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Hypertension in pregnancy is a common pregnancy complication, affecting 2% of pregnant women worldwide. It is the cause of death of pregnant women in the world, hypertension is treated conventionally, namely hypertension-reducing drugs, but this conventional treatment has many problems because it is related to pregnant women which will definitely be related to the fetus they are carrying. At the Bestari Community Health Center, Medan Petisah District, the health status of mothers and children is good, but there are still problems for pregnant women who experience hypertension during their pregnancy, which is around 30%. The incidence of hypertension in pregnancy is high in the working area of the Bestari Community Health Center, Medan Petisah District, because people consume more than the amount of salt, the food menu is haphazard, and if they are treated with hypertension medication, they are not consumed because it will have a bad impact on their child, to solve the problem, to resolve the treatment. An alternative to non-pharmacological treatment is using music therapy and providing counseling about correct eating patterns. The aim of this community service is to increase knowledge and reduce the incidence of hypertension in pregnant women by using counseling methods and applying music therapy. Method: By providing counseling and music therapy, the results of the implementation of Beethoven's classical music therapy activities are: knowledge of the community (pregnant women) about eating patterns increased by approximately 89% and hypertension which was successful decreased in the 2-4th week of therapy, namely on average 110/70 mmHg..

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.

The Maluku Province Library and Archives Service found that the physical quality of the space did not meet the requirements, such as no ventilation, air conditioning and only a few windows that were open. This causes a lack of air coming in from outside so that employees feel hot and stuffy in the room. The aim of this research is to determine the physical and bacteriological quality of indoor air on health problems in the Maluku Province Library and Archives Service. The method used in this research is descriptive to determine the physical and bacteriological quality of indoor air on health problems at the Maluku Province Library and Archives Service. The population in this research is the entire library and archives space of Maluku Province. The samples in this research were 2 sample points, namely the reading room and the staff room of the Maluku Province Library and Archives Service. The research results show that lighting, temperature and germ numbers meet the requirements, while humidity does not meet the requirements. In accordance with Minister of Health Regulation No. 2 of 2023 concerning Environmental Health. The conclusion is that lighting, temperature and germ numbers meet the requirements, while humidity does not meet the requirements

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 Stunting is one of the nation's problems that must be addressed immediately. According to the Ministry of Health's Basic Health Research (Riskesdas) data, the national stunting rate has decreased from 37.2% in 2013 to 30.8% in 2018. According to the Indonesian Toddler Nutrition Status Survey in 2019, this rate decreased to 27.7%. Stunting reduction has been declared a national priority program. This refers to the Sustainable Development Goals (SDGs) agenda which consists of 17 goals agreed upon by UN members, where the problem of stunting is one of the targets that must be considered. Purpose This activity aims to help improve the health status of the community, increase community knowledge, awareness and concern about stunting and increase community creativity in stunting prevention efforts through assistance in making nutritious food. Methods Face-to-face and counseling and conducting physical examinations of toddlers in Ulee Blang Manee Village. Results In Ulee Blang Mane Village there are 17 toddlers who are stunted. While the geographical conditions of Ulee Blang Mane village are still relatively close to the city center and also have the potential to grow the community's economy. This potential should be unique to the community in increasing family nutrition consumption so that it can reduce the problem of stunting. the results of the activity show that the Ulee Blang Mane village community has an increased understanding of how to prepare nutritious food to prevent stunting. Conclusion Appropriate and targeted socialization related to feeding toddlers is important to do and a more in-depth study is needed related to feeding by mothers or families including obstacles in its implementation.

Background: Non-communicable chronic diseases are currently a global health problem. Treatment of chronic diseases is serious because it can affect the patient's quality of life and consume quite a large amount of treatment funding. However, pharmacological treatment cannot be effective if chronic disease patients are unable to manage stress. For this reason, therapeutic modalities are needed that are able to treat patients as a whole, both bio-psycho-social and spiritual, one of which is the spiritual emotional freedom technique (SEFT). Purpose: This community service activity aims to increase the resilience of chronic disease patients through SEFT training. Method: Activities were provided for posyandu cadres in Kayuputih Village, Sukasada I Community Health Center Working Area. The training method was carried out by giving lectures, demonstrations, guided re-demonstrations, providing media, and evaluation. Results: SEFT is a non-pharmacological therapy that is acceptable to participants. SEFT can be done independently with the guidance of media leaflets and video demonstrations. SEFT is considered a unique way of praying and is modified by healing efforts by tapping specific points on the body. Conclusion: SEFT can be an alternative choice for chronic disease patients to maintain resilience in long-term self-care.

Background: Type 2 diabetes mellitus can affect all aspects of the patient's life so that it can be life threatening if not treated properly. The problems experienced by Type 2 Diabetes Mellitus patients can be minimized by having sufficient knowledge and ability to control their disease with self-care. Self Care describes patient behavior carried out consciously and independently with the aim of optimizing and increasing independence in terms of health. Development of an empowerment program for Type 2 Diabetes Mellitus patients through a cadre approach. Purpose: the aim of this activity is to increase cadres' ability to manage self-care for type 2 diabetes mellitus patients. Method: The method of community service activities is cadre empowerment. Activities were carried out in Sembung Village, Mengwi, Badung with 50 health cadres as partners. Result: The result of this activity is that there has been an increase in understanding by 60% and cadres have increased the ability of type 2 Diabetes Mellitus patients to carry out independent care. Conclusion: The conclusion is that health cadres are able to act as motivators and mentors in carrying out comprehensive self-care for Type 2 Diabetes Mellitus patients.

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.

Community service teaches to lecturers and trainers at the Training and Education Center of Muhammadiyah University of Malang (Pusdiklat UMM) plays a crucial role in enhancing the qualifications of lecturers and administrative staff to meet the established standards of human resources both nationally and internationally, in line with the dynamics of global human resource competencies. In this context, Smart Indonesia Academy, a management company, provides competency assessor training at Pusdiklat UMM as a community empowerment effort. This research adopts an analytical descriptive method to collect, analyze, and interpret data. The research findings indicate the smooth implementation of community service activities by Smart Indonesia Academy at the Pusdiklat UMM office. In conclusion, this study highlights the complexity and challenges of implementing competency-based training and education approaches in the workplace and higher education, emphasizing the importance of in-depth understanding and problem-solving efforts to enhance implementation effectiveness.

Abortion is the termination of a pregnancy before 20 weeks of age and can also occur at 12 weeks of gestation or when the fetus weighs less than 500 grams. According to the World Health Organization (WHO), the incidence of abortion in Indonesia is the highest among other Southeast Asian countries, namely 2 million out of 4.2 million people. Incomplete abortion, that is, only part of the conception is removed, what remains is the decidua or placenta. Initially there is bleeding in the decidua basalis, followed by necrosis of the surrounding tissue, then part or all of the products of conception are released. Other complications of incomplete abortion are infection, perforation, and shock. The purpose of this study was to provide nursing care for patients with incomplete abortion in the couch room at Aisyiyah Pariaman Hospital. The research used a descriptive approach in the form of a case study to find out the problem of nursing care in patients with incomplete abortions in the couch room of Aisyiyah Pariaman Hospital with one patient. This research was conducted on 20-24 February 2023, The results of the study after the study found 3 diagnoses, namely: Anxiety related to situational crises,Riskfor hypovolemia related to active fluid lossand Acute pain related to physiological injury,. During the 5 days of the study the patient went home with thesuggestion that the patient could carry out home care and control according to the recommendations from the hospital.

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.

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.

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.    

High blood pressure is a serious health problem because it is a major risk factor for cardiovascular disease. Results of an interview with the head of Posyandu Sakura 9 RW. 01 Manang, Grogol,   Sukoharjo  shows that more than 70% of people suffer from hypertension. Therefore, socialization through health counseling programs is needed to increase the role of the community in the context of preventing hypertension. At Posyandu Sakura 9 RW. 01 Manang, Grogol,   Sukoharjo, community service activities are expected to be able to improve health degrees optimally. Through understanding ways to prevent hypertension, for example in the consumption of healthy foods and physical activity correctly, and can improve people's knowledge, behavior, and attitudes about hypertension.  The solutions offered to partners are ways to prevent hypertension through health counseling activities on hypertension, healthy cooking demonstrations in order to reduce excessive consumption of sugar, salt and fat, and healthy heart gymnastics activities to increase physical activity. The conclusion of this community service activity is that the elderly at the Sakura 9 Posyandu are very enthusiastic and give appreciation regarding very useful activities.  

Human Resource Management (HRM) plays a crucial role in organizational development, including in Early Childhood Education (ECE). The focus of this research is Tulip Integrated PAUD in Rungkut Tengah Village, Surabaya. Early childhood (0-6 years) enters the golden age period where their learning patterns are based on imitation. This research aims to improve the effectiveness of early childhood learning and socialization at Tulip Integrated PAUD through the implementation of HRM. The main problems involve children's diverse characters, lack of activities, and differences in parents' mindsets. The implementation method consists of four stages: (1) introduction to the members of Tulip Integrated PAUD, (2) introducing the concept of HR Management, (3) providing active and expressive learning to students, and (4) evaluation and monitoring.The results showed that the socialization of HR Management positively contributed to the management of human resources at Tulip Integrated PAUD. Emphasis on fun and expressive teaching patterns increases early childhood participation in learning and social activities. Continuous evaluation and monitoring are needed to ensure continuity and improvement. In conclusion, the implementation of HRM and engaging learning approaches can improve the effectiveness of PAUD organizations. It creates a conducive environment for optimal early childhood development, by involving teachers, committees, and parents as part of integrated human resource management.

Annual flooding in Malang City caused by overflow from Kadalpang Dam indicates the impact of limited understanding of flood threat classification. This study is a qualitative research conducted to describe and analyze the flood phenomena experienced by exposed residents. A qualitative approach was chosen because it allows in-depth data collection on individual and group experiences related to flooding, including attitudes, perceptions, and coping strategies used in facing the situation. The results of the study show that the flood threat level classification from Kadalpang Dam based on the flood river index (KB), flood duration (LB), and flood height (TB) against the exposed population index is high. Areas classified as having a high flood threat level tend to experience significant impacts, such as infrastructure damage, loss of property, and risks to public safety and health. This study provides a deeper understanding of the complexity of flood problems in the local context, while also supporting efforts to improve mitigation and adaptation strategies to reduce the negative impacts of this natural disaster.

PLN is a monopoly trading company that sells electrical energy sources and manages all aspects of electricity in Indonesia, especially the Ponorogo area. In Ponorogo there is a company under the auspices of the Indonesian Electrical and Mechanical Contractors Association (AKLI) with the company name PT. Heroine of Eternal Blessing. In carrying out its work PT. Srikandi Berkah Abadi did not run smoothly, but there were many obstacles that disrupted the work process, one of which was the data input process. In this research we used a descriptive qualitative method where we carried out observations and direct interviews while conducting KKL within a period of 1 month. Based on the results of research that has been carried out previously, conclusions can be drawn, including: We carry out data processing activities on the implementation of connection work in people's homes, process data input on network maintenance and changes, and input employee hard disk data. While we were carrying out the KKL for 1 month, the problems we experienced were the ones we mentioned above, when inputting data in Microsoft Excel, it often had errors, crashes, and exited so that the data we were working on was lost and not saved.

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.

Money Laundering is an attempt to hide or disguise the origin of money or assets resulting from a criminal act through various financial transactions so that the money or assets appear as if they came from legal activities. The criminal act of money laundering is increasingly complex, and uses increasingly varied methods, one of the crimes originating from money laundering is fraud. The problems studied are how the law protects victims of fraud, what is the mechanism for confiscating and returning assets resulting from criminal acts originating from the assets of fraud victims, as well as an analysis of the basic considerations of judges in the Supreme Court decision no. 3096 K/Pid.Sus/2018. The defendant, who was proven to have not only committed the crime of "Fraud", was also proven to have committed the crime of "Money Laundering", therefore, based on the provisions of Article 39 of the Criminal Code in conjunction with Article 46 of the Criminal Procedure Code, the evidence was confiscated for the state. 

The objectives of this research are 1) To find out how the Instagram application is used as an online shop marketing communication medium, 2) To find out the obstacles to the Instagram application being used as an online shop marketing communication medium. The location of this research was carried out at the Novashoptakengon.id mini online shop located in Uning Village, Pegasing District, Central Aceh Regency with the number of informants being 1 owner, 4 resellers and 1 consumer of the Novashoptakengon.id Online Shop. Data collection used in this research is interviews and observations with owners, resellers and consumers. Data analysis techniques consist of data collection, data reduction, data presentation and drawing conclusions. The results of the research are marketing communications carried out via Instagram media which are used by online shop owners through promotions on the Instagram application. Of the various supporting features built into Instagram, the features most frequently used are the Instagram story photo upload and Story Highlights features. In the Instastory feature, Mrs. Nova Sri Rezeki uses it to inform about the latest products and shop situations every day. Meanwhile, to upload photos, Mrs. Nova Sri Rezeki uses it to post new products with attractive layouts. Story Highlights are used to provide important information such as how to order online, shop location instructions, shopee address and others. This feature used is considered very effective and helpful in the product promotion process, because it can convey messages directly to consumers. By utilizing the number of followers which has reached 4,934 thousand, it will make it easier to promote products. The problem with the Instagram application being that it is used as a marketing communication medium for online shops is competition between other online shops, so that the owner must be diligent in posting photos or videos so that his products can be seen by consumers, otherwise he will be at risk of losing consumers. People will switch to other online shops.