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This research aims to determine the physical and organoleptic quality with the treatment of adding 10%, 20%, and 30% pumpkin puree. The research started from August 2023 to January 2024 in the Food Processing Laboratory of the Culinary Education Program, Faculty of Engineering, Universitas Negeri Jakarta. This study uses an experimental method. The samples in this study are waffles with the addition of 10%, 20%, and 30% pumpkin puree. The data collection in this study uses a hedonic quality test, where 45 somewhat trained panelists evaluate all aspects of the organoleptic quality of the pumpkin puree waffle samples. The data collection techniques used are organoleptic and physical tests. The physical test instrument includes elements measured three (3) times, and the organoleptic evaluation instrument uses measurements with a five (5) point scale range, indicating the highest score down to one (1) for the lowest score. Based on the statistical hypothesis test results, there is a significant effect on the aspects of the inner color, outer color, waffle taste, pumpkin taste, inner texture of the waffle, and pumpkin aroma, followed by a Tukey test. The highest average score in the hedonic quality test for the inner color aspect is 4, and for the waffle taste aspect is 4.6.    

This study aims to find out about the procedure for measuring the isolation resistance of the main equipment of the 150 kV conventional substation (AIS) as many as 5 bays at the Panakkukang Substation through the measurement of the insulation resistance value in accordance with the predetermined standards. The method used in this study is quantitative descriptive. The subject of the study to be studied is a comparison of isolation resistance values in pre- and post-treatment. This was done to find out if there was a change in the insulation resistance value of the main equipment of the Substation. The main equipment studied is LA, PMT, CT, VT, and Transformer. Measurements were taken with a Megger measuring instrument, with a voltage injection of 5kV. For 5kV voltage injection, the maximum value of the test device is >1000 GΩ. The standard used is IEEE 43-2000, which is > 1 MΩ / 1 kV. Based on the results of research that has been carried out on each main equipment of the substation at GI Panakkukang. It can be concluded that the isolation resistance value in each main equipment of the substation at GI Panakkukang is above the minimum value (> MΩ/1 KV) in accordance with the IEEE Std 62: 1995 standard, VDE Catalogue 228/4, and the standard used by PLN in the "Power System Maintenance Guidebook" in 2014 the isolation resistance value at each main substation at GI Panakkukang has increased after being maintained. Maintenance can be carried out by cleaning the equipment body and foreign materials, and measuring the insulation resistance periodically.

Oil palm (Elaeis guineensis Jacq.) is one of the world's important commodities as a producer of vegetable oil needed by various industries. Leaf area index is one of the indicators of plant growth seen from the size of the leaf surface area that carries out the photosynthesis process. This study aims to determine the interaction of NPK Phonska fertilizer dose treatment and its application method on the Leaf Area Index of oil palm seedlings at the pre-nursery stage. The study was designed using factorial RAK consisting of 2 factors, namely the dose of NPK Phonska fertilizer (K) and its application method (A), and 3 replications. The K factor consists of 5 levels, namely K0 = 0 g/seedling; K1 = 0.5 g/seedling, K2 = 1 g/seedling, K3 = 1.5 g/seedling, and K4 = 2 g/seedling. Factor A consists of 3 levels, namely A1 = watering, A2 = spreading, and A3 = bag. The observation results were analyzed using analysis of variance and further DMRT test at 5% level if significantly different. The results of the study showed that the dose of NPK Phonska fertilizer 1 g/seedling (K2) gave the highest results on the Leaf Area Index, which was 2.90. The interaction treatment of NPK Phonska fertilizer dose 1 g/seedling and the pocket application method (K2A3) gave the highest results on the parameters of seedling height (12.99 cm) and tuber diameter (1.31 cm). The Leaf Area Index weakened positively on the growth of oil palm seedlings as seen from the height of the seedlings, tuber diameter, and leaf sheath length.

Decubitus wounds are wounds caused by prolonged pressure on a prominent surface area of ​​the bone. Nurses play an important role in preventing the incidence of decubitus, especially by carrying out an early assessment of the risk of decubitus, namely by using the Braden Scale. Objective: to determine the risk of decubitus injuries using the Braden Scale. Method: This type of research is quantitative research with a descriptive research design. The sample in this study was 20 people using a non-probability accidental sampling. Inclusion criteria for this research were patients treated in hospital. Islam Malahayati Medan for more than 2 days of treatment, young elderly, middle elderly and old elderly patients. Data analysis in this study used SPSS 25 for Windows for descriptive statistics. Results: There were 7 people (35%) in the no risk category, 6 people (30%) in the mild risk category, 2 people (10%) in the moderate risk category and 4 people (20%) in the high risk category and 1 person (5%) severe risk category. Suggestion: Hospitals need to include the Braden Scale assessment format in the inpatient assessment format to detect the risk of decubitus injuries and carry out assessments on patients every day while the patient is hospitalized.

Background: Anemia is a global health problem where 40% of pregnant women in the world experience anemia. To prevent iron deficiency, pregnant women need adequate iron intake, one of which is regular consumption of blood supplement tablets. Factors that influence pregnant women in consuming blood supplement tablets are parity and husband's support. Objective: to determine the relationship between parity and family support with the regularity of blood supplement tablet consumption. Research method: This study used a descriptive correlation design with a cross sectional approach. Data analysis used the Chi Square test method. This study consisted of 52 people. Research results: Most of them received family support, 22 people (57.7%), almost all of the grand multipara respondents, 46 people (88.5%), and most of them did not regularly consume blood supplement tablets, 31 people (59.6% ). The results of the chi square test showed that there was a significant relationship between family support and parity and regular consumption of blood supplement tablets. Conclusion: Midwives are expected to place more emphasis on counseling by involving families regarding how to consume blood supplement tablets, especially drinks that can block iron absorption, risk factors for anemia, causes of anemia and treatment of anemia during pregnancy.

The phenomenon of inner child or childhood experiences is one of the factors that shapes a person's character. Everyone experiences their own inner child to varying degrees and with different impacts. Family conflicts experienced during childhood, harsh treatment or words received by parents during childhood can have the impact of painful emotional wounds on a child who becomes an inner child. Parenting style is an important factor in the formation of an inner child. Parenting is the interaction between parents and children, what is the attitude or behavior of parents when interacting with children, for example how to set rules, teach normative values, provide attention and affection and show good attitudes and behavior so that they become role models and role models for children. -his son. The research aims to review one of the factors causing mental health disorders, namely the inner child and how the book of Isa reconciles and escapes the negative influence of the inner child based on research journals that have been conducted previously. The method used in this research is the Literature Review research method.. The result requires self-awareness of the inner child within oneself and this will help to reprogram one's conscious mind to be more adaptable to current life. Try to make peace with the existence of your inner child so you can live a more positive and happy life. This inner child cannot be considered trivial because it can have a negative impact on the person's personality and a solution needs to be found, so that it doesn't happen again in future generations, because if this inner child is not cured it will become a chain of inner children that will continue to repeat itself in the next generation..  

Background: Adolescence is a dynamic developmental phase in a person's life. One of the biological signs of youth is the start of menstruation by teenagers. Many young women experience menstrual problems, one of which is dysmenorrhoea. Dysmenorrhea is caused by increased production of endometrial alpha prostaglandin, resulting in dysrhythmic uterine contractions and increased uterine muscle tone which results in uterine ischemia. Dysmenorrhea treatment can be done using pharmacological and non-pharmacological methods. Pharmacologically, menstrual pain can be treated with medication. Meanwhile, non-pharmacologically, menstrual pain can be treated with dysmenorrhoea exercises Objective: This study aims to determine the effect of dysmenorrhea exercise on dysmenorrhea in young women at junior high school 23 Bandar Lampung.  Method: Pre-experiment with one group pretest – posttest design, technique simple random sampling, sample of 26 teenagers, questionnaire instrument Numeric Rating Scale and Wilcoxon test. Research result: Before carrying out the Dysmenorrhea exercise, all respondents experienced pain which was quite disruptive to their activities during Dysmenorrhea, whereas after implementing the Dysmenorrhea exercise, the majority of respondents experienced a decrease in the level of pain. Test results Wilcoxon shows the Asymp value. Sig. (2-tailed) value <0.05, which means there is an influence of Dysmenorrhea Exercise on reducing Dysmenorrhea pain in young women. Conclusion: There is an effect of dysmenorrhea gymnastics on dysmenorrhea in adolescent girls.    

A fracture is an interrupted occurrence of bone continuity determined by the type and extent of the injury. One of his treatments is Open Reduction and Internal Fixation (ORIF). A common problem in post-operative patients is pain, so it requires non-pharmacological implementation of one of which is compressed ice gel pack. To find out the results of ice gel pack compression therapy in post-operative patients. The application was performed with a descriptive method of case study to 2 respondents with a diagnosis of fracture and performed the operation Open Reduction and Internal Fixation (ORIF) performed 6 hours after the operation for 1x within 10-15 minutes. Based on the results of the application already performed there was a decrease in the intensity of pain in postoperative patients. ice gel pack compression therapy can be used as one of the non-pharmacological techniques or independent intervention in post-operative patients in particular on the action Open Reduction and Internal Fixation (ORIF)

The impact of pregnancy anemia will be a risk to fetal development and complications during pregnancy, childbirth, postpartum and can even cause death. The government requires pregnant women to consume Fe tablets but anemia is still not resolved. Apart from consuming Fe tablets, green beans can be used as an effort to increase Hb levels in pregnant women. to determine the effect of giving Green Bean Juice on increasing Hemoglobin levels in pregnant women. Pre-experimental research with a one group pretest posttest research design with a population of all pregnant women, sample 20. Intervention by administering Green Bean Juice at a dose of 100 grams in the morning and evening for 7 days. Analysis test with Paried Sample t-test .average Hemoglobin before treatment was 11.8 gr/dl, while the average hemoglobin after treatment was 12.7 gr/dl, an increase of 0.9 gr/dl. Statistical analysis obtained a p value of 0.000 (<0.005). There is an effect of giving Green Bean Juice on increasing Hemoglobin levels in pregnant women.

The Qur'an plays a major role in guiding humans to learn, gain knowledge, and direct all aspects of life both individually and socially in a positive direction. With the content of guidance, advice, and perfect laws, the Qur'an is the main source of reference for Muslims in living their daily lives and achieving success in this world and in the hereafter.The method that researchers use is descriptive qualitative research. Descriptive qualitative research is research conducted thoroughly on an object. The researcher becomes the main instrument in a qualitative study. Then, the results presented by the researcher are explained in the form of words obtained through valid data. Because qualitative research emphasizes meaning rather than generalization, and also the data cannot be resolved with statistical counts. The treatment process that occurs in one of the Tanjungpinang Kota communities affected by sticking disease is with the help of Koranic verses recited by the ustadz using mineral water media. The mineral water used is the condition that will be used in the treatment process. The water is then read the verses of the Qur'an by the ustadz and washed to several parts of the body of the person affected by sticking disease such as washing the head, hands, feet and finally the face. This paper describes the community's belief in the Qur'ān as a source of healing, which is deeply rooted in Islamic tradition and widely practiced in various Muslim communities, including in Tanjungpinang. The Qur'ān is not only seen as a holy book with high spiritual value but also as a source of alternative medicine that can cure physical, mental and spiritual illnesses.

Health tourism is a tourist travel activity to a tourist destination with the aim of receiving treatment or improving health and fitness. This research is a descriptive qualitative analysis by looking at case studies about the potential of health tourism. The research informants are doctors, dentists, nurses and pharmacists, and 5 pharmacists. The data was analyzed using the content analysis method on interview documents. The results of the research show that the importance of understanding and knowledge of health workers is to be able to improve the quality of service when facing tourist visits. When they have a health problem or want to improve their health condition while traveling, the attitude of health workers needs to be improved in terms of their competence which must be developed, services must comply with standards. operational procedures and being friendly and polite to tourists during health services. The conclusion of this research is that the understanding of each health worker is good regarding health tourism.

Most students in junior high school, especially seventh grade, had difficulty learning vocabulary. Even though vocabulary was very important for language learning. Duolingo could help with this problem because Duolingo could make students more interested and less bored when studying. The purpose of this research was to find out whether there was an effect of the Duolingo Application in increasing the vocabulary mastery of 7th grade students at SMPN 32 Bandar Lampung in the 2023/2024 academic year. This research methodology used in this research was quasi-experimental design. The population of this research was all 7th grade students of SMP Negeri 32 Bandar Lampung for the 2023/2024 academic year with a total of 180 students. This research sample consisted of two classes, namely class 7B with a total of 34 students as the experimental class, and class 7C with a total of 33 students as the control class. This meant that the total number of samples for this research was 67. The experimental class used Duolingo Application, while the control class used the “When English Rings a Bell” textbook and dictionaries. The sample for this research was determined using a cluster random sampling technique. The treatment was carried out in first meeting. In collecting data, this research used a test instrument in the form of 40 multiple choice questions. Before giving treatment, a pretest was carried out. Then, after the treatment has been carried out, a post test was given. The results showed that there is a significant difference in student scores before and after treatment. This research used hypothesis testing, especially the T-test, to find out whether the Duolingo Application had a significant effect on students' vocabulary scores. And the results show that Sig. (ρvalue) = 0.000 < α = 0.05. So Ha is accepted and Ho is rejected. It can be concluded that there is a significant effect of using the Duolingo Application on increasing the vocabulary mastery of 7th grade students at SMP Negeri 32 Bandar Lampung in the 2023/2024 academic year.

Lung cancer is all malignant diseases in the lungs. In Indonesia in 2020, it was ranked third with 34,783 cases. The nutritional problem faced by lung cancer patients is the difficulty of receiving food. As a result of the presence of cancer in the body and the effects of treatment therapy, cancer patients experience various nutritional problems that if not overcome immediately can worsen their health conditions. Experts state that cancer patients need nutritional screening to detect nutritional disorders, as well as weight loss (BB) and body mass index (BMI) since the patient is diagnosed with cancer. Balanced nutrition can inhibit the likelihood of further weight loss and infection. Although the cure rate of cancer patients is still very low, with the right nutritional therapy and a supportive environment, it is hoped that it can support the success of lung cancer patient therapy.    

Soursop is a traditional medicinal plant used as a therapy for hypertension. One of them is Flavonoids which work as ACE inhibitors which will inhibit the change of AIR into AIR thereby reducing the secretion of antidiuretic hormone (ADH ) thus causing a drop in blood pressure.This study aims to determine the effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. This research uses a quantitative experimental research method using a quasi-experimental design with pre and post using a one group pre test and post test design. The population in this study was elderly people suffering from hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency with a sample of 17 people. The analysis used is Univariate and Bivariate using the Paired Sample T test. The blood pressure of hypertensive patients before being given soursop leaf decoction treatment to obtain information on the Mean Arterial Preasure value) before being given the intervention, the mean MAP value was 124.09 mmHg from 17 respondents. After being given the intervention, the results obtained were an average MAP value of 95.24 mmHg.That there is an effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. Should be more overcoming the problems of the Indonesian people due to the increase in patients with hypertension.

Background : Adolescent girls are susceptible to anemia because they experience menstruation, where menstruation can cause a decrease in hemoglobin levels, thus requiring special attention to iron needs. The results of the 2021 Riskesdas showed an increase in the rate of anemia in adolescents with a female sample of 22.7%. The effort taken is to drink green bean juice because it contains iron and vitamin C which helps increase hemoglobin levels. Objective : to determine the effect of giving Green Bean Juice on increasing Hemoglobin levels in adolescent girls. Method : The research design was Pre Experiment and One Group Pretest Posttest approach, a sample of 20 young women from class XI, the sample used was random sampling. Test the analysis using the Paired Simple T Test. Research results : The results of the Paired Simple T Test based on the Hb value before and after treatment showed a significant value of 0.000 < 0.05 with an average increase of 1.2 gr/dl. Conclusion : There is an effect of giving Green Bean Juice on increasing Hemoglobin levels in young women at SMA Negeri 1 Menggala Tulang Bawang.

The incidence of fever following DPT (Difteri Pertusis Tetanus) immunisation is relatively high, often necessitating treatment with fever-reducing drugs, which may have adverse effects on infants. Therefore, non-pharmacological methods that are effective, safe, economical, and practical are essential. This research aims to investigate the effectiveness of an onion compress combined with virgin coconut oil (VCO) in reducing body temperature in infants following DPT immunization. The study employed a quasi-experimental method with a one-group pre-test and post-test design. The study population consisted of infants who received DPT immunization in the midwife's independent practice (PMB) working area at the Pudak Payung Health Centre, Semarang, with a total sample size of 48 infants selected via purposive sampling. Data were collected through observation, analysed using descriptive statistics, and the Wilcoxon signed-rank test. Prior to the intervention, 47 infants (45.92%) exhibited fever, and 1 infant (2.08%) had a high fever post-immunisation. Following the application of the shallot compress with VCO, all infants (100%) showed a reduction in body temperature, with none experiencing fever thereafter. The analysis indicated a significant effect of the onion compress combined with VCO on reducing body temperature (Z = -6.042, p < 0.01). The average body temperature of infants post-DPT immunisation decreased from a mean of 38.5°C before the intervention to 37°C afterwards. In conclusion, the use of an onion compress with VCO effectively reduces body temperature in infants following DPT immunization. This non-pharmacological approach presents a promising alternative to conventional fever management strategies.

Background: Homecare is recovery, independence, fulfilling basic needs,choose the treatment nedded are called homecare, influences the success of health development. In overcoming health problems, health workers must be able to increase their professionalism in carrying out their duties to provide the best and highest quality services, so that patients and family members feel satisfied as measured by the factors. Purpose: This literature review research aims to find out how the quality of homecare service programs influences the level of patient satisfaction. Methods: There were 14 journals used in the literature review. Journal searches are carried out through Four databases : Google Scholar, Crossref, ProQuest, Emerald Insight.Results: Literature analysis shows that, there is a relationship between reliability, responsiveness, assurance, emphaty and tangible with the level of patient satisfaction.Conclusion: The quality of home services is influenced by several factors, the focus of quality measurement in Indonesia and several countries is similar. In other countries, quality seen in the nursing process, staff skills are called assurance. Quality is conceptualized as a continuous process, coordination of professional groups, prioritizing patient safety standards is called tangible, timeliness called responsiveness. In Indonesian quality is measured in five factors are tangible, responsiveness, reliability, assurance and empathy. These factors are most related to patient satisfaction in homecare services.

This study explores the pharmaceutical supply chain management of the National Formulary at RSUP Dr. Sitanala in Tangerang City, aiming to identify obstacles to drug availability and formulate effective and efficient solutions. Acknowledging quality healthcare as a fundamental human right and a critical investment for a nation's future, this research emphasizes the importance of high-quality healthcare services. These services encompass not only treatment but also health promotion and disease prevention through the adoption of clean and healthy living habits. Drug availability is a major pillar in the provision of quality healthcare services. Effective and efficient management of the pharmaceutical supply chain, particularly regarding National Formulary drugs, is crucial in ensuring the availability of medications at healthcare facilities. This research employs a comprehensive analysis of the supply chain processes at RSUP Dr. Sitanala, examining stages such as drug selection, demand planning, procurement, receipt, storage, distribution, drug control, therapy monitoring, prescription preparation, drug dispensation, and medication administration. The study's methodology involves a case study approach, integrating theoretical management principles and interdisciplinary pharmacy management with compliance to regulations, as outlined in Permenkes No. 76 of 2016. Findings from RSUP Dr. Sitanala indicate that the hospital's pharmaceutical management practices align with contemporary health and pharmacy management theories, emphasizing structured systems, stringent verification, and effective interprofessional communication to ensure medication safety and efficacy. The study identifies challenges in information technology and interdisciplinary coordination as areas needing improvement. Nonetheless, a commitment to continuous improvement and adherence to regulatory standards reflects RSUP Dr. Sitanala's dedication to enhancing the quality of pharmaceutical management and healthcare services. The implications of this research extend beyond RSUP Dr. Sitanala, offering valuable recommendations for improving drug supply chain management in other healthcare institutions in Indonesia. By enhancing access to and the quality of healthcare services, this study contributes to the broader goal of achieving the highest possible level of health for individuals, reflecting the perspective of human rights and investment in the nation's future health.    

Household sewage treatment in Surakarta City depends on the performance of the available domestic wastewater treatment plants (IPAL), including Pucangsawit IPAL, Semanggi IPAL, Mojosongo IPAL, and UNS IPAL. Each of these IPAL’s serves a specific area, such as the UNS IPAL which serves the UNS area and its surroundings, the Mojosongo IPAL which is in charge of the North Area of Surakarta, the Semanggi IPAL which takes care of the South Area of Surakarta, and the Pucangsawit IPAL which serves the Central Area of Surakarta City. This research aimed at the effectiveness of the performance and development plan of each IPAL in the next 20 years. This research used descriptive qualitative and quantitative analysis methods. Qualitative descriptive analysis was conducted by observing the existing condition of IPAL Komunal in the research location. Quantitative descriptive analysis in this study was carried out by testing samples at the inlet, aeration, and outlet points of the IPAL. Based on the quality standards of the Minister of Environment and Forestry Regulation number P 68 of 2016, each IPAL. UNS IPAL is 47.27% for BOD, 73.81% for COD, 76.36% for TSS. Mojosongo IPAL is 88.71% for BOD, 76.50% for COD, 78.57% for TSS. Pucangsawit IPAL was 91.88% for BOD, 83.20% for COD, 74.82% for TSS. Semanggi IPAL is 20.45% for BOD, 69.95% for COD, 69.05% for TSS. Alternative development at the IPAL that can be done to prepare for the next 20 years is to increase the volume in the initial settling basin, aerobic biofilter basin, and also the final settling basin.   

Background; In Lampung province, the incidence of dysmenorrhea is quite high, the results of the study found that 54.9% of women experience it. Dysmenorrhea is lower abdominal pain that sometimes extends to the waist, lower back and thighs, caused by high production of prostaglandins then stimulates the uterus to contract. The most common impact of dysmenorrhea is limited physical activity and poor concentration, so it must be addressed immediately so as not to further interfere with daily activities. One of the non-pharmacological treatments is by drinking carrot juice where carrots contain vitamin E and beta-carotene which can suppress prostaglandin production so that it can reduce the pain experienced. Objective; To determine the effect of carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung. Method; This type of research is quantitative research with a pre-experimental design with a one group pretest and posttest design approach, the population is 28 respondents, the number of samples is 22 respondents with Simple Random Sampling technique. Data collection tools using observation sheets, data analysis with Wilcoxon test ? = 0.05. Results; The results of observations for 1 day with a frequency of 2x a day obtained a p-value of 0.000 where 0.000 <0.05 this means H0 is rejected and Ha is accepted. Conclusion; There is an effect of giving carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung.