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Mental health is a condition of mental, physical and emotional health where individuals have positive things in terms of self-actualization, perception according to reality and skills in adapting to the environment. Schizophrenia is a form of long-term mental disorder with communication disorders and blunted affect that affects the individual's normal daily activities with hallucinations (Puspitasari & Astuti, 2024). The purpose of writing this work is to find out and implement nursing care for Mrs. I with the main problem of sensory perception disorders, auditory hallucinations due to paranoid schizophrenia in the Arimbi Room, RSJD dr. Amino Gondohutomo, Central Java Province. The preparation method uses a descriptive approach with case studies as a writing plan. The case review obtained was that the main problem was that Mrs. I heard a man's voice saying bad things and often seemed to be talking to herself. The nursing problem tree shows sensory perception disorders: auditory hallucinations as the core problem, then self-care deficits, social isolation and risk of violent behavior. Interventions are structured based on implementation strategy guidelines aimed at clients and families which will later be implemented and evaluated immediately as documentary evidence.

This study is a qualitative study that aims to analyze the Implementation of Occupational Safety and Health (K3) at PT Dayasa Ayasa Prima. The Data Collection Technique in this Study was Conducted by Interview Method with Subject Employees from PT Dayasa Ayasa Prima. There are Three Aspects That Are the Focus (Scope) in This Study, Including K3 Training, PPE Facilities in the company, K3 guarantees and facilities for employees, and K3 Implementation. The results of this study include: 1. PT Dayasa Ayasa Prima has provided relevant training to employees to understand the importance of occupational safety and health, 2. PT Dayasa Ayasa Prima has complied with legal regulations and principles that require employees to use appropriate personal protective equipment, 3. PT Dayasa Ayasa Prima has implemented social security for employee welfare, including old age security, work accident insurance, death insurance, and health care insurance, and 4. PT Dayasa Ayasa Prima has also implemented an occupational health program that includes regular medical examinations for employees.

Diabetic ulcers is a complication of diabetes mellitus resulting from autonomic neuropathy and/or vascular disorders of the limbs. One of the diabetic ulcer treatment techniques is using aloe vera gel contains anti-bacterial, anti-inflammatory and can repair tissue damage of diabetic ulcers.. To determine changes after applying aloe vera gel to diabetic ulcer wound healing. This research uses descriptive case studies by observing nursing care for diabetic ulcer patients using aloe vera gel at the Boyolali with an application 3x and application is carried out every 2 days using the Bates-Jensen Wound Assessment Tool. Results: The results of the assessment score before application in respondent 1 score 24 points with categories wound regeneration and respondent 2 score 30 points with categories wound regeneration. After application with aloe vera gel the score on respondent 1 was 14 points with categories wound regeneration while on respondent 2 was 11 points with categories Tissue Health. The application of aloe vera gel can be used as an effective nonpharmacological method for diabetic ulcer wound.

Background : Breast milk is a substance produced by the body naturally by the breast glands. Breast milk is an emulsion of fat in a solution of protein, lactose, and organic salts, white blood cells secreted by the breast glands so that breast milk is the perfect food for growth and development and immunity of the baby. Breast milk production that is small or not smooth can interfere with exclusive breastfeeding, so efforts are needed to increase breast milk production by treating non-pharmacological techniques, one of which is breast care. Breast care is an action in maintaining the health and cleanliness of the mother's breasts, flexing and strengthening the nipples to stimulate the body to secrete lactogen and prolactin hormones, improve blood circulation, prevent obstruction of milk release so that breast milk production increases. Objective: to determine the results of the implementation of breast care techniques on breast milk production of postpartum women in the Cempaka Room of RSUD dr. Soehadi Prijonegoro Sragen. Method: This research is a case study research conducted on 2 postpartum mother respondents by doing breast care for 2 days with a frequency of 2 times a day for 30 minutes. Results: From the results of observations on both respondents there was a development of breast milk production from before and after breast care from the first and second days experienced a significant increase. Conclusion: There is an increase in breast milk production and before and after breast care from not smooth to smooth.    

Fractures can lead to disabilities in individuals, which may result from trauma due to accident (Ramadhan & Pristianto, 2022)s. The purpose of this paper is to develop and apply nursing care for Mrs. M, who underwent post-operative hemiarthroplasty for a femoral neck fracture, in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. This paper utilizes a descriptive method with a focus on the nursing process approach. The results of the nursing care show that the patient reports pain at the surgical site on the upper right leg, post-operative hemiarthroplasty, with pain described as a pulling sensation in the upper right leg, at a pain scale of 6, and continuous. The client states that she can only lie in bed, with all post-operative activities being assisted by family members. She also reports that she has not received health education on early mobilization and has limited understanding of early immobilization. The nursing diagnoses identified are acute pain, impaired physical mobility, and knowledge deficit. Interventions were based on the SIKI (Nursing Care Standards) and implementation followed the planned interventions. Upon evaluation, one diagnosis—knowledge deficit—was resolved, acute pain was partially resolved, and impaired physical mobility remained unresolved. The results of the nursing care are consistent with the theory. This paper aims to improve skills in providing nursing care.  

Diabetes Mellitus (DM) is a chronic metabolic disease that often occurs in the elderly, characterized by hyperglycemia due to impaired insulin secretion or action. This research focuses on family nursing care for Mr. A, a DM sufferer, in Kalibuntu Village, Losari District, Brebes Regency. Based on data, the prevalence of diabetes in Indonesia is very high, with Indonesia ranking third in Southeast Asia. In Brebes Regency, the prevalence of DM is also significant, requiring special attention in management. The Friedman model is used in family nursing care, which emphasizes the role of the family in supporting the patient's health management. The care process includes assessment, diagnosis, planning, implementation, and evaluation. The assessment is carried out by collecting family data using clear and simple language. Nursing diagnoses are established based on data analysis, while nursing interventions are designed to meet the patient's specific needs. Implementation is carried out by carrying out the plans that have been prepared, followed by ongoing evaluation to assess the effectiveness of the intervention and make necessary adjustments. Management of DM in Mr. A involves five main pillars: education, meal planning, physical exercise, pharmacological interventions, and blood sugar checks. A positive attitude towards treatment plays an important role in achieving good glucose control and improving quality of life. These findings emphasize the importance of family involvement in DM care to ensure effective and sustainable management.

The first time the pandemic hit, it impacted the unstable economic crisis in various communities in all world countries. In contrast in the healthcare sector companies can survive due to the soaring demand for drug production and health services. Thus providing an opportunity to get high income in the future, and can even provide an opportunity to get high profits. So in the research period span, it has an impact on increasing or decreasing profits with a high difference. This study was conducted to determine the effect of debt-to-equity ratio, net profit margin, total asset turnover, and current ratio on profit growth in healthcare sector companies listed on the Indonesia Stock Exchange for the 2019-2022 period. The number of companies sampled in this study was 19 companies with data for each of the 4 periods studied with a total of n = 76. This study uses secondary data and this study uses quantitative data types. The analysis method used is multiple linear regression analysis. The results of this study indicate that partially the debt to equity ratio has a negative and significant effect on profit growth, total asset turnover has a positive and significant effect on profit growth, net profit margin and current ratio have a negative and insignificant effect on profit growth.

Gouty arthritis or gout is a joint disease caused by high levels of purines in the blood. A person is said to be suffering from gout if the uric acid level in their body exceeds the normal limit, the normal limit is 7 mg/dL for men and less than 6 mg/dL for women. Excessive uric acid can cause a buildup of purines in the joints and other body organs, causing pain and inflammation in the joints. This condition can make the joints feel painful when moved and can also cause joint abnormalities and disabilities (Efendi et al., 2022). In Central Java, the prevalence of gout sufferers is approximately 2.6 - 47.2%, which varies in various populations (Zakiudin et al., 2024). Based on data from the Kecipir Community Health Center, the prevalence of gouty arthritis at the Kecipir Community Health Center in 2023 will reach 13.67%. The percentage of residents in Kalibuntu Village who suffer from gouty arthritis in 2023 will reach 24.3% in old age (Kecipir Community Health Center, 2023).

Stroke is a disease that causes nerve damage caused by bleeding or blockage in the affected part of the brain. This disease can cause disability or death. According to the World Health Organization (WHO), there has been a significant increase in deaths due to stroke since 2000, from 2 million to 8.9 million (11%) in 2019. Data from the Kecipir Health Center, stroke sufferers in Kalibuntu village were 20 people out of 2560 (0 .08%) the number of productive residents experienced a stroke. The results of the patient's assessment showed that his right hand had not been able to move since 6 years ago and his right leg also experienced weakness in movement so that it was difficult for him to walk. The nursing diagnoses raised were knowledge deficit, impaired physical mobility and ineffective family health management.    

Schizophrenia is a chronic mental disorder known for unclear thoughts, strange behavior and unreal sensory experiences that affect a person's thinking, feeling and acting and can make it difficult to distinguish between what is real and what is not. Patients with schizophrenia who experience delusions often feel angry and may be violent towards people they believe have hurt them. Uncontrolled anger in patients with schizophrenia will cause the risk of violent behavior (Auliati & Lubis, 2023; Wulandari et al., 2024).    

Palliative care is a treatment approach that aims to improve the quality of life of patients facing serious illnesses, especially when the disease is no longer responsive to curative treatment. Palliative care not only focuses on controlling physical symptoms, but also provides psychological, social, and spiritual support to patients and their families. With this education, health workers are expected to: Increase Knowledge and Skills: Education will increase the knowledge of health workers about pain management, chronic symptom management, and psychosocial and spiritual support for home residents. From the data displayed in the table, it can be concluded that from 30 respondents obtained an N-Gain Score of 64.3, indicating that the method applied by the researcher in this activity is quite effective. In addition, the distribution of N-Gain Score with a value of 0.6 indicates that the strength or category in this study is at a moderate level, the results of the pre-test and post-test that have been carried out by the researcher have increased significantly, which is 50%.

KKN with the theme KKN “ Saves the Country Through Education” with 2 target missions : Education Mission and Country Mission. These two missions are a vehicle for service so that students can be directly involved in dealing with problems that occur. The implementation of this KKN program has been carried out referring to the situation and needs of the Village. For 1 month at the Melebung Village KKN location, students have carried out various programs planned between the village and the students. The programs that have been implemented are : PHBS, TOGA, Stunting Prevention, simple hydroponics, health care training and various other additional programs. This KKN activity is published in online mass media publications, YouTube channels and also in service journals.

Breast milk dam is a swelling of the breast due to an increase in venous and lymph flow, causing breast milk dam. Data (SDKI) showed that 42% of mothers experienced breast milk dams. Breast milk dams are caused by discontinuous breastfeeding, the baby has not breastfed properly, improper breastfeeding position, wearing BH that is too tight, nipple abnormalities, absence of breast care before and after childbirth and lack of maternal knowledge about breast care. The aim is to determine the relationship between breastfeeding position and breast care with the incidence of breast milk dam in the working area of Sei.Langkai Health Center, Batam City 2023. The method in this study used quantitative research with analytical descriptive research and used a Cross Sectional research design, the sample in this study was 65 postpartum women, statistical tests using Chi-Square, purposive sampling technique. The distribution of breastfeeding positions was not correct as many as 36 postpartum women (55.4%), postpartum women did not perform breast care as many as 55 postpartum women (84.6%), the majority of postpartum women who experienced breast milk dams were 36 postpartum women (55.4%). The results of statistical analysis with Chi-Square found that there was no relationship between breastfeeding position and the incidence of breast milk dam with a value (P-Value) = 0.099 where (P < ?) = 0.05, and there was a relationship between breast care and the incidence of breast milk dam with a value (P-Value) = 0.030 where (P < ?) = 0.05. The conclusion is that there is no relationship between breastfeeding position and the incidence of breast milk dam and there is a relationship between breastfeeding position and breast milk dam. it is hoped that midwives and other health workers can teach mothers directly during breastfeeding how to do the correct breastfeeding position and breast care technique.

Development care is an effort to modify the environment and respond to changes in the behavior of newborns, especially in infants Low Birth Weight, The purpose of this study was to determine the effect of training on developmental care on nurses' ability to care for babies with low birth weight. The design of this study used "quasi experiment pre and post test control", which involved 19 nurses in the perinatology room of Al Islam Bandung Hospital. The results showed a significant increase in the mean score of nurses' knowledge, attitudes and actions after the intervention (p value = 0,000, α = 0.05). This training is effective in increasing nurses' knowledge and attitudes. The recommendation of this study is the need for socialization to all health workers supported by the hospital policy to implement development care and evaluate the implementation of development care in LBW care.  

High risk pregnancy is a condition that can affect the condition of the mother and fetus in the pregnancy she is facing (Manuaba, 2012). Pregnant women who experience medical disorders or health problems will be included in the high risk category, so that the need for implementing care during pregnancy becomes greater (Robson and Waugh, 2012). others include miscarriage, obstructed labor, antepartum bleeding, fetal death in the womb (Intra Uterine Fetal Death), poisoning in pregnancy, babies born under term, and low birth weight babies. The impact of high-risk pregnancies can be prevented through regular prenatal care (antenatal care) which aims to keep the mother healthy during pregnancy, childbirth and postpartum as well as ensuring that the baby is born healthy, containing possible pregnancy risks, and optimal management planning. against high-risk pregnancies and reducing maternal and infant morbidity and mortality. Antenatal services can detect and handle high risk cases adequately, provide clean and safe delivery assistance, affordable obstetric/perinatal services and referrals

This study examines the relationship between life satisfaction and the effectiveness of systemic lupus erythematosus (SLE) treatment through a systematic review and meta-analysis of 32 studies (N=8,746) published between 2018 and 2023. The analysis reveals a moderate negative correlation between life satisfaction and lupus disease activity (r=-0.38, 95% CI: -0.44 to -0.32, p<0.001). More specifically, the data demonstrate a strong positive correlation between life satisfaction and quality of life in the context of health (r=0.52, 95% CI: 0.47-0.57, p<0.001) and a moderate positive correlation with medication adherence (r=0.34, 95% CI: 0.28-0.40, p<0.001). Longitudinal analysis (n=6 studies) shows that early improvements in life satisfaction are significantly predictive of reductions in lupus disease activity (?=-0.24, p<0.001) and enhancements in quality of life (?=0.29, p<0.001) over six months to 2 years. Meta-regression analysis further identifies age (?=0.008, p=0.03) and disease duration (?=0.015, p=0.01) as significant moderators of the effect of life satisfaction on SLE treatment outcomes. These findings extend previous research by Diener and Chan (2011) on well-being and health and by Mok et al. (2019) on depression in SLE by emphasizing the specific role of life satisfaction in SLE management. The novelty of this study lies in its focus on life satisfaction rather than solely negative risk factors, highlighting the potential for life satisfaction-based interventions in the management of SLE. This research supports the integration of life satisfaction assessments and psychosocial interventions into standard SLE care protocols, offering new insights into the psychoimmunological approach to SLE treatment.

Ntroduction: Nurses' organizational commitment is their wholehearted dedication to the mission, vision, and values of their employer or health care facility. The degree to which nurses value their work environment is a measure of their quality of work life. The methodology of this study was a cross-sectional research design based on total sampling and descriptive correlational analysis. Result: The results of analysis using software show that there is a significant relationship between the quality of nurses' work life and organizational commitment. Conclusion: Nurses' work life quality and organizational commitment are significantly related, with a p value of 0.001 (where p value <α = 0.05) and a correlation coefficient of 0.342, indicating a relationship between the two. The strength of the relationship between work life and organizational commitment is lower, tending towards a positive or equal relationship.

Community Service Program (KKN) are one of the mandatory programs that must be carried out by students. This TOGA knowledge increasing activity is a form of the Community Service Program (KKN) work program which aims to increase the knowledge and skills of SMAN 2 Dumai students in cultivating family medicinal plants (TOGA). TOGA can be used to treat various diseases such as fever, fever, cough, stomach ache and itching. Usually the medicinal plants chosen are plants for first aid for minor illnesses such as fever and cough. Through training activities and TOGA planting practices on empty school land, students, especially PMR members, are actively involved in the cultivation process. The results of the activity showed an increase in students' awareness of the benefits of TOGA and their ability to identify and care for various types of medicinal plants. Apart from that, the presence of TOGA in the school environment also contributes to creating a healthier and more beautiful learning environment.

Community Service Program (KKN) are one of the mandatory programs that must be carried out by students. This TOGA knowledge increasing activity is a form of the Community Service Program (KKN) work program which aims to increase the knowledge and skills of SMAN 2 Dumai students in cultivating family medicinal plants (TOGA). TOGA can be used to treat various diseases such as fever, fever, cough, stomach ache and itching. Usually the medicinal plants chosen are plants for first aid for minor illnesses such as fever and cough. Through training activities and TOGA planting practices on empty school land, students, especially PMR members, are actively involved in the cultivation process. The results of the activity showed an increase in students' awareness of the benefits of TOGA and their ability to identify and care for various types of medicinal plants. Apart from that, the presence of TOGA in the school environment also contributes to creating a healthier and more beautiful learning environment.

This research explores the experiences of nurses in carrying out their main duties and functions at the Panamas Community Health Center. Qualitative methods with a phenomenological approach are used to gain an in-depth understanding of this phenomenon. Data was collected through in-depth interviews with 12 nurses selected by purposive sampling. Data analysis using the Colaizzi method produced five main themes: (1) Nurses' activities in health services, (2) Tasks carried out by community health center nurses, (3) The importance of good health program management, (4) Management of duties and authority in health services, and (5) Shortage of health and non-health personnel and multifunctionality in health services. Research results show that nurses often have to take over the roles of doctors, administrative staff, and pharmacists due to limited human resources even though these tasks should not be their responsibility. This causes nurses to lose focus in carrying out their main duties, nurses feel that their main role as care providers is disturbed. Nurses also run various health programs and serve as physician assistants, although these roles often exceed their duties. The importance of good health program management was emphasized, as many participants experienced difficulties in achieving targets, reporting and patient monitoring. Management of tasks and authority includes handover of tasks, delegation of daily tasks, and delegation of authority, however socialization to staff has not been comprehensive. Lack of human resources causes nurses to carry out multiple roles which hinders their professional development. This research recommends strengthening competency and further training for nurses, increasing legal awareness regarding the delegation of authority, integrating health management education in the nursing curriculum, as well as increasing the number and qualifications of human resources in community health centers.