Compliance of healthcare and medical personnel with established procedures—particularly Enterprise Risk Management (ERM) Standard Operating Procedures (SOPs)—is crucial for ensuring patient safety, high-quality healthcare services, and the sustainable operation of hospitals. This study analyzes the influence of Organizational Support, Motivation, and the Completeness of ERM SOPs on personnel compliance at Petrokimia Gresik Driyorejo Hospital. A quantitative approach using a survey method was employed. The study population included all healthcare and medical personnel directly involved with ERM SOPs. Through purposive sampling, 85 respondents were selected. Data collection used closed-ended questionnaires tested for validity and reliability. Data were analyzed using multiple linear regression through SPSS version 25. The analysis found that Organizational Support (X1), Motivation (X2), and ERM SOP Completeness (X3) simultaneously had a statistically significant effect on Compliance (Y), with the F-test showing F_calculated > F_table and significance < 0.05. Individually, all three independent variables showed a positive and significant relationship with compliance. Among them, ERM SOP Completeness had the greatest influence, followed by Motivation and then Organizational Support. These findings emphasize that clear, comprehensive, and accessible SOPs are essential in guiding staff behavior and ensuring consistent adherence to risk management protocols. Additionally, motivated employees supported by the organization are more likely to comply with procedures and internal policies. Therefore, organizational strategies should not only focus on developing complete SOPs but also on fostering a supportive work culture and enhancing staff motivation through training, recognition, and leadership support. In conclusion, the study suggests that hospitals aiming to improve compliance with ERM procedures should adopt a holistic approach by investing in SOP development, providing consistent organizational support, and maintaining high levels of employee motivation. These efforts will contribute to better risk mitigation, service quality, and overall hospital performance.

Reduced appetite, diarrhea, cough, and joint pain are common health issues. Traditional medicinal plants such as Temu Ireng, Curcuma, Sand Ginger, and Ginger have been used to treat these conditions. This study aims to optimize the formulation of lozenges containing these plants using a combination of mannitol and sucrose as excipients through the SLD (Simple Lattice Design) method. Five formulations with varying ratios of mannitol and sucrose (FI = 75:25, FII = 25:75, FIII = 100:0, FIV = 0:100, FV = 50:50) were prepared using wet granulation. Granule physical properties were evaluated, and the optimum formulation was identified using statistical analysis including normality tests and one-sample t-tests. The results indicated that FI (mannitol 75%, sucrose 25%) provided the most desirable characteristics, with excellent granule flow, compressibility, and uniformity in lozenge quality. This research contributes to the development of herbal lozenges with optimized excipient combinations, enhancing the efficacy and quality of traditional medicine products.

Chronic Kidney Disease (CKD) or chronic kidney failure is a condition that occurs due to a decrease in the kidney's ability to maintain balance in the body so that hemodialysis therapy is needed to replace the kidney function. Hemodialysis therapy can cause various physical effects and mental conditions of patients so that it can affect the patient's quality of life. Objective : to determine the relationship between anxiety levels and quality of life of CKD patients undergoing hemodialysis at Lakipada Hospital. Research Method : the research design used is quantitative research with a Cross Sectional approach, using a " saturated sampling" sampling technique with a sample size of 40 respondents. The independent variable is the level of anxiety and the dependent variable is the quality of life. Data were analyzed using the Chi-Square statistical test at a significance level of ? <0.05. Research Results : it was found that there was a relationship between anxiety levels and quality of life in CKD patients undergoing hemodialysis with a p-value = 0.000. Conclusion : there is a relationship between anxiety levels and quality of life in CKD patients undergoing hemodialysis.

The cases of maternal mortality Bogor city in 2022 caused anemia were found to be 30.77%. The purpose the study to determine the relationship between Knowledge, Age, Parity, and History Fe tablet consumption with the incidence of anemia in pregnant women PMB Muthia, Amd.keb Cilendek Barat Bogor Barat, Bogor City in 2024. Research with quantitative approach, cross-sectional design. The sample selected using  total sampling technique. Data collected through questionnaires and medical records consisting 42 respondents. variables of knowledge, parity, age, history Fe tablet consumption, and anemia. The research data were interpreted using Chi Square. Based on the calculation results, was found that among 42 respondents, those with poor knowledge more prevalent the non-anemic group, with 8 people (100.0%), compared anemic group, with 24 people (70.6%). Based on calculation results obtained from 42 respondents, those with age and parity were at greater risk anemia group with 12 people (35.3%) compared to the non-anemia group with 0 people (0.0%). Based calculation results obtained from 42 respondents, those with a history of Fe tablet consumption had higher risk in the anemia group, with 19 people (55.9%) compared non-anemia group, with 3 people (37.5%). There relationship between parity, maternal age, and incidence anemia.

One of the nutritional problems that occur in children under five is stunting, also known as chronic nutritional problems due to insufficient fulfillment for long periods of time. A child under five is
considered to have stunted nutritional status if his height is less than minus two median standard deviations of the World Health Organization (WHO) growth standards. Stunting is caused by direct causes, namely nutritional intake, infectious diseases, exclusive breastfeeding, indirect causes, namely sanitation, education, parental knowledge, income, number of family members, resources, technology, and the environment. This study aims to determine the factors that affect the incidence of stunting. This study aims to determine the factors that affect the incidence of stunting. This type of research is observational research analytic case control approach. The research samples were 49 stunted children (case Group) and 49 children without stunting (control group) in the working area of Bukit Gadeng Public Health Center, Bahagia District, South Aceh Regency, Aceh province. The Data were analyzed by performing Chi-square analysis test and the value of (OR) Odds ratio. The results showed a significant value of maternal knowledge (p-value=0.00); (OR=72.45), environmental sanitation hygiene (p-value=0.001); (OR= 2.14), history of exclusive breastfeeding (p-value=0.00); (OR= 19.37), history of infectious diseases (p-value=0.064); (OR= 3.45). Conclusion maternal knowledge, environmental sanitation hygiene, and history of exclusive breastfeeding affect the incidence of stunting and infectious disease history does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency. Knowledge, sanitation hygiene, and Exclusive, breastfeeding, affect the incidence of stunting and infectious disease does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency.

Intercondylar fractures of the femur are complex intra-articular injuries involving the medial and lateral condyles at the distal end of the femur bone, just above the knee joint. These injuries are commonly caused by high-energy trauma, such as motor vehicle accidents or falls from significant heights. This study presents a case report of a 23-year-old unemployed female patient. The assessment tools used included the Numeric Pain Rating Scale (NPRS) for evaluating pain intensity, a goniometer for measuring the range of motion (ROM), Manual Muscle Testing (MMT) for assessing muscle strength, and the Lysholm Knee Scoring Scale for evaluating functional activity. After three physiotherapy sessions conducted over three weeks, the patient demonstrated a reduction in pain, an improvement in muscle strength, an increased joint range of motion, and enhanced functional activity. A rehabilitation program consisting of Transcutaneous Electrical Nerve Stimulation (TENS), forced knee flexion with a quadriceps board, active knee flexion and extension exercises with a gym ball, stretching exercises, and active functional training was found to be effective in improving the patient's post-operative outcomes following malunion intercondylar femur fracture (right) post-ORIF.

This literature review examines the effectiveness of Brain Gym as an intervention to improve children's learning concentration. Brain Gym is a series of physical movements developed to enhance brain function. Several studies in the last decade have suggested that Brain Gym activities can positively influence children's attention span and cognitive performance, particularly in educational settings. Through a review of 20 empirical studies published between 2015 and 2024, this study finds consistent evidence of improved focus and academic engagement among children who participated in regular Brain Gym exercises. The findings suggest that Brain Gym can serve as a complementary approach to conventional teaching strategies, especially for elementary-level learners. Implications for educators and future research are discussed.

Background: Providing complementary foods too early for infants under 6 months of age is an indicator that the mother has failed to provide exclusive breastfeeding, which has an impact on the low coverage of exclusive breastfeeding. The purpose of this study was to determine the relationship between maternal knowledge and attitudes towards providing complementary foods for infants under 6 months of age in the Kawatuna Health Center Work Area, Palu City.Method: This type of research is descriptive research. The method used is a descriptive correlational method which is a study that is directed to explain the relationship between two variables. Namely the independent variable with the dependent variable. The number of samples is 26 using the Slovin formula. Data collection uses a questionnaire.Results: The results of the study showed that 26 respondents. Mothers with good knowledge were 6 respondents (26.0%) in good maternal attitudes where maternal knowledge is an important aspect of good growth and development and mothers with good knowledge about maternal attitudes will fulfill the provision of Complementary Food for Breast Milk Well while mothers with less knowledge were 7 respondents (49.7%).Conclusion: This study states that there is a relationship between knowledge and attitudes of mothers regarding the provision of Complementary Foods in the Kawatuna Work Area. The results of the chi square test analysis show that the P value = 0.000 because the P value ? 0.05 then Ha is accepted and H? is rejected, meaning that there is a relationship between knowledge and attitudes of mothers.

Tarakan City as an archipelago with high maritime activity has a significant risk of water accidents, yet students' swimming skills are still low. This study aims to: (1) evaluate the context of swimming learning in the PJOK curriculum, (2) assess input readiness (teachers, facilities, costs), (3) analyze the learning implementation process, and (4) measure learning outcomes related to student skills and safety. The research used a descriptive qualitative approach with the Context, Input, Process, Product (CIPP) evaluation model. Data sources include principals (4 people), physical education teachers (4 people), and students (16 people) from four junior high schools in Tarakan City. The research instruments were semi-structured interview guidelines, observation sheets, and curriculum document analysis. Data collection techniques were conducted through participatory observation, in-depth interviews, and documentation studies. The data were analyzed qualitatively using cost and benefit analysis techniques to identify the suitability of the program to the needs. The results show that the context of swimming learning is in accordance with the curriculum, but the swimming pool facilities depend on public facilities with limited access. The learning process is in accordance with the lesson plan, but the practice time (2 times/semester) is not sufficient to master the skills. Product evaluation results indicated a good understanding of water safety theory, but low practical swimming skills. Recommendations: (1) Increased frequency of swimming practice, (2) collaboration with local government for the provision of school swimming pools, and (3) teacher training in adaptive teaching methods for beginner students.

Postherpetic neuralgia (PHN) is a chronic neuropathic pain complication following herpes zoster infection. PHN often leads to persistent pain and facial muscle dysfunction, affecting patients' quality of life. This study aimed to evaluate the physiotherapy management using electrical stimulation and facial exercises in a case of facial PHN. A case report design was used to observe a 36-year-old male patient presenting with facial pain and muscle weakness after herpes zoster infection. The physiotherapy intervention, consisting of electrical stimulation and facial exercises, was conducted over three sessions within two weeks. Assessment tools included NPRS, MMT, and Ugo Fisch Scale. There was a significant reduction in pain from NPRS 5/10 to 0, and improvement in frontal muscle strength from MMT 0 to 3. The Ugo Fisch score increased from 62 to 66, indicating functional improvement of facial muscles, though not yet optimal. Electrical stimulation and facial exercises were effective in reducing pain and improving facial muscle function in a PHN patient. Further research with larger samples is needed to validate these findings.

According to data from the World Health Organization, around 90% of women experience severe dysmenorrhea, and 10-15% experience mild dysmenorrhea. Research in various countries has also shown that more than 50% of women suffer from primary dysmenorrhea. This study aims to analyze the impact of health education on how adolescent girls cope with menstrual pain at MA Alhudaebiyah, Sukabumi, in 2024. The research method used is a descriptive quantitative approach with a sample of 50 female students from grades X, XI, and XII. The results show that 88% of the respondents experience primary dysmenorrhea, and most of them employ strategies that are not very effective. The Chi-Square statistical test yielded a p-value of 0.000 (? < 0.05), indicating a significant relationship between knowledge level and efforts to reduce pain. The Odds Ratio (OR) value of 215 indicates that good knowledge greatly increases the likelihood of taking more effective actions.

Mycobacterium Bovis is a serious infection that affects cattle and has ramifications for human health, especially in areas where close contact between humans and animals is widespread and pasteurization of dairy products is not widely used. The purpose of this work is to identify risk factors connected with M. bovis infection, estimate the prevalence of the disease in east Darfur State, and underline the main aspects of the disease. The study included a total sample size of 100 cows milk collected from different localities of East Darfur State in Sudan ( Abu Matarq 21.1%, Yaseen 15.3%,El-Daein 22.1%, Abu Karinka 6.8% and Assalaya 5.1% ) this study estimated that 25% of the collected raw milk specimen was positive for mycobacterium. The incidence of Mycobacterium Bovis in Sudan is the result of a complex interaction of cattle management techniques, environmental conditions, and public health initiatives. While there is increased knowledge of the disease and efforts to control it, obstacles such as limited resources, cultural customs, and environmental stressors continue to impact its tendencies.
 

Breast milk is a baby's main food that should be given exclusively for 6 months. The thing that can increase breast milk production is by doing oxytocin massage. The purpose of this study was to determine the effect of health education on Oxytocin Massage and Exclusive Breastfeeding on the Motivation of Exclusive Breastfeeding Mothers in the Working Area of Karang Ayu Semarang Health Center. This type of research is a Quasi Experiment, using an extended Pretest-Postest Group design approach involving one experimental group and one control group. The population in this study were all pregnant women at the Karang Ayu Semarang Health Center from January to March 2021. Samples were taken according to the inclusion and exclusion criteria. The results of the Wilcoxon test gave a P value of 0.000, meaning that there was an effect on the motivation of respondents before and after being given health education.

process standardization, and system optimization. The study concludes that the HOT-FIT model is This study evaluates the performance of the outpatient registration information system at RSUD Komodo using the Human-Organization-Technology Fit (HOT-FIT) framework. Hospital Information Systems, particularly in the outpatient registration process, are crucial for supporting service efficiency and data accuracy. However, RSUD Komodo has experienced several challenges in the implementation of its SIMRS module, including system slowdowns, sudden monitor failures, and unstable internet connectivity during service hours. These issues hinder operational effectiveness and risk compromising service quality. The objective of this research is to assess system performance comprehensively across human, organizational, and technological dimensions. A qualitative descriptive design was employed, involving in-depth interviews with five key informants: registration staff, IT personnel, coder, head of the medical records unit, and head of the casemix team. The findings show that in the human dimension, users lacked sufficient training and adaptation strategies. In the organizational aspect, weak coordination and the absence of standardized procedures were identified. In the technology dimension, hardware malfunctions and slow system performance significantly disrupted services. These interconnected issues reveal the need for capacity buildingan effective tool for evaluating hospital information systems, offering a structured approach to identifying and resolving performance gaps in outpatient service modules.

Musculoskeletal disorders (MSDs) arise from prolonged minor and major repetitive impacts, causing pain in muscles, bones, and joints. Hatha yoga, as a complementary therapy, has the potential to alleviate joint pain. This study aimed to evaluate the effects of hatha yoga on musculoskeletal complaints among housewives in Sindon Village, Ngemplak, Boyolali. Using a pre-experimental design with a one-group pre-test and post-test method, the study involved 30 purposively selected participants. Data were collected using the Nordic Body Map (NBM) questionnaire. Participants underwent 12 hatha yoga sessions over four weeks. The findings indicated a significant reduction in musculoskeletal complaints after the intervention.

The potential of cardiac markers in predicting preeclampsia, such as Creatinine Kinase (CK) and Tyrosine Kinase 1 (TK1), has emerged as promising due to their involvement in the pathophysiology of this pregnancy complication. Preeclampsia is characterized by hypertension and organ dysfunction, and it can lead to significant maternal and fetal morbidity if not detected early. Early identification of preeclampsia is critical for preventing severe complications, and biomarkers like CK and TK1 can provide valuable insights. This study aimed to investigate the role of CK and TK1 as potential predictors of preeclampsia in the third trimester of pregnancy. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Participants were divided into two groups: twenty (20) normotensive pregnant women and twenty (20) preeclamptic pregnant women in their third trimester. Blood samples were collected and processed using a bucket centrifuge at 2500 RPM for 10 minutes, and plasma was stored frozen for further analysis. Tyrosine Kinase 1 was analyzed by fluorescence immunoassay, and Creatinine Kinase was measured using a spectrophotometric method. Data obtained were analyzed using GraphPad Prism 9, with results expressed as mean ± SEM. Statistical significance was set at a P-value of ? 0.05. The study found a statistically significant increase in the levels of both CK and TK1 in preeclamptic women compared to normotensive controls. These findings suggest that CK and TK1 could serve as predictive biomarkers for identifying and monitoring preeclampsia, aiding in early diagnosis and timely interventions

This study aims to evaluate the completeness of inpatient daily census data and its impact on bed utilization efficiency at Assyifa Hospital Sukabumi using the 5M framework (Man, Machine, Method, Material, Money). Accurate inpatient census recording is essential for effective hospital management, particularly in optimizing bed occupancy rates and ensuring efficient resource allocation. However, issues related to incomplete data entry often lead to inaccuracies in bed utilization monitoring. By applying a qualitative descriptive approach, this research explores various factors influencing census completeness and their implications for bed usage. Data were collected through interviews, observations, and documentation, involving 37 nurses responsible for census recording. The findings reveal that human factors such as workload and understanding of standard operating procedures, technological limitations, procedural inconsistencies, inadequate supporting materials, and insufficient financial support are significant contributors to census incompleteness. Recommendations include enhancing staff training, improving technological systems, clarifying standard procedures, ensuring adequate materials, and allocating sufficient funding. This study provides valuable insights for hospitals aiming to improve their data recording processes and optimize resource utilization effectively.

Background: One of the factors that can affect treatment adherence in patients with type 2 diabetes mellitus is glycemic results, if glycemic control is poor then the implementation of treatment compliance can be a motivation for glycemic control. Purpose: This study aims to determine the relationship between treatment adherence and its impact on glycemic control in patients with type 2 diabetes mellitus in the Klatak Health Center working area in 2024. Methods: This study used a cross sectional design with purposive sampling and a sample size of 35 respondents. Data collection using the MTAQDM questionnaire (modified treatment adherence questionnaire in DM patients) and observation sheets and then analyzed using the spearmen rank test. Results: All patients (100%) were in the adherence category following treatment adherence activities and almost all patients (97%) were in the diabetic category. Based on the results of the analysis obtained a P-value of 0.628 (p>0.05) which means that there is no relationship between treatment adherence and the impact of glycemic control, with a correlation of 0.085 which shows a correlation with very weak strength. Conclusion: Respondents who adhere to treatment adherence do not affect their glycemic control and adhere to treatment but HbA1c is not controlled, because many factors can affect it.

Dysmenorrhea is a disorder characterized by lower abdominal pain that occurs during menstruation. Dysmenorrhea problems in adolescent girls if not treated immediately can have a negative impact on adolescent productivity including learning activities. There are several ways that can be done to reduce menstrual pain (dysmenorrhea). However, this study only carried out Acupressure Therapy to reduce dysmenorrhea to determine whether there was a relationship between acupressure and reducing the intensity of menstrual pain (dysmenorrhea) in adolescent girls at SMA PABA Binjai in 2024. The research method used the Chi-Square test. With the population and sample of this study were adolescent girls with menstrual pain (dysmenorrhea) in grades X & XI SMA PABA Binjai in 2024 as many as 28 respondents using the total sampling technique. The research instrument used a procedure and observation sheet. The data used are primary and secondary data. Data analysis univariate and bivariate using the Chi-Square test. The results of the study indicate that there is a Relationship between Acupressure Therapy and Reducing the Intensity of Menstrual Pain (Dysmenorrhea) in Adolescent Girls at SMA PABA Binjai in 2024 with a degree of significance (?) = 0.05 and df = 1, the calculation results are Sig (2-tailed) 0.000 <(?) = 0.05, then Ho is rejected and Ha is accepted. The conclusion is that there is a relationship between acupressure therapy and reducing the intensity of menstrual pain (dysmenorrhea). It is hoped that adolescent girls with menstrual pain (dysmenorrhea) will routinely carry out acupressure therapy according to the technique to reduce menstrual pain (dysmenorrhea) felt during menstruation.

Hypertension is one of the most common cardiovascular diseases and is suffered by many people. Based on Southeast Asian data, hypertension causes around 8 million deaths each year, with cases in Southeast Asia around 1.5 million deaths due to hypertension. Data from the Work Area of the SP 1 Kalibumi Health Center UPTD, the incidence of hypertension in 2023 was 116 people aged 20-24 years. Objective: to determine the factors associated with the incidence of hypertension at the age of 20-44 years in the Work Area of the SP-1 Kalibumi Health Center UPTD, Nabire Regency. Method: This type of research is quantitative using a cross-sectional study approach, conducted in the work area of the SP-1 Kalibumi Health Center UPTD, Nabire Regency. A sample of 54 respondents aged 20-44 years who met the inclusion and exclusion criteria. Data processing was carried out using SPSS version 16. Results: The results of the Chi-Square statistical test obtained a p-value = 0.00 for the diet variable, p-value = 0.07 for the physical activity variable, p-value = 0.34 for the smoking habit variable, and p-value = 0.06 for the family history variable. Conclusion: The variables related to the incidence of hypertension are diet, while physical activity, smoking habits, and family history have no relationship. Suggestion: The community can regulate and maintain their diet to avoid hypertension. For further research, observe other variables for the incidence of hypertension.

Stunting is a public health problem caused by chronic malnutrition and recurrent infections, especially in toddlers. This study aims to analyze the relationship between giving additional blood supplements (TTD) during pregnancy and the incidence of Stunting in toddlers at the District Health Center, Tasikmalaya West Java. The research used a correlational design with a cross-sectional approach on 133 respondents from pregnant women and toddlers aged 24–35 months. The research results showed that 52.6% of toddlers experienced Stunting, while 72.2% of mothers did not comply with taking TTD during pregnancy. Data analysis using the Chi-Square test did not find a significant relationship between adherence to TTD consumption and the incidence of Stunting (p-value = 0.568). This study emphasizes the importance of a holistic approach in dealing with Stunting, including nutritional education, pregnancy monitoring, and increasing awareness of the importance of consuming TTD.

The reporting system is the presentation of data in the form of the results of activities in an organization as well as data from research results which are arranged systematically, so that it is easier to understand and easier to analyze and draw conclusions from an activity. The method in this research uses secondary data observation. The aim of this study was to determine the 10 most common diseases in outpatient and inpatient care (based on gender and age characteristics) at the Regional General Hospital, dr. Fauziah Bireun, This type of research is quantitative descriptive. The population and sample in this study are medical record recap data from January to December using total sampling. The results of the study showed that the highest number of diseases, namely Urolithiasis cases, had 314 outpatients, while the highest number of inpatients was Cerebral Infarction, there were 425 patients. There were 1,866 inpatients, based on the age range of 45-64 years, there were 1,042 outpatients and 958 inpatients. It is hoped that future researchers will carry out further research on the factors that cause health problems and health problems in patients with the highest cases of disease.

Introduction: Pregnancy is a natural process that can change the body, both physically and mentally. This results in complaints of nausea and vomiting. Nausea and vomiting are normal or common symptoms during the first trimester of pregnancy. This sometimes occurs in the morning, but can also occur during the day or night. Therapy that can be used to overcome complaints of nausea and vomiting is ginger therapy. This study aims to determine the relationship between the provision of ginger herbal therapy and nausea and vomiting in pregnant women in the first trimester. Method: This study used the Quasy Experiment method. The study population was all pregnant women in the first trimester at the Kasih Bunda Pratama Clinic. The sample in this study was 29 pregnant women. Data analysis used the testchi square. Results and Discussion: The results of the analysis obtained p value = 0.001 (p <0.05), this shows that there is a significant relationship between the provision of ginger herbal therapy and the reduction of nausea and vomiting in pregnant women in the first trimester. Conclusion: Ginger herbal therapy has the ability to reduce the frequency of nausea and vomiting in pregnant women in the first trimester. Herbal therapy and ginger can also be an alternative to overcome nausea and vomiting in pregnant women in the first trimester.

Early detection and prediction of preeclampsia are crucial to prevent severe complications and ensure timely interventions, Specific ECG patterns, including PR segment, Q wave duration and amplitude, ST segment, U wave, and sinus rhythm were under study for their potential indicators of preeclampsia. This study aims to investigate the predictive role of these ECG patterns in preeclamptic pregnant women in the third trimester of pregnancy. Fourty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. These subjects consisted of  twenty (20) normotensive  and twenty (20) preeclamptic pregnant women in their  third trimester of pregnancy. After the subjects were  identified and recruited into the study, they were taken to the laboratory where their vital signs was taken and their ECG patterns recorded with ECG machine. Data obtained from this study were analysed using Graph Pad Prism 9. Results generated were expressed as mean ± SEM and a P-value of ? 0.05 were considered statistically significant. results from this present study show no significant differences were observed in the P-R segment, R-R interval, Q wave duration, Q wave amplitude The study underscores the multifactorial nature of cardiovascular changes in preeclampsia and highlights the potential of ECG parameters in aiding early detection, risk stratification, and management of the condition, despite  parameters showing no significant differences. However, PR Segment, Q Wave duration and amplitude, ST Segment , U wave and Sinus rhythm cannot be used to predict preeclampsia
 

Woolwich Massageis a massage performed on the lactiferous sinus exactly 1-1.5 cm above the areola mammary, with the aim of removing breast milk in the lactiferous sinus. The massage will stimulate the nerve cells in the breast. From the interview results, it was found that there were postpartum mothers who did not know about Woolwich Massage and its benefits at the Pratama Sejahtera Clinic. The research method uses the Chi-Square test. The population and sample of this research are25 postpartum mothers underwent Woolwich Massage at the Pratama Sejahtera Clinicusing total sampling technique. The data used are primary and secondary data. Univariate and bivariate data analysis using the Chi-Square test. The results of the study indicate that there is an Effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers at the Pratama Sejahtera Clinic in 2024 with a degree of significance (?) = 0.05 and df = 1, the calculation results are Sig. (2-tailed) 0.000 <(?) = 0.05, then Ho is rejected and Ha is accepted. The conclusion is that there is an effect of Woolwich Massage on Breast Milk Production in Postpartum Mothers. It is hoped that postpartum mothers can carry out Woolwich Massage more routinely to increase breast milk production.

an important biological sign of pubertal development in girls. The height of adolescent girls can also be affected by early menarche. Adolescent girls are an important investment in the country, as they are the next generation that will shape the future. The progress of the nation is determined by the role of active young women in the family, community, and country. They will be the key to creating positive changes and achieving development goals. This study aimed to evaluate the relationship between the nutritional status of adolescent girls and age at onset of menarche. This cross-sectional observational study included 70 adolescent girls aged 17-20 years.

Turmeric and tamarind herbal medicineis a medicinal herb in liquid form that is made from turmeric (Curcuma domestica Val.), and tamarind fruit (Tamarindus indica L.) produced by the home industry. Jamu Gendong does not require a license to distribute, but the quality of herbal medicine must be so that it is safe for consumption. The purpose of this study was to determine the presence or absence of microbial contamination in the form of bacteria and molds/hamirs in the preparation of Jamu Gendong Kunyit Asam circulated in Harjosari I Village, Medan Amplas Subdistrict. The samples were taken from four locations: Jalan Garu II, Garu III, Garu IV, and Garu VI. The total plate count (PCA) test was carried out by dilution of stratified samples using Lactose Broth (LB) media, for bacterial tests 10 -1 to 10-5 dilutions, and for fungal tests 10-1 to 10-3 dilutions. The diluted samples were placed in medium and incubated at 45o±1o in an incubator. The bacterial total plate count was performed using Plate Count Agar (PCA) as the medium. It was incubated at 35-37oC for 24 h, and the mold/fungal test used Potato Dekstro Agar (PDA) as media and incubated at 20-25oC for 48 h. For comparison, we used packaging for herbal medicines purchased from supermarkets. Furthermore, the number of bacteria and fungi in the colon was observed and counted. The results showed fungal contamination in the home industry at Jamu Kunyit Asam. It was a sample collected from Garu II, a sample of 86×103. The samples had many colonists that exceeded the regularity set up in BPOM RI No. 32 of 2019 and SNI 19-2879-1992.

Diarrhea can be defined as a condition in which a person defecates with more liquid feces than usual and with a frequency of three or more times in 24 hours. Diarrhea is closely related to the occurrence of stunting cases. Diarrhea generally attacks toddlers because their immune systems are still weak and vulnerable. WHO and UNICEF policies in the treatment of diarrhea are the provision of oralit and zinc, based on research over 20 years. Iron plays a role in various physiological processes of the body, one of which is the immune system. The purpose of the study was to determine the relationship between hemoglobin levels and compliance with zinc intake with the incidence of recurrent diarrhea in toddlers at the Jaury Jusuf Putera Makassar Academic Hospital. The research design used was a non-experimental analytical cross-sectional study, namely a study conducted observationally to see the relationship between hemoglobin levels and compliance with zinc intake with the incidence of recurrent diarrhea, without providing treatment to the research subjects. The sample in the study was toddlers who experienced recurrent diarrhea at the Jaury Jusuf Putera Makassar Academic Hospital in March - May 2024 as many as 32 people. The results of the study showed that there was a relationship between hemoglobin levels and the incidence of recurrent diarrhea (p = 0.015). And there was a relationship between compliance with zinc consumption and the incidence of recurrent diarrhea (p = 0.004). It is recommended that health workers provide more education and control over the use of zinc drugs given in the management of diarrhea, as well as educate to maintain normal hemoglobin levels in toddlers. So that it can reduce the prevalence of recurrent diarrhea.

The implementation of Electronic Medical Records (EMR) in healthcare institutions aims to improve the efficiency, accuracy, and accessibility of medical data. RSUD Weda, a regional hospital in Indonesia, has adopted an EMR system in its outpatient services to replace conventional manual processes. However, this transition has faced several challenges, including inadequate training, unstable network infrastructure, and inconsistent adherence to Standard Operating Procedures (SOPs). This study aims to evaluate the performance of the EMR implementation using a qualitative descriptive method based on the 5M framework—Man, Material, Machine, Method, and Money. Data were collected through interviews, direct observation, and document analysis involving stakeholders such as medical staff, administrators, and IT personnel. The findings indicate that while users acknowledge improvements in data accuracy and accessibility, key issues remain, particularly in training quality, infrastructure readiness, and system reliability. The study also observed gradual improvements in SOP compliance and reduced system failures over time. These results suggest that successful EMR adoption requires a balance of technical infrastructure, human resource readiness, financial support, and continuous system monitoring. The use of the 5M framework proved effective in identifying multidimensional challenges and offering holistic insights into the implementation process. This study contributes to the broader literature on EMR evaluation by providing contextualized evidence from a district-level hospital and offers practical recommendations for enhancing EMR system performance in similar healthcare settings.
 
 

The postpartum period is a critical time for both the mother and newborn, where healthcare is essential to avoid the risk of mortality. This study aims to analyze the behavior of postpartum mothers and Acehnese families in postpartum care at the Beutong Health Center, Nagan Raya Regency in 2024. A quantitative research method with a descriptive design was used, and the sampling technique applied was total sampling, with a population of 40 postpartum mothers. Data collection was carried out through interviews using a questionnaire. The results showed that 77.8% of mothers and families were aware of the nutrition needed for postpartum mothers, 58.3% understood the process of uterine involution, and 100% of postpartum mothers knew daily activities to accelerate recovery. The family's supportive attitude towards postpartum care was evident in their dietary recommendations, such as providing vegetables (83.3%) and fish (80.5%), forbidding the mother from leaving the house (100%), and administering algae (88.9%). However, 30.6% of postpartum mothers did not consume vegetables regularly. These findings highlight the importance of improving family understanding and support in postpartum care to accelerate the recovery of mothers and babies. The implication of this research is expected to improve postpartum care programs at Beutong Health Center.

This research was conducted in order to participate in resolving the problems that occur in UMKM Processed Mina in the coastal areas of Central Java, especially the Sayung area. Many fish processing businesses in the area only pursue profits to help the household economy, considering that their business productivity has not developed/increased, which is likely due to a lack of attention to conscious efforts to carry out or comply with Occupational Health and Safety (K3), such as using personal protective equipment such as hand straps, boots, or in processing fish related to stoves, there are no manual extinguishers for home businesses. K3 attitudes and behaviors for those whose workers are mostly women, are not/may not yet aware of this. Efforts to foster K3 attitudes and behaviors are things that affect economic businesses, especially mina because productivity is increasing. The results of the study are expected to help the local village government to strive to improve their business.

This research investigates maritime health literacy among cadets, focusing on its alignment with international standards and implications for professional practice in the maritime industry. Using qualitative methods, the study explores cadets' perceptions and experiences regarding health management practices onboard ships. Findings reveal a strong alignment with safety and environmental protocols outlined by the International Maritime Organization (IMO). However, gaps in practical training effectiveness and continual professional development highlight areas for improvement. Cadets express the need for enhanced practical simulations and lifelong learning initiatives to better prepare for health-related challenges at sea. The study also identifies positive perceptions of health promotion policies mandated by the maritime labour convention, underscoring industry commitment to promoting occupational health and safety standards. Recommendations include integrating comprehensive mental health support, fostering collaborative research efforts, and conducting longitudinal studies to assess the sustainability of health literacy interventions. By addressing these recommendations, stakeholders can enhance operational efficiency, promote crew welfare, and sustain a culture of safety within the maritime sector.

The prevalence of chronic kidney disease is increasing worldwide and is considered a burden for health care systems and patients. However, there are only a few treatment options, and in most cases, the end-stage of the disease requires renal replacement. Stem cell-based therapy has gained popularity as a cutting-edge strategy in the field of regenerative nephrology. Numerous clinical studies on evaluating stem cells safety and tolerability have been carried out, leading to clinical translation of stem cells for kidney regeneration. This study will focues on progresses of recent clinical trials on stem cell therapy for various kidney diseases, while also highlighting key challenges in clinical translation and future directions in the field of regenerative nephrology. 

The screening and education program on the prevention of degenerative diseases was conducted in the coastal community of Panjang Island, Batam. This initiative aimed to address the high prevalence of degenerative diseases such as diabetes, hypertension, and dyslipidemia through health screenings and community education. The study involved 55 participants, primarily pre-elderly individuals, and included examinations of blood pressure, cholesterol, blood sugar, and uric acid. The results revealed that 65.5% of participants had hypertension (34.5% with Stage 1 and 31% with Stage 2), while 69.1% had high cholesterol levels. Blood sugar screening indicated that 14.5% of participants had elevated glucose levels. Uric acid levels were high in 47.3% of participants, predominantly among women. Additionally, 78% of respondents with comorbidities presented abnormalities in at least one biochemical parameter. Educational sessions resulted in a 26.4% increase in knowledge about disease prevention and healthy lifestyles. The program highlighted the importance of regular health screenings, lifestyle modifications, and community empowerment for sustainable health improvements. Collaboration with local health centers and the establishment of health cadres are recommended for ongoing support and monitoring of degenerative disease prevention efforts.

Background:Gastritis is an inflammation of the stomach wall caused by irritation of the gastric mucosa. Gastritis caused by bacterial infections such as Helicobacteri pylory and irritant foods and drinks. The problem posed is acute pain. Nursing interventions to address this problem are pain management. Objective: This case study aims to describe the implementation of nursing pain management in gastritis patients with acute pain. Method: This case study design is a descriptive design in the form of a case study with a nursing care process approach. The case study subjects were 4 patients in the emergency room with the criteria of experiencing gastritis with problems acute pain. This case study was conducted at Muhammadiyah Palembang Hospital on March 16- 23, 2023. The nursing implementation provided was in the form of warm compress and deep breath relaxation to reduce pain in gastritis patients, in patient 1 before the implementation of the pain scale was 5 and fell to 3, the second patient initially had a pain scale of 4 decreasing to 2, in patient 3 the initial scale of 5 was reduced to a scale of 2, and finally patient 4 before the technique was carried out. out the pain scale in patients is 5 after being carried out down to a scale of 3. Using data collection techniques by means of observation, and interviews. Results: The research results describe the need for implementation of pain management (warm compress and deep breath relaxation) to reduce pain in gastritis patients from a moderate pain scale to a mild pain scale.Conclusion:There is an influence in implementing pain management on acute pain in gastritis patients.

English language skills are very important for students to support academic tasks and to support their future careers. English language skills include listening, speaking, reading and writing skills. The purpose of this study was to determine the determining factors of English language skills of students in the Nutrition Science study program at the Persada Nabire Health Sciences College (STIKes). The type of research used is descriptive research with a qualitative approach. Data collection techniques used are interviews and documentation. The results of this study indicate that in general the determining factors of English language skills of students of the Nutrition Study Program of STIKes Persada Nabire include 4 factors, including: Listening Ability, in this case students have a low vocabulary, Speaking Ability, in this case what affects students' speaking ability is the students' anxiety about mistakes in speaking English and lack of mastery of English grammar, Reading Ability, factors that affect students are reading motivation and low vocabulary and lack of mastery of grammar, Writing Ability, factors that affect students are low interest and lack of support from the environment around students.

Chronic Kidney Disease (CKD) is a condition caused by structural or functional abnormalities characterized by a decrease in the glomerular filtration rate (GFR). One of the treatments for CKD patients is hemodialysis (HD). Sleep disorders are among the complications of hemodialysis. Administering lavender aromatherapy is a method to improve the sleep quality of patients. This study uses a literature review method. Articles were searched on ScienceDirect, PubMed, and Google Scholar using advanced search with the keywords "Chronic Kidney Disease, Hemodialysis, Lavender Aromatherapy," resulting in 10 relevant articles to compile this review. The results showed that lavender aromatherapy was effective in addressing complications such as poor sleep quality, fatigue, pain, and anxiety in hemodialysis patients. In conclusion, lavender aromatherapy has been proven effective in improving the sleep quality of HD patients.

Acne is a common skin problem caused by the accumulation of oil that blocks the hair follicles. Factors contributing to acne include bacterial colonization by Staphylococcus epidermidis and Propionibacterium acnes, increased sebum production, and follicle disturbances. Generally, acne treatment aims to reduce sebum production, address inflammation, decrease bacterial colonization, and improve skin conditions. The commonly used therapies include antibiotics and retinoids, although challenges such as antibiotic resistance and side effects exist. As an alternative, clove (Syzygium aromaticum) contains eugenol, which has antibacterial properties that are effective against the growth of Propionibacterium acnes. A combination of emulsion and gel (emulsisponge) can be a stable and effective formulation for acne treatment. This study aimed to formulate clove leaf oil into an emulsified gel preparation, evaluate the formulation, and test its antibacterial activity. The study began with distillation of clove leaf oil and its formulation into an emulsion gel. Evaluation of the emulsion included organoleptic, homogeneity, pH, viscosity, particle size, skin irritation, and antibacterial activity tests. The results showed that The emulsified gel was white, aromatic, thick, and homogeneous. The emulsion has pH (4.5-6.5), viscosity (6500-9500 mPa.s), and particle size (8.3-14.1 µm), and remains stable for 12 weeks at room temperature, low temperature, and high temperature, without causing skin irritation. Antibacterial test results indicated that the emulsion exhibited a highly active inhibition zone.

Kidney failure is one of the diseases that increases every year and becomes a major health problem in the world, the occurrence of failure is a risk of heart and blood vessel disease and increases morbidity and mortality. The purpose of this study was to determine the experience of dialysis patients' families in helping to prepare food at home. The research method used was a qualitative descriptive study. The location of this study was carried out in the Hemodialysis Room of the Imelda Buruh Indonesia General Hospital, Medan . The time of this study conducted in March to July 2024. The number of participants in this study was 6 participants . Research data were collected through in-depth interviews with participants and analyzed thematically. The results of the study consisted of 3 (three) themes, namely: (1) Eating habits , (2) obstacles or challenges in preparing food, (3) family support for patients. The conclusion of this study is that all participants expressed that the eating patterns of patients with hemodialysis therapy showed normal eating patterns, but when hemodialysis was carried out, patients felt weak and their appetite decreased, but all patients still ate 3 times a day in small portions . Overall, participants provided strong support for patients, both moral support, material in efforts to provide patient food needs, reminding patients to eat regularly according to doctor's recommendations, and faithfully accompanying them during hemodialysis. Although obstacles and challenges were found from both patients and families in overall food management, they could be overcome.

How Cola nitida could affect the urine calcium and magnesium concentrations of the male human subjects in comparison to the female counterpart were focused on. Sixty subjects (males=30 and females=30) and unaccustomed to Cola nut eating were involved. Their age range was between 18 and 28years. Three (3) sub-categories were involved: underweight=10, normal weight=10 and overweight=10. Hypertensive, renal and any subject with cardio-pulmonary-related conditions were exempted from the study. The normal chamber temperature, (RT=270C and RH=70%), the raised chamber temperature (RT =370C and RH=90%) were studied. Sequel to the foregoing, the subjects sat quietly in the sweat chamber for 20 minutes. The third experimental condition was the normal chamber temperature with exercise (RT=270C and RH=70%) and the subjects rode a bicycle ergometer at 750J/minute for 20 minutes. All of these happened prior to the consumption Cola nitida. Ahead of the experimentation in the sweat chamber, the subject urinated in a container in order for the timed urine volume to be measured and urine was again taken at the end of the experimentation that was also measured in order to obtain the actual urine volume within the given period. Thereafter, the urinary flow rate was calculated. The urine calcium and magnesium concentrations were likewise estimated. 0.5g/kg body weight of Cola nitida was given to each subject and chewed as a bolus. After swallowing, 50ml of deionized water was given to each subject to drink and the subject was allowed to rest for 90 minutes before being brought into the sweat chamber. The results showed that in respect to urine Ca ions concentration, no significant change was observed in a comparison between the males and females after the ingestion of Cola nitida under normal, raised temperature and exercise experimental conditions. As regards urine Mg ions concentration, no significant change was observed in a comparison between the males and females after the ingestion of Cola nitida under normal and exercise experimental conditions. However, there was a significant increase in Mg ions concentration in the female UW and NW subjects compared to the males after the consumption of Cola nitida under raised temperature condition.

Nurses' compliance in carrying out hand hygiene is very important because infection and disease transmission can be caused by health workers who are not compliant in carrying out hand hygiene every time they carry out health service actions. Health workers' compliance in carrying out hand hygiene both before and after carrying out procedures for providing health services can be a problem that must be considered due to various factors that are closely related to compliance in carrying it out. This research was conducted to analyze factors related to health workers' compliance in implementing hand hygiene at the Peulumat Health Center, South Aceh. The design used is descriptive correlation with a cross sectional approach. The total sample was 80 health workers. Data was obtained by interview using a questionnaire. There is an influence on attitudes with results (p 0.003) and length of service (p 0.002) the availability of hand hygiene facilities (p 0.000) which influences the compliance of health workers in implementing hand hygiene at the Peulumat Health Center in South Aceh. Based on statistical tests, it was found that factors that can influence the health of workers in carrying out hand hygiene consist of attitude, length of service, availability of facilities for carrying out hand hygiene. The implication for recommended services is that supervision and motivation of health workers need to be increased to carry out hand hygiene in accordance with recommendations. The research implication is that it is hoped that there will be research with a larger sample size, involving other people as researchers and using video.

Worm infections are a health concern in Indonesia and all other tropical nations. A number of species, including roundworms (Ascaris lumbricoides), whipworms (Trichuris trichiura), hookworms (Hookworms), Necator americanus, Ancylostoma duodenale, and Strongyloides stercoralis, are members of the Soil Transmitted Helminth nematodes. Children in elementary school are among the age groups most vulnerable to Ascaris lumbricoides. Without a clean and healthy lifestyle, an Ascaris lumbricoides infection might have major repercussions. Research on the correlation between Ascaris lumbricoides infection and total immunoglobulin E levels in primary school students is therefore required. This study uses a cross-sectional, observational analytical design. Children at Lifuleo Village's elementary schools served as the research subjects. The ECLIA method was used to assess total immunoglobulin E levels, and the Kato-Katz method was used to diagnose Ascaris lumbricoides infection under a microscope. An aberrant total immunoglobulin E level of 12.5% was observed in 42.5% of Ascaris lumbricoides eggs, according to the examination results.

This study investigates the factors influencing the utilization of adolescent health services among school dropout adolescents in the Sakra subdistrict of East Lombok, Indonesia. Employing a mixed-methods approach, the research combines quantitative data from structured questionnaires with qualitative insights gathered through in-depth interviews. A total of 37 school dropout adolescents, aged 14-19 years, were purposively sampled to participate in the study. The findings from this study underscore the multifaceted factors influencing school dropout adolescents' access to health services in the Sakra subdistrict of East Lombok regency. The six predictors highlighted the importance of knowledge, family support, distance, the role of health professionals, and the recognition of health needs in shaping adolescents' engagement with health services. Addressing these interconnected factors through a comprehensive approach can promote health equity and improve the overall well-being of school dropout adolescents, contributing to healthier communities in the long run.

This study investigates the influence of socioeconomic status (SES) on health behaviors and outcomes among Indonesian adolescents. Using data from schools across regions with varied socio-economic profiles, the research examines how income, education, and family stability affect physical activity, dietary habits, and mental health in adolescents. Results reveal that lower SES is associated with unhealthy behaviors and poorer health outcomes, such as reduced physical activity, imbalanced diets, and higher levels of stress. These findings suggest a pressing need for tailored interventions in low-income areas to improve adolescent health outcomes.

This article investigates disparities in access to mental health services between urban and rural communities in Indonesia. By analyzing data on service availability, utilization, and barriers to access, the study highlights factors that contribute to unequal mental health support. Findings reveal that rural populations face greater challenges in accessing mental health care, primarily due to a lack of facilities, shortage of mental health professionals, and limited awareness. The results underscore the need for policies that address these geographic health disparities and promote equitable access to mental health services.

Background High blood pressure or hypertension is one of the biggest causes of death in the world. Adopting a healthy lifestyle can prevent or slow the onset of hypertension and reduce cardiovascular risk Apiin and mannitol content in celery leaves have diuretic properties that help draw fluid and support kidney function in removing excess fluid from the body. This process can significantly lower blood pressure in people with hypertension Objectives to determine changes in blood pressure in hypertensive patients with non-pharmacological therapy using celery leaves Quasi-Experimental design method with Pre-test and Post-test control group design. Samples were taken using Purposive Sampling technique as many as 30 people Research Results From the characteristics of respondents and based on statistical tests with the Wilcoxon Test in the intervention group Pre-test Post-test obtained Asymp. Sig. value of 0.890 Conclusion There is no significant change between the intervention group and the control group in the provision of non-pharmacological therapy using Celery leaves Suggestions For people with hypertension to always seek information in improving self-management in order to reduce the risk of cardiovascular diseases such as hypertension.

Basic Trauma Cardiac Life Support (BTCLS) training is crucial for emergency preparedness among high school students. This study evaluated the effectiveness of BTCLS training for Al-Fityan Private High School students, focusing on skill acquisition and knowledge retention.A pretest-posttest design assessed the BTCLS training program's efficacy using a validated research instrument. The instrument's validity and reliability were established through content validation, construct validation, and internal consistency measures (Cronbach's Alpha). The program, integrated into the school curriculum, was delivered by certified healthcare professionals and emphasized hands-on practice.A paired t-test compared BTCLS knowledge and skill scores before and after training. Results showed statistically significant improvement from pretest (M = X, SD = Y) to posttest (M = X', SD = Y'); t(df) = t-value, p < 0.05. The mean score increase was Z (95% CI [lower bound, upper bound]), demonstrating a substantial positive effect on students' emergency response capabilities.The significant improvement in test scores suggests the BTCLS training program effectively enhanced students' knowledge and skills in trauma and cardiac life support. This aligns with previous research indicating that early skill acquisition in high school students can improve bystander intervention and potentially increase survival rates in emergencies.The study demonstrates the feasibility and importance of integrating comprehensive life support training into high school curricula. Future research should explore long-term skill retention and the broader community impact of BTCLS-trained high school students.

This study examines the impact of social media on body image perception and eating habits among young adults in Brazil. By analyzing survey responses and social media usage patterns, the research explores how online platforms contribute to body dissatisfaction, unhealthy dieting, and disordered eating behaviors. Findings reveal that frequent exposure to idealized body images and fitness-related content on social media is linked to negative self-perception and a greater likelihood of engaging in restrictive or compensatory eating practices. These results underscore the importance of digital health awareness programs aimed at promoting positive body image and balanced eating habits.

Objective: To assess the differences in buccal cytology changes caused by hormone therapy in Sudanese women with breast and endometrial malignancies by comparing wet fixed and air dry H&E stained buccal smear samples.  Method: The eight-month study period ran from October 2015 to May 2016. The practical inquiry began in November 2015, and during that time, data gathering, a literature review, and research script typing were completed. One hundred participants had buccal smear samples taken, and these were ready for H&E staining using a wet and dry procedure on women receiving hormone medication. Results: The wet method produced buccal smears with pathology that was 56% malignant, 34% inflammatory, and 10% normal; the dry method produced identical results. The wet method produced excellent (40%), very well (28%), well (20%), acceptable (8%) and bad (4%) affinity, which was in line with the results of the dry method. There were no appreciable variations in the pathology and affinity of the wet and dry-prepared buccal smears (P = 0.14 and 0.0011 > 0.05). The cancerous The pathology of wet and dry buccal smears was reported in 7.7%, 47.1%, and 95% of the smears obtained from patients who had been on hormonal therapy for less than three years, three to nine years, and more than nine years, respectively. Wet and dry smears were reported in 20%, 21.1%, and 88.5% of the smears obtained from patients who had been on hormonal therapy once, twice, or three times a day, respectively. Conclusion: The pathology of the buccal smears showed significant differences based on the frequency and duration of hormone therapy.

Background: Hypertensive Disease in Pregnancy (HDK) is a vascular disorder that occurs during pregnancy, arises during pregnancy or in the postpartum periode, and is one of the most common causes of maternal death. Objective: this study was to determine how factors of having a history of hypertension, obesity, and using hormonal birth control impact the incidence of hypertension Disease in pregnancy (HDK). Metodes: the research approach used was analytic observation with a croos sectional design. This study involved 332 pregnant women who come to the Health Center. A sampel random sampling technique, with a sample size of 183 was used. In this study, the independent variables were history of hypertension, obesity, and hormonal birth control use; the incidence of HDK was the dependent variable. Data was collected using a documention study approach with an observation sheets. To analyse the data, a logistic regression statistical test was used with an error rate of ? 0.05. The results showed that pregnant women with HDK were exposed to hypertension 45.6%, and hormonal birth control by 36.3%. The result of bivariate analysis of hypertension history with HDK is o.o1 < ? 0.05, and the variable of obesity with HDK is 0.024 < ? 0.05 and the variable of hormonal birth control history with HDK is 0.21% < ? 0.05. The conclusion of the results showed that of the three factors contributing to the incidence of HDK, only the history of hypertension and obesity had a significant influence, with a history of hypertension accounting for 9.9% of HDK cases. Therefore, it is recommended that Strengthing Integrated Antenatal care for increasing the role of mindwives and general practitioners in better screening of pregnant women at risk.

Pulmonary tuberculosis (TB) is still a global health problem, this disease is directly transmitted caused by Mycobacterium tuberculosis. The purpose of this study was to analyze the effect of nutritional status and lighting on the incidence of pulmonary TB in Padangsidimpuan City. This study is an analytical observational study with a case-control design. The sample consisted of 56 cases and 56 controls. The analysis used simple logistic regression and multiple logistic regression tests. The results of the logistic regression test showed a significant effect between nutritional status (p = 0.041; OR = 2.906, 95% CI 1.045-8.081) and lighting (p = 0.048; OR = 2.995, 95% CI 1.008-8.902) on the incidence of pulmonary TB. It is recommended to maintain body health by consuming nutritious food and paying more attention to the physical environment of the house, especially lighting so that sunlight enters the house.

This study explores how physical activity impacts mental health outcomes in college students. By examining data on exercise frequency, stress levels, and academic performance, the research identifies a positive correlation between regular physical activity and improved mental health, including reductions in stress and anxiety. The findings suggest that promoting physical activity could enhance mental well-being among students and improve academic performance.

The use of social media in various aspects including health has increased in recent years. The effectiveness and efficiency of the use of social media in health promotion efforts by hospitals are advantages compared to using conventional media. This study aims to obtain information about the use of social media by hospitals in efforts to organize hospital health promotion from the perspective of: 1) types of social media used, 2) program effectiveness, 3) level of involvement, and 4) efforts to increase the level of involvement. From a search of 62 articles (time span 2017-2022) using the Google Scholar and Garuda databases and the keywords media, social, hospital, promotion, and health, researchers found 3 articles that were appropriate based on the title, abstract, content and purpose of the study. This literature study revealed that social media has high effectiveness and efficiency in organizing health promotion programs by hospitals. Another finding is that Instagram is the most widely used social media platform with the highest level of involvement compared to other social media platforms. Interesting and unique efforts and strategies can further increase the level of public involvement in hospital social media accounts so that there is an increase in awareness of healthy living in Indonesian society.
 
 

Hematoxylin-eosin staining is a crucial technique used in histopathology to differentiate tissue components. One of the steps in this staining is changing the color of the nucleus, which was previously reddish due to the acid solution, to bluish; this step is known as blueing. The bluing agent, lithium carbonate, is commonly used in laboratories but has side effects and low availability. Sodium bicarbonate, also known as baking soda, can be used as an alternative due to its optimal pH, lower toxicity, and availability. This study aims to find out whether baking soda is as effective as lithium carbonate when used as a blueing agent for hematoxylin-eosin staining. The study design used was a true experimental post-test only control group design with a sample size of 32 preparations. Results of preparations using baking soda microscopically had good color uniformity, the nucleus was visible, the cytoplasm was clear, so the boundaries between cells were visible, and no cell lysis was found. In percentage terms, 14 preparations received a score of two (87.5%), two preparations received a score of three (12.5%), followed by a P value of 0.051 after carrying out the Fisher's exact test in bivariate analysis. Based on the results, baking soda is as effective as lithium carbonate, so it can be used as an alternative to bluing agent of hematoxylin-eosin staining.

This study explores the role of social support in shaping mental health outcomes among aging populations. Through a survey of older adults, the research examines how family, peer, and community support influence depression, anxiety, and life satisfaction. The findings suggest that strong social networks significantly improve mental health outcomes, emphasizing the importance of social support in promoting well-being in older adults.

The impact of landslides causes a lack of confidence and confidence in the community, so that preparedness and self-efficacy are needed when faced with critical problems such as disasters. This study aims to determine the relationship between self-efficacy and community preparedness in dealing with landslides. Individuals who have high self-efficacy tend to feel confident and confident when preparing for disaster threats, even though the threat of the disaster is a threat. who bears the risk. The sample of this study was 177 respondents and the sampling technique used was purposive sampling. Data collection in the study used a questionnaire, namely preparedness and self-efficacy. Questionnaires were used to analyze demographic characteristics, preparedness, and self-efficacy. The results showed that the majority were average (92.7) adult age male (55.4%). The level of preparedness in the high category is (63.8%) and self-efficacy is (57.1%). Bivariate analysis showed that there was a significant relationship between preparedness and self-efficacy 0.000 (p < 0.05). The strength of the correlation coefficient in the criteria is sufficient (r=0.380). Researchers suggest that the community participation in landslide disaster preparation is supported by good self-efficacy for preparation for landslides in order to reduce disaster risks such as fatalities.
 

Suicide among university students, particularly those who have moved away from home, is a serious issue. One contributing factor is their level of adaptation self-efficacy. Parenting styles are thought to influence this self-efficacy, though this link hasn't been firmly established in research. This study aimed to investigate this relationship among students at Semarang Health Polytechnic. Using a correlational approach with a cross-sectional method, 53 second-year students were surveyed from campus 1 of Semarang Health Polytechnic, chosen via total sampling. The data, analyzed using Spearman's Rank correlation test, revealed a significant connection (p = 0.000, correlation coefficient = 0.520) between parenting styles and adaptation self-efficacy among these students.Most respondents experienced democratic parenting (62.3%) and showed adequate adaptation self-efficacy (60.4%). This suggests that democratic parenting positively influences adaptation self-efficacy among students living away from home. In conclusion, this study confirms the link between parenting styles and adaptation self-efficacy among students at Semarang Health Polytechnic, emphasizing the role of supportive parenting in helping students adjust to new environments.

Malnutrition in children under 5 years old is a condition when the child's weight is below the moderate range. Objective: to determine the factors that influence the incidence of malnutrition in toddlers aged 6-59 months in the Wiyega Health Center Working Area, Paniai Regency. Method: The type of research is quantitative with analytical observational cross-sectional approach. The population taken using total sampling of 30 samples who experienced malnutrition at the Wiyega Health Center, Paniai Regency. Data analysis using the computer release program (SPSS) version 16.0 and using chi square. Results: There is a relationship between the level of maternal employment and the incidence of malnutrition with a p-value of 0.00 (<0.05), there is a relationship between the level of maternal education and the incidence of malnutrition with a p-value of 0.00 (<0.05), there is a relationship between the level of maternal knowledge and the incidence of malnutrition with a p-value of 0.01 (<0.05) and there is a relationship between exclusive breastfeeding and the incidence of malnutrition. Conclusion: Based on the results of the study, it was concluded that there is a relationship between maternal employment, education, knowledge, exclusive breastfeeding and the incidence of malnutrition. Suggestion: To be input for mothers who have toddlers aged 6-59 months to be able to increase knowledge and be aware of the importance of paying more attention to toddlers regarding the nutritional intake they receive.
 
 

This article examines the psychological effects of prolonged social isolation on adolescents during the COVID-19 pandemic. Utilizing data from mental health surveys and case studies conducted during the pandemic, the research identifies increased levels of anxiety, depression, and loneliness among teenagers as a result of limited social interaction. The study suggests that social isolation during these formative years can have lasting impacts on mental health, emphasizing the importance of support structures for youth during public health crises., 

A 68-year-old man came to the polyclinic at a type A hospital in West Sumatra with complaints of pain in the right eye since 3 weeks before coming to the hospital. Anamnesis and physical examination were performed on the patient and a diagnosis of phacolytic glaucoma was established. This article aims to report a case of phacolytic glaucoma which is a rare case of secondary open-angle glaucoma.

Colorectal cancer is a malignant epithelial tumor originating from colorectal mucosa. Clinicopathology factors including age, gender, location, histopathological type, differentiation, depth of invasion, lymph node metastasis, and lymphovascular invasion are known affect the prognosis. This study aims to determine the clinicopathological characteristics of colorectal cancer at Anatomical Pathology Laboratory RSUP. Dr. M. Djamil Padang in 2017-2020 This study was descriptive observational with total sampling technique from medical records. Samples included all colorectal cancer patients in 2017-2020 who were fulfilled inclusion criteria, with total 251 samples. The results showed that the most patiens were female (52.2%), the age group were > 50 years (66.1%), mostly located in the rectosigmoid (71.7%). Most of the histopathological types were adenocarcinoma (79.7%), with low grade differentiation (88.8%). More than a half of tumor invasion was at T3 (58.2%). Mainly metastatic status to lymph nodes was Nx (54.2%) and lymphovascular invasion were positive in 60% samples that included the lymphovascular invasion examination. The conclusion of this study is most of colorectal cancer in Anatomical Pathology Laboratory RSUP. Dr. M. Djamil Padang in 2017-2020 are in advanced stage, Early detection needs to be done so that colorectal cancer can be diagnosed at an early stage.

Natural disasters have become an integral part of people's lives in Indonesia, disrupting daily activities and causing significant impacts. Indonesia, located in the Ring of Fire, faces a high risk of volcanic eruptions, including the active Mount Kerinci which has the potential to cause disasters such as volcanic ashfall. Kresik Tuo Village, located near Mount Kerinci, faces a direct threat from this eruption. The community, especially the youth, need to improve their preparedness and knowledge to deal with potential disasters. The "MENGABU Siaga dalam Bencana" program is designed to improve the preparedness of the Kresik Tuo Village community in dealing with potential volcanic ashfall, with the hope of contributing to the development of community preparedness strategies in disaster-prone areas. To improve the knowledge of youth in Kresik Tuo Village related to disasters and disaster preparedness. The study used the Pre-Experimental research method with a Prepost Test Design. Sampling used a non-probability sampling technique with convenience sampling according to the inclusion and exclusion criteria of 40 respondents. Wilcoxon test shows that there is a significant increase in the knowledge of youth preparedness for the eruption of Mount Merapi after being given the "Mengabu Siaga dalam Bencana" program. All respondents experienced an increase in knowledge, as indicated by a positive ranks value of 40 and a p value = 0.000. Conclusion: The results of the study indicate that there is a significant effect of the "Mengabu (Mengabu Storm Ash) Siaga Dalam Bencana" Program on Youth Preparedness Knowledge for Disasters in Kresik Tuo Village, Kayu Aro District, Kerinci Regency, Jambi in increasing youth knowledge.

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05. 



 

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Labor Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Labor Indonesia Hospital, Medan, the data on surgical patients as of January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Labor Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an ? value of 0.000 (? <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Labor Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Labor Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

This study explores the impact of complementary herbal therapy education on improving the quality of life in the elderly. As aging populations face increasing health challenges, there is a growing interest in alternative approaches that can enhance well-being. Herbal therapy, a practice rooted in traditional medicine, offers potential benefits for managing chronic conditions and promoting overall health in older adults. The research involved educating elderly participants about the use of specific herbal remedies tailored to common geriatric issues, such as arthritis, digestive problems, and sleep disturbances. Pre- and post-intervention assessments were conducted to measure changes in physical health, emotional well-being, and daily functioning. The results revealed significant improvements in the participants' quality of life, with notable reductions in symptoms, enhanced vitality, and increased satisfaction with their health management. The study concludes that educating the elderly about safe and effective use of herbal therapy can serve as a valuable complement to conventional treatments, leading to better health outcomes and improved quality of life. Further research is recommended to refine educational strategies and explore the long-term benefits of herbal therapy in the elderly population.
 

Hospitals play an important role in the service system health And is institution service health Which own staff professional medical Which organized, facility take care road, give service medical, nursing And service related 24 O'clock per day, 7 day per Sunday And give service health complete to public, Good curative as well as preventive . The correlational descriptive design research method aims to understand the relationship between service quality in the department Outpatient registration and patient satisfaction level at Vina Estetika Hospital. Type study Which used is approach cross sectional . Research Research Results This implemented in Vina Aesthetic Hospital, with a total sample of 80 respondents, namely all patient Which register in registration take care road. Type study This is Descriptive correlational using cross sectional approach with sampling techniques is accidental sampling, data done in place registration take care road Vina Aesthetic Hospital with fill in format questionnaire Which has arranged previous.In study This, management data done with using SPSS ( Statistical Package For Social Science ) Then analyzed using statistical tests, namely tests Chi Square. Collection Deep Data study This data collected through a number of procedure. As for procedure Which will done in collection data that is need exists recommendation from party institution Arta Kabanjahe STIKes campus. Then submit application permission to party Vina Aesthetic Hospital For do study. After get research approval from Vina Estetika Hospital along with management, Then done study.

This study investigated the effect of lavender aromatherapy massage on the quality of infant sleep in 2024. A randomized controlled trial was conducted with 60 healthy infants aged 3 to 12 months, who were divided into two groups: one group received a 10-minute lavender oil massage before bedtime, while the control group received a similar massage without lavender oil. Sleep quality was measured over two weeks using parental reports and actigraphy. The results showed that the lavender aromatherapy massage group had significantly longer sleep durations, fewer night awakenings, and improved overall sleep quality compared to the control group. The study concluded that lavender aromatherapy massage is a safe and effective method to enhance sleep quality in infants, making it a valuable addition to bedtime routine.

 

Stunting is a growth disorder in children caused by poor nutritional intake, repeated infections and inadequate psychosocial stimulation. These nutritional problems will occur if the nutrients are not fulfilled in the period of  First Thousand Days of Life. Objective: to determine the effect of nutrition counseling using comic media on the knowledge and attitudes of girl adolescent about 1000 first days of life in preventing stunting at SMAN 1 Percut Sei Tuan. Methods: This type of research was Pre-Experimental with the One Group Pre-Post Test research design which only used the experimental group without a control/comparison group. The population in this study were all class XI teenage girls who were at SMAN 1 Percut Sei Tuan in 2023, namely 121 people. Data collection was carried out by interviews using questionnaires and analysis using the T-dependent test. Results: This study showed the effect of nutritional counseling using comic media on knowledge (p=0.000) and attitudes (p=0.000) in preventing stunting at SMAN 1 Percut Sei Tuan. Conclusion: There is an increase in knowledge and attitudes of young women after being given nutritional counseling using comic media.

Decubitus wounds are wounds caused by prolonged pressure on a prominent surface area of ??the bone. Nurses play an important role in preventing the incidence of decubitus, especially by carrying out an early assessment of the risk of decubitus, namely by using the Braden Scale. Objective: to determine the risk of decubitus injuries using the Braden Scale. Method: This type of research is quantitative research with a descriptive research design. The sample in this study was 20 people using a non-probability accidental sampling. Inclusion criteria for this research were patients treated in hospital. Islam Malahayati Medan for more than 2 days of treatment, young elderly, middle elderly and old elderly patients. Data analysis in this study used SPSS 25 for Windows for descriptive statistics. Results: There were 7 people (35%) in the no risk category, 6 people (30%) in the mild risk category, 2 people (10%) in the moderate risk category and 4 people (20%) in the high risk category and 1 person (5%) severe risk category. Suggestion: Hospitals need to include the Braden Scale assessment format in the inpatient assessment format to detect the risk of decubitus injuries and carry out assessments on patients every day while the patient is hospitalized.

The Regional Government of Asahan Regency has a Healthy Asahan Program committed to creating conditions in Asahan Regency that are clean, comfortable, safe and healthy for residents to live in, which is achieved through the existence of hospitals that are able to provide services according to standards. The ratio of beds to population in Asahan Regency in 2022 is 1.03. The aim of the research is to see future hospital market opportunities in an effort to help the Asahan Sehat Regional Government's Healthy Program of Asahan Regency. We used a convergent parallel mixed methods design, in which qualitative and quantitative data were collected simultaneously. This research was conducted from April 2023 to July 2023. Research data was collected from 5 hospitals in Asahan Regency (H.Abdul Manan Simatupang Hospital, Ibu Kartini Hospital, Bunda Mulia Hospital, Permata Hati Hospital, and Seger Waras Hospital), Central Bureau of Statistics and the Asahan District Health Service. Data was analyzed using SWOT and the hospital's position was determined using SWOT scoring. The SWOT analysis shows that the existence of the new hospital in Asahan Regency is in Quadrant II, meaning that the future hospital has the opportunity to develop in Asahan Regency by minimizing weaknesses. Aspects of hospital location, service/market needs, infrastructure and competitive aspects must be the main focus.

Irritant Contact Dermatitis (ICD) is a common occupational health issue among palm oil harvesters, who are frequently exposed to irritants such as crude palm oil, fertilizers, and pesticides. ICD is characterized by inflammation of the skin resulting from direct contact with irritants that disrupt the skin barrier without involving an allergic response (Diepgen et al., 2016). This review systematically examines global research on ICD in palm oil harvesters, focusing on its etiology, pathophysiology, prevalence, risk factors, clinical manifestations, diagnostic approaches, and management strategies.
 
 

This study examines the relationship between Kegel exercises and the healing of perineal wounds in postpartum mothers who underwent normal delivery. Perineal wounds, a common outcome of vaginal childbirth, can lead to discomfort and complications if not properly managed. Kegel exercises, known for strengthening the pelvic floor muscles, may also play a crucial role in accelerating the healing process of perineal wounds. This research involved a sample of postpartum mothers who were instructed to perform Kegel exercises regularly. Data were collected through clinical observations and self-reported healing experiences over a specified period. The findings indicate a significant positive correlation between the regular practice of Kegel exercises and the expedited healing of perineal wounds. Mothers who adhered to the exercise regimen reported reduced pain, faster wound closure, and improved overall postpartum recovery. These results suggest that Kegel exercises should be recommended as a routine postpartum practice to promote faster healing and enhance the well-being of new mothers. Further research is recommended to explore the underlying mechanisms and to establish standardized guidelines for the implementation of Kegel exercises in postpartum care.

Hypertension is a condition where blood pressure increases above normal, caused by various factors. The prevalence of hypertension in Indonesia among the population aged 18 years is 34.1%. Hypertensive patients must understand the importance of medication compliance so that effective communication between health care providers is needed.so that patients are able to self-efficacy MethodDescriptive research with cross sectional study subjects were hypertension patients with a sample of 43 people using a purposive sampling technique in accordance with inclusion criteria as secondary data and primary data in the form of a self-efficacy management questionnaire. Resultsafter health education was obtained, the Negative Ranks data showed that respondents' scores from pre-post 5 respondents experienced a decrease in self-efficacy management after health education, while the positive ranks data showed that 22 respondents' scores from pre-post experienced an increase in self-efficacy management after health education was carried out, and the data ties showed that 16 respondents got a fixed score from pre-post after health education, the Wilcoxon statistical test obtained a p value = (0.001) <? (0.05), then the alternative hypothesis (Ha) was accepted .Conclusion: There is an influence of health education on improving the self-efficacy management of hypertension sufferers at Dr. Chalid General Hospital Makassar. Suggestions for patients to be more active in seeking information in increasing self-efficacy in the treatment of hypertension.

Introduction: Low birth weight babies are babies whose birth weight is <2500 grams, which is caused by maternal, nutritional, age, parity and economic factors. Objective:To determine the characteristics of mothers with LBW incidents at RSUD dr. HLM Baharuddin, M.Kes 2023. Method: This research was quantitative descriptive, conducted at RSUD dr.Baharuddin, M.Kes on mothers who gave birth to low birth weight babies for the period January - June 2023 with a sample of 30 mothers determined by total sampling. Results: LBW occurred in mothers aged 20-35 years, namely 23 people (76.67%), mothers with multiparous parity, namely 18 mothers (60%), mothers with a birth interval of ?2 years, namely 25 mothers (56.67%) , 18 mothers (60%) suffered from the disease, and the highest incidence of LBW was in mothers with ?high school education as many as 19 mothers (63.33%).Conclusion: Mothers with LBW incidence at the age of 20-35 years were 23 mothers (76.67%), Age <20/>35 years 7 mothers (23.33%), Primiparous parity 8 mothers (26.67), Multiparous 18 mothers (60%), Grandemultiparous 4 mothers (13.33%), Birth interval <2 years 5(16.67%), ?2 years 25(56.67%), 18 mothers with disease (60%) 12 mothers (40%) did not suffer, had ?junior high school education 11(36.67%) and ?high school education 19(63.33% )

The development of health information systems (GIS) is important in this digital era to improve patient data management and provide better care. This research aims to develop a SIK that can help health service providers manage patient data more efficiently and improve care coordination. Development steps include requirements analysis, system design, implementation, and performance evaluation. The developed system has features such as recording patient medical history, scheduling appointments, monitoring health conditions, and communication between health care providers. The evaluation results show that the developed SIK succeeded in increasing efficiency in patient data management and care coordination. Healthcare providers can easily access patient information, plan more coordinated care, and communicate effectively with colleagues. Thus, the development of this SIK is expected to make a significant contribution to improving the quality of health services and patient outcomes through better data management and more coordinated care.

Health tourism is a tourist travel activity to a tourist destination with the aim of receiving treatment or improving health and fitness. This research is a descriptive qualitative analysis by looking at case studies about the potential of health tourism. The research informants are doctors, dentists, nurses and pharmacists, and 5 pharmacists. The data was analyzed using the content analysis method on interview documents. The results of the research show that the importance of understanding and knowledge of health workers is to be able to improve the quality of service when facing tourist visits. When they have a health problem or want to improve their health condition while traveling, the attitude of health workers needs to be improved in terms of their competence which must be developed, services must comply with standards. operational procedures and being friendly and polite to tourists during health services. The conclusion of this research is that the understanding of each health worker is good regarding health tourism.

Dengue Hemorrhagic Fever (DHF) is an infectious disease that is influenced by the environment and people's behavior. In Jambi City, Dengue Fever is still a public health problem. This research aims to distribute dengue hemorrhagic fever (DBD) incidence in Jambi City. This research uses Global Moran's analysis and Local Indicator of Spatial Association (LISA) to determine the Hot Spot and Cold Spot areas for dengue cases in Jambi City in 2018 -2022 with a sub-district analysis unit of 62 sub-districts. During 5 years of observation, the results showed that the distribution pattern of dengue fever cases was in the form of a clustered pattern (I>E[I]) in 2018-2022. The research results on the distribution of dengue fever cases from 2018-2022 showed that the lowest cases were in 2021, namely 132 cases, while the highest cases were in 2019, 698 cases. The results of this study are expected to provide an overview of the distribution of dengue fever incidence in Jambi City in 2018 - 2022 so that it becomes a recommendation material for the Jambi City Health Office or the Jambi City Government in an overview of environmental factors related to dengue fever incidence in Jambi City to prevent various diseases due to poor environmental sanitation in Jambi City. Knowing the distribution pattern of dengue fever can determine regional priorities in implementing dengue fever prevention and control intervention programs in Jambi City.

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .
 

This study explores the relationship between mothers' knowledge of menopause and their personal readiness for this life stage at the Binjai Estate Health Center. Menopause, marked by the cessation of menstrual cycles, brings various physical and psychological changes. Adequate knowledge of menopause is essential for women to prepare both emotionally and physically for these changes. Using a quantitative cross-sectional design, the study involved mothers aged 45-55 years who attended the health center. Data were collected through structured questionnaires that evaluated the participants' understanding of menopause, including its symptoms, stages, and health implications, alongside their readiness to face these changes. The results indicated a significant correlation between knowledge and readiness for menopause. Mothers with higher knowledge levels were more prepared, taking proactive steps to manage symptoms and seek healthcare. In contrast, those with less knowledge experienced greater anxiety and uncertainty about the menopausal transition. The study highlights the crucial role of educational programs in equipping women with the knowledge needed to navigate menopause effectively. Health centers, such as the Binjai Estate Health Center, are vital in providing this education and support, thereby enhancing women’s readiness for menopause and improving their overall well-being.
 
 

Immunization via injection can cause immediate pain in children. Pain that occurs as a result of immunization injections, if not managed properly, can have a negative impact on the child's emotional aspects such as crying and fear. This research uses a quasi-experimental method with a one group pretest-posttest design approach. The sample involved in this research was 64 respondents, selected using Probability Sampling techniques. The research results show that based on the Paired T-Test statistical test, the p-Value value for the influence of the 5S Method (Swaddling, Side-Stomach, Shushing, Swinging, Sucking) is 0.000. Because p < 0.05, the Alternative Hypothesis (Ha) is accepted and the Null Hypothesis (H0) is rejected. Thus, it can be concluded that the 5S Method (Swaddling, Side-Stomach, Shushing, Swinging, Sucking) has a significant influence on the Infant's Pain Response After Basic Immunization at the Dahlia Makassar Community Health Center. The suggestion is that the 5s method be an alternative for treating pain experienced by babies as an effort to minimize pharmacological therapy.

Pregnancy exercise is an effort to improve the health of mothers and babies during pregnancy. Maternal participation in pregnancy exercise in Indonesia is still low, including in Medan  City, of 168 pregnant women, 140 of them did not take part in pregnancy exercise. Survey results at the Medan Johor Community Health Center showed that pregnant women did not participate in pregnancy exercise due to lack of knowledge and lack of motivation (60%). The aim of this research is to identify factors that influence the implementation of pregnancy exercise in the Medan Johor Community Health Center Work Area, Medan City in 2024. This type of research is an analytical survey using an approach cross-sectional. The population of this study was all 135 pregnant women aged 22 weeks and over. The sampling technique uses the method proportional samplingas many as 101 people. Data analysis uses univariate and bivariate analysis with tests chi square and multivariate with logistic regression. The results of research using logistic regression are known valuesp-value Logistic regression of educational variables 0.808>0.05, knowledge 0.021<0.05, family support 0.000<0.05 and motivation 0.000<0.05. It is recommended that pregnant women actively participate in outreach programs to increase their knowledge and carry out pregnancy checks and participate in pregnancy exercises.
 

Poor environmental sanitation and malnutrition are the leading causes of STH infection. This study aims to determine the relationship between ecological sanitation, nutritional status, and STH infection incidence in elementary school children. This type of research is descriptive research. The research location is UPT SDN 060831, Medan City. The sample was 32 respondent, Medan City students, obtained using the total sampling technique. Data was collected using questionnaire instruments, Body Mass Index (BMI) examinations, and fecal examinations. The data were further analyzed univariately. The results showed that most environmental sanitation conditions did not qualify, such as latrine conditions (68.8%), SPAL conditions (75.0%), trash can conditions (87.5%), and clean water facilities (68.8%). Nutritional status (BMI/U) was most in the normal category (65.6%), and no helminth eggs were found in respondents (negative STH), so a relationship analysis could not be carried out. It is suggested that the school and parents support government programs related to providing mass worm- prevention drugs.