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Gout arthritis, commonly known as gout, is a degenerative disease caused by abnormal purine metabolism, characterized by elevated levels of uric acid in the blood. (hiperurisemia). According to data from the World Health Organization, the number of people suffering from gout reaches 230 million, or 34.2% of all non-communicable diseases. In Indonesia, it is increasing. Gout disease based on age characteristics is particularly high in individuals aged ≥ 75 years (54.8%). Central Java is estimated to be around 2.6 - 47.2%, varying across different populations. The percentage of the population suffering from gout arthritis at Puskesmas Kecipir is 13.67%. The number of people affected is 3,084 out of 22,560 in the productive age group. In the village of Kalibuntu, the percentage of the elderly population suffering from gout arthritis is 9 out of 37. The purpose of this scientific paper is to provide nursing care for Mrs. R's family with musculoskeletal system disorders: gout arthritis in Kalibuntu Village, Rt 04 Rw 01, Losari District, Brebes Regency. The assessment results of Mrs. R's family indicate that they are unaware of gout arthritis, its causes, classification, symptoms, as well as how to prevent and manage gout arthritis when pain occurs. The nursing problems that arise are knowledge deficit and chronic pain.

Soursop is a traditional medicinal plant used as a therapy for hypertension. One of them is Flavonoids which work as ACE inhibitors which will inhibit the change of AIR into AIR thereby reducing the secretion of antidiuretic hormone (ADH ) thus causing a drop in blood pressure.This study aims to determine the effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. This research uses a quantitative experimental research method using a quasi-experimental design with pre and post using a one group pre test and post test design. The population in this study was elderly people suffering from hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency with a sample of 17 people. The analysis used is Univariate and Bivariate using the Paired Sample T test. The blood pressure of hypertensive patients before being given soursop leaf decoction treatment to obtain information on the Mean Arterial Preasure value) before being given the intervention, the mean MAP value was 124.09 mmHg from 17 respondents. After being given the intervention, the results obtained were an average MAP value of 95.24 mmHg.That there is an effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. Should be more overcoming the problems of the Indonesian people due to the increase in patients with hypertension.

The stigma is wrong in the community that TB disease can not be cured so that the sufferer is ostracized by the surrounding community, one of them is the TB patient is difficult to get a job, Some even get laid off from their jobs because the person is diagnosed with a contagious disease. This raises many psychiatric problems with the consequent decline in labor productivity or human resources that can ultimately become a social burden for the family. Approximately 75% of TB patients are productive age group (15 - 50 years). The purpose of this study to determine the description of families whose members suffer from tuberculosis. Desain penelitian menggunakan deskriptif. The population in this study is all family members who have tuberculosis patients in Puskesmas Ambulu Kab. Jember as many as 96 respondents. The sample in this study were 54 respondents by using purposive sampling. Variables in this research is family stress level .. Data analysis using crosstab. Data collection using PSS-10 questionnaire with interview technique. The result of crosstab analysis showed that almost half of respondents had moderate stress level, 25 respondents (46%), had light stress level as many as 15 respondents (28%), heavy stress 14 respondents (26%). The incidence of stress is the relationship between the respondent and the patient, the number of sick relatives, and the length of treatment. The relation of the respondent to the patient shows that on average they are a member of the nuclear family. Knowledge and understanding of the danger of contracting pulmonary TB disease to other family members, becomes stressors (suppressors) against behavior that must be done by other family members. The inability of the family to perform its role in maintaining and maintaining a family member suffering from illness, will cause stress to other family members.

Cats are one of the beloved animals that require care and development. As beloved animals, cats have their own charm thanks to their different body shapes, eyes and fur colors. Cats whose pedigrees are officially registered as purebred cats. Cats, in Latin Felis silvestris catus, are a type of carnivore. The word cat usually means a domesticated cat but can also refer to large cats such as lions, tigers and leopards. Cats have been mixed with human life for at least 6000 years BC, since cat skeletons were discovered on the island of Cyprus (Arquitectura et al., 2015).  One of the diseases that often appears in cats is feline lower urinary tract disease (FLUTD), also known as feline urological syndrome (FUS), which is a health problem that often occurs in cats, especially male cats. This health problem attacks the cat's bladder and urethra. Urethral disorders are caused by the structure of the male cat's urethra, which is tube-shaped and has a narrow section, which often causes obstruction of urine from the bladder (VU) to the outside of the body. FLUTD includes several diseases that occur in the cat's urinary tract (Indonesia, 2022).  Knowledge about diseases in cats is one of the problems. Many owners do not realize that their cats are suffering from diseases that can cause death. The cause of the cat's death occurred due to the keeper's lack of knowledge regarding the disease and symptoms the cat was experiencing. Apart from that, the problem is that there are so few doctors available that they are difficult to find, and the information obtained is only in accordance with the condition of the cat when it goes to the vet. If you see other symptoms, like it or not, you have to consult the veterinarian again and it will take additional time and money. This problem can be solved with an expert system that can diagnose the disease suffered by the cat based on the selected symptoms.

Cyberbullying is bullying using digital technology. This can happen on social media, chat platforms, gaming platforms, and mobile phones. Meanwhile, according to Think Before Text, cyberbullying is aggressive and purposeful behavior carried out by a group or individual, using electronic media, repeatedly from time to time, against someone who is deemed not to easily resist this action. So, there is a difference in power between the perpetrator and the victim. The difference in strength in this case refers to a perception of physical and mental capacity. The nature of the research used is normative legal research and the data collection method used in this research is secondary data obtained through library research, namely by conducting research on various literature such as books, laws, with the aim of to look for concepts, or understandings related to the problem of Cyber ​​Bullying Behavior Due to Social Media Which Affects Teenagers. The physical impact of cyberbullying is that teenagers experience headaches, stomach aches, sleep disorders, fatigue, back pain, loss of appetite and digestive problems. Psychologically and emotionally, teenagers feel fear, feelings of terror, anxiety, suffering, sadness, stress and symptoms of depression. School is related to teenagers being less motivated to go to school and a decrease in concentration levels or academic grades. Psychosocially, adolescents have feelings of isolation and loneliness, exclusion and even social rejection. That a personality who is dominant and enjoys violence tends to be temperamental, impulsive, and easily frustrated and often behaves aggressively in adults. Personality characteristics have a fairly high role in a person's tendency to become a perpetrator of cyberbullying. A person with high self-esteem will show himself to have power over others. This is what makes cyberbullying perpetrators show that they are someone who is powerful by bullying weak people.

With an unhealthy lifestyle such as having a smoking habit, irregular and unhealthy eating patterns will have an impact on hypertension or high blood pressure, which later on from the bad habits above will have further impacts, namely complications of heart disease, heart failure, stroke. , and damage to the kidneys. Problems that can cause an increase in blood pressure can be controlled or prevented by using cucumber and young coconut water.To determine the effect of giving cucumber juice mixed with young coconut water on reducing blood pressure in hypertensive patients. This type of research is in the form of an experiment with a Pre Test and Post Test With Control Group Design research design. The sample in this study was 50 respondents who were divided into two groups, namely 25 samples of treatment group respondents who were given 200 grams of cucumber juice mixed with young coconut water and 25 samples of control group respondents who were not given treatment. The statistical test used to determine the effect uses the T-test. The results of this study indicate that there was an influence on blood pressure in the treatment group given cucumber juice mixed with young coconut water in hypertension sufferers, namely that the results of statistical tests obtained an average value of pre-systolic blood pressure of 161.12 mmHg and an average value of post-systolic blood pressure. systolic blood pressure was 128.48 mmHg and the average value of pre-diastolic blood pressure was 91.16 mmHg and the average value of post-diastolic blood pressure was 80.00 mmHg. A p-value of 0.000 (< 0.05) for systolic blood pressure obtained a p-value of 0.000 (< 0.05) and diastolic blood pressure obtained a p-value of 0.000 (< 0.05). Due to the benefits of cucumber and young coconut water which are beneficial for lowering blood pressure. There is an effect of giving cucumber juice mixed with young coconut water on changes in systolic and diastolic blood pressure in the treatment group and can reduce blood pressure in patients suffering from hypertension aged 40 - 70 years at Posbindu Srikandi RT.004/RW.07 Kel. Lenteng Agung.

Background: Hypertension is the number one cause of death in the world every year because it causes complex cardiovascular problems. Semarang City Department's 2023 health profile data shows the number of hypertension is 24,949. Practicing holding a handgrip is a non-pharmacological therapy for treating hypertension because it stabilizes blood pressure and heart rate. Many combination therapies are used, including combining handgrip exercises with sound waves. Natural sounds will stimulate the hypothalamus, resulting in a feeling of calm and have an effect on the blood pressure regulation mechanism. The aim of this study was to determine the effect of a combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. This research method is a pre-experimental one group pre and post test design and sampling using purposive sampling technique. The population of this study were clients who were recorded as suffering from hypertension at the Sekaran Semarang Community Health Center. The research instrument uses a digital spygmomanometer and SOP for action. The research stages consist of preparation, implementation and processing of research data. The steps in the preparation stage are literature study, field survey, discussions with lecturers and experts, developing procedures for the combination of handgrip exercise and natural sounds, expert review, and socialization of the combination of handgrip exercise and natural sounds to clients and families. The implementation stage is carried out by collecting data on clients registered at the Sekaran Semarang Community Health Center, pre and post tests by measuring blood pressure using a spygmomanometer, implementing actions according to the prepared SOP, observing implementation using an observation sheet. In the data processing stage, a Paired Sample T-test was carried out to assess the effect of the combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. The targeted output is publication in national journals indexed by Sinta and HAKI. The TKT target for this combination of handgrip exercise and natural sounds is level 2. The research results showed that 91.67% of respondents experienced an average reduction in systolic blood pressure of 10.69 mmHg and diastolic blood pressure of 6.11 mmHg. Based on the Paired Sample T-test, the results obtained were 0.000 for the systolic value and 0.001 for the diastolic value, both of which were smaller than the p value of 0.05, so it was concluded that there was an influence of the combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. The results of this research can be input for related parties to implement a combination of handgrip exercise and natural sounds as non-pharmacological therapy for hypertension sufferers.

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.    

Kidney failure is a chronic disease where the kidneys are no longer able to remove toxic substances in the body, resulting in a buildup of toxins as a result. Patients suffering from kidney failure must undergo therapy to remove toxic substances, one of the therapies is hemodialysis. This therapy is carried out in approximately 4-5 hours to remove toxins, there are several accesses, namely with CDL and Cimino. which will cause changes in the physical, socio-economic and psychological conditions of patients undergoing Hemodialysis therapy. These changes will have an impact on the patient's coping mechanisms. Patients undergoing hemodialysis often experience several problems including psychological problems, one of which is often experienced is anxiety. Anxiety is an emotional response to a subjective individual assessment, related to feelings of uncertainty and helplessness and to overcome it is necessary family support. This study aims to determine the biological and social relationship between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis. This research was quantitative using a correlation method involving 99 patients in the hemodialysis unit at Cibinong Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. This method was carefully chosen to ensure that the data obtained could be used to evaluate the relationship between biological and social levels of anxiety in hemodialysis patients. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of service in the hemodialysis unit at Cibinong Hospital.  

The background of this literature review study is the many people still suffer from mental illnesses, and the number of people who suffer from them is growing every year. Types of mental disorders such as depression, anxiety, stress, hallucinations, and others. The purpose of this literature is to see how efficient Classical Music Therapy is at lowering the rate of mental problems in people of all ages, from children to the elderly. The method of literature review review was obtained using the keywords "efficacy of classical music treatment," "impact of classical music therapy," and "mental problems" in the Google Scholar, Garuda, and Mendeley databases. The results of the literature review study based on fifteen journals that have been presented that classical music therapy is effective in reducing the rate of mental disorders in children to the elderly. The journal review found that: 1) Depression is reduced; 2) Anxiety is reduced; 3) Stress is reduced; 4) Hallucinations are reduced; and 5) The psychological improvement. Conclusions from the study of literature, that classical music therapy reduces the risk of mental problems in people of all ages, from children to the elderly This literature review study suggests that classical music therapy can be utilized as a non-pharmacological treatment for those suffering from mental illnesses.    

. Parents are the main and first educators of their children, because it is from them that the child first receives education. The role of parents as the main and first educators for children is also because heredity they are destined to be parents who give birth. So by nature, inevitably parents who are the main and first responsible for children can receive education. The dedication of parents in caring for children with special needs has a very impact on the survival of children with special needs in the future, the child's growth and development process will be affected if parents cannot determine the right caregiver style. Children who have unique needs need additional care from classmates, parents, teachers, and other family members. In order for children with special needs to reach their full potential, it is important that they should be given support rather than ignored or ostracized.  Children suffering from physical or mental health problems should receive different care than other children.  Similarly, to improve learning achievement and, in particular, to give priority to the improvement of physical and mental growth they must be equipped with the necessary means and facilities for their activities.

Mental health is one of the most difficult problems to solve. In Indonesia, data shows that 6.1% of the Indonesian population aged 15 years and above experience mental health disorders. Many of them are isolated, judged, and socially isolated because of the bad stigma of mental health disorders, because the church has a principle to respect the dignity of human beings who are created gloriously as the image and likeness of God (Genesis 1:17). In the teachings of the church, we are called to love them "as ourselves" as in Gaudium et Spes art. 27 by taking care of their lives and the means they need to live and be treated properly. This research aims to show the role of the church for those who are suffering from mental health disorders. This research uses the literature study method by exploring journals, books, and documents both in print and electronic form as well as other data sources relevant to the research. In this case the church has a role to be present to accompany them in the form of services in Catholic church communities to continue to support those who are struggling in suffering.

Stress can worsen disease and reduce quality of life in patients with chronic diseases. This is because a chronic illness that is suffered for a long time will disrupt all aspects of life, including financial problems, career, role disorders, and including psychosocial problems. The aim of this community service is to increase the knowledge and abilities of chronic disease sufferers regarding stress management through training activities.The results of a preliminary study through interviews with cadres, residents and community health center officers show that mental health services are not yet optimal, especially for people with chronic illnesses. People, especially those suffering from chronic diseases, do not yet know about stress management techniques and there is no special program from the Community Health Center for health services for patients experiencing psychosocial problems. Health services are only provided to patients with serious mental disorders. The activity method used to overcome the problem is 1) Education through counseling to community groups suffering from chronic diseases and about psychosocial problems such as stress and ways to reduce and overcome it. 2) Training and Demonstration, after being given education through partner counseling, demonstrations of deep breathing and muscle relaxation are given. 3) Evaluation to determine the extent of the program's success and to ensure the sustainability of the program. Evaluation activities will be carried out using instruments to measure the partner's level of knowledge and skills. Activities continued with consolidation with the community health center and village government for the sustainability of the mental health service program, including the psychosocial early detection program.The results of the education were that participants' knowledge about stress management increased by almost 95%, participants were able to carry out deep breathing and progressive muscle relaxation techniques independently and stated their attitude that they would apply them at home.

Adolescent nutritional problems are a continuation of childhood nutritional problems such as iron deficiency anemia. Prolonged iron deficiency can cause anemia. Teenagers need more to replace iron lost along with menstrual blood. Anemia in adolescent girls is currently still high, according to WHO, the world prevalence of anemia ranges from 40-88%. The majority of students at SMP Negeri 5 Nekamese are young women who are vulnerable to suffering from anemia, so it is necessary to conduct anemia education and measure hemoglobin (Hb) in young women. The aim of this community service is to increase the knowledge of young women about anemia and school health so that it becomes a healthy and anemia-free school. The empowerment method in this community service activity uses the Question and Answer Lecture method. Counseling was conducted for young women in grades 7, 8 and 9 at SMP Negeri 5 Nekamese on September 9 2023, which was attended by 30 young women. The activity began with preparations for making an examination stand, distributing leaflets, explaining material or counseling using the lecture method of question and answer and evaluation. Before the counseling is carried out, a pre-test is carried out, then after the counseling a post-test is carried out. The implication of this community service activity is an increase in young women's knowledge about anemia and healthy schools. It is hoped that after carrying out this activity, young women can prevent anemia during adolescence by increasing their food consumption patterns to be diverse, nutritious, balanced and safe.

Hypertension is a chronic disease which is one of the causes of death. Based on data from the Indonesian Ministry of Health in 2022, the prevalence of hypertension in Indonesia was 32.7%, an increase compared to the prevalence of hypertension in 2021 which was 25.8%. Old age is the final stage of development in which humans experience various health problems and are at high risk of dangerous diseases, one of which is hypertension. The Batam City Health Service noted that hypertension occurs more often in elderly people aged 60-70 years. Meanwhile, the number of elderly people suffering from hypertension aged over 60 years at the Tiban Baru Community Health Center is 402 cases. Many non-pharmacological therapies are used to lower blood pressure, one of which is laughter therapy. Laughter lowers blood pressure by calming the body and reducing stress hormones. The aim of this community service activity is to increase knowledge about hypertension and treating hypertension with non-pharmacological methods using laughter therapy. The methods used are lectures, discussions, questions and answers and demonstrations. The results of 20 elderly people showed an average blood pressure of 159.75/92.55 mmHg before laughing therapy, while after therapy the average blood pressure was 123.55/80.25mmHg.

This research analyzes one of Ahmad Tohari's short stories entitled Eyes that are Good to Look at using a sociological literary analysis approach. This approach is used to determine the extent to which literary works are able to display social realities and problems that occur in society. Through the figure of Mirta Ahmad Tohari depicts the hard life of a blind beggar facing the ins and outs of life. The description of Mirta's suffering is a reality of life that is often encountered by lower class people.

Down syndrome refers to intelligence disability due to neural development disorders, These problems lead to interrupted social, academic, and occupational problems. Objective: This research describes the resilience and gratefulness of caregivers of children suffering from Down syndrome in Semarang. Method: This research is quantitative. Sample: the samples were 30 respondents taken with total sampling. The applied test was a statistic descriptive test. Research results: The applied statistic test found 22 caregivers had very high resilience while 18 caregivers had high resilience in the children suffering from Down syndrome. Thirty caregivers had high gratefulness for children suffering from Down syndrome in Semarang regency. Suggestion: the researcher expects future researchers to develop resilience and gratefulness of caregivers for children suffering from Down syndrome.

This miserly disease often afflicts people who strive in the way of Allah, and is the cause of the suffering of Muslims today and this trait is a disease that must be cured. This is a bad and despicable trait in all religious views, so that there are many verses in the Koran that explain miserliness and knowledge of the hadith content of Muslim history from Jabir, while the research method that will be used is library research, data collection techniques. for research is library study, namely by examining materials from theories related to the problems discussed based on books that are related and can support or support research.

The purpose of this service is to find out how the legal protection for victims of domestic violence according to Law no. 23 of 2004 concerning the Elimination of Domestic Violence and what are the obstacles or obstacles that arise in the implementation of protection for victims of Domestic Violence (KDRT). The method in this community service is by means of lectures and discussions. Legal protection for victims of domestic violence is very much needed because all forms of violence, especially domestic violence are violations of human rights and crimes against human dignity and forms of discrimination. Victims of physical-psychological violence, sexual and neglect experience suffering and losses, so it is necessary to protect the rights of victims to obtain justice. The obstacle or obstacle that arises in the implementation of protection for victims of domestic violence is that domestic violence is often not reported to the police, because victims feel ashamed to open up household problems to other parties. family

Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance