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                  <text>Surat Persetujuan Etik</text>
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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</text>
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                <text>2025</text>
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                <text>Indonesia</text>
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                  <text>Surat Persetujuan Etik</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 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>2026</text>
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                <text>English</text>
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                  <text>Surat Persetujuan Etik</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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            <description>A name given to the resource</description>
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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</text>
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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>2025</text>
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                <text>Indonesia</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>Efektivitas Akupresur Pada Lansia Dengan Gangguan Pencernaan Di Uptd Pelayan Sosial Lanjut Usia Binjai</text>
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                <text>Petra Diansari Zega</text>
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                <text>Penerapan e-pocket book SIAP-TTD berbasis family centered empowerment model dalam meningkatkan self-efficacy dan kepatuhan konsumsi tablet tambah darah pada ibu hamil</text>
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                <text>blood supplement tablet compliance; e-pocket book; family-centered empowerment model; pregnant women; self-efficacy</text>
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                <text>Non-compliance with the consumption of Blood Supplement Tablets (TTD) is the main factor causing anemia in pregnant women which can increase the risk of postpartum bleeding. This community service aims to optimize self-efficacy and compliance with TTD consumption through the downstream  of  the SIAP-TTD e-Pocket Book with the Family-Centered Empowerment Model (FCEM) approach. The activity was carried out for four weeks in the working area of the Sentosa Baru Health Center involving 25 pregnant women and their families. The methods used include socialization, demonstration of the application's interactive features, and intensive assistance based on family empowerment. The results of the evaluation showed a significant improvement in participants' basic understanding from 20% to 85%, as well as application usability and consumption compliance from 15% to 80%. This intervention succeeded in increasing the mother's confidence to complete the 90-tablet program and fostering the active role of the family as emotional and informational support. Adaptation in the form of providing a hard copy version  was carried out to overcome mobile data access constraints. The synergy between digital technology and family empowerment has proven to be effective in improving maternal health at the community level.</text>
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                <text>Ariska Fauzianty, Friza Novita Sari Situmorang, Sonia Novita Sari, Nova Isabella Mariance Br Napitupulu, Hari Putra Darmawan, Vivi Restiyani Hasibuan, Yuliska Febriyan</text>
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                  <text>Surat Persetujuan Etik</text>
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            <name>Title</name>
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                <text>EFEKTIFITAS FERMENTASI BAWANG PUTIH (BLACK GARLIC) TERHADAP REMAJA YANG OBESITAS DI SMAN 5 KOTA BINJAI PROVINSI SUMATERA UTARA TAHUN 2024</text>
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                <text>Black Garlik, Adolescents, Obese&#13;
&#13;
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>The prevalence of obesity, which is a global health problem, is increasing in developing countries due to changes in food and lifestyle. Obesity is a major cause of disease and death. This is difficult to overcome because of its association with an increased risk of Metabolic Syndrome, Cardiovascular disease, Heart Attack, Hypertension, Diabetes Mellitus and various types of cancer.According to WHO data, the figure for excess body weight in children and adolescents (5-19 years) is 103 million (10%) for men, and 72 million (8%) for women. In Indonesia, excess weight can affect many things, including other physical health, decreased quality of activities and productivity. The cause of obesity is the energy balance between consumption and calories burned and lack of physical activity The general aim of this research is to determine the effectiveness of fermented garlic (black garlic) on obese adolescents at SMAN 5 Binjai City, North Sumatra Province in 2024, his research is a quantitative type with a pre-experiment design whose design uses the one group pretest-posttest design The sample in this research was 20 teenagers who were obese, Data processing and analysis with Editing, Data entry, data analysis, Cleaning. Based on the table data above. It turns out that the Sig values in the normality test all show numbers that are greater than the Î± value of 0.05. This means that the data distribution of the two sample data before and after the Garlic Fermentation therapy treatment, all come from a normally distributed population. It is hoped that teenagers can reduce their weight by living a healthy life, namely by exercising and eating balanced nutrition to avoid various diseases.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="11379">
                <text>Erin Padilla Siregar, Sri Rezeki, Lisdayanti Simanjuntak, Anna Waris Nainggolan, Marta Armita Br Silaban, Yesika Ritonga, Zahara Tuljannah</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="11380">
                <text>2024</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="11381">
                <text>English</text>
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        <src>https://old-repository.mitrahusada.ac.id/files/original/8bf4eb9cc7bb044ad2b32c23f136aa3d.pdf</src>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="7512">
                  <text>Surat Persetujuan Etik</text>
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      <elementSet elementSetId="1">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>THE RELATIONSHIP OF MOBILIZATION WITH THE DURATION OF POST-LAPARATOMY WOUND HEALING IN PERBAUNGAN GENERAL HOSPITAL IN 2020</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>L apparatus , Mobilization , Post-operative</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction Surgery is a treatment action that involves making an incision or making a wound in body tissue, with the intention of removing a certain part of the body as a treatment. Operation. Laparotomy is a surgical procedure that involves opening the abdominal wall and chest wall to reach the contents of the abdominal cavity. The digestive surgical procedures that are often performed using a laparotomy incision technique are: herniotomy, gastrectomy, cholecystotomy, hepaterectomy, appendectomy, colostomy, hermorodectomy, cholecystomy, fistulectomy, or fistulectomy . To determine the relationship between early mobilization and the length of wound healing after laparotomy surgery at the Melati Perbaungan General Hospital. 2020. Design Correlative descriptive type research with cross sectional research design cross sectional where data between the dependent variable (early mobilization) and the dependent variable (length of wound healing) are measured at the same time, but not all research subjects are observed on the same day or time . Research methods The data collection method uses primary data, namely the type of questionnaire on the sample. Secondary data is data that supports this research such as health center profiles and annual reports. Results From the statistical test results , the value of p=0.000 was obtained , which means there is a significant relationship between early mobilization and wound healing in patients after laparotomy surgery. Meanwhile, the OR value = 0.067, meaning that respondents who do not carry out early mobilization are likely to have a 0.067 times greater risk of slow healing compared to those who carry out early mobilization. Conclusion Of the 30 respondents, the majority carried out early mobilization, namely 18 people (60%), who experienced rapid healing of wounds after laparotomy surgery, namely 16 people (53.3%) Suggestions Researchers are expected to seek more knowledge about early mobilization and laparotomy</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="11373">
                <text>Tani Astuti, Mesrida Simarmata, Lisdayanti Simanjuntak, Elda Wati Sinaga</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="11374">
                <text>2020</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="11375">
                <text>English</text>
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        <src>https://old-repository.mitrahusada.ac.id/files/original/c39edce447a9ba503dce6c8987f99937.pdf</src>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="7512">
                  <text>Surat Persetujuan Etik</text>
                </elementText>
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      <elementSet elementSetId="1">
        <name>Dublin Core</name>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="11364">
                <text>Inovasi Excellent Percepatan Penurunan Tekanan Darah Pada Lansia Hipertensi Dengan Slow Deep Breating dan Kombinasi Bahan Alam (Opium Graveolent dan Black Garlick) di Desa Bangun Rejo Tahun 2024</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="11365">
                <text> Elderly, Hypertension, slow deep opium garlick</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Â Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in a resting/calm state. This research is a quasi-experiment research with a two group pretest and posttest design. The population in this study was 50 elderly people in Bangun Rejo Village in 2024. The sampling technique was carried out using a purposive sampling technique so that the total sample was 50 people. Data analysis used the Wilcoxon test. The results of this study show that from the results of the excellent innovation research, the acceleration of blood pressure reduction in hypertensive elderly with deep breathing and a combination of natural ingredients (apium graveolens and black garlic) means that the average blood pressure in the control group at the first examination was 146.12 mmHg and at the second examination The average blood pressure is 149.20 mmHg with a p value (mean) of 0.238 &gt; 0.05, meaning it is not significant. It was concluded that research on Excellent Innovation Accelerated Blood Pressure Reduction in Hypertensive Elderly People Using Slow Deep Breathing and a Combination of Natural Ingredients (Apium Graveolens and Black Garlic) in Bangun Rejo Village in 2024 on 50 elderly people, with 25 elderly people as controls and 25 elderly people as cases, obtained results in the elderly as controls, the average blood pressure at the first examination was 146.12 mmHg, while the average blood pressure at the second examination was 147.28 mmHg. It can be seen that the difference in the mean value between the first and second measurements is -1.26.Â  The statistical test results showed a p value = 0.238 &gt; 0.05, which means there was no significant difference between blood pressure in the first and second measurements in elderly people as controls. Meanwhile, in elderly cases, the average blood pressure result of the first examination was 165.72 mmHg, while the average blood pressure at the second examination was 136.92 mmHg.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="11367">
                <text>Lisdayanti Simanjuntak, Mesrida Simarmata, Dina Afriani, Rawun Gunawan, Laura Gultom Gunawan, Linda Mardiyanti Waruwu</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="11368">
                <text>2024</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="11369">
                <text>Indonesia</text>
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