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A woman who is in pregnancy often experiences many changes, both physical changes and psychological changes. These changes can cause anxiety and increase anxiety. In third trimester pregnant women, the level of anxiety becomes more serious and intensive along the birth time schedule. Feelings of anxiety can cause tension in the mind and physique, pelvic muscles and lower uterine segment muscles; thus, this tension can disrupt the birth process. The impact of anxiety is so big for the mother and the fetus, so the interventions are needed to reduce anxiety in pregnant women. The purpose of this research was to find the effect of birthing preparation services. The research approach used a quantitative approach with preexperimental research design. This design involved pretest and posttest one group design. Samples in this study was 69 third trimester pregnant women. The data collection technique used a questionnaire was taken before experiment and after experiment. Data analysis used paired T test. The results showed that there was a significant difference in the level of anxiety between before and after being given pregnancy preparation services with (p value = 0.000) (p value = 0.000) or (p <0.05).

This study aims to determine students' learning difficulties in chemistry by using zoom in achieving cognitive, sociological and psychological aspects and to further examine the difficulties faced by students. Data collection using questionnaires and tests, then using the K-Means Cluster data analysis technique, with three clusters (groups) followed by crosstab and graph analysis, using SPSS IBM 22 and followed by the RASH model. the results obtained are that (a) cognitive aspects in the form of student thinking, followed by sociological aspects and psychological aspects related to students' internal factors (b) cognitive results are tested more deeply with the Expended Score Graph. The ICC is in accordance with the RASH Model, the difficult questions to work on are questions 10 and 13 are in the analysis (C4), the Outfit MNSQ value is between 0.5-0.15 and then from the Probability graph of Student Cognitive Ability is well distributed, thus the difficulty in the cognitive aspect lies in the questions presented. These results are very useful for identifying students' cognitive limitations in chemistry learning. Thus, from the results, it is explained that cognitive is the main difficulty, with the RASCH test it is known that the level of difficulty is at the analysis.

Hyperglycemia occurs when the body's condition is too much blood glucose that exceeds normal limits in the body because the body does not produce insulin properly. Betel leaves and ginger rhizomes have long been used by the people in Indonesia as traditional medicines that are believed to reduce blood glucose levels. This study aims to determine the effectiveness of betel leaves and ginger rhizomes empirically to reduce blood glucose levels in hyperglycemia male rats. Betel leaves and rhizomes of ginger are made in the form of infusions and used on 30 heads of hyperglycemia mice divided into 6 groups. Normal group, negative group induced alloxane, positive group (glibenklamide), betel leaf infusion group, ginger rhizome infusion group, betel leaf infusion combination group and ginger rhizome infusion, testing was carried out for 30 days. Data were analyzed with IBM SPSS 20.0 ANOVA and post hoc tukey HSD assays. The results showed that betel leaf infusion at a dose of 2 ml / kg BB and ginger rhizome infusion dose of 2ml / kg BB single administration could reduce blood glucose levels while in combination administration it was seen that there was less effective in reducing blood glucose levels in male white rats.    

Nausea, vomiting is a normal symptom experienced by most pregnant women. This condition is common in early pregnancy, especially in the first week to the third month of pregnancy. Nausea and vomiting in pregnant women is often called morning sickness or can be called emesis gravidarum, but there are some pregnant women who experience nausea and vomiting anytime and anywhere, whether in the morning, afternoon or evening. This research uses a quasi-experimental research design with a One Group Pretest-Posttest Design research design. This research was conducted to determine the effectiveness of slow deep breathing therapy for pregnant women with emesis gravidarum. From the research results, the results showed that before slow deep breathing therapy was carried out, there was a mild level of nausea and vomiting, namely 16 respondents (53.30%). Meanwhile, those who had moderate levels of nausea and vomiting were 14 respondents (46.70%). Then, after being given slow deep breathing therapy, the majority of respondents had mild nausea and vomiting, namely 30 (100%). The pre-test and post-test show a significant relationship with the criteria for nausea and vomiting in pregnant women with a p value = 0 <0.05 N = 30, so it can be concluded that there is a significant effect of effectiveness between slow deep breathing therapy on nausea and vomiting in pregnant women in BPM. Puspitarini, A.Md. Keb, Glenmore District.

Background: Spinal anesthesia is a type of extensive nerve block by inserting a local anesthetic drug into the subarachnoid space at the lumbar level (Rehatta, 2019). This method produces anesthesia by blocking transmission, deactivating motor and sensory abilities, thus creating loss of pain sensation in the perineum. lower abdomen to lower extremities. Among the effects of spinal anesthesia that often occur, post-spinal anesthesia headache is a complication that often does not receive special attention. Due to the minor effects of spinal anesthesia. Management of headaches after spinal anesthesia, one of which is using non-pharmacological techniques with Head Up therapy, namely providing a 30 degree head elevation position with the aim of increasing blood flow to the brain in an effort to maximize oxygen flow to the brain which is believed to reduce the sensation of headaches. Objective: To analyze the effect of giving Head up therapy on headaches in post-operative patients with spinal anesthesia. Method: This research is a quantitative research using a type of experiment with a pre-experimental design, post-test control group design. Sampling technique: accidental sampling Population: The population of this study was 300 people. Sample: This study involved 76 respondents with a division of 38 respondents who were given Head Up therapy and 38 respondents who were not given Head Up therapy. Data analysis: Data were analyzed using the Mann Whitney test. The research instruments were Head Up SOP and Posttest Numeric Rating Scale (NRS) questionnaire. This research was carried out in February-April 2024 at Dr Hardjono Ponorogo Regional Hospital. Results: Based on research and after data analysis, the significance value (P value) in the Mann Whitney test was 0.001 (p>0.05). Conclusion: It was found that there was an effect of giving Head up therapy to post-operative patients with spinal anesthesia

Background: General anesthesia is the act of administering a combination of drugs during surgery with the aim of reducing consciousness and eliminating pain in the patient. There are 2.5% of patients experiencing intra-anesthesia complications including hypotension.Objective: To determine the comparison of giving fluid loading and reducing inhaled gas with giving ephedrine to prevent hypotension in patients in central surgery installations.Research Metod: Quantitative method with experimental research type with quasi-experiment. This research used a Pretest-Posttest Two Group Design with 22 respondents.Research Result: Based on test statistics, it is known that the results of the Independent Sample T Test data analysis test show a P value (>0.05), namely H0 is accepted. Based on this test, it was concluded that there was no significant relationship between administering fluid loading and reducing inhaled gas with administering ephedrine to prevent hypotension.Conclusion: Based on this research, researchers are more effective in using fluid loading and reducing inhaled gas than administering ephedrine in the ETT technique for general anesthesia.

Academic supervision is a series of activities to help teachers develop their ability to manage the learning process in achieving learning goals. In preparing the academic supervision plan that must be considered is the preparation of the schedule, objectives, approaches, techniques and instruments needed.The research method used is qualitative research with descriptive, theoretical and empirical approaches. Data collection techniques using observation, interviews and documentation. As for analyzing the data using reduction and verification. Meanwhile, in testing the validity of the data using source and time triangulation.The results showed that the most frequently used approach was the collaborative approach and the techniques used were group supervision techniques (teacher meetings, workshops and MGMP) and individual techniques (class visits and class observations). Implementation of good academic supervision can improve the professional competence of teachers so as to produce quality graduates. Factors that support management of the academic supervision of madrasah heads in improving teacher competence are teacher education, teacher teaching experience, training experience that has been carried out by teachers, motivation, infrastructure, and supervision of school principals. The inhibiting factors were lack of teaching experience, lack of training, lack of self-motivation, lack of academic supervision from the head of the madrasah, and educational level qualifications.                                                                           

Adolescence is a period of transition or transition due to biological and psychological growth, development, and changes. Biological changes are marked by the growth and development of primary sex, while psychological changes are characterized by changes in attitudes, feelings, and emotions. This transitional period is dubbed a period full of storms and stress, because it causes emotional upheaval, anxiety, and discomfort because the teenager is required to adapt and accept all the changes that occur. The role of nurses that can be used is to provide complementary therapies, namely a combination of aromatherapy and music therapy in reducing anxiety during online learning. The method in this study is a quasi-experimental design with a pre-post test with control group. The sampling technique used was purposive sampling with a total of 60 respondents. The treatment was given in 4 sessions for 4 weeks. The treatment given is a combination of aromatherapy and music therapy. The measuring instrument used is the RCMAS anxiety instrument. The results of this study showed the effect of giving a combination of aromatherapy and music therapy on adolescent anxiety levels during online learning during the covid-19 pandemic (p <0.05). The results of the study are recommended to be able to reduce anxiety in adolescents during online learning during the covid-19 period.    

Menyusui adalah proses pemberian air susu ibu (ASI) kepada bayi sejak lahir sampai berusia 2 tahun. Jika bayi diberikan ASI saja sampai usia 6 bulan tanpa menambahkan dan mengganti dengan makanan atau minuman lainnya merupakan proses menyusui   eksklusif. Teknik menyusui yang benar adalah cara memberikan ASI kepada bayi dengan perlekatan dan posisi ibu dan bayi dengan benar. Untuk mencapai keberhasilan menyusui diperlukan pengetahuan mengenai teknik- teknik menyusui yang benar. Pendidikan kesehatan tentang cara menyusui dapat   diberikan melalui media salah satunya adalah media video. Beberapa keuntungan penggunaan media video untuk menyampaikan pesan   atau informasi antara lain: pesan yang di sampaikan lebih realistik, memiliki beberapa features yang sangat bermanfaat untuk digunakan dalam proses penyampaian pesan. Tujuan : Untuk mengetahui pengaruh pendidikan kesehatan tentang cara menyusui bayi terhadap pengetahuan ibu nifas di RS PKU Muhammadiyah Karanganyar. Metode Penelitian : Penelitian ini merupakan penelitian kuantitatif dengan metode eksperimen. Dalam penelitian ini pemberian perlakuan berupa pemberian pendidikan kesehatan. Desain penelitian yang digunakan Pre Eksperimental design dengan pendekatan One Group Pretest Posttest, Populasi dalam penelitian ini yaitu ibu melahirkan spontan dan primipara yang dirawat di RS PKU Muhammadiyah Karanganyar sebanyak 15 responden Prosedur pengambilan sampel  yang  digunakan  dalam  penelitian  ini  adalah  non-probability dengan Menyusui adalah proses pemberian air susu ibu (ASI) kepada bayi sejak lahir sampai berusia 2 tahun. Jika bayi diberikan ASI saja sampai usia 6 bulan tanpa menambahkan dan mengganti dengan makanan atau minuman lainnya merupakan proses menyusui   eksklusif. Teknik menyusui yang benar adalah cara memberikan ASI kepada bayi dengan perlekatan dan posisi ibu dan bayi dengan benar. Untuk mencapai keberhasilan menyusui diperlukan pengetahuan mengenai teknik- teknik menyusui yang benar. Pendidikan kesehatan tentang cara menyusui dapat   diberikan melalui media salah satunya adalah media video. Beberapa keuntungan penggunaan media video untuk menyampaikan pesan   atau informasi antara lain: pesan yang di sampaikan lebih realistik, memiliki beberapa features yang sangat bermanfaat untuk digunakan dalam proses penyampaian pesan. Tujuan : Untuk mengetahui pengaruh pendidikan kesehatan tentang cara menyusui bayi terhadap pengetahuan ibu nifas di RS PKU Muhammadiyah Karanganyar. Metode Penelitian : Penelitian ini merupakan penelitian kuantitatif dengan metode eksperimen. Dalam penelitian ini pemberian perlakuan berupa pemberian pendidikan kesehatan. 

Hamil dan melahirkan merupakan peristiwa alamiah bagi seorang perempuan pada usia reproduksi. Walaupun dikatakan alamiah tetapi dalam perlangsungan kehamilan sering terjadi penyimpangan dari kondisi alamiah atau normal menjadi abnormal (20%) yang berujung pada risiko kematian ibu dan atau janin. Penelitian ini bertujuan untuk mengetahui pengaruh efikasi diri terhadap penurunan komplikasi kehamilan dan persalinan. Penelitian ini menggunakan dua metode penelitian yaitu penelitian kualitatif. di gunakan secara bersama dalam suatu kegiatan penelitian sehingga data yang di peroleh lebih komprehensif, valid, relieble dan Objektif. Focus Group Discussion (FGD) atau diskusi kelompok terarah di gunakan dalam penelitian kualitatif untuk mengumpulkan data kualitatif terkait dengan kemampuan bidan dalam pelayanan kesehatan ibu hamil, pengetahuan, sikap, motivasi dan akses fasilitas pelayanan dari informan. Hasil penelitian didapatkan Focus Group Discussion (FGD) dilaksanakan selama 1 hari tanggal 1 Agustus 2021 di puskesmas bara-barayya, FGD tersebut dilakukan kepada 16 orang yang terdiri dari 1 orang bidan koordinator, 5 orang bidan sebagai fasilitator,5 orang ibu hamil dan 5 orang keluarga ibu hamil (suami). Berdasarkan hasil FGD bidan ANC lingkup Puskesmas Bara-Barayya didapatkan hasil bahwa terkait masalah pelayanan kesehatan ibu hamil. Kelas ibu hamil perlu dilakukan perubahan model karena masih sebatas edukasi dan penyuluhan yang sifatnya keluhan fisik dan persiapan melahirkan(BF4).  

The elderly are at risk of experiencing cognitive function disorders due to the aging process. Wapuwan Puzzle (Wayang Punakawan) is a game therapy that was developed to improve cognitive function by carrying elements of the art of wayang punakawan characters that are popular with the elderly. The purpose of this study was to analyze the influence of the Wapuwan Puzzle on the cognitive function of the elderly. The design of this study was a quasi-experimental with a pre-post design with a control group. The research sample was 38 elderly people using the total sampling technique at the Posyandu Setya Manunggal III. Research instrument using MMSE. Data analysis using Mann Whitney. The results showed that the gender characteristics of the majority of the respondents were female, the average age of the respondents was in the range of 60-74 years, and the education of the respondents was on average not attending school and completing elementary school. The MMSE score of the elderly who received the Wapuwan Puzzle increased significantly than the elderly who did not receive the Wapuwan Puzzle. The results of the Mann Whiteney test obtained a significance value of 0.000 (P value < 0.05) so that it was concluded that there was an effect of the application of the Wapuwan Puzzle on the increase in cognitive function in the elderly at the Setyamanunggal Posyandu III Lempuyangan Hamlet.

Tujuan dalam penelitian ini adalah untuk mengetahui pengaruh pijat oksitosin terhadap produksi ASI pada ibu nifas di Puskesmas Kassi-Kassi Makassar tahun 2021. Metode penelitian yang digunakan adalah Quasi Eksperimen dengan memakai rancangan one group pre and post test design, dilaksanakan bulan Juni – Agustus 2021. Dalam penelitian ini responden diberikan intervensi berupa pijatan oksitosin kemudian diukur produksi ASI sebelum dan sesudah intervensi untuk melihat pengaruh pijatan oksitosin tersebut. Sampel dalam penelitian ini adalah sebanyak 30 ibu nifas dengan metode purposive sampling. Berdasarkan hasil penelitian yang telah dilakukan sebelum dilakukan pijat oksitosin nilai rata-rata yaitu 8,87 dan setelah dilakukan pijat oksitosin nilai rata-rata adalah 10,47. Dari hasil analisis bivariat dengan menggunakan uji paired t-test diperoleh nilai p adalah 0,000 < 0,05 maka Ho ditolak Ha diterima. Kesimpulan mengetahui ada pengaruh antara pijat oksitosin terhadap volume ASI pada ibu nifas di Puskesmas Kassi-Kassi Makassar Tahun 2021. Diharapkan penelitian ini dapat digunakan sebagai terapi untuk meningkatkan produksi ASI pada ibu menyusui.

Latar belakang : fraktur adalah terputusnya kontinuitas jaringan tulang yang terjadi ketika tulang tidak mampu menahan tekanan berlebih. Salah satu masalah yang muncul pada pasien post operasi fraktur yaitu keterbatasan lingkup gerak sendi. Tujuan : mengetahui pengaruh ROM (Range Of Motion) terhadap fleksibilitas gerak sendi pada pasien post operasi fraktur ekstremitas atas. Metode penelitian : metode penelitian ini mengunakan quasy eksperimen yang bersifat one group pretest and posttest, menggunakan teknik purposive sampling. Hasil uji prasyarat berdistribusi tidak normal sehinga menggunakan uji Wilcoxon Signed. Hasil : rata-rata rentang gerak sendi sebelum dilakukan ROM yaitu 120° dan setelah dilakukan ROM yaitu 65°. Perhitungan uji Wilcoxon Signed menunjukkan hasil z hitung > z tabel 2,690, maka dinyatakan Ha diterima sedangkan Ho ditolak dan diperkuat dengan p 0,007 > 0,005. Kesimpulan : Ada perbedaan yang signifikan antara rentang gerak sendi sebelum dan setelah dilakukan ROM.

The advances in mobile technology have created a new learning method known as mobile learning technology or mobile learning. This method utilizes the use of smartphones which have become part of the daily life of people of all ages and levels of education. in this mobile learning ,android platform is selected. The reason for choosing android is that it is the most popular mobile OS. This learning is designed to run on Android with the aim that it can be used easily and can be run at any time as long as you carry an Android cellphone and there is an internet connection. This application is addressed to the Persatuan pemuda sandya karya mandiri desa reksosari kec suruh kabupaten Semarang, which is an activity of a youth group that is trying to develop and improve their video streaming channel . they need learning to improve their digital video processing skills to improve the quality of their video output. because this youth union consists of various ages and various educational backgrounds, the making of learning videos must be easy to operate, easy to display and does not require complicated equipment. The development of this application is based on usability which is the most important aspect of an application.

The case fatality rate caused by Covid-19 in Indonesia is around 2.9%. The death rate by age group is from all Covid-19 patients who died, including 0.5% aged 0-5 years, 0.5% aged 6-18 years, 2.8% aged 19-30 years, 12.7 % were aged 31–45 years, 36.8% were aged 46–59 years, and 46.7% were aged 60 years and over. With the large number of cases that occurred in Indonesia, it turned out to be due to the lack of proper handling of the early symptoms of the Covid-19 virus. To overcome this, it is needed as a tool for early detection of the Covid-19 variant by using the CBR-AHP expert system with the Sorgenfrei algorithm. The results of the consultation for the early detection of the Covid-19 variant were obtained from the highest similarity value of Sorgenfrei. Of all the variants found above, the highest similarity value of Sorgenfrei is Omicron with a similarity of 1,000. Omicron has the highest value because it has a value of a, which is the same symptom between old cases and large new cases.

This study aims (1) to determine whether the guided inquiry learning model has an effect on the students' science process skills, (2) to find out whether the PBL learning model affects the students' science process skills, (3) to find out the differences in the students' science process skills. VII SMPN 5 Dusun Selatan which uses the guided inquiry learning model and the PBL learning model. The method in this research is comparative quantitative. The research design used was the Nondomized Control Group Pretest-Posttest Design. The instrument used was a test in the form of multiple choice questions totaling 25 questions and an observation sheet for students' science process skills. The research sample was students of class VII A and class VII B at SMPN 5 Dusun Selatan. The data collection technique was carried out using the observation method of students' science process skills and learning outcomes tests. The data were analyzed descriptively. The results of this study show that (1) the value of the science process skills of students using the guided inquiry learning model has an average value of 92%, (2) the value of the science process skills of students using the PBL learning model has an average value of 96 %, (3) the difference in the science process skills of students who are taught using the guided inquiry learning model and the PBL learning model, it can be seen from the results of the average value obtained that there are differences, where the PBL learning model has a higher average value than the learning model. guided inquiry. The learning outcomes of the guided inquiry class had an average score of 39 on the pretest and 68 on the posttest. Meanwhile, the average value of the pretest in the PBL class was 40.4 and the posttest score was 69.3. These results indicate that the guided inquiry learning model and the PBL learning model can improve students' learning outcomes and science process skills.

Futsal is a soccer game played indoors, this game itself is played by two teams, each team consisting of five people. At this time futsal is very much in demand from various groups ranging from children to adults, so there are many futsal field rental places, especially in the city of Pekanbaru. However, the problem that occurs is that it is still difficult for tenants to find out where there is a futsal field and the nearest futsal field from where the tenant is located, including price information and field facilities. Therefore, we need a system that can make it easier for tenants to find out where there is a futsal field and the nearest futsal field from the tenant's location. This system is made based on Android so that it can make it easier for users to use this system. The method used in making this system is the Haversine method. The results obtained are a marketplace system that can make it easier for users to find out where there is a futsal field, find the nearest field and it is also easy to find out all information related to the field and can make it easier to rent a futsal field through the marketplace system.

Indonesia is a country that have a lot of diversity. Diversity of indonesian separated to race, culture, religions, ethnicity, customs and groups. Diversity in a nation can have advantages and disadvantages. As a member that live on a country that have so many diversity, we can reduce the disadvantages with tolerance and archipelago insight. This literature will discuss about conflict caused by diversity. In this literature we will know that tolerance and archipelago insight can prevent conflict because of diversity.

Shivering a complication that often occurs due to spinal anesthesia, due to postoperative hypothermia. Risk factors shivering include: age, weight, operating room temperature and anesthetic drugs. One of the nonpharmacologi was to reduce grade shivering is by giving hot packs and thick blankets to samples with temperatures < 35.5⁰C. This research to determine the effectiveness comparison between use of hot packs and thick blankets. The design Quasi Experiment with post test control group design. The population all post spinal anesthesia shivering patients in the IBS Recovery Room of RST Slamet Riyadi. The sample are 2 groups,shivering patient with hotpack treatment and shivering patient with thick blanket controls. The sample 32 respondents, 16 respondents treatment group and 16 respondents control group. Data analysis Mann Whitney statistical test. The results showed that p value = 0.008 < α = 0.05 ,that H0 is rejected Ha is accepted, that  difference in the effectiveness of using hot packs with thick blankets on grade shivering in post spinal anesthesia patients in the recovery room.

Micro, Small and Medium Enterprises (MSMEs) are business activities carried out by individuals or groups that aim to prosper individuals and groups. One of the problems faced by MSMEs Dapoer Cesky is a lack of knowledge and understanding of the benefits of branding, they do not have a good entrepreneurial spirit and they have not received training or assistance regarding technical branding strategies. Assistance and development through product re-branding is carried out in several steps, namely surveys and designing logos and supergraphics. It is important for MSMEs players to understand that the branding of a product is the single most important factor to ensure its successful use by the general public or other target markets. This is because according to marketing techniques, branding functions as a means to evoke positive consumer perceptions.