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Background :Hospitalization is a critical condition in children, when the child is sick and is being treated in the hospital. Hospitalization can be considered as a threatening experience and becomes a stressor so that it can cause a crisis for children and families. In an effort to reduce the impact of children from hospitalization experienced by children during child care, we need a medium that can express anxiety, one of which is coloring picture therapy. Data from the Children's Room at Adjidarmo Rangkasbitung hospital found that children who were hospitalized from January to June 2022 had 979 cases of hospitalized children or an average of 163 cases per month. Writing purpose :the effect of giving play therapy coloring pictures on reducing stress due to the impact of hospitalization in pre-school-aged children at Adjidarmo Rangkasbitung Public Hospital, Banten Research methods :This study used a pre-experimental denham design with one group pretest-posttest design. One-group pre-post test design to obtain stress level data before and after the intervention. The number of samples in this study were 32 pre-school children who fit the inclusion criteria. The instrument used for data collection used a questionnaire and then the data were analyzed using the paired t test. Research result :the average stress on children due to hospitalization before the intervention was given was 21.09 pont or included in the moderate category and after the intervention became 13.13 or included in the moderate. There is an effect of giving play therapy coloring pictures to reduce stress due to hospitalization in pre-school-aged children at Adjidarmo Rangkasbitung Hospital, Banten with a p value of 0.000. Conclusions and recommendations:Image coloring play therapy can be effective in reducing stress in children due to hospitalization, therefore health workers can apply image coloring play interventions to children who are hospitalized

One of the decline in body systems experienced by adult women is the urinary system. In an adult woman, the decrease in the hormone estrogen causes atrophy of the urethral tissue and the effects of childbirth cause weakness of the pelvic floor muscles which can lead to disturbances in controlling urine output, which is called urinary incontinence. The impact of urinary incontinence is experiencing irritation in the area around the vagina, feeling embarrassed, withdrawing from the environment and can lead to depression. Efforts that can be made to overcome urinary incontinence include non-pharmacological therapy in the form of Kegel exercises. The purpose of this study was to determine the level of urinary incontinence before and after being given Kegel exercises. This study uses a quantitative method with a Quasi Experimental design with a Pre-post test approach to Non-equivalent Control Group, the sample in this study amounted to 39 respondents with a sampling technique using purposive sampling. The results of this study showed that the average level of mild urinary incontinence in pre-test women in the intervention group I was 12 people (60%) and post-test was 15 people (75%) then 5 people were normal (25%). While the level of mild urinary incontinence in pre-test women in the intervention group II was 9 people (47.4%) and at the post-test as many as 16 people (84.2%) then found normal as many as 3 people (15.8% )    

Background : The age of infants and toddlers is the golden age of the period of growth and development of a human being. To stimulate the growth and development of the baby, it is necessary to stimulate the baby. Baby massage and spa are activities to optimize the growth and development of babies. Research objective : to determine the effect of baby massage and baby spa on the growth and motoric development of babies aged 3 to 6 months. Research Methods : This study used a quasi-experimental and pretest and post-test design with a control group. The number of samples of infants aged 3-6 months was 60 babies, 20 babies for the baby massage group, 20 babies for the baby spa group (solus per aqua) and 20 babies who were not treated because their parents refused. The instruments used in this study were baby scales, tape measure and DDST II. Data analysis in this study was the Wilcoxon and Mann Whitney tests. The results of the study: There is an influence of baby massage and baby spa interventions on the growth and motor development of infants aged 3-6 months with p-Value = 0.000 (<0.05). The Mann Whitney test results obtained a p-value of 0.000 (p-value <0.05 at α = 5%), so that it can be concluded that there are differences in the growth and motor development of infants aged 3 to 6 months between the control group and the intervention group (who get baby massage and baby spa). Conclusions and suggestions : It is hoped that baby massage and baby spa can optimize baby growth and development. There is a difference in the effect of giving baby massage and baby spa on the growth and motoric development of infants aged 3-6 months. So that giving actions like this can be routinely carried out to maximize the growth and development of the baby.

This study aims to describe students' learning barriers in solving SPLDV questions based on problem solving abilities. This research uses descriptive qualitative research, and the sampling technique uses purposive sampling technique. This research was conducted at Sungai Kakap 1 Public Middle School, the data used were the results of researchers to clarify students' obstacles in answering questions based on problem-solving abilities with data sources, namely class VIII students of SMP 1 Sungai Kakap. Data collection techniques used measurement techniques, direct communication techniques and indirect communication techniques with data collection tools in the form of test questions, interview guides and documentation. The data analysis techniques used are data reduction, data presentation, and drawing conclusions. In this study it was concluded that the students' barriers in the high group were wrong in determining the formula and wrong in the concept of completion, the students' barriers in the medium group were wrong in determining the formula, discrepancies in using the formula to answer a problem and did not re-examine the answers, and student barriers in the low group were unable to determine the formula and solve the problem on the question then also did not re-check the answer after completing the given question.    

This study aims to determine the application of problem based learning learning models with lottery game media in improving junior high school students' problem solving abilities. This research is an experimental research in the form of Pre-Experimental Designs. The design used is One Group Pretest-Postest Design. The population in this study were class VIII A and class VIII B. The sample in this study was students of class VIII B consisting of 20 students with the selection of subjects based on the cluster random sampling technique. The data collection technique used is a measurement technique with a data collection tool in the form of test questions in essay form. The data analysis technique used was anava one line of dissimilar cells, with further testing using the Scheffe method. The research results obtained were that there was a significant increase in students' mathematical problem solving abilities before and after being given treatment through the problem based learning model using lottery media with high categories.  

The purpose of this research is to improve students’ reading comprehension through snowball throwing techniques at SMP Negeri 2 Tompaso. The students in the sample were all in first grade, and there were 22 of them. This is a quantitative study that used a pre-experimental design with one group pre-testing and post-testing. The instrument used in collecting data is a multiple-choice test. The result shows that the mean score of the students’ pretest was 6.9 and the mean score of the posttest was 7.9. Thus, it can be concluded that the application of the softball throwing technique improved students’ reading comprehension.

Backgrounds : The puerperium is the period after childbirth, which is counted from after the placenta has come out, the puerperium is also called the recovery period, where the uterine devices will recover as before. Providing information about breast massage techniques to the public, especially to postpartum mothers is very important. Therefore efforts to provide information about breast massage techniques can be done through health promotion efforts. The results of a preliminary study conducted by researchers at the Gempol Health Center on 5 postpartum mothers using a questionnaire, of the 5 questions asked, 5 postpartum mothers answered that they did not know how to increase milk with breast massage techniques. Research Objectives : To find out the effectiveness of video media and leaflets on knowledge about breast massage techniques for postpartum women at the Gempol Health Center in 2022 Research Methods:This type of research is quantitative with a quasi-experimental research design and a pretest-posttest group design. The pop ulation in this study was 117 postpartum mothers who were at the Gempol Health Center. The sample in this study were 54 respondents. Bivariate analysis using the Wilcoxon test. Research results : The description of postpartum mothers' knowledge about breast massage techniques after being given leaflet media was mostly lacking as many as 32 people (59.3%). Postpartum mothers' knowledge about breast massage techniques after being given video media was mostly as good as many as 44 people (81.5%). Conclusions and Suggestions : It can be concluded that video media is more effective for increasing knowledge about breast massage techniques in postpartum mothers than media leaflets. It is recommended that managing midwives facilitate mothers in receiving health counseling/education especially for postpartum mothers regarding breast massage techniques during the postpartum period.

Hipertensi atau yang lebih di kenal masyarakat dengan sebutan penyakit darah tinggi yaitu terjadinya peningkatan tekanan darah. Jika hipertensi terjadi secara berkepanjangan, maka akan beresiko terjadinya penyempitan pembuluh darah, stroke, gagal jantung dan gagal ginjal kronis. Salah satu alternative pengobatan non farmakologis pada pasien hipertensi adalah pemberian jus buah papaya. Tujuan penelitian ini untuk mengetahui pengaruh pemberian jus buah papaya terhadap penurunan tekanan darah pada penderita hipertensi. Metode penelitian ini adalah pre-ekperimental, dengan desain penelitian one group pretest-posttes. Analisis data menggunakan uji paired sample t test. Pengambilan sampel dilakukan dengan tehnik purposive sampling. Hasil penelitian menunjukan ada perbedaan secara signifikan terhadap penurunan tekanan darah pada penderita hipertensi setelah diberikan jus buah pepaya dengan rata-rata penurunan tekanan darah sistolik 24,00 mmHg dan tekanan diastolik 16,00 mmHg, hal ini dikarenakan peranan kalium yang terkandung  dalam  buah pepaya, yang dalam mekanisme penurunan  tekanan darah menyebabkan vasodilatasi yang dapat melebarkan pembuluh darah  sehingga darah dapat mengalir lebih lancar.  Sehingga ini diharapkan pasien hipertensi dapat mengkonsumsi jus buah pepaya sebagai salah satu alternative yang aman untuk menurunkan tekanan darah.  

This study aims to determine the effect of foot massage and soaking in warm water mixed with salt on reducing leg edema in third-trimester pregnant women. This type of research is Experimental design with the group Pre-Test and Post-test design approach model. The population in this study were all third-trimester pregnant women who experienced physiological leg edema at the Bangetayu Health Center, Genuk sub-district, Semarang City, totaling 32 people from June to July 2022. The sampling technique used a total sampling of 32 people. The data collection tools in this study were Standard Operating Procedures (SOP) for Foot Massage and Warm Water Soak mixed with salt, Observation Sheets, Questionnaires, and Metlin in Millimeter units. The results of the study obtained a Z value of 5.045 which means that every one time intervention of foot massage and soaking in warm water mixed with salt, which is given one time a day for five days, third-trimester pregnant women have the potential to be 5.045 times to be able to reduce the degree of edema. The Wilcoxon test results obtained a significance of ≤ 0.05, and it was found that there was an effect of foot massage and soaking in warm water mixed with salt on the reduction of leg edema in third-trimester pregnant women at the Bangetayu Health Center, Genuk District, Semarang City.   Keywords: Foot edema, Foot massage, Soak using warm water mixed with salt

Based on data from the Jepara District Health Office in 2021, the Tahunan area has the highest number of pregnancies, reaching 1204 pregnancies compared to other sub-districts in Jepara Regency, with 43.1% of them experiencing sleep disturbances. This study aims to determine the effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency. This type of research is a quasi-experimental one-group pretest-posttest design. The population taken in this study were 50 pregnant women in their third trimester in July – August 2022 in the working area of the Annual Health Center in Jepara Regency. The sampling technique was purposive, and a sample of 44 people was obtained. The data collection tool in this study used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was performed using the Wilcoxon test. The results showed an effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency (p-value <0.05). The average PSQI score before a back massage with lavender essential oil was 8.95 and then decreased to 3.70 after giving a back massage with lavender essential oil. A decrease in PSQI scores indicates an improvement in sleep quality. Based on the Z value obtained, it was 5.811, which means that every one time back massage intervention with lavender essential oil given two times a week in the third trimester of pregnant women has the potential to improve sleep quality 5.811 times.   Keywords: Back massage, Lavender essential oil, Sleep quality

Prolonged delivery is a contributing factor to the mortality rate of mothers with a prevalence of 20% in Demak regency. Based on the survey in First Clinic Irma Solikin, Mranggen district, Demak regency, the birth data in January 2022 showed that 40% of mothers of 15 mothers experienced prolonged partity. One of the physiological efforts to prevent prolonged delivery is promoting pelvic rocking with a birthing ball. This technique requires the mothers to sit on the ball and rock the ball. This action makes the mothers feel comfortable and help them to promote the delivery due to the influence of gravity force. Thus, the fetus or the lower part of the fetus could move to the pelvis and shorten the delivery time. This research determined the influence of pelvic rocking exercise with a birthing ball on the delivery advancement of primipara mothers. The sample consisted of 20 mothers in the intervention group with pelvic rocking intervention with a birthing ball. Then, the other 20 mothers in the control group received normal delivery. The applied instruments were an observation sheet and a partograph. The researchers analyzed the data with univariate and bivariate analyses. The results found the influence of pelvic rocking exercise with birthing ball technique toward the delivery progress of primipara mothers in the First Clinic, Irma Solikin, Mranggen district, Demak regency.   Keywords: Pelvic Rocking, Birthing ball, Delivery progress, Primipara mothers

This study aims to determine whether there is a positive and significant effect of the Group Investigation type cooperative learning model on students' mathematical reasoning and communication skills in the Pythagorean Theorem sub-subject in class VIII SMP Negeri 1 Munte in the 2019/2020 Academic Year. The population in this study were all class VIII students of SMP Negeri 1Munte for the 2019/2020 Academic Year. While the sample in this study consisted of 2 classes of 38 students each in class VIII-1 as the experimental class and class VIII-3 as the control class. The experimental class uses the Group Investigation cooperative learning model consisting of 5 students per group, and the control class uses the Group Investigation type cooperative learning model consisting of 2 students per group. This type of research is an experiment. Prior to testing the hypothesis, the normality and homogeneity tests are tested first. Normality was tested using the Lilliefors technique and homogeneity using the F test. From the tests performed, it was found that both samples were normally distributed and homogeneous. There is a positive and significant influence of the Group Investigation cooperative learning model on the mathematical reasoning abilities of junior high school students. There is a positive and significant influence of the Group Investigation type of cooperative learning model on the mathematical communication skills of junior high school students because the average communication ability of students who are taught with the Group Investigation type cooperative learning model consisting of 5 people per group is higher than the average communication ability of students who are taught with the Group Investigation type cooperative learning model consisting of 2 people per group

Labor is the process of opening and thinning the cervix, where the fetus is pushed out through the birth canal. Finger Grip Relaxation is a muscle relaxation action that is believed to reduced pain. The purpose of this research was to find out the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado.This research was conducted by using a quasi experimental one group pre-test and posttest design. Sampel in this research amounted to 15 respondents using accidental sampling technique. Data collection was done by sharing SOP. Then, the collected data was processed by running the SPSS computer program version 16.0 to be analyzed by a Wilcoxon test with the significance level ? = 0,05.The result showed that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.The conclusion of this research is that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado. It is suggested to update information about the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.

Bleeding is the most common cause of death where cases of open trauma are often found in the community, especially in traffic accidents and other accidents such as sharp object puncture wound. The purpose of this research was to find out the effect of pressure bandage education on knowledge and attitude of stopping bleeding in ordinary people in the 3rd Neighborhood Mahawu Village, Tuminting Subdistrict, Manado.  This research was conducted by using a quasy experimental method (one group prettest and posttest design). Samples were amounted to 15 respondents taken by a random sampling. The instruments used in this research was questionnaire. Then, the collected data was processed by running the SPSS computer program version 16.0 to be analyzed by a Mc Nemar test with the significance level ? = 0,05. The Mc Nemar test result showed the value of knowledge ? = 0,002 which was smaller than ? = 0,05, meaning Ha is accepted or education in pressure bandage techniques can influence the attitude of ordinary people. The conclusion of this research is that there is an effect of pressure bandage education on knowledge and attitude of stopping bleeding in ordinary people in the 3rd Neighborhood Mahawu Village, Tuminting Subdistrict, Manado. It is suggested so that the community can get education with pressure bandage material to increase knowledge, attitudes and reduce the risk of bleeding that occurs.

Amyloidosis is a term for various groups of diseases with lots of amyloid protein in organs and/or tissues, causing disease. In this condition, amyloid protein is deposited in the dermis layer of the skin which is called lichen amyloidosis. Lichen amyloidosis is the most common type of cutaneous amyloidosis. The prevalence of cutaneous amyloidosis is relatively rare, only 0.2-0.3%. It is chronic in nature which usually appears later in life. This article discusses a case of a 39-year-old female patient who came with complaints of spots on both sides accompanied by itching. These complaints have been experienced since ± 2 years ago and are felt to be getting worse in the last few months. Previously the patient had used a type of topical medication obtained from the local puskesmas, but there was no improvement. Examination of the general status found the general condition of the patient looked moderately ill, conscious awareness, vital signs within normal limits. Dermatological status obtained efflorescence in the form of macules to multiple papules with hyperpigmentation, well defined, discrete available, accompanied by scaling and lichenification. Patients were treated with oral corticosteroids (methylprednisolone), topical corticosteroids (desoximethasone) and salicylic acid. Patients are also educated to avoid scratching and rubbing on the lesions. The patient showed thinning lesions after 7 days of therapy.

It is estimated that 60% of deaths in pregnancy occur after delivery and 50% of deaths postpartum within the first 24 hours. After the baby is born, the uterus which during labor contracts and retracts will become hard so that it can close the large blood vessels that lead to the former implantation of the placenta. If the involution process does not go well, a condition called uterine sub involution will arise. If the sub involution of the uterus is not handled properly, it will result in bleeding, for that the mother needs certain exercises that can accelerate the process of involution. According to several studies, to speed up the process of uterine involution, one of the recommended exercises is postpartum gymnastics, an integration model of relaxation techniques and exercises for the 'Otaria' abdominis muscles. The purpose of this study was to determine whether postpartum exercise model integration of relaxation techniques and 'Otaria' abdominis muscle exercises had an effect on the speed of uterine involution in post partum mothers at PKM Sayung 2, Demak Regency. This study uses a quantitative approach, the method used in this study is a quasi-experimental or quasi-experimental. The design used in this study was Post-test Only Control Group Design. Data analysis used univariate analysis and bivariate analysis. The results showed that respondents who did puerperal exercise 'otaria' experienced uterine involution faster than respondents who did postpartum exercise with a value of (p-value <0.05) at TFU and (p-value <0.05) at lochia.   Keywords: Otaria Postpartum Gymnastics, Uterine Involution Speed

Loyalty is someone's allegiance that indicates dedication to something, it can be a person or a group of people, ideals, tasks or goals that are given constantly. This study aims to determine whether leadership style, motivation and work environment have a partial and simultaneous influence on employee loyalty in the Department of Industry and Trade, and also among the three variables, which variable has the most dominant effect on the dependent variable. This type of research is quantitative research. This study uses secondary data, namely data on the number of employees for the last 5 years from the 2017-2021 period. The results of the analysis through the T test show that leadership style has no significant effect on employee loyalty, motivation has a significant effect on employee loyalty and work environment has a significant effect on employee loyalty. While the results of the analysis through the F test show that leadership style, motivation and work environment affect employee loyalty in the Department of Industry and Trade of North Sumatra Province.

Tujuan penelitian ini untuk menganalisis apakah metode PBL dapat meningkatkan kemampuan HOTS mahasiswa dibandingkan dengan menggunakan metode diskusi. Metode penelitian menggunakan quasi experimental with non equivalent control group design. Teknik pursposive sampling digunakan dalam pemilihan sampel yaitu kelas Akuntansi Lanjutan A sebagai kelas eksperimen berjumlah 26 orang dan Akuntansi Lanjutan B sebagai kelas kontrol berjumlah 12 orang. Hasil analisis post test menunjukkan bahwa data nilai HOTS siswa terdistribusi secara normal dan homogen sehingga digunakan uji statistik ANNOVA one way. Hasil uji hipotesis menunjukkan bahwa variabel metode pembelajaran diperoleh nilai F = 11,101 dan P = 0,002 < 0,05 berarti bahwa untuk uji hipotesis diterima, bahwa terdapat perbedaan kemampuan berpikir kritis mahasiswa menggunakan metode problem based learning dengan metode diskusi. Dapat disimpulkan bahwa metode pembelajaran PBL berpengaruh terhadap HOTS mahasiswa.

This research aims to find out the influence of the role playing learning model on increasing the ability to tell fantasy stories about class VII students at SMP Negeri 2 Siborongborong for the 2022/2023 academic year. The population in this study was 252 students. The sample in this study was 34 students for the experimental group and 32 students for the control group. So the sample in this study was 66 students taken using a random technique. The instruments used to collect data are treatment or practice instruments. The method used in this research is an experimental method with a posttest only design research design. Hypothesis testing is carried out using the "t" test. From data collection, the experimental group's average value was = 77.21 and the control group's average value was = 59.53. Based on the normality test, the results of the experimental group and control group were declared to be normally distributed. Then, based on the Homogeneity test it was stated that the sample came from a homogeneous population. After the normality test and homogeneity test were carried out, it was found to be 4.911. Next, this was consulted with the t table at the significance level α=0.05 with dk=(N1+N2)-2=(34+32)-2=64. From dk 64, the significance level α=0.05 = 1.669 is obtained. Thus, tcount > ttable, namely 4.911 > 1.669. Thus the alternative hypothesis (Ha) is accepted. So it can be concluded that it has a positive effect on the ability to tell fantasy stories by VII students at SMP Negeri 2 Siborongborong for the 2022/2023 academic year.  

 Pregnant women are listed as one of the vulnerable groups at risk of infection with Covid-19, and the current pandemic conditions have made pregnant women anxious. The objective of this research was to describe the anxiety and causes of anxiety in pregnant women at the Umban Sari Health Center during the Covid-19 pandemic. Method: The research method used was simple descriptive. This research was carried out in the work area of Umban Sari Health Center, with a total sample of 80 pregnant women obtained using a purposive sampling technique. The Perinatal Anxiety Screening Scale questionnaire was used as a measuring tool, univariate analysis was used. Results: The majority of respondents (42.5%). The cause of anxiety was that 60.8% of respondents were concerned about conctracting Covid-19 from other patients who checked their pregnancies, 53.8% were concerned about childbirth with few visitors, and 68.8% were concerned about not receiving the expected service, the cause of anxiety was that 28.8%  experienced mild anxiety at non high risk ages, 30% in multigravida pregnancies, and 17.5% in the second trimester, reported mild anxiety. Conclusion: Pregnant women’s anxiety is mild anxiety, which health service, age, gravida and gestational age was the causes of anxiety.