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Fibroadenoma mammae is a benign breast tumor that occurs due to abnormal proliferation of periductal tissue into the lobules, often found in the upper lateral quadrant area due to the highest distribution of glands in this tissue. FAM is commonly experienced by younger women between the ages of 20-40 years, with a median age of 30 years. The clinical appearance of FAM lumps is typically lobulated, mostly 2-3 cm in diameter, with a firm and mobile consistency, without causing inflammatory reactions, skin dimpling, or nipple retraction. In this case, we report an 18-year-old female patient diagnosed with a breast tumor. The history revealed a lump in the left breast that enlarged within 1 month, initially the size of a marble and growing to the size of a quail egg, occasionally causing pain. On physical examination, the lump was palpable, mobile, without tenderness or signs of malignancy. Ultrasound examination showed signs of a benign tumor.  

Tuberculosis is one of the world's health problems, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, and Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a complaint of yellowish discoloration of sclera, nausea and vomiting after three days of initiation of ATD therapy. The patient has been diagnosed with Tuberculosis relapse and has been taking ATD since June 2024. The patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and electrolyte imbalance. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and different AT regimens were prescribed.

The incidence of breast cancer currently occurs mostly in young women aged 13-25 years, namely 13 cases (4.2%), this is due to a lack of awareness of early detection of breast cancer among teenagers (Sinaga 2016). BSE is an effective way to detect breast cancer early. This research aims to determine the relationship between knowledge of young women about BSE and BSE behavior of Class XII female students at SMKN 1 Cikulur in 2023. The design of this research is descriptive correlation using a cross-sectional approach. The population in this study consisted of 50 respondents. The sampling method used a total sampling of 50 respondents. The data collection method in this research uses a questionnaire. Data analysis used univariate and bivariate analysis with the chis square test. The research results show that there is a relationship between knowledge and BSE behavior of 0.000 (<0.05). The conclusion in this study is that there is a significant relationship between young women's knowledge about BSE and the behavior of breast self-examination (BSE) of class XII female students at SMKN 1 Cikulur in 2023

Cardiogenic acute pulmonary edema is a medical emergency that requires early detection and prompt management. This condition is characterized by symptoms of acute heart failure accompanied by hypoxia. This is caused by fluid accumulation in the interstitial space of the lungs, making it difficult to exchange O2 and CO2 due to increased pulmonary capillary pressure. A 72-year-old man was reported to have acute heart failure leading to acute pulmonary edema which was caused by his acute coronary syndrome. Physical examination found blood pressure 160/100, pulse 105 x/min, respiration 42 x/min, jugular venous pressure 5+5 cmH2O, thorax found ronkhi sound (+/+), and oedema extremities. Thoracic X-ray examination found bat-wing appearance, electrocardiography found pathological Q. II-III-aVF and T. Inversion V4-V6, I-aVL, troponin 1.02 ng/mL. Immediate management was given with the target of reducing morbidity and mortality.  

The research titled “Examining Social Dynamics by Using Slang expressions in The Movie Scripts Entitled Barbie” adopts a qualitative approach to scrutinize the slang utilized by characters in the Barbie Movie, aiming to dissect the social dynamics depicted in the script. The study's main objective is to classify the diverse slang terms and comprehend their effect on the characters' social interactions and bonds. Employing Chapman’s (1988) classification of primary and secondary slang, the study organizes the slang found in the screenplay. It probes into how these terms influence character evolution, social ties, cultural variety, identity, and self-assertion. This examination underscores the role of slang in enriching thematic representation and advancing the movie's storyline. The results indicate that slang in "Barbie" serves beyond mere colloquialisms; it's a strategic narrative device that deepens character depiction and accentuates the intricate social interplay within the plot. The research deduces that slang is pivotal in crafting the movie's social milieu, offering profound insight into the personas and their interrelations, thereby enriching the audience's grasp of the cultural and societal contexts portrayed in the film.

The aging population will be a problem if the elderly have problems. The increasing number of problems elderly people confront may turn them into persons who need help to maintain their standard of living. Government-run institutions include the Tresna Werdha Social Service Center (BPSTW), where social workers play a crucial role in the delivery of social services. Social facilities for the elderly frequently face challenges with their residents' mobility, emotional and physical health, need for caregivers for daily activities, trouble adjusting, and lack of social interaction. Because it explains the role that social workers play in assisting the elderly, researchers are interested in studying "The Role of Social Workers in Providing Social Services to the Elderly in PSTW". The strategy used gives an objective account of the reality in the field. The descriptive "Qualitative" approach is a research methodology intended to offer a comprehensive examination of the function social workers perform in providing social support to the elderly. To understand and explain the phenomenon is its aim. This study's author focuses on the role that social workers play and the difficulties that they face in providing social services to WBS. Among the research findings gleaned from the interviews are social    

Diabetic ketoacidosis (DKA) is a life-threatening form of diabetes mellitus emergency. Rapid and appropriate management is needed to prevent worsening condition. Fluid management in DKA is important to improve tissue perfusion, correct electrolyte imbalance, reduce blood glucose concentration and counterregulatory hormones. This case report aims to describe the fluid management in a client with instability of blood glucose levels in DKA. A 42-year-old woman was rushed to the emergency room with decreased consciousness for 3 hours. Laboratory examination results: blood glucose >600mg/dL, Base Excess <-30mmol, urine ketones +3, urine protein +2, urine glucose +4, pH 6.8, HCO3 1.9mmol/L. The client had unstable blood glucose levels while in the treatment room. Fluid management was performed by combining 0.9% NaCl, WIDA 2A, 40% dextrose bolus, and continuous insulin drip, that was adjusted according to the client's blood glucose level. After receiving fluid management, the client's blood glucose levels are stable in the range of 100 - 200mg/dL on the fifth day until the client recovered. Providing fluid management tailored to the management of DKA and client needs can improve the stability of blood glucose levels so that this fluid management intervention can be utilized for DKA clients with similar complaints.

The quality of health services is one of the important factors in the utilization of health services. Assessment of the quality of good health services is not limited to physical healing of the disease, but also to the attitude, knowledge and skills of officers in providing services, communication, information, courtesy, punctuality, responsiveness and the availability of facilities and physical environment. The research design used in this study was qualitative with in-depth interview techniques to key informants who were used as research objects totaling 1 (one) person, main informants 2 (two) people and supporters in this study totaling 3 (three) people with the characteristics as mentioned above, the total informants were 6 people. The results of the study all patients were satisfied with the physical evidence service (Tangible) about the cleanliness of the room in preventing and controlling infections. Some patients were satisfied with the responsiveness service regarding the collaboration of doctors, nurses and pharmacists in responding quickly to patient complaints. Some patients were satisfied with the reliability service regarding patient admission procedures, examination services, treatment and care. The conclusion is that there is an influence between service quality (Reliability, Responsiveness, Assurance, Empathy, Physical Evidence) on patient satisfaction at the inpatient installation of the Imelda Buruh Indonesia Hospital, Medan.

Preeclampsia is a disease that appears with signs of hypertension, edema, and urine protein that arise due to pregnancy and childbirth. Childbirth with preeclampsia is one of the most critical problems in midwifery care. In Indonesia 30% of maternal deaths are caused by hypertension in pregnancy and in North Sumatra 9 the number of maternal deaths is always dangerously caused by preeclampsia. The aim of this service is to increase and increase knowledge and be able to empower pregnant women in the prevention and early detection of preeclampsia in pregnant women in Bangun Rejo village in 2024.. Results of service to the community shows that the implementation of counseling for pregnant women in improving the quality of life of pregnant women before and after carrying out counseling for pregnant women has obtained significant results in Bangun Rejo village. This can be seen, many pregnant women who have not carried out early detection of preeclampsia have a poor quality of life, as many as 23 people. (76.7%), but after providing counseling to pregnant women, the quality of pregnant women was good, as many as 27 people (90%) in the same group. It is hoped that pregnant women can improve their health by checking themselves from early pregnancy and looking at each examination for signs of preeclampsia and treating it immediately and early detection of preeclampsia can be carried out routinely in Bangun Rejo village once a month by having their pregnancy checked at the Health Facility in 2024.

Background: Cervical cancer is the most common cancer in Indonesia. Cancer has a high mortality rate caused by delays in diagnosis and treatment. Nearly 70% of cancer patients are detected at an advanced stage. This is very unfortunate, because cervical cancer can be found at a stage before cancer occurs (precancerous lesions) which can be treated so that it does not become cancer. The early detection program for cervical cancer in Indonesia is carried out using the Acetic Acid Visual Inspection (IVA) method carried out by trained health workers. In three years (2020-2022), as many as 3,914,885 women aged 30-50 years or 9.3% of the target have undergone early detection of cervical cancer using the IVA method. The highest early detection of targets has undergone early detection of cervical cancer using the IVA method. Early detection was reported by West Nusa Tenggara Province at 34.1%, followed by South Sumatra at 33.5%, and Bangka Belitung Islands at 27.8%. Meanwhile, the province with the lowest early detection coverage is Papua at 0.1%, followed by West Papua at 0.4%, and North Sulawesi at 0.7%. In 2022, of the 2,175,314 women aged 30-50 years who had early detection of cervical cancer, 7,869 (0.36%) had positive VIA examination results and 1,232 (0.06%) were suspected of cervical cancer.

Gallbladder disease is associated with a malfunctioning gallbladder and highly concentrated bile, leading to conditions such as the formation of gallstones or cholelithiasis. Cholelithiasis can occur due to high concentrations of cholesterol in the gallbladder. Obstruction of the cystic duct, either by stones or functional issues, can cause acute inflammation of the gallbladder. Acute cholecystitis attacks are often associated with gallstones, or cholelithiasis. Common symptoms include right upper quadrant or epigastric abdominal pain, especially after consuming fatty foods, with additional symptoms such as nausea, vomiting, fever, and diarrhea. The development of this disease is believed to involve many factors and likely arises from complex interactions between various genetic and environmental elements. An imbalance in bile composition, characterized by excessive cholesterol secretion, reduced gallbladder motility, and the accumulation of mucin gel, contributes to the formation of gallstones. Gallbladder disease related to cholesterol results from a biochemical imbalance involving lipids and bile salts in the bile stored in the gallbladder. A 45-year-old patient, Mrs. D, has several risk factors that increase the development of the disease, and the following case report discusses the clinical presentation and laboratory examination results related to the onset of this disease. Laparoscopic cholecystectomy was performed on the patient, and appropriate education was provided, illustrating the importance of intra-professional collaboration and positive outcomes for the patient.

objective to provide free hamstring flexibility screening services to the general public and can increase public awareness of the importance of hamstring flexibility in maintaining health and preventing injuries. Method: Participants who come for the screening session will be given information about the importance of hamstring flexibility and hamstring flexibility measurements will be made using the Straight Leg Raise (SLR) test. The examination method is carried out before and after the hamstring flexibility screening is carried out. In addition, participants were also given education on ways to improve hamstring flexibility and prevent injuries. Through education and free screening services, this program helps people to understand their health conditions and take appropriate preventive measures and increase public awareness of the importance of maintaining healthy muscles and joints to improve the overall quality of life. Results: Evaluate the test results to determine the level of hamstring flexibility of each participant, record each participant's hamstring flexibility test results on the data form. The data obtained using the pre and post tests with the results each showed an increase in values of 9.25 degrees. Conclusion: The results of the analysis showed that the average hamstring flexibility experienced a very significant increase before and after the intervention hamstring flexibility screening. Therefore, this study makes an important contribution to understanding the importance of improving hamstring flexibility in maintaining health and preventing injury.

Background: breast cancer is the most common cancer among women, also it is the leading cause of cancer-related deaths in low-resource countries. So, every woman should know what it looks like, be aware of any changes, and know what to do if they are discovered. Meanwhile, early diagnosis and management are fundamental steps toward increasing survival and improving the quality of life Aims: The purpose of this study is to determine the knowledge, attitudes and practices of women in Al_Diwaniaya city regarding breast self-examination, and to explore their level of knowledge about breast cancer focusing on some risk factors.Method:  Cross- sectional _ study was conducted among 350 women aged more than 18 years who attended breast screening department in Al- Diwaniyah teaching hospital during the period of study using face-to-face interviews questionnaire. Results: The total sample included in this study was 350 females, regarding the score of knowledge, the results showed near half of participants having moderate knowledge (49.1%), On the other hand, the attitude of study people was more interesting by enrolling questions. Concerning the attitude score, the findings indicated that 64% of the subjects had a moderate attitude. In terms of practice score, the findings revealed that 57% of participants had poor practice and only 6% had good practice. The study discovered that the age groups under 40 had better knowledge, attitudes, and practices than the age groups over 40, with a positive correlation also (p<0.001) in high education group.Conclusions: The results showed most of participants having moderate to good knowledge (78%) moderate attitude but poor practice of breast self-examination. the gap in knowledge in fields of breast self-examination emphasizes on the need to raise awareness among women about the correct method and timing of it.

Background: Children who experience dental and oral health problems can experience a decline in quality. At the age of elementary school children, it is necessary for business actors to maintain dental and oral health regularly, both in counseling, examinations and dental and oral health care, by parents, schools and related government agencies. Elementary school age is the ideal time to train children's motor skills, including brushing their teeth. In addition, school age has shown learning sensitivity according to children's curiosity. Objective: To provide dental and oral health education through interactive learning media to students of SDN Inpres Tamamaung 4, Makassar City in 2022. Method: This community service is carried out by providing counseling, using media, namely back and forth worksheets, animated films, and puzzle games that aim to create two-way communication and make students active. Respondents in this community service were 3rd grade students of SDN Inpres Tamamaung 4, Makassar City in 2022. Results: There were 5 respondents (25%) with a good level of knowledge before being given facilities increasing to 14 (70%), there were 5 respondents (25%) with a sufficient level of knowledge before being given facilities decreasing to 4 (20%), and there were 10 respondents (50%) with a level of knowledge before being given facilities decreasing to 2 respondents (10%). Conclusion: Community service activities with the theme "Dental and Oral Health Education Through Interactive-Based Learning Media for Students of SDN Inpres Tamamaung 4, Makassar City in 2022" have been carried out well and received a positive response from the 3rd grade students that we have filtered through screening. It was found that many students have dental and oral problems such as cavities and their lack of knowledge about how to maintain dental and oral health is due to the lack of health socialization held by the school and local health centers.

Keratitis is an inflammation of the cornea caused by bacteria, viruses and fungi. Keratitis can be classified based on the layer of the cornea affected, such as superficial and deep keratitis, or based on the cause, namely keratitis due to reduced tear secretion, keratitis due to drug poisoning, keratitis allergic reaction, infection, immune reaction, reaction to chronic conjunctivitis. This report describes the case of a 44 years old man who came with the main complaint, his left eye felt painful/stinging since ± 3 months ago. Pain in the left eye worsens when the patient leaves the house and is exposed to sunlight, complaints become mild if the patient is not exposed to sunlight. The patient's complaint initially arose after a foreign object entered the patient's eye, after which surgery was carried out, a week after the operation the patient's eye felt painful again. Ophthalmic status examination revealed a decrease in the left visual acuity from 6/12 to 6/18 ± 2 months after surgery, the bulbar conjunctiva was hyperemic, and the cornea was cloudy. The patient was diagnosed with keratitis et. causa oculi sinistra bacteria. In management, patients are given education to avoid direct exposure to sunlight/dust, avoid rubbing their eyes, and use protective glasses every time they leave the house. The pharmacological management given is in the form of antibiotics, cycloplegics, painkillers and H2 receptor antagonists.

Congestive heart failure is a pathophysiological condition in which the heart as a pump is unable to meet the need for blood for tissue metabolism. It has been reported that a 56-year-old patient with complaints of shortness of breath is felt to be worse when sleeping in a supine position and improves when sitting in a sitting position. The complaint was accompanied by chest pain that radiated to the back and left arm and palpitations. Patients also complain of getting tired easily when doing activities even to walk to the bathroom. On physical examination, it was found that irregular S1-S2 was accompanied by a murmur. On the examination of ECG and Echocardiograph, it was found that the picture of AF and EF was 41%. In the thorax photo examination, cardiomegaly. The management of this patient is the administration of drugs that reduce shortness of breath and chest pain in patients.

Hypertension is one of the diseases that perimenopausal mothers are susceptible to. Based on data at the Rajabasa Indah Community Health Center in 2022, the number of elderly hypertensive sufferers undergoing examination was 1050 people, this number has increased compared to 2021, which was 989 people and 2020, which was 793 people. The cause of high levels of hypertension is the lack of public attention to the importance of regular health checks. One effort to reduce hypertension is to give beet juice mixed with lime which contains nitrates and potassium which can reduce hypertension. The aim of the research was to determine the effect of beetroot juice mixed with lime on reducing hypertension in perimenopausal mothers at the elderly posyandu in Rajabasa Village, Bandar Lampung in 2024. Quantitative research type, one group pretest-posttest design. The population of this study was all perimenopausal mothers who experienced hypertension who were registered at the Posyandu for the Elderly, Rajabasa Village, Bandar Lampung, totaling 50 respondents. The sample for this research was 33 respondents. 250ml/day of beetroot juice mixed with lime was given for 7 consecutive days. Data collection used observation sheets, univariate and bivariate data analysis (paired sample t-test).Based on the research results, it is known that the average systolic blood pressure of perimenopausal mothers before being given beet juice mixed with lime was 158.15mmHg with a standard deviation value of 9.111mmHg, a minimum value of 145mmHg and a maximum value of 178mmHg, while the average systolic blood pressure of perimenopausal mothers after being given beetroot juice mixed with lime is 125.91mmHg with a standard deviation value of 8.064mmHg, a minimum value of 110mmHg and a maximum value of 141mmHg with a p-value of 0.000. And it is known that the average diastolic blood pressure of perimenopausal mothers before being given beetroot juice mixed with lime was 99.21mmHg with a standard deviation value of 4.477mmHg, a minimum value of 87mmHg and a maximum value of 105mmHg, while the average diastolic blood pressure after being given mixed beetroot juice lime is 83.03mmHg with a standard deviation value of 5.725mmHg, a minimum value of 74mmHg and a maximum value of 94mmHg with a p-value of 0.000. There is an effect of giving beetroot juice mixed with lime on reducing hypertension in perimenopausal mothers at the elderly posyandu, Rajabasa Village, Bandar Lampung in 2024    

Radiation protection is an action to reduce the impact of radiation arising from radiation exposure. Radiation sign lights are one of the requirements of x-ray aircraft facilities for radiation safety in hospitals intended for officers and the surrounding community in the radiology installation area. After the radiation indicator light is bright red and the door of the radiology examination room is closed, the patient's family is not allowed to enter so as not to be exposed to radiation or scattered radiation which has a very dangerous impact on health. The type of research used is a type of quantitative research using a descriptive method. This method aims to create an objective picture or descriptive description of a situation using numbers, starting from data collection, interpretation of the data as well as its appearance and results. The majority of respondents in this study were between 26 and 45 years old. The majority of respondents (78%) do not know about Indicator lights in the radiology room. Only (16%) or 8 respondents knew enough about the topic, and (6%) or 3 respondents knew it well. Based on the results of the study on "The Level of Patient Family Knowledge Regarding Indicator Lights in the Radiology Room at Kertha Usada Buleleng Hospital", the following conclusions can be drawn: The majority of respondents showed a low level of knowledge related to indicator lights. Analysis of demographic characteristics such as age, education, and gender significantly affects their level of knowledge.

Metabolic processes in the body decrease with age. One of them occurs in calcium, when the age of more than 50 years, the amount of calcium in the body decreases by 30%. Meanwhile, if more than 70 years old, it decreases by about 50%. The imbalance of calcium levels in the body causes various diseases, one of which is osteoporosis. Osteoporosis occurs because the bones experience a decrease in bone mass due to lack of calcium intake in the body so that the body uses calcium reserves in the bones and teeth to meet calcium needs in the body. Because of the use of calcium in the bones, it causes the bones to lose mass so that they become porous, brittle, and even broken. One group that is prone to osteoporosis is the elderly. The purpose of this study was to determine serum calcium levels below normal values and the percentage of serum calcium levels below normal values in the elderly. The research method used was analytic survey, while the examination method used Cresolphtalein Complexone (CPC). The population in the study were 33 elderly aged 60 - 74 years in RW 03 Kaliwadas Village, Sumber District, Cirebon Regency. This study used a total sampling technique, so the sample used was the entire elderly population aged 60 - 74 years in RW 03 Kaliwadas Village. The research data were analyzed using the SPSS chi-square test program, and the value of Asymp. Sig. (2- Sided) is less than 0.05 which is 0.010. There are serum casium levels that are below normal values in the elderly with a percentage of 66.7%.

The problem is that dangerous dust particles can cause health problems. Risk factors for cancer are free radicals, secondary lifestyle, lack of healthy food, and radiation exposure. Cancer has high morbidity and mortality. The aim of this community service activity is to increase optimal levels of health, to know about the prevention and early detection of cancer through healthy consumption patterns and appropriate physical activity as well as to increase people's knowledge, behavior and attitudes towards cancer problems and also to know the health conditions of residents based on the results. simple laboratory (weighing body weight, height, abdominal circumference, checking body temperature, checking oxygen levels in the blood, checking blood pressure, instant blood sugar, uric acid, cholesterol) to prevent the occurrence of non-communicable diseases (NCDs) at PKK RT 01 RW 002 Kragan Village, Gondangrejo.  The result of the implementation of this community service is outreach to women from PKK PKK RT 01 / RW 02, Kragan village, Gondangrejo, which results in increasing knowledge regarding the prevention and early detection of cancer and health checks through simple laboratory checks for women from PKK PKK RT 01 / RW 02, Kragan village. , Gondangrejo can be used as a reference in knowing each individual's health, so that efforts can be made to maintain and maintain better health. The advice given in this community service activity is that to increase maximum results until there is a change in behavior in the community, a continuous health education program is needed so that it will motivate the community to carry out healthy behavior in order to improve the community's own health.