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                <text>Differences in the Effectiveness of Pelvic Rocking and Rebozo &#13;
Movements in the Lowering of the Fetal Head during First Stage &#13;
of Maternity at the Clinic in Kwala Bekala Village</text>
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                <text>and physiological event. Despite the inherent pain experienced by the mother and the extended duration of complete opening, some opt for alternative interventions, such as cesarean sections. &#13;
Additionally, pharmacological drugs may be administered to facilitate the timely expulsion of the &#13;
fetus and placenta. Aim: The purpose of this study was to analyze the effectiveness of pelvic rocking and rebozo movements in lowering the fetal head in women in the first stage of labor. Methods: This study used a quantitative analytic method with a quasi-experimental research design with a two&#13;
group comparison of pretest-posttest design. Results: The results of the study showed that before and after the pelvic rocking movement was carried out, the asymptote sig value was obtained. The 2-tailed &#13;
was found to be 0.000 less than the alpha level of 5% (0.05), so it can be concluded that there is a significant difference in decreasing the fetal head. An asymptote sig value was found for the rebozo &#13;
movement. The fetal head's descent varied significantly before and after the rebozo movement, as &#13;
shown by the 2-tailed statistic's finding that it was 0.003 less than the 5% alpha threshold (0.05). &#13;
Conclusion: The conclusion of this study was that the significance value of pelvic rocking was 0.000, &#13;
which was smaller than the rebozo significance value of 0.003, which means that the pelvic rocking &#13;
group was more effective in decreasing the fetal head compared to the rebozo group. So, it is very useful if the pelvic rocking movement service is carried out when passing through the first stage of labour.&#13;
 Keywords: First Stage of Labour; Pelvic Rocking; Rebozo </text>
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                <text> Ester Simanullang, Santhna Letchmi Panduragan, Ingka Kristina Pangaribuan, Sandeep Poddar</text>
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                <text>ANALISIS EFEKTIVITAS SELF-MANAGEMENT SUPPORT TERHADAP KUALITAS HIDUP PASIEN KANKER PAYUDARA</text>
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                <text>Breast Cancer, Quality of Life, Self-Management Support, Medical-Surgical Nursing</text>
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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>Hubungan Dukungan Suami dengan Pemeriksaan Inspeksi Visual Asam Asetat 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>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>Penerapan Self Efficacy Dan Pemanfaatan Biskuit Labu Kuning Sebagai MakananTambahan Terhadap Pencegahan Stunting Pada Gold Period Di Siosar</text>
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                <text>Latar Belakang: Secara global, ada sekitar 101 juta anak di bawah usia 5 tahun yang memiliki berat badan di bawah ideal dan 165 juta anak mengalami stunting. Berdasarkan Riset Kesehatan Dasar (Riskesdas), terdapat 37,2% balita di Indonesia mengalami stunting dan pada tahun 2018 sekitar 37% (90 juta) balita di Indonesia mengalami stunting. Stunting menggambarkan kejadian gizi buruk pada balita yang berlangsung lama dan dampaknya tidak hanya secara fisik tetapi juga pada fungsi kognitif.&#13;
Tujuan: Penelitian ini menganalisis pengaruh penerapan self-efficacy dan penggunaan biskuit labu kuning terhadap pencegahan stunting.&#13;
Metode: Penelitian ini merupakan penelitian kohort dengan analisis regresi dan uji chi-square. Subjek penelitian ini adalah 40 ibu hamil dan bayi di atas 6 bulan yang akan diintervensi dengan pemberian 4 buah biskuit labu kuning per hari dengan model bantuan (Omnibus Tests of Model Coefficients).&#13;
Hasil: Penelitian dengan Pengujian Simultan (Omnibus Tests of Model Coefficients) Penerapan Self-efficacy dan Pemanfaatan Labu untuk Cegah Stunting di Siosar (Relokasi Pengungsi Gunung Sinabung) Kab. Karo menunjukkan bahwa pada taraf signifikansi (α = 0,002) &lt;0,05 artinya variabel bebas yang terdiri dari penerapan self-efficacy dan penggunaan labu kuning secara simultan berpengaruh terhadap variabel terikat yaitu pencegahan stunting pada balita.&#13;
Simpulan: Ada pengaruh penerapan efikasi diri dan penggunaan labu kuning terhadap pencegahan stunting pada balita.&#13;
Key Words: Self Efficacy; Stunting; Biskuit Labu Kuning.</text>
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                <text>Astaria Br Ginting, Juliana Munthe, Lidya Natalia Br Sinuhaji, Anisatulaila,&#13;
Elisabet Yovanika Pasaribu</text>
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                <text>Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan</text>
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                <text>02 Desember 2020</text>
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                <text>Efektivitas Aroma Terapi Lavender Untuk Mengurangi Kecemasan Saat Pemasangan IUD Pada Akseptor KB IUD</text>
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                <text>Eka Falentina Tarigan, Srilina Br Pinem, Andriani, Median Jelita Lahagu, Nirmala Devi</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>Faktor – faktor Penyebab Ibu Post Partum dengan Kejadian Depresi Baby Blues di Klinik PBM Elsi Ramayana Tahun 2023</text>
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                <text>Causative Factors, Post Partum, Baby Blues</text>
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                <text>Postpartum blues is a normal condition, and mothers themselves don't realize that they are experiencing postpartum blues. The aim is to find out the factors that cause post partum mothers to experience baby blues depression at the PBM Elsi Rahayana Clinic in 2023. Pre-Experimental Designs research method. All post partum mothers who gave birth at the PBM Elsi Rahayana Clinic during February – May 2023 were 38 people. Wilcoxon Signed Ranks Test statistical test. The results of the Wilcoxon Signed Ranks Test showed that the p value was &lt;0.05. The research results showed that the majority of respondents with baby blues depression were 36 respondents (94.7%) and the majority of respondents aged &lt; 20 years were 2 respondents (5 .3%). then the results of the Wilcoxon statistical test obtained p (0.001) &lt; 0.005, so it can be concluded that the null hypothesis is rejected, meaning that the majority of respondents with baby blues depression aged 20-35 years were 36 respondents (94.7%) and the minority of respondents aged &lt; 20 years were 2 respondents (5.3%). Based on research results, to determine the factors that cause postpartum mothers to experience baby blues.</text>
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                <text>Elsi Ramayana, Lisdayanti Simanjuntak, Dina Afriani, Eva Ratna Dewi, Parningotan Simanjuntak</text>
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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</text>
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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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                <text>2024</text>
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                <text>Edukasi Deteksi Dini Demensia Pada Lansia Melalui Brain Gym Di Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Tahun 2023</text>
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                <text>Demensia adalah hilangnya kemampuan mental yang disebabkan oleh gangguan otak yang mempengaruhi memori, daya pikir, perilaku dan penilaian. Penyebab paling umum dari demensia, terutama pada orang tua, adalah penyakit Alzheimer. Hal tersebut mengakibatkan &#13;
sampai 70% kasus demensia. Urgensi Pengabdian ini adalah untuk peningkatan peran serta masyarakat dalam peningkatan Kesehatan di lingkungan masyarakat desa bangun rejo, dengan menggunakan pendekatan edukatif pada lansia. Tujuan Pengabdian ini untuk &#13;
membantu Masyarakat para lansia agar di masa tua tidak mengalami demensia sehingga para lansia masih bisa berproduktifitas di masa tua nya dengan baik dan Bahagia tanpa kesulitan dalam mengingat semua pengetahuan-pengetahuan yang selama ini dia miliki khususnya para lansia di Desa Bangun Rejo ini. Hasil yang diperoleh dalam pelaksanaan edukasi deteksi dini demensia melalui brain gym ini dari 40 lansia yang mengikuti ada 27 lansia (67,5%) yang &#13;
sudah memahami pentingnya mengetahui demensia pada usia yang sudah lanjut. Bagi lansia kagiatan senam otak ini bisa dikaukan secara mandiri dirumah agar manfaat dari senam otak ini dapat dirasakan langsung oleh para lansia. Bagi mitra pengabdian hendakanya didesa ini menjadikan senam otak atau brain gym sebagai kegiatan yang seminimal mungkin pelaksanaannya dilakukan untuk meningkatkan kesejahteraan Kesehatan para lansia.  </text>
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                <text>Eva Ratna Dewi, Ingka Kristina P, Marliani , Nur Azizah, Wahyu Lydia Marpaung,  Lilis Hartati Berutu, Petra Dian Sari,  Mesrida Simarmata </text>
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