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                <text>The Effectiveness of Pisbro in Increasing Hemoglobin Levels in Pregnant Women as an Effort to Prevent Stunting at the Sentosa Baru Community Health Center in 2025</text>
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                <text>Pregnant Women; Anemia; Hemoglobin; Ambon Banana; Broccoli</text>
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                <text>Background: nemia has a substantial impact on national economic development because it is associated with impaired cognitive and motor function in children and diminished productivity in adults. Among pregnant women, iron deficiency anemia can cause growth&#13;
and developmental disorders and is strongly linked to adverse pregnancy outcomes such as low birth weight (LBW) and preterm delivery. If left untreated, anemia may worsen theihealth and quality of life of millions of women and hinder children’s growth, development, and educational achievement. The presence of anemia itself reflects underlying malnutrition and poor health status. Worldwide, anemia affected 32 million pregnant women (37%) and 539 million non-pregnant women (30%) between the ages of 15 and 49 in 2019. Methods: The research method used is quantitative with a Quasi-Experimental design using the Two This study employed a quantitative approach with a quasi-experimental design,specifically the Two-Group Pretest–Posttest method, which involved imeasuring hemoglobin levels before and after treatment in both intervention and control groups. A total of 40 pregnant women participated, with 20 assigned to the control group (not receiving Pisbro cookies) and 20 to the intervention group (receiving Pisbro cookies). Prior to conducting the bivariate analysis, data normality was tested using the Shapiro–Wilk test, which showed that the data were normally distributed (p &gt; 0.05). Subsequently, an independent t-test was&#13;
performed, and the results indicated significant differences between the groups (p &lt; 0.05) at a confidence level of α = 0.05. Data analysis was carried out using SPSS version 22.Results:The independent t-test analysis revealed that the mean hemoglobin concentration in the&#13;
intervention group (given Pisbro cookies) was 9.795 ± 0.5145, while the control group (not given Pisbro cookies) had a mean of 9.795 ± 0.5005. Statistical testing produced a p-value of 0.019 (p &lt; 0.05), indicating a significant difference between the two groups. Conclusion: Enhancing hemoglobin levels among pregnant women is essential for preventing adverse maternal and neonatal outcomes, supporting healthy fetal development, and improving maternal well-being</text>
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                <text>Damayanty S, Erin Padilla Siregar, Mastaida Tambun, Sri Rezeki, Hazizah Sabilah Siagian, Aurel Sessfy Kalira</text>
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                <text>2025</text>
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                  <text>Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi</text>
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                <text>The Impact Of Clean And Healthy Living Behavior Education On Knowledge Levels And Parental Independence In Maintaining Child Growth And&#13;
Development At Sarfina Johor Clinic, Medan City</text>
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                <text>Child Development, Clean and Healthy Living Behavior, Clinical Education, Parental Independence, Health Literacy</text>
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                <text>The first 1,000 days of life are a critical window for long-term health, yet many urban parents still prioritize curative care over preventive practices that support optimal child growth and development. Objective: This study aims to evaluate the impact of Clean and Healthy Living Behavior (CHLB) education on parental knowledge and independence in maintaining child growth and development at Sarfina Johor Clinic, Medan. Methodology: A quasi-experimental one-group pre-test and post-test design was applied. A total of 50 parents were recruited using purposive sampling. Data were collected using validated questionnaires and analyzed with the Paired Sample T-test. Findings: CHLB knowledge increased significantly from a mean of 61.44 to 87.82 (mean difference = 26.38; p = 0.000). Parental independence also improved from 56.52 to 83.24 (mean difference = 26.72; p = 0.000). Implications: Structured clinic-based education can strengthen parental self-efficacy and shift family practices toward preventive care, positioning parents as proactive managers of child health at home. This approach can be adopted by primary clinics as an operational strategy to support stunting prevention programs. Originality: This study offers a clinical-based intervention model that connects routine medical consultation with domestic health maintenance, providing a practical framework for strengthening preventive parenting practices.</text>
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                <text>Yesica Geovany Sianipar, Ika Damayanti Sipayung, Sonia Novita Sari, Yarman Gulo, Yeni Aprilia, Viona Manik, Sarfina Sembiring</text>
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                <text>Effectiveness of Foxy Oil Combined with Oxytocin Massage on Breast Milk Production among Postpartum Mothers in Indonesia: A Quasi-Experimental Study</text>
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                <text>Marta Armita Silaban, Novita Andriani Br Manjorang, Debby Chintya Yun, Erin Padilla Siregar, Mutia Pratiwi, Sri Nengsih Sihombing</text>
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                <text>Hubungan Pemanfaatan Buku KIA dengan Perilaku Pencegahan Komplikasi Kehamilan pada Ibu Hamil di Klinik Pratama  Sarfina Kota Medan Tahun 2025 </text>
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                <text>Sonia Novita Sari, Friza Novita Sari Situmorang , Yesica Geovany Sianipar, Febriana Sari, Imarina Tarigan</text>
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                <text>Eksplorasi Bioaktivitas Aloe Vera sebagai Fitoterapi untuk Regenerasi Luka Perineum pada Ibu Nifas Di BPM Pera Tahun 2025</text>
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                <text>Basaria Manurung</text>
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                <text>Effectiveness of Foot Soaking Therapy Using Lemongrass (Cymbopogon citratus) Decoction to Reduce Blood Pressure among Pregnant Women with Mild Hypertension&#13;
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                <text>Foot Soak, Lemongrass, Mild Hypertension, Non-Pharmacological, Pregnant Women</text>
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                <text>Background: Hypertension in pregnancy is a major contributor to maternal morbidity and mortality. Pharmacological therapy is common; however, evidence on safe and affordable non-pharmacological alternatives—such as lemongrass (Cymbopogon citratus) foot soaking—remains limited among pregnant women. Lemongrass contains citral and flavonoids that promote vasodilation and relaxation, potentially reducing blood pressure..&#13;
&#13;
Methods: A quasi-experimental one-group pretest–posttest design following the TREND guideline was conducted at Sarfina Primary Outpatient Clinic, Medan, Indonesia (February–April 2025). Thirty pregnant women with mild hypertension (140–159/90–99 mmHg) participated voluntarily after providing informed consent. Exclusion criteria were preeclampsia, chronic illness, or lemongrass allergy. Participants soaked their feet daily for 15 minutes in 1 L of warm lemongrass decoction (38–40 °C) for four weeks. Blood pressure was measured twice using a validated Omron HEM-7130 device, and the mean was analyzed with the Wilcoxon signed-rank test.&#13;
&#13;
Results: Mean systolic pressure decreased from 147.6 ± 5.8 mmHg to 132.4 ± 6.3 mmHg, and diastolic pressure from 93.8 ± 3.9 mmHg to 83.7 ± 4.2 mmHg (Z = –3.21, p &lt; 0.001). The effect size (r = 0.59; 95% CI [–18.5, –11.3]) indicated a moderate clinical effect&#13;
&#13;
Conclusion: Lemongrass foot soak therapy effectively lowers mild hypertension in pregnancy through vasodilatory and relaxation mechanisms. It represents a safe, simple, and culturally appropriate complementary method that midwives can integrate into antenatal care. Larger controlled trials are recommended to confirm its long-term efficacy.</text>
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                <text>Friza Novita Sari Situmorang, Ariska Fauzianty, Hariati Eliana Purba, Pitri Indriani Br Purba, Novitaria Zega</text>
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                <text>Efektivitas Akupresur Pada Lansia Dengan Gangguan Pencernaan Di Uptd Pelayan Sosial Lanjut Usia Binjai</text>
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                <text>Effectiveness of a family-centered empowerment-based digital pocketbook onself-efficacy and iron supplement adherence among pregnant women: A quasiexperimental study</text>
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                <text>Digital    health    education, FCEM,    iron    supplementation, pregnancy, self-efficacy</text>
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                <text>Pregnancy-related  anemia  remains  a  major  public  health  problem  in Indonesia,  largely  attributable  to  low  iron  supplementation  adherence among  pregnant  women.  Evidence  regarding  digital  interventions  based on  the  family  centered  empowerment  model  (FCEM)  remains  limited. This  study  aimed  to  evaluate  the  effectiveness  of  an  FCEM-based  digital E-Pocket  Book  in  improving  self-efficacy  and  adherence  to  iron  tablet consumption  among  pregnant  women.  A  quasi-experimental  pretest–posttest   control   group   study   was   conducted   at   the   Sentosa   Baru Community Health Center in Medan, Indonesia, from July to August 2025. A  total  of  50  pregnant  women  (gestational  age,  14–36  weeks)  were allocated to an intervention group (n = 25) and a control group (n = 25). The intervention group received the FCEM-based E-Pocket Book for four weeks,  while  the  control  group  received  standard  antenatal  education. Data  were  analyzed  using  the  Wilcoxon  signed-rank  and  Mann–Whitney U   tests.   The   intervention   group   demonstrated   significantly   greater improvements in self-efficacy (p = 0.027; d = 0.78) and adherence to iron supplementation   (p   =   0.001;   d   =   0.91)   than   the   control   group.   In conclusion, the family-centered empowerment–based digital pocketbook is     effective    in    improving    self-efficacy    and    adherence    to     iron supplementation among pregnant women.</text>
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                <text>Ariska Fauzianty, Friza Novita Sari Situmorang, Sonia Novita Sari, Siti Sabiah, Vivi Restiyani Hasibuan, Yuliska Febriyan</text>
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                <text>2025</text>
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                <text>Quasi-experimental study on Aloe Vera Gel As A Phytotherapy to Accelerate Perineal Wound Regeneration In Postpartum Mothers At Bpm Pera</text>
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                <text>Basaria, Retno Wahyuni, Eva Ratna Dewi</text>
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