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Background: Pre-operation is the initial stage to prepare the patient as much as possible, more than two-thirds of patients waiting for surgery experience anxiety because it is their first time undergoing spinal anesthesia surgery. As a result of the patient's intense preoperative anxiety, there is a possibility that the operation cannot be carried out. The way to overcome anxiety is through deep breathing relaxation techniques. Objective: To determine the effect of deep breathing relaxation on anxiety in preoperative patients. Research methods: This research uses quantitative research design using Quasy Experiment, namely an experimental design carried out without randomization. This research was conducted at PKU Muhammadiyah Gombong Hospital in the operating room in February 2024. This population consisted of 42 patients in one month with a research sample of 30 respondents. This research instrument uses the APAIS questionnaire. This research technique uses purposive sampling. Results: The data that can be generated when using the deep breathing relaxation technique is 30 respondents using the pre test-post test technique. During the pre-test, those experiencing moderate anxiety amounted to 40.0%, severe anxiety amounted to 40.0%, the most severe anxiety/panic amounted to 20.0%. At the time of the post test, those experiencing mild anxiety were 66.7%, and those experiencing moderate anxiety were 33.3%. Conclusion: When the observation was carried out, there was a decrease in the level of anxiety, so that the respondent's anxiety had reduced.

Bread has many types, one of which is sweet bread, the main ingredient in processed sweet bread is wheat flour. The high use of wheat flour causes the number of wheat imports in Indonesia to be high. The decrease in wheat imports can be reduced by using local food ingredients such as corn flour, mocaf flour, and binahong leaf jam. This study aims to determine (1) the process of making gluten-free sweet bread from corn flour, mocaf flour, and binahong leaves. (2) Gluten-free sweet bread recipe from corn flour, mocaf flour, and binahong leaves (3) The level of public preference for gluten free sweet bread products from corn flour, mocaf flour, and binahong leaves. The method used in this study is the method of literature, experiments, documentation, and sensory testing. The percentage of using cornflour and mocaf flour in making glute- free sweet bread is 50%:50%, 70%:30%, and 80%:20%, of the weight of wheat flour. The results showed that gluten-free sweet bread products were the most preferred with a ratio of 70% cornflour and 30% mocaf flour.

Trauma capitis is a form of penetration or rapid movement, and impact of the brain within the skull which results in changes in mental status. Traumatic capitis is one of the causes of child death. Often referred to as the silent. The aim of this research is to obtain a real picture in applying nursing care to clients An.''F'' with cases of neurological system disorders: trauma capitis. This research was carried out in the ICU room at Labuang Baji Hospital, Makassar for 3 days starting from 19-21 April 2023. Data collection techniques were carried out using interview techniques, observation and physical examination. The results of this study were an assessment of pain in the head, pain that felt like stabbing, pain scale 8 (severity 0-10), lasted for 3 minutes, bleeding on the right side of the head. In nursing diagnoses, there are 5 diagnoses found in cases of acute pain related to physical comfort, ineffective breathing patterns related to changes in the depth of breathing patterns, risk of infection related to bleeding in the brain, nutritional imbalances less than body requirements related to lack of appetite, impaired mobility physical related to difficulty turning positions. In implementing the action plan for patient An "F", nursing problems arise to reduce and prevent problems in patients by paying attention to the patient's condition. The implementation of nursing for patient An "F" is adjusted to the action plan that has been determined so that the nursing problems faced by the patient can be overcome or prevented. After providing nursing care for the five diagnoses, all diagnoses were resolved.

Pregnancy can cause the body to be very susceptible to low hemoglobin levels, which during pregnancy require sufficient iron for the body. If the body loses iron, anemia will occur, because the body requires the intake of foods that contain iron. Anemia itself where the value of the hemoglobin level is less than the normal value or below the normal value. So if a pregnant woman has a hemoglobin level below the normal value, she will be prone to anemia. The risk of anemia during pregnancy can occur in the fetus because it can affect the growth and development of the fetus and baby, as well as babies born prematurely or with reduced body weight. Dates are a fruit which contains many benefits for the body, one of which is to prevent anemia. The content of the date palm itself contains nutrients for the body such as protein, vitamin A, vitamin C, thiamine, ribovalfin, nicotinic acid, and iron. To determine hemoglobin levels in pregnant women before and after giving dates. The research method used this time was preexperimental with a one-group pre-test post-test research design. While the examination using the cyanmethemoglobin method. The results of the study of hb levels before being given dates with an average result of 11.94 and after being given dates the average result was 12.65 which showed an increase in hb levels. Data analysis using the Paired Sample Test statistical test obtained the results of sig (2 tailed) of 0.207 or > 0.05. From the results of the statistical analysis of the Paired Sample Test, it can be said that Ho is accepted, which means that there is no significant effect on the administration of dates on hemoglobin levels before and after.  

Breast cancer is the first cancer in Indonesia and is one of the first contributors to death caused by cancer. Breast cancer reached 68,858 cases out of a total of 396,914 new cases in Indonesia. Unfortunately, around 70% of cases are detected too late and are at an advanced stage. The impact for Indonesia is of course not only an economic double burden but also the level of public health. Therefore, there is a need for pro-active efforts by academics to help reduce breast cancer cases. One way is through health promotion by educating people about the dangers of breast cancer. Group counseling method. Counseling participants with a population of 35 people. The media used were power points and leaflets, which lasted approximately 50 minutes. The results of community service show that after education, 77.5% of people can answer questions about breast cancer well. And there is enthusiasm in asking questions in detail. Counseling participants can understand and increase their insight into the dangers of breast cancer. Counseling can be done at a later time.

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

Post-spinal anesthesia nausea and vomiting (PSANV) are common side effects that can affect patient comfort and recovery after surgery. This condition often disrupts the recovery process and may extend the post-operative care period. One non-pharmacological method that can help reduce nausea and vomiting is deep breathing techniques. This study aims to evaluate the effectiveness of deep breathing techniques in reducing the incidence of nausea and vomiting after spinal anesthesia. The method used in this study is a pre-test and post-test design, with an intervention consisting of deep breathing exercises for patients undergoing surgery with spinal anesthesia. A pre-test was conducted before the intervention to assess the incidence of nausea and vomiting in patients. After patients practiced deep breathing exercises for a certain period, a post-test was performed to evaluate changes in the frequency of nausea and vomiting post-operation. The results showed a significant reduction in the frequency of nausea and vomiting after patients practiced deep breathing techniques. This technique has proven to be a simple, safe, and effective method to enhance post-operative comfort. Therefore, the implementation of deep breathing techniques can be recommended as part of post-spinal anesthesia management in healthcare facilities to improve patient recovery quality.

Green tea (Camellia sinensis) is a plant known by the public as a drink that is quite economical and easy to obtain. Green tea contains polyphenol compounds that can lower cholesterol levels in the blood. Excessive cholesterol (Hypercholesterolemia) is a very feared threat because it is one of the causes of coronary heart disease and stroke. High cholesterol has become a common disease for the elderly, the increase in the number of elderly people must be followed by an increase in the degree of well-being, one of which is in the health sector. The rise of lifestyle and the effects of unhealthy eating behaviors have an impact on increasing cholesterol levels. The purpose of this activity is to reduce the rate of hypercholesterolonemia in the elderly through the use of the consumption of green tea brew on cholesterol levels in the elderly in Sumber Cirebon District. The method in this activity is to conduct counseling, observer of respondents and experiments by giving green tea brew then followed by checking cholesterol levels. The result of this activity is that green tea is able to lower cholesterol levels. The conclusion is that the infusion of green can provide benefits for the community, especially the elderly, in improving health and reducing the risk of cardiovascular disease.

Tax aggressiveness is the actions taken by the company to reduce its tax obligations. A company is said to carry out tax aggressiveness if the company tries to reduce the tax burden aggressively, either using legal methods, namely tax avoidance or illegal methods such as tax evasion. Although not all tax planning actions are carried out illegally, the more loopholes a company uses to avoid taxes, the more aggressive the company is considered. And this study aims to examine the relationship between the dependent variable and the independent variable of this study. The independent variables are liquidity, ROA, leverage and firm size and the dependent variable is tax aggressiveness. And for the analytical method used is regression analysis, and descriptive analysis. Descriptive statistics are used to describe or describe the variables in the study. Descriptive statistics used are measures of tax aggressiveness of all sample companies. The description of the variables can be seen from the mean and standard deviation. The descriptive statistical test was carried out with the SPSS program. The results of the study found that liquidity has no effect on tax aggressiveness, then Renturn on Assets (ROA) affects tax aggressiveness, then leverage affects tax aggressiveness and company size affects tax aggressiveness.   Keywords: Liquidity, ROA, Leverage, Company Size, Tax Aggressiveness

Anxiety is a normal adaptive response to stress due to surgery. Anxiety caused by fear of pain, fear of physical changes and not functioning normally after surgery, one of the ways to overcome it is with relaxation and distraction techniques, namely with religious music therapy. The purpose of this case study was to describe the application of religious music therapy "Demi Masa" to decrease the anxiety level of preoperative patients with regional sub arachnoid anesthesia blocks in hospitals in the surgical room of RSUD K.R. Wongsonegoro Semarang. This study belongs to descriptive using a case study approach. Subjects in this study were appendicitis patients who would undergo surgery with sub-arachonoid block regional anesthesia, willing to be respondents aged 20-40 years, still cooperative, level of anxiety from mild 14 - 20 to moderate 21-27, like religious music, Muslim. Analysis of anxiety level was carried out descriptively and measured based on anxiety scale without rating scale for anxiety. The results of the analysis showed that there was a decrease in the level of anxiety after the intervention. In subject I moderate anxiety (score 25) became low anxiety (score 15) and low subject II anxiety (score 15) became no anxiety (score 9). In conclusion, this study recommends nurses can apply religious music therapy "Demi Masa" to reduce the patient's anxiety level preoperatively.

An increase in blood pressure that is not controlled will provide some further symptoms to organs such as the brain in the form of strokes, and heart in the form of coronary heart disease and hypertrophy. Benson relaxation and murottal Al-Qur'an surah Ar-Rahman ayat 1-78 is a nonpharmacological therapy that can reduce blood pressure in patients with primary hypertension so as to prevent further symptoms of hypertension. This case study aims is to discribe the application Benson relaxation and murottal Al-Qur'an surah Ar-Rahman ayat 1-78 to the reduction in blood pressure in patients with primary hypertension at RSUD Ungaran. The method of this study is descriptive. The subjects of this case study are two Moslem patients with hypertension who have no hearing problems. The data are collected through observation and measurement by using medical tools such as sphygmomanometer and stethoscope before and after the therapy. The result of this study shows that the blood pressure in subject I decreased blood pressure from 175/90 mmHg to 140/30 mmHg, while in subject II decreased blood pressure from 160/100 mmHg to 125/80 mmHg. The results of this case study reveal that the application Benson relaxation therapy and murottal Al-Qur’an surah Ar-Rahman ayat 1-78 shows the results of a decrease in blood pressure that is quite effective in patients with primary hypertension in RSUD Ungaran. Hopefully,  Ungaran hospital can make Benson relaxation and Murottal Al-Qur'Aan relaxation surah Ar-Rahman ayat 1-78 as a basis for the development of nursing and companion of pharmacological therapy.

Preschoolers are children aged three to six years. Covid - 19 is a pandemic that is shaking the world right now. Due to the Covid - 19 pandemic, children cannot play with friends outside the home. Limited play space for children makes it easy for them to feel bored just to stay at home, causing children to become anxious. The purpose of this case study is to apply storytelling play therapy to reduce anxiety levels in preschool-aged children at home due to the covid-19 pandemic. The method of this case study is descriptive. The result of the case study is a decrease in anxiety score in subject I from 45 to 30 and subject II from 51 to 34. The conclusion of this case study shows that storytelling therapy is effective in reducing the anxiety level of preschool children. Suggestions for this case study are expected that parents can apply storytelling to reduce anxiety levels in children at home due to the Covid-19 pandemic.

Every human being is created in pairs between a man and a woman, thus forming a marital relationship. But navigating the marriage ship will not go the way you want it to, with divorce sometimes being a shortcut in the marital relationship. Divorce in marriage will have many repercussions, including raising children after divorce. As child support is often overlooked by heirs to their rights and obligations, Islamic law and civil law provide for alimony during marriage or after marriage (divorce). The methodology of this research uses a normative juridical approach and the type of research is library research. Then the primary data sources used are Islamic Family Law and Civil Law. The secondary data sources used are books related to problem formulation and discussion. The data validity testing technique in this research uses data source triangulation. The result of this study is that child maintenance after divorce according to Islamic family law is fully borne by the father, but this obligation can be reduced, if the father cannot work for a living (paralyzed, etc.) and does not have a trump card to give. Meanwhile, child maintenance after divorce according to the provisions of civil law is the responsibility of both parents.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. One intervention to relieve postoperative pain is Self healing. The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Cempaka Room Ungaran Regional Hospital after self-healing intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of mild to moderate pain. Analysis of pain measurements using the Numerical Scalel Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 3 (mild pain) became the pain scale 1 (mild pain) and subject 2 the pain scale 4 (moderate pain) became the pain scale 1 (mild pain). Effective self healing therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

This study aims to examine the effect liquidity risk, credit risk and financial performance, through the application of the catur purusa artha concept as a basis for risk management, at BUMDes Dwi Tunggal, Buleleng Regency. This research use multiple linear regression method. The results of this study indicate that Liquidity risk  have a significant  effect on financial Performance. Credit risk has no significant effect on financial performance. The value of chess purusa artha with dharma as the basis for risk management encourages BUMDes managers to have the same commitment in building risk control awareness. This strategy ultimately reduces credit risk, which results in a decrease in NPL and maintains liquidity risk.

                Elderly is a population at high risk of experiencing hypertension due to the aging process. The treatment of hypertension in the elderly is not effective yet, because it only reduces hypertension by 8%, the disease often recurs and requires a long process. Dry cupping therapy is one of the non-pharmacological therapies that are safe and fast through the skin suctioning techniques to reduce blood pressure in the elderly. This study aims to determine the description of the application of dry cupping therapy in reducing blood pressure in the elderly with hypertension in the Rowosari Community Health Center Semarang. This type of research is descriptive research with a case study approach. Subjects used were 2 respondents with criteria of age > 60 years, had first-degree hypertension, and were able to self-care. Blood pressure measurement using a sphygmomanometer. Dry cupping therapy interventions carried out for ± 15-30 minutes once a day. The results of data analysis showed that subject I decreased blood pressure from 150/90 mmHg to 140/90 mmHg and subject II decreased blood pressure from 150/90 mmHg to 140/80 mmHg. The conclusion of this study is dry cupping therapy influences in reducing blood pressure in the elderly with hypertension and is recommended as a nursing intervention in the management of blood pressure in the elderly with hypertension.

Students are students who hold the highest educational status. The demands of students to complete assignments on time are very high, especially for final year students. Final year students have the obligation to make a final project because it is one of the graduation requirements. The task can be a stressor for students so that students become stressed. This situation, if not handled immediately by students, will result in anxiety and depression, suicidal ideation, poor lifestyle, disturbed sleep patterns, headaches, and feelings of helplessness. Students can face and complete the final project well if students are able to handle stress well. There are several techniques to reduce stress, namely expressive wraiting and laughing. This research was carried out quantitatively using a two-group pre-post test design method. The sample in this study was final year students totaling    

Stress is a large imbalance between physical or psychological demands and the ability to respond when there is a failure to meet the demands faced. One method that can be used to reduce stress is hypnotherapy. This study aims to determine the effect of hypnotherapy on the reduction of stress levels in undergraduate students of nursing. The research design used a quasy experiment with two groups pre and post test using a purposive sampling approach which was carried out on the final year students of undergraduate nursing. This research instrument using perceived stress scale. Data analysis using Paired T test. The results of the study on 32 respondents using the Independent T test on the average stress after (posttest) in the Intervention with Control group obtained P value = 0.000 <? (0.05) there is a difference in the average stress after (posttest) in the Intervention group with the group control. Based on this research, hypnotherapy is effective in reducing stress levels and is expected to provide input to other educational and research institutions so that it can overcome stress on students with hypnotherapy.

Background : Hypertension is a medical condition characterized by increased contraction of arteries which causes resistance to blood flow which increases blood pressure against the walls of blood through narrow blood vessels. Objective : To determine the effect of finger grip relaxation techniques and deep breathing on reducing blood pressure in hypertensive patients. Methods : Research design with descriptive method with case study approach. The implementation of Hypertension nursing care was carried out in the internal medicine room starting from June 15 to June 21, 2021. The subjects in this study were 2 patients suffering from hypertension morning and afternoon. Results : After being treated for 3 days, the results showed that the blood pressure of both patients decreased in patient 1 Mr “I” from 180/100 mmHg to 160/90 mmHg, in patients 2 Mrs “S” from 160/100 mmHg to 140/90 mmHg the pain scale of the two patients from 6 (moderate) to 3 (mild) the body is not weak, has started to be energetic and can sleep at night. cooperation between the health team and patients and families is very necessary for the success of nursing care for patients. Conclusion : With the management of finger grip relaxation techniques and deep breathing to reduce blood pressure in hypertensive patients with the results of the nursing evaluation the problem was partially resolved.

Reducing the variability of their income by diversifying outside of traditional lending activities into non-interest income sources. We influence the COVID-19 pandemic on the relationship between the use of non-interest income and bank profits and risks in Indonesian banks. The economic effects of the pandemic have resulted in tightening of credit standards and reduced demand for various types of loans. We find that non-interest income sources are positively related to performance but inversely related to risk. These results are consistent with the beneficial diversification effect during the pandemic of banks expanding outside of traditional loan revenue sources.  Keywords: covid-19, profitability, bank, risk