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The elderly is a vulnerable group that has a very high dependency rate. The elderly  has various health problems such as degenerative diseases and decreased productivity so that it can cause a decrease in independence in carrying out daily activities (Activities Daily Living).This research strategy combines a cross-sectional approach with correlational analysis. Simple random sampling is the method used for sampling. employing the logistic regression test. examined respondents' perceptions of senior citizens' independence, using a sample size of 45 respondents.The results of this study found that there was a relationship between all factors that could be done both from family support, cognitive function, and anxiety with a p value of 0.05 while the dominant factor related to the independence of the elderly was the anxiety factor with a p value of 0.005 a 0.05 and OR value =248792879.8 Can guarantee that family support, cognitive function, and can increase the independence of the elderly, but the most dominant factor for independence is the anxiety factor.To ensure that body parts can move and there is no immobility disorder, it is expected of the aged to continue with everyday activities. They are also expected to maintain their health by visiting an integrated health center, a public health center, or other healthcare facilities.    

The third trimester of pregnancy is the gestational age from 29 weeks to about 40 weeks and ends with the baby being born. Pregnant women entering the third trimester of pregnancy will experience lower back pain due to enlarged uterus and changes in the center of gravity causing discomfort in daily activities. One of the treatments to help reduce low back pain in third trimester pregnant women is progressive muscle relaxation. This type of research is quantitative research using quasy experimental with a one groups pre test-post test design approach and sampling using purposive sampling technique. The research location at the Kagok Health Center with 19 respondents. The instrument used to assess dysmenorrhea pain is the Numeric Rating Scale (NRS). The research data were analyzed using a statistical test, namely the Wilcoxon test. The results of this study indicate that there is an effect of giving progressive muscle relaxation measures to the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Gouty arthritis is a degenerative disease caused by abnormal purine metabolism which is characterized by increased levels of uric acid in the blood (hyperuricemia). Gouty arthritis can attack men aged 30 - 50 years and is a disease inherited from previous generations, but not in women. Women can develop gouty arthritis after experiencing menopause. This is related to the presence of the hormone estrogen which plays a role in the process of regulating uric acid in the blood. Uric acid levels are said to be high, if the uric acid level in the blood is more than normal levels. The normal level of uric acid in men is 3.4 - 7.0 mg/dl while in women it is 2.4 - 5.7 mg/dl (Yulianingsih et al., 2022). The prevalence of gout arthritis in Central Java based on doctors' diagnoses in the elderly group 75 years and over was ranked first at 16.03%, then in the elderly group 65-74 years it was 13.90%, and in the elderly group 55-64 years it was 13.69 % (Access et al., 2022). Based on data from the Kutamendala Community Health Center, the prevalence of gouty arthritis in Kutayu Village reached 4.3%. The percentage of residents suffering from gouty arthritis in Kutayu Village is 15 people out of 346 elderly people (Kutamendala Health Center, 2022).

Background: Unpreparedness physically, psychologically, mentally and spiritually in facing this period will make mothers experience problems related to involution and postpartum pain. Many things are risk factors for failure of involution and lactation. These factors include mobilization, nutrition, lactation, environmental, cultural and family factors. Objective: To determine the effect of effleurage massage on reducing the pain scale due to uterine involution in postpartum mothers on day 1. Research Location: UPT Buay Pemaca Health Center. Research Method: Quantitative research type with a pre-experimental design type one group pretest and posttest. Results: Almost all postpartum mothers before being given effleurage massage experienced uterine involution pain on a moderate pain scale of 19 people (95%), more than half of postpartum mothers after being given effleurage massage experienced uterine involution pain on a moderate pain scale of 12 people (60 %), there is an influence of the Effluurge Massage Technique on Reducing the Pain Scale of Uterine Involution in Post Partum Mothers on Day 1. Conclusion: Effleurage massage can reduce the level of uterine involution pain in postpartum mothers.

Background: Black cumin as one of the spices containing lactagogum. This spice in the form of black seeds has been known thousands of years ago and is widely used by the people of India, Pakistan and the Middle East to treat various kinds of diseases. to determine the effect of Habatussauda on milk production in postpartum mothers at the UPT Buay Pemaca Health Center in 2023. Methods: This study used a quasi-experimental design using the Pretest Posttest two Group Design research design for all postpartum mothers at the UPT Buay Pamaca Health Center who were born in June 2023 as many as 42 people were selected as samples with consecutive sampling technique which determined a sample of 30 people. The statistical test used was Mann Whitney. Results: All milk production before and after the intervention was given at a volume of <50 ml in 15 people (100%). In the intervention group for milk production with a volume of 50-89.9 ml, there were 11 people (73.3%) and 2 people (13.3%) in the control group. Meanwhile, in the production of breast milk with a volume of <50 ml, there were 4 people (26.7%) in the intervention group and 13 people (86.7%) in the control group. Conclusion: There is an effect of Black Seed extract on postpartum mother's milk production.

Respiratory tract infections are one of the causes of high mortality and morbidity in children, especially in children under the age of 5 years whose immune system is still susceptible to various diseases. The purpose of this study was to determine the rationality of giving antibiotics for acute respiratory tract infections (ARI) to toddlers at the Jamanis Health Center. The type of research used is descriptive research, the sampling method is purposive sampling and data collection is carried out retrospectively. Then data analysis was carried out and compared with references from MTBS guidelines. This research was conducted at the Jamanis Health Center when the research was conducted in March-May 2023. The population used in this study was all ARI patients at the Jamanis Health Center for the January-December 2022 period. Based on the data obtained, the number of medical records of ARI patients in toddlers at the Jamanis Health Center for the 2022 period is 1121 people. The results of the study of the most widely used antibiotic drug were amoxicillin with 82 cases (89.13%). The results of rationality of drug administration based on the criteria of Right diagnosis that is equal to 100% (Rational), Right indication that is equal to 65.21% (Not Rational), Right drug that is equal to 65.21% (Not Rational), Right patient that is equal to 100% (Rational), Right dose that is equal to 100% (Rational)

The background of this research is that in an institution engaged in the health sector, because in an institution human resources are very important in achieving success. The aim of this research is to explain the influence of work ethic and individual characteristics on employee performance. This research uses purposive sampling. The sample in this study was 41 employees from a population of 71 Prambon Health Center employees. In this study, the results showed that work ethic and individual characteristics partially had a significant effect on the performance of Prambon Health Center employees. While simultaneously the two variables have a significant effect on the performance of Prambon Health Center employees.

Contraception is preventing the fertilization of an egg by a sperm cell (conception) or preventing the fertilized egg from attaching to the uterine wall. There are various methods of using contraception, one of which is using hormonal contraceptive methods, namely injection/injection contraception. Injection contraception is an injectable contraceptive. which is injected into the body over a certain period of time, then enters the blood vessels, and is absorbed little by little by the body to prevent pregnancy. The injectable contraceptives used are norethisterone enanthate, depo medroxy progesterone acetate (DMPA), and cyclofem. One of the modern contraceptives used DMPA is often used containing depo medroxy progesterone acetate as much as 150 mg with an efficacy of up to 3 months. This drug was tried in 1958 to treat habitual abortion and endometriosis, and it turns out that in the treatment of habitual abortion, infertility often occurs after the pregnancy ends. Depo-Provera as a contraceptive drug turns out to be quite effective and safe in family planning services. The assumption that Depo-Provera can cause cancer of the cervix or breasts in women who use it has not been clearly proven. Planned contraception is an attempt to space or plan the number and distance pregnancy by using contraception (BKKBN.2012).

Quarantine is a system of preventing the entry, exit, and spread of quarantined animal pests and diseases, as well as supervision and control of food safety and food quality, feed safety and feed quality, Genetic Engineering products, Genetic Resources, Biological Agents, Invasive Foreign Species, Wild Plants and Animals, and Rare Animals that are introduced into, spread from one area to another area, and removed from the territory of the Unitary State of the Republic of Indonesia. To maintain, protect, and improve the quality of animal/livestock resources, animal/livestock health, animal welfare, and the provision of safe, healthy, whole, and halal (ASUH) food of animal origin, as well as maintaining peace or eliminating/preventing public unrest, it is necessary to provide guidance, regulation, control, and supervision of livestock businesses and animal health services. To create a conducive business climate and legal certainty in animal husbandry and animal health, it is necessary to regulate the mechanisms and procedures for licensing livestock and animal health businesses in the regions. The problem faced by the Batam Class I Agricultural Quarantine Center is caused by cows entering Batam Island that do not have an entry permit and are not by Law Number 21 of 2019, which states that every entry or release must be carried out through a designated Place of Entry and Place of Expenditure.

Immunization is one of the main goals of vaccination, which is basically can have passive or active immunity. Immunization is carried out in order to prevent the occurrence of diseases that can be prevented by carrying out immunization. The government is obliged to provide complete immunization for every baby and child. This study aims to analyze family knowledge and support for the completeness of basic immunization in the working area of the Parsoburan Health Center. This type of research is a quantitative study using a cross sectional approach. The number of samples in this study were 40 research samples. After conducting the research, it can be concluded that there is a relationship between knowledge and the infant's immunization status, a p-value of 0.000 is obtained, which is less than 0.05. There is a relationship between family support and infant immunization status with a p-value = 0.000 where the value is less than 0.05. It is hoped that the puskesmas will always provide information related to basic immunization for infants.

Background: rheumatoid arthritis (reumatic) is the body's immune system that fails to distinguish its own tissue from foreign bodies, especially synovial tissue. Diet is the amount of food consumed by a person or group of people, while physical activity is body movement caused by the work of skeletal muscles and results in energy expenditure and energy (calorie burning). Purpose: to determine the relationship between diet and the incidence of rheumatoid arthritis (reumatic) in the elderly, to determine the relationship between physical activity and the incidence of rheumatoid arthritis (reumatic) in the elderly. .  Method: this type of research is quantitative with a cross-sectional research design. With a sample of 40 respondents. Results: There were 25 (62.5%) unhealthy eating habits and a p value of 0.002, so it could be concluded that there was a relationship between diet and the occurrence of rheumatoid arthritis (rheumatism), and 27 (67.5%) light physical activity and a p value of 0.002. then it can be decided that there is a relationship between physical activity and the occurrence of rheumatoid arthritis (reumatic). conclusion: there is a relationship between diet and physical activity with the occurrence of rheumatoid arthritis (reumatic) in the elderly in the working area of ​​the Cijagang Health Center with a p value of 0.002.

 Gastritis is an acute and chronic inflammation of the gastric mucosa. Gastritis recurs with symptoms such as heartburn, nausea and vomiting. Gastritis occurs in people who have an irregular diet and eat foods that stimulate the production of stomach acid. In addition, gastritis can also occur due to lack of knowledge that alters to prevent the occurrence of gastritis. The purpose of this study was to determine the relationship between diet and level of knowledge with the incidence of gastritis in early adulthood in the Warungkondang Cianjur Health Center area.  The type of research is quantitative with correlation research and using a cross sectional design, a sample of 76 respondents. The sampling technique is purposive sampling. It was found that the results of the analysis of the relationship between diet and the incidence of gastritis were as many as 48 (63.2%) respondents with poor diet with the incidence of gastritis who had gastritis. And for the level of knowledge with the incidence of gastritis there were as many as 40 (52.6%) respondents with a poor level of knowledge with the incidence of gastritis who had gastritis. The results of statistical tests of diet and level of knowledge obtained a value of pvalue = 0.000 smaller than 0.05. There is a relationship between diet and level of knowledge with the incidence of gastritis in early adulthood.

Al Amin Science and Industrial Park (Living Lab) is an area projected to become a center for field laboratories and workshops that accommodate all study programs at UNPAB. This area is also planned to be an Ecotourism. One of the functions that will be developed in this area is the livestock area. Facing the AEC (ASEAN Economic Community) 2015 in the field of food, especially livestock products in particular, strict standardization is needed so the concept of Good Animal Husbandry Practices (GAHP) needs to be applied. Thus, it is necessary to plan the concept of a livestock drive in the Al Amin Science and Industrial Park (Living Lab) livestock area by considering GAHP (Good Anima Husbandry Practice). The application of GAHP aims to ensure that the livestock products produced are safe for consumption with the right quality and suitable for consumers, while also ensuring that livestock products are produced in the right way without causing harm to the environment, health, safety, and welfare of workers in the livestock sector. The purpose of this research is to produce a design of supporting buildings in the Al Amin Science and Industrial Park (Living Lab) livestock area based on GAHP. The results of this design are expected to be a direction for the development of supporting buildings in the livestock area of the Al Amin Science and Industrial Park (Living Lab)

Performance is the output or final result of work done by employees in a certain period, the work done by employees must be in accordance with the provisions set by the organization for their employees. This study aims to determine the effect simultaneously or partially of the Communication variable and the Work Environment variable on the measured performance. The population used in this study was 50 employees of the Cikalong Health Center. The method used in this research is descriptive research with a quantitative approach. Sample selection using saturated samples. The sample used is the entire population, namely 50 employees of the Cikalong Health Center. Sources of data in this study are secondary data and primary data. The data analysis technique used is multiple linear regression with the help of SPSS 26. Based on the results of the study it is concluded that communication and the work environment simultaneously have a significant effect on performance. Communication partially has a significant effect on performance. The work environment partially has a significant effect on performance.

The Al Amin Science and Industrial Park (Living Lab) is a projected area intended to become a center for field laboratories and workshops accommodating all study programs at UNPAB. The area is also planned to become Ecoedutourism (Eco-educational tourism). One of the functions to be developed in this area is livestock farming. In the face of the ASEAN Economic Community (AEC) in 2015, especially in the food sector, specific standardization is required for livestock products. Therefore, the concept of Good Animal Husbandry Practices (GAHP) needs to be implemented. Thus, there is a need for planning the design concept of supporting buildings in the livestock area of the Al Amin Science and Industrial Park (Living Lab) that considers GAHP. The implementation of GAHP aims to ensure that the livestock products produced are safe for consumption with appropriate quality for consumers. Additionally, it ensures that livestock products are produced correctly without causing environmental, health, safety, and welfare losses/damages to workers in the livestock sector. The objective of this research is to produce a design for supporting buildings in the livestock area of the Al Amin Science and Industrial Park (Living Lab) based on GAHP. The results of this design are expected to guide the development of supporting buildings in the livestock area of the Al Amin Science and Industrial Park (Living Lab).  

Background: Breast cancer occurs when cells in the breast tissue grow uncontrollably and take over healthy breast tissue and its surroundings. The prevalence of breast cancer in Indonesia is 18/100,000 women. Riskesdas data for 2018 shows the prevalence of breast cancer in Indonesia is 61,682 cases. Based on the 2018 Riskesdas data, the prevalence of cancer in East Nusa Tenggara in 2018 was 1.49% or the equivalent of 44,782 cases. Purpose: The aim of this study was to determine the knowledge of women of childbearing age about breast self-examination (BSE) in the working area of the Oesapa Health Center. Methods: This research uses a descriptive research type. The sample in this study were 68 WUS in the working area of the Oesapa Health Center. Sampling technique with Proportional Random Sampling. Data analysis using frequency distribution. Results: The results of this study were then given an interpretation based on the variables studied based on the criteria of good, sufficient and lacking. The results of this study indicate that women of childbearing age in the working area of the Oesapa Health Center have less knowledge about BSE with a total of 27 people (39.7%), 25 people (36.8%) have sufficient knowledge and 16 people have good knowledge. Conclusion: Most of the knowledge of women of childbearing age about breast self-examination (BSE) is mostly in the less category.

Background: The number of pregnant women who experience anxiety before giving birth is rising year over year. Pregnancy in a primigravida produces both psychological and physical changes. Anxiety is one of the psychological factors that frequently manifests during pregnancy. Relaxation techniques can be used to manage anxiety; one such treatment is classical music therapy, which can lower anxiety levels. Purpose: Understanding the changes in anxiety levels among primigravida pregnant women in the third trimester at the Mojopurno Health Center. Methods: With each respondent receiving an intervention for 4 straight days, this application used a descriptive design on 2 female respondents and was conducted from April 18–21, 2023, in Munggut Hamlet, RT 12 RW 03 Munggut Village, Wungu District, Madiun Regency. The Hamilton Anxiety Rating Scale HARS observation sheet was the tool used to gauge the patient's degree of anxiety before and after therapy. Results: Before the two respondents' implementation, there was moderate anxiety, and after their implementation, there was mild anxiety or no worry. Conclusion: At the Mojopurno Health Center, the use of classical music therapy helps lower the degree of anxiety in third-trimester primigravida pregnant women.

Monitoring nutritional status in 2018 reached 27.5% while the WHO limit was <20%. This means that approximately 8.9 million Indonesian children experience suboptimal growth, or 1 in 3 Indonesian children is stunted. More than one third of children under the age of 5 in Indonesia are below average in height. Purpose: To analyze the relationship between the health history of pregnant women and the incidence of stunting in the working area of the Responsibilityrjo Health Center. Methodology: The research design used is quantitative research using analytic survey methods with a cohort approach. The population is 3140 and the sample is 355 respondents. Results: The average respondent was 20-35 years old with a percentage of 80%, the education of the most respondents was high school with a total of 220 respondents or 62%. Most of the respondents' occupations were housewives, namely 102 respondents or 28.7% and the highest number of respondents were multigravidas, namely 215 or 60.6%. Health history of mothers during pregnancy with CED as many as 84 respondents (23.7%) and non-SEZ 271 mothers or 76.3% And mothers who experienced mild anemia were 98 mothers or 27.6% and mothers under five who experienced moderate anemia 22 respondents or by 6.2%, there were 135 stunted toddlers with a percentage of 38%, there was no relationship between age and work with stunting with a p value of maternal age of 0.611 and a p value of work of 0.158 and there was a relationship between education and parity most of the respondents were multigravida, namely 215 or 60.6%. Health history of mothers during pregnancy with CED as many as 84 respondents (23.7%) and non-SEZ 271 mothers or 76.3% And mothers who experienced mild anemia were 98 mothers or 27.6% and mothers under five who experienced moderate anemia 22 respondents or by 6.2%, there were 135 stunted toddlers with a percentage of 38%, there was no relationship between age and work with stunting with a p value of maternal age of 0.611 and a p value of work of 0.158 and there was a relationship between education and parity with the incidence of stunting, namely the p value Mother's education is 0.00 and the p value for mother's parity is 0.000. There is a relationship between maternal health history and the incidence of stunting. negative indicates that the better the mother's nutrition and the higher the mother's Hb, the lower the incidence. Suggestion: So that parents can better prepare for early pregnancy and pay more attention to their children's nutritional intake.

Antenatal care is a health service by professionals for mothers during their pregnancy which is carried out in accordance with established antenatal service standards. Wapunto Health Center is one of the health facilities in Duruka District that has a low Antenatal Care Visit at 48.8%. This has not yet reached the national targets set, namely for K1 (100%) and K4 (95%) coverage (Permenkes RI, 2014). This research is a descriptive research with a quantitative approach. Researchers measured age, parity, education level, knowledge and family support for antenatal care visits. The number of respondents as many as 30 people with sampling was selected using the nonprobably sampling method with accidental sampling technique. Research Instrument with Questionnaire. The results of the study found that ANC visits were incomplete from 30 respondents, namely mothers aged <20 and >30 years as many as 10 people (83.3%), mothers with multiparity as many as 11 people (52.4%), mothers with secondary education level as many as 15 people (83.3%), mothers with less knowledge as many as 9 people, and mothers with sufficient family support as many as 11 people. Puskesmas need to increase promotional efforts such as counseling activities on the importance of pregnancy checks or ANC.

Antenatal care is a health service by professionals for mothers during their pregnancy which is carried out in accordance with established antenatal service standards. Wapunto Health Center is one of the health facilities in Duruka District that has a low Antenatal Care Visit at 48.8%. This has not yet reached the national targets set, namely for K1 (100%) and K4 (95%) coverage (Permenkes RI, 2014). This research is a descriptive research with a quantitative approach. Researchers measured age, parity, education level, knowledge and family support for antenatal care visits. The number of respondents as many as 30 people with sampling was selected using the nonprobably sampling method with accidental sampling technique. Research Instrument with Questionnaire. The results of the study found that ANC visits were incomplete from 30 respondents, namely mothers aged <20 and >30 years as many as 10 people (83.3%), mothers with multiparity as many as 11 people (52.4%), mothers with secondary education level as many as 15 people (83.3%), mothers with less knowledge as many as 9 people, and mothers with sufficient family support as many as 11 people. Puskesmas need to increase promotional efforts such as counseling activities on the importance of pregnancy checks or ANC.