Publication Search

Injection contraception is one of the most widely used family planning methods in Indonesia. However, its use is often associated with side effects in the form of weight gain. The commonly used types of injection contraception are the 1-month and 3-month injections, each containing different hormonal contents, which are suspected to have different effects on the weight of the acceptors. The aim of this study is to determine the effect of 1-month and 3-month injection contraception on weight gain in family planning acceptors at PMB Wahyuning Purwati Sleman Regency. This research employs a quantitative method with a cross-sectional approach. A sample of 37 injectable contraceptive acceptors was selected using accidental sampling technique. The instrument used was a questionnaire. Data analysis was performed using paired sample t-test and independent t-test to determine body weight changes before and after using injectable contraceptives. The results showed an increase in body weight among users of the 1-month injectable contraceptive with an average of 3.158 kg (p<0.000) and among users of the 3-month injectable contraceptive with an average of 3.653 kg (p<0.006). Both types of injectable contraception showed a significant effect on weight gain. The weight gain was greater in users of the 3-month injection compared to the 1-month injection. There is a need for more intensive education and counseling for contraceptive acceptors regarding the side effects of injectable contraception and the importance of maintaining a healthy lifestyle.

Diabetes mellitus is a chronic disorder that arises when the pancreas does not produce enough insulin or when the body cannot use the insulin it produces properly, diabetic ulcers also referred to as diabetic foot ulcers, are medical conditions characterized by chronic, non-healing, sunken ulcers with edema with clear boundaries. Wounds in diabetic patients occur due to partial or complete damage to the skin that extends to the tissue under the skin, tendons, muscles, bones, or joints that occur in a person suffering from diabetes mellitus. Wound care that is currently developing is modern wound care which has a better rate of development of diabetic wound repair compared to using conventional wound care. The use of dressings must be considered to maintain wound moisture balance, one of the dressings that can be used is zinc cream as a primary dressing. Purpose: To prevent infection and help accelerate granulation growth in diabetic foot wound patients using zinc cream. Methods: By means of data collection and observation using case studies and subjects in diabetic foot wound patients with nursing problems of skin / tissue integrity disorders. Results: After taking wound care measures using zinc cream primary dressing for 12 times in 6 weeks there is a BWAT value in the dorsum pedis area from 37 to 22 and in the planta pedis area from 39 to 24. Conclusion: Treatment using zinc cream as a primary dressing proved effective in accelerating the healing process of diabetic foot wounds.

This study aims to examine how the image of the Besikama people is formed and interpreted through the Hamis Batar tradition, a sacred sacrificial ritual. Using ethnographic methods, this study delves into the cultural practices and spiritual beliefs of the Besikama people, particularly in the context of their interactions with things considered sacred. This analysis utilizes the theoretical scalpel of “the look of the Sacred” introduced by Robert A. Orsi, a concept that goes beyond visual representation to understand a deeper relationship between humans and the divine, or “body beyond the image.” Initial findings indicate that Hamis Batar is not simply a series of ceremonies, but rather a space where the boundaries between the visible (body rituals, offerings) and the invisible (spiritual power, ancestral presence) are blurred. The Besikama people not only look at something sacred, but they also experience and shape it through actions, emotions, and physical sensations. Thus, the image formed is not a static representation, but a dynamic and living reality, continuously constructed and articulated through the practice of Hamis Batar. This research contributes to a richer understanding of how ritual can serve as a vehicle for experiencing and negotiating sacred meaning, going beyond mere symbolism.

Obesity among college students is a public health issue that is gaining increasing attention because it is associated with an increased risk of chronic diseases such as diabetes mellitus, hypertension, and heart disease, and can reduce quality of life and academic productivity. College students, as a group of early adults, are in a transition phase towards independence and are therefore vulnerable to lifestyle changes, including unhealthy eating patterns, fast food consumption, low physical activity due to busy studies, irregular sleep habits, and high academic stress. This study aims to determine the risk factors associated with obesity among students at the Islamic University of Ogan Komering Ilir in 2025. This study used a cross-sectional design with a quantitative approach. A sample of 95 students was selected using a purposive sampling technique. Data were collected through a structured questionnaire and body mass index (BMI) measurement to determine respondents' nutritional status. Independent variables included diet, physical activity, sleep quality, stress levels, and a family history of obesity. The results showed a prevalence of obesity of 17.9%. Bivariate analysis found a significant association between obesity and unhealthy diet (p=0.002), low physical activity (p=0.000), poor sleep quality (p=0.000), and high stress levels (p=0.001). Meanwhile, a family history of obesity showed a tendency to have an effect but was not statistically significant. These findings indicate that obesity in college students is largely influenced by modifiable lifestyle factors. Therefore, this study emphasizes the importance of health promotion interventions on campus, such as balanced nutrition counseling, increased access to sports facilities, stress management, and education on healthy sleep patterns. Promotive and preventive efforts undertaken from a young age are expected to reduce the risk of obesity and chronic disease in the future.

Background: Pregnant women with poor nutritional status are at risk of experiencing low breast milk production, which in turn can affect the fulfillment of infant nutrition from an early age. Suboptimal breast milk production impacts the growth and development of infants and has the potential to increase the incidence of malnutrition. Based on preliminary data in the Siti Hajar Room of Sultan Hadlirin Islamic Hospital, Jepara, it was found that several postpartum mothers experienced delayed breast milk production with a history of malnutrition. This condition shows the importance of maternal nutritional status during pregnancy as a factor that directly influences lactation. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and postpartum breast milk production in the Siti Hajar Room of Sultan Hadlirin Islamic Hospital, Jepara. Method: The study used a cross-sectional design with a total sampling technique. A total of 30 postpartum mothers were selected as respondents. The independent variable consisted of the nutritional status of pregnant women as measured by Body Mass Index (BMI), Upper Arm Circumference (LILA), and hemoglobin (Hb) levels. The dependent variable was postpartum breast milk production as observed clinically. Data analysis was performed using the Chi-Square test with a significance level of p < 0.05. Results: The results of the study showed a significant relationship between the nutritional status of pregnant women and breast milk production. Statistical tests found that BMI (p = 0.018), LiLA (p = 0.027), and Hb levels (p = 0.006) had a significant association with the adequacy of breast milk production. Conclusion: The nutritional status of pregnant women was proven to be closely related to postpartum breast milk production. Mothers with good nutritional status tend to produce sufficient breast milk production. This finding emphasizes the need for routine nutritional monitoring of pregnant women and nutritional education during pregnancy to support the success of exclusive breastfeeding.

Mammary tumor is a condition where an abnormal mass or lump forms in the breast, caused by excessive and continuous cell reproduction. This condition often develops unnoticed and can be dangerous if not promptly treated. In 2018, the incidence rate of breast cancer in Indonesia was 136.2 per 100,000 people, making it one of the most common cancers in Southeast Asia, ranking 8th in the region. If untreated, mammary tumors have the potential to spread to other parts of the body, and in many cases, can be fatal for the patient. One of the common medical treatments for mammary tumors is surgery. This surgery aims to remove the tumor and prevent further spread. In this context, the role of nurses is critical, as according to Orem's theory, nurses have the responsibility to help improve the health status of patients, especially in situations where patients are unable to perform self-care. In such cases, nursing assistance is necessary to ensure that the patient can undergo proper post-operative care. This study aims to provide an overview of nursing care for patients with post-operative right mammary tumor in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. The nursing care provided includes several important steps: patient assessment, nursing diagnosis, planning, implementation of care, and evaluation of the care outcomes. This research uses a descriptive case study design, offering an in-depth view of the nursing approach applied to patients after mammary tumor surgery. With this approach, the study aims to provide clearer insights into the role of nurses in supporting patient recovery and improving the quality of care in hospitals.

Tonic is a preparation thats can stqrengsthen the body and improve stamina. Curcuma zedoaria and Curcuma aeruginosa are known to have phytochemical compunds such as flavonoids, alkaloids, saponins, tannin, triterpenoids, curcuminoid and polyphenols that can function as stimulant and tonics. This studiy aimed to investigate tonic effects of ethanolic extracts of Curcuma zedoaria, ethanolic extract of Curcuma aeruginosa, and their combinations on male white mice (Mus musculus). Curcuma zedoaria rhizome and Curcuma aeruginosa rhizome were extracted using the maceration method for 3 days using 70% ethanol solvent which was then thickened in a waterbath. A total of 35 male mice were divided into 7 groups with different treatments, including negative control (aquadest), positive control (caffeine 100 mg/kgBB), ethanolic exctract of Curcuma zedoaria (600 mg/kgBB), ethanolic extract of Curcuma aeruginosa (600 mg/kgBB), and combination ethanolic extract of Curcuma zedoaria and Curcuma aeruginosa at dosage of 150:450 mg/kgBB, 300:300 mg/kgBB, and 450:150 mg/kgBB. Tonic effect were evaluated using natatory exhaustion and rotarod tests. The natatory exhaustion test is carried out by observing how long the mice swim, while the rotarod test is carried out by observing how long the mice stay on the rotarod apparatus. The data analyzed using ANOVA and Tukey’s test. The results of One Way Anova showed a there were significansts differensce in each groups (p<0,05) with combination of Curcuma zedoaria : Curcuma aeruginosa (150:450 mg/kgBB) yielding the best tonic effect. From the result of Tukey’s followsup test, it showed that the highers the dosae of Curcuma aeruginosa rhizome extracts the better the tonics effects giiven. This suggest that Curcuma aeruginosa has a dominant role in enhancing phsycal endurance in male white mice.

Regulatory changes through Law No. 3 of 2024 concerning the Second Amendment to Law No. 6 of 2014 stipulate an extension of the village head's term of office from six to eight years. This policy is intended to strengthen leadership stability and the sustainability of village development, but also raises concerns regarding reduced leadership circulation, weakened community political participation, and increased potential for abuse of power. This research uses empirical legal methods with sociological, conceptual, and case-based approaches, conducted through field observations and in-depth interviews with village officials, community leaders, MSMEs, and residents of Kerato Village. The results show a diverse response from the community. Some support this policy because it is seen as providing the village head with the opportunity to complete development programs sustainably. However, others reject it, arguing that term extension has the potential to reduce the quality of local democracy, limit leadership regeneration, and reduce the frequency of community political participation. The discussion emphasizes the dilemma between village government stability and the principles of participatory democracy. In conclusion, this policy is ambivalent: positive in maintaining development continuity, but risky for accountability and community participation. Therefore, strengthening the function of the Village Consultative Body (BPD), transparency, and effective oversight mechanisms are very necessary to maintain the balance between government stability and village democracy.

Specific research on factors influencing career maturity, including learning motivation and Buddhist Pancasila at Donorojo 1 Public High School, Jepara Regency, is still lacking. This study uses a quantitative method with a causal associative research design. The research population consists of 52 students, and the sample used is the entire student body. The data collection method is a questionnaire. The instrument used in this study is a questionnaire sheet. The data analysis technique uses inferential statistical analysis. The results of data analysis show that there is a significant positive effect between learning motivation and career maturity of 69.4%. In addition, there is a significant positive relationship between Buddhist Pañcasila and student career maturity of 64.9%. Furthermore, there is a significant positive relationship between learning motivation and Buddhist Pañcasila and student career maturity of 82.5%. It can be concluded that the higher a person's learning motivation, the stronger the student's career maturity. In addition, the better the quality of the student's Buddhist Pañcasila, the higher the student's career maturity. Thus, the higher the learning motivation and the better the Buddhist Pañcasila, the stronger the student's career maturity will be.

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based perioperative care approach designed to minimize the stress response to surgery, preserve organ function, and improve clinical outcomes. A substantial body of evidence has demonstrated that implementing ERAS protocols in elective procedures not only accelerates patient recovery but also reduces healthcare costs. Surgery, one of the most commonly performed medical interventions worldwide particularly major procedures such as abdominal and colorectal surgery carries a high risk of postoperative complications. These complications contribute to increased morbidity, mortality, and economic burden for both patients and healthcare systems. This situation presents a particular challenge in the era of universal health coverage, which demands efficiency in terms of time, cost, and resource utilization. ERAS implementation has been proven to enhance postoperative recovery, shorten hospital stays, and expedite the return of normal physiological function compared to conventional surgical care, especially in lower abdominal surgeries and colorectal resections. A literature review was conducted by searching relevant articles through Google Scholar using inclusion criteria such as publications from 2018 onwards, focused on ERAS in abdominal surgery, full-text availability, and academic journal sources. The data were analyzed using a matrix table comparing research methods, study populations, research locations, and reported outcomes. ERAS protocols have shown to be effective in abdominal surgical procedures for improving patient recovery and reducing postoperative complications.

Vitamin A Deficiency (VAD) and iron deficiency anemia (IDA) are global nutritional issues affecting children, particularly in developing countries. The interaction between these two conditions can lead to a more complex condition known as Vitamin A Deficiency Anemia (VADA). This study aims to review the molecular relationship between Vitamin A deficiency and iron metabolism leading to VADA, as well as its impact on children's health. The methodology used in this article is a literature review of various clinical studies, epidemiological research, and relevant molecular experiments. The results show that VADA is primarily a functional iron deficiency, where iron absorption is impaired despite overall body iron levels not being critically low. This mechanism involves the regulation of hepcidin, redistribution of iron, and its effects on erythropoiesis. Additionally, therapy with Vitamin A supplementation has been shown to increase erythropoietin and hemoglobin production in children with dual deficiencies. The implications of these findings highlight the need for more integrated therapeutic strategies that consider both Vitamin A and iron status simultaneously. Further research is needed to understand the molecular mechanisms more deeply involved in this interaction and to develop more effective therapies for children with VADA.

Anemia is a medical condition characterized by a lower-than-normal number of red blood cells or hemoglobin levels in the blood. This results in a reduced ability of the blood to carry oxygen throughout the body. Consequently, individuals with anemia may experience various symptoms such as fatigue, dizziness, and shortness of breath. The main causes of anemia are generally due to a lack of knowledge about this condition and deficiencies in nutrients such as iron.The purpose of this study is to determine the level of knowledge among ninth-grade female students regarding the prevention of anemia and their ability to prevent it. This study uses a descriptive research method, focusing on describing the level of knowledge of ninth-grade female students about the prevention of anemia.The study uses the Total Sampling method as the sampling technique, which means that all members of the population are included as respondents. Therefore, the number of respondents in this study is equal to the total population of female students, which are 54 individuals. Data collection is conducted using a closed-ended questionnaire consisting of 20 items covering indicators such as the definition of anemia, its etiology, signs and symptoms, treatment, and prevention.The results of the study show that knowledge regarding the definition of anemia is in the good category for 35 respondents (64.8%), knowledge about etiology is in the fair category for 35 respondents (64.8%), knowledge of signs and symptoms was in the fair category for 45 respondents (83.3%), knowledge about treatment is in the good category for 33 respondents (61.1%), and knowledge of prevention is in the fair category for 32 respondents (59.3%).It is hoped that by increasing the knowledge of ninth-grade female students about the prevention of anemia, schools and health workers can work together to carry out regular health education.

The endocrine system is a ductless body control system that produces hormones to regulate various organs and physiological processes. Hormones act as important biological messengers in the human body. One of the most essential hormones is insulin, which plays a key role in blood sugar regulation. Insufficient insulin production or impaired insulin action can cause disruption of blood glucose control, leading to diabetes mellitus. Diabetes mellitus is a chronic metabolic disorder characterized by persistently high blood glucose levels caused by impaired insulin secretion, insulin action, or both. The purpose of this paper is to apply nursing care to Mr. N, a patient with endocrine system disorders: diabetes mellitus, treated in the Dahlia Ward of Dr. Soeselo Regional Hospital, Tegal Regency. This descriptive case study method was used to explain the nursing process in a structured manner. The main complaint presented by the client was pain in the wound on the left foot. Four nursing diagnoses were identified during the assessment, namely unstable blood glucose levels, acute pain, impaired skin/tissue integrity, and knowledge deficit. Nursing interventions were developed and implemented based on the Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI). The case highlights the importance of comprehensive nursing care in diabetes management, with a focus on blood glucose stabilization, pain management, wound care, and patient education. The results of this study are expected to provide additional references for clinical practice and strengthen the role of nurses in preventing complications of diabetes mellitus.

This study investigates the differences in customer satisfaction levels toward the services of Bank Syariah Indonesia by employing a nonparametric statistical approach. Customer satisfaction is a critical benchmark in Islamic banking, as it not only reflects the quality of services but also the extent to which sharia compliance is embedded in financial practices. Given that satisfaction data are generally ordinal and may not fulfill the assumptions of normal distribution, nonparametric methods such as the Kruskal-Wallis and Mann-Whitney tests were selected as the primary analytical tools. This research adopts a qualitative library-based method by reviewing relevant literature, scientific articles, and previous empirical studies to construct a comprehensive understanding of customer satisfaction measurement within Islamic banking. The findings highlight that variations in satisfaction are influenced by multiple factors, including service speed, staff friendliness, accessibility of digital platforms, and clarity of sharia principles applied in daily operations. Results further suggest that demographic characteristics and service usage frequency significantly shape satisfaction differences across customer groups. Theoretically, this study enriches the body of knowledge on the application of nonparametric statistics in Islamic banking research, while practically, it provides actionable insights for Bank Syariah Indonesia in formulating adaptive service strategies. These contributions are expected to assist the bank in strengthening customer loyalty, enhancing competitiveness, and sustaining growth in the dynamic modern banking industry. Theoretically, this study enriches the body of knowledge on the application of nonparametric statistics in Islamic banking research, while practically, it provides actionable insights for Bank Syariah Indonesia in formulating adaptive service strategies. These contributions are expected to assist the bank in strengthening customer loyalty, enhancing competitiveness, and sustaining growth in the dynamic modern banking industry.  

The digestive system plays a role in processing food into nutrients so that they can be absorbed and utilized by the body, but it is often found that the digestive system experiences disorders that can be caused by various factors such as infection, inflammation, motility disorders, or even neoplasms (Suryati et al., 2025).One of the diseases caused by digestive system disorders is ileus obstruction, which is a disorder of the digestive system that occurs due to a mechanical blockage in the intestine and is often found in patients with intestinal obstruction. One of the diseases resulting from digestive system disorders isileus obstruction, which is a disorder of the digestive system caused by a mechanical obstruction in the intestines and is commonly found in patients who visit the emergency room. It is estimated that approximately 2-8% and 15% of patients require treatment in the surgical unit (Andi Nailah et al., 2024). Obstructive ileus occurs in the small intestine and can be caused by incarcerated hernia, intussusception, intestinal adhesions or adhesions, ascariasis, volvulus, tumors, or gallstones entering the ileum (Su’un, Gani, & Purnama, 2024). The purpose of this writing is to understand and provide nursing intervention  for Mrs. T with a digestive system disorders: a case of ileus obstruction in Mawar 2 ward dr. Soeselo Regional General Hospital, Tegal Regency. The method used in this writing is a descriptive method. From the case review, it was found that the patient's main complaint was pain in the lower right abdomen. Three diagnoses emerged: acute pain, anxiety, and knowledge deficit. Interventions were developed based on SDKI, SLKI, and SIKI, which can be implemented.

Memory is a vital biological system in the body that plays a role in storing, processing, and recalling information. Over time, due to aging or external factors, memory function may decline. One possible effort to maintain and improve cognitive performance is through the use of bioactive compounds with antioxidant properties. Avocado (Persea americana Mill.) leaves contain flavonoids, which act as antioxidants and possess neuroprotective effects that may enhance cognitive function, including memory. This study aimed to determine the effect of avocado leaf extract on the memory of male mice and to identify the most effective dose in improving cognitive performance. The extract was obtained using the maceration method with 70% ethanol as the solvent. Memory activity was tested on male mice, which were divided into five groups: negative control, positive control, and three treatment groups given avocado leaf extract at doses of 50, 100, and 200 mg/kgBW. The Y-Maze method was employed to assess memory through two parameters: latency time and error numbers. The results demonstrated that avocado leaf extract significantly improved memory in the test animals. Mice induced with 10% ethanol showed an increase in latency time and error numbers, while the groups treated with avocado leaf extract experienced reductions in both parameters. The most effective dose was 200 mg/kgBW, which produced a latency time difference of 19.5 seconds and an error number difference of 3.57. Therefore, avocado leaf extract shows potential as a natural agent to support and enhance cognitive function.

Shortness of breath is one of the main problems experienced by patients with respiratory disorders such as chronic obstructive pulmonary disease (COPD), asthma, pulmonary tuberculosis, and lung cancer. This condition can reduce oxygen saturation, which leads to limitations in physical activity, decreased quality of life, and an increased risk of hypoxemia that may become fatal if not immediately addressed. The management of dyspnea is not only carried out through pharmacological therapy but also through non-pharmacological interventions that are simple, safe, and easy to apply by health care providers. One such intervention is the tripod position and pursed-lip breathing technique. The tripod position is a sitting posture in which the patient leans forward with both hands supporting the body on the knees or a table, thereby facilitating maximum chest expansion. Meanwhile, pursed-lip breathing is a breathing technique performed by inhaling through the nose and exhaling slowly through pursed lips, which prolongs the expiratory phase, reduces trapped air, and improves alveolar ventilation. This study aimed to determine the effectiveness of applying these two techniques in increasing oxygen saturation among patients with dyspnea in the Emergency Department of RSUD Limpung. The research design was a case study involving four patients diagnosed with COPD, asthma, pulmonary tuberculosis, and lung cancer. The intervention was carried out by assisting patients to sit in a tripod position and training them in pursed-lip breathing for approximately 10 minutes. Oxygen saturation was measured using a pulse oximeter before and after the intervention. The results showed an increase in oxygen saturation in all patients, from 92–97% to 95–99% after the intervention. In conclusion, tripod position and pursed-lip breathing proved to be effective non-pharmacological therapies that can be recommended in emergency nursing practice to reduce dyspnea and improve oxygenation.

Dengue Hemorrhagic Fever (DHF) is an endemic disease that can cause serious complications due to dehydration and plasma leakage, affecting the body temperature of patients. This study aims to examine the effect of oral fluid therapy on body temperature in pediatric patients with febrile DHF at RSU Comal Baru Pemalang. This study used a quasi-experimental design with a pretest-posttest and control group, involving 30 respondents (15 intervention and 15 control) selected through consecutive sampling based on inclusion and exclusion criteria. Body temperature data were measured using a thermometer before and after the oral fluid therapy, then analyzed using the Wilcoxon Signed Rank Test, Paired t-test, Independent t-test, and Mann-Whitney U Test with a significance level of p<0.05. The results showed that the initial body temperature of both groups was comparable (38.08°C in the intervention group and 38.13°C in the control group; p=0.739). After oral fluid therapy, the body temperature of the intervention group significantly decreased to 36.39°C, while the control group only decreased to 37.56°C, with statistical tests showing a significant difference (p<0.001). This study concludes that oral fluid therapy is effective in reducing body temperature in pediatric patients with DHF and can be recommended as part of supportive nursing management.

The benefits of free health checks in the community are to prevent infectious diseases and further illnesses. Health checks are an effort to detect abnormalities in the body. Health checks should be carried out routinely with the aim of preventing and treating them as quickly as possible. Early detection of disease is a form of education and free health check activities so that the community has awareness to carry out regular health checks as part of promotive and preventive efforts. The main goal of this service is to detect possible diseases and reduce the risk of the disease or treat it more effectively. This service method includes providing health education through the distribution of brochures related to educational materials, accompanied by the implementation of free health checks that involve meetings with Posyandu cadres and the local village head to initiate this service activity. There were 46 participants who took part in the free health check activities. The purpose of this activity was also to help participants better understand the importance of maintaining good health. To help participants better understand the importance of regular health checks to prevent negative impacts in the future, the results of the health checks are used as a guide. On July 30, 2025, the Sukamanah Village community held a free health check socialization program with the aim of increasing public awareness and knowledge about health. The program uses Participatory Action Research (PAR) as a method, benefiting Baros students, the general public, and the community. Outreach efforts have demonstrated that this method has successfully increased public awareness and understanding of health issues. This highlights the need for a more comprehensive health intervention model and research on the program’s long-term impact to maximize positive outcomes for public health.

Air gaps between the probe and the skin surface can produce shadowing artifacts in the presented image. With the help of gel pad Artefact Shadowing can be minimized. However, in ultrasound examination Shoulder ultrasound examination performed with the patient sitting, it is possible that the gel pad is not stay consistently on the examined area. This is due to the pull of the earth's gravity, so the gel pad sheet model is still less supportive for this examination. support for this examination. The aim of this study was to develop a product design in the form of a Gel-based auxiliary applicator to optimize the examination of the Shoulder ultrasound examination, which has been tested for function based on the aspects of comfort and quality of quality of the resulting image. The Research and Development study was conducted with a multidimentional approach, resulting in a product that was tested for comfort by sonographers and tested for comfort by sonographers and image quality by radiologists. interpretation of radiologists. Data processing was done by conducting comparison of ultrasound examination of Supraspinatus Tendon in patients with body weight below 18.5 based on BMI calculation by using standard gel and by using the product, 30 samples each. The product design consists of gel pad and silicon rubber RTV-48. With the composition of the gel pad is gel wax and paraffin (5% of gel wax). Where silicon is designed with a thickness of 2 mm resembling the thickness of human skin. Product test results obtained that the comfort aspect is more optimal with the product than without using the product.