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Pregnancy is a natural physiological process that brings various physical and emotional changes, potentially leading to anxiety, especially among first-time mothers (primigravida). The level of anxiety often varies across trimesters, with higher anxiety levels commonly occurring in the first and third trimesters. Uncontrolled anxiety may negatively affect the labor process by increasing pain perception and disrupting uterine contractions.Previous studies have shown mixed results regarding differences in anxiety levels between primigravida and multigravida mothers, as well as its influence on labor preparedness. A preliminary survey conducted at Bidan Cikmah Lubis Clinic in Tanjungbalai City revealed that most third-trimester pregnant women were not adequately prepared for childbirth, which is suspected to be linked to high anxiety levels. Therefore, this study aims to examine the relationship between maternal anxiety levels and childbirth preparedness. 

This research aims to identify the issues faced by one of the paint distributors in managing their sales information system. The study notes that despite the store's successful sales activities, the utilization of the sales information system remains limited, with the store preferring to manage products without online information handling applications. Based on observations, some weaknesses of the current system include lack of stock data accuracy, hindrances in providing real-time stock information, and limitations in tracking stock changes. The author suggests providing training to users of the web-based sales information system and establishing clear task allocation, as well as system improvements to address existing weaknesses. These suggestions are expected to enhance efficiency and effectiveness in sales management and meet the needs of both administrators and buyers.

PT. Indaco Warna Dunia, as a leading company in the color and paint industry, is committed to the safety of employees, company assets, and the surrounding environment. In the author's view, it is necessary to design a fire extinguishing system in accordance with applicable standards and regulations at points in the room that pose a fire risk in the PT. Indaco Warna Dunia’s warehouse. The data processing process follows NFPA 14 and NFPA 20 standards. This research begins by collecting data such as warehouse layout projections for PT. Indaco Warna Dunia and building conditions, as well as other necessary technical data. This research requires the determination of hydrant locations, pump room design, reservoir design, total head calculation, hydrostatic pressure, and friction loss. The result of this research is the hydrant design in the PT. Indaco Warna Dunia’s warehouse which includes 1 point, namely the hydrant box inside the warehouse containing Hose Nozzle, Fire Hose, Hydrant Valve, Hose Rack. The required pump room area is 10 m2 with a length of 4m and a width of 2.5m, the pressure on the hydrant pump is 1 bar, the friction loss that occurs is 8.475 psi/ft, then for friction loss calculations with SI units, it is 4.98 bar/minute.

Low back pain (LBP) is pain in the lower back, it is not a disease or diagnosis for a disease but is pain that is felt in the area under pressure, varying in the length of time the pain lasts. Management of lower back pain can be done using non-pharmacological methods, namely by applying warm ginger compresses (Zingiber Offcinale). To determine the relationship between the effect of warm ginger compress (Zingiber Officinale) on reducing the pain scale in low back pain patients at Bakti Timah Karimun Hospital. This research uses a quasi-experimental design using a pre and post test approach without control. The sampling technique was a total sampling of 16 respondents. The analysis used is univariate and bivariate analysis using the ANOVA test. It is known that from the first to the sixth day the P value is obtained (first day: 0.007, second day: 0.000, third day: 0.001, fourth day: 0.000, fifth day: 0.001, sixth day: 0.020) < 0.05. There is an effect of warm ginger compress (Zingiber Officinale) on reducing the pain scale in low back pain patients at Bakti Timah Karimun Hospital. Nurses can consider pain management therapy, one of which is by providing warm ginger water compress therapy and for Low Back Pain sufferers, they can apply warm ginger water compresses to reduce the discomfort of back pain.    

Childbirth is a natural process that every pregnant woman will experience. Most mothers start to feel pain or labor pains during the first active phase. In this phase, most mothers feel severe pain because the uterus begins to become active. In this phase, contractions become stronger and more frequent. One of the duties of a nurse is to assess the condition of pain including the cause of pain, quality of pain, location of pain, how much it interferes with life and the time or duration of pain as well as determining diagnosis, planning, implementation and evaluation. The aim of this study was to determine the effect of counterpreasure techniques and deep breathing relaxation techniques on labor pain in women giving birth during the first active phase at Dr. Hospital. Hafiz Cianjur. This research method uses a pre-experimental research design with a one group pretest-posttest design approach. The sampling technique used was a purposive sampling technique, with a sample of 20 respondents in this study. Data analysis for this study used the Wilcoxon test. The results of the research show that there is an influence of Counterpressure and Deep Breathing Relaxation Techniques before and after on the pain of childbirth, seen from the p-value of 0.000, which means <0.005, so it can be concluded that there is an influence or difference in the level of pain in childbirth in mothers giving birth during the 1st active phase in the delivery room. Dr. Hafiz Cianjur in 2023. The conclusion of this research is that there is an influence of counterpressure and deep breathing relaxation techniques on childbirth pain in women giving birth during the first active phase at Dr Hafiz Cianjur Hospital in 2023.

Pregnancy is a continuous chain and starts from ovulation, release of ovum, migration of spermatozoa and ovum, conception process, nidation (implantation) of the endometrium, formation of the placenta and growth and development of the products of conception for approximately 280 days (40 weeks) and no more of 300 days (43 weeks). The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks). Lower back pain during pregnancy reaches its peak at week 24 until the time of delivery. Back pain is often made worse by backache or what is often called long-standing back pain. This backache was 45% of women when their pregnancy was recorded, they increased 69% at week 28 and almost remained at that level.Type of research conducted This research uses an experimental research plan. Experimental research is a research design used to look for causal relationships with the involvement of research in manipulating independent variables. This research uses a pre-experimental type of pre-post test design in one group (one group pre-post test design).The results of the tabulation research showed that the majority of respondents experienced lower back pain with a scale of 4 very painful, amounting to 17 respondents (53.1%). Lower back pain in pregnant women in the second and third trimesters before carrying out pregnancy exercise where 17 respondents experienced lower back pain on a scale of 4 (very painful) (53.1%), respondents with a scale of 3 (more painful) were 11 people (34 .4%) and respondents with a scale of 2 (slightly more painful) were 4 people (12.5%). Conclusion: Lower back pain in pregnant women in the second and third trimesters before carrying out pregnancy exercise, where respondents experienced lower back pain on a scale of 4 (very painful). There was an effect of reducing back pain before carrying out pregnancy exercise and after carrying out pregnancy exercise on reducing lower back pain in pregnant women. II and III trimesters.      

Dysmenorrhea is pain during menstruation in the lower abdomen and waist caused by an increase in prostaglandins, which cause the uterus to contract rapidly. In Indonesia, the incidence of primary dysmenorrhea is 55%. Primary dysmenorrhea causes many young women to be unable to participate in learning. One way to treat primary dysmenorrhea is by consuming dark chocolate. Dark chocolate contains magnesium, calcium, potassium, theobromine, which can block the production of prostaglandins so that it can reduce pain during menstruation. This researcher aims to determine the effect of consuming dark chocolate on the level of primary dysmenorrhea pain in young women at the Tanwiryyah Islamic boarding school, Cianjur Regency. This research uses a quasi-experimental design with a one group pretest-posttest design. The population in the study was 70 people with a sample of 20 people. The results of the study showed that there was an influence of dark chocolate consumption on the level of primary dysmenorrhea pain with a 2-tailed significant value of 0.000 <0.005, so it was concluded that there was an influence of dark chocolate consumption on the level of primary dysmenorrhea pain in young women at the Tanwiryyah Islamic boarding school, Cianjur district. It is hoped that teenagers can use alternative dark chocolate consumption to reduce the level of dysmenorrhea.

Dysminorrhea is pain caused by spasm of the uterine muscles and increased levels of prostaglandins. Pain before or during menstruation is characterized by one of the symptoms that women often experience during menstruation, namely pain in the lower abdomen. Lavender aromatherapy is an alternative treatment method using lavender fragrance containing linalyl acetate which has a relaxing effect on the nervous and muscle systems, while linalool has a relaxing and sedative effect so it is used to relieve menstrual cramps. This study aims to determine the effect of lavender aromatherapy on reducing the level of dysmenorrhea pain in class The data collection method uses the Numeric Rating Scale (NRS) menstrual pain measurement questionnaire. The population in this study was 89 respondents and the sample was 20 respondents. The results showed that the average level of pain in female students before being given lavender aromatherapy was moderate pain, after being given lavender aromatherapy showed a mild level of pain, and the pain level before and after being given lavender aromatherapy had a p-value of 0.000 (<0.05) using the Wilcoxon Signed Rank T-test which states that Ha is accepted and Ho is rejected, it can be concluded that there is an effect of lavender aromatherapy on reducing the level of dysmenorrhea pain in class XII female students at Mulya Husada Jagakarsa Health Vocational School in 2023.

Pregnancy is a continuous chain and starts from ovulation, release of ovum, migration of spermatozoa and ovum, conception process, nidation (implantation) of the endometrium, formation of the placenta and growth and development of the products of conception for approximately 280 days (40 weeks) and no more of 300 days (43 weeks). The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks) (Rukiah & Yulianti, 2014). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in second trimester pregnant women at the Sonomartani District Health Center. Kualuh Hulu District. North Labuhanbatu in 2022”. Experimental type of research. Experimental research is a research design used to look for causal relationships with the involvement of research in manipulating independent variables (Nursalam, 2019). The sample in this study were all second and third trimester pregnant women at the Sonomartani District Health Center. Kualuh Hulu District. North Labuhanbatu in 2022 there will be 35 people. . The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used is chi square. The results of the tabulation research show a relationship between the duration of using injectable contraceptives for 3 months and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023 with a p-value = 0.049. So Ho is rejected and Ha is accepted, which means there is a relationship between the length of use of 3-month injectable contraceptives and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023. Conclusion: Family planning acceptors can choose the right contraceptive method. Family planning acceptors can tell midwives or health workers about the various types of contraceptives before choosing the contraceptive method. Always monitor changes in side effects so that if there are complaints they can be addressed immediately.

This research aims to find out how the Synoptic book views SLOLA learning media. To answer this problem, it is necessary to conduct research using topical methods after exploring information from the Synopsis book which is used to gain knowledge about learning media. The results of this research revealed that Jesus used this media as a learning tool which aimed to concretize abstract things in physical form, namely: symbols, symbols, signs, paintings/drawings and original tools which were able to streamline and activate a series of learning processes. Learning media is a tool used to channel messages or content of learning material that can stimulate thinking, influence the attention of people who are learning so that the learning process can be made more effective. The urgency of SLOLA learning media is very central in order to master a number of learning objectives. For this reason, this media is a learning tool for Christian Religious Education

Menstrual pain, also known as dysmenorrhea, is one of the menstrual disorders most often experienced by women. Dysmenorrhea is caused by pain during menstruation which is felt in the lower abdomen or Michael's square area. This pain can be felt before, during and the end of the menstrual cycle and can be colicky or continuous. The finger hold relaxation technique is a very simple and easy method for anyone to do in contact with the fingers and the flow of energy in our body so that it can provide a feeling of relaxation, comfort and reduce pain. The aim of this research is to determine the effect of finger-hold relaxation techniques on the scale of menstrual pain in young women at SMK Tunas Bangsa (DECES) majoring in nursing in 2023. The method used is quantitative research with a pre-experimental research design in the form of One Group Pretest Posttest Design. The sampling technique used in the research was the Stratified Random Sampling method with a total research sample of 36 female students. Data analysis using the Wilcoxon Sign Rank test obtained results with a significant p-value of 0.000 (<0.05). The conclusion of the research is that the finger-hold relaxation technique has an effect on the scale of menstrual pain in young women at Tunas Bangsa Vocational School (DECES) majoring in nursing.  

Dysmenorrhea is discomfort during the first or second day of menstruation which is very common.  Dysmenorrhea is menstruation that causes pain and is the most common gynecological condition experienced by women according to age level. To find out the factors related to the incidence of primary dysmenorrhea in nursing study students class of 2020 in  advanced Indonesian universities in 2023. This research uses quantitative research with a correlative analytical nature, the research design used is cross sectional. The population of this research is 120 female students who experience primary dysmenorrhea, the sample was taken using a random sampling system and the sample of this research  totaling 55 female students. it was found that there was a relationship between physical activity and the incidence of primary dysmenorrhea in female students (p=0.011<0.05), there was a relationship between consuming fast food and the incidence of primary dysmenorrhea in female students (p=0.001<0.05)  , there is a relationship between exercise and the incidence of primary dysmnorrhea in female students (p=0.017<0.05). There is a relationship between intrinsic and extrinsic factors with the incidence of Primary Dysmenorrhea in female students at the University of Indonesia Maju, South Jakarta.

Warm compress is a nursing action by providing warmth to a certain area using a bag filled with warm water so that it creates a warm feeling in the part of the body that needs it. Warm compress can relieve pain and improve the healing process. The purpose of this study was to analyze the effect of warm compress therapy at the injection site on pain in infants during measles immunization in Pedekok Village, Pegasing District, Central Aceh Regency in 2022. The method in this study is a Quasi Experimental research type with a research design using the Post test only control group design approach. This research was conducted in Pedekok Village, Pegasing District, Central Aceh Regency in 2022, the population in this study was 40 toddlers. then the sample is part of all the objects studied and is considered to represent the entire population. The number of samples used is 40 people using the Non-probability sampling technique. The data collection technique uses a questionnaire sheet and a respondent observation sheet. the results of data analysis with the Mann Whitney Test obtained a Symp.sig value of 0.000 <0.05 meaning Ho is rejected. So it can be concluded that there is a significant effect between warm compress therapy at the injection site during measles immunization on pain responses in infants in Pedekok Village, Pegasing District, Central Aceh Regency in 2022. 

Dyspepsia (ulcer) is a collection of upper gastrointestinal symptoms including pain or discomfort in the gastro-duodenal area (epigastrium/tenati), burning, fullness, fullness, nausea or vomiting. The purpose of this health education activity is to increase the knowledge and understanding of the community, especially in the Inpatient Health Center environment regarding dyspepsia including signs and symptoms, how to use drugs, and prevention. The activity includes several stages, namely material presentation using lecture method and leaflet media, question and answer session, pretest, and post test. The percentage results of the average pretest value are 37.30% and the average post test is 67.70%. The conclusion of this study is that there is an increase in community knowledge in Puskesma Rawat Inap Cempaka after being given education and exposure to dyspepsia material.

Vitamin A is an essential nutrient for humans, especially toddlers, because this nutrient is very important and our food consumption tends to be insufficient and still low so it must be met from the outside. In children under five due to vitamin A deficiency will increase pain and death, easily exposed to infectious diseases, such as diarrhea, pneumonia, pneumonia and finally death.This community service objective aims to educate the benefits of vitamins and implement the provision of vitamin A as a government program every February and August. Vitamin A is given directly in the toddler class along with posyandu activities.Community Service Results The results of community service show the implementation of vitamin A provision to toddlers at the Melati Posyandu in Cibangkang Hamlet, Ragatunjung Village, Paguyangan District, Brebes Regency in 2023 there will be 51 toddlers. 42 of them received high-dose red capsules, while 5 received low lecturer blue capsules and 4 others did not get them because they were not old enough.

The main aim of this activity is to increase public awareness regarding the importance of health and introduce kinesiotaping as an alternative therapy method to treat various musculoskeletal problems. Health checks include checking blood pressure, blood sugar levels, cholesterol, as well as general health consultations, giving the public the opportunity to get medical advice directly from health workers. In addition, socialization of the use of kinesiotaping is carried out through demonstrations of installation techniques and practical applications to reduce muscle pain and improve joint function. The results of the activity showed a positive response from the public who felt more aware of the importance of maintaining health and understanding the benefits of kinesiotaping. This activity also succeeded in strengthening relations between the university and the local community, with the hope of continuing to improve health education in the future.

Background: Sectio caesarea surgery often causes psychological problems in patients, namely fear which impacts on anxiety which can cause a decrease in conditions such as disorders of the reproductive organs, namely conditions in the uterus, disturbances in blood flow and the need for oxygenation and even discomfort or pain. Efforts to reduce the level of anxiety in patients who are about to undergo surgery must be handled by the anesthetist during the preoperative phase. The way to overcome this can use non-pharmacological techniques given anesthesia education using flipchart media. Research Objectives: To find out the effect of flipchart media anesthesia education on anxiety in pre-sectio caesarean section in patients with sectio caesarea at Ibnu Sina Hospital, Kab. Gresik. Research Methods: This type of research uses a quasi-experimental method with a pre-post test research design with a control group design. Respondents were given pretest and posttest treatment using the APAIS scale measurement. The sample in this study was 24 respondents in the intervention group and 24 respondents in the control group. The sampling technique used consecutive sampling technique. Data collection was carried out in November - June 2023. Research Results: The results of data collection were processed using the Mann Whitney test. Results The Mann Whitney test yielded p=0.000 (p<0.05), so Ha was accepted. Conclusion: There is a significant effect between preoperative anesthesia education using flipchart media on the anxiety level of patients with pre-sectio caesarea

Transparent soap is a variation of solid bar soap that not only functions to clean dirt but also has a scrubbing function. Transparent solid soap is one of the soap innovations that has become an attractive soap. Saffron also has antibacterial properties due to the presence of flavonoids, tannins and saponins. Flavonoids are compounds that can have anti-inflammatory, anticancer and antioxidant effects, because they can inhibit the formation of free radicals. It has been used traditionally to treat various ailments including depression, cardiovascular disease, menstrual disorders, asthma, insomnia, digestive ailments, bone pain and several other ailments. Saffron pistil juice is made by dissolving in CO₂-free distilled water. Phytochemical screening was carried out on saffron pistil extract. Saffron pistil juice is made in various soap formulas, namely formula I, formula II and formula III. The positive control used was chloramphenicol antibiotic and the negative control was DMSO. There were several tests carried out on Saffron pistil extract in addition to phytochemical screening, namely antibacterial testing on transparent soap with Saffron pistil extract as a soap additive. The results of phytochemical screening showed that the pistil of saffron (Crocus sativus L) contained secondary metabolites, namely: flavonoids, alkaloids, tannins, and saponins. And for the results of the antibacterial activity research also showed that the Saffron pistil extract against transparent soap which can be used as a soap additive, the antibacterial results had a strong inhibition at the average value of formula III which was 20.5 and formula II was 18.4 mm and formula I 16.1 mm, against Staphylococcus aureus bacteria.

One of the main causes of maternal mortality in developing countries such as Indonesia is puerperal infection. One of them is perineal wounds caused by childbirth, which, if not treated, has the potential to cause infection due to the entry of germs through the wound sutures. This research design is a Quasy experiment, a posttest-only control group design. The population was postpartum mothers, with a sample size of 20 people taken by simple random sampling. The study results were then analyzed univariately and bivariately using the t-test statistical test. Of the ten respondents from the experimental group studied, the average healing time of perineal wounds after the use of a combination of betel leaf decoction water and binahong leaves was 3.00 days, while in the control group, it was 7.80, meaning that the experimental group was four days faster than the control group. The results of statistical tests with independent t-tests with α = 0.05 obtained p value = 0.001, which means p-value <0.05; thus, there is an effect of using betel leaf decoction water and binding leaves on perineal wound healing time.

Physiological and morphological changes are something that the elderly will experience due to changes in the musculoskeletal system. Degenerative conditions in the elderly include the emergence of Musculoskeletal Disorder (DMD), one of the DMDs in the elderly is shoulder pain or frozen shoulder. The role of physiotherapy in this case can include promotive, rehabilitative, curative and preventive. Physiotherapy can play a role in providing interventions in the form of modalities or exercise therapy. The method uses counseling using leaflets and lectures as well as demonstrations regarding shoulder pain in the Mojosongo compassionate elderly postal service. The evaluation is carried out by pre-test and post-test filling out a questionnaire containing 10 questions. The aim of this counseling is to increase the knowledge and understanding of elderly people regarding the meaning, signs and symptoms, treatment and exercises that can be done at home regarding shoulder pain. The results obtained were an increase in understanding regarding shoulder pain which was seen from the evaluation results, there was a significant improvement.