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Magnetic Resonance Imaging (MRI) is a medical diagnostic imaging technique that works on the principle of nuclear magnetic resonance. MRI aircraft can produce diagnostic images of the inside of the human body in both sagittal, coronal, and transverse cuts, Magnetic resonance imaging (MRI) is a widely accepted non-invasive technique for the evaluation of cartilage lesions. The femur, tibia, fibula, and patella are united into one complex group by ligaments. According to Moeller, Genu Examination uses STIR Sequence, Sagital T2 Weighted Fat saturated, Sagittal 3D GRE, Proton Density weighted fat saturated T1 Coronal. The author's purpose in conducting this study is because Genu Examination at one of the Jakarta Hospital in the Case of Soft Tissue Tumor, Meniscus Tear and Oesteoarthritis added the Axial 3D SPGR sequence. The research method used is descriptive research with an observational approach. Data collection was carried out on June 5 to August 31 using Mri GE aircraft with a power of 1.5 Tesla. The patient samples used in this study were three patients with clinical Soft Tissue Tumor, Meniscus Tear, and Osteoarthritis. Data collection was carried out through observation, interviews and Genu Examination Documentation with the addition of Axial 3D SPGR. The examination is carried out using Quad Knee Coil, the patient's position is supine, feet first. The sequences used in the examination at one of the Jakarta hospitals are Axial Proton Density Fat saturated, Sagital Proton Density Fat saturated, Sagital T2, Coronal Proton Density Fat saturated, Coronal STIR. The role of the Axial 3D SPGR sequence is to evaluate articular cartilage due to its clear depiction of cartilage morphology and high signal to noise ratio (SNR) images.

Magnetic Resonance Imaging (MRI) is a medical imaging technique that combines magnetic fields and radio waves to create images and analysis of body tissue, blood circulation and metabolic function of the body. Some indications for MRI brain include detecting and identifying cases such as multiple sclerosis, infarction, hemorrhage, infection, trauma, and tumor or metastatic disease. Hemorrhagic stroke is bleeding that occurs when the blood vessels leading to the brain leak. Hemorrhagic stroke occurs when blood comes out of a blood vessel due to tearing of the blood vessel wall. Blood vessel walls can be weakened by the process of atherosclerosis and can also be due to congenital defects. The research method used was qualitative research. With a case study type of research. Data collection was carried out from July 2023 to August 2023 using a 3 Tesla MRI aircraft. The patient samples used in this study were three patients with complaints in the head. Data collection was carried out through observation, interviews and documentation. The MRI brain examination procedure in hemorrhagic stroke cases at one of the hospitals in Jakarta uses the Plain localizer axial, sagittal and coronal sequence, T1_fl2_axial, T2_tse_darkfluid_axial, T2_tse_axial, ep2d_diff_4scan_trace, asl_3d_axial, tof_cs_carotids, flow_pc3d_MRV, tof_brain_MRA, T2_swi_axial. In this case, there is a different sequence used, namely T2_swi_axial. Sequence susceptibility weighted imaging (SWI) is an innovative radiological imaging method that is often used in diagnosing neuroradiological disorders. 

Apple is a fruit that turn brown quickly after being cut. One method to maintain the quality of apples cut is coating the fresh-cut apples with an edible coating. Ediblei coatingi is a thini ilayer that can bei eaten and can keep the iquality ofi the icoated material. Thei study aimed toi determinei the effectiveness of edible coating aloe vera (Aloe vera chinensis L.) in inhibit enzymatic browning reaction. The designii wasi usiing icompletely irandomized idesign. The first factor was the citrus species (Citrus aurantifolia, Citrus hystrix DC, Citrus amblycarpa) iand the secondi factori was thei istorage itime (0, 3, 6 day). Edible coating applied to fresh-cut apples and tested for moisture content, total dissolved solids, weight loss, color, overall appearance, vitamin C and total plate count. Thei resultsi ishowed that aloe vera edible coating with citrus extract was not effective in inhibiting the enzymatic reaction of sliced apples. The type of citrus and storage time was affect the effectiveness of aloe vera edible coating. Citrus amblycarpa extract has a lower water content reduction effect with a water content of 54.51% on the 6th day of storage time and has an effect on the total plate count, that Citrus amblycarpa extract has decreased total plate count in day 6th. Citrus aurantifolia extract gives the effect of maintaining brightness compared to other types of citrus, with a brightness value of 58,290 on the 6th day. The type of citrus has no effect on weight loss, total dissolved solids, overall appearance. The length of storage has an effect on the effectiveness of aloe vera edible coating, the longer it is stored, the apples cut will decrease in quality.

Management of Cervical MRI Examination in Cases of Syringomyelia in the Spinal Medulla at Primaya Hospital Tangerang. Magnetic Resonance Imaging (MRI) is a state-of-the-art diagnostic tool for examining and detecting the body using a large magnetic field and radio frequency waves, without the use of X-rays or radioactive materials, which produces cross-sectional images of the human body/organs using a magnetic field. strength between 0.064 – 1.5 tesla (1 tesla = 1000 Gauss) and vibrational resonance of the hydrogen atom nucleus. MRI can produce images of the vertebral column, spinal cord, and also the CSF. The MRI screening procedure is ideal for the differential diagnosis of structural disorders that can affect the spinal roots and spinal cord. This examination is used in carrying out a vertebral examination at once, namely scanning starting directly from the cervical vertebrae and also up to the sacrum. So this examination can directly diagnose the cervical, thoracic, lumbar, sacral vertebrae and also includes the coccyx. The purpose of this study was to determine the management of cervical MRI examination with clinical syringomyelia. This research is descriptive qualitative with a case study approach. The subject is a patient with clinical syringomyelia. All subjects underwent Cervical MRI examination at 1.5 tesla to find out the sequence and procedure and sequence information used. From the research results obtained according to the theory using T1-weighted imaging with administration of contrast agent. While in the field using the cervical MRI protocol without contrast, it is sufficient to establish a diagnosis using an examination procedure with a localizer sequence design, sagittal T1, Axial T1 FSE, Axial T2, Axial 2D marge, sagittal T2 fat sat, Axial T2 thoracic 2-3, myelo 2D. The T2 fat sat sagittal sequence section makes it possible to see the anatomy, namely syringomyelia.

Metode Weighted Product (WP) digunakan dalam pengambilan keputusan dengan menggunakan perkalian untuk menghubungkan nilai kriteria, dimana nilai untuk setiap kriteria harus dipangkatkan terlebih dahulu dengan bobot kriteria yang telah ditentukan. Penerapan metode WP dalam pemilihan peserta magang dan studi independen bersetifikat (MSIB) dapat membantu dalam menentukan peserta yang paling sesuai dengan kriteria yang telah ditentukan. Metode ini dapat digunakan untuk menentukan nilai-nilai dari setiap kriteria dan menghubungkannya untuk menentukan peserta yang terbaik. Dalam penerapannya, metode WP dapat membantu dalam memilih peserta magang dan studi independen bersetifikat yang memiliki kualitas dan kompetensi yang sesuai dengan kebutuhan perusahaan atau institusi.

Metode Weighted Product (WP) digunakan dalam pengambilan keputusan dengan menggunakan perkalian untuk menghubungkan nilai kriteria, dimana nilai untuk setiap kriteria harus dipangkatkan terlebih dahulu dengan bobot kriteria yang telah ditentukan. Penerapan metode WP dalam pemilihan peserta magang dan studi independen bersetifikat (MSIB) dapat membantu dalam menentukan peserta yang paling sesuai dengan kriteria yang telah ditentukan. Metode ini dapat digunakan untuk menentukan nilai-nilai dari setiap kriteria dan menghubungkannya untuk menentukan peserta yang terbaik. Dalam penerapannya, metode WP dapat membantu dalam memilih peserta magang dan studi independen bersetifikat yang memiliki kualitas dan kompetensi yang sesuai dengan kebutuhan perusahaan atau institusi.

One strategy that can be carried out by KUKERTA UNRI 2023 students to improve public health in Teluk Latak Village is to hold community service activities in Teluk Latak Village. One of the health problems that commonly occurs in villages is stunting. Stunting is a description of chronic malnutrition during the growth and development of children starting from the beginning of their lives. Stunting can be caused by many factors, some of which are the characteristics of the toddler itself and socio-economic conditions. The KUKERTA UNRI 2023 Student Team contributed to monthly posyandu activities as an effort to prevent stunting which were held at three posyandu in Teluk Latak Village. This activity includes measuring the child's height, weight, measuring several other parts of the child's body and exploring the child's level of development. The activity of providing PMT (Providing Additional Food) and distributing brochures on the importance of posyandu to the people of Teluk Latak Village was also carried out to increase community literacy about the importance of posyandu every month. This article emphasizes the importance of a participatory and collaborative approach in preventing stunting in Teluk Latak Village, as well as how KUKERTA UNRI 2023 students can make changes that will ultimately improve the welfare of children in Teluk Latak Village. It is hoped that the participation of KUKERTA UNRI 2023 students can create a positive synergy between higher education institutions, the community and the village government in improving the quality of life for children in Teluk Latak Village.

Extensive research has been conducted to investigate the formulation of a new generation of cereal-based Gluten Free (GF) foods formulated with High-Resistant Starch (RS) sources and high in nutritional value. Black glutinous rice flour is a rich in bioactive compound and MOCAF is known for its high RS content often used as an alternative to wheat flour in the production of gluten-free cookies. The formulation of the combination of these two ingredients needs to be investigated to produce gluten free cookies that have good physical and sensory characteristics. The aims of these research was to investigate the effect of different ratio of Black Glutinous Rice Flour (BGRF) and MOCAF (MF) formulation (F1 = 100:0, F2= 75:25, F3=50:50, F4= 25:75, F5= 0:100) on physical and sensory parameter of resultant GF cookies. The results shows that, cookies with high amount of BGRF showed interesting physical properties with higher diameter, spread ratio, and ∆E of the cookies, lower weight, thickness, baking loss, L*, a*, b*, C* value, and the hedonic score of color, aroma, taste, texture, overall compared to cookies with 100% MF. The best formula that produces gluten free cookies with the highest taste score score is F4 (BGRF 25%:MF 75%) with physical characteristics weight 10.70 g, diameter 48.40 mm, thickness 8.60 mm, spread ratio 5.63, baking loss 17.37 %, L* 53.96, a* 0.63, b* 17.65, C* 17.66,   ∆E 48.78. With the combination of BGRF and MF on cookies dough, we manage to obtain cookies that has great potential to increase the nutritional quality of gluten-free food.

The Real Working Lecture (KKN) is a vehicle for the application and development of knowledge, which is carried out off campus in certain time, work mechanism, and requirements. KKN implemented by universities is an effort to increase the content and weight of education for students and to get greater added value to higher education. Through community service activities in Lalang Village, there will be synergy between universities and the community. The purpose of this KKN acticity is to provide an understanding to the local community about the importance of health for young generation, specifically for their babies. Frequently, stunting become a massive issues for babies in this village. The service is carried out through educational workshops, seminars, teaching, and discussions. The result of this dedication provide an overview of how importance for a mother and their kids to mantaian what they eat and how to have a healhty live due to stunting issues.

The Role of SWI (Susceptibility Weighted Imaging) Sequence in Clinical Parkinson’s MRI Brain Imaging. Magnetic Resonance Imaging (MRI) is a technique for imaging body crossings based on the principle of magnetic resonance of hydrogen atoms. Brain MRI examination aims to see anatomy and abnormalities within the brain to establish clinical diagnosis, pathological abnormalities, tumors, and surrounding abnormalities. Imaging examinations are also conducted to find other causes of Parkinsonism. Head MRI is one of the non-invasive examinations performed to help confirm the diagnosis of Parkinson's disease. This study aims to determine the procedure for Brain MRI examination with Parkinson's clinical and to determine the sequence information SWI (Susceptibility Weighted Imaging) can establish clinical diagnosis of Parkinson's. This study is qualitative descriptive with a case study approach. The subject consists of three patients with clinical Parkinson's. All subjects performed MRI brain 3 tesla examinations to determine the procedure and sequence information used. The research results were obtained according to the theory using an additional 2 mm sequence, while in the field using 0.9 mm sequence the examination was conducted using the head coil of the patient's position, namely supine, head first. Sequences used in field inspections are AAHead Scout, t1 fl2d transversal, t2 tse (time spin echo) dark fluid transversal, t2 tse (time spin echo)  transversal, ep2d diff (diffusion) 4scan trace, asl 3d transversal, tof cs carotids, flow pc3d MRV (magnetic resonance venography), tof brain MRA (magnetic resonance angiography), t2 swi (susceptibility weighted imaging) 3d transversal 0.9 mm. The thin axial sequence of 0.9 mm is more likely to see Parkinson's anatomical abnormalities, higher SNR and better spatial resolution than using a 2 mm slice thickness.

Infancy is a golden period for a child's growth and development so it needs special attention. One of the factors that influences a baby's growth and development is sleep and rest. The need for sleep is not only seen from the quantity aspect but also the quality. With good quality sleep, the baby's growth and development can be achieved optimally. One way that can be used to fulfill these needs is baby massage. Baby massage is a gentle stroking or massaging therapy for babies, this is stimulation through tactile stimulation, gentle massage approaching soft and gentle massage on the surface of the baby's skin gently, on the tissues and organs of the body. Baby massage is useful for increasing the baby's concentration and making the baby sleep soundly, to increase the baby's growth and weight, increase the body's endurance, build bonds of love between parents and children and improve blood circulation and breathing. A baby's weight is influenced by heredity, nutrition, environment, gender and social status. Body weight is an anthropometric indicator for assessing growth in babies or children. Balanced nutrition and basic health care in the form of immunizations. Regular massage for babies can increase the baby's weight and the length of time the baby sleeps. This happens when the baby is massaged and the baby feels relaxed so it is easy for the baby to sleep. The initial survey was conducted through direct interviews with AsyfAlesha Mom n' Baby Care, which opened a baby massage practice. Therefore, researchers are interested in examining the effectiveness of baby massage on weight gain and baby sleep quality at AsyfAlesha Mom n' Baby Care, whether its implementation is effective in supporting weight gain and baby sleep quality to prevent stunting in babies.

Serotinus is one of the obstetric complications that needs to be watched out for and there is a high risk of caesarean section during delivery. These complication will be made worse if the mother experiences anemia which can cause uterine atony, post partum bleeding and even lead to maternal death. According to WHO (2021), the Maternal Mortality Rate (MMR) is 329,000 per 100,000 live births, data from the Brebes Health Office in 2022 is 105 cases, and data from the Paguyangan Community Health Center (2021) is 4 cases. Researchers implemented comprehensive midwifery care using Varney and SOAP documentation. This research uses a qualitative descriptive method with a case study approach. Data collection used interview methods, observation, physical examination, supporting examinations, medical records, KIA books and other literature. The main informant is Mrs. A, while additional informants were midwives, general practitioners, obstetricians, nutrition officers, laboratory officers, husbands and families. Based on the results of pregnancy, childbirth, newborn, postpartum and family planning care, there were only problems in pregnancy at the age of 29+1, namely breech and oblique presentation and mild anemia with HB 9.6 g/dL and at the gestational age of 31+3, namely underestimation of fetal weight.

Stunting is a condition in which a child's weight and height are significantly below that of their peers of the same age, and it becomes noticeable when a child reaches the age of two. Stunting can be attributed to several interconnected factors such as genetics, economic conditions, household circumstances, parenting styles, insufficient nutritional intake, limited access to healthcare services, clean water scarcity, and inadequate sanitation. Stunting remains a paramount issue in terms of nutrition and health in Indonesia, including in the Riau region. Rambah Sambo sub-district is one of the seven sub-districts in Rokan Hulu Regency that has villages with a stunting locus status, and one of them is Karya Mulya Village. To shed light on the reality of stunting in the Riau Province, the University of Riau 2023 Community Service (Kukerta) Team in Karya Mulya Village will conduct observations and interviews with the local community to gauge their understanding and knowledge regarding this stunting issue. Most community members or parents with stunted children generally do not comprehend the meaning of stunting itself. However, based on observations, the knowledge of Karya Mulya Village residents about stunting falls into the "adequate" category, leaving them to speculate about it. Some respondents refer to stunting as malnutrition and prefer to describe it as a lack of height. Some of the Karya Mulya Village residents have grasped the consequences or effects of stunting on a child's future. The majority of the community agrees that stunting can disrupt a child's mental health. In preventing and reducing stunting cases, Karya Mulya Village faces several challenges. The first is changing community behaviors, and the second pertains to improving nutrition and food, as there are still community members who do not provide high-protein and nutritious food to their children.

This research aims to determine (1) the effect of using tea waste compost fertilizer on the growth of packcoy plants, (2) the effect of using tea waste compost fertilizer on the growth of water spinach plants (Ipomea Aquatic), and (3) comparing the effectiveness of tea waste compost fertilizer in cultivating water spinach. and packcoy. The research was carried out from March to May 2023 on the land of PT. Mount Slamat, Slawi. This research used a Completely Randomized Design (CRD) with 4 treatments and 3 repetitions, each treatment namely K0 (control), K1 (150 g), K2 (350 g) and K3 (450 g). The parameters of this research are plant height, number of leaves, and plant weight when the plants are 30 days after planting. The data were analyzed using analysis of variance (ANOVA). The results of the research show that (1) The effect of tea waste compost fertilizer on the growth of packcoy plants has a real influence on the growth of plant height, number of leaves and weight of packcoy plants. K2 treatment with a dose (350 g) showed the best results for average plant height (24.1 cm), number of leaves (17 pieces) and plant weight (29.6 grams). (2) The effect of tea waste compost fertilizer on the growth of kale plants has a significant effect on the growth of plant height, number of leaves and weight of kale plants. K2 treatment with a dose (350 g) showed the best results for average plant height (58.6 cm), number of leaves (50.3 pieces) and plant weight (44.5 grams). (3) Comparing the effectiveness of tea waste compost fertilizer in cultivating water spinach and packcoy varies depending on various factors, including the composition of tea waste, growing conditions, and plant nutritional needs.

This research aims to first determine and analyze the Lake Toba Tourism development strategy by the Lake Toba Authority Implementing Body. Second, to find out the results of the SWOT analysis of employee performance improvement strategies using the IFAS and EFAS matrices, important factors can be identified from both the external environment and the internal environment which are strengths, weaknesses, opportunities and threats for improving performance. The research method used in this research is descriptive qualitative, the author also uses SWOT analysis. SWOT analysis is the systematic identification of various factors to formulate company strategy. From the results of the analysis, a growth strategy or growth oriented strategy is obtained. This strategy indicates that the company is strong and able to continue to develop by taking advantage of existing opportunities. This strategy was chosen because the calculation results were in quadrant I where the total weighted score of strengths-weaknesses was 3.36 while the total weighted score of opportunities-threats was 3.314. Positions in this quadrant are very profitable and can be implemented optimally.

Background: Unfortunate Children such as street children in Denpasar must work to survive. One of the jobs they can do were to become hawkers and become a "tukang suun" in several markets in the Denpasar. This child received less attention, including health. The purpose of this activity is to provide health services and health education for street children, especially hawkers and "tukang suun" at the Bali Children's Lentera Foundation (LAB), Denpasar City. Method: This is a Community Services activity in with health services for 23 street children / "tukang suun" at the Bali Children's Lentera Foundation (LAB) Denpasar. This health service activity about weight and height measurements to find out nutritional status based on body mass index (BMI); hemoglobin levels examination, health education about clean and healthy behavior; and supplementary feeding. Results: Most of the children present were girls (74%) and most  were 4 - 9 years old. Based on body mass index (BMI), children’s were thin (50% in 4-6 years old and 37.5% in 7-9 years old). The results of hemoglobin levels examination through periphery blood tests, there were 89% of children have normal hemoglobin levels. Conclusion: based on BMI, street children / "tukang suun" tend to be thin but most have normal hemoglobin levels 

Background: Changes due to pregnancy are experienced by all women, starting from the digestive system, cardiovascular and musculoskeletal systems. Gradual bodily changes from a pregnant woman's increased weight cause the woman's posture and gait to change. Increased abdominal distension which makes the pelvis tilt forward, decreased abdominal muscle tone and the center of gravity shifts forward so that there is a tendency for the waist muscles to shorten if the abdominal muscles are stretched, causing an imbalance in the pelvic muscles which can cause discomfort in the lower back and also have an impact on lowering the baby's head. Objective: This study was to determine the relationship between using a gymball and lowering the fetal head in third trimester pregnant women.Method: This research uses primary and secondary data with a case study approach, namely providing complementary care in the form of using a gym ball to help lower the fetal head.Results: Pregnant women in the third trimester experienced head loss when using a gym ball.Conclusion: Based on the results of data analysis, using a gymball can help the decline process.Suggestion: It is hoped that PMB in Pesanggrahan village will become a forum and facilitator for pregnant women and women giving birth whose first stage is abnormal by using a gym ball to help lower the head and speed up the labor process.

Abortion can endanger the mother's health because it can cause bleeding, uterine perforation, infection and shock. Bleeding occurs due to not yet releasing all the products of conception from the endometrial wall, so that the blood vessels are always open to empty the uterus of the remaining products of conception. The next consequence of abortion is perforation, perforation occurs when scraping/curettage, if this happens it is necessary to carry out a laparotomy according to the extent of the perforation. Infection can occur due to the accumulation of dead and rotting products of conception in the body, causing infection, shock, can occur in cases of abortion due to severe infection or profuse bleeding. The incidence of abortion in Indonesia in 2012 was 4%. The aim is to determine the relationship between gestational age and distance with the incidence of abortion in 2023. termination of the pregnancy process before the gestational age is less than 28 weeks (Manuaba, 2010). Abortion is the ending of a pregnancy through any means, spontaneous or artificial, before the fetus is able to survive with limitations based on gestational age and body weight. This research is an observational analytical research with a research design control cases. The samples taken to support this research were all abortion patients at the Pargarutan Health Center, South Tapanuli, totaling 30 people.

As the number of elderly people increases, this can cause various problems such as social, economic and health. The welfare of the elderly can be reflected through their health condition. Home Care as a form of assistance and social care for the elderly in the family or home environment can meet the needs of the elderly so that elderly exercise done regularly can prevent functional loss caused by cardiovascular disease and another benefit of this elderly exercise is that it can reduce weight and strengthens the heart muscles. Research Method: This research uses qualitative research with a pretest-posttest control design. This research was carried out in RW 005 Campurejo Village, Mojoroto District, Kediri City with a population of 20 elderly people with total sampling. Research Results: Blood pressure before and after elderly exercise also showed an average increase, namely 450.0, increasing to 750.0 with a p value of 0.004, which shows there is a significant relationship. Conclusion: there is a significant relationship between elderly exercise and physical fitness, namely blood pressure with a p value of 0.004.

Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.