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Disasters are events either natural or non-natural that cannot be predicted in advance. The impact of natural disasters can be in the form of comprehensive environmental damage that can cause mass human deaths. Fires can occur anywhere and at any time, fire management needs to be understood so that when a fire occurs there are no casualties. Thus, preparedness is needed to face disasters. Indonesia is one of the disaster-prone countries. The age groups that are vulnerable to this problem are babies and toddlers. Disaster management specifically for this age group includes the Infant and Child Feeding (IYCF) program. The aim of this service is to meet the nutritional needs of the infant and toddler age group in the Maccini Sawah Community Health Center Working Area, so that it can prevent nutritional problems due to disasters and can handle nutritional problems. The method used in service activities is demonstrating IYCF to the community and also providing IYCF counseling at disaster sites. The results achieved were that IYCF education ran smoothly so that feeding services for the infant and toddler groups were carried out well in phase one of the emergency. IYCF is mandatory in disaster situations to prevent and treat acute nutritional problems during disasters

Background: Patients with Chronic Renal Failure undergoing Hemodialysis (HD) have various health problems, one of which is skin manifestations. Dry skin is described in the majority of patients with Renal Failure and is suspected to be a significant pathogenic factor in pruritus and may increase itching intensity in CRF patients. It was found that 52% of patients who underwent HD had dry skin (xerosis). Dry skin that appears in CRF patients with hemodialysis is usually caused by atrophy of the sebaceous glands, impaired external secretory function, and impaired hydration of the stratum corneum. Purpose: to increase skin moisture in patients with chronic renal failure undergoing hemodialysis Methods: This community service is carried out by providing VCO and teaching massage stroking techniques. VCO is applied to the skin twice a day for 4 weeks followed by massage. Results: Of the 53 patients, 60.37% of patients experienced an increase in skin moisture, 16.98% of patients had a decrease in skin moisture levels and 22.64% could not be evaluated Conclusion: Routinely apply VCO twice a day for 4 weeks, experience an increase in the value of skin moisture. Meanwhile, in patients who did not apply regularly, there was a slight increase compared to patients who did not apply VCO at all. Oily skin and the smell of coconut oil are the reasons for patients not to routinely give VCO.

The elderly are a group of people who are vulnerable to degenerative diseases such as hypertension, diabetes mellitus, and others. The causes include a lack of knowledge about healthy diet and the lack of health checks. The purpose of this community service activity is to improve the quality of life of the elderly in Kelurahan Utama of South Cimahi by socializing healthy diets and conducting health checks. Media used for healthy diet counseling are power points, videos, and posters. Health examinations conducted include measurements of body mass index, blood pressure, blood glucose levels, triglycerides, total cholesterol, and uric acid. The results of the health examination showed quite a lot of elderly people who suffer from degenerative diseases. Through this activity, the elderly in Kelurahan Utama of South Cimahi gained knowledge about healthy diet in order to avoid various diseases and know the disease that is being experienced so that they can immediately undergo proper treatment.

Online mass media is one of the preferred sources of information because of its speed in conveying information. Despite its advantages, issues have emerged about the lack of credibility of online news due to the news being presented concisely and not providing perspective. Readers do not get actual information because the title and content of the news in the news script presented in online media do not match. This research will analyze the news content presented by the online mass media Radar Bogor to determine the extent to which this media provides news content that is trusted as a source of information using qualitative methods. Radar Bogor media news content analysis will be carried out by selecting 10 news stories published on Radar Bogor's Instagram feed for the period May 2021-June 2021 regarding information on cross-border bans during the Covid-19 pandemic situation. Based on the analysis carried out, news values ​​(characters, closeness, interesting, actual, impact) influence the level of reader trust in the news presented, readers do not like inappropriate headlines and news content.

The effectiveness of making a SIM is deemed to have to refer to Law no. 14 of 2008 concerning Public Information Disclosure and Standard Operating Procedures for Public Information Disclosure of the Police. It was explained that in the reform era every citizen has the right to seek, obtain, use and disseminate accurate information easily and quickly. The National Police of the Republic of Indonesia to provide information/public services to ensure transparent and accountable public information services from planning, implementation to publication of information through mass media. The effectiveness of the Service for Making a Driving License (SIM) in the perspective of service users at the Semarang Polrestabes Satlantas and about the effectiveness of making a SIM at the Semarang Polrestabes Satpas, we can know that service is a complete approach that results in quality service for the community/customers. Consists of Transparency, Accountability, Conditional, Participatory, Equality of rights and Balance of rights and obligations.   Keywords: service, effectiveness, SIM

Menjaga kualitas pelayanan kesehatan pada massa pandemic Covid-19, Puskesmas dituntut untuk memberikan pelayanan secara cepat, tepat dan sehat. Covid-19 sebagai pandemic dunia, harus disikapi seluruh penduduk dunia termasuk Indonesia, teristimewa di puskesmas-puskesmas sebagai garda pelayanan public, dan sebagai pusat pemberantasan ataupun investigasi Covid-19. Penelitian ini berujuan menganalisis pelayanan kesehatan di Puskesmas Ngesrep dengan menggunakan purposive  random  sampling,  yaitu  memilih  secara  sengaja  beberapa  anggota  masyarakat  yang datang untuk mendapatkan pelayanan kesehatan di Puskesmas Ngesrep. Hasil penelitian menunjukkan bahwa kualitas pelayanan kesehatan di Puskesmas Ngesrep Kota Semarang masa pandemi Covid-19 relatif baik yang ditunjukkan dengan kompetensi teknik petugas kesehatan yang baik,   keterjangkauan dan akses ke puskesmas juga mudah, fasilitas nyaman, informasi yang diberikan sangat baik, ketepatan waktu pelayanan cukup baik dan hubungan antar manusia sangat baik. Inovasi terus dilakukan antara lain puskesmas mengefektifkan jumlah tenaga kesehatan yang ada sesuai kebutuhan pelayanan. Dengan sistem komputerisasi pasien tidak perlu menunggu terlalu lama untuk mendapatkan pelayanan kesehatan.

The puerperal period is also called the post partum or puerperium period, which is the time between the birth of the baby and the placenta leaving the uterus until the return of the reproductive organs to a normal state as before childbirth. The puerperium lasts six weeks. The purpose of this study was to determine the effect of oxytocin massage on breastfeeding in post partum mothers in the post maternal partum (PMP) room at Bumiayu Health Center, Brebes Regency 2021. The research method used is pre-experiment (experimental activity that aims to determine an effect that arises as a result of certain treatments) using one-group pretest-post test design, namely an experimental design that uses one group of subjects and takes measurements before and after treatment. on the subject. This design is to determine the effects before and after treatment. The analysis in this study used the t-test. From the results of statistical testing using the T-test, the significance value was 0.000 (p <0.05). So it can be concluded statistically Ha is accepted and Ho is rejected, meaning that it can be concluded that there is an effect of oxytocin massage therapy on breastfeeding in post partum mothers at Bumiayu Health Center. In connection with the results of this study, it is hoped that post partum mothers with the help of their husbands or families at home can inform the surrounding community so that they can increase their knowledge and insight to apply oxytocin massage as a solution to overcome the problem of unsanitary breastfeeding.  

Indonesia merupakan negara yang secara geografis, demografis, sosioekonomis dan politis merupakan kawasan yang rawan bencana, dan juga perpotensi mengalami bencana alam, non alam dan sosial, seperti bencana: gempa bumi, banjir, letusan gunung api, kebakaran, tanah longsor, wabah penyakit, kegagalan teknologi, konflik sosial, terorisme. Kejadian bencana akan mengakibatkan timbulnya kedarurtan, korban massal serta permasalahan kesehatan pada masyarakat, selain itu kejadian bencana juga mengakibatkan, rusaknya fasilitas umum, fasilitas kesehatan, terganggunya saluran komunikasi dan lain-lain yang akan mengganggu kehidupan dan penghidupan masyarakat. Banjir besar melanda wilayah kota Semarang pada pekan pertama dan kedua Februari 2021. Banjir di ibu kota Provinsi Jawa Tengah itu merendam setidaknya 43 titik pada 5-7 Februari lalu, demikian data Badan Penanggulangan Bencana Daerah (BPBD) Jawa Tengah. Selain banjir kiriman dan banjir lokal, banjir rob merendam sejumlah kawasan di Kota Semarang, seperti di Kelurahan Kaligawe (Kecamatan Gayamsari) dan wilayah di Kecamatan Genuk. Kondisi pandemic Covid-19 memperburuk dalam penanganan bencana yang terjadi.    

Prevalensi   diabetes   tipe 2   terkait   usia   lansia   sampai   tahun   2030 mengalami peningkatan tajam karena diprediksi lebih dari 82 juta populasi lansia di negara berkembang menderita diebetes. Tipe 2 merupakan bentuk penyakit yang sering di lansia dan merupakan ancaman serius terhadap kesehatan karena terjadi komplikasi kronis. Tanda dan gejala diabetes pada lansia sering kali tidak jelas  dan  diagnosa  biasanya  terlambat.  Gejala  diabetes  dapat  muncul  tidak spesifik  dan  tidak  pasti,  seperti  keletihan,  inkontinensia  urin,  atau  perubahan status mental seperti depresi, konfusi, dan apatis. Beberapa ahli berpendapat bahwa dengan meningkatnya umur maka intoleransi terhadap glukosa juga meningkat. Peningkatan kadar gula darah pada lansia disebabkan oleh beberapa hal, yaitu fungsi pankreas dan sekresi insulin yang berkurang, perubahan karena lansia sendiri  yang berkaitan dengan resistensi insulin akibatnya kurangnya massa otot dan perubahan vaskuler, aktifitas fisik yang  berkurang,  banyak  makan  dan  kegemukan,  stress,  sering  menggunakan obat-obatan, dan adanya faktor keturunan. Stres memicu  reaksi  biokimia  tubuh melalui  2  jalur,  yaitu  neural  dan neuroendokrin. Reaksi pertama respon stres  yaitu  sekresi  sistem  saraf  simpatis untuk  mengeluarkan  norepinefrin  yang menyebabkan    peningkatan    frekuensi jantung. Kondisi ini menyebabkan glukosa darah meningkat guna sumber energi untuk perfusi.  Peningkatan hormon  stres yang diproduksi dapat  menyebabkan kadar gula darah menjadi meningkat. Kondisi yang rileks dapat mengembalikan kotra-regulasi  hormon  stres  dan  memungkinkan  tubuh  untuk  menggunakan insulin lebih efektif. Seseorang  yang  terkena  diabetes  akan  memerlukan  pengobatan  yang terus-menerus untuk  mengontrol  kadar gula  darah  dan  mencegah  komplikasi. Tapi ada pengobatan lain yang bisa dilakukan sendiri untuk membantu mencegah penyakit ini bertambah buruk. Stres yang tinggi yang dialami penderita dapat meningkatkan angka kesakitan dan kematian, sehingga dibutuhkan kemampuan penderita dalam melakukan perawatan diri   dengan memanajemen stress yang dialami.    

Hypertension is a chronic condition that results in an increase in blood pressure. Hypertension can cause headaches, headache is pain in the head that causes discomfort. One way to overcome them is by massage. The purpose of this case study is to describe the application of massage from shoulder to head to the level of headache in hypertensive patients. The method used is descriptive research. This research was conducted on 2 subjects. The subjects of this study were hypertension patients with criteria of being willing to be respondents, stage 1 hypertension with mild headaches, age 40 years and above. Analysis of the level of headache was done descriptively and measured based on the Numeric Rating Scale. The results of the analysis showed a decrease in the level of headache after the intervention. In subject I mild headache with a scale of 3 to scale 1 and subject II of mild headache with a scale of 3 became a scale 1. Conclusion that massage from the shoulder to the head is effective for reducing headaches, especially in hypertensive patients who experience headaches. Recommendations for nurses can apply massage therapy to reduce the level of headache in hypertensive patients

Jumlah penduduk lanjut usia ( lansia) di Indonesia terus bertambah. Hingga 2019 ini, lansia sudah mencapai 7 persen dari total penduduk. Angka ini diperkirakan akan bertambah hingga 9,9 persen atau 27 juta jiwa setiap tahunnya mengalami peningkatan sehingga memerlukan pelayanan yang lebih baik, terutama dari keluarga maupun pemerintah. Berdasarkan kondisi tersebut diatas maka penelitian ini bertujuan untuk mengetahui: (1) Tingkat kebugaran jasmani para lansia di klub jantung sehat Surakarta; (2) Indeks Massa Tubuh. Penelitian ini menggunakan metode deskriptif dengan teknik survey dan pengukuran di lapangan. Peserta yang menjadi subyek penelitian ini sebanyak 83 orang lanjut usia, pengumpulan data kebugaran jasmani dengan menggunakan tes Rock Port sejauh 1600 m, cek denyut nadi sebelum dan sesudah melakukan tes, pengukuran tinggi dan berat badan.

Bureaucracy has a heavy duty to implement the government’s vision and mission. Therefore, reliable, integrated, honest, capable, and high-motivation personnel are required. Bureaucratic reform should be implemented using master plan of human resource with massive bureaucratic simplification, because the existing bureaucratic is too long. The position of ASN (State Civil Apparatuses) will be based on functional position only, requiring more skill and competency. In bureaucratic reform, ASN faces a problem, that is, government’s plan to remove structural post of echelons III and IV. The government wants to break the too long procedure in bureaucracy and expect to accelerate decision making and to accelerate public service when bureaucratic reduction is implemented. There are some solutions to the problem discussed, among others: a. amending ASN Law, particularly related to ASN position and ASN management; b. reorganizing the institutional structure (central and regional) in order to adapt to the bureaucratic function needed; c. reinforcing the integrated carrier building for ASN personnel emphasizing more on functional position; d. the establishment of work relation pattern and inter-function coordination that can project the quick and simple bureaucratic working system; changing ASN personnel’s mindset into work professionalism-orientation based on merit system. Internal expectation in the discussion resulting from this socialization includes: a) Regency Government gives inadequate socialization to ASNs, so that they have not understood completely the echelon removal policy; b) the echelon officials approaching pension age can accept the echelon removal policy; c) the young and productive echelon officials prefer structural position because they get more facilities and wellbeing than they do in functional position; d) potential staffs often attend education and training, have visionary perspective, and prefer functional position because they can get position promotion more quickly impacting on the increasing income; e) the staffs without structural position prefer functional position because their pension age can be up to 60 years. Recommendation and expectation to be obtained from this socialization is that all ASNs in DLH Blora will acquire complete information on echelon removal plan and keep their working spirit

Perkembangan merupakan perubahan yang terjadi pada diri individu dengan bertambahnya kemampuan dan fungsi tubuh dari yang sederhana ke yang lebih kompleks, sebagai hasil dari proses pematangan. Tujuan penelitian ini yaitu untuk mengetahui Pengaruh Pijat Bayi Terhadap Peningkatan Motorik Kasar Pada Bayi Usia 3-6 Bulan di BPM Suriyanti, S.ST Makassar. Desain Penelitian ini adalah eksperimen metode Pre Test-Post Test Control Group Design, populasi penelitian ini berjumlah 100 bayi di BPM Suriyanti, S.ST Makassar dan sampel berjumlah 30 orang. Hasil penelitian menunjukkan bahwa dari 15 orang (50%) yang mendapatkan pijat bayi, terdapat 14 bayi (93,3%) yang motorik kasanya meningkat dan 1 bayi (6,7 %) yang tidak meningkat. Sedangkan yang tidak di lakukan pijat bayi sebanyak 15 bayi (50%), terdapat 2 orang motorik kasarnya meningkat (13,3%) dan 13 bayi (86,7%) yang tidak meningkat. Dengan menggunakan uji Mann-Whitney dan wilcokxon, menunjukkan bahwa setelah diuji wilcoxon nilai ? Value pretest-posttest dari kelompok perlakuan adalah 0,000 (<0,05), sedangkan nilai ? Value pretes-posttest pada kelompok kontrol 0.039 (<0,05). Sedangkan setelah diuji Mann whitney didapatkan hasil ? = 0,000 (<0,05). Maka dapat disimpulkan bahwa ?<?, sehingga Ho ditolak dan Ha diterima. yang artinya ada pengaruh pijat bayi terhadap peningkatan motoric kasar pada bayi usia 3-6 bulan