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Fracture is a break in bone continuity as a result of a collision or blunt trauma from a certain object. Treatment of fractures can be surgical or splinting, including immobilization, reduction and rehabilitation. Fractures require immediate and appropriate treatment, because inaccurate or incorrect handling will result in further complications, such as infection, nerve and blood vessel damage, to further soft tissue damage. The most common cause of fractures is accidents, be it work accidents, traffic accidents and so on

Breast milk contains various nutrients needed in the process of growth and development of infants. Exclusive breastfeeding, namely that babies are only given breast milk, without any liquid or solid food except vitamins, minerals or drugs in the form of drops or syrup until the age of 6 months. The main obstacle to achieving correct exclusive breastfeeding is the lack of proper knowledge about exclusive breastfeeding for mothers. Objective: A mother must have good knowledge of breastfeeding. The purpose of this study was to reveal the effect of social support on exclusive breastfeeding behavior, the influence of knowledge of breastfeeding mothers on exclusive breastfeeding behavior, as well as the effect of social support, knowledge of breastfeeding mothers on exclusive breastfeeding behavior. Methods: The research method used is quantitative, namely cross sectional analytic survey method. Results:The results of the analysis show that first, the direct effect of social support on exclusive breastfeeding behavior is 34.6% and the remaining 63.4% is influenced by other variables. Second, the effect of social support on the knowledge of breastfeeding mothers is 11.8%, the remaining 88.2% is influenced by other variables. Third, the effect of knowledge of breastfeeding mothers on exclusive breastfeeding behavior is 9.9% and the remaining 90.1% is influenced by other variables. Conclusion: this study is the influence of social support, knowledge of breastfeeding mothers on behavior of giving exclusive breast milk.

This study aims to determine the strategies for empowering rural communities by developing village-owned enterprises through health services. This research uses descriptive qualitative research. Namely research conducted using a natural setting with the intention of interpreting a phenomenon that occurs and is carried out by involving various existing methods. Data collection techniques used through literature study or review of various sources or literature related to the problem under study. An independent village as part of the ideals of national development is hampered by various problems that arise in its realization. One of the most dominant things, namely in the economic sector and social sector. One effort that can alleviate health problems and empower rural communities is the establishment of a business institution called the Village-Owned Usha Agency (BUMDes). However, in the business activities carried out by BUMDes, various problems have arisen, namely (a) lack of community participation in BUMDes management; (b) the village government does not maximally empower the community to develop.

Introduction: Work stress in nurses is one of the problems in human resource management in hospitals. Nurses in hospitals are one of the potential resources that have a dangerous risk of burnout in workers. One of the triggering factors for work burnout in workers is work stress experienced by hospital workers. Research objectives: The purpose of this study was to analyze the relationship between work stress and job burnout in hospital nurses in various regions in Indonesia. Research Method: The research method used is the literature review study method by reviewing previous research that is relevant to the topic discussed as a study accessed on the Google Scholar database. Research Results: The results of the research conducted were that there was a significant relationship between work stress and job burnout in hospital nurses in various regions of Indonesia. The conclusion of this study is that work fatigue is influenced by work stress.

Perilaku hidup bersih sehat (PHBS) di rumah adalah kegiatan berbasis pengetahuan diri yang dilakukan oleh setiap anggota keluarga dengan tujuan untuk berpartisipasi aktif dalam pencegahan penyakit dan meningkatkan kesehatan keluarga. Salah satu indikator PHBS dalam rumah tangga adalah penggunaan jamban sehat oleh keluarga. Tujuan pengabdian ini adalah mengidentifikasi pemberdayaan masyarakat melalui gerakan PHBS serentak pada rumah tangga di Dusun Cung Belut, Desa Semen, Kecamatan Paron, Kabupaten Ngawi. Metode yang digunakan adalah penyuluhan jamban, stimulasi sederhana jamban dan pembentukan kerangka STBM. Populasi sasaran adalah warga Dusun Cung Belut sebanyak 142 Somah. Setelah dilakukan penyuluhan tentang jamban sehat, pengetahuan masyarakat tentang jamban sehat meningkat 75%, jumlah warga yang siap membuat jamban sehat sebanyak 6 orang dengan konsep stimulasi, terbentuklah kabinet STBM muda yang beranggotakan 15 orang anak. Kesimpulan gerakan PHBS serentak dalam rumah tangga efektif mengatasi permasalahan PHBS di Dusun Cung Belut, Desa Semen, Kecamatan Paron, Kabupaten Ngawi.

Tuberculosis cases in Indonesia are ranked second in the world. TB prevention needs to be done at the grassroots level by involving trained TB cadres. The simulation training method is one of the strategies in increasing the capacity of cadres in increasing TB knowledge and the performance of TB cadres in finding cases. The purpose of this study was to determine the effect of providing simulation training methods on the level of cadre knowledge and performance of YABHYSA Sumenep TB cadres. This study uses a quantitative analytic survey with a cross-sectional design research design. Sampling using non probability sampling by means of purposive sampling, namely all active cadres SSR YABHYSA Sumenep as many as 45 people.The results showed that there was an effect of providing simulation training methods on increasing knowledge and performance of TB cadres YABHYSA Sumenep between before and after receiving simulation training (p<0.05). It is concluded that the provision of simulation training methods can improve the knowledge of TB cadres and cadre performance in TB case finding.

Gout is a type of arthritis that occurs due to the expansion of uric acid crystals that occur in several joints. The average level of uric acid in the blood depends on gender and age. Someone who is old is usually more susceptible to advanced uric acid. This is the background of this research. This study aims to describe uric acid levels in the elderly at Posyandu Melati, Cipayung District, East Jakarta. This type of research is descriptive with a cross sectional design. The sample selection was obtained by purposive sampling technique with a large sample of 30 people. The results showed that the average uric acid level of male respondents was higher, namely 6.8 mg/dl compared to the average uric acid level of female respondents, which was 5.3 mg/dl. From the results of this study, it can be concluded that uric acid levels in elderly men are higher than those in elderly women, although the levels are still relatively normal.

Ice cubes are a food product that is often consumed by the community. Ice cubes are usually mixed in drinks to add freshness. Ice cubes are made from drinking water frozen at 0°C, although low temperatures can inhibit the growth of microorganism cells, ice cubes still have the possibility of containing contaminant microorganisms. Ice cubes that can cause diarrhea are ice cubes that contain pathogenic bacteria, one of which is Escherichia coli. Therefore it is necessary to check the quality of ice cubes microbiologically. This study aims to detect the presence of Escherichia coli in ice cubes sold by food stalls in the Liliba Village, Kupang. This type of research uses a descriptive method, where the population in this study is ice cubes which are sold in 10 different stalls in Liliba Kupang Village. The method used is Most Probable Number (MPN) with a variance of 5-1-1 followed by Gram staining and IMVIC test. From the results of the study, it can be found that ice cubes are sold in food stalls in Liliba Kupang Village, from 10 samples of ice cubes there is 1 sample that contains 10% Escherichia coli bacteria.

The Care service is an itegral part of the health service included basic service and refered service. The care service done by paramedics are in the forms of care parented . Most petients complain that the medical personels often show unfriendly attitude and lack of interest on the patient needs with simple and careless services . some studies showed that around 33.58% of patient satiasfication was influenced by their perception on service quality . the objective of the research is to know the short time effectivity of them method on care service in Myria hospital.. It is a quantitative descriptive research. The research population were all of 46 paramedics in task the stayed care room. The research sample was the total population , as much as 43 paramedics. The research variables were the effectivity components, onsisting , of productivity, efficiency, and satisfaction. Data were analyzed by the univariat anaiysis on the three variables. The results of research showed that the good respondent productivity were done by 24 personels (44.2%), and poorrespondents productivity were done by 19 personels (55.8%). On the efficiency,variable 23 respondents (53.5%) showed poor efficiency and 20 respondents (46.5%) showed good efficiency ,and on the satisfaction variable , 15 respondent (34.9%) showed high satisfaction and 28 respondents (65.1%) showed low satisfaction. Based on the research result, it is recomended to the Myria Hospital to make some efforts in increasing working productivity by giving a chance to its paramedics to follow some training and higher education programs.    

Garbage is the biggest threat, especially in Indonesia, statistically the second largest country in the world after China. Most of Indonesia's population lives in coastal areas and that is where most of the trash is found. Garbage on the coast can come from human activities such as tourists, municipal waste disposal and part of the river. The purpose of this research is to increase awareness and participation to create a clean environment to protect clean coastal and estuarine environments. The research method is library research with a systematic review design based on descriptive analysis, namely journal articles searched in the Google Scholar database. The results of the study applying the clean movement can minimize waste, and appeal to the public to have a sense of concern for the environment so that the beach is not polluted, does not damage the environment and maintains public health.

The quality of hospital services will affect patient satisfaction and also their loyalty in using these facilities and the rapid development of health services currently requires hospital managers to run their business well. in the hospital. This study uses the method of literature review (literature review) with search engines used in literature searches including Google Scholar and Research gate with the keywords Service Quality Improvement, Lean Six Sigma, Hospitals. The resulting articles were selected based on publications published between 2018 and 2023. The results showed that the application of lean six sigma in hospitals in improving the quality of their services can be carried out through the DMAIC (Define, Measure, Analyze, Improve, Control) approach. The conclusions of this study indicate that the application of lean six sigma can reduce difficulties, increase speed, and separate activities that have added value or value added from activities that have no added value or non-value added in hospitals, such as improving service quality by setting priorities by according to the highest gap required by the patient.

In the elderly there is a deterioration of cells due to the aging process which can result in organ weakness, physical deterioration, the onset of various diseases such as increased uric acid levels. Another treatment that can be used to overcome increased uric acid levels is with herbal remedies, one of which uses bay leaves, but there are still many elderly who have not used bay leaf decoction to lower uric acid. The purpose of this study was to identify the effect of bay leaf decoction on reducing uric acid in the elderly in the Griya Lansia Janati area, Gorontalo Province. Pre-experimental research method with one group pre post test design, samples of 5 people who meet the sample criteria, the instrument used is easy touch GCU to measure uric acid levels and the data analysis used is univariate analysis by describing differences in uric acid levels for three days. The research findings obtained before being given bay leaf decoction in the results of uric acid in the five clients were, in client 1 uric acid 7.3 mg / dl, in client 2 uric acid 7.1 mg / dl and client 3 uric acid 7.4 mg / dl, client 4 uric acid 8 mg / dl, client 5 uric acid 7.9 mg / dl. The average patient has gout. After the intervention of giving bay leaf water decoction for 4 consecutive days, the results were obtained in client 1 there was a decrease with uric acid 5.3 mg / dl, in client 2 there was a decrease with uric acid mg / dl, client 3 also had a decrease in uric acid 5.2 mg / dl, client 4 decreased uric acid 6 mg / dl, and client 5 decreased uric acid to 5.8 mg / dl. The implication of this research is that the institution can facilitate the use of bay leaf herbal medicine in the elderly in lowering uric acid levels so that this therapy can be continued.    

Data from the Gorontalo Provincial Health Office, show that the target data for the Gorontalo province in 2019 total elderly people reached 125,762, consisting of 22,384 total elderly people in the city of Gorontalo and 40,340 in the district of Gorontalo. And in 2020 the target for the Gorontalo province total elderly to reach 134,958 consisting of 23,678 total elderly living in the city of Gorontalo and 45,312 total elderly in Gorontalo district. Method: The type of research used in this research is an experimental design (one group pre-test post-test design). The object of this research is the elderly who have low self-esteem at Griya Lansia Jannati, Gorontalo City. Subjects in this case study were clients with low self-esteem as many as 3 respondents. Results: Low self-esteem before social group activity therapy was carried out on client 1, namely unable to control emotions and on clients 2 and 3, namely the lack of social interaction after social group activity therapy was carried out on client 1, they were able to control the emotions of clients 2 and 3, they were able to interact social. Conclusion: there is an effect of giving group activity therapy to patients with low self-

Symptoms of stemi can cause patients to feel more anxious, this anxiety can be overcome pharmacologically and nonpharmacologically. However, pharmacological therapy can cause various side effects. Therefore, nonpharmacological therapies can be recommended including progressive relaxation techniques. The purpose of this study was to determine the application of progressive muscle relaxation therapy to anxiety using the HARS scale in stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. Pre-experimental research method with one group pre post test design, a sample of 4 people who met the sample criteria, the instrument used HARS (Hamilton Anxiety Rating Scale) and the data analysis used was univariate analysis. The study findings are that progressive relaxation techniques carried out by researchers for 3 days can reduce the HARS score of the first patient from a score of 11 to 4, the second patient from a score of 12 to 6, the third patient from a score of 13 to 7 and the fourth patient from a score of 12 to 6, so that progressive muscle relaxation therapy can be applied in reducing anxiety of stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. The implication of this study is that the nursing profession is expected to improve the provision of nursing interventions in carrying out the nursing care process comprehensively, namely from bio to psychosocial patients so that it can help patients overcome psychosocial problems in this case the anxiety experienced by patients.    

In the body is needed a balanced amount of stomach acid, excessive stomach acid causes erosion of the gastric mucosa causing pain in the epigastric area and causing gastritis. The elderly with gastritis are a vulnerable population and changes in the lifestyle of the elderly discomfort due to gastritis which often recurs due to peptic ulcers. The purpose of this study was to be able to provide and apply nursing care in the elderly with gastritis. Descriptive quantitative research method, a sample of 3 people who met the sample criteria, the instrument used is a nursing care sheet, the data analysis technique used was descriptive statistical analysis. The findings of the study were obtained from the assessment of complaints felt between client 1, client 2 and client 3 at the time of the assessment had similarities where there were complaints of pain in the heartburn, pain felt like being stabbed, pain was lost, pain caused by poor diet. Nursing diagnoses include acute pain, knowledge deficit, nausea and anxiety. Nursing action planning and nursing implementation are carried out based on observation, therapeutic, education and co-widening. Nursing evaluation found that the nursing problems experienced by 12 patients were resolved.    

Hospital nurses, especially IGD and ICU, are required to be able to work quickly and precisely in dealing with emergency patients with different emergency levels, so they are very vulnerable to work stress. One way to cope with the work stress of IGD and ICU nurses is to listen to murottal which is one type of religious therapy. The purpose of this study was to find out the effect of murottal therapy on reducing nurse stress levels. The study used the quasi-experimen method of intervention groups and control groups. The population of this study is IGD and ICU nurses at Natuna Regency Hospital. Total sampling sample of 24 nurses who fit the Inclusion criteria. The measuring instrument used is the DASS 42 Stress quisioner. The results showed that t counted 4,662 > t table 2,064 so that it could be concluded that murottal therapy had an effect on reducing the stress level of nurses at Natuna Regency Hospital.  The researchers hope that a spiritual approach can be applied in hospitals. To better find out the greater effect of murottal therapy on reducing nurse stress levels, it is hoped that future studies can use larger and more comprehensive samples in all rooms in the hospital.  

Diabetes Mellitus is a chronic disease that occurs because the pancreas does not produce sufficient insulin or the body is ineffective using insulin. Based on the community diagnosis in the community RT.17 Wonorejo village in 2022, Diabetes Melitus as a priority of health problems that must be interferenced because the percentage of diabetes case mellitus by 3.1%. Alternative troubleshooting Diabetes Mellitus in Wonorejo RT 17 village is with CERDAS program. The CERDAS program consists of the activities of establishing and coaching, citing, and blood sugar examination. The purpose of the CERDAS program is to improve the knowledge of the public about diabetes mellitus and encourage the community to regularly check blood sugar examination. The method of implementing the CERDAS program is a lecture and discussion. The results of the devotion showed by the development of 100% CERDAS cadre knowledge included in either category and 100% CERDAS cadre can perform its duties. The CERDAS cadre is prepared to assist free counseling and examination of free blood supervisors and provide information on diabetes mellitus through the whatsapp group. Community knowledge of Diabetes Mellitus after extension is included with a good category of 57.7% and category less than 42.5%.

The JKN Program is an effort to equalize the quality of health services for all Indonesians, with a wide range of health services and affordable contributions. The JKN program has many benefits, but there are still many participants who do not comply with the JKN program rules, for example, do not pay contributions on time. This study aims to determine the factors that can influence public compliance with the JKN program in each region of Indonesia. The method in this study uses a literature review design by collecting research sources in the form of valid articles. After several article sources have been collected, the researcher reviews the published article sources to produce a new analysis. Based on the results of the study, it can be concluded that the factors that influence the compliance of JKN participants in paying contributions are the level of knowledge, income level, and perceptions of health risks that are owned by each member of the community. The use of first-level health facilities can also affect participant compliance in seeking health services and social, economic, and cultural presence are also a number of external factors in JKN participant compliance.

Introduction : Hypertension is a non-communicable disease which is a serious health problem because its prevalence continues to increase. Hypertension often does not show signs and symptoms, so it is often called the silent killer of death and is one of the main triggers for diseases such as heart disease, stroke and kidney disease. Method: Research design is a strategy used in research to achieve the goals of the researcher. The research design of the Nursing Final Scientific Work is pre-experimental with the pretest-posttests one group design approach. Results: showed that before giving Progressive Muscle, the blood pressure of Client 1 was 160/100 mmHg, Client 2 was 150/100 mmHg, and Client 3 was 180/100 mmHg. And after being given juice for 3 consecutive days, the blood pressure of client 1 was 130/100 mmHg, Client 2 was 130/90 mmHg, and Client 3 was 140/100 mmHg. Conclusion: The overall evaluation results after nursing actions are carried out, namely observing that the patient's blood pressure decreases, the patient can feel pain independently, as well as health education for patients and their families. Families can care for patients suffering from hypertension                            

Introduction: Elderly is a life where from babies, toddlers, teenagers, adults and the elderly. In this process there are significant Bio-Psycho-Social changes in his life such as social changes, namely the breaking of relationships with colleagues, loss of status or role (tasks, authorities and responsibilities) in the workplace environment, changes in individual roles in the family and public. Method: The research method used in this study is a qualitative descriptive research method. The collection techniques for this research were interviews, observations, physical examinations and documentation. Results: The results showed that before giving dhikr and meditation therapy, 4 patients (80%) were in the moderate stress category, and 1 patient (20%) was in the severe stress category. After giving dhikr and meditation therapy, 4 patients (80%) were found with mild stress category, and 1 patient (20%) with moderate stress category. Conclusion: Prior to the remembrance therapy, the mental condition of the elderly at the Peni Griya Jannati experienced depression due to the pressures of daily life, experiencing loneliness due to living with family or loved ones, mental emotional disorders that were not yet stable, and anxiety disorders. So that the process of dhikr therapy must be carried out in the elderly.