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Bintang Wicaksana; Novriyenni Novriyenni; Suci Ramadani

Neptunus: Jurnal Ilmu Komputer Dan Teknologi Informasi 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Typhoid fever is a significant health issue caused by the Salmonella Typhi bacteria, leading to symptoms such as fever, abdominal pain, diarrhea, muscle pain, and serious complications if not treated promptly. A common challenge faced by society is limited access to medical professionals, especially in remote areas, and delays in recognizing symptoms. To address this problem, this study designs and implements a web-based expert system using the Certainty Factor (CF) method, which helps diagnose typhoid fever quickly and accurately. The Certainty Factor method is used to calculate the certainty level of the symptoms experienced by the patient, providing a diagnosis result in the form of early-stage typhoid, mild typhoid, or severe typhoid. The system was developed using PHP programming language and MySQL database, and tested at RSUD Djoelham Binjai City. The research data was obtained from patients at RSUD Djoelham Binjai with a case study on patient number 22. The processing of symptoms through Certainty Factor calculation showed that the patient is most likely to have severe typhoid with a certainty value of 0.9443 or 94.43%. This result proves that the Certainty Factor method can be used to assist in providing an accurate early diagnosis of typhoid fever with a high degree of accuracy.

Agustina Elsera Tarigan; Adelina Sembiring; Lisbet Gurning

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

          During the second and third trimesters of pregnancy, as fetal development progresses, pregnant women often experience lower back pain. This condition not only causes discomfort but also affects daily activities and overall quality of life. One of the non-pharmacological approaches believed to reduce lower back pain is prenatal exercise. This study aims to evaluate the effect of pregnancy exercise on reducing lower back pain among pregnant women in the second and third trimesters. This research employed a quasi-experimental design with a pre-post test approach without a control group. The sample consisted of 28 pregnant women in their second and third trimesters who met the inclusion criteria and reported experiencing lower back pain. Pain levels were assessed before and after the intervention using a valid and reliable pain scale. Data were analyzed using appropriate statistical tests, particularly the paired sample t-test. The findings revealed that the mean pain score before the intervention was 3.32 with a standard deviation of 0.772. After the intervention, the mean pain score decreased to 2.25 with a standard deviation of 1.005. Results of the paired t-test indicated a p-value of 0.000 (p < 0.05), demonstrating a significant difference in pain levels before and after pregnancy exercise. These results indicate that pregnancy exercise is effective in reducing lower back pain in women during the second and third trimesters of pregnancy. Therefore, prenatal exercise can be recommended as a safe, simple, and beneficial non-pharmacological intervention in midwifery care. It is expected that this study provides scientific evidence supporting the role of pregnancy exercise in improving maternal comfort and quality of life throughout pregnancy.

Tuty Elyta; Miming Oxyandi; Agustin Mardalena

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

Background : Appendectomy is a surgical procedure to remove the appendix which is done as soon as possible to reduce the risk of perforation. Nursing problems that arise after appendectomy is acute pain. Objectives: Gaining real experience and knowledge and being able to document the application of deep breathing relaxation techniques is an appropriate non-pharmacological action in reducing pain scale. Method: this type of scientific paper uses a descriptive method with a descriptive case study approach with a case study approach to explore the problem of nursing care carried out on two patients carried out on June 15 - 20 2021. Results: from the results of nursing care to Mrs "S" and Mr "M" with a nursing diagnosis in the first patient, namely acute pain related to physical injury agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), impaired sense of comfort related to symptoms of the disease ( pain), impaired physical mobility related to decreased muscle strength (pain), and the second patient's diagnosis was acute pain related to physical injuring agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), discomfort related to symptoms of disease (pain), anxiety related to situational crises, lack of exposure to information, impaired physical mobility associated with decreased muscle strength (pain). The interventions in both patients were: identification of location, characteristics, duration, frequency, quality and intensity of pain, identification of pain scale, identification of non-verbal pain responses. The evaluation of the first patient had a pain intensity scale of 6 (moderate), and the second patient a pain scale of 7 (severe). The results of the study in the Surgery Room of the Palembang Bari Regional General Hospital after the deep breathing relaxation technique was carried out in the first patient on a pain scale of 6 (moderate) to 3 (mild), and the second patient pain scale of 7 (severe) to 4 (moderate). Conclusion: Progress notes to both patients on the application of deep breathing relaxation techniques to reduce pain intensity. The results of the nursing evaluation of the problem were partially resolved.

Wibisono LS; Putri AR; Najizah F; Syurrahmi Syurrahmi

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

Low back pain (LBP) is one of the most common musculoskeletal disorders and significantly impacts functional activities and patients’ quality of life. Non-pharmacological approaches such as hydrotherapy and William flexion exercise are widely used to reduce pain. Objective: This study aimed to determine the effect of combining hydrotherapy and William flexion exercise on reducing pain in patients with myogenic low back pain. Methods: This research applied a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 20 respondents aged 40–60 years who met the inclusion criteria. The intervention was conducted over 12 sessions within one month at Biara OSF Magdalena Daemen BSB. Pain levels were measured using the Visual Analog Scale (VAS) before and after the intervention. Data were analyzed using the Paired Sample t-Test. Results: The findings revealed a significant reduction in pain levels. The mean pretest score of 43.36 increased to 79.45 in the posttest with a difference of 36.09 points. Statistical testing showed p = 0.001 (< 0.05), indicating that the combination of hydrotherapy and William flexion exercise had a significant effect on reducing low back pain. Hydrotherapy contributed to muscle relaxation and improved circulation, while William flexion exercise strengthened lumbar flexor muscles. Conclusion: The combination of hydrotherapy and William flexion exercise is effective in reducing myogenic low back pain. This approach can be considered a safe, applicable, and beneficial non-pharmacological rehabilitation strategy to improve patients’ quality of life.

Haniifah Nur Hasanah; Winarni Winarni

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

Background: Dysmenorrhea, characterized by pain around the abdomen, waist, and lower back, arises due to increased prostaglandin hormone levels during menstruation. If left untreated, this pain will disrupt the daily activities and academic performance of adolescent girls. Management can be achieved through the use of acupressure and listening to the recitation of the Qur'an, both of which are safe and effective in alleviating pain, promoting relaxation, and obtaining the blessings of Allah SWT. The objectives of the research: This study aims to evaluate the impact of acupressure therapy with Ar-Rahman murottal on the reduction of dysmenorrheic pain in students of SMP Negeri 2 Giriwoyo Methods: This research employs a quasi-experimental design with a pretest-posttest non-equivalent control group approach. The study sample consists of 36 respondents selected through a purposive sampling technique. Data analysis was performed using the Mann-Whitney test to compare the treatment and control groups. Results: he dysmenorrhea pain scale in the treatment group significantly decreased compared to the control group, with a P-value of 0.016 < α 0.05. Acupressure therapy combined with the recitation of Surah Ar-Rahman was effective in reducing dysmenorrhea pain in female students at SMP Negeri 2 Giriwoyo. Summary: This study concludes that acupressure therapy combined with the recitation of Surah Ar-Rahman can be an effective alternative for alleviating dysmenorrhea pain in adolescent girls.

Octariany Octariany; Vivin Gusrizal

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

Tuberculosis is one of world health problem, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, And Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a  complaint of yellowish discoloration of sclera, nausea and vomitting after three days of initiation of ATD theraphy. The patient has been diagnosed with Tuberculosis relaps and has been taking ATD since June 2024. Patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and imbalance electrolyte. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and  different AT regimen was prescribed.

Herdalisa, Wiwie Herdalisa; Ovvi Amalia; Achmad Fauji

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Hypertension is one of the major health problems often experienced by the elderly, with complaints of headaches predominantly in the nape and forehead area. This complaint, if not optimally managed, can reduce the quality of life of the elderly and risk worsening overall health conditions. Non-pharmacological interventions such as warm compresses are one of the nursing interventions that are safe, effective, easy to implement, have minimal side effects and can be done independently at home. Objective: This study aims to determine the effectiveness of providing warm compresses in reducing the intensity of headaches in elderly with hypertension. Method: The method used is a descriptive case study with a nursing process approach that includes assessment, diagnosis, intervention, implementation, and comprehensive evaluation. Subjects: The subjects in this study were two elderly people aged 60–75 years with hypertension and a pain scale between 3–7 who were given warm compresses for six consecutive days at the same time each day. Results: The results of the study showed that after the intervention, there was a significant decrease in the pain scale. In the first subject, the pain scale decreased from 7 to 3, while in the second subject, it decreased from 6 to 3. Both subjects also reported a sense of comfort, body relaxation, and improved sleep quality after warm compress therapy. Recommendation: Based on these findings, warm compress is recommended as a non-pharmacological nursing action that can be used independently or in primary health care to help reduce headaches in elderly people with hypertension effectively and sustainably.

Adistya Amareta; Enny Yuliaswati

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Dysmenorrhea, or menstrual pain, is a common gynecological problem among adolescent girls and often interferes with their daily activities, school performance, and overall quality of life. Conventional pharmacological treatments such as nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used but may cause side effects with long-term consumption. Therefore, safe and natural alternatives are needed to manage menstrual pain effectively. Carrot juice, which is rich in beta-carotene, vitamin E, and other antioxidants, has been reported to possess anti-inflammatory and analgesic properties that could potentially reduce the severity of dysmenorrhea. This study aimed to determine the effect of carrot juice on reducing menstrual pain in female students at SMAN 1 Trimurjo. A pre-experimental study with a one-group pretest–posttest design was conducted involving 27 students who experienced dysmenorrhea. Pain intensity was assessed before and after the intervention using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon signed-rank test. The results showed that before the intervention, the majority of respondents (85.2%) reported moderate pain, while after consuming carrot juice, 92.6% reported mild pain and 7.4% reported no pain. Statistical analysis revealed a significant difference in pain levels before and after the intervention (p = 0.000, p < 0.05). These findings indicate that carrot juice is effective in reducing dysmenorrhea intensity among adolescent girls. As a safe, affordable, and easy-to-implement non-pharmacological therapy, carrot juice has the potential to be recommended as a complementary approach to menstrual pain management, especially for adolescents who seek natural remedies. Further research with larger samples and control groups is recommended to strengthen the evidence and explore the long-term benefits of carrot juice in menstrual health.

Rahmad Al Mutaqqim; Yasrul Sami

Misterius: Publikasi Ilmu Seni dan Desain Komunikasi Visual 2025 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

Wayang kulit is a traditional art form that embodies moral, social, and spiritual values, while representing human life. In today’s social context, marked by challenges such as power manipulation, economic inequality, and the decline of moral values, wayang kulit remains relevant as a medium of reflection and social critique. This artistic creation applies Bandem’s consortium art method with five stages: preparation, elaboration, synthesis, concept realization, and completion. Through contemporary painting, wayang kulit characters are reinterpreted in expressive and symbolic visual styles. The artwork serves not only as an artistic expression but also as a cultural preservation effort that bridges traditional values with contemporary realities. It is expected that this work will strengthen cultural awareness, function as a medium of social critique, and open broader opportunities for artistic exploration

Syurrahmi Syurrahmi; Lilik Sigit Wibisono; Zamroni Zamroni; Gresyla Putri Karunia

Jurnal Pengabdian Masyarakat Terapan 2025 Lembaga Pengembangan Kinerja Dosen

Myofascial pain syndrome (MPS) is a condition characterized by muscle or fascia pain, involving sensory, motor, or autonomic functions, linked to myofascial trigger points (MTrPs). Motor symptoms can include muscle weakness, limited movement, and stiffness. Sensory symptoms may involve tenderness, referred pain, hyperalgesia, or allodynia, while autonomic symptoms include sweating, changes in skin temperature, and salivation. MPS occurs due to increased sympathetic nervous system activity, which worsens pain. Physical therapy is vital in improving movement and function, with Active Exercise Therapy being a recommended treatment. MPS affects 36% of 431 patients, with pain intensity often developing within a week, and in Indonesia, it reaches 40% within a year. MPS is more common in females than males. Active Exercise Therapy, which can be performed at home or work, is essential for preventing MPS. On July 31, 2025, a community service activity was held at RT VIII Tanjung Mas Village, Semarang Utara, with 29 participants. The event included blood pressure checks, blood sugar tests, BMI measurements, and counseling on the importance of exercise therapy to prevent muscle fatigue, particularly in the neck area. The therapy, focusing on improving tendon and ligament strength and muscle strength, helps maintain joint stability and increase the range of motion. Strength training includes isotonic exercises and progressive resistance training, tailored to each individual's needs. The event provided education on managing muscle pain and fatigue through targeted exercise routines and home programs. These initiatives emphasize muscle recovery, physical health, and overall wellness, ensuring participants can manage and prevent MPS effectively. The event highlighted the critical role of regular physical activity in improving quality of life and preventing long-term musculoskeletal pain.

Titin Supriatin; Ruswati Ruswati; Nova Nurfaida

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

Hypertension is a global health problem that plays a major role as a leading cause of premature death because it can lead to various serious cardiovascular complications, such as stroke, heart failure, and chronic kidney disease. This condition is often characterized by complaints of severe headaches, especially in the nape of the neck, due to increased blood flow to the brain. In addition to medical therapy in the form of antihypertensive drugs, complementary therapies are also needed to support blood pressure reduction and improve the patient's quality of life. One method that has proven effective is slow deep breathing, a slow, deep breathing technique that helps activate the parasympathetic nervous system, reduce sympathetic activity, improve tissue oxygenation, and produce a relaxation effect that is beneficial in lowering blood pressure and reducing pain. This paper aims to describe the experience of nursing care for hypertensive patients using slow deep breathing therapy. The research method used is a quantitative descriptive with a case report design that is carried out through the stages of assessment, establishing a nursing diagnosis, intervention, implementation, and evaluation. Research data were obtained through interviews, direct observation, and physical examination. The results showed that after three consecutive days of therapy, the patient's pain scale decreased from 5 (moderate pain category) to 2 (mild pain category), while blood pressure, which was initially at 196/122 mmHg, successfully decreased to 140/90 mmHg. These results indicate that slow deep breathing plays an important role in lowering blood pressure and improving the comfort of hypertensive patients. In conclusion, slow deep breathing can be used as a simple, safe, inexpensive, and effective non-pharmacological intervention, and is highly recommended for patients to practice independently in their daily lives to prevent worsening hypertension and optimize disease control efforts.

Roudhotul Jannah; Trias Mahmudiono

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Dysmenorrhea is pain that occurs before, after, or during menstruation. The occurrence of dysmenorrhea in adolescents, especially college students, often hinders the activities that these students must perform and can lead to diseases of the reproductive system. However, dysmenorrhea is often considered a common disease, and its effects are not well understood. This study aims to analyze the effect of education using flashcards related to high calcium and magnesium diets, as well as exercise, on the severity of dysmenorrhea and knowledge levels among health and non-health students at Airlangga University. The method used in this study is experimental with a Quasi-Experimental design and a pretest-posttest control group design among health and non-health students at Airlangga University. The instruments used in this study include questionnaires, flashcards, and a recipe book. The results of this study indicate significant changes in knowledge before and after education, and significant differences in knowledge between the treatment group and the control group. The conclusion of this study is that education using flash cards can be used to improve knowledge and behavior in both groups, both health and non-health students. Therefore, it is recommended that universities conduct regular education programs related to diseases that are still underestimated by the general public

Auci Filliandari; Aprilia Yuanita Anwaristi

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Introduction: Periodontitis treatment depends on the severity of the disease, pocket depth, and bone damage. It consists of (1) emergency phase, (2) non-surgical phase, (3) surgical phase, and (4) maintenance or restorative phase. Each phase plays a crucial role in ensuring healing and controlling periodontitis. The non-surgical phase involves scaling and root planing to remove plaque and tartar, while the surgical phase addresses bone damage and pocket reduction. The maintenance phase is critical to preventing disease recurrence. Objective: The purpose of this case report is to demonstrate the success of curettage in a patient with chronic localized periodontitis stage II grade A and stage I hypertension, within a two-week post-treatment period. Case: A 52-year-old female patient presented at RSGM Soelastri with complaints of bleeding gums during tooth brushing. The patient reported gum bleeding around the lower front teeth for the past six months, without any pain. She was regularly taking antihypertensive medication (amlodipine). Examination revealed deep periodontal pockets in teeth 41 and 42, accompanied by gum swelling, indicating chronic localized periodontitis stage II grade A. The patient also had a history of stage I hypertension, which required careful management during treatment. Conclusion: The treatment for chronic localized periodontitis stage II grade A on teeth 41 and 42 with stage I hypertension was curettage. After two weeks of treatment, the patient showed significant improvement, including reduced bleeding and a decrease in pocket depth, with stable hypertension control. Curettage proved effective in managing the condition, with careful consideration of the patient's hypertension risk factors.

Success, Tazkiyatun Nisa Attaufiq Lulu Desara; Wijaya, Ezra Bernadus; Boroh, Zeth

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Postoperative Total Knee Replacement (TKR) patients often face various clinical problems, including quadriceps muscle weakness, limited range of motion of the knee joint, swelling, and pain that can have a significant impact on functional movement ability, independence of daily activities, and overall quality of life. The condition demands the role of the physiotherapist in providing appropriate and comprehensive interventions to facilitate the patient's recovery. One approach that can be done is to provide a combination of Neuromuscular Electrical Stimulation (NMES) modalities and exercise therapy. This study aims to evaluate the benefits of NMES and exercise therapy combination interventions in improving quadriceps muscle strength, knee joint range of motion, and functional mobility ability in post-TKR patients. The research design used a case study method involving three patients who were in phase 2 (motion phase), namely 3 days to 6 weeks after TKR surgery. Patients show complaints in the form of weakness of the quadriceps muscles, limited range of joint movement, and decreased knee function function. Physiotherapy interventions were given as many as 8 meeting sessions with a frequency of 2 times a week. The intervention program consisted of administering NMES to the quadriceps muscle and functional exercises such as sit to stand exercise, gait training, strengthening exercises using resistance bands in the ankle joint, and stair climbing. The results showed a significant increase in quadriceps muscle strength, an increase in the range of motion of the knee joint, and an improvement in functional movement ability after all intervention sessions were completed. These findings confirm that the combination of NMES with exercise therapy can be an effective rehabilitation strategy for post-TKR patients. The implementation of this method has the potential to speed up recovery, reduce dependence on others, and improve the patient's quality of life in a sustainable manner.

Adelia Octaviana M; Ghina, Astri

International Journal of Economics and Management Sciences 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

This study investigates KIDI IoT, an educational service by PT Telkom Indonesia designed to bridge the skills gap between Vocational High School (SMK) graduates and the demands of the Industry 4.0 workforce. The primary objective was to assess the extent to which the KIDI IoT service fulfilled the requirements of educators and learners to substantiate its value proposition. A qualitative, exploratory methodology was employed utilizing in-depth interviews and the Value Proposition Canvas (VPC) framework for analysis. The outcomes demonstrate how effectively the program's project-based, experiential approach increases user motivation and offers a practical, industry-relevant learning environment. The service successfully generates the desired customer benefits. A major customer pain point that the current model ignores is that participants often expressed that the two-day offline training period was insufficient to help them master the material or build their confidence for working independently. This led to a significant misalignment. The KIDI IoT value proposition is fundamentally strong and well-regarded; however, the study concludes that its implementation necessitates improvement, particularly through the provision of more specialized teacher training and an extended training duration, to ensure sustained impact and skill acquisition.

Nabila Oktavia Lestari

Majelis : Jurnal Hukum Indonesia 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Narcotics are substances or drugs, whether synthetic or semi-synthetic, derived from plants or non-plant materials that have the potential to cause disturbances or changes in human consciousness. Their use may result in loss of sensation, impaired taste, and, in more severe cases, strong dependency or addiction. While narcotics have undeniable benefits in the fields of medicine, healthcare, and scientific development—particularly in pain management and research—their misuse carries significant risks for both individuals and society. This study adopts a normative legal approach by analyzing existing regulations, statutory provisions, and relevant academic literature regarding narcotics and crime. The findings reveal that narcotics abuse is often closely linked to criminal behavior, as drug dependence can negatively influence psychological stability, decision-making, and social conduct, potentially driving individuals to engage in unlawful acts. Furthermore, crime is a relative concept shaped by context, culture, and societal norms, which means its connection with narcotics requires multidimensional analysis. Law enforcement efforts against narcotics-related crimes have been continuously pursued by authorities through preventive, repressive, and judicial measures, with various court rulings highlighting the gravity of the problem. However, legal enforcement alone is insufficient; a holistic strategy is needed that combines strict law enforcement with rehabilitation, psychological support, and community education. Such a comprehensive approach is expected to reduce narcotics misuse, prevent recidivism, and minimize its destructive impacts. Ultimately, this research seeks to provide deeper insights into the dynamic relationship between narcotics abuse and crime, while offering practical recommendations to achieve more effective solutions for protecting individuals, strengthening social resilience, and promoting public welfare

Eka Duwi Sridevi; Zulfikar H Wada; Zeth Boroh

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

Carpal Tunnel Syndrome (CTS) is one of the most common musculoskeletal disorders experienced by office workers. This condition generally arises from repetitive wrist activities, such as prolonged typing or intensive mouse use, which cause pressure on the median nerve. Symptoms of CTS include pain, tingling, weakness, and decreased hand function, which can interfere with work productivity. Various conservative interventions have been developed, one of which is nerve gliding exercises, which mobilize the median nerve to reduce pressure, improve blood flow, and facilitate nerve movement within the carpal canal. This study aims to narratively review the effectiveness of nerve gliding exercises in improving the functional abilities of CTS patients, particularly in office workers. The method used was a systematic literature review of 16 international articles published between 2016 and 2024, using randomized controlled trial (RCT) and quasi-experimental designs. Articles were selected based on inclusion criteria, which included the primary intervention of nerve gliding exercise in CTS patients, measurement of hand function using the Boston Carpal Tunnel Questionnaire (BCTQ), and parameters of grip strength and range of motion. The analysis showed that nerve gliding exercise consistently resulted in significant improvements in grip strength, wrist range of motion, and reduced disability scores on the BCTQ. Several studies also reported reduced pain complaints and improved quality of life in patients after 4–8 weeks of regular intervention. Furthermore, the combination of nerve gliding exercise with other modalities, such as ultrasound therapy, low-level laser therapy (LLLT), or the use of wrist splints, has been shown to produce more optimal effects than either intervention alone. These findings support the belief that nerve gliding exercise is an effective, simple, inexpensive, and easily applicable therapeutic strategy for CTS patients, particularly high-risk office workers.

Sadarta Tarigan; Nur Azizah; Marlina Simbolon; Minar Butar-butar

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

The Maternal Mortality Rate (MMR) remains a key indicator in assessing maternal health in Indonesia. Prolonged labor, particularly in the first stage, contributes to the high MMR. Prolonged labor can increase the risk of complications for both mother and baby. Birthballs are a non-pharmacological method used to help accelerate labor by increasing comfort, reducing pain, and accelerating cervical dilation. This method is increasingly popular because it does not involve medication and is safer for pregnant women. This study aims to determine the effect of birthball use on the progress of first-stage labor in women giving birth at the Cantika Clinic, Deli Tua District, Deli Serdang Regency in 2022. The study design used a Quasi Experiment with a Two Group Design. The study sample consisted of 20 respondents divided into two groups: an intervention group using a birthball and a control group not using a birthball, each consisting of 10 respondents. Data were analyzed using the Mann-Whitney test. The results of the study showed that the group using the birthball had an average duration of the first stage of labor of 7 hours, while the group not using the birthball had an average duration of 8 hours and 40 minutes. The results of the statistical analysis showed a p value = 0.029 (<0.05), which means there is a significant effect of the use of the birthball on the progress of the first stage of labor. The conclusion of this study is that the use of the birthball can accelerate the process of the first stage of labor, so it is recommended to be implemented as a non-pharmacological intervention that can support a smoother and more comfortable delivery for pregnant women.  

Putri Ananda; Raden Burhan Surya Nata Diningrat

Filosofi : Publikasi Ilmu Komunikasi, Desain, Seni Budaya 2025 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

Indonesia has a rich cultural heritage, one of which is batik, which has become a national cultural heritage and is recognized by UNESCO as a world intangible cultural heritage. Along with the development of digital technology and the increasingly dynamic needs of society, innovations in the form of digital batik have emerged, opening new opportunities in the preservation and development of traditional batik motifs. Digital batik not only allows efficiency in the production process but also expands the reach of creative expression through the exploration of new, more modern forms, colors, and media. This creative research aims to explore the shape and color of the female beetle (Coccinellidae) as inspiration in creating digital batik motifs that are then applied to mugs using digital printing techniques. The method used is exploratory with an artistic practice approach, involving stages ranging from visual concept design, digital sketching, color exploration, to the printing process on ceramic media. The design process was carried out digitally using the Ibis Paint application on a mobile device, which demonstrates that batik works can be created flexibly with the help of simple technology. The results of this creation are 15 digital batik works with the visual character of the female beetle that have been artistically modified without losing their distinctive shape and striking color. Each design measures 20 x 8 cm and is printed on a cylindrical mug with a curved surface. This research demonstrates that natural elements such as insects can be a rich source of aesthetic inspiration for developing contemporary batik motifs. Furthermore, this work demonstrates that modern technology can play a crucial role in maintaining the relevance and appeal of traditional arts like batik in the era of globalization and digitalization.

William Jhonatan; Novriyenni Novriyenni; Marto Sihombing

Neptunus: Jurnal Ilmu Komputer Dan Teknologi Informasi 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

Rapid technological advancements have brought convenience to various fields, including healthcare. Osteoarthritis (OA) is a chronic degenerative joint disease that often affects the knees and hips, particularly in the elderly, and is a major cause of pain, joint dysfunction, and reduced quality of life. The prevalence of OA increases with age, with risk factors such as obesity, excessive activity, and muscle weakness. Early and accurate diagnosis is essential for appropriate treatment. This study aims to develop a diagnostic system for inflammatory arthritis, specifically osteoarthritis, using the Dempster-Shafer method. This method was chosen because of its ability to combine various evidence and expert beliefs to produce a more accurate diagnosis. By utilizing mathematical proof theory, this system is expected to assist medical personnel in detecting OA symptoms more efficiently. The research findings are expected to contribute to the healthcare sector, particularly in improving the accuracy of osteoarthritis diagnosis, allowing for earlier and more appropriate treatment. This system can also be a supporting tool for doctors and patients in understanding joint health conditions.