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Post-spinal anesthesia nausea and vomiting (PSANV) are common side effects that can affect patient comfort and recovery after surgery. This condition often disrupts the recovery process and may extend the post-operative care period. One non-pharmacological method that can help reduce nausea and vomiting is deep breathing techniques. This study aims to evaluate the effectiveness of deep breathing techniques in reducing the incidence of nausea and vomiting after spinal anesthesia. The method used in this study is a pre-test and post-test design, with an intervention consisting of deep breathing exercises for patients undergoing surgery with spinal anesthesia. A pre-test was conducted before the intervention to assess the incidence of nausea and vomiting in patients. After patients practiced deep breathing exercises for a certain period, a post-test was performed to evaluate changes in the frequency of nausea and vomiting post-operation. The results showed a significant reduction in the frequency of nausea and vomiting after patients practiced deep breathing techniques. This technique has proven to be a simple, safe, and effective method to enhance post-operative comfort. Therefore, the implementation of deep breathing techniques can be recommended as part of post-spinal anesthesia management in healthcare facilities to improve patient recovery quality.

This empowerment was carried out bearing in mind that there are still many banana tree fronds that are not used and only become waste, therefore to overcome the large amount of banana frond waste in Marga Mulya Village. And to find out what the benefits of banana fronds are for processed products that are useful and have economic value, we make use of these banana fronds by making processed banana fronds chips that have high economic power by empowering housewives in Marga Mulya Village. This community empowerment is carried out every Saturday with four meetings. And it is hoped that the manufacture of banana chips which has been implemented in Marga Mulya Village can continue and help the economy of local residents.

Diabetes Mellitus (DM) is a chronic disorder of the body's metabolism due to the hormone insulin in the body which cannot be used effectively in regulating blood sugar balance thereby increasing the concentration of sugar levels in the blood (hyperglycemia). The purpose of this study is to be able to understand diabetes mellitus and practice diabetic foot exercises in order to minimize tissue damage. Health education about diabetes mellitus and diabetic foot exercises can increase the knowledge of Karangjongkeng villagers to try their best to prevent more severe diabetes mellitus, namely tissue damage. Health education to residents can increase the knowledge and skills of diabetic foot exercises in preventing diabetes mellitus.

Universitas Maritim AMNI carried out community service activities at Tambak Lorok  to support the government of Semarang program. It is not only students/cadets and lecturers who carry out community service activities but also the surrounding community. They are very enthusiastic in participating in implementing various program activities carried out at Tambak Lorok  . The method of implementing this activity uses a direct socialization and training approach , observation, interviews and literature studies. Socialization and training materials on efforts to increase fishing yields to increase fishing family income. The observation was held in Tambak Lorok  . The data collection was carried out through interview methods and as a reference for implementing community service activities was using the literature study method. The success of these program was  indicated by improve the healthy lifestyles and increase the income of the Tambak Lorok  Community.

Motivation is the driving factor to achieve a quality services, especially in health. Work motivation is desirable in order to improve public health, it also can be expected to produce socially optimal production in accordance with the goals and ideals of the organization in the future. Research Purposes to determine the influence of work motivation on employee performance at Puskesmas Kairatu Method. This type of research used in this study was cross sectional. This research was conducted at the health center Kairatu West Seram regency. The population in this study were all employees of the health center Kairatu totaling 84 people. While the sample is done purposive sampling amounted to 69 people. The survey results revealed that respondents are less intensive relationship with the motivation to work as much (100%). For quite intensive relationship with the motivation does not support as many (10.8%) and motivational support as many (89.2%). known relationship with the working conditions are less motivation to work as much support categories (100%). For good working conditions to do with the motivation that does not support as many (11.4%) and support as many (88.6%). it is known that the relationship is less motivated colleagues support as many categories (100%). For a good relationship with co-workers motivation does not support as many (11.1%) sedangan motivational support as many (88.9%). Chi-square test results note that there is no significant relationship between the variables relationships with colleagues with the motivation which means p = 1.000 p> 0.05.

Pulmonary TB is a major problem in the prevention and eradication of TB in the world. This study aims to determine the relationship between the role of the family and compliance with taking medication for elderly people suffering from pulmonary TB at the Adam Malik Haji Central General Hospital, Medan in 2021. This type of research is descriptive correlation with a cross sectional research design. The number of samples was 43 from April to June 2021. The research was conducted at RSUP. Human Rights at the MDR TB Polyclinic. Bivariate analysis used the chi-square test to determine the relationship between the role of the family and the role of nurses on medication compliance, while the multivariate analysis used medication compliance for elderly people suffering from multiple logistic pulmonary TB. Based on hypothesis testing using chi-square with a confidence level of 95%, it was found that there was a significant relationship between family role and medication adherence (p=0.01). There is a significant relationship between. Based on multivariate analysis, the variable that was most related to medication adherence in MDR TB sufferers was informational family support (p=0.01). The conclusion of this research is that there is a relationship between the supportive role of nurses and compliance with taking medication in TB sufferers.

Snail Gong-gong (Strombus Turturella) is a typical food of the people of Riau Islands. The processed food produces the waste of a well-utilized shell. The main composition of the gong-gong slug is calcium carbonate (CaCO3). With the content of calcium, the waste shell of gong-gong can be used as raw material for the preparation of pharmaceutical preparations such as suction tablets. This study aims to obtain the formulation of a lozenges from the waste of gong-gong shell with good physical properties. A lozenges is made by a method of wet granulation in three formulas with variations in the concentrations of the case of the F1 gong-gong 15%, F2 30%, and F3 45%. The granules and tablets are evaluated. The results of the granule evaluation showed that the granule produced from the three formulas has fulfilled the requirements, the results of the tablet evaluation showed on organoleptic test, size uniformity, hardness, disintegration time of all three formulas have fulfilled good lozenges requirements. While the weight uniformity of F1 is not eligible, the friability test F1 and F2 are not eligible. The results of this study showed that the gong-gong snail shells can be formulated into a lozenges and have good physical properties.

Background: Obesity is a pathological condition due to excessive fat accumulation than is needed for body function. Pregnant women with overweight and obesity are at high risk and have been shown to be associated with increased complications in pregnancy. Cesarean section is a surgery to deliver a fetus by opening the abdominal wall and uterine wall. Generally, in cesarean section, spinal anesthesia is performed. Objective: to determine the hemodynamic picture of obese caesarean section patients with spinal anesthesia. Method: The method used is observational analytic with a cross-sectional approach and consecutive sampling technique. Data analysis uses parametric statistics. The data in this study are the results of differences in obese and non-obese patients. Data collection techniques in this study include documentation and observation. Results: The pre-anesthesia results obtained an average systolic blood pressure = 138.31 ± 17.528, an average diastolic blood pressure = 82.54 ± 10.643 and an average pulse of 100.69 ± 15.315, while the results after 5 minutes obtained an average systolic blood pressure of 105.31 ± 12.572, an average diastolic blood pressure of 61.15 ± 11.753 and an average pulse of 99.54 ± 18.963. Conclusion: Changes in blood pressure and pulse before spinal anesthesia with after spinal anesthesia in obese patients undergoing cesarean section showed a decrease in blood pressure and pulse in the 5th minute after injection.

Desa Tambu merupakan salah satu desa yang ada di Kecamatan Sausu Kabupaten Parigi Moutong. Sasaran kegiatan PKM ini adalah masyarakat yang memiliki ternak sapi. Pelaksanaan kegiatan program PKM ini dilaksanakan oleh tim pelaksana yang terdiri dari mahasiswa dan dosen Universitas Sintuwu Maroso Poso. Metode dalam kegiatan PKM meliputi observasi, pelayanan kesehatan ternak dan evaluasi. Hasil evaluasi kegiatan PKM menunjukan bahwa pengetahuan peserta PKM mengalami peningkatan. Secara rinci diuraikan bahwa 90% sangat mengetahui pelaksanaan kegiatan PKM, 82% sangat mengetahui tentang pemeliharaan kesehatan ternak sapi yang baik, dan 75% sangat mengetahui manfaat pemberian vitamin B kompleks pada ternak sapi.  

Kompetensi sumber daya manusia (SDM) senantiasa harus ditingkatkan, guna menghadapi persaingan yang semakin ketat  di Era 4.0. Peningkatan komptensi dapat melalui hard skill maupun soft skill dan intergrasi di antara keduanya, hard skill dan soft skill. Pendidikan dan pelatihan (Diklat) pegawai PT. Bumida Kantor Pusat dan Kantor Cabang DKI Jakarta, baik pendidikan formal melalui peningkatan jenjang pendidikan ke Strata-1 atau Strata-2 dan non formal, berupa peningkatan kompetensi hard skill atau soft skill. Manfaat dari peningkatan kompetensi hard skill dan kompetensi soft skill sangat dibutuhkan dalam dunia kerja, karena kedua hal ini adalah saling melengkapi dan menyatukan kompetensi hard skill dan soft skill untuk keberlangsungan (survive) perusahaan dan kesuksesan seorang pegawai menjadi seorang professionalisme.  

Health efforts are carried out with an emphasis on the wider community in order to achieve optimal levels of health, without neglecting the quality of service to individuals. This study aims to determine the level of satisfaction felt by patients who come for treatment regarding comfort, staff service, service procedures and also service results at the Delitua Community Health Center, Deli Serdang Regency. This research used a cross sectional study test design with a sample size of 33 people determined through saturated sampling by conducting interviews using a questionnaire. The results of the study showed that all the variables studied showed a significant relationship with patient satisfaction at the Delitua health center, namely comfort p(0.009)<a(0.05), staff service p(0.023)<a(0.05), service procedures p (0.015)<a(0.05) and service results p(0.023)(0.05), the community health center must further improve the quality of health services which include comfort, staff service, service procedures and service results, in order to provide satisfaction for patients who use them. health services at the Delitua community health center.    

Alat  Permainan  Edukatif  (APE)  diharapkan  agar  proses  pembelajaran menjadi menarik dan menyenangkan sehingga anak betah,tidak merasa bosan dan fokus dalam belajar. Walaupun telah diketahui bahwa Alat Permainan Edukatif (APE) sangat menunjang bagi terlaksananya proses belajar yang efektif namun perlu mengkreatifitaskan lebih banyak variasi di sekolah dalam menggunakan Alat Permainan Edukatif (APE) secara maksimal dalam proses pembelajaran. Tujuan kegiatan ini adalah untuk menumbuhkan  minat  belajar  anak, pengabdi akan menerapkan suatu tindakan dalam bentuk penggunaan media Alat Permainan Edukatif (APE) disiapkan oleh guru sesuai dengan kebutuhan pokok bahasan yang akan diajarkan pada anak dan didapat dengan mudah bisa gunakan bahan dari tersedia dibeli, barang bekas ataupun dalam bentuk kreatifitas lain yang bisa dibentuk, dibuat, digunakan dan dimanfaatkan terutama guru memiliki keahlian  keterampilan untuk hal tersebut perlu membekali diri dari sosialisai, pelatihan dan seminar  untuk belajar lagi dan memuntut hal baru dari ilmu pengetahuan dan keterampilan. Berdasarkan hasil dari sosialisai tersebut adalah berjalan dengan lancar dan tercapainya salah satu cara pilihan  untuk  dapat  membantu  dan  saling memberikan kebermanfaatan bersama dalam kemajuan dibidang pendidikan anak usia TK terutama usia 5 sampai 6 tahun dalam memotivasi mereka selain guru, peserta didik juga pihak lain yang berkepentingan dalam memajukan dunia pendidikan agar anak anak yang merupakan bagian dari nantinya sebagai penerus bangsa merupakan anak anak yang cerdas selain kognitifnya, keterampilannya juga prilaku serta wawasan dan pengembangan dirinya yang dimiliki berguna dan bermanfaat kelak nantiya baik bagi dirinya orang lain lingkungan dan negara tentunya.  

Banyak UMKM yang ada di daerah sekitar kita masih menggunakan pencatatan pengeluaran usaha secara sederhana dan sejatinya belum mengerti bagaimana perhitungan dari harga pokok penjualan dan bagaimana caranya memanajemen resiko-resiko yang ada pada usaha yang dimiliki, Alasannya para pemilik usaha ini hanya tau dari banyaknya penjualan, yang penting untung dan masih ada modal untuk usaha lagi. Selain itu para pemilik UMKM ini terkadang hanya membuka usaha dengan modal nekat tanpa memperhatikan resiko resiko yang dihadapi dan cara mengatasinya. Kegiatan sosialisasi ini bertitiktolak pada pendampingan masyarakat pemilik UMKM yang ada di Desa Telogo Rejo Batanghari Lampung Timur, melalui Pendampingan Perhitungan Harga Pokok Penjualan Dan Manajemen Resiko mampu meningkatkan kualitas para pemilik UMKM agar dapat mengelola keuangannya dengan baik serta meningkatkan kualitas usahanya. Tujuan dari kegiatan ini adalah memberikan pendampingan perhitungan harga pokok penjualan dan manajemen resiko.    

Around 40% there are still children of pre-school age who have not been able to do their developmental tasks according to their age. In addition, in the kindergarten, finger painting activities have never been done on the soft motor development of pre-school children in Tunas Kelapa Kindergarten Group B Tinigi Village, Galang District. This type of quantitative research with a one group pretest posttest approach, a population of 32 people and a sample of 15 people with purposive sampling technique. Data analysis used the Wilcoxon test, with finger painting as an independent variable and fine motor dependent. The results of the pretest study were 8 respondents (53.3%) suspect and the posttest was 13 respondents (86.7%) normal. The results of bivariate analysis obtained p value 0.014 <0.05, there is an effect of finger painting activities on the soft motor development of pre-school children in Tunas Kelapa Kindergarten Group B Tinigi Village, Galang District. It is hoped that this research can be additional knowledge for parents so they can optimize the development of their children.

Diabetes mellitus is a metabolic disorder caused by a lack of the hormone insulin. The hormone insulin is produced by a group of beta cells in the gland of the pancreas and plays an important role in glucose metabolism in body cells. According to the World Health Organization (WHO, 2013) 80% of DM sufferers in the world come from developing countries, one of which is Indonesia. The prevalence of DM in Indonesia reaches 4.7% of the national population and is expected to reach 5.9% by 2030. In general, the prevalence of DM in Aceh province is 1.8%. The purpose of this study was to determine the effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City. This study uses Quasi Experiment Design research design using one group pre test-post test design. The sampling technique uses total sampling by measuring blood sugar levels before and after diabetes exercises with a total sample of 16 people. Bivariate analysis uses paired t-test. The results showed that there was an Effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City with a statistical result of 0,000.

Program pengabdian masyarakat yang dilakukan tahun ini berfokus mengenai dampak ekonomi dari Pandemi Covid-19 terkait regulasi pemerintah berupa pembatasan aktivitas membuat banyak performa di berbagai sektor bisnis menurun, terutama bagi perusahaan besar atau korporasi. banyak pelaku UMKM yang kesulitan untuk memaksimalkan pemanfaatan digitalisasi ini baik bagi “pemain” lama maupun yang baru terjun ke dunia wirausaha sejak pandemi Covid-19 ini. Proses pengabdian masyarakat meliputi kegiatan tahap FGD, tahap survey, tahap sosialisasi, tahap pelatihan, tahap pendampingan, dan tahap evaluasi. Terlebih di masa pandemi Covid-19 sekarang ini dimana dengan diberlakukannya pembatasan aktivitas fisik diluar rumah dan mengakibatkan banyak dari pendapatan yang dilakukan oleh bisnis secara konvensional menurun dan mendorong mereka untuk beralih tempat berjualan ke ranah dunia maya dikarenakan meningkatnya aktivitas pengguna media sosial. UMKM yang berada di Jakarta yang dilaksanakan pada tanggal 8 Mei 2021 hingga sampai saat ini.   Kata Kunci:

Cadres are voluntary workers recruited from, by and for the community who are tasked with assisting the smooth running of health services. The performance of Posyadu cadres experienced a decline in the early 2000s as a result of a prolonged multi-dimensional crisis, this is known because there were reports of malnutrition from various parts of the country. The decline was felt following the lack of cadre skills, no Posyandu operational support, inadequate facilities and infrastructure and weak coaching. The purpose of this study was to describe the performance of posyandu cadres with the satisfaction of mothers of children under five at the Posyandu, Wakasihu Village, Central Maluku Regency. The type of research used is descriptive research. The population in this study were all mothers under five who visited the posyandu as many as 30 toddlers. The sampling technique in this study is total sampling, which means that all populations are sampled. So that the sample found in this study amounted to 30 people or respondents. The results showed that the mothers under five studied who said that the performance of cadres was good amounted to 13 people (56.7%), and the performance of cadres was not good amounted to 17 people (43.3%). Furthermore, from the 30 respondents who were examined, it can be seen that the number of respondents who said they were satisfied with the performance of the cadres were 18 people (60.0%), and respondents who said they were not satisfied were 12 people (40.0%). It was concluded statistically and illustrated that the performance of cadres still had opinions from mothers of children under five that they were not good at providing services at the posyandu. It was also concluded that statistically some respondents or mothers of toddlers still said that they were satisfied with the performance of cadres.

The purpose of this study was to determine the effect of health education on early detection of cervical cancer on the motivation of women of childbearing age to carry out VIA examinations in the working area of ​​the Antang Health Center in 2021. This type of research was an analytical survey method with a cross sectional study approach. With a population of 197 people and a sample of 30 people, the sampling technique used was purposive sampling. Data analysis was performed by Mc.Nemar test. The results of statistical tests on all respondents using the Mc.Nemar test obtained p value of 0.000 < p value of 0.05. HO is rejected It has been accepted, then there is an influence on women of childbearing age carrying out an IVA examination in the Antang Health Center Work Area in 2021.

Pregnancy is a physiological and natural condition that occurs in women. There are various complaints experienced by pregnant women during their pregnancy, one of the most common complaints is dizziness. Objective: LTA provides comprehensive midwifery care to pregnant, maternity, postpartum, BBL, neonate and family planning women using a midwifery management approach for Mrs "P" who complained of dizziness. Method: Care in this LTA is through interviews, observation and care management. The subject in this care is Mrs "S" at the Pratama Riyyan Kabanjahe Clinic. Results: results of comprehensive midwifery care for Mrs "S" during pregnancy in the second trimester and third trimester with dizziness, in normal labor, spontaneously without complications, in the postpartum period with normal puerperium, in BBL with BBLN, in patients. The care that mothers receive for family planning counseling is to inform the mother about normal vital signs and her current condition, provide health education about family planning effectiveness, side effects, and how to use it and explain to the mother how to space her pregnancies or to space her pregnancies. After midwifery care was provided to Mrs. S, the results of the evaluation showed that the mother was healthier and able to carry out daily activities. Based on the results of the questionnaire from assessing maternal knowledge about childbirth, it was found to be ADEQUATE with 70% results from 20 questions.  

Program Pengabdian masyarakat yang dilakukan tahun ini berfokus mengenai industri sektor pertanian maupun perkebunan seringkali diarahkan untuk mendorong sektor industri lainnya untuk menyediakan bahan baku. Dan hal ini menjadi kelemahan dalam meningkatkan lapangan usaha industri yang seharusnya dapat lebih menguntungkan banyak pihak. Selain itu, penggunaan internet menjadi salah satu media yang tidak tertinggal dalam meningkatkan produktivitas dan interaktif dengan target pasar dalam lapangan usaha sebuah industri. Kami berfokus pada usaha dalam mengoptimalkan hubungan antara sektor perkebunan dengan sektor industri agar bahan baku mentah hasil perkebunan dapat memiliki nilai tambah produk dan dapat menciptakan sumber daya manusia yang produktif. Berjalannya program ini, hasil yang telah tercapai sampai dengan 12 Juni 2021 yaitu, produksi 3 varian sambal (Sambal Bawang, Sambal Bajak, dan Chili Oil) yang di-packing dengan botol 150ml. Proses program ini dalam memproduksi sambal ‘Nyambel Neh’ sudah hampir mencapai tahap penjualan yang diharapkan mampu memberikan dampak dari segi ekonomi Padepokan Siti Dhumillah, Bogor.