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Occupational Safety and Health (K3) is a field that is involved in the safety, health and welfare of people who work in a project or institution. The ultimate goal of implementing Occupational Safety and Health is to maintain safety and health in the work environment. Occupational Safety and Health (K3) practices are carried out with several efforts, including prevention, providing sanctions and compensation, wound healing and care for workers, as well as providing health care and sick leave to workers. Even though the government has issued requirements and regulations governing the protection of workers, in reality the implementation of work or a project still involves neglect of requirements and regulations related to Occupational Safety and Health (K3) due to the lack of awareness of project implementers regarding the magnitude of the risks that must be borne by workers and companies. naturally. It is hoped that updating work procedures will provide warnings as well as new work habits so that previous incidents do not happen again. Activities like this must also be carried out periodically and consistently by continuing to develop monitoring and supervising work implementation methods that are based on an appropriate Occupational Safety and Health system.

Incidents in water areas often pose major challenges in terms of handling victims and rescue, especially because environmental conditions are dynamic and difficult to reach. The main problem that needs to be addressed is how to provide an effective and timely response to incidents in waters, so that victims can get help quickly and the number of missing victims can be minimized. In addition, it is also important to ensure that rescued victims receive adequate care and assistance to ensure their safety and health. To achieve this goal, it is necessary to identify and in-depth analysis of methods and strategies that can be used in handling victims of incidents in water areas. This includes developing systems or procedures that are effective in providing assistance, as well as minimizing difficulties in finding missing victims. By better understanding the dynamics of incidents in water areas and the factors that influence victim safety, it is hoped that more effective strategies can be developed in dealing with emergency situations in water areas.

This research aims to determine the effectiveness of assessing banking soundness levels using the PT RGEC method. Bank Rakyat Indonesia Tbk in 2018-2020. In this research, researchers used several research variables which include Risk Profile (NPL and LDR), Good Corporate Governance (GCG), Earnings (ROA, ROE, NIM, BOPO) and Capital (CAR). Based on research on the effectiveness of assessing the level of banking health at PT. Bank Rakyat Indonesia Tbk, using the RGEC method, shows that the bank's health status is in accordance with the standards set by Bank Indonesia regulations. For the 2018 period it can be concluded that PT. Bank Rakyat Indonesia Tbk received a composite rating of 1, namely "Very Healthy" with a composite score of 90%, for the 2019 period it can be concluded that PT. Bank Rakyat Indonesia Tbk received a composite rating of 1, namely "Very Healthy" with a composite score of 92.5%, for the 2020 period it can be concluded that PT. Bank Rakyat Indonesia Tbk received a composite rating of 1, namely "Very Healthy" with a composite score of 90%. As well as the bank's health level in terms of Risk Profile, Good Corporate Governance, earnings and Capital indicators at PT. Bank Rakyat Indonesia Tbk for 2018-2020 is "Very Healthy". It is hoped that future researchers will be more careful in carrying out calculations, can use better methods than this research and can add ratios so that the results of the research are more robust.

Pregnancy is a process experienced by women all over the world. The pregnancy period starts from conception until the birth of the fetus, the duration of pregnancy (normal is 280 days (40 weeks or 9 months 7 days). Antenatal care is a health visit given to the mother during pregnancy in accordance with the specified antenatal care service guidelines. Antenatal care visits are visits by pregnant women to a midwife or doctor as early as possible since they feel they are pregnant to receive antenatal care/services. factors influencing the low number of first Antenatal Care (K1) visits in Durian Lingga Village, Sei Bingai District, Langkat Regency in 2022. This type of research is analytical observational research using a cross sectional approach, namely to analyze the factors that influence the low number of first antenatal care visits. In this study, the population was all pregnant women who had passed the first trimester and were willing to be interviewed. The total population obtained was 89 people (K1) in Durian Lingga Village, Sei Bingai District, Langkat Regency in 2022. Conclusion: The rate of first antenatal care visits for pregnant women in Durian Lingga Village, Sei Bingai District, Langkat Regency in 2022 is 39 people (48.1%). The variables knowledge, education, attitude and parity are variables that are related to the first Antenatal Care (ANC) visit in Durian Lingga Village, Sei Bingai District, Langkat Regency in 2022. Age and attitude variables of health workers are variables that are not related to the first Antenatal Care (ANC) visit in Durian Lingga Village. Sei Bingai District, Langkat Regency in 2022.

Reducing MMR and AKB is a priority for health development as stated in Presidential Regulation Number 18 of 2020 concerning the 2020-2024 National Medium-Term Development Plan. The main causes of maternal death are hypertension in pregnancy and postpartum hemorrhage. This cause can be minimized if the quality of Antenatal Care is carried out properly. Some conditions that can cause the condition of pregnant women are not healthy. High-risk pregnancy is a pregnancy condition that can threaten the health and safety of the mother and fetus. This condition can be caused by complications during pregnancy, but it can also be caused by a medical condition that the mother has had since before pregnancy. The Poedji Rochjati scorecard (KSPR) is a scorecard used as a family-based antenatal screening tool to find risk factors for pregnancy. The challenges faced by cadres in carrying out health development activities are generally caused by the lack of education level and lack of training provided to them regarding their duties as Posyandu cadres. The purpose of the activity "SOSIS POSKA (Socialization of Poedji Rochjati Scores with Cadres) is expected that pregnant women with high risk can be detected as early as possible so that action planning can be carried out and can reduce maternal and infant mortality (AKB). This activity will be carried out in January 2024, carried out in two places, namely the Pandansari village Polindes and at the cadres' house, in the Kintap Health Center Working Area, Tanah Laut Regency, South Kalimantan. Pandansari Village was chosen to be given the innovation of the POSKA SOSIS program because it is a village with 89 pregnant women and most of them have a high risk (pregnant women >35 years, hypertension, pregnant women with comorbidities). The participants of this activity were cadres totaling 15 people. The activities carried out were Socialization about Poedji Rohjati Score, Simulation of Poudji Rochjati Score implementation, Evaluation, and question and answer. In this activity participants gave a fairly good response and discussed with each other, what things can help so that the objectives of this program are understood and can be implemented properly and correctly.

The rise of the new cosmetics industry with various levels of companies has an impact on the number of cosmetics lovers and users in Indonesia. In this case, the company must form and improve its brand image to differentiate the company from its competitors. As a local beauty brand, Npure is campaigning #SehatSkinGeneration which is uploaded via Instagram with the hope that there will be new generations who will speak up and care about the process towards healthy skin for both men and women and of all age groups. This research was conducted to measure how much influence the #SehatSkinGeneration campaign has on the Npure Brand Image. The theories used in this research are Public Relations Campaign theory (Newsom, Scoot, & Turk (1997:475) (in Ruslan, 2021:96) and Brand Image theory (Kotler Keller, 2013). The approach in this research uses quantitative methods. survey by distributing questionnaires to 78 samples that have been determined using the Solvin formula calculation with sampling using random sampling The influence of the public relations campaign on brand image is 64.6%, this figure means that the influence of the two variables is high, while the remaining 35.6% is influenced by other factors outside the research variables. By proving the existence of an influence, the results of the hypothesis test are 20.005 > 1.665, then Ho is rejected and H1 is accepted, which means the regression coefficient is significant, namely that there is an influence between the Public Relations Campaign and Brand Image Npure.    

Early Breastfeeding Initiation is the process of allowing the baby to breastfeed on its own immediately after birth. This is nature and a gift from God that has been arranged for us. Doing it is also not difficult, it only takes about one to two hours. IMD must be carried out immediately at birth, without delaying weighing or measuring the baby. Babies should also not be cleaned, only dried except for their hands. This process must take place skin to skin between baby and mother. This research uses an analytical type of research with a retrospective research design. The research aims to determine the relationship between early initiation of breastfeeding (IMD) and exclusive breastfeeding at the Sonomartani Community Health Center. Based on the data in table 4.3, it can be seen that 5 respondents (38.5%) did not practice IMD but did not provide exclusive breastfeeding and 8 respondents (61.5%) did not practice IMD but did not provide exclusive breastfeeding. Carrying out IMD and providing exclusive breastfeeding was 21 respondents (95.5%). The statistical test results of the chi square test obtained a p value = 0.000, so it can be concluded that there is a significant relationship between Early Breastfeeding Initiation (IMD) and exclusive breastfeeding, namely Ha received. The importance of giving birth in a health service is to avoid sudden emergencies that can cause complications and to provide care according to procedures. This is in line with research by Norhana, Arifin and Yulidasari (2016) that mothers who give birth in health facilities are 15,167 times more likely to carry out IMD. Of the 20 respondents who successfully carried out IMD, 19 respondents (95%) were accompanied by their husbands and family when giving birth and 17 respondents (84%) of them succeeded in providing exclusive breastfeeding. Husband and family support play an important role in managing IMD and building maternal self-confidence. The relationship between early initiation of breastfeeding (IMD) and exclusive breastfeeding at the Sonomartani Community Health Center in 2022" with a total of 35 respondents and data processing that has been carried out using SPSS, it can be concluded that the chi square test value is p < 0.05, meaning that Ho is rejected and Ha is accepted: Based on the research results, the majority of respondents who carried out Early Breastfeeding Initiation (IMD) were 22 respondents (62.9%). Based on the research results, the majority who gave exclusive breastfeeding were 26 respondents (74.3%). Based on the research results, there is a relationship between carrying out IMD and providing exclusive breastfeeding. The statistical test results obtained a chi square test value (p < 0.05) with a value of 0.000.  

The outpatient registration site is the frontline service unit for each community health center. Bulakamba Community Health Center has several problems, including a backlog of patients, a delayed registration process and long patient waiting times. The aim of this research is to analyze the management of service quality at the outpatient registration counter at the Bulakamba Community Health Center. The type of research is qualitative research using phenomenological methods. There were 8 research informants selected using purposive sampling technique. Data collection techniques use interviews and observation. The research results show that the quality of Bulakamba Community Health Center services in terms of Input and Output is good and meets standards, but the quality of the Process is still problematic. Problems with the quality of services at the Bulakamba Community Health Center include long waiting times and the poor performance of health service staff.

This research investigates safety and health in the work environment of development projects in North Sumatra with a focus on PT Indomaret as a case study. The research method used involves a qualitative approach and literature analysis. Through in-depth interviews and field observations, key challenges were identified including lack of awareness and compliance with work safety procedures as well as the need for skills training. Environmental and technical factors, such as weather conditions and the selection of equipment that meets safety standards, also influence the level of risk. However, effective safety management practices, such as regular meetings and periodic inspections, were also found. The implications of this research emphasize the importance of increasing awareness, selecting appropriate equipment, and effective management practices to create a safe and healthy work environment. Recommendations include implementing regular training, careful risk evaluation, and maintaining effective management practices. This research provides valuable insights for practitioners and researchers in efforts to improve safety and health in the work environment of development projects in North Sumatra.

According to WHO (2022) the MMR in the world is 91.46/100,000 live births, the MMR in ASEAN (2022) is 235/100,000 live births (ASEAN secretariat, 2022). In Indonesia, the MMR in 2022 is 230/100,000 live births (Indonesian Ministry of Health, 2022). The MMR in Central Java in 2022 was 98.6/100,000 live births (Central Java Health Office, 2022) and the MMR at the Bumiayu health center in 2022 was 2 cases (Bumiayu Health Center, 2020-2022). Objective : To reduce morbidity and mortality rates of mothers and infants in Brebes district, especially the working area of Puskesmas Bumiayu. this research is a qualitative descriptive study, the type of research used in this study is using a comprehensive case study approach. Comprehensive case study research is a method for understanding individuals that is carried out interactively (Notoadmojo, 2019). Research Results : This comprehensive care found a gap in theory and practice in pregnancy and childbirth care. Conclusion: Comprehensive Midwifery Care for Mrs. S aged 43 years with preeclampsia and high risk factors at BPM Mrs. R in the working area of the bumiayu health center from third trimester pregnancy, childbirth, newborns, postpartum and family planning with the Varney and soap midwifery approach.

Tuberculosis (TB) remains a significant global health concern, with Mycobacterium tuberculosis as the causative agent. The emergence of drug-resistant forms, such as Multi-drug-resistant TB (MDR-TB) and Extensive-drug-resistant TB (XDR-TB), poses substantial challenges in TB management. This study focuses on analyzing the cost variations associated with laboratory examinations for MDR-TB and XDR-TB patients undergoing treatment cycles at a tertiary hospital.The methodology involved the inclusion of patients diagnosed with MDR-TB or XDR-TB who underwent a range of laboratory tests during their treatment. A cross-sectional retrospective analytics approach was employed, utilizing medical records from the hospital's MDR division.The results of the study, encompassing 30 MDR-TB patients and 2 XDR-TB patients, revealed significant differences in laboratory examination costs between the MDR-TB and XDR-TB groups (p = 0.018). This disparity underscores the financial burden associated with managing drug-resistant TB variants, particularly in terms of laboratory monitoring and diagnostic procedures.The discussion delves into the implications of these cost variations, highlighting the challenges faced by healthcare systems and patients in resource allocation and financial planning for TB treatment. The findings underscore the importance of cost-effective strategies and optimized laboratory protocols to ensure comprehensive yet affordable care for MDR-TB and XDR-TB patients.In conclusion, this study sheds light on the considerable cost variations in laboratory examinations for MDR-TB and XDR-TB patients, emphasizing the need for efficient resource utilization and targeted interventions to address the financial aspects of managing drug-resistant TB strains effectively.

Chronic kidney disease is defined as kidney damage that lasts for a long time (chronic) and is characterized by a decrease in the ability of the kidneys to filter blood (Glomerular Filtration Rate/GFR). Patients with CKD often experience no symptoms or signs, until less than 15% of their kidney function remains. Since its early stages, CKD is closely related to the emergence of various complications, such as anemia, bone disease, etc. Hemodialysis is not a therapy to cure or restore kidney function, but it can prevent death more quickly in chronic kidney disease sufferers. The kidneys will still lose their ability for metabolic or endocrine activity so that patients with kidney failure must regularly undergo hemodialysis therapy obediently, which has an impact on the patient's quality of life. The aim is to implement nursing care for clients with chronic kidney failure on hemodialysis using diet education and exercise in the Tanjung Rejo Community Health Center UPT Work Area in 2023. This research uses a case study approach. Participant 2 was a kidney failure patient on hemodialysis at the Tanjung Rejo Community Health Center UPT. Data collection using interviews, observation and physical examination, documentation study and literature study. The instrument used in this research was a SGA form. After the data was collected, data analysis was carried out using the nursing process. The intervention provided diet education and diet training, then an evaluation was carried out. On the 3rd day after the evaluation the problem was resolved. The evaluation results show that nursing interventions providing diet education and diet training are very effective in maintaining the body condition of chronic kidney failure patients on hemodialysis. Conclusions and suggestions require efforts to involve the client's family to implement diet education with diet training so as not to worsen the disease they suffer from and can improve their quality of life.

. Introduction: Nurses have a high risk of transmitting pathogens through their hands, because nurses spend the longest time with patients. Apart from this, a nurse must be able to comply with predetermined nursing duties and ethics, including "hand hygiene five moments" which is the term used for washing hands. Objective: To determine the factors related to inpatient nurses' compliance with implementing the five moments and hand hygiene at AZRA Bogor Hospital. Method: This type of research is quantitative with the method used, namely a cross-sectional design with a population of nurses who are still actively working at AZRA Bogor Hospital with a sample size of 87 respondents. Data collection techniques use observation sheets and questionnaires with several closed questions. Data analysis in this study used the chi square test. Results: The highest age of inpatient nurses was 64.4% at the age of 26 -35 years at AZRA Bogor Hospital, Diploma III (D3) education was 59.8%, PK 3 career level was 36.8%, good knowledge was 63.2%, compliance was 59.8%. Variables related to factors related to inpatient nurse compliance are age and education. Variables that have no relationship are career level and knowledge. Conclusion: Implementation of five moments and hand hygiene in hospitals to prevent transmission of HAIs to patients, visitors and health workers.

The mother's condition during pregnancy, childbirth, the postpartum period, and the baby being born are greatly influenced by the mother's health. The consequences of anemia in pregnant women include the risk of abortion, premature birth, fetal growth restrictions, increased risk of infection, low birth weight babies, as well as other complications such as difficulties during delivery, congenital abnormalities, and the risk of shock during the birth process. Complementary therapies refer to various systems of medicine and health care that are not included in conventional medicine. This therapy aims to complement conventional medical treatment and must be in accordance with applicable health values and laws. The aim of the activity is to create complementary educational media to overcome anemia in pregnant women at the Kotabaru Community Health Center. Activities will be carried out in January 2024 involving pregnant women and the community in the Kotabaru Community Health Center working area. The result is that activities have been carried out by providing education using poster media. Complementary implementation can be continued to inform the public so that pregnant women can be independent in maintaining their pregnancy and also have support from health workers and the community.

In today's digital era, most people use smartphones for various purposes. In the laboratory field,  as an innovation in laboratory examinations, and as a form of community service to promote healthy living and change people's lifestyles, medical laboratory technicians play a role in creating medical record applications. The development of this application is based on the fact that patients often forget about the examinations they have undergone, making it difficult to accurately record medical history. The examinations conducted on patients are a benchmark for lifestyle patterns that should be carefully considered by patients. This attention begins with the periodic recording of health history, which should be done to anticipate spikes or abnormalities in the body's condition. The application system, created through a semi-automatic method for recording and reminding examinations, is able to minimize errors or inaccuracies in the examination results in the history, thus facilitating self-control of both lifestyle, examinations, and health. Medical record application software can provide health data from previous laboratory examinations and can provide reminders for the next scheduled examination."

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

A pregnant woman is a woman who carries a fetus in her womb after being fertilized BACKGROUND by spermatozoa. Pregnancy is a special situation for a woman as a prospective mother, because during pregnancy there will be physical changes that affect her life. During pregnancy, many changes will occur, both physical, social and mental. Pregnant mothers must have adequate nutrition, because the nutrition they get will be used for themselves and their fetus. For pregnant women, basically all nutrients require supplementation, but what is often lacking is protein energy and several minerals such as iron (Pantiawati in Mulyani, 2017). Breast care is a health behavior. Health behavior (according to Skinner) is: "a person's response to stimuli related to illness and disease, the health service system, eating and drinking, and the environment" (Unimus, 2012). Becker describes health behavior into three domains, namely health knowledge, attitudes towards health, and health practices (Wikipedia, 2012). According to Lawrence Green (1980) in Notoadmodjo (2007) there are 2 factors that influence human behavior in terms of health, namely: internal factors which include knowledge, perception, emotions, motivation, socio-economics and culture, and external factors, namely the environment. So far, from the literature that researchers have examined, there have been many studies that discuss breast care behavior, both during the antenatal period and during pregnancy.OBJECTIVE To analyze the relationship between factors that influence pregnant women in carrying out breast care at the Pratama Nirmala Clinic in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted as a statistical test result of a significant relationship. RESULTS There is a significant relationship between the factors that influence pregnant women in carrying out breast care at the Pratama Nirmala Clinic in 2023. ADVICE is given for research and for research sites and for educational institutions regarding breast care  

Community health centers (Puskesmas) play a strategic role as primary health care facilities in improving public health status. However, Puskesmas Bumi Ayu still faces several challenges, including limited human resources, inadequate facilities, and suboptimal community participation in supporting health services. This Community Service Program (PKM) aims to enhance the quality of community health services through a community organizing approach that actively involves health workers and service users. The methods employed include health education, interactive discussions, and participatory monitoring and evaluation conducted at Puskesmas Bumi Ayu, Dumai Selatan District. The results indicate an improvement in the understanding of health workers and the community regarding patient-oriented service quality, optimization of available resources, and strengthened collaboration among the health center, local government, and the community. Furthermore, the program fostered collective awareness, positive behavioral changes, and the emergence of local change agents supporting community-based health services. Overall, this PKM contributes to the development of more responsive, inclusive, and sustainable primary health care services in the working area of Puskesmas Bumi Ayu

BACKGROUND The exact incidence of infertility is not yet known with certainty, it varies greatly. Birth can occur in two ways, normal or natural (vaginal) and abnormal or delivery which is usually known as caesarean section. SC (Sectio Caesarea) is an artificial birth where the fetus is born through an incision in the abdominal wall and uterus, which can result in bleeding and incision wounds (Meo, 2021). In Indonesia, the number of caesarean sections increases along with the incidence of post-SC wound infections, where around 90% of post-cesarean section morbidity in the data obtained is caused by surgical wound infections. The incidence of caesarean sections (SC) is increasing every year, and according to the World Health Organization the standard for caesarean sections in a country is 5-10% of every newborn in the world (Hastutik, 2020).OBJECTIVE: To analyze the relationship between postpartum mothers' knowledge about post-SC wound care and the incidence of SC wound infections in Multatuli Village, Natal District, Mandailing Natal Regency in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship . RESULTS: There is a significant relationship between the knowledge of postpartum mothers regarding post-SC wound care and the incidence of SC wound infections. Suggestions are given for research and for research sites and for educational institutions regarding Post SC Wound Care    

Diabetes Mellitus is a metabolic disease characterized by hyperglycemia resulting from abnormalities in insulin secretion, insulin action, or both. One of the complications of DM, such as diabetic foot ulcers, is chronic wounds below the ankle. This increases morbidity, mortality, and the quality of life of patients. Diabetic ulcers are often associated with a lack of knowledge among diabetic patients about foot care and skills in preventing worsening wounds. This lack of knowledge has been proven to be a contributing factor to why people with DM do not perform foot care independently. Therefore, providing education on diabetic foot care is necessary to prevent the increasing incidence of DM and to prevent diabetic ulcers. This study aims to determine the effect of video health education on the knowledge of foot care among diabetes mellitus patients in the Cibolang Village, the working area of Cibolangkidul Community Health Center. This is a quantitative study with a Quasi experimental research design using a one-group pretest-posttest design. Data collection was conducted using Non-Probability sampling technique, specifically purposive sampling. Based on the results of the Wilcoxon Signed Rank Test analysis, a P value of 0.001 < 0.05 was obtained, indicating that H0 is rejected and Ha is accepted. It can be concluded that there is an influence of video health education on the knowledge of foot care among diabetes mellitus patients in Cibolang Village, Cibolangkidul Community Health Center.