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Many women have found difficult in determining contraception tools, since there is no much safe and effective contraception. One contraceptive method which is considered to be quite ideal is that 3 month contraceptive injection. 3 month contraceptive injection is a type of contraceptive injection containing only progestin, it is injected every 3 months. There are lots of benefits from the using of this contraceptive. Nevertheless, there are also several weaknesses of this contraceptive, one of them is that the matter of weight gain. Based on that finding, it takes a study that aims to determine the correlation between weight gain and the use of contraceptive injections 3 month in Puskesmas Sudiang year of 2023. This type of research is analytic survey through cross sectional study. The sample in this study taken by purposive sampling, the number of samples in this study were 52 respondents. The research instrument was observation sheet, in which it was analyzed through Chi square test. The results of this study showed that there is a significant correlation between weight gain and the use of contraceptive injections of 3 month, it is showed P = 0.00 < ɑ = 0.05. Thus, when we use the 3 month contraceptive injection, it should be followed by the changing of lifestyle such as healthy diet, rest frequent and regular exercise.

Sugar levels that accumulate in the blood due to not being absorbed well by body cells can cause various organ disorders. If not controlled properly, it can lead to various complications that can be life-threatening. Risk factors that can affect blood sugar levels are food, activity, and weight gain. Therefore, one way to keep blood sugar levels under control is by doing walking therapy activities. The purpose of this study was to determine the effect of walking on the fasting blood sugar levels when in patients with type 2 diabetes mellitus in Tuminting Village, Manado City. This research is a quantitative research with a method used pre-experimental method using a with a pre-test-post test one group design approach. The sample was taken based on the number of respondents obtained as many as 19 people using Purposive sampling. Data collection was done by using blood glucose test tools and observation sheets. The results of data analysis using the Paired sample t-test showed P value of 0.001 or smaller than ≤0.05 which means that the alternative hypothesis Ha is accepted or through walking activities can reduce the fasting blood sugar levels when in patients with type 2 diabetes mellitus.

Data from World Health Organization (WHO) shows that cases of internal bleeding due to accidents are 5.8 million deaths per year worldwide (Dahlan et al., 2021). Early awareness of internal bleeding is very important so that nurses can immediately take anticipation to prevent unwanted things(Damayanti, 2022). This literature study aims to determine the effectiveness of the CAN BLEED score for early detection of internal bleeding emergencies in trauma cases. The research method uses a literature review study design using PICOS. Article search through publish or perish 8 application with keywords "early detection AND internal bleeding AND trauma" from Pubmed, Crossref, and Google Scholar search databases based on the year of publication 2018-2022. The results of the article search found 4 articles relevant to the main topic. The results showed  Canadian Bleeding (CAN BLEED) score is effective for determining internal bleeding in trauma cases.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Diarrhea remains a health problem in developing countries such as Indonesia and is a major cause of mortality and mobility, especially in children. The prevalence of diarrhea based on symptoms is calculated by combining diagnosed or symptomatic diarrhea cases. The incidence and prevalence of diarrhea in Indonesia are 3.5% and 7.0%. This study aims to determine whether there is an effect of health education on the level of knowledge about diarrhea in children at SD Negeri 1 Sokaraja Tengah. This research method uses quasi experimental with One group pretest-posttest design. The sampling technique used total sampling with a sample size of 56 students. Data was taken using a questionnaire. The results showed that the majority of female gender with 29 respondents (51.8%). There is a difference in the level of knowledge about diarrhea before and after being given health education. Based on statistical tests using the paired t test results in a p value of 0.000 which means there is a significant effect.

Background: Increased of uric acid levels can be caused other disorders in the human body such as a feeling of aches and pains in the joint area and is often along with extreme pain for the sufferer. This disease is better known as gout (Andry, 2021 ). Objective: This study aims to find out the effectiveness of consumption the pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan Village. This research uses a Pre-Experimental method with a One Group Pre-Post Test Design approach. The samples in this study were 12 early adult men who with having gout in Batu Lubang Lembeh Selatan Village, using an accidental sample. The data collected using observation sheets and analyzed using the non-parametric Wilcoxon test using SPSS. The results of the research showed the conditions of uric acid sufferers before and after consumption pineapple analysis the value of 0.003, there was a significant effect between giving pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan sub-district. The conclusion in this study there were an effect of giving pineapple on reducing uric acid levels in Batu Lubang Lembeh Selatan Village. Based on the research results, it is recommended the Respondents be expected to frequently consume pineapple so that uric acid levels can decrease till the normal limits.

Dysmenorrhea is a pain in the lower abdomen can spread to the lower back and legs. The incidence of dysmenorrhea in the world on average is very high up to (90%) while the severe painful dysmenorrhea are around 10-15%. In Indonesia the case of dysmenorrhea is around of 64.25%. The aim of this research was to determine the effectiveness of giving red ginger decoction on dysmenorrhea in young women at Assalaam Vocational School, Manado. This research uses a pre-experimental quantitative method with one group pre and post test design. wWith non-probability sampling technique and purposive sampling method based on characteristics of the population by the criteria of the researcher's. The research instrument uses an observation sheet and a Standard Operating Procedure for measurement using the NRS (Numeric Rating Scale). The sample in this study takes 12 respondents. Using the Pairet T-Test with a significance level of α=0.05. The results of this study show there is an effect of giving red ginger decoction on dysmenorrhea in young women with a P-value = 0.000 < 0.05 The conclusion in this study is giving red ginger decoction on dysmenorrhea in young women at Assalaam Vocational School, Manado are affected. And advice to respondents to used red ginger as an additional reference for reducing pain during dysmenorrhea.

One of the causes of the problem of adolescent nutritional status in Indonesia is a practice problem or action that is affected by a lack of nutritional knowledge. This study aims to analyze the effectiveness of counseling in increasing the knowledge and attitudes of pregnant women regarding nutrition and food safety. This research uses a quasi-experimental method. The design used is a group pre-test and post-test design. The population in this study were teenagers in Deleng Pokhkisen District, Southeast Aceh Regency. The sample was taken by purposive sampling of as many as 30 teenagers. The research was carried out from 5 October – 4 December 2023, spanning 12 days. analyzed statistically with a paired t-test. significance using α=0.05. 

The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.

Background: With the online queuing application at RSUD Haji Makassar, registration should be able to run effectively. However, the queuing system at the Makassar Haji Hospital is not working well or can be said to be ineffective because patients still choose to register offline compered to registering online via the Makassar Haji Hospital queuing application which has been provided by the hospital.Objective: To determine the factors that influence the effectiveness of the online queuing system for outpatiens at RSUD Haji Makassar. Method: The research used was quantitative research using cross-sectional methods. Data collections used aquestionnaire, the sample in study was 95 systems users (patiens) at RSUD Haji Makassar. Data analysis using the chi-square test, namely to see the relationship between the independent variable and the dependent variable. Research results: There is an influence of relative advantage (p=0.002), compability (p=0.000),complexity (p=0.000), possibility of trying (tryability) (p=0.000), ease observed (observability) (p=0.000), on the effectiveness of the online queuing system at RSUD Haji Makassar.Conclusion: The factors in all variables examined in this study show that there is an influence on the effectiveness of the online queuing system. It is hoped that RSUD Haji Makassar will hold outreach and education to increase the effectiveness of the online queue system

Infant deaths generally occur in the early neonatal period due to hypothermia. The incidence of hypothermia in newborns is quite high, globally ranging from 8.5-52%, an estimated 17 million newborns experience hypothermia in developing countries. The incidence of hypothermia in newborn babies is 92.3%, the infant mortality rate due to hypothermia is 6.3%. One intervention to minimize the incidence of hypothermia in newborn babies is to initiate early breastfeeding. The aim of the research was to determine the effect of early initiation of breastfeeding on hypothermia in newborn babies at the Bakti Timah Karimun Hospital. The research method used a pre-experiment with a one group pretest-posttest design. The sampling technique was purposive sampling with 14 respondents. The measuring instruments in this study were a digital axillary thermometer, standard operating procedures (SOP) for early breastfeeding initiation and observation sheets. Data analysis using paired sample t-test. The results of the paired sample t-test found a p-value = 0.000 (p<0.05), so it can be concluded that there is an influence of early initiation of breastfeeding on hypothermia in newborn babies in the Midwifery Room at Bakti Timah Karimun Hospital. Early initiation of breastfeeding can be used as an intervention for newborns to minimize the incidence of hypothermia

Background: The percentage of coverage for babies aged 0–6 months who receive exclusive breastfeeding at the Gunung Pati Health Centre in Semarang is 70.29%; this figure is still lower than the achievement of exclusive breastfeeding in Semarang City (71.9%). Providing education using the video method in the context of health education is considered more capable and effective in changing one's knowledge or attitude. The research aims to determine the effect of video media education on the knowledge and attitudes of breastfeeding mothers regarding exclusive breastfeeding at the Gunung Pati Community Health Centre, Semarang. Methodology: This quantitative study used a quasi-experimental research design using a one-group pre-test-post-test design. The research was conducted in July 2023. The study population consisted of 53 mothers breastfeeding babies aged 0–3 months, and using the Solin formula, a total sample of 37 respondents was obtained. The intervention was carried out by giving a video (5 minutes in duration) and was carried out two times, 1 week apart. Data analysis used univariate and bivariate analysis (paired sample t test). Results: The average score on knowledge before and after the intervention has increased by 12.38. While the average score on attitudes before and after being given the intervention increased by 19.46, The statistical test showed that the provision of education using video media had an effect on the level of knowledge and attitudes of mothers about exclusive breastfeeding (p-value = 0.001, namely < 0.05), so that it could be said that Ha was accepted and Ho was rejected. Conclusion: There is an influence of EDO (video media education) on mothers' knowledge and attitudes about exclusive breastfeeding. So that the provision of education using video media is important and useful for breastfeeding mothers to increase the coverage of exclusive breastfeeding.

Background: Anemia in pregnant women can increase the risk of premature birth, maternal and child mortality, and infectious diseases. According to WHO, the prevalence of anemia in pregnant women is around 35-75%, and it increases with the growth of gestational age. Objective: This study aims to increase insight and knowledge and to find out the incidence of pregnant women with anemia before and after the intervention. In addition, to analyze the effect of giving a mixture of honey to increase hemoglobin levels in anemic pregnant women. Methods: The design in this study used the Quasi-experimental design method. Quasi-experimental design (quasi-experimental) with a quantitative approach to one group design pre-test and post-test. The population in this study were all pregnant women who came to check their pregnancy at the Pratama Hidayah Clinic in January 2022. The sampling technique in this study was purposive sampling, namely taking samples based on considerations with the desired elements by inclusion criteria with the number of a sample of 15 respondents. Results: Test using the Shapiro Wilk method. The significance value of the pre-test variable is 0.994 and the significance value of the post-test variable is 0.153 or > 0.050, meaning that the data in this study are normally distributed. So the statistical test used is the T-test with a p-value of pre-test - post test of 0.000 < 0.050. Thus, it can be concluded that there is a significant difference between the average pre-test and post-test variables. This means that there is an effect of giving a mixture of honey increases hemoglobin levels in pregnant women with anemia. Conclusion: From the research conducted that there is a significant difference between the value of the pre-test and post-test, besides that there is a very strong relationship between the effect of giving a mixture of honey to the increase in hemoglobin levels in the mother. pregnant with anemia.

Blood sugar levels, or blood glucose levels, are crucial for overall health and are regulated by the pancreas through insulin. Normal blood sugar levels range between 70-99 mg/dL when fasting and up to 140 mg/dL two hours after eating. Abnormal blood sugar levels can suggest a variety of health issues, including hypoglycemia (low blood sugar levels caused by excess insulin, certain drugs, or illnesses such as diabetes) and hyperglycemia (high blood sugar levels associated with diabetes). Regular blood sugar monitoring is necessary, especially for diabetics. Guava, a tropical fruit, includes a variety of phytochemicals that have been linked to pharmacological benefits such as antibacterial capabilities. This research uses an extraction process involving solid-liquid extraction or maceration, with methanol being the optimal solvent. The extract yields 9.51%. Wistar rats are used to investigate its antidiabetic efficacy. The rats are divided into three groups: positive control, negative control, and extract treatment. Diabetes is induced by subcutaneous injection of Alloxan, followed by oral administration of the methanol extract. Blood glucose levels are assessed after fasting for 6-8 hours. The extract from dried Guava leaf powder yields a concentrated extract with a 9.51% yield. In vivo assessments showed a significant reduction in blood glucose levels in rats treated with guava leaf extract, suggesting potential anti-hyperglycemic effects. The phenolic compounds in guava leaves contribute to antioxidant and anti-hyperglycemic effects. The study highlights the potential therapeutic effects of guava mint leaves and their extract components for diabetes management and antioxidant health benefits.

The home industry that is developing in Sading village is the sengait jaja industry. This is due to the large number of requests and relatively cheap prices. Ergonomics analysis is needed to create safe, comfortable, healthy working conditions, so as to create effective work activities and can increase productivity. The method used in this research is descriptive with observation, interview, and documentation methods. The results of this study were analyzed descriptively with an ergonomic approach. The results of this study are the occurrence of repetitive movements, bad working posture, static working positions, extreme temperatures and work stress in workers who make jaja sengait. From the results of this analysis it can be suggested by (a) redesigning the work station; (b) adapting work facilities to anthropometry and types of work, so that work attitudes can be more ergonomic; (c) work environment and carrying out exercise actions in between breaks to reduce musculoskeletal disorders, fatigue and can reduce boredom at work so that productivity increases.

Growth and development disorders are a problem that is often found in society, so it is very important that all components involved in children's growth and development, namely parents, teachers and the community, can work together in early monitoring. The determining factors for the quality of a child's growth and development are constitutional genetic-heredo potential (intrinsic) and the role of the environment (extrinsic). Child growth and development disorders occur when there are genetic factors and/or environmental factors that are unable to meet the child's basic growth and development needs. Factors that influence a child's growth and development are genetic factors, and are more influenced by environmental factors and the diseases experienced by the child. Appropriate detection and intervention can optimize the quality of the child's subsequent growth and development. Babies who experience delays in development will make the baby's parents feel anxious and worried, which will affect how parents meet their baby's needs, such as mothers who do not encourage their babies to talk and mothers who do not exercise their hands and feet regularly at certain times. So that the baby has difficulty walking and lacks language, the lack of stimulation given to the baby will worsen the baby's developmental delays (Hurlock, 2002).Based on a preliminary survey conducted at the BP Nauli Community Health Center on 10 mothers who had babies, there were 5 mothers who did not provide stimulation to their children when their children were not going through the crawling phase and did not know the effect on the child's development, so based on these problems the researchers wanted to conduct research with the title "The Effect of Assisted Crawling Stimulation on the Crawling Ability of Babies at the BP Nauli Community Health Center, Kec. Siantar Let's See Pematang Siantar City in 2023   .

Patient anxiety during tooth extraction is a common challenge in dental practice that can affect patient experience and outcome of the procedure. This study aimed to evaluate the effectiveness of approaches and strategies to address patient anxiety during tooth extraction procedures. Through counseling designed to improve patient understanding of the causes of anxiety, relaxation skills, and communication with the dentist, this study measured its impact on patient anxiety levels and preparedness. The study involved patients undergoing tooth extraction procedures, where they attended a counseling session that included information on factors that cause anxiety, breathing relaxation techniques, and communication skills. Data were collected before and after the counseling through a survey that assessed patient knowledge, ability to apply relaxation techniques, self-confidence, and anxiety levels. The results showed a significant increase in patient understanding of the causes of anxiety from 50% to 85%, ability to apply relaxation techniques from 30% to 75%, and self-confidence in facing the procedure from 40% to 80%. In addition, the ability to communicate with the dentist increased from 45% to 78%, and anxiety levels decreased from 70% to 40%. These findings confirm that an educational approach is effective in reducing patient anxiety, increasing preparedness, and improving the experience during tooth extraction. This strategy can be implemented widely to improve the quality of care and patient well-being in dental practice.

Scabies is a skin infection caused by the Sarcoptes scabiei mite. Scabies is easily transmitted in densely populated areas such as Islamic boarding school dormitories. The aim of this community service activity is to provide health education about scabies to female students at the Al-Masyrifah Palimanan Islamic Boarding School, Cirebon. The method used is focus group discussion. A total of 40 female students were divided into 4 discussion groups. The results show an increase in students' knowledge and awareness about the symptoms, causes, modes of transmission, and efforts to prevent scabies. Interactive discussions also trigger critical questions and exchange of information between students. At the end of the session, an example of WHO's 6 steps of hand washing practice was given. It was concluded that health education through group discussions was effective in increasing female students' knowledge and awareness about scabies prevention in the Islamic boarding school environment.

Medicinal plants are plants with positive pharmacological effects on the human body and are usually grown on a home or communal scale. These medicinal plants can then be used as traditional medicine which can be made easily. The plants chosen are usually plants that can be used to treat simple health problems such as flu and coughs. Medicinal plants can increase the body's immunity because they can prevent disease through the secondary metabolites they contain. In this service activity, two activities were carried out separately, namely socialization and planting medicinal plants with residents. The outreach was carried out to provide information to the residents of Medan Helvetia District regarding medicinal plants so that these medicinal plants can be useful after being planted. Planting is also carried out to increase awareness regarding land use, as well as being a starting point for residents in cultivating medicinal plants. This socialization on the use of family medicinal plants aims to provide information to the people of Kexamatan Medan Helvetia in using medicinal plants. It is hoped that this community service activity will help increase public knowledge about the importance of planting and utilizing medicinal plants to create a healthy society.

Dental and oral hygiene is when there is no dirt and dental caries in the mouth. This is due to the fact that children in schools do not understand the effects of not brushing their teeth which can affect the body's metabolism. Preliminary research at SD Pertiwi showed that some school-age children do not understand the behavior of brushing their teeth. The purpose of this study was to determine how the behavior of brushing teeth at school age at SD Pertiwi. This study was designed to use a quantitative descriptive method. This study involved all students of SD Pertiwi, totaling 89 male and female students, and the sampling technique was random sampling. The research method was a questionnaire, consisting of 18 questions. Univariate analysis was used to analyze the data. The results showed that school-age children at SD Pertiwi Besar had good behavior when brushing their teeth (92.1%) and bad behavior as much as 7.9%.