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This study evaluates the implementation of spot-check testing for road preservation works in Manado City, specifically on the Kairagi–Mapanget segment, the Manado City–Wori boundary, and the Liwas Terminal Access Road, to identify existing problems and assess the effectiveness of engineering-based mitigation efforts. The objective is to examine construction quality compliance with technical specifications and identify operational challenges encountered on site. The methodology encompasses the measurement of asphalt layer thickness and density via a core drill, the examination of contract documents, the analysis of laboratory test results, and the execution of field observations. The findings show that most samples meet the required standards, although several locations require corrective action. Challenges arise from weather conditions, heavy traffic, equipment limitations, and the need for adaptation to updated technical regulations. Operational mitigation strategies, staff training, the use of core drill technology, and digital documentation were found to enhance accuracy and efficiency in evaluation. The research demonstrates the value of stakeholder collaboration and capacity building in supporting quality control for road preservation works. A multidimensional approach is effective in resolving technical and operational complexities in urban road projects.

Online sales in Manado reflect the large number of Manadonese people who are interested in shopping online rather than going shopping in person to fulfill their needs and desires. The focus of the problem and aim of this research is to explain the role of social media as an online marketing communication tool in increasing sales of Pasar Bersehati. This research uses a qualitative approach which is a type of field research, by analyzing online buying and selling practices carried out by Bersehati Market Traders. Data collection techniques in this research were observation, interviews, literature study and documentation. The results of this research show that the communication process carried out by market traders with one heart in marketing their products via Instagram social media is by implementing a communication strategy that includes communication components (source, message, media, recipient, effect and feedback), as well as applying the 4P (product) marketing principles. , price, place, promotion). In marketing communications, there are also supporting and inhibiting factors. The supporting factor is the various social media features which are very helpful in marketing. The inhibiting factor is the existence of other online business competitors who are increasingly interested. The effectiveness of marketing communications carried out by market traders with one heart has a big influence as seen by the increasing level of sales.

Typhoid fever is an infectious disease caused by the bacterium Salmonella typhi which is still common and frequently occurring. Indonesia is an endemic country for typhoid fever, with an estimated 800 cases per 100,000 population annually. The risk factors for typhoid fever include personal hygiene such as nail cleanliness, handwashing, dietary habits, and others. The aim of this study was to determine how personal hygiene affects the number of typhoid fever cases at RS TNI AU dr. Charles P.J Suoth in Manado city. This research used a descriptive analytic method with a cross-sectional approach. The instrument used in this study was a questionnaire. The data obtained were analyzed using the Chi-square test. The results of the study showed that the majority of subjects were aged >25 years (45.8%), with females being more susceptible (51.0%), unemployed individuals (19.8%), and with a middle level of education (39.6%). Bivariate analysis revealed a significant association between the habit of handwashing with soap after defecation and a p-value of 0.002. There was an association between the frequency of typhoid fever and the habit of washing raw food with soap before eating, history of direct contact with typhoid patients, and handwashing before meals.

Choking is an emergency condition that must be treated quickly, i fit takes too long it will result in a lack of oxygen and result in death duet o blockage of the respiratory tract by foreign objects in the from of food, toys, etc. The aim of this research was to determine the effect of choking first aid education on community knowledge in the Tumumpa 1 subdistrict, Manado City. The research was conducted using a quasi-experimental research method (one-group prepost test design). The sample in this study wa 12 respondents taken using purposive sampling, research instruments using SAP, Leaflets and Questionnaires. Next, the data that has been collected is processed using the SPSS version 24 computer program to be analyzed using the Mc nonparametric test. Nemar with a significance level (α) 0.05. The results of this research show that there is an influence of first aid choking education on the leve of public knowledge by obtaining a value of p = 0.016, which is 0.016 which is smaller than the value of a ≤ 0.05. This, it can be said that Ha is accepted and H0 is rejected andi t can be concluded that Ha has an effect. Choking first aid education on community knowledge in Tumumpa 1 Subdistrict, Manado City The conclusion is this research is that there is an influence of first aid choking education on community knowledge in Tumumpa 1 Village, Manado City. I tis hoped that this suggestion will add insight and useful knowledge regarding fist aid for choking

Sleep is an altered state of consciousness when an individual's perception and reaction to the environment decreases. Sleep disorders often occur in the elderly, decreased sleep quality. Bathing therapy with warm water can cause blood vessels, where the warm water makes blood circulation smooth and creates a feeling of relaxation, thereby improving the quality of sleep. The aim of this research  to identify the effect of iveness soaking feet therapy with warm water on meeting sleep quality in the elderly at the Peace Christian Brotherhood Foundation, Social Welfare Institution for the Elderly in Ranomuut, Manado City. This research method use One Group Pre Test – Post Test Design approach. The population in the study was 15 using using a total sampling technique, the research used a questionnaire sheet and SOP 0.05. The results of research using the paired T test obtained a P value (0.000) where p value ≤ a=(0.05) which means there is an effect of soaking foat with warm water on meeting sleep qualityesin the elderly. The conclusion in this research  there is an effect iveness of soaking feet in warm water on meeting sleep qualikes in the elderly. At the Peaceful Christian Brotherhood Foundation, Social Welfare Institution for the Ederly in Ranomuut, Manado City. It is recommended that the results of this research provide knowledge to the public about soaking feet in warm water.

Hypertension or high blood pressure is a condition when there is an increase in blood pressure, which is above 140 mmHg for istolic blood pressure  and 90 mmHg for diastolic  blood pressure.One of the therapies used to lower blood pressure is the administration of tomato juice because it is rich in lycopeine, potassium and bioflavonoids. The purpose of this study was to determine the effect of tomato juice on lowering blood pressure in hypertensive patients in       Mahawu Village sub distrit II Manado City. The method used in this study is a design experiment with One Group pretest-postest design. The sample taken amounted to 15 respondents using purposive sampling. Data collection using SOPs and observation sheets. The collected data is processed using SPSS 16.0. Statistical test using Wilcoxon Test with a meaning level ( α) of 0.05. The results of the study using Wilcoxon statistical tests obtained the results of Systolic Pre-Post with a value of P value = 0.001 and Diastolic Pre-Post with a value of p Value = 0.002 where the value of p Value < α = 0.05). so that Ha was accepted and Ho was rejected so that there was an effect of giving tomato juice on lowering blood pressure in people with hypertension in Mahawu Village sub district II Manado City. The conclusion is based on the results of the study that there is an effect of giving tomato juice on reducing blood pressure in hypertensive patients in Kelurahan II Manado City.

The lack of reproductive health knowledge about personal hygiene during menstruation among young women, obtained from parents and schools, causes the knowledge and behavior of young women about personal hygiene during menstruation to be very lacking. One effort to increase knowledge of adolescent reproductive health is by providing health education using poster media. The aim is to determine the effect of poster media education on female students' knowledge of personal hygiene during menstruation at the Assalam Islamic boarding school, in Manado City. The method used in this research was pre-experimental with a one-group pretest-posttest design approach. The sample taken was 18 subjects using purposive sampling. Data collection uses questionnaire sheets and SAP (Extension Event Unit). The collected data was processed using test. Statistical tests use the McNemar Test with a significance level of ≤ 0.05. The research results obtained a value of p = 0.000 (α ≤ 0.05) so that Ha was accepted, meaning that there was an influence of poster media education on female  students' knowledge of personal hygiene during menstruation at the Assalam Islamic Boarding School, Manado City. The conclusion based on the research results is that there is an influence of poster media education on female students' knowledge of personal hygiene during menstruation at the Assalam Islamic Boarding School, Manado City. Suggestions for future researchers can use other media as comparison material so that they can add more information

The elderly is a process of the final stage of human life that will be lived by everyone. Cognitive function indicates the process of receiving, organizing and interpreting stimulus sensors to think and solve problems. The purpose of this study was to determine the relationship between cognitive ability and the level of independence of Activity Of Daily Living (ADL) in the elderly in Singkil 1 sub-district 6 Manado city This research uses a correlational analytical method with the approach used is a time series, which is a type of data consisting of variables collected according to time sequence in a certain time span. The sample of this study amounted to 42 respondents using the Purposive Sampling technique. Data collection was taken using questionnaire sheets. Furthermore, the data that has been collected is then analyzed using the Chi-square statistical test with a significant level (α) of 0.05 The results showed that the most respondents' gender was women, namely 35 respondents with a percentage (83.3%), the most respondents did not attend school, namely 28 respondents with a percentage (66.7%), the most respondents' jobs as IRT were 35 respondents with a percentage (83.3%), and the results of statistical tests found a significant relationship between cognitive function and the level of independence of the elderly with p-value = 0.002

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.

Workload is a description of the volume of work. In hospitals, the workload covers many aspects and this has an impact on compliance with the implementation of SOPs for new patient admissions which can be influenced by high workloads. The aim of this research is to determine "The relationship between emergency room nurse workload and compliance with standard operational procedures for accepting new patients." This research was conducted using a cross-sectional Descriptive Analytical research method, which emphasizes the time of measurement or observation and independent and dependent variables only once. The population in this study was 23 subjekts with a sampling technique using total sampling technique and the sample for this study was 23 subjekts. Data collection uses questionnaires and observation sheets. Analyzed using the chi square test. Based on the chi-square results, it can be seen that the p value is 0.026, which is smaller than p (α < 0.5), so it can be concluded that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures. The conclusion in this study is that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures at RSU GMIM Pancaran Kasih, Manado City. Suggestions to hospitals can pay more attention to the workload they experience so as to provide good service to patients.

Gout Arthritis is an inflammatory joint disease caused by the accumulation of monosodium urate crystals in the body. Onion compress is a current form the treatment of gout arthritis with no side effects. The aim of this research is a to determine the effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The research conducted by using a pre-experimental (pre and post test design). The samples were 13 subjekts which taken using total sampling technique. Research instruments used observation sheet and SOP for measurement with the NRS (Numeric Rating Scale). Analyzed data by using a Wilcoxon test with the significance level α = 0,01. The results of this research obtained a value p=0.002 (α≤0.05), which means that Ha is accepted and Ho is rejected, so that can be concluded there were an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The conclusion of this research is that there is an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. Advice to subjekts who often experience gout arthritis pain is to treat it themselves by using shallot compresses.

Gross Regional Domestic Product (GRDP) illustrates the ability of a region to create output on a certain period. Gross value can be seen from the development and growth of the economy including the tourism sector in certain years in Manado city. The aim of this research was to identify and describe the contributions of the companies in the tourism sector to the GRDP of Manado City. This research was conducted at Manado City Tourism Office, Central Bureau of Statistics Manado City, and in some tourism industries that exist in Manado City, such as hotels, restaurants and travel agents. This research used quantitative methods with statistical mathematical and descriptive approaches using the analysis percentage of GRDP. The results show that the contribution of GRDP of tourism sector to the total GRDP of Manado City have increase. It was found also that the company's biggest contribution in the tourism sector to GRDP were from trade, hotels and restaurants and the smallest was from the entertainment and recreation. The increased in contribution of the tourism industry sector was caused by the construction of new hotels, restaurants, newly built tourism objects and improved existing tourism objects and other support facilities.

The toddler period is a golden period that determines the rate of growth and development of toddlers both physically, mentally and emotionally. Assessment of nutritional status Assessment of nutritional status of toddlers using standard and measurable parameters can be used as a monitoring item for nutritional problems in toddlers. This study aims to describe the findings based on research data conducted in 2021 on 96 toddlers in the working area of the Ranomuut Public Health Center, Manado City, North Sulawesi Province. Primary anthropometric and age data were collected on toddlers 6-24 months and obtained data that 26% of toddlers have nutritional status in the poor category (<2SD) and 74% of them have nutritional status in the good category (? -2 SD to +2SD). Even though there is no urgency found in the results of this study, the conclusions of the research need to be published, and it is hoped that this can be used as a reference for future research.  

. A work accident is an unpredictable event. When it happens, it is important to provide first aid in work accidents and to do it one must have knowledge. To increase knowledge about this first aid, it can be done by providing telenursing-based education. The purpose of this research was to find out the effect of telenursing-based education on the cognitive ability of garbage collector in performing first aid in a work accident. This research was conducted by using a quasi-experimental one group pre-test and posttest design. The population as many as 40 people and sample amounted to 15 respondents which was taken using non-probality sampling technique. This research used Whatsapp application and data collection was done by giving questionnaires in the form of link to pre test and posttest. Then, the collected data was analyzed by a Wilcoxon statistic test. From the wilcoxon test, it was obtained that ρ value = 0,002 in which this ρ value < α = 0,05 meaning Ha was accepted and Ho was rejected. The conclusion of this research is that there is an effect of telenursing-based education on the cognitive ability of garbage collector in performing first aid in a work accident.    

Ternate Tanjung adalah Kelurahan yang teletak di Kecamatan Singkil Kota     Manado. Bagian utara berbatasan dengan Kelurahan Kombos Barat dan Timur, bagian barat berbatasan dengan kelurahan Ternate Baru dan Dendengan Luar Lingkungan III, bagian timur berbatasan dengan Keluarahan Pall Dua Lingkungan III dan bagian selatan berbatasan dengan Pall Dua Lingkungan II dan Kelurahan Dendengan Luar Lingkungan I. Berdasarkan hasil pendataan yang didapat dari  pembagian kuisioner kepada 125 keluarga atau 25% dari total keluarga yang ada di kelurahan Ternate Tanjung. Salah satu masalah kesehatan dalam kurun waktu satu tahun terakhir dengan pesentasi tertinggi yang dialami oleh adalah hipertensi atau tekanan darah tinggi yang  mencapai 8,1 % dimana dari pendataan masalah kesehatan ini merupakan penyakit riwayat keturunan.   Tujuan dilakukannya kegiatan pengabdian ini untuk meningkatkan pengetahuan dan keterampilan masyarakat Kelurahan Ternate Tanjung dalam mengolah dan memanfaatkan   tanaman yang memiliki potensi untuk penyakit khususnya teknik pembuatan jamu saintifik hipertensi. Metode yang digunakan meliputi pemaparan materi, tanya jawab, dan praktik langsung kepada masyarakat. Kegiatan pelatihan terlaksana dengan baik dan mendapatkan respon yang antusias dari pererintah dan khususnya dari masyarkat serta berharap pelatihan seperti ini dapat dilakukan kembali dikemudian hari.

Hypertension is a condition where systolic blood pressure is more than 120 mmHg and diastolic pressure is more than 80 mmHg which can be measured in millimeters of mercury (mmHg). In addition to pharmacological therapy, hypertension management can also use non-pharmacological therapies, one of which is foot soak therapy in warm water. The purpose of this research is to determine effect of warm water foot soak therapy on blood pressure in patients with hypertension at Bailang Health Center Manado City. This study uses a pre-experimental method with a one-group pretest-posttest design without a comparison group. The population with the result that 165 people patients diagnosed with hypertension. The sampling process used a probability sampling technique  with the result that 15 respondents. Data collection was observations. The data were analyzed using the Wilcoxon test with a significance value (?) of 0.05. From the results of the study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension at Bailang Health Center Manado City with a value of p = 0.008. This p value is smaller than the value of a = 0.05. The conclusion of this study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension. This p value is smaller than the value of a = 0.05. It is hoped that the respondents will be able to take advantage of warm water foot soak therapy as an alternative in lowering blood pressure and this can also be done regularly.

Bleeding is the most common cause of death where cases of open trauma are often found in the community, especially in traffic accidents and other accidents such as sharp object puncture wound. The purpose of this research was to find out the effect of pressure bandage education on knowledge and attitude of stopping bleeding in ordinary people in the 3rd Neighborhood Mahawu Village, Tuminting Subdistrict, Manado.  This research was conducted by using a quasy experimental method (one group prettest and posttest design). Samples were amounted to 15 respondents taken by a random sampling. The instruments used in this research was questionnaire. Then, the collected data was processed by running the SPSS computer program version 16.0 to be analyzed by a Mc Nemar test with the significance level ? = 0,05. The Mc Nemar test result showed the value of knowledge ? = 0,002 which was smaller than ? = 0,05, meaning Ha is accepted or education in pressure bandage techniques can influence the attitude of ordinary people. The conclusion of this research is that there is an effect of pressure bandage education on knowledge and attitude of stopping bleeding in ordinary people in the 3rd Neighborhood Mahawu Village, Tuminting Subdistrict, Manado. It is suggested so that the community can get education with pressure bandage material to increase knowledge, attitudes and reduce the risk of bleeding that occurs.

Vaksinasi COVID-19  untuk mengurangi transmisi/penularan COVID-19, menurunkan angka kesakitan dan kematian akibat COVID-19 dalam mencapai kekebalan kelompok di masyarakat (herd immunity) dan melindungi masyarakat dari COVID-19 agar tetap produktif secara sosial dan ekonomi. Kekebalan kelompok hanya dapat terbentuk apabila cakupan vaksinasi tinggi dan merata di seluruh wilayah.  Vaksinasi dilakukan pada masyarakat atau sasaran yang hendak melakukan vaksin dosis 1, dosis 2 dan booster yaitu untuk memutuskan mata rantai penularan penyakit, yaitu melalui upaya vaksinasi. Vaksinasi COVID-19 bertujuan untuk mengurangi transmisi/penularan COVID-19. Tujuan Implementasi Kebidanan Komplementer Aromaterapi dan Hand Sanitizer  Lemon dan Pelayanan vaksinasi COVID-19 pada masyarakat khususnya pengunjung     Mall Manado Town Square 3 Kota Manado

ASI eksklusif adalah pemberian ASI tanpa makanan dan minuman pendamping (termasuk air jeruk, madu, air gula), yang dimulai sejak bayi baru lahir sampai dengan usia 6 bulan. Terjadinya kerawanan gizi pada bayi disebabkan karena selain makanan yang kurang juga karena Air Susu Ibu (ASI) banyak diganti dengan susu botol dengan cara dan jumlah yang tidak memenuhi kebutuhan. Pertumbuhan dan perkembangan bayi sebagian besar ditentukan oleh jumlah ASI yang diperoleh termasuk energi dan zat gizi lainnya yang terkandung di dalam ASI tersebut. Berdasarkan hal tersebut dilakukan penelitian untuk mengetahui hubungan pengetahuan dan dukungan keluarga dengan pemberian ASI eksklusif pada ibu yang mempunyai bayi 0 – 12 bulan. Jenis penelitian retrospektif dengan pendekatan Cross Sectional. Analisis data digunakan uji Chi square. Hasil penelitian menunjukkan tidak ada hubungan pengetahuan dengan pemberian ASI eksklusif pada ibu di Puskesmas Bengkol Kota Manado (p value = 0,338 > α = 0,05) dan ada hubungan dukungan keluarga dengan pemberian ASI eksklusif pada ibu di Puskesmas Bengkol Kota Manado (p value = 0,001 < α = 0,05). Saran yaitu Suami dan keluarga tetap berperan aktif dalam mendukung/mendorong, memotivasi dan memberi nasehat kepada istri agar memberikan ASI eksklusif selama 6 bulan tanpa susu formula dan makanan lain, juga Tenaga kesehatan dalam hal ini bidan selalu memotivasi ibu untuk tetap menyusui bayi sejak lahir sampai 6 bulan serta memberikan informasi tentang manfaat ASI eksklusif.    

Trend penggunaan susu formula sebagai pengganti Air Susu Ibu (ASI) di Indonesia bahkan dunia tidak dapat terelakkan dengan berbagai klaim yang diberikan produk susu formula yang beredar di pasaran. Susu formula pada dasarnya mengandung nutrisi utama yang dibutuhkan bayi diantaranya protein, karbohidrat, lemak, vitamin dan mineral. Penggunaan susu formula disarankan untuk bayi hanya jika terdapat permasalahan medis baik pada ibu atau pada bayi, sehingga ASI memang lebih direkomendasikan untuk diberikan pada bayi untuk memenuhi kebutuhan nutrisiyang mendukung pertumbuhannya. Oleh karenanya pemberian ASI eksklusif perlu digalakkan dan perlu diberi edukasi, baik untuk ibu menyusui, ibu hamil, calon ibu, bahkan remaja. Menanamkan pendidikan sejak dini ada baiknya untuk mencegah kesalahpahaman mengenai nutrisi terbaik untuk anak-anak kita di masa mendatang. Trend terbaru untuk membantu melancarkan produksi ASI adalah dengan menggunakan essential oil baik dengan cara dihirup maupun secara topikal. Essential oil atau minyak esensial merupakan minyak esensial yang diperoleh dari tanaman atau bagian tanaman melalui proses destilasi, bertujuan untuk membantu mengatasi masalah terkait kesehatan.