Airlangga University Research Articles

Relationship Between Stress Level and Academic Grade in Medical Students of Universitas Airlangga

Introduction: Medical students have higher psychological pressure compared to students from other majors. Excessive levels of stress can cause physical and mental problems, lower self-esteem, and interfere with academic achievement. Stress has a significant correlation with academic grades. Objective: This study aims to determine the relationship between stress levels and academic scores Methods: This research is an observational analytic study with a cross-sectional design to analyze the relationship between perceived stress scale and academic scores. Perceived Stress Scale were used to determine stress level and spearman correlation were used to correlate stress level with GPA Results: No variable with a Spearman correlation coefficient above 0.2 was found, so it can be seen that none of the variables has a correlation with GPA. But income per capita has a significant p-value. Discussion: The stress level score with the GPA score has a Spearman correlation of -0.089. The correlation shows an insignificant relationship. This shows that the level of stress shown through the Perceived Stress Scale does not have a significant effect on the academic scores of Airlangga University medical students. Sohail's research (2013) found similar results where most students with stress still passed the exam but there were a small number of students with severe stress who failed. This is different from the results of Kumar et al. (2014) who found that stress levels have a negative effect on academic performance. Conclusion: In this study, no correlation was found between stress levels and academic scores.

Optimasi Durasi Proyek dengan Penambahan Tenaga Kerja dan Jam Kerja Metode What If pada Proyek Pembangunan Gedung Soetandyo Universitas Airlangga

Project delay is one of the impacts of decreased performance, and this can result in schedule setbacks and other forms of losses that will be experienced by service providers and service users. The purpose of this research is to find the optimum duration in accelerating the duration for delays of 10%-40%. In the Airlangga University Soetandyo Building Construction Project, there was a deviation in field realization progress of -9.210% and the cause of the initial delay was deep foundation work. What if is one method or strategy that can help project delay management by adding workers and increasing working hours on jobs in the critical path that are experiencing delays. As for the 10% delay, 78 additional workers and 19 additional working hours were obtained, for the 20% delay, 223 additional workers and 25 additional working hours were obtained, and for the 30% delay, 205 additional workers and 39 additional working hours were obtained

Mandibular Reconsctruction using Double Barrel Costal Non Vascularized Bone Graft with Stereolitographic Three Dimensional Printed Models

Surgeons face problems in reconstructing the facial profile after mandibular resection aesthetically and practically. The stereolithographic method was used in the 3D virtual reconstruction program for preoperative planning. This study aims to document the use of 3D printed models in the reconstruction of mandibular ameloblastoma patients under general anesthesia after segmental resection with non-vascularized autogenous costal bone grafts arranged in double-barrel sequence at Airlangga University Hospital, Surabaya, Indonesia. A single ameloblastoma from an anterior mandibular patient undergoing segmental mandibular resection is reported here. Autodesk Fusion 360 was used preoperatively to simulate anatomical markers, surgical margins, and plate morphology to create 3D models used for plate pre-bending. The graft used for reconstruction is a non-vascularized autogenous costal bone graft which is then stacked with an anteroposterior double-barrel. The patient did not show any severe complications associated with the surgery. Stereolithographic helps determine the extent of the lesion in the mandible. 3D printing improves graft viability by enabling optimal planning of the template, reduces operating room time by pre-bent screw plates, and increases procedural precision. The photo was taken a long time to process using virtual reconstruction software, but it put the surgeon at ease.

Comparison of α-Smooth Muscle Actin (α-SMA) and Collagen Type III Expression after Conjunctival Excision Between Platelet-Rich Fibrin (PRF) Membrane and Conjunctival Autograft Treatment: An Animal Model Experimental Study on Oryctolagus cuniculus

Purpose: To evaluate the impact of Platelet-Rich Fibrin (PRF) membrane and conjunctival autografts on α-Smooth Muscle Actin (α-SMA) and type III collagen expression following conjunctival excision in Oryctolagus cuniculus. Study Design: Experimental study with a randomized post-test only design. Place and Duration of Study: Airlangga University, Surabaya in November 2022. Methods: Twenty rabbit eyes were categorized into two groups: those sutured with PRF membrane and those sutured with conjunctival autografts after temporal conjunctival excision. The study assessed α-SMA and type III collagen expression through the Immunoreactive Score (IRS) method.Data analysis is conducted using appropriate statistical methods, such as the t-test or Mann-Whitney U test, to compare the expression of α-SMA and collagen type III between the two groups. Results: The data for each sample represented the average IRS value observed at 200x magnification. In the conjunctival autograft group, the mean IRS of α-SMA expression was 5.52 ± 0.84,

Systemic Observation-Surgical Periodontic Approach In The Management Of Amlodipine Induced Gingival Enlargement

Background: Drug induced gingival enlargement is frequently observed in patients taking three main group of drugs like calcium channel blockers (CCBs), immunosuppressant’s and anticonvulsants. Amlodipine belongs to the dihydropyridine-a third generation calcium channel blockers agents that may cause the side effect of drug-induced gingival enlargement and oral bacteria intervention due to calculus retention. This case report describes the management of gingival enlargement in a hypertensive patient taking amlodipine. Purpose: This case report was aimed to discuss the treatment and maintenance of systemic observationsurgical periodontic approach to restore gingival enlargement. Case Report: A 47-years old man was referred to the Department of Periodontology, Faculty of Dentistry, Airlangga University complaining of swellings and bleeding on his gingiva in all region. He felt very uncomfortable as the swelling interfered while chewing and sometimes there was bleeding spontaneously and halitosis. He had hypertension since 5 years and was on medications Captopril 12,5 mg daily during 4 years and Amlodipine 5mg daily during last 1 year. A provisional diagnosis and systemic observation-periodontal phases treatment were taken to restore gingival enlargement condition. Case Management: Systemic observation of medication use, periodontal phases treatment such as scaling root planning, periodontal surgery as flap surgery, home oral hygiene maintenance, control recall every month during first 3 months were taken. Conclusion: The successful of combination carefully systemic observation-surgery periodontal approach are promising to maintain Amlodipine induced gingival enlargement.

Academic Engagement of Blind Collage Students

This study aims to describe the academic engagement of blind students at Universitas Airlangga. Airlangga University which has strived to become a disability-friendly campus by providing special facilities. The method used in this research is qualitative with a case study approach. Respondents in this study were blind students at Airlangga University who had academic and non-academic achievements. The results of the study show that the description of academic engagement of students with visual impairments at Universitas Airlangga consists of three aspects; 1) vigor is characterized by a sense of enthusiasm and enthusiasm in doing assignments, discussing, and trying new things; 2) absorption is marked by focusing on academic activities based on one's own initiative; 3) dedication is marked by his enthusiasm to inspire others not only domestically but also abroad, also being involved in activities related to his lectures, feeling satisfied and proud of his decision to study in that department. Their limitations do not become an obstacle for blind students to be involved in lectures.

Peningkatan Kualitas Produksi dan Keamanan Pemasaran Minuman Kesehatan Berbasis Bunga Telang pada Ibu PKK Kecamatan Rungkut Surabaya dalam mendukung SDGs-3 Good Health and Well Being

To support SDGs-3 to achieve conditions of good health and well-being amidst the conditions of society, support is needed for resilient community groups who are economically creative. The residents of Penjaringan Sari Village are among the village residents who have won Surabaya SMART City 2020. They are an alternative tourist village developing a productive economy by selling processed drinks based on Telang flowers. However, in this community group, many problems still require assistance. Efforts need to be made to solve the problems of PKK women's partners in the Penjaringansari sub-district to improve production quality, starting from preparing raw materials, selecting and using packaging correctly, and increasing the diversification of partners' processed products and product branding. This activity aims to provide community service from a team of lecturers from the Faculty of Pharmacy, Airlangga University, in collaboration with lecturers from the Faculty of Medicine, Nahdatul Ulama University, Surabaya. This activity is a tri dharma of higher education where the community can feel lecture materials, research results, and previous community service products as partners in supporting SDGs-3 Good Health and Well-being. The outcome is an increase in participants' understanding, indicated by an average post-test score of 75, with an increase of 26% compared to the pretest. Apart from that, there is an increase in skills in making syrup and Telang flower powder drinks.

Lean Healthcare Analysis at Airlangga Health Service Center

Dental is one of the polyclinics whose biggest problems are waiting times and patient queues. The waiting time and patient queues are a waste in Hospitals. This study aims to identify any waste that occurs in the dental polyclinic at the Airlangga University Health Service Center (PLK) by implementing lean healthcare. Then, provide suggestions for improvements to reduce or eliminate the identified waste. The researcher used a qualitative approach with the results of the big-picture mapping to illustrate the flow of patient care in the dental clinic and determined which activities were value-added (VA) and which were not value-added (NVA). Interviews and questionnaires were distributed in this study to parties who have a role in the service delivery process to patients, namely the dental clinic coordinator, dentist, dental nurse, and service admin. The study's results found 7 value-added activities and 4 non-value-added activities. Then, the researcher used VALSAT to choose the right tools and process activity mapping with the highest score. The results of the waste identification show the weight of waste overproduction at 0.21, waiting at 0.33, transportation at 0.12, inappropriate process at 0.05, unnecessary inventory at 0.12, unnecessary motion at 0.07, and defect at 0.10. Then, a fishbone diagram is used to find the root cause of the waste, and then lean hospital to propose improvements to reduce or eliminate waste in PLK.

Estimasi Tinggi Dan Masa Tubuh Manusia Menggunakan Panjang Lenggang Kaki Serta Lebar Dan Panjang Telapak Kaki Manusia

Body Height and body mass are the most common parameters in forensics. However, in some situations it is not possible to measure the height and weight of the perpetrator or victim due to a lack of evidence in the crime scene area. Several previous studies have shown that height and body mass can be measured effectively using footprints. This research aims to develop formulas for adult body height and body mass using anthropometric measurements on the soles of the feet. Measurements were carried out on 105 (54 men and 51 women) Airlangga University students aged 18-23 years from August 2022 to November 2022. The data was analyzed for correlation statistics and regression statistics using the SPSS statistical application. Through the correlation test, foot length and foot width were strongly correlated with body height and body mass, but foot length was only correlated with body height. There are significant differences between foot length and foot width in the female and male populations, so estimates were calculated separately into 2 groups without involving foot length. Based on the results of the regression analysis, a formula was obtained to estimate body height and body mass. The formula for predicting height for the male group is Y = 72.768 + 2.610(PKKn) + 0.9(PKKr) + 0.135(LKKn) + 0.551(LKKr). For the female group, the height prediction formula is Y = 94.789 + 0.751(PKKn) + 1.575(PKKr) – 0.533(Lkkn) + 1.205(LKKr). The body mass prediction formula for the male group is expressed as Y = (-101.221) - 1.170(PKKn) - 0.400(PKKr) + 13.561(LKKn) + 7.596(LKKr). The body mass formula for the female group was not obtained because the distribution of body mass data for the female group was not normal. Thus, three formulas are obtained that can be used to predict height and body mass based on the length of the soles of the feet and the width of the soles of the feet.

Educating dental students on social media ethics

Background: Ethics is essential in healthcare, including dentistry, to help dentists do the right things, build trust, and take good care of patients, but even though dentists learn about ethics, they still have some ethical problems, like sharing patient pictures without permission or criticizing other dentists on social media. Teaching ethics practically and interestingly could help them use ethical rules better in their work. Objective: To explain the better teaching mechanism about ethics to dental students, especially when using social media. Methods: Data was expected from dental medicine students at Airlangga University, who were taught ethics using four methods: conventional lectures, group discussions, paper assignments, and creating educational videos. Results: After completing the ethics class, students are expected to apply ethical principles as co-assistant doctors, extending to their use of social media. Conclusion: discussion-based classes significantly prepared dental medicine students for their roles as co-assistant doctors, fostering dynamic idea exchange, critical thinking, and practical application of ethical knowledge, especially when using social media.

Utilization of dental sessions at APAN conferences for education and community development

The dental profession always expands its capabilities and contributes to advances in the quality of health services through scientific advancements and knowledge dissemination. Since 2016, the Faculty of Dental Medicine at Airlangga University has collaborated with the Telemedicine Development Center of Asia (TEMDEC) at Kyushu University Hospital to organize a webinar at a session on the Asia-Pacific Advanced Network (APAN). The session was a dental session, which was originally designed to promote remote medical education. This program aims to improve the quality of dental education and is conducted regularly, twice a year. After the COVID-19 pandemic ended in 2021, we innovated to expand this program from online to hybrid-based, so that audiences could also attend in person. With adequate promotion, the number of audiences increases rapidly. We are also expanding the benefits of this program beyond improving the quality of dental education; it also provides knowledge dissemination and empowers Indonesian dentists. Thus, this program also delivers community development as an additional essential output. This paper summarizes all activities of dental sessions at APAN conferences and shows how they also produce other outputs in accordance with institutional performance targets, including strengthening collaboration between connected institutions and the resultant outcome in terms of inbound staff, outbound staff, and outbound students.

EFFECT OF GIVING SNAKEHEAD FISH SUPPLEMENTATION THERAPY (STRIATED CHANNA) ON BODY WEIGHT IN TUBERCULOSIS PATIENTS AT THE SIDOTOPO HEALTH CENTER IN SURABAYA

Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. This study aims to determine the effect of supplementing snakehead fish (Channa striata) on body weight at the Sidotopo Health Center. The method used in this study was a one group pre test post test design involving 20 patients using a purposive sampling. The study inclusion criteria were clients who had just been diagnosed with active tuberculosis, took OAT regularly, aged 18-60 years. Exclusion criteria were TB patients who refused the study, MDR (Multi drug Resistance) TB, smokers, had a history of allergies, took other supplements. This research was conducted in June 2022 at the Sidotopo Health Center in Surabaya. Laboratory analysis was carried out at the Tropical Disease Institute, Airlangga University. The results of statistical tests in this study were that there were differences in the administration of snakehead fish (Channa striata) on body weight in tuberculosis patients with a p-value = 0.000 (<0.005). The pretest reached 46.25 kg, while the post test body weight was 48.20 kg. This shows that there is an increase in body weight in TB patients at the Sidotopo Health Center in Surabaya.
 Keywords : Weight, Tuberculosis, Snakehead fish

The Relationship between Health Anxiety and Online Health Information Discovery Among Airlangga University Students

ABSTRACT The convenience and anonymity offered by the internet have led people to seek health information online. Every year, the number of individuals searching for health information online continues to increase. However, along with the benefits of easier access to health information, new challenges arise. One of these challenges is the potential impact on individuals who search for health information online, such as increased anxiety or stress and spending more time on information-seeking activities. This study aims to examine the relationship between health anxiety and online health information seeking. The research utilizes an explanatory quantitative method involving a sample of 100 undergraduate students from various faculties at Airlangga University. The study employs the Rank-Spearman correlation test to analyze the data. The results of the Rank-Spearman correlation analysis indicate a significant relationship between the intensity of health anxiety and the intensity of online health information seeking (p value 0.301 > p critical 0.165). Thus, the null hypothesis (H0) is rejected, and the alternative hypothesis (H1) is accepted. This means that there is a relationship between health anxiety and seeking health information. Furthermore, this relationship has a positive direction, suggesting that lower levels of health anxiety correspond to lower levels of online health information seeking and vice versa. These findings have important implications for understanding the psychological impact of seeking online health information. The public must be aware of the potential risks of anxiety and the importance of managing health information wisely. Further research can delve into the factors influencing this relationship and provide recommendations for the development of more effective policies and approaches to managing online health information seeking. Hubungan Antara Kecemasan Kesehatan dengan Penemuan Informasi Kesehatan Online di Kalangan Mahasiswa Universitas Airlangga ABSTRAK Kemudahan dan anonimitas yang ditawarkan oleh internet telah mendorong masyarakat untuk mencari informasi kesehatan secara online. Setiap tahun, jumlah orang yang mencari informasi kesehatan online terus meningkat. Namun, di balik manfaat akses yang lebih mudah ke informasi kesehatan ini, muncul beberapa permasalahan baru. Salah satunya adalah dampak yang mungkin timbul pada individu yang mencari informasi kesehatan online, seperti meningkatnya kecemasan atau tekanan serta penggunaan waktu yang lebih banyak untuk melakukan penelusuran informasi. Penelitian ini ditujukan untuk menguji hubungan antara kecemasan kesehatan (health anxiety) dan penemuan informasi kesehatan online. Metode penelitian yang digunakan adalah metode kuantitatif eksplanatif dengan melibatkan 100 mahasiswa tingkat S1 dari berbagai fakultas di Universitas Airlangga. Penelitian ini menggunakan uji korelasi Rank-Spearman untuk menganalisis data. Hasil analisis korelasi Rank-Spearman menunjukkan adanya hubungan yang signifikan antara intensitas kecemasan kesehatan dan intensitas penemuan informasi kesehatan online (p hasil 0,301 > p tabel 0,165). Dengan demikian, dapat disimpulkan bahwa hipotesis nol (H0) ditolak dan hipotesis alternatif (H1) diterima. Artinya, terdapat hubungan antara kecemasan kesehatan dan penemuan informasi kesehatan. Lebih lanjut, hubungan ini memiliki arah positif, sehingga semakin rendah intensitas kecemasan kesehatan, semakin rendah pula intensitas penemuan informasi kesehatan online, dan sebaliknya. Penemuan ini memiliki implikasi penting dalam pemahaman terhadap dampak psikologis dari penemuan informasi kesehatan online. Masyarakat perlu menyadari risiko kecemasan yang dapat timbul dan pentingnya pengelolaan informasi kesehatan secara bijak. Penelitian selanjutnya dapat menggali lebih dalam faktor-faktor yang memengaruhi hubungan ini dan memberikan rekomendasi untuk pengembangan kebijakan dan pendekatan yang lebih efektif dalam mengelola penemuan informasi kesehatan secara online.

Isolation, Identification and Risk Factors of Escherichia coli Bacteria in Dairy Goat's Milk Subclinical Mastitis in Siliragung District, Banyuwangi Regency

Mastitis is an inflammation of the mammary gland which can cause a decrease in milk production and income for farmers. Subclinical mastitis is mastitis without clinical symptoms but can result in a decrease in the quality of milk production. One of the main pathogens that cause mastitis is Escherichia coli. The risk factors for the occurrence of mastitis, both clinical and subclinical mastitis, can cause a decrease in milk production caused by several factors, including genetic, feed, and environmental factors. This study aims to determine the presence of subclinical mastitis in dairy goat milk in Siliragung District, Banyuwangi Regency. Sample testing was carried out at the SIKIA Instrument Laboratory, Airlangga University. Isolation was carried out using EMBA media (Eosin Methylene Blue Agar) for further identification consisting of Gram staining and biochemical tests. One of the biochemical tests used is the IMViC (Indole Methyl red Voges-Proskauer Citrate Test). The results of isolation, observation of characteristics, and identification of bacteria in the research that was carried out showed that 8% (5/62) of the samples tested were positively identified as Escherichia coli. The results showed that the risk factors for causing subclinical mastitis included cleaning the cage bedding, washing hands before milking, milking out, teat dipping, and medication.

Isolation, Identification and Risk Factors of Staphylococcus aureus Bacteria in Dairy Goat Milk with Subclinical Mastitis in Siliragung District, Banyuwangi Regency

Mastitis is an inflammation of the mammary glands that can cause a sharp reduction in milk production and income for farmers. Subclinical mastitis is mastitis without clinical symptoms but can result in a decrease in the quantity and quality of milk production. One of the main pathogens that cause mastitis namely Staphyloccocus aureus. S. aureus become the biggest problem of mastitis because the cure rate is classified as very low. The risk factors for the occurrence of mastitis, both clinical and subclinical mastitis, can cause a decrease in milk production caused by several factors, including genetic, feed and environmental factors. This study aims to determine the presence of subclinical mastitis in milk of dairy goats with sufferers in Siliragung District, Banyuwangi Regency. Sample testing was carried out at the SIKIA Instrument Laboratory, Airlangga University. Isolation was carried out using MSA (Mannitol Salt Agar) media for further identification consisting of Gram staining and biochemical tests. Some of the biochemical tests used are the catalase test, the coagulase test and the VP test. The results of isolation, observation of characteristics and identification of bacteria in the research that has been carried out show that 64.51% (40/62) of the samples examined were positively identified S. aureus. Results showed that the risk factors for causing subclinical mastitis included cleaning the cage, the number of lactating goats, washing hands before milking, manure and waste management, weaning age and lactation age.

Effect of Probiotics in Recirculating Aquaculture System (RAS) on the Concentration of Ammonia, Nitrite, and Nitrate in the Aquaculture of Catfish (Clarias sp.)

The purpose of this research is to determine the effect of probiotic administration on ammonia, nitrite, and nitrate levels in catfish cultivation (Clarias sp.) with the RAS system. The research was conducted in February – March at the Anatomy Laboratory and chemical laboratory of the Faculty of Fisheries and Marine Airlangga University. This study was conducted experimentally using the RAL method consisting of 5 treatments four replays, namely control treatment (P0), probiotic dose 0.5 mL/L (P1), probiotic dose 1 mL/L (P2), probiotic dose 1.5 mL/L (P3), and probiotic dose 2 mL/L (P4). Data analysis is processed using ANOVA and DMRT. The result of this study was the administration of probiotics with the bacterium Nitrosomonas sp. And Nitrobacter sp. with different doses has an effect (p<0.05) on the concentration of ammonia, nitrite, and nitrates.

Potency of formulated diets with different protein on feed consumption, feed conversion ratio, feed efficiency and nutrient retention of scalloped spiny lobster (Panulirus homarus)

Scalloped spiny lobster (Panulirus homarus) is a commodity due to its high economic value, and it increases the exploitation of lobster. This increase needs to be balanced with good cultivation, which one is feed. Currently, the main feed given by the cultivators still depend on trash fish. The purpose of this study was to increase formulated diets with different protein on feed consumption, feed conversion ratio, feed efficiency and nutrient retention. This study was conducted using Completely Randomized Design with 5 treatments and 4 replications, namely P0 : trash fish (control), P1 : protein feed 30 %, P2 : protein feed 40 %, P3 : protein feed 50 %, and P4 : protein feed 60 %. Lobster rearing is carried out for 30 days at the Faculty of Fisheries and Marine Airlangga University. Analysis of research data used Analysis of Variance (ANOVA) and continued with Duncan’s Multiple Range Test with a level of 5% to determine the best results. The result showed that potency of formulated diets with different protein had a significant effect (p < 0,05) on feed consumption and nutrient retention, but had no significant effect (p > 0,05) on feed convertion ratio and feed efficiency.

Efektivitas Daun Kelor Terhadap Kadar Kadmium Dan LDL Kolesterol Dalam Darah Sebagai Indikator Penyempitan Pembuluh Darah (Aterosklerosis) Pada Tikus Putih Yang Terpapar Asap Rokok

Tobacco consumption in Indonesia is a health epidemic that has direct or indirect toxicity due to exposure of cigarette smoke which contains harmful substances, especially cadmium metal. Cadmium’s exposure can increase the risk of coronary heart disease due to increased LDL cholesterol. One of the cadmium toxicity treatment by utilizing Moringa oleifera leaves as a natural antioxidant considering the flavonoids, saponins, ascorbic acid, carotenoids, phenolics, interquinones as cadmium chelating agents and β-sitosterol content. Therefore, it was necessary to determine the effectiveness of Moringa leaves extract in lowering blood cadmium and LDL cholesterol levels as indicators of atherosclerosis in white rats exposed to cigarettes smoke. The type of research was an experiment with quantitative analysis, conducted at the nutrition laboratory of the Faculty of Public Health Airlangga University and the clinical chemistry laboratory of Surabaya Health Polytechnic in March-July 2023. The independent variable was the doses of Moringa leaf extracts, while the dependent variables were blood cadmium and LDL cholesterol levels of white rats. The analysis of blood cadmium levels used an atomic absorption spectrophotometer and used precipitation methods by a photometer for LDL cholesterol levels. Based on statistical analysis using one way anova showed that blood cadmium levels had a significant value of &lt; 0.05, followed by post hoc tests it was found that treatment group 2 had significant differences from normal groups. Moringa leaves extract dose of 1500 mg/kgbw has been effective in lowering cadmium and LDL cholesterol levels against the risk of atherosclerosis for 14 days. Keywords : Atomic Absorption Spectrophotometry, Cadmium, LDL Cholesterol, Moringa oleifera, photometer, Rattus norvegicus

Specification Acupuncture Points Li4 and Sp6 in Postpartum Sectio Caesarea Pain

Postoperative pain can affect the postpartum SC's mobility, and the physical healing process after surgery can also trigger physiological stress and anxiety due to wound pain. The presence of side effects from analgesic use prompts the exploration of non-pharmacological treatments as an alternative for pain management in post-SC clients, as they are considered to have low side effects. Acupuncture, as one of the non-pharmacological complementary therapies, has been developed to address pain. This research aims to identify the Specific Points of Acupuncture, Li4 and Sp6, in Postpartum Cesarean Section (SC) Pain. The research design employed a quasi-experimental clinical approach, specifically a non-equivalent pre-posttest with a control group. This involved identifying pain reduction before and 24 hours after administering acupuncture intervention at specific points, LI4 and SP6, for a duration of 30 minutes. The study included a total of 34 participants in both the treatment and control groups. The research was conducted at Airlangga University Hospital in Surabaya. The subjects of the study were patients who met the inclusion criteria. The Pain Numeric Rating Scale was used as the research instrument. Statistical analysis involved employing one-way ANOVA to observe the mean change in values between the pre-test and post-test within each group. The administration of acupuncture therapy targeting points LI4 and SP6 in this study proved effective in reducing postpartum SC pain compared to the control group. In future research, further investigation could be conducted to identify changes in chemical reactions within the body following acupuncture treatment.

ANALISIS NILAI GIZI OTAK-OTAK BANDENG (Chanos sp.) DAN PENINGKATAN KAPASITAS PRODUKSI DENGAN MENGGUNAKAN MESIN PEMISAH DURI: STUDI KASUS UMKM AYAH OLALA, SUKOLILO JAWA TIMUR

Most of the residents in Keputih have a livelihood as milkfish farmers. Milkfish has the potential to be easily contaminated by microorganisms due to its high water content. Another problem related to milkfish is a large number of thorns in the meat, making it difficult to diversify its derivative products, therefore the Meat and Thron Separator (MT-Separator) is an innovation to separate meat from thorns. Community service activities have been carried out from June to October 2022 which took place at the Chemistry Laboratory, Faculty of Fisheries and Maritime Affairs, Airlangga University, Surabaya. Processing of milkfish brains is carried out at Keputih Sukolilo, Surabaya. Community service activities begin with assistance to partners starting from the production process, the storage process, to the packaging process. Particularly emphasis on training the operation of the MT-Separator tool. UMKM Ayah Olala is an UMKM that focuses on processing milkfish brains which are located in Keputih Tegal Gang III No. 2, Sukolilo District, Surabaya City. The implementation of this community service begins with analyzing the problems faced by MSMEs such as business capital, production and managerial. The results of the analysis will then be evaluated to determine the output target to solve the problem. Based on the implementation of community service activities, it can be concluded that this activity was successful and provided insight regarding the introduction of product diversification of processed milkfish brains and the introduction of the Meat and Thron Separator tool. More intensive assistance is needed for Ayah Olala's UMKM starting from the production process, business capital assistance, managerial and operational as well as training in the operation of the MT-Separator tool.