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The high competition in the property industry requires companies to maintain high occupational safety and health (K3) standards. Data from the engineering division of PT Gaia Care International shows that in the period January-November 2023 there were 11 work accidents, with the majority being minor accidents and one fatal case. This study aims to identify potential risk hazards, analyze risk levels, and determine appropriate risk control measures.  The HIRARC method is used in three stages: Hazard Identification, Risk Assessment, and Risk Control. The results showed that there were various potential hazards such as electrocution, falling from stairs, and exposure to chemicals. The risk assessment classified 5 work activities as low risk, 43 as medium risk, and 2 as high risk and no extreme risk was found. Risk control efforts are carried out using fishbone diagrams and 5W+1H techniques to reduce or eliminate existing risks.  This research is expected to provide benefits for companies in reducing the number of work accidents and become a reference in implementing better OHS policies, as well as providing additional insight for readers regarding the importance of risk analysis in creating a safe and healthy work environment.    

Detecting diseases in durian plants is a significant challenge in the agricultural sector, impacting yield and quality. This research aims to improve disease identification in durian plants by applying the Convolutional Neural Network (CNN) algorithm. The method involves collecting images of durian leaves, stems, and fruits infected by various diseases and using data augmentation techniques to expand the dataset and reduce overfitting. With the CNN model trained using this dataset, the accuracy reached 62% on validation data, with the highest accuracy for the “Healthy” class at 83%. The research results show that CNN is effective in recognizing diseases in durian plants, although there is still room for improvement through model optimization and the addition of training data. The implications of this research include the development of an AI-based disease detection system that can help farmers care for durian plants more efficiently and timely.

According to the Nort Sumatera Provincial Health Service, exclusive breastfeeding is given to babies 0-6 months were 20,394 with a percentage of 67%. This is experienced a decrease in 2018 in the percentage of exclusive breastfeeding in the province Nort Sumatera as much as 76%. This research aims to determine the relationship knowledge and attitudes of breastfeeding mothers towards exclusive breastfeeding in working area of ​​the Sultan Daulat Health Care Center, Sublussalam City in 2023.This research uses a population cross-sectional research method in this study were all mothers who had children aged 6-24 months which is in the Working Area of ​​the Sultan Daulat Health Center, Sublussalam City totaling 274 people. The sample in this study was 56 respondents with purposive sampling technique. This research instrument uses questionnaire. Analyze data using univariate, bivariate, multivariate.The conclusion from this research is that there is a relationship between mother's knowledge towards exclusive breastfeeding there is a relationship between age and exclusive breastfeeding. There is the most dominant factor in exclusive breastfeeding is age. It is hoped that health services should provide in-depth information increase exclusive breastfeeding.

According to the Nort Sumatera Provincial Health Service, exclusive breastfeeding is given to babies 0-6 months were 20,394 with a percentage of 67%. This is experienced a decrease in 2018 in the percentage of exclusive breastfeeding in the province Nort Sumatera as much as 76%. This research aims to determine the relationship knowledge and attitudes of breastfeeding mothers towards exclusive breastfeeding in working area of ​​the Sultan Daulat Health Care Center, Sublussalam City in 2023.This research uses a population cross-sectional research method in this study were all mothers who had children aged 6-24 months which is in the Working Area of ​​the Sultan Daulat Health Center, Sublussalam City totaling 274 people. The sample in this study was 56 respondents with purposive sampling technique. This research instrument uses questionnaire. Analyze data using univariate, bivariate, multivariate.The conclusion from this research is that there is a relationship between mother's knowledge towards exclusive breastfeeding there is a relationship between age and exclusive breastfeeding. There is the most dominant factor in exclusive breastfeeding is age. It is hoped that health services should provide in-depth information increase exclusive breastfeeding.

Pregnancy is a special condition for a woman as a prospective mother, because during pregnancy there will be physical changes that affect her life. During pregnancy there will be many changes, both physical, social and mental changes. Pregnant women must have adequate nutrition, because the nutrition obtained will be used for themselves and their fetuses. For pregnant women, basically all nutrients require additional, but what is often lacking is protein energy and some minerals such as iron. This study aims to determine the Factors That Influence Pregnant Women in Carrying Out Breast Care at the Aramo Health Center UPTD in 2023. This type of research is an analytical survey study with a cross-sectional method approach. The population is pregnant women with a total of 52 people in April-May 2023. The number of samples used was 52 people obtained using the Total sampling technique. The data analysis technique uses chi square. the results obtained in this study were from 42 respondents, there was a Relationship between Education and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.032 <0.05. there was a Relationship between Age and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.024 <0.05. there was a Relationship between Parity and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. there was a Relationship between Knowledge and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. there was a Relationship between Attitudes towards Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. It is recommended for Health Workers to increase counseling related to Breast Care.

One of the efforts made to reduce MMR is the Antenatal Care (ANC) examination program which is mandatory for pregnant women. Antenatal care (ANC) is a planned program in the form of observation, education and medical treatment for pregnant women, to achieve a safe and satisfactory pregnancy process and preparation for childbirth. The aim of this research is to determine the factors that influence the behavior of pregnant women in the use of Antenatal Care (K4) services in the Pancur Batu Community Health Center Work Area in 2023. This research uses a descriptive analytical design using quantitative methods with a cross sectional research design approach. The number of samples in this study was 62 respondents. The conclusion of this study is that there is a relationship between maternal knowledge of integrated antenatal care, p = 0.010 (p < a or 0.010 < 0.05). There is a relationship between the Role of the Family in Integrated Antenatal Care, p= 0.001 (p < a or 0.001 < 0.05). It is recommended that pregnant women pay more attention to their pregnancy, namely by making regular integrated antenatal care visits so that the mother's pregnancy can be monitored by health workers.

The postpartum period is the period after the birth of the placenta and lasts until the uterus regains its pre-pregnancy size known as the postpartum period. The postpartum period is the time after the placenta is born until the reproductive organs recover. That lasted for about six weeks. The aim of this research is to apply physiological post partum midwifery care to Mrs "R" on the 14th day at the Takalala Community Health Center. The care provided uses Varney's 7 Step Midwifery Care Management and forms of documentation via SOAP. The case study conducted on Mrs "R" explained that there were no difficulties when implementing Varney's 7 Step Midwifery Care Management approach. So, it makes it easier for caregivers to solve problems related to this. The form of midwifery care provided to Ny'R" includes taking anamnesis on the mother, carrying out a physical examination, and providing counseling to the mother and family, in this case to Ny"R: regarding the effective care of ruptured perineal suture wounds. This case study uses a descriptive observational method with a Continuity of Care approach. The subject is Mrs "R" post partum mother on day 14. How to collect anamnestic data, observation, examination and documentation. Next, compare the data obtained with existing theory.

Autism Education and Health Promotion at the St. SLB-C Orphanage. Lucia Lau Dendang, Deliserdang Regency” focuses on delivering autism education and health promotion aimed at improving educational and health outcomes for orphaned children with Autism Spectrum Disorder. Aim: this implementation is to improve knowledge and management of autism among staff and residents of residential care, to advance the development of individual skills in children with ASD, and to improve their physical, mental and emotional well-being. Methods: A multidisciplinary approach was adopted, featuring individualized education plans, specific teaching methods, health promotion activities such as regular physical exercise, nutritional education, and hygiene practices, alongside targeted mental health support. Expected Results: Benefits include increased autism awareness, improved communication and social interaction skills for children, better physical health through structured exercise and diet, and increased emotional stability from various coping strategies. In addition, this initiative aims to foster a safe and supportive environment that meets the sensory and safety needs of children with Autism. The implementation of this activity shows how important adaptive and holistic parenting models are in special needs orphanages and suggests that with training and resources appropriately, significant improvements in the quality of life of orphaned children with Autism can be achieved.

Artificial intelligence (AI) is transforming paediatric diabetes management, offering innovative solutions for monitoring, treatment, and prediction. This mini-review explores how AI is being utilised to improve the care of children with diabetes mellitus, focusing on its application in glucose monitoring systems, predictive algorithms, and personalised treatment plans. The study synthesises recent advancements in AI technologies, examining their impact on enhancing the accuracy of diagnosis, reducing the burden on healthcare providers, and improving patient outcomes. Through a systematic review of the literature, key AI tools and models that have shown promise in paediatric diabetes care are identified. The findings highlight the potential of AI to revolutionise diabetes management, with implications for both clinical practice and future research. However, challenges remain in ensuring the ethical implementation and integration of these technologies into existing healthcare systems. The paper concludes with recommendations for advancing AI applications in this field, emphasising the need for continued innovation and collaboration between healthcare professionals and AI developers.

Mental disorders are health issues that often go undetected in their early stages, especially in coastal communities with limited access to mental health services. Counseling and early intervention are strategic steps in preventing and managing mental disorders within families and communities. This study aims to analyze the effectiveness of mental health counseling programs and early intervention approaches in detecting and managing mental disorders in the coastal community of Baubau. The research employs a qualitative approach using in-depth interviews, participatory observation, and literature studies. Participants include families with members experiencing symptoms of mental disorders, healthcare workers, and community leaders involved in counseling programs. The results indicate that social stigma remains a major obstacle to early detection of mental disorders. Community-based counseling and approaches rooted in local wisdom have proven more effective in increasing awareness of mental health. Additionally, family involvement in care and social support from the surrounding environment play a crucial role in the recovery process of individuals with mental disorders. This study concludes that integrated counseling efforts within primary healthcare services, combined with strong social support, can improve early detection and treatment of mental disorders in coastal communities. Therefore, policies should focus on enhancing the capacity of healthcare workers and encouraging active community participation in supporting family mental health.

Doctors have a legal responsibility to ensure that patient medical records are complete and accurate. A legal analysis of the doctor's responsibility for the completeness of patient medical records in order to fulfill patient rights in hospitals is an important study to ensure that patient rights are fulfilled in accordance with the standards set by applicable laws and regulations. A comprehensive analysis of the doctor's responsibility and the importance of complete medical records is expected to create a better health care system that respects and fulfills patient rights optimally. This study uses a normative legal method. The conclusions of this study are: 1) The doctor's legal responsibility for fulfilling the patient's right to obtain complete Medical Records as a form of the patient's right to information in health services. This right is protected and regulated in a number of legal regulations. Fulfillment of the method of obtaining the contents of Medical Records to patients must also pay attention to and follow the procedures as stipulated in the laws and regulations. 2) The legal consequences of the doctor's legal responsibility if they violate the fulfillment of the patient's right to complete Medical Records, including: 1) criminal sanctions, namely imprisonment for a maximum of 1 (one) year and a maximum fine of Rp. 50,000,000.00 (fifty million rupiah) (Article 79 point b of the Medical Practice Law Law No. 29 of 2004), 2) civil sanctions in the form of compensation by the Hospital or the doctor to the patient (Article 1365 of the Civil Code) and 3) administrative sanctions in the form of written warnings and/or recommendations for revocation or revocation of accreditation status. (Minister of Health Regulation 24 of 2022 concerning Medical Records).

Can be planted in narrow land, TOGA (Family Medicinal Plant) or what is often called a live pharmacy can be one of the traditional solutions to keep public health when the flu and cough attack. Not only is it planting and caring for toga plants also tends to be easy. In this dedication the activities carried out are planting together with the villagers of Sojomerto while explaining the benefits of plants in the area. This planting is also intended as a medium of awareness related to land use, therefore activities are carried out in the land adjacent to the village hall in order to make it easier for citizens to care for, maintain and use plants.

This study aims to analyze the influence of product innovation and brand ambassador to purchasing decisions Scarlett Whitening body lotion tube products in South Tangerang. Scarlett Whitening, a local Indonesian beauty brand, is known for a variety of skin care products such as body lotions, scrubs, scrubs, serums, and creams that aim to brighten and maintain healthy skin. With the motto" Reveal your Beauty, " Scarlett has managed to increase the confidence of its users. This study uses Partial Least Square (PLS) method with the help of SmartPLS and quantitative approach through google form questionnaire survey. The sample consisted of 60 respondents who had bought Scarlett tube body lotion products and knew the boy band EXO. The results showed that product innovation has a significant influence on purchasing decisions with a statistical t-value of 2.263 ≥ 1,96 and p-value of 0.000 ≤ 0,05. In addition, brand ambassadors also have a significant influence on purchasing decisions with a statistical t-value of 3.123 ≥ 1,96 and p-value of 0.000 ≤ 0,05.

The occurrence of patient accidents is like an iceberg phenomenon. Medical errors remain a global issue in the healthcare sector. The culture of safety aims to create safer patient care, considering that Adverse Events can not only increase healthcare service costs but also bring hospitals into a blaming area. This study aims to describe the patient safety culture at Melati Perbaungan General Hospital. This descriptive study observes the implementation of patient safety culture in preventing adverse events in the inpatient department at Melati Perbaungan General Hospital using a total sampling technique with criteria including human resources in the inpatient department, such as executors, responsible persons, and department heads, totaling 65 people. The measurement of patient safety culture uses the Hospital Survey on Patient Safety Culture (HSPSC) questionnaire with 12 dimensions of patient safety culture. The results show that the majority of respondents' characteristics in terms of age and length of work greatly support the creation of a patient safety culture, as most staff are in their productive age (31-40 years) and have an optimal working period (1-5 years) in performing their duties. The implementation of the patient safety culture by staff at Melati Perbaungan General Hospital is in the Positive Response category at 77.9%. This indicates that the patient safety culture has been well implemented.

Cats are one of the beloved animals that require care and development. As beloved animals, cats have their own charm thanks to their different body shapes, eyes and fur colors. Cats whose pedigrees are officially registered as purebred cats. Cats, in Latin Felis silvestris catus, are a type of carnivore. The word cat usually means a domesticated cat but can also refer to large cats such as lions, tigers and leopards. Cats have been mixed with human life for at least 6000 years BC, since cat skeletons were discovered on the island of Cyprus (Arquitectura et al., 2015).  One of the diseases that often appears in cats is feline lower urinary tract disease (FLUTD), also known as feline urological syndrome (FUS), which is a health problem that often occurs in cats, especially male cats. This health problem attacks the cat's bladder and urethra. Urethral disorders are caused by the structure of the male cat's urethra, which is tube-shaped and has a narrow section, which often causes obstruction of urine from the bladder (VU) to the outside of the body. FLUTD includes several diseases that occur in the cat's urinary tract (Indonesia, 2022).  Knowledge about diseases in cats is one of the problems. Many owners do not realize that their cats are suffering from diseases that can cause death. The cause of the cat's death occurred due to the keeper's lack of knowledge regarding the disease and symptoms the cat was experiencing. Apart from that, the problem is that there are so few doctors available that they are difficult to find, and the information obtained is only in accordance with the condition of the cat when it goes to the vet. If you see other symptoms, like it or not, you have to consult the veterinarian again and it will take additional time and money. This problem can be solved with an expert system that can diagnose the disease suffered by the cat based on the selected symptoms.

Hair is an important aspect of a person's appearance. Hair in the elderly experiences a decline in quality which is often characterized by thinning, brittleness and loss. Vitamin D plays an important role in this condition because it affects the growth cycle of hair follicles. A deficiency can cause hair to become brittle and fall out easily. In this community service activity, education is provided to explain the importance of vitamin D and how to get it through a healthy diet and lifestyle. Screening using a hair analyzer shows problems with hair loss and low hair density as well as lots of dead skin cells. Effective education and nutritional interventions, including vitamin D supplementation, are essential to improve hair health and ultimately the quality of life of elderly. Treating vitamin D deficiency, including hair and scalp care, must be an integral part of the elderly's health program.   Keywords: education, hair health, elderly, community service, vitamin D  

Missed care (MNC) is a global health care problem that primarily incorporates elements of optimal nursing care needed by patients that are skipped or delayed by nurses. This research is quantitative research with a cross sectional approach, namely research where data is collected only one observation/measurement. Objective: This research aims to determine the independent variables, namely Work Load, Education Level and Years of Work and the dependent variable, namely missed nursing care. Method: This research was carried out in the inpatient room of Bakti Timah Karimun Hospital. The time for carrying out this research until data processing was carried out in March-April 2023. The respondents in this study were all inpatient nurses at Bakti Timah Karimun Hospital who had met the inclusion criteria, totaling 44 respondents using total sampling techniques. The analysis is Univariate Analysis and Bivariate Analysis with statistical testing using the chi-square test. The data collection process was carried out by researchers using a questionnaire. Results: 17 respondents (38.6%) with missed nursing care in the high category. Vocational education level (D3) 26 respondents (59.1%), working period ≤ 3 years 9 respondents (20.5%) and heavy workload 20 respondents (45.5%). Conclusion: that there is a significant relationship between level of education, length of service and workload with the incidence of missed nursing care in the inpatient ward of Bakti Timah Karimun Hospital.

In Indonesia, the prevalence of burns according to the Ministry of the Republic of Indonesia in 2013 was 0.7%. It is feared that continuous administration of antibiotics will cause an accumulation of side effects that can be detrimental to health. The goal of on-site first aid is to save lives and prevent pain from getting worse. Burns are characterized by all injuries except third-degree burns, which appear as white or dark brown burned areas on the skin and can cause shock and infection. Community service methods: socialization, dissemination of knowledge, demonstration, implementation, monitoring and evaluation. This activity will be carried out on Monday, April 22 2024 starting at 10.00 WIB in Gulo Village, Darul Hasanah District, Southeast Aceh Regency. There were around 52 people attending. Participants want to take part in activities, participants want to demonstrate first aid management for burns and pre-hospital care, active participants in the question and answer session.

. According to WHO (2019) TB mortality rate (AKI) in the world namely 303,000 people. Maternal   Mortality Rate (MMR) in ASEAN (2020), namely amounting to 235/100,000 live births. Based on data from the Ministry of Health Figures Maternal mortality (MMR) in Indonesia in 2020 was 4,627 deaths. Data Health Department (2021) MMR 62 cases. Data from Kaliwadas Community Health Center (2022) MMR 0 case. The aim of this research was to reduce maternal and infant morbidity and mortality rates in Brebes district, especially the Kaliwadas Community Health Center area. This research method is qualitative research, namely a research method carried out by exploring, describing and explaining and predicting a phenomenon that occurs on the basis of it in the field. The results of this research are after carrying out comprehensive midwifery care in Mrs. S is 42 years old with risk factors: age, anemia and CED at the Community Health Center Kaliwadas from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning using Varney and midwifery approaches SOAP found gaps between theory and practice.        

Background: Work fatigue experienced by intensive care room nurses shows several symptoms that are often experienced when nurses are tired, namely drowsiness, difficulty concentrating and physical fatigue. The sleepiness experienced by the nurse was indicated by frequent yawning and wanting to lie down. The aim of this research is to determine the factors that influence the level of work fatigue of nurses at Mitra Medika Amplas General Hospital in 2022. This research is a type of quantitative research with a cross-sectional approach. The population in this study were all nurses at the Mitra Medika Amplas General Hospital in 2022. The sample in this study was 93 people, using purposive sampling, namely taking samples according to the wishes of the researcher. Data was collected using questionnaires and interviews, then processed computerized. Quantitative data analysis was carried out in 3 stages, namely univariate, bivariate and multivariate analysis using Chi-Square, if p ≤ 0.05 then there is an influence between the dependent and independent variables. Statistical test results: age (p value 0.001), gender (p value 0.002), BMI (p value 0.005, education (p value 0.001), sleep patterns (p value 0.001), length of service (p value 0.001), physical work ( p value 0.009), length of work (p value 0.008), it can be concluded that there is a relationship between age, gender, BMI, education, sleep patterns, length of service, length of work, and the level of work fatigue of nurses at Mitra Medika Amplas General Hospital. 2022. The conclusion of this research is that there is a relationship between age, gender, BMI, education, sleep patterns, length of service, length of work, and the level of work fatigue of nurses at Mitra Medika Amplas General Hospital in 2022. It is recommended that Mitra Medika Amplas General Hospital be able to improve health services as well as existing infrastructure in hospitals