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Neck pain is a common musculoskeletal complaint among workers due to non-ergonomic work postures and long working hours. PT. Pantjamitra Ichigodjaja has a work environment that poses a risk of neck muscle strain due to static work positions and working hours exceeding 8 hours per day. This study aims to evaluate the effectiveness of education through leaflet distribution in improving employees' knowledge about neck pain, including its causes, prevention, and management. This research used a descriptive quantitative design with an intervention method in the form of distributing educational leaflets to 50 employees selected using a purposive sampling technique. Data collection was conducted through pre-test and post-test using a validated and reliable questionnaire. The results showed an increase in employee knowledge after receiving the leaflet, with the percentage of good knowledge increasing from 20% in the pre-test to 60% in the post-test. The average increase in knowledge score reached 40%, indicating that education through leaflets is effective in improving employees' understanding of neck pain. The conclusion of this study is that education using leaflets can increase employee awareness and knowledge about the importance of ergonomic work posture and muscle stretching to prevent neck pain. The study suggests that the company should continue the education program periodically and improve workplace ergonomics to reduce the risk of neck pain among employees.

Coronary heart disease (CHD) remains a leading cause of mortality worldwide. Early detection is essential to reduce complications and improve patient outcomes. This study aims to develop a classification model using machine learning algorithms to predict CHD risk based on clinical symptoms. The dataset used is the Cleveland Heart Disease dataset from the UCI Machine Learning Repository, consisting of 303 patient records with 14 clinical features. The preprocessing stage involved handling missing values, normalizing features, and transforming categorical variables. Four classification algorithms were applied: K-Nearest Neighbors (K-NN), Decision Tree, Random Forest, and Support Vector Machine (SVM). Each model was trained using stratified 10-fold cross-validation to ensure generalizability. Evaluation using accuracy, precision, recall, F1-score, and ROC-AUC metrics showed that the Random Forest algorithm achieved the highest performance with 87.2% accuracy. Feature importance analysis indicated that chest pain type, resting blood pressure, cholesterol, and ST depression were the most influential indicators. These results demonstrate that machine learning, particularly Random Forest, can effectively support early diagnosis of CHD in clinical settings and has the potential to be integrated into clinical decision support systems (CDSS).

Pediculosis capitis is an infestation of head lice Pediculus humanus capitis that live on the scalp and suck blood as a source of nutrition. Transmission occurs through direct contact or sharing personal items, especially in environments with poor sanitation. Risk factors include age, population density, personal hygiene, and socioeconomic status. Symptoms include severe itching due to a reaction to the saliva of the lice, which can cause excoriation, irritation, and secondary infections such as pyoderma. In this report, a 17-year-old girl complained of scabs, pain, heat, and itching on the head and neck. Lice and lice eggs were found, as well as ecthyma lesions in the form of pustules, yellow crusts, and excoriations in the occipital area and back of the neck. The therapy given was a combination of drug and non-drug treatment. The evaluation results showed improvement in symptoms. This case emphasizes the importance of early diagnosis and comprehensive management to prevent reinfection.

Sectio Saesarea is a way of delivering a fetus by making an incision in the uterine wall through the front wall of the abdomen or vagina or SC is a hysterotomy to deliver a fetus in the uterus (Batara, 2022, p.1). SC is known as one of the procedures that can save both mother and baby. SC can effectively prevent death and disability in mothers and newborns. SC is performed on 3 indication factors, namely maternal, fetal and obstetric factors themselves. The problem that usually arises after SC is pain. Patients after sectio caesarea surgery will feel pain when the effects of anesthetic drugs have disappeared (Solehati & Kosasih, 2015). Postoperative pain after anesthesia is a common complication and will appear 1-3 hours (Saputra, at, al.2023). Pain appears due to the release of pain receptors due to the disconnection of tissue continuity due to the incision process during surgery. Post SC patients usually complain of pain in the abdominal incision area (Wahyuningsih et al., 2022). Pain in patients must be treated immediately so as not to interfere with the mother's activities. There are 2 pain management, namely pharmacological and non-pharmacological. Pharmacological therapy is carried out by administering drug therapy to reduce pain. Non-pharmacological therapy that can be done to reduce pain is one of them early mobilization. Early mobilization after cesarean section is a movement, position or activity carried out by the mother several hours after giving birth by cesarean section (Mawarni, 2018). Early mobilization techniques are very effective in relieving pain. Early mobilization is recommended for post-SC mothers, because it can increase the independence of post-SC patients, as well as support the wound healing process, and reduce pain (Dirgahayu, 2019). Early mobilization interventions can help patients reduce the pain scale felt postoperatively. Case studies using descriptive methods with a nursing process approach were carried out on 3 respondents of post op pregnant women using the One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed a decrease in the pain scale in respondents after being given early mobilization interventions. 

The issue addressed in this research is the lack of learning media that support the Electric Vehicle Systems course in the D3 Automotive Engine Maintenance Study Program at Cristo Re Polytechnic. The objectives of this research are to design a conventional starter motor learning media that is easy to understand and functions properly; to create the conventional starter motor learning media; and to test the conventional starter motor learning media. This research was conducted at Cristo Re Polytechnic, in the D3 Automotive Engine Maintenance Study Program. The conventional starter motor learning media was developed through several stages: design, construction, and testing. The design process involved determining the frame to be used, the mounting for the starter motor on the frame, and identifying the panel to be used in the learning media. The construction process included cutting the parts to be used for the frame and the motor mount, assembling or forming the frame, and painting. After the learning media was completed, it underwent testing, which consisted of functional tests such as component testing, system testing, voltage drop testing, and feasibility testing through a questionnaire. The conclusions from the testing results are as follows: the starter motor can operate properly. This is based on the construction of the learning media being in accordance with the design, including the frame dimensions and the printed layout matching the design. In addition, the component testing—which included the ignition switch, relay, and solenoid—showed results that matched the specifications of each component. The system function test showed that the system can operate with or without a relay. The voltage drop test yielded results of 0.2 V for the positive battery voltage drop, 0.1 V for the negative battery voltage drop, and 1 V for the voltage drop in the circuit, all of which are within the specified range. The feasibility test involved distributing a questionnaire to lecturers and several students to evaluate the result of the media development, and from this test, an average score of 3.87 was obtained, categorized as very good.

Herpes zoster and crusted scabies are dermatological conditions that pose a higher risk and clinical severity in immunocompromised patients, particularly those with chronic comorbidities such as diabetes mellitus and hypertension. This case report presents a 55-year-old woman with painful vesicular eruptions on the right neck and generalized thick, crusted, itchy plaques across the body. She had a longstanding history of type 2 diabetes mellitus and hypertension. Clinical diagnosis of herpes zoster and crusted scabies was confirmed through physical examination and KOH microscopic testing, which identified Sarcoptes scabiei. The patient was treated with oral acyclovir, topical permethrin, and supportive therapy to manage pain and prevent secondary infections. The coexistence of herpes zoster and crusted scabies in a diabetic patient highlights the role of impaired immunity in disease severity and presentation. Early recognition and integrated management are essential to improve prognosis and prevent complications.

The realm of barzakh is the first realm that humans enter after death. This realm is a realm of separation between the realm of this word and the realm of the afterlife. The discussion regarding the nature of barzakh seems to have never died. Disscussions related to nature cannot be separated from painting. Death is actually a frightening reality, and it will approach all humans. No one is able to resist it nor does anyone no one can afford it. And all of Adam’s children will meets his death, if he dies then he will live temporarily in the realm of barzakh. In that realm, he will wait until doomsday comes. Barzakh life is the gateway to the afterlife, in this world humans will receive rewards for the charity he has done while on earth. If you are bad, you will be punished and vice versa. The goodness that will last throughout this life will be bear sweet fruit in barzakh.

Mrs. Km visited the Integrated Health Post (Posbindu) in Alue Keureunyai Village with complaints of throbbing neck pain that had occurred intermittently over the past two weeks and worsened in the last day. The pain intensified after consuming fatty or coconut milk-based foods and improved with rest or cholesterol-lowering medication. She also experienced a persistent, heavy, throbbing headache for two weeks and ongoing fatigue for the past three weeks, despite minimal physical activity. These symptoms led to reduced motivation in daily activities. Physical examination showed: BP 160/100 mmHg, HR 88 bpm, RR 20 breaths/min, T 36.8°C. Laboratory results revealed a total cholesterol level of 250 mg/dL. Data were gathered through auto-anamnesis, physical and laboratory examinations, home visits, completion of the family folder, and patient documentation. Assessment was based on holistic diagnosis at the initial, ongoing, and final stages of the visit, using both qualitative and quantitative approaches. Interventions included education on the causes of hypercholesterolemia, the importance of taking medication regularly, and awareness of complications due to high cholesterol levels.

Senaru Village, Bayan District, North Lombok Regency has abundant natural resources and great potential to be utilized in educational and creative activities. However, the use of natural materials such as leaves and flowers as learning and art media is still very minimal. This community service activity aims to provide environmentally friendly education through ecoprint painting art to children, with a fun, participatory and local potential-based approach. The implementation method includes observation and coordination, socialization of the ecoprint concept, ecoprint practice in groups, to the documentation stage. This activity not only trains children's creativity and motor skills but also fosters concern for the environment and pride in the natural wealth of their village. Through this activity, children are invited to get to know the potential of local flora more closely and appreciate its beauty and usefulness directly. The results of the community service show that ecoprint painting can be an effective education in internalizing environmental conservation values ​​from an early age, while opening up opportunities for the development of sustainable creativity.

Trihexyphenidyl (THP) is a type of anticholinergic drug. The anticholinergic side effects of trihexyphenidyl drugs are categorized as peripheral or central. Common peripheral side effects are dry mouth, lack of sweating, decreased bronchial secretions, blurred vision, difficulty urinating, constipation and tachycardia. Central side effects of anticholinergics include impaired concentration, attention and memory. Drug abuse is the use of drugs (e.g., pain relievers, tranquilizers, stimulants, sedatives, etc.) and over-the-counter drugs (e.g., loperamide, promethazine, antitussive cough syrup, etc.) for purposes other than medical for the purpose of pleasure, resulting in dependence, physical damage, psyche and even death. It has recently been revealed that trihexyphenidyl (THP) is one type of drug that is often abused. the prevalence of anticholinergic abuse is 34%, and trihexyphenidyl is the most commonly involved anticholinergic due to its tendency to produce a “high”.

Senaru Village, Bayan District, North Lombok Regency has abundant natural resources and great potential to be utilized in educational and creative activities. However, the use of natural materials such as leaves and flowers as learning and art media is still very minimal. This community service activity aims to provide environmentally friendly education through ecoprint painting art to children, with a fun, participatory and local potential-based approach. The implementation method includes observation and coordination, socialization of the ecoprint concept, ecoprint practice in groups, to the documentation stage. This activity not only trains children's creativity and motor skills but also fosters concern for the environment and pride in the natural wealth of their village. Through this activity, children are invited to get to know the potential of local flora more closely and appreciate its beauty and usefulness directly. The results of the community service show that ecoprint painting can be an effective education in internalizing environmental conservation values ​​from an early age, while opening up opportunities for the development of sustainable creativity.

This study examines the role of technology in the transformation of Siri' na Pacce cultural values among the Z generation in Makassar City. The values of Siri' (shame) and Pacce (pain) are deeply rooted philosophical foundations in Bugis-Makassar society, but face relevance challenges in the digital era. Through a descriptive qualitative approach with data collection techniques in the form of observation, interviews, and documentation, this study analyzes how digital media such as Instagram, YouTube, and TikTok act as a means of transmitting traditional cultural values. The results show that technology facilitates the dissemination of Siri' na Pacce values in a broader and more engaging way for generation Z, while transforming cultural understanding from what was previously perceived as a culture of violence to civilized values. This research concludes that there is a need for synergy between digital technology, family and educational institutions to ensure that Generation Z does not only know the value of Siri' na Pacce superficially, but is able to internalize and implement it in daily life according to the context of the times.

Pain and inflammation are two clinical conditions that often occur together, especially in musculoskeletal disorders. Non-steroidal anti-inflammatory drugs (NSAIDs) are often used because they have dual effects as analgesics and anti-inflammatories. This study aims to compare the effectiveness of several types of NSAIDs in reducing pain intensity and inflammatory responses. This study used an experimental design with test animal subjects divided into several groups, each receiving treatment with different NSAIDs, namely ibuprofen, diclofenac sodium, and mefenamic acid. Pain assessment was carried out using the visual analog scale (VAS) method, while inflammation was measured by observing edema and inflammatory biomarker levels. The results showed that all three types of NSAIDs had a significant effect on reducing pain and inflammation compared to negative controls, but there were differences in effectiveness between drugs. Ibuprofen showed higher potential in relieving pain, while diclofenac was more effective in suppressing the inflammatory process.

Dysmenorrhea is one of the most common reproductive health problems experienced by adolescent girls, significantly affecting daily activities and academic performance. Non-pharmacological approaches such as abdominal stretching offer a safe, simple, and cost-effective alternative for reducing menstrual pain. This community service activity was conducted at SMPN 8 Lubuklinggau from April 11 to 17, 2022, aiming to enhance students’ knowledge and skills in managing dysmenorrhea through abdominal stretching exercises. The program included education, demonstration, independent practice, and pre- and post-test evaluations. The results showed that most participants experienced a reduction in menstrual pain intensity and improved understanding of dysmenorrhea management. The intervention proved to be effective and feasible to be integrated into regular school health programs. Additionally, the activity empowered adolescents to take a more active role in maintaining their reproductive health. Further research is recommended to evaluate the effectiveness of abdominal stretching on a broader scale.

Ovarian cysts are ovarian tumors that can be either neoplastic or non-neoplastic, with varying characteristics in terms of size, consistency, and malignancy. During pregnancy, the most commonly encountered types include dermoid cysts, endometriomas, and lutein cysts. The actual prevalence of ovarian cysts is difficult to determine as most cases remain undiagnosed, with studies indicating that around 4% of women will experience hospitalization due to ovarian cysts by the age of 65. Evaluation of ovarian masses requires a multidisciplinary approach, including ultrasonography and tumor markers to assess the likelihood of malignancy. This case involves a 45-year-old woman who presented with lower abdominal pain, bloating, and significant weight loss. Ultrasound findings revealed a cystic mass with solid components, suspected to be a malignant ovarian cyst. The provisional diagnosis was cystic ovarian neoplasm with suspected malignancy, and the patient underwent laparotomy with right salphingo-oophorectomy. Post-surgery, the patient's condition improved, though she continued to experience pain at the surgical site. Ovarian cysts can present with nonspecific symptoms and are often found incidentally. Further evaluation is necessary to assess malignancy and determine appropriate treatment. Surgical intervention is required for cases with suspected malignancy, especially in cysts with solid masses and large size.

Kabaddi is a traditional outdoor game played with slight variations across India. Prevention of hamstring injuries in kabaddi athletes requires a multifaceted approach, including a balanced muscle strengthening program, regular flexibility training, thorough warm-up before the match, and adequate recovery after intense activity. This study aims to analyze the effect of sports massage on muscle flexibility and pain threshold in the hamstring muscles of Surabaya Kabaddi athletes. The research method used was quantitative with a pretest-posttest design in two groups, namely the experimental group given sports massage intervention and the control group. The sample in this study was 12 Surabaya Kabaddi athletes who were divided into 2 groups, namely the treatment group and the control group using the Total Sampling technique. The results of the Paired t-test showed that there was a significant effect on the hamstring muscles after being given sports massage and a decrease in the pain threshold in the experimental group compared to the control group, as evidenced by the results of the t-test which showed a significant value <0.05. It can be concluded that sports massage can have an effect on hamstring muscle flexibility and pain threshold.

The study aims to analyze the occupational safety and environmental health risks due to aircraft painting at the Hangar of PT. XYZ. The study is a descriptive study with a qualitative approach. The results of the study are the analysis of occupational safety risks seen from occupational safety risks and risk control. Occupational safety risks in aircraft painting activities at PT. XYZ are divided into several parts, namely (1) Exposure to hazardous chemicals is included in the high category; (2) The risk of work accidents is included in the moderate category; (3) Equipment damage is included in the low category; and (4) Fire is included in the low category. Risk control can be carried out by (1) Increasing strict supervision of the aircraft painting process; (2) Conducting appropriate occupational safety training for workers; (3) Using PPE; (4) Using adequate safety equipment; and (5) Carrying out proper equipment maintenance. The analysis of environmental health risks is seen from environmental health risks, sources of risk and risk control. Environmental health risks are divided into several parts, namely (1) Air pollution is included in the moderate category; (2) Soil and water contamination is included in the moderate category; and (3) Environmental damage is included in the moderate category. Sources of environmental health risks are the use of hazardous chemicals and painting waste. Risk control can be done by carrying out strict supervision, using safe chemicals and proper waste management.

The increasing popularity of e-cigarettes has led to health problems, particularly EVALI. This study aims to analyze several factors that encourage the use of e-cigarettes (vape) and their impact. The analysis method used is a literature review and uses journals published in the last 5 years with Google Scholar, and PubMed as a database. The implementation time of the work began from March-April. Determinants of vape use, namely internal factors such as experience, attitude, and personality. External factors include modern lifestyle, friendship, family, and social class. Other disease impacts include cough, chest pain, dyspnea, nausea, gastrointestinal symptoms, fatigue, and fever. It is therefore desirable to increase individual awareness about the dangers of vaping.

Background: Stevens-Johnson Syndrome (SJS) is extensive skin damage, accompanied by involvement of the mucosa and muscle-joint tissue due to immobilization with a set of symptoms in the form of abnormalities characterized by erythema, vesicles, bullae, purpura on the skin. Objective: to explore the benefits of physiotherapy in managing these problems and to identify the most effective approach in the rehabilitation process. Method: this study uses a case study approach in patients with Stevens-Johnson Syndrome (SJS) taken from RSUD Sumberglagah Mojokerto. Results: There was a decrease in pain in both ankles, there was an increase in muscle strength in both ankles, there was an increase in the range of motion of the joints in both ankles, there was an increase in functional ability in patients from moderate dependence to independence. Conclusion: Based on the results that have been carried out, physiotherapy interventions in the form of ROM exercises (Active, resisted and stretching) are effective in overcoming physiotherapy problems in cases of Stevens-Johnson Syndrome (SJS).

Intercondylar fractures of the femur are complex intra-articular injuries involving the medial and lateral condyles at the distal end of the femur bone, just above the knee joint. These injuries are commonly caused by high-energy trauma, such as motor vehicle accidents or falls from significant heights. This study presents a case report of a 23-year-old unemployed female patient. The assessment tools used included the Numeric Pain Rating Scale (NPRS) for evaluating pain intensity, a goniometer for measuring the range of motion (ROM), Manual Muscle Testing (MMT) for assessing muscle strength, and the Lysholm Knee Scoring Scale for evaluating functional activity. After three physiotherapy sessions conducted over three weeks, the patient demonstrated a reduction in pain, an improvement in muscle strength, an increased joint range of motion, and enhanced functional activity. A rehabilitation program consisting of Transcutaneous Electrical Nerve Stimulation (TENS), forced knee flexion with a quadriceps board, active knee flexion and extension exercises with a gym ball, stretching exercises, and active functional training was found to be effective in improving the patient's post-operative outcomes following malunion intercondylar femur fracture (right) post-ORIF.