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Newborns also called neonates are individuals who are growing and have just experienced birth trauma and must be able to make adjustments from intra uterine life to extra uterine life. A normal newborn is a baby born at 37-42 weeks gestation and weighs 2,500-4,000 grams. Care taken of newborns is care of hair, eyes, nose, mouth, ears and one of them is umbilical cord care. Umbilical cord care is needed to prevent the umbilical cord from becoming a breeding medium for pathogenic microorganisms: Incorrect care techniques can lead to tetanus neonatorum infection which can affect the length of cord detachment. This type of research is descriptive by applying a case study approach. The implementation of this study was carried out at the Pratama Medical Center Clinic on Mrs. W's baby by providing umbilical cord care to her baby.

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.    

The puerperium is a period that will be passed by the mother after the delivery period, which starts after the birth of the baby and placenta, namely after the end of stage IV in labor and ends up to 6 weeks (42 days) which is marked by the cessation of bleeding. The puerperium is a period that is very vulnerable to infection for postpartum mothers if the treatment is not appropriate. Many postpartum mothers do not know how to maintain their hygiene, especially in the genital area. Mothers just clean it without caring about good and correct vulva hygiene, so that wound healing becomes slow (> 6 days). This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic for Mrs. N by providing care for the implementation of genital cleansing and perineal wound care.    

Perineal wounds are injuries to the urogenital diaphragm and anal muscle during vaginal delivery, either normal delivery or instrumental delivery. Knowledge is a very important domain for the formation of a person's attitudes and behavior. The aim of the research was to determine the relationship between maternal knowledge, attitudes and behavior regarding perineal suture wound care and the healing time for perineal suture wounds. This type of quantitative research with a cross sectional design. The research was conducted in June-July 2023. The research population was postpartum mothers with perineal wounds in June-July 2023. The total was 30 people. The population in this study was 30 people. The sampling technique is the total sampling population. The research results obtained from 30 respondents showed that there were 22 mothers who had good knowledge (73.3%), 22 mothers who had a positive attitude (73.3%), 23 mothers who had good behavior (76%). .7%). The results of the Chi-Square analysis test for the knowledge category obtained a p value = 0.002 (p = <0.05), for the attitude category the p value = 0.002 < (0.05) while for behavior the p value = 0.001 < (0). .05). The conclusion is that there is a relationship between knowledge, attitudes and behavior regarding perineal wound care and the healing time for perineal wound sutures in the work area of the UPTD Campaka Community Health Center in 2023. The suggestion is that postpartum mothers should improve their behavior regarding wound care as an effort to speed up the healing of perineal wounds.

Fungsi pemeliharaan menjadi lebih diperlukan karena produktivitas meningkat dan mesin berteknologi tinggi dan fasilitas produksi digunakan. PT. Primissima yang merupakan perusahaan manufaktur yang memproduksi tekstil berupa kain mori dan kain abu-abu mempunyai permasalahan yang timbul terutama terkait dengan kerusakan pada komponen mesin shuttle, hal ini mengakibatkan downtime dan tertundanya proses produksi sehingga kinerja mesin menjadi kurang. efektif. Dengan menggunakan metode RCM, penelitian ini bertujuan untuk memberikan saran preventive maintenance dan interval waktu perawatan yang optimal pada mesin yang berguna untuk meminimalisir downtime sehingga produksi dapat tetap berjalan sesuai fungsinya.Dari pengolahan data menggunakan metode RCM diperoleh hasil pada komponen Filling fork teath dengan interval perawatan selama 49,64 jam, pada komponen shuttle dengan interval perawatan selama 25,4 jam, pada komponen Nylon Picker dengan interval perawatan selama 64 jam. pada komponen lugstrap dengan interval perawatan selama 14,4 jam, pada komponen Picking Stick dengan interval perawatan selama 69,3  jam.

Sometimes umbilical cord infections occur because young mothers are unaware of the need to provide umbilical cord care to their babies after giving birth. The umbilical cord, a type of connective tissue, holds the placenta and foetus together. The umbilical cord functions as a source of life for the foetus while it is in the womb. Umbilical cord care is a procedure for handling the umbilical cord in a sterile, clean, and dry manner to avoid infection. The aim of the research is to find out how health education on umbilical cord care influences the behaviour of postpartum mothers in the work environment at the Kaiely Community Health Centre, Buru Regency, in 2024. This research uses a pre-experimental research strategy. Total sampling was used as the sampling technique. We used the Wilcoxon test to analyze the data. The research findings showed a p-value of 0.001 when compared with the significance level (p-value <0.05), thus approving Ha. This shows that health education regarding correct umbilical cord management influences the behaviour of postpartum mothers in the operational area of the Kaiely Community Health Centre, Buru Regency. Based on the research conclusions, postpartum mothers fall into the poor knowledge category, negative attitude category, action not implemented, poor pre-test and post-test behaviour category, and action not taken. behaviour is classified as very good, and the behaviour of postpartum mothers at the Kaiely Community Health Centre, Buru Regency, is influenced by health education about umbilical cord care.

Abstrak. Hipertensi atau penyakit darah tinggi sebenarnya adalah suatu gangguan pada pembuluh darah yang mengakibatkan suplai oksigen dan nutrisi yang dibawah oleh darah terhambat sampai ke jaringan tubuh yang membutuhkan. Peran edukator berperan membantu pasien meningkatkan kesehatannya melalui pemberian pengetahuan tentang perawatan dan tindakan medis yang di terima sehingga pasien atau keluarga dapat mengetahui pengetahuan yang penting bagi pasien atau keluarga untuk meningkatakan kepatuhan obat terhadap hipertensi. Tujuan penelitian ini untuk mengetahui hubungan peran perawat sebagai edukator dengan kepatuhan minum obat pada pasien hipertensi di Puskesmas Bitung Barat.Metode penelitian ini adalah metode kuantitatif dengan pendekatan cross sectional. jumlah populasi 302 pasien hipertensi. Sampel yang diambil berdasarkan jumlah responden sebanyak 45 responden dengan menggunakan Teknik purposive sampling . Pengumpulan data dilakukan dengan menggunakan kuesioner dan lembar observasi. Untuk di analisa dengan uji statistic Uji Chi-Square dengan tingkat kemaknaan (α) 0,05.Hasil penelitian ini didapatkan Nilai ρ=0,019 artinya Ha diterima yaitu ada hubungan antara peran perawat sebagia edukator dengan kepatuhan minum obat.Kesimpulan semakin baik peran perawat sebagai edukator terhadap pasien hipertensi maka semakin patuh minum obat. Saran perawat harus selalu memberikan penjelasan tentang hipertensi dan kepatuhan minum obat kepada setiap pasien yang datang.      

PT The lathe is one of the essential machines in production activities in this company. The amount of downtime caused by machine failure will reduce product quality and quantity. Therefore, this research aims to identify the factors that most influence the risk of lathe failure so that repair priorities and maintenance strategies can be determined. This can be achieved by using the Failure Mode and Effect Analysis (FMEA) method. FMEA is a method that can be used to identify the causes and impacts of each possible failure mode on machine components by systematically explaining the levels of failure so that appropriate prevention or repair can be carried out. The FMEA method shows the Risk Priority Number (RPN) value as a reference in determining the choice of maintenance strategy, namely, predictive maintenance, preventive maintenance or corrective maintenance. The research results show that the highest RPN value is found in the motor shaft pulley component at 320 and Nut Screw at 210. Maintenance priorities are determined based on the Pareto diagram principle. The appropriate maintenance strategy carried out by PT.   Keywords: FMEA, Lathe, Maintenance, RPN

Mother's milk is an important intake for the growth and development and health of babies. The causes of irregular breast milk production include reduced breast milk production on the first day after giving birth due to decreased stimulation of the hormones oxytocin and prolactin which play a role in smooth breast milk production. Therefore, non-pharmacological efforts are needed in the form of breast care. Breast care is useful for facilitating the expulsion reflex and increasing the smooth production of breast milk. The objectives of the research was to determine the effectiveness of Breast Care in smoothing breast milk production in post partum mothers at the Saras Ibnu Sina Sukowati General Hospital, Sragen. Quantitative research type with a quasi-experimental design with a post test-only non-equivalent control group approach. Samples were taken by accident. The samples were 15 people as controls and 15 post partum mothers as the treatment group. Data analysis techniques using Mann Whitney. Result this research that the smoothness of breast milk production for the treatment group was mean ± SD (8.33 ± 0.899) and the control group had a mean ± SD (4.73 ± 0.458). There was an influence of breast care on the smooth production of breast milk in post partum mothers on day 7 (p value 0.000 < 0.05). So that there was an influence of breast care on the smooth production of breast milk in post partum mothers on day 7 at RSU Saras Ibnu Sina Sukowati Sragen

Kehidupan mengalami perkembangan sangat pesat secara terus menerus waktu demi waktu terlebih lagi dalam penampilan sehingga dianggap penting sebagai citra diri seseorang. Peningkatan penampilan dapat dimulai dari perawatan tubuh, yakni dengan menggunakan produk kesehatan kulit yang lazim dikenal dengan sebutan skin care dan body care yang marak digunakan oleh remaja sehingga minat beli pada product body care khususnya scarlett whitening meningkat. Minat beli dapat dipengaruhi oleh endorser selebriti pemasaran dari mulut ke mulut serta persepsi kualitas. Penelitian ini bertujuan untuk membuktikan adanya hubungan positif dan signifikan antara endorser selebriti, pemasaran dari mulut ke mulut, serta persepsi kualitas terhadap minat beli dengan melibatkan 100 remaja sebagai responden. Analisis data menggunakan regresi berganda dengan hasil penelitian membuktikan adanya hubungan positif dan signifikan antara endorser selebriti dan persepsi kualitas terhadap minat beli serta tidak adanya hubungan pemasaran dari mulut ke mulut terhadap minat beli.

The aim of this research is to analyze the effect of adding hyperplasticizer and retarder on the compressive strength of self-compacting concrete. Fine aggregate and coarse aggregate from the Jenneberang River, Kab. Gowa. The concrete mix design uses a trial and error mix design for self-compacting concrete by making visual observations, so that the physical conditions of the mixture appear to be sufficient to produce a good mix. The stages of this research, by finding a comparison of the slump flow values ​​of the self-compacting Concrete concrete, then making test objects, after that curing the test objects using the water curing method for 28 days, then testing the compressive strength of the self-compacting Concrete concrete to produce comparison to the compressive strength of normal(conventional) concrete. The results of this research show that self-compacting concrete has a compressive strength value of 46.25 Mpa compared to normal concrete of 45.02 Mpa, an increase of 2.73% compared to normal concrete. And the slump value of normal concrete is 8 - 13 cm, while the slump flow of self-compacting concrete is 63 - 84.9 cm, with a time range between 2.53 - 3.46 seconds, able to reach a diameter of 500 mm on the segregation board.  

One of the patient safety indicators related to medical treatment of surgical wound infection is the main complication experienced by hospitalized patients, the determinants of the cause of surgical wound infection (ilo) post sectio caesaria are DM sufferers, wound care and HB levels Objective: determine hb levels, wound care and DM related to the incidence of surgical wound infection in post sc patients at H. Badaruddin Kasim Tanjung Hospital. The quantitative research method with the research design design carried out is a retrospective, retrospective observational study. The total population of 40 post-SC mothers in 2022 in September - December, total sampling technique. The data was analyzed using the Chi Square test. The results of the study found that there was a relationship between hb levels and ILO incidence in post sc patient respondents, p values = 0.001 and ? = 0.05, p < ?, there was a relationship between wound care and ILO events in post sc patient respondents, p values = 0.000 and ? = 0.05, p < ? and there was a relationship between dm and ILO events, p values = 0.000 and ? = 0.05, p < ?.

The background of this research aims to determine and analyze the influence of the marketing mix, which includes promotional variables, halal labels and product variants on purchasing decisions for a product through brand image in the Medan Muslim community. The research approach taken was to use a quantitative-descriptive approach using the path analysis method. Path analysis is an extension of the use of regression analysis which aims to estimate the direct or indirect influence of the variables hypothesized in the research. Based on the test results, it can be concluded that promotions, halal labels and product variants have a significant effect on product brand image. It was also found that there was a significant influence between promotions, product variants and brand image on purchasing decisions, while the halal label did not have a significant influence on purchasing decisions for Natur products in the Muslim community of Medan. It is hoped that Natur can maintain and improve the promotional strategies carried out by holding various activities to portray a positive brand attitude towards consumers, because this greatly influences purchasing decisions.

Kerusakan jalan merupakan suatu fenomena dimana penggunaan jalan yang berlebihan dan penggunaannya melebihi kapasitas dari kriteria perencanaan jalan serta kesadaran akan perawatan jalan yang kurang dari penggunanya. Berbagai jenis kerusakan pada perkerasan kaku (rigid pavement) yang umum terjadi di lapangan adalah retak sudut, retak slab terbagi atau badan jalan terbagi, retak lurus, tambalan, dan cacat permukaan. Penyebab kerusakan jalan ada berbagai sebab yakni umur rencana jalan yang telah dilewati, genangan air pada permukaan jalan yang tidak dapat mengalir akibat drainase yang kurang baik, beban lalu lintas berulang yang berebihan (overloaded) yang menyebabkan umur pakai jalan lebih pendek dari perencanaan (Sukirman 1999). Ruas   jalan   Kaligawe   Raya   STA   0+000   –   1+000   (depan   kampus UNISSULA) merupakan jalur lintas nasional utama penghubung antar kota serta di jalur yang seringnya truk-truk logistic bermuatan berat melintas untuk mengirimkan barang yang berasal dari pelabuhan peti kemas menuju kearah timur pulau jawa atau menuju arah barat. Sehingga seiringnya aktivitas truk-truk yang melintas menyebabkan pada ruas jalan tersebut mengalami kerusakan dikarenakan tidak mampunya menahan beban yang melintas diatas jalan dan seringnya terjadi banjir rob yang melanda di ruas tersebut serta kurangnya perawatan pada jalur tersebut. Upaya penelitian ini menganalisis kerusakan pekerjaan jalan menggunakan metode PCI untuk mengidentifikasi jenis, tingkat, dan kuantitas kerusakan yang terjadi serta memberikan alternatif solusi perbaikannya..

The development of home care in Indonesia has progressed to the point that many people use home care services. The epidemiological transition has resulted in an increase in the number of cases of chronic disease compared to acute disease, resulting in an increase in the number of cases of terminal disease that are not treated effectively and efficiently in hospitals. Bakti Timah Karimun Hospital has a home care service that provides several forms of services, namely wound care visits, elderly care services, baby care services, services for terminal patients, and other special needs. There are complaints from patients being managed regarding the responsiveness of the staff, friendliness and skills of the staff which are subject to evaluation. This study aims to determine the relationship between the quality of homecare services and patient satisfaction with wound care at Bakti Timah Karimun Hospital. This research is quantitative with a cross sectional study approach with a sample size of 80 people selected using total sampling techniques. The results of the study showed that the description of the quality of homecare services from the 5 components assessed (Reliability, responsiveness, assurance, empathy, and physical evidence) was in the sufficient category (73.8%), and the description of wound care patient satisfaction was in the very satisfied category. (62.5%). In this way, it is hoped that homecare nurses can improve the quality of services more optimally so that satisfaction can be achieved and maintained.

Pada ibu nifas dan menyusui perlu melakukan perawatan payudara untuk memelihara kesehatan pada payudaranya dan dapat meningkatkan serta melancarkan produksi ASI. Perawatan payudara ini mulai dilakukan pada hari pertama atau kedua sesudah persalinan. Perawatan payudara bermanfaat melancarkan efek pengeluaran ASI dan cara ini juga dapat mengefektifkan peningkatan volume ASI. Selain itu, payudara juga dapat mengalami bendungan ASI akibat tersumbatnya pengeluaran ASI dan hal ini dapat dicegah dengan perawatan payudara. Banyak ibu nifas dan menyusui mengeluhkan setelah meahirkan ASI keluar tidak lancar atau bayi tidak mau menyusu.. Pengabdian masyarakat dilakukan pada tanggal 15 Mei 2023 di Desa Bengle KecamatanTalang Kabupaten Tegal dengan diikuti  sebanyak 13 ibu nifas. Metode yang digunakan dalam kegiatan ini adalah pendidikan kesehatan dengan melakukan demontrasi menggunakan phantom. Hasil dari pengabdian adalah ibu nifas dan menyusui sudah memahami dan mengetahui tentang perawatan payudara pada masa nifas guna meningkatkan produksi ASI.   Kata Kunci :Perawatan payudara, Ibu Nifas,Ibu Menyusui, ASI

Sampah merupakan segala sesuatu yang tidak lagi digunakan yang dihasilkan dari aktivitas manusia. Pengolahan sampah harus menjadi perhatian penting agar tidak menyebabkan dampak negatif bagi manusia dan lingkungan. Tempat Pembuangan Sampah Reduce, Reuse, Recycle (TPS 3R) di Desa Gedangan Kecamatan Grogol Kabupaten Sukoharjo.  TPS 3R memiliki fasilitas pengolahan sampah berupa mesin pencacah sampah, tetapi belum berjalan dengan maksimal dikarenakan mesin pengolah sampah mengalami kerusakan. Tujuan kegiatan ini adalah untuk pembuatan prosedur tentang cara penggunaan dan perawatan pada mesin pencacah sampah organik yang hasilnya untuk pembuatan kompos. Hasil dari kegiatan ini adalah berfungsinya kembali unjuk kerja mesin pencacah sampah organik. Hasil yang lain terbentuknya pedoman SOP (Standar Operasional Prosedur), cara perawatan mesin, dan cara menangani masalah yang terjadi pada mesin.

Background: Knowledge about wound care in families and patients with diabetes mellitus foot wounds needs to be increased so that families can assist in the optimal wound healing process and patients can understand more about wound care. The need for education with booklets and audiovisual media for families of diabetes mellitus patients is to increase the effectiveness of family understanding in detecting signs of diabetes mellitus foot problems and appropriate treatment. The purpose of the case study is to illustrate the application of education using booklets and audiovisual media to increase family knowledge about the treatment of diabetic foot wounds in the Sekaran Health Center target area. This research method uses a case study with a descriptive approach. The results of the study regarding family knowledge about the treatment of diabetes mellitus foot wounds were obtained in subject I before receiving education a good level of knowledge with a score of 24, after receiving education a good level of knowledge with a score of 28, subject II before receiving education a moderate level of knowledge with a score of 19, after receiving education level of knowledge is good with a score of 26. Conclusion: health education is very important to increase family knowledge about the treatment of foot wounds with diabetes mellitus, carried out at the Sekaran Health Center.

This study aims to determine the influence of motivation on nurse performance, the influence of the work environment on nurse performance and the influence of motivation and the work environment on nurse performance in the nursing and ER fields at the Mamasa Community Health Center. The type of data used in this research is quantitative data obtained from questionnaires distributed and related to the problem being studied with a sample size of 44 people. The research results show that the motivation variable has a significant level of 0.000, which is smaller than 0.05 with a coefficient value of 0.465 indicating that the influence given is positive on the independent variable. The work environment variable has a significance level of 0.000 with a coefficient value of 0.0448 indicating that the influence given is positive on the independent variable

Diabetes Mellitus is a chronic metabolic disorder with multiple etiologies characterized by high sugar levels. Patients with chronic illnesses are very susceptible to depression. This can be overcome if the respondent has good enough resilience and self-efficacy so that he can manage self-care and regulate glycemic levels and strive for better health. The aim of the research is to determine the relationship between resilience, self-efficacy and depression with self-care management in patients with diabetes mellitus in the Besuki Community Health Center working area. This research design is cross sectional/analytic correlation. The study population included 38 Diabetes Mellitus patients with Gangrene. The sampling technique uses probability sampling, total sampling. The sampling used was 38 people. The instrument uses a questionnaire sheet. And multiple linear regression statistical tests. The research results showed that the average resilience was 70.02, self-efficacy was 71, mild depression was 17 respondents and the average self-care management score was 72. Resilience increased self-care management with a p value of 0.000 ≤ α 0.005. Self-efficacy increases self-care management with a p value of 0.000 ≤ α 0.005 with an average coefficient of . the results of multiple linear regression obtained a p value of 0.000 ≤ α 0.005. There is a relationship between self-efficacy, resilience and depression with self-care management in patients with diabetes mellitus in the Besuki Community Health Center working area with a p value of 0.000 ≤ α 0.005 with a coefficient value of 0.608 so, Self-efficacy influences self-care 6 times more than other variables. Self-efficacy, good resilience can reduce depression in chronic patients such as gangrene so that patients have adequate self-care management.