Sectional Design Research Articles

Determinants of Pneumonia Symptoms in Toddlers in the Paal V Health Center Working Area of Jambi City

ABSTRACT Pneumonia is a disease in children under five which causes the highest number of deaths at the global level. Pneumonia cases in toddlers continue to increase and Indonesia is ranked 8th in the world. The aim of this research is to determine the factors associated with pneumonia symptoms in toddlers in the working area of the Paal V Health Center, Jambi City. Cross sectional research design. The research was conducted in the Paal V Community Health Center Working Area, Jambi City. The total sample was 70 toddlers taken using Accidental Sampling. The independent variables are house temperature, house humidity, residential density, house ventilation, lighting, smoking habits, mother's knowledge and exclusive breastfeeding. Data were analyzed using the Chi Squar e or Fisher Exact test. Toddlers with Pneumonia Symptoms are 65.7%. Factors associated with pneumonia symptoms in toddlers are house humidity (PR=0.60; 95% CI=0.37-0.95), house lighting (PR=0.55; 95% CI=0.29-1, 04), smoking habits (PR=1.50; 95% CI=098-2.28) and maternal knowledge (PR=2.46; 95% CI=1.08-1.97). Meanwhile, those that are not related to pneumonia symptoms in toddlers are house temperature, house ventilation, residential density and exclusive breastfeeding. Risk factors for pneumonia symptoms in toddlers are house humidity that does not meet the requirements, house lighting that does not meet the requirements, the presence of smoking habits in the house, poor maternal knowledge. It is hoped that mothers who have toddlers will pay attention to the physical environment of the house and reduce smoking habits in the house Keywords: Pneumonia, Environment, Child, Mother

Maternal factors associated with stunting among children under two years in South Nias, Indonesia: a cross-sectional study

The Indonesian Nutritional Status Survey 2022 reported that the prevalence of stunted children in South Nias, a district in North Sumatera, was 27.2%, higher than the regional and national prevalence of stunting. Stunting can be caused by many factors including maternal nutritional status, exclusive breastfeeding, and inadequate food intake. This research aims is to analyze the relationship between maternal factors and cases of stunting in children under two years at Somambawa Community Health Center, South Nias Regency. It was a quantitative study with a cross sectional design. Using a total sampling technique, 72 mothers with children under two years were included in the study. Exact fisher statistical and logical regression tests were carried out in bivariate and multivariate analyses. This study found that there was a significant relationship between antenatal care visits (p-value=0.000) and exclusive breastfeeding (p-value=0.000) with stunting in children under two years old. Exclusive breastfeeding was the most dominant predictor of stunting in the study, namely 84 times (p-value=0.000; OR 84.00). Meanwhile, complementary feeding and knowledge did not show a significant relationship with stunting. Therefore, health education to provide information and knowledge about stunting, especially about exclusive breastfeeding and complementary food for babies is suggested.

Factors associated with pseudoparalysis in patients with extensive chronic and atraumatic rotator cuff injury

BackgroundPatients with massive chronic atraumatic rotator cuff injuries can be asymptomatic or present severe shoulder dysfunction, a condition known as pseudoparalysis. Our hypothesis is that integrity of the subscapularis, hypertrophy of the Teres minor, and a complete tear of the long head of the biceps tendon are associated with improved active forward flexion range in such patients. Therefore, the objective of this study was to evaluate factors associated with pseudoparalysis. MethodsThis was a single-center cross-sectional study that included patients with massive chronic atraumatic rotator cuff injuries. Range of motion of the affected shoulder, demographic data, specific tests for rotator cuff assessment, and imaging studies were collected. ResultsA total of 68 patients (71 shoulders) were included in the study. At initial evaluation, 41 patients exhibited active forward flexion of the shoulder greater than 90º (No Pseudoparalysis group). Patients with active forward flexion less than 90º (n = 29) underwent subacromial injection of local anesthetic and were then reevaluated. In 15 patients the pseudoparalysis was resolved (False Pseudoparalysis group) and 14 maintained active forward flexion of less than 90° (True Pseudoparalysis group). ConclusionWe concluded that the presence of shoulder shrug sign, Goutallier grade III and IV fatty infiltration and a full-thickness tear of the subscapularis were risk factors for the occurrence of pseudoparalysis. Tear extension, as described by Wieser et al, also demonstrated statistical difference between groups, with greater anterior tear extension (involvement of subscapularis tendon) and greater global tear extension observed in True Pseudoparalysis group. Level of evidenceLevel III; Cross Sectional Design; Epidemiology Study

Community Health Awareness and Health Education on Diphtheria Among Residents of a Local Government Area in Edo State, Nigeria

This study investigated community health awareness and health education on diphtheria among residents of a local government area in Edo State. Two research questions and two hypotheses were formulated for the study. The population comprised 117,209 from which a sample of 399 was selected by means of cross sectional descriptive research design. Data collection was by means of a structured questionnaire and analyzed using descriptive and inferential statistics with hypotheses tested at 0.05 level of significance. Reliability coefficients of 0.84 and 0.79 were obtained for awareness and health education respectively. Results revealed low awareness on diphtheria among majority (93.5%), 24.1% had moderate awareness, 2.0% had high awareness. 93.5% claimed there had never been community awareness campaign on diphtheria in their community, 85.7% reported never to have attended seminar/health talks on diphtheria infection. Level of education on diphtheria was low (21.2%). Majority of the respondents (61.4%) had low level of education on diphtheria. Gender and educational background were significantly associated with community health awareness on diphtheria (p = .000). The study recommends that since the level of health awareness and education was low among the population, nursing practitioners should consider community health awareness campaign on diphtheria in communities in other to raise awareness. Females and those with low educational background, should be targeted to ensure they seek information on diphtheria to protect their health.

Kajian Perilaku Kepatuhan Medikasi Pasien Tuberculosis Paru di Kabupaten Ngawi: Sebuah Model Matematis

Background: Tuberculosis (TB) is currently still a health issue in Indonesia. Indonesia is the country that contributes the second largest number of tuberculosis cases after India. Ngawi is one of the cities in East Java Province with a large number of tuberculosis cases. In 2022, tuberculosis cases in Ngawi Regency will double from the previous year with the death rate also increasing from the previous year. This shows that tuberculosis control in Ngawi Regency has not been effective. Efforts are needed to increase medication compliance in tuberculosis sufferers so that therapeutic success can be achieved so that the death rate and tuberculosis transmission rate can be reduced.Methods: This research is an analytical observational study with a cross sectional research design which aims to create a mathematical model of medication adherence in pulmonary TB sufferers in Ngawi Regency. This research involved 102 pulmonary TB sufferers at Dr. Soeroto Hospital, Widodo Hospital and Ngawi Regency Health Center. Pulmonary TB sufferers were selected using a purposive sampling technique. Data were analyzed using multiple logistic regression tests.Result: Based on interviews conducted with 102 respondents, the results obtained were that the variables age, length of treatment, motivation to recover, self-perception, knowledge, access to health facilities, medication assistance, family support, drug side effects and health facility administration were candidates for bivariate testing.Conclusion : The variables of self-perception, knowledge, family support and health facility administration are the dominant factors influencing medication compliance in pulmonary TB sufferers in Ngawi Regency in 2023.

Factors Related to Work Fatigue in Jambi City Environmental Service Waste Carriers in 2024

This research discusses factors related to work fatigue in Jambi City environmental service waste transporters in 2024. The aim of this research is to examine and analyze factors related to work fatigue. This research is a quantitative study with a cross sectional design with univariate and bivariate analysis with a 95% confidence interval. The total population was 165 people and the sample was 108 respondents, the sampling technique used simple random sampling. The research variables are age, length of service, workload, sleep quality, work attitude and heat stress. The results of this study were that 88% of them experienced moderate fatigue and 12% experienced mild fatigue in relation to the variables age (p=0.037), length of service (p=0.003), workload ( 0.006), length of work (p=0.038), work attitude (p=0.029), heat stress (p=0.045) and no relationship with sleep quality (p=0.055) with work fatigue in Jambi City Environmental Agency waste haulers in 2024.

Assessment of the Level of Utilization of Immunization Services Among Nursing Mothers in Some Local Government Areas of Benue State, Nigeria

The study investigated the level of utilization of immunization services among nursing mothers in some local government areas of Benue state. Descriptive cross sectional research design was adopted and multistage sampling procedure was employed. The questionnaire for the respondents titled assessment of the levels of utilization of immunization services among nursing mothers (ALUISNM). The study population consists of 1,500 nursing mothers in selected LGAs of Benue State. Mean, standard deviation were employed to analyze the data obtained from the respondents, while the null hypothesis was verified using the t-test of ANOVA. It can be deduced that the height of utilization of immunization services amongst the nursing mothers in Benue State is fair. The result that 765 (54.3%) utilized immunization services against 670 (45.7%). The result pointed out that there is high level of utilization of immunization services among women with secondary education (57.6%) followed by those with tertiary education. Based on socio economic status immunization were utilized more by women who are unemployed and self-employed with (56.0%) and (55.3%) respectively. Based on location of immunization services, utilization was more by the urban women (60.0%) than semi urban and rural women. Also based on religion utilization of immunization is higher with those of Islam traditionalist than the Christians. The utilization of immunization services and factors such as socio-economic status [F(2,(1462) = 1.139, p>0.05], location [F(2,(1462) = 2.249, p>0.05]. and religion [F(2,(1462) = 0.528, p>0.05] showed no verifiable significance differences. But there was a significant difference with regards to education [F(3,1461) = 15.773, p<0.05]. Conclusively, there was positive level of utilization of immunization services from the study and therefore recommended that issues like location of health facilities, awareness, education etc should be addressed.

Factors Affecting The Completeness Of Completeness Of Basic Immunization Of Infants Aged 12 To 24 Months In The Working Area Of Puskesmas X Pekanbaru City

Background: Complete Basic Immunization (IDL) is an indicator in the immunization program. IDL aims to actively gain early immunity. IDL data at Puskesmas X in 2021 was 83.5% and there was a decrease in the percentage rate in 2022 to 82.87%. Based on an initial survey, on May 9-19, 2023, it was found that out of 73 mothers who brought their children to the posyandu for immunization, around 22 children (30%) were not fully immunized. Objective: Knowing the factors that influence the completeness of immunization in the working area of Puskesmas X Pekanbaru City. Methods: Using analytic observational study design, with cross sectional research design. This research was conducted at Puskesmas X Pekanbaru city. The sampling technique was done by accidental sampling. Variables of knowledge level, and education were analyzed using Kendall Tau test, while variables of employment, family support, mother's attitude and number of children used contingency coefficient test. Results: The results of the Kendall Tau test analysis of the variable level of knowledge, and education obtained a p value of 0.001 and 0.392 respectively. While in the contingency coefficient test the variables of employment, family support, maternal attitudes and number of children obtained a p value of 0.889; 0.000; 0.000 and 0.455 respectively. Conclusion: There is a significant relationship between the level of knowledge, mother's attitude and family support with the completeness of basic immunization of infants aged 12-24 months in the working area of Puskesmas X Pekanbaru City.

The Influence of The Role of Parents on Dental and Oral Health From The Severity of Dental Caries in Deaf Children Aged 7-14 At SLB N 1 Bantul

Deaf children in their limitations really need the role of parents. Parental behavior is very important in the formation of behaviors that support or do not support children in maintaining dental and oral hygiene. Dental caries is a disease of dental tissue that is characterized by tissue damage, starting from the surface of the tooth (recess, fissure, and interproximal area) extending towards the pulp. The problem of high DMF-T scores in deaf children aged 7-14 years at SLB N 1 Bantul. The purpose of the study was to determine the influence of the role of parents on dental and oral health from the severity of dental caries in deaf children aged 7-14 at SLB N 1 Bantul. This type of analytical research research with a cross sectional design. The research target was parents (fathers/mothers) and deaf children aged 7-14 years at SLB N 1 Bantul with a total sampling technique using the purposive sampling method. Data collection instruments, questionnaire sheets and examination sheets. The data analysis technique used is the Spearman-rank test. The results of the study showed that the p value (0.020) < 0.05, it can be concluded that there is an influence of the role of parents on dental and oral health reviewed from the severity of dental caries in deaf children aged 7-14 years at SLB N 1 Bantul with sufficient closeness.

Midwives’ Knowledge, Perceptions and Practices on Utilization of the Partograph at Mbuya Nehanda Maternity Hospital

Globally, maternal death has been an issue of concern, while obstructed and prolonged labour are among the top five causes of these deaths in Africa and Zimbabwe particularly. Proper and effective utilization of the Partograph significantly helps in preventing and reducing the high numbers of birthing complications of such a nature. A Partograph is a labour monitoring chart that provides a pictorial overview of maternal and foetal well-being during the intrapartum period. The study aimed to assess the knowledge, perceptions, and practices on the utilization of the Partograph among midwives working at Mbuya Nehanda Maternity Hospital. A descriptive cross sectional design was used, and a semi-structured questionnaire was administered to 60 participants chosen using the purposive sampling technique. Data were collected and analysed using the Statistical Package for Social Sciences (SPSS version 22) and presented using charts, tables, and narration. The study identified that midwives were knowledgeable, although they had a negative attitude towards the Partograph attributed by a lack of motivation caused by the absence of support from mentors and supervisors, lack of workshops, and on-the-job training on the use of the graphical chart. Underutilization of the tool, which pointed to poor practice, was attributed to understaffing of midwives, high workload, and burnout syndrome among the labour ward midwives. These implications could lead to omissions, litigations, poor maternal service delivery, and lawsuits. Periodic workshops, symposiums, on-the-job training would go a long way in improving attitudes. The study concluded that the Partograph is a very important tool that should be effectively used in the labour ward so that complications are picked up early, thereby improving maternal outcomes. Support for the midwives, supervision, mentorship, non-monetary incentives, and increased staffing with an acceptable midwife-patient ratio of probably 1:2 would improve practice and yield a positive birthing outcome of a live and healthy mother and baby.

FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN NYERI OTOT PADA PEKERJA PEMBUAT GENTENG

The job of making traditional roof tiles is a job that is at risk of experiencing complaints of muscle pain because the work process relies heavily on the intensive use of the body's muscles. Apart from that, there are work activities that cause unergonomic work postures, such as standing for long periods, repetitive bending and twisting movements, as well as the process of lifting and carrying roof tiles for a long time. The aim of this study was to analyze the relationship between risk factors and complaints of muscle pain in roof tile workers at RT 04 RW 04 Dusun Sarip, Karangasem. This research was conducted from February 2023 to April 2023. This research is a quantitative study with a cross sectional design. The population in this study were all workers who met the inclusion and exclusion criteria. The research sample was 61 people. The results showed that gender (p=0.126), body mass index (p=0.111), and smoking habits (p=0.993) had no relationship with complaints of musculoskeletal disorders (MSDs), while age (p=0.001), length of service (p=0.002), Physical workload (p=0.011) and work posture (p=0.000) have a relationship with complaints of musculoskeletal disorders (MSDs). The conclusion of this research is that age, physical workload, and work posture are related to complaints of muscle pain in roof tile workers.

High strength steel unlipped channel sections subjected to ETF loading: Laboratory testing, numerical simulations and web crippling design

This paper presents web crippling and structural design of high strength steel unlipped channel sections under end-two-flange (ETF) loading based on experimental and finite element investigations. The experimental programme was composed of six grade S690 and four grade S960 test specimens, and the corresponding test set-up, procedures and results were reported in detail. The web crippling test results were used in the numerical modelling programme to validate the developed FE models, which were then adopted to perform parametric studies to enlarge parameter ranges of the bearing length, web slenderness and inside bend radius. Given that codified design rules for S690 and S960 high strength steel unlipped channel sections undergoing web crippling are absent, the corresponding normal strength steel design provisions, as stipulated in the European code EN 1993-1-3 and American specification AISI S100, were evaluated for their suitability to high strength steel unlipped channel sections. It is shown that the ultimate strength of high strength steel unlipped channel sections nonlinearly increases with increasing bearing length but with decreasing web slenderness and inside bend radius. The design methods of current EN 1993-1-3 and AISI S100 provide inaccurate and scattered resistance predictions for high strength steel unlipped channel sections. Finally, a modified AISI S100 design method and a slenderness-based design method were proposed, which can outperform the codified design methods.

Centrifugal Model Test of Multi-Level Slope under Combined Support of Pile-Anchor and Frame-Anchor

The combination support structure of pile-anchor and frame-anchor is widely used in multi-level slope engineering, but the relevant theoretical research lags behind engineering practice. To make up for this deficiency, this paper takes the multi-level slope under combined support of pile-anchor and frame-anchor as the research object, conducts a model test using the geotechnical centrifuge, analyzes the most relevant structural force and slope deformation in engineering, and provides some reinforcement suggestions. The test results show that the combination support structure of pile-anchor and frame-anchor has a good reinforcement effect on multi-level soil slopes, but the deformation range of the slope is greatly affected by the anchoring structure and the anchor rods located within the deformation zone. The structural force condition is significantly different from traditional structures that place the anchor rod anchoring section in a stable soil layer. According to the structural force characteristics, it is recommended that the support design fully consider the positional relationship between the anchor rods and the sliding surface. The design of the frame-anchor support section should strictly control the anchoring depth, so that the potential sliding surface of the slope can be moved backward, thereby increasing the difficulty of sliding. The design of pile-anchor support should ensure that the anchor rods have sufficient length to provide greater anchoring force, thereby improving the bearing capacity of the pile. These research results can enrich and improve the support design theory of multi-level soil slopes, providing guidance for engineering practice.

Pregnancy Exercise Shorten the Duration of the Second Stage of Labor

Background : There are several factors that contribute to duration of labor, which are power, passage, and passenger. Pregnancy exercise is one of many interventions that can be done in favor of increasing power during labor.Aim : The purpose of this study was to investigate the correlation between pregnancy exercise and second stage of labor duration.Material and Methods: This was an analytic observational study using cross sectional design conducted in Al-Irsyad Hospital in Surabaya. The total sample was 48 pregnant women who followed pregnancy exercise program and did not follow pregnancy exercise program that met sample criteria. Medical records data on duration of second stage of labor and pregnancy exercise program data were collected then analyzed by mann-whitney test.Results: The mean second stage of labor in pregnancy exercise group was 25.88±13.21 minutes, while in non-pregnancy group was 11.46±4.77 minutes. The analysis using mann-whitney test showed a significant correlation between pregnancy exercise and second stage of labor (p=0.000).Conclusion: There was a significant correlation between pregnancy exercise and second stage of labor. Pregnancy exercise shorten the duration of second stage of labor.

A sense of urgency: Trait impulsivity in co-occurring bipolar and alcohol use disorder.

Bipolar disorder (BD) and alcohol use disorder (AUD) often co-occur, with BD + AUD characterized by higher levels of impulsivity relative to either disorder alone. Emotional facets of impulsivity (e.g., "urgency," measured by the UPPS-P), however, remain underexplored in this population and could have distinct associations with clinical correlates. This cross-sectional study used a two-by-two (BDxAD) factorial design, including groups with BD + AD (n = 28), BD (n = 29), AD (n = 28), and healthy controls (HC) (n = 27), to identify between-group differences among the five subscales of the UPPS-P. Associations of UPPS-P subscales with Barratt Impulsiveness Scale (BIS) total scores and clinical variables of interest were also examined. BD + AD had the highest scores for every UPPS-P subscale but Sensation Seeking, with the Positive and Negative Urgency subscales having the largest main effects for both BD and AD. BIS-11 total scores were most correlated with the urgency subscales of the UPPS-P. Negative Urgency was found to be uniquely relevant to clinical measures in the BD + AD group. Rapid cycling was associated with both urgency subscales and BIS-11 scores, and the Alcohol Dependence Scale was most correlated with the Premeditation subscale. Cross sectional design and predominantly white sample. Unlike the BIS-11, UPPS-P is able to distinguish emotional from nonemotional facets of impulsivity, something especially relevant to people with co-occurring BD + AD, where fluid emotionality is a key part of symptom presentation. For this reason, the UPPS-P should be utilized in future studies and clinical settings measuring trait impulsivity in this population.

Hubungan Asupan Zat Gizi Makro dan Status Gizi dengan Kebugaran Jasmani Atlet Cabang Olahraga Permainan

Background: Physical fitness is a person ability to carry out physical activities. Physical fitness is very important for athletes to improve athlete performance and athlete quality. Sports with aerobic and anaerobic systems require cardiovascular endurance (VO2 max). Physical fitness will run well with adequate energy and macronutrient intake. Objectives: This study aims to determine the relationship between energy intake, macronutrients and nutritional status with the physical fitness (VO2 Max) of athletes in gaming sports at BPPLOP Central Java. Method: The research was conducted using analytical observation with a cross sectional design. The research sample was 47 people using a total sampling technique. Data on athletesmacronutrient intake uses the 3x24 hour food recall method, physical fitness (VO2 max) measurements use the bleep test. Data analysis was carried out using the Pearson Correlation Test. Results: The results of the Pearson correlation test showed that there was no significant relationship between energy intake (p=0.921 R=-0.015), protein (p=0.276 R=-0.162), fat (p=0.778 R=-0.042), and carbohydrates (p= 0.923 R=0.015) on athletes' physical fitness (VO2 max). Conclusion: It was found that there was a significant relationship between nutritional status (p=0.021 R=-0.335) and physical fitness (VO2 max) of game sports athletes at BPPLOP CentralJava.Key words : carbohydrates, energy, nutritional status, physical fitness (VO2 Max), protein

Analisis Perbedaan Antropometri Vertebra Thorax (T12) antar Kelompok Usia dengan Menggunakan Image CT Scan: Pendekatan Teknik Geometric Morphometric

The role of forensic anthropology is to identify the unknown skeletal remains to assiss in criminal investigation. Age estimation is one of the essential aspects of individual identification. Geometric morphometric is a technique to quantify the morphological of an object using the Cartesian coordinates of anatomical landmarks. There were no studies doing on the T12 vertebra for identification purposes using geometric morphometric techniques. This is an analytic observational study with a retrospective cross sectional study design. Samples were taken from 100 CT scan images at Radiology departemetnt of Dr Kariadi hospital. The age groups as independent variable, while both centroid size which represent the size and Principal component (PCs) which represent the size as the dependent variable. The differences between age group were analyzed using one way ANOVA test. There was a significant difference between age groups in the size of the T12 vertebra with p value = 0.003 (p<0.05). There was no significant difference in size between age groups in size, with p value = 0,149 (p>0,05). Using the Geometric morphometric approach, the vertebra T12 showed significant difference in size.

Green Human Resources Management Practices and Tertiary Institution Productivity in South West Nigeria

Abstract: Inadequate Implementation of Green human resources Practices in tertiary institutions in South West Nigeria has made the higher institution of learning to face challenges in integrating environmental conservatives policy in their operations. The study therefore examined the effect of green human resources practices on organizational productivity of tertiary institutions in Nigeria. The study adopted a cross- sectional survey research design with the aid of structured questionnaire. The population for the study are the employees of the all the six (6) Federal polytechnics in South Nigeria, totaling 5028. From this population, an aggregate sample size of 371 participants were selected using Taro Yamane sample size calculator where proportional allocation was used to select participants for inclusion per tertiary institution. Structural equation modeling using Smart-PLS 4.0 was used for data analysis; as results indicated that GIO ( , T-statistic = 3.512, p < 0.05), GRCM ( , T-statistic = 8.385, p < 0.05), and GRS ( , T-statistic = 4.711, p < 0.05) have significant positive effects on organizational productivity. This highlights the importance of these green HR practices in enhancing productivity in the selected tertiary institutions in Southwest Nigeria. The study concluded that green human resources management practices is crucial in achieving optimal organizational productivity of the federal polytechnics in South West Nigeria. The study therefore recommended that the management of the federal Polytechnics in South West Nigeria should use environmental conservative employer branding to attract, select applicants and retain employees who have green orientation through a well-defined and circulated environmental sustainability human resources policy.

The Relationship of Toothbrushing Knowledge and Gingival Tissue Condition in Class VII and VIII Students of SMP Negeri 1 Payakumbuh Limapuluh Kota District

A person's low knowledge about health can be a predisposing factor for the emergence of a disease. Knowledge is a cognitive domain that influences a person's health attitudes and behavior, especially actions to prevent and cure disease. The aim of this research was to determine the relationship between toothbrushing knowledge and the condition of gingival tissue in students of class VII and VIII of SMP Negeri 1 Payakumbuh District, Limapuluh Kota Regency. The research method used is quantitative with a cross sectional research design. The population of this research is students of class VII and VIII of SMP Negeri 1 Payakumbuh District. The sampling technique used Proportionate Stratified Random Sampling technique and inclusion criteria technique so that the sample was 150 people. The research was carried out by filling out a knowledge questionnaire and examining the gingival index. The data analysis used is univariate and bivariate analysis. The research results showed that students' toothbrushing knowledge had good criteria at 29.3%, adequate criteria at 49.3% and inadequate criteria at 21.3%. The condition of the gingival tissue is healthy criteria 8%, mild inflammation 77.3%, moderate inflammation 13.3% and severe inflammation 1.3%. The Chi-square test results obtained a p-value of 0.027 < 0.05. The conclusion of the research is that there is a significant relationship between knowledge of brushing teeth and the condition of gingival tissue in junior high school students. It is recommended for students to increase their knowledge about brushing their teeth by looking for more sources of information about dental and oral health, brushing their teeth twice a day in the morning after breakfast and at night before going to bed and regularly checking with dental and oral health services once every 6 months.

Hubungan Rotasi dengan Kinerja Perawat di RS Martha Friska Multatuli

Job rotation is a move from one room to another but still within the same scope of work. Rotation is carried out as a way to improve the quality of nursing services, to refresh and prevent boredom, to meet the needs of nursing staff in the room, and to improve nursing skills. At Martha Friska Multatuli Hospital, rotation has been implemented since 2020. This research aims to determine the relationship between rotation and the performance of nurses at Martha Friska Multatuli Hospital. This research method uses descriptive correlation with a cross sectional design. The sample size in this study was 71 respondents with a sampling technique using total sampling. Data analysis in this study used the Spearman's Rank correlation coefficient test. The research results showed that the majority of nurses stated that the rotation at Martha Friska Multatuli Hospital was a fairly good rotation, 42 respondents (59.2%) and it was also known that the majority of nurses' performance was in the good category, 58 respondents (81.7%). The results of statistical tests using the Spearman rank test obtained an r-value of 0.255 with a ρ-value of 0.032. This shows that there is a correlation or positive relationship between rotation and the performance of nurses at Martha Friska Multatuli Hospital with a low level of relationship. Keywords: Peformance, Rotation