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Perianal fistula is a condition where a cavity forms in the area around the rectum and fills with pus. Perianal fistula is an anorectal disorder that arises due to obstruction of the anal crypts. If left untreated perianal fistula can lead to serious complications such as perineal gangrene and sepsis. A large number of perianal abscesses will recur within a year or two, especially if predisposing factors are present. This study aims to determine patient characteristics and management of perianal fistula patients at Cut Meutia General Hospital in 2018-2021. This is a retrospective descriptive study using secondary data from perianal fistula patients at Cut Meutia General Hospital. The results of the study were 11 patients diagnosed with perianal fistula based on medical record data that met the inclusion and exclusion criteria. Based on the age range criteria, the most patients with perianal fistulas were in the age group range of 20 - 40 and 41-60 years, each of which was 5 patients (45.45%), male patients were the most, namely 9 patients (81.18%), based on the operation of perianal fistula patients who underwent surgery the most using LIFT procedures were 7 patients (63.63%), and based on the history of recurrence, the most patients who experienced new/primary cases of perianal fistula were as many as 9 patients (81.8%).

Supportive Group Therapy is a therapy consisting of several people who plan, organize and respond directly to issues and pressures as well as adverse circumstances and is also a significant method of dealing with hallucination problems. Hallucinations experienced by individuals can be caused by precipitation and predisposing factors. The objective of research was to determine supportive group therapy on the ability to overcome hallucinations in schizophrenic clients at RSUD Tombulilato. Quasi-experimental research design with a group pretest – posttest one group design. Sampling used total sampling with 15 respondents. Data collection used an observation sheet with the results, there were 15 (100%) respondents controlling low hallucinations before being given supportive group therapy by 12 (80.0%) respondents and controlling high hallucinations by 3 (20.0%) respondents. After being given supportive group therapy, it controlled low hallucinations by 2 (13.3%) respondents and controlled high hallucinations by 13 (86.7%) respondents. Statistical test results used the paired t-test showed a p-value = 0.000 with ? <0.05, there was a significant influence between the effect of supportive group therapy on the ability to overcome hallucinations in clients with schizophrenia. It is expected the influence of supportive group therapy can improve the ability to deal with patient hallucinations.

Background: Mental health is a picture of positive characteristics with harmony and psychological balance that reflects the maturity of his personality. Meanwhile, mental disorders are behavioral patterns that clinically occur in individuals related to distress or disability or are accompanied by a significantly increased risk of death, illness, disability, or loss of independence. According to WHO (World Health Organization) the prevalence of mental disorders in the world is around 450 million people. The high rate of recurrence in people with mental disorders requires us to be more active in knowing the causes. The purpose of this study is to find out an in-depth description of the biological causal factors of a person experiencing mental disorders. This research method uses descriptive qualitative research. Samples were taken randomly with the criteria of someone with a Mental Disorder (ODGJ). The population of this study were mental patients who were treated at RSJD Dr. Amino Gondhohutomo Semarang. The research instrument used a mental disorder predisposition questionnaire. The questionnaire has construct validity and reliability and has been used during Residencies I to III. The results of this study showed that of the 106 respondents who had biological predisposing factors, a history of mental disorders was 39%, followed by a history of drug withdrawal of 38.1%, and the lowest was nutritional disorders.

Pregnancy is defined as fertilization or union of spermatozoa and ovum and followed by nidation or implantation. If calculated from the fertility phase until the birth of the baby, a normal pregnancy will take place within 40 weeks or 10 lunar months or 9 months according to the international calendar. Pregnancy lasts in three trimesters, the first trimester lasts 13 weeks, the second trimester 14 weeks (weeks 14 to 27), and the third trimester 13 weeks (weeks 28 to 40)). Pregnancy is a normal process that produces a series of physiological and psychological changes in pregnant women Lower back pain during pregnancy occurs due to changes in pregnancy hormones which increase relaxant hormones (hormones that make muscles relax and become weak), this affects the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause pain. on the back. Other predisposing factors that cause back pain are related to weight gain, changes in body posture due to uterine enlargement, previous back pain and repetitive stretching. Apart from that, back pain is also felt due to incorrect body posture when sitting, standing, lying down and even when doing household activities

Cervical cancer is a malignancy in the cervix or cervical uterus. Efforts made to detect cervical cancer include cervical cancer screening with Inspection of Visual Acetate (IVA) method. The purpose of this study was to analyze the factors that influenced the interest in visiting the inspection of Visual Acetate (IVA) Inspection by Productive age women in Sipahutar Health Center in 2019. The type of this study was the Cross Sectional method. The population in the study was productive age women in Sipahutar Public Health Center. The eligible women were 4408 women and 96 women were taken as sample . The results of the study stated that there was a significant influence between age and interest in visiting; education; knowledge; access to information; health services; support of health and socio-cultural personnel with p value <0.05. The variable that most influenceing was the interest in IVA examination visits is access to information with a value of Rp. 95,615. It is hoped that productive age women will increase its knowledge about the dangers of cervical cancer and participate in the early detection of cervical cancer using the IVA method at the health care facility.