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

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

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

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

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

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

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

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

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

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