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Myopia or nearsightedness is a visual impairment whose prevalence is increasing, especially among adolescents living in urban areas. This study aims to analyze the risk factors that contribute to the increasing incidence of myopia in adolescents in urban areas. The risk factors studied include near visual activity, exposure to natural light, duration of digital device use, reading habits, and genetic and environmental factors. This study design used a cross-sectional approach involving 300 adolescents aged 12-18 years who were randomly selected from several schools in city X. Data were collected through questionnaires that measured visual habits, daily activity patterns, and family health history, and were strengthened by eye refraction examinations by medical personnel. Data analysis was carried out using logistic regression to identify the relationship between risk factors and the incidence of myopia. The results showed that excessive near visual activity, use of digital devices for more than 4 hours per day, and lack of exposure to natural light were significant risk factors for myopia in adolescents. In addition, genetic factors also play an important role in the predisposition of myopia. These findings are expected to provide a deeper understanding of the factors causing myopia among adolescents and become the basis for formulating effective prevention strategies.

Hypertension is a condition where blood pressure is higher than the normal limit, namely for systolic ≥140 mmHg and for diastolic ≥90 mmHg. The purpose of this writing is to find out and provide nursing care for Mr. B’s family with cardiovascular system disorders: hypertension in Mr. J in Kalibuntu Village Rt 05 Rw 02 Losari District Brebes Regency according to nursing standards. The method used s the data collection method in the form of interviews, observations, documentation studies and physical examinations. From the case rewiew, it was found that the client’s main complaint was pain in the back of the head and pain in the neck, P: pain increases during activity, Q: pain like being cut, R: pain in the back of the head, S: pain scale 4 (moderate), T: pain comes and goes. The nursing problems found were acute pain and knowledge deficit. Interventions are arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Background: Radiology plays a vital role in modern healthcare, offering diagnostic and therapeutic services. RSU Bunda Thamrin Medan provides comprehensive radiology services, ranging from X-ray to CT scan, MRI, and ultrasound. Objective: This study aims to analyze the characteristics of radiology examinations performed at RSU Bunda Thamrin Medan from January to July 2024. Methods: A retrospective, descriptive observational study was conducted. Data from 18,986 patients were collected from medical records, including age, gender, and type of examination. Results: X-ray was the most frequent examination (70.2%), followed by ultrasound (16.6%). Most patients were between 21-50 years of age, with a near-equal distribution between male and female patients. CT scan and MRI were used in more specific cases. Conclusion: X-ray and ultrasound dominate radiological examinations, reflecting their broad utility in diagnosis. CT and MRI, though less frequent, are crucial for complex cases. Continuous equipment maintenance and staff training are needed to support the increasing demand for radiology services.

Gum health and caries prevention are important aspects in maintaining overall oral health. Flossing technique or the use of dental floss is known as one of the effective methods for cleaning areas between teeth that are not reached by a toothbrush. This study aims to analyze the effect of flossing technique on gum health and caries prevention. This study used an experimental method involving 100 respondents who were divided into two groups, namely the group that routinely flossed and the control group that only relied on a toothbrush. Data were collected through gum health examinations using the gingival index and caries detection through clinical examinations for 3 months. The results showed that the group that routinely flossed experienced a significant decrease in the level of gum inflammation compared to the control group. In addition, the flossing technique was also proven effective in reducing plaque formation between teeth, which is the main factor causing caries. In conclusion, the flossing technique has a positive effect on gum health and can play an important role in caries prevention. Therefore, the use of flossing is recommended as part of an oral hygiene routine to support optimal dental and gum health.

Hypercholesterolemia is a term when total cholesterol, LDL, and triglyceride levels increase, while HDL decreases. The causes of high cholesterol today are poor diet, suboptimal physical activity, excessive caffeine consumption, and uncontrolled body weight. The purpose of this community service is to increase public knowledge about hypercholesterolemia, including its causes, symptoms, and treatment. In addition, cholesterol examinations were also carried out on 25 residents using the POCT method.

This study is a qualitative study that aims to analyze the Implementation of Occupational Safety and Health (K3) at PT Dayasa Ayasa Prima. The Data Collection Technique in this Study was Conducted by Interview Method with Subject Employees from PT Dayasa Ayasa Prima. There are Three Aspects That Are the Focus (Scope) in This Study, Including K3 Training, PPE Facilities in the company, K3 guarantees and facilities for employees, and K3 Implementation. The results of this study include: 1. PT Dayasa Ayasa Prima has provided relevant training to employees to understand the importance of occupational safety and health, 2. PT Dayasa Ayasa Prima has complied with legal regulations and principles that require employees to use appropriate personal protective equipment, 3. PT Dayasa Ayasa Prima has implemented social security for employee welfare, including old age security, work accident insurance, death insurance, and health care insurance, and 4. PT Dayasa Ayasa Prima has also implemented an occupational health program that includes regular medical examinations for employees.

This research to investigate empirical of tax knowledge, self-efficacy, gender on career desire in the field of tax for Tax Volunteer Students in Banten Province. This study uses a quantitative method (questionnaire). As much as 654 Tax Voluntary Students with a sample of 167 VoluntarY- Sample collection method was using the convenience sampling technique. The information examination utilized could be linear regression test. The speculation testing in this consider appear that knowledge of taxation and gender have an effect on career desire  in taxation for tax voluntary students in Banten province, while self-efficacy no effect on career desire  in tax for tax voluntary students in Banten province. Based on this research, tax knowledge and gender socialization need to be improved for students because in addition to high tax knowledge, gender equality in the world of work can also increase career desire in the tax field for tax voluntary students in the Banten province.

Students who always experience anxiety when writing their thesis often experience emotional mental disorders which can also be shown by symptoms of depression and anxiety. This research method uses pre-experiment, with a one group pre test - post test design approach without control group, with a sampling technique, namely purposive sampling. The data processed in this study used the paired T-Test. The results of the examination carried out before the butterfly hug therapy was given showed an average level of mild anxiety at a score of 47.30 and the results of the examination after being given butterfly hug therapy showed an average level of normal anxiety (not anxious) at a score of 31.90. Based on the characteristics of the respondents, the maximum age was 22 years. Bivariate results show that there is an influence of butterfly hug therapy on the level of anxiety in preparing theses among nursing students at Awal Bros University with an average difference before and after butterfly hug therapy of 15.4 with a P-Value of 0.000 (<0.05) . It was concluded that there was an influence of butterfly hug therapy on the level of anxiety in preparing theses among nursing students at Awal Bros University. It is hoped that these students will be able to apply butterfly hug therapy to reduce anxiety when preparing their thesis.

Nausea and vomiting or emesis gravidarum are the most common discomforts in the first trimester of pregnancy. If nausea and vomiting are not treated immediately, the body will become weak, dehydrated and have a pale face. Based on the results of the study, Mrs. D, 32 years old, first trimester of pregnancy with the main complaint of nausea and vomiting. One way to reduce nausea and vomiting is with acupressure massage techniques. Acupressure massage is done by gently pressing the PC 6 point for 2 minutes, the aim of which is to have an effect on giving acupressure massage to pregnant women in the first trimester to overcome the problem of emesis gravidarum. The method used is a case study with data collection techniques through observation, interviews and physical examination with the superior intervention of acupressure massage to reduce emesis gravidarum or nausea and vomiting. The results showed that there was a diagnosis of nausea with the intervention of giving acupressure massage for 3 days. The results showed that after the acupressure massage there was a decrease in the Pregnancy Unique Quantification of Emesis and/or Nausea (PUQE) score on the first day of the intervention with a score of 8 (moderate nausea and vomiting category) after the day all three interventions with a score of 3 (mild nausea and vomiting category).  Conclusion: Application of acupressure massage can reduce emesis gravidarum or nausea and vomiting in first trimester pregnant women.    

Fields of law in Indonesia are a system that is interrelated and affects each other. That there are similarities and differences between each law, including in terms of its enforcement. For example, between the Criminal Procedure Law and the Procedural Law of Military Justice. These two areas of law have some similarities in terms of the stages of trials, but there are differences, one of which is the unfamiliarity of the pre-prosecution stage in the military courts. This study aims to find out the existence of the Commander in resolving cases and to find out the reasons for the unfamiliarity pre-prosecution stage in the Military Court. This research is a normative research with a statutory approach. In addition, this study also uses qualitative analysis techniques. English translation. The existence of the commander in the settlement of cases is part of his authority to punish. The commander in charge of the command unit and his subordinates actively participates in all stages of the examination in the military courts, both as a Superior who has the right to punish in the investigation and as a case-handling officer in the prosecution stage. The existence of the pre-prosecution stage in the Military Court will intersect with the principle of unity of command and the principle of the commander being accountable. These two principles are two important principles in addition to the principle of military interest in the Military Judiciary which is also the basis of the authority and existence of the commander in the military courts.

Comprehensive Care is continuous care from pregnancy to Family Planning (FP). Comprehensive care aims to provide quality services and prevent maternal and child mortality. The purpose of this case study is to provide comprehensive care to mothers from pregnancy, childbirth, postpartum, and newborn care using the documentation of the Seven Steps of Varney and SOAP. This assessment was conducted from January to April 2024 through data collection methods, interviews, and observations. Pregnancy care included three visits with the first day of the last menstrual period on July 12, 2023, and the expected delivery date on April 19, 2024. During the first, second, and third visits, the general condition of the mother was found to be good. Labor care was provided on April 24, 2024, at 11:30 AM when the mother came to the Midwife's Independent Practice, accompanied by her husband, complaining of abdominal pain since 08:00 AM and discharge mixed with blood. An internal examination revealed 4 cm dilation. At 4:00 PM, labor management was carried out. The delivery process was normal with the 60 Steps of Active Management of the Third Stage of Labor (AMTSL), the baby was born normal, male, weighing 2500 grams, with a length of 47 cm, and immediate newborn care was performed. Postpartum and newborn care proceeded smoothly without complications for both mother and baby.

Vertigo is a sensation or sensation of movement from the body and surrounding environment that is described as a circular sensation, usually accompanied by complaints of nausea and vomiting, and balance disturbances. Vertigo is the third most common complaint by patients who come to general practice, after headaches, and strokes. A 31-year-old man came to the emergency room of Cut Meutia Hospital with complaints of dizziness since 5 days ago and disappeared. Patients also complained of nausea but were not accompanied by vomiting since complaints of dizziness appeared. Dizziness is felt by patients when looking at the surrounding environment and is not triggered by a change in head position. In addition, the patient also has a buzzing tingling tingling tingling along with spinning dizziness attacks. The patient's hearing begins to fade when the patient's ears ring and finally settle down. Based on anamnesis, physical examination and extenuation examination, the patient was treated with peripheral vertigo et causa meniere disease. Governance is carried out in the form of inf. RL 20 gtt/min, inj. Omeprazol 2x1, inj. Ondansetron 2x1 and oral in the form of betahistin 2x1 and hydrochlorothiazide 1x1.    

Tuberculosis (TB) is one of the infectious diseases caused by Mycobacterium tuberculosis bacteria infection in the human lungs. Tuberculosis is a disease that can be transmitted from people with TB through coughing, sneezing, talking, laughing or singing. Lack of public knowledge about TB and lack of funds for health checks make many people late to be treated. Expert systems are technologies developed based on programs, in accordance with human methods and mindsets. This aims to help people who want to check their health, but are hampered by costs, besides saving time if the examination place is far from the residential environment of the community concerned. Expert systems require a method that can help solve existing problems. In this study, the method used is the Case-Based Reasoning (CBR) method, because the main function of this method is to diagnose the disease. The calculation process of the Case-Based Reasoning (CBR) method which looks for the similarity value or proximity of old cases to new cases of a patient.

Adolescents are a group aged 10-18 years who need various nutrients. Adolescents need more nutrients, because it is a transition period from childhood to adulthood. Assessment and monitoring of adolescent nutritional status needs to be done to prevent nutritional and health problems in adulthood. This community service was carried out on 11 female adolescents who were willing to undergo nutritional status screening. The activities to be carried out include measuring hemoglobin (Hb) levels, measuring upper arm circumference (LiLA), and providing education about adolescent nutrition. The results of the activity obtained an increase in participant knowledge about nutritional status after being given education, there were 2 participants who had anemia with Hb examination results <12g/dL and there were 3 participants who had LiLa <23.5 cm. Participants already understand and are able to perform Hb examinations using the Easy Touch GCHb tool and LiLA measurements.

Dyspepsia is a gastroduodenal disorder that is often characterized by symptoms such as epigastric pain, burning, bloating, and a feeling of fullness after eating. Treatment of dyspepsia often requires examination by a specialist doctor, which may not always be easily accessible due to distance, cost, or time constraints. Therefore, this study aims to diagnose dyspepsia using the Dempster-Shafer method to identify possible dyspeptic diseases such as GERD, gastritis, dyspepsia, and gastric ulcers based on 16 detected symptoms and 4 different treatments. to make it easier for patients to consult and get an initial diagnosis without having to see a specialist doctor directly. From this study, it is expected to help patients get information on the initial diagnosis of the patient.

Forensic accounting plays a vital role in combating financial crimes resulting from accounting estimates, as it combines specialized knowledge in accounting with forensic investigative skills to analyze financial statements and uncover manipulations.and The research aims to explore how forensic accounting affects the identification of financial crimes related to accounting estimatesThe most important conclusions of the research were : Forensic accounting plays a vital role in discovering financial manipulations and frauds associated with accounting estimates. Through careful examination and forensic analysis of financial statements, forensic accountants are able to detect any manipulation of numbers or exaggeration of profits or losses. andThe most important recommendations include examining the necessity of implementing strict internal control procedures that include reviewing accounting estimates regularly, using forensic accounting methods. This would reduce the chances of financial manipulation and fraud, and this research contributes to clarifyingThe role of forensic accounting in detecting financial crimes related to estimatesAccounting.And improvement transparencyAnd the accuracy of financial reports by examining estimatesAccounting.andDevelop effective financial investigation strategies to combat illegal financial activities.  

Nasal hypertrophy is a swelling that occurs in the nasal concha. This condition is caused because the inferior concha has a larger anatomical size when compared to the other concha structures. The process of diagnosing nasal hypertrophy often requires high clinical skills and experience. RSU Putri Bidadari is one of the hospitals that treats Nasal Hypertrophy disease in patients. Nose hypertrophy disease has several symptoms that are felt which are usually caused by several factors such as exposure to certain allergens, chronic sinus infections, or a family history of similar nasal problems, so several diagnostic tests are needed that can confirm the diagnosis, such as nasal endoscopy to see directly the condition inside the nose, medical imaging such as CT scan or MRI to evaluate the structure of the nose in more detail, or allergy tests to identify the causative allergen. From the above problems, patients really need a system that becomes a recommendation in helping provide information about nasal hypertrophy disease that can diagnose early and take further action to prevent nasal hypertrophy disease. By using the certainty factor method, information from the steps above can be systematically analyzed to determine the level of confidence in the diagnosis of nasal hypertrophy. These factors can be assessed based on severity, presence of typical symptoms, correlation with risk factors, and results of physical examination and diagnostic tests. Based on the results of the CF calculation, the highest value is in the type of nasal hypertrophy disease with the type of Septal Deviation disease having a value of 1 or 100%, in the type of Rhinitis disease having a value of 94.24% and in the type of sinusitis disease having a value of 85.60%. From the results obtained, the system identifies that the patient has nasal hypertrophy with Septal Deviation type by 100%.  

Background꞉ One of the most crucial aspects of a child's development is their dental health. Children with special needs, including those who are deaf, are particularly vulnerable to dental and oral health issues. The limitations of children with hearing disorders lead to cognitive processing disorders, which affect the child's ability to receive, store, and communicate information. Methods꞉ the population used. Data was gathered by having participants complete a checklist-based questionnaire about their knowledge about brushing their teeth. Direct examination was used to gather information on dental and oral hygiene, and the OHI-S score was visible. The dates of this investigation were May 7-8, 2024. Thirty persons participated in this study as respondents. Result꞉ that this study indicates the relationship between brushing knowledge and dental and oral hygiene. with the value (P=0.001) ἀ ≤ 0, 05. Consclusion꞉ The conclusion of this study shows that this study indicates the relationship between brushing knowledge and dental and oral hygiene.

Objective Structured Clinical Examination (OSCE) is a form of competency test which aims to ensure that psychomotor abilities and skills are in accordance with doctor competency standards . This exam is taken by all prospective doctors who have completed undergraduate and professional education , marked by achieving a Cumulative Achievement Index (GPA). The 2018 OSCE Medical Professional Program Students Competency Test (UKMPPD) results experienced a decline compared to the previous year . The decrease in the UKMPPD OSCE pass rates is one of the evaluation materials for the students learning process at both undergraduate and professional stages . To find out whether there is a relationship between undergraduate and professional GPA with UKMPPD OSCE scores at Abdurrab Universities. This research uses an observational study design with a Retrospective Cohorts analytical approaches.The research was conducted on Abdurrab University students who had taken the OSCE UKMPPD. The sampling technique is a total sampling technique with references to the first participants . Data were analyzed using the Spearman Rank correlation test. There is a significant relationships between undergraduate GPA and professional level GPA (p- value 0.00), correlation coefficient 0.56. There is a significant relationships between undergraduate GPA and UKMPPD OSCE scores (p- value = 0.00), correlation coefficient 0.54. There is a relationship between professional stage GPA and UKMPPD OSCE scores (p- value = 0.00), correlation coefficient 0.34. Furthermore , there is a significant relationships between the length of study period at the undergraduate and professional stages and passing the UKMPPD OSCE (p- value 0.00) and a correlation coefficient of -0.37 and -0.25. Cumulative Achievement Index (GPA) at undergraduate and professional levels can be used as a reference for passing UKMPPD OSCE.

The increasing prevalence of breast cancer, which continues to rise annually, presents a significant threat to women, including adolescents. Adolescents experience rapid physical development, especially in the breast area. Early detection of breast cancer through regular breast self-examination (BSE) is crucial for this age group. This study aimed to identify the factors (knowledge, attitude, and support from healthcare providers) that influence BSE behavior among adolescents in Gampong Bak Buloh, Kuta Baro District, Aceh Besar Regency. Using a cross-sectional design and a purposive sample of 40 adolescents, the study found that a positive attitude had a 22% greater impact on BSE behavior compared to a negative attitude, while knowledge and support from healthcare providers equally influenced BSE behavior by 16%. It's crucial for healthcare providers to regularly promote BSE to empower both adolescents and adult women to detect breast cancer early, thus enabling prompt treatment.