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Cupping Therapy for Anemia in Women: A Scoping Review
Get PDFAnemia remains a major public health problem among women of reproductive age worldwide, particularly in developing countries such as Indonesia. Limitations of conventional anemia management, including adherence issues and side effects of iron supplementation, have encouraged interest in complementary therapies such as wet cupping therapy (WCT). This study aimed to systematically map existing empirical evidence on the effects of wet cupping therapy on hemoglobin levels and hematological parameters in women through a scoping review approach. The review was conducted following the PRISMA-ScR guidelines. Literature searches were performed across multiple databases, including PubMed, Scopus, Google Scholar, and institutional repositories, resulting in 312 identified records. After screening and eligibility assessment, six studies published between 2016 and 2023 were included. The selected studies employed diverse designs, including experimental clinical trials, quasi-experimental, pre–post, cross-sectional, prospective cohort, and retrospective observational studies, with sample sizes ranging from 17 to 364 female participants. Across all studies, wet cupping therapy was associated with either maintenance or improvement of hemoglobin levels, as well as favorable changes in iron, total iron-binding capacity, and other biochemical parameters. No evidence indicated that WCT caused anemia when administered appropriately. Overall, the findings suggest that wet cupping therapy may serve as a safe and potentially beneficial complementary intervention for improving hematological status in women. However, further research using randomized controlled trials and standardized intervention protocols is required to establish its clinical effectiveness and inform evidence-based practice
Effectiveness of Happy Spiritual Intervention in Reducing Hallucination Levels Among Schizophrenia Patients
Get PDFHallucinations are the main symptom of schizophrenia that negatively affect patients’ social and psychological functioning. Reducing the level of hallucinations is crucial, particularly during the recovery phase when patients require a holistic approach to improve their quality of life. Spiritual-based non-pharmacological interventions represent an alternative therapy with the potential to help decrease hallucination levels. The objective of this study was to determine the effect of the happy spiritual intervention on hallucination levels in patients with schizophrenia at the West Java Provincial Mental Hospital. Methods: This study employed a pre-experimental one-group pretest-posttest design with a quantitative approach. The sample consisted of 30 respondents selected through purposive sampling. The happy spiritual intervention was administered for 6 days, with each session lasting 15 minutes. Hallucination levels were measured using the Psychotic Symptom Rating Scale (PSYRATS). Data were analyzed using the Wilcoxon test with a significance level of 0.05. The findings showed a significant effect, namely a reduction in hallucination levels after the intervention (p = 0.001). Conclusion: The happy spiritual intervention significantly reduced hallucination levels in patients with schizophrenia during the recovery phase. This intervention can be used as a complementary Islamic spiritual-based therapy in psychiatric nursing practice and is recommended for routine implementation in mental health facilitie
The Role of Micronutrients in Gastrointestinal Function and Protection in Stroke Patients: Literature Review
Get PDFStroke is a serious health problem. Micronutrients are nutrients that the body needs in small amounts, such as vitamins and minerals. Neurological deficits due to acute stroke can cause malnutrition during hospital treatment. To determine the role of micronutrients in gastrointestinal function and protection in stroke patients. A systematic-narrative literature review following the PRISMA 2020 guidelines. Data sources included SINTA, Scopus, ClinicalKey, as well as proceedings and dissertations published between 2020 and 2025. Articles were assessed based on methodological quality and relevance to the management of stroke patients in Indonesia. A thematic analysis was conducted to synthesize the latest evidence. Several studies showed that micronutrients such as vitamins A, C, D, E, B9 (folate), B12, zinc, magnesium, and selenium play an important role in maintaining intestinal mucosal integrity, reducing oxidative stress and inflammation, and supporting intestinal microbiota balance in stroke patients. Adequate micronutrient intake helps prevent gastrointestinal complications and accelerates post-stroke motor and cognitive recovery. Micronutrient optimization is important for maintaining gastrointestinal function in stroke patients, supporting recovery, preventing complications, and improving quality of life
Productivity Analysis of Production Department with Objective Matrix Method
Get PDFPT XYZ is one of the international branded manufacturing companies engaged in the shoe industry and produces various brands of shoes. In 2024 the company's production on line 7 which produces Brooks brand shoes experienced a decrease in production results which caused the production target not to be achieved. From the production target of 526,624 units of Brooks brand shoes that have been targeted, line 7 production is only able to produce 473,405 units of shoes so that there is a decrease in the production of Brooks shoes by 10.10%. This research method used is Objective Matrix (OMAX). The results showed that the level of partial productivity in the production unit fluctuated with an increase and decrease in each period. Proposed improvements to increase productivity on line 7 are the establishment of a raw material inspection division with an analysis report (LA), integration of manufacturing information systems and ERP, and utilization of AI and IoT sensors for production efficiency
Risk Mitigation and Hazard Analysis in the Battery Production Process Using the Fuzzy Fault Tree Analysis Method
Get PDFIndustrial Revolution 4.0 increases the demand for batteries but also increases the risk of workplace accidents in factories such as PT TMB. Production processes involving chemicals and heavy equipment cause potential hazards. In the last three years, accidents have increased, disrupting production and adding costs. Therefore, this research aims to identify risks and provide risk mitigation in the battery production process. This research uses Fuzzy Fault Tree Analysis (FFTA) to identify hazards and reduce risks, in order to improve the safety and competitiveness of the company. This research was conducted at PT TMB by combining qualitative analysis to understand general conditions and quantitative to analyze the risk of workplace accidents, such as fire, fatigue, operator injury, and worker health. The Fuzzy Fault Tree Analysis (FFTA) method was used to map and reduce potential hazards, as well as develop more effective work safety policies. The results of the research explained that there are four top events with different probabilities and impacts: fire risk (A) 26.82%, occupational fatigue (B) 11.57%, occupational injury (C) 40.58%, and occupational health (D) 21.03%. From the four top events mentioned above, mitigation is focused on the 3 highest positions based on the assessment of the matrix table, which are fire risk, occupational injury, and occupational health
Responsive Web-Based Inventory Information System Design
Get PDFMenteng Electricity Company, as a provider of electricity distribution services in the Jakarta area, is obliged to meet occupational safety and health standards to ensure safe and reliable working conditions. However, the lack of inventory optimization results in inconsistent manual recording, scattered facility locations, and minimal data integrity. Therefore, this study aims to design a responsive web-based inventory information system using the Next.js framework, the TypeScript programming language, and a MySQL database. It is equipped with an automatic reminder feature via short message service (SMS) to support regular monitoring. This can reduce human error
Legal Review of the Return of Evidence to a Good Faith Third Party in a Narcotics Case
Get PDFThe return of evidence to a third party in good faith in a narcotics crime case is an important and complex legal issue. This study aims to analyze the application of the law to the status of evidence, judges' considerations in decision-making, and obstacles faced in returning evidence at the I-02 Medan Military Court, with a focus on Decision Number 16-K/PM. I-02/AD/II/2023. This research uses a qualitative method with a normative and empirical approach through document analysis, in-depth interviews, and literature reviews. The results of the study show that the application of the law refers to Article 46 of the Criminal Procedure Code and Law Number 35 of 2009 concerning Narcotics, with the main principle of protecting the rights of third parties in good faith. The judge's considerations include proof of legal ownership, the non-involvement of a third party in the crime, and the balance of justice. However, the obstacles faced include a lack of ownership documents, difficulty assessing good intentions, complicated administrative processes, and lack of legal understanding by third parties. The conclusion of this study emphasizes the importance of synergy between the application of fair, efficient, and responsive laws and the protection of individual rights. In addition, improvements are needed in the administrative process and education to the public to increase legal understanding. This research makes theoretical and practical contributions to the development of the criminal justice system in Indonesia, especially in the case of narcotics crimes
The Role of Customer Experience in Sustaining Open Banking Usage: A Bibliometric Review
Get PDFOpen banking has emerged as a cornerstone of digital financial transformation, bridging technological innovation with the needs of modern customers. This study explores key topics such as service quality, privacy, and security, which are critical factors in fostering customer satisfaction and loyalty. The findings reveal that technologies like blockchain and open APIs play a vital role in enhancing transparency and trust, while omnichannel strategies personalize user experiences. However, there are gaps in understanding the long-term relationship between privacy, security, and service quality, particularly in developing markets. This research provides practical insights for organizations to prioritize innovations that enhance customer experience and data protection. By expanding the scope of future studies and integrating multidisciplinary approaches, this study aims to lay the foundation for a more inclusive, secure, and sustainable open banking ecosystem
Sepsis and Septic Shock in Pregnancy
Get PDFSepsis during pregnancy is a critical condition that leads to organ dysfunction due to an abnormal response to infection. It remains a significant cause of maternal morbidity and mortality worldwide. The World Health Organization (WHO) reports a global prevalence of 4.4% of live births affected by maternal sepsis, with varying incidences across countries. Sepsis ranks among the top five causes of maternal deaths globally, contributing to 12.7% of pregnancy-related mortality in the United States. The physiological changes during pregnancy, such as increased blood volume and immune response modulation, create conditions that make pregnant individuals more susceptible to infections, complicating the timely diagnosis of sepsis. Due to these physiological differences, common sepsis screening tools like qSOFA and SOFA are often inadequate in pregnant patients, highlighting the need for specialized diagnostic and management strategies. Early detection and timely treatment are essential to improving maternal outcomes. Several screening tools, such as the Maternal Early Warning Trigger (MEWT) tool, have been designed to aid in the early identification of deteriorating maternal health. Once sepsis is suspected, prompt antibiotic therapy, fluid resuscitation, and vasopressor support are critical to prevent progression to septic shock. Additionally, controlling the infection source through surgical intervention or drainage may be necessary. Despite advances in sepsis management, challenges remain, particularly in identifying and treating sepsis in pregnant patients due to overlapping symptoms with normal pregnancy changes. Therefore, early recognition and appropriate intervention are key to reducing the impact of sepsis during pregnancy
Endocrine Control of Fetal Growth, the Delivery Process, and the Physiology of Childbirth
Get PDFChildbirth is a complex physiological process characterized by the expulsion of the fetus from the uterus, marked by uterine contractions and cervical changes. The timing of labor is crucial for favorable pregnancy outcomes and is regulated by the neuroendocrine maturation of the fetus. Hormones like estrogen, progesterone, and human placental lactogen play key roles in fetal growth regulation, with fluctuations influencing birth weight and placental development. Progesterone inhibits labor by relaxing the uterus, while estrogen promotes labor by stimulating uterine contractions and cervical changes. The transition from uterine quiescence to active labor involves multiple stages, from myometrial relaxation to enhanced contractility. Labor progresses through phases, starting with quiescence, followed by the onset of rhythmic contractions, active labor, and concluding with involution. Uterine stretching and the role of fetal lung maturation also contribute to labor initiation, as fetal lung surfactant activates macrophages, leading to inflammation and progesterone withdrawal. This process synchronizes labor timing with fetal lung development. In conclusion, labor is influenced by a combination of endocrine and mechanical factors, including prostaglandins, cytokines, and hormones such as oxytocin and CRH. Proper endocrine regulation ensures timely labor, while disruptions in this system, such as premature or prolonged pregnancies, can lead to increased fetal morbidity and mortality