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One of the plants that can be used as a pain reliever is Nutmeg Leaves. One of the compounds contained in nutmeg leaves is phenolic compounds. These phenolic compounds play a role in the treatment and prevention of diseases including as antioxidants and are able to overcome health problems such as lower back pain. Purposes : to provide information about the benefits of boiled water from nutmeg leaves to overcome Low Back Pain (LBP) or lower back pain in the community in Boiyauw Village, Banda, Maluku. Method: by providing information through health education. The media used are leaflets, power point presentations, samples of boiled water from nutmeg leaves. Results: It is expected that there will be changes in participant behavior when positioning themselves at work and that they can utilize nutmeg leaves as a family medicinal plant to reduce or relieve lower back pain.

Background: Typically lasting six to eight weeks, the postpartum period is a time of recovery following childbirth. Afterpains are a type of discomfort that can be caused by uterine contractions during the involution process. Massage or other non-pharmacological treatment can be used to ease discomfort. Using specific techniques, massage can lessen or even eliminate pain. Methods: The cross-sectional design of the quantitative research design was used in this study. The objective was to compare how massage reduced postpartum pain in Cilacap City mothers before and after intervention. 30 postpartum mothers who were experiencing postpartum pain two hours later comprised the population. Saturation sampling was used for the sampling, and there were a total of 30 participants. The frequency distribution was used in univariate data analysis, while the paired-sample t-test was used in bivariate data analysis. For the pain scale, the paired-sample t-test analysis produced a t-value of 8.238. Results: As a result, the calculated t-value exceeded the critical t-value for a pain scale of 8.238 > 2.045, indicating acceptance of the alternative hypothesis (Ha) and rejection of the null hypothesis (Ho), indicating that massage is effective in reducing postpartum pain in women. Conclusion: massage has been shown to reduce postpartum pain in mothers.

According to World Health Organization data in 2015, maternal deaths were 216 per 100,000 live births due to complications during pregnancy and childbirth. While in developing countries the maternal mortality rate jumped 20 times higher than in developed countries, reaching 239 per 100,000 live births. Keywords: Husband's support, Mother's attitude, Infant immunization. The time of the study was April to July at the Negeri Lama Health Center in 2022. The sample in this study who were planning to give birth in the month (TTP) at the time of the study from May to June 2022 at the Negeri Lama Health Center were 15 pregnant women in the control group and 15 pregnant women in the intervention group. After the normality test was carried out and the results were normally distributed, a paired t-test could be carried out. The results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

Childbirth is a process of expelling the results of conception (fetus and placenta), which can live to the outside world, from the uterus through the birth canal or by other means. During labor, the uterus contracts and pushes the baby down to the cervix. This study aims to determine the Effect of Deep Back Massage on Reducing Pain in the First Stage of Active Labor at BPM Pera, Medan City in 2024. This type of research is Experimental research. A research design used to find a causal relationship with the involvement of research in manipulating the independent variables. The population is 20 mothers giving birth at BPM Pera, Medan City in 2025, namely 10 people in the Treatment Group and 10 people in the Control Group. The data analysis technique uses t-test analysis. The results obtained in this study are the results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

CV Cahaya Setia Mulia is a company engaged in the service and production of sports gloves. June-October 2024 production data, the demand for gloves increased significantly, from 3,850 pcs in May to more than 5,000 pcs, so tailor workers are expected to produce products quickly and do repetitive work for a long time. The chairs used by workers are plastic chairs without backrests. This research uses the Nordic Body Map questionnaire, Anthropometric method, and Quality Function Deployment (QFD) approach. Based on the results of the NBM questionnaire, the complaints felt by 16 workers were obtained, namely that the average worker had the highest complaints in low back pain with an average of 2.1 pain in the right shoulder, pain in the right thigh, pain in the right knee, pain in the right ankle, pain in the right foot with an average value of 1.9, pain in the left knee and pain in the bronze with an average value of 1.8. A QFD approach was applied to ensure the chair design met customer needs. As a result, four key attributes were identified: the chair has a backrest, foam on the backrest and seat, neutral color, and quality material from mahogany wood. Based on Anthropometric calculations from 5 tailor workers, the seat size for the seat width is 49.8 cm, seat height is 35 cm, seat length is 44.2 cm, seat back length is 60.9 and seat elbow base height is 26.9 cm. Sewing chair design using Autodesk Fusion software.

The purpose of this study is to improve the health status of families so that healthy and prosperous families are realized. The study was conducted by collecting all available data through interview techniques and physical and supporting examinations. Subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition was good, anemic conjunctiva and Hb levels of 9.2 g%. The results of the study are the need for immediate action and collaboration on Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the result that in this case no collaborative action was taken because there were no indications and data to support the action. Has determined a midwifery care action plan for Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the results of planning care based on actual diagnoses/problems and potential problems that can occur and evaluating the results of the actions that have been carried out on Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the result that the care that has been given was successful as indicated by changes in the mother's Hb levels which were initially 9.2 g% to 10.8 g%.

Sleep quality is very important for health, good quality sleep is needed by patients in healing and physical recovery. Sleep quality can occur through the pain felt and physical activity as well as stress levels. The aim of this study was to determine the relationship between physical activity and stress levels on the sleep quality of post-operative patients at Mitra Medika Tanjung Mulia RSU. The research design used in this study used an analytical survey with a cross sectional approach using the chi-square test. The population in this study were post-operative patients at RSU Mitra Medika Medan, with a population of 400 people, while the sample used was random sampling, totaling 80 respondents. The results of the study show that physical activity affects sleep quality (p value = 0.046), and stress levels affect sleep quality (p value = 0.029). Conclusion: There is a relationship between physical activity and stress levels on sleep quality in post-operative patients.

Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.

The assessment has been carried out by collecting all available data through interview techniques and physical examinations or examinations. Subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition is good, anemic conjunctiva and Hb levels of 9.2 g%. Has identified the need for immediate action and collaboration on Mrs. With mild anemia in the Mong Village, Kuta Village with the result that in this case no collaborative action was taken because there were no indications and data to support the action. Has determined a midwifery shelter action plan for Mrs. W with mild anemia in the Mong Village, Kuta Village with the results of care planning based on actual diagnoses/problems and potential problems that can occur. Has carried out the planned care actions for Mrs. W with mild anemia in the Mong Village, Kuta Village with the result that all planned actions can be carried out properly without any obstacles.

Lower back pain is a complaint that often occurs in pregnant women in the second and third trimesters. Back pain occurs due to changes in pregnancy hormones which increase levels of the hormone relaxin, 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 discomfort. Based on a preliminary study at the Sumarorong Community Health Center, it was found that the number of pregnant women in the second trimester was 72 and 70 in the third trimester in the working area of ​​the Sumarorong Community Health Center, Mamasa Regency. From this data, there were 22 (30%) pregnant women in the second trimester who experienced back pain, and there were 35 (30%) pregnant women in the second trimester. 50%) third trimester pregnant women experience back pain. Researchers are interested in conducting research on the factors that cause lower back pain in pregnant women in the second and third trimesters in the work area of ​​the Sumarorong Community Health Center, Mamasa Regency in 2024. The research method used is a cross-sectional study. Conducted at the Sumarorong Community Health Center, Mamasa Regency in July – August 2024. The population in this study was all 138 pregnant women in the second and third trimesters at the Sumarorong Community Health Center with a total sample of 57 pregnant women. The results of the study showed that there was a significant relationship between age, education, occupation and gestational age with back pain with each p value = 0.000.

This study identifies nine plant species used as herbal remedies for postpartum recovery by young mothers in Sindangreret, Bandung. The UV (Use Value) for each plant varies, reflecting their relative importance in traditional practices. Curcuma longa exhibits the highest UV (0.58), highlighting its frequent use and perceived significance in traditional formulations for wound healing, reducing inflammation, and overall health enhancement. Other notable plants include Zingiber officinale (UV 0.51) for anti-inflammatory and energy-boosting properties, and Kaempferia galanga (UV 0.29) for pain relief and stamina enhancement. Traditional usage of these plants is supported by their bioactive compounds and therapeutic potential. The study underscores the importance of preserving ethnobotanical knowledge and suggests further scientific validation and public education to optimize the benefits of these herbal remedies.

This study focuses on the hadiths that discuss the rukhsah prayer for the sick. Every human being in this world will live their life by doing various daily activities. This explains that humans are based on two conditions or circumstances, namely healthy or sick. Every healthy human being will definitely experience a phase where they will feel pain. When someone is sick, it will make it difficult for them to do activities and worship. Rukhsah is a relief, ease, generosity in doing something because of an excuse or in an emergency. Then the question arises what kind of illnesses can prevent someone from praying and getting rukhsah if in that condition. The purpose of this study is to find out how the hadiths are understood about the rukhsah prayer for the sick. Then how is the contextualization of the hadith about the rukhsah prayer for the sick viewed from the current situation and conditions. This study is a library research study using the maudhu`i method in order to find out the understanding by collecting hadiths that have the same theme through their source books and then examining the understanding through the explanation of the hadith. Next, we use a contextual approach to find out the reasons for the emergence of the hadith by referring to its various aspects in detail. The results of this research are that the hadiths are agreed to be of authentic quality by the ulama. From understanding the sharia, there are criteria for illness that allow and prevent someone from carrying out prayers. Certain circumstances have been found that make it possible for someone to pray when they are sick. The cause of lightness in performing prayers is due to the occurrence of one thing or another, such as illness. Illness that befalls a person causes rukhsah for a person in carrying out prayers.

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

Pneumonia is an infectious disease or acute inflammation of the lung parenchyma, mainly caused by the bacteria Streptococcus pneumoniae. The use of antibiotics is the main therapy in the treatment of pneumonia, antibiotics used can inhibit the growth or kill the bacteria that cause infection. Irational use of antibiotics can cause treatment to be less effective, decreased drug safety, increased levels of resistance and increased treatment costs. The aim of this research is to examine the rationality of using antibiotics in pneumonia patients in the pulmonary inpatient installation of M. Zein Painan Hospital for the period January-December 2020. This type of research is non-experimental research, using descriptive methods and retrospective data collection, as well as data collection purposive sampling. Data were analyzed using reference sources in the form of Drug Pharmacotherapy Hand Book 11th Edition and Guidelines for Diagnosis & Management of Community Pneumonia in 2014. The results of this study were that there were 118 patients who were diagnosed with pneumonia in the pulmonary inpatient installation at M. Zein Painan Regional Hospital, and only 48 patients met the requirements. inclusion criteria.   The results of the rational analysis of antibiotic use showed that of the 48 pneumonia patients, the indication was correct as much as (100%), the patient was correct as much as (100%), the drug was correct as much as (95.84%), the dose was correct as much as (96.08%) and the duration was correct. giving as much as (92.16%). The conclusion is that there is still irrational use of antibiotics in the pulmonary inpatient installation at M. Zein Painan Regional Hospital.

Liver cirrhosis is a pathological condition that describes the end stage of progressive hepatic fibrosis. More than 40% of cirrhosis patients are asymptomatic. Based on research, 4% of patients with fatty liver will develop non-alcoholic steatohepatitis, and 0.3% of these patients will end up experiencing liver cirrhosis. A 48 year old man came to the emergency room at Cut Meutia Hospital with complaints of an enlarged stomach accompanied by pain since ± 2 weeks. The patient also complained of swelling in both legs. The results of the physical examination of the abdomen revealed icteric sclera (+/+), shifting dulness and leg edema (+/+). Based on laboratory examinations, it appeared that there was an increase in liver function, then the ultrasound examination showed the impression of ascites and liver cirrhosis. Based on the history, physical examination and supporting examinations, the patient was diagnosed with hepatic cirrhosis, relative decompensated stage of hepatitis B + CHD. Non-medical management is carried out in the form of bed rest, balanced nutrition and consumption of a low sodium diet. Then the patient's medical management consists of a 500ml hepatic Aminofuscin infusion, symptomatic management and antiviral treatment for the hepatitis he is suffering from.  

Arts activities have long been recognized as an effective means of self-expression, particularly in reducing stress and improving mental well-being. This study aims to explore the influence of arts activities on students' mental health in a campus environment. Through a mixed methodology approach that included quantitative surveys, qualitative interviews, and participant observation, this study involved students from various majors who were involved in arts programs such as painting, music, and theater. The results showed that participation in arts activities had a significant positive impact, namely a reduction in stress levels, an increase in emotional well-being, and the creation of a deep sense of community among students. This study suggests that the integration of arts programs in the campus curriculum can be one solution to support the mental health of students who are increasingly stressed by various academic and social factors.

Ectopic pregnancy can be interpreted as a pregnancy that occurs outside the uterine cavity. If this ectopic pregnancy ruptures, it is called a disturbed ectopic pregnancy. There are several factors that cause ectopic pregnancy such as a history of previous ectopic pregnancy, a history of tubal damage, a history of previous Salphingitis infection. In this case, a 27-year-old woman with a gestational age of 8-9 weeks came with complaints of bleeding from the birth canal and accompanied by severe pain in the lower abdomen that spread to the anus which had been felt for approximately the last 2 weeks. The patient underwent exploratory laparotomy. The patient's condition improved after the procedure and hospitalization, the patient was allowed to go home on the condition of a weekly check-up to evaluate the post-operative condition.

Physiotherapy is a form of health service aimed at individuals and communities. The scope of physiotherapy services is to develop, maintain, and restore movement and body function throughout the life span. This service can be done through a promotive, preventive, curative, and rehabilitation approach. One of the many cases of physiotherapy is musculoskeletal complaints. Musculoskeletal complaints can occur due to habits carried out during work. If the body position is not correct and maintained for a long duration, it can trigger the emergence of musculoskeletal complaints. Work that lasts for a long time will decrease a person's body ability and can cause complaints and disorders in the body, especially musculo problems, one of which is neck pain. Neck pain is a multifactorial disease and is a major problem in society today. Some risk factors for neck pain, such as old age, female gender, low social support, and non-ergonomic work postures. The method of community physiotherapy activities used is to provide health promotion counseling and education regarding physiotherapy management in the form of stretching that can be done independently. The media used are leaflets and posters. The purpose of this counseling is to provide education and physiotherapy treatment related to neck pain in Keripik Tempe Sanan workers so that they can improve the complaints that have been felt and minimize the occurrence of injuries.

Physiotherapy is a form of health service aimed at individuals and communities. The scope of physiotherapy services is to develop, maintain, and restore movement and body function throughout the life span. This service can be done through a promotive, preventive, curative, and rehabilitation approach. One of the many cases of physiotherapy is musculoskeletal complaints. Musculoskeletal complaints can occur due to habits carried out during work. If the body position is not correct and maintained for a long duration, it can trigger the emergence of musculoskeletal complaints. Work that lasts for a long time will decrease a person's body ability and can cause complaints and disorders in the body, especially musculo problems, one of which is neck pain. Neck pain is a multifactorial disease and is a major problem in society today. Some risk factors for neck pain, such as old age, female gender, low social support, and non-ergonomic work postures. The method of community physiotherapy activities used is to provide health promotion counseling and education regarding physiotherapy management in the form of stretching that can be done independently. The media used are leaflets and posters. The purpose of this counseling is to provide education and physiotherapy treatment related to neck pain in Keripik Tempe Sanan workers so that they can improve the complaints that have been felt and minimize the occurrence of injuries.

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.