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Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.

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.

Abdominal wall defects are a common surgical presentation and an indication for surgery worldwide, with an estimated prevalence of around 5% in the general population. Ventral hernias may be asymptomatic, but symptoms of discomfort and pain can significantly impact quality of life and may be associated with a negative body image. This technique utilizes the layered anatomy of the abdominal wall, and depending on which layer is released, it can be categorized as anterior component separation. This case study discusses a patient with a ventral hernia. After taking the patient's history, conducting a physical examination, and additional assessments, the patient underwent surgical intervention using the anterior component separation technique with mesh reinforcement. In this case study, the short-term outcomes (<2 years) for the post-operative hernia patient with anterior component separation will be evaluated. The study results indicate that the patient experienced mild to moderate post-operative pain, with no serious complications such as seroma or mesh erosion occurring, confirming that the choice of surgical technique and appropriate mesh selection can minimize the risk of infection and complications. The evaluation results show a significant improvement in the patient’s quality of life post-surgery, as the patient not only experienced pain reduction but also improvements in daily activities and satisfaction with the aesthetic results of their abdomen.

This study uses the USG method (Urgency, Seriousness, and Growth). The sample or target is pregnant women in the third trimester with Mild Anemia, counseling was carried out at the Kuta Health Center, Kuta Village which was held on Sunday, November 2, 2024. So the author will relate the concept or theory to the case of Mrs. R starting from the assessment, data interpretation, potential diagnosis, problem anticipation, planning, implementation and evaluation. The author discusses the gaps and similarities between the theory and the existing case. Research results Based on midwifery care that has been carried out on pregnant women in Mrs. R GII PI AO with mild anemia in Ngolang Hamlet, Kuta Village using the 7 Varney steps, the results obtained that 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%. So that an obstetric diagnosis was obtained in Mrs. R with mild anemia during pregnancy. Therefore, immediate action and collaboration are needed for Mrs. R with mild anemia in Dusun Ngolang, 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. The results of the actions that have been carried out on Mrs. R with mild anemia in Dusun Ngolang, Kuta Village, with the result that the care that has been given was successful, marked by changes in the mother's Hb levels from 9.2 g% to 10.8 g%.   Keywords: , , 

Burns are a type of trauma caused by various external factors such as heat, electrical current, chemicals, or lightning, which can damage the skin, mucosa, and deeper tissues. Extensive burns can affect the metabolism and overall function of the body. Burns are classified based on their severity: first-degree burns (affecting only the epidermis with symptoms of erythema and pain), superficial second-degree burns (extending into the epidermis and part of the dermis, accompanied by blisters and severe pain), deep second-degree burns (involving the entire dermis), and third-degree burns (involving the epidermis, dermis, and subcutaneous tissue, with damage to blood vessels that reduces blood flow to the affected area). Burn management aims to prevent infection and allow epithelial cells to proliferate and close the wound. Additionally, burns can lead to serious complications such as hypovolemic shock, pneumonia, urinary tract infections, cellulitis, and skin contractures. Therefore, prompt and proper initial treatment is crucial to prevent further complications. With a better understanding of burns, it is hoped that the quality of patient care can be improved, accelerating the healing process and reducing the risk of serious complications.

Relapsing Pulmonary Tuberculosis is a patient with pulmonary TB who has received TB treatment and has been declared cured or finished treatment, then re-diagnosed as positive pulmonary TB through BTA examination or sputum culture by Mycobacterium tuberculosis. In high incidence settings, this figure is as high as 7850 cases/100000 person-years. A 66 year old patient came to the emergency room at Cut Meutia Hospital with complaints of coughing up blood which had been felt since 3 days SMRS, and worsened after 1 day SMRS, phlegm was fresh red, blood was mixed with phlegm when coughing. Previously the patient had been coughing up phlegm without blood since 2022 coughing felt to come and go. The patient also complained of chest pain on the right side, shortness of breath when doing activities, the patient also complained of night sweats that soaked clothes and bed, denied nausea, vomiting, defecation and urination. there were no complaints, the patient had a history of DM. On physical examination it was found that the patient's general condition appeared to be moderately ill, consciousness was compos smentis, blood pressure was 110/70 mmHg, pulse rate was 66x/minute, respiration was 22x/minute, with a body temperature of 36.7°C and SpO2 98% on room air. Auscultation revealed vesicular breathing sounds (+/+), rhonchi (-/-), wheezing (-/-). Blood laboratory examination: HB decreased (12.00), MCV decreased (76.78 fL), MCH decreased (23.2 pg), MCHC decreased (30.30 thousand/uL).

During pregnancy, a woman must be able to adapt to various physical changes that often occur and can cause uncomfortable conditions, such as back pain which begins to be felt in the second and third trimesters. If this condition is not treated immediately, it can cause anxiety and disruption to the pregnant woman's activities. As a way to reduce complaints of back pain, pregnant women can do prenatal gentle yoga exercises. This study aimed to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. This study aims to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. Research method: This research adopted a quantitative design with a Pre-Experimental design, using the One Group Pretest-Posttest method. The sample of pregnant women in the second and third trimesters was 31 respondents. The sampling method involved Total Sampling and the use of a pain level measuring tool with the Numeric Rating Scale (NRS), while data analysis used the Wilcoxon Test. Research Results: Before carrying out prenatal yoga exercises, the majority of pregnant women felt lower back pain on a mild scale, the number of respondents was 17 (54.8%). After doing prenatal yoga exercises twice in 2 weeks, the majority of pregnant women no longer felt back pain, the number of respondents was 18 pregnant women (58%). The p-value of the analysis using the Wilcoxon test is 0.000.

The purpose of this research is to analyze the meaning of Ilham Karim's series of paintings Butterflies In My Stomach through Charles Sanders Peirce's semiotic approach. This research analyses the semiotic process in Karim's 12-painting series, which depicts the emotional journey of his parents' relationship in three phases: encounter, conflict and separation. This research uses qualitative methods through structured interview and literature review. The results of the analysis using Peirce's semiotics show that visual signs such as the consistent use of sofa objects, bright colors and uniquely packaged figure gestures represent harmony, conflict and loss. The triadic interpretation (representament, object and interpretant) reveals a profound message about the emotional dynamics of family relationships. The results of this research provide a new understanding of visual symbolism in contemporary art world, particularly in the context of identity expression and personal trauma.

Childbirth is a natural way that every mother must go through where the results of conception in the form of a baby and placenta are released from the uterus. Normal labor is characterized by uterine contractions that cause thinning, dilation of the cervix and push the fetus out through the birth canal, causing a sensation of pain felt by the mother. The purpose of this study was to determine whether there is an Effect of Murrotal Al-Qur'an Therapy on Reducing the Intensity of Labor Pain in the First Active Phase at the Juliana Dalimunthe Clinic. The research method used was Pre-Experiment One Group Pre and Posttest Design. Samples were taken by Accidental Sampling from mothers in the first active phase of labor who met the inclusion criteria totaling 30 people. Data collection was carried out using a face pain rating scale questionnaire. Data analysis with the Shapiro Wilk test and tested with the Wilcoxon Signed Ranks test statistical test. The results of the study conducted from May to July, found the average pain scale before therapy was 6.83 and the average after therapy was 6.17, the decrease in pain scale from before to after Murottal therapy was 0.66. From the statistical test, the P value = 0.001 was obtained, indicating that there was an effect of Murottal Al-Qur'an therapy on reducing the intensity of labor pain. The conclusion of this study is that the provision of Murottal Al-Qur'an therapy has been proven to be able to reduce labor pain in the first active phase. It is hoped that the provision of Murottal Al-Qur'an therapy will be an alternative intervention in reducing labor pain in the first active phase.

Cardiovascular disease is a leading cause of death globally, necessitating effective predictive systems. This research aims to analyze the effectiveness of various machine learning (ML) models—Logistic Regression (LR), Random Forest (RF), Naive Bayes (NB), Support Vector Classifier (SVC), and K-Nearest Neighbors (KNN)—in predicting heart disease using publicly available health data. The study involved pre-processing data, training models, and evaluating them using accuracy, precision, recall, F1-score, and G-Mean metrics. The results show that KNN is the most reliable model, with the highest accuracy of 92%. Significant health features were identified, such as chest pain type and maximum heart rate. The study contributes to improving clinical decision support systems by identifying optimal ML models for heart disease prediction.

Osteoarthritis is a degenerative disease and a significant contributor to life years with an imbalance between multifactorial musculoskeletal conditions that is often found in the elderly population, especially those aged over 65 years.  The purpose of this writing is to be able to carry out nursing care for osteoarthritis patients with chronic pain nursing problems to reduce pain.  The method used is to carry out Rheumatic Gymnastics for 10 days in 5 visits, namely on April 22-30 2024. The place where this activity is carried out is in the Mabar Hilir Environment. Based on the evaluation results, it was found that there is an effect of rheumatic gymnastics to help reduce chronic pain  In osteoarthritis patients, the pain scale goes from 7 to 3. The conclusion of this paper shows that the patient is able to do rheumatic exercises and can reduce pain in the knee and waist joints.  It is hoped that the results of this research can be used as a medical intervention to reduce chronic pain in osteoarthritis patients in the community.

Hypertension is a condition where blood pressure increases beyond normal limits, with various variations according to age. Various trigger factors cause hypertension, although most (90%) of the causes of hypertension are unknown. The aim of this writing is to be able to understand the concept of hypertension and study nursing care for hypertensive patients as well as to provide the author with an understanding so that he can think logically and scientifically in accordance with the existing reality. The method used was to carry out progressive muscle relaxation therapy for 10 days in 5 visits, namely on 29-07 January 2024. The place for this activity was carried out at the Amplas Community Health Center. Based on the evaluation results, it was found that there was an influence of Progressive Muscle Relaxation therapy to help lowers blood pressure in hypertension patients whose pain scale goes from 6 down to pain scale 3. The conclusion of this paper shows that patients are able to carry out progressive muscle relaxation therapy and can reduce pain in the head and nape of the neck. It is hoped that the results of this research can be used as a medical intervention to reduce acute pain in hypertensive patients in the community.

This study discusses the use of beluntas plants (Pluchea indica) as medicinal plants in Bojong Salam Village, Banyuresmi District, Garut. Ethnobotany investigates the interaction between people and plants, particularly in the context of traditional medicine. The people of Bojong Salam Village have long used beluntas plants as medicine to treat body odor, bad breath, back pain, and vaginal discharge. This study involved interviews with 30 respondents using a purposive sampling method. In data analysis, quantitative and qualitative approaches were used, including calculating the Use Value (UV) and Fidelity Level Index (FIC). The results showed that beluntas leaves had the highest UV value of around 0.5 and FIC of around 50% as a medicine for vaginal discharge, followed by other benefits as a medicine to eliminate body odor, bad breath and back pain. The results showed that beluntas is an important plant in traditional medicine used by the people of Bojong Salam Village.

Sports injuries are all forms of abnormalities and damages that occur in the body, both in the structure and function of the body that cause pain, resulting from physical movement and sports activities. This activity aims to determine the risk of sports injuries in athletes of UKM Sports Universitas Muhammadiyah Sidoarjo (UKORDA) by using Functional Movement Screening (FMS). UKORDA athletes as participants performed seven movements from the FMS examination consisting of movements consisting of (1) Deep Squat, (2) Hurdle Step, (3) In-Line Lunge, (4) Shoulder Mobility, (5) Active Straight Leg Raise, (6) Truck Stability Push Up, (7) Rotary Stability.The FMS assessment is given based on the effectiveness of the movements carried out by the sample, where the subject will be given a score of "0" if the subject fails or has pain when performing the movement. Then the subject is given a value of "3" if the movement performed is perfect. The results of the examination showed that 6 members of UKORDA were identified as having a "very high" risk of injury based on the results of the Functional Movement Screening (FMS) test, 10 people were identified as having "moderate-high" injury potential, while 9 other people were in the "moderate-low" category.

Indonesia is a country where the majority of its population works as farmers. One of the occupational health risks that can affect farmers is low back pain. An initial study, based on health data from the Matesih Health Center, found that many farmers in the area under the Matesih Health Center's jurisdiction reported complaints of low back pain. Therefore, efforts need to be made to reduce the risk of low back pain. The Mulyo Farmers' Group is one of the farmer associations in Gugur Village, Matesih District. Socialization is one of the efforts that can be made to increase knowledge about low back pain among the Mulyo Farmers' Group. This research used a pre-experimental design with a one-group pretest-posttest design. The sample consisted of 48 members of the Mulyo Farmers' Group, selected using simple random sampling. The statistical test used was the Wilcoxon Signed-Rank Test. The research activities included a pre-test, socialization about low back pain, and a post-test. The results showed that there was a significant difference in the level of knowledge before and after the socialization about low back pain in the Mulyo Farmers' Group.

COVID-19 and pleural effusion are respiratory diseases which are currently still a matter of public concern due to their progression which can cause death if not treated quickly and appropriately. COVID-19 is a pandemic disease that was first reported to have appeared at the end of 2019. Even though the status of COVID-19 has now changed to an endemic disease, transmission is still occurring globally so it will continue. Symptoms that appear in patients with COVID-19 generally include shortness of breath, dry cough, fever and fatigue. Pleural effusion is a condition of fluid accumulation that exceeds normal limits in the pleural cavity between the parietal pleura and the visceral pleura. This fluid can be in the form of transudate or exudate fluid. This buildup of fluid can occur due to an imbalance between the production and excretion of fluid in the pleural cavity. Symptoms that arise due to pleural effusion are shortness of breath, chest pain, coughing or pleuritic chest pain.  Pleural effusion is also a complication of COVID-19. There has been an increase of 404 new infections in COVID-19 in Indonesia as of January 2024 according to the latest epidemiological data, but there are no published figures for pleural effusion in Indonesia.

Primary dysmenorrhoea is a reproductive health problem that is often experienced by adolescent girls. Primary dysmenorrhoea causes discomfort (pain) and other problems. If not treated immediately, it will interfere with learning, daily activities, and school performance. Efforts to treat primary dysmenorrhoea that can be done nonpharmacologically using SEFT therapy. This therapy combines spiritual, physical, and psychological. The purpose of this study was to determine the effect of SEFT therapy on primary dysmenorrhoea pain in adolescent girls. The method used was quasi experiment with non-equivalent control group design approach. Samples were selected using purposive sampling as many as 32 adolescents who were divided into intervention groups and control groups. The instruments used were pictorial SEFT therapy procedure, observation sheet, and Numeric Rating Scale (NRS). Data analysis used paired t-test and independent t-test. The results of the analysis showed a decrease in the pain scale in the intervention group with an average of 5.87 to 2.37 and bivariate analysis with a p-value of 0.000 (<0.05). So it can be concluded that there is an effect of SEFT therapy on primary dysmenorrhoea pain in adolescent girls.

The application of ergonomics in the work environment is one of the efforts to ensure the health and safety of an individual or group in carrying out work in a work area that may be at risk of work accidents. Based on data from the Environmental Health and Occupational Safety Installation, musculoskeletal disorders experienced by employees of the "X" Hospital in Palembang in 2022, which stated that 318 employees of the "X" Hospital aged 31-40 years (38.1%), gender (69.2%), length of service <10 years (52.2%), length of service <8 hours (886.2%) with complaints of musculoskeletal disorders in the neck (64.5%), knees/ankles (58.7%), complaints of musculoskeletal disorders (81.4%), mild pain (scale 1-4) 59.0%, mild complaints 49.0%, This study aims to determine the factors related to the incidence of musculoskeletal disorders in Laundry Officers at the "X" Hospital in Palembang in 2024. The subjects of this study were all Laundry Officers at the "X" Hospital in Palembang on July 15-27, 2024. The population and sample in this study were 37 laundry officers. This study uses a quantitative method with analytical observation research and a cross-sectional approach. Furthermore, the collected data was analyzed using the Chi Square Test with a significance level (p value) <0.005. The results of the study were that there were factors related to the incidence of Musculoskeletal Disorders in Laundry Officers with Age (p value 0.005), Gender (p value 0.001), Length of Service (p value 0.001), Work Posture (p value 0.002), and Length of Service (p value 0.000). The conclusion of this study is that there is a relationship between age, gender, length of service, work posture, and length of service with the incidence of Musculoskeletal Disorders in Laundry Officers at RS "X" Palembang in 2024. It is recommended that the Laundry Installation section of RS "X" Palembang conduct a safety briefing to reduce the risk of accidents and provide information on the importance of individual health.

Musculoskeletal disorders (MSDs) arise from prolonged minor and major repetitive impacts, causing pain in muscles, bones, and joints. Hatha yoga, as a complementary therapy, has the potential to alleviate joint pain. This study aimed to evaluate the effects of hatha yoga on musculoskeletal complaints among housewives in Sindon Village, Ngemplak, Boyolali. Using a pre-experimental design with a one-group pre-test and post-test method, the study involved 30 purposively selected participants. Data were collected using the Nordic Body Map (NBM) questionnaire. Participants underwent 12 hatha yoga sessions over four weeks. The findings indicated a significant reduction in musculoskeletal complaints after the intervention.

Dyspepsia is a collection of symptoms in the form of discomfort in the upper abdomen, pain, nausea, and vomiting as well as the stomach feels full quickly when eating and feels bloated. One of the factors that causes dyspepsia is psychosocial factors, namely stress. The purpose of the study was to determine the Relationship between Stress and Pain in Dyspepsia Patients in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. Quantitative research method with a Cross Sectional approach. The research sample was 53 respondents using a purposive sampling technique. The stress measurement instrument used the DASS-42 questionnaire and Pain measurement. Data were analyzed using the chi-square test. The results showed that the majority of Anemia was Severe (93.8%) and the quality of life variable was in the Good category (76.9%). Based on statistical tests using the Spearman rank correlation test, a significance level of p-value = 0.000 was obtained with an OR value of 0.548, which means that the relationship between these two variables was moderate and inversely related. Conclusion, there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. The results of this study for the stress level variable, the majority of the stress levels are mild (54.5%) and the pain variable is in the moderate category (90.9%). Based on statistical tests using the chi square correlation test, a significance level of p-value = 0.001 was obtained, so it can be concluded that there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024.