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                <text>The Role of Mother Cares (MOCA) for Compliance Applications of Parents in Stimulating Growth and Development of Children Aged 24 to 36 Month in Working Area of Puskesmas Kabanjahe </text>
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                <text>THE RELATIONSHIP BETWEEN MOTIVATION AND COMPLIANCE OF FEMALE ADOLESCENTS IN CONSUMING FE TABLETS AT SMPN 1 TUHEMBERUA DISTRICT NORTH NIAS REGENCY NORTH SUMATERA PROVINCE 2023</text>
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                <text>Adolescent girls are individuals who are vulnerable to suffering from anemia due to the menstrual period that occurs every month. In addition, factors suspected to be the cause of anemia in adolescent girls include poor nutritional intake patterns, worm infections, frequent drinking of tea or coffee after meals, prolonged sleep, vitamin C deficiency and economic factors. This study aims to determine the Relationship of Motivation with Compliance of Adolescent Girls in Consuming Fe Tablets at SMPN 1 Tuhemberua, Tuhemberua District, North Nias Regency, North Sumatra Province in 2023. This study is a study with a Cross-sectional design (sectional cut). The number of samples used was 42 people obtained using the Random sampling technique. The data analysis technique used chi-square analysis. The results obtained in this study from 42 respondents, based on a statistical test with a p-value of 0.004 (p-value &lt;0.05), indicate a relationship between motivation and compliance of adolescent girls in consuming iron tablets at SMPN 1 Tuhemberua, Tuhemberua District, North Nias Regency, North Sumatra Province in 2023. It is recommended that health workers increase health promotion to adolescents to prevent anemia in adolescents.</text>
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                <text>Ellina Kristina Sihombing, Herna Rinayanti Manurung, Basaria Manurung, Desy Herawati Napitupulu, Cris Anggelina Br Manik, Dia Astami, Nora Vivi Lovelia</text>
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                <text>Hubungan dukungan suami dengan pemeriksaan inspeksi visual asam asetat dalam deteksi dini kanker leher rahim ibu</text>
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                <text>Dukungan suami, pemeriksaan IVA, deteksi dini kanker leher rahim</text>
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                <text>Latar belakang: Kanker leher rahim merupakan salah satu masalah kesehatan masyarakat diseluruh dunia saat ini. Pemeriksaan inspeksi visual asam asetat (IVA) merupakan metode deteksi dini yang digunakan untuk mengidentifikasi perubahan yang tidak biasa pada leher rahim yang dapat berisiko menjadi kanker serviks. Studi ini bertujuan untuk mengetahui hubungan dukungan suami dengan pemeriksaan IVA dalam deteksi dini kanker leher rahim ibu.&#13;
Metode: Desain penelitian yang digunakan berupa cross-sectional. Lokasi penelitian dilakukan di Puskesmas BPM Diana Kota Medan Tahun 2023. Subjek penelitian ini adalah seluruh ibu yang sudah menikah dan telah melakukan pemeriksaan kesehatan di BPM Diana Kota Medan Tahun 2023 sebanyak 88 orang dengan teknik total sampling. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada ibu yang berisi pertanyaan tentang dukungan suami dan pemeriksaan IVA. Pengumpulan data dilakukan secara langsung dengan menyebarkan kuesioner dan melakukan wawancara kepada ibu. Analisis data penelitian dimulai dengan menghitung distribusi frekuensi dukungan suami dan pemeriksaan IVA, serta dianalisis dengan menggunakan uji Chi Square.&#13;
Hasil: Sebanyak 60,2% suami kurang mendukung istri melakukan pemeriksaan IVA, dan sebanyak 46,6% ibu tidak melakukan pemeriksaan IVA. Dukungan suami signifikan terhadap pemeriksaan IVA dalam deteksi dini kanker leher rahim ibu (p = &lt;0,001; OR = 45,9). Dukungan suami yang kurang 45,9 kali kecenderungan ibu tidak melakukan pemeriksaan IVA dibandingkan dengan dukungan suami yang baik.&#13;
Kesimpulan: Dukungan suami yang tidak baik berhubungan secara signifikan terhadap pemeriksaan IVA dalam deteksi dini kanker leher rahim ibu.</text>
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                <text>Astaria Br Ginting, Azri Yani, Herna Rinayanti Manurung, Isyos Sari Sembiring</text>
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                <text>The 3nd International Conference on Public Health 2021</text>
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                <text>Penary Schedule</text>
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                <text>Penerapan Teknik Effleurage Massage Dalam Mengatasi Nyeri Afterpains Ibu Postpartum Di Puskesmas Negeri Lama Kecamatan Bilah Hilir Kabupaten Labuhanbatu Tahun 2022</text>
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                <text>Kontraksi uterus menimbulkan nyeri yang berdampak pada penerapan terapi antara lain menghambat pemberian ASI, menghambat bonding ibu dan anak, rasa lelah akibat afterpain yang dirasakan, gangguan istirahat hingga nyeri terus menerus yang menyebabkan resiko terjadinya postpartum blues dan pada bayi berdampak pada kurangnya asupan gizi sehingga dapat menghambat proses tumbuh kembang bayi. Metode yang digunakan dalam kegiatan ini terdiri dari 3 yaitu tahap persiapan, pelaksanaan dan evaluasi, dimulai dengan mengumpulkan peserta yaitu ibu nifas. Dari kegiatan yang dilakukan, seluruh peserta hadir, dimana dari 30 peserta yang terdaftar dalam kegiatan ini, didapatkan hasil bahwa sebanyak 23 peserta (77%) merasa nyaman dan 7 peserta (23%) dengan tidak merasa nyaman menggunakan teknik pijat effleurage. Kemudian tahap evaluasi menunjukkan tingkat nyeri pretest lebih tinggi daripada tingkat nyeri post-test, skor minimum adalah 3 (nyeri ringan) dan nilai maksimum adalah 8 (nyeri berat). Sedangkan pada posttest diperoleh nilai minimal 0 (tidak nyeri), dan nilai maksimal 5 (nyeri sedang). Kesimpulan setelah dilakukan teknik pijat effleurage bahwa ibu nifas yang mengalami afterpains sangat tertarik dan merasa nyaman dengan teknik pijat effleurage</text>
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                <text>Herna Manurung, Rosmani Sinaga, Marliani, Juliana Munthe,  &#13;
Bintang Tobing</text>
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                <text>The Intersection Of Cognitive Competence And Organizational Support In Early Warning System (Ews) Accuracy: A Multifactorial Analysis In A Regional Hospital Setting</text>
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                <text>Clinical Deterioration, Early Warning System, Patient Safety</text>
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                <text>Percakapan dengan Gemini&#13;
Ketik ulang&#13;
&#13;
Berikut adalah hasil ketik ulang teks dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-22-020_cn.wps.moffice_eng.jpg:&#13;
&#13;
Research Square&#13;
Preprints are preliminary reports that have not undergone peer review. They should not be considered conclusive, used to inform clinical practice, or referenced by the media as validated information.&#13;
&#13;
The Intersection Of Cognitive Competence And Organizational Support In Early Warning System (Ews) Accuracy: A Multifactorial Analysis In A Regional Hospital Setting&#13;
Herna Rinayanti Manurung&#13;
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
&#13;
Siti Nurmawan Sinaga&#13;
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
&#13;
Febriana Sari&#13;
febrianasari@mitrahusada.ac.id&#13;
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
&#13;
Imran Saputra Surbakti&#13;
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
&#13;
Nasrul Zaman&#13;
Syiah Kuala University&#13;
&#13;
Rizky Hayati Ginting&#13;
Syiah Kuala University&#13;
&#13;
Research Article&#13;
&#13;
Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care&#13;
&#13;
Posted Date: April 17th, 2026&#13;
&#13;
DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1&#13;
&#13;
License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License&#13;
&#13;
Additional Declarations: No competing interests reported.&#13;
&#13;
Page 1/16&#13;
&#13;
Abstract&#13;
Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality.&#13;
&#13;
Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting.&#13;
&#13;
Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via... (teks terpotong di bagian bawah gambar)&#13;
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Ketik ulang&#13;
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Berikut adalah hasil ketik ulang teks lengkap dari dokumen yang terdapat dalam berkas Screenshot_2026-05-26-15-15-16-789_cn.wps.moffice_eng.jpg:&#13;
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Herna Rinayanti Manurung&#13;
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
Siti Nurmawan Sinaga&#13;
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
Febriana Sari&#13;
febrianasari@mitrahusada.ac.id&#13;
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Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
Imran Saputra Surbakti&#13;
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan&#13;
Nasrul Zaman&#13;
Syiah Kuala University&#13;
Rizky Hayati Ginting&#13;
Syiah Kuala University&#13;
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Research Article&#13;
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Keywords: Clinical Deterioration, Early Warning System, Patient Safety, Organizational Support, Quality of Care&#13;
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Posted Date: April 17th, 2026&#13;
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DOI: https://doi.org/10.21203/rs.3.rs-8952241/v1&#13;
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License: CC BY This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License&#13;
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Additional Declarations: No competing interests reported.&#13;
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Page 1/16&#13;
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Abstract&#13;
Background: Failure to recognize clinical deterioration remains a global systemic challenge leading to preventable hospital mortality.&#13;
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Aims: This study evaluated the multifactorial determinants predicting the accuracy of Early Warning System (EWS) implementation among clinicians in a regional hospital setting.&#13;
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Methods: An analytical observational study with a cross-sectional design was conducted in 2025 at RSUD Perdagangan, Indonesia, involving 203 health professionals (specialists, general practitioners, midwives, and nurses) using total sampling. Data were collected via validated questionnaires and analyzed using Chi-square tests.&#13;
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Results: Statistical analysis revealed that knowledge (p=0.001), training (p=0.002), attitude (p=0.005), and organizational support (p=0.001) significantly correlate with EWS implementation accuracy. Notably, 77.1% of clinicians failed to implement EWS effectively in environments lacking managerial support.&#13;
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Discussion: These findings highlight that EWS precision is a manifestation of cognitive competence integrated with systemic organizational reinforcement.&#13;
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Conclusion: Bridging the "accuracy gap" requires a paradigm shift from administrative compliance to a robust patient safety ecosystem that integrates structured training and active managerial oversight.</text>
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                <text>Hibiscus Sabdariffa L Usually Called The Rosella Plant, Is A Plant That Has Many Benefits Starting From The Petals, Leaves, Seeds, And Stems, Has Been Used As An Herbal Medicinal Plant Since Ancient Times With A Variety Of Substances That Are Good For The Human Body. Hibiscus Sabdariffa L Contains Antioxidants, Anti-Diabetes, As A Diuretic, Anti-Cholesterol, Anti-Cancer, Anti-Microbial, Anti-Inflammatory, Anti-Lipidemic, Anti-Hypertensive, And Immunomodulatory Agent. This Literature Summarises Some Of The Nutritional Benefits Of Rosella And Its Potential Use As A Herbal Medicine. This Literature Method Uses A Systematic Review. The Database Used Is PUBMED, Science Direct, And Google Scholar. Using Keywords That Correspond To The Potential Of The Hibiscus Sabdariffa Plant For Health, 15 Articles Were Obtained In Indonesian And English. There Have Been Various Studies Related To The Nutritional Content Of The Hibiscus Sabdariffa L Plant Which Has Great Potential To Be Used As An Herbal Medicinal Ingredient That Has Many Benefits And Is Safe For Consumption Every Day Which Is Discussed In This Review.</text>
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                <text>Hypertension is an increase in systolic blood pressure of more than 140 mmHg and&#13;
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purposive sampling technique so that the total sample was 50 people. Data analysis used&#13;
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with deep breathing and a combination of natural ingredients (apium graveolens and&#13;
black garlic) means that the average blood pressure in the control group at the first&#13;
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pressure is 149.20 mmHg with a p value (mean) of 0.238 &gt; 0.05, meaning it is not&#13;
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Pressure Reduction in Hypertensive Elderly People Using Slow Deep Breathing and a&#13;
Combination of Natural Ingredients (Apium Graveolens and Black Garlic) in Bangun&#13;
Rejo Village in 2024 on 50 elderly people, with 25 elderly people as controls and 25&#13;
elderly people as cases, obtained results in the elderly as controls, the average blood&#13;
pressure at the first examination was 146.12 mmHg, while the average blood pressure at&#13;
the second examination was 147.28 mmHg. It can be seen that the difference in the mean&#13;
value between the first and second measurements is -1.26. The statistical test results&#13;
showed a p value = 0.238 &gt; 0.05, which means there was no significant difference&#13;
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controls. Meanwhile, in elderly cases, the average blood pressure result of the first&#13;
examination was 165.72 mmHg, while the average blood pressure at the second&#13;
examination was 136.92 mmHg.</text>
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