Pregnancy is a continuous chain and starts from ovulation, release of ovum, migration of spermatozoa and ovum, conception process, nidation (implantation) of the endometrium, formation of the placenta and growth and development of the products of conception for approximately 280 days (40 weeks) and no more of 300 days (43 weeks). The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks) (Rukiah & Yulianti, 2014). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in second trimester pregnant women at the Sonomartani District Health Center. Kualuh Hulu District. North Labuhanbatu in 2022”. Experimental type of research. Experimental research is a research design used to look for causal relationships with the involvement of research in manipulating independent variables (Nursalam, 2019). The sample in this study were all second and third trimester pregnant women at the Sonomartani District Health Center. Kualuh Hulu District. North Labuhanbatu in 2022 there will be 35 people. . The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used is chi square. The results of the tabulation research show a relationship between the duration of using injectable contraceptives for 3 months and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023 with a p-value = 0.049. So Ho is rejected and Ha is accepted, which means there is a relationship between the length of use of 3-month injectable contraceptives and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023. Conclusion: Family planning acceptors can choose the right contraceptive method. Family planning acceptors can tell midwives or health workers about the various types of contraceptives before choosing the contraceptive method. Always monitor changes in side effects so that if there are complaints they can be addressed immediately.

Chinese Betel Plant (Paperomia pellucida) is an herbal plant that has benefits for treating diseases such as acne, ulcers, antidiabetic, antioxidant, anti-inflammatory, antimicrobial, and antibacterial. The content of bioactive compounds from Chinese betel include alkaloids, flavonoids, steroids, saponins, tannins, triterpenoids, and carbohydrates. The aim The purpose of this study was to determine the effect of steeping Chinese betel and  on reducing blood glucose levels in male mice. This method used is an experimental method at the Pharmacology Laboratory D3 Pharmacy FMIPA Bengkulu University. The test animals used were three groups, namely the positive control treatment group that received glibenclamide, the negative control treatment group received aquadest, and the 2% Chinese betel steeping treatment group. The results showed that Chinese betel curd was reduced from 125 mg/dl to 93 mg/dl and there was no hypoglycemic decrease in blood glucose due to glibenclamide. From the results of the study it can be concluded that the administration of Chinese betel and glibenclamide steeping is effective in lowering blood glucose levels in male mice.

Chronic kidney failure refers to the decline in kidney’s ability to maintain body fluid balance. Hemodialysis, as a kidney function replacement therapy, is needed to remove toxins and control electrolyte fluids in the body. One of the psychological impacts of hemodialysis is anxiety in patients. One way to reduce patient anxiety levels is by conducting murottal Al-Qur’an therapy. This study uses a case report method and was conducted in the Hemodialysis room of PKU Muhammadiyah Yogyakarta from May 2 to May 9, 2024. Two people with a diagnosis of chronic kidney failure were respondents in this study. The Hamilton Anxiety Rating Scale (HARS) was used as an instrument in this study, which was conducted before and after intervention. The results of the study showed that the respondents’ anxiety scores were in the moderate category (24 and 23) and changed to the mild category with a score of 14 after the application of therapy. This therapy has proven effective in reducing anxiety levels in patients with chronic kidney failure who are undergoing hemodialysis therapy.

One of the infectious diseases that still poses a threat to the world is tuberculosis (TB). When a person is diagnosed with tuberculosis, anti-tuberculosis drugs (ATD) should be administered as soon as possible as part of their treatment. Treatment for tuberculosis may be impacted by a number of factors, including age, gender, comorbidities, and nutritional status. The purpose of this study is to ascertain how age, gender, nutritional status, and comorbidities relate to the response of patients receiving first-line pulmonary tuberculosis treatment at Tugurejo Hospital Semarang using Anti Tuberculosis Drugs category one.  This kind of cross-sectional, analytical observational research is being conducted. Response to first-line pulmonary tuberculosis treatment was the dependent variable, and independent variables included age, gender, nutritional status, and comorbidities. 50 patients in all were selected as samples from Tugurejo Regional Public Hospital's medical files. Statistical analysis used the chi-square test for bivariate and the logistic regression test for multivariate. The analysis's findings demonstrated a significant relationship (p-value 0.001) between nutritional status and treatment response, as well as a significant relationship (p value 0.005) between comorbidities and treatment response. However, there was no significant correlation found between the age and gender variables (p values of 0.617 and 0.425). The results of the logistic regression showed that comorbidities and nutritional status had significant results with the OR value of comorbidities (OR 13,622, 95% CI 2.207-84.075, p= 0.005) and nutritional status (OR 7.208, 95% CI 1.783-29.138, P=0.006). There is a noteworthy correlation between the response to first-line pulmonary tuberculosis treatment and nutritional status and comorbidities at Tugurejo Hospital Semarang. At Tugurejo Hospital Semarang, there is a noteworthy correlation between the response to first-line pulmonary tuberculosis treatment and nutritional status and comorbidities.

Early Breastfeeding Initiation is the process of allowing the baby to breastfeed on its own immediately after birth. This is nature and a gift from God that has been arranged for us. Doing it is also not difficult, it only takes about one to two hours. IMD must be carried out immediately at birth, without delaying weighing or measuring the baby. Babies should also not be cleaned, only dried except for their hands. This process must take place skin to skin between baby and mother. This research uses an analytical type of research with a retrospective research design. The research aims to determine the relationship between early initiation of breastfeeding (IMD) and exclusive breastfeeding at the Sonomartani Community Health Center. Based on the data in table 4.3, it can be seen that 5 respondents (38.5%) did not practice IMD but did not provide exclusive breastfeeding and 8 respondents (61.5%) did not practice IMD but did not provide exclusive breastfeeding. Carrying out IMD and providing exclusive breastfeeding was 21 respondents (95.5%). The statistical test results of the chi square test obtained a p value = 0.000, so it can be concluded that there is a significant relationship between Early Breastfeeding Initiation (IMD) and exclusive breastfeeding, namely Ha received. The importance of giving birth in a health service is to avoid sudden emergencies that can cause complications and to provide care according to procedures. This is in line with research by Norhana, Arifin and Yulidasari (2016) that mothers who give birth in health facilities are 15,167 times more likely to carry out IMD. Of the 20 respondents who successfully carried out IMD, 19 respondents (95%) were accompanied by their husbands and family when giving birth and 17 respondents (84%) of them succeeded in providing exclusive breastfeeding. Husband and family support play an important role in managing IMD and building maternal self-confidence. The relationship between early initiation of breastfeeding (IMD) and exclusive breastfeeding at the Sonomartani Community Health Center in 2022" with a total of 35 respondents and data processing that has been carried out using SPSS, it can be concluded that the chi square test value is p < 0.05, meaning that Ho is rejected and Ha is accepted:

Based on the research results, the majority of respondents who carried out Early Breastfeeding Initiation (IMD) were 22 respondents (62.9%).
Based on the research results, the majority who gave exclusive breastfeeding were 26 respondents (74.3%).
Based on the research results, there is a relationship between carrying out IMD and providing exclusive breastfeeding. The statistical test results obtained a chi square test value (p < 0.05) with a value of 0.000.

 

Medical record is a document that contains patient identity data, treatment, examination, action, and other services that have been given to patients. In order for medical records to be maintained, supervision is needed in medical records. The purpose of this study was to find out how the oversight of the medical record alignment system with the Standard Operating Procedures at the Jakarta Islamic Hospital Cempaka Putih. This research method uses a descriptive method with qualitative analysis, conducting observations and interviews that aim to provide an overview and see directly a state of the supervision process during the alignment of medical records in the filing room of the Jakarta Islamic Hospital Cempaka Putih. This research was conducted in a storage room with 5 informants. The results of the study showed that the supervisory process was aligned with the supervisory element, namely determining the size of the implementation, there was a deficiency, namely there was no mention of tasks in the job description in controlling medical records. In measuring the actual implementation, there are inappropriate implementations such as misfiles and there are several tracers that are still hanging. In measuring behavior, officers do not yet have definite standards or tools to measure officer performance behavior. Obstacles in the alignment of medical records through the 5M factor, namely, the lack of number of officers in the filing room, the occurrence of misfiles and staff errors in writing unclear numbers. Materials namely, there are a lot of maps that are too thick. Machines, that is, there are still many tracers hanging on storage racks whose time limit has passed the stipulation. Methods, that is, the Hospital does not yet have an SOP for alignment supervision and there is only a Medical Record alignment system in the SOP for storing and returning Medical Records.

Considering how important Early Breastfeeding Initiation is, especially in Indonesia, it is being implemented, one of the main goals of which is to ensure smooth breastfeeding, where the aim of the baby getting breast milk is to be able to develop the baby's maximum potential (Rahmat, 2018). This study aims to analyze the relationship between early initiation and the smooth production of breast milk in post-partum mothers at the Datar City Health Center, Hamparan Perak District, Deli Serdang Regency in 2023. This research is an analytical description with a cross-sectional approach and bivariate data analysis is the data analysis used in the research to determine the relationship or influence of the independent variable with the dependent variable using chi-square test analysis, at the p-value statistical significance limit ? (0.05), then Ha: accepted and Ho: rejected (Hardani, 2020).Based on the table above, it can be explained that of the 32 respondents, those who did not initiate early breastfeeding, the majority of mothers' breast milk was not flowing smoothly, 13 (41%). Based on this table, it can be seen that there is a relationship between early initiation and the smooth production of breast milk for post-partum mothers at the Kota Datar Community Health Center, Hamparan Perak District, Deli Serdang Regency in 2023 with a p value of 0.001.This means that there is a relationship between early initiation and the smooth production of breast milk for post-partum mothers at the Datar City Health Center, Hamparan Perak District, Deli Serdang Regency in 2023