Teratomas are germ cell tumors consisting of somatic tissue derived from two or three germinal layers (ectodermal, endodermal, and mesodermal). Teratomas can be classified as mature teratomas and immature teratomas. Teratomas usually arise in the gonads but can also be extra-gonadal. Extragonadal teratomas can occur in the anterior mediastinum, retroperitoneum, pineal, and anterior suprasellar. The general incidence of teratomas is sacrococcygeal 40%, ovarian 25%, testicular 12%, brain 5%, and others including neck and mediastinum 1%. The etiology of teratoma is unknown, but there is a theory that gonadal and midline teratomas originate from totipotent primordial germ cells. Usually teratomas are found incidentally on thoracic photographs. If symptoms are present, it is generally due to mass effect which may cause coughing, dyspnea or chest pain. Mediastinal teratomas may cause perforation, however this complication is rare but a very serious condition. Large anterior mediastinal teratomas that rupture into the pleural cavity can cause lung infection, pleural effusion and mediastinitis. After complete excision, both mature and immature teratomas have an excellent prognosis.

Early marriage refers to marriages in which both partners are aged 18 and under or those who are not ready to marry due to various factors, such as the level of physical, emotional, sexual and psychosocial development, or lack of information regarding one's life choices. Women who marry early are blamed by various factors such as economic level, educational level, social culture, and premarital sex. The purpose of this research is to explore the determinant of early marriage among adolescent women. This research method uses a descriptive with a qualitative approach. The subjects of this study were women aged 12-18 years who married early and their families. The data collection technique used is in-depth interviews. Analysis data begins with determining the coding, categories and themes which are then interpreted using NVivo 12 Plus. The results of this study indicate that the women who marry early are caused by economic level, parents' education, girl’s education, customs and traditions in society, parents' divorce, and the influence of social media.

Back pain is one of the most common complaints experienced by pregnant women in the third trimester. One of the treatments to deal with complaints of back pain is a combination of back massage and acupressure. The combination of back massage and acupressure is a therapy used to reduce back pain in pregnant women. The goal of back massage intervention is to reduce muscle tension, and acupressure can increase endorphins to reduce pain by massaging at certain points. The method used is a case study by intervening a combination of back massage and acupressure to reduce back pain in third trimester pregnant women. The measurement instrument uses a numerical scale with an intervention pretest and posttest for 3 days with a duration of 10-15 minutes. The results of the intervention showed that there was a change in the scale of back pain after being given a combination of back massage and acupressure, from a scale of 4 to a scale of 1, so that back massage and acupressure were effective in reducing the scale of back pain in third trimester pregnant women.

Diet is information that defines eating patterns as well as the types of food consumed on a daily basis. Individual health status will be influenced by the use of a healthy diet. Inaccuracy in establishing regular meal routines also adds to imbalanced nutritional intake. The objective of this research is to describe dietary habits of nutritional students in Kepulauan Riau. This study was cross sectional study approach in October – November 2022. The population in this study is nutritional students (17 – 24 years old) in Kepulauan Riau as amount 50 subject. Data collection using a questionnaire by google form. The result of this study showed that the most frequently consumed rice every day (94%), eggs 3-4x/week (40%), tempeh 3-4x/week (40%), spinach 1-2x/week (64%), and bananas consumed 2-3x/day (2%) and 1-2x/week (54%). It can be concluded that the dietary habits of students majoring in nutrition in the Kepulauan Riau is still not diverse. Suggestions for nutrition students to improve their dietary habits by paying attention to the frequency, amount and type of food consumed.

Keputihan ini menimbulkan ketidaknyamanan dan gangguan rasa percaya diri pada wanita bila terlalu berlebihan. Selama ini keputihan sering dikaitkan dengan personal hygiene. Personal hygiene terutama genitalia merupakan suatu tindakan untuk memelihara kebersihan organ kewanitaan serta mempertahankan kesehatan dan mencegah infeksi. Penelitian ini bertujuan untuk mengetahui Hubungan pengetahuan dengan personal hygine remaja saat keputihan di SMAN 2 Kota Gorontalo. Penelitian ini merupakan observasional analitik dengan pendekatan crossectional studi. Populasi dan sampel penelitian adalah siswi SMAN 2 Kota gorontalo yang berjumlah 87 responden. Pengumpulan data menggunakan lembar kuisioner dan dianalisis menggunakan uji statistik chi square. Hasil penelitian didapatkan bahwa Terdapat hubungan yang bermakna atau signifikan antara pengetahuan dengan personal hygine remaja saat keputihan di SMAN 2 Kota Gorontalo dengan nilai p value sebesar 0,000 (p value < α 0,05). Disarankan kepada remaja siswi agar selalu berperilaku positif dengan cara menjaga kebersihan alat genitalianya agar tidak terjadi keputihan terus menerus.
 

Nausea and vomiting occur in pregnant women in the first and second trimesters and can last up to 4 months. The impact can be experiencing disruption in work, household activities, psychological disturbance. Interventions can be carried out non-pharmacologically by using peppermint which can overcome digestive problems because it has a very high fragrance level, a cold, refreshing, strong aroma. The purpose of the study was to determine the effectiveness of giving peppermint to reduce nausea and vomiting in first trimester pregnant women in the working area of the Salam Babaris Health Center, Tapin Regency. The research method uses quasi-experimental types type with one sample test. It was carried out from January to February 2023. The sample consisted of 15 pregnant women. Bivariate analysis using the t test. The results of the study before being given peppermint, 9 people (60%) category of severe nausea vomiting and after being given pappermint became the category of mild nausea vomiting as many as 6 people (40%). The results of the t test obtained a p-value of 0.003, there is an effect of peppermint administration on reducing nausea vomiting in pregnant women trimester I. Giving peppermint in the form of candy is able to overcome nausea vomiting in pregnant women trimester I.

Salah satu tanaman dapat digunakan sebagai obat tradisional adalah tanaman pohon pulai atau (Alstonia scholaris L. R. Br) tanaman ini digunakan sebagai obat antidiabetes mellitus, antikanker, antimikroba, dan antioksidan. Tujuan penelitian ini untuk membuktikan bahwa ekstrak kulit pohon pulai (Alstonia scholaris L. R. Br) memiliki kandungan senyawa metabolit sekunder yang memiliki aktivitas antibakteri yang dapat menghambat pertumbuhan bakteri Escherichia coli. Jenis penelitian ini adalah eksperimental laboratorium dengan metode difusi sumuran. Penelitian ini menggunakan konsentrasi 70%, 80%, 90%, dan 100%. Kontrol positif (+) antibiotik cotrimoxazole, kontrol negatif (-) aquadest. Pengamatan uji skrining yang dilakukan dapat diketahui kulit pohon pulai (Alstonia scholaris L. R. Br) asal Desa Tulehu memiliki beberapa senyawa metabolit sekunder yaitu, terpenoid, flavanoid, alkaloid, tanin, saponin. Hasil pengujian aktivitas antibakteri pada variasi konsentrasi 70% memiliki diameter zona hambat 20 mm (sensitiv), kosentrasi 80% memiliki diameter zona hambat 23 mm (sangat sensitiv), 90% memiliki diameter zona hambat 24 mm (sangat sensitiv), 100% memiliki diameter zona hambat 25 mm (sangat sensitiv). Hasil penelitian menunjukan bahwa ekstrak etanol kulit pohon pulai (Alstonia scholaris L. R. Br) memiliki kandungan senyawa metabolit sekunder yang memiliki aktivitas antibakteri yang dapat menghambat pertumbuhan bakteri Escherichia coli.

Hipertensi adalah tekanan darah (sistolik) lebih dari 140 mmHg dan tekanan diastolik lebih dari 90 mmHg, berdasarkan dua pengukuran atau lebih. Hidroterapi adalah metode penggunaan air untuk mengobati atau meregangkan kondisi nyeri yang bergantung pada respons tubuh terhadap air. Literatur ini bertujuan untuk menganalisis pengaruh hidroterapi terhadap penurunan tekanan darah pada lansia dengan hipertensi. Metode yang digunakan dalam penelitian ini adalah literature review dengan sumber data artikel melalui Google Scholar, Crossref, Mendeley dan PubMed (2015-2020) untuk mengambil artikel yang relevan dan dipublikasikan dalam bahasa Indonesia. Kata kunci terkait hidroterapi, penurunan tekanan darah, lansia hipertensi digunakan dalam pencarian subjek terkait. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara hidroterapi dengan hipertensi pada lansia dilihat dari tekanan darah sistolik dan diastolik dalam batas normal. Berdasarkan tinjauan pustaka 8 jurnal dapat disimpulkan bahwa terdapat pengaruh hidroterapi dalam menurunkan tekanan darah pada lansia dengan hipertensi, metode ini dapat digunakan sebagai terapi alternatif pelengkap dalam menurunkan tekanan darah.

Knowledge and innovation management is a knowledge management is a way of managing knowledge so that it can be distributed to organizations and can be studied by organizations in order to achieve the goals of the organization in terms of creating a product process that can affect organizational performance. Management of human resources (HR) is important in achieving the goals of an organization or agency. The purpose of this theoretical analysis is to find out how knowledge and innovation management improves human resources in the health sector. The research method used is a theoretical analysis study. Theoretical analysis as analysis in order to ensure that the theories used as analytical tools to dissect the problems in research are scientifically correct. The core of this theoretical analysis is knowledge and innovation management in the health sector, namely in terms of human factors, organization and strategy. It can be concluded that Knowledge management in innovation has become something that is very decisive, therefore its acquisition and utilization needs to be managed properly in the context of improving organizational or agency performance. In addition, strong management is also needed so that this knowledge takes root in every individual in the organization, always improving resource skills that can be supported by infrastructure for disseminating information within organizations and agencies. For institutions in the health sector, it is urgently needed how to apply to employees and health workers related to increasing skills through knowledge management and innovation. Employees or health workers must be able to acquire knowledge, make knowledge into institutional assets, apply the knowledge acquired and protect this knowledge as an asset that must be maintained and developed in providing health services to patients and also the importance of improving human resources.

Daun mangkokan merupakan salah satu jenis tanaman hias pekarangan yang digunakan  dalam  pengobatan. Daun segar  tanaman mangkokan memiliki beberapa khasiat di antaranya anti-inflamasi, peluruh air seni, mencegah rambut rontok dan juga menghilangkan bau badan. Beberapa bahan kimia yang terkandung di dalamnya di antaranya alkaloid, saponin, flavanoid, polifenol, lemak, kalsium, fosfor, besi, serta vitamin (A, B, dan C). Antibakteri adalah zat yang menghambat dan membunuh. Propionibacterium acne merupakan bakteri gram positif yang dapat menyebabkan jerawat. Penelitian ini bertujuan untuk mengetahui aktivitas antibakteri ekstrak daun mangkokan (Nothopanax scutellarium Merr.) terhadap bakteri Propionibacterium acne. Penelitian ini merupakan penelitian eksprimental laboratorium. Penelitian menggunakan ekstrak kental etanol 70% daun mangkokan (Nothopanax scutellarium Merr.), variasi konsentrasi ekstrak yaitu 60%, 80% dan 100%. Antibiotik yang digunakan sebagai kontrol positif yaitu tetrasiklin, sedangkan kontrol negatif digunakan aquades. Pada pengujian antibakteri ekstrak etanol daun mangkokan (Nothopanax scutellarium Merr.) terhadap bakteri Propionibacterium acne menunjukan bahwa pada konsentrasi 60%, 80% dan 100% sensitif untuk menghambat pertumbuhan bakteri dengan diameter zona hambat sebesar 17 mm, 18 mm dan 24 mm. Kontrol negatif  tidak terjadi aktifitas antibakteri dan tidak memiliki diameter zona hambat, kontrol positif mempunyai diameter zona hambat yaitu sebesar 28 mm.  Hasil pengujian daya hambat ekstrak etanol 70% daun mangkokan terhadap bakteri Propionibacterium acne memiliki aktivitas antibakteri dengan kategori kuat.