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Research on the Identification of Drug Related Problems (DRPS) has been carried out in Congestive Heart Failure (CHF) patients at the Outpatient Installation of RSUD dr. Soekardjo City of Tasikmalaya used a descriptive method of medical record data of CHF patients retrospectively. This study aims to determine the frequency and categories of DRPs that occur based on the Pharmaceutical Care Network Europe V9.0 classification. The results showed that out of 80 patients, 288 DRPs were found consisting of 4 symptoms (indications) that were not treated (1.4%), adverse drug events may occur as much as 1 event (0.3%), inappropriate drug combinations or drug interactions as many as 279 events (96.9%), and the dose was too high in 4 incidents (1.4%), so that it can be concluded that the categories of causes and problems of DRPs that most often occur in RSUD dr. Soekardjo City of Tasikmalaya in 2022, namely drug interactions.

Background: Blood pressure is an important indicator in assessing the cardiovascular system and the performance of a person's body so it is necessary to know that someone has hypertension. There are 1.28 billion adults with hypertension in the world in 2021 who suffer from hypertension. While the number of patients in the ICU who suffered from hypertension in the last 1 year was 140 patients. Based on these conditions, management is needed to reduce blood pressure by providing Foot Massage intervention. Objective: To find out the results of the implementation of giving Foot Massage on Lowering Blood Pressure in Hypertensive Patients in the ICU Room at PKU Muhammadiyah Karanganyar Hospital. Method : This type of research is a case study of foot massage in hypertensive patients. Results: The results of the implementation of Foot Massage found a decrease in blood pressure in both rospenden Mr. M from 145/90mmHg to 125/80mmHg, and Mrs. W 159/100mmHg to 130/90mmHg Conclusion: There are differences in blood pressure in hypertensive patients after Foot Massage therapy at PKU Muhammadiyah Karanganyar Hospital.

Acute psychotic disorder is a mental disorder characterized by the onset of one or more symptoms, among which the symptoms are delusions, hallucinations, bizarre postures and behavior, and disorganized speech. The diagnosis of acute psychotic disorder was established based on the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) criteria. It is generally considered rare, as one study of military recruits found in which the estimated DSM-III-R incidence of brief reactive psychosis was 1.4 per 100,000 recruits. Schizoaffective is a mental disorder characterized by two recurrent features, namely schizophrenia (meets criterion A for schizophrenia) and mood episodes, both major depression and bipolar. Schizoaffective disorder, occurs in 0.2% of the general population in America, 9% of people with schizoaffective hospitalization.

Background: Skizofrenia is a mental disorder where the prevalence is actually small, affecting about 1% of the world's population. In Central Java alone, there are 8.7% of the population who have schizophrenia, this is one of the fifth highest number of professions. Planting occupational therapy aims to minimize the patient's interaction with his unreal world, bring out thoughts, feelings, or emotions that have influenced unconscious behavior, provide joy, entertainment, and distract the patient from the hallucinations he is experiencing so that the patient's mind is not focused on his special hallucinations. in patients with auditory hallucinations (Yuniar N.S et al., 2019). Objective: To find out the results of the implementation of the application of occupancy therapy to control the level of hallucinations. Method: The method used in this application is descriptive with a case study research design totaling 2 respondents, the research instrument is the AHRS questionnaire observation sheet. Findings Before being given occupational therapy, Mrs. G was planted in the category of moderate hallucinations and Mrs. M was in the category of severe hallucinations. After being given occupational therapy, planting for 6 times, Mrs. G was in the category of mild hallucinations and Mrs. M was in the category of moderate hallucinations. Implication:  Planting Occupational Therapy has an effect on controlling the level of hallucinations in patients with auditory hallucinations.

Background: Schizophrenia is a common health problem worldwide, around 70% of people suffering from schizophrenia experience auditory hallucinations. Auditory hallucinations are where patients feel that they can hear voices without a sound source. This situation causes the patient's inability to perceive reality accurately. One of the nursing interventions performed for auditory hallucinations is perceptual stimulation group activity therapy. Method: The method used in this application is descriptive with a case study research design, research subjects totaling 2 respondents, sheet research instruments observation that is AHRS . Findings: There were differences in scores before and after being given Group Activity Therapy (TAK), namely a decrease in the hallucination level score on Mr. F and Mr. W. Implication: Based on the results of the study, it was found that there was an effect of Group Activity Therapy (TAK) in controlling auditory hallucinations in schizophrenic patients after being given Group Activity Therapy (TAK) for 2 applications. In addition to providing Group Activity Therapy (TAK), the patient's recovery or stability is also supported by continued treatment and rehabilitation.

Bed rest is a condition when a person cannot move freely due to conditions that interfere with movement (activity). Pressure sores are one of the biggest impacts of bed rest. One of the interventions to prevent pressure sores is giving Virgin Coconut Oil (VCO) through massage. Aims; Knowing the results of the implementation of giving Virgin Coconut Oil (VCO) through Massage on the prevention of pressure sores on bed rest patients in the ICU Room of PKU Muhammadiyah Karanganyar Hospital. Method; This type of research is descriptive in the form of a case study. The approach used is the nursing care approach: planning, implementation, and evaluation. Respondents in this study amounted to two patients with a risk of pressure sores. The instrument uses an observation sheet and a Braden scale measurement questionnaire. Results; The results of the implementation showed that the Braden scale rose for both respondents for the first respondent, the Braden scale became 11, and for the second respondent, it became 15. Conclusion; There are differences in the Braden Scale in patients at risk of pressure sores after giving Virgin Coconut Oil (VCO) through Massage at PKU Muhammadiyah Karanganyar Hospital.

Chromoblastomycosis is a slowly progressive granulomatous skin infection caused by several species of black fungus such as Phialophora verrucosa, Fonsecaea pedrosoi, Rhinocladiella aquaspersa and Cladosporium carrionii. A case was found of a 51-year-old patient with a main complaint of a reddish, uneven lump, occasionally itchy, but not accompanied by pain in the right arm. On anatomic pathological examination, microscopic results were obtained in the form of epidermal skin tissue preparations that appeared hyperkeratosis, acanthosis, pseudoepitheliomatous hyperplasia. Intra-epidermal abscesses were seen with an accumulation of neutrophil inflammatory cells, lymphocytes, histiocytes and groups of epitheloid cells that formed granulomas. There was no sign of malignancy. The conclusion from the results of anatomical pathology readings is that there is a fungal infection (chromoblastomycosis). Treatment is given by oral itraconazole.

Background: Hypertension or high blood pressure is when the systolic pressure is more than 140 mmHg and the diastolic blood pressure is more than 90 mmHg. WHO data (2015) shows that around 1.13 billion people in the world have hypertension. The number of people with hypertension continues to increase every year, it is estimated that every year 20.44 million people die from hypertension and its complications. Non-pharmacological management to lower blood pressure can be done independently and naturally, namely foot hydrotherapy (warm foot bath). Foot soaks can be combined with other herbal ingredients, one of which is ginger. Objective: To determine the effect of soaking feet with warm ginger water in lowering blood pressure in hypertensive patients. Method: The application was carried out using a descriptive method in the form of a case study to 2 respondents with hypertension in the form of a pretest-posttest. The application is carried out within two days for 15 minutes by sitting on a bed or chair and then soaking the feet in a basin containing warm red ginger water with a water temperature of 37°C. Findings: Based on the results of the application of warm red ginger water foot soak therapy is decrease in blood pressure in elderly patients with hypertension, namely 160/100 mmhg and 150/100 mmhg. Implications: warm red ginger water foot soak therapy can be used as a non-pharmacological technique or independent intervention in elderly patients with hypertension

Breastfeeding-related problems such as breast milk dams, mastitis, nipple blisters and others are widely experienced by breastfeeding mothers. Factors that can cause breast swelling and inhibition of ASi, one of which is the feeling of anxiety or stress felt by postpartum mothers.  Breast care has tremendous benefits, especially for postpartum mothers in the process of breastfeeding their babies. The benefits of breast care are that mothers understand how to keep breasts clean, make nipples stronger and flexible, care for flat or inverted nipples, and facilitate the release of breast milk. To find out the results of breast care implementation in the cempaka ward of RSUD dr. Soehadi Prijonegoro Sragen. This study used quasi-experiment, one group with pretest-posttes Without Control Group Design with 2 respondents postpartum mothers. The instrument used is a Checklist containing six-point engorgement scale (SPES) and Breast Care Procedure.: the  results of the application of breast care carried out 3 days in a row obtained the value of the Six Point Engorgement Scale questionnaire there was a decrease in scores, namely 2 and 1 from the original values of 5 and 4 which means there was a decrease in breast swelling. there was a significant difference in the Six Point Engorgement Scale (SPES) score in postpartum maternal patients between before and after breast care every 30 minutes for 3 days.

There has been a shift in the age group of stunting children between 2018-2019 in Indonesia. The decline in the prevalence of stunting occurred in the younger age group, namely 0-5 months, 6-11 months and 12-23 months. This study aims to analyze the determinants of stunting in children aged 0-2 years in Indonesia based on cross-sectional survey evidence. This research is a retrospective study to get an overview of the incidence of stunting in children 0-23 months in Indonesia in 2013 as a basis for seeing the achievement of reducing stunting. The research analyzed secondary data from the 2013 Basic Health Research which measured 27,779 heights of children 0-2 years in 33 provinces in Indonesia. The results showed that a history of giving iron tablets to pregnant women was the factor most related to the incidence of stunting in children 0-2 years in Indonesia. The program to accelerate the reduction of stunting in Indonesia in 2024 to 14% needs to consider increasing the coverage of iron supplement administration to pregnant women and women of childbearing age..

Discipline is something related to someone's control of various forms of regulation. The purpose of this research is to direct students so that they learn about good things as a preparation for the future, when they are very dependent on self-discipline. This study uses a descriptive method with a quantitative approach. With a large number of samples ± there are 51 UHAMKA students in the teaching and education faculties of the 2019/2020 academic year. The research instrument used a questionnaire or questionnaire and library literature in the form of journals and books. And this validity approach is tested using construct validity and for this reliability approach using internal consistent reliability testing. The procedure for taking this sample was carried out by systematic random sampling. And the data collection was used by distributing questionnaires which were distributed via Google Formular to students analyzing data for variable and reliable testing using IBM SPSS 26. And using a one-sample t-test statistic. The results showed that: there were 33 students (78%) who had a very high level of discipline. There are 16 students (56-77%) who have a moderate level of discipline. There are 2 students (55%) who have a low level of discipline. Based on the explanation above, it can be said that the level of student discipline is included in the high category. This result is the possibility that students choose good answers or indeed good discipline. Based on the data above, the high level of student discipline shows that students at FKIP Uhamka have good obedience, obedience, and order. This is in line with Susanto's statement (2018) that discipline is influenced by factors including: students following and obeying applicable regulations, self-awareness, educational tools, punishment, exemplary attitude, disciplinary environment, and disciplinary training. However, there are still students who adhere to a low level of discipline (55%). This can be spread by the background of the students themselves who are less disciplined about the rules applied by the university and because there is no awareness about the importance discipline.

Traditional health services are expected to be implemented in health care facilities. Puskesmas had a traditional health clinic that has been running since 2019, but there is no evaluation on that program. This study aims to identify the implementation that has been carried out, in order to find out which aspects still need improvement. The research method used is descriptive qualitative research. Researchers collect data by interview, observation and secondary data. The results of the study show that traditional health services at the puskesmas have been implemented fairly well. In 2022 there were 20 visitors with the majority of visitors aged 31-45 years (50%), female (90%), all coming from the Javanese and Muslim religions. Meanwhile, the average number of visits was 1 time (55%) and 5% of visitors made 4 repeat visits. The most frequently treated complaints were dizziness/headaches (35%) and other pain complaints (45%). Treatment in traditional health polyclinics is provided with oral medication as much as 40% and 60% without drug administration. The traditional treatment given is acupressure (65%), cupping (15%) and a combination of both as much as 20%. Officers who provide traditional health services at the Palm Health Center are nurses with acupressure training. The implementation that has been carried out still requires various improvements in order to increase the number of patient visits. Further research is needed to find the right implementation model so that traditional health services at puskesmas are widely utilized by the community.

Black cumin oil (Nigella Sativa Linn) is rich in antioxidants. One of the substances contained in black cumin oil (Nigella Sativa Linn) which acts as an antioxidant is thermoquinone. Cream is a widely chosen preparation because it is one of the pharmaceutical preparations that is used topically for the treatment of various skin diseases. The purpose of this study was to determine whether Cumin (Nigella Sativa Linn) Oil (Nigella Sativa Linn) can be formulated as a cream dosage form. to find out the optimum concentration of black cumin oil cream formulation (Nigella Sativa Linn) with cream base variations (Stearic acid and TEA).This research is a longitudinal-experimental study. The tools used in this study were glassware, watch glass, evaporating cup, parchment paper, universal pH indicator, digital scale, mortar, stamper, waterbath, refrigerator, stirring rod, tweezers, spirit lamp, loop needle. The materials used in this study were Black Cumin (Nigella Sativa Linn) oil, TEA, White wax, Stearic Acid, White Vaseline, Methyl paraben, PEG, Aquadest. For organoleptic testing of cream, it can be seen from the observation of color, smell, and texture. The evaluation was carried out including organoleptic tests for homogeneity, absorption, and pH tests. Based on the research results, it can be concluded that black cumin oil can be formulated into cream preparations with varying concentrations of stearic acid and triethanolamine, although there are several tests that do not meet the requirements for cream preparation tests. The combination of stearic acid and triethanolamine with different concentrations can affect the physical quality which includes pH, spreadability and mechanical stability but has no effect on the organoleptic, cream type and homogeneity.

About 85% teenagers experience akne vulgaris. This study aims to analyze the influence of consuming local beverage to the signs and symptoms of Flour albus and Akne vulgaris to high school students in Kolaka regency. It is an experimental study, quasy experiment method with two groups of pretest and post-test design. Population consist of all women high school student suffering with Flour albus and Akne vulgaris as many as 20 respondents, which divided into 2 groups, they are 10 experiment samples providing local beverages containing 3 mixed fruits (jackfruit, melon, kersen) and 10 control samples. This study is prepared using computerized system with SPSS program. Data analysis assays applied is NPar-test. Study results obtained that there is any influence of consuming local beverage to the decrease of signs and symptoms of Flour albus, which p value = 0.000 (p<0.05), there is a significant influence of consuming local beverages to the signs and symptoms of Flour albus where p value =0.001 (p<0.05) The conclusion of this study is there is an influence of consuming local beverage to the decrease of the signs and symptoms of Flour albus and Akne vulgaris to the women high school students in Kolaka regency.    

Antenatal care is care or care provided to pregnant women before birth, which is useful for facilitating healthy and positive outcomes for pregnant women. Perfect health services have an impact on the quality of service that gives satisfaction to everyone. This study aims to determine the relationship between the quality of health services (tangible, reliability) to the level of satisfaction of the visit of TM I pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were all TM I pregnant women who visited the Labuhan Deli Health Center, namely 56 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was accidental sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a correlation between the satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on the tangible dimension (physical evidence), and there is no relationship between the level of satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on dimension of realibility (reliability).

Nausea and vomiting are symptoms that a reasonable and often happen in the first trimester of pregnancy. It usually occurs in the morning, but can occurs at any time including at night. This condition can cause dehydration or lack of fluid and electrolyte inbalance, hence the condition of pregnant mother's get worse. Lemon aromatherapy is one of alternative method to decrease nausea and vomiting in the first trimester of pregnancy. It provides relaxation and sedative by stimulating the limbic system. This study was conducted to find the effect of lemon aromatherapy to decrease nausea and vomiting in the first trimester of pregnancy. Design used in this study was pre-experiment (one-group pretest-posttest designed). The population were all pregnant women that have nausea and vomiting in the first trimester of pregnancy. The samples were 12 respondent taken by purposive sampling according to the inclusion criteria. The independent variable was lemon aromatherapy. While the dependent variables were nausea and vomiting in the first trimester of pregnancy. Data were collected using structured questionnaire and observation. Data were then analyzed using statistic test (wilcoxon signed rank test) with level of significance ??0.05. The result showed that giving lemon aromatherapy had an effect to decrease nausea and vomiting in the first trimester of pregnancy (p=0.002). There were differences of nausea and vomiting between pre-treatment lemon aromatherapy (x=8.50) and post-treatment lemon aromatherapy (x=4.25). It can be concluded that giving lemon aromatherapy could decreased nausea and vomiting in the first trimester of pregnancy. Lemon aromatherapy is useful to breathe when experiencing morning sickness, for relief, encouraging, refreshing, and improving mood, giving a relaxed feeling, comfortable and quiet. Recommendation for the nurse and other health profession to use lemon aromatherapy as alternative medication of nausea and vomiting in pregnant women.

A worker is someone who has a functional job and participates in the production process and produces goods or services. Workers must obtain good nutritional intake to support productivity. Employee health and productivity are important factors for the success of a company. Adequate nutritional needs play an important role in maintaining employee health and optimal performance. This research aims to present an overview of the nutritional needs of employees at PT Bina Lestari. This research is observational research. The data collected includes data on the amount of food intake by carrying out a 24-hour consumption recall. The research results concluded that the average employee's intake of macro and micro nutrients (Fe and vitamin C) was deficient. It is recommended that companies should pay more attention to employee food consumption by providing canteens so that nutritional needs can be met during work and can increase work productivity.

The problem of drug misuse among teenagers considered a national issue and becomes the concern quite hard to deal with. Teenagers are at risk for drug usage as this period is a phase of transition between childhood and adulthood known as a searching or self-identity period. This study aims to know the underlying factors to prevent drug use among teenagers at MAN 6 Kuta Baro, Aceh Besar. This research method used analytical design with a cross sectional approach with population of 118 adolescents and total sample of 54 teenagers. The proportional random sampling was used for data collection technique. This research was conducted on March 10, 2023 with univariate and bivariate analysis using the chi square test. The findings indicated that out of 54 respondents, 29 people (53.7%) made fewer attempts to prevent drug use, 32 people (59.3%) had less awareness of the dangers of using drugs, 35 people (64.8%) had negative atititude towards drugs, and less involvement from peers as many as 34 people (63%). These findings indicates that there is a relation between knowledge (p=0.003), attitudes (p=0.007), and the role of peers (p=0.017) with drug prevention attempts. In conclusion, the prevention of drug use is affected by knowledge, attitude, information, and the involvement of peers. It expects the research area to provide health counseling regarding drugs and collaborate with cross-sectoral organizations - The Health Offices and Public Health Centers.

A perineal tear is a tear that occurs at the time the baby is born either spontaneously or with a tool or action. The impact of perineal tears can result in continuous bleeding and infection of suture wounds in the birth canal, slow treatment can cause death in postpartum mothers to find out the relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. This study is a quantitative analytical research with a "cross sectional study" design. The population in this study is maternity mothers in the working area of the Wara Health Center, Palopo City. Sampling in this study uses a total sampling technique. Data collection uses questionnaires. The data that has been collected is then processed and analyzed using a laptop using Microsoft excel programs and statistical programs (SPSS). Data analysis includes univariate analysis by looking for frequency distribution and bivariate analysis with chi square test with significance level (.05). There was a relationship between the old partus and the incidence of perineal tears (p=0.020) and there was a relationship between the baby's birth weight and the incidence of perineal tears (p=0.007). There is a relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. for midwives in observing childbirth using a partograph is expected to be carried out well and be able to identify quickly and accurately to further increase vigilance in carrying out childbirth help so that perineal tears do not occur.

One of the main factors affecting health performance is their motivation in working. Motivation is a factor that encouragwes a person to perform a certain activity that leads to the achievement of a particular goal. The purpose of this study to determine the relationship between motivation with the performance of health personnel at Puskesmas Ridge Biak Numfor District. This research is an analytic survey research with cross sectional study method population number 55 people. Sample is 55 with purposive sampling tecniue. Data collection and processing using computer program SPSS version 16,0 by using fisher’s exact test. The reault of this research is the reward p=0,038<0,005,it show there is no relation between reward with performance of health worker, kia peer relations p=0,004.<0,005 it there is a relationsip between the co-worker relationship with Perfoemance of health worker, enviromental condition of p=o,ooo<o,oo5it there is reltion between work environment condition with health worker performance. Conclusion in this research is there is there is relation between reward an c0-worker and condition of work environment with performance of health worker. It is suggested to the Ridge Comunity Health Center to furher improve the relationships of good colleagues and increase health facilities and infratructure in providing services so that health workers can improve their performance.