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Primary dysmenorrhea is menstrual pain that is not based on a pathological condition. Female students who experience primary dysmenorrhea will certainly feel that their learning activities are disrupted, and this often results in them being absent or unable to attend school. This research aims to determine the relationship between primary dysmenorrhea and the learning activities of female students at SMK Bina Putra Nugraha Kadupandak Cianjur, West Java in 2023. The type of research is quantitative with a cross sectional design. The population is all 38 female students of Bina Putra Nugraha Vocational School. The sampling technique uses nonprobability sampling with a total sampling technique. The data analysis used was univariate and bivariate using the Spearman's Rank Correlation Coefficient test. Based on data analysis, the results obtained were from 38 respondents, the largest distribution of respondents were female students who experienced moderate pain during menstruation, namely with a frequency of 23 respondents (60.5%), and mild pain with 15 respondents (39.5%). while the results of learning activities showed that the majority of respondents were female students whose learning activities were disrupted due to the impacts caused by primary dysmenorrhea with a frequency of 33 respondents (86.8%) being disturbed. From the results of the Spearman rank correlation test, it can be seen that the value of p = 0.003 (p < 0.05). The results of the correlation coefficient show that there is a relationship between primary dysmenorrhea and the learning activities of female students at SMK Bina Putra Nugraha Kadupandak Cianjur, West Java in 2023. Therefore, the proposed hypothesis means that Ho is rejected and Ha is accepted.

Low Back Pain (LBP) is a problem that often occurs among Indonesian people. One of them is the community are Pos Lansia Garuda RW 26 Sibela Mojosongo. This problem often causes pain, thereby reducing the sufferer's productivity. One of the physiotherapy treatments that can be carried out is counseling which aims to increase the knowledge of members of POS LANSIA GARUDA RW 26 Sibela Mojosongo regarding Low Back Pain. With a method of providing assessment and evaluation activities that will assess the level of knowledge of participants using pretest and posttest results.

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.    

Pain is a very common problem in pregnancy, especially in the third trimester of pregnancy. The phenomenon of back pain during pregnancy is one of the most frequently reported complaints among pregnant women, varying from 50% to 70%, based on previous studies in various countries. This study aimed to treat low back pain in the third trimester, in pregnant women, by complementary midwifery care standards. The method used is descriptive, namely describing or describing complementary midwifery care for pregnant women with low back pain problems, with a case study approach. The process of collecting data using direct interviews with patients and families, home visits, performing physical examinations, observing, and making discussions using related journals or books. The results after 3 visits of complementary midwifery care in patients with low back pain (waist) in third-trimester pregnant women resolved the problem and the intervention was stopped. Problems that occur in patients can be resolved and the intervention is stopped.

As age changes, without realizing it, elderly people will also experience physical, psychosocial and spiritual changes. One of these changes is cardiovascular and musculoskeletal disorders. Musculoskeletal system disorders are a factor in chronic diseases and motor system disorders in the elderly such as rheumatoid arthritis. Rheumatoid Arthritis is at risk of causing complications in the form of carpal tunnel syndrome, a condition that causes numbness, tingling, pain or weakness. on the hands and wrists. This research uses a quantitative research design using a one group pre-post test (pre-experimental) method. A quantitative design is used because the data will be used to determine the influence between variables which are expressed using numbers or a numerical scale. The sampling technique used purposive sampling with a sample size of 20 respondents. Data analysis used paired t test t test. shows that from the results of the dependent t test or paired sample T-test, it can be seen that the average level of pain before and after doing ergonomic exercises is 1,650 and obtained P value = 0.000 < 0.05, so H0 is rejected, meaning that there is an influence of ergonomic exercises on pain levels in elderly people suffering from rheumatoid arthritis at PSSW Budi Mulia 1 Cipayung in 2023

Abdominal pain is the main symptom of acute abdomen which occurs suddenly and is non-specific. Pain management includes providing analgesic therapy and non-pharmacological therapy in the form of cognitive behavioral interventions such as relaxation techniques, slow deep breathing, music therapy and aroma therapy, imagery and biofeedback. The aim of the research was to determine the effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients. This type of quasi-experimental quantitative research uses a one-group pretest-posttest design. The population in this study were 42 patients with complaints of abdominal pain who were treated. Sampling used a total sampling technique so that a sample of 42 respondents was obtained. The data collection instrument uses the Numeric Ratting Scale. The data analysis technique used in this research is Paired t-Test. The results of the study showed that there was an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients with a p value of 0.001 (<0.005). The average value of the pain scale before the intervention was on a scale of 6-8 with a standard deviation of 0.650, while the average value of the pain scale after the intervention was on a scale of 2-6 with a standard deviation of 0.504. The conclusion of the research is that there is an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain.

Uric acid is a severe and painful form of joint inflammation, resulting from metabolic processes in the body due to the accumulation of crystals in the joints, leading to an increased level of uric acid in the body. The joints most commonly affected are the toes, knees, heels, wrists, fingers, and elbows. Acute pain in individuals with uric acid becomes a frequent issue, involving actual or potential tissue damage that can be described as ranging from mild to severe pain. Red ginger has various uses that can alleviate pain associated with joint pain or uric acid. The warm compress of red ginger helps improve blood circulation in the body and can also reduce pain. Objective: To determine the effect of red ginger compress on acute pain in patients with acute uric acid in the Cisaat Health Center's working area. Method: The design in this study uses Quasi-experimental with a one-group pretest-posttest design approach. The total population in this study is 96 people, with a sample size of 16 respondents selected using purposive sampling. Data analysis was conducted using the Paired T-test. Results: The results of the statistical test with the Paired Samples Test showed a P-value of 0.000 < 0.05. There is an influence of red ginger on acute pain in patients with uric acid in the Cisaat Health Center's working area

Knowledge refers to a person's understanding or knowledge of a subject gained via experience or study. The definition of reproductive health is a condition of well-being in which people are neither ill or disabled and have access to reproductive health information, aid, and education. Good menstrual hygiene is essential for preventing pain and infection during the menstrual cycle. This study aims to determine the relationship between the level of reproductive health knowledge of adolescent girls with menstrual hygiene behavior. This research method uses quantitative methods with a Cross Sectional approach, using a questionnaire with Simple Random Sampling data collection with a total of 61 respondents. The Chi Square test (P = 0.000 < ? = 0.05) indicates a significant link between teenage girls' reproductive health knowledge and menstrual hygiene behavior at SMP Negeri 5 Sukabumi City. H? is accepted while H0 is rejected. The absence of a significant relationship between reproductive health knowledge of adolescent girls and menstrual hygiene. This work has the potential to enhance school policy, increase knowledge about menstrual hygiene and reproductive health, benefit young women, and open up new avenues for future research.

Gastritis is represent disease known in everyday life. Gastritis is often marked with painful in heart of queasy, vomiting, full satiety, stomach painful and etc. Soft drink one of the causes of stomach disorders because it has acid and caffeine. This research aims to knowing relation consume soft drink with incidence of gastritis at adolescent in Village South of Lemper District of Pademawu Regency of Pamekasan. Design of this research is case study with the technique of purposive sampling. Samples used totaled 89 adolescent men and women aged 12-18 years. Results of chi-square test show p-value=0.000 (p<0.05), have been got that relation consume soft drink with incidence of gastritis at adolescent in Village South of Lemper District of Pademawu Regency of Pamekasan. Shall all adolescent and society its participate actively to healthy live with consuming nutritious food and drink to prevent incidence of diseases such as gastritis.

Nephrolithiasis is the formation of hard material resembling stones originating from minerals and salts in the kidneys. Risk factors for kidney stones are frequent holding in urine, obesity, lack of drinking, urinary tract infections, and heredity. The prevalence of kidney stones in Indonesia is 6 per 1000 population or 1,499,400 people suffer from kidney stones. Various medical procedures can be performed to treat kidney stone cases, one of which is surgery. Post-operative kidney stone patients generally complain of pain and experience physical immobility problems related to the presence of surgical wounds. Nurses play a role in providing nursing care by carrying out pain management and carrying out early mobilization to train the muscle system and nervous system after surgery. The aim of writing this scientific paper is to be able to apply the theory and concept of applying early mobilization to reduce pain intensity in patients with Kidney Stones Post Surgery Extended Left Pyelolithotomy and Replace DJ Stent in Anggrek C Room, Tangerang General Hospital. The writing method used is a case study with a nursing care approach. Based on the results of the study and data analysis, 3 nursing diagnoses were found, namely: pain, physical immobility disorders, and risk of infection. After intervention and evaluation for 3 x 24 hours, data was obtained that the problem of pain and physical immobility disorders was partially resolved, this was indicated by a decrease in pain intensity and increased movement of the patient's extremities, while the problem of risk of infection had not been resolved so the intervention was continued. Nurses are expected to be able to carry out comprehensive assessments, make appropriate diagnoses, plan interventions, carry out evaluations and follow-up

Comprehensive midwifery care is a complete examination provided with simple examinations and counseling for pregnancy, childbirth, postpartum, and newborn care. The goal of continuous midwifery care given to Mrs. "N" at the Special Hospital for Mother and Child Siti Fatimah is to assess the condition of the mother and her fetus. This study was conducted from April 14, 2023, to July 9, 2023. Midwifery care methods use midwifery management based on the 7 steps of Verney from 38 weeks of pregnancy until deciding to use a 3-month contraceptive injection. The results of prenatal care include two antenatal visits during pregnancy. In the third trimester, Mrs. "N" complained of back pain, which was already manageable by the mother, so throughout the pregnancy, Mrs. "N" remained in good and normal condition. In conclusion, Mrs. "N" gave birth normally, assisted by a midwife and following the established care plan. The baby was born spontaneously with the head presenting, female, birth weight: 2,900 grams, birth length: 46 cm. Postpartum care for Mrs. "N" proceeded smoothly, and there were no complications for both the mother and the baby. The midwife provided communication, information, and education (CIE) during the care process, and during the postpartum period, the mother decided to use a 3-month contraceptive injection after 42 days of the postpartum period.

Background: The ACL is a ligament in the knee joint which functions to stabilize the tibia when moving forward and in rotational movements of the knee joint. Treatment for Anterior Cruciate Ligament (ACL) injuries can be done with several procedures, namely reconstructive and conservative. ACL reconstruction is a surgical procedure that replaces the injured ACL with a tendon graft because the ACL does not heal after injury due to insufficient vascularization. Common conditions after undergoing ACL reconstruction surgery are complication problems such as experiencing knee stiffness which includes swelling, pain, limited Range of Motion (ROM), especially in extension, decreased muscle strength and decreased proprioception. Objective : To determine the effectiveness of providing exercise in handling post-operative cases of phase 1 ACL surgery. Method: This study used the Case Report method which was carried out at RSD KRMT Wongsonegoro, Semarang in January 2024. The patient was a 20 year old male, diagnosed with Post Op. ALCR phase 1. Results & Discussion: After being given physiotherapy intervention for 3 meetings. With each therapy, it appears that there continues to be improvement. Can increase joint range of motion, increase knee flexor muscle strength, reduce perceived pain, and change segment circumference. Results: Based on the research that has been carried out, the results showed that providing physiotherapy intervention can be effective in phase 1 ACLR cases.

Background: Osteoathritis is a degenerative disease that is usually experienced by individuals due to the aging process. Osteoarthritis can limit and affect a person's activities. There is evidence that muscle dysfunction is involved in the pathogenesis of knee OA. The lower leg muscles are the natural support of the knee joint and improper alignment of the knee can originate proximally, and that poor force production due to muscle weakness can be a factor that ultimately causes stress on the knee. Muscles play a major role in joint structure and function, as demonstrated by the disuse of the quadriceps femoris muscle that accompanies knee joint pain. Quadriceps muscle weakness has been noted by the American Academy of Orthopedic Surgeons as a risk factor for structural damage to the knee joint. Muscle weakness affects the anteroposterior stability of the knee joint. and makes patients feel unstable, causing decreased self-confidence and decreased performance and independence in daily activities, causing disability and dysfunction in osteoarthritis knee patients. The main symptom that arises from Osteoarthritis is pain. Pain is the main problem in sufferers of knee osteoarthritis, and is generally related to activity and will recover when resting. Objective: This study aims to determine the effectiveness of the Open Kinetic Chain Exercise intervention on the recovery of patients with osteoarthritis. Method: This research uses a case report study with the aim of knowing the treatment of individuals before and after being given the intervention. Results: Providing TENS intervention and open kinetic chain exercises 4x, results in reduced pain intensity, increased joint range of motion and increased functional ability. Conclusion: Providing intervention in the form of TENS and Open Kinetic Chain Exercise has proven to be effective in reducing pain, increasing LGS and increasing functional activity in conditions of Osteoarthritis Knee.  

Breast cancer can attack anyone, especially women, women's attitudes and awareness regarding breast health are still not well developed so that most cancer cases are found at an advanced stage, when early stage healing is very easy, and can be done at home. Just a few minutes, once a month, to do a breast self-examination. The research aims to determine the relationship between knowledge and attitudes of young women towards breast self-examination (BSE) at SMA Negeri 14 Medan City, North Sumatra Province in 2023. The conceptual framework used is based on dependent and independent variables. The research design is correlational. The research was conducted February 23-25 ​​on 88 respondents. The research data were analyzed manually and using frequency distribution tables. Based on attitudes, out of 35 (100%), the majority of young women have negative attitudes and do not carry out conscious examinations. namely 35 (67.3%) people and a minority of young women who have negative attitudes and have carried out self-breast examinations. 17 (32.7%) P value = 1.000. It can be concluded that there is no relationship between young women's attitudes towards breast self-examination (BSE). For young women, it is hoped that every young woman will be responsive to changes, or the presence of lumps and pain that are felt or arise in the breasts. For health institutions, it is hoped that they can provide counseling and information so that young women are motivated to be able to routinely carry out self-examination of their breasts and teach the techniques and appropriate time to do it.    

Banyuanyar Village is located in Banjarsari District, Surakarta City. Banyuanyar Village is included in the status of urban areas and has a Puskesmas which plays an important role in public health. Patient visits at the Banyuanyar Health Center physiotherapy clinic for shoulder pain cases from 2022 were 25 patients while in 2023 they increased to 50 patients. The most common case is shoulder pain with the third highest case. Characterized by complaints of pain in the shoulder that hinder daily activities. The purpose of this program is to provide education and demonstrate exercises in cases of shoulder pain in order to reduce and prevent complaints. The method used was education in the form of counseling and distributing leaflets to the elderly at the Banyuanyar RW 03 elderly post. The results obtained from measuring the increase in understanding using the pre-test and post-test questionnaires were a significant increase in understanding regarding exercise with a pre-test average value of 10 and a post-test average value of 85.5

Background: General anesthesia is the act of administering a combination of drugs during surgery with the aim of reducing consciousness and eliminating pain in the patient. There are 2.5% of patients experiencing intra-anesthesia complications including hypotension.Objective: To determine the comparison of giving fluid loading and reducing inhaled gas with giving ephedrine to prevent hypotension in patients in central surgery installations.Research Metod: Quantitative method with experimental research type with quasi-experiment. This research used a Pretest-Posttest Two Group Design with 22 respondents.Research Result: Based on test statistics, it is known that the results of the Independent Sample T Test data analysis test show a P value (>0.05), namely H0 is accepted. Based on this test, it was concluded that there was no significant relationship between administering fluid loading and reducing inhaled gas with administering ephedrine to prevent hypotension.Conclusion: Based on this research, researchers are more effective in using fluid loading and reducing inhaled gas than administering ephedrine in the ETT technique for general anesthesia.

This research aims to determine the ability to organize compositions, process colors, adjust colors, and determine the level of suitability of shapes in the results of paintings using umbrella media at the Qalam Jihad Painting Studio Pematangsiantar. This research uses a qualitative descriptive method, by researching a topic in a systematic, factual and accurate manner obtained from data collection in the field and carried out based on existing facts and characteristics. This research is to review the composition, color and shape of paintings using umbrella media by studio students aged 13-15 years. The composition aspect gets the lowest score and the color aspect gets the highest score. This can be seen from the good coloring and color combinations with dark and light on the objects and colors that are seen clearly and appropriately by the studio students. Based on this, it produces a higher color aspect than other aspects. The classification of the results of reviewing the composition, color and shape of paintings using umbrella media at the Qalam Jihad Pematangsiantar painting studio is that 7 students are categorized as good with a score of 241.4 to 266 and an average score of 80.5 to 88.6. 8 students were quite good with scores of 211.2 to 234.9 with an average score of 70.4 to 78.3.  

Tongue tie cases at the Columbia Asia Surgical Hospital in Semarang in the last two years have experienced an increase, where in 2021 there were 438 cases and in 2022 there were 447 cases. Tongue tie babies have a poor breastfeeding mechanism, this is caused by limited tongue movement, so tongue tie babies cannot attach properly when breastfeeding. These conditions result in the maximum intake of breast milk not being obtained and the mother feeling uncomfortable due to sore nipples which can cause premature cessation of breastfeeding. This study aims to analyze the effectiveness of frenectomy in tongue tie babies with breastfeeding ability. This research is a type of quasi-experimental research with a one group pretest-posttest design. The population in this study were tongue-tie babies without complications who were still being hospitalized at the Columbia Asia Surgical Hospital in Semarang. Using a purposive sampling technique, a sample of 30 babies was obtained. The instruments used in this study were LATCH and ATLFF scores. Data analysis was performed using univariate analysis and bivariate analysis. The results of the study showed that the Frenectomy procedure was effective in increasing the ability to suckle in tongue tie babies, the Wilcoxon test results were obtained (pvalue 0.000 <0.05), where all (100%) tongue tie babies experienced an increase in the ability to suckle after a frenectomy. The action of a frenectomy is effective in increasing the ability to suckle, this can be due to the fact that with a frenectomy the mobility of the tongue increases, so that the baby can latch on properly, can swallow milk well, the mother feels comfortable while breastfeeding because the nipples are not painful.

Background: Health is something that is very important for human life. Health and lifestyle are influenced by developments over time. One example is the lack of consumption of foods with fiber to meet daily needs, which causes health problems, namely appendicitis. Appendicitis is a common cause of acute inflammation of the right lower quadrant of the abdominal cavity, which is treated by emergency abdominal surgery. The inflammatory process that occurs in the appendix increases intraluminal pressure which causes the pain to become more severe, generalized or periumbilical and move to the right lower quadrant. One way to deal with pain is by applying the effleurage technique (massage/touch therapy). The aim of this case study is to determine the reduction in pain scale in post-appendectomy patients after effleurage technique therapy (massage/touch therapy). The method used in this case study is case study design with a nursing care process approach. The subjects in this case study were 2 patients, who were obtained from inclusion and exclusion criteria, data collection using the numeric rating scale (NRS). The results of the case study show that the average pain level of the two patients after being given effleurage technique therapy intervention (massage/touch therapy) for 3 days experienced a change from moderate pain to mild pain. The conclusion of this case study shows that there were changes that occurred after the effleurage technique (massage/touch therapy) was given to the 2 patients and they experienced a decrease in the pain scale.

The aim of creating this final work is to visualize self-reflection by using it as an idea in creating a work of surrealist painting. As well as as a means to deepen the concepts and techniques of painting work. The creation of this final work applies a creation method that is carried out in stages. Starting from the preparation stage, elaboration stage, synthesis stage, concept realization stage, and completion stage. Based on the method that has been carried out, ten work titles were obtained, namely: "Transformation and Regeneration", "Like Time, Wings", "Balance", "Explorer", "Adaptation", "Wading Bats", "Peering Behind the Wings”,“Break through”, “Sleep”.