengontrol tekanan darah pada penderita hipertensi . Self-care management mencakup regulasi diri, kepatuhan terhadap pengobatan, pemantauan tekanan darah, serta interaksi dengan tenaga medis . Penelitian ini menggunakan pendekatan kuantitatif dengan desain deskriptif korelasional dan metode cross-sectional . Sampel penelitian berjumlah 159 pasien hipertensi yang berobat di RS Islam Sultan Agung Semarang. Dari analisis univariat, mayoritas responden berada dalam rentang usia 45-59 tahun, berpendidikan terakhir SD, bekerja sebagai wiraswasta, serta memiliki tekanan darah tinggi selama rata-rata 3 tahun. Hasil analisis bivariat menunjukkan terdapat hubungan signifikan antara self-care management dan tekanan darah sistolik (p = 0,035) serta tekanan darah diastolik (p = 0,041) . Kesimpulannya terdapat hubungan antara self-care management dengan tekanan darah pada pasien hipertensi . Dengan meningkatkan self-care management, pasien dapat mengelola tekanan darah secara lebih efektif.

Prevelensi penderita DM sebanyak 10.3 juta jiwa dari 90% total tersebut merupakan diabates tipe 2. Kadar glukosa tidak terkendali memicu komplikasi makrovaskular dan mikrovaskular. Kunci keberhasilan pengendalian diabates melitus adalah self-management, agar mencapai perilaku self -management yang baik dukungan keluarga sangat berperan penting pada manajemen penatalaksanaan DM. Penelitian ini bertujuan untuk mengetahui Hubungan Dukungan Keluarga dengan self-management pada Pasien Diabetes melitus Tipe 2 di RS PKU Muhammadiyah Yogyakarta. Jenis penelitian ini adalah kuantitatif, dengan desain penelitian observasional analitik dengan pendekatan cross sectional. Sampel penelitian ini adalah 93 penderita DM tipe 2. Analisis data menggunakan uji statistik Kendal Tau. Hasil penelitian ini menunjukkan bahwa dukungan keluarga dengan kategori sedang yaitu 57 orang (61.3%). Self mnagement dengan  kategori sedang sebanyak 62 orang (66.7%). Ada hubungan antara dukungan keluarga dengan self-management p= 0,000 (nilai p<0,05). Simpulan dan Saran: Terdapat hubungan antara dukungan keluarga dengan self-management pada pasien diabetes melitus tipe 2 di RS PKU Muhammadiyah Yogyakarta. Hasil tersebut menunjukkan bahwa keterlibatan keluarga memiliki peran penting dalam mendukung pelaksanaan manajemen mandiri diabetes melitus. Oleh karena itu, melibatkan keluarga dalam setiap aspek penatalaksanaan dan perawatan diabetes melitus sangat penting untuk meningkatkan hasil pengobatan dan memastikan kepatuhan jangka panjang terhadap rencana terapi.

Pengabdian masyarakat Universitas Bojonegoro di Desa Mojoagung menunjukkan bahwa pendekatan pendidikan berbasis feminisme, diskusi interaktif, dan distribusi tablet penambah darah (TTD) yang didukung oleh penyuluhan pola makan sehat dapat membantu meningkatkan kesadaran akan gender dan gizi perempuan.kesehatan. Program ini mampu menurunkan prevalensi anemia hingga 30%, memberdayakan perempuan secara sosial, dan meningkatkan kesadaran akan hak-haknya. Selain itu, keberlanjutan dan pertumbuhan program bergantung pada kerja sama dengan fasilitas medis dan organisasi masyarakat non-pemerintah. Menurut hasil dari beberapa penelitian terkait, pemberdayaan perempuan melalui kesadaran gender yang lebih besar dan akses ke perawatan kesehatan inklusif dapat membantu meningkatkan kesehatan dan status gizi perempuan sekaligus mendorong perubahan sosial yang tahan lama. Strategi berbasis komunitas yang melibatkan keluarga dan komunitas sangat penting untuk mencapai tujuan ini, terutama dalam hal mencegah anemia, meningkatkan kesehatan anak-anak, dan memajukan hak-hak perempuan di masyarakat.

Kangaroo mother care is a treatment for low-birth-weight infants that involves direct skin-to-skin contact between the infant and the mother (skin-to-skin contact). This provides health and psychological benefits, particularly in providing warmth to the infant, enhancing maternal bonding, increasing maternal trust and satisfaction, and reducing stress. The difference in body temperature of low-birth-weight infants treated with kangaroo mother care for one hour and three hours. Research Method: The research design used was a quasi-experimental, pre-post test with control group design, which involves administering treatment or intervention to the experimental group and then measuring and analyzing the effects of the treatment. The sample size for this study was 30 people. Bivariate analysis was conducted using the independent t-test and paired t-test. The results showed that the infant's body temperature before the kangaroo mother care intervention was in the below-normal. The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05).

Latar belakang: Hemodialisa merupakan suatu teknologi canggih yang digunakan sebagai alternatif pengganti fungsi ginjal untuk menyaring produk-produk limbah metabolik atau racun tertentu dari darah, seperti air, natrium, kalium, hidrogen, urea, dan zat lainnya dengan memanfaatkan membran semipermeabel. Salah satu faktor yang mempengaruhi hemodialisa ialah akses vaskuler, akses vaskuler yang berfungsi dengan baik dapat digunakan untuk jangka Panjang yang adekuat dapat menghasilkan aliran darah yang lancar serta meminimalkan komplikasi. Tujuan: dilakukan penelitian ini ialah untuk mengetahui bagaimana gambaran pengetahuan dan perawatan akses vaskuler pada pasien hemodialisa. Metode: Penelitian ini menggunakan metode deskriptif dengan pendekatan potong lintang (cross sectional). Sebanyak 90 pasien hemodialisa terlibat sebagai responden yang dipilih melalui teknik pengambilan sampel total. Data dikumpulkan dengan menggunakan kuesioner yang mengukur pengetahuan dan perawatan akses vaskuler. Dalam menganalisis data, digunakan uji distribusi frekuensi. Hasil: penelitian ini menjelaskan bahwasannya mayoritas responden mempunyai tingkat pengetahuan akses vaskuler kategori baik sebanyak 71 (78,9%), sedangkan sebagian besar memiliki Tingkat perawatan akses vaskuler kategori baik sebanyak 69 (76,7%). Adanya Gambaran pengetahuan dan perawatan akses vaskuler yang baik pada pasien hemodialisa sehingga, penelitian ini dapat digunakan perawat dalam intervensi keperawatan untuk lebih meningkatkan pengetahuan dan perawatan akses vaskuler pasien dalam hemodialisa.

Keluarga yang menunggu pasien di ruang ICU dapat mengalami kecemasan, hal ini disebabkan karena menunggu anggota keluarga yang sedang mengalami perawatan kritis merupakan salah satu faktor kecemasan keluarga pasien dirawat di ruang intensive. Kelcelmasan melrulpakan sulatul keladaan pikiran dimana selselorang melrasakan keltakultan yang telruls-melnelruls dan belrlelbihan selrta sullit dikelndalikan selhingga dapat belrdampak bulrulk dalam kehidupan sehari-hari. Tujuan penelitian ini adalah untuk Melngidelntifikasi Gambaran Kelcelmasan Kellularga Pasieln Di Rulang Intelnsivel Carel Ulnit (ICUl) Rulmah Sakit Santa Ellisabelth Meldan Tahuln 2024. Metode penelitian yang digunakan dalam penelitian ini deskritif menggunakan pendekatan desain studi cross sectional. Penelitian ini menggunakan tehnik purporsive sampling dengan kriteria inklusi, didapatkan jumlah sampel 96 responden di Ruang Intensive Care Unit (ICU) Rumah Sakit Santa Elisabeth Medan. Alat ukur yang digunakan dalam penelitian ini adalah kusioner ZSAS (Zulng Sellf-Rating Axielty Scalel). Hasil penelitian ini menunjukkan terdapat kecemasan berdasarkan kategori kecemasan paling tinggi adalah kecemasan sedang sebanyak 58 responden (60.4%), kecemasan berat sebanyak 22 responden (22.9%) dan kecemasan ringan sebanyak 16 responden (16.7%). Simpulan ini adalah peran keluarga terhadap pasien menjadi berkurang karena tidak banyak terlibat dalam perawatan pasif dan tidak dapat mendampingi pasien di ruang ICU setiap saat, sehingga keluarga akan mengalami kecemasan. Kecemasan ini disebabkan karena ketakutan keluarga yang dipengaruhi oleh terpisahnya secara fisik dengan anggota keluarga, takut akan kematian, biaya  perawatan, keadaan pasien makin memburuk/ngedrop, atau kecatatan tubuh yang disebabkan banyak terpasang alat.

Background: Febrile seizures are one of the most common emergencies in young children and can cause problems if not handled properly. Parents' understanding of how to handle febrile seizures greatly influences the initial steps taken when the incident occurs. This study aims to describe parents' knowledge in managing febrile seizures in children in the Pediatric Ward of Bhayangkara Hospital TK. II Jayapura. Method: This study is a descriptive study with one variable, namely parental knowledge about handling febrile seizures. The population consisted of all parents who have young children with a history of febrile seizures in the Pediatric Ward of Bhayangkara Hospital TK. II Jayapura, with a total of 36 respondents. Data collection was carried out using a validated and reliable questionnaire. Data analysis was carried out univariately and presented in the form of frequency distribution and percentage. Results: The results showed that of the 79 respondents, most parents had good knowledge about handling febrile seizures, some had moderate knowledge , and a small number had poor knowledge . Parents with good knowledge amounted to 38%, moderate knowledge 35.4%, and poor knowledge 26.6 %. Conclusion: Most parents in this study showed good knowledge in managing febrile seizures in young children. However, continuous education is still needed to improve the understanding of parents with moderate and poor levels of knowledge.

Background: Half of the 75 million children in Indonesia suffer from dental caries, and the number continues to rise each year. Caries is a disease that involves the enamel, dentin, and pulp of the tooth. If left untreated, it can reach the pulp and cause tooth necrosis. Pulpectomy is a dental procedure that involves removing the entire pulp tissue of deciduous teeth to access the infected root canal. This procedure is crucial to prevent the spread of infection. Post-pulpectomy restoration is essential to ensure the optimal function of the tooth and prevent further damage to the remaining tooth structure. The restoration must have adequate retention, minimal leakage, and not increase the risk of further damage to the remaining tooth structure. Methodology: This study is a qualitative research in the form of a literature review using secondary data collected in August 2024 from five main databases: PubMed, MDPI, ScienceDirect, Garuda (Garba Rujukan Digital), and Taylor & Francis. The collected data were then sorted to identify articles relevant to the research criteria. Results and Discussion: Based on the Prisma Diagram Flow, 343 articles were identified from the five databases, which were then filtered down to five articles that met the criteria to be the primary articles in this literature review. The results show that there are various types of post-pulpectomy restorations tailored to the diagnosis and clinical indications of the treated teeth. Conclusion: There are two commonly used types of post-pulpectomy restorations, namely restorations made of Glass Ionomer Cement (GIC) and Stainless Steel Crowns (SSC). Both of these restorations can be modified into space maintainers, which are essential in preserving space for the future growth of permanent teeth while improving the function of the treated tooth.

Introduction: Periodontitis treatment depends on the severity of the disease, pocket depth, and bone damage. It consists of (1) emergency phase, (2) non-surgical phase, (3) surgical phase, and (4) maintenance or restorative phase. Each phase plays a crucial role in ensuring healing and controlling periodontitis. The non-surgical phase involves scaling and root planing to remove plaque and tartar, while the surgical phase addresses bone damage and pocket reduction. The maintenance phase is critical to preventing disease recurrence. Objective: The purpose of this case report is to demonstrate the success of curettage in a patient with chronic localized periodontitis stage II grade A and stage I hypertension, within a two-week post-treatment period. Case: A 52-year-old female patient presented at RSGM Soelastri with complaints of bleeding gums during tooth brushing. The patient reported gum bleeding around the lower front teeth for the past six months, without any pain. She was regularly taking antihypertensive medication (amlodipine). Examination revealed deep periodontal pockets in teeth 41 and 42, accompanied by gum swelling, indicating chronic localized periodontitis stage II grade A. The patient also had a history of stage I hypertension, which required careful management during treatment. Conclusion: The treatment for chronic localized periodontitis stage II grade A on teeth 41 and 42 with stage I hypertension was curettage. After two weeks of treatment, the patient showed significant improvement, including reduced bleeding and a decrease in pocket depth, with stable hypertension control. Curettage proved effective in managing the condition, with careful consideration of the patient's hypertension risk factors.

The Paiton Steam Power Plant (PLTU) is one of the main sources of electrical energy in East Java, which plays a vital role in maintaining a sustainable electricity supply. The reliability of generator units is a key element in maintaining stable energy distribution. However, the high frequency of sudden generator failures poses serious challenges, such as increased downtime and increased maintenance costs. To address these challenges, this study aims to design a generator maintenance prediction model based on the Naive Bayes algorithm with a predictive maintenance approach. This study uses historical maintenance data and key sensor parameters such as temperature, oil pressure, and vibration as input. The data is analyzed through several stages, namely data preprocessing, selection of relevant features, and labeling generator conditions into three categories: Normal, Warning, and Critical. The Naive Bayes model is trained to classify the data probabilistically to generate predictions of future generator conditions. Model evaluation using accuracy metrics and a confusion matrix shows that the model successfully achieved an accuracy rate of 89% and was able to provide early warnings of potential failures up to 3 days before failure occurs. The implementation of this system is expected to support the shift in maintenance strategies from reactive and scheduled systems to data-driven predictive systems. Implementing failure predictions allows the technical team at the Paiton PLTU to conduct planned maintenance, avoid sudden disruptions, and extend equipment lifespan. Thus, this model has the potential to reduce operational downtime by up to 25%, while providing significant savings in operational and logistics costs. This research also shows that integrating machine learning technology into energy facility management can improve the efficiency and resilience of the overall electric power system.

This study aims to analyze the effectiveness of preventive maintenance on the Simplex machine at PT. XYZ by applying the Overall Equipment Effectiveness (OEE) method and identifying the primary causes of production losses through the Six Big Losses framework. Preventive maintenance is an important strategy to ensure machine reliability, reduce downtime, and improve production efficiency. OEE is a widely recognized performance measurement tool consisting of three key indicators: Availability, Performance, and Quality. These indicators collectively reflect the overall effectiveness of equipment in supporting the production process. The results of this study indicate that the OEE value of the Simplex machine is 79%, which remains below the world-class benchmark of 85% as recommended by the Japan Institute of Plant Maintenance (JIPM). This finding suggests that the machine’s performance has not yet reached the optimal standard and requires improvement efforts. Further analysis using the Six Big Losses approach reveals that the most significant contributors to reduced machine effectiveness are equipment failure and idling or minor stoppages. These two categories account for the majority of productivity losses, thereby affecting both machine utilization and production output. To further explore the underlying issues, a root cause analysis was conducted using a fishbone diagram, which enabled the identification of several critical factors related to human resources, methods, machines, materials, environment, and measurement systems. Based on this analysis, improvement proposals were developed through the 5W+1H method, providing a systematic strategy to enhance preventive maintenance practices. The recommended actions include scheduling more frequent inspections, improving operator training, upgrading spare parts management, and implementing stricter monitoring of machine performance. In conclusion, this study highlights the importance of continuous preventive maintenance to optimize machine productivity and reduce unplanned downtime. By adopting the proposed improvement strategies, PT. XYZ can increase the effectiveness of its Simplex machine, moving

The purpose of this study was to determine the care skills of nurses. In carrying out their profession, care is required to improve skills which is a process that leads to professionalism. The process begins with the perception of nurses in seeing conditions and solving problems, one of which is carrying out the application of nursing care to clients. The application of nursing care provided by nurses cannot be separated from spiritual aspects which are an integral part of the nurse's interaction with clients. Nurses together with special spiritual officers in the hospital try to help meet the spiritual needs of clients as part of the client's overall needs, among others by facilitating the fulfillment of these client needs, even though nurses and clients do not have the same beliefs and religions. In the application of spiritual nursing care is influenced by several factors, namely intellectual skills where the nurse's intellect will be very influential in the application of care. With data collection methods, namely observation, documentation and questionnaires. The population and sample are Samples In this study, the sampling technique used was purposive sampling, namely the sample taken was 50 nurses who served in four rooms of the Inpatient Hospital Labuang Baji Makassar.

Penyakit asam urat (gout) adalah gangguan metabolik yang sering dialami oleh lansia, yang dapat menyebabkan rasa sakit yang hebat, keterbatasan gerakan, serta penurunan kualitas hidup. Penyakit ini terjadi akibat penumpukan kristal asam urat di persendian, yang dapat menyebabkan peradangan dan nyeri yang parah. Faktor risiko utama termasuk pola makan yang kaya purin, obesitas, gangguan ginjal, serta penggunaan obat-obatan tertentu. Namun, banyak lansia yang kurang memahami penyebab, gejala, dan penanganan penyakit ini dengan baik, sehingga kondisi mereka seringkali memburuk. Untuk itu, kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan lansia dalam merawat penyakit asam urat secara mandiri. Program ini diselenggarakan melalui penyuluhan kesehatan yang interaktif, dengan materi yang mencakup etiologi penyakit asam urat, manifestasi klinis, komplikasi yang dapat ditimbulkan, serta berbagai strategi pengelolaan yang efektif. Salah satu aspek penting yang dibahas adalah modifikasi gaya hidup, yang meliputi diet rendah purin, hidrasi yang cukup, serta pentingnya aktivitas fisik. Selain itu, peserta juga diberikan pemahaman mengenai pentingnya kepatuhan terhadap terapi medis yang direkomendasikan oleh tenaga kesehatan. Metode pelaksanaan kegiatan ini meliputi ceramah yang interaktif, sesi tanya jawab, dan distribusi leaflet informatif untuk memperkuat pemahaman peserta. Kegiatan ini dilaksanakan di wilayah RW 05 Srengseng Sawah, Jagakarsa, Jakarta Selatan, yang diikuti oleh sejumlah lansia yang aktif berpartisipasi. Hasil evaluasi menunjukkan adanya peningkatan signifikan dalam pemahaman peserta tentang penyakit asam urat dan bagaimana cara merawatnya. Lansia menunjukkan antusiasme yang tinggi dan mampu mengidentifikasi langkah-langkah praktis yang dapat mereka terapkan dalam kehidupan sehari-hari untuk mengelola kondisi mereka. Melalui kegiatan ini, diharapkan lansia dapat lebih mandiri dalam mengelola asam urat, mengurangi frekuensi serangan, dan meningkatkan kualitas hidup mereka secara keseluruhan.

Pemulihan kesadaran setelah general anestesi merupakan fase kritis yang dipengaruhi oleh berbagai faktor, salah satunya adalah penggunaan sevoflurane sebagai agen anestesi inhalasi. Waktu pulih sadar yang terlalu lama dapat berisiko menimbulkan komplikasi pascaoperasi dan memperpanjang waktu perawatan di ruang pemulihan. Variasi dalam penggunaan volume persentase sevoflurane dapat memengaruhi waktu pulih sadar pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara persentase sevoflurane dengan lama pulih sadar pasien yang menjalani anestesi umum di Instalasi Bedah Sentral RSU PKU Muhammadiyah Bantul. Metode penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan kuantitatif dan rancangan cross-sectional. Sampel terdiri dari pasien dewasa (19–59 tahun) yang menjalani operasi dengan anestesi umum menggunakan agen inhalasi sevoflurane. Instrumen pengumpulan data meliputi lembar observasi, jam, dan data dari mesin anestesi. Analisis data dilakukan menggunakan uji korelasi Spearman Rank. Hasil penelitian dari 60 jumlah responden yang diteliti, responden yang mengalami pulih sadar lama sebanyak 21 responden (35,0%), lalu pulih sadar sedang sebanyak 24 responden (40,0%), dan yang mengalami pulih sadar cepat sebanyak 15 responden (25,0%). Hasil uji Spearman Rank menunjukkan nilai signifikansi (p-value) 0,000 < 0,05, yang mengindikasikan adanya korelasi positif antara kedua variabel tersebut.

Pneumonia ialah penyakit Infeksi Saluran Pernapasan Bawah yang bersifat akut pada parenkim paru meliputi alveolus dan jaringan interential yang dikarenakan mikroorganisme seperti jamur, virus dan bakteri. Mikroorganisme yang masuk ke saluran pernafasan bagian bawah dapat mengganggu proses pernapasan serta membuat saluran pernapasan tidak berfungsi secara optimal, sehingga proses keluar masuk oksigen juga terhambat dan mengakibatkan gangguan pada pola napas. Beberapa permasalahan lain yang ditimbulkan dari pneumonia seperti adanya penumpukan sputum, otot bantu pernapasan, penurunan ekspansi thoraks dan juga nyeri dada. Dalam perawatanya, tenaga medis berperan dalam pemberian antibiotik selama 8 jam setelah pasien mengalami perawatan serta fisioterapi berperan dalam pemberian intervensi penyinaran Infrared, Chest physiotherapy, dan Myofascial release. Penelitian ini bersifat studi kasus yang mengangkat satu kasus pasien serta mengumpulkan data melalui proses fisioterapi. Intervensi fisioterapi dilakukan sebanyak 4 kali pertemuan di Rumah Sakit dr. Ario Wirawan, Salatiga dengan menggunakan Infrared, Chest physiotherapy yang meliputi Postural Drainage, Clapping, Vibrasi, Latihan Batuk Efektif, Pursed Lip Breathing dan Myofascial release. Setelah menjalani 4 kali terapi, diperoleh hasil kondisi pasien yang mengalami penurunan nyeri dada, penurunan tingkat sesak napas, peningkatan ekspansi thoraks, berkurangnya spasme otot bantu pernapasan dan retensi sputum.

Introduction: Periodontal tissue is a supporting and protective tissue of the teeth consisting of gingiva, periodontal ligament, cementum, and alveolar bone. One type of periodontal disease is gingival enlargement. The main factor that causes this disease is bacterial plaque, so gingivectomy treatment is needed. Gingivectomy is a procedure to cut excess gingival tissue with the aim of eliminating pockets and gingival inflammation, so that good physiological, functional and aesthetic gingiva is obtained. Case: A 19-year-old male presented to Soelastri Dental and Oral Hospital with complaints of gingival enlargement, which had been occurring for the past six months, primarily affecting the upper right posterior and lower anterior gingiva. The patient reported no history of systemic illness and no known allergies to medications or food. Clinically, the gingiva appeared enlarged, soft in consistency, reddish in color, with blunted gingival margins. Periodontal pocket depths were recorded as follows: tooth 32 : 433, 31 : 423, 41 : 323 and 42 : 333. A diagnosis of gingival enlargement was established.. Management: The initial treatment consisted of scaling and root planing. However, no significant improvement was observed at the 7-day follow-up. Consequently, gingivectomy was performed on teeth 32, 31, 41, and 42. A follow-up evaluation was conducted 10 days post-operatively. Intraoral examination revealed periodontal pocket depths of 31 (2-1-1), 32 (2-1-2), 41 (2-1-2), and 42 (2-1-2). The patient demonstrated good oral hygiene, with a marked reduction in gingival enlargement. Nonetheless, mild edema and erythema persisted on the labial aspect of teeth 41 and 42. Conclusion : Gingival enlargement is an inflammation that occurs in the gingiva due to local factors, namely plaque bacteria. Treatment of gingival enlargement that does not shrink after scaling, root planing, must be performed gingivectomy so that good morphology and aesthetics are obtained.

Air filter maintenanceThis study aims to determine the effect of air filter maintenance on engine lifespan and performance in cars at Honda Camp Fast Jati Asih. The air filter is an important component in the combustion system, as it can influence engine power, fuel efficiency, and engine durability. The research uses a quantitative approach through experiments and case studies, involving cars that regularly undergo air filter maintenance. Data collected includes engine performance before and after maintenance, as well as engine lifespan records during the maintenance period. The results show that regular air filter maintenance can improve engine performance, save fuel, and extend engine life. These findings highlight the importance of air filter maintenance in keeping car engines in good condition.

The puerperium is a critical phase for postpartum mothers that requires special attention to prevent complications. However, awareness of the importance of self-care during this period remains limited, particularly in rural areas such as the working area of Puskesmas Kembang in Jepara. This community service initiative aimed to empower postpartum mothers by enhancing their knowledge and skills in self-care and physical recovery. The approach included interactive education using video media, health talks, group discussions, hands-on demonstrations, and the involvement of family members as key supporters. A total of 20 postpartum mothers and 10 family companions participated in the program. Evaluation through pre- and post-tests revealed significant improvements in knowledge across various aspects of postpartum care, including perineal hygiene, balanced nutrition, early detection of danger signs, and the role of family support. This program proved effective and has the potential to be replicated in other rural settings with similar conditions.

The integration of telemedicine and artificial intelligence (AI) into critical care has emerged as a revolutionary development in the healthcare sector, aiming to enhance patient care and outcomes. This research aims to explore the impact of these technologies on improving the quality of patient care in intensive care units (ICUs). A systematic review of recent studies published between 2018 and 2023 was conducted to analyze the role of telemedicine in improving access to healthcare and the application of AI in enhancing diagnostic accuracy and monitoring patients in real-time. The findings suggest that both telemedicine and AI significantly reduce response times, improve decision-making processes, and increase the accuracy of diagnoses, which ultimately contribute to better patient safety and outcomes. The research also highlights challenges, including infrastructure limitations and the need for specialized training for healthcare professionals. The study’s implications underline the importance of integrating these technologies in critical care units to improve overall healthcare delivery, while addressing barriers to implementation. Future research should focus on overcoming these challenges and exploring long-term outcomes of technology use in critical care environments.