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Background: Medical records at Udayana Denpasar Level II Hospital that exceed capacity are caused by double medical records, misfiles occur during the implementation of retrieval, the retention process has not run optimally and the increasing number of patient visits. The purpose of this study was to determine the impact of medical record storage overload on the response time of medical record provision. Methods: The research design used is a quantitative method with a cross sectional approach. The data analysis used is the Chi Squere test. With a total sample of 16 medical record officers and medical record documents contained in 30 medical record storage shelves where each shelf consists of 5 sections.   Results: The results of the Chi Squere test show that the p value is 0.002, the value is less than 0.05. So it can be concluded that there is an impact of overload of medical record storage on the response time of providing medical records, thus impacting the quality of hospital services, the services provided become long because they wait for medical records to be delivered to the polyclinic. Based on these results, it is necessary to transfer media by scanning medical records then stored in sharing folders and uploaded to the interface system. This media transfer is expected to provide a solution in dealing with the overload of medical record storage so that it can be more efficient in providing medical records.       Conclusion: The conclusion in this study is that there is an impact of overloaded medical record storage on the response time of medical record provision, which has an impact on the quality of hospital services, the services provided will be long because they wait for medical records to be delivered to the polyclinic, so that doctors experience problems in patient examinations because they cannot see the patient's previous examination history.

Brushing teeth properly and correctly is an important factor for maintaining oral health. The success of maintaining oral and dental health is also influenced by the pattern of brushing teeth. The pattern of brushing teeth includes the technique of brushing teeth, the time and frequency of brushing teeth. The problem in this study is poor oral and dental hygiene in elementary school children (46.4%). Dental and oral hygiene is an important factor for dental and oral health to be free from disease, therefore dental and oral hygiene must be maintained and maintained in order to create optimal health. Objective: Knowing the relationship of brushing patterns with dental and oral hygiene in elementary school children. Method:. Collecting data on brushing patterns by filling out a checklist on the observation sheet and interview sheet. Collecting dental and oral hygiene data using an examination sheet. Respondents in this study amounted to 110 students, who were taken by simple random sampling. The data analysis technique used was the Chi-square test. Results: The pattern of brushing teeth in the poor category is 89 respondents (80.9%), dental and oral hygiene is in the bad category, namely 51 respondents (46.4%). The results of the Chi-square test are P value 0.002.Conclusion: That there is a relationship between the pattern of brushing teeth with dental and oral hygiene in elementary school children.

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

Objective of this study: To determine the influence of product quality on customer loyalty. To determine the influence of price perception on customer loyalty. To determine  the  influence  of  advertising  on  customer  loyalty.  This  research  uses  a quantitative approach.  Sampling techniques used are  nonprobability sampling with random samplings, while the researcher deliberately determine their sample according to the area and qualified by some requirements. Population of this study is all gender aged 15 - 45 years and customer of Liyanti Beauty Store in Blora City, Central Java, sample of this research amounted to 90 respondents. Data collection method used is a scale with a dependent variable is customer loyalty and its independent variables, i.e., product quality, price perception, and advertising. Data analysis techniques use a double linear regression analysis test with application of the Statistical Package for Social Sciences (SPSS) 22.0 for Windows program. The result of this research : Product quality has the most influence over customer loyalty. Price perception has no influence on customer loyalty. Advertising has no influence on customer loyalty. While the results of research simultaneously show that product quality, price perception, and advertising influence over customer loyalty. 

Brushing teeth properly and correctly is an important factor for maintaining oral health. The success of maintaining oral and dental health is also influenced by the pattern of brushing teeth. The pattern of brushing teeth includes the technique of brushing teeth, the time and frequency of brushing teeth. The problem in this study is poor oral and dental hygiene in elementary school children (46.4%). Dental and oral hygiene is an important factor for dental and oral health to be free from disease, therefore dental and oral hygiene must be maintained and maintained in order to create optimal health. Objective: Knowing the relationship of brushing patterns with dental and oral hygiene in elementary school children. Method:. Collecting data on brushing patterns by filling out a checklist on the observation sheet and interview sheet. Collecting dental and oral hygiene data using an examination sheet. Respondents in this study amounted to 110 students, who were taken by simple random sampling. The data analysis technique used was the Chi-square test. Results: The pattern of brushing teeth in the poor category is 89 respondents (80.9%), dental and oral hygiene is in the bad category, namely 51 respondents (46.4%). The results of the Chi-square test are P value 0.002.Conclusion: That there is a relationship between the pattern of brushing teeth with dental and oral hygiene in elementary school children.    

Early marriage can have negative impacts on reproductive health and the lives of those involved. This study in South Bangka Regency aimed to analyze the relationship between geographic and socio-cultural factors and early marriage. Using a cross-sectional design and Chi-Square statistical test with a 95% confidence level (ρ ≤0.05), the study found that geographic factors did not significantly relate to early marriage (p=0.102). However, logistic regression analysis indicated that female adolescents living in coastal areas had a 1.49 times higher risk of early marriage compared to those living on the mainland. Socio-cultural factors, particularly education, showed a significant relationship (p=0.016), with lower education levels correlating with a higher likelihood of early marriage. Conversely, ethnicity did not show a significant relationship (p=0.147). Although cultural factors were not statistically significant, traditions and cultural norms still influence marriage decisions. Therefore, enhancing education, increasing awareness of the negative impacts of early marriage, and community interventions are crucial. Health professionals are advised to improve education and counseling on reproductive health and the effects of early marriage, adopt a proactive approach in communities, especially in coastal and isolated areas, and collaborate with schools and community organizations. Regular training and effective monitoring systems are also necessary to ensure the success of early marriage prevention programs    

Chest X-ray report generation has become an important topic in vision-to-language research. However, fully generative models often create fluent clinical reports that may contain unsupported or inaccurate statements, leading to hallucination problems and reducing reliability. This study investigates evidence-grounded report generation using the Open-i (IU X-ray) dataset with two main goals: generating coherent radiology reports from X-ray images and minimizing unsupported clinical entities through evidence retrieval. Four experimental models were evaluated: a baseline image-to-report model (E1), an alignment-enhanced model using the InfoNCE objective (E2), a retrieval-grounded model that incorporates Top-K evidence sentences with citation markers such as [E#] (E3), and a reranking model that selects the most evidence-supported output (E4). Experimental results on the Open-i test dataset show that grounding methods significantly reduce hallucination rates and improve entity overlap performance. The reranking approach achieves the best grounding quality, although stronger grounding slightly lowers text-overlap scores and increases inference time. Overall, retrieval-based grounding with explicit citations and reranking offers an effective approach for improving factual consistency and reducing unsupported information in automated radiology report generation.

Hypertension is a condition where there is an increase in systolic blood pressure of 140 mmHg or more and diastolic blood pressure of 90 mmHg or more. Hypertension can be caused by poor diet and lack of physical activity, The purpose of this study was to determine whether there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home in Manado. This study was conducted with a pre post test design where the sample was observed first before being given treatment (pre test) and after being given treatment (post test) the sample was observed again. Respondents were 12 people, data collection was carried out using observation sheets. Furthermore, the data was analysed with the Wilcoxon test with a significance level (α) of 0,05. The results of the study using the T-test statistical test obtained pre-post results with a ρ value = 0,000 where the ρ value < α = 0,05. The results of this study indicate that there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home. The conclusion of this study is that there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home in Manado. Suggestions for the elderly at Damai Ranomuut Nursing Home to increase knowledge and awareness about the importance of maintaining health in order to avoid high blood pressure disease.

Background: Community service carried out at RW 09 Margahayu Utara Village, Babakan Ciparay Bandung District through community service activities which are an annual agenda for lecturers and students of the Immanuel Bandung Health Institute. In 2022, the Immanuel Bandung Institute of Health is concentrating on community service activities in Margahayu Utara Village and Babakan Ciparay Village, Babakan Ciparay District. The target of this community service group activity is the community in RW.09, North Marhagayu Village. Purpose:  the purpose of community service is to increase the knowledge of the RW.09 community, namely stress management education on early detection of breast cancer in RW. 09 Kelurahan Margahayu Utara, as well as knowing about education in health education. Methods: This activity was carried out in RW.09 Kel. Margahayu Utara by using a community empowerment approach. Results: The communities in question are the people of RT 1, RT 2, RT 3, RT 4, RT 5 and RT 6 Margahayu Utara, Babakan Ciparay District. The form of health counseling provided is through the provision of material with lectures, discussions and demonstrations. Based on the evaluation in the form of pre-test and post-test, it was found that there was an increase in knowledge of RW.09 from 50% to 90%. This health education also provides enrichment on good stress management for the community and health cadres in RW.09, Babakan Ciparay District.

Background:The high number of cases of death due to cervical cancer in Indonesia is exacerbated by the arrival of sufferers to health services at an advanced stage of > 70%. Efforts can be made to reduce risk factors for cervical cancer through primary prevention efforts. Purpose:The aim of community service is to increase teenagers' knowledge and attitudes about cervical cancer, with educational methods through audiovisual media. Method: This community service is carried out through audiovisual method counseling. This activity begins with identifying knowledge and attitudes or a pre-test about cervical cancer. The activity continued with counseling using video media about preventing cervical cancer and a post test after the counseling was carried out in one room in the School. Result: The level of knowledge before education was mostly sufficient 72 people (72%) and the attitude category was sufficient 70 (70%). After education there was a good increase in knowledge from 28 (26%) to 91 people (91.0%), while attitudes also existed an increase from 5 people with good attitudes to 87 people (87%). Conclusion:It is hoped that health workers will increase educational activities using audio-visual methods about cervical cancer. The public, especially young women, are expected to seek information from print and electronic media about cervical cancer.  

Background: Many factors cause stunting, one of which is health problems for young women (mothers-to-be) who are about to become pregnant. In several studies, smoking behavior and exposure to cigarette smoke also have an impact on pregnancy and fetal disorders which result in stunted babies being born. Before becoming pregnant, young women must really prepare their health. This preparation can start when you reach puberty until you are ready to become a prospective bride. The female bride-to-be (catin) is a woman of childbearing age who was in a healthy condition before becoming pregnant so that she can give birth to a normal and healthy baby and the male prospective bride-to-be will be introduced to the reproductive health problems of herself and the partner she will marry. Purpose: The aim of this activity is to help cadres in recruiting catin. Method: This service activity uses counseling and discussion methods for 30 cadres of prospective brides and grooms consisting of the Traditional Village Council, Village Kelian, Village Perbekel, Village PLKB, Village TPPS, and Village Midwife Element TPK. Results: There was an increase in post test scores after being given the material. The mean pre-test score was 68 and rose to 70. There was agreement in selecting potential brides, especially Hindu brides. This flow will be disseminated to each village, and will be socialized at every meeting with teenagers. So that teenagers who will later get married go through this flow. Conclusion: The importance of health screening for prospective brides and grooms to prevent stunting in children in the future. The catin flow is a tool to make it easier to disseminate information about how prospective brides and grooms, especially Hindus, report to Kelian Desa about their wedding plans.

Background: Children with disabilities, especially mentally retarded, have difficulty distinguishing between appropriate and inappropriate touches, which will make it difficult for disabled children to identify actions that lead to sexual harassment directed at them. Intellectual disability or mental disability is a condition where a person's intelligence development experiences obstacles so that they do not reach the optimal stage of development. Digital pop up books are very easy to understand in the learning process and are an effective medium in providing sexual education for mentally retarded children. Purpose: The aim of this community service is to increase awareness of mentally retarded teenagers about preventing sexual violence through digital pop up book media. Method: The stages include planning and preparation, implementation of service activities with workshops, Popi Dita fungame, barcode story corner hut and evaluation. The activity was held on Wednesday 7 June 2023 at SLB Samudra Lavender Bangkalan. Measuring the success of this digital pop up book media uses a pre-test and post-test with a questionnaire containing 16 short questions. Result: The results showed an increase in student knowledge scores from 4.95 to 7.36. The paired t-test obtained a p- value of 0.019 which shows that sexual violence prevention interventions can increase the knowledge or awareness of mentally retarded children regarding the prevention of sexual violence.    Conclusion: This activity was successfully carried out with high participation and enthusiasm from students in taking part in this activity. It is hoped that this pop up book can be a useful educational tool for schools in an effort to minimize the number of victims of sexual violence.

Febris or fever is a state when the body temperature becoming higher than usual, and this is a symptom of illness. Body temperature that is said to be normal ranges from 36.5-37.50C. This study aims to determine the relationship between maternal knowledge and fever management in children aged 1-5 years in the working area of the Bohabak health center. This study used a correlation analytical method with  a cross sectional design. The sample was taken based on the number of subject as many as 30 people using purposive sampling. Data collection was carried out by means of interviews and filling out questionnaires. Furthermore, the data collected processed using the SPSS Version 16.0 of computer program to be analyzed using the Chi-Square  test with a meaning level (α) of 0.05. The results showed there were subjecet with the knowledge and fever management well as much as 5 (16.7%), and good maternal knowledge with poor fever management as much as 0 (0.0%). While the mother's knowledge is not good with good fever management as much as 4 (13.3%) and maternal resistance is not good with poor fever management as much as 21 (70.0%). In the ρ Value 0.000 This value ρ is smaller than the value α=0.005. The conclusion : there were the relationship between maternal knowledge and fever management in children aged 1-5 years in the Bohabak Health Center area. The suggestion  of this study is to increase the knowledge of mothers in handling fever.

In pregnant women, iron plays an important role in fetal growth. This study aims to determine the relationship between husband's knowledge and support and compliance with pregnant women consuming Fe tablets at the Kampung Mesjid Community Health Center, Kec. Kualuh Hilir in 2023. This type of research is an analytical survey with a cross-sectional research design. The number of samples used was 40 people obtained using total sampling techniques. The data analysis technique uses chi square. Based on the chi square test results, there is a relationship between knowledge and compliance with pregnant women consuming Fe tablets with a P value = 0.002 < 0.05, there is a relationship between husband's support and compliance with pregnant women consuming Fe tablets with a P value = 0.008 < 0.05. It is recommended that pregnant women increase their compliance in consuming Fe tablets during their pregnancy to maintain the health of themselves and their womb.

Postpartum infections, such as sepsis, are still the main cause of maternal death in developing countries. This study aims to determine the relationship between knowledge about personal hygiene and perineal wound healing in post-partum mothers at the Batang Jambu Pratama Clinic, Sidodadi Village in 2023. The research method used is an analytical survey with a cross-sectional approach. The population was all 32 post partum mothers with birth canal lacerations, and all of them were used as research samples. The results of the research show that there is a relationship between knowledge about personal hygiene and healing of perineal wounds in post-partum mothers, seen from the results of the chi-square test, which showed a p value of 0.003 < 0.005. It is hoped that health workers at the Batang Jambu Pratama Clinic will provide counseling to post partum mothers about personal hygiene so that mothers get information about how to carry out personal hygiene correctly so that perineal wounds can heal in <6 days.

Every company always wants to achieve its goals while maintaining its existence in society. A company needs humans as implementers to achieve its expectations. Behind the success of a company, it is actually inseparable from the role of leaders who contribute to it. In addition to the role of leaders, employees will be able to carry out their activities well, if supported by good working environment conditions. This study aims to determine and explain the influence of leadership style and work environment on employee performance at PT Apparel One Indonesia 1 Semarang. The object of this study is employees of PT Apparel One Indonesia 1, especially the production department with a total population of 1950 employees and a sample of 95. The data collection technique in this study uses random sampling, where everyone in the target population has an equal opportunity to be selected. The data analysis technique in this study uses multiple linear regression, t-test, f-test, and coefficient of determination test. The research data processing used SPSS version 25. The results of the study can be concluded that: 1. Leadership style has a positive and significant effect on employee performance at PT Apparel One Indonesia 1 Semarang, 2. The work environment has a positive and significant effect on employee performance at PT Apparel One Indonesia 1 Semarang, 3. Leadership style and work environment together have a positive and significant effect on employee performance at PT Apparel One Indonesia 1 Semarang.

ABSTRACT The high number of cases of death due to cervical cancer in Indonesia is exacerbated by the arrival of sufferers to health services at an advanced stage of > 70%. Efforts can be made to reduce risk factors for cervical cancer through primary prevention efforts. The aim of community service is to increase teenagers' knowledge and attitudes about cervical cancer, with educational methods through audiovisual media. The level of knowledge before education was mostly sufficient 72 people (72%) and the attitude category was sufficient 70 (70%). After education there was a good increase in knowledge from 28 (26%) to 91 people (91.0%), while attitudes also existed an increase from 5 people with good attitudes to 87 people (87%). The Wilcoxon test results obtained a significant value (p) of 0.000, it can be concluded that cervical cancer prevention education is effective through audio-visual for young women. .It is hoped that health workers will increase educational activities using audio-visual methods about cervical cancer. The public, especially young women, are expected to seek information from print and electronic media about cervical cancer.

This research aims to analyze and study the influence of marination with Arabica coffee grounds on processed beef in terms of physical quality and consumer acceptance. The study was conducted at the Laboratory of the Culinary Education Program, Faculty of Engineering, Universitas Negeri Jakarta, from March 22, 2022, to September 25, 2023. The research method employed was experimental. The samples used in this study were processed beef marinated with Arabica coffee grounds for 60 minutes, 90 minutes, and 120 minutes. Subsequently, a panel test was conducted with 30 moderately trained panelists who evaluated predetermined aspects of consumer acceptance. Based on the results of the statistical hypothesis test using Anova for the physical quality test, it was found that there is an influence of marination with Arabica coffee grounds for 60 minutes, 90 minutes, and 120 minutes on the aspect of meat tenderness. According to the results of the statistical hypothesis test for consumer acceptance using the Friedman test, it was found that the texture of processed beef was influenced. Based on the results of the Tukey's test, in terms of product preference for surface color, coffee flavor, meat flavor, texture, coffee aroma, and distinctive meat aroma, the product most preferred from the research was processed beef marinated with Arabica coffee grounds for 120 minutes.

Education Is A Very Important Aspect In Efforts To Improve The Quality Of Intelligent Human Resources So That They Can Support The Progress Of The Nation And State In The Future. As One Of The National Development Sectors In An Effort To Make The Nation's Life Smarter, The Vision Of Education Is To Create An Education System As A Strong And Authoritative Social Institution To Empower All Indonesian Citizens To Become Quality Human Beings So That They Are Able And Proactive In Responding To The Challenges Of The Ever-Changing Times. Data Source Sampling Was Carried Out Purposively And Snowball, Data Collection Techniques Used Triangulation, Data Analysis Was Inductive/Qualitative, And Qualitative Research Results Emphasized Meaning Rather Than Generalization. The Descriptive Method Is A Method For Assessing The Status Of A Group Of People, Objects, Conditions, Systems Of Thought, Or Events In The Present. This Type Of Research Tries To Explain Certain Social Phenomena. In This Research, It Starts From Designing A Ladder Diagram. An Existing Ladder Diagram Is Then Made Into A Circuit And Given A Load In The Form Of An Electric Motor That Can Be Controlled With Forward/Reverse. 3-Phase Power Source, Power/Three-Phase Mcb, R/S/T Phase, 1-Phase Mcb, Zelio, Forward And Contact Contacts, 3-Phase Motor As Output From Three Phases, Pb Stop, Pb Forward, And Pb Reverse. The Control Circuit Has Three Main Components, Namely The Zelio Sr Block, Contactor Block And Control Panel. The Three Components Are Interconnected And Coordinated By Zelio Sr As A Pc-Based Control Device. The Zelio Sr Used Is The Sr2 B121fu Type Which Has 4 Output Terminals And Has A Working Voltage Of 220v. System Design Testing In The Research Using The Zelio Plc. A. Simulation In Software. The Image Below Is The Initial Display Of The Application. Education Is One Part Of Developing High Quality Education For All Indonesian People Towards Creating A Quality Indonesian People. The Impact Of Education Is Quite Broad In Various Aspects Of Life Starting From The Economic, Social, Political, Technological, Environmental, Cultural, Educational And So On.

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.