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This research delves into the intricate realm of maritime education, focusing on the academic and professional preparedness of Semester 3 cadets at the Maritime Institute Jakarta (STIP Jakarta). Anchored in a qualitative descriptive approach, the study synthesizes document analysis and cadet surveys to unravel the multifaceted dynamics shaping the educational landscape. The document analysis reveals a curriculum at STIP Jakarta that aligns commendably with international standards, supported by comprehensive lecturer training programmes. However, the nuanced cadet perspectives spotlight a need for refined emphasis on the practical application of English proficiency in real-world maritime scenarios. Cadet self-assessment underscores both confidence in academic intelligence and an identified need for additional language support, calling for targeted interventions. Exploring professional competences uncovers a disparity between technical proficiency and English Maritime communication, highlighting the importance of a holistic approach to bridge this gap. Cadet motivations vary from a genuine passion for maritime activities to the allure of lucrative career prospects and international recognition. Recognizing this diversity urges the need for personalised career guidance and mentorship programmes. The research also sheds light on English Maritime and Literacy proficiency, differentiating between basic skills and the ability to handle complex communication scenarios. Recommendations include integrating advanced language modules and tailored language support initiatives within the curriculum, ensuring a seamless development of linguistic skills alongside technical competences. In conclusion, this research offers a comprehensive understanding of maritime education at STIP Jakarta, unveiling challenges and opportunities that resonate globally. The synthesis of findings and recommendations forms a compass for refining pedagogical approaches, fostering linguistic and technical adeptness in future maritime professionals. This voyage towards enhancement is not merely a localized pursuit but a contribution to the broader discourse on cultivating global competence in maritime education.

This research delves into the intricate realm of maritime education, focusing on the academic and professional preparedness of Semester 3 cadets at the Maritime Institute Jakarta (STIP Jakarta). Anchored in a qualitative descriptive approach, the study synthesizes document analysis and cadet surveys to unravel the multifaceted dynamics shaping the educational landscape. The document analysis reveals a curriculum at STIP Jakarta that aligns commendably with international standards, supported by comprehensive lecturer training programmes. However, the nuanced cadet perspectives spotlight a need for refined emphasis on the practical application of English proficiency in real-world maritime scenarios. Cadet self-assessment underscores both confidence in academic intelligence and an identified need for additional language support, calling for targeted interventions. Exploring professional competences uncovers a disparity between technical proficiency and English Maritime communication, highlighting the importance of a holistic approach to bridge this gap. Cadet motivations vary from a genuine passion for maritime activities to the allure of lucrative career prospects and international recognition. Recognizing this diversity urges the need for personalised career guidance and mentorship programmes. The research also sheds light on English Maritime and Literacy proficiency, differentiating between basic skills and the ability to handle complex communication scenarios. Recommendations include integrating advanced language modules and tailored language support initiatives within the curriculum, ensuring a seamless development of linguistic skills alongside technical competences. In conclusion, this research offers a comprehensive understanding of maritime education at STIP Jakarta, unveiling challenges and opportunities that resonate globally. The synthesis of findings and recommendations forms a compass for refining pedagogical approaches, fostering linguistic and technical adeptness in future maritime professionals. This voyage towards enhancement is not merely a localized pursuit but a contribution to the broader discourse on cultivating global competence in maritime education.

Nutritional intake plays an important role in optimizing baby's growth and development. The amount of nutritional intake consumed is also influenced by the process of eating activities. The aim of this research is to determine the effect of the Baby Led Weaning Method on baby weight in the Patingalloang Community Health Center Working Area. Quantitative research method with experimental design with a one group pretest-posttest design approach. The research population was toddlers experiencing stunting who met the inclusion and exclusion criteria using purposive sampling techniques. Research results: The intervention group with a sample size of 20 children experienced an average weight gain of 0.85 kg. The control group also experienced an average increase of 0.65 kg with a test value of p value = 0.000, where it was concluded that there was an effect of giving MP-ASI using the Baby Led Weaning Method on the weight of babies aged 9-12 months in the working area of the Patingalloang Community Health Center.    

Background: Gout arthritis (gout) is a disease that arises due to excessive blood uric acid levels, which causes excessive blood uric acid levels, namely the production of uric acid in the body more than its disposal, besides that the cause of excessive uric acid production in the body can occur due to genetic factors (congenital), food factors. Complaints of gout arthritis pain vary from mild, moderate to severe. One of the non-pharmacological therapies that can be used to relieve gout arthritis pain is warm ginger compresses. This study aims to see the effect of warm ginger compresses on the gout arthritis pain scale. Methods: This research is a type of pre-experimental research, namely experimental research without a control group. The research was conducted with a one group pre-posttest design. Sampling using total sampling technique. Results: The results of the Friedman test showed a P value (0.000). The results of this study indicate that warm ginger compresses can reduce gout arthritis pain. Conclusion: There is a significant effect on the level of gout arthritis pain before and after the warm ginger compress intervention

This academic exploration delves into the nuanced competencies and dynamics shaping the academic journey of Semester 1 cadets at a distinguished Maritime Institute. Focusing on computer literacy, technological proficiency, and sociocultural influences, our qualitative descriptive approach seeks to unveil the intricate dimensions of contemporary maritime education. The assessment of computer literacy reveals varying competencies, urging the need for a tailored curriculum. While basics like office software and digital navigation are strong, disparities in data analysis proficiency call for targeted interventions. The implications highlight the necessity for a stratified curriculum, ensuring a comprehensive skill set in line with modern maritime demands. Cadets overwhelmingly endorse technology's role in enhancing education, signalling a paradigm shift. Positive attitudes towards online resources, digital simulations, and e-learning platforms advocate for an institutional embrace of cutting-edge tools. Recommendations focus on faculty development and increased technology integration, promising an enriched pedagogical landscape. The exploration of sociocultural influences uncovers a delicate balance between tradition and the necessity of English proficiency. Nuanced strategies are essential to integrate diverse cultural backgrounds. Recommendations call for cultural awareness initiatives and language support programs, aligning the institution with the global orientation of maritime education. In qualitative insights, cadets express a collective desire for a more intentional curriculum, particularly in incorporating cultural perspectives. This aligns with the broader scholarly discourse advocating for holistic education. Proposed avenues include workshops, seminars, and collaborations with cultural experts, providing a roadmap for curriculum development congruent with the diverse needs of Semester 1 cadets. This research, rooted in rigorous academic inquiry, serves as a guide for the Maritime Institute, steering its trajectory towards producing technologically adept professionals who are equally culturally astute, ready to navigate the complex global maritime landscape.

This research explores the intricate relationship between digital citizenship, moral development, and family-based character education, focusing on integrating technology. Employing a library research approach and descriptive analysis method, the study delves into existing literature to investigate the impact of technology-based interventions on parental influences in shaping children's ethical decision-making in the digital age. The research addresses three primary questions: (1) How does incorporating technology in family-oriented character education programs impact children's formation and reinforcement of moral values and digital citizenship skills compared to traditional methods? (2) What are the key challenges and opportunities families face when leveraging technology for character education, and how do these factors influence the effectiveness of moral development within the familial environment? (3) In what ways do parental involvement and modelling of digital behaviours shape children's ethical decision-making and online conduct, and how can technology-based interventions enhance or alter these parental influences on their children's moral development and digital citizenship? Through a comprehensive review of theoretical frameworks, empirical studies, and technology integration models, this research aims to provide valuable insights into the evolving dynamics of character education within the digital landscape.

This study presents a comprehensive review to explore technology's multifaceted role in fostering cultural competence within multicultural education. The primary objective of this study is to address three fundamental research questions: 1) How does the integration of technology enhance cultural competence in multicultural education settings? 2) What challenges and opportunities are associated with utilizing technology to promote cultural competence in diverse educational settings? 3) How can innovative technological approaches be tailored to address specific cultural competencies in education? Adopting a library research approach, an extensive exploration of academic databases and scholarly sources was conducted to gather literature pertinent to the research questions. The descriptive analysis method was employed to synthesize and analyze the collected information, identifying key themes, differences, similarities, and weaknesses among the diverse sources. The findings from this comprehensive review revealed several significant insights. Technology integration was observed to offer opportunities such as personalized learning experiences through AI-driven tools, immersive cultural experiences via Virtual Reality (VR), and global connectivity fostering cross-cultural collaboration. However, challenges like the digital divide, biases in technological tools, language barriers, ethical concerns regarding data privacy, and pedagogical integration shortcomings were highlighted. Moreover, the study underscores the potential of adaptive technologies, multimodal resources, culturally tailored digital content, and aligning technological interventions with culturally responsive pedagogy to address specific cultural competencies. The recommendations emphasize the need for teacher training, inclusive design, curation of diverse and authentic digital content, interdisciplinary collaborations, and ongoing assessment for optimizing technology's role in promoting cultural competence within multicultural education.

Postpartum discomfort is a nursing problem that is often experienced by mothers in the postpartum period. One of them is caused by breast enggorgement. The symptoms experienced are pain and the mother's breasts harden making it difficult to breastfeed. Breast care intervention for problems of postpartum discomfort ‘caused by breast enggorgement. A case study that aims to describe the application of breast care to clients with nursing problems of postpartum discomfort with breast enggorgement. The number of respondents in this case study research amounted to 2 mothers post second day sectio caesaria surgery. Breast swelling assessment using the Six Point Self-rated Engorgement Scale (SPES) with a score of 1-6. In addition, breast care interventions used standard operating procedures and action observation forms. The results of the case study showed that both patients who performed breast care experienced a decrease in the ix Point Self-rated Engorgement Scale (SPES) score from 4 to 3, with breast criteria still enggogerment but pain level was reduced. Breast milk (ASI) becomes smooth and breastfeeding the baby becomes easier. The implementation of breast care can reduce pain and swelling in the breast.for mother wirh discomfort after birth.

Patient An MM was brought by his parents to the Tanah Pasir Community Health Center Children's Polyclinic with complaints of itching on both hands for the last 3 weeks. The initial complaint was that it felt like itching accompanied by the appearance of reddish spots, and over time, pimples appeared between the fingers. Complaints felt worse in the last week until the patient felt itchy all day and complaints of itching felt worse at night until the patient had difficulty getting to sleep because he kept scratching the part of the body that felt itchy. Based on the anamnesis of complaints obtained after contact with the patient's older brother who experienced similar complaints. A physical examination was carried out and the examination results were within normal limits. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling in family folders, and filling in patient files. The assessment is carried out based on a holistic diagnosis at the beginning, process and end of the visit quantitatively and qualitatively. The interventions carried out include education about the causes of scabies in the family, education on environmental sanitation and cleanliness and management of the disease as well as explaining complications that may arise from the patient's disease so that the patient's family maintains better personal hygiene and environmental cleanliness.  

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.

The benefits of consuming fruit and vegetables include reducing hypertension, preventing coronary heart disease, stroke, cancer, weight gain and Alzheimer's. This research aims to determine the influence of audiovisual media and lecture methods on changes in fruit and vegetable consumption behavior among teenagers in Gorontalo Regency. This type of research is quantitative with a quasi-experimental research design with a Nonequivalent Control Group Design research design. The respondents used were 76 respondents consisting of 38 respondents for intervention and 38 respondents as controls obtained by purposive sampling. The instruments used were questionnaires, leaflets and audiovisual. Data analysis used univariate analysis. Univariate analysis of food consumption frequency before the intervention showed that 14 people (36.8%) consumed bananas, 24 people (63.2%), 24 people (63.2%) consumed bananas, 26 people (68.4%) and tomatoes (42.1%). %), and after the intervention, bananas were 21 people (55.3%), papaya 31 people (81.6%), kale 30 people (78.9%), and tomatoes 25 people (65.8%). The results of the study used the Wilcoxon test which showed that there was an influence of counseling on behavior change. The results of the Mann-Whitney Test showed differences in behavior in the intervention group and the control group.

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

Tuberculosis (TB) is an infectious disease caused by infection with Mycobacterium tuberculosis complex, which is the most frequently found bacteria and is transmitted between humans via the air route. The incidence of TB in Indonesia in 2020 was 301 per 100,000 population. Therefore, family doctors play an important role in promoting health and preventing TB disease, identifying risk factors, clinical problems, and providing management to patients by implementing holistic family doctor services based on evidence based medicine through a patient centered and family approach, the main problem This patient did not wear PPE when in direct contact with other patients while working at PKM Tanah Pasir. In this case report, primary data was obtained through anamnesis (autoanamnesis), physical examination and home visits to complete family data, psychosocial and environmental data. Patient Mr. R, 45 years old, underwent routine TB treatment at the Tanah Pasir Community Health Center and was diagnosed two months ago. The patient has normal nutritional status. Pharmacological and non-pharmacological interventions are carried out for patients in the form of education about TB disease for patients and their families. The results of the evaluation of the intervention are that the patient has started to do physical activity and the family has supported the patient's routine treatment.

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

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.

Indonesia is entering a critical period for mental health. Research results from the The Indonesia National Adolescent Mental Health Survey (2022), around 15,5 million Indonesian teenagers experience mental health disorders. Students are part of late adolescence and are vulnerable to mental disorders. The binary logistic regression model is used to examine in more depth what variables have a significant effect. So, this research aims to predict mental health of students in the Faculty of Health Sciences, Pekalongan University. This type of research is observasional with a cross-sectinal design. Data were collected using the SRQ-20 via the Google Form platform using simple random sampling of 186 students. There were 130 students who indicated mental health disordes (69,9%). Simultaneously age, gender, major, semester level, mother’s educational level, father’s educational level, social support and dependence on using smartphone influence student’s mental health status (P Value<0,05). Even though only a few variables were partially significant, the precision percentage of the model that could be predicted correctly was 71,5%. The accuracy of the predicted model is quite good, namely student mental health status (y) = -3,720 + 2,403 (Major) – 1,980 (Mother’s Educational Level) + 1,444 (Father’s Educational Level) + 0,888 (Dependence on using Smartphone). Promotive and preventive interventions such as further screening and education to support student’s healthy mental health.  

The patient came with complaints that the body often felt weak even though the patient did not do strenuous activities. This complaint has worsened in the last 1 week, causing the patient to be discouraged from doing activities and disrupting his daily activities Patient also complained that his weight was decreasing. Another complaint that was felt was that the hands often felt numb. History of diabetes mellitus in the last 10 years, but the patient admitted that he did not routinely take medicine to control his blood sugar. The KGDS examination obtained in the patient was 324 mg/dl. The patient's BMI was 18.2 kg/m2 and classified as underweight. Primary data was obtained through autoanamnesa and physical examination by conducting home visits, filling out family folders, and filling out patient files. Assessment was carried out based on holistic diagnosis at the beginning, process, and end of the visit quantitatively and qualitatively. Interventions include education about the causes of diabetes mellitus, education about lifestyle modification and the importance of taking medication regularly to control blood sugar levels and explaining complications that may arise from the patient's disease so that patients make preventive efforts.  

Attitude is the basis of a person's judgment and behavior, the character of the nation that must be upheld, one of which is mutual respect, not only for elders but fellow human beings regardless of genes, age and position. Mutual respect must be built from an early age, before building a generation of accomplished nations, mutual respect must be applied first. the development of the times and technology is none other than the biggest influence in influencing and hindering the building of the national character as expected, this is very much felt when starting kampus mengajar program’s. therefore the purpose of writing this journal is to build an attitude of mutual respect as well as the dangers of bullying among UPT SMPN 10 Medan, Padang Bulan students, with a period of 3 months. With the help of the staged casework method by Zastrow. The stages in the groupwork method include (1) Engagement, Intake, Contract, (2) Assessment, (3) Planning, (4) Intervention, (5) Monitoring, (6) Evaluation, and (7) Termination. This method shows a positive development in the attitude of students at UPT SMPN 10 Medan.

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.

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   .