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Background: The emergency Room (IGD) is one of the main doors in emergency assistance in patient survival. One of the conditions that require emergency treatment is a fracture. Purpose: This research aims to determine the factors that influence the actions of nurses in handling emergency fracture patients. Methods:The research design used was observational non-experimental with a cross-sectional approach. The research sample is the nurse in the Emergency Unit. Data processing was arranged by the data group and data analysis using the SPSS program computer and presented in tables and frequencies Results: The results showed that there was a significant relationship between the level of knowledge, level of experience and level of training in emergency management (<0.05) of fracture patients at Tk.II Pelamonia Hospital Makassar. Conclusion: the factors that influence the emergency management of fracture patients are knowledge, training and experience.

ABSTRACT Background: Background: Menarche is the first menstruation that occurs in every woman at different ages which generally occurs at the age of 12 years. Early menarche is the first menstruation that occurs in women under the age of 12 years which is influenced by several factors. In Indonesia, the youngest age of menarche is 9 years and the oldest is 18 years. Purpose: The purpose of this study was to determine the cause of early menarche in SDN 169 Pekanbaru students from nutritional status and family history, by taking primary data obtained directly from respondents. Method: Methods: This type of research uses quantitative with descriptive design. In this study, all students of SDN 169 Pekanbaru who had experienced menarche with the age of less than 12 years, were taken by means of a saturated sample with a total of 20 female respondents. Data processing is done manually and data analysis shows the results of the calculation of the frequency and percentage of results from the study. Results: The majority of female students who experienced early menarche in terms of nutritional status were 11 people (55%) with normal body mass index and viewed from family history as many as 10 people (50%) with family history of early menarche. Conclusion: Based on the results of this study it can be concluded that the most common cause of menarche early is due to the nutritional status of 11 people (55%). It is expected that this research for students of SDN 169 Pekanbaru can provide additional information about the causes of early menarche in terms of nutritional status and family history for students to know exactly what causes them to experience early menarche Keyword: Causes, Schollgirl, Early Menarche  

Background: The spread of Covid-19 during a pandemic is a problem that is of the utmost concern. One of the activities that are at risk of being infected with Covid-19 is going out of the house and visiting health facilities which are the most frequently done. One of the groups who are susceptible to disease are children. Many diseases that often occur in children, including diarrhea. When a child has diarrhea, mother will take the child to a health facility, even though there are the prone place to Covid-19 transmission. Therefore, there is a need for socialization about mother’s vigilance of diarrhea in children at home, so that mothers can make the best decisions for their children. Purpose: The purpose of this study was to determine the effect of the Mother's Smart Card, which is a simplification of the MTBS book, on maternal vigilance in the management of children with diarrhea in the pre-hospital phase. Methods: This study used a quasi-experimental design with a pre and post-test approach with purposive sampling technique on 30 mothers. Mother's vigilance is measured by the way the mother behaves and the mother's accuracy in making decisions when the child has diarrhea. The measurement uses a questionnaire Results: The results of data analysis using paired t-test showed that there was a significant effect of the Mother's Smart Card on maternal alertness in the management of children with diarrhea at home with a p value of 0.000. Conclusion: This means that the Mother's Smart Card can increase mother's vigilance in the management of pre-hospital child diarrhea. With this result, it is hoped that the Smart Mother Card can be a reference in increasing mother’s vigilance, and minimizing treatment at inappropriate health facilities that can put the risk of Covid-19 transmission at risk.

Background: Stroke is a neurological disease that is often found and stroke management must be done quickly and appropriately. Stroke has various impacts, one of which is paralysis of the limbs or disability. Purpose : to analyze articles related to increasing motor strength in non-hemorrhagic stroke patients by gripping a rubber ball. The search strategy used two electronic databases, namely: Pubmed and Google Scholar and following the PRISMA (Preffered Reporting Items for Systematic Review and Meta Analysis) protocol with a publication range of 2012-2019, obtained 10 articles that matched the inclusion and exclusion criteria. Methods: systematic review is used in this research method by searching for article topics based on the database: Pubmed and Google Scholar according to the PRISMA diagram. The diagram includes identification, eligibility, screening, and determination of articles that enter the inclusion criteria. Furthermore, the articles that have been found will be reviewed systematically using the Joana Brigg Institute Check list (JBI). The search for articles for identification began in April-June 2020 with a range of 2012-2019 in each database. The three keywords used in the article search consisted of: motor strength, non-hemorrhagic stroke, gripping a rubber ball. Article searches are also performed by combining words using the AND keyword; OR. Results: the study showed that stroke patients with upper extremity weakness after gripping a rubber ball therapy will experience an increase in muscle strength when they do exercise frequently. Conclusion: rubber ball gripping exercise can be used as a nursing intervention in providing nursing care. Rubber ball gripping exercise is also a rehabilitation program that aims to make non-hemorrhagic stroke sufferers achieve the maximum possible functional ability and prevent complications and recurrent strokes. The exercise program must also be structured and focused on doing more repetitions of exercise 2 times a day for 8 days so that the exercises carried out can achieve the expected results, so that it can lead to an increase in muscle strength properly.

Background : Asphyxia neonatorum is an emergency in infants caused by a lack of oxygen supply and an increase in carbon dioxide in the lungs which results in death. Good antenatal care and delivery assistance by health workers are highly recommended for early detection and treatment of obstetric complications that may occur in pregnant women and newborns. The purpose of this research is Studi analysis of the factors causing asphyxia in newborns at the Siti Aisyah Hospital. Methods: This study uses an analytical survey method with a case control approach.The sampling technique in this study used systematic random sampling, the samples in this study was 206 Respondens. Analysis data used univariate and bivariate analysis. statistical test using chi square. Results: The results of the study showed that there was a relationship between preeclampsia, premature delivery, post-term delivery, and the second (two) long stage with the incidence of asphyxia in newborns with a value of 0.000, this value < 0.05. Conclusion: Asphyxia neonatorum is serious and threatens the baby's life, so good knowledge is needed for mothers in routinely carrying out antenatal care and assisting health workers for pregnant women who check their wombs.

Background : The benefits of breast milk will increase if the baby is only given breast milk for the first six months of life. Purpose : This study aims to study the factors associated with breastfeeding along with supplementary feeding in infants 0-6 months in the Work Area of ??Manna City Health Center in South Bengkulu. This research approach uses descriptive with cross sectional design. Methods :The population in this study were all mothers who had infants aged> 6-12 months in the work area of ??Manna City Health Center as many as 112 people, obtained 50 samples using Accidental Sampling. The data used are primary virgin and secondary data. Data were analyzed using univariate and bivariate analysis with Chi-Square test (?2) and Contingency Coefficient Test (C). Results : The results of the study were obtained from 50 people, there were 33 people (66.0%) giving ASI together with additional meals, 22 people (44.0%) having secondary education, 22 people (44.0%) having less knowledge, 27 people (54.0 %) health workers support, Conclusion : there is a significant relationship between education and concurrent breastfeeding supplementary food in infants 0-6 months with a weak relationship category, there is a significant relationship between knowledge with concurrent breastfeeding supplementary food in infants 0-6 months with moderate relationship categories, there is a significant relationship between the support of health workers with breastfeeding together with additional food for infants 0-6 months with a weak relationship category. It is expected that health workers can increase counseling to increase the knowledge of pregnant and lactating mothers about the right time to provide additional food and the importance of conducting regular Classroom and Posyandu visits.

Background : Early mobilization has a role in the healing process of postoperative patients. One of the nurse's roles in the recovery process is as an educator. Purpose :  of the study was to determine the effect of early mobilization counseling on knowledge of the implementation of early mobilization in postoperative patients at the BLUD RSUD H. Padjonga Daeng Ngalle, Takalar Regency. Methods: pre experimental design with a one group pre post test design with the sampling technique used is accidental sampling with a total of 34 respondents. Results: using the Wicoxon test, the calculated value was obtained with a value of = 0.000 <0.05. Conclusion: there is an effect of early mobilization counseling on knowledge of the implementation of early mobilization in postoperative patients at the BLUD RSUD H. PadjongaDaengNgalle, Takalar Regency.

Background: Babies with low birth weight have a high risk of death and disability during their growth period. Nurses need to take a role in reducing the risks that may occur in babies with low birth weight. The baby's weight gain is one of the absolute requirements to pursue the appropriate growth stage. Kangaroo Mother Care method is one of the most commonly used intervention options today. However, the difference in the duration of Kangaroo Mother Care implementation is still a matter of debate for many parties. This study aims to analyze the difference in the effectiveness of Kangaroo Mother Care duration of 1 hour and 2 hours on increasing the weight of babies with low birth weight. Methods: This research is a quasi-experimental research using a pre-posttest design approach with control group design. Respondents in this study were babies with birth weight 1500-2500 grams in the Neonatal Intensive Care Unit in September-November 2020, totaling 30 respondents. Sample selection was done by purposive sampling. Results: This study showed a significant difference in weight gain in low birth weight infants after performing Kangaroo Mother Care with a duration of two hours compared to a duration of one hour. Conclusion: The Kangaroo Mother Care program with a duration of two hours is recommended to be applied to premature babies or low birth weight babies to optimize baby growth and development care.

Latar Belakang : usia remaja mempunyai respon stres yang lebih besar dari pada usia dibawahnya, salah satu jenis stres yang sering di temukan di kalangan remaja adalah stressor akademik. Stres yang terjadi pada seseorang dapat menyebabkan insomnia. Agka kejadia insomnia di Indonesia adalah 10% dari jumlah penduduk dari jumlah populasi. Tujuan : Tujuan dari penelitian adalah untuk mengetahui hubngan stress dengan kejadian insomnia pada remaja SMA Pekanbaru. Metode : desan penelitian cross sectional. Sampel penelitian ada remaja SMA Pekanbaru berjumlah 62 orang. Hasil : hasil penelitian menunjukkan bahwa tidak ada hubungan stress dengan kejadian insomnia pada remaja SMA. Kesimpulan : Insomnia yang terjadi pada remaja tidak berhubungan dengan stress yang dialami

ABSTRACT Background and purpose: The phenomenon that is happening in the community is the implementation of the Covid-19 vaccination program, this raises the pros and cons, including the people of Cepaka Village, Kediri Tabanan. Therefore, researchers are interested in digging deeper into the public's perception of the Covid-19 vaccination Methods: The design of this study is a qualitative research with an exploratory approach. Data were collected through in-depth online interview techniques with related informants and the data were analyzed thematically which would be presented in narrative form. Results and Discussion: This study found that all informants had the perception that this Covid-19 infection was very dangerous and could cause death. The signs and symptoms that appear are not too significant, ranging from fever, cough, shortness of breath, decreased smell and stamina, but there are also sufferers who are asymptomatic. All informants made prevention efforts with 3M plus regular exercise, consuming nutritious food, vitamins and consuming homemade herbal ingredients at home. All of these informants agreed to carry out a vaccination program because they believed that the benefits of the vaccine would outweigh the disadvantages. Conclusions and Suggestions: All informants in this study understand well the dangers of Covid-19 infection and always try to do prevention with health protocols. These informants strongly agreed to be vaccinated even though they did not really understand the procedure and the impact of the vaccine. To the village and Puskesmas to further socialize this vaccination program to the community level directly. Keywords: Public perception, Vaccination, Covid-19  

Christian education plays a very important role and is the main basis in the family to educate and develop children's character into individuals who fear God (Proverbs 1:7). Character is a way of thinking and behaving that is characteristic of each individual to live together, both within the family and society. Individuals with good character are individuals who can make decisions and are ready to be responsible for every consequence of the decisions they make. For this reason, the Christian education pattern is very important to be a foothold in training children's character. Specifically, the Christian education pattern is one of the education patterns that teaches the Word of God so that children have guidelines in their lives and ultimately they experience changes in terms of character, behavior and actions. There are various forms of education patterns used by parents in educating children. Among them are 3 forms of education patterns discussed in this thesis, namely authoritarian, democratic and Laisses Faire education patterns. Where this education pattern is used by parents to shape the character of children, but without Christian education, the character of children will remain rotten. For families, they must provide Christian education from an early age to their children so that their character is formed well. Because the family is the main institution in educating children, the most successful child education is if parents walk according to the standards set by God. For Christian parents, the result of education is that our children have respect for God, for us as parents, for the church, and for the country.    

The results of initial observations in class X of SMK Elpida Informatika showed that students' process skills were less trained. Although in the learning process the teacher had tried to apply inquiry learning, in its implementation the students depended on each other in their groups. In addition, the average PAK test score for class X had not met the KKM. The application of the inquiry strategy approach in the learning process will be centered on students who emphasize the ability to search for themselves or find themselves. This study aims to determine the improvement in student learning outcomes by applying process skills and discussions between group members can make students active in their learning activities which results in maximum results achieved. This study is a classroom action research carried out in three cycles consisting of planning, implementation, observation, and reflection. The subjects of the study were students of class X of SMK Elpida Informatika. Data collection was carried out by observation. Based on the analysis of the research data, the average cognitive results of students in cycle I were 51.07, cycle II 60.5 and increased to 85.71 in cycle III. The affective learning outcomes of students obtained in cycle I were 85%, cycle II 95% and cycle III increased to 100%. Psychomotor learning outcomes in the form of process skills increased with the average learning outcomes of students obtained in cycles I, II and III respectively being 61.34; 84.10; and 93.4.    

This research aims to examine Self-Submission as a Preventive of Radicalism in Realizing Cross-Cultural Harmonization. Tawakal is a work of the heart, spiritual work, a worship whose meaning is very difficult, but needs to be implemented in reality. Tawakal must be linked to the law of cause and effect, so that tawakal is no longer defined as being silent without any activity. Tawakal will encourage a person to have a sense of optimism and courage in facing all life's problems. All of these values ​​exist in the religions of Islam, Christianity (Protestant and Catholic), Hinduism and Buddhism. The equal value of surrendering oneself to God is manifested in worship activities both individually and in congregation. In all religions there is a value of servitude which includes the value of surrender.

Main problem: Differences in the results of the influence of market orientation and product innovation on competitive advantage at PT. Bitratex industries. Objective: to analyze the influence of market orientation and product innovation on competitive advantage. Originality: The influence of market orientation and product innovation on competitive advantage at PT. Bitratex industries. Method: The type of information that will be used in this research is subject information (self report information), namely the type of exploratory information in the form of points of view, conclusions, encounters, or the qualities of a person or group that is the subject of research. Results: There is a significant influence of market orientation and product innovation on competitive advantage at PT. Bitratex industries.

The purpose of this study was to analyze and test the influence of position characteristics and team work on employee performance. This research was conducted at the Office of the Public Works & Public Housing Agency, Bogor Regency, West Java. The population in this study were all employees with the status of State Civil Apparatus (ASN) at the Bogor District Public Works & Public Housing Service. The population in this study were 287 people. By using the Slovin formula, a total sample of 167 people was obtained. The analysis technique used is multiple regression analysis. The results of the analysis show that job characteristics and team work have a significant effect on employee performance.    

A study has been conducted in the village of Noelbaki research was conducted in August to October 2022 Month in the Village Oebelo District of Central Kupang Kupang regency, with the aim of knowing the effect of growth regulators on the growth, hasildan konsentari most effective plant eggplant. Research using a completely randomized design (CRD), which consists of four fertilizer treatments Atonik namely T0: without treatment (control); T1: 0.5 ml / liter of water; T2:: 0.75 ml / liter of water -; T3:: 1.0 ml / liter of water is repeated 3 times. Anova test results if there is a real effect then continued with Duncan Multiple Test.The results showed that treatment Atonik fertilizer with a dose of 1.0 ml / liter of water provide the best results on plant height number of leaves and number of fruits and fruit number even though the treatment is not significant to the treatment amount of interest and the amount of fruit.

This study aims to evaluate the effectiveness of lying leg curl exercises in increasing leg muscle strength among futsal players. Optimal leg muscle strength is crucial for futsal players to enhance performance and reduce the risk of injury. The research employed an experimental method with a pre-test and post-test design, involving 20 futsal players divided into two groups: the intervention group, which participated in an 8-week lying leg curl exercise program, and the control group, which did not receive any intervention. Leg muscle strength was measured using a dynamometer before and after the training program. The results showed that the intervention group experienced a significant increase in leg muscle strength compared to the control group (p < 0.05). These findings indicate that lying leg curl exercises are effective in improving leg muscle strength among futsal players, contributing to better on-field performance. This study is expected to provide insights for coaches and athletes in designing more effective training programs to enhance muscle strength.

Background: Lower back pain is one of the complaints felt by almost all pregnant women, especially in the third trimester due to stretching, especially in the spine due to the enlargement of the uterus. Efforts to reduce back pain in pregnant women non-pharmacologically include warm compresses. The aim of the research was to determine the effect of warm compresses on the level of lower back pain in third trimester pregnant women. Method: This research uses a pre-experiment method with a research design using one group pre test post test. The sampling technique used total sampling, totaling 40 pregnant women in the Kutamendala Community Health Center Working Area, Brebes Regency. Results: Of the 40 respondents before the warm compress was applied, it was found that 30 respondents (75%) experienced mild levels of lower back pain, while 10 respondents (25%) experienced moderate levels of lower back pain, and after doing this Warm compresses showed that 32 respondents (80%) did not complain of lower back pain, while 8 respondents (20%) experienced low back pain at a mild level. The results of the analysis using the Wilcoxon test showed p value = 0.000 < 0.05. Conclusion: There is an influence of warm compresses on the level of lower back pain in third trimester pregnant women

Background: Coronary artery disease (CAD) is the main cause of death in the world. In this study we assessed the ankle-brachial index (ABI) as a screening tool for CAD. Methods: Between 2020 and 2023, a large population-based cross-sectional study was conducted on 4,207 new patients referred to Harapan Kita Hospital. The patients underwent selective coronary angiography via a radial artery approach. ABI was calculated for all patients. Researchers compared ABI with coronary angiography results to determine the specificity and sensitivity of ABI as a screening tool. Results: Abnormal ABI was significantly more common in patients with proven severe CAD (893, 54.8%) than in patients with proven mild CAD (33, 4.7%) or no CAD (94, 5.3% ). The specificity of the ABI was 95.3% and the sensitivity was 54.8%. ABI is associated with risk factors such as smoking, male gender, hypertension, diabetes mellitus and dyslipidemia. Conclusion: ABI can be used as a screening test to prevent CAD with a specificity of 95.3%. We need to consider risk factors other than ABI to improve screening sensitivity. Multidimensional scoring systems should consider risk factors and other noninvasive tests in addition to ABI to develop an ideal screening system for CAD

Pulmonary tuberculosis is an infectious infectious disease caused by bacteria, which can attack the respiratory system, namely the lungs. This disease annually contributes to the highest mortality in the world, including one of developing countries. To achieve successful treatment, patients must patiently take TB drugs thoroughly. There are several factors that influence the failure of treatment, namely from the patient himself, education, knowledge, and other social support.  The purpose of this study was to determine the relationship of knowledge and motivation to adherence to taking medication for pulmonary tuberculosis patients in hospitals. H.Adam Malik in 2020.This type of research is descriptive correlation with cross sectional research design. The number of samples was 31 from April to June 2020. The research was conducted at RSUP. H. Adam Malik  at TB Polyclinic. Bivariate analysis using the chi-square test to determine the relationship of Knowledge and Motivation to medication adherence in pulmonary TB patients.  Based on a hypothesis test using chi-square with a confidence level of 95%, there was no significant relationship between knowledge and medication adherence (p = 0.473). There was a significant relationship between motivation and medication adherence (p = 0.001). The conclusion of this study is that there is no relationship of knowledge with adherence to taking medication and there is a relationship of motivation with adherence to taking medication in TB patients.