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Chronic Kidney Disease (CKD) This is a gradual and irreversible kidney disorder that affects the body's capacity to regulate metabolism, fluids, and electrolytes, leading to the development of uremia. Hemodialysis (HD) patients with chronic renal failure are subject to fluid, dietary and pharmaceutical restrictions as well as activity and medication limits. Weight gain, edema, and high blood pressure will occur if fluid balance is not maintained or if there is excess fluid between dialysis sessions. But limiting fluids while receiving hemodialysis can have a number of negative consequences on the body, one of which is thirst and dry mouth (xerostomia), caused by decreased salivary gland production. This scientific study uses a descriptive methodology along with nursing care strategies to apply the "sipping ice cubes therapy" strategy to reduce thirst in CKD patients receiving hemodialysis. Evidence-based practice of nursing This procedure is carried out in the Nursing Room of RSUD Dr. dr. Aloei Saboe Gorontalo City on December 26 2022 and January 26 2023. According to researchers, the administration of the innovative therapy "Sipping Ice Cubes Therapy" can significantly reduce thirst levels in CKD (Chronic Kidney Disease) patients. It can be seen from the 6 respondents who were given the innovative therapy "sipping ice Cubes Therapy" all of which gave a positive response after evaluation, both direct evaluation after giving therapy or evaluation after 3 days of giving the implementation of "sipping ice Cubes Therapy"

Honey is a natural liquid that contains a lot of sugar produced by bees (genus Apis) from flower nectar and has a sweet taste. Honey contains a multitude of benefits that are good for the body, including being a source of nutrients, improving body metabolism, anti-bacterial, and others. The purpose of designing the Honey Harvest Monitoring System with ARDUINO-based IOT is to help breeders maximize honey harvesting results. This study aims to design an intelligent system for controlling the temperature in bee hives, humidity in bee hives, and monitoring honey yields, measuring the temperature and humidity of the storage room using DHT 11 sensors, and monitoring honey harvest time using Load Cell sensors. The temperature and humidity controller in the cage uses a blower/fan. Sensor data will be processed using the Wemos D1 R1 microcontroller and then sent to an Android application via the internet network using a real-time Firebase database so that it can be accessed anywhere and anytime. The way this system works is that if the room temperature is >38 degrees Celsius, the blower/fan will turn on, and will turn off if the temperature is 40%, the artificial window will open and will close if the humidity is

Everyone, including children, adults, and parents, can experience stress. Academic stress is a common type of stress that occurs in a school or educational environment. Students who face high pressure, such as numerous assignments, may experience stress that can lead to insomnia. The purpose of this study is to examine the relationship between stress and insomnia in students. Stress is a negative feeling caused by situations beyond one's control or changes in one's body and mind. Insomnia is the inability to achieve adequate quality and quantity of sleep. A literature review study was conducted, with 5 journals obtained from Google Scholar. The study design was cross-sectional. The results showed a significant relationship between stress and insomnia in college students (p <0.05). This means that stress levels have a moderate positive correlation with insomnia levels. In conclusion, it is important for students to learn how to manage their stress levels to prevent insomnia.

Background: Preclampsia is a one of complication in pregnancy characterised by systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and proteinuria (≥300mg/24hours in urine; protein/creatinine ≥0.3; dipstick protein +1; and/or with additional symptoms. Eclampsia is a severe form of preeclampsia where the mother experiences seizures and/or coma.  There are various risk factors for preeclampsia and eclampsia, one of which is the mother's body mass index (BMI). Excessive maternal weight before pregnancy, as well as excessive weight gain during pregnancy are at risk for preeclampsia. Methods: This study used medical records from the Ciawi General Hospital in 2020, and cross-sectional observational study was carried out. Pregnant women with eclampsia and preeclampsia were the study's population. This study used total sampling as its sampling method, and body mass index measurements were made using information from medical records. The Kruskall Wallis alternative test was utilized in place of the One Way Anova as the hypothesis test in this investigation. In this investigation, a 5% level of significance is expected. Results: This study involved 190 respondents who met the inclusion criteria. The statistical test results showed no significant difference in mean body mass index between the eclampsia, severe preeclampsia, and mild preeclampsia groups (P-value: 0.688). This difference is expected due to the small number of samples and/or the high variability of the samples. Conclusion: Based on the results of the study, there was no significant association between body mass index and mild, severe, and eclampsia. Further research should be conducted and developed for prevention and lifestyle intervention in preeclampsia.    

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.

Stroke is an acute neurological condition caused by decreased blood flow to the brain. Nervous system dysfunction occurs suddenly (within seconds) or rapidly (within hours) and the symptoms and signs correspond to the local area of ​​the brain affected. Objective: To conduct an analysis of managed cases with a medical diagnosis of non-hemorrhagic stroke with jigsaw puzzle pairing exercise therapy to increase upper extremity muscle strength Methods: This research is a quasi-experimental design with pre and post test. This type of research is a research design that is used to look for causal relationships with research involvement. The sample used in this study were 6 patients with a critical sample of patients who had non-hemorrhagic stroke who were treated at Prof. Hospital. Dr. Aloei Saboe Gorontalo City. Results: The results of the study showed that changes in muscle strength were only present in Mr. I.T obtained an increase on the evaluation of the third day of implementation where there was an increase in muscle strength to 5/4, which means there was an increase using the MMAS (Modified Muscle Assessment Scale) it was found that the client was only able to lift the top part of the puzzle and put it back. (The patient reaches forward at arm's length, lifts the top of the puzzle, releases it back to the part of the table that is closest to the patient's body). Conclusion: Based on the research conducted, it was found that 6 respondents from the results of the assessment had measuring results that had been carried out after the Jigsaw Puzzle installation exercise, it was found that there was a change in the range of motion of the client's fingers while for the client's muscle strength and fine motor movements there had been no change. Stroke attack can cause permanent physical disability.

Healthy skin is necessary for the body to provide active protection against changes in the environment. In order to preserve skin moisture and give protection from ultraviolet (UV) light, a healthy stratum corneum is mandatory. Several skin disease, including atopic dermatitis, contact dermatitis, ichthiosis, and psoriasis, are associated with anomalies in stratum corneum hydration. Meanwhile, erythema, photosensitivity, and skin cancer can all result from prolonged exposure to UV radiation. This study were done withis a cross sectional with non-random consecutive sampling. The parameters taken in this study include demographic (age and gender), skin moisture / moist (%) and sun damage / UV Damage (%). Thirty adolescents between 12-18 years were included in the study (20 male (66,7%), vs 10 female (33,3%). The mean facial moisture was 63.6 (± 14.72)%, and sun damage was 31.53 (±14.47)%. These data suggest that dry skin and UV skin damage can happen to anyone including teenagers. Therefore it is essential to maintain the skin moisture and protect it from UV radiation, to obtain healthy skin and prevent associated skin problems.    

     Dalam aktivitas kerjanya karyawan PT Sucofindo mengalami berbagai pajanan potensi bahaya, salah satunya faktor ergonomi. Bahaya ergonomi dapat mengakibatkan produktivitas dan kualitas pekerja menurun serta dapat menimbulkan penyakit akibat kerja. tujuan penelitian ini untuk mengetahui gambaran tingkat risiko keluhan musculoskeletal disorders (MSDs) pada pekerja PT. Sucofindo Surabaya Metode yang digunakan dalam penelitian ini adalah observasional deskriptif dengan desain cross sectional menggunakan metode Alberta (heavy frequent awkward lifting), Rapid Upper Limb Assessment (RULA), Rapid Office Strain Assessment (ROSA) dan Nordic Body Map (NBM) variabel yang diukur yaitu postur kerja karyawan PT Sucofindo. karyawan PT Sucofindo yang menjadi responden mengalami musculoskeletal disorders (MSDs) tinggi. Sebagian besar responden mengalami gangguan musculoskeletal disorders (MSDs) di kantor cabang Kalibutuh mempunyai keluhan nyeri otot di daerah leher dan bahu sebesar (15%), laboratorium A.Yani mempunyai keluhan nyeri otot di daerah leher dan bahu sebesar (40%), dan KUP Gresik tidak ditemukan keluhan pada semua responden. Responden dari kantor cabang Kalibutuh dan laboratorium A.Yani juga sebagian besar (40%) mengalami keluhan di bagian punggung bawah (lower back) sedangkan KUP Gresik tidak ditemukan keluhan pada semua responden. Sebagian besar responden (80%) merasakan keluhan tersebut 12 bulan terakhir, dan sisanya baru merasakan 7 bulan terakhir (40%).akibat posisi kerja dan stasiun kerja yang tidak ergonomi. Dapat disimpulkan bahwa karyawan PT Sucofindo yang menjadi responden dalam penelitian ini sebagian besar mengalami musculoskeletal disorders (MSDs) tinggi. Sebagian besar responden pada kajian ergonomi ini mengalami gangguan musculoskeletal disorders (MSDs) di daerah leher, punggung atas, dan punggung bawah akibat posisi kerja dan stasiun kerja yang tidak ergonomis. Perusahaan disarankan untuk mengadakan program tiap 10-15 menit melakukan istirahat dan peregangan, melakukan penilaian postur kerja dan stasiun kerja pada seluruh karyawan Sucofindo agar bisa dilakukan perencanaan ergonomi untuk mencegah gangguan MSDs pada seluruh karyawan, mengadakan ergonomic awareness training pada karyawan.

Stroke is the presence of clinical signs that develop rapidly due to focal brain function disorders. Stroke occurs suddenly but has long-term effects such as disability, emotional problems, depression and also changes in social relationships. A stroke occurs when the blood supply to the brain stops suddenly, thereby blocking the supply of oxygen, which is a vital necessity for the brain, causing a decrease in normal brain function. Cases of stroke need to be handled by the patient's family quickly and precisely so that the patient gets help according to the condition of the stroke he is experiencing. Based on this, a study is needed related to nursing care for stroke patients. The method used in this study is a descriptive method with a case study approach that is carried out on the pattern of nursing care in stroke patients. From the research results obtained from patients, namely patients complaining of no appetite, difficulty lifting the left leg and difficulty speaking. There are 3 nursing problems that arise in patients, namely nutritional imbalances less than body requirements, impaired physical mobility and, impaired verbal communication. This is based on the results of interviews and observations found due to lack of knowledge of the patient's family on how to treat stroke patients.

Stroke is the presence of clinical signs that develop rapidly due to focal brain function disorders. Stroke occurs suddenly but has long-term effects such as disability, emotional problems, depression and also changes in social relationships. A stroke occurs when the blood supply to the brain stops suddenly, thereby blocking the supply of oxygen, which is a vital necessity for the brain, causing a decrease in normal brain function. Cases of stroke need to be handled by the patient's family quickly and precisely so that the patient gets help according to the condition of the stroke he is experiencing. Based on this, a study is needed related to nursing care for stroke patients. The method used in this study is a descriptive method with a case study approach that is carried out on the pattern of nursing care in stroke patients. From the research results obtained from patients, namely patients complaining of no appetite, difficulty lifting the left leg and difficulty speaking. There are 3 nursing problems that arise in patients, namely nutritional imbalances less than body requirements, impaired physical mobility and, impaired verbal communication. This is based on the results of interviews and observations found due to lack of knowledge of the patient's family on how to treat stroke patients.

Cholesterol is a form of fat that has an important role for the body, but if the body has high cholesterol levels it will cause health problems in the form of fatty deposits which will be at risk of blockage of blood vessels. Based on the results of Basic Health Research, it shows that the prevalence in Indonesia with total cholesterol levels > 200 mg/dL is 39.8%, the high prevalence rate is one of the reasons for the increased mortality rate in Indonesia (RI Ministry of Health, 2018). Controlling cholesterol levels can be done by controlling diet such as intake of calcium, fruit, vegetables and fish. The research was conducted in Cengkareng Timur Village, from 19 October 2022 to 2 November 2022. The type of research is quantitative which is analytic using a cross sectional research design, the research sample is 84 respondents. Data analysis used the Spearman correlation test. Based on the research results, it was found that there was a relationship between calcium intake and cholesterol levels (p=0.000) with a value of r = -0.924, there was a relationship between vegetable and fruit consumption and cholesterol levels (p=0.002) with a value of r = -0.496, and there was a relationship between consumption fish with cholesterol levels (p=0.001) with a value of r = -0.351. Workers handling public facilities infrastructure in Cengkareng Timur Village are expected to be able to consume fruits and vegetables because workers' consumption of fruits and vegetables is less than 400 g/day accompanied by a healthy lifestyle.

Introduction: A woman experiences pregnancy, which lasts from the moment of conception (fertilization) until the baby is born. This process produces physical, psychological, environmental, socio-cultural, and economic changes that affect the body, mind, and society. Pregnant women often experience nausea and vomiting (Emesis Gravidarum), especially in the first trimester of pregnancy.Objective : To determine the effect of giving lavender aromatherapy in reducing the frequency of nausea and vomiting before and after being given lavender aromatherapy to pregnant women in the first trimester. Research Method: This pre-experimental research design used a responsive pre-post test because it only involved one group of subjects. The subject's body was detected before the intervention was carried out, then detected again after the intervention was carried out. The subjects used in this study were pregnant women who experienced hyperemesis gravidarum in the first trimester of pregnancy. Results: It is known that Clients 1 and 2 experience nausea and vomiting more often than four times a day before receiving lavender aromatherapy. For Client 1, the frequency of nausea and vomiting was found to decrease after receiving lavender aromatherapy for three consecutive days, and the client did not experience nausea or vomiting at all. For Client 2 there was no change in giving lavender aromatherapy because the client continued to experience nausea and vomiting with a frequency of about 2 times per day. Conclusion: the overall evaluation results showed that one of the clients used non-pharmacological techniques and received lavender aromatherapy which caused a decrease in nausea, while the other clients who received lavender aromatherapy continued to experience nausea and vomiting. about twice a day vomiting.

Elderly is someone who is over 65 years old and the elderly are also a risk group whose population is increasing. Elderly is not a disease, but an advanced stage of a life process which is marked by a decrease in the body's ability to adapt to environmental stress. The purpose of doing perceptual stimulation group activity therapy is that the client can reduce the depression he is experiencing and follow the treatment program optimally. Health counseling was held on Wednesday, June 7 2023. The population in this counseling were officers and the elderly in the Wisma Durian Room Tresna Werdha Budi Mulia 2 Social Institution. After carrying out group activity therapy "ball relay" the results (100%) were officers and the elderly understand, understand and be able to exemplify how to play the ball relay.  

The development of internet technology in the current era of globalization has had a significant impact on the world of business and the economy. The use of internet technology in business has increased marketing reach, transaction speed, and speed of delivery of goods and services. This is shown by the large number of offers for beauty and body care product categories on e-commerce platforms. The beauty industry notes that ways to promote and encourage product purchase transactions are influenced by eWOM communications, one of which is customer reviews and influencer reviews. The purpose of this study was to measure the direct effect of eWOM, including customer reviews and influencer support, on purchase intentions for Avoskin products, with trust as a moderator variable. The method used in this research is a quantitative method of causal research. The sampling technique in this study was non-probability sampling and the method used was convenience sampling with 400 respondents. This study used a questionnaire data collection technique with an ordinal scale and used data analysis techniques (PLS-SEM). The results of this study conclude that customer reviews have a significant positive effect on purchase intention of Avoskin products, influencer reviews do not have a significant positive effect on purchase intentions of Avoskin products, trust negatively moderates the relationship between customer reviews on purchase intention of Avoskin products and trust does not moderate the relationship between influencer reviews and purchase intention of Avoskin products.

Factors Associated with Completeness of Basic Immunization for Infants at Ulee Kareng Health Center. Basic immunization is a program carried out to protect a person's body from diseases that can be prevented by immunization (PD3I) caused by viruses or bacteria, including tuberculosis, polio, diphtheria, pertussis, tetanus, hepatitis B, flu, measles and rubella. Based on data from the Directorate General of Disease Prevention and Management, the Indonesian Ministry of Health in 2018, ranks of Aceh Province are the lowest in basic immunization coverage, which is 70%. This study aims to determine the factors associated with completeness of immunization in infants with quantitative analytical methods with a cross sectional design approach (Cut Latitude). The study was conducted in March-July 2021 and obtained as many as 62 samples with the sampling method by accidental sampling. The results of this study indicate that there is a relationship between mother's knowledge and completeness of infant basic immunization with a p-value of 0.000, there is a relationship between mother's education and completeness of infant basic immunization with p-value of 0.000001, there is a relationship between mother's employment status and completeness of infant basic immunization p-value 0.003, and there is a relationship between family support and completeness of basic infant immunization with a p-value of 0.000. The distance to the place of immunization service does not have a relationship with the completeness of infant immunization with a p-value of 0.054. The efforts of the puskesmas in achieving immunization completeness were scored well by conducting an assessment of planning, implementation and assessment activities using a questionnaire containing 5 questions on planning, 5 questions on implementation and 5 questions on assessment. Based on the results of this study, it can be concluded that the level of knowledge, education, employment status, and family support has a relationship with the status of completeness of infant immunization. The distance to the place of immunization service does not have a relationship with the infant's immunization status. The researcher's suggestion is to do research with a larger sample and add various other variables that have a relationship with the infant's immunization status.  

Atopic dermatitis (AD) is a skin inflammation in the form of chronic, recidive dermatitis, accompanied by itching, and hitting certain parts of the body, especially on the face in the baby (infantile phase) and the flexible part of the extremities (in the child phase). Atopic dermatitis often occurs in infants and children, about 50% will disappear in adolescence, but sometimes it can also persist, or even only begin to appear in adulthood. The prevalence of AD is increasing and the increase in the incidence of AD is related to a history of atopy. The etiology of AD is not known with certainty, but it is known to be caused by the interaction of intrinsic and extrinsic factors in AD. Clinically, itching and skin disorders are found according to specific morphology and distribution. Risk factors that are proven to cause and induce AD are skin barrier disorders due to FLG mutations, environmental changes, and diet. FLG mutations can damage the skin barrier function with impaired pH and maintenance of skin hydration. It is known that the causes of multifactor AD and AD cannot be cured, however, only controlled. Therefore, preventive efforts are important, where doctors need to communicate with patients and their families, provide information and education on diseases, and how to treat and prevent recurrences. Because until now there is no ideal treatment regimen for AD patients, so thorough and appropriate management is needed, especially in reducing signs and symptoms, healing and preventing recurrences.    

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Background: Visceral fat is fat that is stored in the adipose tissue of the abdominal region. The accumulation of high amounts of visceral fat causes central obesity and the occurrence of metabolic syndrome which is a risk for degenerative diseases. Banten Province shows that the prevalence of obesity in 2018 is 22.5% and in 2020 it is 25.2%. Risk factors that cause obesity, especially in the workplace, are lack of physical activity, unhealthy eating patterns, and unhealthy lifestyles. Objective: to determine the relationship between glycemic load, physical activity, and work stress with visceral fat. Methods: The research was carried out in the Office of Manpower and Transmigration of Banten Province, from August 2021 to August 2022. This type of research is quantitative research which is an analytic survey using a cross-sectional research design with a research sample of 76 respondents. Data analysis used the Chi-Square test. Results: There was a relationship between glycemic load and visceral fat (p=0.000), there was a relationship between physical activity and visceral fat (p=0.002), and there was no relationship between work stress and visceral fat (p=0.137). This is because respondents still consume sufficient carbohydrate food on weekdays and holidays and respondents tend to do less physical activity which causes fat accumulation in the body.Conclusion: There is a significant relationship between glycemic load and physical activity to the formation of visceral fat.

Every hospital, industry and other sector experiences shifts in activity on a regular basis, and if the pace of construction and progress of the plant continues, this is absolutely necessary for the foreseeable future. Each individual's experience of fatigue is unique and subjective. Various conditions can result in fatigue accompanied by a decrease in body capacity and endurance while on duty. This study aimed to investigate the relationship between work fatigue and shift work in industrial plant employees. The research method used was a survey using questionnaires distributed to employees of industrial factories working in a shift system. The results showed a significant relationship between work fatigue and shift work in employees of industrial plants. High job fatigue can have a negative impact on employees' physical and mental health, as well as increase the risk of workplace errors and accidents. These findings point to the importance of effective shift management in reducing burnout and improving employee well-being. This research contributes to the understanding of the relationship between work burnout and shift work in employees of industrial plants. The practical implication of this study is the importance of greater attention to shift management in order to maintain employee well-being and productivity..

The purpose of this research is to analyze the causes of learning difficulties for elementary school students in learning mathematics, and to find out what materials students think are difficult to understand in learning mathematics. This study uses the Systematic Literature Review (SLR) method. The aim of the research is the Systematic Literature Review (SLR) method to evaluate, review and recognize relevant research so as to be able to answer questions on the specified research. The results of the study show that the factors causing learning difficulties for elementary school students in learning mathematics are, that internal factors include (1) Interest, students who are less interested in participating in mathematics learning, plus students in the class who are less focused and serious in participating in the teaching and learning process as seen by students always leads to the outside of the class when the teacher explains the material, (2) Factors of students' learning habits, less precise learning of students who only study when there is a test (3) Health factors of students, can affect the level of concentration of students in learning mathematics, if the student body is lacking healthy then it can affect student learning outcomes.