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According to WHO, the incidence of prolonged labor in the world is currently estimated to occur at 17% of total births. The Indonesian Demographic and Health Survey or abbreviated (SDKI) by the National Population and Family Planning Agency reported that the majority of birth complications are long labor (30%) to facilitate the normal birth process, so pregnancy exercises are carried out to reduce the occurrence of long labor. The aim of this study was to determine the relationship between pregnancy exercise and parity with the length of labor in the first stage of labor in the active phase of women giving birth at Karya Medika 1 Hospital, West Cikarang, 2023. This type of research is quantitative analytical using a cross-sectional study design approach. Mothers giving birth at Karya Medika 1 Hospital, West Cikarang in the period January – August 2023. The population of women giving birth is 80 people. The instruments used in this research are primary data and secondary data. Data were analyzed using the chi-square test. The results show that the variables that are related to the length of labor in the first active phase of labor for women giving birth at Karya Medika 1 Hospital, West Cikarang 2023 are pregnancy exercise (p=0.002) with an OR of 10,000, and parity (p=0.039) with an OR of 0.255. The conclusion is that the variables studied (pregnancy exercise, and parity) are all related to the length of labor in the first active phase of labor in women giving birth at Karya Medika 1 Hospital, West Cikarang 2023.Researchers advise pregnant women to take care of their pregnancy and are advised to take part in a pregnancy exercise program so that the birth process runs normally. And, Karya Medika 1 Hospital Cikarang Barat is advised to continue the pregnancy exercise program in the future.  

Not just people attempt to address their issues for labor and products yet additionally organizations in light of the fact that satisfying these labor and products plays a significant part in supporting the organization's functional exercises. The point of securing labor and products is as a supporting element in completing exercises with the goal that they run well and get most extreme outcomes. On account of obtainment of merchandise/administrations, interior control should exist for each field in the work association in a task. Because the procurement procedure is susceptible to procedural inconsistencies, an element of internal control is required. Based on the description above, the author chose PT PLN (Persero) UP3 Banyuwangi as the basis for writing the journal Kiai Haji Achmad Siddiq Jember University, Faculty of Islamic Economics and Business entitled "ACCOUNTING RECORDING SYSTEM FOR ROUTINE PROCUREMENT OF GOODS AND SERVICES AT PT PLN (PERSERO) UP 3 BANYUWANGI ”    

The community service program in this article provides outreach to new voters about Anti-Corruption Education and the Anti-Money Politics Movement, ahead of the 2024 General Election. Anti-Corruption Education is an action to control and reduce corruption in the form of an effort to encourage future generations to develop a firm attitude towards every form corruption. Money politics is a form of giving or promising to bribe someone either so that the person does not exercise their right to vote or so that they exercise their right in a certain way during the general election. Political education is a form of political outreach to the public to understand and understand politics, especially to the general public regarding general elections and the democratic process therein. Political education also contains the meaning of political participation, meaning that society also participates in the political process. The choice of the GKPI 2 Pematangsiantar Private Vocational School was due to the high level of first-time voters in the 2024 elections, so the team felt it was necessary to provide socialization about political education to many young voters who were in high school. We want GKPI 2 Pematangsiantar Private Vocational School students to be aware and have adequate knowledge regarding preparations for the upcoming 2024 elections. The output target that we hope for as organizers and cooperation partners is the understanding of GKPI 2 Pematangsiantar Private Vocational School students which can be obtained from the political education regarding preparation for the 2024 Election that we provide. By participating in this socialization, it is hoped that students will be able to provide an understanding of the material presented to their peers or people outside the school environment. Participants in our community service activities are representatives from each class at the GKPI 2 Pematangsiantar Private Vocational School who are 17 years of age or older, or who will have the right to vote when the elections are held

This research discusses the role of integration of leadership models, influence tactics, and the application of power in an organizational context. Effective leadership requires not only strong leadership skills, but also the ability to combine intelligent influence tactics and the appropriate application of power. The integration of these three elements is considered crucial in forming optimal organizational results. This research uses a literature analysis approach and empirical study to explore the relationship between integrated leadership models, influence tactics, the application of power, and their impact on organizational performance. The findings of this study highlight the importance of aligning leadership strategies with effective influence tactics and the judicious exercise of power to achieve desired organizational goals. Practical implications and recommendations for organizational leaders and managers are also discussed.

This study aims to describe the implementation of the drill method in choir self-development activities at SMP Adabiah Padang. This type of research is qualitative research with descriptive methods. This research instrument is the researcher himself and is assisted by supporting instruments in the form of stationery and kemera. Data collection techniques are carried out by observation, interviews and documentation. The steps of analyzing data are data collection, data reduction, data display and data verification. The results showed that vocalizing, articulation and intonation techniques in singing with the application of the drill method can improve skills in choir self-development activities. Vocalizing techniques with the application of the drill method can provide flexibility to the vocal cords when singing, with the aim that when singing the vocal cords are not surprised and some organs that play a role when singing such as the mouth, throat of the tongue become more flexible so light exercise is needed. Articulation techniques after vocal warm-up are practiced repeatedly on Mars Adabiah Padang songs so that students can master Mars Adabiah Padang song singing techniques with good articulation. Exercises with intonation techniques that students do repeatedly in the song Mars Adabiah Padang can be done quite well. This was proven during the final presentation, namely singing the song Mars Adabiah Padang" using the right and appropriate intonation.

This study aims to determine the effect of a combination of Progressive Muscle Relaxation (PMR) exercises and back massage on blood pressure in hypertension sufferers in the RW001 Sarua Indah Ciputat area, South Tangerang. This research uses a descriptive study type of research with a quantitative approach. The appropriate method for this research is the pre-experimental research method. Design Pre-experimental design is a design that includes only one group or class that is given pre- and post-tests (Sugiyono, 2014). This research design only uses a single group, so it does not require a control group. Before being given treatment, the experimental group first underwent a pretest, followed by action (intervention), namely using a combination of Progressive Muscle Relaxation and Back Massage exercises, then continued with giving a posttest.

Background: Aging Is The Main Cause Of Hypertension, Which Is Caused By Physiological Changes That Weaken The Heart's Pumping Power And Make The Large Arteries Stiff And Unable To Expand As The Heart Pumps Blood Through Them. Exercise Has The Effect Of Lowering Blood Pressure In People With Hypertension Due To Movement (Yesi Arisandi And Mardiah, 2022). Hypertension Exercise Is One Way Of Maintaining Physical Fitness Or Physical Exercise That Can Be Done To Reduce Body Weight And Manage Stress So That It Can Increase The Body's Metabolic Activity And Can Stimulate Heart Activity And Can Strengthen The Heart Muscles. (Siti Santy Sianipar And Desi Kumala Farianing Putri, 2018). Method: The Method For Writing This Final Scientific Work Is In The Form Of A Literature Review By Examining Journals That Discuss The Effect Of Hypertension Exercise On Reducing Blood Pressure In People With Hypertension. Results: Based On The Table Above, The Author Recommends That Patients Carry Out Hypertension Exercises Regularly For Three Consecutive Days From January 9 To January 11 2024. There Are Differences Between Conditions Before And After Implementation. The Patient Data Before Implementation Was That The Patient Said Both Legs Were Swollen, While The Patient Data After Implementation Was That The Patient Said Complaints Of Swelling In The Legs Were Reduced And Blood Pressure Began To Fall, Namely 140/90 Mmhg, So It Can Be Concluded That There Is An Effect Of Hypertension Exercise Therapy On Reducing Blood Pressure. Blood In Hypertensive Sufferers. This Is In Accordance With The Journal That The Author Studied, Namely According To Rima Berliana Purbaningrum (2020).

Background: Stroke is a manifestation of systemic disease in the elderly in the form of circulatory disorders to the brain that cause neurologic deficits, it is necessary to carry out appropriate nursing interventions or action plans such as joint strengthening exercises / Range Of Motion (ROM) techniques. Objective: To identify research articles about the duration of administration and the effects before and after ROM nursing actions were given on muscle strength, walking balance and joint span in non-hemorrhagic stroke patients with impaired physical mobility. Research Methods: This research is a literature review study by searching for articles through Google Scholar. Research results: The results of a literature review on 4 research articles on ROM nursing actions in stroke, there is an effect before and after being given ROM actions on stroke by increasing muscle strength, walking balance and joint range of motion. Conclusion: The results in 4 research articles on ROM nursing actions in stroke related to the time of giving ROM actions with different durations of administration and there was an effect before and after being given ROM actions on stroke. Suggestion: For stroke patients, it can be used as a reference for information in healing stroke. Nurses need to routinely apply ROM in the hospital to stroke and post-stroke patients to reduce severe paralysis problems.

This study aims to reveal and describe the process of implementing dance self-development at SMAN 1 Ranah Pesisir Kabupaten Pesisir Selatan. This type of research is qualitative research with descriptive methods of analysis. The research instrument is the researcher himself and is assisted by supporting tools such as stationery and cameras. Data were collected through observation techniques, interviews, literature studies, and documentation. The analyzing steps are carried out through data collection, data reduction, data presentation and data verification.  The results showed that the self-development of dance at SMAN 1 Ranah Pesisir Kabupaten Pesisir Selatan was carried out through the planning, implementation and evaluation stages. Planning is carried out through collaboration between the Principal, Student Representatives and Guidance teachers so that self-development can be carried out conducively. The implementation of dance self-development activities is carried out outside school class hours. Evaluations are conducted by principals, student representatives, coaches/trainers conducted in midterm exams. In its implementation, the self-development of dance has been going well. Supporting factors in the implementation of dance self-development are (availability of facilities and infrastructure as support in dance self-development activities. While the inhibiting factor in this dance self-development activity is the absence of student dance bases so that students are slow to understand the movements given. However, these inhibiting factors can be overcome by the coach with the drill practice method, which is an exercise by repeating the movements given so that students can do the movements and make groups so that they can learn with their friends.

Background: Diabetes Mellitus is a heterogeneous disorder characterized by increased glucose levels in the blood. Insulin, a hormone produced by the pancreas, controls glucose levels in the blood by regulating its production and storage (Smeltzer and Bare, 2019). Diabetes Mellitus occurs if the pancreas produces little or no insulin so that the sufferer is forever dependent on external insulin, or if the pancreas continues to produce insulin but the body develops immunity to its effects. Diabetic neuropathy is nerve damage caused by increased blood glucose, which results in decreased blood circulation to cells and decreased nerve cell function. Initial symptoms are paresthesia (prickling, tingling or increased sensitivity) and burning (especially at night). As neuropathy increases, the feet feel numb (numb). Decreased sensitivity to pain and temperature puts neuropathy sufferers at risk of experiencing injury and infection in the feet without knowing it (Smeltzer and Bare, 2019). Foot exercises are activities or exercises carried out by Diabetes Mellitus patients which aim to improve blood circulation so that nutrition reaches the tissues more smoothly, strengthen small muscles, calf muscles and thigh muscles, and overcome the limited joint movement often experienced by Diabetes Mellitus sufferers. Method: The method for writing this final scientific paper is a literature review by examining journals that discuss the effect of diabetic foot exercises on reducing neuropathy symptoms in Diabetes Mellitus sufferers. Results: Based on the results of the implementation carried out by the author, namely encouraging patients to carry out routine extremity movements, namely by carrying out diabetes foot exercise therapy for three consecutive days from 09 to 11 January 2024, differences were found between conditions before and after implementation. The patient data before implementation was that the patient said both feet often felt tingling, the patient said both feet sometimes felt like they were numb, the results of scoring symptoms of diabetic neuropathy were 4, while the patient data after implementation was that the patient complained of tingling both times and feeling like numbness. begins to decrease and the results of scoring symptoms of diabetic neuropathy have decreased, namely to a value of 2, so it can be concluded that there is an influence of diabetic foot exercise therapy on reducing symptoms of diabetic neuropathy in diabetes mellitus sufferers. This is in accordance with the journal that the author studied, namely according to Febrina Angraini S, 2020.

Background: Type 2 diabetes mellitus is a metabolic disorder characterized by an increase in blood sugar due to decreased insulin secretion by pancreatic beta cells or insulin resistance. Difficulty controlling blood sugar levels is a problem experienced by every person with type 2 diabetes mellitus. Several reasons cause uncontrolled blood sugar levels, such as the patient not wanting to exercise, poor diet and negligence in treatment. Management of diabetes mellitus can be done with non-pharmacological therapy in the form of physical exercise. Physical activity will make the body's metabolism work more optimally which will result in blood glucose levels being controlled so that holistic treatment is needed. One of the non-pharmacological physical exercise therapies that can be given to diabetes mellitus sufferers is progressive muscle relaxation techniques. Research method: Implementing Progressive Muscle Relaxation Therapy in Type II Diabetes Mellitus patients to reduce Blood Glucose Levels. Research results: The results of implementation and evaluation for 3 days with Progressive Muscle Relaxation Therapy intervention showed objective and subjective changes in Type II Diabetes Mellitus patients as well as changes in blood glucose levels before and after being given Progressive Muscle Relaxation Therapy. Conclusion: There is a decrease in Blood Glucose Levels after Progressive Muscle Relaxation Therapy.

To improve the quality of the student learning process by increasing the quality of teachers' professional abilities, all teachers must go through a learning process that makes it possible to find and solve learning problems in their respective classes based on the principles of Classroom Action Research (PTK). Classroom Action Research is carried out with the aim of improving or enhancing student learning activities and achievements. PTK is an activity carried out to find out problems that arise in the classroom when the teacher is interacting with students in carrying out the teaching and learning process. PTK is research carried out by class teachers through self-reflection with the aim of improving teacher performance, so that the quality of learning increases (Mills, Geoffrey E, 2000, Schmuch, A. Richard, 1997) which can be seen in the percentage of students' success in completing the exercises systematically. verbally and in writing. In the learning process, learning means an activity carried out by the teacher and students together. The essence of the learning is the process of giving and receiving and ends with an evaluation which is deliberately carried out by the teacher to find out how far the students' level of understanding is

Uterine myoma or often called fibroids is a benign tumor originating from the smooth muscle of the uterus. Tumor cells are formed due to genetic mutations, then develop due to the induction of the hormones estrogen and progesterone. The incidence of uterine myoma in Indonesia ranks second after cervical cancer, the incidence of uterine myoma in Indonesia is found to be 2.39% - 11.70% in all patients with gynecological cases hospitalized. Hysterectomy is surgical removal of the uterus (uterus) is one of the procedures performed for uterine myoma. Physiotherapy aids recovery by avoiding or minimizing complications as well as providing physical rehabilitation to support the return of physical function postoperatively hysterectomy. Based on the results of the evaluation of interventions that have been given, breathing exercises, pelvic floor muscle training, active exercises on the hip to the lower extremities as well as early transfer and ambulation exercises have been shown to reduce pain levels, strengthen pelvic floor muscles thereby reducing incontinence, and increase functional activity.

Sport for all is a movement that emerged to bring awareness to the importance of sport for all. This movement is based on the community's need for sports regardless of all kinds of differences, including for someone who is in an Islamic boarding school environment. This research aims to determine the effect of Circuit Training exercises on students' motivation in carrying out sports activities at the Nurul Jadid Islamic Boarding School, Probolinggo. The method used in this research is a quasi-experiment or quasi-experiment with a one group Pretest and Posttest Design research design. In this research, the number of samples used was 15 respondents using a purposive sampling technique or determining certain criteria. The instrument in this research uses a questionnaire. Then the data that has been obtained and collected will be analyzed using descriptive tests with the help of the SPSS VERSION 25 application program. Next, the data will be tested using the Kolmogorov-Smirnov normality test, this test is used to find out whether the data obtained in the research is normally distributed or not. Then, to test the hypothesis, use the T Paired Sample Test to determine the effect of providing treatment in each treatment group. After analyzing the research data. The results of the research show that there is a significant influence on Circuit Training exercises on students' motivation in carrying out sports activities at the Nurul Jadid Islamic Boarding School, Probolinggo.

Skin flap is a skin graft procedure that will repair damaged skin by removing the soft tissue underneath. Objective: to determine Physiotherapy management in the form of giving electro therapy (ultrasound and Infrared) and exercise. Methods: The research method includes a "case report" case study conducted on 1 male patient with a diagnosis of Stiffness wrist digiti 1-5 manus dextra hand function disorders, ec. Amputation of fingers manus dextra post flap). The measuring instruments used are using the Numeric Rating Scale (NRS) for pain scale, Wrist Hand Disability Index (WHDI) to measure functional activity ability, Gonimeter to measure joint motion scope, Manual Muscle Testing (MMT) to measure muscle strength, mitline to measure odema segment circumference. Results: After 3 times of therapy, the patient's assessment results were obtained, namely a significant change in the level of joint scope of motion, muscle strength, skin integrity, motion pain in the wrist and fingers of the right hand, and functional ability. Conclusion: This case study shows that the administration of electrotepsy and exercises in the case of Skin Flap of the thumb of the hand, proved to be effective.

Ostheoporosis is a systemic bone disease characterized by a decrease in bone microarchitecture so that bones become brittle and break easily.The purpose of this outreach is specifically to increase awareness among the elderly about the importance of maintaining bone health, apart from that, it also increases knowledge that osteoporosis can be prevented in various ways and by reducing the pain that arises. The method for the presentation of material about the elderly and ostheoporosis accompanied by the practice of osteoporosis exercises with midwives and the elderly in Pucangan Baru II Village, Rt02/Rw07, Pucangan, Kartasura, Sukoharjo. The results of the counseling in Pucangan Baru II Village, Rt02/Rw07, Pucangan, Kartasura, Sukoharjo showed extraordinary participation, marked by the elderly/audience being very enthusiastic about taking part in Osteoporosis exercises and the audience also felt comfortable when learning the Breathing Relaxation Method provided.

This journal discusses interventions carried out by social workers to treat someone who experiences anxiety disorders. Anxiety disorder is a type of mental health disorder such as feelings of fear, anxiety, restlessness and excessive worry that cannot be controlled and occur continuously so that they interfere with daily activities. There are many cases in Indonesia regarding people who have anxiety disorders. This must be treated and cannot be ignored, because if it is not treated, the sufferer will experience severe depression and even commit suicide. One of the professions responsible for this problem of social dysfunction is the social worker profession. Therefore, the aim of this journal is to explain the interventions carried out by social workers in treating someone who experiences anxiety disorders. This research method uses a qualitative approach with a literature study method. The social worker's intervention strategy uses the CBT (Cognitive Behavior Therapy) method which aims to eliminate the client's negative thoughts and be able to think rationally, apart from that, using behavior modification learning theory, namely systematic desensitization classical conditioning therapy by carrying out relaxation exercises so that the client is calmer when facing problems. conditions that make him anxious. The results of this research are interventions that social workers can carry out for people with anxiety disorders.

Chronic Kidney Disease (CKD) is a condition in which kidney function decreases so that it is no longer able to filtrate the body's metabolic waste and maintain electrolyte fluid balance. In CKD an increased amount of fluid can result in edema. Edema is a condition of blocked veins due to an increase in intravascular hydrostatic pressure that causes enlargement or buildup of plasma fluid into the interstitium space. Therapy that can be applied to reduce edema in CKD is with Ankle Pump Exercise and Elevation 30⁰. This therapy is done by pumping the ankle and elevating the foot for 5-10 minutes. The goal of this study was to identify Ankle Pump Exercise and 30⁰ Elevation interventions to reduce edema in CKD patients in the ICU. The type / research design used is a descriptive method with a case study approach. The subjects of this case study were patients who met the inclusion criteria, namely patients with edema and were willing to be respondents. The data collection instrument uses the format of Nursing Care. The results of this study showed that Ankle Pump Exercise and 30⁰ Elevation interventions effectively reduced edema in CKD patients. Based on the results of the case study, it can be concluded that the application of a combination therapy of ankle pump exercise and 30⁰ foot elevais has been proven effective in reducing the degree of edema in Chronic Kidney Disease (CKD) patients.

Background: One of the non-communicable diseases (NCDs) that has received a lot of attention is Diabetes Mellitus. Diabetes management is divided into two ways. The first way is with non-drug therapy (non-pharmacological) and second with drug therapy. Drug therapy in the form of oral hypoglycemic drugs or insulin. Non-pharmacological methods with food planning and physical exercise. The type of light physical exercise recommended for patients with type II diabetes mellitus is walking and brisk walking. Objective: To determine the effect of brisk walking to reduce blood glucose levels in patients with type 2 diabetes mellitus. Methods: This review uses the literature review method. Searches were conducted in PubMed, Garuda, and Google Scholar. The search strategy used keywords with "brisk walking", "physical exercise", "glycemic control", "diabetes mellitus, type II",. Results: Seven articles were reviewed in this literature review. Six articles discussed brisk walking, one article discussed the difference in glycemic control in low - high intensity interval training with endurance training. The overall results of this review show that doing physical activity brisk walking has an effect in reducing blood glucose levels, reducing blood glucose levels by 49.75 mg/dL. Physical activity sessions can be done for 3 - 7 sessions per week with a duration of 15 - 60 minutes. Conclusion: The effect of brisk walking is proven to reduce blood glucose levels in patients with type 2 diabetes mellitus.

Indonesia is starting to enter a period of population aging where there is an increase in life expectancy followed by an increase in the number of elderly people which is predicted to continue to increase until 2035 to 48.2% of people (15.77%). Maluku recorded the highest number of hypertension cases in Maluku Province with a total of 25,410 cases in 2020. The aim of implementing community service activities in Hitu Village is to increase community awareness, especially the elderly, regarding the dangers and prevention of hypertension. The activities carried out were elderly gymnastics and continued with socialization in Waimolong Hamlet using the question and answer discussion method. The results of the community service implementation went smoothly and enthusiastically from the participants, as seen from the participant attendance list of more than 25 people, based on the results of questions and answers and interviews, the participants were able to understand that hypertension can be prevented and controlled by living a healthy lifestyle, eating healthy foods. being nutritious, doing physical activity, not smoking or reducing the number of cigarettes consumed per day and carrying out regular health checks at the local health center. There needs to be regular exercise activities carried out in Waimolong Hamlet.