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Data from World Health Organization (WHO) shows that cases of internal bleeding due to accidents are 5.8 million deaths per year worldwide (Dahlan et al., 2021). Early awareness of internal bleeding is very important so that nurses can immediately take anticipation to prevent unwanted things(Damayanti, 2022). This literature study aims to determine the effectiveness of the CAN BLEED score for early detection of internal bleeding emergencies in trauma cases. The research method uses a literature review study design using PICOS. Article search through publish or perish 8 application with keywords "early detection AND internal bleeding AND trauma" from Pubmed, Crossref, and Google Scholar search databases based on the year of publication 2018-2022. The results of the article search found 4 articles relevant to the main topic. The results showed  Canadian Bleeding (CAN BLEED) score is effective for determining internal bleeding in trauma cases.

Background: Diabetes Mellitus (DM) is a disease that is increasing every year in countries around the world. Reports from various regions in Indonesia show that the incidence and complications of DM are widespread, making it a national problem that requires more attention. A frequently encountered complication of DM is diabetic foot, which can manifest as ulcers, infection and gangrene. Actions to treat diabetic foot include preventive measures which include foot care education, diabetic shoes and foot exercises. Foot exercises are exercises carried out by DM sufferers and non-sufferers to prevent injuries and help improve blood circulation in the legs. Apart from their role in providing health education, nurses as members of the medical team can also play a role in teaching foot exercises so that DM patients are able to do foot exercises independently. Objective: To increase the knowledge and skills of DM sufferers by implementing foot exercises in an effort to prevent diabetes complications in the feet (diabetic foot). Method: Foot exercise activities are carried out on DM sufferers who do not have wounds on the feet. The methods used were lectures, questions and answers, and direct demonstrations using newspapers. Results: The results of the activities obtained were an increase in knowledge before and after providing counseling and demonstrations of foot exercises for DM sufferers. Conclusion: After carrying out this community service, the community's ability to do foot exercises has increased and can be done independently, so it is hoped that this can prevent complications in DM sufferers.

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

Background: 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: Writing a complete diagnosis can produce the right coding because the diagnosis is written in a complete, clear, specific, and consistent manner. Writing clear, complete, and consistent diagnoses can produce quality data (Hatta, 2008). Based on observations made for 1 month from 23 January to 23 February 2023, 39 claim files were returned by the Health Social Security Administering Body due to inaccuracies in the diagnosis code.. This was caused by the doctor's notes that were not clearly legible in 24 (61.5%) claim files and the use of abbreviations in patient diagnoses in 15 (38.5%) claim files, while the purpose of this study was to find out the relationship between doctor's notes that were not clearly legible and the use of abbreviations for patient diagnoses for inaccuracies in the diagnosis code as a condition for filing claims for inpatient patients participating in the Health Social Security Administration at Surya Husadha General Hospital. Methods: The design in this study used a quantitative analytic descriptive research design and porpusive sampling research type, and the sample in this study were all inpatient claim files returned by Health Social Security Administering Body claims for inaccuracies in the diagnosis code totaling 39 claim files. Doctor's notes were illegible in 24 (61.5%) claim files and the use of abbreviations in patient diagnoses in 15 (38.5%) claim files. Result: From the results of this study it was found that there was a relationship between illegible doctor's notes and inaccuracy of the diagnostic code with a p value of 0.001 <0.05 and the use of abbreviations in patient diagnoses for inaccuracy of patient diagnosis codes with a p value of 0.003 <0.05.

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.

Background: Based on the results of observations made in September 2022-December 2022 in the medical record storage room of the Tk. IV Dr. R. Ismoyo Kendari, there were 427 inpatient medical records and 254 (59%) inpatient medical records that suffered damage caused by physical, chemical and biological factors. The purpose of this study was to determine the causes and types of damage to the medical records of inpatients due to physical, chemical and biological factors in the medical record storage room of the Tk Army Hospital. IVDr. R. Ismoyo Kendari.Methods: This study used a qualitative analytic descriptive design, especially the cross sectional type. The sample in this study consisted of 4 medical record officers, namely 1 Head of Medical Records, 1 Secretary of Medical Records, 1 registration officer and 1 filling officer in the medical record storage room of the Tk Army Hospital. IV Dr.R.Ismoyo Kendari and 254 medical records of inpatients in September 2022 - December 2022 who were damaged. The research instrument used observation, checklists, and interview guidelines. Results: The results of this study indicate that physical factors, chemical factors, and biological factors cause damage caused by negligence of officers, exposure to sunlight, dust, ink, rust, mold, and insects. Conclusion:The conclusion of this study found forms of damage such as torn, detached/missing medical record forms, and yellow to brown in color as a result of physical factors, chemical factors, and biological factors.

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

Postpartum mothers with HIV who have problems breastfeeding their babies are at risk of experiencing breast pain and swelling caused by milk dams. Breast care intervention is an important action for postpartum mothers with HIV who have problems breastfeeding. The aim of the intervention is to clean and improve blood circulation around the breasts, prevent breast swelling, and reduce discomfort in the breasts. This research method is a case study with pre-post intervention. The sample of this study was postpartum mothers with HIV on the first day. The measurement instrument uses a Numeric Rating Scale (NRS) measuring instrument to measure the pain scale. Breast care intervention was carried out for 3 days when the patient was hospitalized 2-3 times/day and observations were made to find out complaints of pain and swelling in the breasts. The results showed that there was a decrease in the pain scale from a scale of 5 (moderate) to a scale of 2 (mild) after 3 days of intervention. In conclusion, breast care interventions are effective in reducing the discomfort of pain and swelling in the breasts of postpartum mothers with HIV who have problems breastfeeding.

This research aims to determine the role of GCG in moderating Capital Structure as proxied by DAR and DER, Company Growth on Company Value. This research uses quantitative methods with 35 companies for the 2019-2022 period as samples in this research. Sampling used a purposive sampling method. The analysis method uses Eviews 12. The results of this research variable DAR have a probability value of less than 0.05; the DER variable has a probability value of more than 0.05; the growth variable has a probability value of more than 0.05. The f test results have a probability value of less than 0.05. The partial conclusion is that DAR has a negative and significant influence on company value, while DER and growth have no effect on company value..

Proper complementary nutrition is critical for child growth. Currently, UPF consumption is common, affecting IYCFP, where many older persons use CCF. Indeed, CCF has a negative impact on children's growth and development. Many factors contribute to this, one of which is a lack of assistance from other health providers, especially midwives. In Indonesia, midwives are the primary health workers that offer direct care to mothers. According to several sources, midwives continue to provide little support in this area due to insufficient experience and expertise. The purpose of this study is to determine the level of awareness of UPF and ICYFP among midwives. The method employed is a hybrid strategy that employs successive explanation strategies. 114 midwives participated in the online study in 2022. The results of this study showed that there are still many midwives who do not know about UPF and IYCFP education and advocacy. There needs to be government support to conduct comprehensive education in the health sector, including midwives.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Mandangin Island is one of the islands in Sampang Regency which has an area of 1650 km 2 with a population of around 3000 people. Most of the people on this island, the majority of whom work as fishermen, generally travel around 12.2 km to Sampang City to buy daily necessities by boarding traditional wooden boats at the Tanglok Sampang port. According to information conveyed by the Head of the Sampang Regency Transportation Service, most or almost all of the passenger ships that dock at Tanglok Port are traditional wooden ships whose actual function is to transport goods, not passengers, which are quite old. The Transportation Department considers the existing ships to be less safe and comfortable and therefore require refreshing. Besides that, wood as the main material in nature is decreasing in quantity so the price is increasingly expensive. The method implemented in this community service is to carry out a fiber glass boat operational training program for traditional boat operators. With this activity, it is hoped that the continued use of fiber glass boats can begin to be used and reduce the use of wooden boats which are relatively more expensive.

PT Atlantic Anugrah Metalindo is a manufacturing company that produces costumize products, steel door systems and fireproof doors. Currently PT Atlantic Anugrah Metalindo is producing 100 units of pallet rack manufacturing with customers from PT X so that proper material requirements planning is needed. The purpose of this research is to determine the material requirements of pallet racks optimally and efficiently. This research requires calculating the Bill of Materials (BOM) using the Cutting plane method and controlling the production process to run effectively and efficiently. Based on the calculations that have been carried out, the results show that for 2 mm thick mild steel material requirements, 6 sheets of plate are needed, 3 mm thick mild steel requires 173 sheets of plate, 3.6 mm thick mild steel requires 12 sheets of plate and 5 mm thick mild steel requires 12 sheets of plate. So that from these calculations PT Atlantic Anugrah Metalindo is expected to minimize the material requirements of pallet rack products.

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.

Joint pain is a disease that is familiar in everyday life. and mostly in elderly people who are close to joint pain disorders which is a degenerative disease. Apart from the age factor, there are many things that influence the rate at which joint pain occurs due to the fact that many elderly people do not control their lifestyle such as regular exercise, diet and so on. Pain often occurs in the hands or fingers, knees, hips and spine. This disease generally develops gradually and gets worse over time, disrupting the sufferer's ability to do physical activity. Methods of exercise therapy for osteoarthritis are therapy in the form of active movement exercises and in the form of exercises using resistance/weights which aim to train the muscles so that the muscles become relaxed, preventing limitations. movement, maintain muscle elasticity and increase muscle strength. Exercise therapy will minimize injury by strengthening the muscles supporting the joints, restoring strength and range of motion so that activities can be carried out as before. Activities that are beneficial for health should meet the FITT criteria (frequency, intensity, time, type). Frequency is how often the activity is done, intensity is how hard the activity is done, usually divided into low, medium and high intensity. Time refers to the duration of the activity and the type of physical activity carried out. Community service activities are aimed at all elderly people in order to increase knowledge and alternatives about non-pharmacological therapies that are relatively safe from side effects.  

Beauty and elegance are characteristics that are inherent in a woman and cannot be separated, beauty is often contested using the term beauty contest. Beauty can be seen from different perspectives, for example skin color, slender body shape and straight or wavy hair. Currently, girls from adolescence to adulthood are competing to be beautiful, the term often used for beauty tools is skincare. Focusing on body beauty and facial beauty makes women forget about the beauty of their hearts. Caring for and cleaning the body is the right action to do, this means that we respect the body that God has given us. However, it is much more important than just body beauty, character beauty is also the main thing, it would really be better if inner beauty and physical beauty (innerbeauty) could be had. A person's inner beauty can lead him to the gates of success, like the story of Queen Esther (Esther 2:1-18). This research uses a literature review method. This research aims to examine how the beauty of a person's character is the main foundation for behavior, thereby bringing success in a person's life.

The design of the Web-Based Recap System is a strategic step in addressing issues related to data management and information efficiency that occur at the Samarinda Manpower Office. The focus of this service is centered on developing a system that facilitates the recapitulation process of labor-related data. The main purpose of this service is to provide technological solutions that facilitate the management of labor data and improve information transparency at the Samarinda City Manpower Office. The research method adopted involves a survey of user needs, an in-depth analysis of the recap process, as well as the application of the Laravel Framework to build a responsive and accessible web platform.

This study delves into implementing multicultural education within Madrasah Ibtidaiyah in Indonesia, employing a library research approach and descriptive analysis methods. The study investigates the influence of multicultural education on curriculum development, challenges, opportunities, and its impact on fostering tolerance and understanding among students. Through an extensive academic literature review, the study unveils multifaceted opportunities, including enhanced cultural understanding, promotion of tolerance, enriched educational experiences, and preparation for global citizenship. However, it also uncovers challenges such as resistance to change, resource constraints, and the need for continuous adaptation. The findings underscore the importance of embracing diversity and fostering inclusive learning environments within religious-based schooling. Overall, this study highlights the potential benefits of multicultural education in Madrasah Ibtidaiyah, emphasizing its role in nurturing culturally competent and globally-aware individuals.

Maternal Mortality Rate (MMR) is an indicator to see the level of women's health. Based on the Indonesian Health Demographic Survey (SDKI), MMR in Indonesia in Indonesia, the maternal mortality rate in Indonesia was 305/100,000 live births, with this, maternal mortality cases in Indonesia still have not succeeded in reaching the SDG's target,. Meanwhile in Indramayu Regency in 2023, namely 34 mothers out of 42,569 births, a decrease from the figure in 2022. Indramayu Regency has the highest prevalence of anemia, namely 32.29%. The aim of this research is to determine the level of knowledge of pregnant women about anemia at the Plumbon Regency Health Center Indramayu. The method used is descriptive research with a cross-sectional research design. Data was obtained using a questionnaire sheet from previous research which was then retested with a total of 35 mothers as respondents. The results showed that respondents had a good level of knowledge of 48.1%, 77.8% were aged 20-35 years, 81.5% had a high school/vocational school education, and 55.6% did not work. The conclusion is that the majority of mothers who have well-informed babies are aged 20-35 years, have a high school/vocational education, and do not work.