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Asam urat penyakit  degeneratif yang menyerang persendian, yang sering di jumpai pada lansia. Tujuan Penelitian untuk menurunkan kadar asam urat pada lansia. Desain penelitian ini menggunakan equivalent control group design dengan metode kuantitatif eksperimen. Tehnik pengambilan sampling adalah total sampling. Jumlah sampel 30 lansia. Hasil penelitian menunjukan sebelum pemberian air rebusan daun sirsak seluruh lansia memiliki kadar asam urat tinggi sebanyak 30 lansia, dengan 15 lansia menjadi kelompok kontrol dan 15 lansia menjadi kelompok  intervensi, Setelah pemberian air rebusan daun sirsak seluruh lansia kelompok intervensi  memiliki kadar asam urat normal. Rebusan air daun sirsak mengandung senyawa flavonoid  dimana senyawa ini dapat mencegah enzim xanthin oksidase menjadi hipoxantin dan kemudian menjadi xantin yang akhirnya menjadi asam urat. Dapat disimpulkan bahwa ada pengaruh pemberian air rebusan daun sirsak terhadap penurunan kadar asam urat lansia di dapatkan nilai signifikan atau p-value 0.000 <(0,05) artinya ada perbedaan kadar asam urat sebelum dan sesudah pada kelompok intervensi dan kontrol pada lansia di Desa Iloheluma Kec.Boliyohuto. Diharapkan kepada masyarakat agar dapat menjadikan terapi ini sebagai alternatif untuk menurunkan kadar asam urat.  

Sweet corn (Zea mays saccharate) di Indonesia dikenal dengan nama jagung manis semakin popular dan banyak dikonsumsi karena memiliki rasa yang manis serta umurnya yang lebih singkat (genjah). Penelitian ini bertujuan untuk mengetahui perubahan kandungan gula jagung manis (kadar air, kadar gula reduksi, kadar gula total, dan kadar pati) setelah lepas panen dalam penyimpanan suhu ruang 32°C, 16°C, 6°C pada 1,2,3,5,7,12 dan 48 jam penyimpanan. Penelitian ini menggunakan data series data hasil pengamatan kemudian akan dianalisis dengan regresi non linier yang dianalisis dengan software Microsoft Excel dan Sigmaplot versi 12.0. Hasil penelitian menunjukkan bahwa penyimpanan suhu 6°C memberikan hasil kadar gula yang tinggi mendekati kadar gula pada kondisi awal dengan persentase penurunan sebesar 6,98 % dari kadar gula 6,6409 % menjadi 6,1773 % dan dengan  konstanta laju penurunan KG sebesar 0,049753/jam. Demikian pula untuk kadar pati pada penyimpanan suhu 6°C mengalami persentase penurunan sebesar 16,72 % dari kadar pati 12,4506 % menjadi 10,3693 % dengan konstanta laju penurunan sebesar 0,061697/jam. Semakin rendah suhu penyimpanan, maka laju penurunan kadar gula dan kadar pati makin rendah.

Tepung sorgum termodifikasi dengan fermentasi menggunakan bakteri Lactobacillus plantarum FNCC 0027 dapat meningkatkan kadar amilosa, swelling power dan solubility serta menurunkan kadar tanin dan asam fitat. Flakes merupakan produk olahan yang dapat dibuat dari tepung sorgum termodifikasi. Tapioka ditambahkan pada pembuatan flakes untuk memperkuat daya rekat. Pengukusan dilakukan sebagai perlakuan untuk meningkatkan kualitas tekstur flakes. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh perlakuan proporsi tepung sorgum termodifikasi dan  tapioka serta lama pengukusan terhadap karakteristik fisikokimia dan organoleptik flakes. Rancangan yang digunakan dalam penelitian ini adalah Rancangan Acak Lengkap (RAL) faktorial dengan 9 kombinasi perlakuan, yaitu proporsi tepung sorgum termodifikasi dan  tapioka (70:30, 80:20, 90:10) serta lama pengukusan (10, 15, 20 menit). Analisis data dengan menggunakan ANOVA dan selanjutnya diuji  DMRT pada taraf 5% jika terdapat perbedaan nyata antara perlakuan. Hasil  terbaik diperoleh pada produk flakes dengan perlakuan proporsi tepung sorgum termodifikasi dan  tapioka (80:20) serta lama pengukusan 20 menit dengan karakterisyik sebagai berikut : kadar air 2,852%, kadar  abu 0,85%, kadar  protein 5,614%, kadar  lemak 4,079%, kadar  karbohidrat 86,6%, kadar  pati 66,765%, daya patah 3,651 N dan daya rehidrasi 110,536% serta uji sensoris yang menunjukkan nilai  warna 3,88  (suka), aroma  4,04 (suka), rasa  3,84  (suka) dan tekstur  3,6  (suka). Produk flakes berbahan dasar tepung sorgum termodifikasi dan tapioka berpotensi dikembangkan sebagai produk pangan alternatif.

  Mi kering tepung umbi talas cenderung memiliki tekstur kurang bagus dan mudah putus. Hal ini dikarenakan talas tidak mengandung gluten meskipun mengandung pati yang cukup tinggi yaitu sekitar 70-80%. Talas kimpul juga memiliki harga yang murah dan mudah dihasilkan. Tujuan penelitian ini adalah untuk mengetahui karakteristik kimia dan organoleptik mi dengan penambahan tepung talas dan ekstrak daun katuk sebagai pewarna alami. Penelitian ini menggunakan Rancangan Acak Lengkap (RAL) faktorial dua faktor yaitu perbandingan tepung talas dan tepung terigu (90:10, 80:20, 70:30 g) serta konsentrasi ekstra daun katuk (10/100, 20/100, 30/100 ml). Hasil penelitian menunjukkan bahwa perlakuan terbaik adalah pada perlakuan perbandingan tepung talas: terigu 70:30g dengan ekstrak daun katuk 20/100ml. Perlakuan ini menghasilkan mi dengan karakteristik kadar air 8,73%, protein 7,67%, abu 2,56%, serat 4,49% dan 13,11% untuk aktivitas antioksidan.  Hasil uji organoleptik pada perlakuan ini menghasilkan warna setelah pengeringan 3,31 (hijau gelap), warna setelah perebusan 3,29 (hijau agak gelap), cukup kenyal (2,65), aroma talas nampak (2,73) dan cukup disukai (2,17). Mi kering talas dengan penambahan daun katuk dapat menjadi alternatif mi kering yang memenuhi standar yang ada dan memiliki nilai lebih yaitu memiliki aktivitas antioksidan.

This study aims to analyze the power dynamics that occur in the interaction between a clown and a driver at a red light using Michel Foucault's power theory approach. Clowns at red lights are often objects of interest to motorists and pedestrians, but their role in public space is rarely examined from a power perspective. This study uses a qualitative research method with a case study approach to gain an in-depth understanding of the clown's interaction at the red light. Data was collected through participant observation, interviews with clowns, and content analysis from social media that describes these interactions. The results showed that clowns at red lights use various strategies to attract the attention of motorists, such as funny gestures, flashy costumes, and silly actions. However, behind the fun and joy shown by the clown, there is a hidden power structure. Through the use of humorous actions, clowns are able to change the dynamics of public space, divert the attention of motorists from existing traffic rules, and form alternative narratives about that space. This study also shows that the presence of a clown at a red light involves a complex power and knowledge relationship between the clown, the driver, and the general public. Clowns use their symbolic power to control people's perceptions and evaluations of public space, as well as to go beyond the rules and norms that apply. Using Foucault's theory of power, this study provides a new understanding of the clown's interaction at the red light as a form of resistance to existing power. This research also describes how clowns, as actors who are underestimated by many people, can utilize their power to shape and reconstruct meaning and experience in public space.

This article will examine Islamic counseling associated with the study of philosophy, from the aspects of ontology, epistemology, then axiology. Philosophical values ​​can feed direction and permananan about Islamic counseling. The research method used is literature review or literature study. Integrativity in the main science of Islamic counseling, namely, psychology, communication and Islam. Furthermore, from an epistemology perspective, it is concerned with the implementation and professionalization of the counselor. Then from the aspect of axiology in Islamic counseling which aims to provide assistance provided by counselors to clients in order to find ethical and aesthetic values ​​for the existence of essential (pure) happiness, namely happiness that comes from Allah SWT, the Almighty.

One of the causes of MMR and AKB in Indonesia mostly occurs due to hypertension (25%). Prevention of preeclampsia is by screening pre-eclampsia in pregnant women at >20 weeks gestation. The role of cadres is very important in helping midwives to detect high-risk pregnant women. The purpose of the study was to determine the effectiveness of health education on the use of pre-eclampsia screening on cadre skills in detecting high-risk pregnant women in posyandu working areas of Tanta Health Center. This research method includes experimental research using pre-experimental designs type Pretes-Posttest Design. The population is posyandu cadres for pregnant women and toddlers in the Tanta Health Center work area as many as 80 people with sampling techniques with Quota Sampling as many as 40 respondents. The data analysis technique uses the Wilcoxon signed Rank test. The results showed that there was a difference between cadres' skills in detecting high-risk pregnant women before and after health education about the use of pre-eclampsia screening.

Anemia in pregnancy is a national problem because it reflects the value of the socio-economic welfare of the community and has a very large influence on the quality of human resources. where in this situation the patient does not go on a diet against anemia. The purpose of this study was to find out the description of the factors that cause anemia in pregnant women in the Kalodran Community Health Center, Serang City, Banten Province in 2022. Descriptive research and this study used primary data with measuring instruments, namely questionnaires that have been tested with instruments, in data analysis using the Chi Square statistical test with a sample of pregnant women as many as 44 respondents and researchers chose respondents with total sampling technique. The description of economic status is mostly low <UMR as much as 34 (77.3%), the knowledge of pregnant women about anemia is mostly lacking is as many as 31 (<70.5%), the education of pregnant women is mostly medium as much as 33 (75%), Compliance with consumption of Fe tablets was mostly disobedient as much as 34 (77.3%), parity was mostly multipara as many as 33 (75%), most pregnant women were <25 years old as many as 28 (63.6%), husband support was partially 28 (63.6%) did not get husband's support, there was a relationship between socio-economic, knowledge, education, adherence to consuming FE tablets, parity, age, and husband's support with the occurrence of anemia in pregnant women in the Kalodran Health Center area, Serang City, Banten Province. 2022. It is recommended for future researchers that the results of this study will add references to knowledge and insight regarding the incidence of anemia in pregnant women so that students can gain skills in handling cases of anemia in pregnant women. as well as being able to apply the science of research methodology that has been studied in the form of a thesis.

Keefektifan serta peran media menjadikan media sebagai bagian penting dalam membentukkepribadian, perilaku dan pengalaman kesadaran masyarakat. Namun, persoalan yang terjadi pada media khususnya diIndonesia saat ini membawa pesandan pemberitaan yang seringkali lepas kendali dan tidak meperhitungkan nilai-nilai etis. Berbagai pelanggaran terjadi seperti pelanggaran media jurnalistik,pelanggaran hak cipta, pelanggaran media internet dan media sosial. Penelitian yang digunakan adalah kualitatif dengan deskriptif analitis.Teknik pengumpulan data dalam penelitian ini menggunakan metode dokumentasi. Teknik analisa data diolah dengandata relevan, disajikan sistematik dengan kalimat sederhana disertai dengan kesimpulan. Penelitian ini berbasis pustaka oeh karena itu data yang digunakan adalah data kualitatif.Hasil temuan yang diperoleh adalah pengguna media massa baik kelompok maupun perorangan harus meletakkan nilai-nilaimoral Pancsila dan etika Pancasila serta mematuhi hukum media pada saat menggunakan dan memanfaatkan media massa.Kajian moral dan etika terhadap pelaksanaan hukum media adalah 3 obyek yang saling beririsan. Etika dengan moral menjadi berbeda ketika etika dijadikan refleksi kritis terkait nilai moral lalu berbeda dengan hukum media ketika hukum media berupa peraturan yang disah-kan oleh pemerintah untuk mengatur penggunaan media. Etika sama dengan moral ketika etika dijadikan pegangan untuk mengatur tingkah laku manusia sehingga jelas terkait dengan bagaimana hukum media dilaksanakan dan dipatuhi.

Sipenduduk yaitu singkatan dari sistem pelayanan terpadu kependudukan yang merupakan salah satu program yang dilakukan oleh Dinas Kependudukan dan Pencatatan Sipil Kota Pekanbaru dalam membantu masyarakat mendapatkan dokumen kependudukan. Program ini diharapkan dapat mempermudah masyarakat untuk mengurus dokumen kependudukan, karena masyarakat tidak perlu datang ke kantor capil. Teori yang digunakan dalam penelitian ini adalah teori efektivitas Campbell (1989) dalam Mutiarin (2014) dengan 5 (lima) indikator : Keberhasilan Program, Keberhasilan Sasaran, Kepuasan terhadap program, Tingkat output dan input, Pencapaian tujuan menyeluruh. Tujuan penelitian ini untuk mengetahui efektivitas sistem pelayanan terpadu kependudukan (sipenduduk) dan faktor penghambat Efektivitas Sistem Pelayanan Terpadu Kependudukan (Sipenduduk) Kota Pekanbaru. Dengan menggunakan metode penelitian kualitatif dengan teknik pengumpulan data secara observasi, wawancara, dan dokumentasi. Hasil dari penelitian yang penulis dapat yaitu pelaksanaan program sistem pelayanan terpadu kependudukan (sipenduduk) masih memiliki beberapa faktor yang menjadi hambatan yang dialami oleh Dinas Kependudukan dan Pencatatan Sipil Kota Pekanbaru sehingga menyebabkan pelaksanaan program tersebut belum efektif.    

The village of Banjarasri, located in the Kapanewon Kalibawang district of Yogyakarta Special Region, has great natural potential that can be developed into a tourist destination. One of the planned locations is Watu Belah Hill. The purpose of this community service activity is to identify the existing conditions of the development of Watu Belah Hill tourism and provide effective planning recommendations for the site. The methods used in this community service activity are surveys, observations, planning, and socialization to the local village officials. Based on the survey and observation results, it is found that the slope condition at the location of Watu Belah Hill tourism development has a slope angle of 160-400 with moderate potential for landslides. The geotechnical team of this community service activity recommends slope reinforcement using terracing and gabion structures for the development of Watu Belah Hill tourism.

The strategic marine and fisheries potential of Situbondo Regency includes a high (106.28 tonnes per year) potential for catching sea milkfish (Chanos chanos). The neighborhood makes very little attempts to use processed sea milkfish, nevertheless. Fishermen on the Situbondo coast catch sea milkfish (Chanos chanos), which is only sold fresh and has a poor selling price. Using this chance, Dpore Meme Micro Business turns fresh marine milkfish into shredded fish with a great nutritious value. Because it has a unique flavor, a softer texture, is more fragrant and delectable, and is packed with nutrients, marine milk floss has a potential commercial opportunity and is highly alluring to the general population. There is a need for marketing development, which includes developing online marketing, expanding the marketing area, increasing collaboration with marketing networks or resellers in areas outside the city of Situbondo, as well as optimizing promotions to support product marketing. The current challenge is that the marketing and promotion carried out by the Dpore Meme Micro Enterprise is still offline and on a local scale in the Situbondo Regency area.

Facts show that more than 350,000 worldwide die every year due to complications of pregnancy and childbirth. Indonesia's National Maternal Mortality Rate (MMR) in 2017 and 2019 did not change, namely 305 per 100,000 live births. Prospective brides and grooms are a strategic target group in efforts to improve their health before pregnancy. The aim of the research is to determine the relationship between the level of knowledge and age of the prospective bride and groom with preparation for their first pregnancy in KUA, Tanjung Agung District, Muara Enim Regency. The research method is descriptive analytical with a cross sectional approach. This research began in April – June 2023 at KUA, Tanjung Agung District, Muara Enim Regency. Sampling technique using a total sampling of 50 respondents. The data collection method in this research uses a questionnaire. Data analysis used the Chi-Square test. The results of this study show that there is a relationship between knowledge (p= 0.000) and age (p= 0.004) of the prospective bride and groom and preparation for their first pregnancy in KUA Tanjung Agung District, Muara Enim Regency. The conclusion is that knowledge and age are related to preparation for the first pregnancy.

Penyakit gout merupakan penyakit metabolisme yang disebabkan karena tingginya kadar asam urat dalam darah akibat dari metabolisme purin. Salah satu tanaman yang sering digunakan dalam pengobatan tradisional adalah tanaman kumis kucing. Kandungan kumis kucing orthosiphon glikosida yang dapat menurunkan kadar asam urat dalam darah. Tujuan penelitian ini untuk mengetahui pengaruh air rebusan kumis kucing terhadap penurunan asam urat di Desa Manawa Kecamatan Patilanggio. Metode dalam penelitian ini adalah penelitian kuantitatif yang menggunakan equivalent control group desaign dengan jumlah sampel 32 responden dibagi dalam dua kelompok yaitu kelompok perlakuan sebanyak 16 responden dan kelompok kontrol sebanyak 16 responden yang didapatkan dengan menggunakan teknik total sampling. Hasil penelitian menunjukan hasil bivariat menggunakan uji Parametric karena data berdistribusi normal. Nilai p-value yaitu 0,000, artinya ada perbedaan asam urat sebelum dan sesudah pada kelompok perlakuan dan kelompok kontrol. Dapat disimpulkan bahwa ada pengaruh air rebusan kumis kucing terhadap penuruanan asam urat di Desa Manawa Kecamatan Patilanggio. peneliti dapat menerapkan air rebusan kumis kucing ini untuk mencegah atau menurunkan asam urat dan tidak hanya sebatas pada saat penelitian ini dilakukan.    

Hypertension is an increase in blood pressure above normal which has a very close relationship with the elderly, so it can cause complications and cardiovascular disease if not treated properly. In the treatment of hypertension, the elderly can control blood pressure by using the Benson relaxation technique. Benson relaxation is a non-pharmacological therapy that uses the breathing relaxation method by involving the patient's belief factor. This case study aims to describe the application of Benson relaxation therapy 10-15 minutes, 2 times a day, for 3 days can reduce blood pressure in the elderly with hypertension in the Pegandan Public Health Center Semarang. The type of case study used is descriptive. The subjects used were 2 people with criteria of age > 60 years, BP 140/90 mmHg – 159/99 mmHg. The instrument used is a digital sphygmomanometer and Benson relaxation SOP. The final result of the application of Benson relaxation showed that subject I experienced a decrease in blood pressure on the first day, namely 158/92 mmHg to 138/84 mmHg on the third day, subject II experienced a decrease in blood pressure on the first day, namely 158/86 mmHg to 130/76 mmHg on the third day. The level of family independence of the two subjects increased from the level of independence of III to IV. Benson relaxation is recommended to help lower blood pressure in the elderly with hypertension

Introduction: Chronic Kidney Disease (CKD) is a condition in which the kidneys have experienced functional or structural damage or disturbances. The condition of the kidney that has decreased function is unable to dispose of waste products through urination which can result in disruption of endocrine, fluid, electrolyte, metabolic and acid-base functions, one of the consequences of which is the occurrence of edema. The prevalence of kidney failure in Central Java reached 0.42% with a total of 96,794 sufferers. The impact of edema that is not treated will result in respiratory, cardiovascular systems, neurological systems. The purpose of this study was to see the effect of a combination of ankle pump exercise and 30° foot elevation on edema in CKD patients at the Sultan Agung Islamic Hospital in Semarang. Method: This research is a quantitative study using a pre-experimental pretest-posttest design approach. The sample is 12 respondents with purposive sampling technique. Results: The results of this study were mostly male with a total of 10 with a percentage of 83.3% with an average age of 44.50. the results of the bivariate analysis with the Marginal Homogeneity Test obtained a significant value of p = 0.001 (<0.05). Conclusion: There is an effect of a combination of ankle pump exercise and 30° foot elevation on foot edema in CKD patients.  

Background: Mental health is a picture of positive characteristics with harmony and psychological balance that reflects the maturity of his personality. Meanwhile, mental disorders are behavioral patterns that clinically occur in individuals related to distress or disability or are accompanied by a significantly increased risk of death, illness, disability, or loss of independence. According to WHO (World Health Organization) the prevalence of mental disorders in the world is around 450 million people. The high rate of recurrence in people with mental disorders requires us to be more active in knowing the causes. The purpose of this study is to find out an in-depth description of the biological causal factors of a person experiencing mental disorders. This research method uses descriptive qualitative research. Samples were taken randomly with the criteria of someone with a Mental Disorder (ODGJ). The population of this study were mental patients who were treated at RSJD Dr. Amino Gondhohutomo Semarang. The research instrument used a mental disorder predisposition questionnaire. The questionnaire has construct validity and reliability and has been used during Residencies I to III. The results of this study showed that of the 106 respondents who had biological predisposing factors, a history of mental disorders was 39%, followed by a history of drug withdrawal of 38.1%, and the lowest was nutritional disorders.

Multiple nutritional problems include undernutrition and over nutrition at the age of five. Proper feeding by mother through responsive feeding can support the fulfillment of nutrition and give an impact on the nutritional status of children. The purpose of this research was to determine the relationship between mother's knowledge about responsive feeding and the nutritional status of toddlers aged 12-36 months. The research was a quantitative study using a cross-sectional research design. The research sample is 68 respondents. The instrument used a questionnaire. Methods of data analysis used univariate analysis on education, occupation, age, level of mother's knowledge about responsive feeding, and developmental status of toddlers as well as bivariate analysis to analyze the relationship between mother's knowledge about responsive feeding and nutritional status of toddlers aged 12-36 months. The results of the research that has been done show that mother's knowledge is in the good category of 52.9%, sufficient 23.8% and less 13.2%. An overview of the nutritional status of toddlers in the good weight category is 70.6%, the risk of being over weight is 19.1%, and the underweight is 10.3%. The results of the Somers’ d analysis showed that there was a relationship between mother's knowledge about responsive feeding and the nutritional status of toddlers aged 12-36 months which was indicated by a p value <0.05. Research recommends the need for responsive feeding education for toddler mothers.

Covid-19 rentan menyerang orang yang sudah berada di usia tua karena imunitas tubuh sudah berkurang. Fakta inilah yang kemudian menjadikan lansia rawan mengalami kecemasan. Salah satu upaya untuk mengatasi masalah kecemasan pada lansia yaitu dibutuhkan teknik relaksasi otot progresif. Teknik relaksasi otot progresif merupakan salah satu terapi alternatif yang mudah dan mampu menurunkan stress serta menurunkan kecemasan pasien, sehingga teknik relaksasi ini sangat dianjurkan untuk dilaksanakan dalam menangani masalah stress dimasa pandemic COVID-19. metode penelitian ini adalah quasy eksperimental dengan teknik pengambilan sampel purposive sampling dengan jumlah sampel sebanyak 20 sampel (kontrol dan eksperimen) lansia yang berada di wilayah kerja Puskesmas Sidomulyo Kota Pekanbaru dan menggunakan kuesioner CPDI 24. Analisa data menggunakan uji statistik t-test dengan derajat kepercayaan (? = 0,05) yang diolah melalui program SPSS. Hasil penelitian didapatkan p-value0,000 < 0,005, maka dapat disimpulkan terdapat pengaruh pemberian teknik relaksasi otot progresif terhadap kecemasan lansia pada saat melakukan vaksinasi

Dysmenorrhea is a physical disorder in women who are menstruating in the form of abdominal pain/cramping disorders. Benson relaxation is the development of a deep breathing relaxation method involving the patient's belief factor that can create a calm environment so that it can help patients achieve higher health and well-being conditions. This study aims to describe and analyze the application of Benson's relaxation technique in reducing the pain scale of dysmenorrhea in nursing students. The type of research used is descriptive with a case study approach. The subjects used were 2 people with criteria, namely students of STIKES Kesdam IV/Diponegoro Semarang, female students with dysmenorrhea pain, and female students who were willing to be given Benson relaxation measures. Pain measurement using the Numerical Rating Scale (NRS). Benson's relaxation intervention was carried out for 3 consecutive days. The results of the analysis showed that subject I experienced a decrease in the pain scale from the results of a scale of 4 (moderate) to II (mild), subject II from a scale of 3 (mild) to 0 (no pain). The results of the case study concluded that there was a decrease in the pain scale in female students with dysmenorrhea pain. Benson relaxation is recommended as a nursing intervention in pain management in female students who experience dysmenorrhea pain because it can reduce the pain scale significantly and is easy to do