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ANALYSIS OF THE DEVELOPMENT POTENTIAL OF BABURAI WATERFALL TOURISM OBJECT IN PADANG PARIAMAN REGENCY

Pratama, Aldi Aditio, Osronita, Hary Febrianto, Nina Ismayani, Yudas Sabaggalet, Desi Eka Putri, Andri Yanto
Abstract: Baburai Waterfall, located in Padang Pariaman Regency, is one of the tourist attractions with tourism potential; however, in reality, this tourist attraction has not maximized the existing potential. This study aims to (1)… 1) describe the tourism potential of Baburai Waterfall in Padang Pariaman Regency and (2) formulate strategies for the development of the tourism potential of Baburai Waterfall in Padang Pariaman Regency. This research uses a qualitative type with a descriptive approach to detail and interpret the data. The results of the research conducted through field observation, interviews, and questionnaires found that there is a lack of good coordination among managers, local government, and tourism departments, leading to limited accessibility to the waterfall, a lack of human resource development, and insufficient promotion regarding the Baburai Waterfall tourist attraction. The analytical technique used is the SWOT method to determine the sustainable development strategy for Kulukubuk waterfall tourism. Based on the results of the SWOT analysis, it is concluded that the development strategy for the Baburai waterfall tourism potential includes building cooperation with the government and the tourism office, improving accessibility, and enhancing the human resources of the Baburai waterfall tourism managers.

THE RELATIONSHIP BETWEEN KNOWLEDGE, ANXIETY LEVEL, AND FAMILY SUPPORT WITH EXCLUSIVE BREASTFEEDING IN THE COMMUNITY HEALTH CENTER PAUH WORK AREA

Dian Furwasyih, Hardiana, Novi, Novria Hesti, Sunesni, Devi Syarief
Abstract: Exclusive breastfeeding in West Sumatra is 74.16%. However, this percentage is still low from the target of the Indonesian Ministry of Health, which is 80%. The purpose of this study is to determine the relationship between&#8230; een family support, knowledge and maternal anxiety levels with exclusive breastfeeding in the Pauh Health Center Working Area in 2024. The type of research is an analytical survey with a cross-sectional approach. The population is all mothers who have babies aged 6-12 months in the Pauh Health Center Working Area with a sample size of 40 respondents. The sample uses total sampling. The research period is February-July. The data collection technique using a questionnaire was analyzed using the Chi Square Test. The results of mothers who provide exclusive breastfeeding were 29 respondents (72.5%), 11 respondents (27.5) did not. The level of knowledge was good 16 respondents (40.0%), sufficient knowledge 12 respondents (30.0%) and less knowledge 12 respondents (30%). Not anxious 21 respondents (52.5%), mild moderate 12 respondents (32.5%) and severe-very severe 6 respondents (15%). Good family support for 22 respondents (55.0%) and poor support for 18 respondents (45%). There is a relationship between maternal knowledge and exclusive breastfeeding, p-value: 0.009 (<α: 0.05), there is no relationship between anxiety and exclusive breastfeeding with p-value: 0.288 there is no relationship between family support and exclusive breastfeeding (>α: 0.05) p-value: 0.377 (p>0.05). The conclusion is that there is a relationship between knowledge and exclusive breastfeeding, the level of anxiety and family support there is no relationship between exclusive breastfeeding. It is hoped that the importance of health workers to provide counseling regarding exclusive breastfeeding to mothers and families at the posyandu in Pisang sub-district, Pauh Health Center Working Area.

NURSING CARE FOR MS. Y WITH SELF-CARE DEFICIT WITH FOCUS ON TOOTH BRUSHING ACTIONS AT DR. R. M SOEDJARWADI MENTAL HOSPITAL, KLATEN

Hanif, Talitha Salsabila Putri
Abstract: Background: Mental disorders are conditions that affect a person's emotions, thought patterns, and behavior that can interfere with activities and social interactions. WHO (2022) notes that around 24 million people worldwide&#8230; wide experience mental disorders, where more than 60% of sufferers experience self-care deficits. Self-care deficit is a condition when a person is unable to care for themselves optimally, this has a major impact on the individual's social and self-care functions, including in personal hygiene activities such as brushing their teeth. Where around 45% of patients with self-care deficits show reluctance to brush their teeth which increases the risk of oral disease and other systemic infections. Brushing teeth in patients with self-care deficits is needed to improve oral hygiene and the patient's ability to care for themselves personally. Objective: To determine nursing care from assessment to evaluation in miss Y with self-care deficits with a focus on brushing teeth. Method: The method used is the case study approach method. Results: After nursing care was carried out on miss Y with self-care deficits, it was proven to increase the miss Y's self-care ability, especially brushing their teeth. Conclusion: The act of brushing teeth is effective in increasing self-care awareness in miss Y with self-care deficits.

ANALYSIS OF ACCOUNTING IMPLEMENTATION IN MSMEs IN BOGOR REGENCY

Nasution, Yan Noviar, Herman, Herman
Abstract: This research aims to determine whether the application of accounting in MSMEs in Bogor Regency is in accordance with SAK EMKM. This research uses a qualitative method with a case study approach. The data used in this research&#8230; search is primary data obtained through observation and interviews as well as documentation data and secondary data sourced from MSMEs owners in Bogor Regency. The results of the research show that the application of accounting in MSMEs is not in accordance with the application of SAK EMKM because the preparation of financial reports in MSME companies has not been implemented fully or has not been optimal, as can be seen in the table of application of MSMEs Accounting where the CALK section is not in accordance with the SAK EMKM method.

ANALYSIS OF RISK FACTORS FOR HYPERTENSION IN BONTO TALLASA VILLAGE, ULUERE DISTRICT, BANTAENG REGENCY

Herdina, Azis, Rahmawati, Amiruddin, Fitriyah
Abstract: This study aimed to identify risk factors associated with hypertension in Bonto Tallasa Village, Uluere Subdistrict, Bantaeng Regency, in 2025. The research examined three factors: family history, excessive sodium intake,&#8230; , and stress. A quantitative case–control design was applied to 60 respondents (30 cases and 30 controls) selected through purposive sampling. The results showed that individuals with a family history of hypertension were about 26 times more likely to develop hypertension than those without such a history, indicating a strong and significant association. Excessive sodium intake increased the risk approximately 3.5 times and was statistically significant. Stress was associated with nearly double the risk, but this association was not statistically significant, possibly due to individual differences in coping mechanisms and measurement limitations of subjective stress levels. This suggests that stress may influence hypertension indirectly through behavioral or physiological pathways. In conclusion, family history and excessive sodium intake are significant predictors of hypertension, while stress contributes to an elevated yet statistically nonsignificant risk. Preventive strategies should emphasize sodium reduction, regular blood pressure monitoring, and effective stress management in daily life.

CORRELATION BETWEEN NEUTROPHIL LYMPHOCYTE RATIO AND LIPID PROFILE IN ADULT PATIENT WITH OBESITY IN PRODIA TANGERANG CLINICAL LABORATORY

Sari, Lia Dwi, Anak Agung Ayu Eka Cahyani, Ika Setya Purwanti
Abstract: Obesity is a condition of abnormal or excessive fat accumulation which can be a risk factor for dyslipidemia. Uncontrolled dyslipidemia can directly cause endothelial dysfunction by increasing the production of free radicals,&#8230; cals, causing Low Density Lipoprotein (LDL) oxidation and stimulating the release of inflammatory factors that can cause inflammation. Neutrophils and macrophages are the first leucocytes to appear in the early response to inflammation, so the neutrophil-lymphocyte ratio can be useful for evaluating the prognosis of inflammation as an early detector and as a marker of inflammation that can be detected simply and efficiently.  This study aims to determine the correlation between Neutrophil-Lymphocyte Ratio (NLR) and Lipid Profile in adult patients with obesity in Prodia Tangerang Clinical laboratory. This study is an analytical study with a cross-sectional approach and used purposive sampling technique. The research sample data was taken from secondary data from patient medical records. The p-value obtained using Rank Spearman correlation from the comparation of neutrophil-lymphocyte ratio with each lipid profile value is total cholesterol (p=0.003), LDL cholesterol (p=0.013), High Density Lipoprotein (HDL) cholesterol (p=0.375) and tryglicerides (p=0.316). This study found a relationship between the neutrophil-lymphocyte ratio with total cholesterol dan LDL cholesterol, but there was no relationship between the neutrophil-lymphocyte ratio with HDL cholesterol and tryglicerides in obese adult patient in Prodia Tangerang Clinical Laboratory.

CORRELATION BETWEEN HS-CRP LEVELS AND ERYTHROCYTE SEDIMENTATION RATE VALUES IN PEDIATRIC PATIENTS WITH FEVER

Kusumawardani, Oktaviana Putri Cipta, Cahyani, Anak Agung Ayu Eka, Andini, Ni Komang Sukra
Abstract: Fever is the most common disease in children. Fever in children can be found in various conditions such as infection, inflammation, or other unknown causes. One of the laboratory tests that can be used is the hs-CRP and&#8230; erythrocyte sedimentation rate examination. The purpose of this study was to determine the relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric febrile patients. The research method was observational with a cross-sectional method using secondary data of 62 samples. Data analysis used the Spearman's rho test. The results of the study showed that most of the pediatric patients who experienced fever were male (59.7%), and the age of the child was 5 years (21%). In pediatric patients with fever, the average hs-CRP level was 19.34 mg/l, and the erythrocyte sedimentation rate was 32.73 mm/hour. The results of the correlation test using the Spearman's rho test method obtained p = 0.001 with r = 0.575, so it can be concluded that there is a moderate and positive relationship between hs-CRP levels and erythrocyte sedimentation rate in pediatric patients with fever.

OVERVIEW OF GIVING BOILED SOURSOP LEAF WATER TO REDUCE GOUT ARTHRITIS LEVELS IN ELDERLY PATIENTS IN KARANGJAMBU VILLAGE, KARANGJAMBU DISTRICT, PURBALINGGA REGENCY

Saifuloh, Sofyan, Fida Dyah Puspasari, Priyatin Sulistyowati, Eko Julianto
Abstract: Background: Gout arthritis is a degenerative disease commonly experienced by the elderly due to elevated uric acid levels in the blood. One safe non-pharmacological treatment alternative is the use of herbal remedies such&#8230; h as soursop leaves (Annona muricata L), which contain active compounds like flavonoids and alkaloids that may reduce uric acid levels. Objective: To describe the effect of boiled soursop leaf water on reducing uric acid levels in elderly patients with gout arthritis in Karangjambu Village, Karangjambu Subdistrict, Purbalingga Regency. Method: This study employed a case study method. Subjects were given an intervention of 200 ml of boiled soursop leaf water daily (100 ml in the morning and 100 ml in the evening) for seven consecutive days. Uric acid levels were measured before and after the intervention. Results: After seven days of soursop leaf water administration, uric acid levels decreased from an average of 8.7–9.0 mg/dl to 5.5–5.8 mg/dl. This suggests that the active compounds in soursop leaves are effective in inhibiting xanthine oxidase and promoting uric acid excretion through urine. Conclusion: Boiled soursop leaf water is effective in lowering uric acid levels in elderly patients with gout arthritis and can serve as a safe and practical complementary non-pharmacological therapy within the community.

EFFECT OF DELAY TIME IN URINE EXAMINATION ON ALCOHOL CONCENTRATION

Dabi, Aberina, Prihatiningsih, Diah, Sudarma, Nyoman
Abstract: Urine alcohol testing plays a vital role in detecting alcohol consumption for clinical and forensic purposes, yet its results may be influenced by pre-analytical factors such as the delay between sample collection and laboratory&#8230; boratory analysis. This study aimed to evaluate the effect of delay time before urine examination on alcohol concentration. An experimental One-Shot Case Study design was conducted involving 44 participants in Denpasar who had consumed alcohol. Alcohol concentration was measured immediately, after a 2-hour delay, and after a 4-hour delay using the Alcohol Urine Rapid Test Dipstick Allchek, and the data were analyzed using the Kruskal-Wallis test. The findings showed that average urine alcohol levels increased numerically after a 2- and 4-hour delay compared to immediate testing; however, this change was not statistically significant (p=0.131). These results confirm that delaying urine alcohol examination up to 4 hours does not significantly alter detectable alcohol concentrations, although prompt testing is still recommended to ensure result accuracy and minimize the risk of false positives. This study provides important insights for the development of standard operating procedures regarding urine alcohol analysis in laboratory practice.

COMPARISON OF FRESH SERUM TOTAL CHOLESTEROL RESULTS WITH THOSE OF SERUM STORED AT ROOM TEMPERATURE FOR 6 HOURS AT JATI PADANG GENERAL HOSPITAL

Sari, Anis Sinta, Yanti, Ni Ketut Ayu Mira, Yanti, Ni Luh Gede Puspita
Abstract: Exposure to X-ray radiation in conventional radiology procedures can pose a health risk, especially for accompanying caregivers of pediatric patients who only bear the risk without gaining any benefit. This study aims to&#8230; determine the estimated equivalent dose received by accompanying caregivers of pediatric patients and the safest points during conventional radiology examinations. The method used in this research is a field survey, involving the measurement of equivalent radiation doses inside and outside the examination room using a personal dosimeter, as well as measuring the radiation dose rate at 6 points using a surveymeter. The data was processed to obtain the highest and lowest values, as well as the percentage of equivalent dose obtained compared to the established Dose Limit Value (DLV). The results showed that the highest radiation dose received by accompanying caregivers inside the examination room reached 13,46 µSv, with a percentage of 0,27% relative to the DLV, while the lowest dose recorded was 1,12 µSv, with a percentage of 0,0224% relative to the DLV. Analysis of the radiation dose rate distribution revealed that the greater the distance of the measurement point from the radiation source (tube), the smaller the dose received. In conclusion, the radiation dose received by accompanying caregivers is still below the Dose Limit Value (DLV) for caregivers, which is 5.000 µSv. However, to minimize stochastic effects, the implementation of additional protective measures, such as the use of lead aprons and selecting safer locations within the examination room, is highly recommended. These findings are expected to serve as a guide in enhancing the safety of accompanying caregivers of pediatric patients in conventional radiology units.