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Low back pain is still a trigger for health problems that interfere with activities. If not treated properly, it can reduce lumbar mobility so that there is limited movement. There are several treatment strategies for low back pain, namely pharmacology and non-pharmacology. Non-pharmacology therapy that can be done is cupping therapy. The cupping therapy that is carried out is Al Warik point cupping therapy. This study aims to determine the effect of Al Warik point cupping on reducing the pain scale in low back pain sufferers at the Probolinggo holistic nursing therapy clinic. The type of research used a pre-experiment with a one group pre-post test design. The population was 38 low back pain sufferers at the Probolinggo holistic nursing therapy clinic, the sample determination used the accidental sampling technique that met the criteria of 34 respondents. The instrument used the cupping therapy module, data management with the editing, coding, scoring, and tabulating processes. Furthermore, it was analyzed using the Wilcoxon test. The results of this study indicated that the average pain scale value that occurred before cupping therapy at the Al Warik point was 7.00, standard deviation 1.073, and the average pain scale value after cupping therapy at the Al Warik point was 4.74, standard deviation 1.024, the analysis test using the Wilcoxon test showed a decrease in the Low Back Pain Pain Scale at the Holistic Nursing Therapy Clinic in Probolinggo (ρ = 0.000 <α = 0.005). Cupping therapy can be a traditional alternative treatment that can be done routinely for the healing process of low back pain by performing cupping therapy at the Al Warik point.

Investment activities in the capital market are increasingly popular among various groups, including students (santri) at Islamic boarding schools (Pesantren). However, understanding of stock investment remains limited among these students. To address this need, we organized a community service activity in the form of a stock investment consultation clinic at Monash Institute Islamic Boarding School. The aim of this activity is to provide an understanding of stock investment, improve financial literacy, and help students apply safe and effective investment strategies. This activity involves training, discussions, and direct consultations with investment experts. The results of the activity showed an increase in the students' knowledge of financial literacy and their awareness of investment in the capital market

Hypertension is a major cause of heart failure, stroke and kidney failure. Prevalence of hypertension in Indonesia in the urban and rural areas ranged between 17-21%. Smoking is one cause that can affect blood pressure. The aim of this research is to discover the relationship between the smoking activity and hypertension on men aged 45 year-old and older in Klinik Pratama Cinangsih Medika Cianjur. This research is a correlative descriptive. The approach used cross-sectional with total samples were 98 respondents. The sampling technique used was purposive sampling. The instrument used in this study was questionnaire. Data was obtained through questionnaires distribution and interviews, and blood pressure measurement. The data collected was processed by using Chi-square statistical test with degree of significance p value < 0.05. The result showed 74 people (75,5%) smoked and those who suffered hypertension were 75 people (76,5%). From bivariate test result showed there is relationship between number of cigarettes taken and hypertension (p = 0,005), there is relationship between way of smoking and hypertension (p = 0,008), there was no relationship between smoking duration and hypertension (p = 0,059), there is relationship between type of cigarette and hypertension (p = 0,027), and there is relationship between the activity of smoking and hypertension (p = 0,007). Suggestions the researcher can propose concerning this research are to reduce hypertension risk as the effect of smoking, cigarette consuming should be decreased gradually to stop smoking in advance, the result of this research can be served as reference in dealing with patients suffering for hypertension, especially, in Cianjur. Keywords: Smoking activity (number of cigarette, way of smoking, smoking duration, sort of cigarette), Hypertension.  

OSCE is an exam with an assessment based on the skills (performance) observed when performing various clinical skills. The OSCE procedure is more emphasized on clinical skills that must be mastered by students to take action on their patients. However, unfortunately OSCE is a high enough stressor in causing anxiety. The OSCE has more stressors than other types of exams. This happens because of the large amount of material that must be mastered and the limited duration of the exam. In addition, the atmosphere during the exam, such as the examiner observing the students directly, causes anxiety. Anxiety that arose during the OSCE exam in medical students turned out to have a significant effect. However, there are not many studies that delve deeply into what causes it. So that the solution related to the problem of anxiety cannot be carried out optimally. The objective of this study was to explore the causes and ways to overcome anxiety in students of the Faculty of Medicine, Universitas Muhammadiyah Sumatra Utara during the OSCE. This research was conducted from January-July 2022. It was quantitative research with cross-sectional data collection. The research sample was students of the Faculty of Medicine, Universitas Muhammadiyah Sumatra Utara, Class of 2019 (n = 200). Anxiety assessment was determined using the Hamilton Rating Scale For Anxiety (HARS) questionnaire, and researchers develop a questionnaire to evaluate the factors that influence students’ anxiety and coping mechanism. A total of 197 out of 200 respondents (98.5%) had anxiety while attending the OSCE. Anxiety was dominated by a mild level of anxiety, about 86 people (43.0%). External factors affect 118 people (59%) and are the factors that dominate the causes of anxiety for students that took part in OSCE. The biggest etiology of anxiety for students who took part in OSCE is the processing time as many as 42 people (21%), too many materials 41 people (20.5%), not focusing/forgetting as many as 39 people (19.5%). OSCE merupakan ujian dengan penilaian berdasarkan keterampilan (performa) yang diobservasi saat melakukan berbagai keterampilan klinik. Prosedur OSCE lebih ditekankan pada keterampilan klinis yang harus dikuasai oleh mahasiswa untuk melakukan tindakan terhadap pasiennya. Namun, sayangnya OSCE merupakan stressor yang cukup tinggi dalam menimbulkan kecemasan. OSCE memiliki stressor yang lebih dibandingkan dengan jenis ujian lainnya. Hal tersebut terjadi karena banyaknya materi yang harus dikuasai serta sempitnya durasi waktu ujian. Selain itu suasana saat ujian, seperti adanya penguji yang mengamati mahasiswa secara langsung, menyebabkan timbulnya kecemasan. Kecemasan yang muncul saat ujian OSCE pada mahasiswa kedokteran ternyata menimbulkan efek yang signifikan. Namun tidak banyak penelitian yang menggali secara mendalam mengenai apa penyebabnya, sehingga solusi terkait permasalahan kecemasan tersebut tidak dapat dilakukan secara maksimal. Tujuan penelitian ini adalah untuk mengetahui faktor penyebab dan cara mengatasi kecemasan pada mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara pada saat OSCE. Penelitian ini dilaksanakan pada bulan Januari-Juli 2022 dan merupakan penelitian kuantitatif dengan pengambilan data secara cross-sectional. Sampel penelitian adalah mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara Angkatan 2019 (n = 200). Penilaian kecemasan ditentukan dengan menggunakan kuesioner Hamilton Rating Scale For Anxiety (HARS) dan kuesioner yang disusun utnuk menilai faktor penyebab dan cara mengatasi kecemasan. Sebanyak 197 dari 200 responden (98,5%) memiliki kecemasan saat mengikuti OSCE. Kecemasan didominasi dengan tingkat kecemasan ringan yaitu 86 orang (43,0%). Faktor eksternal mempengaruhi 118 orang (59%) dan merupakan faktor yang mendominasi penyebab kecemasan mahasiswa yang mengikuti OSCE. Penyebab terbanyak kecemasan mahasiswa yang mengikuti OSCE adalah waktu pengerjaan sebanyak 42 orang (21%), materi ujian terlalu banyak 41 orang (20,5%), tidak ocus/lupa sebanyak 39 orang (19,5%).  

In the management of Diabetes Mellitus, there are five pillars, one of which is the DM diet. Therefore, there needs to be dietary compliance in controlling blood sugar levels. Diet compliance is an important aspect for success in running and controlling sugar levels. Diet compliance of DM sufferers is greatly influenced by family support. Knowing the relationship between DM diet compliance and family support with blood glucose control in Diabetes Mellitus patients. This study uses a quantitative research type using a cross-sectional study. The sample of this study amounted to 48 respondents using the purposive sampling technique. Measuring dietary compliance and family support using a questionnaire, while measuring blood glucose levels using a blood sugar checker. The results of the Spearman test showed a relationship between DM diet compliance and blood glucose control with a p value of 0.001 with a correlation relationship of -0.461 and there was a relationship between family support for blood glucose control with a p value of 0.002 with a correlation relationship of 0.442. There is a relationship between DM diet compliance and family support with blood glucose control in Diabetes Mellitus patients.

Birth balls can assist mothers during the first stage of labor by promoting labor progress. Their benefits include increasing blood flow to the uterus, placenta, and baby, widening the pelvic outlet, reducing knee and ankle discomfort, providing counter-pressure on the perineum and thighs, and utilizing gravity to aid fetal descent. This process facilitates cervical dilation and shortens labor duration. This study examines the effect of birth ball therapy on first-stage labor progress in women giving birth at the Putri May Sarah Clinic, Percut Sei Tuan District, Deli Serdang Regency, in 2024. A quasi-experimental method with a two-group design was used, involving 20 participants. Data analysis was conducted using the Mann-Whitney test. Results showed a significant difference between the intervention and control groups, with a sig value of 0.029 (<0.05) and a z-table value of 2.189. These findings indicate that birth ball therapy positively influences first-stage labor progress. Women who used birth balls experienced faster cervical dilation and fetal descent compared to those who did not. This study highlights the benefits of birth ball therapy as a non-invasive method to improve labor outcomes. The Putri May Sarah Clinic is encouraged to promote birth ball use as a supportive measure for laboring mothers. By implementing birth ball therapy, the clinic can enhance maternal comfort and facilitate a smoother, shorter first stage of labor. 

The nation's ideals to pay attention to the number of children with Disaster Families are the paradigm of the National Family Planning Family Planning Program which in 2015 had become a Quality Family Program. The type of research in this study is an analytical observational study using case control stimuli which is used to study the extent to which risk factors influence the occurrence of an effect. This research uses a retrospective approach, by identifying causal factors in past events. The sample to be used in this study was 35 mothers who visited the Ely Midwife Clinic and participated in the 3-month injection family planning program from January to April 2022. Acceptors of 3-month injection family planning are at greater risk of experiencing greater weight gain than non-acceptors of 3-month injection family planning, so that 3-month injection family planning has a greater influence than non-acceptors of 3-month injection family planning. 3-month injection contraception is not the main factor causing weight gain, as shown by the results of the Cochran & Mantel Haenszel significance test, the results obtained were X2 count (2.089) < X2 Table (3.841) or p (0.148) > α (0.050) and CI (0.872; 6.118). The benefits of this study can be used as a consideration for further research. Through a larger number of respondents and the number of variables, such as age, food intake, lifestyle, activity, and others. Midwives and other health workers can provide counseling about the side effects of 3-month injection contraception so that there is no concern from the acceptors of the contraception.

Osteoarthritis is a type of arthritis that occurs in the area around the joints because the cartilage that protects the ends of the bones begins to break down accompanied by reactive changes at the edges of the joints which can cause pain and difficulty moving. Drug use is said to be rational if the patient receives treatment that is in accordance with clinical needs, namely correct diagnosis, correct drug selection, correct indication, correct dose, correct method of administration, and correct patient. This research aims to use a descriptive analysis design for observational research. The research design used was quantitative research to determine the rationality of using NSAIDs anti-pain medication in osteoarthritis patients undergoing treatment at the Klinik Teluk Banten. The rationality results in this research are, 100% correct diagnosis, 100% correct indication. 100% correct choice of drug, 89% correct dose, 100% correct method of administration, 94% correct patient for Osteoarthritis at Klinik Teluk Banten.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.

In order to improve the welfare of the community, it is expected that the government will also participate in improving health standards, especially for mothers. This is because healthy mothers will produce superior generations. The best food for babies is breast milk, therefore it is expected that mothers can give their babies exclusive breast milk so that the baby's growth and development are optimal and grow into a healthy, intelligent and productive adult generation. Breastfeeding itself also has obstacles including sore nipples, babies who often cry. Oxytocin massage aims to increase breast milk production in mothers in labor. The implementation of this community service is aimed at prospective breastfeeding mothers and breastfeeding mothers. This activity took place at the Afisya Clinic, Deli Serdang Regency, North Sumatra Province. The method of implementing assistance and application of oxytocin massage consists of refreshing the knowledge and skills of midwives in implementing oxytocin massage. The results of this community service can improve the knowledge and skills of midwives in implementing oxytocin massage. There was an increase in midwives' knowledge by 53% and skills by 100% and all mothers in labor gave breast milk to their mothers. It is hoped that the implementation of oxytocin massage will be applied to all mothers giving birth so that mothers can provide exclusive breastfeeding.

The wound healing duration in Diabetes Mellitus (DM) patients is influenced by factors such as age, nutritional status, blood sugar levels, diet adherence, physical activity, and medication compliance. In diabetic foot ulcer cases, healing is often impaired, increasing the risk of amputation if not properly managed. This study investigates factors affecting wound healing duration in DM patients at Hanifah Pratama Clinic, Tangerang City. A quantitative cross-sectional design was used, with a sample of 40 DM patients with diabetic foot ulcers selected through total sampling. Instruments included weight scales and height meters for nutritional status, Easy Touch® GCU for blood glucose levels, the Morisky Medication Adherence Scale (MMAS) for medication compliance, and the Bates-Jensen Wound Assessment Tool (BWAT) for wound assessment. Data analysis utilized the Chi-Square bivariate test and backward logistic regression multivariate test. Results showed that nutritional status significantly influenced wound healing duration (p < 0.05), with an OR of 28.884 (95% CI 2.760-302.240), indicating that patients with good nutritional status are 28.884 times more likely to heal faster. In conclusion, nutritional status is the dominant factor affecting wound healing duration in DM patients at Hanifah Pratama Clinic. This study highlights the importance of improving treatment quality and wound care while encouraging better nutritional interventions in diabetic foot ulcer management.

This research analyzes the public relations communication strategy implemented by Pratama Bina Medika Clinic in building brand awareness as a new health facility. This study uses a qualitative method with a descriptive approach with data collection techniques using interviews and literature studies to determine the effectiveness of direct marketing strategies (direct selling), word of mouth communication (WOM), and digital marketing in introducing health services (clinics) to the public. The research results show that the direct selling strategy through visits to posyandu is effective in building personal relationships with the community, increasing trust, and expanding brand awareness. WOM communication, both directly and via social media, supports the dissemination of wider and more reliable information. The use of digital marketing through social media platforms such as TikTok and Instagram expands the reach of information and facilitates interaction with the public. This holistic approach has succeeded in creating a positive image of the clinic as a provider of quality and affordable health services, while increasing public trust in the services offered.

Early complementary food is food or drink given to babies aged 6 months. The research objective was to determine the relationship between knowledge and attitudes of mothers and the provision of complementary feeding at PMB Irma Suryani, Prabumulih City in 2023. The research method is analytic in nature, using a cross sectional approach. The population of this study were all mothers who had babies aged ≥ 6 – 24 months at PMB Irma Suryani Prabumulih City in 2023. Sampling in this study used the Accidental Sampling method, namely 45 respondents. The research instrument is a questionnaire. From the bivariate analysis it was found that of the 33 respondents who had good knowledge, there were 30 respondents (66.7%) who gave complementary foods and from 12 respondents who had less knowledge, there were 5 respondents (11.1%) who gave complementary foods. From 37 respondents who had a good attitude, there were 33 respondents (73.3%) who gave complementary foods and of the 8 respondents who had a poor attitude, there were 2 respondents (4.4%) who gave complementary foods. It can be concluded that there is a significant relationship between knowledge and the provision of complementary foods with a P value 0.000 < α 0.05, there is a significant relationship between the mother's attitude and the provision of complementary foods with a P value 0.000 < α 0.05.

This study examined the Basic English ommunication skills of the Students of Clinical Nutrition Study Program at Politeknik Negeri Jember, especially in the first semester of the 2024/2025 academic year who are taking the Basic English Class. Using a quantitative and descriptive research approach, data was collected through tests designed to assess students' knowledge of English expressions used in everyday life. The test consists of 71 questions covering four topics. The test results showed good scores with most of the scores were categorized good and very good. Beside that, the difficulty index for each part of the test showed that students can answer the questions of the test that were categorized easy and very easy. The results of this study showed that students have good Basic English communication skills to prepare the students in entering the workplace in globalization era.

Delayed development is a condition when there is a delay in the child's growth and development process in one or more areas compared to children of the same age. Delayed development in the motor aspect is a significant lag in physical, including physical activities in daily life such as crawling, sitting, standing and walking in children when compared to normal children of the same age. To determine the effectiveness of a combination of interventions such as Expression Head Massage, Myofacial Release, Complete Neurosenso, General Massage, Patterning, Balance Exercise, and Approximation. The evaluation results showed an increase in gross motor skills in children. A 21-month-old child was diagnosed with Motor Delay when first treated, the child could not walk a few steps and standing had to have a handhold, after undergoing routine physiotherapy 3 times a week, now the child can walk a few steps without a handhold.

Introduction: ED (Eating Disorders) is one of the most difficult mental disorders to treat and treat, and the cost is even higher than schizophrenia. Secondary somatic complications due to malnutrition, severe weight loss and low levels of micronutrients. Objective: To determine the effectiveness of a combination of interventions such as Expression Head Massage, Myofacial Release, Neurosenso Komplit, General Massage, Patterning, Play Therapy, Brain Gym, Oral Reflex Stimulation. Method: A single-subject study was conducted on a 22-month-old child with ED. Results: The results of the sensory examination evaluation showed an increase in sensory in the child. Conclusion: A 22-month-old child was diagnosed with Eating Disorder, initially given physiotherapy, the child did not want to eat rice at all, only wanted to drink milk and sometimes the child liked to hit and bite, but after doing routine physiotherapy and home programs, now the child is willing to feed 15 mouthfuls of rice and focus on the child has also begun to exist and the child's balance is increasing.

Sari Medika Ambarawa Clinic is a company in the health sector with service as the key to company performance. Problems that occur at the Sari Medika Ambarawa Clinic include difficulties in determining the next budget period, resulting in shortages of medicines and goods which can reduce the profits of the Sari Medika Ambarawa Clinic. Apart from that, another problem is the lack of cooperation between employees which causes relations between employees to become less solid and harmonious. Training on budget preparation and collaboration between employees is training that is right on target in solving problems that occur at the Sari Medika Ambarawa Clinic. There are four stages in this training, namely the lecture stage, question and answer stage, discussion stage and simulation or practice stage. The results of the training showed that employees from division nine were able to make a budget per division for the next period. Meanwhile, the results of collaboration training between employees have made Sari Medika Ambarawa Clinic employees more enthusiastic about working and relationships between employees have become solid and harmonious.

This study examines the application of speech acts in communication between doctors and patients at the Pratama Haji Medan-Pancing Clinic, focusing on the use of various types of speech acts, such as expressive, representative, directive, and commissive in medical interactions. Speech acts are understood as the smallest unit of speech activity that has a specific function, and in the medical context, this includes providing information, instructions, as well as expressions of empathy and emotional support. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. The use of appropriate speech acts, such as giving instructions on healthy lifestyles, showing empathy, and expressing care and support, plays a major role in reducing patient anxiety and improving social-emotional relationships in the hospital environment. Politeness in communication is a key element in improving the quality of health services. Therefore, the development of communication skills for medical personnel is essential to create a better experience for patients and be responsive to their needs.

Down Syndrome is a fairly common genetic disorder, this is one of the diseases caused by the emergence of an extra chromosome from 21 pairs of chromosomes or known as trisomy 21. This study aims to determine the provision of Occupational Therapy in Down Syndrome Children at the Liliput Clinic. Occupational Therapy in Improving Fine Motor Skills in Down Syndrome Children and supporting and inhibiting factors. This study uses a Qualitative Method, the informant sampling technique uses the Purposive Sampling Technique. And data collection is obtained from the results of Interviews, Observations, and Documentation. Data analysis is carried out through the stages of Data Reduction, Data Presentation, and Conclusion Drawing. The location of this study is at the Liliput Clinic, Jl. Cipete IV No. 06, Rt. 02 Rw 03, South Cipete, Cilandak District. The results of the study showed that the provision of Occupational Therapy for Down Syndrome Children, namely, Down syndrome children still tend to be limp, such as when doing activities they get tired more easily, then Down syndrome children have not been able to regulate their emotions stably. In improving fine motor skills in Down syndrome children, therapists train and instruct children how to hold objects properly such as pencils, pens and small scissors. Then the child is instructed how to write correctly. Supporting factors in Occupational Therapy for Down Syndrome Children are an experienced therapy background, supporting infrastructure, and support from parents of Down syndrome children. And the inhibiting factors are Down syndrome children who have high emotional levels and physical problems in Down syndrome children.

The purpose of this research is to design a clinical administration application system at the Anugerah Clinic, so that administrative data processing at the Grace Clinic is easier and more systematic, so that reporting is more accurate and structured. The research methodology used in the data processing system is data collection techniques such as observing documentation studies, as well as conducting literature research that is relevant to information system problems. The system development method used uses grounded research methods.