THE RELATIONSHIP BETWEEN LEVEL OF KNOWLEDGE OF FIXED ORTHODONTIC YOUNG ADULT PATIENTS AND DENTAL HYGIENE

Background: The level of knowledge is very important in underlying the formation of behavior that supports dental and oral hygiene during the use of orthodontic devices in the patient's mouth. This knowledge can be obtained naturally or planned, namely through the educational process. Other knowledge is also obtained from many sources such as social media, television media or print media.Method: This type of research is observational analytics with a cross sectional study. The population of this study was 121 patients aged 20-30 years old, there are 55 patients for samples using simple random sampling. The data collection instrument uses a questionnaire.Outcome: Analytical results using the chi square test showed that p = (0.00) < α (0.05).Conclusion: There is a relationship between level of knowledge of fixed orthodontic young adults patients and dental hygiene

Effectiveness of hand exercise on limb function in patients coronary artery disease post trans-radial artery catheterization: systematic review

Coronary Artery Disease (CAD) is the leading cause of mortality worldwide. Catheterization using the transradial arterial (TRA) technique has been able to reduce morbidity and mortality rates from CAD, but this procedure also contributes to the occurrence of complications. This study aims to search the literature and analyse articles discussing the use of hand exercise to improve limb function in patients after trans-radial cardiac catheterization.  The design used was a systematic review with PRISMA adaptation. Articles were searched using databases: ScienceDirect, Proquest, PubMed, Scopus and Hand Searching in Google Scholar. The results are discussing 7 articles published from 2013-2023. Hand exercises are useful for restoring limb function within two hours after the procedure and over a long period. To deliver nursing interventions that reduce pain, oedema, and bleeding in CHD patients undergoing trans-radial cardiac catheterization, it is established that hand exercise can develop into an evidence-based reference. Long-term hand exercise training can also enhance endothelial function, which controls blood vessel vasoconstriction and dilatation. This enhances circulation during activity, improves grip function, and enhances extremities function

Tuning Up Listening Skills: Unveiling the Impact of Busuu Application on Junior High School Students' Listening Proficiency

This study aims to examine the impact of the Busuu application on students' listening skills. This research uses a pre-experimental quantitative approach with a pre-test and post-test design in one group. This research specifically used eighth grade students at MTs Anwarul Maliki and was conducted in three stages: pretest, treatment, and posttest. Research findings show a significant improvement in students' listening skills in class VIII B before and after treatment with the Busuu application. This application has proven to be more effective than traditional methods, improving the practice and effectiveness of listening learning. The results of data analysis show an increase in students' average pre-test score from 34.44 to 64.44 from the average post-test score with the use of the Busuu application, making the process of learning listening skills easier and more practical. The results of this research can provide evidence to readers regarding the use of busuu which can affect junior high students' English listening abilities. This research implies that the Busuu application is more effective than traditional methods in improving listening skills. This provides empirical support for the use of technology in language learning, showing that technology-based methods can provide better results.

Potensi Minuman Probiotik Berbahan Dasar Campuran Buah (Jambu, Lemon, Melon, Bit) Sebagai Minuman Kesehatan

Background; The health of the digestive tract is very important for maintaining the body's immune system, in maintaining the health of the digestive tract there are two components of probiotics and prebiotics are needed. Probiotics are good bacteria that are beneficial for the health of the digestive tract. Probiotics can be obtained through food or drink that has gone through a fermentation process using gram-positive bacteria. Probiotics produce bacteriocins and several compounds needed by the body such as lactic acid, acetic acid, hydrogen peroxide, lactoperoxidase and lipoperoxide, pyridoxine, niacin, folic acid, cobalamin and biotin which are useful for boosting the body's immune system. Objectives; The purpose of this study was to make a probiotic drink with fruit-based ingredients (guava, lemon, melon, beet) as a probiotic product that can be an alternative health drink. Material and Method; This study used an experimental design with a completely randomized design, where there were three formulas that had differences in the addition of sugar (F1: 10% sugar, F2: 20% and F3: 30%). The materials used in this study included: Guava, Lemon, Melon,Beets, Sugar and used the Lactobacillus plantarum bacterial starter. The tests carried out included: organoleptic test, total plate count test and acidity test Results; the organoleptic test results, it was found that Formula 3 was the most preferred with organoleptic qualities: slightly sour, slightly muddy and very red in color. The red color comes from beets. The acidity level of each formula includes: F1 (3.43), F2 (3.39), F3 (3.34). The results of the total plate number test showed that the average total plate number of the product was 1.7 x 10 8/CFU/ml.Keywords: Beets, Guava, Healthy drink, Lemon, Melon, Probiotic

Effectiveness of a Decoction of Binahong Leaves and Red Betel Leaves in Healing Perineal Wounds

The incidence of perineal rupture in Garut Regency in 2020 was 61% of the number of mothers who gave birth, while in Sukasenang Community Health Center in 2022 there were 314 postpartum mothers (33.04%) who experienced perineal wounds and there were 5 cases of perineal infection. Non-pharmacological therapy that can be given to speed up the healing of perineal wounds to prevent infection is using red betel leaf extract and binahong extract. The aim of this research was to determine the effectiveness of boiled binahong leaves and red betel leaves in healing perineal wounds. The type of research in this research is qualitative with a case study approach. The sample used was 2 people using purposive sampling technique. The research results obtained by Mrs. S and Mrs. L Before giving the binahong leaf decoction to the perineal wound there was a grade 2 tear with a reeda score of 6 and after giving the binahong decoction to the perineal wound there was a birth canal wound on the 2nd visit with a score of 4 and on the 3rd visit there was no pain. In conclusion, there is no difference in effectiveness between boiled binahong leaves and boiled red betel leaves in healing perineal wounds in postpartum women. It is hoped that health workers, especially midwives, will continue to improve education and care for perineal wounds by using boiled water from binahong leaves and boiled water from red betel leaves so that postpartum mothers can do it independently

Manajemen Hipertensi dengan Foot Massage terhadap Penurunan Tekanan Darah pada Lansia Penderita Hipertensi

Hipertensi atau tekanan darah tinggi ditandai dengan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg. Kondisi ini, jika tidak ditangani dengan tepat, dapat menyebabkan beberapa masalah termasuk stroke, gagal jantung, gagal ginjal, dan gangguan lainnya. Foot massage adalah intervensi non-farmakologis yang dapat digunakan. Tujuan dari studi kasus ini adalah untuk menggambarkan pemanfaatan foot massage sebagai cara untuk mengelola hipertensi pada individu lanjut usia dengan tekanan darah tinggi. Studi kasus ini menggunakan metodologi deskriptif dengan pendekatan asuhan keperawatan. Studi kasus ini melibatkan pengaplikasian foot massage pada tiga subjek studi yang didiagnosis menderita hipertensi. Sesi pijat berlangsung selama lima hari, dengan setiap sesi berdurasi antara 10 dan 15 menit. Spigmomanometer digunakan sebagai instrumen pengukuran selama fase pretest dan posttest. Temuan studi kasus menunjukkan bahwa foot massage, yang dilakukan selama 5 sesi, secara efektif mengurangi tekanan darah pada subjek 1. Secara spesifik, subjek 1 mengalami penurunan tekanan darah dari 141/103 mmHg menjadi 121/86 mmHg. Subjek 2 juga mengalami penurunan tekanan darah dari 140/111 mmHg menjadi 130/88 mmHg. Terakhir, subjek 3 menunjukkan penurunan tekanan darah dari 151/93 mmHg menjadi 120/74 mmHg. Berdasarkan temuan yang diperoleh dari studi kasus yang dilakukan, dapat disimpulkan bahwa penerapan foot massage selama 10-15 menit selama 5 hari menunjukkan kemanjuran dalam pengelolaan hipertensi, yang mengarah pada penurunan tingkat tekanan darah

Penerapan metode intermitten feeding dalam pemberian makan enteral pada anak sakit kritis

Defisit nutrisi menyebabkan peningkatan mortalitas pada anak dengan ventilasi mekanis di Pediatric Intensif Care Unit (PICU). Nutrisi enteral merupakan teknik pemberian makan bagi pasien dengan intake oral yang tidak adekuat dan dengan saluran gastrointestinal yang berfungsi baik. Intermiten feeding adalah strategi pemberian makan yang dibatasi waktu yang didasarkan pada beberapa perubahan metabolisme pada beberapa pasien. Metode intermiten feeding yaitu cara pemberian nutrisi enteral menggunakan pompa elektronik (syringpump) dengan ditetapkan aturan pemberian dengan mengatur kecepatan cairan per jam dan diberikan sesuai dengan dosis atau waktu tertentu. Tujuan studi kasus untuk mengetahui pengaruh penerapan metode Intermitten feeding terhadap penurunan volume residu lambung pada anak yang dirawat di unit perawatan intensif. Metode studi kasus adalah deskriptif dengan pendekatan asuhan keperawatan yang melibatkan 2 subjek klien bayi. Kriteria inklusi meliputi anak sakit kritis usia 1 bulan sampai 1 tahun yang di rawat di PICU selama >48 jam, mendapat enteral nutrisi berupa diit cair susu dengan periode pemberian 6-8x dalam 1 hari, menggunakan ventilator, menggunakan obat inotropik dan kondisi hemodinamik stabil. Intervensi dilakukan 3 kali pada pagi, sore dan malam selama 3 hari. Hasil evaluasi didapatkan penurunan volume residu lambung setelah penerapan metode intermitten feeding selama 1 jam dengan kecepatan 60 ml/jam menggunakan syringe pump. Rata-rata volume residu lambung sebesar 1,25-2,5% dari total kapasitas lambung subjek 1 dan 2. Terjadinya penurunan volume residu lambung dengan pemberian nutrisi bertahap lebih memaksimalkan motilitas lambung sehingga pengosongan lambung lebih cepat. Berdasarkan kesimpulan, hasil studi kasus ini diharapkan menjadi alternatif intervensi untuk pengelolaan pasien defisit nutrisi dalam kondisi kritis

Inisiasi Menyusui Dini Dalam Proses Involusi Uteri Ibu Post Partum

Proses involusi uteri pada ibu post partum perlu dimonitor terutama post partum hari pertama yang termasuk periode kritis, jika involusi uteri tidak termonitor dengan baik dapat menimbulkan perdarahan. Perdarahan sebagai penyumbang kematian ibu post partum terbanyak di Indonesia (50%). Proses involusi uteri dapat di stimulasi dengan inisiasi menyusui dini. Pada karya ilmiah akhir ners ini dilakukan penerapan IMD pada dua ibu post partum. Metode yang digunakan pada studi kasus ini deskriptif dengan pendekatan asuhan keperawatan. Kriteria inklusi studi kasus ini yaitu ibu post partum status multipara dengan persalinan normal tanpa induksi dan riwayat partus lama. Penerapan IMD setiap 2 jam sekali dengan durasi 1 jam setiap pelaksanaannya selama 24 jam pertama masa post partum. Pengukuran fundus uteri dilakukan sebelum IMD, 2 jam setelah perlakuan dan 12 jam setelah perlakuan. Hasil akhir ada penurunan fundus uteri pada rentang 1 -1,5 cm. Hasil tersebut termasuk dalam kategori normal, karena sejalan dengan penelitian sebelumnya yang menyebutkan pada hari pertama post partum tinggi fundus uteri kira-kira satu jari bawah pusat. Adanya penurunan fundus uteri karena isapan mulut bayi merangsang otot polos pada payudara yang memicu kelenjar pituitaria menghasilkan hormon oksitosin untuk kontraksi uterus, sehingga dapat disimpulkan IMD membantu proses involusi uteri ibu post partum

EFFECT OF FLEXURAL STRENGTH NON DENTAL GLASS FIBER REINFORCED COMPOSITE CONCENTRATION ON ARTIFICIAL SALIVA

Background : Composite resin is a commonly used material in dentistry due to its ease of application and aesthetic qualities. A specific type of this material, known as fiber reinforced composite, consists of a polymer matrix reinforced with fibers. This study aims to compare the impact of various concentrations of non-dental glass fibers on the flexural strength of composite resin when immersed in artificial saliva.Methodology : This study was experimental and followed a post-test only control group design. It included 18 specimens, each measuring 25x2x2 mm. The specimens were divided into three groups: the first group consisted of non-dental glass fiber reinforced composite with concentrations of 0%, 1%, and 2%. The data were analyzed using a One Way ANOVA parametric test.Results : The average flexural strength for the first group of non-dental glass fiber reinforced composite at 0% concentration was 52.496 MPa. For the second group, with a 1% concentration, it was 96.268 MPa. The third group, with a 2% concentration, had an average flexural strength of 134.791 MPa. The One Way ANOVA results yielded a p-value of 0.000Conclusion : The research results indicated that the highest flexural strength was observed in the non-dental glass fiber reinforced composite with a 2% concentratio

Pemanfaatan convolutional neural network untuk klasifikasi efisien dan akurat pada berbagai jenis sampah

Produksi sampah yang semakin meningkat menuntut pengelolaan yang lebih efisien, salah satunya melalui pemilahan yang efektif. Artikel ini membahas tentang klasifikasi sampah (plastik, kaca, logam, kardus, kertas) menggunakan teknik Convolutional Neural Network (CNN). CNN menawarkan kecepatan, efisiensi, dan akurasi tinggi dibandingkan metode manual dalam pemilahan sampah. Penelitian ini menggunakan dataset klasifikasi sampah yang diperoleh dari situs Kaggle, dengan citra berukuran 300x300 piksel. Proses pra-pemrosesan mencakup normalisasi intensitas piksel, pengurangan noise, dan pengubahan ukuran gambar untuk konsistensi data. Arsitektur model CNN terdiri dari lapisan konvolusi untuk ekstraksi fitur, lapisan pooling untuk reduksi dimensi, dan lapisan fully connected untuk klasifikasi akhir. Model dilatih dengan algoritma optimisasi seperti Adam dan dievaluasi menggunakan metrik akurasi, presisi, recall, dan F1-score. Hasil penelitian menunjukkan bahwa klasifikasi sampah berbasis CNN mampu menghasilkan akurasi tinggi dan efisiensi yang lebih baik dibandingkan metode manual, menjadikannya solusi potensial untuk mengatasi masalah pengelolaan sampah