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Meinstruatiion iis a natural proceiss that occurs iin womein, nameily thei diischargei of blood physiiologiically and peiriiodiically from thei uteirus to thei vagiinal mucosa. Thei meinstrual cyclei iis thei peiriiod beitweiein thei fiirst day of onei peiriiod and thei fiirst day of thei neixt iinteirval. Onei of thei factors that can affeict thei meinstrual cyclei iis body mass iindeix. Thiis study aiims to deiteirmiinei thei reilatiionshiip beitweiein BMIi and meinstrual cyclei diisordeirs iin class 2019 feimalei studeints at thei Faculty of Meidiiciinei, Muhammadiiyah Uniiveirsiity, North Sumatra.Thiis typei of reiseiarch iis an obseirvatiional analytiic study wiith a cross-seictiional study deisiign. Thiis reiseiarch was conducteid on all feimalei studeints iin thei 2019 iintakei of thei Faculty of Meidiiciinei, Uniiveirsiity of Muhammadiiyah Sumatra. Data colleictiion useid a purposiivei sampliing teichniiquei wiith a total of 88 reispondeints. Baseid on thei reisults of thei correilatiion teist usiing thei Speiarman correilatiion, thei reilatiionshiip beitweiein BMIi and thei Meinstrual Cyclei obtaiineid a siigniifiicancei valuei of 0.023. At a correilatiion coeiffiiciieint of 0.242, or iincludeid iin thei low criiteiriia. Theirei iis a reilatiionshiip beitweiein BMIi and thei meinstrual cyclei as iindiicateid by a p-valuei <0.05.

The rapid increase in emotional levels during early adolescence is known as a period of storm and stress. So parents complain and find it difficult to deal with teenagers, in this transition period. This emotional growth is the result of physical changes, especially the hormones of adolescence. If it is related to social conditions, this increased emotional level is a sign that teenagers are experiencing conditions that are different from previous times. This condition triggers teenagers to become stressed and confused. Adolescence is a transition period, so the counselees studied were teenagers who experienced feelings of anxiety due to the confusion experienced by the absence of the father's role, making the counselees stressed, emotional and demanding a lot of attention from their parents, fighting, disobeying and resulting in decreased concentration in learning. The OV counselor, a 12 year old male teenager, was given the CBT (Cognitive Behavior Therapy) technique. Cognitive therapy helps the counselor learn to recognize mistakes and change them. Apart from positive thinking, cognitive therapy is also related to happy thinking. Behavioral therapy helps link problematic situations and habits of responding to problems. Clients learn to change their behavior, calm their mind and body to feel better, think more clearly and help them make the right decisions. understand thought patterns by showing empathy so that you feel expected to be present with love and attention.    

This research aims to first determine and analyze the Lake Toba Tourism development strategy by the Lake Toba Authority Implementing Body. Second, to find out the results of the SWOT analysis of employee performance improvement strategies using the IFAS and EFAS matrices, important factors can be identified from both the external environment and the internal environment which are strengths, weaknesses, opportunities and threats for improving performance. The research method used in this research is descriptive qualitative, the author also uses SWOT analysis. SWOT analysis is the systematic identification of various factors to formulate company strategy. From the results of the analysis, a growth strategy or growth oriented strategy is obtained. This strategy indicates that the company is strong and able to continue to develop by taking advantage of existing opportunities. This strategy was chosen because the calculation results were in quadrant I where the total weighted score of strengths-weaknesses was 3.36 while the total weighted score of opportunities-threats was 3.314. Positions in this quadrant are very profitable and can be implemented optimally.

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.    

Diabetes Mellitus is a metabolic disorder that occurs chronically or chronically because the body does not have enough insulin hormone due to interference with insulin secretion, the insulin hormone does not work as it should or both (Hendry et al., 2023). The International Diabetes Mellitus Federation (IDF) organization estimates that at least 463 million people aged 20-79 years in the world suffered from diabetes mellitus in 2019 or equivalent to a prevalence rate of 9.3% of the total population of the same age. Based on gender, IDF estimates that the prevalence of diabetes in 2019 is 9% in women and 9.65% in men. (Indonesian Ministry of Health, 2020). Prevalence data from the Indonesian Ministry of Health in 2013-2018, there are 4 provinces with the highest prevalence, namely DKI Jakarta 3.4% East Kalimantan 3.1% In Yogyakarta 3.1%, North Sulawesi 3% and Central Java 2.1% ( Research and Development Agency, Republic of Indonesia Ministry of Health, 2019).

  Abstract : MRI is a modality in radiology that uses a magnetic energy source. MRI is capable of producing Axial, Coronal, Sagittal, and Oblique images of human organs, for example: Brain, Spine,extremity, muscles and other body parts. Epilepsy is one of the Brain pathologies that uses MRI as a means of making a diagnosis. In the Brain MRI examination in clinical epilepsy using sequence MRI Brain routine with additions sequence Coronal Oblique T2 High Resolution and Coronal Oblic T1W IR perpendicular to the Hippocampus. The purpose of this study was to determine the procedure for examining Non-contrast MRI Brain in clinical epilepsy and its rolesequence Coronal Oblik T2W Drive and Coronal Oblik T1W IR. The research method is descriptive qualitative with a case study approach, total sample as many as 6 patients at Pertamina Central Hospital. The examination procedure was carried out using a head coil, supine head first position. Use sequence during the examination, namely Survey, Sagittal FLAIR, Axial T2WT SE, Axial FLAIR, Axial T1W TSE, Coronal FLAIR, DWI-ADC, Coronal Oblik T2W Drive and Coronal Oblik T1W IR. Results image onSequence Coronal Oblik T2W Drive and Coronal Oblik T1W IR are better at displaying the symmetry of the right and left brain organs, atrophy hippocampus and temporal lobe,sclerosis, mammillary asymmetrical body and fornix compared to other sequences. Suggestions pay attention to the direction of the slice so that it is perpendicular to the hippocampus to produce a symmetrical image and use sequence 3D-DIR is the latest in describing clinical abnormalities of epilepsy and MRS to find out the causes epilepsy originating from disturbances in the structure of brain tissue metabolites

Background: Unfortunate Children such as street children in Denpasar must work to survive. One of the jobs they can do were to become hawkers and become a "tukang suun" in several markets in the Denpasar. This child received less attention, including health. The purpose of this activity is to provide health services and health education for street children, especially hawkers and "tukang suun" at the Bali Children's Lentera Foundation (LAB), Denpasar City. Method: This is a Community Services activity in with health services for 23 street children / "tukang suun" at the Bali Children's Lentera Foundation (LAB) Denpasar. This health service activity about weight and height measurements to find out nutritional status based on body mass index (BMI); hemoglobin levels examination, health education about clean and healthy behavior; and supplementary feeding. Results: Most of the children present were girls (74%) and most  were 4 - 9 years old. Based on body mass index (BMI), children’s were thin (50% in 4-6 years old and 37.5% in 7-9 years old). The results of hemoglobin levels examination through periphery blood tests, there were 89% of children have normal hemoglobin levels. Conclusion: based on BMI, street children / "tukang suun" tend to be thin but most have normal hemoglobin levels 

Cuts are defined as a form of damage or loss of body tissue caused by a sharp object. Incision wounds are also called incision wounds which are a type of acute wound. The method used in this research is an experimental method which aims to determine the presence of wound healing activity of extract and spray gel of nipah leaf extract (Nypa fruticans. Wurmb) as well as test the physical quality of spray gel preparation using New Zealand White (male) rabbits. There were 4 test animals divided into 4 groups, the sample was divided into 4 groups, namely the positive control group with Hansaplast spray and the negative control spray gel preparation without extract, the treatment group Nipah leaf extract gel spray (Nypa fruticans. Wurmb) with extract concentration 2 %,3%,5%. In nipah leaves (Nypa fruticans. Wurmb) there are compounds such as alkaloids, flavonoids, and saponins. This study proved that the ethanol extract of nipah leaves (Nypa fruticans. Wurmb) could be used as an anti-inflammatory, the result was that the ethanol extract gel preparation of nipah leaves (Nypa fruticans. Wurmb) had activity towards wound healing in rabbits

Australian guava fruit (Psidium guajava L.) is thought to have antioxidant activity. Antioxidants are compounds that are useful for treating oxidative damage caused by free radicals in the body. The aim of this study was to determine the secondary metabolite content and IC50 value on the antioxidant activity of extracts and fractions from Australian guava fruit. This research used four solvents, including 70% ethanol extract, n-hexane fraction, ethyl acetate fraction and water fraction with varying concentrations of 50 ppm, 100 ppm, 150 ppm, 200 ppm and 250 ppm. The antioxidant test was carried out using a UV-Vis spectrophotometry tool with the DPPH method at a wavelength of 515 nm with an incubation time of 15 minutes. Antioxidant activity tests show that Australian guava fruit is effective as an antioxidant in capturing free radicals. The IC50 value for the ethanol extract is 0.784 µg/mL, the n-hexane fraction is 2.448 µg/mL, the ethyl acetate fraction is 1.015 µg/mL and the water fraction is 0.676 µg/mL. All samples were included in the very strong category, but the water fraction had the best antioxidant activity among the ethanol extract, n-hexane and ethyl acetate fractions.

Introduction: Stress is the body's non-specific response to load demands. During adolescence, unstable emotional changes occur due to hormonal fluctuations during the menstrual cycle. Teenage girls who experience irregular menstruation can be caused by changes in hormone levels due to stress or being in an emotional state. Objective: To determine the relationship between stress and menstrual cycle disorders in Islamic Middle School students at Amanah Ummah Mojolaban. Method: This research method is correlative analytic with a cross sectional design. The research subjects were 48 female high school students in grades 1, 2 and 3 of Amanah Ummah Mojolaban Islamic Middle School who met the inclusion and exclusion criteria. The sampling technique uses total sampling. Results: The majority of sample menstrual cycle disorders were abnormal (79.2%). The majority of sample stress was moderate stress (41.7%). The results of research using the Chi Square statistical test showed a value of (p=0.000) where the P value was smaller than significant (0.005), meaning there was a significant relationship between stress and menstrual cycle disorders. Conclusion: There is a significant correlation between stress and menstrual cycle disorders at Amanah Ummah Mojolaban Islamic Middle School.

Abortion can endanger the mother's health because it can cause bleeding, uterine perforation, infection and shock. Bleeding occurs due to not yet releasing all the products of conception from the endometrial wall, so that the blood vessels are always open to empty the uterus of the remaining products of conception. The next consequence of abortion is perforation, perforation occurs when scraping/curettage, if this happens it is necessary to carry out a laparotomy according to the extent of the perforation. Infection can occur due to the accumulation of dead and rotting products of conception in the body, causing infection, shock, can occur in cases of abortion due to severe infection or profuse bleeding. The incidence of abortion in Indonesia in 2012 was 4%. The aim is to determine the relationship between gestational age and distance with the incidence of abortion in 2023. termination of the pregnancy process before the gestational age is less than 28 weeks (Manuaba, 2010). Abortion is the ending of a pregnancy through any means, spontaneous or artificial, before the fetus is able to survive with limitations based on gestational age and body weight. This research is an observational analytical research with a research design control cases. The samples taken to support this research were all abortion patients at the Pargarutan Health Center, South Tapanuli, totaling 30 people.

Rheumatoid arthritis or what is often called rheumatism is a disease caused by chronic systemic inflammation. This disease attacks flexible joints and can affect the work or structure of the tissues and organs of the human body around the joints (Purba, Marlina, & Arianto, 2020). This disease is included in the autoimmune disease group which mostly attacks the elderly (Fatmawati & Ariyanto, 2020).  

Free radicals work by binding to molecules or cells in the body and are very dangerous because they can damage cells in the body and trigger disease. Antioxidants are compounds that can counteract the effects of free radicals. This study aims to determine the antioxidant activity of ethanol extract and the n-hexane, ethyl-acetate and water fractions of Australian guava peel (Psidium guajava L.). Extraction was carried out by maceration method using 70% ethanol. The skin of the Australian guava (Psidium guajava L.) contains alkaloids, flavonoids, tannins, triterpenoids and saponins. Fractionation was carried out with solvents based on polarity differences obtained by the n-hexane fraction, ethyl acetate fraction, and air fraction. Antioxidant test by inhibiting DPPH free radicals (1,1-Diphenyl-2-Picrylhydrazyl) on ethanol extract and n-hexane fraction, ethyl acetate fraction and air at several concentrations, namely 50 ppm, 100 ppm, 150 ppm, 200 ppm, and 250 ppm. The IC50 calculation results obtained for the ethanol extract were 4.406 µg/mL, the n-hexane fraction was 4.131 µg/mL, the ethyl acetate fraction was 3.812 µg/mL and the air fraction was 3.312 µg/mL. The antioxidant activity with the best IC50 value was the fraction air.

Childbirth is the process of opening and thinning the cervix and the fetus descending into the birth canal then ending with the expulsion of a baby that is term or almost term or can live outside the womb followed by expulsion of the placenta and fetal membranes from the mother's body through the birth canal or non-birth canal , with help or without help (own strength). Childbirth is considered normal if the process occurs at term (after 37 weeks) without complications (Prastiwi et al., 2020).

The musculoskeletal system is part of the body system which is responsible for movement actions and as support for the body, consisting of joints, skeletal muscles, tendons, ligaments, bursae, and other tissues that connect these structures (Kalengkongan, et al, 2021). There are several different musculoskeletal tissues and systems, the musculoskeletal system often experiences various kinds of disorders including carpal tunnel syndrome, gout, osteoarthritis, osteomyelitis, osteoporosis and fractures (Kalengkongan, et al, 2021).

GDA (Blood sugar), or monosaccharide, is the body's main metabolic that produces energy in the form of ATP (Adenosia triphosphate). Exercise gives it enough energy to produce glucose into ATP (Adenosia triphosphate). This study used the elderly group as the research target. The purpose of this study is to identify how to reduce GDA (blood sugar) levels in the elderly in the Surabaya area and to educate elderly people to pay more attention to their blood sugar so that they can avoid blood sugar disease. The method used in this research is a descriptive qualitative method. The data collection and processing technique applied during the research was the deep interview technique. The research sample was taken from a total of 30 elderly people who were interviewed about blood sugar levels. It is known that the behavior of respondents in the knowledge of GDA (blood sugar) can be classified at a fairly good level. The results showed that out of 30 elderly people (100%) showed an increase in knowledge after the delivery of material which initially 10% increased to 90%. From the results of the discussion, it can be concluded that the implementation of sugar level education with its application is in accordance with the objectives. Researchers hope that the results of the study can be developed so that they are useful and feasible to use.

Background: Childbirth is a series of events when a baby is released from the mother's womb, followed by the expulsion of the placenta and fetal membranes from the mother's body. The main problem that is usually complained of by labor patients in labor during the first active phase is that pain causes the mother to feel stressed and excessively worried. Respiration and pulse will also increase thereby disrupting the supply of fetal needs from the placenta. The simple way that can be done to reduce labor pain is to give endorphins massage. Objective: Knowing the analysis of differences in pain intensity in the active phase of labor in the first stage of labor before endorphin massage and after endorphin massage. Method: This study used a quasy experimental design. This type of research is pre-experimental design with one group pret test-post test design. Results: The results of the study obtained by the researchers were 20 respondents during the active phase of the first active phase of brenatal mothers who experienced severe pain with a scale of 7-9 and very severe 10 as measured by a numeric rating scale. Before doing the endorphin massage, it was found that those who experienced pain on average had a minimum of 5 and a maximum of 10 after the endorphin massage had an average minimum of 4 pain and a maximum of 9. Conclusion: There is a difference in the decrease in pain intensity in labor in labor during the 1st active phase before and after being given endorphine massage treatment.

Background: The results of an interview with Dr. Gunawan Leonard, the incidence of OA Genu is often complained of by female patients at the Primary Metro Pundu clinic. This is due to long working hours and hard work. Management from the clinic still uses pain relievers such as ibuprofen. Long-term use of this drug will cause side effects on the body. To minimize these side effects, the researchers carried out non-pharmacological treatment with acupressure at the ST 36, ST 35, EX-LE 2, EX-LE 4, and BL 40 points in reducing OA pain. Objective: To determine the difference before and after being given acupressure in reducing OA pain in perimenopausal women. Method: This type of research is quantitative. The population of this study were all women of perimenopausal age who had osteoarthritis genu at the Metro Pundu Primary Clinic, Central Kalimantan, as many as 32 people. The number of samples used Freder's formula was 20 samples, and data processing used Shapiro Wilk for the normality test to obtain normally distributed data results and paired sample t test with the results of ha accepted. Results: There was a decrease in OA pain scale in perimenopausal women before and after being given acupressure treatment, This shows the effect of acupressure in reducing genu osteoarthritis pain in perimenopausal women.

Background; During pregnancy, the mother's body undergoes hormonal changes that affect the entire organ system. One of the common issues that arise is striae gravidarum, or stretch marks on the skin. Olive oil contains beneficial components for addressing striae gravidarum. An initial survey conducted at PMB Wulan Mardikaningtyas in Kartasura indicated that more than 20 pregnant mothers experience striae gravidarum. The objectives of the research; To investigate the effect of olive oil in reducing striae gravidarum in pregnant mothers. Method; This study utilized a one-group experimental design method. Univariate data analysis was employed to examine frequency distribution, while bivariate analysis was used to assess the impact of olive oil intervention on striae gravidarum. Results; Prior to intervention, the severity level of striae gravidarum was classified as moderate in 9 pregnant mothers (45%) and severe in 7 pregnant mothers (35%). Following the intervention, a majority of respondents exhibited reduced severity levels of striae gravidarum, with 9 pregnant mothers (45%) in the moderate category and 7 pregnant mothers (35%) in the mild category. A difference was observed in the striae gravidarum scale before and after the olive oil intervention. Summary: There is a difference in the striae gravidarum scale before and after the olive oil intervention among pregnant mothers.

Salt is an important staple both in the body and as an ecosystem. The same as reforestation is done in order to protect the environment and can prevent the negative impact of salt cultivation which results in changes in weather that is very hot than usual, community service carried out by KKN (Real Work Lectures). ) from STKIP PGRI Sumenep for the 2023/2024 academic year which is placed in the village of Galis Giligenting with the theme "Building a Progressive Village Community" where the main aim of implementing this KKN is to build the spirit of the community to care more about the surrounding environment and invite the community to care for each other about the environment surrounding. , related to this program, we involve the Galis Village Youth Organization community group who work together in carrying out this activity with the Galis Village community.