Background: Dysmenorrhea is pain during menstruation in lower abdomen, and is not due to other diseases. Effleurage massage and consuming green coconut water are considered able to reduce menstrual pain. However, little is known about the effect of the combination between the two interventions.Objective: To compare the effectiveness of effleurage massage and in combination with green coconut water on pain, anxiety, and ß-endorphin level in teenage girls with menstrual pain (dysmenorrhea).Design: A quasy experiment with pretest-posttest approach design with control group. There were 36 samples recruited in this study by purposive sampling, which were divided into a massage therapy group, the combination therapy group, and a control group. Menstrual pain was measured using Numeric Rating Scale, while anxiety was measured using Zung Self rating Anxiety Scale (ZSAS), and endorphin level using ELISA (Enzyme-Linked Immunosorbent Assay). One way anova test and repeated anova were performed as a bivariate analysis. Mancova and post hoc anova were used for multivariate analysis.Result: The combination of massage and green coconut water was more effective in reducing pain (p 0.013) and anxiety levels (p 0.000), and in increasing β-endorphin  (p 0.029) with significant value of <0.05 compared to the massage therapy alone.Conclusion: The combination of effleurage massage and green coconut water had significant effect in decreasing anxiety and pain levels, and increasing β-endorphin levels in teenage girls with painful periods (dysmenorrhea); and more effective than performing effleurage massage only. It is suggested that this combination therapy could be used as an alternative therapy for women with dysmenrrohea.

Musik klasik monzart , dapat menyeimbangkan fungsi otak kanan dan otak kiri sehingga dapat digunakan untuk  terapi meningkatkan kecerdasan emosi pada anak. Penelitian ini bertujuan melihat efektifitas Pemberian Terapi Musik Klasik monzart  dalam Meningkatkan Kecerdasan Emosi pada Anak Usia sekolah Dasar.penelitian ini menggunakan jenis penelitian quasi eksperimental design tipe non equivalent control group design. Teknik pengumpulan data dengan menggunakan observasi dan kuisioner. Analisis data yang digunakan pada penelitian ini adalah analisis deskriptif dan analisis bivariat menggunakan uji Wilcoxon signed ranks test dan Mann-Whitney U test.Hasil penelitian didapatkan bahwa 1) hasil skor total kecerdasan emosi perlakuan pada kelas kontrol dan pada kelas intervensi didapatkan bahwa harga sig adalah 0,001 atau < 0,05, maka Ho ditolak dan Hi diterima. Artinya ada perbedaan yang signifikan antara skor nilai total kecerdasan emosi pada kelas kontrol dan pada kelas intervensi dengan perlakuan pemberian terapi musik klasik, 2) Berdasarkan hasil uji data analisis didapatkan hasil bahwa nilai p-value kelompok instrument melebihi ?=0,05. Sehingga dapat diambil kesimpulan bahwa terdapat pengaruh terapi masik klasik yakni Mozart  terhadap kecerdasan emosional anak usia sekolah. Dalam hal ini nilai  p-value = 0,001 kelompok instrument lebih besar dari ?=0,05, 3) Kata Kunci: Efektivitas Pemberian Musik Klasik, Kecerdasan Emosional, Anak SD

Background: Failure in the process of uterine involution can result in bleeding if not treated immediately. Provision of pineapple (Ananas Commosus (L). Merr) juice can be administered as a medicinal plant therapy to prevent sub involution of the uterus and is considered to speed up the recovery process of the uterine involution. Objective: This study aims to examine the effect of pineapple (Ananas Commosus (L). Merr) juice to decrease fundal height in primigravida mothers during postpartum period.Design: This was a quasi experimental study with non-equivalent control group, conducted in the working area of the health center (Puskesmas) of Jekulo Kudus on 1-30 December 2016. There were 28 respondents recruited using consecutive sampling technique, consisted of 14 respondents in the intervention group and 14 respondents in the control group. Data were analyzed using independent t-test and paired t-test.Results: Findings showed that there was a mean difference of the height of the uterine fundus after given pineapple juice in the intervention group with mean score 13.80 in pretest and 5.80 in posttest, while there was also a decrease in fundal height in the control group with mean score 13.35 in pretest and 7.01 in posttest The mean of fundal height in the intervention group was 8.15 cm in 7 days, and in the control group was 6.09 cm. There was significant difference of the average of the decrease of fundal height between both groups with p-value (0.000).Conclusions: Pineapple (Ananas comosus (L.) Merr) juice had a significant effect in the decrease of fundal height. It is suggested that pineapple juice can be used as herbal or medicinal plants, which can be used during postpartum period that is processed naturally without involving the use of chemical; and incorporated into the procedure standard of midwives in postnatal care.

The delivery of the placenta makes the steroid and oxytocin hormone in the mother's body unbalanced then increases the cortisol hormone which influences the recovery and breastfeeding process. Prevalences of anxiety in the postpartum period reach to 15-40% in some countries. This was qualitative research which was explained the effect of the combination of back massage and self-talk therapies on anxiety and breastfeeding self-efficacy which these therapies are psychology therapy and physically combined. The result showed that the combination of back massage and self-talk reduced their anxiety and increased their belief to breastfeed rather than given back massage only in the control group because back massage therapy recovers their bodies and self-talk using cards as a media therapy recovers their psychology given their mind power to enjoy their postpartum period. This combination therapy effective to decrease anxiety and to increase breastfeeding self-efficacy.

Anemia in female adolescent has a risk to women's health, both short and long term which will disrupt the life cycle of women. Reproductive health exercises adopted from aerobics and SKJ 2012 are believed to be good physical activity choices, especially for female adolescents to deal with anemia problems. The purpose of this study was to prove the implementation of reproductive health exercise on the hemoglobin levels of female adolescents. This study used 30 respondents as research subjects. The intervention group was given reproductive health exercises and Fe tablets for 4 weeks with a duration of 18 minutes 3 times a week. Blood collection are namely before after treatment and menstruation. The results of this study found an increase in hemoglobin levels. The average increase in hemoglobin level from 10.43 gr/dL to 13.98 gr /dL with an increase of 3.54 gr /dL, by statistical test there was a significant difference in p-value <0.05. Meanwhile, the mean hemoglobin level of the intervention group with control was different with p-value <0.05. The conclusion of this study proves that the implementation of reproductive health exercise has an effect on the hemoglobin level of female adolescents.