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. Children with acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (LMA) undergoing chemotherapy have one of the side effects, namely experiencing mucositis, this is also influenced by oral hygiene. The aim of the study was to determine the relationship between oral hygiene and mucositis in. The design of this study used quantitative research with descriptive analytic, namely cross sectional. The number of samples is 56 respondents with purposive sampling data collection technique. Measuring tools used Oral Hygiene questionnaire and mucositis assessment questionnaire (OAG). The results of the study were the majority of respondents with male sex 60.7%, the length of the chemotherapy period for the majority of respondents was more than 2 years 67.9%, the majority of oral hygiene obtained the most results with sufficient oral hygiene 57.1% and the majority of mucositis obtained mucositis results being 51.8%. Spearman test Rank p value obtained 0.000 so that there is a relationship between Oral Hygiene and Mucositis in cancer children, with a value of r = -0.799 very strong strength with a negative. The results of this study are expected that health workers can apply good oral hygiene for patients undergoing inpatient and outpatient care regarding the importance of good oral hygiene for children with cancer so as not to cause severe mucositis.

Introduction: Nutritional status is a balance between a worker's nutrient intake and better endurance. Nutritional status is one aspect of occupational health that has an important role in terms of work productivity. The nutritional intake of workers will be directly proportional to the nutritional status of the worker which can be translated through a normal Body Mass Index (BMI) in the range of 18.5 to 25. Work productivity is the ability of a person or group of people to produce goods or services. Increasing work productivity is required so that the employees can have more efficient, effective, and productive performance. Objective: The purpose of this study was to describe nutritional status in workers at the PT. Bina Sukses Lestari. Methods: This study uses observational (non experimental) method with semi quantitative approach. Data  is  obtained  directly  and  virtually  through  interview  methods  and  anthropometry  measurements  so that the types of data used are primary and secondary data. The instruments used are microtoise, weight scales. Result: The sample count consisted of 16 hotel employees with different positions and levels of physical activity. Based on the results of the calculation shows there are 5 people (31.25%) who have a skinny BMI and 11 people (68.75%) have a normal BMI. Conclusion: the BMI avarage of  workers in normal status, with an avarage working time in 8 hours/day.

Human Immunodeficiency Virus (HIV) is one of the retro viruses that infects white blood cells which has an impact on a weakened immune system, damage to the function of cluster of differentiation 4 positive (CD4+) cells as well as other immune cells. CD4 count below 200, opportunistic infections and not taking treatment can exacerbate chronic conditions throughout life. The purpose of this study was to analyze nursing care for Mr. B with Stage 1 HIV at the Seroja Polyclinic, Gunung Jati Hospital, Cirebon City. The research design used was a descriptive case study including assessment, data analysis, nursing diagnoses, interventions, implementation and evaluation. This research was conducted in the seroja room of Gunung Jati Hospital, Cirebon City. Based on the results obtained, based on the assessment data, two nursing problems emerged, namely hyperthermia, related to the disease process marked by fever and secondly the risk of opportunistic infections associated with decreased immune system which was marked with a CD4 value close to 200. Actions taken were monitoring body temperature and collaborating on drug administration with doctors, providing health education about HIV, adherence to taking medication and advising regular eating patterns and adequate rest. It is recommended that health workers provide education about HIV/AIDS care and also provide medication taking assistance to prevent non-adherence in taking medication, social and spiritual.

One of the causes of bleeding is due to perineal rupture. This type of research is an analytic survey with a cross-sectional research design. The number of samples used was 34 people obtained by using the total sampling technique. Data analysis technique using chi square. The results obtained in this study were that most of the mothers who had good knowledge of the absence of Perineal Rupture were 18 people (52.9%), and most of the mothers who had poor knowledge of the occurrence of Perineal Rupture were 7 people ( 20.6%). Based on the results of the chi square test, there is a relationship between Knowledge of Straining Techniques in Maternal Birth and Perineal Rupture with a P value = 0.014 <0.05. There is a relationship between Knowledge of Straining Techniques in Maternity Mothers with Perineal Rupture. It is recommended that mothers in labor seek more information to increase their knowledge, especially about pushing techniques to avoid perineal rupture through media on the internet, health workers, and so on.

As information technology develops, the development of digital media has also shown its role in health promotion efforts. Health promotion is carried out through activities to provide information, influence and help the community to improve their health status. Currently, digital media is more dominantly used in health promotion activities. The use of various media to provide education, convey information and promote health really helps services to the community. So that people can more easily receive information quickly and accurately. This research aims to 1) the type of digital media used 2) the urgency of using digital media in health promotion efforts 3) the role of health promoters in carrying out health promotion based on digital media. In this case the solution offered to partners is to hold outreach regarding health promotion based on digital media in hospitals. The output target of this activity is that it is hoped that health workers will have knowledge in creating digital media-based health promotions in hospitals in more varied ways. In this service the author produced an article on digital media-based health promotion in hospitals

Interprofessional Collaboration (IPC) is professional collaboration with different educational backgrounds and collaborates to improve service quality. The purpose of this study was to explore SBAR communication carried out by nurses and doctors in IPC at the Hospital X. The research method is qualitative. The research participants were 10 health workers (5 nurses and 5 doctors). Data analysis was carried out by processing and preparing data, reading data, coding, coding interpretation, presenting themes, and interpreting data. The results showed that there were three themes produced: 1) A thorough assessment by nurses and doctors; 2) Collaboration between nurses and doctors to patients; 3) Barriers communication between nurses and doctors. The form of communication that is applied between doctors and nurses in the emergency room at the hospital x is SBAR communication that has been implemented well. The main barriers to SBAR communication are the shortage of staff and the increase in the number of patients. And the obstacle from the doctor's side is the new nurse personnel who do not really understand their duties. The conclusion of this study is that the application of SBAR communication in the Interprofessional Collaboration (IPC) relationship between nurses and emergency room doctors at the hospital x is good, but there are still barriers to SBAR communication when there is an increase in the number of patients due to lack of staff in the hospital.

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.

Cervical cancer is the most common health problem in women, where special attention is needed to prevent this health problem. One effort that can be done to recognize pre-cancerous lesions early is by conducting an Acetic Acid Visual Inspection (IVA) examination which can reduce the incidence of morbidity and maternal mortality caused by cervical cancer. This IVA examination is very easy and practical to be carried out either by midwives or professional health workers (doctors) who can be obtained at health facilities such as clinics, health centers and hospitals. This study aims to determine the effect of health education on maternal adherence to visual inspection of acetic acid at the Suli Health Center. This research method is analytic with design Quasi Experiment (experiments pseudo), with design one group pretest posttest . The population in this study were all women of childbearing age (WUS) who were in the work area of the Suli Health Center as many as 78 people and the sample in this study were all WUS who were in the work area of the Suli Health Center who had certain characteristics, namely women of childbearing age who had active sexual relations. with the number of samples in this study amounted to 30 people. Sampling was carried out using purposive sampling method. This research was processed using a computerized system with the help of the SPSS program. The data analysis method used was statistical test analysis with the Wilcoxon signed ranks test to determine the effect of health education on WUS compliance by conducting an IVA examination where if obtained The p value of this test or p 0.000 <0.05, can be interpreted as significant. Therefore, it is recognized that health education has an impact on WUS adherence to carrying out IVA examinations.  

The health services between urban and rural areas are quite interesting because they have many differences that can be seen, especially the gap between the two areas. One of the characteristics of urban and rural areas is accessibility development, urban areas tend to develop faster than rural areas. This article was created with the aim of knowing the condition of health service facilities in rural areas in Indonesia and their access, especially for the elderly. The search strategy used in this research is a systematic literature review. The disparity in the elderly's use of health facilities are impacted by their education level, socioeconomic status, ownership of insurance, distance traveled, and cost of transportation. In conclusion, access to healthcare is crucial in Indonesia, particularly for elderly people living in rural areas. The Indonesian government must evenly distribute medical facilities in rural areas and guarantee universal coverage with National Health Insurance. To improve elderly health care, the government needs to develop sufficient expertise with health and social care workers with the necessary training in integrated care services.

Cholesterol is a form of fat that has an important role for the body, but if the body has high cholesterol levels it will cause health problems in the form of fatty deposits which will be at risk of blockage of blood vessels. Based on the results of Basic Health Research, it shows that the prevalence in Indonesia with total cholesterol levels > 200 mg/dL is 39.8%, the high prevalence rate is one of the reasons for the increased mortality rate in Indonesia (RI Ministry of Health, 2018). Controlling cholesterol levels can be done by controlling diet such as intake of calcium, fruit, vegetables and fish. The research was conducted in Cengkareng Timur Village, from 19 October 2022 to 2 November 2022. The type of research is quantitative which is analytic using a cross sectional research design, the research sample is 84 respondents. Data analysis used the Spearman correlation test. Based on the research results, it was found that there was a relationship between calcium intake and cholesterol levels (p=0.000) with a value of r = -0.924, there was a relationship between vegetable and fruit consumption and cholesterol levels (p=0.002) with a value of r = -0.496, and there was a relationship between consumption fish with cholesterol levels (p=0.001) with a value of r = -0.351. Workers handling public facilities infrastructure in Cengkareng Timur Village are expected to be able to consume fruits and vegetables because workers' consumption of fruits and vegetables is less than 400 g/day accompanied by a healthy lifestyle.

In various countries the use of information technology in fields that present aspects of goodness in everyday life. This is to improve the quality of the performance of health workers to streamline their time, skills and abilities. In addition, technology can also be accessed via computers or other modern tools that support health services. Leverage technology as the ability to create increased value with a stable or shrinking amount of resources, while at the same time enhancing the ability to grow more rapidly. The purpose of this theoretical literature review is to find out how leveraging technology can improve the quality of the performance of health workers. The research method used by the author, namely theoretical review, is a theoretical approach used by researchers to explain research problems. This method is to review or review various literature that has been published by academics or other researchers. The results of this theoretical literature review are leveraging technology to improve the quality of performance of health workers, namely by increasing understanding, using technology effectiveness and increasing targets. It can be concluded that the more a person can develop and improve their abilities in the field of technology, the more technologies are created which will have an impact on the quality of performance that a person gets. So, nothing is impossible to present and use the advanced information technology of the future. For health workers the use of technology as a system based on smart technology. It is hoped that health workers will always hone their skills, learn new things, and have the ability to apply modern technology. This can make the performance assessment of health workers to improve the reputation of the institution.

Background: Self-efficacy is the perception of the ability to consider and implement behavior patterns as self-regulation that is obtained through motivation and determining achievement of expectations. Good self-efficacy is needed not only for healthy people but also for sick people, especially people with chronic illnesses. Decreased self-efficacy can occur in people with chronic illnesses. We know that people with chronic diseases have long treatment programs, even for a lifetime, such as taking medication and sometimes this feels boring or boring. Consuming drugs or running a continuous treatment program can lead to boredom so that it is possible to want to stop taking medication. This is the background for wanting to know what actions can be taken to increase self-efficacy in people with chronic diseases. Self-efficacy increases if there is effort in dealing with existing obstacles. Interventions can be provided by health workers in increasing self-efficacy in people with chronic diseases. Objective: This study aims to describe the effect of Beapreasi therapy on self-efficacy in patients with chronic diseases at the Bergas Health Center, Semarang Regency. Methods: The research design used was descriptive and was carried out on 6 respondents, all of whom became the experimental group or all of whom became respondents. The method used to determine respondents is a purposive sampling technique. All respondents were assessed for self-efficacy using a self-efficacy scale questionnaire which was measured 2 times, namely before and after being given Beapreasi therapy. Results: The study showed that the mean value of the self-efficacy scale in the experimental group before the intervention was 81.79 and the value of the efficacy scale in the experimental group after the intervention was 89.36. this shows that there is an increase in the value on the self-efficacy scale and there is a difference in the mean value on the self-efficacy scale in the experimental group before giving the intervention with after giving the intervention with a p value of 0.00, p value <0.05 so that there is a significant/significant effect of giving reward therapy on improvement self-efficacy. Conclusion: Beapreasi therapeutic intervention can be used to maintain self-efficacy or increase self-efficacy in patients with chronic diseases, with the hope that patients will remain enthusiastic in carrying out their care and life. Beapreasi therapy can be used as a nurse's independent intervention in accompanying the care of patients with chronic diseases who require lifelong treatment and this is in an effort to increase self-efficacy in sufferers of chronic diseases.  

Introduction: Mother's Milk is the best life liquid that is needed by babies which contains various substances that are important for the growth and development of babies and in accordance with their needs. The importance of exclusive breastfeeding for babies is like nutrition in general, breast milk contains components of macro and micro nutrients. Macronutrients are carbohydrates, protein and fat, while micronutrients are vitamins and minerals. Each component of breast milk has its own benefits for the baby's growth. The lack of exclusive breastfeeding can be caused by various conditions, demographic, socioeconomic, and clinical factors greatly determine the continuity of breastfeeding. Objective: To determine the factors that influence mothers in giving exclusive breastfeeding. Methods: The method used in this study is the narrative review method with literature sourced from the Google Scholar and PubMed databases. Results: Of the 7 articles, there are 5 articles that discuss internal factors that influence mothers in giving exclusive breastfeeding. Internal factors that influence mothers in giving exclusive breastfeeding according to the 5 articles reviewed are knowledge, education, occupation, age, attitude and parity. And from 7 articles there are 4 articles that discuss external factors that influence mothers in giving exclusive breastfeeding. External factors that influence mothers in giving exclusive breastfeeding according to the 4 reviewed journals are social culture, family support and support from health workers. Conclusion: Based on the 7 articles presented, it indicates that there are so many factors that trigger mothers not to give exclusive breastfeeding, both internal factors that come from the mother herself and external factors that come from outside the mother herself.

HIV screening services are the main entry point for services aimed at prevention, treatment, support and treatment. The use of HIV screening services by key populations, including transgender women, is important so that HIV status is monitored. Many transgender women work as commercial sex workers, so the spread of HIV is a cause for concern, so the use of HIV screening is important. The causes of the underutilization of HIV screening services need to be investigated. This study aims to examine the relationship between transgender perceptions of HIV screening services in the health center laboratory. The method used in this research is cross sectional with interview method. 80 transgender women in PERWAKOS were interviewed fulfilling the inclusion and exclusion criteria. The data were analyzed using the bivariate test to determine the relationship, the multivariate test to determine the simultaneous relationship, and the binary multiple regressions test on the IBM SPSS Statistics 23.0 for Mac software. Result: The sample size was 80 and it became 73. As many as (78%) 57 chose no stigma, (79.5%) 58 chose fast waiting time, (84.9%) 62 chose the distance from home to a close laboratory, (60.3 %) 44 perceived complete, (53.4%) 39 chose less professional. There is a relationship between the perception of transgender women on stigma by the laboratory staff (p = 0.000), the distance from the house to the laboratory (p = 0.000) and HIV screening services in the health center laboratory. In conclusion, there is a relationship between transgender perceptions of stigma by laboratory assistants, the distance from the house to the laboratory and the use of its services.

Health workers have an important role to improve the maximum quality of health services to the community. It is also necessary for health workers to consider balanced work, one of which is the management of work life balance (WLB). Work Life Balance as an individual's ability to balance his responsibilities at work and things that are not related to work. The purpose of this theoretical study is to find out the management of work life balance in health workers in hospitals. The method used is a theoretical study by analyzing and comparing existing theories. It then learns more about a subject in theory or research and helps readers understand it better and with implications. The data that has been obtained is then analyzed and presented in narrative form in the form of diagrams or schematics whose contents discuss the results of the research analyzed from some of the literature. The result of this theoretical study is to arrange plans and schedules, control unnecessary things, filter between professional and personal, prevent burn out, and increase job attendance. It can be concluded that work life balance or balance of time in the context of working in a hospital, namely as health workers have the ability to balance between the time we provide as a professional in the workplace and the time we provide as a person outside where we work. Health workers who have a good work-life balance, then a person can be more productive and efficient at work. This also supports increasing satisfaction in doing work. It is hoped that the hospital and health workers will always conduct training to support increasing the professionalism of health workers and balancing their responsibilities at work and those that are not related to work. In addition, as a professionalism and performance appraisal that is assessed in terms of punctuality, discipline and altruism.

Background: Arthritis, better known as rheumatism, is a disease that attacks the joints and surrounding structures. Society often perceives rheumatism as a trivial disease because it does not cause death, even though if it is not treated immediately, rheumatism can cause abnormal limb function, ranging from lumps, stiff joints, and walking difficulty, to lifelong disability. Based on data from the Tungoi Health Center in 2022 the number of patients affected by rheumatoid arthritis was 127 people which was among the 10 highest number of diseases in the Tungoi Health Center. The study aimed to analyze the relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Methods: This study used a cross-sectional study approach. The location of the research was the Tungoi Health Center in October 2022. The study population consisted of patients seeking treatment in the working area of Tungoi Health Center with the number of study samples obtained was 92 patients using total sampling. Data analysis was carried out using the chi-square test. Results: the study showed that there was a relationship between rheumatoid pain and the level of independence in the elderly with a value of ? = 0.000. Conclusion: There was a relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Suggestion: Health workers who are responsible for the Integrated coaching unit (POSBINDU) are to provide support to elderly families so that they participate regularly in the elderly programs provided by the Integrated coaching unit (POSBINDU) and Integrated Healthcare Center (POSYANDU).

Background: The COVID-19 pandemic has caused a lot of anxiety, chaos and mental disorders when the COVID-19 cases in Bali as of 23 November 2020 recorded 13,331 positive cases with details of 762 active cases, 12,155 people recovered and 414 people died.  In Tembuku sub-district was recorded 170 positive cases which resulted in health workers getting more depressed and worried because of the workload, they must remember the complete PPE (Personal Protective Equipment) every time they serve patients.  In addition, the fear of infection and infection triggers a psychological problem that is detrimental and has a detrimental effect. Methods: This study used a descriptive method with a quantitative approach by using a measuring instrument in the form of a DASS 14 questionnaire. The population in this study was 32 respondents .  The sampling technique used was total sampling. Results: The results of this research showed the most respondents were female with a total of 72%, the age category was dominated by the age of 26-35 years, 63% probability, the highest education was DIII with 84%.  The highest count rate was the severe level at 43%. Conclusion: Most respondents experienced anxiety during the COVID-19 pandemic. The recommendation of this research is Government can provide moral emotional support to nurses so that they can increase self-confidence.

A worker is someone who has a functional job and participates in the production process and produces goods or services. Workers must obtain good nutritional intake to support productivity. Employee health and productivity are important factors for the success of a company. Adequate nutritional needs play an important role in maintaining employee health and optimal performance. This research aims to present an overview of the nutritional needs of employees at PT Bina Lestari. This research is observational research. The data collected includes data on the amount of food intake by carrying out a 24-hour consumption recall. The research results concluded that the average employee's intake of macro and micro nutrients (Fe and vitamin C) was deficient. It is recommended that companies should pay more attention to employee food consumption by providing canteens so that nutritional needs can be met during work and can increase work productivity.

One of the main factors affecting health performance is their motivation in working. Motivation is a factor that encouragwes a person to perform a certain activity that leads to the achievement of a particular goal. The purpose of this study to determine the relationship between motivation with the performance of health personnel at Puskesmas Ridge Biak Numfor District. This research is an analytic survey research with cross sectional study method population number 55 people. Sample is 55 with purposive sampling tecniue. Data collection and processing using computer program SPSS version 16,0 by using fisher’s exact test. The reault of this research is the reward p=0,038<0,005,it show there is no relation between reward with performance of health worker, kia peer relations p=0,004.<0,005 it there is a relationsip between the co-worker relationship with Perfoemance of health worker, enviromental condition of p=o,ooo<o,oo5it there is reltion between work environment condition with health worker performance. Conclusion in this research is there is there is relation between reward an c0-worker and condition of work environment with performance of health worker. It is suggested to the Ridge Comunity Health Center to furher improve the relationships of good colleagues and increase health facilities and infratructure in providing services so that health workers can improve their performance.

Healthcare professionals play a crucial role in enhancing the quality of healthcare services provided to the community. It is essential for healthcare workers to be familiar with the available internet, intranet, and extranet access within hospitals. The significance of such access for healthcare professionals lies in their ability to exercise caution and maintain the confidentiality of patient information in the digital era. The purpose of having this access for healthcare workers is to understand the utilization and differentiate between applications available in hospitals that fall under internet, intranet, and extranet access. Additionally, it allows them to delve deeper into subjects in theory or research and assist readers in better understanding them, along with their implications. This article discusses the definition, differences, and examples of applications available in hospitals with internet, intranet, and extranet access.