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This research emphasizes the importance of health for every individual, as good health facilitates daily activities. One crucial aspect of health is physical health, which includes being free from various diseases. With the increasing public interest in traditional medicine, the information regarding the public's knowledge about traditional medicine also needs to be enhanced. Therefore, this research aims to develop a mobile-based traditional medicine information system at UPKM/CD Bethesda YAKKUM as an information medium for the wider community. The method used for system development in this research is the waterfall method, which involves stages such as concept, design, data collection, creation, and testing. The developed application is a mobile-based traditional medicine information system, designed to help introduce traditional medicine in Indonesia. This application is designed to be easily accessible without the need to worry about internet connection or data charges, and it can be used in various regions. The result of this research is a mobile-based information system application that provides information about traditional medicine for various diseases. This application includes information on types of medicinal plants, their benefits, and explanatory videos, making it easier for the public to learn about and understand traditiona l medicine.

Caring is an important aspect that must be carried out by a nurse in the practice of providing nursing care. In general, caring is defined as an ability to be dedicated to others, to provide supervision by showing attention, feelings of empathy for others, feelings of love and love that must be done in providing nursing care. The purpose of this study was to determine whether or not there is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients. This study is a quantitative study with a cross sectional approach. This sampling technique uses purposive sampling. Statistical test analysis used is chi-square using SPSS computer program. Results: The results of the bivariate test obtained a p-value of 0.033 is smaller than 0.05, which means that there is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients. There is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients.

Abstract. Cervical cancer is a disease caused by malignant tumors in the uterine area (cervical) as a result of uncontrolled growth of tissue and damage to the surrounding normal tissue. Family as a source of support plays an important role in providing support to improve the quality of life of cancer patients. The purpose of this study was to analyze the relationship between family support and the quality of life of cervical cancer patients. This type of research is descriptive quantitative. The sampling method is by accidental sampling. The sample of this study were cancer patients undergoing treatment with a total of 32 samples. The instrument used is a questionnaire. The results showed that more than half (56.25%) of the respondents were aged 46-65 years, more than half (53%) of the respondents did not work, and some (50%) of the respondents were in stage 3, and most (91%) family support in improving the quality of life of cervical cancer patients. The results of this study can be used as health promotion educational material about risk factors for cervical cancer and to re-effectively provide health counseling services for sufferers and their families who are diagnosed by doctors as having difficult cases to recover, so that patients can express their feelings about the illness they are suffering from so that it has an impact on their quality of life. better. Abstrak. Kanker serviks merupakan penyakit akibat tumor ganas pada daerah rahim (leher rahim) sebagai akibat dari adanya pertumbuhan jaringan yang tidak terkontrol dan merusak jaringan normal disekitarnya. Keluarga sebagai sumber dukungan berperan penting dalam memberikan dukungan untuk meningkatkan kualitas hidup pasien kanker. Tujuan penelitian untuk menganalisis hubungan antara dukungan keluarga dengan kualitas hidup pasien kanker servik. Jenis penelitian ini adalah deksripti kuantitatif. Cara pengambilan sampel dengan cara accidental sampling. Sampel penelitian ini adalah pasien kanker yang menjalani pengobatan dengan jumlah 32 sampel. Instrument yang digunakan adalah kuesioner. Hasil penelitian menunjukan bahwa lebih dari sebagian (56,25%) responden berusia 46-65 tahun, lebih dari sebagian (53%) responden tidak bekerja, dan sebagian (50%) responden berada pada stadium 3, dan sebagian besar (91%) keluarga mendukung dalam meningkatkan kualitas hidup pasien kanker serviks. Hasil penelitian ini dapat digunakan sebagai bahan edukasi promosi kesehatan tentang faktor risiko kanker serviks dan mengefektifkan kembali layanan konsling kesehatan untuk penderita dan keluarga yang didiagnosa oleh dokter mengidap kasus sulit untuk sembuh, sehinga pasien dapat mengkungkapkan perasaan  mengenai penyakit yang dideritanya sehingga berdampak pada kualitas hidup yang lebih baik.  

Tuberculosis (TB) is a contagious disease that is transmitted through the air, namely through droplets when sufferers cough, sneeze or talk. The aim of this community service activity is to empower health cadres in preventing and treating Tuberculosis in Sukorambi Village, Sukorambi District, Jember Regency in 2024. Activity methods; Empowerment of health cadres in the form of health education and demonstrations carried out by Jember District Health Service which was attended by 20 cadres. Analysis of successful implementation looks at increased knowledge. The results of the training found tha there was an increase in knowledge before and after the training. The implementation of this community service really helps increase knowledge about the prevention and treatment of Tuberculosis infection in the Sukorambi Village are.

TB meningitis is the most severe manifestation of tuberculosis infection and causes death and disability in 50% of sufferers. Tuberculosis primarily affects adults at their most productive ages. However, all age groups remain at risk. Tuberculous meningitis is a form of extra-pulmonary tuberculosis with neurological abnormalities that accounts for 70-80% of all neurological tuberculosis cases, 5.2% of all extrapulmonary tuberculosis and 0.7% of all tuberculosis cases. Tuberculous meningitis (TB) is preceded by prodromal symptoms such as headache, anorexia, nausea/vomiting, subfebrile fever, accompanied by behavioural changes, and decreased consciousness. The patient, a 42-year-old male Mr SM, presented with decreased consciousness, a history of seizures and was taking tuberculosis drugs. Meningeal stimulation was found to be rigid, laseque test and kernique test were positive. Motor system impression of lateralisation to the right. Laboratory examination showed leukocytes 13,500/uL, platelets 728,000/uL, sodium 123 mmol, Kgd 135, thoracic X-ray with the impression of pulmonary tuberculosis with pneumonia, cranial CT-scan obtained with the impression of appropriate Tb meningitis, Non Communicating hydrocephalus. Specific treatments given were IVFD NaCL 0.9 %  20 drops / m, Omeprazole vial 2x40 mg, paracetamol infusion 3x1000 mg, Ceftriaxone 1 gram Vial, dexamethason ampoule loading 2 ampoules then 3x5 mg, Phenytoin 3x100 mg, Levofloxacin 750 mg, rifampicin 1x450 mg, isoniazid 1x300 mg, pyrazinamide 1x1000 mg, ethambutol 1x1000 mg, mg, B6 and B12 2x1 tablets.

One of the infectious diseases that still poses a threat to the world is tuberculosis (TB). When a person is diagnosed with tuberculosis, anti-tuberculosis drugs (ATD) should be administered as soon as possible as part of their treatment. Treatment for tuberculosis may be impacted by a number of factors, including age, gender, comorbidities, and nutritional status. The purpose of this study is to ascertain how age, gender, nutritional status, and comorbidities relate to the response of patients receiving first-line pulmonary tuberculosis treatment at Tugurejo Hospital Semarang using Anti Tuberculosis Drugs category one.  This kind of cross-sectional, analytical observational research is being conducted. Response to first-line pulmonary tuberculosis treatment was the dependent variable, and independent variables included age, gender, nutritional status, and comorbidities. 50 patients in all were selected as samples from Tugurejo Regional Public Hospital's medical files. Statistical analysis used the chi-square test for bivariate and the logistic regression test for multivariate. The analysis's findings demonstrated a significant relationship (p-value 0.001) between nutritional status and treatment response, as well as a significant relationship (p value 0.005) between comorbidities and treatment response. However, there was no significant correlation found between the age and gender variables (p values of 0.617 and 0.425). The results of the logistic regression showed that comorbidities and nutritional status had significant results with the OR value of comorbidities (OR 13,622, 95% CI 2.207-84.075, p= 0.005) and nutritional status (OR 7.208, 95% CI 1.783-29.138, P=0.006). There is a noteworthy correlation between the response to first-line pulmonary tuberculosis treatment and nutritional status and comorbidities at Tugurejo Hospital Semarang. At Tugurejo Hospital Semarang, there is a noteworthy correlation between the response to first-line pulmonary tuberculosis treatment and nutritional status and comorbidities.

This study evaluates the effectiveness of natural materials as antimicrobial agents in the treatment of freshwater fish diseases, with the aim of offering a safer and more sustainable alternative to synthetic chemicals and antibiotics. Using the literature review method, this study analyzed relevant current scientific articles. Results showed that extracts of betel leaf, neem leaf, cinnamon essential oil, basil essential oil, aloe vera, and propolis had significant antimicrobial activity against freshwater fish pathogens such as Flavobacterium columnare and Aeromonas hydrophila. Betel leaf extract and cinnamon essential oil showed inhibition rates of up to 85% and 82%, respectively. The advantages of using natural ingredients include environmental safety, reduced risk of antimicrobial resistance, and immunostimulating effects in fish. However, challenges such as ingredient availability, cost, and standardization still need to be addressed. This study suggests the development of natural ingredient-based products, standardization and quality testing, further research, and training for fish farmers. Collaboration between stakeholders is also important to reduce dependence on antibiotics. In conclusion, natural ingredients have great potential as effective and environmentally friendly antimicrobial agents in freshwater fish health management.    

Kosmetik dari bahan alam sudah telah mengalami pengembangan karena banyak diproduksi oleh beberapa industri dalam bidang kosmetik. Rambut merupakan bagian dari tubuh yang  menghiasi kepala manusia dengan kebutuhan estetika, sehingga tidak heran jika banyak orang yang sangat memperhatikan kesehatan rambutnya dengan cara merawat atau memperbaiki rambut yang sudah rusak dan juga mencegah rambut dari hal-hal yang merugikan yaitu seperti seperti rambut ronotk, rambut kering, berminyak dan berketombe, yang mengganggu proses pertumbuhan rambut. Formulasi sampo herbal sebagai alternatif lain untuk memanfaatkan bahan. Tanaman murbei (Morus alba L.)merupakan tanaman dengaan beragai manfaat dalam bidang pengobatan maupun dalam bidang kosmetik. Praktikum formulasi shampo yang sudah dilakukan kemudian dilakukan pengujian stabilitas sediaan dan uji aktivitas antiketombe antara lain yaitu uji organoleptik, pH, tinggi busah, dan uji aktivitas antiketombe dengan bakteri P.ovale. Hasil yang diperoleh dengan warna putih, coklat, soklat tua, bentuk sediaan kental, aroma menthol dan bentuk kental, pH sediaan 8, tinnggi busa 4,2 dan 8,2 serta daya hambat bakteri sebesar 1,266 cm, 1,466 cm dan 1,3 cm. Pengaruh perbedaan kosentrasi ekstrak yaitu terhadap warna dan aroma, dan juga pada daya hambat antibakteri.

To achieve recovery, TB sufferers must have self-confidence about how serious the condition and symptoms of the disease are and the impact on daily life. So that TB sufferers are able to carry out treatment for a long period of time and TB sufferers have the confidence to recover from the disease. The aim to be achieved in this research is to analyze the success factors for treatment of pulmonary TB sufferers at the Imelda Workers Indonesian RSU in 2023. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study were all category I pulmonary tuberculosis patients who visited the Imelda Workers Indonesian Hospital from January to September 2023, a total of 118 people were sampled using the accidental sampling method while the sample was 91 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test, it is known that patient success influences knowledge, family support, supervision of taking medication and support from health workers with a value of p = 0.001, meaning that there is an influence of knowledge, family support, supervision of taking medication and support from health workers on the success of TB treatment. Lungs. From the results of the multivariate analysis, it is known that the most influential variable in this study is the medication monitoring variable with an OR value of 15.104. The conclusion in this study is that medication-taking supervisors are the dominant factor influencing the success of pulmonary TB treatment at the Indonesian Imelda Workers RSU. The advice given is in the form of instructions for using a daily insulated medicine box, using a smart calendar during treatment which is brought to you every time you come for treatment and in the current digital era, using the mHealth application is also very helpful in providing TB information notifications and reminders to take medication regularly for sufferers and PMOs.

Parkinson adalah penyakit neurodegenerative jangka panjang yang ditandai dengan gangguan pergerakan, dan tremor saat istirahat. Penyakit parkinson belum bisa disembuhkan dan hanya bisa di lakukan penanganan menggunakan obat dan terapi. Pengobatan yang dilakukan jangka panjang akan mempengaruhi pasien secara ekonomi secara langsung. Selain biaya yang dikeluarkan untuk obat, pasien Parkinson juga dapat kehilangan produktivitas karena meninggalkan pekerjaan akibat gejala dari penyakitnya. Penelitian ini bertujuan untuk mengetahui analisis biaya berdasarkan persepsi pasien penderita parkinson yaitu biaya langsung dan biaya tidak langsung. Biaya langsung terdiri dari biaya pengobatan sedangkan biaya tidak langsung terdiri dari biaya hilangnya produktivitas. Penelitian ini menggunakan desain deskriptif observasional dengan pengambilan data dari rekam medik dan wawancara kepada pasien. Data dianalisis untuk melihat besar atau rata-rata biasa langsung yaitu biaya medis langsung maupun non medis langsung dan biaya tidak langsung yaitu hilangnya produktivitas. Hasil penelitian ini adalah terdapat 23 sampel yang terdiri dari laki-laki 70% atau sebanyak 16 orang dan Perempuan sebesar 30% atau sebanyak 7 orang.  Biaya medis langsung dengan komponen biaya tertinggi adalah biaya pemeriksaan dengan rata-rata Rp. 12.130, biaya obat rata-rata Rp. 64.503, biaya asuhan perawat rata-rata Rp. 64.500. Biaya non medis langsung dengan komponen biaya tertinggi yaitu biaya transportasi rata-rata Rp.  20.652, biaya konsumsi rata-rata Rp. 16.965. Biaya tidak langsung pada jenis hilangnya produktivitas dengan rata-rata Rp. 1.388.894. Hasil penelitian dapat disimpulkan bahwa biaya medis langsung merupakan biaya tertinggi dibandingkan biaya non medis langsung dan biaya tidak langsung.   Kata kunci: Analisis biaya, Parkinson, Persepsi pasien,

Penyakit Stroke merupakan penyakit serebrovaskuler ditunjukkan dengan kerusakan fungsional dan struktural yang bersifat sementara maupun permanen akibat kurangnya aliran darah ke otak. Depresi merupakan penyakit yang melibatkan tubuh, suasana hati dan pikiran, depresi pada penyakit kronis yang telah dikaitkan dengan kurangnya kepatuhan dalam program pengobatan, kecenderungan bunuh diri dan tingkat kelangsungan hidup. Tujuan dari penelitian ini adalah untuk mengetahui hubungan efikasi diri dengan tingkat depresi pada lansia dengan penderita  stroke  di  RSI  Sultan  Agung  Semarang.  Jenis penelitian  yang digunakan  yaitu kuantitatif dengan desain cross sectional. Jumlah sampel penelitian sebanyak 66 responden dengan teknik pengambilan sampel menggunakan  Purposive sampling. Uji statistik  yang digunakan adalah uji Spearman Rank. Hasil yang diperoleh yaitu taraf signifikasi p-value (0,001 <0,05) dengan nilai correlation coefficient sebesar (-0,395) yang menunjukkan terdapat hubungan antara efikasi diri dengan tingkat depresi dalam kategori hubungan rendah dengan arah  korelasi negatif. Sehingga  dapat  disimpulkan bahwa efikasi  diri yang rendah  dapat menyebabkan tingkat depresi sedang pada pasien lansia dengan penderita stroke. Diharapkan peneliti selanjutnya perlu melakukan penelitian lebih lanjut mengenai faktor- faktor apa saja yang dapat mempengaruhi tingkat depresi pada pasien lansia dengan penderita stroke.

Peresepan yang tidak tepat menyebabkan masalah seperti penurunan kemanjuran terapi, meningkatkan morbiditas dan mortalitas, pemborosan sumber daya, penurunan ketersediaan obat, risiko efek samping, resistensi bakteri, serta dampak psikososial, yang dapat menyebabkan ketergantungan pasien pada obat yang tidak berguna. Tujuan dari penelitian ini adalah untuk mengevaluasi ketepatan peresepan untuk pasien Diabetes melitus type-2 (DM-2) di Puskesmas Buleleng II. Survei potong lintang dilakukan dari Februari hingga April 2023. Wawancara secara langsung menggunakan kuesiner dilakukan pada pasien DM-2 yang direkrut secara purposive. Sejumlah 120 responden berpartisipasi dalam penelitian ini (tingkat respon 100%). Hasil menunjukkan pola peresepan pada pasien DM-2 yaitu tepat indikasi (97.5%); tepat pemilihan obat (97.5%); tepat dosis (97.5%); tepat cara pemberian obat (97.5%); tepat waktu interval (88.3%); dan waspada efek samping obat (48.3%). Ketepatan peresepan obat pada pasien DM-2 secara umum sudah baik. Apoteker diharapkan lebih aktif dalam memberikan pelayanan informasi obat dan konseling terkait pengobatan pasien, agar tercapai terapi pengobatan yang optimal.

Knowledge of the use of traditional medicine in the Toba Batak sub-ethnic has not been widely disclosed. This knowledge is passed down from generation to generation orally and has very limited documentation so it has the potential to be lost. Therefore, this research aims to describe local knowledge about the use of traditional medicine by the Toba Batak sub-ethnic in Sipagabu Village. Data collection methods were carried out using semi-structured interviews and participant observation with informants. The data collected was analyzed using descriptive statistics. In this research, the informants consisted of 51 Toba Batak sub-ethnic people who had knowledge about the use of traditional medicine using 115 medicinal plants used, belonging to 100 genera and 49 families. The main families of medicinal plants used by the Toba Batak sub-ethnic community are Asteraceae, Fabaceae and Zingiberaceae, and Poaceae. Medicinal plants used to cure diseases are grouped into natural diseases, supernatural diseases, uncommon diseases, and certain diseases that are treated using traditional herbs.

The low level of knowledge about the appropriate use of antibiotics causes the practice of irrational antibiotic use to increase. The aim of this community service is to provide education about understanding antibiotics and how to use them appropriately and rationally. The community service method is by providing education through group discussions, workshops and seminars to health workers, posyandu cadre mothers and the community around Ratujaya Village, Depok. The level of knowledge about antibiotic use was measured using a questionnaire, pretest and posttest. The results achieved by this community service after providing education on understanding antibiotics and their use to the community show that people who have good and sufficient knowledge about antibiotics are 88.57%, meaning that more people understand about antibiotics than those who don't. It can be concluded that the education on the use of antibiotics provided to the public can sufficiently increase public knowledge regarding antibiotics.  

Diabetes melitus suatu masalah kesehatan masyarakat yang merupakan salah satu dari empat penyakit tidak menular yang paling banyak diderita oleh masyarakat. Pengobatan diabetes mellitus dilakukan dengan dua acara yaitu terapi medis dan non medis. Salah satu terapi non medis yaitu konsumsi buah-buahan dan sayur. Penelitian ini bertujuan untuk mengetahui hasil pemeriksaan kadar glukosa darah penurunan dan kenaikan setelah mengkonsumsi sebelas jenis buah-buahan, yaitu : Kurma, Alpukat, Pisang Kepok, Apel Malang, Jeruk, Tomat, Pepaya, Jambu, Pisang Rebus, Belimbing Manis. Metode penelitian yang digunakan adalah metode eksperimen. Pemilihan sampel dilakukan dengan teknik consecutive sampling yang sesuai dengan kriteria inklusi dan ekslusi. Teknik pengumpulan data dengan cara mengukur kadar glukosa darah dengan dua eksperimen dengan riwayat diabetes mellitus dan satu ekeperimen tanpa riwayat diabetes mellitus dengan sebelas jenis buah. Eksperimen berpuasa selama enam jam dimulai pada malam hari, pengecekan darah awal dilakukan setelah ekeperimen melakukan puasa minimal selama enam jam. Selanjutnya eksperimen di beri salah satu jenis buah dengan kisaran 200 gram ditimbang secara seksama untuk dikonsumsi setiap hari satu kali. Pengecekan darah kedua, dilakukan setelah dua jam eskperimen mengkonsumsi buah yang ditentukan. Hal ini dilakukan secara terus menerus setiap hari, sampai seluruh jenis buah yang ditentukan sebanyak sebelas jenis dinyatakan selesai. Penelitian ini dilakukan  di Desa Karas, Kabupaten Magetan. Hasil yang diperoleh dari penelitian ini adalah perbandingan hasil pemeriksaan kadar glukosa darah sebelum dan sesudah mengkonsumsi sebelas jenis buah tersebut, pada ketiga eksperimen. Jenis buah yang mengalami kenaikan kadar glukosa darah terbesar adalah buah kurma golden valley, dan yang mengalami penurunan kadar glukosa darah cukup besar sesudah pemberian buah Naga Merah, Belimbing Manis, dan Jambu Biji. Sehingga dapat disimpulkan bahwa ketiga buah tersebut yaitu Merah, Belimbing Manis, dan Jambu Biji adalah buah yang aman dikonsumsi untuk penderita Diabetes Mellitus.

Latar belakang: Di Indonesia banyak kejadian yang tidak menyenangkan yang berkaitan dengan pengobatan yang dikenal sebagai masalah terkait obat yang dapat menggangu hasil klinis kesehatan pasien disebut sebagai DRPs. Tuberkulosis merupakan penyakit kronik akibat bakteri Mycrobacterium Tuberculosis. Dalam terapi, pasien tuberkulosis perlu banyak obat, yang meningkatkan resiko DRPs. Tujuan: Menganalisis kejadian DRPs kategori overdose, underdose, dan drug interaction pasien tuberkulosis. Metode: Jenis penelitian ini adalah kuantitatif non eksperimental dengan metode pendekatan deskriptif dengan pengambilan data secara retrospektif yaitu data rekam medis pasien tuberkulosis periode Januari 2022 – Maret 2023 selama rawat inap RS dr.Soepraoen Malang. Metode pengambilan sampel dalam penelitian ini adalah total sampling. Populasi sama dengan sampel melibatkan 40 pasien. Analisis data masing-masing kategori berdasarkan aplikasi Drug.com dan Permenkes no.67 tahun 2016 dalam bentuk distribusi presentase. Hasil: Analisis DRPs berdasarkan karakteristik pasien Tuberkulosis RS dr. Soepraoen Malang didominasi laki-laki sebesar 67,5% dan yang paling banyak menderita tuberkulosis adalah usia 46-55 tahun. Simpulan: Masalah terkait obat pada pasien tuberkulosis yang menjalani perawatan di RS dr. Soepraoen Malang ialah 46 kasus. Kasus DRPs termasuk 1 kasus overdose (2,2%),  4 kasus underdose (8,7%), dan 41 kasus drug interaction (89,1%).

Latar belakang: Asma merupakan penyakit heterogen dengan gejala peradangan pada saluran pernapasan, secara terus menerus serta gejala batuk yang bervariasi, sesak dada, sesak nafas, dan mengi. Tingkat kontrol asma mengacu pada seberapa baik karakteristik asma dapat diamati pada pasien penderita asma dan seberapa baik gejalanya berkurang atau tidak muncul setelah pengobatan diberikan. Kualitas hidup adalah tingkat kemampuan, keterbatasan, gejala, dan karakteristik psikososial seseorang untuk berfungsi dengan baik dan merasa puas dengan peran mereka dalam masyarakat. Tujuan: Mengetahui korelasi tingkat kontrol asma dengan kualitas hidup pasien di poli paru RS Lavalette Malang. Metode: Penelitian kuantitatif non eksperimental ini menggunakan pendekatan korelatif. Subjek pada penelitian 50 responden Penelitian ini mengguakan teknik sampling accidental sampling. Alat penelitian yang digunakan adalah kuesioner Asthma control test dan Mini-Asthma Quality of Life Questionnaire. Penelitian ini menggunakan analisis bivariate SPSS, Rank Spearman. Hasil: Menunjukan bahwa18 responden (36%) asma tidak terkontrol, 27 responden (54%) memiliki kontrol sebagian, 5 responden (10%) asma terkontrol penuh dan responden dengan kualitas hidup baik sebanyak 37 (74%), kualitas hidup kurang baik 13 responden (26%). Terdapat korelasi antara tingkat kontrol asma dan kualitas hidup pasien asma di Poli Paru RS Lavalette Malang, dengan nilai p = 0.026 (< 0.05).  Simpulan: terdapat korelasi tingkat kontrol asma dengan kualitas hidup pasien asma  

Carpal tunnel syndrome (CTS) is a condition that causes pain, tingling and weakness in the hand due to compression of the median nerve in the wrist. Treatment of CTS is based on two main approaches, namely steroid injection therapy and endoscopic surgical decompression therapy. Steroid injection therapy provides greater temporary pain relief, but the benefits are not permanent. At the same time, surgical decompression treatment with endoscopy is a definitive treatment that is more effective in the long term and has a lower therapeutic failure rate than steroid injection treatment. This literature research explores various scientific studies and related literature that have been conducted in recent decades to understand the effectiveness and relative superiority of these two treatment methods. This review covers clinical aspects, such as the rate of pain recovery, recovery of hand function, as well as the impact on the patient's quality of life. The results of this literature review indicate that both treatment methods have their respective advantages and disadvantages. Steroid injection therapy can provide rapid and minimally invasive symptom relief, while endoscopic surgical decompression therapy tends to provide more lasting and complete improvement. Factors such as symptom severity, patient preference, and medical recommendations may influence the choice between these two methods.

Control efforts with the DOTS (Directly Observed Treatment Short-course) strategy have been implemented. The side effects of this drug will continue as long as the sufferer takes it, furthermore anti-TB drugs (OAT) will change the metabolism in the sufferer's body. Chronic effects that arise from OAT treatment include increased levels of uric acid, glucose and hemoglobin in the blood. From the results of a preliminary study, data collection was carried out on the number of pulmonary TB sufferers in Kupang City in 2021, amounting to 385. Of this number, 72 cases were found at the Oesapa Community Health Center who were smear positive for pulmonary TB and had recovered and were still undergoing treatment. For this reason, it is necessary to carry out research to determine blood glucose, uric acid and hemoglobin levels in pulmonary tuberculosis (TB) patients who take OAT (anti-TB drugs) before taking, after taking 2 months and 6 months of treatment. This research method is descriptive and statistical. Statistical analysis using One Way Anova and Linear Regression tests was used to determine the effect of length of treatment on blood profiles in pulmonary tuberculosis sufferers. TB sufferers with anti-tuberculosis drug therapy at the Oesapa Community Health Center based on the age of the patient, there were 11 sufferers aged <30 years (55%), 9 sufferers aged >30 years (45%). Based on gender, 13 sufferers were female (65%), 7 sufferers were male (35%). Hemoglobin levels checked before treatment showed a mean of 13.015 g/dL, during 2 months of treatment 13.185 g/dL, and after 6 months of treatment the mean was 11.94 g/dL. The current blood sugar levels from table 1.3 above which were checked before treatment showed an average of 137.7 g/dL, during 2 months of treatment 145.15 g/dL, and after 6 months of treatment the average was 144.15 g/dL. Uric acid levels were based on the respondent's length of treatment with an average uric acid level before treatment of 6.16 mg/dL, 2 months of treatment 5.92 mg/dL and 6 months of treatment 6.43 mg/dL. Hemoglobin levels, instant blood sugar and uric acid before, 2 months and 6 months of treatment showed a p value <0.05, meaning the data was not normally distributed. The results of the analysis using the Friedman anova test showed a p value (0.137) > 0.05. This means there is no difference in uric acid measurement values ??before, 2 months and 6 months of treatment. The results of the analysis using the Friedman anova test showed a p value (0.142) > 0.05. This means that there is no difference in blood sugar measurement values ??before, 2 months and 6 months of treatment. The results of the analysis using the Friedman anova test showed a p value (0.378) > 0.05. This means there is no difference in Hb measurement values ??before, 2 months and 6 months of treatment

Abstrak. Banyak faktor yang mendukung kesembuhan pasien di pelayanan kesehatan, tidak hanya berkaitan dengan ketepatan diagnosis dan pengobatan yang diberikan oleh tim medis, namun psikis pasien yang nyaman karena adanya komunikasi yang baik selama berobat di pelayanan kesehatan juga mendukung kesembuhan pasien. Tujuan penelitian ini menggambarkan beberapa metode komunikasi di pelayanan kesehatan. Metode yang dilakukan dalam penelitian ini, pengumpulan referensi dalam bentuk artikel yang berkaitan dengan komunikasi di pelayanan kesehatan dari Google. Kata kunci yang digunakan komunikasi kesehatan dan Healthcare Communication. Penelitian ini berjenis penelitian literatur, penyajian dengan menampilkan hasil review. Analisis penelitian dengan analisis deskriptif. Hasil menemukan komunikasi yang ada dalam pelayanan Kesehatan, antara pasien dengan tim medis dan antara tim medis dengan tim medis di pelayanan kesehatan.   Komunikasi terapeutik mampu meningkatkan kepuasan pasien dan memberikan ketenangan pasien beserta keluarga. Komunikasi Situation, Background, Assessment, Recommendation (SBAR) yang baik, meningkatkan motivasi kerja tim medis dan membangun kekompakan kerja tim medis.  Implikasi penelitian ini, dasar pengembangan metode komunikasi di pelayanan kesehatan yang lebih baik.