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                <text>Dysmenorrhea is menstrual pain that is often experienced by women during menstruation. During menstruation there is an increase in prostaglandin levels (PGE 2) which can cause pain during menstruation (dysmenorrhea). Dysmenorrhea can be treated in two ways, namely pharmacologically and non-pharmacologically. Aromatherapy Lavender is a non-pharmacological way to relieve menstrual pain (dysmenorrhea). The purpose of this study was to determine the effect of relaxation with lavender aromatherapy on reducing menstrual pain (dysmenorrhea) in undergraduate students of Midwifery at STIKes Mitra Husada Medan. Methods: This research is a type of pre-experimental research with the One Group Pretest-Post test design approach. The sample in this study were students who experienced dysmenorrhea as many as 20 respondents who were taken using purposive sampling technique, the test used was the Spearman Rank test with an error rate of α = 0.05. Results: In the study, the average menstrual pain of respondents before giving lavender aromatherapy on a scale of 4 were 15 respondents, while after giving decreased with a scale of 2 were 16 respondents. Based on the results of statistical analysis, it is found that ρ value = 0.001 &lt;α = 0.05, this shows that Ho is rejected and Ha is accepted. Conclusion: From the results of the above research, it can be concluded that there is an effect of lavender aromatherapy on reducing menstrual pain (dysmenorrhea) in undergraduate students of Midwifery, STIKes Mitra Husada Medan. Suggestions for students are expected to be able to apply this non- pharmacological therapy to reduce menstrual pain (dysmenorrhea). And suggestions for STIKes Mitra Husada Medan in order to facilitate aromatherapy and a comfortable room for the implementation of therapy for students.</text>
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Bahan ajar ini disusun dengan tujuan untuk memudahkan mahasiswa pada proses pembelajaran khususnya secara teoritis, sehingga mahasiswa mampu memahami dan menganalisi setiap bahan kajian Dokumentasi Keperawatan</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>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;
&#13;
Ketik ulang&#13;
&#13;
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;
&#13;
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;
&#13;
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;
&#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 validated questionnaires and analyzed using Chi-square tests.&#13;
&#13;
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;
&#13;
Discussion: These findings highlight that EWS precision is a manifestation of cognitive competence integrated with systemic organizational reinforcement.&#13;
&#13;
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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&#13;
ChatGPT&#13;
Anda bilang:&#13;
Gambar yang diunggah&#13;
Ketik ulang&#13;
ChatGPT bilang:&#13;
Baik, berikut hasil ketikan ulang dari gambar yang Anda kirimkan:&#13;
&#13;
Jurnal Kesehatan LLDIKTI Wilayah 1 (JUKES), 4 (1) (2024) 6-12&#13;
Published by: LLDIKTI WILAYAH 1&#13;
Jurnal Kesehatan LLDIKTI Wilayah 1 (JUKES)&#13;
Journal homepage: www.lldikti1.kemdikbud.go.id/jurnal&#13;
&#13;
Implementation of UMKM based on Participation, Innovation And Digitalization In Achieving SDG’s Through Ced Prevention at PMB Sarfina Br Sembiring 2023&#13;
Herna Rinayanti Manurung¹, Siti Nurmawan Sinaga², Rosmani Sinaga³, Ribur Sinaga⁴, Imran Saputra Surbakti⁵, Marliani⁶, Riska Susanti Pasaribu⁷&#13;
¹˒⁷ Department of midwifery, STIKes Mitra Husada Medan, Indonesia&#13;
&#13;
Article Info&#13;
Article history:&#13;
Received: 18-1, 2024&#13;
Revised: 22-3, 2024&#13;
Accepted: 30-4, 2024&#13;
&#13;
Keywords:&#13;
&#13;
Prevention of CED&#13;
&#13;
Achievement of SDGs&#13;
&#13;
Nutritious food&#13;
&#13;
Malnutrition&#13;
&#13;
Utilization&#13;
&#13;
ABSTRACT&#13;
In dealing with the complex problems of Chronic Energy Deficiency or CED, lecturers and students of STIKes Mitra Husada Medan through grants from the Partnership-Based UMKM Development program produce PMT (Additional Food Packages) nutritious food Green Bean Cookies and Peanut Honey by utilizing the potential of local food and education pattern consumption. Midwife’s independent practice Sarfina as place health services where the reach of this clinic business is expected to become wider with the implementation of innovation, digitalization and participation in the prevention of CED through technology in the service process health. This is research is an intervention study with a cross sectional design. Participants are prospective brides, pregnant women and postpartum mothers who meet the inclusion and exclusion criteria. Retrieval and collection of research data was carried out using the probability purposive sampling method. A total of 82 participants took part in study. This research was conducted at the PMB Sarfina Br Sembiring clinic in November-December 2023. Results &amp; Conclusions from each of the 10 respondents or 33.3% of prospective brides, pregnant and postpartum women, there is an influence of participation, namely increasing the knowledge of prospective brides and grooms 28%, pregnant women 30% and postpartum 12%. Meanwhile, product innovation shows an increase in the weight of prospective brides, pregnant and postpartum women, but there is no increase in arm circumference and the influence of Shopee application technology and other applications seems that the average knowledge of health shop partners is 31.6% less compared to Shopee and other applications.</text>
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