Optimal nurse performance is essential to support the quality of health services in hospitals, in Buton Tegah Regional Hospital, nurse performance is still a concern because a number of problems related to nurse productivity and work quality were found, such as inefficient task implementation, and low active involvement in the service team, this problem is related to various factors that affect performance. This study aims to determine the effect of work motivation and work stress on nurse performance at Buton Tengah Regional General Hospital. The type of research used is observational analytical research using a cross-sectional research design with univariate, bivariate and multivariate tests. The population in this study were all nurses at Buton Tengah Regional General Hospital with a sampling technique using the Total Sampling technique of 64 people. Data analysis used the chi square test and logistic regression. The results showed that there was an effect of work motivation on nurse performance at Buton Tengah Regional General Hospital (0.022 <0.05) and there was a significant effect between work stress on nurse performance at Buton Tengah Regional General Hospital (0.009 <0.05).

Breast cancer is the leading cancer affecting women, with 2.3 million diagnoses and 670,000 deaths globally in 2022. In Indonesia, there were 66,271 cases, representing 30.1% of all cancer cases. Early detection, such as through Breast Self-Examination (BSE) to identify breast lumps, can reduce mortality. BSE is effective for Women of Childbearing Age (15-49 years). However, early breast cancer detection rates remain suboptimal, potentially influenced by the knowledge and behavior of women of childbearing age regarding BSE. Objective: To determine the overview of the level of knowledge and behavior of Breast Self-Examination (BSE) among Women of Childbearing Age in the Pajang Public Health Center area. Methods: This study employed a quantitative descriptive method using purposive sampling. The population consisted of 7,538 Women of Childbearing Age, and the sample comprised 99 respondents. Results: The majority of Women of Childbearing Age in the Pajang Public Health Center area demonstrated a good level of knowledge about BSE, with 52 respondents (52.5%). Furthermore, most respondents exhibited good BSE behavior, with 65 respondents (65.7%). Conclusion:  The majority of respondents had good SADARI knowledge and good  Breast Self-Examination (BSE)  behavior.

In the field of pharmacy, infrared spectrophotometry, particularly Fourier Transform Infrared (FTIR), has become an important analytical method, especially for determining the content of active substances in drug preparations. This method has many advantages, including rapid analysis, high precision, and non-destructive characteristics, as well as the ability to identify specific functional groups in chemical compounds. Based on a review of ten recent scientific articlesThe aim of this study is to provide an overview and analyze the use of the FTIR method in determining the drug content. The research results demonstrate that FTIR consistently provides results that meet the standards of the Indonesian Pharmacopoeia, with an accuracy above 99% and a precision (RSD) below 1%. Moreover, this method is highly reliable for analyzing various drug compounds, ranging from analgesics and antibiotics to other complex compounds, due to the high sensitivity indicated by the LOD and LOQ parameters. The FTIR method is also very useful in analysis.
 

Low Birth Weight (LBW) is one of the main causes of high neonatal morbidity and mortality in Indonesia. This study aims to describe the comprehensive nursing care process for a baby with LBW in the NICU room of Bina Kasih Hospital Medan. The design used was a descriptive case study with one patient as the subject, Mrs. S, who was born weighing 1,500 grams and was 35 weeks and 4 days gestational age. Data were collected through direct observation, interviews with parents, medical record documentation studies, and literature reviews. The results of the study showed four main nursing diagnoses, namely ineffective thermoregulation, nutritional imbalance less than body requirements, risk of infection, and parental anxiety. Interventions were carried out through temperature monitoring, breastfeeding through OGT, umbilical cord care, and family education. After 3 days of care, two nursing diagnoses were successfully resolved, while the other two required follow-up. This study emphasizes the importance of a holistic and integrated nursing approach to improve clinical outcomes of LBW babies, as well as the active role of nurses in education and emotional support to families. Appropriate and evidence-based nursing care is the key to optimal neonatal care.

This test aims to evaluate the formulation of floating microcapsule preparations containing ethanol extract of white turmeric (Curcuma zedoaria Rosc.), using chitosan, sodium alginate, and calcium chloride polymers as crosslinking agents. The preparation was formulated using the crosslinking method and tested based on its physical properties, which include moisture content, physical stability through cycle tests, resistance to the gastric and intestinal mucosa. The results showed that the microcapsule formulation was able to maintain the color and texture during the storage period well. The microcapsule durability test showed that the particles could survive in the gastric and intestinal mucosa for two hours. In addition, the water content is within the range that is in accordance with the requirements, namely, at a concentration of 0.25% there is (22%), a concentration of 0.5% there is (38.75%), a concentration of 0.75% there is (22.5%), and the blank has 20.5% water content. Based on previous research by Mardikasari et al., (2020) which used chitosan and alginate polymers. Through this method, this formulation shows the possibility as a technology-based drug delivery system that survives effectively in increasing the bioavailability of active substances from white turmeric.

Dengue Hemorrhagic Fever (DHF) is a disease caused by the dengue virus and transmitted by the Aedes aegypti mosquito. The working area of the Rawasari Health Center in Jambi City shows a trend of increasing dengue cases from year to year. This indicates that there may be other factors influencing the incidence of dengue, including physical environmental conditions and community behavior. The objective of this research is to determine the relationship between the presence of mosquito larvae in water reservoirs/containers, the action of hanging clothes, using mosquito repellent, cleaning water containers, disposing of waste items, and installing wire mesh with the incidence of dengue fever in the working area of the Rawasari Health Center in 2025. This research uses a quantitative study, with a case control design. The sample size consisted of 24 cases and 24 controls determined by matched case control study techniques based on age and gender. Data were collected through questionnaires and observation sheets, and analyzed using the chi-square test to determine the relationship between the independent variables and the incidence of dengue fever. The results show that the presence of mosquito larvae in water storage containers (p-value 0.042), practices of cleaning water storage containers (p-value 0.020), actions to eliminate waste items (p-value 0.043), and the installation of screens or mosquito nets (p-value 0.004) are significantly related to the incidence of dengue fever. Conversely, other factors such as the habit of drying clothes and the use of mosquito repellent did not show a statistically significant relationship with dengue fever cases in the study population. There is a significant relationship between the actions of cleaning water storage places and installing wire mesh. Effective prevention requires active community involvement in maintaining environmental cleanliness and consistently implementing the 3M Plus practices.

Cedera tulang belakang (Spinal Cord Injury/SCI) merupakan kondisi neurologis serius yang menyebabkan gangguan fungsional jangka panjang dan penurunan kualitas hidup secara signifikan. Keterbatasan mekanisme regeneratif dalam sistem saraf pusat (CNS) menjadikan pemulihan SCI sebagai tantangan besar dalam dunia medis. Neural Stem Cells (NSCs) muncul sebagai terapi potensial karena kemampuannya berdiferensiasi menjadi berbagai jenis sel saraf dan berintegrasi dengan jaringan yang rusak. Studi ini bertujuan untuk memetakan lanskap riset terkini terkait penggunaan NSCs dalam regenerasi jaringan saraf akibat SCI melalui metode scoping review. Kajian ini dilakukan berdasarkan pedoman PRISMA-ScR, dengan pencarian literatur dari tahun 2015 hingga 2025 melalui database PubMed dan Google Scholar menggunakan kata kunci terkait “Neural Stem Cells” dan “Spinal Cord Injury”. Sebanyak 145 studi memenuhi kriteria inklusi, terdiri dari 88% studi praklinis dan 12% uji klinis. Mayoritas penelitian menyoroti keberhasilan transplantasi NSCs pada model hewan SCI, dengan 60% di antaranya melaporkan peningkatan signifikan dalam fungsi motorik dan sensorik. NSCs terbukti dapat berdiferensiasi menjadi neuron, oligodendrosit, dan astrosit, serta memperbaiki jaringan yang rusak. Meskipun hasil praklinis menunjukkan harapan tinggi, penerapan klinis masih menghadapi hambatan seperti rendahnya tingkat kelangsungan hidup sel, metode transplantasi yang belum optimal, dan isu etik. Oleh karena itu, penelitian lebih lanjut diperlukan untuk mengatasi tantangan tersebut, termasuk perluasan uji klinis dengan populasi lebih besar guna mengevaluasi efektivitas dan keamanan terapi NSC dalam pengobatan SCI.

Comprehensive midwifery care is a service provided by midwives during pregnancy, childbirth, BBL, postpartum period and family planning program which aims to provide quality services to prevent maternal and child mortality. Research Objective : This study aims to provide comprehensive midwifery care to Mrs. P who has mild anemia and By. Mrs. P with moderate asphyxia. Research Method: This case uses an approach method to study comprehensive midwifery care for Mrs. P and By. Mrs. P in Pontianak City. Research Results: After providing care for 9 months starting from Pregnancy, Childbirth, Postpartum, Infants and Toddlers, Family Planning and Immunization. The results were normal pregnancy, normal childbirth, postpartum, newborns with moderate neonatal asphyxia, family planning using pills, Hepatitis-B immunization to measles. Conclusion: In the midwifery care provided to Mrs. P and By. Mrs. P at PKM Pontianak City, there were differences between theory and management.

Anemia is a condition where a person's body experiences a decrease or the number of red blood cells in the body is below normal limits. this can occur due to a lack of hemoglobin in the body, thereby affecting the amount of red blood cell production. in indonesia, the incidence of anemia in pregnant women is still quite common. one way to prevent anemia in pregnant women is to consume iron (fe) tablets. however, the compliance of pregnant women in consuming iron tablets is still low, which is caused by various factors such as knowledge and regularity which will later influence the formation of health behavior. The aim of this research is to determine the relationship between knowledge and the regularity of pregnant women consuming iron (FE) tablets at PMB Winanti, S.Tr.Keb. This research is research that uses a cross sectional approach. this research uses a non-probability method, namely sampling with 62 respondents. data analysis used in the research includes univariate analysis and bivariate analysis using the chi-square test. The results of the study showed that the majority of respondents had sufficient knowledge, namely 45.2%, and had a balanced regularity, namely regular 50.0% and irregular 50.0%. this was proven by the chi-square statistical test showing the relationship between knowledge and regularity of pregnant women in consuming iron (fe) tablets with a result of 54.8% obtained a p value of 0.023 (p<0.05). From the results of this study, it was concluded that there was a significant relationship between knowledge and the regularity of pregnant women consuming iron tablets.

Hospitals, as healthcare service providers, are required to improve the quality and efficiency of their services, one of which is through the implementation of Electronic Medical Records (EMR). This transformation impacts the workload of staff, particularly in the Medical Records Unit. This study aims to analyze the workload and staffing needs of the Medical Records Unit at Dr. Sitanala Central General Hospital using a descriptive quantitative approach with the Health Workload Analysis (ABK-Kes) method. Data were collected through observation and interviews with six staff members using observation sheets, interview guidelines, and informed consent forms. The results show that the Available Working Time (AWT) is 72,000 minutes per year, exceeding the national standard. There are 11 core tasks and 3 supporting tasks, with the highest Standard Workload (SWL) found in the recording and filing activity (72,000), and the Standard Supporting Task (SST) value is 1.2. Based on achievements, SWL, and SST, a total of four staff members are needed to balance the workload. Currently, only one staff member remains due to staff rotation, resulting in a shortage of three personnel. Therefore, Dr. Sitanala Hospital needs to recruit three additional medical record officers with a minimum qualification of a D3 in Medical Records to maintain optimal service and manageable workloads.

Coronary heart disease (CHD) is characterized by heart attacks caused by atherosclerosis. In 2024 at Prof. dr. Chairuddin P. Lubis Teaching Hospital Medan, it was 178 people (31%) were productive age patients with CHD receiving outpatient treatment. The purpose of the study was to determine the factors associated with the incidence of CHD in patients aged 25-59 years at Prof. dr. Chairuddin P. Lubis Teaching Hospital Medan in 2025. This study uses quantitative research with Cross Sectional. Sampling technique used accidental sampling with total 82 respondents. Data were collected through interviews using questionnaires and medical records. The results of the bivariate analysis with the chi-square test showed that factors related with CHD were age (p=0,007), gender (p=0,004), physical activity (p=0,022), smoking habits (p=0,009), hypertension (p=0,017), diabetes melitus (p=0,032), and cholesterol levels (p=0,003). There is no relationship between family history (p=0,734) and incidence of CHD. Recommendations for people of productive age to control the risk factors of CHD by regularly doing physical activity, not smoking, and periodically checking for blood pressure, blood sugar, and cholesterol levels.

Stress is a common mental health problem among medical students due to academic demands. Physical activity is known to reduce stress through physiological and psychological mechanisms. This study aims to examine the relationship between physical activity and stress levels among medical students at Tarumanagara University class of 2022–2023. This research employed an analytical cross-sectional design. A total of 123 respondents who met the inclusion criteria completed the physical activity (Baecke Questionnaire) and stress level (Perceived Stress Scale-10) questionnaires. Bivariate analysis was conducted using the chi-square test. The results showed that 95.1% of respondents experienced moderate to severe stress, while only 15.4% regularly exercised. A significant relationship was found between physical activity and stress level (p = 0.000). The odds ratio of 13.600 indicates that students who exercised regularly were 13 times more likely to experience lower stress compared to those who did not. This study highlights the role of regular physical activity as a protective factor in managing stress among medical students

Edentulism is the condition of losing all permanent teeth in the upper and lower jaws, which can impair masticatory function. Masticatory performance is influenced by various factors, one of which is the salivary flow rate, which is also affected by age. This study aimed to determine the average salivary flow rate and masticatory performance, as well as their correlation based on age in complete denture (CD) wearers at the Dental and Oral Hospital of Universitas Sumatera Utara. This research is a descriptive-analytic study with a cross-sectional design involving 20 respondents, consisting of 10 adults (aged 19–59 years) and 10 elderly individuals (aged ≥60 years). The salivary flow rate was measured using the spitting method with sugar-free chewing gum, and masticatory performance was assessed using the color-changeable chewing gum method and the Visual Analog Scale (VAS). Results showed that the average salivary flow rate in adults was 3.18 ± 0.91 ml/min, and in the elderly was 2.29 ± 1.29 ml/min. The average masticatory performance score in adults was 3.8 ± 1.14, and in the elderly was 3.4 ± 1.17. Spearman correlation test showed a significant correlation between salivary flow rate and masticatory performance in both adults (p=0.014) and the elderly (p=0.049). In conclusion, there is a significant relationship between salivary flow rate and masticatory performance based on age. Adult patients demonstrated better salivary flow rates and masticatory performance than elderly patients.

This study explores the relationship between smoking habits, hemoglobin levels, and awareness of carbon monoxide (CO) risks among street cleaning workers. Smoking is one of the most common sources of CO exposure, which can bind to hemoglobin and reduce oxygen transport in the body. A total of 67 street cleaning workers in West Jakarta were involved in this research, using a descriptive analytic approach. Data were collected through blood tests for hemoglobin levels, as well as interviews and questionnaires to assess smoking habits and knowledge of CO. The findings show that most respondents were light smokers (1–10 cigarettes per day), and 43% had been smoking for less than five years. While 66% of participants had normal hemoglobin levels, 33% had elevated levels, which may reflect the body’s response to reduced oxygen availability. Interestingly, 70% of respondents were aware of the health risks of CO, but knowledge tended to decline among long-term or heavy smokers. This indicates a gap between behavior and risk awareness. The study highlights the need for ongoing health education targeted at outdoor workers to increase understanding of CO exposure and prevent potential health impacts.

Word Health Organization defines a cause of death as an illness, disease or injury that causes or contributes to death. Diabetes mellitus is a major comorbidity and cardiac arrest is the highest cause of death. Cardiovascular disease is more common in men with an average age of 57 years. There are many types of cardiovascular disease, but the most common and well-known are coronary heart disease and stroke. Basic Health (Riskesdas) in 2018 reported that the incidence of heart and blood vessel disease is increasing from year to year. The main factor in heart disease is uncontrolled blood sugar, while the most common macrovascular complication of diabetes mellitus is coronary heart disease. Causative factors The prevalence of type 2 diabetes mellitus is caused by the interaction between gene susceptibility factors and environmental exposure as follows Genetics and Environment The occurrence of coronary heart disease is closely related to the presence of disorders affecting the blood vessels called atherosclerosis. This research uses a systematic review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). with inclusion and exclusioncriteria, the risk of cardiovascular death and myocardial infarction was higher with increasing values ​​of lysis time and maximum turbidity.

Prostate-specific antigen (PSA) is a serine protease produced by the prostate epithelium. PSA is a product of prostate epithelial cells that functions to liquefy semen, thereby enhancing sperm motility. This study is an analytical study with a cross-sectional design, utilizing secondary data from the medical records of patients who underwent transurethral resection of the prostate (TURP) at Dr. Achmad Mochtar General Hospital, Bukittinggi, from 2022 to 2023. The results of the study showed that the most commonly found PSA range category was 4-20 ng/ml, with a percentage of 40.2%. Furthermore, the study found that the highest average PSA levels were observed in patients with prostate cancer, with a mean value of 53.39 ng/ml. Based on these findings, it can be concluded that monitoring PSA levels plays a crucial role in the early diagnosis and management of prostate cancer and can serve as an important reference in future prevention and treatment efforts.

Oxytocin massage is a non-pharmacological intervention proven effective in increasing breast milk production in postpartum mothers. This technique involves gentle massage along the spine to stimulate the release of oxytocin, a hormone involved in the let-down reflex and milk ejection. A review of multiple studies shows that oxytocin massage significantly enhances both the volume of breast milk and breastfeeding frequency. The intervention also provides relaxation benefits, reducing stress in breastfeeding mothers. Therefore, oxytocin massage is recommended as part of maternal nursing practices to support the success of exclusive breastfeeding.

Urinary incontinence (UI) significantly impacts the quality of life in older adults, often resulting from multifactorial causes, including age-related changes and systemic health issues. Emerging evidence highlights the role of lipid metabolism in influencing bladder and pelvic floor function through vascular integrity, inflammation control, and tissue repair. Lipid parameters, such as apolipoproteins, HDL, LDL, total cholesterol, triglycerides, and their ratios, provide insights into metabolic health and its association with UI. This study aims to identify specific lipid-related predictors, advancing the understanding of metabolic factors in UI and informing targeted prevention and management strategies for aging populations. This study used multiple linear regression analysis to assess the relationship between lipid panel predictors and urinary incontinence in 93 elderly respondents at Bina Bakti Nursing Home. The analysis identifies apolipoprotein B, Apo B/Apo A ratio, total cholesterol, and triglyceride-to-HDL ratio as significant predictors. These variables actively influence urinary incontinence through metabolic and vascular pathways, with both positive and negative associations. Apolipoprotein B, Apo B/Apo A ratio, total cholesterol, and triglyceride-to-HDL ratio predict urinary incontinence, highlighting lipid-related impacts on vascular health, inflammation, and tissue integrity for improved risk stratification.

Blanket warmer is a tool to maintain the stability of the patient's body temperature when experiencing hypothermia, the blanket warmer will warm the patient until it reaches a normal body temperature of 36 - 37 °C. Some of the temperature setting options on the blanket warmer are 32°C, 38°C, and 43°C. To be able to design an Arduino-Based Warmer Blanket tool by using DS18B20 sensors.This study uses the research and development (RnD) method, which is a method used to make a product and test its effectiveness from the results of the product. The results of this study had a measurement difference of the instrument that could be used for patients with the highest temperature difference, namely 32°C = 0.11°C, 38°C = 0.20°C, 43°C = 0.11°C, the lowest measurement difference was 32°C = 0°C, 38°C = 0.01°C, 43°C = 0.02°C by comparing with a temperature measuring instrument. The average of all measurements in patients was 32°C = 32.64°C, 38°C = 38.70°C, 43°C = 43.72°C. The highest average error value from the 3 experiments was 1.45% and the lowest average error value from the 3 experiments was 0.26%. The Blanket Warmer tool using sensors DS18B20 safe for patients to use.

Syphilis or lion king disease is a sexually transmitted infection (STI) caused by the bacteria Treponema pallidum. Syphilis can be transmitted through sexual intercourse, blood transfusions, and from mother to fetus. Serological tests for antibody detection include non-treponemal tests to screen and evaluate treatment as well as treponemal tests to confirm the diagnosis. Pregnant women are more susceptible to suffering from sexually transmitted infections (STIs) due to changes that occur during pregnancy, including changes in immune, hormonal and anatomical responses, which can change the clinical manifestations of STIs and cause problems in their diagnosis and implementation. Pregnancy affects the mother's defense mechanisms through suppressing the immune system. Genital infections that spread hematogenously and enter the fetal circulation will cause defects, stunted growth, and even cause the fetus to die in the womb. For this reason, pregnant women are advised to undergo screening and treatment as early as possible from the beginning of pregnancy so as to reduce the risk of pregnancy. According to the results of a survey at the Tanah Jambo Aye Community Health Center, North Aceh Regency, information was obtained that the number of pregnant women in 2024 will be 876 pregnant women and 35 boxes of rapid kits containing 25 rapid syphilis tests will be used. This study aims to see the description and level of awareness of pregnant women regarding the results of syphilis examinations at the Tanah Jambo Aye Community Health Center, North Aceh Regency
 

The aim of this research was to determine the relationship between the level of knowledge and the behavior of throwing away waste among students at MTS, N Seunuddon, North Aceh. The sample in this study was 18 grade 3 students with a quantitative research design with a cross sectional design. Instrument testing included Independent Variables which included Level of Knowledge and dependent variables including waste disposal behavior at MTS.N 9 Seunuddon North Aceh and statistical tests The type of sampling used in this research is total sampling. The research results showed that almost half of the respondents knew the results of calculating the respondent's knowledge before conducting counseling. Most of them had good knowledge with the number of respondents being 10 respondents (55.6%), and 8 respondents (44.4%) getting less good results out of a total of 18 respondents (100,%). It is known that the results of calculating the knowledge of respondents after being provided with educational counseling said that the level of knowledge was very good with the number of respondents being 17 (94.4%) and 1 respondent (5.6%) being less than good out of a total of 18 respondents. With the results of this research, it is hoped that school administrators, especially teachers, will provide health education or counseling about Clean and Healthy Living Behavior (PHBS), especially about knowledge and behavior of disposing of waste to their students.

Referring to the World Health Organization (WHO) in 2020, around 8-10% of pregnant women experience anxiety during pregnancy, which then increases to around 12% when approaching childbirth. Anxiety conditions in third trimester pregnant women can produce psychological changes compared to the previous trimester, because at this stage the pregnancy condition is getting bigger. The impact is that the anxiety tends to continue to be felt until the delivery period. The purpose of this study was to determine the relationship between risk factors for anxiety in third trimester pregnant women before delivery at Dr. Adhyatma Hospital, MPH, Central Java Province in 2024. This study used an observational analytic design with a cross sectional approach. The sample in the study were third trimester pregnant women who visited obgyn clinic at RSUD Dr. Adhyatma, MPH Central Java Province in 2024. Sampling technique with total sampling method based on inclusion criteria. The research time was in January 2024. Data were processed with Fisher's Exact test using Statistical Package for The Social Sciences (SPSS) application. The results of the study showed that the p value at high risk was related to maternal age (p=0.860), gravida status (p=0.420), education (p=0.660), employment (p=0.640), economic status (p=0.280), ANC history (p=0.700), marital status (p=0.880), medical conditions (p=0.880), environment (p=0.860), health facilities (p=0.820), transportation support (p=0.880), family support (p=0.580 ) and husband's support (p=0.400), which means there is no significant relationship with anxiety of pregnant women in the third trimester at RSUD Dr. Adhyatma, MPH Central Java Province in 2024.

Patient safety is a hospital program that makes patient services safer and prevents incidents such as accuracy in identifying patients, improving effective communication, administering the right drugs, namely the right location, the right procedure and the right patient to minimize further risks and harm patients This type of research is a quantitative research with a cross-sectional design. The sampling technique uses purposive sampling with a total of 55 respondents. The results of the study found that the majority of nurses had an attitude in implementing patient safety in the good category as many as 52 respondents (95%) and the majority of patient safety in the good category as many as 54 respondents (98%). The results of  the spearman rank test  showed a p-value  of 0.813 (p>0.05).. that there is no relationship between nurses' attitudes and the implementation of patient safety at Harapan Pematang Siantar Hospital in 2024.

Free radicals are reactive compounds that can cause damage to cells, enzymes, lipids, and even DNA, thus triggering various degenerative diseases. Antioxidants neutralize free radicals and prevent oxidative damage. Chinese betel herb (Peperomia pellucida L.) is known to contain phenol and flavonoid secondary metabolite compounds that act as natural antioxidants. This study aims to test the antioxidant activity of ethanol extract of Chinese betel herb with DPPH (2,2-diphenyl-1-picrylhydrazyl) method. Extraction was done by maceration method using 80% ethanol solvent. Antioxidant activity was tested by reacting the extract against DPPH solution and measuring the absorbance using UV-Vis spectrophotometry. The results showed an IC₅₀ value of 32.97 ppm, which is classified as very strong antioxidant activity. These results indicate that ethanol extract of Chinese betel herb has great potential as a source of natural antioxidants.
 

With a high level of self-efficacy, students can face quarter-life crisis easily. People who have self-efficacy will focus and do their tasks without any problems in difficult situations. Students who have self-efficacy are more confident and able to reach their full potential. In addition, it helps students acquire the skills needed for future success. The purpose of this study was to empirically investigate the relationship between self-efficacy of final year students at Padang State University and quarter-life crisis. This study combines cluster sampling strategy with quantitative approach. A total of 292 final year students at Padang State University became the research sample. With an error rate of 5%, this sample was taken using Isaac and Michael table. The data analysis method used is Pearson Product Moment. The results showed that quarter-life crisis and self-efficacy of final year students at Padang State University were each in the moderate range with a proportion of self-efficacy of 39.7% and quarter-life crisis of 28.4%. The research hypothesis stating that there is a significant negative relationship between self-efficacy and quarter life crisis in final year students at Padang State University is accepted based on the hypothesis test which produces a value of r = -0.469 with a significance level of p = 0.000 (p < 0.05).

This literature review explores holistic approaches during pregnancy and their implications for midwifery practice. Holistic care addresses physical, psychological, social, and spiritual dimensions of maternal health, aiming to promote overall well-being and positive pregnancy outcomes. By synthesizing evidence from studies published between 2020 and 2025, this review highlights the benefits of integrating holistic methods such as stress reduction techniques, nutritional support, psychosocial counseling, and culturally sensitive care within midwifery. The findings suggest that holistic care enhances emotional resilience, reduces anxiety and depression, and strengthens the mother infant bond. However, challenges remain in standardizing holistic practices, ensuring adequate training for midwives, and overcoming systemic barriers. The review underscores the need for midwives to adopt a comprehensive, woman centered approach supported by ongoing education and interdisciplinary collaboration. Future research should focus on evaluating holistic interventions’ effectiveness and developing scalable models to improve maternal and neonatal outcomes globally. Ultimately, holistic pregnancy care offers a promising framework to enrich midwifery practice and support maternal well-being throughout pregnancy.

The use of Personal Protective Equipment (PPE) by health workers is very important in preventing the transmission of infections, especially in the Central Surgical Installation (IBS) room which has a high risk. Anesthesia organizers are health workers who are vulnerable to exposure to infection because they often perform actions that are in direct contact with the patient's body fluids. The purpose of this study was to identify the characteristics of the level of compliance of anesthesiologists in the use of PPE based on gender, age, education level and length of work in hospitals in the Cilacap Regency Region. This study is quantitative descriptive with a cross dectional approach. The research population is 38 respondents, the focus of observation in this study is an overview of the compliance of anesthesiologists in the use of personal protective equipment (PPE) in Cilacap Regency. This study showed compliance in the use of PPE with the compliant category as many as 24 respondents (63.2%), less compliant as many as 11 respondents (28.9%), while non-compliance as many as 3 respondents (7.9%). The results of this study show that there is compliance, lack of compliance, and non-compliance with anesthesia surgeons in Cilacap Regency.

Rheumatoid arthritis joint pain in the elderly is a result of the body's calcification and reduction in synovium fluid lining the joints, or a disease caused by degenerative changes in the musculoskeletal system. Most elderly people still use inappropriate methods such as pharmacological therapy (drugs) to treat joint pain. The non-pharmacological method is by using rheumatic exercises. The aim of this research is to determine the effect of rheumatic exercise on reducing the scale of rheumatoid arthritis joint pain in the elderly at UPTD social services for the elderly in Binjai. This research is a quantitative study using pre-experimental design method using one group pre and post test design approach, technique. Sampling was purposive sampling with 19 respondents using G-power software. The instruments used in this research are the Numeric Rating Scale observation sheet and rheumatic gymnastics SOP, which is tested using the paired T-Test. The results of statistical tests show that there is an effect of rheumatic exercise on reducing the scale of rheumatoid arthritis joint pain in the elderly at Binjai Elderly Social Services UPTD 2024. With the results of the paired t-test, it is obtained that ρ value = 0.001. Rheumatic exercise as an alternative treatment that can reduce the scale of rheumatoid arthritis joint pain in the elderly.

Daun mangkokan merupakan salah satu jenis tanaman hias pekarangan yang digunakan  dalam  pengobatan. Daun segar  tanaman mangkokan memiliki beberapa khasiat di antaranya anti-inflamasi, peluruh air seni, mencegah rambut rontok dan juga menghilangkan bau badan. Beberapa bahan kimia yang terkandung di dalamnya di antaranya alkaloid, saponin, flavanoid, polifenol, lemak, kalsium, fosfor, besi, serta vitamin (A, B, dan C). Antibakteri adalah zat yang menghambat dan membunuh. Propionibacterium acne merupakan bakteri gram positif yang dapat menyebabkan jerawat. Penelitian ini bertujuan untuk mengetahui aktivitas antibakteri ekstrak daun mangkokan (Nothopanax scutellarium Merr.) terhadap bakteri Propionibacterium acne. Penelitian ini merupakan penelitian eksprimental laboratorium. Penelitian menggunakan ekstrak kental etanol 70% daun mangkokan (Nothopanax scutellarium Merr.), variasi konsentrasi ekstrak yaitu 60%, 80% dan 100%. Antibiotik yang digunakan sebagai kontrol positif yaitu tetrasiklin, sedangkan kontrol negatif digunakan aquades. Pada pengujian antibakteri ekstrak etanol daun mangkokan (Nothopanax scutellarium Merr.) terhadap bakteri Propionibacterium acne menunjukan bahwa pada konsentrasi 60%, 80% dan 100% sensitif untuk menghambat pertumbuhan bakteri dengan diameter zona hambat sebesar 17 mm, 18 mm dan 24 mm. Kontrol negatif  tidak terjadi aktifitas antibakteri dan tidak memiliki diameter zona hambat, kontrol positif mempunyai diameter zona hambat yaitu sebesar 28 mm.  Hasil pengujian daya hambat ekstrak etanol 70% daun mangkokan terhadap bakteri Propionibacterium acne memiliki aktivitas antibakteri dengan kategori kuat.

Knowledge and innovation management is a knowledge management is a way of managing knowledge so that it can be distributed to organizations and can be studied by organizations in order to achieve the goals of the organization in terms of creating a product process that can affect organizational performance. Management of human resources (HR) is important in achieving the goals of an organization or agency. The purpose of this theoretical analysis is to find out how knowledge and innovation management improves human resources in the health sector. The research method used is a theoretical analysis study. Theoretical analysis as analysis in order to ensure that the theories used as analytical tools to dissect the problems in research are scientifically correct. The core of this theoretical analysis is knowledge and innovation management in the health sector, namely in terms of human factors, organization and strategy. It can be concluded that Knowledge management in innovation has become something that is very decisive, therefore its acquisition and utilization needs to be managed properly in the context of improving organizational or agency performance. In addition, strong management is also needed so that this knowledge takes root in every individual in the organization, always improving resource skills that can be supported by infrastructure for disseminating information within organizations and agencies. For institutions in the health sector, it is urgently needed how to apply to employees and health workers related to increasing skills through knowledge management and innovation. Employees or health workers must be able to acquire knowledge, make knowledge into institutional assets, apply the knowledge acquired and protect this knowledge as an asset that must be maintained and developed in providing health services to patients and also the importance of improving human resources.

Hipertensi adalah tekanan darah (sistolik) lebih dari 140 mmHg dan tekanan diastolik lebih dari 90 mmHg, berdasarkan dua pengukuran atau lebih. Hidroterapi adalah metode penggunaan air untuk mengobati atau meregangkan kondisi nyeri yang bergantung pada respons tubuh terhadap air. Literatur ini bertujuan untuk menganalisis pengaruh hidroterapi terhadap penurunan tekanan darah pada lansia dengan hipertensi. Metode yang digunakan dalam penelitian ini adalah literature review dengan sumber data artikel melalui Google Scholar, Crossref, Mendeley dan PubMed (2015-2020) untuk mengambil artikel yang relevan dan dipublikasikan dalam bahasa Indonesia. Kata kunci terkait hidroterapi, penurunan tekanan darah, lansia hipertensi digunakan dalam pencarian subjek terkait. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara hidroterapi dengan hipertensi pada lansia dilihat dari tekanan darah sistolik dan diastolik dalam batas normal. Berdasarkan tinjauan pustaka 8 jurnal dapat disimpulkan bahwa terdapat pengaruh hidroterapi dalam menurunkan tekanan darah pada lansia dengan hipertensi, metode ini dapat digunakan sebagai terapi alternatif pelengkap dalam menurunkan tekanan darah.

Salah satu tanaman dapat digunakan sebagai obat tradisional adalah tanaman pohon pulai atau (Alstonia scholaris L. R. Br) tanaman ini digunakan sebagai obat antidiabetes mellitus, antikanker, antimikroba, dan antioksidan. Tujuan penelitian ini untuk membuktikan bahwa ekstrak kulit pohon pulai (Alstonia scholaris L. R. Br) memiliki kandungan senyawa metabolit sekunder yang memiliki aktivitas antibakteri yang dapat menghambat pertumbuhan bakteri Escherichia coli. Jenis penelitian ini adalah eksperimental laboratorium dengan metode difusi sumuran. Penelitian ini menggunakan konsentrasi 70%, 80%, 90%, dan 100%. Kontrol positif (+) antibiotik cotrimoxazole, kontrol negatif (-) aquadest. Pengamatan uji skrining yang dilakukan dapat diketahui kulit pohon pulai (Alstonia scholaris L. R. Br) asal Desa Tulehu memiliki beberapa senyawa metabolit sekunder yaitu, terpenoid, flavanoid, alkaloid, tanin, saponin. Hasil pengujian aktivitas antibakteri pada variasi konsentrasi 70% memiliki diameter zona hambat 20 mm (sensitiv), kosentrasi 80% memiliki diameter zona hambat 23 mm (sangat sensitiv), 90% memiliki diameter zona hambat 24 mm (sangat sensitiv), 100% memiliki diameter zona hambat 25 mm (sangat sensitiv). Hasil penelitian menunjukan bahwa ekstrak etanol kulit pohon pulai (Alstonia scholaris L. R. Br) memiliki kandungan senyawa metabolit sekunder yang memiliki aktivitas antibakteri yang dapat menghambat pertumbuhan bakteri Escherichia coli.

Nausea and vomiting occur in pregnant women in the first and second trimesters and can last up to 4 months. The impact can be experiencing disruption in work, household activities, psychological disturbance. Interventions can be carried out non-pharmacologically by using peppermint which can overcome digestive problems because it has a very high fragrance level, a cold, refreshing, strong aroma. The purpose of the study was to determine the effectiveness of giving peppermint to reduce nausea and vomiting in first trimester pregnant women in the working area of the Salam Babaris Health Center, Tapin Regency. The research method uses quasi-experimental types type with one sample test. It was carried out from January to February 2023. The sample consisted of 15 pregnant women. Bivariate analysis using the t test. The results of the study before being given peppermint, 9 people (60%) category of severe nausea vomiting and after being given pappermint became the category of mild nausea vomiting as many as 6 people (40%). The results of the t test obtained a p-value of 0.003, there is an effect of peppermint administration on reducing nausea vomiting in pregnant women trimester I. Giving peppermint in the form of candy is able to overcome nausea vomiting in pregnant women trimester I.

Keputihan ini menimbulkan ketidaknyamanan dan gangguan rasa percaya diri pada wanita bila terlalu berlebihan. Selama ini keputihan sering dikaitkan dengan personal hygiene. Personal hygiene terutama genitalia merupakan suatu tindakan untuk memelihara kebersihan organ kewanitaan serta mempertahankan kesehatan dan mencegah infeksi. Penelitian ini bertujuan untuk mengetahui Hubungan pengetahuan dengan personal hygine remaja saat keputihan di SMAN 2 Kota Gorontalo. Penelitian ini merupakan observasional analitik dengan pendekatan crossectional studi. Populasi dan sampel penelitian adalah siswi SMAN 2 Kota gorontalo yang berjumlah 87 responden. Pengumpulan data menggunakan lembar kuisioner dan dianalisis menggunakan uji statistik chi square. Hasil penelitian didapatkan bahwa Terdapat hubungan yang bermakna atau signifikan antara pengetahuan dengan personal hygine remaja saat keputihan di SMAN 2 Kota Gorontalo dengan nilai p value sebesar 0,000 (p value < α 0,05). Disarankan kepada remaja siswi agar selalu berperilaku positif dengan cara menjaga kebersihan alat genitalianya agar tidak terjadi keputihan terus menerus.
 

Diet is information that defines eating patterns as well as the types of food consumed on a daily basis. Individual health status will be influenced by the use of a healthy diet. Inaccuracy in establishing regular meal routines also adds to imbalanced nutritional intake. The objective of this research is to describe dietary habits of nutritional students in Kepulauan Riau. This study was cross sectional study approach in October – November 2022. The population in this study is nutritional students (17 – 24 years old) in Kepulauan Riau as amount 50 subject. Data collection using a questionnaire by google form. The result of this study showed that the most frequently consumed rice every day (94%), eggs 3-4x/week (40%), tempeh 3-4x/week (40%), spinach 1-2x/week (64%), and bananas consumed 2-3x/day (2%) and 1-2x/week (54%). It can be concluded that the dietary habits of students majoring in nutrition in the Kepulauan Riau is still not diverse. Suggestions for nutrition students to improve their dietary habits by paying attention to the frequency, amount and type of food consumed.

Back pain is one of the most common complaints experienced by pregnant women in the third trimester. One of the treatments to deal with complaints of back pain is a combination of back massage and acupressure. The combination of back massage and acupressure is a therapy used to reduce back pain in pregnant women. The goal of back massage intervention is to reduce muscle tension, and acupressure can increase endorphins to reduce pain by massaging at certain points. The method used is a case study by intervening a combination of back massage and acupressure to reduce back pain in third trimester pregnant women. The measurement instrument uses a numerical scale with an intervention pretest and posttest for 3 days with a duration of 10-15 minutes. The results of the intervention showed that there was a change in the scale of back pain after being given a combination of back massage and acupressure, from a scale of 4 to a scale of 1, so that back massage and acupressure were effective in reducing the scale of back pain in third trimester pregnant women.

Kemajuan ilmu pengetahuan khususnya di bidang teknologi membuat gaya hidup anak dan remaja menjadi berubah. Hal ini tentu saja menyebabkan berbagai masalah, salah satunya adalah munculnya adiksi terhadap penggunaan smartphone/gadget. Hal ini tentu saja berdampak buruk terhadap kesehatan remaja dikarenakan adiksi smartphone/gadget menyebabkan aktivitas fisik cenderung berkurang serta berdampak terhadap peningkatan angka kejadian obesitas. Penelitian kali ini bertujuan untuk melihat bagaimana korelasi adiksi smartphone/gadget terhadap indeks massa tubuh pada siswa Sekolah Menengah Atas Sekolah Kalam Kudus II Jakarta. Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional. Sampel pada penelitian ini berupa remaja SMA Kalam Kudus II Jakarta. Kriteria inklusi pada penelitian ini adalah pelajar berusia 15-18 tahun. Kriteria eksklusi adalam penelitian ini adalah responden yang menolak ikut serta dan tidak kooperatif. Variabel penelitian berupa smartphone addiction scale – long version (SAS-LV) dan indeks Massa Tubuh (IMT). Hasil penelitian ini menurut Uji korelasi Spearman didapatkan bahwa terdapat korelasi positif yang amat lemah antara adiksi smartphone dengan nilai IMT (r : 0,018) dan belum bermakna secara statistik (p-value = 0,809). Saran lebih lanjut untuk penelitian selanjutnya adalah untuk mempertimbangkan penelitian cohort agar dapat memiliki data yang lebih akurat.
 
 

. Posyandu is a forum for monitoring the growth and development of toddlers. Coverage of visits by toddlers to posyandu related to mother's activity. The discrepancy between the attainment of community participation or the irregularity of mothers in visiting Posyandu with the target visit is made possible by several factors including age, education, parity, knowledge, attitudes and family support. The Sebatung Health Center has achieved the service target of 41% of the target of 86.2% in 2021. The objective of this research is to knows the factors that influence the activity of parents of toddlers in posyandu activities. The method used analytical survey method with cross sectional approach. The sample used the accidental sampling technique of 30 mothers with healthy toddlers (age 12-59 months) at the Sebatung Health Center in January 2023. Statistical test analysis using Chi Square. The results are The most research results for each variable are the activeness of parents of toddlers 22 people (73.3%), mothers with good knowledge of 19 people (63.3%), a positive attitude of 18 people (60%), family support of 19 people (63 .3%), there is an effect of knowledge (p=0.004), attitude (0.034) and family support (0.015) on the activeness of parents of toddlers in posyandu activities. Concluded there is an influence of knowledge, attitudes and family support on the activeness of parents of toddlers in posyandu activities.

Humans are expected to be able to manage risks, one of them is the risk of getting illness. One way to overcome the risk of getting sick is with health insurance. Health insurance developed in Indonesia is part of the national social security system which is administered using a compulsory social health insurance mechanism, Society does not need to pay high costs for health, and can be used for other needs. In writing scientific papers this time, research uses library research systematic review with a database search using Google Scholar. Papers selected to be used as the database for writing scientific papers are written in Indonesian and English, with a maximum issuance period of 5 years, complete, relevant text with the topic discussed, and an international standard serial number (ISSN). One of the Indonesian health insurance institutions, the Social Security Administrator in Indonesia (BPJS), wants to expand JKN membership throughout Indonesia. However, The level of a community’s sense of importance in ownership of health insurance depends on several factors, including age, education and knowledge, economic status, and social factors. There are various things that must be learned and understood from the importance of health insurance for the community through a program provided by the government, namely the National Health Insurance (JKN). The main benefit for the community is to have a sense of ownership of the program, to get health insurance in the form of health services both medically and non-medically.
 

Gangguan Jiwa adalah penyimpangan dari keadaan ideal dari suatu kesehatan mental yang merupakan indikasi adanya gangguan jiwa. Tujuan dilakukan untuk mengetahui tingkat pengetahuan keluarga dengan kepatuhan minum obat pasien gangguan gangguan jiwa di wilayah kerja Puskesmas Telaga Biru. Desain penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional dengan jumlah sampel 54 orang menggunakan teknik sampling secara total sampling. Hasil penelitian ada hubungan tingkat pengetahuan keluarga dengan kepatuhan minum obat pasien skizofrenia di Puskesmas Telaga Biru dengan hasil yang memiliki tingkat pengetahuan keluarga baik dengan kepatuhan minum obat pasien gangguan jiwa kategori patuh sebanyak 26 (86.7%) responden, tidak patuh sebanyak 4 (13.3%) responden. Dan tingkat pengetahuan keluarga kurang baik dengan kepatuhan minum obat pasien gangguan jiwa kategori patuh sebanyak 5 (23,8%) responden, dan responden pengetahuan kurang baik kategori tidak patuh sebanyak 16 (76,2%) responden. Hasil uji statistic diperoleh nilai p=0,000 dengan dengan α<0,05. Kesimpulan bahwa semakin baik pengetahuan keluarga maka semakin patuh pula pasien dalam meminum obat karena pengetahuan yang dimiliki keluarga masih terbatas. Sehingga, Hasil penelitian ini dapat dipergunakan sebagai bahan masukan bagi institusi kesehatan mengenai hubungan tingkat pengetahuan keluarga dengan kepatuhan minum obat pada pasien jiwa.

Background: feeling sleepy every day is the impact of sleep disturbance at night (insomnia), and can interfere with daily activities. Insomnia can cause other effects such as anxiety, stress, and ending with depression. In the elderly, sleep disturbances can cause various kinds of degenerative diseases that have been suffered and become uncontrolled. Treatment of insomnia disorder is carried out with non-pharmacological treatment, one of the non-pharmacological therapies that can be done is Elderly Exercise. Objective: To determine changes in the level of insomnia in the elderly before and after doing Elderly Exercise. Method: This application uses a descriptive method on 2 respondents, carried out 6 times in 2 weeks. The instrument used was KSPBJ-IRS (Jakarta Biological Psychiatric Study Group-Insomnia Rating Scale). Results: Treatment of insomnia disorder with Elderly Gymnastics given 6 times for 2 weeks in 30-45 minutes can affect the level of the respondent's sleep quality What specific exercises were included in the Elderly Gymnastics therapy?y so that there is a change in the elderly insomnia scale. Conclusion: the application shows that after the Elderly Seam was carried out 6 times in 2 weeks within 30-45 minutes there was a decrease in the insomnia scale in both respondents.
 

Teratomas are germ cell tumors consisting of somatic tissue derived from two or three germinal layers (ectodermal, endodermal, and mesodermal). Teratomas can be classified as mature teratomas and immature teratomas. Teratomas usually arise in the gonads but can also be extra-gonadal. Extragonadal teratomas can occur in the anterior mediastinum, retroperitoneum, pineal, and anterior suprasellar. The general incidence of teratomas is sacrococcygeal 40%, ovarian 25%, testicular 12%, brain 5%, and others including neck and mediastinum 1%. The etiology of teratoma is unknown, but there is a theory that gonadal and midline teratomas originate from totipotent primordial germ cells. Usually teratomas are found incidentally on thoracic photographs. If symptoms are present, it is generally due to mass effect which may cause coughing, dyspnea or chest pain. Mediastinal teratomas may cause perforation, however this complication is rare but a very serious condition. Large anterior mediastinal teratomas that rupture into the pleural cavity can cause lung infection, pleural effusion and mediastinitis. After complete excision, both mature and immature teratomas have an excellent prognosis.

Background: Stroke is one of the causes of disability in adults today, stroke has an impact on the function of the extremities of the body, especially the upper extremities. The impact of lowering the upper extremities is the disruption of daily activities such as bathing, eating, dressing, working and other types of activities that use the upper extremities. To increase the upper extremity muscles, therapy is carried out using mirrors, especially on the upper extremities. Objective: To determine the effect of Mirror therapy on muscle strength in non-hemorrhagic stroke patients. Method: Implementation was carried out using the case study method to 2 respondents, for 3 consecutive days a day for 15 minutes in the afternoon. Findings: Based on the results of the application that has been carried out, there is a decrease in muscle strength in non-hemorrhagic stroke patients Implication: Mirror therapy is expected to be applied in nursing practice by doing it 2x a day thereby giving maximum results.

Early marriage refers to marriages in which both partners are aged 18 and under or those who are not ready to marry due to various factors, such as the level of physical, emotional, sexual and psychosocial development, or lack of information regarding one's life choices. Women who marry early are blamed by various factors such as economic level, educational level, social culture, and premarital sex. The purpose of this research is to explore the determinant of early marriage among adolescent women. This research method uses a descriptive with a qualitative approach. The subjects of this study were women aged 12-18 years who married early and their families. The data collection technique used is in-depth interviews. Analysis data begins with determining the coding, categories and themes which are then interpreted using NVivo 12 Plus. The results of this study indicate that the women who marry early are caused by economic level, parents' education, girl’s education, customs and traditions in society, parents' divorce, and the influence of social media.

Diare merupakan penyakit berbasis lingkungan yang disebabkan oleh infeksi mikroorganisme meliputi bakteri, virus, parasit, protozoa, dan penularannya secara fekal-oral. Menurut WHO diare adalah kejadian buang air besar dengan konsistensi lebih cair dari biasanya, dengan frekuensi tiga kali atau lebih dalam periode 24 jam. Tujuan umum dari penelitian ini supaya mahasiswa mampu melakukan Asuhan Kebidanan Pada Balita. Metode Penelitian Adalah deskriptif. Jenis data yang digunakan dalam penulisan laporan tugas akhir ini adalah data yang diperoleh langsung dari subjek penelitian melalui pemeriksaan fisik, wawancara dan observasi. Setelah melakukan asuhan kebidanan pada balita dari tiga kali kunjungan didapatkan hasil pemeriksaan evaluasi : Keadaan Umum : baik, Kesadaran : Komposmentis, TTV : RR : 45x/i, HR : 78x/i, T: 36,5 ºC, BAB kembali padat, anak sehat dan ibu merasa senang dengan perubahan kesehatan anak sudah baik. Dapat dijadikan masukan untuk menambah wawasan dan pengetahuan petugas kesehatan diare yang sering di alami balita.
 

Medical informatics as a basic medical science that participates in formal medical decision-making processes is integrated with the formation of medical databases and administrative data with features of automating work process technology in health care institutions. This study aims to analyze and find out the analysis of the application of health information systems to health insurance payments. This research is a literature review sourced from several online sites such as Google Scholar, Pubmed, and Refseek by including keywords “Pharmaceutical Preparations”, “Support”, “National Health System”. The inclusion criterion used was the implementation of a health information system for payment of health insurance using the PRISMA plot diagram. The results of this study found that the implementation of health information systems for health insurance payments in health facilities is still not optimal. Many factors have affected the overall operation of the system, where the quality and quantity of human resources in handling health information systems is still lacking, the lack of facilitating facilities and infrastructure sometimes still causes disruptions and requires improvement

HIMS is a solution for hospitals for digital transformation. HIMS is also a strategic step in improving the quality of health services. With HIMS where the data will be better organized and integrated, besides that it makes administrative processes and other data management in the hospital easier and more efficient. The purpose of this study is to find out how HIMS can improve health services. The method used is a theoretical study by analyzing and comparing existing theories. The results of this study are that HIMS in hospitals also provides many benefits in increasing the efficiency and quality of health services. Implementation in EMR with treatment information management, statistical data research, administrative evidence, financing and service quality improvement. It can be concluded that HIMS can improve a health service. HIMS is also an indicator of good and efficient data storage and is included in the health service quality component. In the digitalization era, hospital agencies aim to avoid unwanted errors, such as incorrect data input, failed integration, human error, and slow information. So that the information system that facilitates the hospital can be a reference for the rate of business growth and the development of hospital information technology. Hospital Agencies are expected to always develop new management information systems in accordance with the times. With HIMS, hospital services will be more optimal because they are already digital-based. Digitalization exists because of increasingly advanced technological developments.

Inflammation is a protective response that is intended to eliminate the initial cause cell injury and cell discard and necrotic tissue caused by cell damage. Plants suspected of having anti-inflammatory properties as is Herba Celery (Apium graveolens L.) which included family Apiaceae and leaves Binahong (Anredera cordifolia (Ten.) Steenis) are included in the family basellaceae. Which act as antiinflammatory herbs binahong celery and leaves are flavonoids. This study aims to determine the effect of anti-inflammatory herb extract combination Celery (Apium graveolens L.) and leaves Binahong (Anredera cordifolia (Ten.) Steenis) against a white male rats. Herbal extract and leaf celery binahong extracted using 96% ethanol by maceration method. Animal test used was a white male rats as much as 25 animals with body weight of 100-300 grams. The test animals were divided into 5 groups: negative control group (CMC 1%), the positive control group (Diclofenac Sodium 50 mg), group combination herbal extracts celery and leaves binahong with a dose of 200 mg / kg: 200 mg / kg, 100 mg / kg: 300 mg / kg, 300 mg, kg: 100 mg / kg. Treatment 1 hour before the feet of mice induced by subplantar karagenin on the rear left foot white male rats. Edema volume measurements on the soles of mice were observed every 1 hour for 5 hours. The results showed a combination of herbal extracts and leaf celery binahong show stable results, where the hour-3 increased volumes continued in the hours 4th and 5th. Results per cent udema on a combination of herbal extracts and leaf celery binahong ie 49.13%, 44.66% and 45.92%. The average volume is used to calculate the percent edema inflammation, inflammation percent results obtained to calculate the percent inhibition.

Background: The MRI knee joint examination procedure for clinical ACL rupture in the Radiology Installation of Sidoarjo Regional Hospital often adds a T2 Mapping MR Cartigram sequence. T2 mapping MR Cartigram is a special sequence for detecting damage to the collagen component of the cartilage matrix using a quantitative approach method by producing a color map. The aim of this research is to determine the procedure, reasons for use, and diagnostic information resulting from the T2 mapping MR Cartigram sequence. Method: This type of research is qualitative research with a case study approach. The research was conducted in March-June 2022 at the Radiology Installation of Sidoarjo Regional Hospital. Research subjects included three patients, three radiographers, one radiologist, and one sending doctor. Data was collected by means of observation, interviews and documentation and then analyzed using an interactive model system method which would be processed in the form of transcripts, then identified, reduced and categorized the data and made open coding so that conclusions could be drawn. Results: The results of the study show that the clinical MRI knee joint examination procedure for ACL rupture at Sidoarjo District Hospital includes patient preparation, equipment preparation, examination techniques and routine sequences used such as PD Fatsat, T2, T1, STIR, T2*GRE, PD 3D Cube, and additional T2 Mapping MR Cartiram sequence. The use of the T2 mapping MR Cartigram sequence aims to determine the effect of ACL rupture on cartilage damage quantitatively and objectively by placing an ROI in the cartilage area so that it can provide diagnostic information including early detection of cartilage damage, increased water content, and cartilage degenerative processes. The results of the interpretation of the analysis carried out by the Sidoarjo Regional Hospital Radiologist were only subjective, namely looking at the resulting color map to see whether it looked even and homogeneous. Conclusion: Basically, existing saturation measurements are not always the same, they will depend on the patient's diagnosis for which the action will be taken. This saturation measurement uses the AVOXimeter 1000E. no less important in the continuity of actions in the cath lab room.

Hospitals certainly have strategic policy formulation in internal parts, especially organization, management and human resources (HR) and must be able to make decisions effectively to improve the quality of health services. So by increasing this vision it is necessary to use information management systems in hospital services. Health services are the main topic because of the high complexity of challenges in the health sector. The purpose of this study was to determine the Implementation of the Hospital Management Information System (SIMRS) in the influence of SIMRS on health services. With various service management information systems and different features, it is necessary to have regulations and make minimum standards that must be set by the ministry of health in order to achieve uniform services and be able to carry out full electronic-based activities, the need for the capacity of the ministry of health to provide applications for hospitals that are still unfamiliar with SIMRS and ongoing training and need more monitoring. The research design used in the preparation of this article is a literature review method related to Hospital Management Information Systems in Health Services. Search results using several databases such as Scopus, Google Scholar and also by collecting information that has been obtained from online journal article literature sourced from reference books and books related to the topic. The results of 8 articles obtained that the Effect of Utilizing Management Information Systems on Health Services in Hospitals by increasing Human Resources (HR), Standard Operating Procedures (SOP) for Facilities and Infrastructure, Implementation of Hospital Management Information Systems (SIMRS), Improving the Quality of Health Services, and Hospital Promotion and Service Policy. It can be concluded that the management information system in health services is something that integrates the entire process flow of hospital services in the form of a network that improves human resources for health services, quality information systems in hospitals. This strategy becomes an arrangement or equipment that provides information to develop to achieve the objectives of its activities.
 

Obesity in adolescents and adults is a phenomenon of particular concern from a health perspective. There have been several attempts to reduce obesity, one of which is by controlling food calorie intake. Food calories can be informed through food labels on food products. Food labels are a source of information or media knowledge about food for consideration in buying a product. Consumer awareness in reading food labels before buying or consuming a food product is still very low. This study aims to describe the awareness or attitude of nutrition students towards health and food product labels. The research method is observational with a cross sectional design. The results of the study 53.1% of respondents have a negative attitude towards health and food product labels.

Background: Dysmenorrhea is a feeling of discomfort in the lower abdomen spreading to the waist that is often experienced by young women that occurs before and during menstruation, usually accompanied by nausea. The deep breathing relaxation technique is a complementary therapy that teaches how to take deep breaths, maximally hold inspiration and how to exhale slowly. Purpose: Knowing the changes in the level of the dysmenorrhea scale in adolescents before and after doing deep breathing relaxation techniques. Method: This application uses a descriptive research method and observes events or events that have occurred. Descriptive research is research conducted to describe or describe an event that occurs in society. Results: Treatment of dysmenorrhea with deep breathing relaxation techniques given 5 times for 15 minutes can affect the level of dysmenorrhea so that there is a change in the level of the pain scale in adolescents. Conclusion: Deep breathing relaxation techniques can reduce the level of dysmenorrhea in adolescents who are experiencing menstrual pain.

Cacing laut (Perinereis albuhitensis) sangat berpotensi sebagai bahan obat antibakteri, antifungi baru karena memeliki kandungan metabolit sekunder yaitu : Saponin dan Flavanoid, terpenoid, alkalaod tanin yang bekerja sebagai anti bakteri dan antifungi. Tujuan daripenelitian ini adalah untuk mengidentifikasi daya hambat antibakteri ekstrak cacing laut (Perinereis albuhitensis) yang diekstraksi menggunakan pelarut etanol 96% terhadappertumbuhan bakteri Staphylococcua aureus Pengujian aktivitas antibakteri ini menggunakan metode difusi agar dengan menggunakan beberapa konsentrasi 1,5%, 10%, 20%, dan 30%. Kontrol positif menggunakan Amoxicillin dan kontrol negatif yaitu aquadest steril. Hasil dari penelitian ini menunjukan bahwa ekstraksi cacing laut menggunakan etanol 96% mampu menghambat pertumbuhan bakteri Staphylococcus aureus pada konsentrasi 10%, 20%, dan 30%.

Behavior about clean and healthy living in educational institutions is an effort to empower students, teachers and the community in the school environment to know, want to do and be able to practice a set of behaviors on the basis of awareness as learning outcomes, so that they are independently able to prevent disease, improve their health, and play an active role in creating a healthy environment . Behavior regarding clean and healthy living is an indicator of achievement in improving health in the 2015-2030 Sustainable Development Goals (SDGs) program. In the SDGs, behavior regarding clean and healthy living is one of the prevention strategies with short-term impacts for improving health in regional settings, namely schools, families and communities. During the COVID-19 pandemic, school-age children and adolescents were at risk of contracting COVID-19 due to their high activity and tendency to group. However, due to their good immune system, often COVID-19 in this group shows no symptoms or only mild symptoms, so they are often ignored and have the potential to spread to people around them. The impact of COVID-19 on school-age children and adolescents can affect their physical and mental health. Based on the description above, the authors conducted research on the effect of implementing UKS activities on Clean and Healthy Behavior. This research is a quantitative research with a correlation study design with the type of research used is Analytical Observational. The research was conducted at Middle School 2 Kualuh Leidong, North Labuhan Batu Regency, North Sumatra Province in March -May 2022 with a sample size of 70 respondents. Sampling in this study used a probability sampling technique with proportional stratified sampling. Data analysis in this study includes Univariate and Bivariate Analysis with the provision that if ρ ≤ α 0.05 then there is an influence or relationship between the two variables. The results of the study obtained a p value of 0.000 which means that there is an influence of the School Health Business program on Clean and Healthy Behavior. It is hoped that the puskesmas staff will socialize the school health program and activity plan, complete facilities that support clean and healthy behavior and further increase school involvement and collaboration with parties related to the implementation of activity programs or clean and healthy living in the working area of the Tanjung Leidong community health center.
 

Diabetes mellitus (DM) is a disease in which glucose (simple sugar) levels in the blood are high because the body cannot release or use insulin adequately. Normal blood sugar levels in the morning after fasting the night before are 70-110 mg/dL of blood. Blood sugar levels are usually less than 120-140 mg/dL 2 hours after eating and drinking fluids containing sugar or other carbohydrates. The purpose of the study was to determine the factors that influence the behavior of preventing diabetes mellitus in the Work Area of ​​the Pargarutan Health Center, East Angkola District, South Tapanuli Regency. The research design used a quantitative method which was carried out by an analytical survey with a Cross Sectional Study approach. The population in this study were all patients with diabetes mellitus, as many as 321 patients. Samples using the Accidental Sampling system were 76 patients. Data analysis used univariate, bivariate and multivariate analysis. The results showed that there was an effect of family history, support from health workers, physical activity, diet, family support and social culture on diabetes mellitus prevention behavior in the Work Area of ​​the Pargarutan Health Center, East Angkola District, South Tapanuli Regency. While the most dominant factor is diet. The conclusion of this study is that there is an influence of family history, support from health workers, physical activity, diet, family support and socio-culture on diabetes mellitus prevention behavior in the Pargarutan Health Center Work Area, East Angkola District, South Tapanuli Regency. It is recommended that the Pargarutan Health Center is expected to provide counseling about diabetes mellitus and carry out a diabetes mellitus control program to reduce the number of DM sufferers.

Hb examination on female catin is useful to determine the status of anemia so that it can be prevented and intervened before pregnancy. According to the 2021 report of the Tapin District Health Office, the incidence of anemia in Catin was 160 people (14.1%) from 1135 catin examined. Puskesmas Tapin Utara is one of the puskesmas in Tapin regency that has provided reproductive health services to catin with the second most catin targets in Tapin district. The purpose of the study was to determine the implementation of anemia screening in women at the North Tapin health center. Quantitative descriptive observational research method on catin characteristics of anemic women through the reproductive health register instrument of the North Tapin Health Center in 2021. The results of the study of 130 women screened at the North Tapin health center in 2021 were 23 adolescents (17.7%), 107 adults (82.3). Very Thin category 12 people (9.2%), Thin category 23 people (17.7%), Normal 71 people (54.6%), Obese 10 people (7.7%), and Obesity 14 people (10.8%). Anemia 23 people (17.7%) and those who are not anemic 107 people (82.3%).

Background: The population of stunted children is 55% in Asia and 39% of the population of stunted children is in Africa. Riskesdas data (2018) shows that the prevalence of stunted toddlers in Indonesia is 30.8%. Based on the 2020 Aceh province health profile data, it is known that stunting under five in Aceh Province is 10.9%, where Bener Meriah Regency is the Third Regency with the highest stunting rate (18%). This study aims to analyze the incidence of stunting in toddlers in terms of basic immunization status, history of exclusive breastfeeding and birth weight. Method: This research is an observational analytical study using a retrospective case control study design conducted in the Pante Raya Community Health Center Work Area in April – June 2022. The sample size was 18 people, a ratio of 1:1 to 36 people using Consecutive sampling. Data analysis included Univariate and Bivariate with the chi square test, using a significance level of 5% (p value <0.05). Results: Research shows that basic immunization is associated with stunting (p value 0.005<0.05) OR 95% CI 0.100 (0.018-0.569); Exclusive breastfeeding is associated with stunting (p-value 0.006<0.05) OR 0.127 (0.027-0.606); while birth weight was not related to stunting (p-value 0.371>0.05) OR 0.438 (0.069-2.762). Conclusion: Providing basic immunization, exclusive breastfeeding is associated with stunting in the Pante Raya health center working area, therefore it is hoped that the relevant health workers will promote more education about exclusive breastfeeding and also basic immunization programs.

Pendahuluan: Stres merupakan fenomena umum di tempat kerja saat ini. Banyak survei dan studi membuktikan bahwa tekanan akibat pekerjaan adalah sumber utama terjadinya stres. Stres kerja dapat menimbulkan dampak, dampak stres kerja seperti banyaknya ketidakhadiran, produktivitas kerja yang berkurang. Produktivitas kerja bukan semata-mata ditujukan untuk mendapatkan hasil kerja sebanyak-banyaknya, melainkan kualitas kinerja yang perlu diperhatikan. Penelitian ini memiliki tujuan untuk menganalisis hubungan stres kerja dengan produktifitas kerja perawat puskesmas di kota Pekanbaru selama masa pandemi COVID-19. Metode: Penelitian ini merupakan penelitian kuantitatif menggunakan desain penelitian korelasi dan pendekatan Retrospektif dengan sampel peneltian sebanyak 45 orang dengan menggunakan total sampling. Alat ukur yang digunakan kuesioner stres kerja dan produktifitas kerja . analisis menggunakan univariat dan bivariat  menggunakan Chi Square. Hasil: Hasil penelitian menunjukkan bahwa perawat puskesmas mengalami stres sedang (46,7%), dan produktifitas kerja kurang baik (64,4%). Hasil uji Chi Square menunjukkan adanya hubungan antara stres kerja dengan prossuktifitas kerja perawat puskesmas di kota pekanbaru selama masa pandemi COVID-19 dengan p value (0,005) < alpha (0,04). Kesimpulan: Hasil penelitian ini menunjukkan bahwa stres kerja yang dirasakan perawat puskesmas selama masa pandemi COVID-19 mempengaruhi produktifitas kerjanya. Saran: Berdasarkan hasil penelitian ini diharapkan kepada kepala puskesmas untuk tetap memantau perawat agar tidak mengalami stres kerja yang berpengaruh untuk produktifitas kerjanya.

Chronic lack of energy is a major cause of stunting. Based on the results of a preliminary study conducted in November 2022 in the working area of the Salam Babaris Health Center, Tapin District, data on the total number of catin as many as 86 people were obtained. Researchers conducted an examination with 10 catin people found that 4 catin people had nutritional status (lila measurement) below normal size and body mass index with thin classification. The purpose of the study was to determine the implementation of catin (bride-to-be) assistance to prevent stunting by screening nutritional status and body mass index (TAGINDAS) in the work area of the Salam Babaris Health Center in 2022. Type of descriptive research with cross sectional design, univariate analysis test. Total sampling technique. The sample amounted to 32 catin people. The results of the study showed that most respondents of catin (bride-to-be) health status to prevent stunting were not at risk of stunting as many as 21 people (65.6%), respondents in the nutritional status category were not at risk as many as 21 people (65.6% and most respondents in the normal BMI category were 18 people (56.3%).

In Pregnancy, childbirth, newborns, postpartum, and family planning are physiological processes; However, if not monitored and managed properly, this physiological process can develop into problems or complications that endanger the health of the mother and baby. Increasing health personnel, including midwives, is needed to participate in supporting the health of pregnant women, postpartum women, postpartum women, family planning and newborn babies. Mrs. A, 33 years old, G1P0A0, 32 weeks pregnant, received this comprehensive obstetric care. The physiological labor process is carried out at 32 weeks 5 days of gestation. After delivery, postpartum and consultation regarding postnatal contraception are carried out physiologically. There is no difference between theory and practice in pregnancy, postpartum and newborns. In the case study Mrs. A, management of midwifery care has been implemented and documented using the SOAP method. The conclusion of this final project report is that there is a difference between the implementation of APN during childbirth between theory and implementation in the field. It is hoped that the care provided can reduce MMR and AKN for mothers and babies.

Long waiting time is one component that has the potential to cause patient dissatisfaction. If the waiting time is long, it will reduce patient comfort and affect patient utility in the future. The method used in this research is Literature Review, namely by collecting and processing research data that has existed before with the 2018-2022 range. The results of this study found that there was a waiting time for drugs, both concoctions and standard drugs, that were not in accordance with the minimum service standards, so that waste was found. There are various types of waste that are found resulting in long drug waiting times such as too many processes to the long process of submitting drug prescriptions to pharmaceutical installations, which causes many inefficient and ineffective activities to arise. Based on this, there is a waiting time for drugs, both concoctions and standard drugs, that are not in accordance with the minimum service standards, so that waste is found. Thus the length of waiting time in preparing the drug is influenced by several factors such as speed and completeness of patient data up to re-submission which takes a lot of time.

The aim of this research is to determine the role of the Diffusion Weighted Imaging (DWI) sequence in Soft Tissue MRI examinations of the neck in cases of nasopharyngeal cancer and to determine the advantages of using the Diffusion Weighted Imaging (DWI) sequence in MRI Soft Tissue examinations of the neck in cases of nasopharyngeal cancer. The research method used was a descriptive qualitative research method with a literature study method. The results of the literature review research showed: 1) Nasopharyngeal cancer, especially squamous cell carcinoma, can be treated with radiation therapy where treatment failure is still a serious problem, especially in advanced cases. DWI and ADC are imaging methods that utilize the movement of water inside. DWI provides additional information regarding response to treatment in hard-to-reach cases of nasopharyngeal cancer. plays an important role in detection, evaluation of response to treatment, and early monitoring of chemoradiotherapy therapy. DWI also provides information that helps distinguish between tissue experiencing post-RTH fibrosis and areas that may contain active cancer cells. DWI and ADC are also useful in tumor staging, delineation of target volumes, and detection of tumor recurrence. Elevated ADC may be indicative of a favorable response to therapy, whereas low pretreatment ADC values ​​may predict a favorable response. In the diagnosis of nasopharyngeal cancer, DWI and ADC also help differentiate squamous cell carcinoma subtypes, predict response to chemoradiation therapy, and determine the appropriate time for alternative treatment regimens. 2) DWI and ADC provide advantages in the diagnosis and monitoring of nasopharyngeal cancer. DWI can image restrictions on water diffusion within tissue, helping to detect areas of high cell density associated with tumors. Its advantages include sensitivity to microenvironmental changes and the ability to early identify recurrence or secondary cancer post-radiation therapy.

Computer Vision Syndrome  (CVS) encompasses a constellation of ocular and extraocular symptoms in digital devices users who either habitually or compulsively use digital devices for long periods of time. Digital devices emit blue light (400-490 nm) and generate electromagnetic fields, both of which interfere with the circadian rhythms. This study aims to determine the association between CVS and sleep quality of nursing students. The type of research was observational analytics with a cross-sectional approach and conduct proportionate stratified random sampling. CVS was measured by using CVS-Q, while sleep quality was measured by using PSQI. The analysis used univariate analysis to see the frequency distribution and bivariate used Chi-Square. The result of the data analysis showed that 68,4% of the nursing students experienced CVS. The number of respondents who experienced poor sleep quality was 151 (63.7%). Poor sleep quality was present in 71% of individuals with CVS and 48% of students without CVS. The difference was statistically significant (p=0.001) with OR=2,651. CVS is significantly associated with sleep quality in nurse students. Therefore, it is necessary to apply appropriate behaviors and attitudes to use digital devices and prevent CVS from occurring so that the individual's sleep quality becomes better.

About 90% of mothers giving birth are always accompanied by pain, while pain during labor is a common thing. Physiological events during labor can traumatize the mother because of the pain she experiences. Some mothers are even traumatized to get pregnant and give birth again because they are afraid they will experience the same pain. Severe pain during labor causes the mother to experience psychological disorders.The research design is a research using a quantitative approach. The research design used in this study was a quasi-experimental with two group pretest-posttest design with a sample of 36 pregnant women divided into 2 control groups 18 interventions 18 and the researchers selected respondents using purposive sampling technique. The average value of pain intensity without intervention in the control group was 6, while in the intervention group it decreased with an average of 3.5. There is an effectiveness of the influence of effleurage massage on reducing pain in mothers giving birth at the UPT Ciruas Health Center. It is suggested that the results of this study can add insight in digging information on the effectiveness and influence of massage effleuage on the pain level of women in childbirth during an active phase as part of a management of complementary midwifery care and traditional health which makes culture in Indonesia and the world.

. The Coronavirus Disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus (SARS- CoV2) has led to a pandemic situation. According to the WHO classification, COVID-19 patients could be classified with severity as uncomplicated illness, mild pneumonia, severe pneumonia, acute respiratory distress syndrome (ARDS), sepsis and septic shock.Case illustration: A 25 year old female, with a chief complaint of shortness of breath and cough, history of cesarean section surgery with indications of severe preeclampsia and hysterectomy for uterine atony.  weeks previously the patient was confirmed positive for COVID-19 without symptoms and tested negative through the Polymerase Chain Reaction (PCR) follow up examination. The Chest X-Ray showed the right lung atelectasis, bronchitis and minimal pleural effusion. CT scan of the chest showed a  ground glass opacity in almost all bilateral lung segments with septal thickening in according with the picture of COVID pneumonia with cardiomegaly. The patient was intubated and put on  a ventilator due to acute respiratory failure and the drugs include antiviral (oseltamivir), chloroquine, antibiotic (meropenem) and steroid (methylprednisolon) intravenous.Discussion: Post COVID-19 fibrosis is one of the emerging complications of COVID 19 pneumonia and ARDS. This case report highlights ARDS in patient with Pulmonary Post Covid-19 and its challenges in diagnosis and treatment. The combination treatment of mechanical ventilation and drugs such as antiviral,chloroquine, antibiotic, steroid intravenous could give the good outcome for the patient of ARDS due to Pulmonary Fibrosis Post COVID - 19
 

In the implementation of education, each university has learning outcomes that must be achieved by students graduating from the institution. To find out the predetermined learning outcomes have been achieved or not, measurable indicators are needed. One of the indicators used to measure the quality of university graduates is the achievement index achieved by students. In academic settings, many studies show that there is a positive relationship between self-efficacy and academic achievement. In addition, student academic achievement is also influenced by another aspect, namely resilience. Therefore, this research was conducted with the aim of knowing the relationship between the level of self-efficacy and resilience with academic achievement in 2nd semester students of Politeknik Negeri Indramayu. The method used in this research is a quantitative method. The sampling technique in this study was random sampling technique, with a total sample of 213 students. The results of data analysis showed that the significance score obtained was below 0.05. This means that there is a relationship between self-efficacy and resilience with academic achievement in 2nd semester students of Politeknik Negeri Indramayu. The higher the self-efficacy and resilience, the higher the academic achievement achieved. Conversely, the lower the level of self-efficacy and resilience, the lower the academic achievement.

Gizi memiliki peran penting dalam pembangunan kualitas sumber daya manusia. ‎Ketidakseimbangan Gizi dapat menurunkan kualitas SDM. Stunting (tubuh pendek) ‎menggambarkan Status Gizi Kurang dari -2 Standar Deviasi. Stunting ini terjadi akibat ‎beberapa faktor diantaranya faktor nutrisi. Tujuan penelitian ini ‎adalah mengetahui ‎Hubungan Antara Status Gizi Balita dengan Kejadian Stunting ‎di Puskesmas Kota ‎Timur. Jenis penelitian adalah cross-sectional dengan pendekatan kuantitatif. Hasil ‎penelitian  Ada Hubungan antara Status Gizi Balita dengan Kejadian Stunting (tubuh ‎pendek) di Puskesmas Kota Timur tahun 2022. Kesimpulannya hasil penelitian di ‎Wilayah Kerja Puskesmas Kota Timur menunjukkan bahwa sebagian besar Balita ‎memiliki status Gizi termasuk dalam kategori Status Gizi Kurang yaitu sebanyak 11 ‎Balita (13,9%) dan sebagian besar Balita termasuk dalam kategori Stunting yaitu ‎sebanyak 10 balita (12,7%). Sarannya untuk mengatasi masalah Stunting diperlukan ‎pemberian informasi tentang Gizi agar sesuai dengan kebutuhan Balita.
 

. Indonesia merupakan negara yang memiliki beragam hasil alam yang melimpah, salah satunya tanaman obat. Negara Indonesia yang merupakan negara kepulauan memungkinkan setiap daerah memiliki komoditi hasil alam tersendiri. Hal ini juga mempengaruhi cara pengobatan tradisional yang berbeda pula untuk tiap - tiap daerah. Negara Indonesia dikenal karena memiliki beragam suku dengan ciri khas masing - masing. Keragaman suku ini juga membuat adanya perbedaan dari jenis warisan budaya, baik itu terkait kepercayaan, upacara, maupun pengobatan menggunakan obat tradisional. Penelitian ini merupakan penelitian eksperimental laboratorium, untuk mengetahui ekstrak ikan gabus ( Channa Striata ) terhadap proses penyembuhan luka bakar mencit ( Mus muscullus ) yang tampak mengalami perubahan. Rancangan dalam penelitian ini adalah rancangan acak lengkap ( RAL ) yaitu dengan konsentrasi K1 ( diberi aquadest ), K2 ( ekstrak ikan gabus 0.30 g / kg BB ), dan K3 ( ekstrak ikan gabus 0,50 g / kg BB ), dan K4 ( ekstrak ikan gabus 1,00 g / kg BB ). Hasil uji Homogenitas terlihat bahwa nilai sig sebesar 0,110 yang artinya sig > p.sig 0.05. sehingga dapat di simpulkan bawah varian data luka bakar adalah homogen.Berdasarkan hasil uji Anova, maka diperoleh bahwa pemberian ekstrak ikan gabus terhadap diameter luka bakar berbeda atau berpengaruh nyata sampai hari ke 10 ada berbedaan signifikan ( p < 0,05 ) antara kelompok variasi dosis dengan kontrol negatif 1,00 g / kg BB memberikan efek penyembuhan terbaik sebesar ( 2.35 % ) pada hari ke 10 jika dibandingkan dengan dosis 0,30 g / kg BB ( 2.5975 % ) dan dosis 0,50 g / kg BB ( 2.5175 % ). Kesimpulan dari penelitian ini menunjukan ekstrak ikan gabus dengan dosis 1,00 g / kg BB memiliki efek penyembuhan tercepat terhadap luka bakar. 
 
 

Family planning is a government program to limit the birth rate. One of them is the use of effective contraceptives Intra Uterine Device (IUD), but in general in Central Kalimantan the demand for contraceptives is very low, especially in the working area of the Timpah Health Center. The purpose of the study was to analyze factors associated with the low interest of women of childbearing age in the use of Intra Uterine Device contraceptives at UPT Puskesmas Timpah. The method used is quantitative research with a cross sectional design. The data collection instrument uses questionnaires taken with Total Sampling techniques. The respondents were women of childbearing age. The results of the study of women of childbearing age on IUD birth control were obtained by 11 respondents having moderate interest (55%), knowledge level less than 23 respondents (57.5%), low parity < 2 children as many as 30 people (75%), elementary / junior high school graduate education 24 people (60%), husbands did not support 28 people (70%). The results of the chi-square test on Fisher Exact p-value obtained knowledge with interest p = 0.432, parity with interest p = 1,000, education with interest p = 0.407, husband support with interest p = 1,000.

Angka Kematian Ibu (AKI) merupakan salah satu indikator yang peka terhadap kualitas dan aksesibilitas fasilitas pelayanan kesehatan, berdasarkan Organisasi Kesehatan Dunia (WHO) AKI diperkirakan sebanyak 500.000 kematian   setiap   tahun dan   99% diantaranya terjadi di  negara berkembang. Melalui kunjungan antenatal care, komplikasi yang mungkin ada atau akan timbul pada kehamilan tersebut lekas  diketahui, dan  segera    dapat     diatasi sebelum     berpengaruh tidak baik terhadap kehamilan tersebut. Faktor internal sangat berperan  untuk  ibu  hamil  melakukan  Asuhan  antenatal,  beberapa dari faktor internal merupakan sebab dari dilakukannya dan tidak dilakukannya Asuhan antenatal secara rutin. Faktor internal meliputi usia ibu hamil, pengetahuan, dan paritas. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan Antenatal Care (ANC) pada ibu hamil di puskesmas Rijali kota Ambon. Metode yang dipakai dengan deskriptif analitik dengan menggunakan desain cross sectional dengan sampel sebanyak 95 ibu hamil yang telah melahirkan kurang lebih 30 hari yang lalu yang pernah melakukan kunjungan antenatal care kemudian dilakukan analisa dengan uji chis quare. Hasil penelitian menunjukkan terdapat pengaruh  usia ibu hamil terhadap kunjungan antenatal care yaitu p=0,017 (p< 0,05), pengetahuan ibu hamil terhadap kunjungan antenatal care yaitu p=0,030 (p<0,05), namun tidak ada pengaruh parietas terhadap kunjungan antenatal care dengan nilai p=0,051 (p>0,05).

Kekambuhan pada penderita gangguan jiwa sering ditemukan karena putus obat. Keluarga merupakan pendukung utama dalam pemberian obat dirumah. Tujuan: Untuk mengetahui strategi keluarga dalam pemberian obat antipsikotik pada anggota keluarga dengan gangguan jiwa (ODGJ). Metode: Desain penelitian ini adalah penelitian kuantitatif deskriptif berbentuk survei. Sampel sebanyak 100 orang merupakan perwakilan dari keluarga penderita gangguan jiwa dengan teknik accidental sampling. Kriteria inklusi yang diambil yaitu keluarga yang sedang menemani ODGJ kontrol ke RSJ yang sulit untuk makan obat. Kuesioner yang digunakan peneliti berdasarkan studi literatur. Distribusi frekuensi dilakukan untuk analisis dan penyajian data. Hasil: Hasil survei didapatkan strategi yang paling banyak pernah dilakukan adalah melibatkan penderita dalam keputusan mendapatkan obat (100%), paling sering berhasil dilakukan keluarga adalah memberikan pemahaman kepada penderita tentang pentingnya obat dan mengingatkan penderita ketika jadwal minum obat (93%), paling sering tidak berhasil dilakukan adalah melibatkan penderita dalam keputusan mendapatkan obat (16%) dan paling banyak tidak pernah dilakukan adalah mengganti obat minum menjadi obat injeksi (65%). Kesimpulan: Mengingatkan penderita ketika jadwal minum obat merupakan suatu tanggung jawab keluarga dalam meminimalisir angka kekambuhan.
 

Risk management as a process for analysis, identification, evaluation, control, and overcoming risks faced by organizations or Hospital Agencies. This control is carried out by implementing Hospital Work Safety Health (HWSH). The purpose of this case study is to find out the analysis of occupational health and safety risk control and management in hospitals. The method in the case study is by implementing the Hospital Occupational Health Safety Risk Management system (HOH SRMS). Hospital management system as a whole which includes the organizational structure, planning, responsibilities, implementation, procedures, processes and resources needed for the development, implementation, achievement and maintenance of occupational health and safety policies. The results of the analysis state that the Occupational Safety & Health (OSH) plan in the hospital is the key as a reference for performance in health worker safety with risk identification, risk analysis, risk assessment, implemented solutions, and risk monitoring. It can be concluded that risk management in hospitals is a comprehensive control activity in the form of identification and evaluation to reduce the risk of injury and loss to patients, hospital employees and to improve the quality of health services. Hospital Agencies have the duty and obligation to identify and control thoroughly both in the service area, infectious area and hospital environment area. HOH SMRS as an important aspect designed to prevent negative impacts on business processes or minimize financial loss. It is hoped that the hospital will carry out risk management by identifying weaknesses in the system and correcting these weaknesses.
 

Virus Corona  merupakan  keluarga  besar  virus yang menyebabkan penyakit pada manusia dan hewan, sedangkan kepuasan pasien merupakan salah satu fungsi dari manajemen keperawatan. Tujuan penelitian ini Untuk mengetahui kepuasan kunjungan pasien rawat jalan dimasa pandemi covid 19 di Puskesmas Bulango. Desain penelitian yang digunakan yaitu deskriptif non analitik menggunakan metode kuantitatif dengan pendekatan cross sectional. Hasil penelitian menunjukan kepuasan pasien berdasarkan Reliability sebagian besar adalah dengan kategori Cukup sebanyak 19 responden (47.5), kepuasan pasien berdasarkan Assurace sebagian besar adalah dengan kategori Cukup sebanyak 23 responden (57.5), kepuasan pasien berdasarkan Tangibles sebagian besar adalah dengan kategori Baik sebanyak 18 responden (45.0), kepuasan pasien berdasarkan Empathy sebagian besar adalah dengan kategori Baik sebanyak 20 responden (50.0), kepuasan pasien berdasarkan Responsiveness sebagian besar adalah dengan kategori Baik sebanyak 20 responden (50.0). Kesimpulan dalam penelitian yaitu Mutu pelayanan keperawatan selama masa pandemi Covid-19 dinilai sudah baik, akan tetapi perlu di optimalkan pada dimensi Reliability dan Assurace.

This study was conducted to determine the effect of the Monopoly Anemia Educational Game (GEMA) as one of the media innovation for Health Education on the behaviour of adolescent girls about anemia in the work area of Tanjungpinang City Health Center in 2021. This type of study is a quasi-experiment with a nonrandomized pretest and posttest with a control group design which is used to determine the effect of the Monopoly Anemia Educational Game (GEMA) as one of the media innovation for Health Education on the behaviour of adolescent girls about anemia in the Tanjungpinang City Health Center in 2021. The sampling technique in this study used the purposive sampling method formula where to obtain data the researchers met the research subjects, namely all adolescent girls in the work area of ​​the Tanjungpinang City Health Center who met the criteria, namely: adolescents who were willing to be sampled, adolescent aged 10-16 years, the adolescent who registered as a youth Integrated Healthcare Center participant in the work area of the Tanjungpinang City Health Center in 2021. The number of samples is calculated using the sample size formula according to the measurement scale of the two unpaired numerical variables for the average estimate of 2 populations, from the formula the total number is 64 people, plus 10% or 2 people to anticipate if there are respondents who drop out (DO) so the total the number of samples in this study were 66 people who were grouped into 2 groups (control group and treatment group) each group of 33 people. Data collection was carried out by visiting the Edelweiss Youth Integrated Healthcare Center and Berkabar Youth Integrated Healthcare for 3 visits starting in May 2021. The data generated is the behaviour (knowledge) of adolescents about anemia in the work area of the Tanjungpinang City Health Center in 2021 before and after being given the Monopoly Anemia Educational Game (GEMA) as one of the media innovation for Health Education. The results of data analysis using an independent simple t-test showed that there was an effect of using GEMA as a health education media on adolescent knowledge about anemia in the work area of the Tanjungpinang City Health Center in 2021.

Bangunan fisik rumah sakit yang sesuai dengan standar yang ada dapat mendukung peningkatan kinerja sumber daya manusia rumah sakit. Hal ini karena kondisi fisik lingkungan kerja berpengaruh terhadap kesehatan penggunanya serta berpengaruh pula terhadap waktu penyelesaian pekerjaan. Pada dasarnya, fisik Rumah Sakit juga berhubungan langsung dengan kualitas layanan medik. Bangunan yang baik akan memberikan kenyamanan pada para pemakainya dan akan mempengaruhi tingkat pemanfaatannya yang juga akan memberikan sumbangan pada proses penyembuhan pasien dan kinerja karyawan. Salah satu bangunan yang perlu dikelola dengan baik adalah bangunan ruang rawat jalan. Rawat jalan merupakan unit yang menjadi rujukan faskes tingkat pertama sehingga struktur bangunannya perlu menjadi perhatian khusus dimana persyaratan teknis bangunan rumah sakit harus memenuhi standar pelayanan, keamanan, serta keselamatan dan kesehatan kerja. Standar Bangunan Rawat Jalan menurut Permenkes Nomor 24 Tahun 2016 di Rumah Sakit harus memiliki luas ruangan yang sesuai, adanya ventilasi yang baik, intensitas cahaya sesuai ketentuan, ruang tunggu terpisah untuk masing-masing poli klinik, tersedianya wastafel dan desinfektan, tersedinya stop kontak, serta bahan bangunan yang tidak memiliki tangka porositas yang tinggi. Tujuan penelitian ini untuk mengetahui implementasi standar bangunan instalasi rawat jalan di RSUD Panembahan Senopati. Penelitian ini bersifat deskripsi dengan metode kuantitatif. Informan penelitian berjumlah satu orang yang merupakan pegawai IPSRS. Instrument yang digunakan berupa kuesioner dengan pengambilan data melalui wawancara tertutup dan observasi. Hasil penelitian menunjukkan keseluruhan standar bangunan diperoleh nilai rata – rata 91%, membuktikan bahwa standar bangunan di RSUD Panembahan Senopati belum memenuhi standar Permenkes Nomor 24 Tahun 2016 tentang tentang persyaratan teknis bangunan dan prasarana rumah sakit. Terdapat 6 ruangan yang sudah sesuai standar dan 5 ruangan yang memerlukan perhatian dari pihak Rumah Sakit yaitu ruang tunggu, klinik gigi, klinik jiwa, ruang laktasi dan toilet karena belum memenuhi standar. Diharapkan pihak manajemen rumah sakit perlu me-review kembali kondisi lapangan dengan standar yang ada untuk persiapan dalam melakukan pemeliharaan gedung rawat jalan kedepannya.
 
 

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.

Aging is a process that occurs continuously and causes several changes in the body that will affect functions that can increase cholesterol levels in the body. This research aims to determine whether there is a relationship between diet and cholesterol levels in the elderly in Tenggela Village, Tilango District. The research design used an analytic survey method with a cross sectional approach. The sampling technique used was purposive sampling. The sample was the elderly who lived in the village of Tenggela. Methods of data collection used a questionnaire. The results of the Chi-Square analysis test obtained a p value of 0.000 which is smaller than a value of 0.05, which means that H0 is rejected and Ha is accepted or there is a relationship between diet and the incidence of cholesterol in the elderly in Tenggela Village, Tilango District. Suggestions for the village government It is necessary to improve education in the form of socialization for the elderly or families about how to prevent hypercholesterolemia in the elderly

Along with the development of the health service system, the government realizes the importance of data and information in the health sector to organize effective and efficient health efforts. Health information with precise, accurate and accountable data is needed because it is the main source for making health decisions. The purpose of this study is to determine the role of website-based health information systems in supporting the implementation of health development in Indonesia. This study uses the method of library studies (systematic review) with search engines used in the search for literature such as Google Scholar and Garuda with keywords Health Information Systems, websites and Health Development. The resulting articles were selected based on publications published between 2018 to 2022. The results showed the role of website-based health information systems in supporting the implementation of health development in Indonesia by paying attention to human resources, infrastructure and cost allocation. The conclusion of this study shows that SIK is part of the subsystem of Health Management and regulation that is able to produce adequate health policy, administration and information functions and is able to support the implementation of health development efforts in Indonesia.

Rheumatoid arthritis adalah suatu penyakit autoimun dimana pada lapisan persendian mengalami peradangan sehingga menyebabkan rasa nyeri, kekakuan dan kelemahan. Serangan  rheumatoid arthritis akan menimbulkan rasa nyeri. Manajemen penatalaksanaan nyeri biasanya dilakukan dengan cara farmakologis dan nonfarmakologis. Manajemen Farmakologis nyeri dapat diberikan dengan obat-obatan medis dan manajemen non farmakologi dapat dilakukan dengan kompres jahe merah dan kompres sereh. Kompres jahe merah merupakan kompres yang dilakukan dengan mengunakan tumbukan jahe merah, sedangkan kompres sereh merupakan kompres yang dilakukan dengan  menggunakan rebusan air sereh. Jahe merah dan sereh memiliki kandungan minyak atsiri dimana didalam minyak atsiri tersebut bersifat pedas dan panas sehingga mampu menembus pori-pori kulit sehingga nyeri menjadi berkurang. Tujuan dari penelitian ini yaitu mengetahui studi literatur tentang perbedaan kompres jahe merah dan sereh terhadap penurunan intensitas nyeri pada lansia dengan rheumatoid arthritis. Metode penelitian yang digunakan adalah penelitian dengan menggunkan studi literatur. Penulis mengumpulkan, mengkomplikasi, menganalisa dari data sekunder yang didapat dari beberapa artikel jurnalpenelitian yang dipublikasikan melalui data base elektronik. Berdasarkan 4 jurnal yang dianalisa dan dikompilasi 2 jurnal menunjukkan bahwa kompres jahe merah lebih efektif untuk menurunkan skala nyeri dibandingkan dengan kompres sereh karena kandungan minyak atsiri pada jahe merah lebih banyak dibandingkan sereh, sedangkan 2 jurnal menunjukkan jahe merah dan sereh sama-sama dapat menurunkan skala nyeri.
 
 
 

Tujuan penelitian ini untuk mengetahui kemampuan pelatih panahan mengenai perencanan sebuah program latihan jangka panjang dikabupaten banjarnegara. Jenis penelitian ini deskriptif. Populasi penelitian ini pelatih panahan pada PERPANI Kabupaten Banjarnegara menggunakan penelitian population sampling. Adapun jumlah sampel terdiri dari 14 pelatih dan klub/komunitas panahan 19 yang ada di Kabupaten Banjarnegara Adapun pengambilan data menggunakan Teknik tes multiple choice pilihan ganda dan penjabaran. Uji validitas dan butir soal tingkat kesulitan menggunakan Anates dan uji reliabilitas dengan menggunkan SPSS. Mengacu pada hasil penelitian didapatkan data dengan tingkat pemahaman pelatih panahan kategori sangat tinggi persentase 14.15 % dengan memiliki 2 pelatih berlisensi tingkat nasional dengan pemahaman yang baik, kategori tinggi dengan persentase 14.15% dengan memiliki 2 pelatih berlisensi kualifikasi pelatih berlisensi tingkat Provinsi lulusan pendidikan jasmani, kesehatan dan rekreasi, kategori sedang dengan persentase 34.35% memiliki 5 pelatih berlisensi tingkat kabupaten dengan pemahaman kategori sedang, kategori dengan persentase rendah 32,25 % memiliki 4 pelatih berlisensi tingkat kabupaten dengan pemahaman rendah,dan kategori dengan persentase rendah 6.10 % memiliki 4 pelatih berlisensi tingkat klub/ komunitas dengan pemahaman sangat rendah.
 
 

Gouty arthritis is a disease caused by a buildup of uric acid in the joints of the body. Gouty arthritis that is not treated effectively can develop into chronic gout, form tofus, and can lead to severe kidney function impairment, and decreased quality of life. The purpose of the case study was to describe the application of foot soak therapy with warm ginger water to reduce pain in gout arthritis patients at Mungkid Public Health Center, Magelang Regency. This type of research is descriptive using a case study approach. The subjects in this study were two patients diagnosed with gouty arthritis. Data collection was carried out by observing pain scales in patients based on Standard Operating Procedures for measuring patient pain scales before and after warm ginger foot soak therapy. The results of the case study showed that after the implementation of diabetic foot exercises, it was found that there was a decrease in pain levels in subjects I and II. In subject I there was a decrease in the pain scale from a pain scale of 8 (severe) to a mild scale of 3 and in subject II there was a decrease in the pain scale of 7 (moderate) to a scale of 2 (mild). The conclusion of the case study is that the application of foot bath therapy with warm ginger water is effective in reducing pain levels in gouty arthritis patients. Recommendations need to apply foot soak therapy with warm ginger water to reduce pain levels in patients with diabetes arthritis gout.

Mahasiswa dalam rentang usia 18 sampai 22 tahun, dapat dikategorikan sedang dalam masa peralihan dari remaja akhir ke masa dewasa awal. Salah satu ciri masa dewasa awal yaitu individu mengalami perubahan tanggung jawab dari seorang pelajar yang sepenuhnya tergantung pada orang tua menjadi orang dewasa mandiri. Individu mulai menentukan pola hidup baru, memikul tanggung jawab baru, dan membuat komitmen-komitmen baru. Selain itu, dengan memasuki dunia universitas, mahasiswa pun menemui tantangan baru, seperti membuat keputusan secara mandiri mengenai pendidikan mereka, menyesuaikan dengan tuntutan akademik, dan berinteraksi dengan orang-orang yang lebih beragam.

Coronavirus disease 2019 (COVID-19) is caused by acute chronic respiratory syndrome coronavirus 2 (SARS-CoV-2). The inflammation of COVID-19 causes severe, moderate, or mild symptoms. The stage in carrying out efforts to avoid the formation of COVID-19 infection is an important target group, namely the grouping that is categorized as high risk, one of which is pregnant women. Currently, the distribution of COVID-19 prevention data for pregnant women is very limited. Objective: This literature review aims to identify the efforts that have been made to prevent the outbreak and spread of COVID-19 in pregnant women during the pandemic era. Methods: The research method is library research that collects and analyzes information on efforts to prevent COVID-19 among pregnant women during the past year during the prevention of the COVID-19 pandemic through the Google Scholar, PubMed, Springer, and Lancet databases. research articles. Take advantage of Covid-19 keywords. Results: prevention, infection, COVID-19, pregnancy. Results: Efforts to prevent COVID-19 include wearing masks, washing hands, maintaining physical distance after vaccination, exercising to stay fit, and eating balanced and nutritious food and lots of vitamins for endurance. Conclusion: Based on the literary studies that have been tried, the problem of COVID-19 in pregnant women can be controlled, but preventive actions must be tried to better regulate the spread of COVID-19.

Ruang lingkup pelaksanaan manajemen laktasi dimulai dari masa kehamilan, setelah persalinan, dan masa menyusui bayi. Laktasi adalah keseluruhan proses menyusui mulai dari ASI diproduksi sampai proses bayi menghisap dan menelan ASI. Bayi yang mendapatkan ASI eksklusif memiliki pertumbuhan perinatal yang baik dan mengurangi obesitas. Menyusui bayi secara on demand dapat meningkatkan kadar hormon oksitosin di dalam tubuh ibu postpartum serta menghindari risiko terjadinya pembengkakan atau bendungan/penyumbatan pada saluran puting susu saat masa laktasi. (Sutanto, 2018).
Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan Perawatan Payudara dengan Kelancaran Produksi ASI Pada Ibu Nifas di Puskesmas Kotarih Kabupaten Serdang Bedagai Tahun 2022. Penelitian ini menggunakan desain penelitian kuantitatif  dengan pendekatan cross sectional, jumlah Populasi  dan sampel yaitu seluruh ibu post partum sebanyak 32 orang menggunakan metode total sampling pada bulan April- Juni 2022. Analisis menggunakan uji Chi Square pada signifikan dan bila p-value > 0,05.Berdasarkan hasil penelitian uji statistik Chi Square diperoleh nilai p value = 0,001 sehingga p > 0,05 maka H0 ditolak dan Ha diterima. Terdapat Hubungan Pengetahuan Ibu Nifas Tentang Perawatan Payudara Dengan Kelancaran Pengeluaran ASI Di Puskesmas Kotarih Kabupaten Serdang Bedagai Tahun. Diharapkan dapat sebagai informasi tetang perawatan payudara terhadap kelancaran pengeluaran ASI pada ibu post partum baik melalui asuhan kebidanan saat melakukan periksa hamil atau melalui penyuluhan kesehatan
 
 

Badan Penyelenggara Jaminan Sosial (BPJS) merupakan bada yang memiliki hak dalam menyelenggarakan jaminan sosial. BPJS menjalankan prosedur Sistem Jaminan Sosial Nasional (SJSN) berdasar pada pilar kemanusiaan, manfaat dan keadilan sosial bagi seluruh rakyat Indonesia. Upaya peningkatan mutu pelayanan kesehatan di Indonesia BPJS telah membentuk program yaitu Jaminan Kesehatan Nasional (JKN) yang memiliki maksud memberikan jaminan kesehatan komprehensif  untuk seluruh masyarakat Indonesia sehingga memperoleh pola hidup sehat, produktif dan hidup makmur. Pada penelitian ini menetapkan teknik studi literatur untuk meneliti metode yang berbeda. Skema pencarian artikel bersumber dari database online yaitu Google Scholar dengan menggunakan metodologi literature review. Temuan pada artikel yang telah dianalisis, prosedur BPJS Kesehatan di Indonesia diterapkan secara tertib di beberapa rumah sakit dan puskesmas di Indonesia. Namun, masih terdapat kendala dalam penerapannya di beberapa rumah sakit dan puskesmas.  Adapun yang menjadi tujuan analisis yaitu untuk mendapati bahwa prosedur BPJS kesehatan berpengaruh dalam mengoptimalkan mutu bantuan kesehatan di Indonesia.

Siput Onchidid (Onchidium typhae) merupakan spesies dalam kelas gastropoda yang dapat ditemukan di daerah pesisir pulau Buton dan juga Madura dan Kalimantan Barat.. Siput onchidid diketahui memiliki kandungan metabolit sekunder berupa steroid yang dapat berpotensi sebagai antioksdian. Penelitian ini membahas tentang uji antioksidan di dalam siput onchidid dengan metode DPPH (1,1- diphenil-2-pikrilhirazil) dengan menggunakan pelarut methanol dan pengujian skrining senyawa metabolik ekstrak dengan uji fitokimia pada ekstrak yang meliputi uji steroid, alkaloid, dan steroid. Hasil pengujian didapat bahwa ekstrak metanol siput onchidid memiliki terdapat senyawa metabolik sekunder dari golongan alkaloid dan steroid yang ditandai dengan reaksi positif. Hasil uji antioksidan dengan metode DPPH dengan senyawa pembanding vitamin C. Penelitian menunjukkan besar aktivitas antioksidan ekstrak metanol siput onchidid yang dinyatakan dengan nilai IC50 sebesar 92,045 yang dikategorikan antioksidan kategori kuat.

Ancaman COVID-19 membutuhkan respon cepat agar memutus penularan berkelanjutan. Rumah sakit sebagai salah satu instansi penting dalam pelayanan kesehatan harus mengubah, mengadaptasi, dan memenuhi standar yang harus dicapai dalam mendukung KMK Nomor HK.01.07/Menkes 4641/2021 guna turut andil dalam mempercepat pencegahan dan pengendalian Covid-19 di Indonesia. Penelitian ini bertujuan untuk mengetahui adaptasi strategi yang dilakukan rumah sakit di Indonesia dalam rangka penerapan KMK Nomor HK.01.07/Menkes 4641/2021. Metode systematic review dilakukan terhadap enam artikel yang diperoleh dari dua basis data, yaitu Google Scholar dan Semantic. Hasil dari penelitian ini adalah beberapa rumah sakit di Indonesia telah melakukan panduan kebijakan meliputi penerapan jaga jarak, larangan pengunjung kasus suspek, kasus probable, atau kasus terkonfirmasi positif COVID-19, mengorganisir logistik APD, pengendalian pra rujukan, pengendalian jenazah pasien COVID-19, dan mengatur situasi karantina dan isolasi pasien COVID-19.

Background : In Indonesia, every year more than 15,000 cases of cervical cancer are detected, and about 8,000 cases of them die. The incidence of cervical cancer in Indonesia in 2011 reached 100 per 100,000 population per year. This figure is predicted to continue to increase by 25% in the next 10 years if no prevention is not immediately taken. The purpose of the study is to find out the factors that affect wus in pap smear examination with early detection of cervical cancer at Kartini Jepara Hospital.Research Methods : This type of research uses descriptive methods, with a population of 54 with the Total sampling Technique and processed with frequency distribution.
The results : of this study showed the majority of women who did pap smear examinations at RA Kartini Hospital jepara the majority of nonproductive age of 31 (57.4%) Basic education category of 37 (68.5%) Category does not work by 33 (61.1%) Multipara parity category of 41 (75.9%).Conclusions and suggestion : Based on the results of reseach that has been done, the concslusions taken from this study are characteristics of wus that perform pap smear examinations at RA Kartini Jepara Hospital dominated by nonreproductiv age wus can know and pay more attetion ti the dangers or characteristics of cervical cancer, if wus experiens this then immadiately treartmen is done to prevens the occurence of cervical cancer.
 
Keywords : pap smear examination on wus
Bibliography : 15 (2010-2018)

Pola Hidup Bersih Dan Sehat (PHBS) rumah tangga merupakan tatanana awal dari pelaksanaan Perilaku Hidup Bersih Dan Sehat (PHBS). PHBS adalah seperangkat perilaku yang dipraktikkan secara sadar sebagai hasil dari pembelajaran, yang membuat individu atau keluarga dapat membantu diri mereka sendiri di bidang kesehatan dan mampu berperan aktif dalam program kesehatan masyarakat, Penelitian ini bertujuan untuk mengetahui hubungan karakteristik (umur, pendidikan , pekerjaan, pendapatan) rumah tangga dengan perilaku hidup bersih dan sehat (PHBS). Jenis penelitian ini adalah deskriptif analitik dengan menggunakan pendekatan cross sectional. Sampel menggunakan total sampling adalah rumah tangga di Dusun Tinanurui Kecamatan Kairatu Kabupaten Seram Bagian Barat. Hasil penelitian ini menggunankan Uji Chi-Squarae,  Hasil penelitian menunjukan bahwa ada hubungan dan antara karakteristik rumah tangga dengan perilaku hidup bersih dan sehat (PHBS) yaitu pendidikan p=0,000, dan pendapatan p=0,008, sedangkan yang tidak memiliki hubungan yaitu umur p=1,000, dan pekerjaan p=1,000. Pusat kesekatan masyarakat perlu mempersiapkan sosialisasi penerapan PHBS secara lengkap dan mempraktekkannya agar dapat mendorong rumah tangga dalam kehidupan sehari-hari di masyarakat.

Polio is a highly contagious and incurable viral infection. The virus attacks the entire body (including muscles and nerves) and can cause permanent muscle weakness and paralysis of one leg. According to the World Health Organization (WHO), polio has paralyzed around a thousand children every day in almost every country in the world. It is important for parents to know why, when, where, and how often their children should be immunized, including polio immunization. Giving immunizations to infants and children not only provides disease prevention to these children but also has a wider impact because it can prevent disease transmission to other children, therefore the knowledge and attitudes of parents, especially mothers, are very important to understand the benefits of immunization for Indonesian children. . Polio immunization is the act of giving polio vaccine (in oral form) or known as the oral polio vaccine (OPV) which aims to provide immunity from poliomyelitis disease. This polio immunization is expected to reduce the number of polio cases in Indonesia, so that people need to be provided with information so that their knowledge about polio immunization can be implemented, especially for mothers who have children under five. This study aims to determine the relationship between the level of knowledge of mothers who have children under five about polio immunization with the time of giving polio immunization at the Kedawung Health Center, Kedawung District, Cirebon Regency. The level of knowledge of mothers who have children under five about polio immunization at the Kedawung Health Center was 44 respondents who were studied, the most respondents were respondents who had sufficient knowledge level. The results of this study prove that there is a relationship between the level of knowledge of mothers who have children under five about polio immunization with the time of giving polio immunization. The Puskesmas should further increase public understanding about polio immunization by providing education in the form of counseling or with other information media so that the information can be reached and accepted by the community so that no more children under five are not immunized against polio.

Latar Belakang: Pemerintah mengeluarkan kebijakan pembatasan sosial atau social distancing untuk mengurangi penyebaran Covid-19. Salah satunya adalah dengan menerapkan work from home (WFH). Salah satu kegiatan yang mengalami pergeseran pelaksanaan adalah penyelenggaraan pelatihan secara daring (online training) untuk para tenaga kesehatan dalam rangka meningkatkan kompetensi sumber daya manusia (SDM) dan memaksimalkan potensi yang ada. Pelatihan Midwifery Update adalah meningkatkan pelayanan kebidanan yang bermutu. Tujuan penelitian mengetahui pengaruh pelatihan dengan metode daring terhadap kompetensi bidan di IBI Cabang Surakarta. Metodologi Penelitian: Penelitian ini merupakan penelitian experimental dengan metode one group pre-post test desain. untuk mengetahui pengaruh pelatihan Midwifery Update metode daring terhadap peningkatan pengetahuan bidan IBI Cabang Surakarta dengan menggunakan uji pair t test, karena data penelitian ini memenuhi asumsi normalitas. Tehnik pengambilan sampling Non Probability Sampling ( tidak secara acak) dengan metode quota sampling. Populasi penelitian ini adalah Peserta Pelatihan Midwifery Update IBI Cabang Surakarta sejumlah 50 orang. Hasil : terdapat peningkatan skor pengetahuan Bidan sesudah pelatihan Midwifery update metode daring sebesar 11,36 (95%CI8,53-14,19) dan nilai p=<0.001(p<0,05), yang berarti bahwa pelatihan Midwifery Update metode daring berpengaruh signifikan terhadap peningkatan pengetahuan bidan IBI Cabang Surakarta, dimana pelatihan Midwifery update metode daring mampu meningkatkan skor pengetahui bidan sebesar 11,36 atau 19,8%. Kesimpulan: Pelatihan Midwifery Update metode daring berpengaruh signifikan terhadap peningkatan pengetahuan bidan IBI Cabang Surakarta

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

The provision of passive ROM therapy in the form of range of motion exercises on the part of extremities experiencing weakness and decubitus, this motion exercise is very useful to avoid complications due to lack of movement such as joint stiffness.. This study aims to knowing the ROM description in nursing care in stroke patients with impaired physical mobility. This case study uses descriptive method. This case study was conducted in 12 – 28 april 2021 by comparing two respondents with the same case and given the same action. The results of the case study conclude the application of passive ROM techniques performed in non– hemorrhagic stroke patients there is a weakness in proximity there is an effective an ineffective,. The results of of increasing muscle strength on Subject I from 5151 to 5352, meanwhile in Subject II from 5151 to 5252, this is because the first patient and his family are very enthusiastic and eager to exercise independently while the second patient have an obesity and his family also have motivation but it still difficult due to the severity of the deases. Application of ROM in both non hemorrhagic stroke patients gave different responses.

 Latar Belakang: hipertensi merupakan penyakit yang dapat dialami oleh berbagai kalangan masyarakat dari kalangan tingkat sosial tinggi hingga menengah kebawah, dari kalangan remaja hingga lansia dimana kondisi tersebut mengalami peningkatan tekanan darah dari kondisi nomal (130/80 mmHg). Angka kejadian penyakit hipertensi di Indonesia sebesar 34,1%, sedangkan jumlah penderita dengan hipertensi di RSU PKU Muhammadiyah Delanggu berdasarkan data rekam medis pada tahun 2021 sebanyak 443 orang. Pijat kaki memiliki efek mekanis memperlancar peredaran darah sehingga dapat menurunkan tekanan darah. Tujuan : menganalisis efektivitas refleksi pijat kaki terhadap penurunan tekanan darah pada pasien hipertensi. Metode penelitian: menggunakan desain experiment, One Group Pretest-Postest. Populasi dalam penelitian ini yaitu pada pasien hipertensi. Sampel berjumlah 10 orang diambil dengan teknik Non Probability Sampling yaitu Purposive Sampling yang memenuhi kriteria inklusi dan eksklusi diberi pijat ±15 menit. Analisis data menggunakan uji T Paired. Hasil: hasil penelitian didapatkan bahwa mean atau rata-rata MAP  yang bernilai postif 8,4 berarti terjadinya kecendrungan penurunan tekanan darah sesudah dilakukan pijat refleksi kaki ± 15 menit, sebagai rincian rata-rata penurunan MAP pada hari 1 sebesar 7,6%, hari ke 2 sebesar 5,5%, dan pada hari ke 3 sebesar 7,3. Hasil uji analisis diperoleh nilai p value = 0,000 < α (0,05). Kesimpulan: pemberian refleksi pijat kaki berpengaruh/ efektif terhadap penurunan tekanan darah pada pasien hipertensi.

Osteoarthritis is the most common degenerative condition among the elderly. Functional disorders are caused by knee osteoarthritis. A person with osteoarthritis knee typically experiences pain, stiffness, and a decrease in functional activity as a result of limited function. The purpose of this study is to compare the effects of open kinetic chain exercise and closed kinetic chain exercise on increasing functional activity in patients with osteoarthritis of the knee. This is a quasi-experimental type of study. To compare two intervention groups, a two-group pre-test post-test research design was used. In addition, WOMAC is being used to assess functional ability. Exercises should be done twice a week for four weeks. Effect analysis using the paired T-test in treatment groups 1 and 2. The paired T-test on closed kinetic chain exercise and open kinetic chain exercise yielded the same result, P = 0.000 (p0.05), indicating that functional ability influences before and after treatment. Meanwhile, an independent t-test resulted in a value of p = 0.153 (p>0.05), indicating that there are differences in the influence of open kinetic chain and closed kinetic chain on increasing functional ability in patients with osteoarthritis knee. Open kinetic chain exercise and closed kinetic chain exercise have different effects on improving functional ability in people with osteoarthritis knee.

Pasar tradisional merupakan salah satu tempat yang memiliki kemungkinan kontaminasi dan tempat perkembangbiakan mikroba yang tinggi. Kurangnya kesadaran pedagang mengenai kesehatan daging dapat mengakibatkan daging broiler terkontaminasi mikroorganisme patogen sehingga jika tidak ditangani dengan baik akan berakibat buruk pada kesehatan manusia. Penelitian ini bertujuan untuk melihat gambaran cemaran bakteri E. coli pada daging ayam broiler yang dijual di pasar pos Duri Jakarta Barat. Penelitian ini bersifat deskriptif. Pemeriksaan cemaran bakteri dilakukan di lab TLM STIK Kesosi pada bulan April-Mei 2022. Pada pemeriksaan mikroskopik ditemukan bakteri batang Gram negatif. Sedangkan pada pemeriksaan biokimia didapatkan uji oxidase strip negatif dan TSIA +/+ gas pada semua sampel daging ayam broiler. Berdasarkan hasil identifikasi bakteri Escherichia coli pada 30 sampel ayam Broiler di pasar pos duri maka dapat disimpulkan adalah jenis spesies bakteri Escherichia coli

Trauma to the perineum can also cause discomfort and pain during sexual intercourse, so it is essential to treat this pain. One way to reduce feelings of pain is to do complementary therapy using lavender oil aromatherapy. Lavender contains antidepressant, calming, anti-anxiolytic and anticonvulsant properties. This study aimed to determine the effect of lavender aromatherapy on the intensity of perineal suture pain in postpartum mothers. Methods: The method applied is a quasi-experimental case study pretest and posttest where the research sample is the postpartum mother, Ny. Laila Tus Syania G2P2A0 2 hours postpartum with 2-degree laceration at the Independent Practice Midwife Nursaidah Batam City. The instrument in this study uses a Visual Analogue Scale (VAS) scale in the range 0-7, where no pain is worth 0, mild pain on a 1-3 scale, moderate pain 4-5, and severe pain 6-7. The material used in this study was 100% concentrated lavender oil vapor, which was dripped in several 4-5 drops and then dissolved in 200 ml of water for 30 minutes. The results showed an effect before being given lavender aromatherapy inhalation, and the maternal perineal pain score reached 7 (high or severe pain). After being given lavender aromatherapy inhalation, the maternal perineal pain score became 3 (mild pain). The conclusion from the case study is that giving inhaled lavender aromatherapy affects postpartum mothers' perineal suture pain.

Latar Belakang.Waktu tanggap perawat merupakan kecepatan dalam penanganan pasien, dihitung sejak pasien datang sampai dilakukan penanganan, waktu tanggap perawat yang baik bagi pasien yaitu ≤ 5 menit. Keberhasilan waktu tanggap perawat dalam menangani pasien dapat mencegah kecacatan dan menurunkan angka kematian. Beban kerja dapat mempengaruhi kecepatan dan ketepatan dalam melakukan pelayanan, umumnya pasien cenderung merasa diabaikan ketika keluhan dan kebutuhannya ditangani atau direspon dengan lambat, sehingga waktu tanggap dapat menjadi salah satu indikator penentu kualitas pelayanan di rumah sakit. Tujuan Penelitian ini untuk mengetahui apakah ada hubungan beban kerja dengan waktu tanggap perawat di Instalasi Gawat Darurat RSUD. Maria Walanda Maramis. Desain Penelitian ini merupakan penelitian kuantitatif dengan metode deskriptif analitik dengan pendekatan cross sectional. Sampel diambil berdasarkan jumlah populasi sebanyak 30 responden dengan menggunakan Total Sampling. Pengumpulan data dilakukan dengan menggunakan alat ukur kuesioner dan lembar observasi. Data dianalisa dengan uji statistic Fisher’s Exact Test dengan tingkat kemaknaan (α) 0,05. Hasil penelitian ini terdapat Hubungan beban kerja dengan waktu tanggap perawat di Instalasi Gawat Darurat RSUD. Maria Walanda Maramis р=0.002 nilai р ini lebih kecil dari nilai α=0.05. Kesimpulan dalam penelitian yaitu ada Hubungan beban kerja dengan waktu tanggap perawat di Instalasi Gawat Darurat RSUD. Maria Walanda Maramis. Saran diharapkan agar perawat tetap mempertahankan waktu tanggap <5 menit, serta lebih ditingkatkan lagi pencapaian dalam melakukan pelayanan kegawatdaruratan.

Posyandu elderly (Posyandu) is an integrated health services for the elderly public sector in certain regions that have been agreed. Posyandu is driven by the community as a group that aims to improve the coverage of health services so that the elderly form in accordance with the health care needs of the elderly. This study aims to determine the factors that affect the interests of the elderly to the elderly in the village posyandu eclectus promontory I kecamatan neighborhood Singkil Manado. This study was conducted  using  deskriptif analitik  using  cross sectional approach. The sampling technique is total sampling. The data collection was conducted using questionnaires subsequent data obtainden were processed using SPSS. 16 program to be analyzed with chi square test. The significance level (α =0,05). The conclusion of this research there is influence between knowledge (p-value = 0.000), distance (p-value = 0.000), and family support (p-value = 0.000). the Posyandu elderly <α 0.05.

Anemia adalah kondisi dimana sel darah merah menurun atau menurunya kadar hemoglobin, sehingga kapasitas daya angkut oksigen untuk kebutuhan organ-organ vital pada ibu dan janin menjadi berkurang. Dampak anemia pada ibu hamil yaitu meningkatkan angka kesakitan dan perdarahan, risiko terjadinya bayi berat lahir rendah (BBLR),dan merupakan salah satu penyebab utama kematian maternal yang bersumber pada anemia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan status gizi dengan anemia pada ibu hamil di Puskesmas Tampapadang. Penelitian ini merupakan penelitian studi analitik korelasional dengan pendekatan Cross Sectional. Sampel dengan menggunakan purposive sampling berjumlah 30 responden, analisa data yang digunakan adalah analisa Univariat dan Bivariat dengan uji statistic Chi Square. Hasil uji statistic diketahui ada hubungan yang bermakna antara status gizi dengan anemia pada ibu hamil di Puskesmas Tampapadang dengan nilai 0.002 (ρ<0.005). Pentingnya dilaksanakan edukasi kesehatan tentang pemenuhan kebutuhan gizi dan pencegahan anemia pada ibu hamil sehingga tidak terjadi komplikasi pasca kehamilan.