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Effectiveness SPEOS Method (Endorphin, Oxytocin, and Suggestive Massage Stimulation) on Breast Milk Production in Postpartum Mothers: A Systematic Literature Review
Gaster
Vol 23
, No 2
(2025)
Background The postpartum period is a critical phase of physiological and psychological recovery, beginning with the expulsion of the placenta and typically lasting up to six weeks. Breast milk (human milk) is recognized as the most essential source of nutrition for newborns, particularly in the first month of life. Various interventions have been explored to enhance lactation, one is the SPEOS method—a non-pharmacological approach combining endorphin stimulation, oxytocin release, and suggestiv...
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Improving Teachers First Aid Skills for Managing School Injuries: A Quasi-Experimental Study in an Indonesian Elementary School
Gaster
Vol 23
, No 2
(2025)
Background Injuries frequently occur within school environments, ranking as the second most common location for injury incidents due to unsafe conditions and limited first aid preparedness. Children aged 5–14 years exhibit a high prevalence of injuries, reaching 13% in school-related incidents. Teachers, as front-line responders, must possess adequate first aid knowledge and skills to manage common injuries—such as falls, bruises, nosebleeds, fainting, and seizures—before professional medical ca...
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Evidence-based case report: effects of exercise-based cardiac rehabilitation in repaired tetralogy of Fallot
Gaster
Vol 23
, No 2
(2025)
Background: Several sequelae may persist following corrective surgery for tetralogy of Fallot (ToF), including reduced exercise capacity, compromised vascular and cardiac autonomic function, and diminished quality of life. While exercise-based cardiac rehabilitation is commonly implemented for patients with congenital heart disease, there remains a lack of comprehensive understanding regarding the optimal frequency, intensity, duration, and type of exercise. This evidence-based case report aims...
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Midwives’ Experiences in Providing Maternal Health Services during the COVID-19 Pandemic: A Qualitative Study at Sedayu I Primary Health Centre
Gaster
Vol 23
, No 2
(2025)
Background During the COVID-19 pandemic, midwives experienced increased physical and emotional fatigue, elevating their risk of burnout and potentially impacting the quality of maternal healthcare services. Objective This study aimed to explore midwives’ lived experiences in delivering antenatal and childbirth care during the COVID-19 pandemic. Methods A qualitative study was conducted using a phenomenological approach. Seven midwives from Sedayu I Primary Health Centre were selected through pur...
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Quality of Life Among Diabetic Patients Using Transtibial Prostheses: A Descriptive Study
Gaster
Vol 23
, No 2
(2025)
Background Diabetes mellitus (DM) is a chronic condition that increases the risk of foot infections, which may lead to gangrene and, in severe cases, lower limb amputation. Transtibial amputation is among the most common procedures, accounting for approximately 85–90% of all limb amputations. The use of a prosthesis is expected to enhance the quality of life (QoL) of post-amputation patients, yet outcomes may vary based on individual factors and causes of amputation. Objective This study aimed t...
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Family Support and Elderly Participation in Posbindu Activities: A Cross-Sectional Study at Urug Public Health Center, Tasikmalaya
Gaster
Vol 23
, No 2
(2025)
Background: Indonesia is entering an aging population phase, in line with the global increase in the number of older adults. The World Health Organization (WHO) reports that more than 700 million people are aged 65 years and over worldwide, a figure projected to rise sharply by 2050. In response, the Indonesian government established the Integrated Development Post (Posbindu) to promote early detection, monitoring, and prevention of non-communicable diseases among the elderly. Objective: This st...
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The Midwives’ Roles in Community-Based Stunting Prevention: A Qualitative Study in Primary Health Services
Gaster
Vol 23
, No 2
(2025)
Background Stunting remains a major public health concern in many low- and middle-income countries, with long-term consequences for cognitive development, educational achievement, and economic productivity. Midwives, particularly in decentralized health systems like posyandu in Indonesia, play a vital role in early prevention efforts. However, limited research has explored their contextualized contributions within community-based health services. Objective This study aimed to explore the strateg...
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Pulmonary Complaints Among Gas Station Operators: A Descriptive Study in Klaten Region
Gaster
Vol 23
, No 2
(2025)
Background Gas station environments pose a high risk for exposure to vehicle emissions, which may lead to respiratory health issues due to the accumulation of hazardous pollutants. Continuous exposure, particularly among gas station operators, increases susceptibility to pulmonary disorders. Objective This study aimed to describe the prevalence and characteristics of pulmonary complaints among gas station workers in the Klaten region. Methods A descriptive study was conducted at two gas stations...
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Overweight Risk Factors Among Adolescents in Indonesia Based on Economic Level Disparities: A Nationwide Study
Gaster
Vol 23
, No 2
(2025)
Introduction: Overweight among adolescents in Indonesia is a growing public health issue, influenced by socioeconomic and lifestyle factors. Urbanization and economic disparities have contributed to increased consumption of calorie-dense foods and sedentary behaviors, particularly among adolescents from higher-income families. However, the role of economic status in shaping overweight risk remains underexplored. Objective: Examining socioeconomic disparities may influence the determinants of ove...
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Improved Website SecurityUsing SSL and HAProxy Based PFSense Routers
Teknik: Jurnal Ilmu Teknik dan Informatika
Vol 5
, No 1
(2025)
Website security is a crucial aspect in the face of increasing cyber threats. This study aims to implement website protection using SSL (Secure Sockets Layer) and HAProxy (High Availability Proxy) through a PFSense router, and to evaluate its effectiveness using the securityheaders.com platform. The methodology used is an experimental study with a reverse proxy server configuration based on HAProxy and SSL certificates from Let's Encrypt. Measurement results indicate an improvement in the websit...
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