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                <text>The Correlation Between Husband Support And Lifestyle With Nutritional Status Of Implant KB Accepters At Puskesmas Plus Perbaungan, Serdang Bedagai Regency, 2022&#13;
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                <text> Lisdayanti Simanjuntak, Thanh Loan Bui, Rosmani Sinaga, Lisbet Gurning, Kristina Rajagukguk, Lilis Berutu&#13;
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                <text>The Relationship of Covid-19 Pandemic Anxiety With Ante- Natal Care Examination at Sei Semayang Puskesmas, Sunggal District, Deli Serdang Regency</text>
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                <text> Srilina Br Pinem</text>
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                <text>Analisis Efektivitas Self lutanagenent Support Terhadatrl Kuantitas Hidup Pasien Kanker Payudara</text>
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&#13;
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                <text>Breast cancer and its treatments impose a complex symptom burden that negatively affects patients’ quality of life. Self-management support (SMS) is a patient empowerment strategy aimed at enhancing independence in nursing care. This study aimed to analyze the effectiveness of SMS on the quality of life of breast cancer patients at Haji General Hospital Medan. Methods: This study employed a quasi-experimental design with a pre–post test control group approach. The sample consisted of 60 respondents (30 in the intervention group and 30 in the control group), selected using purposive sampling. The intervention group received structured education and self-monitoring guidance for 8 weeks. The research instrument used was the EORTC QLQ-C30 questionnaire. Data were analyzed using Paired T-test and Independent T-test. Results: There was a significant increase in the mean quality of life score in the intervention group, from 52.3 to 75.6 (p &lt; 0.001), while the control group showed no significant change (p = 0.125). Intergroup comparison after the intervention revealed a statistically significant difference (p = 0.000). The emotional functioning and pain management domains showed the most substantial improvements. Conclusion: Self-management support is effective in improving the quality of life of breast cancer patients. This intervention is recommended to be integrated into standard oncology nursing care to promote patient independence in managing treatment-related side effects.</text>
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                <text>Adelina Sembiring, Lisdayanti Simanjuntak, Lisbet Gurning, Sri Mulati Nendah Agreta, Petra Diansari Zega, Abdul Mazid Bancin</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>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>Eka Ealentina Tarigan, Srilina Br.Pinem, Andriani Andriani, Median Jelita Lahagu&#13;
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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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&#13;
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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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                <text>Erin Padilla Siregar, Sri Rezeki, Lisdayanti Simanjuntak, Anna Waris Nainggolan, Marta Armita Br Silaban, Yesika Ritonga, Zahara Tuljannah</text>
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