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In the health life of a woman there are several complaints of disease, one of the complaints that is very disturbing is fluor albus (leucorrhoea). The purpose of this outreach activity is to make young women understand the causes and treatment of vaginal discharge. This activity was carried out at the Bangun Rejo village,Deli Serdang District. This activity begins by asking questions about the knowledge of pregnant women about vaginal discharge. Followed by giving material using power point. The result of this activity is that there is an increase in pregnant women knowledge about vaginal discharge by 60%. This activity is the first step to improve reproductive health, especially for pregnant women who will one day give birth to the next generation of this nation.

Non-pharmacological pain management is an important approach to improving the quality of life of patients with chronic pain. This technique includes various methods, such as relaxation, heat and cold therapy, distraction, and deep breathing techniques, which aim to reduce the perception of pain without the need for medication. This approach is especially useful for patients who cannot or do not want to rely on pharmacological treatment. This training aims to improve the understanding and skills of health cadres in implementing non-pharmacological techniques in pain management in the community. This community service uses a quantitative method with a pre-experimental one-group pre-test and post-test design to measure changes in the understanding and skills of health cadres. Respondents consisted of 20 health cadres who lived in Jajar Village, Surakarta. The training materials included basic theories of pain management, as well as direct practice of non-pharmacological techniques. The results of the community service showed a significant increase in the understanding and skills of health cadres after being given training. This can be seen from the significant difference in pre-test and post-test scores. This increase indicates that non-pharmacological training is effective in improving the competence of health cadres, which is expected to be applied in helping patients manage pain in a safer and more efficient way.

This study examines the implementation of Qur’anic values in the services of Umrah pilgrims at Safarindo Albarokah Umroh using a Living Qur’an approach based on QS. An-Nahl: 90. The verse emphasizes three core values: ‘adl (justice), ihsan (excellence), and ita’ dzil qurba (social care), which serve as guiding principles in service management. This research employs a qualitative descriptive method using observation, in-depth interviews, and documentation. The findings show that all three values have been systematically implemented in administrative services, religious guidance, accompaniment in the Holy Land, and post-travel services. The value of ‘adl is reflected in transparent pricing and fair treatment of pilgrims, ihsan is demonstrated through excellent, responsive, and continuous service, while ita’ dzil qurba is realized through social programs such as scholarships for underprivileged pilgrims and special services for elderly and disabled pilgrims. This study concludes that Safarindo Albarokah Umroh integrates Qur’anic values into its operational system, contributing to the development of Living Qur’an studies in Islamic business practices.

This article was created to provide information about the right attitude and should be taken by the community when interacting with Persons with Special Needs. With so many types of people with special needs in society, such as the blind, deaf, mentally retarded, quadriplegic, and disabled, the treatment that can be done and provided by the general public should also be carried out differently by adjusting the constraints and needs needed by those with special n (Rosmawati, 2019) (Alim, 2019; Rahayu & Marheni, 2020; Suprapmanto, Nuralifa, Albela, & dkk, 2022; Purba, 2016; Dewi, 2019)eeds. As one of them is the CSOM technique which can be a guide not only for blind people, but also for the wider community when interacting with someone who has visual impairments. The adoption of this topic itself is based ons the experience that researchers have and experience when they are confused about what to behave, whether the person with special needs needs assistance, and if they do need assistance, what kind of assistance and how should be given when meeting with persons with special needs in public place. The research method used in this research itself is a quantitative survei method involving respondents to further strengthen the research that waswas made. The results of the research show that there are many things that can be found and done as an effort to increase the confidence of the general public to interact with Persons with Special Needs in their daily activities. The hope is that this research can dispel doubts that may arise and be experienced when we are going to help or interact with persons with special needs in the future in community activities and can provide information about what to do when interacting with persons with special needs.

This research aims to reveal the history and changes in the implementation procession in the village medical tradition during the month of Muharram, in Kalang Bahu Hamlet, Jawai Laut Village, South Jawai District. The research method used is the historical research method and consists of the following elements; heuristics (data collection); verification (source criticism); interpretation (interpretation of sources); and historiography (writing). The results of the research show that the village medical tradition is a religious tradition, an expression of gratitude for the blessings that God has bestowed upon us, and a tradition of asking God for help to always provide safety and keep us away from danger. The village medical tradition in Kalang Bahu Hamlet underwent a process of change so that it was divided into three periods, the first period 1950-1973, the second period 1973-1983, and the third period 1983-Present. The changes that occur in village medical traditions are caused by the increasing development of people's understanding of religious teachings. Apart from that, the village medical tradition has values ​​contained in it such as religious values, mutual cooperation, solidarity and tolerance.    

Hospitals are a comprehensive part of social and media organizations whose function is to provide complete health services to the community, both curative and rehabilitative, hospital services reach family and environmental services. The aim of the research is to analyze the influence of health service quality on patient satisfaction in the inpatient room of Menggala Regional Hospital, Tulang Bawang Regency, Lampung Province. Analytical survey research design with a cross sectional design. The total population of patients treated from June 2022 to August 2022 in the Inpatient Room at Menggala Regional Hospital, Tulang Bawang Regency is 167 people. The number of samples was 62 people. The results of the chi square test research show that there is an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort, which have a p-value <α 0.05, meaning that technical competence, human relations, effectiveness, efficiency, continuity, safety, human relations and comfort influence patient satisfaction in the Menggala Hospital inpatient room. The results of the multiple logistic regression test are the most dominant comfort variable with an odds ratio (OR) of 18.455, meaning that it influences patient satisfaction 18 times. The conclusion is that the comfort variable is the dominant variable that has the most influence on patient satisfaction in the Menggala Hospital inpatient room. It is recommended for hospitals to adopt policies to increase patient comfort in treatment rooms in order to produce optimal satisfaction for patients.    

Indonesian language subjects consist of several subjects that require students to be able to write, one of which is writing expository texts. The student participants had problems in writing material, especially writing expository texts, which was proven by the average score which was still not optimal. The formulation of the problem raised in this research is how the window shopping type cooperative learning model influences the ability to write expository texts of class X students at Budisatrya Medan Private High School. This research aims to determine the effect of the window shopping type cooperative learning model on the ability to write expository texts of class X students at Budisatrya Medan Private High School. This research is a type of quantitative research using experimental methods, a research method used to determine the effect of a treatment on the characteristics of the subjects studied. The data collection techniques used in this research were observation techniques, interview techniques and test techniques, with data sources consisting of 35 students. Based on data analysis, it can be concluded that: The window shopping type cooperative learning model has an influence on the ability to write expository texts in class This can be seen and proven by the average post-test results for the control class being 69.857 with the average post-test results for the experimental class being 85.

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that has certain characteristics. One of them is the diagnosis of autistic comorbidity, namely Attention Deficit Hyperactivity Disorder (ADHD), nonpharmacological treatments are considered quite effective including dietary interventions. Hyperactive behavior in autistic children that has an impact in the form of difficulty in poor attention span to impulsiveness. Gluten free diet, casein free diet is recommended in the application of therapy in autistic people, this diet is one type of complementary therapy, which is carried out by regulating consumption patterns in autistic children. Objective: to determine the difference in the level of hyperactivity of autistic children between groups who apply gluten free, casein free diet with not applying gluten free, casein free diet. Method: comparative study by looking at the comparison between two groups with a total sampling technique of 20 people. Results: The level of hyperactivity in children on a gluten free diet, casein free as many as 9 (45%) respondents and 11 (55%) respondents did not do a gluten free diet, casein free obtained Mann Whitney U test results with a p-value of 0.027 where the p-value <0.05 or (0.027<0.05). Conclusion: Autistic children who apply a gluten free, casein free diet seem to have quite good attention than autistic children who do not apply a gluten free casein free diet. Suggestion: It is hoped that parents who have autistic children can adopt a gluten free diet, casein free as an alternative therapy.

The use of antibiotics can cause drug resistance if their use is not appropriate, so alternative treatment from plants is needed, one of which is soursop leaves (Annona muricata L.). Chemical substances contained in soursop leaves can prevent development until they can kill bacteria, one of which is flavonoids. The purpose of this study was to determine whether soursop leaf methanol extract (Annona muricata L.) at concentrations of 25%, 50%, 75% can inhibit the growth of Staphylococcus aureus bacteria and can determine at what concentration soursop leaf extract (Annona muricata L.) can effectively inhibit Staphylococcus aureus. The simplisia extract was done by maceration strategy using methanol as a solvent. The antibacterial testing method uses the disc diffusion method and uses clindamycin as a positive control and distilled water as a negative control. The results showed that Annona muricata L. extract can provide antibacterial action at concentration variants of 25%, 50% and 75% which is characterized by the presence of transparent areas with an average diameter of 8.97mm, 11.36 mm and 13.3mm respectively with positive control with a diameter of 23.25 and negative control with a diameter of 0 mm. Soursop leaf methanol extract (Annona muricata L.) is able to suppress the growth of Staphylococcus aureus bacteria with the most effective concentration variant of 75%.    

The purpose of this study is to investigate whether the method of bamboo dancing effectively in improving students speaking ability. This study applied in the class by experimental research. The population of this study was the students of the XI class at SMA Negeri 1 Siborongborong. The total of number of population was 139, and 40 students from the population were taken as the sample by using simple cluster sampling, then they divided into two groups. The first group as the experimental group was taught by applying bamboo dancing method, while the second groups as the control group was taught without applying bamboo dancing method. The instrument used for collecting the data was test in form oral test based on the materials that has been taught in treatment. The test were divided into two; pre-test and post-test. The mean of control group is 220 (11) is lower than the mean of experimental group is 500 (25). The reliability of the test was 0,68. Based on the data tobserved (5,01) is higher than  the ttable (2,71) on df  38 at the level of significance (0,01). The result of this study show that teaching speaking by bamboo dancing method is more significant than that without applying bamboo dancing method.

Multicultural is often used to describe the unity of various ethnic groups in a country. This journal explains what gender equality looks like from a multicultural perspective. This research is a literature review. When discussing equality, the focus is on the fair treatment of all people. Differences are part of true equality, and groups must have special rights to compensate for existing differences. When analyzing the basic assumptions of the principle of equality and recognition of differences, several problems were discovered. First, there is tension between one group and another, where multiculturalism ironically emphasizes differences between cultural groups and ignores similarities. Second, conflicts may arise between minority groups who demand equal rights. If we want to further advance our multicultural agenda, we need to address these issues.

As we get older,blood pressure will increase,causing the risk of hypertension. Hypertension is a degeneratif disease.Bload pressure that is left for a long time can cause damage to body organs such as stroke,coronary heart disease,which can cause death.Therefore,incereasing potassium intake is also one of the non- phamacological management of hypertension.This is done by consuming fruit and vegetables high in potassium,one of which is cucumber.There are several ways to cinsume cucumber.In this background,it is popular to use cucumber as Infused Water.The aim of this research for specifications,thare is an effect of giving infused water on reducing blood pressure in elderly people suffering from hypertension in the area of Desa SindangJaya Kec.Cipanas Kab,Cianjur.This research uses a quasi-experimental research design with a one group pretest-posttest design.The population in this study is all elderly people with hypertension in the SindangJaya village area.The sample for this research was taken using a purposive sampling technique and obtained a sample of using the Wilcoxon Signed Rank T-Test.There was a significant 2-tailed influene on the systolic and diastolic blood pressure of the respondents before administering cucumber infused water and after administering cucumber infused water,it was 0.000 < 0.005.There was a difference or effect of administering cucumber infused water on the systolic and diastolic blood pressure of respondents in the SindangJaya Village area,Cipanas district.Cianjur.There is an effect of giving cucumber infused water on reduccing blood pressure in elderly people suffering from hypertension in Sindangjaya village area,cipanas district,cianjur district in 2023.it s hoped that they wil be albe to continue on there awn by carrying out camplementry treatment by comsuming cucumber infused water so that blood pressure can remain normal.

Dysminorrhea is pain caused by spasm of the uterine muscles and increased levels of prostaglandins. Pain before or during menstruation is characterized by one of the symptoms that women often experience during menstruation, namely pain in the lower abdomen. Lavender aromatherapy is an alternative treatment method using lavender fragrance containing linalyl acetate which has a relaxing effect on the nervous and muscle systems, while linalool has a relaxing and sedative effect so it is used to relieve menstrual cramps. This study aims to determine the effect of lavender aromatherapy on reducing the level of dysmenorrhea pain in class The data collection method uses the Numeric Rating Scale (NRS) menstrual pain measurement questionnaire. The population in this study was 89 respondents and the sample was 20 respondents. The results showed that the average level of pain in female students before being given lavender aromatherapy was moderate pain, after being given lavender aromatherapy showed a mild level of pain, and the pain level before and after being given lavender aromatherapy had a p-value of 0.000 (<0.05) using the Wilcoxon Signed Rank T-test which states that Ha is accepted and Ho is rejected, it can be concluded that there is an effect of lavender aromatherapy on reducing the level of dysmenorrhea pain in class XII female students at Mulya Husada Jagakarsa Health Vocational School in 2023.

Anemia during pregnancy can result in pregnancy complications as well as negative effects on the growth and development of the fetus in the womb, potentially causing death of the mother and child. In order to prevent and treat anemia, various programs can be started. One of them is increasing the knowledge of pregnant women using interesting media. The aim of the research was to analyze the effect of health education with booklets on pregnant women's knowledge about pregnancy anemia at the Kotabaru Community Health Center. The research method uses descriptive analysis with pre-post test. The research sample consisted of 30 people divided into 2 groups, namely control and intervention. Bivariate analysis using Wilxocon and Mann Whitney. The results statistical tests showed that the booklet influenced the knowledge scores of pregnant women in the Kotabaru health center working area with the post test average difference between the treatment group and the control group being p = 0.001 (<0.05).

This study aimed to investigate the influence of learning media and learning interest on the mastery of Science concepts among fifth-grade elementary school students. Data were collected from 60 students divided into four treatment groups, including interactive and conventional learning media, as well as high and low learning interest. Data analysis employed statistical tests, including tests for normality, homogeneity, and hypotheses. The results indicated that both learning media and students' learning interest significantly influenced the mastery of Science concepts. Interactive learning media and high learning interest had a significant impact on Science concept mastery, with respective significance values of 0.019 and 0.003. However, the interaction between learning media and students' learning interest did not significantly affect Science concept mastery. In conclusion, this study underscores the importance of learning media and learning interest in enhancing students' understanding of Science concepts. The implications of these findings can be utilized to develop more effective learning strategies to improve Science concept mastery in elementary schools.

Prevention of anemia in pregnant women can be done with appropriate health behavior. Health behaviors such as maintaining a diet high in iron, regularly consuming iron tablets, and carrying out ANC during early pregnancy can reduce the prevalence of anemia in pregnant women. Diet is an important factor that pregnant women must pay attention to. Poster media is one media that has a lot of information about the diversity of foods that are useful for preventing anemia and can be used to help carry out health education. Create "KATAMIA" (Cadres Handle Anemia) so that anemia in pregnant women becomes a global problem that has an impact on the mother and fetus. Community service activities through cadres by providing education to cadres about Fe tablet information which is carried out in the form of health education and providing "KATAMIA" (Cadres Handle Anemia) Posters to Pregnant Women in the Gunung Sari Village Area. As a result of the activity, the "KATAMIA" innovation has been implemented as an effort to reduce the incidence of anemia in pregnant women in Gunung Sari Village. "KATAMIA" which is carried out by female students is expected to be able to contribute to the cadres as an effort to increase compliance in taking Blood Additive Tablets among pregnant women and can also increase the motivation of pregnant women to take Fe Tablets according to their achievements

Waste management in the maritime industry is a crucial aspect in maintaining environmental and operational sustainability of the industry. In this context, a literature review becomes essential to understand best practices, challenges, and potential solutions in waste management in the maritime industry. This research aims to present a comprehensive literature review on waste management in the maritime industry, focusing on management practices and future challenges. The literature review includes mapping of theoretical concepts, explanation of effective management practices, and analysis of relevant waste treatment technologies. Findings from this literature review provide an in-depth understanding of the complexity of waste management in the maritime industry, the crucial role of management in addressing these challenges, and the urgency in facing increasingly stringent environmental regulations. The implications of this literature review include emphasis on the importance of developing environmentally friendly technologies, collaboration between governments and industries, and awareness of the interconnection between waste management and sustainability goals. This research is expected to provide valuable guidance for the maritime industry in enhancing their waste management practices, thus creating a more sustainable future for the industry and the environment as a whole.

Donuts are foods made from high protein wheat flour, in this study donuts were made from substitution of wheat flour and soybean flour. This study aims to determine the effect of soy flour substitution (Glycine max L.) and of determine fermentation time of (60, 75 and 90 min) on soy flour donuts which have the highest protein content and panelists' favorite. Complete Rendomized Design (RAL) Faktorial with two factors used in this research. The first  factor was is the ratio of  wheat flour and soy flour  (95;5, 90;10, 85;15) . The second  factor was is the variation of fermentation time (60, 75,  90 min). It was determined for protein, ash , water, fat , reducing sugar, total carbohydrates, and organoleptic. The data was determined Analysis using of Variance (ANOVA). The results showed that donuts with the addition of soy flour and fermentation time had a significant effect (α<0.05) on protein content, sugar content, flavor and overall preference. The best treatment of soybean flour donuts based on chemical and organoleptic tests, namely the ratio of wheat flour and soybean flour (85:15) using 90 minutes of fermentation. Soy flour donuts with the best treatment had a 20.30% of moisture; 1.77% ash content; protein content 10.38%; reducing sugar content 22.52%; total carbohydrates 49.51%; color dark brown 3.25; unpleasant flavor 2.95; savory taste 3.01 and very liked overall favorite 3,57.

Vermicelli is an alternative food to replace rice, a type of noodle that is still in great demand by the public. Vermicelli is a popular food made from rice flour processed through an extrusion process so that it is shaped like a thread. The substitution of potato starch and the addition of celery extract will increase the antioxidant activity content of the vermicelli. The purpose of this research was produce vermicelli which has high antioxidant activity and produce vermicelli with characteristics according to Indonesian National Standard No. 01-2975-2006. Complete Randomized Design factorial with two factors were used in this research. The first factor was the ratio of rice flour and potatoes flour (10:90, 15:85, 20:80). The second factors was the levels of celery extract to water addition of dough (0,78; 1,04; 1,56%). The vermicelli were then tested for moisture content, ash content, crude fiber content and antioxidant activity as well as sensory analysis. The data analyse using Analysis of Variance (ANOVA). The best treatment was on ratio of substitution potatoes flour 20:80(g) with celery extract (0,78%). The fermicelli produced has the following characteristics water 10,65%, ash content 0,52%, fiber content 3,45% and 19,25% antioxidant activity. Femicelli produced in accordance with the quality requirements of SNI No. 01- 2975-2006. The sensory test of fermicelli that having color for dry fermicelli (3,82) color is yellowish dark green, color for wet fermicelli (3.62) is slightly faded green, texture (2,68) is not chewy, after taste (3.36) the taste of celery that lingers after being swallowed and overall preference (3,42).

Red rose (Rosa damascena Mill) is one of the plant that can be easily found in Indonesia. The corolla of red roses contains natural dyes, namely anthocyanins which can be used as food coloring and the function as antioxidants or counteract free radicals. The corrola of red roses is used as a raw material in distillation of rose water. Rose water distillation poduces is a dark red liquid. This liquid waste has not been utilized optimally. Therefore, that further research is needed to determine the chemical content in it. So that the expected outcome of this research is the best chemical and sensory analysis of red rose water distillation waste based on it's antioxidant activity. The research design used a 2 factor factorial completely randomized design (CRD). The first factor is the variation of the distillation method while the second factor is the heating temperature of the red rose water waste (heated waste). The optimal treatment result was a combination of steam distillation method variations and 70°C heating temperature with following results obtained : 77,32% RSH DPPH, 61,02% FRAP value, 71,20 mg/g vitamin C, 4,58 mg  total phenol.GAE/ g, pH 4,15, anthocyanin 121,93 mg/g, brightness 27,23 (*L), red-green chromatic 7,13 (*a), blue-yellow chromatic 7,54 (*b). Sensory analysis of color was 4.36 (deep red), other scents were 2.47 (slightly sour), rose aroma was 3.64 (strong), and overall preference was 3.75 (liked).