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Adolescents are an age group that holds the baton for the development of a nation. For this reason, young people need attention. During the COVID-19 pandemic, teenagers are at risk of contracting COVID-19 because of their high activity and tendency to group. In Indonesia, there are 63% of adolescents who have had sexual contact with the opposite sex and 21% have had an abortion, as many as 93.7% of junior high and high school adolescents have done genital stimulation, kissing their partner and oral sex/ and 62.7% of junior high school teenagers who do not virgins Changes in daily activities for adolescents will have an impact on the physical and psychological aspects of adolescents due to social restrictions, such as lack of information related to reproductive health. The purpose of this community service activity is to provide information about adolescent reproductive health online using zoom so that adolescents understand and apply it to their next life. The result of this activity is an increase in the knowledge of adolescents about reproductive health. Through this activity the provision of information about adolescent health can be done periodically.

The health profile book for the province of East Kalimantan in 2016 Sickness Rate (Morbidity) describes the incidence of disease in a population over a certain period of time, which can be in the form of incidence rates or prevalence rates of a disease. The morbidity rate also plays a role in assessing the health status of the community. Data on population morbidity comes from the community (community based data) obtained through a morbidity study, and the results of data collection from the District/City Health Office, the health program manager at the provincial level. The morbidity rate in 2013 was 11.74 and decreased in 2014 to 9.18 and increased in 2016 to 11.90. (Dinkes: 2016) The implementation of PHBS is low, because there are still many students who eat snacks carelessly and there is still garbage scattered in the school yard. The UKS exists but the program does not run due to the lack of supporting facilities, and their lack of knowledge regarding how to wash hands properly and correctly. Aims to increase the knowledge of elementary school students in clean and healthy living behavior through the Socialization of Clean and Healthy Life Behavior (PHBS) with the Three Thumb system, Provide understanding and awareness to elementary school students about the importance of the school PHBS program Able to reduce morbidity due to lack personal hygiene in the school environment. The method used in this activity is the lecture method, demonstration method and practical method, data collection techniques, namely the initial test and the final test. The result is that there is an increase of 21% of students' knowledge of the importance of PHBS.

Blood donation activity is the obligation of every community as a form of concern for others. Many people do not know about the health benefits of blood donation. There are even people who are reluctant to donate blood because they are worried about the side effects it causes. In fact, by donating blood, the blood cells in the body are replaced more quickly with new ones. The purpose of this activity was to carry out the HISFARMA Social Service and Persit KCK HUBDAM I/BBU Community Pharmacy Seminate Association PD IAI North Sumatra. This activity was carried out by conducting a site survey with the implementation team, meeting with Representatives of PERSIT KCK HUBDAM I/BBU, Medan, North Sumatra. This activity was opened by the presenter, after that singing the Indonesia Raya anthem, welcoming remarks, followed by blood donation activities, blood sugar checks, a careful echo talk show and ended with a group photo. Implementation of community service in the form of social services in educating the public on the importance of blood donation, blood sugar checks and careful echo talk shows. Health Checkup has many benefits. When donating blood, the blood cells in the body are replaced more quickly with new ones. If you donate blood once every three months, your body will stay healthy. Besides being useful for helping others, blood donation also makes our bodies healthier. So it can be concluded that this activity has a good impact and influence on people's knowledge in carrying out this activity.

Masyarakat pada umumnya ingin berpenampilan menarik di hadapan orang lain. Perawatan yang dilakukan diantaranya mulai dari ujung rambut sampai ujung kaki. Masyarakat memilih kosmetik biasanya karena harganya murah, iklan kosmetik yang ditampilkan menarik, ataupun melihat efek yang dihasilkan ketika rekan terdekat telah menggunakannya. Padahal, kebutuhan kosmetik tiap orang berbeda-beda bergantung dari jenis kulit orang itu. Masyarakat juga diharuskan jeli dan teliti dalam memilih kosmetik yang aman dan baik untuk dirinya. Oleh karena itu, diperlukan pengetahuan yang cukup dan baik dalam memilih kosmetik yang aman dan baik bagi masyarakat agar pembelian kosmetik itu dapat memberikan hasil semaksimal mungkin sehingga penampilan yang diinginkan dapat terwujud. Sosialisasi dilakukan di lingkungan RT 16 RW 04 Kelurahan Rawa Buaya melibatkan ibu rumah tangga dan bapak-bapak yang berusia dalam rentang 30-60 tahun. Metode yang dilakukan adalah pembagian kuisioner, presentasi materi, dan pembagian flyer yang berisi tips singkat sesuai dengan tema pendidikan. Pengetahuan masyarakat bertambah sebesar 78% setelah dilakukan pemaparan materi.

Based on World Bank data, the stunting rate of the workforce in Indonesia reaches 54%, so it takes the role of all parties to succeed in the government's program to reduce the stunting rate. Through the assistance for handling and preventing stunting, the thematic Community Service Lecture (KPM) program based on the 2022 Al-Qur'an Science University in Damarkasiyan Village, it was concluded: that the assistance for stunting handling and prevention in Damarkasiyan Village was well received by the community. This activity raises awareness of citizens to live healthy and comply with recommendations from related parties.

Data menyebutkan bahwa Usaha Mikro Kecil dan Menengah (UMKM) menjadi penyumbang Produk Domestik Bruto (PDB) terbesar dengan angka sekitar 61 persen. Direktur Pembinaan Pengelolaan Keuangan BLU Kementrian Keuangan, Ary Wahyuni dari jumlah tersebut kontribusi UMKM menyerap tenaga kerja mencapai 97 persen. Dalam menjalankan program Community Development, mahasiswa ESQ Business School berupaya untuk meningkatkan kualitas daripada UMKM dengan cara bekerjasama dengan IWAPI Jakarta Timur. IWAPI merupakan Ikatan Wanita Pengusaha Indonesia, dalam hal ini kami bekerjasama dengan IWAPI di daerah Jakarta Timur. Kami memilih IWAPI sebagai organisasi yang kami ajak bekerjasama dikarenakan legalitas organisasi tersebut dan juga feedback dari organisasi tersebut yang kami nilai sangat baik dari segi komunikasi dan kerjasama lainnya, khususnya Tji Liwoeng Coffee. Pada kegiatan ini dilakukannya proses Re-Branding dengan meningkatkan brand awareness. Tujuan utumanya dari Re-branding sendiri adalah untuk memperbaruhi sebuah brand yang telah ada agar menjadi lebih baij dengan tidak mengabaikan tujuan awal dari Tji Liewoeng Coffee itu sendiri. Pada tahap ini kegiatan yang dilakukan adalah membuat mood board yang sesuai dengan permintann dari pemilik. Maka dari itu dengan adanya Re-branding terhadap Tji Liewoeng Coffee ini meningkatkan engagement dan juga pendapatan. Kelebihan dari Re-branding adalah memberikan potensi yang lebih menonjol terhadap kompetitor. Dalam melakukan kegiatan ini juga ditemukan perbedaan diantara dunia kuliah dan pekerjaan.    

The attitude of the bride and groom is a form of active community participation in premarital health checks. The bride and groom are expected to be able to carry out activities in order to improve health status because. This study aims to assess the relationship between perceptions, knowledge, and awareness, about premarital health with premarital examination attitudes. The research design used is Crosssectional. Collecting data using a questionnaire that is served and analyzed using Multiple Regression. The sampling method used is probability sampling. The data quality test used is a validity test using Corrected Item Total and a reliability test using Cronbach Alpha. To test the hypothesis in this study, the researcher used F test. The results of this study indicate that the variables of perception, and awareness have an influence on premarital examination..

Surgery still often causes various problems, one of which is pain, but the problem of pain during and after surgery can be overcome by anesthesia technique. One of them is spinal anesthesia technique. However, spinal anesthesia still has drawbacks where the duration of sensory and motor blockade is still very short. Various methods are used to prolong the duration of sensory and motor blockade of spinal anesthesia, one of which is the addition of adjuvants such as fentanyl and clonidine. This study was conducted to compare the speed of onset of action of sensory-motor blockade and the lengthening of duration of action of sensory-motor blockade between the addition of 25 g fentanyl compared to 50 g conidine in 10 mg hyperbaric 0.5% bipivacaine administered under spinal anesthesia. This study used a Randomized Control Trial (RCT) design with a double-blind randomized control trial and was conducted at Mitra Plumbon Hospital Cirebon from March-April 2021. There were 42 patients who met the inclusion criteria who underwent surgery with spinal anesthesia. Patients were divided into 2 groups, group 1 used 10mg hyperbaric 0.5% bupivacaine plus 25µg fentanyl, while group 2 used 10mg hyperbaric 0.5% bupivacaine plus 50µg clonidine. We investigated the onset of action and duration of action of sensory-motor blockade, the effect of hemodynamic shock, the effect of sedation levels and intraoperative adverse effects (side effects). Data analysis using SPSS 20.0. In the group of 10 mg bupivacaine 0.5% hyperbaric plus clonidine 50 g, the onset of action of sensory-motor blockade was faster and the duration of action was longer than in the group of 10 mg bupivacaine 0.5% hyperbaric plus 25 g fentanyl with a P value <0.05. Likewise, the effect of hemodynamic fluctuations in the 10mg hyperbaric 0.5% bupivacaine group plus 50 g clnidine was more stable than the 10mg hyperbaric 0.5% bupivacaine group plus 25 g fentanyl. While the effect of the level of sedation and intraoperative side effects are comparable

Background: Post spinal anesthesia complications, one of which is urinary retention, it is an inabity of the bladder to partially of completely empty urine during urination. In performing injections on the subarachnoid can be done on the patient in a sitting position on the surgery table or in a tilted/lateral decubitus position. Objective: To analyze the corellation between spinal position an the occurrence of post-anesthesia urinary retention, with the inclusion criteria of patients undergoing spinal block anesthesia in sitting position. Research Methods: The design of this research is analytical observation with a cross sectional approach, sampling using pusposive sampling technique. The number of samples as many as 42 people, the sample was taken in the Central Surgical Installation Room of RSUD dr. H. Jusuf SK. Collecting data using observation sheets that have been prepared and given instructions on how to fill them, regarding the patient’s sitting position in spinal surgery, that is the sitting position with both legs straight or sitting sitting position with both knees flexed, as well as the patient’s ability to urinate after spinal surgery, which is less than 8 hours or more than 8 hours after spinal surgery. From the study, the were 16 respondents who experienced post-spinal urinary retention, 13 respondents who received a spinal sitting position with both legs straight and 3 respondents who received a spinal sitting position with both knees flexed. Result: Statistical test using chi square, obtained P value = 0.715, thus P value > alpha (0.05), so Ho is accepted, it means that it can be concluded that there is no correllation between spinal anesthesia block position and the ccurance of post-anesthesia urinary retention.

The combination of low-dose intrathecal morphine with spinal anesthesia provides an effective and safe postoperative analgesia effect and may enhance the analgesia effect of bupivacaine. At Vita Insani Hospital, almost all patients who will undergo S.C surgery are generally carried out with spinal anesthesia by an anesthesiologist with habitual drug use and the dose used is bupivacaine 0.5% hyperbaric 12.5 mg plus adjuvant morphine 0.2 mg. Seeing the phenomenon of this case, the researcher wanted to see how the description of the effect of giving bupivacaine 0.5% hyperbaric 12.5 mg plus adjuvant morphine 0.2 mg which is commonly used in spinal anesthesia on the duration of analgesia and pain response time that will be felt by patients after sectio caesarea surgery at RS Vita Insani. The research design used is a quantitative descriptive method with a cross sectional approach, with the method used in this research is a prospective descriptive conducted in the post-surgical treatment room (recovery room) Central Surgical Installation (IBS) Vita Insani Hospital from May 2021 to July 2021. This study only uses one group because it only describes the results of a condition. The number of samples as many as 63 samples with purposive sampling technique in accordance with the inclusion and exclusion criteria that have been determined The respondents felt the most pain starting at 3 hours of postoperative assessment with respondents who felt mild pain as many as 31 cases (49.2%) and at least respondents who felt severe pain as many as 5 cases (7.9% ). and pain increased at 4 hours postoperative assessment, namely moderate pain. However, it can also be seen at 0 to 2 hours of postoperative pain assessment that more respondents still do not feel pain. That the duration of analgesia began to decrease in the first hour and then the most significant postoperative pain was felt at 3 hours postoperatively. So that other pain management is needed to reduce the pain experienced by patients such as relaxation techniques, distraction and collaboration of pharmacological therapy in dealing with postoperative pain.

Family planning is an attempt by a married couple to regulate the number and distance of children desired. The effort in question is contraception or prevention of pregnancy and family planning, the basic principle of contraceptive methods is to prevent male sperm from reaching and fertilizing a woman's egg. This study aims to determine the relationship between knowledge and attitudes of mothers with the use of implantable contraceptives at the Kedai Sianam Health Center in 2022. This research is an analytical research with a cross-sectional study design. The population in this study was all mothers who used contraceptive implants at the Kedai Sianam Health Center as many as 157 people. Samples were obtained as many as 61 people. Data analysis using univariate and bivariate analysis with Chi Square test. The results showed that there was a relationship between maternal knowledge and the use of implantable contraceptives (p = 0.008). There is an attitudinal relationship with the use of implantable contraceptives (p = 0.000). Thus, it is recommended that mothers take the time to attend counseling organized by health workers at Puskesmas about family planning services so as to increase knowledge, attitudes of mothers about implanted contraceptives.

Basic sanitation is a community effort that focuses on controlling the physical structure, where people use it as a shelter that affects the degree of human health. The purpose of this study was to determine the description of basic sanitation facilities in Kairatu Village, Pakarena Coastal Area in 2021 which includes facilities for providing clean water, toilet and bathroom facilities, waste water management facilities and waste disposal facilities. This type of research is descriptive research, namely the research method carried out with the aim of making a description or descriptive of an objective situation. which was carried out in Kairatu Village, Pakarena Coastal Area in 2021. Provision of clean water facilities in Pakarena hamlet, there are 11 existing families, own property, odorless, colorless, tasteless while there are 4 existing families, but not their own, odorless, colorless and tasteless. On average, Pakarena hamlet residents have a latrine, the type of latrine used is goose neck and has a saptic tank of 14 families and 1 family who does not use a goose neck latrine. Waste water management facilities have not met the requirements. A total of 14 families of waste water are channeled into open sewers and 1 family has SPAL that does not pollute the water. Garbage disposal facilities do not meet the requirements, garbage boxes are not available at all and residents only throw garbage in rivers near settlements while some residents manage waste by burning so that it can pollute the environment.

Gamesis an activity done for fun or enjoyment that has rules so that someone wins and someone loses. Addiction to playing games excessively is known as Games Addiction. The aim of this research is to find out the description of online game addiction among teenagers in Kebun Cengkeh Rt.01/Rw.09, Batu Merah Village, Sirimau District, Ambon City in 2020. This research method is descriptive research. The sample in this study consisted of 51 teenagers located in Kebun Cengkeh Rt.01/Rw.09 Batu Merah Village, Sirimau District.This research has one variable, namely online game addiction. From the results of data analysis withFrequency distribution results showed that the level of online game addiction was mostly mild, as many as 24 respondents (47.1%) among teenagers in Kebun Cengkeh Rt.01/ Rw 09 Batu Merah Village. The conclusion is that it can be described that there is a medium level of online game addiction, severe online game addiction among teenagers in Kebung Cengkeh Rt.01/ Rw 09 Batu Merah Village.  

One effort that can be done to control breast cancer is to carry out primary prevention such as controlling risk factors and increasing communication, information and education. Secondary prevention is carried out through early detection of breast cancer, namely breast self-examination (BSE). This study aims to determine the level of knowledge and attitudes of young women about early detection of breast cancer through self-examination (breast self-examination) in the working area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. This study used a collaborative research design with a cross-sectional approach. With a total population of all young women in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency, namely 130 pure women with a sample of 58 using the simple random sampling method. Data collection in March-June 2022. This analysis was carried out to test the hypothesis using the Chi Square test at significant and if the p-value < 0.05. Based on the results of the study between knowledge and BSE actions, the Chi Square statistical test obtained a p value = 0.010 so that p <0.05. And the attitude with the BSE action that the Chi Square statistical test obtained a p value = 0.038 so that p <0.05 then H0 is rejected and Ha is accepted. There is a Relationship between Knowledge and Attitudes of Young Women About Early Detection of Breast Cancer Through Self-Examination (Breast Self-Examination) in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. It is hoped that this can be one of the therapies given to young women to prevent breast cancer from being carried out as early as possible.    

Indonesia has a variety of plants that have potential as medicinal ingredients. One of the plants that can be used as medicine for various diseases is the parijoto plant. Parijoto is a plant that belongs to the Melastomataceae family. Parijoto plants contain flavonoid compounds, saponins, tannins and terpenoids. The content of compounds contained in the parijoto plant has various pharmacological activities. This study aims to determine the pharmacological activity of the parijoto plant (Medinilla speciosa). The method used in this study is to use the literacy review method. Reference search is done by searching Google search, Google Scholar, PubMed according to the topic. Based on a review of several literatures, it is shown that the parijoto plant (Medinilla speciosa) has pharmacological activity as antibacterial, antibiofilm, antidiabetic, antifungal, antioxidant, anticholesterol, and cytotoxic.  

Hypertension or high blood pressure is a non-communicable disease that is one of the main causes of premature death worldwide. Generally, hypertension is found in people with old age, but in its development, hypertension also affects people of reproductive age, such as women of childbearing age. This study aimed to analyze the risk factors for hypertension in WUS in the working area of ​​the Naibonat Health Center. The type of research used is quantitative, with a case-control study approach. The case population in this study was 511 WUS, then 55 case samples were taken using a simple random sampling technique, and 55 control samples were taken from the respondent's closest neighbors. The data obtained were analyzed using the chi-square statistical test. The dependent variable in this study was hypertension, while the independent variables were age, family history, use of hormonal contraception, obesity, and stress. The results showed that three variables had a relationship with hypertension in women of childbearing age, namely age (p=0.000, OR=7.111), family history (p=0.002, OR=3.710), and physical activity (p=0.000, OR=4.495). in comparison, the use of hormonal contraception, obesity and stress did not have a relationship with the incidence of hypertension in women of childbearing age. The Puskesmas is expected to increase efforts to prevent hypertension by optimally improving services, especially in increasing public knowledge about hypertension so that people can maintain normal blood pressure and can avoid risk factors that can cause hypertension.

More than 1 million sexually transmitted diseases (STDs) occur every day. In one year there are an estimated 357 million new sexually transmitted infections (STIs) worldwide. Sexually Transmitted Diseases are a type of reproductive tract infection (ISR) that is transmitted through sexual contact. This writing aims to determine the relationship between mothers' knowledge and attitudes in preventing sexually transmitted diseases and gonorrhea in Lau Lugur Village, Salapian District, Langkat Regency in 2022. The independent variable is mothers' knowledge and attitudes in preventing sexually transmitted diseases and the dependent variable is Gonorrhea. The type of writing used is analytical observational with a cross sectional approach method. The population was 210 mothers and the sampling method used in this writing was Quota Sampling, taking the number of samples determined by the author, namely 33 mothers. The data used in this writing are primary data through questionnaires and checklists and secondary data obtained from the village head. The statistical test used is the chi-square statistical test α=0.000. The results of the analysis showed that of the 33 respondents there were 3 people (9.1%) who had good knowledge, 7 people (21.2%) who had sufficient knowledge. And 23 people (69.7%) had less knowledge. The chi-square statistical results showed that the knowledge value was p=0.000 and the attitude value was p=0.000< α=0.05, which means there is a relationship between mother's knowledge and attitude in preventing sexually transmitted diseases and gonorrhea. It is hoped that mothers in Lau Lugur Village, Salapian District, Regency Steps to increase knowledge about gonorrhea and attitudes towards preventing gonorrhea.

The activity of cadres is very important in posyandu activities because if the cadres are not active, the provision of health services and posyandu activity programs cannot run properly. The purpose of this study was to determine the factors related to the activeness of cadres in posyandu activities in the working area of ​​the Kenarilang Health Center, Alor Regency. This type of quantitative research uses a cross sectional study approach. The study population consisted of 210 cadres, with a total sample of 68 cadres using convenience sampling/accidental sampling. Data were analyzed using chi-square statistical test. The results showed that the variables of knowledge (ρ = 0.023), occupation (ρ = 0.022), incentives (ρ = 0.002), and support from community leaders (ρ = 0.043) had a relationship with the activeness of cadres in posyandu activities. Meanwhile, the attitude variable (ρ=0.492) had no relationship with the activeness of cadres in posyandu activities. Puskesmas Kenarilang should improve training on promotive efforts when providing cadres in increasing knowledge about the duties and functions of posyandu. Village and sub-district governments should always provide appropriate incentives as motivation in increasing the activity of cadres in posyandu activities, and it is hoped that community involvement will always support cadres in posyandu activities.

Untuk mengurangi angka kesakitan dan kematian bayi maka anak harus diberikan ASI Eksklusif selama 6 bulan pertama dan makanan pendamping ASI diberikan setelah 6 bulan, pemberian ASI berlanjut sampai dengan anak berusia 2 tahun. Pemberian ASI dapat menurunkan angka kematian anak secara global sebesar 10% setiap tahun. Promosi ASI eksklusif adalah upaya intervensi yang efektif untuk mengurangi kematian. Tujuan penelitian ini untuk mengidentifikasi gambaran karakteristik ibu menyusui di Wilayah Kerja Puskesmsa Waplaau Kabupaten Buru. Metode yang digunakan adalah deskriptif kuantitatif dengan pendekatan Cross Sectional. Sampel adalah ibu menyusui yang usia bayinya 7-12 bulan. Besar sampel 71 ibu menyusui dianalisa dengn menggunkan analisa univariat. Hasil: Umur Ibu menyusui dengan kategori tidak berisiko (20-35 tahun), Pendidikan kategori Sekolah Dasar, Pekerjaan Ibu Rumah Tangga, Paritas kategori primipara, ekonomi keluarga kategori < Upah Minimum Kabupaten dan Tidak memberikan ASI eksklusif pada Ibu menyusui di Wilayah Kerja Puskesmas Waplau

A common disease experienced by the elderly is hypertension. Cases of hypertension in Demak are quite high, one of them is in Mranggen village. This reality proves that many people still ignore hypertension. Because there are sufferers who feel no symptoms and there are symptoms such as headaches, weakness, fatigue, shortness of breath and blurred vision. If not treated immediately it will cause complications such as kidney failure, stroke, coronary heart disease and retinopathy. It is of course important to make efforts to control blood pressure. A combination of non-pharmacological management of deep breathing exercise and religious music is one of the efforts that can be made. The purpose of this study was to describe the administration of a combination of deep breathing exercise and religious music therapy to the blood pressure of elderly hypertensive patients. This research uses descriptive case study research with a nursing care process approach.The number of samples is 2 respondents, with the criteria of elderly clients who have hypertension, clients who do not take medication during hypertension in order to determine the effectiveness of the action, clients who can communicate well, and clients who are willing to be respondents. Deep breathing exercises and religious music are carried out once a day for 3 days in 1 week with a duration of 15 minutes. Blood pressure measurement using a sphygmomanometer and stethoscope. Blood pressure measurements were taken before and after the procedure. The results showed that the blood pressure of respondent 1 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes, the blood pressure on the first day before receiving therapy was 160/70 mmHg and after being given therapy for 3 days on the last day the blood pressure became 150/60 mm Hg. In respondent 2 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes the blood pressure on the first day before receiving therapy was 179/80 mmHg and after being given therapy for 3 days on the last day the blood pressure was 156/70 mmHg .