Hallucinations are one of the symptoms of positive schizophrenia. Hallucinations are the loss of human ability to distinguish between internal stimuli (thoughts) and external stimuli (the outside world). One therapy that can be given to patients with auditory hallucinations is psychoreligious therapy. One of the most effective psychoreligions is dhikr, scientific evidence states that dhikr is a manifestation of a person's religious commitment. Psychoreligious therapy: dhikr by reading istighfar (Astaqfirullahal'adzim) 3 times, followed by tasbih (Subhannallah) 33 times, tahmid (Alhamdulillah) 33 times, and takbir (Allahu akbar) 33 times, this therapy is carried out for 3 days with a duration of 10-20 minutes. The purpose of this study was to explain Evidence Based Practice as a therapy for patients with auditory hallucinations using dhikr therapy. The implementation method used was the experimental technique (treatment) for patients with auditory hallucinations. The number of respondents needed was 2 people with a nursing diagnosis of auditory hallucinations. The study was conducted for 5 days, starting from April 23-28, 2025. Assessed using the Auditory Hallucination Rating Scale (AHRS) and SLKI questionnaires with a pretest and posttest testing process. The results of the study showed a decrease in pretest and posttest scores for performing dhikr spiritual therapy.

As one of the cardiovascular diseases, heart failure is a condition in which the heart loses its ability to pump blood adequately to deliver oxygen throughout the body's tissues. According to a WHO survey in 2016, non-communicable diseases such as cardiovascular problems accounted for 38 million out of 56 million total global deaths. Of these, 17.5 million deaths were specifically caused by circulatory system disorders. In Indonesia, heart failure ranks as a leading cause of mortality. Based on the 2018 Basic Health Research (Riskesdas) data, the prevalence rate of heart disease in the country reached 1.5%. Hypertension has been identified as one of the main risk factors that can trigger heart failure. This study aims to analyze the correlation between the profiles of heart failure patients and the effectiveness of combination antihypertensive therapies involving Beta Blocker–ACEI, Beta Blocker–ARB, and Beta Blocker–Diuretic in patients hospitalized at Dr. Loekmono Hadi Regional Hospital, Kudus. The study employed an observational analytic method with a cross-sectional approach using patient medical records. The data were collected from Dr. Loekmono Hadi Regional Hospital, Kudus. The sample population included heart failure patients who received combination antihypertensive therapy (Beta Blocker–ACEI, Beta Blocker–ARB, or Beta Blocker–Diuretic) during their inpatient care in 2024. The sampling technique used was total sampling, with 77 patients meeting the established inclusion and exclusion criteria. Data analysis was performed using univariate and bivariate methods supported by the Chi-Square test. The most commonly used combination therapy was Beta Blocker + Diuretic, administered to 36 patients (46.8%). The average blood pressure of heart failure patients before therapy was 143.81/83.05 mmHg, and after therapy, it was 126.10/76.23 mmHg. Most patients (69 patients or 89.6%) achieved normal blood pressure levels (<140/90 mmHg) post-therapy. Chi-Square analysis indicated a significant correlation between age (p=0.04) and therapy effectiveness. In contrast, no significant association was found between gender (p=1.000) or the type of combination therapy used (p=0.895) and therapeutic outcomes.

Perineal robekane is a birth canal wound that can occur spontaneously due to a stiff perineum, precipitate labor, wrong delivery leadership, lack of good cooperation with the mother during the birth process, improper use of manual maneuvers. Perineal robekane due to episiotomy expands the birth canal due to large, premature babies, abnormalities in location and delivery with vacuum forceps. This study aims to determine the factors that influence the incidence of perineal robekane in normal delivery at PMB Roslina,S.Keb in 2023 with a population of all women giving birth normally with a total of 80 mothers. The research method used a cross sectional and sampling technique, data analysis using square test. In this study, it was found that there was a relationship between the age of the mother and the incidence of perineal robekane in normal delivery, a significance p-value = 0.000 (a <0.05), while the relationship between parity and the incidence of perineal robekane had a significance p-value = 0.000 (a <0.05) and the relationship between BBL and the incidence of perineal robekane, p-value = 0.000 (a <0.05). So there is a relationship between age, parity and BBL with the incidence of perineal robekane. There is a significant relationship between the appropriate age factor, and BBL and the incidence of perineal robekane in normal delivery.

Introduction: Hypertensive disease is called the silent disease because the sufferer is not aware if he suffers from hypertension before checking blood pressure to health services. The prevalence of hypertension in West Java is 39.6%. Karawang Regency is included in West Java Province with hypertension sufferers ≥15 years in 2022 as many as 625,156 people, where Rengasdengklok District is in 6th position at 61.87%. This study aims to determine the effectiveness of leaflets, animated videos, and statement card games on knowledge and attitudes regarding hypertension in Rengasdengklok, Karawang Regency. Method: The research method is quantitative research with a cross-sectional design. The population of 30 respondents was grouped into three groups, namely media leaflets, animated videos, and statement card games. Results: For the analysis technique, the data used are univariate and bivariate analysis with the Wilcoxon test for data that is not normally distributed and Paired Simple T-Test for data that is normally distributed. For the media leaflet, animation video, and games based on the results of the Paired Simple T-test and Wilcoxon test, the knowledge variable obtained p-values of 0.604>0.05, 0.031<0.05, and 0.018<0.05 respectively. Conclusion: In conclusion, in this study there was a significant influence on respondents' knowledge before and after being given animated video media and statement card games, while there was no significant effectiveness on respondents' knowledge before and after being given leaflet media.
 

The third trimester of pregnancy is a period highly vulnerable to anxiety, as expectant mothers begin to face fears related to the labor process and the safety of their babies. If left unaddressed, this anxiety can negatively impact both maternal and fetal health. Murottal therapy, which involves listening to rhythmic recitations of the Holy Qur'an, is a non-pharmacological approach considered effective in reducing anxiety through its relaxing and spiritually calming effects. This study aims to determine the effect of murottal therapy on anxiety levels among third-trimester pregnant women in Tawangrejeni Village, Turen District. The method used is descriptive quantitative with a comparative design involving two groups: intervention and control, each consisting of 20 respondents selected through total sampling. A Guttman-scale questionnaire was used to assess anxiety levels. Data analysis using the Mann-Whitney U test showed a significant result (p = 0.000), indicating that murottal therapy had a significant effect in reducing anxiety in pregnant women. Therefore, murottal therapy can be considered a simple, low-cost, and culturally appropriate non-pharmacological alternative for addressing anxiety, especially in primary healthcare settings such as community health posts (posyandu).

Good nutritional knowledge can help individuals to consume macronutrient intake in accordance with the body's needs, so that nutritional status can be adequately met. A cross-sectional study design and quantitative research methodology are employed. The study's sample consisted of twenty people who were chosen by purposive sampling. The Spearman rank correlation test was applied in both univariate and bivariate analyses. The results showed that most individuals' nutritional status was normal status (55%). Based on the Spearman rank test, no significant association was identified between nutritional knowledge (p=0.206), protein consumption (p=0.762), and carbohydrate consumption (p=0.772) with nutritional status. Nevertheless, fat consumption (p=0.049) showed a significant link with nutritional status. The results of this research suggest that nutritional status does not correlate with nutritional awareness, protein intake, or carbohydrate intake. However, fat intake is associated with nutritional status. It is intended that this study will inspire participants to practice mindfulness of their macronutrient intake. Coaches are also expected to provide guidance to UNESA volleyball club members to be more discerning in selecting foods for consumption

This study aims to determine whether coping strategies contribute to compassion fatigue among nurses at a hospital in West Pasaman Regency. The research employed a quanitative approach using a non-probability sampling technique with saturated sampling. A total of 65 nurses from the ICU, Emergency Departement, and Surgical Unit participated in the study. The measurement instruments were developed by researcher, referring to the coping strategies theory proposed by Amirkhan (1990) and the compassion fatigue scale adapted by Eka and Tahulending (2017). Data analysis was conducted using SPSS version 22 for windows. Based on the result multiple linear regression analysis, coping strategies were found to contribute to compassion fatigue among nurses in the hospital. Specifically, the problem solving and seeking social support dimensions of coping strategies showed a significant contribution to compassion fatigue, while the avoidance strategy did not a significant contribution.

Nutritional problems among toddlers remain a public health issue in Indonesia, including in the Central Lampung region. A mother’s knowledge, as the primary caregiver, plays a crucial role in determining a child’s nutritional status. Good knowledge can help mothers provide balanced nutrition for their children. This study aimed to determine the relationship between mothers’ knowledge of toddler nutrition and the nutritional status of toddlers at Posyandu Tanjung Jaya, Bangun Rejo Subdistrict, Central Lampung. This research used an analytic design with a cross-sectional approach and was conducted from January to February 2024. The respondents were 75 mothers with children aged 1–5 years who visited Posyandu Tanjung Jaya. Mothers’nutritional knowledge was collected through questionnaires, while data on children’s nutritional status were obtained from Posyandu records. Analysis was performed using Fisher’s Exact Test. The results showed that most mothers (93.8%) had good nutritional knowledge, and 94.7% of them had children with good nutritional status. Statistical analysis showed a significant relationship between maternal knowledge and toddler nutritional status (p < 0.001; PR = 11.29). Mothers with good knowledge were 11 times more likely to have well-nourished children. These findings highlight the importance of continuous nutrition education as a preventive effort against toddler malnutrition.

Breast milk damming is the result of inadequate emptying and delayed milk ejection, which blocks the glands and causes the milk to get dammed. Breast milk dam events are brought on by a build-up of breast milk and inadequate milk ejection, which obstructs the milk ducts and produces breast enlargement. The purpose of this study is to examine the variables that affect postpartum women's breast milk dams. This study's methodology combines a cross-sectional approach with analytical survey research to get quantitative results. Respondents were given a questionnaire form to complete in order to collect data. The research sample used a total sampling of 37 respondent. Total sampling was used to determine sampling. Data were analyzed using Chi-square test with the help of Fisher’s exact test and Likelihood ratio. The results of the research in this study showed that all variables influenced breast milk dam by obtaining a p value <0.05. Bivariate analysis on breastfeeding position found P = 0.012 which means there is an effect of breastfeeding position on breast milk dam. In breast care, the value of p=0.001 was obtained which has an influence on breast milk dam. While the frequency of breastfeeding has an effect on breast milk dam with a value of p=0.000. And in knowledge with a value of p=0.009 which means it has an influence on breast milk dams. It was concluded that there was an influence of breastfeeding position, breast care, breastfeeding frequency, and knowledge on breast milk dams. The most influential factor on breast milk dam is the breast care variable.

According to Riskesdas 2018, the prevalence of emotional mental disorders in Indonesia at the age of ≥15 years is 9.8%, and most cases are not detected or treated adequately. This shows the urgency of interventions that are not only curative, but also promotive and preventive (Yuliani & Rahman, 2022). Moreover, adolescents are often reluctant to be open about their psychological conditions because they are afraid of being stigmatized by their surroundings (Nugroho & Lestari, 2021). The purpose of this study was to analyze the Effect of Community-Based Mental Health Education on the Knowledge and Attitudes of Adolescents in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province. This type of research is a quantitative study with a pre-experimental design using a one group pre-test and post-test design approach. The population in this study were all adolescents aged 13–18 years as many as 38 adolescents who participated in the entire series of educational programs analyzed using the paired t-test statistical test to see the differences before and after the educational program. Research Results Based on the results of education, there is a significance value <0.05 indicating that there is a statistically significant difference in knowledge and attitudes before and after the education program is given. Therefore, the alternative hypothesis is accepted, namely that there is a significant influence of community-based mental health education programs on adolescent knowledge and attitudes. There is an Influence of Community-Based Mental Health Education on Adolescent Knowledge and Attitudes in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, Sumatra Province.
 

The implementation of Electronic Medical Records (EMR) has become a pivotal advancement in enhancing hospital service quality. This study aims to analyze the impact of EMR implementation on the quality of healthcare services by comparing the conditions before and after its adoption. Through a comprehensive literature review of peer-reviewed articles published in the last ten years indexed by Scopus, Web of Science, and Sinta 1 and 2, this research identifies key improvements in efficiency, data accuracy, patient safety, and user satisfaction. The findings reveal that EMR significantly reduces medical errors, shortens patient waiting times, and improves interdisciplinary collaboration. However, challenges such as infrastructure readiness and human resource adaptation remain critical barriers. The study concludes that strategic planning and continuous training are essential to maximize the benefits of EMR for sustainable service quality enhancement in hospitals.

Degenerative diseases, such as Alzheimer's, diabetes mellitus, and cancer, are global health challenges whose prevalence increases with increasing life expectancy. Phytochemicals, bioactive compounds found in plants, have shown potential in preventing and inhibiting the development of these diseases. Compounds such as flavonoids, polyphenols, and glucosinolates have antioxidant, anti-inflammatory, and neuroprotective activities that can protect these body cells from oxidative damage and chronic inflammation. This study suggests that consuming phytochemical-rich foods, such as cruciferous vegetables, pigmented fruits, and certain spices, contributes to a reduced risk of degenerative diseases.

Quality health services are a basic right of the community and it is the responsibility of health institutions to fulfill them. Sundari General Hospital as one of the main health service providers in its area also faces challenges. This study aims to analyze the role of logistics management in improving the quality of health services at Sundari General Hospital. This study uses a qualitative approach that aims to describe the role of logistics management in improving the quality of health services at Sundari General Hospital. The study shows that the distribution of medical logistics at Sundari General Hospital uses a one-stop system with a pharmacy installation as a distribution center for centralized stock control and coordination between units. A flexible logistics management system is implemented with the FIFO and FEFO methods for stock rotation, supported by standard warehouse facilities, thus maintaining the quality and availability of drugs and medical devices for optimal service. Based on the results of the study, logistics management at Sundari General Hospital has been shown to play an important role in improving the quality of health services.

This study aims to investigate the perceptions of the community in Puskesmas Tuntungan, Jl. Kutalimbaru, Desa Tuntungan I, Kecamatan Pancur Batu, Kabupaten Deli Serdang, Sumatera Utara, regarding the impact of political dynamics on BPJS Health policy in Puskesmas Tuntungan. Using a quantitative approach with 100 respondents, the results show that the majority of respondents are aware of the frequent changes in BPJS policy. This study concludes that the community has diverse and critical perceptions of the dynamics of BPJS Health policy and its relation to political conditions.

Risk perception is a crucial element in occupational health and safety, particularly in high-risk environments such as mining. Workers with a better understanding of the risks in the workplace tend to be more cautious. Therefore, it is essential to comprehend how workers assess the risks they face and how this perception influences their behavior. This study aims to identify the risk perception levels of workers at PT Y in South Kalimantan, specifically in the context of occupational health and safety within the mining environment. Utilizing a descriptive quantitative approach and simple random sampling technique, the study involves 324 randomly selected respondents from the operational division. The results indicate that workers' risk perception tends to increase with age, with older age groups having a higher risk perception. The dimension of risk perception with the highest score is the Immediacy of Effect, which reflects workers' attention to risks with immediate consequences, such as work-related accidents. Conversely, the Chronic-Catastrophic dimension shows a low score, indicating a lack of attention to long-term risks. This study recommends that the company implement training based on visual simulations using the SMART approach to enhance workers' awareness of risks and strengthen the risk perception at PT Y.

Diabetes mellitus is a chronic disease that occurs when the pancreas cannot produce enough insulin (a hormone that regulates blood sugar or glucose) or when the body cannot use insulin effectively. According to the International Diabetes Federation, the prevalence of diabetes mellitus is increasing every year in the world, reaching 537 million people suffering from diabetes in the world. Currently, Indonesia ranks sixth as the country with the highest number of people with diabetes mellitus. At the Sei Langkai Health Center in the last 6 months (January-June) there were 40 people. This professional scientific paper aims to provide gerontic nursing care to Mrs.A with the application of diabetic foot exercise therapy in reducing blood glucose levels in patients with diabetes mellitus in the Sei Langkai Health Center Working Area. The method used in this Professional Scientific Writing is a case study conducted based on the stages of nursing care including assessment, diagnosis, intervention, implementation and nursing evaluation. The results showed a decrease in blood glucose levels from the first day of GDS examination results of 215 mg/dl and on day four down to 158 mg/dl, as well as decreased drowsiness, fatigue / fatigue decreased in accordance with the expected goals and criteria. For patients, it is hoped that it can provide knowledge and insight, and can know and understand foot exercise therapy can reduce blood glucose levels in patients with diabetes mellitus.

Schizophrenia is a complex psychiatric disorder, characterized by positive, negative, and significant cognitive impairment, and contributes significantly to global disability. This article is a literature review that comprehensively discusses the epidemiology, etiology, clinical features, diagnosis, and management of schizophrenia. The etiology of schizophrenia involves interactions between genetic, neurobiological, and environmental factors, including dysfunction of neurotransmitters such as dopamine, glutamate, and gaba. Diagnosis can be made based on the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) or the Guidelines for the Classification of Mental Disorder Diagnosis III (PPDGJ III), with an emphasis on the combination of major symptoms and the exclusion of other conditions. Management of Schizophrenia Includes Pharmacological Therapy With First and Second Generation Antipsychotics, As Well As Nonpharmacological Interventions Such As Cognitive-Behavioral Therapy, Social Skills Training, And Family Support. The Social Stigma And Economic Burden That Accompanies It Makes This Disorder A Multidimensional Challenge In The Health System. This Article Emphasizes The Importance Of A Sustained Multidisciplinary Approach To Improve The Prognosis And Quality Of Life Of People With Schizophrenia.
 
 

Tension Type Headache (TTH) is a common health problem that has a significant impact on an individual's quality of life. Various physical therapies have been used to treat TTH symptoms, including Myofascial Release (MFR) and Muscle Energy Technique (MET). However, stronger evidence is still needed on the effectiveness of combining these two techniques in reducing the intensity of pain and improving the quality of life of TTH patients. The research aims to analyse the effectiveness of a combination of MFR and MET techniques on reducing pain intensity, increasing cervical range of motion, and improving the quality of life of TTH patients. This study used a systematic review method with a PRISMA-P approach and a PICOS framework. The research sample consisted of articles published between 2020 and 2025, which were identified through searches in the PubMed, Crossref, and Web of Science databases. Data analysis was conducted descriptively based on the results found in relevant studies.The results showed that the intervention of MFR and MET significantly reduced pain intensity, increased cervical range of motion, and improved the quality of life of TTH patients. The study shows that the combination of MFR and MET techniques is effective in managing TTH symptoms and can improve the patient's quality of life. These results provide a basis for non-pharmacological physical therapy in the management of TTH.

Students in the Information Systems Program at UIN Sumatera Utara tend to have irregular eating patterns with high consumption of fast food. This habit contributes to various health problems such as digestive disorders and decreased concentration. This study was conducted to investigate the eating patterns of students in the Information Systems Program at UIN Sumatera Utara and their relationship with their health conditions. Through a quantitative survey of 50 respondents, the results showed that most students eat less than three times a day, with the highest frequency being twice a day (48%). Additionally, the majority of students consume fast food 1–2 times a week (60%). Analysis using the Chi-Square test revealed a significant association between the frequency of fast food consumption and students' health conditions (p < 0.05). Many students experienced health issues such as stomach problems and fatigue related to their unhealthy eating patterns. These findings emphasize the need for nutrition education and the implementation of practical healthy eating patterns to support students' health and academic performance.

Basic Life Support (BLS) is a crucial basic skill in the management of medical emergencies, especially in increasing the chances of survival of patients who experience sudden cardiac arrest. BLS actions performed fast and precisely have been proven to significantly increase survival rates. Therefore, this skill is important for all levels of society, especially medical students who will be at the forefront of providing first aid in the health sector. This study aims to measure the level of knowledge about BLS in 231 students of the Faculty of Medicine, Tarumanagara University class of 2022 who have not been exposed to official lecture modules related to BLS. The research design used was descriptive with a cross-sectional approach and simple total sampling technique. The results showed that 58% of respondents had a good level of knowledge, 33.3% were moderate, and 8.7% were lacking. The highest understanding was found in basic aspects such as breathing assessment (99.6%) and awareness that BLS can be performed by anyone (97.4%), reflecting good mastery of basic cognitive concepts. However, understanding of technical aspects such as breath support (44.2%) and pulse assessment (39%) was still low. Therefore, it is very important to improve BLS knowledge and skills through formal training in the curriculum and non-formal such as seminars, workshops, and other educational activities to improve student preparedness in providing first aid, as well as supporting the improvement of the quality of health services in the aspect of emergency.

Anemia is a condition where a person has a hemoglobin value below normal (12 gr/dl). The prevalence of anemia is around 30% of women of childbearing age, namely 15-49 years old, suffer from anemia. In Indonesia, data on anemia sufferers shows 32%. The prevalence of anemia in DIY shows that the results of Riskesdas in 2013 amounted to 37.1% of adolescent girls experiencing anemia, and further increased in the 2018 Riskesdas results, namely 48.9% experiencing anemia. Anemia has a negative impact on adolescent girls, namely a decrease in immune system function, easy fatigue, disrupting physical, cognitive, psychological growth and development, and reducing learning concentration which can affect learning achievement. Factors causing anemia can be caused by sleep quality. Good sleep will help the body's biological process to regenerate erythrocyte cells in producing gemoglobin. This study uses a quantitative correlation research design with purposive sampling technique with inclusion and exclusion criteria. The number of samples in this study were 30 adolescent female respondents. Statistical analysis used is chi-square with a p value <0.5. The results of this study indicate that the majority of adolescent girls experience poor sleep quality as many as 18 adolescent girls (60%) and as many as 21 adolescent girls (70%) have abnormal hemoglobin values. Chi-square test obtained a value of p = 0.001 <0.5 which means that sleep quality can affect hemoglobin levels in adolescent girls

Popular antihypertensive drugs used are amlodipine (besylate) in generic and branded generic tablets. To ensure that a drug is of good quality and efficacy, evaluation of the physical quality of the tablet is very important. This study aims to determine the results of the physical evaluation of generic and branded amlodipine (besylate) tablets that are currently available for purchase. This type of experimental study involves random sample selection. Testing was carried out on three samples of generic amlodipine (besylate) tablets and one sample of branded generic tablets. The physical evaluation of the tablets carried out was uniformity of weight, uniformity of size, hardness, friability, and disintegration time as part of the physical examination. The test results showed that generic tablets 3 and branded generics met the requirements of the Indonesian Pharmacopoeia.
 
 

This study aims to review the latest developments in medicinal chemistry and its prospects in the development of future treatments. Through a comprehensive literature study approach, this study analyzes the latest innovations in drug design and development, including the use of computational technology, nanotechnology, and biological target-based approaches. The results show that the integration of artificial intelligence and machine learning technologies with conventional medicinal chemistry techniques has opened a new paradigm in more efficient and precise drug discovery. Personalization of treatment based on patient genetic profiles, development of new antibiotics to overcome antimicrobial resistance, and nanomaterial-based therapies are important trends in contemporary medicinal chemistry applications. This study concludes that the future of medicine will be greatly influenced by advances in medicinal chemistry, with the main challenges being safety, regulation, and accessibility.More intensive multidisciplinary collaboration is needed between chemists, biologists, pharmacologists, clinical medicine, and informatics to optimize the potential of medicinal chemistry in the future medicine revolution.

In the ever-growing digital era, hospitals are required to adopt the latest technology, one of which is electronic medical records (RME). RME is a digital patient health data recording system that offers various advantages in improving service quality and hospital operational efficiency. This study aims to examine improving hospital services through the implementation of RME by conducting a literature review. The research uses a literature review method by identifying, selecting and analyzing relevant literature related to the implementation of RME and its impact on improving the quality of hospital services over the last 10 years. Data is analyzed descriptively to find patterns, trends and consistent findings. The results of the literature review show that the implementation of RME can increase the effectiveness of outpatient services, improve the quality of health care, and improve patient safety. RME provides easy access and sharing of patient health information between medical personnel, increased security and privacy of patient data, as well as efficiency in data storage and tracking. However, there are challenges such as large initial investment costs, risk of technical glitches, and resistance from medical personnel to system changes. Implementing RME in hospitals provides many benefits in improving service quality and hospital quality. However, careful planning, support from all parties, and handling of existing challenges and weaknesses are needed to ensure the success of RME implementation.
 

This research focuses on understanding how gender equality impacts per capita income in Gorontalo Regency. A quantitative method was used, relying on secondary data for analysis. To explore the connection between gender equality and per capita income, simple linear regression was applied. The results indicate that gender equality positively and significantly influences per capita income in this area. The analysis showed a determination coefficient, which reveals that 81. 3 percent of the change in per capita income is accounted for by gender equality, while the remaining 18. 7 percent is affected by other factors that are not considered in this study. This implies that enhancing gender equality plays a crucial role in boosting per capita income within Gorontalo Regency.

Purpose: The aim of this study is to measure the total phenolic content in papaya (Carica papaya L.) leaf and seed extracts and to evaluate their potential as anticancer agents based on their antioxidant activity. Methodology/approach: Location & Materials: Papaya leaves and seeds were sourced from Manoko, Bandung. Extraction: The samples were washed, dried at 45°C, powdered, and extracted with 70% ethanol using the reflux method. Analysis: Total phenolic content was measured using a UV-Vis spectrophotometer at 761 nm after reacting extracts with Folin-Ciocalteu reagent and sodium carbonate. Results were compared to a gallic acid standard curve. Supporting Methods: Literature review on medicinal chemistry and anticancer drug development, as well as qualitative analysis using thin-layer chromatography (TLC) for main phenolic compounds. Results/findings: Papaya leaf and seed extracts contain significant phenolic compounds, including flavonoids and phenolic acids. These phenolics contribute to antioxidant activity, which helps protect cells from oxidative damage linked to cancer. Previous studies show papaya leaf extract can act as an immunomodulator and anticancer agent, while papaya seed contains benzyl isothiocyanate, which inhibits cancer cell growth. Limitations: The study only measures total phenolic content and does not isolate or identify individual active compounds. Anticancer activity is inferred from phenolic content and literature, not directly tested in vivo or in clinical trials. Contribution: This research provides scientific evidence that papaya leaves and seeds are promising natural sources of phenolic compounds with antioxidant and potential anticancer properties. The findings support further research in pharmacy, medicinal chemistry, and oncology, especially for developing plant-based anticancer agents.

The rehabilitation program through physiotherapy has proven effective in accelerating the recovery of knee injuries in soccer athletes by employing a structured approach that includes pain reduction, mobility enhancement, and muscle strengthening. Case studies and research indicate that a combination of interventions such as cryotherapy, Transcutaneous Electrical Nerve Stimulation (TENS), range of motion (ROM) exercises, and muscle strengthening leads to significant improvements within 3-6 weeks. The primary methods utilized include physical therapy to reduce edema and pain through modalities like cold compresses and electrical stimulation, progressive exercises focusing on flexibility, balance, and strength of the quadriceps-hamstring muscles, as well as a phased rehabilitation approach (acute, restoration, strengthening) tailored to the patient's clinical condition. Research involving 25 patients post-ACL surgery showed an increase in passive flexion ROM of 31.07% and a decrease in swelling by 3.33% after therapy sessions. For soccer athletes, these interventions facilitate a return to optimal movement function within a short timeframe through controlled sport-specific exercises. The study concludes that a comprehensive physiotherapy program significantly accelerates functional recovery and reduces the risk of long-term complications.

The accuracy of the diagnosis code is a statement that shows a code for a convincing diagnosis, and has been said to be certain and clear according to the ICD-10 guidelines. The purpose of this study was to obtain an overview of the analysis of the accuracy of injury codes and external causes of injury in emergency care electronic medical records at the Jakarta Islamic Hospital Sukapura. This research is descriptive research with a Mix Methode approach. Data collection techniques using observation and interview methods. Samples were taken using saturated sampling techniques totaling 81 electronic medical records of emergency care patients. The accuracy of the injury code is 22% correct, and the accuracy of the external cause of injury code incorporated in traffic accident cases and other accident cases is 0% correct. The low accuracy of injury codes was due to not adding character 5, block code errors, and errors in determining code categories. The results of the accuracy of the external cause of injury code obtained were 0% correct because 80 electronic medical records of emergency care patients did not contain the code for the external cause of injury. Factors that hinder the accuracy of injury codes and external causes of injury are influenced by man factors, namely high workload, dependence on ICD-10 codes on doctors, and lack of feedback audits. Then the influence of material factors, namely the incompleteness of supporting documents, lack of detail in diagnosis, and lack of chronological letters of events. Then the influence of method factors, namely unsupportive policies and procedures, lack of training and understanding, and weak application of external cause of injury codes.
 

Globally, at least 100 million girls are at risk of undergoing female genital mutilation (FGM) each year, with an estimated 6,000 girls affected every day. In Indonesia, the practice of FGM is generally rooted in cultural or traditional beliefs that have been passed down through generations within communities. Therefore, this study aims to examine the relationship between mothers' perceptions and attitudes and the practice of female genital mutilation (FGM). This is a quantitative study employing a cross-sectional design. Data were collected using purposive sampling, with a total of 50 participants. Data were analyzed using the Chi-square test. The results showed that Nearly most of the mothers with a positive attitude practiced female genital mutilation (FGM), totaling 12 individuals (80%), and the majority of mothers with poor perception also practiced FGM, totaling 31 individuals (67.4%). The Chi-Square test showed p-values of 0.019 and 0.012, indicating a statistically significant relationship between mothers' perceptions and attitudes and the practice of FGM. It is recommended to provide counseling and health education about female circumcision, with regular evaluations to ensure the information is well understood. These efforts can be carried out through activities at Puskesmas or other healthcare service points, including continuous home visit programs.

One of the plants used for medicinal purposes is quinine, especially the bark part containing quinine alkaloids. Extraction by Soxhlet method and identification of groups by phytochemical screening method. Fractures by liquid-liquid extraction methods, thin-layer chromatography, and slow column chromatography. Isolate by the preparative chromatography method and the KLT-Densitometry method. The extraction by Soxhlet's method was obtained with a reddish-brown extract. The phytochemical screening results are positive for alkaloids and triterpenoids. Liquid extraction results in water fractions, ethyl acetate I fractions and ethyl acetate II fractions. KLT results and chemical reagent identification obtained replication fraction I and replication II containing kinin. Using the KLT Densitometry method, it is shown that the quinine stem skin extract positively contains a kinin compound with an average kinin content of 15.30%.

Various types of diseases, diarrhea is still dominant in the city of Medan. Based on data from the Central Bureau of Statistics for North Sumatra Province 2017, cases of diarrhea were found to be higher with 10,225 cases compared to other diseases. 5 Of the approximately 2,229,408 total residents of Medan City, it is estimated that 26,025 of them have suffered from diarrhea, this estimate is calculated based on the number national diarrhea morbidity (illness) in 2016, namely 270/1000 population. The estimated number of cases can be used as a target for coverage of cases of diarrhea. The goal to be achieved in this study is to determine the effect of community empowerment strategies in environmental engineering on the prevention of diarrheal diseases in the Lubuk Pakam Health Center area in 2023.
The research design used was an analytic survey with a cross-sectional design. The population in this study was 2235 people. This population sample was taken by non-probability sampling or purposive sampling. The number of samples to be studied was 100 people. Data analysis was performed using univariate, bivariate and multivariate analysis.
The results of the research on the Advocacy variable obtained p-value = 0.000, Teamwork = 0.001, Communication = 0.002, and Assistance = 0.000 <0.05 meaning that there is an influence between Advocacy, teamwork, communication and assistance on diarrhea prevention. The results of the multivariate analysis were obtained the variable that has the most influence in this study is the mentoring variable with an OR value of 35,174.
There is an influence between advocacy, teamwork, communication and assistance on diarrhea prevention. The multivariate analysis results show that the most dominant factor is the assistance variable. It is hoped that the Lubuk Pakam Health Center will further enhance community empowerment in each village in environmental engineering efforts to prevent diarrhea and improve public health status, especially residents who experience diarrhea outbreaks.

Research has been conduced on MRI Brain examiation procedures in cases of trigeminal neuralgia at the radiology installation of the NTB Privincial Hospital. The purpose of this study was to determine how the MRI Brain examination procedure in cases of trigeminal neuralgia at the radiology installation of the NTB Provincial Hospital and why the b-FFE sequence was used in the MRI Brain examination of trigeminal neuralgia cases at the Radiologi Installation of the NTB Provincial Hospital. This type of research uses qualitative research with a case study approach to MRI Brain examination in cases of trigeminal neuralgia. This research was conducted in june-july 2023 at the Radiology installation of the NTB Provincial Hospital using observation, intervie and dokumentation methods. The results of the data were processed and reduced by open coding. The results of the study of MRI Brain examination procedures in cases of trigeminal neuralgia at the Radiology Installation of the NTB Provincial Hospital. Starting with patient preparation, the patinet`s position is supine. The sequences used are DWI Axial, T2W TSE Axial, T1W FFE, T2W FLAIR, MRA, T2W TSE Coronal, T2W TSE Sagittal and b-FFE. The reason for using the b-FFE sequence is to show 12 pairs of cranial nerves, one of which is the trigeminal nerve and the b-FFE sequence can be used as a differential diagnosis against other sequences.

Pada masa balita berlangsung proses tumbuh kembang yang sangat pesat, untuk mendukung pertumbuhannya balita perlu mendapat asupan zat gizi dalam makanan sehari-hari dalam jumlah yang tepat. Kekurangan gizi pada masa balita dapat mengakibatkan kerugian yang tidak dapat diperbaiki di kemudian hari. Tujuan dari penelitian ini untuk mengetahui hubungan pengetahuan ibu tentang pola pemberian makan dengan status gizi balita usia 12-59 bulan. Penelitian ini menggunakan desain penelitian deskriptif korelasional dengan pendekatan Cross Sectional dengan sampel sebanyak 88 responden. Hasil analisis univariat menunjukkan bahwa balita di Wilayah Kerja BLUD UPT Puskesmas Panimbang Kabupaten Pandeglang sebagian besar memiliki status gizi baik (90,8%), dan hampir sebagian besar ibu balita memiliki pengetahuan yang baik tentang pola pemberian makan (57,1%). Hasil analisis bivariat diperoleh p value 0,004 sehingga disimpulkan ada hubungan yang signifikan antara pengetahuan tentang pola pemberian makan dengan status gizi balita usia 12-59 bulan di Wilayah Kerja BLUD UPT Puskesmas Panimbang Kabupaten Pandeglang Tahun 2022. Pihak puskesmas diharapkan lebih eningkatkan kegiatan-kegiatan yang mendukung peningkatan status gizi balita, seperti memperbanyak program penyuluhan kepada masyarakat mengenai pentingnya pemenuhan gizi balita.
 

The prevalence of hypertension in Indonesia reaches 34.11%, with the highest incidence of hypertension found in those aged 65 years and over at 63.22%. The number of elderly patients suffering from hypertension who undertake non-pharmacological therapy needs to be encouraged. Non-pharmacological therapy is always an option because it is not expensive, one of which is progressive muscle relaxation. Research objective: to determine the effect of progressive muscle relaxation therapy on reducing blood pressure in the elderly at the Tanjung Unggat Community Health Center UPTD. Quasi Experiment with One Group Pre-Post Test Design approach. The sample consisted of 26 elderly respondents who suffered from hypertension in the UPTD area of ​​the Tanjung Unggat Community Health Center using a purposive sampling technique. The mean systolic and diastolic blood pressure before progressive muscle relaxation therapy was 152.50 mmHg and 94.81 mmHg. After treatment with progressive muscle relaxation therapy, the mean systole was 138.85 mmHg and the mean diastole was 88.62 mmHg. The results of the Wilcoxon Sign Rank Test statistical test obtained p-value = 0.000 (p < 0.05), namely H0 was rejected, which means there was an effect of providing progressive muscle relaxation therapy on reducing blood pressure in the elderly at the UPTD Tanjung Unggat Health Center. It is hoped that the elderly can apply progressive muscle relaxation to lower blood pressure.

Pregnant women are still often faced with various health problems, one of which is anemia. Anemia is the biggest public health problem in the world, especially for pregnant women because many suffer from iron deficiency. WHO in 2021 reports that globally the prevalence of anemia in pregnant women worldwide is 41.8%. It is known that the prevalence of anemia in pregnant women is estimated at 48.2% in Asia, 57.1% in Africa, 24.1% in America, and 25.1% in Europe. The PulauPanggung Community Health Center supervises 10 villages where 12 people (26,66%) of the 45 pregnant women examined were Desa PulauPanggung who had the most cases of anemia. The research design used in this study was a pre-experimental type one group pretest-posttest design. The population in this study were all pregnant women in Desa PulauPanggung, Working Area of ​​the PulauPanggung Health Center, Semende Darat Laut District, Muara Enim Regency, totaling 27 people. The sample in this study were pregnant women who attended counseling at the posyandu in the Working Area of ​​PulauPanggung, Semende Darat Laut, Muara Enim Regency. Based on univariate analysis, it is known that the average value of respondents' knowledge before counseling was 58.65 out of 20 respondents. The highest value is 72 and the lowest is 50. The value that is most often obtained is 60. The average value of respondents' knowledge after counseling is 92.95 from 20 respondents. The highest score is 100 and the lowest is 82. The highest score is 98. From 20 respondents, the average value of mothers' knowledge before counseling (pre-test) was 58.65. From 20 respondents, the average value of mothers' knowledge after counseling (post-test) was 92.96. There is an effect of health counseling on the level of mother's knowledge about anemia before and after counseling with the lecture method and audio-visual media in PulauPanggung Village, Semende Darat Laut District, Muara Enim Regency in 2023 with a p value of 0.000.

Stunting menurut Kementerian Kesehatan (Kemenkes) adalah anak balita dengan nilai z-scorenya kurang dari -2.00 SD/standar deviasi (stunted) dan    kurang    dari     -3.00     SD (severely stunted). Jadi                                    dapat disimpulkan bahwa stunting merupakan gangguan pertumbuhan yang dialami oleh balita yang mengakibatkan keterlambatan pertumbuhan anak yang tidak sesuai dengan standarnya. Dampak stunting pada jangka pendek berdampak terhadap pertumbuhan fisik yaitu tinggi anak di bawah rata-rata anak seusianya. Sedangkan untuk jangka panjang, stunting akan menyebakan anak menjadi rentan terjangkit penyakit seperti penyakit diabetes, obesitas, penyakit jantung, pembuluh darah, kanker, stroke, dan disabilitas di usia tua dan berkaitan dengan kualitas SDM suatu negara. Jika stunting tidak segera diatasi hal ini tentunya akan menyebabkan penurunan kualitas SDM di masa yang akan datang. Pemerintah Daerah melakukan upaya pencegahan stunting dengan melakukan kegaitan sosialisasi ke setiap desa di Kabupaten Bolaang Mongondow Utara.
 

COVID-19 disease has spread around the world.  Some events progress to acute respiratory distress syndrome or more severe forms of the disease leading to death. Pregnant women with COVID-19 are known to have a high risk of being admitted to the ICU. An increase in premature births is still observed in cases of complications caused by COVID-19. Vaccination is done to stimulate the body to form antibodies specific to the virus. However, the side effects of this vaccination need to be tested, especially its safety for pregnant and lactating women. The purpose of writing this article is to determine the safety of several types of COVID-19 vaccinations for pregnant women and nursing mothers. The method used is a literature study of previous research2. The results of this literature study found that the type of vaccination that is recommended for pregnant and lactating women is Sinovac.

Background: Elderly is a closing period in a person's life span, namely a period when a person has moved from a more useful and productive time. With increasing age, physiological function decreases due to the aging process so that joint disease appears in the elderly. One of the joint diseases in the elderly is gout arthritis. There are two ways to reduce uric acid, pharmacological and non-pharmacological. Non-pharmacological can be done by giving ginger compresses to reduce pain levels. Objective: The purpose of this paper is to determine the effectiveness of ginger compresses to reduce pain levels in the elderly with gout problems. Method: Case study design using nursing care. The case study sample used 1 patient. Results: Based on the implementation results on Mr. S with the application of ginger compress therapy for 7 days the pain scale decreased, the first and second days a pain scale of 5, on the third and fourth days a pain scale of 4, on the fifth and sixth days a pain scale of 2 and on the seventh day a pain scale of 1 with uric acid levels on day the first was 8 mg/dl and on the seventh day the uric acid level was 7.3 mg/dl, so a nursing diagnosis of chronic pain, it can be concluded that there is a change towards improvement, this shows the effect of giving ginger compresses on reducing pain levels.

Hysterectomy is a surgical procedure for removing all or part of the uterus due to gynecological diseases, one of which is uterine myoma.  The impact that is often felt by patients after surgery is the presence of incisions and damaged tissue causing a sensation of pain.  Reflexology therapy as a non-pharmacological action is a new innovation for reducing pain with a very simple relaxation method.  This case study aims to determine the application of reflexology therapy to reduce pain levels in postoperative hysterectomy patients.  The method in this research is a case study in post hysterectomy patients who experience complaints of pain.  The instrument used is using a Numeric rating scale (NRS) with finger-hand relaxation intervention given for 3 days.  The results of this case study showed that by doing reflexology therapy for 3 days there was a significant decrease in pain levels from a scale of 5 to a scale of 2. The effectiveness of applying standard nursing care in reducing the level of pain given to patients showed a decrease in pain levels from the first day of intervention to the first day of intervention third.

Stroke is a disease or functional disorder of the brain in the form of nerve paralysis due to obstruction of blood flow to the brain. Decreased blood flow to the brain can be caused by blocked blood vessels in the brain. It can also be caused by the rupture of blood vessels to the brain. In simple terms, acute stroke is defined as a brain disease due to cessation of blood supply to the brain due to bleeding (hemorrhagic stroke) or blockage (non-hemorrhagic stroke). According to the WSO (World Stroke Organization) in 2016 more than 67.5 million people in the world experienced an ischemic stroke and 15 million people in the world experienced a hemorrhagic stroke. Nationally, the prevalence of stroke in Indonesia according to the Ministry of Health of the Republic of Indonesia in 2018 is estimated at 2,120,362 people who suffer from stroke. Brain damage from a stroke can cause various symptoms such as paralysis or weakness in one half of the body that occurs suddenly, where the most characteristic symptom is hemiparesis (reduced muscle strength of one limb). Muscle strength is the ability of muscles to produce tension and power during maximum effort both dynamically and statically or in other words muscle strength is the maximum ability of muscles to contract. Non-pharmacological therapy that can be done to increase extremity muscle strength in stroke patients is mirror therapy. Mirror therapy is a form of rehabilitation that relies on motor imagery, where the mirror will provide visual stimulation that tends to be imitated like a mirror on body parts that are disturbed by healthy body parts. The purpose of this case study is to describe the application of mirror therapy to extremity muscle strength in stroke patients. The writing method uses a descriptive method with a nursing care process approach, the samples taken are 2 respondents. 

Hypertension emergency is defined as a severe increase in blood pressure that is > 180/120 mmHg and there is evidence of worsening or target organ damage. The heart, brain and kidneys are the intended target. In this situation, immediate action to reduce blood pressure is needed within minutes. Risk factors that need to be considered in hypertensive crisis patients are those who are not diagnosed or do not adhere to treatment. Handling this can be done by adhering to medication and diligently taking medications that have been recommended by the doctor.

Stress is a physical and emotional reaction caused by environmental conditions, physical demands and social conditions that are difficult to control, which requires a person to adjust himself. Stres can happen to everyone, including final year students who are facing their final project. Some of the causes of someone experiencing stres are frustration that can occur when individual efforts to achieve certain goals are hampered or the opportunity to get the desired results is lost. The next cause of stres is a crisis where sudden circumstances can cause stres to individuals. The purpose of this study is to know the description of the stres level of Politeknik Kaltara students in facing their final project. This research uses a descriptive method. Sampling using total sampling technique as many as 67 respondents according to the inclusion and exclusion criteria. Data collection used a stres level questionnaire on students consisting of 14 questions. Based on the results of the study, data were obtained in the form of the highest level of student stres in the mild category 29 (43.3%) respondents, moderate category 22 (32.8%) respondents, severe category 16 (23.9%) respondents. The conclusion of this study shows that the stres level of students who are facing their final project is more in the mild stres category.
 
 

Masalah gangguan kesehatan gigi dan mulut yang rentan terjadi pada anak-anak juga dapat disebabkan karena kurangnya pengetahuan tentang pentingnya menjaga kebersihan gigi dan mulut. Berdasarkan fenomena yang didapatkan pada tanggal 23 September 2022 di Mis Miftahul Huda 1 Palangka Raya dengan menggunakan metode wawancara langsung dan observasi dari 21 siswa terdapat 14 siswa yang hanya menggosok gigi pada pagi hari saja, 5 anak diantaranya bahkan menjawab jarang menggosok gigi. Tujuan: Penelitian untuk mengetahui hubungan pengetahuan tentang kesehatan gigi dan mulut dengan perilaku perawatan gigi dan mulut pada anak usia 7-9 tahun di Mis Miftahul Huda 1 Palangka Raya. Metode Penelitian: Menggunakan metode penelitian kuantitatif dengan teknik pengumpulan data menggunakan kuesioner yang terdiri dari kuesioner pengetahuan dengan jumlah 18 soal dan kuesioner perilaku dengan jumlah 20 soal. Menggunakan metode Purposive Sampling sebanyak 77 Responden di Mis Miftahul Huda 1 Palangka Raya. Jenis penelitian ini adalah korelasional dengan menggunakan pendekatan Cross sectional menggunakan Uji Statistik Chi Square. Hasil Penelitian: Menunjukan bahwa mayoritas responden memiliki pengetahuan kurang sebanyak 27 responden (35%) tentang kesehatan gigi dan mulut dan berperilaku negatif sebanyak 44 responden (57,2%) dalam perawatan kesehatan gigi dan mulut. Berdasarkan analisis didapatkan hasil p value 0,031 < α dengan tingkat signifikan 0,05. Kesimpulan: Ada hubungan antara pengetahuan dan perilaku. Penelitian ini diharapkan dalam membantu instansi kesehatan, instansi pendidikan, orang tua dan anak dalam meningkatkan pengetahuan tentang kesehatan gigi dan mulut dengan perawatan gigi dan mulut pada anak.
 

Breast cancer is a type of malignant cancer that requires chemotherapy, chemotherapy has one effect, one of which is nausea and vomiting. Nausea and vomiting can be overcome with eucalyptus aromatherapy. The purpose of this study was to determine the effect of eucalyptus aromatherapy on nausea and vomiting in post-chemotherapy breast cancer patients. This research method uses a pre-experimental pretest and posttest one group design. The sampling technique used was purposive sampling on 62 respondents, using the INVR measuring instrument. The results of the analysis obtained the majority of age 41.9%, education 46.8% and employment status 48.4%. The vomiting rate of post-chemotherapy patients before being given the intervention was moderate nausea and vomiting 53.2% and after giving eucalyptus aromatherapy 45.2% after that the Wilcoxon statistical test was carried out, so that the p value of nausea was 0.000 <0.05. The conclusion is that there is an effect of giving eucalyptus aromatherapy on nausea and vomiting in post-chemotherapy breast cancer patients. Suggestions for future researchers can be used as a reference for future researchers and pay more attention to the time of giving eucalyptus aromatherapy so that it can be optimal

Contraception is the prevention of pregnancy that the wearer is aware of. Contraception is used to limit the population and ensure the availability of natural resources so as to maintain the quality of human life. The purpose of this research is to study and explain the relationship between characteristics and the choice of long-term contraception in women of childbearing age in the Working Area of ​​the North Kefa Polindes, North Central Timor District, East Nusa Tenggara Province. This research method is quantitative with a cross sectional approach. The sampling technique uses accidental sampling. The population is 830 WUS and the sample is 106 WUS. This study found that 35.80% of WUS used MKJP alkon. The results of the bivariate analysis showed that the variables that were significantly related were education, occupation, family income and number of children, and the most dominant variable in choosing long-term contraception was family income. The conclusion of the family income variable that shows the most dominant in the selection of long-term contraception.

Latar Belakang: Kasus kejadian gastritis yang terjadi di Kota Palembang pada tahun 2016 sebanyak 12.019 kasus. Angka tersebut mengalami penurunan di tahun 2017 sebanyak 10.823 kasus. Pada tahun 2018, kejadian gastritis mengalami peningkatan sebanyak 11.891 kasus. Gastritis adalah penyakit yang disebabkan oleh meningkatnya asam lambung sehingga mengakibatkan inflamasi atau peradangan yang mengenai mukosa lambung. Salah satu terapi non-farmakologi yang dapat diberikan pada penderita yang mengalami nyeri pada gastritis adalah terapi relaksasi nafas dalam. Tujuan: Memperoleh pengalaman dan pengetahuan secara nyata serta dapat mendokumentasikan dalam Penerapan Teknik Relaksasi Nafas Dalam pada pasien Gastritis dengan Masalah Nyeri Akut pada pasien Gastritis. Metode: Jenis Karya Tulis Ilmiah ini menggunakan metode deskritif dengan pendekatan studi kasus untuk mengeksplorasi masalah Asuhan Keperawatan pada dua pasien dengan Gastritis. Asuhan Keperawatan dilakukan pada dua pasien yang dilakukan pada tanggal 13-16 Juni 2022. Hasil: Dari hasil Asuhan Keperawatan pada Ny “S” dan Ny “M” dengan Diagnosa Keperawatan pertama yaitu Nyeri Akut berhubungan dengan agen pencedera biologis (inflamasi pada mukosa lambung), hasil evaluasi pada pasien pertama Ny “S” didapatkan pasien tidak merasa nyeri lagi, sebelum dilakukan teknik relaksasi nafas dalam skala nyeri 5 (Sedang), masalah nyeri teratasi dan intervensi dihentikan. Untuk evaluasi yang didapatkan pada pasien kedua Ny “M” didapatkan skala nyeri 2 (Sedang), sebelum dilakukan teknik relaksasi nafas dalam skala nyeri 7 (Berat), masalah nyeri teratasi sebagian dan intervensi dihentikan. Kesimpulan: Catatan perkembangan kepada kedua pasien penerapan teknik relaksasi nafas dalam untuk menurunkan skala nyeri. Hasil evaluasi keperawatan pada Ny “S” masalah teratasi sedangkan Ny “M” masalah teratasi sebagian. Saran: Diharapkan dapat menjadi salah satu referensi dan menambah ilmu pengetahuan, serta dapat dijadikan pedoman dalam pengembangan penerapan teknik relaksasi nafas dalam pada pasien gastritis.
 

Pendidikan Kesehatan dengan menggunakan video memberikan kontribusi yang sangat besar dalam perubahan perilaku pasien sehingga akan lebih cepat mengerti, dan mengingat penyajian informasi atau Pendidikan Kesehatan dengan menggunakan video akan memberikan dampak positif terhadap pasien selain itu manfaat lainnya memberikan stimulus pada pendengaran dan penglihatan. Penelitian yang digunakan dalam penelitian ini adalah metode quasi eksperimen dengan rancangan Pra Experimen Pre test Post test One Design Group. Bertujuan untuk mengidentifikasi pengaruh Pendidikan Kesehatan menggunakan video edukasi terhadap tingkat kecemasan pada pasien pre operasi fraktur. Populasi penelitian ini adalah pasien yang akan dilakukan tindakan operasi fraktur di Rumah Sakit Islam Sultan Agung Semarang dengan sampel sejumlah 23 responden sebagai kelompok intervensi. Teknik pengambilan sampel menggunakan consecutive sampling. Hasil Proses intervensi menggunakan video tentang edukasi pasien pre operasi fraktur untuk menurunkan kecemasan. Pada kelompok intervensi sebelum diberikan Pendidikan kesehatan video edukasi 39,1% menunjukan tingkat kecemasan sedang, dan sesudah dilakukan Pendidikan Kesehatan menggunakan video edukasi menunjukan Sebagian besar pada tingkat kecemasan ringan yaitu sebanyak 9 orang (39,1%). Hasil Analisis dengan uji marginal homogeneity didapatkan hasil p value 0,001. Kesimpulan penelitian ini menunjukan bahwa ada pengaruh Pendidikan Kesehatan dengan media video edukasi terhadap tingkat kecemasan pada pasien pre operasi fraktur.
 

Background: The family is the smallest unit in society which is the entry point in an effort to achieve optimal public health. The family is also referred to as a social system. Hypertension can be defined as persistent blood pressure where the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg. Hypertension almost affects 26% of the adult neurological population worldwide, even by 2025, it is projected that 29% of the world's population (1.56 billion adults) will have hypertension. Data from WHO in 2013 showed that there are 9.4 million people in the world every year. Tomato juice as a non-pharmacological therapy or herbal as an alternative treatment of high blood disease. Tomatoes are fruits that contain lots of potassium, potassium can also affect the angiotensinogen renin system as an inhibitor of production. Objective: to know the intervention of tomato juice to lower blood pressure in hypertensive patients. Methods: by means of interviews, assessments and nursing care actions. Results: Case study obtained after clients were given nonpharmacological therapy tomato juice in Mrs. S significant results, where there was a decrease in blood pressure from 150/90mmHg to 120/80 mmHg. Conclusion: Tomato juice has an effect on lowering blood pressure in hypertensive patients. 
 

Background; The increasing life expectancy of the population causes the number of elderly (elderly) to continue to increase globally, according to the World Health Organization (2019), amounting to 22% of the total world population. Hypertension itself in the elderly, if not treated, causes heart and blood vessel disorders, functional changes, and physical function disorders that will affect Daily Living Activities (ADL). For this reason, there need to be appropriate efforts to overcome hypertension. Elderly fitness gymnastics is a series of forms of physical exercise to increase the strength of the heart muscle. The objectives of the research; were to know the results of the implementation of the application of elderly fitness gymnastics on blood pressure in elderly with hypertension. Methods; This application uses the case study method to determine the decrease in blood pressure values with an Omron digital tensimeter. Result; Blood pressure before doin elderly fitness exercises for respondents in the category of degree 2 hypertension and blood pressure after doing elderly fitness exercises for respondents in the high nornal category. There was decrease blood pressure in respondents after the elderly fitness exercise intervention. Summary; Elderly fitness exercises can reduce the blood pressure of the elderly with hypertension.

Based on preliminary study of 5 post partum mothers who had breastfed their babies 1x24 hours found 4 (80%) mothers with insufficient milk production marked by tense, hard mother's breasts with a volume of milk production <5ml. The inability to produce sufficient breast milk can be prevented in many ways, one of them by using massage techniques at certain points. This study aims to analyze the effect of oketani massage techniques on breast milk production in post partum mothers in the Edelweis Room of the Cilegon Hospital. The research design uses the method pre-experimental the one group pre-test and post-test design. The sample uses primary data, namely post partum mothers according to the inclusion and exclusion criteria as many as 28. The analysis used a non-parametric statistical test, namely Wilcoxon Test. The independent variable in this study was oketani massage, meanwhile the dependent variable was the milk production postpartum mothers. The results of the univariate study showed that the average milk production before the oketani massage was 1.5 ml (95% CI: 1.2-1.7) meanwhile the average milk production after the oketani massage was 6.1 ml (95% CI: 5) ,6-6,5), Results analysis wilcoxon with a sig value of 0.000<α (0.05) which means that there is a significant effect between the oketani massage before and after on milk production in post partum mothers. These results indicate that it is necessary to introduce the oketani method, either through training or workshops as an effort to increase milk production in post partum mothers.

Proses persalinan adalah masa yang ditunggu-tunggu oleh ibu hamil dan keluarga. Proses ini menjadi puncak dari perjuangan seorang ibu yang mengandung selama 9 bulan. Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) adalah tolak ukur pembangunan suatu daerah. Puskesmas sebagai tempat pelayanan kesehatan yang menyelenggarakan upaya kesehatan masyarakat dan upaya kesehatan perseorangan tingkat pertama, dengan lebih mengutamakan upaya promotif dan preventif, untuk mencapai derajat kesehatan masyarakat yang setinggi-tingginya di wilayah kerjanya. Upaya Kesehatan Masyarakat tingkat pertama meliputi upaya kesehatan masyarakat esensial dan pengembangan. Hadirnya puskesmas diharapkan dapat menurunkan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) untuk wilayah Jawa Barat.

Tuberkulosis (TB) merupakan penyakit menular yang menjadi permasalahan kesehatan sampai saat ini. Indonesia  menempati urutan  ketiga  terbanyak  kasus  TB  di dunia. Pengobatan TB minimal selama 6 (enam) bulan sehingga membutuhkan kepatuhan tinggi dari penderitanya. Salah satu faktor yang mempengaruhi kepatuhan kontrol adalah adanya dukungan keluarga. Kurangnya kepatuhan kontrol dan dukungan keluarga yang kurang sangat mempengaruhi keberhasilan pengobatan pasien sehingga dampaknya tidak tercapai kesembuhan dan terjadi resistensi obat. Tujuan: Penelitian ini untuk mengetahui Hubungan dukungan keluarga dengan Kepatuhan Kontrol Pasien Tuberkulosis di Puskesmas Bukit Hindu Kota Palangka Raya. Metode: Jenis penelitian ini adalah korelasional dengan menggunakan pendekatan Cross sectional. Variabel penelitian yaitu dukungan keluarga sebagai variabel independen dan kepatuhan kontrol sebagai variabel dependen. Teknik penentuan responden menggunakan Accidental sampling, data dikumpulkan menggunakan kuesioner dan diuji dengan uji statistik Chi Square. Populasi penelitian adalah pasien yang menjalani pengobatan TB di Puskesmas Bukit Hindu tahun 2022 berjumlah 35 responden. Hasil: Hasil penelitian didapat bahwa p = 0,000, α = 0.05, sehingga p < α maka H0 ditolak dan H1 diterima, menunjukan hubungan yang signifikan antara dukungan keluarga dengan kepatuhan kontrol. Kesimpulan: Ada hubungan antara dukungan keluarga dengan kepatuhan kontrol pasien TB di Puskesmas Bukit Hindu Kota Palangka Raya. Penelitian ini diharapkan dapat membantu instansi kesehatan, instansi pendidikan, pasien TB dan keluarganya dalam meningkatkan informasi tentang pentingnya dukungan keluarga dengan kepatuhan kontrol pasien TB.

Gout Hyperuricemia atau penyakit Asam Urat dapat terjadi akibat penumpukan Purin dalam tubuh yang diakibatkan oleh banyak faktor, salah satunya makan makanan dengan kandungan Purin yang tinggi. Indonesia dianggap sebagai negara dengan pengidap Asam Urat tertinggi di dunia. Beberapa daerah di Indonesia telah diteliti dan menunjukkan hasil yang cukup tinggi. Salah satu pemicunya adalah konsumsi makanan dengan kadar Purin yang tinggi. Penelitian ini bermaksud untuk melihat hubungan antara asupan makanan tinggi Purin dengan tingkat Asam Urat dalam tubuh masyarakat di Kelurahan Karangrejo Sumbersari Jember. Pengambilan data menggunakan kuesioner dan wawancara. Responden penelitian dipilih menggunakan teknik purposive sampling dan didapatkan 30 responden memenuhi kriteria yang ditetapkan. Hasil penelitian menunjukkan 10 orang positif memiliki Asam Urat yang tinggi dan berpotensi terkena penyakit Asam Urat. Responden lain kadar Asam Uratnya tercatat rendah dan sebagian besar normal. Melalui sesi wawancara, diketahui bahwa alasan utama yang menjadi penyebab responden positif memiliki tingkat Asam Urat tinggi adalah dari Pola Makan yang tidak sehat, di mana mereka sering mengonsumsi daging jeroan dan makanan berlemak sehari-hari. Selain itu ditemukan alasan lain seperti kurangnya edukasi pencegahan dan penanganan potensi penyakit Asam Urat serta terbatasnya akses menuju puskesmas.

The older adults get, the greater the risk of someone getting gout. It is caused by a decrease in hormone levels when the hormone oestrogen decreases in the body; there is only a tiny amount of the hormone oestrogen, which helps remove uric acid through the urine and can cause the disposal of uric acid to become uncontrolled, resulting in a buildup of degenerative diseases, one of which is gout. One of the non-pharmacological actions that can be used to reduce uric acid levels is by giving soursop leaf boiled water. This study aims to determine the effect of soursop leaf-boiled water on reducing uric acid levels in the elderly before and after the intervention. This research method used quasi-pre- and post-testing in the intervention group. The sampling technique used was random sampling of 65 respondents using an observation sheet with SOP for soursop leaf stew. The analysis showed that the average uric acid level before giving soursop leaf decoction was 42.2%, with high uric acid levels. While the average high uric acid level after administration of soursop leaf-boiled water is 12.3% with moderate uric acid levels and as much as 87.7% with average or low uric acid levels, The results of the marginal homogeneity test obtained a P value of 0.001 (<0.05), meaning that there was a significant difference in mean between the pretest and post-test, which affected giving soursop leaf boiled water to reduce uric acid levels in the elderly—suggestions for health services to provide facilities to health service workers so they can apply traditional medicine.

Cat's whiskers leaf plant (Ortosiphon aristatues.) is one of the plants that is efficacious as a medicinal plant. The part of the cat's whiskers leaf plant is used, namely the leaves that contain saponin compounds, flavonoids, alkaloids and tannins. The purpose of this study was to determine the most effective inhibition produced by the ethanol extract of the leaves of the cat's whiskers (Ortosiphon aristatues.) against the growth of Staphyloccocus aureus bacteria. The benefit of this research is to increase knowledge about the antimicrobial potential of ethanol extract of cat whiskers (Ortosiphon arietatus) leaves against the growth of Staphyloccocus aureus bacteria. This research method uses the diffusion method for wells. The sample used was cat whiskers leaf extract with pure strain of Staphyloccocus aureus. Treatment with cat whiskers leaf extract, the results of the test of the inhibitory activity of the cat whiskers leaf extract showed an average difference at a concentration of 65% with a diameter of 22 mm, a concentration of 70% with a diameter of 25 mm, and a concentration of 75% with a diameter of 30 mm. Ethanol extract of cat whiskers leaves with a concentration of 65%, 70%, and 75% effectiveness in inhibiting the growth of Staphylococcus aureus bacteria. Based on observations, it was shown that the ethanolic extract of Kumis Kucing leaves gave the most effective inhibitory concentration at a concentration of 75% against Staphyloccocus aureus bacteria. with a diameter of 30 mm

Background : Spinal anesthesia is an anesthetic technique used to inhibit pain in some parts of the body. One of the complications that can occur is Post Operative Nausea and Vomiting (PONV). PONV can be caused by many factors, one of which is hypotension. Hypotension can lead to hypoxemia and hypoperfusion in the Chemoreceptor Trigger Zone (CTZ) as the center of vomiting stimulation. Objective : The study aimed to determine the relationship between hypotension and the incidence of Post Operative Nausea and Vomiting (PONV) in spinal anesthesia patients. Research Methods : This type of research is analytic observational with cross sectional research design. The population in this study were all patients undergoing spinal anesthesia at RSI Sultan Agung Semarang. Sampling in this study was to use the purposive sampling method of 53 samples and to use the chi square data analysis test. The research instrument used interviews and used observation sheets. Reseach Result : The most age of respondents in this study were 26-35 years old as many as 18 respondents (34.0%), the most gender was female 32 respondents (60.4%), and those who experienced hypotension were 29 respondents (54.7%) , while there were 30 respondents who experienced PONV (56,6%) .The results of the Chi-Square test to determine the relationship between hypotension and the incidence of Post Operative Nausea and Vomiting (PONV) yielded a result of 0.000 (P <0.5). The majority of respondents who experienced hypotension were 24 people (45.3). Conclusion : here is a significant relationship between hypotension and the incidence of Post Operative Nausea and Vomiting (PONV).

Movement disorders are neurological conditions that affect the speed, fluency, and ease of movement. Movement disorder is a neurological disease with various etiologies. There are quite a lot of clinical diseases of movement disorders in the field of neurology. Chorea is an involuntary movement that is uncontrolled and not purposeful Chorea is classified according to etiology as primary and secondary chorea. Primary chorea is idiopathic/genetic, while secondary chorea is associated with infections, metabolic and endocrine disorders, immunology, and drugs. Infectious causes such as encephalitis can have clinical manifestations in the form of chorea as a movement disorder.

1000 HPK ( Hari Pertama Kehidupan) merupakan masa yang paling penting dalam pemenuhan gizi anak untuk mengurangi kejadian stunting. Kesadaran orang tua akan membentuk pola atau perilaku Kesehatan terutama dalam pencegahan stunting seperti dalam pemenuhan gizi mulai dari ibu hamil, gizi anak, menjaga lingkungan dan sanitasi rumah yang baik, dan perilaku hidup bersih dan sehat. Penyebab dari stunting yaitu berhubungan dengan kejadian, berat badan lahir, riwayat penyakit kehamilan, tinggi badan orang tua, faktor sosial ekonomi, Pendidikan ibu, pendapatan keluarga, pengetahuan ibu. Selain itu, penyebab tidak langsung terjadinya stunting adanya faktor yang berhubungan dengan terjadinya stunting kurangnya asupan gizi saat ibu mengandung, bayi tidak diberikan ASI Eksklusif pada enam bulan pertama, dilanjutkan dengan MPASI sampai anak berusia 2 tahun, kualitas kesehatan yang kurang baik dan cakupan pelayanan Kesehatan yang kurang. Metode : Penelitian ini menggunakan desain korelasional dengan rancangan cross sectional dan teknik total sampling. Responden pada penelitian ini berjumlah 40 responden yang memenuhi kriteria inklusi. Pengumpulan data menggunakan kuesioner yang kemudian dianalisis menggunakan uji statistik chi-square. Hasil : Hasil analisa statistik diketahui bahwa tingkat pengetahuan berada dikategori cukup dan Sikap responden berada dikategori positive dengan hasil uji chi square p value = 0,014 (p < 0,05). Pembahasan : Berdasarkan hasil penelitian antara fakta dan teori tidak terdapat kesenjangan. Hal ini sejalan dengan teori dimana pengetahuan dapat menumbuhkan sikap yang positif. Kesimpulan: Terdapat hubungan yang signifikan dan bermakna antara tingkat hubungan pengetahuan dengan sikap orang tua dalam upaya pencegahan stunting di Desa Mantangai Hilir Puskesmas Mantangai.

Sweet potato is a good food ingredient, because of its starch which has a very rich nutritional content, including high carbohydrates. Therefore, in some areas sweet potato is also used as a staple food. It also contains protein, vitamin C and is rich in vitamin A (β-carotene). β-carotene in yellow sweet potato (Ipomoea batatas L.) can function to meet the needs of vitamin A and as an antioxidant in reducing the effects of free radicals. The purpose of this study was to determine the differences in β-carotene levels in raw and boiled yellow sweet potato (Ipomoea batatas L.) using the UV-Vis spectrophotometry method. Samples of yellow sweet potato were extracted by using maceration method with 95% ethanol solvent. Then a quantitative analysis was performed using the UV-Vis spectrophotometry method at a wavelength of 450 nm and a linear regression equation was obtained y = 0.0237x + 0.395 and a correlation coefficient (r) of 0.9931 and an average level of β-carotene in raw yellow sweet potato was obtained of 1278 .23 mg/kg and boiled yellow sweet potato of 413.90 mg/kg. So from this study it can be concluded that the levels of β-carotene in raw yellow sweet potatoes are greater than boiled yellow sweet potatoes because some boiled yellow sweet potatoes have been damaged due to heat or dissolved / lost to water.

K-space functions to store digital data generated from time to time during scanning, then the data will be converted into image information via Fourier transformation. Radial trajectory at the Siemens vendor is called BLADE, which is a k-space filling method that starts from the central k-space axis and then rotates so that the data block is obtained. Cartesian trajectory is a method for filling k-space which is done linearly from top to bottom or from bottom to top. The aim of this research is to analyze the effect of the k-space filling method using the radial trajectory (BLADE) and Cartesian trajectory methods on the quality of axial MRI Brain T2WI sequence images in Space Occupying Lession (SOL) cases. This study uses a quantitative research method with an experimental study approach. The population and sample of the study were 10 patients with SOL clinical MRI brain examinations, and each sample underwent variations in k-space filling using the radial trajectory (BLADE) and Cartesian trajectory methods on axial T2WI sequences. The data was processed using radiant DICOM and then analyzed using the normality test and the Wilcoxon test on SPSS 25 software. The results of the study show a significance value (p-value) of 0.000 < 0.05, so it can be concluded that Ha is accepted and H0 is rejected, which means there is a difference in the Contrast to Noise Ratio (CNR) in the axial T2WI sequence MRI Brain examination using variations of k -space filling cartesian trajectory and radial trajectory (BLADE) techniques. The radial trajectory (BLADE) technique in the MRI Brain T2WI axial sequence examination is considered capable of producing a more optimal CNR compared to the Cartesian trajectory technique, seen from the mean rank value for the radial trajectory (BLADE) technique it’s 32.88, while for the Cartesian trajectory technique it’s 18. 7.

Introduction at Hypertension is a non-communicable disease which is a family health problem because it causes adverse effects. The family as a subsystem that is the goal of public health care has a duty to maintain the health of its members, including the management of hypertension in the family. The purpose of writing is to provide an overview of providing family nursing care with foot massage interventions to reduce blood pressure in hypertension. The method used with the family nursing care process which consists of assessment, nursing diagnosis, intervention, implementation, and evaluation. The results show that family nursing problems that arise are pain, ineffective family health maintenance, and sleep pattern disturbances. The implementation results show that foot massage therapy can reduce pain and reduce blood pressure in hypertensive patients from 180/90 mmHg to 150/85 mmHg after three days of foot massage therapy. Nurses can provide foot massage exercises to family members to deal with hypertension in providing family nursing care.

Anemia is a condition of the body in which the level of hemoglobin in the blood is less than normal. The prevalence rate of anemia in adolescents aged 15-24 years is 32%. According to WHO, normal hemoglobin levels for women over 15 years of age are >12.0 g/dl (>7.5 mmol). Anemia has a negative impact on the health of a teenager if it occurs continuously. The purpose of this investigation is to ascertain how the SMA 3 Kendari students' food, nutritional status, use of blood-supplement tablets, and menstrual cycle relate to the occurrence of anemia in 2023.. This type of research is a quantitative study with a cross sectional research design. The sample of this research was 94 respondents who were selected using a purposive-sampling technique and were analyzed using the chi square test. The results showed that there were 56.4% who had cases of anemia and 43.6% who were not anemic. There is a relationship between diet (p value = 0.014), nutritional status (p value = 0.012) and consumption of blood supplement tablets (p value = 0.027) There is no correlation between the menstrual cycle and anemia occurrence (p value = 0.413) and the incidence of anemia. The conclusion is that there is a relationship between diet, there is a correlation between nutritional status and the use of blood-supplement tablets with the prevalence of anemia, but not with the menstrual cycle.

Background: According to the Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022 concerning Medical Records, they are documents that contain patient identity data, examinations, treatment, procedures and other services that have been provided to patients. Hospital Minimum Service Standards Completeness of medical record filling 24 hours after completion must reach 100%. Objective: To determine the completeness factor in writing the patient's name in the patient's medical record at the hospital. Method: This research used the literature review method which was carried out on 14 journals and found incompleteness in writing patient names in hospital medical records. Results: Of the 14 journals regarding the completeness of writing patient names, none of the research results found were close to the very good category (100%). The highest percentage of completeness in writing patient names was found in research journals with a percentage of 98%, while the lowest percentage was 56%. Conclusion: From the results of a review of the completeness of writing patient names in hospital medical records, 14 journals were found to not have 100% completeness results and not all hospitals have SOPs regarding procedures for writing patient names. Suggestion: Create an SPO for procedures for writing patient names that comply with standards so that officers can carry out these activities with guidelines.

Acne is a skin condition that can be treated with self-medication using over-the-counter drugs (non-prescription drugs). The purpose of this study was to determine the level of knowledge of students of the Faculty of Pharmacy, University of Pekalongan about acne self-medication. This type of research is descriptive with a cross-sectional design. The research subjects were selected by stratified random sampling. Collecting data through a questionnaire that has been tested for validation by previous researchers. Respondents answered a questionnaire containing 16 questions online using the google form. Based on the results of the study, respondents had good to sufficient information on acne self-medication. Based on the results of the analysis, 52.29% of respondents had "good" knowledge and 47.05% of respondents had "adequate" knowledge about acne self-medication. Thus it can be seen that most students of the Faculty of Pharmacy, University of Pekalongan have good knowledge about acne self-medication as indicated by the proportion in the "good" category.

Kehamilan ganda merupakan salah satu bentuk kelainan kehamilan seperti pada plasenta kembar,Kehamilan ganda adalah kehamilan dengan dua janin atau lebih intrauterine. Pada pemeriksaan dengan USG dari 1000 kehamilan trimester I didapatkan 3,29% kehamilan ganda dan 5,39% hamil kembar dengan 1 embrio dan 1 kantong kehamilan kosong . Dari hamil kembar didapatkan 21,2% dengan 1 janin mati dan diserap kembali. Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan antara umur dan paritas ibu dengan kehamilan gemelly. Metode : Jenis penelitian yang digunakan adalah penelitian dengan pendekatan cross sectional study yaitu suatu metode penelitian non eksperimental yang bersifat sederhana dimana data berkaitan dengan variabel independen dan variabel dependen yang terjadi pada objek penelitian diukur atau dikumpulkan dalam satu waktu bersamaan di Rumah Sakit Salewangang Maros Periode Januari 2017 sampai dengan Juni 2019. Hasil : Berdasarkan data yang diperoleh di Rumah Sakit Salewangang Maros sebanyak 366 jumlah ibu hamil tercatat 53 ibu hamil dengan kehamilan gemelly (ganda) periode Januari 2017 s/d Juni 2019 .Distribusi frekuensi umur paling banyak ada pada umur <35 sebanyak 30 (56,6%) dan >35 sebanyak 23 (43,4%) dengan (p-value = 0,250 >0,05).Distribusi frekuensi paritas paling banyak ada pada paritas >3 sebanyak 36 (67,9%) dan umur <3 sebanyak 17 (32,1%) dengan (p-value = 0,528 >0,05).Maka dari hasil penelitian ini Ho diterima dan Ha ditolak. Kesimpulan: tidak ada hubungan antara umur ibu dengan kehamilan gemelly.

Differences in Time Repetition (TR) value variations on the quality of MRI Knee Joint images using TR 3440 ms and 3470 ms at the Radiology Installation of the Mangusada Regional Hospital, Badung. TR is a parameter that controls the amount of longitudinal magnetization that is recovered before the next RF pulse. The purpose of the study was to determine the comparison of the optimal value and value for the Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR) on the MRI Knee Joint examination using variations of TR 3440 ms and 3470 ms.This type of research is a quantitative experimental approach. This study consists of 10 data samples.  Assessment was carried out on the overall knee joint and anatomical criteria including bone, posterior cruciate ligament, cartilage, and meniscus. Then, the data we tested by Paired T-test.The test results stated that there was no significant difference in the value of the SNR and CNR on the Knee Joint examination using the TR variation of 3440 ms and 3470 ms as indicated by value > 0.05 both Knee Joint anatomical criteria nor as a whole. This is adjusted to the results of the calculation of the average SNR value which is at TR 3440 ms 17.4421 and at TR 3470 ms 16.8784. While CNR, there is no significant difference indicated by value > 0.05, with an average value at TR 3440 ms 17.2311 and at TR 3470 ms 17.8681.There is no significant difference in quality of MRI Knee Joint image with variations of TR 3440 ms and TR 3470 ms. The optimal TR variation that produces SNR MRI Knee Joint image quality is TR 3440 with an average SNR value of 17.4421, and the CNR image quality produces an average value of 17.8681 using TR 3470 ms variation.

Blood donation is the process of taking blood from someone voluntarily to be stored in a blood bank to be used for blood transfusions. This research aims to provide education to the public that blood donation has many benefits in the hope that there will be awareness of voluntary blood donation. The type of research carried out was descriptive qualitative research with data collection carried out by means of interviews, observation and documentation. The results of this research are that blood donation has a good effect on body health. Apart from that, the benefit of donating blood is that it helps reduce the risk of heart attacks and other heart problems and if blood donation is done regularly every three months, the body will produce new blood cells. The conclusion of this article is that blood donation has high effectiveness for health.

Hospitalization is a condition where a child is sick and undergoing treatment in a hospital. This condition causes stress for children and parents. Stress in parents can have a negative impact on children because it affects the healing process. This research was carried out to see the effect of PMR therapy on reducing parental stress facing hospitalization in the children's inpatient room at Raja Ahmad Tabib Tanjungpinang Hospital in 2023. The research design is a quasi-experimental pre-test post-test design involving 2 groups, intervention and control group. The independent variable is PMR therapy and the dependent variable is stress level. The population in this study was 36 respondents, namely parents whose children were being treated in the pediatric inpatient room. The results of the analysis in the intervention group using the Paired T Test obtained a significant value of .001 < 0.05, so it could be said that Ho was rejected and Ha was accepted. There is a significant effect of Progressive Muscle Relaxation (PMR) Therapy on reducing the stress of parents facing hospitalization in the children's inpatient room at Raja Ahmad Tabib Hospital, Tanjungpinang. Meanwhile, in the control group, there was an increase in stress in the post-test group.

Background: Families with adult children or discharge are the stages that begin when the first child leaves the house. Hypertension is a condition in which a person experiences an increase in blood pressure above normal which can result in morbidity and mortality. The estimated number of cases of hypertension in Indonesia is 63.309.620 people, while the death rate in Indonesia due to hypertension is 427.218 deaths. Hypertension gymnastics is a sport that one of the aims is to increase blood flow and oxygen supply to the active muscles and skeleton, especially to the heart muscle, so that it can help reduce blood pressure in people with hypertension. Objective: to determine the effect of hypertension exercise to reduce blood pressure in hypertensive patients. Method: by way of interviews and nursing care. Results: The case study was obtained after the client was given hypertension exercise therapy to reduce blood pressure in Mrs. K with significant results, where there was a decrease in blood pressure from 184/94mmHg to 140/80mmHg. Conclusion: Hypertension exercise has an effect on reducing blood pressure in hypertensive patients.

The purpose of this study was to find out the strengths, weaknesses, opportunities and threats of community support as a mental health management solution for adolescents in Indonesia. This study uses a qualitative research approach with descriptive analysis techniques and utilizes SWOT analysis to achieve research objectives. The results of this study include, first, the strengths of community support as a mental health management solution for adolescents in Indonesia is the high population of Indonesian people and the high number of puskesmas operating in Indonesia. Second, the weakness of community support as a mental health management solution for adolescents in Indonesia is the low level of mental health literacy and the low number of health facilities providing mental health services. The three opportunities for community support as a mental health management solution for adolescents in Indonesia are the development of information technology and the development of communication technology. Fourth, threats to community support as a mental health management solution for adolescents in Indonesia are the high use of social media by adolescents and the presence of the Covid-19 pandemic. Then this research also formulates four strategies based on SO, ST, WO and WT.

Introduction: Cutaneous larva migrans (CLM) is a parasitic infestation that commonly occurs in warm climates among people who have contact with contaminated soil. This is caused by the migration of hookworm larvae into human skin. Clinically, itchy, erythematous, linear serpiginous tracts appear within days to months after exposure to infected sand or soil. Diagnosis is based on clinical presentation. CLM can heal on its own and usually resolves within a few weeks to several months without treatment . Case report: This case report is about a 30-year-old female patient with complaints of itching on the little finger of the left foot since 4 days ago accompanied by multiple erythematous papules with serpiginous arrangement, the surface of the left dorsal leg. Conclusion: CLM associated with hookworm is diagnosed clinically based on the typical clinical appearance, as well as a history of travel to endemic areas and exposure to contaminated soil/sand.

Background: Diabetes mellitus is a health problem characterized by an increase in blood glucose levels that has a systemic impact. Diabetes mellitus is a family health problem because its prevalence continues to increase and causes high mortality. The family as a subsystem that is the goal of public health care has a duty to maintain the health of its members, including the management of diabetes mellitus in the family. The purpose of writing is to provide an overview of providing family nursing care with the intervention of giving soursop leaf boiled water to lower blood glucose. The method used with the family nursing care process which consists of assessment, nursing diagnosis, intervention, implementation, and evaluation. The results show that family nursing problems that arise are ineffective family health management, the risk of unstable blood glucose levels, and sleep pattern disturbances. The implementation results show that giving soursop leaf boiled water can reduce blood glucose levels in people with diabetes mellitus from 210 mg/dL before the intervention to 180 mg/dL after three days of giving soursop leaf boiled water. Suggestion nurses can facilitate families to provide soursop leaf decoction water therapy to lower blood sugar levels in people with diabetes mellitus.

Background: Family is two or more individuals who are joined by blood relations, marital relations or adoption and they live in one household, interact with each other and in their respective roles create and maintain culture. Signs and symptoms of gout are an increase in serum uric acid, severe pain that comes on suddenly, stiff movements, easily tired and lethargic. skin rash, sore throat, decreased appetite, red tongue. According to the World Health Organization (WHO) in 2019, 81% of sufferers of Gout Arthritis in Indonesia only 24% went to the doctor. while 71% tend to immediately consume over-the-counter pain relievers. Method: The method used in collecting this data is interview. Case study by carrying out nursing care for 5 days in the family of Mr. A especially Mrs. U by doing non-pharmacological therapy with warm compresses of lemongrass. Purpose: the purpose of doing this warm lemongrass compress is so that pain in the fingers and palms of the patient decreases. Results: After intervention with hot lemongrass compresses for 5 days, the pain was reduced, the patient's uric acid decreased to 4.7, and no tingling was felt. During the intervention, patients were also given education on how to manage their diet and a clean and healthy lifestyle. Conclusion: The conclusion drawn is the importance of regulating diet and maintaining a clean and healthy lifestyle in order to avoid diseases, especially gout.

Introduction– Stroke is a non-communicable disease that has an impact on the loss of motor skills in the extremities. One intervention that can overcome this problem is the application of squishy with a combination of active ROM.
Purpose– The purpose of this case study was to conduct nursing care on the application of squishy intervention to increase hand muscle strength in stroke patients. Methodology/Approach – The method used in writing is a case report which was carried out for 6 days with Active ROM combination squishy intervention.
Findings– The results of this scientific work show that with the active ROM combination squishy intervention for 6 days, there is a significant increase in muscle strength in the right upper extremity before the intervention is worth 2 and after the intervention is worth 4.
Conclusion– The effectiveness of the application of nursing care standards in increasing muscle strength given to patients shows a change in muscle strength on the third day to the fifth day with a muscle strength value of 3 and the sixth day with a muscle strength value of 4.

The aim of this research is to determine the Lumbar MRI examination procedure in LBP cases at the Bogor City Regional Hospital, namely STIR and Myelo Radial, the aim of which is to clearly see abnor malities in the intervertebral discs and stenosis in the cerebral spinal cord. This type of research uses descriptive qualitative methods with a case study approach. Data collection methods are carried out through observation, interviews and documentation. Then data analysis was carried out using open coding charts, so that conclusions could be drawn. The results of this study show that the Lumbar MRI examination procedure in cases of Low Back Pain (LBP) at the Bogor City Regional Hospital does not require special preparation, the patient comes to radiology for screening (installation of a pacemaker). The patient removes clothing and metal objects. Before the examination, the patient is asked to urinate first, the patient's position is supine (feet first), iso center 5 cm superior to the ASIS. Then it is briefly explained that during the examination you are not allowed to move and the duration of the examination is 15 minutes and the role of the sagittal STIR sequence and Myelo Radial. The role of the sagittal STIR sequence and myelo radial to suppress fat in the cerebral spinal fluid, conus medullaris and myelum in the spinal cord and to see masses Lesions and stenosis caused by narrowing of the bulging in the intervertebral disks are clear enough to provide a Lumbar MRI image for cases of Low Back Pain (LBP).
 

The number of domestic violence in Serang Regency in 2019 was 102 cases. Around 60.6% of pregnant women are at risk of experiencing violence compared to women who are not pregnant (Ministry of Health, 2019). Preliminary data for pregnant women from the As-Soheh Medika clinic in 2022 reached 360 and the average patient for pregnant women was 30 people  in 2022. Data for September - December  2022 for pregnant women at the As-Soheh Medika clinic, 100 pregnant women.The method used in this study is to use a quantitative correlation approach. The sample for this study was 30 samples of pregnant women who experienced domestic violence during September - December 2022. The analysis used was univariate and bivariate with chi-square. Results: The incidence of physical violence was 4%, economic violence was 31.33%, psychological violence was 30.67% and psychological impact was 21%. The method used is univariate analysis in the form of a frequency distribution. There is a significant relationship between the psychological impact and the incidence of domestic violence in pregnant women with a P value of 0.00001 for physical violence, a P value of 0.01 for economic violence, and a P value of 0.003 for psychological violence. Conclusion: The most dominant incidence of domestic violence among pregnant women at the As-Soheh Medika Clinic in 2022 is economic violence at 31.33%. Psychological violence is 30.67% and physical violence is 4%. The number of events that experience psychological impact on pregnant women at the As-Soheh Medika Clinic in 2022 is 21%. There is a significant relationship between psychological impact and physical violence (p value 0.00001), economic violence (p value 0.01) and psychological violence (p value 0.003) for pregnant women at the As-Soheh Medika Clinic in 2022.

Introduction: Non-adherence to the Therapeutic Regimen in schizophrenic patients is one of the causes of relapse in schizophrenic patients. Adherence to therapeutic regimens can be influenced by several factors, one of which is family support. Objectives: aims to determine the relationship between family support and the effectiveness of therapeutic regimens in schizophrenia patients in the work area of Yayasan Rumah Ceria Repok Cianjur Regency in 2022. Method: This study uses quantitative with a type of cross sectional approach. Sempel collection using a total sampling technique of 30 respondents and measured by questionnaire. As well as in statistical tests using the Spearman Rank test. Result: Good family support 5 (16.7%), and moderately good family support 14 (50.0%), and poor support 10 (33.3%), and effectiveness of adherent regimen 17 (56.7%), and effectiveness of non-adherence regimen 13 (43.3%).  Spearman Rank statistical test  and obtained p-value = 0.000. Conclution: The relationship between family support and the effectiveness of therapeutic regimens in schizophrenia patients in the working area of Yayasan Rumah Ceria Repok Cianjur regency in 2022.

Background: The results of a survey by the United Nation International Children Found (UNICEF, 2019), the most common diseases in the elderly are non-communicable diseases, including hypertension, joint disease, diabetes mellitus, heart disease, stroke, and Gout Arthritis. This can happen considering that the elderly have a declining body work system and there are still many poor lifestyles, eating patterns, and sleep patterns in the elderly, sleep pattern disturbances are a problem that often occurs in the elderly. There are two ways to treat sleep disorders, namely pharmacological and non-pharmacological. Non-pharmacological can be done with SEFT (Spiritual Emotional Freedom Technique) complementary therapy to improve sleep quality. Purpose: the purpose of this paper is to provide an overview of nursing care for Gout Arthritis patients who experience sleep pattern disturbances with the SEFT intervention on sleep quality. Method: case study design using nursing care. The case study sample used 1 patient. Results: based on the implementation results on Tn.S with the application of SEFT therapy for 7 days, data were obtained on the first day of the PSQI scale, namely 23 (≥5, meaning poor sleep quality), then on day 7 it dropped to a PSQI score of 14 (moderate sleep quality). it can be concluded that with changes towards improvement, this indicates the effect of SEFT (Spiritual Emotional Freedom Technique) therapy on sleep quality in elderly patients with Gout Arthritis.
 

Keselamatan pasien suatu hal yang sangat erat keterkaitannya dengan pengenalan jenis dan pencegahan kejadian insiden keselamatan pasien. Insiden keselamatan pasien dapat dicegah atau diminimalkan dengan meningkatkan pengetahuan seluruh petugas, menerapkan budaya keselamatan pada pasien. Tujuan dari literature review ini untuk mengetahui bagaimana analisis manajemen keselamatan pasien di rumah sakit. Literature yang digunakan dalam penelitian ini yaitu dengan menetapkan artikel yang sesuai kriteria inklusi. Data base yang digunakan yaitu Google Scholar. Tahun publikasi sumber literature yang diambil yaitu 5 tahun terakhir antara tahun 2017 sampai dengan 2022, Sumber literature menggunakan bahasa Inggris atau Indonesia.  Hasil 5 artikel diperoleh bahwa manajemen keselamatan pasien yang dilakukan di rumah sakit yaitu dengan sistem pelaporan pasien, budaya keselamatan pasien, penerapan standar keselamatan pasien, penerapan komunikasi efektif dan mengurangi risiko infeksi. Dapat disimpulkan bahwa manajemen keselamatan pasien menjadi sebuah hal yang sangat penting dalam memberikan pelayanan kesehatan. Manajamen keselamatan pasien juga sebagai komponen indikator untuk meningkatkan kualitas pelayanan serta mutu pelayanan rumah sakit. Sehingga perlu baik pihak tenaga kesehatan maupun instansi rumah sakit memperhatikan serta memprioritaskan keselamatan pasien.
 
 

Mutu pelayanan kesehatan adalah suatu tingkat kesempurnaan pada pelayanan kesehatan yang diselenggarakan sesuai standar pelayan kesehatan yang berlaku pada setiap rumah sakit yang ada, mutu pelayanan keperawatan adalah sebuah indikator kualitas pelayanan kesehatan yang menjadi penentu citra institusi pelayanan di masyarakat. Selama pada pandemic covid-19 dimana protokol kesehatan yang menuntut serta berperan aktif pada tenaga kesehatan dan seluruh pasien yang berada di rumah sakit. Rumah sakit mempunyai peran penting bagi masyarakat dengan pelayanan yang kompeten dan kompleks jika dapat mengelola dengan baik akan memberikan dampak yang baik jika tidak dikelola dengan baik akan menimbulkan kesalahan sehingga mengancam keselamatan pasiendan pandemic Covid 19 merupakan salah satu masalah yang dihadapi oleh dunia sejak Januari 2020 dengan kasus covid yang terkonfirmasi 3.272.202 kasus dengan angka kematian 230.104 angka kematian yang menimpah 215 negara. Tujuan : agar dapat memebrikan dampak yang baik terhadap pasien yang dapatdiimplementasikan dalam mutu pelayanan kesehatan dengan memperhatikan setiap komponen pasien safety pada identifikasi pasien yang ada di rumah sakit, serta menerapkan kepada pasien untuk membantu memenuhi protocol kesehatan yang sudah ditetapkan oleh pemerintah Metode: Penelitian kuantitatif dengan menggunakan quasi eksperimen (pre and post test without control) memberikan kuesioner kepada 50 perawat dengan penyebaran kuesioner (pre test) dan (post test) dengan pemberian intervensi modul bacaan Hasil: Teknik pengambilan dengan penyebaran kuesioner (pre test) dan pemeberian materi model dengan intervensi materi dan (post tes) setelah pemeberian intervensi modul. Analisis data menggunakan uji T-test (pre test) (post test)dandengan Nilai (P value) <0,05. Kesimpulan: terdapat hubungan yang signifikan terdapat pengaruh intervensi pemberian modul pada perawat tentang keselamatan pasien pada identifikasi pasien dan mutu pelayanan kesehatan.

The problem of malpractice cases committed by health workers in Indonesia is still common. The incompetence of health workers is one of the causes of malpractice cases. Malpractice is a medical service that disappoints and harms the patient because the doctor is less successful or fails to seek health and healing for the patient. Medical malpractice perpetrators may be held liable under both civil and criminal law. This study uses a literature review to examine different methods. The purpose of this research is to find out the legal protection policies for victims of malpractice committed by the medical profession. The article search strategy uses an online database, namely Google Scholar and this study uses a systematic review methodology known as PRISMA. The results of this study show that there is legal protection for victims of criminal acts in the medical field under positive criminal law in Indonesia, which is currently carried out by imposing sanctions on perpetrators of criminal acts, namely Law No. 29 of 2004 Article 66 Paragraph 1. In addition to enforcing the malpractice crime law that has been regulated in the Criminal Code to provide stronger guarantees of legal certainty, the handling of medical malpractice and health workers is also regulated in Law No. 36 of 2009 concerning health and Law No. 36 of 2014 concerning health workers.

The balance between bacteria and components of the mouth cavity must must be maintained in order to remain healthy and no damage such as dental caries. Streptococcus mutans as the main cause of bacteria dental caries, that functioned in the process of carbohydrate fermentation so as to produce acids that eventually cause tooth demineralization. One of the medicinal plants commonly used by the public is turmeric. Turmeric has active compounds can inhibit the growth of bacteria. Methods: Type of research True Experimental Laboratories with research design Post Test Only Control Group Design. This research used turmeric extract concentration 100%, 50%, 25%, 12,5%, 6,25%, 3,12%, 1,56%, 0,78%. The extract is created using maseration method, diluting series with dilution method, calculating MIC and MBC. Results: Test Saphiro Wilk and Levene test showed the value of p> 0.05 shows that the normal distribution of data. One Way Anova test results showed that p <0,05 showed that there was a significant difference overall. LSD test results there is a significant difference between the study groups. Conclusion: Turmeric extract (Curcuma domestica) has antibacterial power on growth of Streotococcus mutans bacteria at 3.12% MIC and 6.25% MBC.

Budaya menyalahkan (Blame Culture) yang berlaku dalam perawatan kesehatan telah dianggap sebagai sumber utama dari jumlah kesalahan medis yang sangat tinggi. budaya menyalahkan adalah kecenderungan dalam suatu organisasi untuk tidak terbuka tentang kesalahan, saran dan ide, karena takut dimintai pertanggung jawaban secara individu. Tujuan penelitian ini Mengetahui Pengaruh blaming culture terhadap tingklat melapor insiden keselamatan pasien. Desain penelitian ini quasi eksperimen (Pre and Post Test Without control). Analisa data pada penelitian ini menggunakan analisa univariat dan bivariat. Dari hasil intervensi terhadap 50 responden di dapatkan nilai rata-rata pre test  dan post test dengan Nilai (P value) <0,05. Kesimpulan: terdapat pengaruh yang signifikan dari  Budaya Menyalahkan (Blaming Culture) Terhadap Tingkat Melapor Insiden Keselamatan.

Keselamatan pasien merupakan suatu sistem yang memberikan pelayanan pada pasien agar pasien merasa aman seperti identifikasi, proses pembelajaran dari insiden dan proses pencegahan cedera akibat kesalahan dan tindak lanjut, dan tindakan nyata, analisis risiko dan insiden pasien, penilaian serta manajemen risiko terkait pelapor. Solusi untuk meminimalkan risiko juga mencegah cedera akibat kelalaian pegawai dalam mengambil tindakan yang tidak seharusnya dilakukan. Tujuan Penelitian ini adalah mengetahui pengaruh tingkat pengetahuan, sikap, dan penerapan perawat tentang keselamatan pasien (patient safety) dengan kejadian resiko jatuh. Desain Penelitia ini adalah  quasi eksperimen (Pre and Post Test Without Control). Analisis data pada penelitian ini menggunakan analisa univariat dan bivariate. Dari hasil intervensi terhadap 50 responden di dapatkan nilai rata-rata pre test dan post test pada penelitian pengaruh tingkat pengetahuan, sikap dan penerapan perawat tentang keselamatan pasien (patient safety) dengan kejadiann resiko jatuh dapat disimpulkan bahwa nilai (p-Value 0,230>0,05). Menunjukkan bahwa tidak terdapat pengaruh yang signifikan dari Pengaruh Tingkat Pengetahuan dan Penerapan Tentang Keselamatan Pasien Dengan Kejadian Resiko Jatuh. Dan nilai (p-Value 0,000<0,05). Menunjukkan bahwa  terdapat pengaruh yang signifikan dari Pengaruh Sikap Perawat Dengan Kejadian Resiko Jatuh.

Keselamatan pasien merupakan suatu sistem yang memberikan pelayanan pada pasien agar pasien merasa aman seperti identifikasi, proses pembelajaran dari insiden dan proses pencegahan cedera akibat kesalahan dan tindak lanjut, dan tindakan nyata, analisis risiko dan insiden pasien, penilaian serta manajemen risiko terkait pelapor. Solusi untuk meminimalkan risiko juga mencegah cedera akibat kelalaian pegawai dalam mengambil tindakan yang tidak seharusnya dilakukan. Tujuan penelitian ini  untuk mengetahui Pengaruh Pengetahuan, Sikap Dan Penerapan Mahasiswa Praktikan Dalam Perspektif Perawat Tentang Keselamatan Pasien Terhadap Tingkat Kejadian Keselamatan Pasien. Desain Penelitian Quasi Eksperimen (Pre and Post Test Without Control). Analisa data pada penelitian ini menggunakan analisa univariat dan bivariate. Hasil intervensi terhadap 50 responden di dapatkan nilai rata-rata pre test dan post test pada dapat disimpulkan bahwa Ha diterima jika nilai probabilitas (P-Value) <0,05. Artinya Ha diterima dan H0 ditolak (P-Value 0.000<0,05). Menunjukkan bahwa terdapat pengaruh yang signifikan dari pengetahuan, sikap dan insiden tentang keselamatan pasien terhadap tingkat kejadian keselamatan pasien. Sedangkan  Ha diterima jika nilai probabilitas (P-Value) <0,05. Artinya Ha ditolak dan H0 diterima (P-Value .317>0,05). Menunjukkan bahwa tidak terdapat pengaruh yang signifikan dari penerapan tentang keselamatan pasien terhadap tingkat kejadian keselamatan pasien.

Penyembuhan luka perineum membutuhkan makanan yang banyak mengandung protein seperti ikan gabus. Ikan gabus mengandung albumin yang penting bagi kesehatan kerena dapat mempercepat proses penyembuhan luka. Albumin biasa dimanfaatkan untuk mempercepat pemulihan jaringan sel tubuh. Itu sebabnya ibu nifas dianjurkan kengkonsumsi ekstrak ikan gabus agar penyembuhan luka lebih baik. Tujuan penelitian ini adalah diketahui pengaruh mengkonsumsi ekstrak ikan gabus trehadap penyembuhan luka perineum pada ibu nifas. Jenis penelitian ini adalah Kuantitatif dengan metode eksperimental jenis Quasy Eksperimental dengan pendekatan Nonequivalent Control Group Design. Populasi dalam penelitian ini adalah semua ibu nifas di RSUD Syekh Yusuf Gowa. berjumlah 163 orang. Sampel penelitian ini berjumlah 40 responden yaitu ibu nifas yang mau mengkonsumsi ekstrak ikan gabus yang diperoleh melalui purposive sampling. Pengumpulan data menggunakan lembar check list. Analisa data menggunakan independent simple t-test. Hasil penelitian menunjukkan responden yang mengkonsumsi ekstrak ikan gabus sebagian besar memiliki tingkat penyembuhan luka perineum yang baik sebanyak 10 orang (50,0%). Responden yang tidak mengkonsumsi ekstrak ikan gabus sebagian besar memiliki tingkat penyembuhan luka perineum sedang sebanyak 13 orang (65,0%) dan ada pengaruh pemberian ekstrak ikan gabus terhadap penyembuhan luka perineum di RSUD Syekh Yusuf Gowa. Dengan nilai p= 0,012 < α 0,05. Petugas kesehatan diharapkan melakukan pertolongan persalinan lebih cermat sehingga mampu mencegah terjadinya ruptur perineum dan memberikan penjelasan kepada pasien untuk mengkonsumsi makanan yang mengandung banyak protein untuk proses penyembuhan luka.
 
 

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.

For humans, carbohydrates are a crucial nutrient that the body uses to produce energy. Additionally, carbohydrates aid in the body's digestion of extra protein. White rice flour (Oryza sativa L.) is a common energy source in the community with a high carbohydrate content. This research was done to find out how different hydrolysis times affected the amount of carbohydrates in white rice flour (Oryza sativa L.). The Schoorl Luff method is used to determine the carbohydrate content of commercial white rice flour. HCl 1 N was used as a catalyst to hydrolyze white rice flour, with different hydrolysis periods of 60 minutes, 90 minutes, 120 minutes, 150 minutes, and 180 minutes. A schoorl luff, a source of Cu2+, was used to assess the hydrolysis results and titrated iodometrically. With a time of 180 minutes and a weight-to-water ratio of 63.99%, the findings of determining the ideal carbohydrate content in commercial white rice flour were obtained.
 

Perkembangan motorik harus diperhatikan karena merupakan awal dari kecerdasan dan emosional anak. Perkembangan motorik kasar membutuhkan nutrisi atau makanan agar bisa menghasilkan gerakan yang terkoordinasi. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi dengan perkembangan motorik kasar anak. Metode yang digunakan adalah survey analitik dengan pendekatan cross sectional. Populasi sebanyak 44 anak yang berusia 1-24 bulan yang dibawa oleh ibu atau pengasuh keposyandu dengan keadaan sehat fisik maupun mental. Teknik pengambilan sampelnya adalah total sampling dengan jumlah 44 anak. Dengan analisa uji statistik Kendall’s tau. Hasil penelitian diperoleh 84,2% dengan perkembangan motorik kasar normal dan 43,2% dengan status gizi baik. Hasil uji statistik korelasi kendall’s tau sebesar 0,427 dengan nilai signifikansi sebesar 0,002. Nilai kendall’s tau kemudian dilanjutkan dengan uji Z secara manual dengan hasil Z hitung > dari Z tabel (4,08 > 1,960) maka dapat dinyatakan terdapat hubungan yang signifikan antara status gizi dengan perkembangan motorik kasar anak usia 1-24 bulan di Posyandu Dwi Rahayu 3. Oleh karena itu disarankan kepada ibu-ibu yang mempunyai balita terutama usia 1-24 bulan untuk meningkatkan perawatan dan pemberian makanan yang bergizi pada anaknya supaya setatus gizi anak baik sehingga perkembangan motorik anak juga baik.

Parkinson's disease (PD) is a progressive disease in which competence in performing activities of daily living declines, increasing caregivers' perception of care burden. Care for excretion-related actions is frequently required in the context of motor and non-motor symptoms, and nursing content. Movement and dressing are examples of care. As a result, the care burden perception in relation to excretion-related actions was investigated and classified in this study based on severity and intra-day changes in symptoms. The study included 25 caregivers from the Gunma Prefecture Branch of the Japan Parkinson's Disease Association. The questionnaire items addressed perceptions of care burden in relation to nine excretion-related actions. The caregiver's movement was classified as easy (ON) or difficult (OFF) (OFF). The subjects were divided into three groups (1/2, 3, and 4) based on the severity scale developed by Hoehn and Yahr. The progression of symptoms was found to increase the perception of care burden. Furthermore, while the difference between ON and OFF was not statistically significant, care burden perception tended to be higher with OFF. The perception of care burden increased as PD symptoms progressed, indicating a proclivity toward greater effects of intra-day symptom variation This could be useful information to consider. Rehabilitation is linked to reducing caregivers' perceptions of care burden in the context of Parkinson's disease and/or reorganization/refurbishment of the domestic environment

This study aims to determine the correlation between parity and the incidence of primary postpartum hemorrhage. The research design used is a cross-sectional correlation design. This study was conducted at the Public Health Center (Puskesmas) in Pulau Untung Jawa Village, Kepulauan Seribu Selatan District, DKI Jakarta in 2021. The population in this study was mothers who experienced postpartum hemorrhage (500 ml/more) at gestational age ≥ 20 weeks in the first 24 hours after delivery. The sampling technique used in this study was saturated sampling. The data were analyzed using the Chi-squared test. From the results of the study, it was found that 29 cases of primary postpartum hemorrhage occurred. Most incidences of primary postpartum hemorrhage occurred at a high parity level (more than 1) as many as 20 cases (68.97%). After analyzing the data using the Chi-squared test based on dk = 1 and α = 0.05, the Chi-square table = 3.48 while the calculated Chi-square count = 4.16. The conclusion is obtained by comparing X² count with X² table, it is found that X² count is > X² table, which means that there is a correlation between parity and the incidence of primary postpartum hemorrhage. It means that women with high parity have a greater risk of experiencing primary postpartum hemorrhage. With the high incidence of primary postpartum hemorrhage at high parity, it is hoped that healthcare facilities can provide more intensive services. Preventive measures should be started since women are pregnant by doing good antenatal care, providing information about the occurrence of primary postpartum hemorrhage and paying attention to predisposing factors or history of primary postpartum hemorrhage.

Every single woman will pass a pregnancy process, maternity and childbirth, it‘s a Physiological process. During the process there might be a health problem who can increase the pain even death for a mother and the baby. therefore, solutions are needed to prevent nor solving the problem, One of them Continuity of Care. The purpose of this research is provide comprehensive care from the period of pregnancy to contraception.Writing this Final Project Report in the form of case studies who uses Varney's 7-step midwifery management approach and documented in SOAP form. The sample used is 1 sample, namely Mrs.H at Puskesmas Maos. The results of this study obtained a diagnosis of Mrs H age 24 years old G2P1A0 gestational age 42 weeks physiological , on February 22, 2022, at 13.30 o‘clock, obtained complaints of regular heartburn spreading from the lower abdomen to the waist. on February 22, at 16.30 o‘clock the baby is born normally. In the care of newborns and neonatal visits were not a problem. On post partum and during home visits there are no problems, Mother has chosen to be an acceptor birth control pill for 3 month. The research results can be concluded there are no gaps between theories and practice on the application of midwifery care, in the upbringing process and Physiological changes. Every individual has uniqueness so that the care provided is also adapted to the patient's condition.

This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates.
This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation.
Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.
 

Latar Belakang: Stunting menggambarkan kondisi gagal tumbuh pada anak balita yang diakibatkan oleh kekurangan gizi kronis. Pemberian ASI yang tidak eksklusif dan pengasuhan yang buruk dapat meningkatkan kejadian stunting.
Tujuan: Mengetahui hubungan ASI eksklusif dan pola asuh dengan kejadian stunting pada anak di bawah lima tahun di Puskesmas Uabau
Metode: Penelitian ini menggunakan desain analitik observasional dengan pendekatan Cross-sectional. Penelitian ini dilakukan di Puskesmas Uabau Kabupaten Malaka Nusa Tenggara Timur pada bulan Januari – Februari 2022. Besar sampel dalam penelitian ini adalah 125 anak umur di bawah lima tahun dengan teknik pengambilan sampel menggunakan random sampling. Analisis data menggunakan regresi logistik.
Hasil:. Risiko kejadian stunting menurun dengan pemberian ASI eksklusif (b= -1.19; 95% CI= -2.18 hingga -0.19; p= 0.019) dan pola asuh yang baik (b= -2.4; 95% CI= -3.39 hingga -1.41; p= 0.000)
Kesimpulan: Risiko kejadian stunting menurun dengan pemberian ASI eksklusif dan pola asuh yang baik
 

Pregnancy, childbirth, newborns, postpartum, and until the mother decides to use family planning which aims to provide continuity of care services by assisting pregnant women until the family planning period by all elements in the community, including students. Students are expected to be able to provide comprehensive midwifery care to mothers starting from pregnancy, childbirth, newborns, postpartum and family planning.
In this case study, the author uses descriptive research methods with data collection techniques in the form of primary data (anamnesis, physical examination) according to Varney's 7-step management and secondary data (MCH book, client's medical records). Documentation of research results using the Varney and SOAP methods.
Based on a comprehensive assessment of midwifery care for Mrs. W, starting from pregnancy, childbirth, postpartum and newborn, as well as family planning, there was no data that referred to an emergency or pathology, the mother and baby were in physiological condition.
From the results of this case study, it can be concluded that comprehensive midwifery care for Ny. W have been done starting from pregnancy, childbirth, postpartum, newborn and family planning there are some gaps between theory and practice but there are no complications

One of the efforts made by the government in preventing the spread of Covid is educating the public about health protocols. However, the implementation of health protocols in the village isn’t optimal. There is need an educational efforts for rural communities. One of the media that can be used to educate the village community is use video and poster media. This research is a quasi-experimental study with a two group pretest-posttest design. The population is the community in Kwadungan Village, Ngasem District, Kediri Regency. The sampling technique used Non Probability Sampling with purposive sampling technique. Techniques Data analysis used statistical t-test in each group. Data analysis was processed with SPSS. The results of the analysis obtained the average level of knowledge of the video group with a pretest score percentage of 21.5% and a posttest score percentage of 28.5%. While the results in the poster group the pretest score percentage of 29.2% and the posttest score percentage of 30.8%. The average educational effort through video is 2.62 while on poster media is 1.93. These results is counseling using video media provides more effective results than counseling using poster media
 
Keywords: Covid-19, Poster, Video, educational media

Menurut data di bidan Sri Budi Astutiyarmi Amd. Keb tidak terdapat AKI, AKB DAN AKABA pada lima tahun terakhir. Data jumlah persalinan normal tahun 2018 sebanyak 35 orang. Sedangkan tahun 2019  sebanyak 37 orang. Bulan januari-mei 2020 sebanyak 16 orang. Pelaksanaan ANC di Bidan Sri Budi Astutiyarmi pada tahun 2019 sebanyak 32 pengunjung. Sedangkan pada tahun 2020 pada bulan januari – mei 2020 sebanyak 32 pengunjung. Kunjungan Nifas tahun 2018 sebanyak 35 orang. Sedangkan tahun 2019  sebanyak 37 orang. Bulan Januari-Mei 2020 sebanyak 16 orang. Data peserta KB aktif di Bidan Sri Budi Astutiyarmi pada tahun 2019 sebanyak 458 kunjungan. Yang terdiri dari suntik sebanyak 398 pengguna dan Pil sebanyak 60 pengguna. Pada tahun 2020 bulan januari – mei 2020 sebanyak 2011 pengunjung. Yang terdiri dari suntik 180 pengguna, pil 30 pengguna dan implant 1 pengguna  ( Bidan Sri Budi Astutiyarmi, 2020 ).
Dari data diatas peneliti tertarik untuk meneliti bagaimana asuhan menyeluruh mulai dari kehamilan, persalinan, bayi baru lahir, nifas dan akseptor KB yang akan dilakukan di PMB Sri Budi Astutiyarmi Amd.Keb di Kabupaten Temanggung, yang dilakukan dengan cara memantau secara berkala sesuai dengan jadwal pemeriksaan sehingga dapat mengurangi resiko kematian pada ibu ddi kabupaten Tan bayi. Tujuan penelitian ini untuk memberikan  bagaimana asuhan kebidanan continuity of care pada ibu F umur 26 Tahun di bidan Sri budi Astutiyarni, Amd.Keb

An 64 –year-old male notice a tumor on the palate. Physical examination revealed a 6x5 cm exophytic tumor on the right side of the hard palate. The lesion extended posteriorly to involve the anterior part of the soft palate, laterally onto the right upper alveolar ridge, medially approaching the mid line, and anteriorly to the level of the first pre molar right . There was no palpable adenopathy in the neck. A CT scan confirmed the physical findings and also showed involvement of the floor of the maxillary sinus with bone destruction. A biopsy showed moderated to bad differentiated SCC. Stage T4aN0M0. OS reject underwent a left intra oral palatectomy and maxillectomy. OS agree to undergo kemotherapy, but after only 3 cycles OS was unable to continue therapy because the side effects were severe, OS felt his weight lost 15 kg because food could not enter, then OS was sent to the radiotherapy department to immediately undergo radiation. OS received radiotherapy with 3D conformal, EBRT with chemo for T4a doses are 2 Gy/ fx, to 66 Gy, field cover the primary with 2 cm margins. Dose limitations: Spinal cord maximum dose ≤  45 Gy . Brain steam maximum dose ≤ 54 Gy, Keep 50% of the volume of each parotid ≤ 20 Gy (if possible) and mean dose < 26 Gy, Mandible maximum point dose ≤ 70Gy. The results of follow-up OS with physical examination and CT scan 2 months and 1 year 5 months after radiation concluded that the completed response and side effects can be tolerated well.

MMR and IMR reflect the health and quality of life of the community. AKI in Temanggung Regency in 2018 was 9 cases or 87.62/100,000 KH. IMR as much as 12.85/1,000 KH. The purpose of the study was to provide comprehensive midwifery care to Mrs. F, aged 29, at the midwife Sri Budi Asturiyarmi Amd. Keb Jlegong, Bejen Temanggung. Comprehensive midwifery care is care that is provided comprehensively from pregnancy, maternity, newborn, postpartum and family planning. Midwifery care is carried out using midwifery management according to Varney which includes assessment, formulating a diagnosis, identifying a diagnosis, planning care, managing care and evaluating.
This type of research is a documentation study, the design is qualitative, and is presented in an exploratory descriptive form. The study was conducted in the midwife Sri Budi Asturiyarmi Amd.Keb Jlegong, Bejen Temanggung in May-June 2020. The sample of the study was Mrs. F, aged 29, 39 weeks pregnant. There were no complications in Mrs.F's pregnancy, 9x ANC for Mrs.F, delivery on April 8, 2020. BBL male gender, weight 2750 grams. The placenta is born complete. Postpartum visits 4x. Contraception using 3 MONTHS INJECTING KB. There are some gaps between theory and practice in standard antenatal care 14 T pregnancy (size of TFU, TT immunization and HB test) and in the 1st stage of labor that should be monitored but the patient came with complete opening. Suggestions for health workers are able to provide health services according to standards and be able to improve service quality.

An ordinary protective reaction to tissue damage brought on by physical trauma, chemical agents, or harmful microbiological agents is inflammation. The kebo excerpt plant has significant amounts of flavonoids, which have anti-inflammatory and antioxidant properties. This study used the artificial udema method to determine the anti-inflammatory effects of Kebo Petikan leaves (Euphorbia hirta L.) ethanol extract in female white rats. This study applied a subcutaneous 1% carrageenine inducer as an anti-inflammatory drug on the soles of rats' feet. Following the injection of the test material at doses of 26 mg, 52 mg, and 104 mg, a decrease in volume was the metric that was observed. The results of the study showed the anti-inflammatory effect of ethanol extract of kebo petikan leaves at a dose of 26 mg/5ml had a strength of 32.3%, a dose of 52 mg/5ml had a strength of 78.48 %, and a dose of 104 mg/5ml had a strength of 91.46% compared to drugs.

Mechanical menerant is an influence on the incidence of perineal rupture in normal delivery that causes postpartum hemorrhage. Bleeding is the main cause of maternal death in Indonesia. The results of a survey conducted that the incidence of perineal rupture was caused by a pressing technique error. This study aims to determine the effectiveness of the pressing technique on the incidence of perineal rupture at the Batam City OW Clinic in 2020. This type of research is an analytical survey. The data collection technique used is primary data using observation sheets. The sample in this study were all normal mothers who gave birth at the Batam City OW Clinic, totaling 47 people. Based on the results of research conducted from 47 respondents, there were 15 respondents (31.9%) who pushed correctly, it was found that 13 respondents (72.2%) had no perineal rupture. while 32 respondents (68.1%) who said incorrectly, 27 respondents (93.1%) experienced perineal rupture after statistical tests (chi-square test) obtained a P-value of 0.000. This means that Ho is rejected and Ha is accepted, so it can be concluded that the pushing technique is really effective against the incidence of perineal tears in maternity mothers.

Kondisi sehat dapat dicapai dengan merubah perilaku yang tidak sehat menjadi perilaku sehat dan menciptakan lingkungan yang sehat di rumah tangga, sekolah, dan tempat kerja. Standar pelayanan minimum (SPM) di Indonesia untuk ASI eksklusif 80%. Akan tetapi, berdasarkan data dari Kementrian Kesehatan Indonesia mulai tahun 2010 sampai 2013 menunjukkan rendahnya cakupan ASI eksklusif hingga pada tahun 2013 angka tersebut hanya mencapai 15,30%. Pemberian Air susu ibu (ASI) oleh ibu menyusui memerlukan dukungan dari orang terdekat, seperti anggota keluarga, teman, saudara, dan rekan kerja. Keluarga dalam hal ini suami atau orang tua dianggap sebagai pihak yang paling mampu memberikan pengaruh kepada ibu untuk memaksimalkan pemberian ASI eksklusif. Dukungan atau support dari orang lain atau orang terdekat, sangatlah berperan dalam sukses tidaknya menyusui. Semakin besar dukungan yang didapatkan untuk terus menyusui maka akan semakin besar pula kemampuan untuk dapat bertahan terus untuk menyusui. Tujuan : untuk mengetahui hubungan antara dukungan keluarga dengan pemberian ASI Esklusif di Dusun Jati Sukoharjo. Metode Penelitian : Penelitian ini menggunakan metode korelasi. Metode pengambilan sampel yang digunakan adalah Purposive sampling. Analisa data menggunakan uji Spearman-Rho. Hasil : Hasil penelitian ini menunjukkan bahwa pemberian ASI dalam adanya dukungan dan ada sebanyak 21 responden (65,5%) dan yang tidak esklusif sebanyak 11 responden (34,4%). Hasil penelitian diperoleh nilai probabilitas (p) =0,000 dengan nilai Korelasi Rank Spearman = -0,856 yang berarti bahwa keeratan dukungan keluarga dalam pemberian ASI Esklusif sangat kuat. Kesimpulan : terdapat hubungan antara dukungan keluarga dengan pemberian ASI Esklusif.

Rabies is a zoonotic disease that can attack the central nervous system and can be fatal because it can cause death. Rabies is caused by an RNA virus of the genus Lyssavirus in the family Rhabdoviridae and can be transmitted to humans through contact with infected animals, particularly bites and scratches. Most cases (98%) were caused by dog   bites and the rest by other animals such as monkeys and cats. This disease has a very poor prognosis, but can be prevented by vaccination. Rabies virus is a neurotrophic virus that can infect humans and cause fatal encephalitis. The purpose of this paper is to provide information on rabies cases, prevention, early symptoms to watch out for, and emergency management. A 45-year-old man has clinical encephalitis with suspected viral EC with suspected rabies dd/non-specific viral dd bacterial. Patients complain of not being able to swallow and afraid of water, restlessness, hypersalivation, patients are sensitive to sound, shortness of breath, difficulty swallowing, fear of wind, patients want to bite and hydrophobia, aerophobia and hypersalivation. Therapy in cases of rabies is to provide supportive care and isolation treatment. The prognosis for rabies patients is generally poor, because mortality can reach 100% after the rabies virus reaches the central nervous system, death from respiratory/cardiac arrest most often occurs within 2-3 days after the onset of rabies symptoms. After being bitten by an animal suspected of being rabid, cleaning the wound, administering VAR and SAR is an effective preventive measure against the transmission of the rabies virus.
 

Perkembangan teknologi di era globalisasi yang semakin pesat membuat begitu banyaknya perubahan teknologi salah satunya game online. Remaja lebih rentan kecanduan game online dengan 89 (59,3%) mengalami kecanduan parah . Tujuan dari Literature Review ini adalah untuk mengetahui pengaruh game online terhadap perubahan perilaku remaja. Metode pencarian sumber data artikel menggunakan database Mendeley dan Google Schoolar dengan kata kunci “Pengaruh” AND “Game online” AND “Perubahan Perilaku Remaja” dari hasil jurnal ditemukan 687, diseleksi inklusi dan ekslusi dengan PICOS, Setelah itu diseleksi SANRA dan didapatkan 7 jurnal yang di review. Hasil dari 7 jurnal yang telah review dapat disimpulkan bahwa game online sangat berpengaruh terhadap perubahan perilaku remaja dikarenakan terdapat perubahan perilaku pada remaja yang sudah mengalami kecanduan pada game online. Diharapkan bagi masyarakat menjadi salah satu sumber informasi khususnya pada orang tua untuk membimbing  dan  mengawasi  anaknya yang  bermain  game  online  kemudian memberi batasan waktu bermain agar remaja tidak kehilangan kontrol dalam bermain game online dan tidak berdampak negatif bagi kehidupannya.
 

Midwives have an important role in strategies to reduce maternal mortality and infant mortality. Midwives are responsible for providing continuous and plenary services through health education, counseling, health promotion, and normal delivery assistance as well as early detection of referral cases by conducting comprehensive supervision, care and management of pregnant women, maternity, postpartum, BBL, neonates, and family planning.
                The author of this final project in the form of a case study using midwifery management approach using 7 steps varney and documented in the form of SOAP. The subjects of this case study were pregnant women in the third trimester, namely Mrs. D age 24 years gestational age 35+4 weeks followed by physiological pregnancy, maternity, puerperium, BBL, and family planning.
                The results of this case study obtained Ny. D diagnosis G2P0A1 gestational age 35+4 weeks with good circumstances, and physiological delivery. Physiological puerperium, physiological newborns, neonates upbringing and physiologically provided family planning.
                Comprehensive midwifery care in Ny. D found gaps in pregnancy that is less than 6x ANC examination, Tetanus Toxoid immunization is not complete. No gaps were found in the puerperium, BBL, and neonates.
            The conclusion from the results of this case study is that comprehensive midwifery care has been given to Mrs. D of pregnant, maternity, puerperal, BBL, neonate and family planning with the result that all care is carried out and the mother and baby are in good condition.

Urinary incontinence is a micturition disorder in which urine is released uncontrollably and is found in geriatric patients. Data on the prevalence of urinary incontinence in Indonesia was obtained in 2018 at 30%. There needs to be an intervention carried out, namely kegel exercises to control the bladder. The purpose of this literature review is to analyse journals about the effect of kegel exercises on urinary incontinence in the elderly. The elderly from the age of 60 years and over experience psychological changes, one of which is changes in the urinary system which results in urinary incontinence. The cause of urinary incontinence is an increase in the frequency of micturition. To reduce the frequency of micturition by doing kegel exercises to the maximum. The research method used for literature review is through searching journal databases such as google scholar and mendeley (2016-2022) with the keywords kegel exercises, urinary incontinence and elderly so that 6 journals are reviewed, using a one group pretest and posttest study design with inclusion criteria using the PICOS format. The results and analysis of the study based on the results of literature review from 6 journals there is a significant effect between before and after kegel exercises on the frequency of urinary incontinence in the elderly. The result is that after kegel exercises will have an effect on reducing the frequency of micturition, this is because it can tighten the pelvic floor muscles that can withstand micturition. It can be concluded that there is an effect of kegel exercises on the frequency of urinary incontinence in the elderly which is done regularly to strengthen the pelvic muscles, the frequency of micturition decreases. It is expected that the elderly will remain disciplined in doing Kegel exercises, especially those who experience urinary incontinence.

Work motivation is a condition that has a strong influence in terms of generating or encouraging, guiding and maintaining related behavior in the work environment. While leadership style is a characteristic, habit, character and personality that is distinctive and unique from a leader so that it distinguishes it from others that colors the behavior and way that person leads. The low work motivation of nurses is usually caused by a very high workload, low salaries, and also because the leadership style tends to conflict with the character of their subordinates. The purpose of this study was to determine the relationship between leadership style and work motivation of nurses in the inpatient room at Batara Guru Belopa Hospital, Luwu Regency. The discussion compiled in this chapter includes the leadership style of the head of the room, work motivation of nurses and the relationship between leadership style and work motivation of nurses in the Inpatient Room of Batara Guru Belopa Hospital, Luwu Regency.

Kehamilan, persalinan, Bayi Baru Lahir, Nifas dan Keluarga Berencana bertujuan untuk memberikan pelayanan secara continuity of care untuk mencegah terjadinya komplikasi. Asuhan kebidanan diberikan kepada Ny.D mulai Januari sampai Maret. Metode asuhan kebidanan pada laporan tugas akhir ini menggunakan manajemen kebidanan berdasarkan 7 langkah varney dan SOAP pada Ny.D dari usia kehamilan 39+1 minggu sampai memutuskan untuk menggunakan KB Implant pada Nifas hari kedua.
Asuhan kehamilan dilakukan kunjungan antenatal sebanyak 1 kali selama kehamilan. Pada trimester III dengan keluhan sering kenceng-kenceng yang merupakan kontraksi palsu dan ibu sudah tahu bahwa itu merupakan kontraksi palsu,  sehingga selama kehamilan Ny.D dalam keadaan baik dan normal. Asuhan persalinan tanggal 24 Januari 2022 Ny.D bersalin secara normal, ditolong oleh bidan dan sesuai dengan APN, bayi lahir spontan belakang kepala, jenis kelamin Perempuan, BBL: 3100 gram, PB: 48 cm. Asuhan masa nifas pada Ny.D berjalan lancar dan tidak ada komplikasi pada ibu dan bayinya juga. Pada ibu dan bayi sudah diberikan KIE selama proses asuhan dan pada masa nifas ibu sudah memutuskan untuk menggunakan KB Implant pada hari kedua masa nifas.
Berdasarkan hasil asuhan kebidanan komprehensif yang telah dilakukan pada Ny.D diharapkan Ny.D dapat menerapkan KIE yang telah diberikan selama diberikannya asuhan sehingga kondisi ibu dan bayi tidak mengalami komplikasi.

kepuasan pasien adalah suatu fase perasaan pasien yang timbul sebagai akibat dari kinerja pelayanan kesehatan yang didapat setelah pasien membandingkan dengan apa yang dirasakan. Pasien akan merasa puas jika kinerja layanan kesehatan yang diperoleh sama atau melebihi harapan. Dampak dari kepuasan pasien yang rendah terhadap pelayanan di pendaftaran rawat jalan yaitu dapat menyebabkan pasien tidak akan kembali berobat ke puskesmas dan menyebabkan pengunjung puskesmas berkurang. Peneliti akan melakukan penelitian dengan pasien dibagian pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan menggunakan model pengambilan sampel accidental sampling, dengan cara menyebarkan angket kepada 97 responden yang diukur pada 5 dimensi mutu pelayanan yaitu bukti fisik (tangibles), kehandalan (reliability), ketanggapan (responsiveness), asuransi (assurance), dan empati (empathy). Dari penelitian tersebut diketahui bahwa persentase kepuasan untuk dimensi bukti fisik (tangibles) 84,5%, kehandalan (reliability) 85,6%, ketanggapan (responsiveness) 78,4%, asuransi (assurance) 74,2%, dan empati (empathy) 80,4%. Dengan demikian diketahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di Puskesmas Kecamatan Kepulauan Seribu Utara sebesar 86,6% dan yang menyatakan tidak puas sebesar 13,4%. Berdasarkan dari hasil tingkat kepuasan yang diperoleh belum mencapai standar pelayanan minimal puskesmas yang telah dititipkan oleh menteri kesehatan yaitu ≥90%. Diharapkan kepada pihak puskesmas untuk meningkatkan kualitas pelayanan khususnya di tempat pendaftaran pasien rawat jalan.

During the Covid-19 pandemic, there was a decrease in the coverage of pregnancy services compared to the previous year. Especially during a pandemic like this sometimes pregnant women don't want to check themselves and their wombs for fear of being exposed to the Covid-19 virus. Continuity of Care (COC) or comprehensive midwifery care is a sustainable midwifery service and is one way to reduce MMR and IMR, especially those that occur at the Maos Health Center by providing care for pregnant women in the third trimester, childbirth, postpartum, neonates and family planning, at the Maos Health Center.
With the provision of comprehensive midwifery care, it is hoped that every pregnant woman will get quality maternal health services so that mothers and babies remain healthy and can reduce maternal and infant mortality rates.

Dismenore merupakan salah satu keluhan ginekologi yang paling umum pada wanita dan hampir semua wanita mengalami sensasi tidak nyaman selama haid,rasa tidak enak di perut bagian bawah,punggung bawah bahkan sampai paha. Penelitian ini bertujuan untuk mengetahui ada tidaknya pengaruh dismenore terhadap tingkat stres mahasisiwi Semester IV Prodi D-III Kebidanan Stikes Maranatha Kupang . Desain penelitian yang digunakan adalah analitik correlational dengan pendekatan Case Control.Total populasi berjumlah 21 responden dan teknik sampling yang digunakan adalah Purposive Sampling sehingga didapatkan 21 responden yang sesuai dengan kriteria yang telah ditentukan. Teknik pengumpulan data menggunakan Wawancara terpadu untuk mengetahui dismenore dan tingkat stres yang dialami.  Dari hasil penelitian diperoleh masing-masing 21 responden terdapat 4 responden (19,05%) mengalami dismenore tingkat ringan, 9 responden (42,86%) mengalami dismenore tingkat sedang, dan 15 responden (38,10%) mengalami dismenore tingkat berat, Dari 4 responden mengalami dismenore tingkat ringan diperoleh 1 responden tidak mengalami stress dan 3 responden mengalami stress. Sedangkan dari 9 responden mengalami dismenore tingkat sedang diperoleh 1 responden tidak mengalami stress dan 8 responden mengalami stress. Dari 8 responden mengalami dismenore tingkat berat tentang kontrasepsi diperoleh 1 responden tidak mengalami stress dan 7 responden mengalami stress. Analisa datanya dengan menggunakan uji Chi Squere dengan taraf signifikansi (α) 0,05. rumus Chi Square diperoleh hasil sebagai berikut titik krisis dilihat dari tabel harga kritis Chi-Kuadrat pada tingkat kemaknaan X2 hitung > X2 tabel dengan db = (b-1) (k-1) = (3-1) (2-1) = 5,99 maka di dapat nilai kritis X2 hitung sebesar 0,47 dan nilai X2 tabel sebesar 5,99. Berarti bahwa H0 (hipotesa nihil) diterima dan Ha (hipotesa kerja) ditolak sehingga disimpulkan bahwa tidak ada hubungan signifikan antara dismenore dengan tingkat stress. Nilai koefisien Kontigensi (KK) 0,148 berada pada interval 0,00 – 0,20 yang berarti bahwa hubungan antara dismenore dengan tingkat stress pada Mahasiswi Semester IV Prodi D-III Kebidanan Stikes Maranatha Kupang adalah sangat ringan.

Asuhan kebidanan dalam bentuk studi kasus pada Ny M Umur 31 Tahun di Wilayah Kerja Puskesmas Sampang Kota Cilacap Metode Penulisan Karya Tulis Ilmiah ini menggunakan pendekatan proses kebidanan 7 langkah varney dan SOAP. Pengkajian dilakukan dengan melihat hasil data subjektif dan objektif, dan observasi secara kunjungan rumah. Hasil diperoleh diagnosa GII PI A0 Usia Kehamilan 39+6 minggu fisiologis tidak ada keluhan,riwayat persalinan fisiologis yang diikuti masa nifas fisiologis, pada kasus tersebut mendapat penanganan dengan tindakan yang sesuai, Riwayat BBL bayi dilahirkan dengan BB: 2900 gr, PB: 49 cm, LD: 33 cm, LK :32 cm jenis kelamin perempuan ada laserasi derajat II pada jalan lahir. Hasil penelitian pada kehamilan asuhan yang diberikan telah sesuai dengan teori. Pada asuhan kehamilan terdapat kesenjangan yaitu kujrangnya mendapatkan imunisasi TT dan VT yang diperiksa kurang dari 4 jam, persalinan terdapat kesenjangan tidak pakai APD lengkap sepatu booots, pada asuhan BBL, nifas dan KB tidak terdapat kesenjangan. Pada penerapan asuhan kebidan kesenjangan antara teori dan praktek terdapat pada persalinan tidak memakai APD lengkap dalam proses melakukan tindakan asuhan.
 

Latar Belakang : Masih ditemukannya pasien jatuh selama perawatan, data yang diperoleh dari rumah sakit ditemukan 10 insiden pada Januari-Oktober 2021. Tujuan: Mengetahui kepatuhan perawat tentang manajemen risiko jatuh di ruang rawat inap RS PKU Muhammadiyah Surakarta. Metode penelitian: Penelitian deskriptif. Populasi 20 dengan sampel 20 menggunakan teknik pengambilan sampel total sampling. Instrumen penelitian berupa kuesioner. Hasil: Pengetahuan responden tentang risiko jatuh dengan kepatuhan manajemen resiko jatuh dewasa diketahui bahwa perawat yang memiliki tingkat pengetahuan baik yang patuh sebanyak 12 orang (85,7%), perawat dengan pengetahuan baik yang tidak patuh sebanyak 2 orang (14,3%). Perawat dengan pengetahuan kurang yang patuh sebanyak 2 orang (33,3%), dan perawat dengan pengetahuan kurang yang tidak patuh sebanyak 4 orang (66,7%). Kesimpulan: Tingkat pengetahuan baik yang patuh sebanyak 12 orang (85,7%), perawat dengan pengetahuan baik yang tidak patuh sebanyak 2 orang (14,3%). Perawat dengan pengetahuan kurang yang patuh sebanyak 2 orang (33,3%), dan perawat dengan pengetahuan kurang yang tidak patuh sebanyak 4 orang (66,7%).

Patient satisfaction is the same as the results of the assessment in the form of emotional responses ranging from feelings of pleasure or satisfaction obtained by patients because of the fulfillment of expectations or desires in using or receiving services. The impact of low patient satisfaction on services at outpatient registration is that it can cause a decrease in the quality of hospital services and result in a decrease in patient visits at the hospital. The purpose of this study was to determine the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital. The method used is descriptive quantitative by distributing questionnaires to 106 respondents measured on 5 dimensions of service quality. From these studies it is known that the percentage of satisfaction to the dimensions of reliability 81.1%, responsiveness 84.9%, assurance 84%, empathy 79.2%, and the physical tangibles 82.1%. Thus, it is known that the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital is 83% and those who are dissatisfied are 17%. Based on the results, the level of satisfaction obtained has not yet reached the minimum hospital service standard that has been set by Kepmenkes 129 in 2008 which is at least 90%.

Tujuan penelitian untuk mengetahui perbedaan efektivitas pemberian bawang putih dan seledri terhadap perubahan tekanan darah tinggi pada wanita menopause di Desa Sahraen Amarasi selatan Kabupaten Kupang. Penelitian ini merupakan studi perbandingan analitis dengan pendekatan satu kelompok pretest-posttest designe handbags comparation. Populasi penelitian sujumlah 52 wanita menopause dengan hipertensi dan jumlah sampel sebanyak 32 wanita  menopause dengan hipertensi yang diberikan bawang putih dan seledri selama 7 hari. Teknik pengambilan sampel menggunakan purposive sampling. Analisis data menggunakan tes peringkat yang ditandatangani Wilcoxon (Wilcoxon Signed Rank). Hasil uji statistik menggunakan uji willcoxon mencatat bahwa besarnya signifikansi nilai sistolik dan diastolik 0,000 0,000 dengan α = 0,05. Signifikansi dan nilai sistolik dan diastolik 0,014 0,014 karena nilai α = 0,05 signifikansi < maka H0 ditolak dan H1 diterima yang berarti ada pengaruh pemberian bawang putih dan seledri terhadap perubahan tekananan darah pada penderita menopause hipertensi. Berdasarkan hasil penelitian dapat disimpulkan bahwa penelitian bawang putih dan seledri dapat menurunkan tekanan darah.
 
 
 

The final exam, on the one hand makes students happy, especially nursing students, because soon they will be finished through a long period as a student, where students feel free from all duties and obligations, both on campus and when practicing in practice areas (Hospitals, Community Health Centers and Community) , but on the other hand, the existence of this final exam for some students can cause anxiety because they are worried that they will not pass. The purpose of the study was to determine the relationship between self-efficacy and anxiety levels of D3 Nursing students facing the final exam. This type of research is quantitative using a cross-sectional study approach and data analysis using the chi square statistical test. The research population was all final year students of the Polindra D3 Nursing Study Program as many as 42 students and the sample used the total population. The results showed that the chi square statistical test obtained p value 0.000 <0.05, meaning Ho was rejected. Conclusion: there is a significant relationship between Self-Efficacy and Anxiety Levels of D3 Nursing Students Facing Final Exams. Before the final exam, students should increase their self-efficacy by studying with others or increasing their interest in the final exam so as to reduce anxiety.

Rhinosinusitis is an inflammatory disease of the nasal mucosa and paranasal sinuses which is usually caused by viral, bacterial, fungal, dental infections, or due to fractures and tumors. Information that states that nasal and sinus disease is ranked 25th out of 50 major disease patterns or about 102,817 outpatients in the hospital. The purpose of this study was to analyze nursing care with the benefit of Nacl 0.9% by washing the nose in rhinosinusitis patients at Embung Fatimah Regional General Hospital Batam City. The discussion compiled in this chapter has been adapted to the stages of the nursing process which includes assessment, nursing diagnoses, nursing interventions, nursing implementation and evaluation or patient progress notes. After being given nursing care to the patient in the form of nasal washing/nasal irrigation using 0.9% NaCl 2 times a day the problem was partially resolved. The patient said that there was a difference before and after irrigation/nasal washing with 0.9% Nacl.

According to the World Health Organization (WHO) in 2010 reported that 60% of the causes of death of all ages in the world are due to Non-Communicable Diseases (NCDs). Diabetes Mellitus is ranked 6th as the cause of death. Data obtained at the Binjai Army Hospital suffering from type II diabetes mellitus in 2022 there were 430 cases. The purpose of the study is to determine the relationship between long suffering and complications with the Quality of Life of Women With Type II Diabetes Mellitus at binjai Army Hospital in 2022". This study is observational analytic with a Cross Sectional design where the way data is collected at once at the same time until the number of samples is met as many as 120 people. Data were analyzed using simple logistic regression and multiple logistic regression tests.
From the results of the bivariate analysis obtained for a long time suffering there was a significant influence on the quality of life of women with type II diabetes mellitus, where in obtaining an OR value of 2.688 with 95% CI: 1.226 – 5.895, showed that respondents who suffered from ≥ 5 years 2.688 times greater had a poor quality of life compared to respondents who suffered from < 5 years. Based on complications, obtained a p value > 0.05 meaning that it did not have a significant influence between  complications with the quality of life of women with type II DM. It is recommended to health workers to intensify health promotion activities, socialization and provide education about a healthy lifestyle including regulating a healthy diet, controlling blood sugar levels and carrying out sufficient activities to neutralize fat levels and blood sugar levels in the body.

Telang flower has the potential to inhibit the growth of Candida albicans, Malasezia furfur, Pitosporum ovale, and Aspergilus fumigatus through the kombucha fermentation biotechnology method. The purpose of this study was to determine the antifungal activity of telang flower kombucha at various concentrations of white sugar. The varying concentrations of granulated sugar used in this study were 20%, 30%, and 40% (w/v), each repeated 3 times. The positive control used was kombucha made from green tea. The negative control used was sterile distilled water. The well diffusion method is one of the methods used to test antifungal activity. The fementation of telang flower kombucha has overall antifungal activity. White sugar concentration of 40% kombucha telang flower was the best concentration in inhibiting the growth of fungi as a whole when compared to the concentration of white sugar kombucha telang flower of 20%, 30% and positive and negative controls.

One indicator of the state’s health status is the decrease in the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Central Java Province in 2020 the MMR is 98,60 per 100.000 live births and the IMR is 8,2 per 1000 live births. Cilacap Regency MMR and IMR in recent years are still quite high. AKI in 2019 reached 15 cases. With continuous midwifery care from pregnancy to the selection of contraceptives, it is hoped that it will be an effort to reduce MMR and IMR in Indonesia and achieve optimal maternal and child health. The writing of this final project is in the form of a case study using a midwifery process approach using 7 steps of Varney and SOAP. The results of this study were obtained by Mrs. N during her pregnancy, she was in good health, the delivery process was normal, the puerperium involution was running normally, the baby was not jaundiced and was walking normally, and on family planning counseling the mother chose a 3-month injectable contraceptive. The conclusion of this study the author has applied continuous midwifery care to Mrs. N which is marked by the mother having followed all the recommendations, the mother’s complaints during pregnancy are resolved, the mother gives birth at a health facility, the postpartum period is running normally, the baby’s condition is normal, and the mother chooses a shhort-term contraceptive method.

Waiting time is the time used by patients to get outpatient service from the place of registration to getting doctor medical check up. Patient waiting time is one component has the potential cause dissatifaction. Purpose of this study was to look at the factors affect waiting time for service in outpatient instaations during covid-19 pandemic RSUD Luwuk Banggai. This study used a quantitative method with a cross sectional study design. Data collection used a questionnare. Sampel in this study were patients in the outpatients installations RSUD Luwuk Banggai. Total of 85 people. Data analysis used chi-Square test Indicate registration administration has effecton waiting time for service in outpatient installation (p value 0,000 < 0,05). Facilities and infrastructure affect affect patient waiting time from registering to receiving doctor service for 64,82 minutes. Registration administration, human resources and infrastructure have an affect on patient waiting time and patient waiting time in outpatient instalation service not in accordinate with established standard be appointed because medical record still manual and doctor slow in conducting medical check up. Expected the hospital used medical records based on SMIRS and increase the number of doctors.

Pola hidup masyarakat yang tidak baik dapat mempengaruhi kesehatannya. Salah satu penyakit yang disebabkan pola hidup tidak sehat adalah penyakit DM Tipe II. Penyakit DM Tipe II ini dapat mengakibatkan tubuh penderitanya tidak bisa mengatasi kelebihan glukosa. Umumnya, orang yang kelebihan glukosa, kadar kolestrolnya juga akan naik. Oleh karena itu, Penelitian ini bertujuan untuk melihat apakah ada hubungan antara kadar glukosa dengan kadar trigliserida dari pasien penderita DM Tipe II. Penelitian ini menggunakan deskriptif analitik dengan mengambil sampel sebanyak 67 pasien di Klinik NanoMed Sunter. Dari sampel pasien tersebut dipetakan apakah pasien yang menderita memiliki riwayar penyakit penyerta yang dapat mempengaruhi kadar glukosa dan trigliseridanya. Hasil yang didapat adalah 45 orang (67,1%) memiliki kadar gula darah puasa di atas 126 mg/dL dan 38 orang (56,7%) memiliki kadar trigliserida di atas 200 mg/dL. Untuk melihat apakah ada hubungan antara kadar gula darah puasa dengan kadar trigliserida digunakan analisis statistic korelasi Pearson dengan p-value 0,001 dan korelasi Pearson 0,381 dengan korelasi cukup.

Telang flower (Clitoria ternatea L.) is a plant that has long been used in medicine and has been shown to have antibacterial activity. This study aims to determine and test the antibacterial activity against S. epidermidis bacteria. This research method uses laboratory experiments conducted in vitro. The liquid body wash formulation of C. ternatea L. flower ethanol extract was made with various concentrations, namely 10%, 15% and 20%. The liquid body wash preparation was tested for its antibacterial activity against S. epidermidis bacteria using the disc diffusion method. The working procedure includes extraction, preparation of liquid body wash preparations, evaluation of preparations and testing of antibacterial activity of liquid body wash preparations of C. ternatea L flower ethanol extract. The results showed that C. ternatea L. flower ethanol extract had inhibitory zone activity against S. epidermidis bacteria. at each concentration, namely 10% of 3.33 mm, 15% of 3.8 mm and 20% of 6.13 mm. Meanwhile, the results of the evaluation of the preparations of all liquid body wash formulations of C. ternatea L. flower ethanol extract met the standards.