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Hypertension is a condition where systolic blood pressure is more than 120 mmHg and diastolic pressure is more than 80 mmHg which can be measured in millimeters of mercury (mmHg). In addition to pharmacological therapy, hypertension management can also use non-pharmacological therapies, one of which is foot soak therapy in warm water. The purpose of this research is to determine effect of warm water foot soak therapy on blood pressure in patients with hypertension at Bailang Health Center Manado City. This study uses a pre-experimental method with a one-group pretest-posttest design without a comparison group. The population with the result that 165 people patients diagnosed with hypertension. The sampling process used a probability sampling technique  with the result that 15 respondents. Data collection was observations. The data were analyzed using the Wilcoxon test with a significance value (?) of 0.05. From the results of the study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension at Bailang Health Center Manado City with a value of p = 0.008. This p value is smaller than the value of a = 0.05. The conclusion of this study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension. This p value is smaller than the value of a = 0.05. It is hoped that the respondents will be able to take advantage of warm water foot soak therapy as an alternative in lowering blood pressure and this can also be done regularly.

Entering elementary school age is a very important time for the continuity of a child's development. Children have many activities that are often directly related to a dirty environment that causes children to be susceptible to disease. Parental support in terms that are very important for children's independence, especially in personal hygiene. The purpose of this study was to find out if there is a relationship between parental parenting and personal hygiene independence in elementary school children in Madrasah Ibtidaiyah Negeri 2 Manado. The design of this study uses a cross sectional approach. . This type of research is observational. The sample in this study was 50 respondents. Respondents with the measuring tool used in this study is questionnaires and then data collected and processed using the SPSS computer program,, to be analyzed using the Chi-square test. The results of the study using the Chi-square test found that the value of p value was less than a significant value (0.01<0.05) the results of this study showed that Ha was accepted and H0 was rejected. The conclusion that can be taken is the parenting of parents have a relationship to personal hygiene independence in elementary school children. The results of this study can be a means of education for parents in improving the independence of children's personal hygiene.

Gout Arthritis is a disease characterized by pain that occurs repeatedly caused by deposits of monosodium urate crystals that accumulate in the joints as a result of high levels of uric acid in the blood. One of the complementary therapeutic measures is a warm red ginger compress in gout arthritis patients. The purpose of this research is to determine the Effect of Giving Warm Red Ginger Compresses to Pain in Gout Arthritis Patients in Mahawu Village, Manado. The design of this study used a pre- experimental (one-group, pre-post test design). The sample in this study was 35 respondents taken using a total sampling instrument. The study used observation sheets and SOPs for measurement using the NRS (Numeric Rating Scale). The data were then analyzed using the Wilcoxon statistical test with a significance level of = 0.05. The results of this study indicate that there is an effect of giving red ginger warm compresses to pain in gout arthritis patients with p value = 0.000 <0.05 so Ha is accepted and Ho is rejected. So it can be concluded that there is an effect of giving red ginger warm compresses to reducing pain in gout arthritis patients in Mahawu Village, Manado. The conclusion of the study is that there is an effect of warm red ginger compresses on Gout Arthritis patients in Mahawu Village, Manad.

Hydrotherapy also called hydrothermal therapy, is the use of water,in any of its forms, for the maintanance of health or the treatment of disease (Wardle, 2013). Footbath is a kind of hydrotherapy. There are many benefits of footbath hydrotherapy for patients with heart failure such as to improve and/or maintain functional ability and quality of life. The aim of this research is to identification the effectiveness of hydrotherapy for oxigen saturation of patients with heart failure. The methodology of this research is use quantitative design with one group pretest and posttest with intervention group design. This research did Maret 2023 in The Integrated Heart Centre Haji Adam Malik Medan Hospital. 16 Responden of this group. According demografi charachteristic results in intervention group found that according of age patients majority (62.5%) are older age with 56-65 years mean 55.06+ 8.71.  Second half three respondent (62,5%) is men. According to education level majority respondent is Senior High School (62.5%). More than hal of respondent (62.5%) is Heart Failure Chronic > 60 months (5 years) (Mean + SD= 31,44 + 26,63). Almost all respondents (87,5%) had a family with history heart failure too. Pre and Post Paired t-test results are significant different for oxygen saturation at intervention groups (p<0,05) (SpO2: t= -1.581, p= 0.004  ). It means the effectiveness of hydrotherapy significantly can increase spO2.  This research has found that significant different of oxigen saturation of patients with heart failure after hydrotherapy in intervention group.

ABSTRACT. Sectio Caesarea (SC) is a common and widely performed operation on pregnant women and its prevalence is increasing every year. The incidence of cesarean section in Indonesia is around 22.8% of all deliveries. Spinal anesthesia for cesarean section is very beneficial because of the simplicity of the technique, fast onset, reduced systemic toxicity but has the risk of complications that often occur after anesthesia and surgery are pain, nausea and vomiting. Objective: To analyze the comparison of the incidence of postoperative nausea and vomiting (PON-V) between fasting and non-fasting in patients with caesarean section who underwent regional anesthesia. Research Methods: Experimental research with clinical trials and including quantitative research. It will be held in March 2021 at IBS RSUD Caruban, Madiun Regency. The sampling technique was probability sampling using consecutive sampling where the sample consisted of 30 SC surgery patients who were divided into two groups, namely 15 fasting and non-fasting patients with spinal anesthesia. Data analysis using Paired Sample T Test with SPSS 22.00 for windows. Result : Post operative nausea and vomiting occurred in both groups . The difference in the incidence of PON-V in both fasting and non-fasting groups in cesarean section patients, the T test (independent T Test) showed a p value of 0.380 (p value > 0.05). Conclusion: There is no difference in the comparison of PON-V between fasting and non-fasting patients in sectio cesarean surgery patients at Caruban Hospital, Madiun Regency in 2021.  

Background: Regional anesthesia is a major factor in safety patients during labor by Sectio Caesaria (SC). The rise of spinal anesthesia as a popular technique in use made possible by the development of a small needle with a tip pencil and has become the anesthetic method of choice for elective surgery and for multiple emergency cesarean deliveries if an epidural catheter not there yet. Research method: This research is an experimental analytic observational study with a cross sectional study approach. Result: Known Asymp value. Sig. (2-tailed) of 0.734 because the value of asymp. Sig (2-tailed) > 0.05 or 0.0734 > 0.05, it can be concluded that H0 is accepted, Ha is rejected, so no. Comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia. Conclusion: There is no comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia.

Regurgitation or often called spitting up is the passage of refluxed gastric contents into the pharynx or mouth, sometimes with expulsion from the mouth. Complications that occur when excessive spitting up causes Gastroesophageal Reflux, which is backflow from the stomach to the esophagus which causes damage to the esophageal wall. In Indonesia, the incidence of spitting up in infants aged 2 months is higher than other countries. 25% of babies spit up >4 times during the first month, 50% spit up 1-4 times a day until 3 months of age. 30% of mothers also experience anxiety about spitting up, where anxiety is related to spitting up frequency of 66% and spitting up volume of 9%. As well as symptoms that accompany spitting up such as crying and fussing. (IDAI, 2016). This type of research is experimental (experimental research) with a one shot case study/post test only design approach. The population in this study were all infants aged 0-6 months. The sampling technique in this study was carried out using a non-probability sampling technique, namely the type of purposive sampling technique, with a total sample of 16 people. The instrument used is the observation sheet. The univariate analysis aims to explain or describe the distribution of spitting up frequencies in infants before and after massage. For numerical data, the mean or average value is used, and for categorical data, the chi-square is used. This study uses the Shapiro Wilk normality test to determine whether the data is normally distributed or not. Then a paired sample T-test was performed. The average value of spitting up before baby massage is 0.500 with a standard deviation of 0.516. The average value of spitting up after baby massage is done with an average value of 0.686 with a standard deviation of 0.479. The results of the statistical test using the Paired T-Test obtained a p value of 0.003, which means that Ho was rejected, so it can be concluded that there is a difference in the frequency of spitting up before and after baby massage. There are differences in spitting up disorders in babies who are massaged and not massaged. Where the average baby who was massaged did not spit up while the baby who was not massaged had spit up.

Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.

Universal Health Coverage (UHC) is used as an important issue for both developed and developing countries. The purpose of this UHC is to protect the health budget for the community so that their needs and welfare can be met. UHC is given to all people, whether they are able or not economically able. One of the reasons why Indonesia's health quality is still not good is the cost of health services which are considered expensive. Therefore, the UHC program in Indonesia is quite important to deal with this problem. This study aims to analyze the effectiveness of implementing UHC in improving health services in Indonesia. The research design used in this study was a literature review using Google scholar and Pubmed to search for previous related articles. The criteria for related articles used are those published from 2019-2023 and a total of 6 journals have been collected. Based on the six related journals, the results show that UHC appears to be effective in improving the quality of health services in Indonesia. Universal Health Coverage System (UHC) Plan The UHC system has been modified by the government to meet the conditions and goals of a professional, efficient, effective and long-term National Health Coverage. the embodiment of UHC goals carried out by Indonesia, namely the implementation of the National Health Insurance (JKN) which is a concrete step embodiment of the National Social Security System (SJSN).

This study aims to test and analyze the effect of transfer prices and preferential relationship transactions on tax avoidance and to test and analyze the effect of profitability in moderating transfer prices and preferential relationship transactions on tax avoidance in infrastructure companies that are flattened on the indonesian stock exchange. The selection of samples in this study used the purposive sampling method with predetermined criteria, obtained by 23 companies for 6 years so that the total sample used was 138 data. The type of data used is secondary data obtained from the company's annual financial statements in the 2016-2021 period. This hypothesis is tested using descriptive statistical analysis, classical assumption test, multiple regression and moderation test, hypothesis test, namely t test and r analysis test. The results of this study show that partially the price of transfers and special relationship transactions has a negative and significant effect on tax avoidance. Profitability cannot strengthen but significantly affect transfer prices and preferential relationship transactions on tax avoidance

Teori Marketing Mix tentunya akan digunakan dalam penelitian ini untuk menilai pendekatan komunikasi pemasaran PT Cimory. Sebelum dan sesudah menggelar brand ambassador, digunakan strategi komunikasi pemasaran PT Cimory untuk menumbuhkan ekuitas merek di Instagram. SLR adalah metode yang digunakan dalam penelitian ini (Systematic Literature Review). Dengan adanya jejaring sosial Instagram @Cimoryindonesia, peneliti mengungkapkan fakta dan realita tentang fungsi brand ambassador dalam mengembangkan brand equity. Metodologi penelitian mengadopsi paradigma konstruktivis untuk mengungkap bauran pemasaran. Sebuah studi kasus ekstensif dilakukan sebagai metodologi penelitian. Temuan penelitian menunjukkan bahwa baik sebelum maupun sesudah bertindak sebagai brand ambassador, tidak ada perbedaan jumlah like, komentar, dan follow.

MBKM independent village development is a form of community service with the aim of building and optimizing the potential of the village through the implementation of digital marketing from the knowledge learned by students in the scope of higher education. Kotapulu village has the potential for forest products that are quite abundant, one of which is bamboo. Forest products obtained by the community are utilized by making processed bamboo products. Various kinds of processed products from bamboo such as chairs, tables and curtains made of bamboo. The lack of public knowledge about the use of digital marketing encourages MBKM to develop villages to provide assistance and training. From the results of the program implemented by MBKM to build kotapulu village, to increase public insight into the importance of using social media as a means of promoting processed bamboo products, as well as a means to increase competitiveness in industry 4.0.

Schools should be a comfortable and safe place for students who are educated in them, but do not rule out that there are several incidents or cases that could endanger the safety of the students themselves, namely bullying at school. Bullying itself can be interpreted as a form of oppression or violence that is carried out intentionally by one person or group of people who are stronger or more powerful towards other people, with the aim of hurting and doing it continuously. Thus it is necessary to conduct research on this matter related to legal protection. This study uses a normative juridical method, which is a method based on legal material that examines theories, concepts, legal principles, and laws and regulations related to the theme of this research. The objectives to be achieved by the author in this study are: 1). Responding to forms of bullying in schools 2). Legal protection for victims of bullying at school. The results of this study produce data that forms of bullying can be categorized into three, namely physical bullying, verbal, and cyberbullying. Meanwhile, legal protection that can be carried out for victims is preventive and repressive with the help of several parties to prevent or overcome bullying in schools.

Berdasarkan hasil observasi dan wawancara dengan guru kelas V di SD Negeri 1 Waluyorejo menunjukkan bahwa kemampuan berfikir kritis peserta didik masih rendah dalam pembelajaran tematik. Oleh sebab itu, perlu dibutuhkan alternatif medel pembalajaran yang dapat meningkatkan kemampuan berfikir ktitis peserta didik dalam pembelajaran tematik. Penelitian ini bertujuan meningkatkan kemempuan berfikir kritis pada pelajaran tematik melalui penerapan model pembelajaran Problem Based Instruction (PBI) pada siswa kelas V SD. Jenis penelitian adalah penelitian tindakan kelas yang melibatkan siswa kelas V yang berjumlah 19 orang siswa. Pengumpulan data hasil belajar siswa dikumpulkan dengan tes hasil belajar, metode analisis data dengan analisis deskriptif kuantitatif. Hasil penelitian ini menunjukan bahwa hasil belajar mata pelajaran tematik melalui penerapan model pembelajaran Problem based instruction (PBI) pada siswa kelas V hasil peneliitian menunjukkan bahwa kemampuan berfikir kritis dapat meningkat dari siklus ke siklus. Pada pra siklus 15,8%, siklus I 52,65%, siklus II 89,45 sehingga dikategori "sangat kritis". Sehingga penerapan model Problem Based Instruction bisa menjadi alternatif dalam meningkatkan kemampuan berfikir kritis peserta didik di sekolah dasar.

Penelitian ini bertujuan untuk (1) mengetahui implementasi model Problem Based Learning untuk meningkatkan kemampuan berfikir kreatif siswa pada tema 1 subtema 3  Kelas III SD N  1 Waluyorejo, (2) mengetahui peningkatan kemampuan berfikir kreatif siswa yang menggunakan model Problem Based Learning pada tema 1 subtema 3 kelas III SD Negeri 1 Waluyorejo. Model penelitian ini adalah Penelitian Tindakan Kelas (PTK). Penelitian Tindakan Kelas (PTK) ditandai dengan adanya suatu tindakan. Tindakan ini tidak hanya dilakukan sekali, akan tetapi tindakan ini dilakukan berulang-ulang sampai tujuan Penelitian Tindakan Kelas (PTK) ini tercapai. Hasil penelitian ini dapat dijelaskan sebagai berikut: (1) implementasi model pembelajaran Problem Based Learning meliputi; mengidentifikasi masalah, membimbing penyelidikan, mengembangkan hasil penyelidikan, mengevaluasi proses pemecahan masalah, generalisasi atau kesimpulan dapat diterapkan ke siswa pada materi tema 1 subtema 3 kelas III di SD Negeri 1 Waluyorejo, (2) untuk hasil kemampuan berfikir kreatif siswa pada pembelajaran tematik dengan mengimplementasikan model Problem Based Learning mampu meningkatkan berfikir kreatif siswa dengan hasil pada pra siklus rata-rata persentase ketuntasan tes kemampuan berfikir kreatif  siswa sebesar 32 % dengan kategori sangat kurang. Kemudian pada siklus I rata-rata persentase ketuntasan tes kemampuan berfikir kratif siswa meningkat mencapai 52% dengan kategori kurang, sedangkan rata-rata ketuntasan tes kemampuan berfikir kreatif  siswa pada siklus II yang diperoleh meningkat menjadi 88,75 % dengan kategori sangat baik. Sehingga implementasi  model Problem Based Learning menjadi alternatif solusi untuk meningkatkan kemampuan berfikir kreatif siswa di SD Negeri 1 Waluyorejo.

Kabupaten Sidoarjo merupakan yang memiliki potensi besar dalam pengembangan ternak ruminansia, salah satunya adalah kambing. Jumlah ternak kambing di Kabupaten Sidoarjo tahun 2020 mencapai 41.190 yang tersebar di seluruh kecamatan yaitu 16 kecamatan. Tujuan dari penelitian ini adalah melakukan pemetaan sebaran populasi ternak kambing di Kabupaten Sidoarjo menggunakan SIG. Informasi sebaran ternak kambing bermanfaat untuk mempercepat pengelolaan informasi sebaran ternak di Kabupaten Sidoarjo. Penelitian ini menggunakan data deskriptif kuantitatif yaitu data spasial berupa peta administrasi, peta kedalaman laut, dan data sebaran ternak di Kabupaten Sidoarjo. Penelitian ini menghasilakan output berupa peta sebaran ternak di Kabupaten Sidoarjo, dimana dapat memberikan informasi sebaran ternak kambing per kecamatan pada tahun 2018 dan 2020. Data sebaran ternak kambing di seluruh kecamatan menunjukkan fluktuatif. Terdapat tiga kecamatan yang selalu konsisten dalam jumlah sebaran ternaknya yang tinggi yaitu Kecamatan Tarik, Krian, dan Balongbendo. Ketiga kecamatan tersebut jauh dari pusat kota dan memiliki kepadatan penduduk di bawah 2500 penduduk/km2. Tingkat kepadatan penduduk kurang memungkinkan tersedianya lahan yang lebih luas. Faktor lain yang menjadi pendukung dalam pengembangan ternak adalah ketersediaan aliran sungai yang cukup banyak, karena akan menunjang ketersediaan hijauan sebagai bahan pakan ternak.

Kabupaten Sidoarjo merupakan yang memiliki potensi besar dalam pengembangan ternak ruminansia, salah satunya adalah kambing. Jumlah ternak kambing di Kabupaten Sidoarjo tahun 2020 mencapai 41.190 yang tersebar di seluruh kecamatan yaitu 16 kecamatan. Tujuan dari penelitian ini adalah melakukan pemetaan sebaran populasi ternak kambing di Kabupaten Sidoarjo menggunakan SIG. Informasi sebaran ternak kambing bermanfaat untuk mempercepat pengelolaan informasi sebaran ternak di Kabupaten Sidoarjo. Penelitian ini menggunakan data deskriptif kuantitatif yaitu data spasial berupa peta administrasi, peta kedalaman laut, dan data sebaran ternak di Kabupaten Sidoarjo. Penelitian ini menghasilakan output berupa peta sebaran ternak di Kabupaten Sidoarjo, dimana dapat memberikan informasi sebaran ternak kambing per kecamatan pada tahun 2018 dan 2020. Data sebaran ternak kambing di seluruh kecamatan menunjukkan fluktuatif. Terdapat tiga kecamatan yang selalu konsisten dalam jumlah sebaran ternaknya yang tinggi yaitu Kecamatan Tarik, Krian, dan Balongbendo. Ketiga kecamatan tersebut jauh dari pusat kota dan memiliki kepadatan penduduk di bawah 2500 penduduk/km2. Tingkat kepadatan penduduk kurang memungkinkan tersedianya lahan yang lebih luas. Faktor lain yang menjadi pendukung dalam pengembangan ternak adalah ketersediaan aliran sungai yang cukup banyak, karena akan menunjang ketersediaan hijauan sebagai bahan pakan ternak.

Masa Remaja adalah masa peralihan dari masa kanak-kanak kemasa dewasa, seiring dengan perubahan fisik, biologis dan psikis untuk menuju pada kematangan, jasmani, berfikir, seksual dan kematangan emosional. Sebagian orang berpendapat bahwa masa muda saat yang paling indah dan nikmat. salah satu cara yang dilakukan untuk mencegah terjadinya pergaulan bebas dikalangan remaja pada siswa-siswi SMK Kesehatan Muhammadiyah Randangan dengan mengadakan penyuluhan mengenia pergaulan bebas pada saat Kegiatan Kuliah Kerja Nyata (KKN) yang diadakan oleh kampus Universitas Muhammaiyah Manado terhadap mitra sekolah. Penyuluhan yang bertujuan untuk menambah wawasan pengetahuan tentang bahaya pergaulan bebas pada siswa-siswi SMK Kesehatan Muhammadiyah Randangan. Materi penyuluhan yang diberikan yaitu mengenai pengertian pergaulan bebas, pergaulan bebas negative dan positif,ciri-ciri pergaulan bebas,factor penyebab pergaulan bebas, akibat pergaulan bebas dan cara mengatasi pergaulan bebas. Setelah pemberian materi diadakan proses tanya jawab antara siswa-siswi dan penyaji materi penyuluhan dari mahasiswa KKN. Sehingga didapatkan hasil sebagian besar siswa-siswi SMK kesehatan Muhammadiyah randangan dapat memahami materi yang telah diberikan

The digitalization of the economy gave rise to a variety of e-commerce that rivaled and detracted from youth and adult consumers on Facebook. The purpose of this study was to analyze the interest of adolescent and adult consumers in products promoted through Facebook social media in the rural areas of South Brebes, Rembang and Kudus. 10 people were represented in each region consisting of 5 teenagers and 5 adults using a purposive sampling technique. Methods of data collection using observation and interviews with researchers as the main research instruments. The research was carried out in each of the designated rural areas. The data from this study were analyzed using inductive analysis techniques and data triangulation was carried out to ensure the validity of the data. The results of this study showed that the interest of rural adolescents and adults in products promoted through social media Facebook had differences in terms of objectives, types of products they were interested in, and types of interest. Teenagers are interested in beauty and fashion products with exploratory interest types, while adults are interested in products from daily necessities, household goods, to hobbies, with interest types including transactional, preferential, referential, explorative, and selling interests. Interest in selling is something that is interesting and different from other interests

This study aims to determine the effect of electronic word of mouth (E-WOM) and brand image on purchasing decisions among Tokopedia e-commerce users. This study uses a quantitative research design with data collection techniques in the form of purposive sampling. The subjects in the study totaled 174 respondents who were users of the e-commerce application Tokopedia who had made at least one purchase aged 17-60. The results showed that the electronic word of mouth (E-WOM) variable had a significant effect on purchasing decisions on Tokopedia e-commerce. This is evidenced by the results of the tests that have been carried out obtained t count of 3.126 > 1.973 t table. Brand image variable also has a significant influence on purchasing decisions. This is evidenced by the results of the tests that have been carried out obtained t count of 18.362 > 1.973 t table