The adoption of Hospital Information Systems (HIS) is a crucial step toward improving healthcare service delivery, especially in public hospitals in developing countries. RSUD Prof. Dr. H. Aloei Saboe, a referral hospital in Gorontalo, Indonesia, has implemented the SIMRS Khanza system to digitize inpatient registration and medical documentation. However, limited evaluation has been conducted to assess its effectiveness beyond technical performance. This study aims to evaluate the implementation of SIMRS Khanza using the Human-Organization-Technology Fit (HOT-Fit) framework, which examines the alignment between users, institutional support, and system quality. A qualitative descriptive method was employed, involving in-depth interviews, non-participatory observations, and document reviews with eight informants, including medical record officers, system coordinators, and hospital management. The findings reveal that although most users reported improved efficiency and satisfaction, several issues persist: incomplete training, limited adherence to SOPs, and system performance lags during peak hours. Organizational support was present but inconsistent, and documentation policies lacked specificity for digital contexts. Technologically, the system demonstrated stable output, but responsiveness and integration require enhancement. The synthesis of findings suggests that success in HIS implementation is contingent upon not only system reliability but also continuous user engagement, structured training, and dynamic policy support. Therefore, a holistic strategy integrating human, organizational, and technological components is essential to optimize SIMRS performance and sustainability.

In the modern legal system, Deoxyribonucleic Acid (DNA) testing has become an important tool in the resolution of criminal and civil cases in Indonesia. The use of DNA can assist in determining blood relations, uncovering sexual abuse cases, and proving involvement in other crimes. Nonetheless, there are various legal issues that arise regarding the collection of DNA specimens without the consent of the sample owner. In Indonesia, although there are personal data protection regulations such as the Health and Population Administration Law, there are no specific provisions regarding the legality of unauthorized DNA sampling. This creates uncertainty in the legal system, especially in terms of evidence being recognized in court. Unauthorized DNA sampling can violate an individual's right to privacy guaranteed by the 1945 Constitution and the Criminal Procedure Law. This potentially makes DNA test results inadmissible as valid evidence in court. Therefore, this study aims to analyze the legality of the practice of unauthorized DNA sampling and its impact on the legal evidentiary system in Indonesia. The study also highlights the importance of medical ethics and legal protection of privacy in determining the validity of DNA evidence in judicial proceedings. It also explores the role of medical ethics and privacy law in determining the validity of DNA test results in the judicial process, and provides recommendations for clearer regulations regarding DNA sampling procedures.

One of the tropical infectious diseases in developing countries is typhoid fever. Typhoid fever is often found in people's lives, both in urban and rural areas. This disease is very closely related toclean and healthy living behavior(PHBS) such as poor environmental sanitation, personal hygiene and daily community behavior. Purpose To find outThe Relationship between Mother's Knowledge and Clean and Healthy Living Behavior towards Typhoid Fever in Toddlers in the Children's Ward of Dr. H. Yulidin Away Tapaktuan Regional Hospital. This research method is descriptive correlation with Cross Sectional approach with a sample size of 52 parents with typhoid fever cases. The results of this study obtained p-value results = 0.000 <0.05 so that there is a relationship between the two variables. Conclusion There is a significant relationship between the level of knowledge with clean and healthy living behavior (PHBS) on typhoid fever in toddlers in the children's room of Dr. H Yulidin Away Tapaktuan Hospital. Suggestions from the results of this study provide input to service institutions and become guidelines for maximizing the implementation of clean and healthy living behavior (PHBS) in parents whose children are being treated with typhoid fever cases.

The study investigated how Cola nitida affects the sweat concentrations of sodium (Na), potassium (K), and chloride (Cl) in male and female subjects. Sixty healthy participants (30 males, 30 females) aged 18–28 years, with varying body weights (underweight, normal weight, overweight), were selected. Subjects were exposed to three conditions: normal chamber temperature (27°C, 70% RH), raised temperature (37°C, 90% RH), and exercise at normal temperature (27°C, 70% RH) while riding a bicycle ergometer at 750J/min for 20 minutes. Prior to the experiment, 0.5g/kg body weight of Cola nitida was consumed, followed by a 90-minute rest. Sweat samples were collected to measure ion concentrations. Results showed no significant changes in sodium (Na) concentrations between males and females under normal and raised temperature conditions. However, under exercise conditions, there was a significant increase in sweat Na in female underweight subjects compared to males. Regarding chloride (Cl), there was no significant difference between males and females under all conditions. For potassium (K), significant increases were observed in the sweat of female underweight subjects compared to males in normal, raised temperature, and exercise conditions. Conversely, decreases in sweat potassium were noted in female normal weight subjects under normal conditions and overweight subjects under raised temperature and exercise conditions compared to males.

Work in the informal sector, such as weaving, has high health risks due to the repetitive nature and static positions required. Weavers often experience Musculoskeletal Disorders (MSDs) due to sitting too long in front of the loom for about 8 hours. This condition causes muscle contractions in the shoulders and neck, reduces blood flow, and causes pain and fatigue. A study of two sarong weaving industries in Dalangan Village found that 70% of 10 workers complained of low back pain. Many workers work with non-ergonomic positions and inappropriate equipment. Improvements in work attitudes are needed so that workers' health and productivity are maintained. This study aims to determine the relationship between work attitudes and MSDs disorders in the central craftsmen of the weaving industry. This research is a quantitative study using observational analysis method with cross sectional approach. The population was 35 from 4 locations with a sample of 35 respondents taken using total sampling technique. Assessment for work attitudes using the Rapid Entire Body Assessment (REBA) and for Musculoskeletal Disorders (MSDs) experienced using the Nordic Body Map (NBM). The results of the Spearman correlation test showed no significant relationship between work attitudes and musculoskeletal complaints with a p-value = 0.261 (p < 0.05) and a correlation coefficient value of r = 0.195 which is included in a weak correlation with a positive direction. The study shows there is no significant relationship between work attitude and musculoskeletal disorders in weaving industry workers. Routine ergonomics education is recommended to prevent complaints and maintain sustainable occupational health.

Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Pidie Regency, Indonesia. Although digital surveillance systems such as SKDR have been introduced, the effectiveness of dengue control still largely depends on the role and capacity of surveillance officers. This study aimed to explore the experiences of dengue surveillance personnel in Pidie Regency, focusing on their knowledge, reporting mechanisms, encountered challenges, and expectations regarding the surveillance system. A qualitative method with a phenomenological design was employed, involving 11 purposively selected informants. Data were gathered through in-depth interviews and analyzed using the Miles and Huberman framework, encompassing data reduction, data display, and conclusion drawing. The analysis revealed six main themes: officers' knowledge and understanding of dengue, sources of data and case collection methods, the use of digital applications for reporting and analysis, implementation challenges in the field, cross-sectoral roles and support from village governments, and officers' expectations for improvement. The findings highlight that limited resources, technical issues, and insufficient intersectoral collaboration hinder effective surveillance. Strengthening the surveillance system requires responsive strategies that consider on-the-ground challenges. A deeper understanding of surveillance officers’ field experiences is crucial for developing adaptive and sustainable public health interventions for dengue control.

Background: The elderly aged 60-69 years in Banda Aceh are 15,820. The coverage of the lowest number of elderly visits to elderly posyandu in the city of Banda Aceh is the Jaya Baru Health Centre (5.5%), the Lampaseh Health Centre (6.5%), and the Kuta Alam Health Centre (7.7%). Objective: This study aims to analyse factors related to the participation of the elderly in the Banda Aceh City Health Centre. Research Method: The type of research uses a cross-sectional design. The population in this study includes all older people in 3 (three) Banda Aceh City Puksesmas, namely Jaya Baru, Lampaseh, and Kuta Alam. The sample in this study amounted to 98 older people. Results: there was no relationship between accessibility and elderly posyandu participation (t= 1,356; p=0.176), there is a relationship between the availability of facilities and infrastructure and the participation of the elderly posyandu ( (t= 3.496; p=0.001), ), there was a relationship between motivation and support for elderly families (t=2.294; p=0.022), there was a relationship between the knowledge of the Posyandu program (t= 5.197; p=0.000), there was no relationship between the role of health workers and the participation of elderly posyandu at the Banda Aceh City Health Center (t=0.257; p=0.797), The factor that most affects the participation of elderly posyandu in Banda Aceh City is the knowledge of the posyandu program (t= 5.197; p=0.000). Conclusion: knowledge of the elderly posyandu program, the availability of infrastructure, motivation and support of elderly families affect the participation of posyandu in Banda Aceh City

Hypertension is one of the health problems, especially for hajj pilgrims, because hypertension is one of the entry points or risk factors for diseases such as heart disease, kidney failure, diabetes mellitus, and stroke. In 2024, cases of hajj pilgrims suffering from hypertension were 1,822 people (38.66%). This study aims to analyze the factors related to the incidence of hypertension in hajj pilgrims at the Aceh Embarkation. Quantitative research with a Cross Sectional Study approach using secondary data. The population is all hajj pilgrims at the Aceh Embarkation in 2024 totaling 4,713 people. The research sample is the total population. Bivariate data analysis with the chi-square test and multivariate with logistic regression. The results of the study obtained variables that have a significant relationship with hypertension are age (OR = 3.5; 95% CI: 3.08–3.95; p-value = 0.0001), family history (OR = 2; 95% CI: 1.74-2.25; p-value = 0.0001). Obesity (OR = 1.3; 95% CI: 1.14–1.44; p-value = 0.0001), diabetes (OR = 1.5; 95% CI: 1.28–1.75; p-value = 0.0001) and poor physical fitness OR = 1.7; 95% CI: 1.48–1.89; p-value = 0.0001). The conclusion of this study is that the age variable is the most dominant variable with the incidence of hypertension in the Aceh Embarkation Hajj pilgrims.

The implementation of health information systems such as SIMKES (Sistem Informasi Manajemen Kesehatan) plays a crucial role in enhancing administrative efficiency and service delivery in primary healthcare centers. However, user satisfaction remains a key indicator of system effectiveness, especially in outpatient service units. This study aims to evaluate the satisfaction level of health personnel toward the implementation of SIMKES at the outpatient unit of Teguhan Health Center, Ngawi, Indonesia. Employing a descriptive quantitative method, this research involved a census of 17 respondents using a validated questionnaire based on the End-User Computing Satisfaction (EUCS) model, which comprises five dimensions: content, accuracy, format, ease of use, and timeliness. The data were analyzed using frequency distribution and mean scoring to categorize satisfaction levels. Results showed that the overall satisfaction score was 73.58, indicating that users were generally satisfied with the system. All five EUCS dimensions were categorized as satisfactory, with the highest rating in the format dimension and the lowest in timeliness. Despite the overall positive assessment, users reported issues related to system speed, technical bugs, and limited guidance for system navigation. The findings suggest that while SIMKES supports outpatient service delivery effectively, improvements are needed in system responsiveness and user support to enhance satisfaction and usability. This study contributes to the ongoing evaluation and development of health information systems in resource-limited primary care settings.

Background: Smoking among adolescents in Pidie, Aceh, is a growing public health concern, marked by increasing prevalence and significant household expenditure despite known health risks. This behavior persists due to cultural and social influences and a lack of motivation to quit, with adolescents' perceptions of risk, though crucial, not fully understood. Method : This analytical cross-sectional survey of 303 male high school students in Pidie used Partial Least Squares (PLS) to examine the relationship between Health Belief Model (HBM) factors and smoking cessation efforts. Result : The findings revealed that perceived barriers (t-statistic = 4.284 > t-table = 1.96), perceived susceptibility (t-statistic = 2.050 > t-table = 1.96), and perceived benefits (t-statistic = 4.082 > t-table = 1.96) had a direct significant relationship with cessation attempts, while perceived severity did not. Conclution: This study concluded that perceived barriers actually motivate quitting, with negative experiences like health problems for themselves or family acting as triggers. Therefore, understanding both the benefits and barriers is key to increasing smoking cessation motivation among adolescent males.

Informed consent is a crucial component of medical records that ensures the legality and ethical compliance of medical procedures conducted on patients. At RSUP Surakarta, the completeness of informed consent documentation in the surgical ward has consistently failed to meet the national minimum service standard of 100%, with observed monthly completion rates ranging from 86% to 98% throughout 2024. This study aims to analyze the factors contributing to the incomplete documentation of informed consent in the surgical ward. A qualitative descriptive approach was employed using data collection techniques such as direct observation, in-depth interviews, documentation review, and participatory methods including the USG (Urgency, Seriousness, Growth) prioritization technique and brainstorming. The study involved four key informants: a medical services director, a surgeon, a surgical nurse, and a medical records officer. Findings indicate that the main contributing factors are the absence of Standard Operating Procedures (SOP) for consent documentation, lack of training, insufficient internal and external motivation due to absence of rewards or enforcement measures, limited knowledge, and short tenure of some staff members. The USG analysis identified the absence of an SOP as the most critical issue. Consequently, the development and dissemination of an SOP, coupled with regular staff training, were recommended as corrective measures. This study underscores the importance of structural and motivational support in improving the completeness of informed consent documentation, which is vital for patient safety and institutional accountability.

The growing elderly population in Indonesia has created structural challenges in the health care system. One of the crucial challenges arises in the aspect of medical decision-making that becomes increasingly complex, along with the decline in cognitive capacity, comorbidities, and chronic diseases that accompany this age group. Problems arise when elderly patients refuse medical treatment, while doctors have ethical and professional obligations to save lives. This condition is complicated by social pressure from families and collective cultural values that often ignore the right to individual autonomy. As a result, doctors are in a vulnerable position legally and ethically, especially when there are no regulations that explicitly and technically regulate the limits of professional responsibility. This study aims to analyze the form of legal protection for doctors in the face of refusal of medical action by elderly patients. The method used is normative juridical, with statutory and conceptual approaches. The results show that there are no specific rules regarding the mechanism of informed refusal, evaluation of the decision-making capacity of elderly patients, and the limits of legal responsibility of doctors. This creates legal uncertainty, even when doctors have acted according to professional standards and medical ethics. This study recommends the establishment of technical regulations that strictly regulate the procedures for refusal of medical action by elderly patients. Legal protection for doctors is not only a professional guarantee, but also an integral part of a health system that is fair, sustainable, and ensures legal certainty in modern medical practice.

The rapid advancement of digital technology has transformed healthcare services, including the implementation of online registration systems in hospitals. RSUP Surakarta has operated an online patient registration system since 2021 to reduce wait times and improve service efficiency. However, no formal evaluation has been conducted from the user experience (UX) perspective. This study aims to evaluate the UX of RSUP Surakarta’s online registration system using the User Experience Questionnaire (UEQ) method. A descriptive quantitative approach was employed with accidental sampling involving 100 respondents who had used the system in 2024. The UEQ measured six aspects: Attractiveness, Perspicuity, Efficiency, Dependability, Stimulation, and Novelty. Results revealed that all aspects scored positively, with Attractiveness (1.920) and Dependability (1.810) reaching the “Excellent” benchmark. Perspicuity (1.863) and Efficiency (1.868) also showed strong scores, while Stimulation (1.693) and Novelty (1.130) scored lower in the “Good” category. These findings suggest that although the system is well-received, improvements are necessary in terms of user engagement and innovation. Enhancing the user interface and enriching system features are recommended to optimize user satisfaction and ensure alignment with patient-centered service standards. This study contributes to digital service evaluation practices in public healthcare by providing empirical insights into user perceptions and expectations.

The increasing incidence of leprosy in the community causes individuals with leprosy to experience psychological stress. This pressure can come from the individual's internal perceptions such as feeling insecure, feeling embarrassed, and feeling afraid of being shunned. Apart from that, the psychological pressure experienced by individuals can originate from external factors such as discrimination from society, labeling, and isolation in social life. The method used in preparing this article is the PRISMA method with database searches including Google Scholar, Digital Reference Garba, and Science Direct. There are 15 articles selected based on the criteria, namely published in 2018-2023, can be accessed in full text, articles in Indonesian and English, and are qualitative research using the keywords stigma, leprosy sufferers, and community. The articles analyzed were selected according to criteria with results showing that the stigma experienced by leprosy sufferers in the community consisting of self-stigma and public stigma. These two stigmas cause psychological problems in leprosy sufferers.

The purpose of the study was to analyze the effectiveness of P4K with the innovation of the Dora Backpack to anticipate pregnancy risk in pregnant women in the working area of the Mantup Health Center in Lamongan Regency.This type of research is quasi-experimental with Post-test Only Control Group Design. The population of this study were pregnant women in the third trimester in the work area of the Mantup Health Center and Tikung Health Center totaling 262 pregnant women. The sampling technique is purposive sampling. The number of samples was 176 pregnant women, consisting of 88 control pregnant women and 88 intervention pregnant women. Univariate data analysis with frequency distribution table, bivariate analysis with Mann Withney and Logistic Regression. Based on the results of the Mann Withney test in the control and intervention groups, ap value of 0.000 means that P4K with the Si Dora Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy and based on the results of the Logistics Regression test, external variables do not affect the ability to anticipate pregnancy risk factors, namely age with p value 0.341, education with p value 0.587, and occupation with p value 0.631. P4K With Si Dora's Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy.

Post-stroke condition is a neurological dysfunction condition that has an impact on changes and decline in body condition for a fairly long period of time. The need for support during recovery and rehabilitation by the family is very much needed by post-stroke patients in managing themselves to optimize their well-being and quality of life. The purpose of this study was to determine the relationship between family support and self-care management in post-stroke patients. The design of this study was correlational using a cross-sectional approach. A population of 23 respondents with purposive sampling obtained 21 samples. The measuring instrument used was a questionnaire and data analysis using the Spearman rank test. The results of the study showed that almost half of the respondents (47.8%) had good family support, and almost half of the respondents (47.8%) had good self-care management. The results of the statistical test from the Spearman's rho test showed a P value of 0.0001 <? 0.05, so it can be concluded that there is a positive (unidirectional) and very strong relationship (r = 0.870) meaning that the better the family support provided by the family, the stronger the self-care management in post-stroke patients. Family support is a health component that influences a person to improve their health status and quality of life.

Immunization is an effort to provide immunity to infants and children by introducing vaccines into the body. This vaccine stimulates the body to produce antibodies that function to prevent certain diseases. The coverage of Complete Basic Immunization in Banda Aceh City/District from 2022 to 2024 has decreased each year by (43.9%) in 2022, (37.8%) in 2023, and (34.9%) in 2024. The immunization coverage is still very low and below the national target of (95%). To determine the factors influencing maternal behavior in basic immunization within the working area of the Banda Aceh City Health Center. Research. Quantitative research with a Cross Sectional Study approach using primary data. The population in this study consists of all mothers with infants aged 6-11 months within the working area of the Banda Aceh City Health Center. The sample in this study consisted of 200 respondents, with data collection methods using questionnaires and analyzed univariately to describe the distribution and proportion, as well as bivariately. Bivariate data analysis with Spearman correlation test. This study found a relationship between each variable and maternal behavior regarding basic immunization with the variables Attitude Toward Immunization (p=0.000), Subjective Norm of Immunization (p=0.000), Perceived Behavioral Control of Immunization (p=0.000), Actual Behavioral Control of Immunization (p=0.000). All variables are related to maternal behavior in basic immunization within the working area of the Banda Aceh City health center.

Anemia remains one of the leading public health issues among adolescent girls in Indonesia, including in Pidie District. Insufficient iron intake and low awareness and knowledge of anemia are major contributors to its high prevalence. Health education is recognized as an effective strategy to improve adolescents’ understanding of anemia.Objective: This study aimed to assess the effect of health education on increasing knowledge about anemia among adolescent girls at MTsN VI Pidie, Pidie District.Methods: A quantitative approach with a quasi-experimental design (one-group pretest-posttest) was employed. A total of 30 first-grade female students from MTsN VI Pidie were selected through purposive sampling. The intervention involved the delivery of health education on anemia via an educational video. Knowledge levels were measured before and after the intervention using pretest and posttest questionnaires. Data were analyzed using the Wilcoxon signed-rank test and paired t-test.Results: The analysis showed a statistically significant improvement in the participants’ knowledge following the intervention. The average posttest scores were notably higher than the pretest scores, indicating a positive effect of the health education intervention (p < 0.05).Conclusion: Digital media-based health education is effective in enhancing knowledge about anemia among adolescent girls. This approach is recommended for broader implementation in adolescent health promotion programs, particularly in the prevention of anemia

The medical committee is a non-structural body whose members are selected from among the heads of functional medical staff (SMF) or those representing SMF in the hospital. Objective : This study aims to evaluate the role of the nursing medical committee and its influence on the quality of inpatient services at Labuang Baji Hospital Makassar. Method : Analytic descriptive method with the design used crosssectional design Result : Logistic regression analysis showed a significant influence between the role of the medical committee and the quality of inpatient services with a value of p=0.002. Further quality of inpatient services with a value of p=0.002. Further logistic regression analysis showed that the role of the medical committee had a very large influence on service quality, with an Exp(B) value of 44,000. This indicates that each increase in the role of the medical committee can increase the likelihood of good service quality by 44 times. Overall, the results of this study indicate that the role of the nursing medical committee is very influential in improving the quality of inpatient services at Labuang Baji Hospital Makassar. This finding is expected to be the basis for developing strategies to improve service quality in the hospital. Suggestion : Ensure that the roles and responsibilities of the medical committee and nurses are clear and mutually supportiveThe medical committee should have a deep understanding of the care process, while nurses need to know how the role of the medical committee can influence and support their practice.

Environmental health such as proper medical waste management in accordance with existing requirements. The purpose of this study was to determine the sources of infectious medical waste at RSUD Haji Makassar. The research method used is a qualitative method with a post-positivistic or enterprising approach and observation. The types of data used are primary and secondary data. The results of the study indicate that at the sorting and reduction stage it has been implemented but in the sorting section there are still errors in plastic bags not being labeled regarding the type of waste, at the storage stage there are still errors in temporary storage places that can be accessed by animals, at the transportation stage there are still some that are not in accordance with the Regulation of the Minister of Environment and Forestry Number 56 of 2015 such as medical waste managers also do not use complete personal protective equipment and do not have a special route for waste transportation, at the processing stage it is not carried out because the incinerator in the hospital does not have an operational permit and at the stockpiling and burial stages it is also not carried out because medical waste management has been handed over to a third party. RSUD Haji Makassar pays more attention to all waste management processes that are not yet adequate and the management of incinerator use permits for better waste management.

This study explores systematic desensitization therapy in addressing specific phobias among adolescents, particularly arachnophobia, ophidiophobia, and katsaridaphobia. The research aims to explore the subjective experiences of adolescents undergoing systematic desensitization for specific phobias, focusing on perception and emotional changes. A qualitative phenomenological method was employed to delve into the subjective experiences of adolescents with specific phobias. Data were collected through interviews, observations, and document analysis, and analyzed using Interpretative Phenomenological Analysis (IPA), with validity ensured through triangulation and member checking. Findings indicate that adolescents experienced significant anxiety reduction and decreased avoidance behaviors, thanks to therapist support and the application of relaxation techniques. This study highlights the importance of understanding individual experiences to enhance the effectiveness of therapeutic interventions. Thus, systematic desensitization, combined with supportive therapeutic practices, proves to improve the quality of life for adolescents struggling with specific phobias. These findings not only enrich academic literature but also aid practitioners in designing interventions that are more responsive to patient needs.

Takokak fruit is one of the plants that can be used to lower blood sugar levels. This study aims to identify the bioactive compounds of ethanol extract of takokak fruit and test the antidiabetic ethyl acetate fraction. Antidiabetic testing was carried out by in vivo testing using the Oral Glucose Tolerance Test (OGTT) method to see the decrease in blood glucose levels using white rats as test animals. The test results showed that takokak fruit contains flavonoids, steroids, and tannins. Fractionation is the process of extracting compounds from the extract using two types of solvents that do not mix with each other. The results of the antidiabetic test showed that the ethyl acetate fraction with glibenclamide as a comparator had the ability as an antidiabetic measured by the amount of difference in the decrease in blood glucose levels in the test animal group T?? to T???. From the results obtained, the average decrease in blood glucose levels in the negative control group (Na CMC) was 5.8 mg/dL, the positive control group (Glibenclamide) 21.03 mg/dL, and the fraction group 9.86 mg/dL. Takokak fruit has antidiabetic activity. Compounds that have antidiabetic activity are flavonoids, tannins, and steroids.

Takokak fruit contains bioactive compounds that can be used as antidiabetics. This study aims to identify bioactive compounds of ethanol extract of takokak fruit and antidiabetic test of n-Hexane fraction. The method used to obtain the extract is maceration using ethanol . Antidiabetic testing is carried out through in vivo testing with the Oral Glucose Tolerance Test (OGTT) method on white rats. Secondary metabolites are compounds contained in taakokak fruit that are identified as flavonoids, saponins, tannins, steroids and terpenoids . The results of the antidiabetic test showed that the n-Hexane fraction with glibencamide as a comparator has the ability as an antidiabetic in terms of the amount of difference in blood glucose levels in the test animal group from T 30 to T 120 . The average decrease in blood glucose levels in the negative control group (Na-CMC) was 108.67 mg/dL, the positive control group ( glibencamide ) 174.67 mg/dL, the 5% concentration fraction group 35.33 mg/dL, the 10% concentration fraction group 30.67 mg/dL, the 20% concentration fraction group 47.67 mg/dL.

Background:PMBA is one of the government programs to reduce child mortality rates and improve the quality of life of mothers in accordance with improvements in maternal behavior in PMBA. PMBA includes IMD, Exclusive Breastfeeding, MP-ASI, Breastfeeding up to 2 years of age. Objective: To find out about the Relationship between Knowledge Level, Attitude and Mother's Behavior towards PMBA 6-59 Monthsin the Working Area of ??the Yabomaida Health Center, Paniai Regency. Method: This research method is correlational analytic with a cross-sectional approach. The research population consisted of 190 infants and children.withThe research sample consisted of 66 people who had a Relationship between the Level of Knowledge, Attitude and Behavior of Mothers towards PMBA 6-59 Months.in the Working Area of ??the Yabomaida Health Center, Paniai Regency.The sampling technique used purposive sampling. Data analysis used the Statistical program for social science (SPSS) version 16.0 computer application program and used the chi-square test. Results: the results of the relationship between the level of maternal knowledge of PMBA based on the p value = 0.04 (<0.05), while the mother's attitude towards PMBA based on the p value = 0.03 (<0.05), and the mother's behavior towards PMBA based on the p value = 0.02 (<0.05). Conclusion: There is an influence of PMBA on knowledge and attitudes and PMBA practices in the Yabomaida Health Center work area, Paniai Regency, which obtained the p value <0.05. Suggestion: the need for PMBA 6-59 months in the posyandu counseling andIn the Working Area of ??the Yabomaida Health Center, Paniai Regency.

The predictive role of oxidative stress in the pathophysiology of human pregnancy is of particular interest, as oxidative stress is increased in normotensive pregnant women through systemic inflammatory response, reactive oxygen species (ROS), and reactive nitrogen species (RNS). This study involved 40 consenting pregnant women recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Data obtained were analyzed using GraphPad Prism 9. Results were expressed as mean ± SEM, with a P-value of ? 0.05 considered statistically significant. Malondialdehyde (MDA) increased from 3.75 ± 0.42 U/L in normotensive women to 4.53 ± 0.59 U/L in preeclamptic women. However, this increase was not statistically significant (p<0.05; 0.2903). Catalase activity decreased from 114 ± 8.07 U/L in normotensive women to 84.02 ± 21.58 U/L in preeclamptic women, but this decrease was also not statistically significant (p<0.05; 0.1909). Superoxide dismutase (SOD) increased from 40.82 ± 1.23 U/L in normotensive women to 71.90 ± 5.61 U/L in preeclamptic women. This increase was statistically significant (p<0.05; <0.0001). Glutathione peroxidase (GSH) decreased from 66.74 ± 10.35 U/L in normotensive women to 50.63 ± 8.96 U/L in preeclamptic women, but this decrease was not statistically significant (p<0.05; 0.2466). These findings suggest the potential predictive roles of these biomarkers in identifying and monitoring preeclampsia.

Hypertension in pregnancy is one of the leading causes of maternal mortality, with a global prevalence of 5–10% (Khedagi & Bello, 2021). This study aims to analyze the effect of reproductive status—maternal age, gravidity, and parity—on the incidence of hypertension in pregnancy at Prof. Dr. Chairuddin P. Lubis Educational Hospital, Medan. A case-control design was employed with 96 respondents, consisting of 48 cases and 48 controls. Bivariate analysis revealed that pregnant women aged ?35 years have a 2.839-fold higher risk of developing hypertension compared to those aged <35 years (OR=2.839; 95% CI: 1.123–7.177; p=0.027). First pregnancy (primigravida) increases the risk by 2.742 times compared to multigravida (OR=2.742; 95% CI: 1.047–7.178; p=0.040), while nulliparous women have a 2.714-fold higher risk compared to those who have given birth (OR=2.714; 95% CI: 1.101–6.693; p=0.030). Multivariate analysis identified maternal age ?35 years and nulliparity as the most significant predictors (p=0.005). These findings align with studies by Wiranto & Putriningtyas (2021), Hinkosa et al. (2020), and Luo et al. (2020), which confirmed that advanced maternal age and nulliparity increase the risk of pregnancy complications. The novelty of this research lies in integrating all three reproductive status factors as simultaneous predictors of hypertension risk, providing a new perspective compared to previous studies focused on single variables. Based on these findings, early detection and targeted health education for high-risk mothers are strongly recommended.

Hypertension is a disorder characterized by elevated blood pressure originating from abnormalities in blood vessels, leading to impaired delivery of oxygen and nutrients to essential body tissues. Family involvement in assisting relatives afflicted with hypertension constitutes a supportive mechanism to facilitate effective self-care management of the condition.This study aimed to investigate the correlation between familial support and self-care management in hypertensive patients at Tuminting Health Center. Cross-sectional methods. The study sample comprised 49 individuals selected by purposive sampling. A questionnaire was employed as the study instrument. The gathered data was analyzed with the SPSS 16.0 software employing the Chi Square statistical test at a significance level (?) of <0.05. The results indicated that the predominant age group was 56-65 years, including 27 respondents, which represents 55.1%. The majority of respondents were female, totaling 39 individuals, accounting for 79.6%. The most common educational attainment was high school, with 22 respondents, corresponding to 44.9%. The statistical test yielded a P value of 0.0001, which is less than the alpha value (?) of ?0.05. This study concludes that a correlation exists between family support and self-care management in hypertension patients at Tuminting Health Center. The findings of this study are anticipated to serve as a resource for individuals with hypertension, emphasizing the importance of self-care management to prevent problems and facilitate recovery.

Background:Supplemental Feeding (PMT) is an activity of providing food in the form of safe and quality snacks along with other supporting activities by considering aspects of food quality and safety. There are two types of supplementary feeding, namely supplementary recovery feeding and supplementary counseling (PMT). Supplemental feeding (PMT) of local food is one of the strategies for handling nutritional problems in toddlers. The PMT activity needs to be accompanied by nutrition and health education for behavioral change, for example with support for breastfeeding, education and counseling on feeding, cleanliness and sanitation for families. Nutritional status is a state of the body as a result of food consumption and use of nutrients, where nutrients are needed by the body as a source of energy, growth and maintenance of body tissues, and regulators of body processes. Nutritional status is greatly influenced by nutritional intake. Objective: To determine the effect of providing local supplementary feeding (PMT) on the nutritional status of toddlers aged 12-59 months. Method: This type of research uses quantitative research using a pre-experimental design pretest-posttest research design. Results: Based on the results of the study, it was shown that a p-value of 0.41 (> 0.05) was obtained. Conclusion: Provision of Local Supplementary Food (PMT) Has No Relationship with Toddler Nutritional Status at UPTD Siriwini Health Center. Suggestion: It is expected that mothers who have toddlers pay more attention to the growth and development of toddlers.

Health problems in the elderly are increasingly becoming a major concern at global and national levels, along with increasing life expectancy. One of the most common health problems faced by the elderly is musculoskeletal disease, including rheumatism. This study aimed to determine the effect of rheumatic exercise on the ability of elderly individuals to perform daily activities. This study is a quantitative study using a quasi-experimental one-group pre-test and post-test design. The results showed that The results of the Wilcoxon rank test were p = 0.000, which was smaller than ? = 0.05. This study shows the effect of rheumatic exercise on the ability of the elderly to perform daily activities. This shows that rheumatic exercise is an effective intervention to support the ability of the elderly to face physical and psychological challenges due to aging and chronic diseases, such as rheumatoid arthritis.

Unsafe action is an action that does not comply with established procedures and rules which can cause work accidents. Unsafe action occurs for two reasons, such as unintentional errors and active errors or rule violations. Factor affecting unsafe action is internal and external factors. This research aims to examine the relationship between attitudes and knowledge towards unsafe action on section workers veneer setting at PT Abhirama Kresna. This research is a quantitative research using a cross sectional study design. The population in this study was 128 workers with 97 sample respondents. The variables in this study were knowledge, attitudes and unsafe actions. Bivariate analysis uses the chi square statistical test with a confidence level of 95%.  This research shows that knowledge does not have a significant relationship with unsafe action (p-value = 0.985; PR (CI 95%) = 0.288–3.391). On the other hand, attitude has a significant relationship with unsafe action (p-value = 0.022; PR (CI 95%) = 0.099–0.868). 

Background:Measles is an infectious disease caused by the measles virus (morbillivirus). This disease is highly contagious and usually attacks children, although adults who have never been vaccinated or have never had measles are also at risk. Infants do not receive measles immunization at the Timeepa Health Center 50 children. If they do not receive complete and timely immunization, they will be more susceptible to various diseases that should be prevented by immunization, one of which is measles.Objective:To determine the effect of maternal knowledge, maternal occupation and maternal attitude on the provision of Measles Immunization to infants aged 9-18 months in the Timeepa Health Center Work Area. Method: Quantitative research type with a cross-sectional approach. The study population was 34 toddlers. The sampling technique used total sampling. Data analysis used the Statistical Program for Social Science (SPSS) version 16.0 application and used the chi-square test. Results: The test of the effect of maternal knowledge p-value 0.000 (<0.05), maternal occupation p-value 0.000 (<0.05), and maternal attitude p-value 0.015 (<0.05). Conclusion: There is an effect of maternal knowledge, maternal occupation and maternal attitude on the provision of measles immunization in the Timeepa Health Center Work Area. Suggestions:Conducting counseling on measles immunization and the importance of integrated health posts, types of activities at integrated health posts regarding measles immunization so that mothers go to integrated health posts more regularly every month and so that toddlers can receive measles immunization.
 
 

Postpartum is the period that begins after the birth of the placenta and ends when the bladder returns to its original state before pregnancy, which lasts for 6-40 days. The length of the postpartum period is ± 6 – 8 weeks. The postpartum period begins after the birth of the placenta and ends when the uterine organs return to their pre-pregnancy state, which lasts approximately 6 weeks. The aim is to determine the relationship between family support and adaptation to psychological changes in postpartum mothers. Research Method uses a quantitative approach with correlation methods and a cross sectional approach. The sampling technique was purposive sampling technique, the number of respondents was 35 respondents. The research location was at the Romana Tanjung Anom Clinic which was carried out from January 5 to March 30 2024. Data analysis using Chi Square. The result was that 74.3% of 26 respondents were in the category of supporting postpartum mothers. Univariate Analysis of Adaptation to Psychological Changes in Pregnant Women found that the majority of postpartum mothers were in the positive psychological adaptation category with 27 respondents or 77.1%. Bivariate analysis obtained a p-value of 0.000. The conclusion is that there is a relationship between family support and adaptation to psychological changes in postpartum mothers.

This qualitative study explores the role of pickleball in promoting healthy aging among elderly players in Indonesia. As the global elderly population continues to rise, the need for effective strategies to enhance physical, mental, and social well-being in older adults becomes more pressing. Pickleball, a low-impact sport that combines elements of tennis, badminton, and table tennis, has gained significant popularity worldwide due to its accessibility, moderate intensity, and low risk of injury. This study employed a phenomenological approach, conducting semi-structured interviews, participant observations, and focus group discussions with 19 elderly pickleball players aged 50 and above in Surabaya, Indonesia. The findings suggest that regular participation in pickleball leads to significant improvements in physical health, including enhanced strength, balance, flexibility, and cardiovascular endurance. The sport also has positive effects on mental well-being, helping to reduce stress, improve cognitive function, and provide a sense of purpose and accomplishment. Socially, pickleball fosters community engagement, reduces feelings of isolation, and strengthens intergenerational relationships, allowing older adults to connect with younger generations. However, barriers such as physical limitations, limited access to facilities, and unfavorable weather conditions hinder consistent participation. In conclusion, pickleball is a valuable and effective activity for promoting healthy aging by providing a holistic approach to improving the quality of life in older adults. Policymakers, healthcare providers, and community leaders are encouraged to invest in pickleball infrastructure, promote awareness, and support active aging initiatives to further enhance the well-being of elderly populations. This version now has 253 words, making it more closely aligned with your desired word count.

Gross motor development in children aged 1–3 years is a crucial aspect of growth and development, influenced by various factors, one of which is nutritional status. Good nutritional status plays a role in optimizing children's growth and development, including gross motor skills. This study aims to analyze the relationship between nutritional status and gross motor development in children aged 1–3 years at the Posyandu within the working area of Situ Udik Community Health Center (Puskesmas). This study employs a quantitative design with a cross-sectional approach. The research sample consists of children aged 1–3 years selected using a random sampling technique. Nutritional status was measured using an anthropometric approach, specifically weight-for-age (W/A), while gross motor development was assessed using the validated Denver Development Screening Test (DDST II) observation sheet. Data analysis was conducted using the chi-square statistical test to determine the relationship between nutritional status and gross motor development. The results indicate a significant relationship between nutritional status and gross motor development in children aged 1–3 years (0.013, p ? 0.05). Children with good nutritional status tend to have optimal gross motor development compared to those with undernutrition or overnutrition. These findings suggest that good nutritional status is a supporting factor in early childhood gross motor development. Therefore, regular monitoring of nutritional status and parental nutrition education are essential steps in supporting children's optimal growth and development.

Background:Toddlerhood is the most central phase of a child because the growth and development of children can run quickly, precisely the age of 0-2 years is the golden period of children, because brain development reaches 80%. Cases of BB/TB nutrition at the Kalibobo Health Center UPTD, 6 cases of malnutrition, 3 cases of undernutrition, 12 cases at risk of overnutrition. The task of parents, especially mothers, in the practice of caring for toddlers so that the basic needs of nurturing patterns, loving patterns and parenting patterns affect the process of child growth and development. Objective: To determine the relationship between nurturing patterns, loving patterns and parenting patterns to the nutritional status of toddlers in the Kalibobo Health Center UPTD Work Area. Method: Quantitative research type with a cross-sectional approach. The population of 222 toddlers became 69 toddler samples using the slovin formula. The sampling technique is purposive sampling. Data analysis using Statistical Program for Social Science (SPSS) software version 16.0 with the chi-square test. Results: The test of the relationship between the sharpening pattern p-value 0.30 (>0.05), the affection pattern p-value 0.00 (<0.05), and the parenting pattern p-value 0.00 (<0.05). Conclusion: The sharpening pattern and the nutritional status of toddlers have no relationship, the affection pattern and parenting pattern have a relationship with the nutritional status of toddlers in the Working Area of ??the Kalibobo Health Center UPTD. Suggestion: It is necessary to carry out counseling on the sharpening pattern, affection, parenting, types of activities and the importance of integrated health posts to mothers.

Iron deficiency is a common cause of anemia during pregnancy. The low consumption of Fe tablets is related to compliance with consumption. The purpose of this study was to determine the compliance of pregnant women taking iron tablets in the second trimester in Bukittinggi City. This was a qualitative study using a case study method. A purposive sampling technique was used, with the main informant being pregnant women in the second trimester in Baratan Village. Data were collected using interview techniques, observation, and documentation analysis and then validated using data triangulation, observer triangulation, theory triangulation, and method triangulation. The results of this study were analyzed based on data grouping. Testing data assumptions, alternative data explanations, and the results of the study were written. The compliance of pregnant women in taking Fe tablets shows the compliance of pregnant women in the second trimester in taking Fe tablets and how pregnant women know the benefits and impacts of not taking Fe tablets. Researchers know how long pregnant women take Fe tablets, and family support is a reinforcement for pregnant women if they forget when taking Fe tablets. Pregnant women who routinely have ANC will also receive Fe tablets from the midwife who checks for compliance with taking Fe is better when Fe tablets are also available. The opinion of researchers of primigravida pregnant women in the second trimester shows that the first, second, and third subjects are pregnant women in the second trimester who have experience taking Fe tablets. They reported the same complaints, namely nausea and vomiting after taking Fe tablets; even so, they remained obedient and routinely took Fe tablets every day, with and without being reminded by their families, they still routinely took Fe tablets. Some mothers understand the impact of not taking Fe tablets, namely, anemia and bleeding. During the interviews, all mothers said that they routinely checked their pregnancy every month with a midwife accompanied by their husbands.

Background:Wasteis a condition of acute malnutrition where the weight of a toddler is not in accordance with his height and the z-score value <-2. Toddlerhood is an important life and needs to be considered by parents. Toddlers need to get nutrients from daily food in the right amount and good quality. Education, maternal knowledge affects children's food choices, good maternal parenting patterns, children will grow and develop well by coming to the integrated health post, monitoring toddler weight is a positive attitude in solving problems. Purpose: This study was to determine the level of education, knowledge and maternal parenting patterns on the incidence of wasting in the work area of ??the Nabarua Health Center UPTD, Nabire Regency. Method: The research design used was Cross Sectional. The sample used was 30 toddlers using total sampling. Data analysis used the Statistical Program for Social Science (SPSS) Version 16.0 computer release program and used the chi-square test. Results: test of the relationship between maternal education (p value = 0.23), maternal knowledge (p-value = 0.43), and Parenting (p-value = 0.82). Conclusion: There is no relationship between maternal education, maternal knowledge, and maternal parenting patterns with wasting incidents. Suggestion: It is expected that mothers of toddlers provide daily food in the right amount and good quality, good maternal parenting patterns so that children grow and develop well by coming to the integrated health post to monitor their child's weight.
 
 

Gout is a type of inflammatory joint disease that occurs due to the accumulation of uric acid crystals. It usually occurs in several joints, such as the toes, ankles, knees, and big toes. Gout is also commonly called gout. This study aims to determine the Effect of Bay Leaf Decoction on Reducing Uric Acid in the Elderly at the Binjai Estate Health Center in 2024. The design of this study uses a descriptive correlation research method ( correlation study). The population in this study were all elderly people as many as 26 respondents, a total sampling of 26 samples. The variables in the study were the independent variable, namely boiled bay leaves and the dependent variable, uric acid levels in the elderly. The research instrument used a questionnaire and chi-square test. The results of the study show that regular elderly drink stew leaf greetings , grade sour tendon down as many as 16 people (84.2%) and elderly minority drink stew leaf regards regular , level sour tendon No down as many as 3 respondents (15.8%) while majority elderly who do not regular drink stew leaf greetings , grade sour tendon down as many as 1 respondent (14.2%) and a minority elderly who do not regular drink leaf greetings , grade sour tendon No down as many as 6 respondents (85.8%). The chi-square test shows that mark significant p-Value = 0.002< a( 0.05), so H 1 is accepted. Conclusion This research is There is connection influence stew leaf regards to decline level sour veins in the elderly at the Community Health Center Binjai Estate.

The problem of under-five nutrition, especially stunting, is still the focus of the government. Stunting in toddlers can have an impact on physical, mental and emotional development, as well as brain development. Children who suffer from stunting, as adults, will be more susceptible to diseases, both infectious and non-communicable diseases. Jambi Province's stunting prevalence of 13.5% in 2023 has not yet reached the reduction target. Based on SSGI in 2021, the stunting prevalence rate in Jambi City is 14.0%. This study aims to determine the effect of healthy food education on the knowledge of mothers of toddlers. This study is a quasi-experimental study (pre- test and post-test), the respondents were mothers of toddlers in Pinang Merah Village, Jambi City. Data analysis using the Wilcoxon test. The results of the study were an increase in knowledge seen from the results of the pre- test and post-test which statistically proved a significant increase in knowledge (p-value <0.001). It is concluded that there is an effect of healthy food education on the knowledge of mothers of toddlers. It is hoped that local health centers will often carry out counseling or educational activities to the community to increase knowledge, attitudes and behavior so as to increase the degree of public health.

This research is an experimental research withThe research design used in this study is "Treatment by blocks design 2 x 2", or treatment of a 2 x 2 factorial experimental research design. The population in this study was 66 students from the POR and PKO FIKKM UNIMA departments. The sample was 40 students based on calculations using the Slovin formula, while the sampling technique used was Simple Random Sampling. Data collection for the agility test on March 25, 2024 and continued with the Results Test on May 7, 2024. Where the treatment was given 16 times, with a frequency of 3 times a week. The data analysis technique used was ANOVA with a significance level of 5%. The results of the study showed that: 1). There is a significant difference in the effect between SSD training and SRBD training on reaction speedon POR and PKO FIKKM UNIMA students, where Fo = 5.69 is greater than Ft = 4.11;. 2.) There is a difference in the influence of SSD and SRBD training methods on POR and PKO FIKKM UNIMA students who have high agility, where Qh = 5.97 is greater than Qt = 3.79.;3.) There is no difference in the influence of SSD and SRBD training methods on POR and PKO FIKKM UNIMA students who have low agility, where Qh = 1.56 is smaller than Qt = 3.79.;4.) Interaction between SSD and SRBD training methods of agility training types (high and low) on the reaction speed of POR and PKO FIKKM UNIMA students, whereobtained an average score of the SSD training method group that has high agility of 51.15 and an average score of the SSD training method group that has low agility of 42.9. With an average score of the SRBD training method group that has high agility of 44.85, and an average score of the SRBD training method group that has low agility of 44.55.

Liver damage induced by hepatotoxic compounds such as N-acetyl-p-aminophenol (N-APAP) remains a significant global health concern. Hepatotoxicity caused by N-APAP, particularly in cases of overdose or prolonged use, can lead to a reduction in glutathione levels in the liver, resulting in oxidative stress and cellular damage. This condition contributes to an increased incidence of liver diseases, including toxic hepatitis and acute liver failure, which can lead to serious complications and even death. Although various pharmacological therapies, such as N-acetylcysteine (NAC), are available to address N-APAP-induced liver damage, limitations such as side effects, high costs, and variable efficacy have driven the search for safer and more affordable therapeutic alternatives. Therefore, research on natural hepatoprotective agents, such as extracts from the rhizomes of fingerroot (Boesenbergia rotunda), has become increasingly relevant in addressing this issue. The aim of this study was to evaluate the hepatoprotective potential of ethanol extract from fingerroot rhizomes (Boesenbergia rotunda) in protecting the liver from N-acetyl-p-aminophenol (N-APAP)-induced damage. Specifically, this research focuses on measuring glutathione levels as a key indicator of the liver's protective mechanism against oxidative stress. In this study, 30 male White rats were randomly divided into six groups, each consisting of five rats. All rats were orally administered the extract at predetermined doses for 10 consecutive days, except for the negative and positive control groups. On the 10th day, all groups (except group 1) were treated with paracetamol (800 mg/kg body weight) to induce liver damage. Twenty-four hours after induction, the rats were sacrificed and liver samples were collected. Glutathione levels were measured using the ELISA immunosorbent assay. Statistical analysis showed that administering the ethanol extract of Fingerroot rhizomes (EERTK) for 10 days prior to N-APAP induction significantly increased the average antioxidant enzyme GSH-Px levels in the liver homogenate of rats in the EERTK 250 mg/kg BW (43.36 ± 1.34 U/mg protein), EERTK 500 mg/kg BW (55.70 ± 2.15 U/mg protein), and 750 mg/kg BW (53.14 ± 2.57 U/mg protein) group compared to the negative control group (N-APAP 800 mg/kg BW), which had the lowest average antioxidant enzyme GSH-Px level (33.86 ± 3.52 U/mg protein).

The use of ECG patterns as predictors of preeclampsia offers a promising approach, as it is a widely available and cost-effective tool. Specific ECG patterns, including angle of deviation, QRS Complex (Right Ventricular Hypertrophy (RVH) , Left Ventricular Hypertrophy (LVH)), and T wave amplitudes as a potential tool for predicting preeclampsia. The aim of this study is to investigate the predictive role of angle of deviation, QRS Complex (Right Ventricular Hypertrophy (RVH) , Left Ventricular Hypertrophy (LVH)), and T wave amplitudes in preeclamptic pregnant women during the third trimester. 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 QRS complex angles related to right ventricular hypertrophy (RVH) between normotensive and preeclamptic pregnant women. Notably, there was a significant increase in QRS complex related to left ventricular hypertrophy (LVH) in preeclamptic pregnant women, indicating left ventricular remodeling's importance. Moreover, there was a significant increase in T wave amplitude, this suggests underlying myocardial electrical remodeling or dysfunction in preeclampsia, emphasizing the need for cardiovascular monitoring. The study underscores the multifactorial nature of cardiovascular changes in preeclampsia and highlights the potential of ECG parameters in aiding early detection.

The purpose of this study was to determine: (1) The difference in the effect of plyometric training methods between double leg bound training and double leg vertical power jump training on 100-meter running ability, (2) The difference in the effect between high balance and low balance on 100-meter running ability, (3) Interaction between plyometric and balance training methods on 100-meter running ability. The instruments used to collect data were: (1) Balance test (Modified Bass Test of Dynamic Balance), (2) 100-meter running ability test with time test, (3) Training program as a guideline that will be used in providing treatment . The data analysis technique used was Analysis of Variance (ANOVA) at a significance level of ? = 0.05. The results of the hypothesis testing proved that: (1) There is no difference in the influence between double leg bound training and double leg vertical power jump training on 100-meter running ability. By looking at the similarity of the movements that both jump use both legs, it seems that these two exercises are variations in training, as a result the two plyometric training methods are not significantly different. (2) There is a difference in the influence between high balance and low balance on 100-meter running ability. The results of the data analysis showed that high balance has a significant difference in influence with low balance. (3) There is no interaction of influence between plyometric and balance training methods on 100-meter running ability. Related to the interaction hypothesis, it turns out that the results of the hypothesis testing have proven that there is no interaction between plyometric and balance training methods on 100-meter running ability where the calculated F value = 0.006 < than the F table value = 2.82 at a significance level of ? = 0.05. Conclusion of the study: 1) There is no significant difference in influence between double leg bound training and double leg vertical power jump training on 100-meter running ability. 2) There is a significant difference in the influence of high balance and low balance on 100-meter running ability. 3) There is no interaction between plyometric training methods and balance on 100-meter running ability.

One of the cardiovascular diseases that can cause death is Unstable Angina Pectoris (UAP) Benson relaxation is a passive relaxation technique without using muscle tension so it is very appropriate to reduce pain. Benson relaxation is a development of the relaxation response method by involving the patient's belief factor, which can create a calm internal environment that can help patients achieve higher health and well-being. Method:Descriptive method in the form of case studies. Nursing care approach consisting of
from assessment, nursing diagnosis, planning, implementation, evaluation and documentation nursing. The subject of this study was one person. Results:Benson relaxation is a passive relaxation technique without using muscle tension so it is very appropriate to reduce pain. Conclusion: Benson Relaxation therapy in patients with Unstable Angina Pectoris (UAP) was carried out for 3 days. It was found that there was a decrease in the pain scale. This is evidenced by the results of the evaluation on the first day, March 1, 2024, the pain scale was 7 to 7. The second day, March 2, 2024, the pain scale was 7 to 5. The third day, March 3, 2024, the pain scale was 5 to 3.

This systematic review examines the effectiveness of antenatal classes in improving pregnant women's attitudes towards stunting prevention. The review analyzed 28 studies published between 2018 and 2023, focusing on developing countries, particularly in Southeast Asia. The methodology followed PRISMA guidelines, utilizing multiple academic databases. The analysis revealed that structured antenatal classes significantly improved maternal knowledge about stunting (68% increase in knowledge scores) and led to positive behavioral changes in nutritional practices. Regular attendance at comprehensive antenatal classes was associated with better pregnancy outcomes, with participants showing 75% higher rates of implementing recommended nutritional guidelines. Key success factors included regular class frequency, interactive teaching methods, cultural sensitivity, and strong community support. However, significant challenges were identified, including resource limitations, access barriers, and cultural resistance. The review highlighted successful adaptations such as hybrid learning models and community-based approaches. Recommendations include strengthening program design through evidence-based approaches, enhancing community engagement, developing sustainable funding mechanisms, and implementing robust monitoring systems. This review underscores the vital role of antenatal classes in stunting prevention while emphasizing the need for continued research to address existing challenges and enhance program effectiveness across diverse settings.

Purple sweet potato is one type of tuber. Organoleptic test is a test of a food ingredient based on the level of preference. Shelf life is a time span on a product. Objective: To determine the level of consumer preference and shelf life of pia cake skin with the addition of purple sweet potato (Ipomea Batatas L). Methods: Quantitative research with a completely randomized experimental design (CRD). Panelists in this study were 30 untrained panelists, 15 moderately trained panelists. Results: It is known that the results of research conducted on pia cake skin added purple sweet potato (Ipomea Batatas L) have an effect on the taste p-value 0.01 (<0.05), there is an effect on the aroma p-value 0.02 (<0.05), there is an effect on the color p-value 0.00 (<0.05), there is an effect on the texture p-value 0.00 (<0.05), for the shelf life of pia cake skin in treatments X, Y, V and Z at cold temperature and room temperature there is a relationship p-value <0.05. Conclusion: Based on the results of the study, it can be concluded that there are differences in the variables of taste, aroma, color, texture and shelf life of pia cake skin with the addition of purple sweet potato (Ipomea Batatas L) in Kimi Village, which obtained p-value <0.05. Suggestion: There is a need for skills, knowledge related to purple sweet potatoes to increase creativity and the economy of the community.

This research examines the relationship between air quality and respiratory health in urban populations. By analyzing data on air pollution levels and health outcomes such as asthma and chronic obstructive pulmonary disease (COPD), the study identifies significant correlations between poor air quality and increased respiratory issues. The findings underscore the need for policy changes aimed at improving air quality to enhance public health in urban settings.

Health education is a crucial aspect of guiding learners about health in a broad range, encompassing physical, mental, and social well-being. Schools, being environments where students are exposed to various hazards, are particularly vulnerable to accidents. First aid education is essential in preventing injuries and ensuring that students are equipped with the necessary skills to respond effectively in emergency situations. This study aims to evaluate the effect of Augmented Reality (AR) based First Aid health education on the knowledge of Youth Red Cross (PMR) members at Titian Teras State Senior High School, Jambi City. This study employed a quasi-experimental design with one pretest-posttest group without a control group. A total of 50 PMR members were involved, divided into an intervention group (n=25) and a control group (n=25). The intervention group received AR-based First Aid health education, while the control group received conventional methods. Data collection was conducted using a knowledge assessment tool, and pre- and post-test analyses were performed to evaluate the effectiveness of the intervention. The results showed a significant increase in the intervention group's knowledge. After the intervention, 80% of respondents in the intervention group achieved the "good" category, compared to only 36% in the control group. The Mann-Whitney test confirmed the significant difference between the two groups (p<0.05), indicating that the AR-based First Aid health education was more effective in improving PMR members' knowledge compared to conventional methods. This study concludes that AR-based First Aid health education is more effective in improving PMR members' knowledge compared to conventional methods. The integration of AR technology in health education highlights its potential in enhancing learning outcomes and improving the preparedness of students in responding to emergencies. The findings suggest that AR can be a valuable tool in health education, particularly in first aid training, by providing an immersive and interactive learning experience that enhances both knowledge and skills acquisition.

A child's life is very important, and parental attention is also important. Babies need to get nutrition from food every day in the right amount and good quality every day. One way to optimize child growth and development is by giving formula milk. Objective: To determine the effect of formula milk consumption on the nutritional status of toddlers in the Working Area of ??the Yaro Health Center UPTD, Jaya Mukti Village, Nabire Regency. Method: This type of research is quantitative research using observational analysis research design and cross-sectional study design. The population in the study was 65 toddlers and the selected sample consisted of 65 toddlers using total sampling. The research instruments included questionnaires, anthropometric measuring instruments (digital scales and length boards), stationery and documentation tools. The analysis used the Release Statistical Program For Science (SPSS) type 16.0 application. Results: The study showed that the BB/TB index p-value was 0.00 (<0.05), the BB/A index p-value was 0.00 (<0.05) and the TB/A index p-value was 0.00 (<0.05). Conclusion: There is an effect of giving formula milk on the nutritional status of toddlers based on anthropometric measurements using the Body Weight/Height (BW/TB), Body Weight/Age (BW/U) and Height/Age (BH/U) indices. Suggestion: For parents to pay attention to the appropriateness of the dosage, frequency of giving and sanitation of serving formula milk to achieve optimal nutritional status.

The study was to describe the nutritional status of participants in the Integrated Development Post for Non-Communicable Diseases. The method used was descriptive quantitative with 35 respondents. Respondents were measured anthropometrically including weight, height, waist circumference and body mass index (BMI) then descriptive analysis was carried out using SPSS. The results showed that respondents who had BMI in the obesity category were 15 (42.90%), normal 14 (40%) and obese 6 (17.10%) and based on the measurement of waist circumference, respondents who experienced central obesity were 30 (85.70%) and not central obesity were 5 (14.30%). Conclusion: Maintaining nutritional status is very beneficial because someone who is overweight is at risk of experiencing several diseases such as hypertension, diabetes mellitus and heart disease.

Background:Stunting reflects the condition of children under the age of five, due to malnutrition especially in the first 1000 days of life (HPK), children are very short for their age. In Indonesia, stunting is a major and major problem that is being faced. Toddlers are children over one year old and children under 5 years old. Objective: To determine the factors associated with stunting in toddlers in the working area of ??the Lagari Inpatient Health Center UPTD, Nabire Regency. Method: The type of research used in this study is quantitative and the design used is observational analytic. Results: analysis test using the chi-square test p-value> 0.05, 0.82 indicates that there is no relationship between education and stunting in toddlers. Analysis test using the chi-square test p-value> 0.05, namely 0.09 indicates that there is no relationship between work and stunting in toddlers. Analysis test using the chi-square test p-value <0.05, namely 0.04 indicates that there is a relationship between income and stunting in toddlers. Analysis test using chi-square test p-value <0.05, which is 0.05 indicates that there is a relationship between knowledge and the incidence of stunting in toddlers. Analysis test using chi-square test p-value <0.05, which is 0.05 indicates that there is a relationship between exclusive breastfeeding and the incidence of stunting in toddlers. Conclusion: Factors that influence stunting in toddlers include: education, employment, income, knowledge and exclusive breastfeeding. There is no relationship between education and employment with the incidence of stunting in toddlers, and there is a relationship between employment, knowledge and exclusive breastfeeding with the incidence of stunting in toddlers. Suggestion: Create a program on stunting, especially the factors that influence stunting to reduce stunting rates and need to increase counseling activities on stunting for mothers of toddlers to increase awareness and understanding of stunting.
 

Fly density is an indicator of environmental sanitation assessment. Fly density is influenced by waste management, the National Waste Management Information System (SIPSN) shows that waste generation in Jambi City reaches 159,688.01 tons/year. The aim of this research is to determine factors related to the level of fly density in Temporary Waste Storage Sites (TPSS) in Telanaipura District, Jambi City 2023. This research is a quantitative research with a cross sectional method research design. This research was conducted in the Telanaipura District community with a sample of 94 people. Data analysis was carried out using univariate and bivariate methods using correlation tests. The results of this study indicate that knowledge (p=0.027), action (p=0.029), monitoring (p=0.017), sorting (p=0.016), collection (p=0.027), and transportation (p=0.026) have relationship with the level of fly density, while attitude (p=0.245) had no relationship with the level of fly density. Knowledge, action, monitoring, sorting, collection and transportation are factors related to the level of fly density in temporary waste storage sites in Telanaipura District. It is hoped that the public will pay attention to managing household waste properly.

This study investigates the effectiveness of community-based interventions in addressing health disparities in maternal and child health. By implementing programs focused on education, nutrition, and access to healthcare services, the research assesses changes in health outcomes among low-income families. The results demonstrate that community engagement and tailored interventions can significantly improve maternal and child health indicators, reducing disparities in health access and outcomes.

This article discusses the importance of public health education in preventing non-communicable diseases (NCDs) such as diabetes, heart disease, and cancer. By evaluating educational programs aimed at promoting healthy lifestyles, the research highlights effective strategies for increasing awareness and behavioral change among populations. The findings suggest that targeted public health education initiatives can play a crucial role in reducing the prevalence of NCDs and improving overall community health.

This study evaluates the effectiveness of vaccination programs in reducing the incidence of infectious diseases in low-income countries. By analyzing immunization coverage data and disease prevalence rates, the research highlights the successes and challenges faced by vaccination initiatives. The findings indicate that comprehensive vaccination campaigns significantly decrease morbidity and mortality rates, emphasizing the need for sustained investment and community engagement to improve public health outcomes.

This article explores the relationship between mental health outcomes and social determinants of health among immigrant populations. By analyzing survey data, the research identifies key factors such as socioeconomic status, access to healthcare, and social support that influence mental health. The findings suggest that addressing social determinants is essential for improving mental health outcomes and providing effective support services for immigrants.

Cassava is a staple food source that is abundant in Indonesia. Cassava leaves have been known to our people for a long time as an alternative vegetable to replace most vegetables in general. For those who are used to it, cassava leaves are a unique vegetable, and can stimulate your appetite, but for those who have never tasted it, it may take time to get used to it. The texture of cassava leaves is rough, so they are only suitable for cooking in a few ways. The aim of this research is to find out the most preferred formula for making beef jerky from cassava leaves. This research is experimental research with the research design used, namely Pre-Experimental Design with a One-shot case study type of research. Based on the research that has been carried out, the conclusion in this study is that of the 4 treatments given, it is seen from the color aspect that the most preferred treatment is P12 (100%), the taste aspect of the treatment is P12 986.7), the aroma aspect is P11 (80%) and the P12 texture (83.3%). For further research, it is hoped that variables such as water content and HCN can be added to cassava leaves.

Myopia or nearsightedness is a visual impairment whose prevalence is increasing, especially among adolescents living in urban areas. This study aims to analyze the risk factors that contribute to the increasing incidence of myopia in adolescents in urban areas. The risk factors studied include near visual activity, exposure to natural light, duration of digital device use, reading habits, and genetic and environmental factors. This study design used a cross-sectional approach involving 300 adolescents aged 12-18 years who were randomly selected from several schools in city X. Data were collected through questionnaires that measured visual habits, daily activity patterns, and family health history, and were strengthened by eye refraction examinations by medical personnel. Data analysis was carried out using logistic regression to identify the relationship between risk factors and the incidence of myopia. The results showed that excessive near visual activity, use of digital devices for more than 4 hours per day, and lack of exposure to natural light were significant risk factors for myopia in adolescents. In addition, genetic factors also play an important role in the predisposition of myopia. These findings are expected to provide a deeper understanding of the factors causing myopia among adolescents and become the basis for formulating effective prevention strategies.

The purpose of this study is to analyze: the effect of job stress and job satisfaction on turnover intentions on employees who work. This research is descriptive. This research study aims to see the extent to which the influence of the dependent variable influences the independent variable. The population in this study is all employees who work. Data were collected through a questionnaire distributed to the sample / study respondents. Secondary data were obtained from documentation, literature studies, and previous studies relating to the study material. The collected data is then analyzed statistically by descriptive analysis and multiple regression.

Gum health and caries prevention are important aspects in maintaining overall oral health. Flossing technique or the use of dental floss is known as one of the effective methods for cleaning areas between teeth that are not reached by a toothbrush. This study aims to analyze the effect of flossing technique on gum health and caries prevention. This study used an experimental method involving 100 respondents who were divided into two groups, namely the group that routinely flossed and the control group that only relied on a toothbrush. Data were collected through gum health examinations using the gingival index and caries detection through clinical examinations for 3 months. The results showed that the group that routinely flossed experienced a significant decrease in the level of gum inflammation compared to the control group. In addition, the flossing technique was also proven effective in reducing plaque formation between teeth, which is the main factor causing caries. In conclusion, the flossing technique has a positive effect on gum health and can play an important role in caries prevention. Therefore, the use of flossing is recommended as part of an oral hygiene routine to support optimal dental and gum health.

The many possible risks associated with laboratory work are unavoidable. This study aimed to determine and analyze hazards, risks, impacts, risk levels and occupational safety and health (OHS) controls in the physics and chemistry laboratories of the Occupational Safety and Health Center (OHS) Medan. This is a qualitative research method with phenomenological approach hazard identification using Task Risk Analysis method using AS/NZS 4360: 2004 semi-quantitative. The tolerable risk threshold in the chemistry lab was 52, priority 3 was 10, and major was 11. The only thing OHS controlled in the physics lab was the air conditioning system. The presence of SOP (work procedures), MSDS (material safety data sheet) documents, OHS signs, supervision, managerial support, and the use of PPE masks, gloves, long-hand lab coats, rubber shoes, and other safety measures were all necessary in chemistry labs. Expanding the space, adding SOP, installing ventilation are all suggested at the physics laboratorium, Adopting ANSI / AIHA Z9.5-2003 ventilation guidelines, changing or replacing processes with safer chemicals, providing OHS training, and wearing coveralls and glasses are all recommended in the chemistry laboratory.

The use of X-ray Thorax (XCR Thorax) in assisting thoracocentesis procedures has some limitations. XCR Thorax only provides a two-dimensional image, which may limit the accuracy in determining the exact location for the puncture. In addition, XCR Thorax cannot detect septation or loculation which may affect the success of the thoracocentesis procedure. Thoracic ultrasonography offers advantages in detecting pleural effusion compared to conventional radiographic methods, but has not been standardized in national guidelines. This study aims to see the difference in the success rate of thoracocentesis between the use of thoracic ultrasound guidance and thoracic photo guidance in patients with clinical tuberculosis at Respira Lung Hospital Yogyakarta. This cross-sectional study used a static group comparison approach to compare the success rate of thoracocentesis between two groups at Respira Lung Hospital Yogyakarta: 30 patients with Thorax ultrasound and Thorax photo guidance (Group A) and 30 patients only with Thorax photo guidance (Group B). With a purposive sampling method and analysis using the chi-square test, this study aims to analyze differences in the success rate of thoracocentesis in real clinical conditions without intervening in existing procedures in the hospital. Thoracocentesis with thorax photo plus thorax ultrasound guidance showed a success rate of 100% compared to 66.67% in procedures with thorax X-ray alone (p < 0.001). The results showed that the use of thoracic ultrasound as a thoracocentesis guide had a higher success rate compared to the use of thoracic photo guidance.

Every pregnant woman will experience physical and psychological changes that can trigger anxiety in the mother. Anxiety that occurs in third trimester pregnant women if not handled properly can have a negative impact on both the mother and the fetus. Hypnobirthing is a technique that can reduce anxiety in pregnant women. This study aims to determine the effect of hypnobirthing on the anxiety level of pregnant women in the third trimester in the work area of the Romana Clinic. This type of research is Quasy Experimental with a pretest and posttest control group design. This research was conducted at the Romana Clinic. A sample of 30 pregnant women in the third trimester who met the inclusion criteria using the accidental sampling method, the independent variable of this study was hypnobirthing and the dependent variable was the level of anxiety of pregnant women in the third trimester and used the HARS questionnaire as an anxiety measure. The data analysis technique used the Wilcoxon test with the SPSS program. From the results of the Wilcoxon test, all pregnant women experienced a decrease in anxiety after being given treatment in the form of Hypnobirthing with a p value of 0.01 smaller than 0.05 so it was said that there was an effect of Hypnobirthing on the anxiety level of third trimester pregnant women.

Trauma requires immediate and appropriate treatment. Because if the handling is not right or wrong it will result in further complications, such as infection, damage to nerves and blood vessels so that it can result in further soft tissue damage. Knowledge is the result of knowing and this has happened after a person runs his senses on a certain object. This sensory process occurs based on the five senses of every human being, namely the sense of sight, hearing, smell, taste and touch ( Notoadmodjo , 2014).

 
 
Abstract . A hospital is an institution or health service organization with broad and comprehensive functions, dense in expertise and capital intensive. Hospitals carry out broad functions so they must have resources, both capital and experienced and professional humans. Nursing service is part of the health service system in hospitals which has the function of maintaining the quality of service, which is often used as a barometer by the community, in assessing the quality of hospitals, thus demanding the professionalism of nurses in their work as shown by the results of the performance of nurses, both implementing and nursing nurses. management in providing nursing care to clients. Maximum implementation of nurse work in quality health services occurs when the nursing care implementation system supports professional nursing practice according to standards (RI Law No. 38, 2014). Motivation is the factors that exist within a person that moves and directs his behavior or encouragement that causes him to do something or do something to satisfy individual needs to achieve certain goals (Rini, 2015).

The Maternal and Child Health (MCH) book is an initiative by the Indonesian Ministry of Health aimed at addressing child nutrition problems. However, at the Karang Mulia Health Center UPTD, the distribution and utilization of the MCH book among mothers of toddlers have not met the national target. The area has reported 164 cases of undernutrition and 74 cases of overnutrition in children under five. This study aims to determine the relationship between the level of maternal knowledge in utilizing the MCH book and the nutritional status of toddlers aged 12-59 months in the working area of the Karang Mulia Health Center UPTD. This correlational analytic research used a cross-sectional approach. The study population included 640 toddlers, with 90 selected samples of mothers who had the MCH book. Purposive sampling was employed, and data were analyzed using the Statistical Program for Social Science (SPSS) version 16.0, applying the chi-square test. The study found no significant relationship between maternal knowledge in using the MCH book and the nutritional status of toddlers. The p-values for the BB/A, PB/A or TB/A, and BB/PB or BB/TB indices were 0.345, 0.851, and 0.282, respectively, all greater than 0.05. There is no significant relationship between maternal knowledge of the MCH book and the nutritional status of toddlers aged 12-59 months in the Karang Mulia Health Center UPTD.

This study aims to explore the relationship between the quality of antenatal care (ANC) services and the satisfaction levels of pregnant women at the Kuta Raja Community Health Center, Banda Aceh. This relationship is pivotal in understanding how service quality impacts maternal satisfaction and, ultimately, maternal health outcomes. Maternal Mortality Rate (MMR) is defined as the number of mothers who die during postpartum, pregnancy, and childbirth. High MMR is often attributed to a lack of awareness and infrequent ANC visits. In 2023, only 86.25% of pregnant women attended ANC services, falling short of the 93% target. Initial observations indicated that 60% of the attendees were dissatisfied with the ANC services at the Kuta Raja Community Health Center. This analytical survey, employing a cross-sectional design, was conducted at the Kuta Raja Community Health Center. The study population included 93 pregnant women, all of whom were surveyed using a total sampling technique. Data were analyzed using univariate and bivariate analyses, with the chi-square test employed for bivariate analysis. The study found that certain quality dimensions of ANC services—responsiveness (p < 0.001), assurance (p < 0.005), empathy (p < 0.005), and tangibility (p < 0.001)—were significantly related to the satisfaction levels of pregnant women. However, reliability (p > 0.05) showed no significant relationship with satisfaction. There is a significant relationship between the responsiveness, assurance, empathy, and tangibility of ANC services and the satisfaction levels of pregnant women at the Kuta Raja Community Health Center. Conversely, reliability did not show a significant correlation with satisfaction. To improve maternal satisfaction and health outcomes, it is recommended that pregnant women regularly attend ANC services and that efforts be made to enhance the quality dimensions that impact satisfaction.

The prevalence of postpartum anemia is quite large and the effect is significant in many places around the world, this problem has not received adequateattention even in developed countries (Garrido et al., 2017). This type of research uses correlational descriptive with a cross sectional approach. The population in this study were 120 postpartum mothers. The sampling technique is to use the Accidental Sampling Technique. From the results of the study it was known that ofthe 30 postpartum mothers the majority were not anemic as many as 17 people (56.7%) and the minority anemia as many as 13 people (43.3%). Some of them, themajority who experienced Postpartum Bleeding were 16 people (53.3%) and a minority without Postpartum Bleeding were 14 people (46.7%). Based on the Chi Square statistical test, results were obtained where the p value was 0.000 (<0.05), so that Ha was accepted, Ho was rejected, which means that there is a relationshipbetween anemia during pregnancy and the incidence of postpartum hemorrhage at Evi Primary Clinic in 2023. Based on the conclusions, it is hoped that mothers canadd insight especially for mothers giving birth to obey the midwife's recommendations so they can anticipate the incidence of postpartum hemorrhage.

Self-confidence is built by knowledge obtained through an accessible educational process, one of which is through tele-education. The treatment given was in the form of education using the whatsapps (WA) application in group forums for classical education and private lines for personal counseling sessions. The research population is all pregnant women in Indonesia. The sample was selected using a convenience sampling technique. A total of 53 subjects were obtained through online media based on inclusion criteria, including: 28-39 weeks of gestation, declared their ability to participate in the tele-education program using the WhatsApps application, and had an active WhatsApps account. The self-efficacy of pregnant women was measured using the Chilbirth Self-Efficacy Inventory (CBSEI) questionnaire presented before and after the intervention. Data were analyzed using Paired T-Test. Most of the respondents were aged 31-35 years, housewives, had high school and university education, and were pregnant for the first time. Analysis test to get sig. (2-tailed) of 0.004 <0.05, and the value of tcount is greater than ttable (3.067> 2.098). Tele education affects the self-efficacy of pregnant women in facing childbirth.

Background: Ice cream innovation can be done by replacing one or part of it with other ingredients with the aim of diversifying food ingredients, such as fruit and vegetables which are also functional for the body. This is in line with people's interest in products that have more functions than food ingredients. Objective: to determine the organoleptic test of adding purple sweet potato to ice cream. Method: This research was designed using a Completely Randomized Design (CRD).  The data obtained were analyzed using ANOVA consisting of 3 treatments and 30 untrained panelists as replications. This research uses a hedonic quality test. If there are differences between treatments, a DMRT test is carried out. Conclusion: The treatment of adding purple sweet potato to ice cream from the aspect of aroma and influence with a P value (Value) 0.00<0.05. The treatment of adding purple sweet potato to ice cream from the taste aspect has an influence with a P value (Value) of 0.03 <0.05. The treatment of adding purple sweet potato to ice cream from a texture aspect has an influence with a P value (Value) of 0.04 <0.05. Suggestion: Use of purple sweet potato in ice cream should not exceed 450 g and at least 300 g in ice cream, in order to improve the aroma, color, taste and texture of the ice cream.

Background: Complete Basic Immunization (IDL) is an indicator in the immunization program. IDL aims to actively gain early immunity. IDL data at Puskesmas X in 2021 was 83.5% and there was a decrease in the percentage rate in 2022 to 82.87%. Based on an initial survey, on May 9-19, 2023, it was found that out of 73 mothers who brought their children to the posyandu for immunization, around 22 children (30%) were not fully immunized. Objective: Knowing the factors that influence the completeness of immunization in the working area of Puskesmas X Pekanbaru City. Methods: Using analytic observational study design, with cross sectional research design. This research was conducted at Puskesmas X Pekanbaru city. The sampling technique was done by accidental sampling. Variables of knowledge level, and education were analyzed using Kendall Tau test, while variables of employment, family support, mother's attitude and number of children used contingency coefficient test. Results:  The results of the Kendall Tau test analysis of the variable level of knowledge, and education obtained a p value of 0.001 and 0.392 respectively. While in the contingency coefficient test the variables of employment, family support, maternal attitudes and number of children obtained a p value of 0.889; 0.000; 0.000 and 0.455 respectively. Conclusion: There is a significant relationship between the level of knowledge, mother's attitude and family support with the completeness of basic immunization of infants aged 12-24 months in the working area of Puskesmas X Pekanbaru City.

Chronic Obstructive Pulmonary Disease (COPD) is a lung condition characterized by persistent and typically progressive respiratory symptoms and airflow limitation. This disease is associated with an excessive chronic inflammatory response in the airways and lung parenchyma due to exposure to harmful gases or particles. The objective of this study is to evaluate the changes in oxygen saturation and activity tolerance in COPD patients before and after performing home-based walking exercises, pursed lips breathing, and effective coughing. The research method used a descriptive design in the form of a case report with a nursing process approach. The instruments used included assessment sheets and oximetry to measure oxygen saturation. The study subjects were patients with COPD. The results showed that before the intervention, the patient's (Mrs. E) oxygen saturation was 96%, and she reported difficulty engaging in activities due to fatigue and shortness of breath. After three days of intervention, her oxygen saturation increased to 99%, and she was able to perform outdoor activities without experiencing shortness of breath. In conclusion, home-based walking exercises, pursed lips breathing, and effective coughing can improve oxygen saturation, increase activity tolerance, and reduce dyspnea and fatigue
 

The month of Ramadan is a special time for Muslims to worship, erase sins, and gain the rewards and pleasure of Allah SWT. Shaum or fasting, the primary worship during this month, involves abstaining from things that invalidate the fast. However, fasting is not intended to be difficult, as stated in the Qur'an, Surah Al-Baqarah: 185, which emphasizes ease rather than hardship in fasting. Besides its spiritual aspects, fasting also has health benefits, such as helping patients with obesity and heart disease. For patients with chronic kidney disease who require hemodialysis, fasting can be particularly challenging. Hemodialysis is a life-saving method that involves cleaning the blood outside the body. In Islam, there are principles of ushul fiqh that provide rukhsah or legal concessions for those who face difficulties in fulfilling religious obligations due to certain conditions. However, if a kidney failure patient insists on fasting despite having been granted rukhsah, this is known as azimah. This study aims to explore the status of azimah for hemodialysis patients who choose to fast from an Islamic perspective. Using a qualitative approach through literature review and in-depth interviews with fiqh experts, this research seeks to understand the legal implications and medical conditions involved. The results are expected to provide clearer insights into the practice of fasting for hemodialysis patients within the context of Islamic jurisprudence.

Abnormal pain is a general term encompassing various health complaints affecting the area between the chest and pelvis (including the abdominal wall and internal organs), with varying intensity, duration, and pain points. The research aims to identify the application of nursing care for acute pain by providing warm compresses to a patient with the initials Ny.W, who experienced abnormal pain in the Lavender ward at Kardinah Regional Hospital, Tegal City. This study applied a descriptive design. Data were collected through several stages, including anamnesis (gathering of medical history), direct observation, physical assessment, and documentation. The research findings indicated that the patient's issue was resolved on the third day, marked by a reduction in pain intensity. Overall, the nursing problem was managed within three days through the intervention of warm compresses as a nursing action.

This study delves into the correlation between service management quality and ANC visit attendance at PMB Suryani, Medan City in 2023. Using a quantitative approach with a structured questionnaire, the research reveals a significant association between service management quality and ANC visit attendance, with factors like staff competency, facility infrastructure, waiting time, and overall satisfaction playing crucial roles. Enhancing service management quality emerges as pivotal for encouraging regular ANC visit attendance, suggesting the need for improvements in staff training, facility infrastructure, waiting times, and patient satisfaction. By investing in these areas, PMB Suryani, Medan City can positively impact maternal and child health outcomes. Additionally, further research is recommended to explore additional factors influencing ANC visit attendance and assess long-term impacts on maternal and child health.

Liver cirrhosis and nephrolithiasis are significant health problems with different pathophysiological mechanisms. Liver cirrhosis, the final stage of chronic liver disease, is characterized by fibrosis and regenerative nodules, leading to severe complications, including portal hypertension and liver failure. Nephrolithiasis, commonly known as kidney stones, is a common urological condition characterized by the formation of stones in the renal system. Although these conditions are distinct, metabolic and physiological changes in cirrhotic patients may predispose to nephrolithiasis.  It was reported that a man came to the emergency room of RSUD Dr. Suhatman MARS with complaints of left-sided low back pain that had been felt for 1 week. The complaint was accompanied by shortness of breath which was getting worse over time. The patient also felt cough, headache, nausea, fatigue, urine slightly coloured like tea, weight loss. The patient has a history of untreated kidney stones. The patient has a history of hepatitis 31 years ago. The main objective of investigating the coexistence of liver cirrhosis and nephrolithiasis is to understand the relationship between these two conditions and to develop effective management strategies that can address their combined impact on patients.
 
 
 

Tuberculosis (TB) was still a global challenge in the world of health and required special attention to increase the level of patient compliance with treatment. This study aimed to explore the relationship between patient knowledge, attitudes, and actions and the level of adherence to taking medication in TB patients at the Pulmonary Polyclinic of Subulussalam City Hospital. The study used an observational analytical design with a cross-sectional approach. The research population involved all TB patients undergoing treatment at Subulussalam City Hospital, with a sample of 76 respondents selected through accidental sampling. Data were collected through interviews using the MMAS-8 questionnaire, and data analysis was carried out using the chi-square test. The majority of respondents showed a high level of knowledge (47.37%), poor attitudes (59.21%), and good actions (64.47%), but the level of compliance was low (46.05%). Statistical analysis showed that there was a significant relationship between knowledge (p=0.000), attitudes (p=0.014), and actions (p=0.010) with the level of adherence to taking medication. The knowledge, attitudes, and actions of TB patients at the Lung Polyclinic of Subulussalam City Hospital had a significant effect on their level of compliance in taking medication. Efforts were needed to increase patient understanding and special approaches to increase compliance to support the success of TB therapy.

According to WHO (2019), in the Southeast Asia region the elderly population is 8% or around 142 million people. In 2050 it is estimated that the elderly population will increase 3 times from 2013. In 2000 the number of elderly is around 5,300,000 (7.4%) of the total population, while in 2010 the number of elderly is 24,000,000 (9.77%) of the total elderly reached 28,800,000 (11.34%) of the total population. Data from the Central Bureau of Statistics shows that the elderly population in Indonesia in 2007 increased to 18.7 million people, then in 2010 it increased to 23.9 million people (9.77%). In 2020 it is predicted that the number of elderly people will reach 28.8 million (11.34%). Based on data from the Republic of Indonesia Ministry of Health (2019), Indonesia is entering a period of aging population, where there is an increase in life expectancy followed by an increase in the number of elderly people. Indonesia has experienced an increase in the number of elderly people from 18 million people (7.56%) in 2010, to 25.9 million people (9.7%) in 2019, and is expected to continue to increase in 2035 to 48.2 million people (15.77%) .

Sensorineural deafness is a type of hearing loss that commonly occurs due to noise exposure in the workplace, including in palm oil mills (PKS). This condition can reduce the quality of life of workers and have an impact on productivity. This study aims to identify the prevalence and factors that influence the occurrence of sensorineural deafness in palm oil mill workers, with a focus on the Pekanbaru area. This research method uses observational research, measuring deafness using a tuning fork. at PT X in July 2020. Results. From the analysis univariate It was found that 58.6% of PKS workers experienced sensorineural deafness. The conclusion is that more than half of the workers experiencing sensorineural deafness .

Introduction: Water quality parameters are indicated by the presence of E. coli bacteria. These bacteria come from human feces, warm-blooded animals, and non-fecal coliforms. Decree of the Health Minister of the Republic of Indonesia Number 907/MENKES/VII/2002 concerning requirements and supervision of drinking water quality states that good drinking water has a zero total coliform and fecal coliform. Methods: This research uses a descriptive approach with a cross-sectional design. It aims to determine the quality of water sources in Sulkatan village. Ten (10) water sources were used as the samples using total sampling method. The collected samples were then taken to the laboratory to be tested with a series of MPN tests Results and Discussion: The results show that the amount of Escherichia coli bacteria in water samples in Sulkatan Village is 0MPN/100 ml. It is owing to the location of the water source that is far from industrial activities, household waste and residential areas. Conclusion: The quality of the tested well-water samples is good and within normal limits in accordance with the Decree of the Health Minister of the Republic of Indonesia Number 907/MENKES/VII/2002
 
 

. Pharmacogenomics, the science that combines genetics with pharmacology, plays a vital role in determining the optimal dosage of drugs for patients, especially those with chronic diseases. In Indonesia, the use of pharmacogenomic approaches is still limited even though the genetically diverse population requires more personalized dosage adjustments. This study aims to analyze the effect of genetic variation on drug response in patients with chronic diseases, such as diabetes, hypertension, and cardiovascular disease, in Indonesia. By collecting and analyzing genetic data and patient clinical data, this study will identify genetic biomarkers associated with drug metabolism and therapeutic effectiveness. The results of this study are expected to provide guidance for more accurate and personalized drug dosage determination, which will ultimately improve therapeutic outcomes and reduce the risk of side effects. This study is also expected to encourage wider adoption of pharmacogenomic approaches in clinical practice in Indonesia, as part of the effort towards more personalized and effective medicine.

Based on population projection data, it is estimated that in 2017 there will be 23.66 million elderly people in Indonesia (9.03%). The number of elderly people is predicted in 2020 (27.08 million), 2025 (33.69 million), 2030 (40.95 million) and 2035 (48.19 million) (Ministry of Health RI, 2017). The prevalence of dementia (per 1000 people) in Indonesia in 2005 was 191.4 incidents, in 2020 it is estimated to be 314.1 incidents, and will increase in 2050 to around 932 incidents. The data obtained in the work area of the Telaga District Public Health Center were 134 elderly , of which 38 had dementia. From the results of interviews obtained from health workers at the puskesmas and families, they said that often the elderly forgot many activities such as bathing, taking medicine and others, so the family had to remind them to take a bath, take medicine and so on . Further interviews conducted by researchers on the elderly, some said that they rarely consume vitamins, especially vitamin D, are lazy to exercise, do light activities or sunbathe every morning which can increase the risk of developing dementia.

Wrong eating patterns in Diabetes Mellitus (DM) sufferers will cause blood sugar levels increases, so dietary factors or planning eating is very important in control blood sugar levels. Good diet?? become component main success DM management. The purpose of study This is For know control blood sugar levels with diet in diabetes mellitus sufferers through literature study. Search journal using Google database schoolar, pubmed , conchrance and springer ago produced 3 journals For followed up. Journal analyzed using appropriate PRISMA diagrams with inclusion criteria used? that is journal use Language English and Indonesian, using design RCT research, and published between January 2018 to June 2024 about control blood sugar levels with diet in diabetes mellitus sufferers. Proven diet capable lowering blood sugar in diabetes mellitus sufferers.
 
 

Biosensors are analytical devices that combine biological sensing elements with physicochemical detectors to provide rapid, accurate, and cost-effective solutions for medical diagnostics. Globally, these devices have revolutionized the detection and monitoring of diseases, significantly impacting patient outcomes. In Indonesia, the adoption and development of biosensor technology have accelerated over the past decade, particularly in response to the growing healthcare needs and the government's push for technological innovation. This study aims to review and analyze the development and application of biosensors in Indonesia medical diagnostics sector between 2014 and 2024. The research focuses on identifying key technological advancements, the integration of biosensors into healthcare, the challenges faced in their development and deployment, and the prospects for future growth. The study employs a comprehensive literature review and analysis of scientific publications, industry reports, and government documents related to biosensor technology in Indonesia. The review covers the evolution of biosensing materials, point-of-care testing applications, integration with digital health technologies, and regulatory frameworks. Data were synthesized to provide a detailed overview of the current state of biosensor technology and its impact on medical diagnostics in Indonesia. The findings indicate significant advancements in biosensor technology, particularly in the development of novel nanomaterials, the integration of biosensors with mobile health (mHealth) platforms, and the expansion of point-of-care testing (POCT) for infectious diseases. However, the sector faces challenges, including technological limitations, regulatory hurdles, and economic constraints, which have slowed the widespread adoption of biosensors in clinical settings. Despite these challenges, the future of biosensors in Indonesia appears promising, with continued investment and innovation expected to drive further advancements in this field.

This research explores the experiences of nurses in carrying out their main duties and functions at the Panamas Community Health Center. Qualitative methods with a phenomenological approach are used to gain an in-depth understanding of this phenomenon. Data was collected through in-depth interviews with 12 nurses selected by purposive sampling. Data analysis using the Colaizzi method produced five main themes: (1) Nurses' activities in health services, (2) Tasks carried out by community health center nurses, (3) The importance of good health program management, (4) Management of duties and authority in health services, and (5) Shortage of health and non-health personnel and multifunctionality in health services. Research results show that nurses often have to take over the roles of doctors, administrative staff, and pharmacists due to limited human resources even though these tasks should not be their responsibility. This causes nurses to lose focus in carrying out their main duties, nurses feel that their main role as care providers is disturbed. Nurses also run various health programs and serve as physician assistants, although these roles often exceed their duties. The importance of good health program management was emphasized, as many participants experienced difficulties in achieving targets, reporting and patient monitoring. Management of tasks and authority includes handover of tasks, delegation of daily tasks, and delegation of authority, however socialization to staff has not been comprehensive. Lack of human resources causes nurses to carry out multiple roles which hinders their professional development. This research recommends strengthening competency and further training for nurses, increasing legal awareness regarding the delegation of authority, integrating health management education in the nursing curriculum, as well as increasing the number and qualifications of human resources in community health centers.

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, namely acid-fast bacteria. Successful treatment of patients with tuberculosis (TB) is a problem in today's society. One of the reasons for the increase in pulmonary TB cases is the low level of education of sufferers. One of the causes of failure of tuberculosis treatment therapy is the side effects of anti-tuberculosis drugs (OAT) which can affect the adherence to medication in tuberculosis patients. The success of TB treatment is compliance in taking anti-tuberculosis medication at the prescribed dose. The aim of this research was to determine the relationship between clients' knowledge of pulmonary tuberculosis and compliance with taking anti-pulmonary tuberculosis medication at Harapan Pematang Siantar Hospital. This research was conducted at Harapan Pematangsiantar Hospital in May 2023. This type of research is descriptive quantitative correlational with a cross-sectional approach. Data collection was carried out using a questionnaire with the Gutman scale. The population of this study was all outpatient clinic patients at Harapan Pematang Siantar Hospital in October-December 2022. The sampling technique was accidental sampling, namely 58 respondents who came in May 2023. Statistical test results used the chi square test with a confidence level of 95% (? = 0.05) shows the p value = 0.001, meaning that there is a relationship between the level of knowledge of tuberculosis clients and compliance with taking anti-tuberculosis medication at Harapan Pematang Siantar Hospital in 2023

Since technology revolutionized the world, business transformation has been total, especially in developed countries. As a result, the country's leaders adopted an unprecedented policy of implementing technology in all areas. This has resulted in almost all activities in the world using technology to continue operations, even though it is not yet fully ready. Including the application of technology in increasingly digital education, enabling the education industry to be sustainable, more affordable, and achieve optimal goals. Specifically, this research aims to understand how technology is applied in the governance of Islamic education. For this purpose, we used electronic data searches via Google Scholar and other applications. Analysis is carried out using system coding, evaluation and in-depth interpretation of the data to produce valid and reliable findings. This study used a qualitative data review design on publications published between 2010 and 2021 to obtain the most recent data. Based on the discussion of the data findings, it can be concluded that the management of Islamic educational institutions appreciates the use of digital technology or websites in graduate preparation programs that balance world interests and preparation for the hereafter, with a focus on shared knowledge and skills improvement (upskill).