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Extrapulmonary tuberculosis (TB) is a TB infection that attacks organs other than the lungs such as the pleura, lymph nodes, gastrointestinal tract, genitourinary tract, skin, bones, joints and lining of the brain. Patients with extrapulmonary TB often present with symptoms and signs related to the site of involvement. Systemic symptoms (such as weight loss, fever, hyperhidrosis, dyspnea, malaise) are usually present, although not always present. In clinical practice, it is not uncommon for extra pulmonary TB in an unclear location to be detected incidentally. The diagnosis of Intestinal TB is sometimes difficult to make and is only known after the disease. Therefore, some experts recommend empiric OAT therapy even though a definite diagnosis has not yet been established. This is done mainly in patients from endemic areas. This case report presents a 17 year old male with complaints of abdominal pain. Complaints accompanied by decreased appetite and drastic weight loss. The patient underwent a number of therapies in the form of drugs and surgery. The patient's condition improved after treatment and he was able to go home provided he had to be checked again periodically.

Pelemgadung Village is located in Sragen Regency, Central Java, where the majority of the population makes their living as farmers. According to the results of situation analysis and data collection, it was found that low back pain is one of the conditions that often occurs in the village. Low back pain is a musculoskeletal disorder that arises due to a static body position while working, resulting in pain in the lower back. The aim of this activity is to increase farmers’ understanding and knowledge of reducing lower back pain. The method used was education about low back pain using leaflets as a health promotion medium, as well as distributing pre- and post- questionnaires to assess farmers’ knowledge about low back pain. The results of the questionnaire show an increase in farmers’ understanding, which can be seen from the number of participants with the highest scores. During the pre-test, 24 people achieved the highest score, while in the post-test, the number increased to 35 people. Based on the education that has been carried out, it can be concluded that there has been an increase in farmers’ understanding of low back pain and how to overcome this condition.

This work visualizes the verses of the Koran in Surah Al-Kahf which contain the meaning of the story of Ashhabul Kahf in the form of Islamic calligraphy painting and applies painting techniques and sharpens the imagination. The purpose of this work is to preach directly to oneself, appreciators and the general public. The method of creating this work follows five stages, namely: preparation, where the author makes observations and exploration to gain inspiration. Then, at the elaboration stage, relevant references are searched and collected. The third stage, synthesis, involves applying the ideas and main ideas that have been generated. Next, at the concept realization stage, the final work is created based on the previously designed concept. Finally, at the completion stage, the work is exhibited and a report is created that covers the entire process from start to finish. In creating the work, the author uses the Krita application as a technique in creating digital painting works. Each work displays a guitar object consisting of ten works with the title,; "Ashabul Khafi", "Trying to Leave His People", "Greatness of Allah", "Waking Up a Long Sleep", "Promise of Allah", "Number of Ashhabul Kahfi", "Rasulullah SAW", "God willing", "300 + 9", "Say it."    

Preeclampsia is a hypertensive disorder in pregnancy. This situation can be pregnancy emergency if this don’t received proper treatment, which is bring a risk for the mother and her fetus. This risk can be continue in birthing period and the postpartum period. The preeclampsia’s signs likes hypertension and proteinuria is a frequently encountered. Other signs of symptoms include edema (especially on the face and around the eyes and hands), weight gain, nauseous and vomiting, stomach pain spreads to the upper limbs, headaches and visual disturbances (blurred vision), tachypnea and anxiety. In community, Edema in pregnant usually considered common and commonplace, however this is sign of preeclampsia. Health education about getting a pregnancy check-up at the health service needs. This community dedication service aims to increasing the knowledge of pregnant women about the signs, symptoms and prevention of preeclampsia and it is hoped that they can prevent this at the start of pregnancy, so the mother and baby are healthy. The counseling method have be used, the sub topic are the signs, symptoms and prevention of preeclampsia. Counseling participants were pregnant women in the Lebaksiu Kidul area, Tegal Regency.

This work aims to visualize the author's childhood in the past that will never be repeated in contemporary painting. At that time every day the author enjoyed various games and activities that provided fun such as: playing ball, kites, playing old tires, jumping rope, playing bicycles, exploring.  The author recalls childhood in the past which was a period of transition from traditional games to modern games with gadgets and online games. Technology has changed and replaced traditional games to games that exist on technological media such as games in mobile phones (cellphones). The method of creating this work follows five stages, namely preparation, looking for ideas and ideas. Then, at the elaboration stage, recall and talk with the author's childhood friends by looking back at the excitement and joy of childhood. In the third stage, the synthesis stage, choosing ideas that will be applied in a work of art. Next, the stages of concept realization, sketching and asking for the approval of the supervisor. Finally, the completion stage, presenting the painting work in the form of a final exhibition. The work featuring visualizations of the author's childhood consists of 10 works with the title, "Shepherd Boy", "Jumping Rope", "Playing Marbles", "After School", "Cycling", "Going Home Quran", "Brother", "Monitoring","Old Tires", "Kite Playing".

Background: Breast cancer is a disease condition in which abnormal cell proliferation occurs in the breast tissue which occurs quickly and uncontrollably, so this Final Scientific Work aims to identify nursing care for post-chemotherapy ca mammae patients by providing oral hygiene interventions with NaCl 0.9% which is useful for reducing the degree of mucositis. The method used in this case study was to provide nursing care for 3 days. The results obtained show that there are changes in pain, appetite and fatigue felt by patients as an effect of oral hygiene intervention with 0.9% NaCl which can help reduce post-chemotherapy complaints.

This study aimed to evaluate the effect of prenatal gentle yoga on reducing lower back pain in third-trimester pregnant women at PMB Midwife Aida Nospita S.Keb in Labuhan Deli District, Deli Serdang Regency, in 2023. The research method employed a quasi-experimental design with treatment and control groups. The study sample consisted of 30 third-trimester pregnant women divided into two groups: one receiving prenatal gentle yoga and the other serving as the control group without yoga intervention. Measurement of lower back pain was conducted before and after the intervention using a visual analog pain scale. The results indicated that prenatal gentle yoga significantly reduced lower back pain in third-trimester pregnant women compared to the control group. In conclusion, prenatal gentle yoga can be an effective alternative in alleviating lower back pain in third-trimester pregnant women.

Introduction: Itch Leaves (Laportea decumana) is a medicinal plant that grows widely in eastern Indonesia, especially Maluku. This plant usually grows in humid areas, surrounded by or adjacent to sago trees, and near rivers. Local people usually use the leaves to treat various complaints such as pain, fatigue and joint and muscle pain, or as a muscle relaxant. Objective: of this research is to determine the secondary metabolite content of the ethanol extract of itchy leaves (Laportea decumana) and test the antibacterial activity of the ethanol extract of itchy leaves (Laportea decumana) against the growth of Staphylococcus aureus bacteria. Method: Used in this research was the Agar diffusion method with itchy leaf test material using concentrations of 60%, 65%, 70% and 75%, chloramphenicol as a positive control and distilled water as a negative control. Results: research shows that itchy leaf extract (Laportea decumana) at a concentration of 60% has an inhibition zone diameter of 15.5 mm, at a concentration of 65% the diameter of the inhibition zone is 20.5 mm, at a concentration of 70% it has 25 mm, while at a concentration of 75% it has The highest area of inhibition against Staphylococcus aureus is 29 mm. Itchy leaf extract (Laportea decumana) at a concentration of 75% has a strong inhibitory level against Staphylococcus aureus bacteria, namely with an inhibitory zone diameter of 29 mm. Conclusion: There are secondary metabolite compounds in the ethanol extract of itchy leaves (Laportea decumana) and antibacterial activity against the growth of Staphylococcus aureus bacteria.

The movie "Pulang" presents a story that uses the theory of inner conflict in building a reverse chronology plot, to describe the emotional journey of the main character Karin, who must overcome and accept inner conflict triggered by dissociative amnesia due to trauma experienced by her mother 2 years ago. By introducing the audience to Karin's life, which is characterized by sincerity and patience in taking care of her mother despite not being considered a child by her own mother due to amnesia, this film uses the theory of inner conflict in the mother character. Through the inner conflict theory, it can build a reverse chronology plot twist. Through the reverse chronology plot twist, the audience is invited to explore the past of Rama and his mother, detailing the traumatic event that resulted in the amnesia. The combination of inner conflict and plot twist reverse chronology in the context of trauma and amnesia creates a story that is full of pain, full of inner struggle, and is able to arouse empathy from the audience towards the complexity of humans in dealing with past wounds.

Industry is an effort to produce finished goods using raw materials or raw materials through a manufacturing process in large quantities so that these goods can be obtained at the lowest possible price but with the highest quality (Made Sandi (2010: 148)). PT Sekar Lima Pratama is a textile industry that makes gray cloth which is raw cloth. This type of fabric cannot be sewn directly because it still contains starch which makes the fabric still rough. In the weaving section there were complaints related to the process of transporting woven blocks into the block delivery cart. The complaint that often arises is back pain after lifting the weaving block to place the cart that carries the block to the weaving location.  

Background: Diabetes Mellitus is a heterogeneous disorder characterized by increased glucose levels in the blood. Insulin, a hormone produced by the pancreas, controls glucose levels in the blood by regulating its production and storage (Smeltzer and Bare, 2019). Diabetes Mellitus occurs if the pancreas produces little or no insulin so that the sufferer is forever dependent on external insulin, or if the pancreas continues to produce insulin but the body develops immunity to its effects. Diabetic neuropathy is nerve damage caused by increased blood glucose, which results in decreased blood circulation to cells and decreased nerve cell function. Initial symptoms are paresthesia (prickling, tingling or increased sensitivity) and burning (especially at night). As neuropathy increases, the feet feel numb (numb). Decreased sensitivity to pain and temperature puts neuropathy sufferers at risk of experiencing injury and infection in the feet without knowing it (Smeltzer and Bare, 2019). Foot exercises are activities or exercises carried out by Diabetes Mellitus patients which aim to improve blood circulation so that nutrition reaches the tissues more smoothly, strengthen small muscles, calf muscles and thigh muscles, and overcome the limited joint movement often experienced by Diabetes Mellitus sufferers. Method: The method for writing this final scientific paper is a literature review by examining journals that discuss the effect of diabetic foot exercises on reducing neuropathy symptoms in Diabetes Mellitus sufferers. Results: Based on the results of the implementation carried out by the author, namely encouraging patients to carry out routine extremity movements, namely by carrying out diabetes foot exercise therapy for three consecutive days from 09 to 11 January 2024, differences were found between conditions before and after implementation. The patient data before implementation was that the patient said both feet often felt tingling, the patient said both feet sometimes felt like they were numb, the results of scoring symptoms of diabetic neuropathy were 4, while the patient data after implementation was that the patient complained of tingling both times and feeling like numbness. begins to decrease and the results of scoring symptoms of diabetic neuropathy have decreased, namely to a value of 2, so it can be concluded that there is an influence of diabetic foot exercise therapy on reducing symptoms of diabetic neuropathy in diabetes mellitus sufferers. This is in accordance with the journal that the author studied, namely according to Febrina Angraini S, 2020.

Gouty arthritis is a metabolic disease that mostly occurs in middle-aged to elderly men and women in the post-menopausal period. This metabolic disease is caused by the accumulation of monosodium urate monohydrate crystals in the joints and connective tissue tophi. Joint pain is a problem for elderly people in the world and in Indonesia. It was recorded according to (WHO, 2023) that in 2019, around 528 million people worldwide suffered from joint pain, an increase of 113% since 1990. Around 73% of joint pain sufferers were over 55 years old, and 60% were women. With a prevalence of 365 million people, the knee is the joint most frequently affected, followed by the hip and hand. By using cinnamon as a non-pharmacological measure to reduce pain caused by signs and symptoms of gouty arthritis. Method: Case study using nursing care for Mr. S by doing a warm cinnamon compress for 7 days. Results and Conclusions: Chronic pain problems were resolved with warm cinnamon compresses marked by Mr. S said the pain had disappeared and he could carry out daily activities. P: pain caused by gout Q: none R: none S: 1 T: none. Mr. S still looks smiling and no longer grimacing, Mr. S doesn't seem anxious, Mr. S appears to be able to carry out activities and does not avoid pain. TTV results TD: 130/80 mmH N: 84x/m RR: 22x/m S: 36.6℃.

Finishing workstations have two activities: cleaning and painting. Irregular work layouts cause time wasted just to move the product to be worked on. In addition, there is no permanent work layout arrangement or placement of work objects so that every day there is a change in work layout makes workers have to make adjustments again, so this will waste time and will reduce the productive time of each worker at the painting work station. The purpose of this study is to design an improvement layout that can be used for cleaning and painting work using the motion study method. The results of the motion study analysis obtained a repair work layout combining two cleaning and painting jobs into one repair layout with the placement of workpieces and work equipment according to the needs of the right and left hands, so that the resulting work movement is more effective and increases cycle time efficiency.

Old age is said to be the final stage of development in the human life cycle which experiences various health problems and is at high risk of dangerous diseases. Health problems that occur in the elderly in general are a decrease in organ function, changes in lifestyle, diet and physical activity which are often the main factors in degenerative diseases including hypertension which disrupts blood flow. This hypertension often occurs in the elderly where the blood pressure is at the upper limit ( Systole) is more than 140 mmHg and lower limit blood pressure (diastole) is more than 90 mmHg. One non-pharmacological treatment that can improve the flow of oxygen in the blood is laughter therapy. The aim of this research is to analyze the effect of laughter therapy using comedy videos on reducing blood pressure in elderly people with hypertension at the Tiban Baru Community Health Center, Batam City. The Batam City Health Service noted that hypertension occurs more frequently in elderly people aged 60-70 years and over with the highest number being 9,282 people at the Tiban Baru Community Health Center, Batam City. This research uses a quasi-experimental method with a pre-test and post-test design without control. The sample provided used the purpose sampling method with a total research sample of 20 respondents. Therefore, it can be concluded that there is an effect of laughter therapy on reducing blood pressure in elderly people with hypertension.

PT EQY is a textile company, especially yarn spinning. The activities of the staffing/packing department at PT EQY are packing, lifting, and moving cardboard boxes. This activity still relies on human power or manual material handling. This work is carried out repeatedly and continuously, causing complaints of pain in several parts of the body during work. This raises the risk of work postures such as Musculoskeletal disorders (MSDs). This research aims to produce a design for work aids that can reduce the risk of Musculoskeletal disorders (MSDs) using the Ovako Work Analysis System (OWAS) method. Based on the problem, work posture analysis was carried out using the OWAS method to find out whether the work posture of staffing/packing employees falls into the risky posture category or not. Based on the results of the Ovako Work Analysis System (OWAS) analysis research, it shows that the posture of staffing/packing workers is included in the high risk category and needs immediate improvement. This improvement involves designing work facilities, namely a handlift and packing table with an ergonomics approach, resulting in a handlift design with a height of 200 cm (2000 mm) and a packing table with a width of 200 cm (2000 mm) and a packing table with a length of 60 cm (600mm), width 60 cm(600mm), and height 104 cm(1040mm).      

Skin flap is a skin graft procedure that will repair damaged skin by removing the soft tissue underneath. Objective: to determine Physiotherapy management in the form of giving electro therapy (ultrasound and Infrared) and exercise. Methods: The research method includes a "case report" case study conducted on 1 male patient with a diagnosis of Stiffness wrist digiti 1-5 manus dextra hand function disorders, ec. Amputation of fingers manus dextra post flap). The measuring instruments used are using the Numeric Rating Scale (NRS) for pain scale, Wrist Hand Disability Index (WHDI) to measure functional activity ability, Gonimeter to measure joint motion scope, Manual Muscle Testing (MMT) to measure muscle strength, mitline to measure odema segment circumference. Results: After 3 times of therapy, the patient's assessment results were obtained, namely a significant change in the level of joint scope of motion, muscle strength, skin integrity, motion pain in the wrist and fingers of the right hand, and functional ability. Conclusion: This case study shows that the administration of electrotepsy and exercises in the case of Skin Flap of the thumb of the hand, proved to be effective.

Uterine myoma or often called fibroids is a benign tumor originating from the smooth muscle of the uterus. Tumor cells are formed due to genetic mutations, then develop due to the induction of the hormones estrogen and progesterone. The incidence of uterine myoma in Indonesia ranks second after cervical cancer, the incidence of uterine myoma in Indonesia is found to be 2.39% - 11.70% in all patients with gynecological cases hospitalized. Hysterectomy is surgical removal of the uterus (uterus) is one of the procedures performed for uterine myoma. Physiotherapy aids recovery by avoiding or minimizing complications as well as providing physical rehabilitation to support the return of physical function postoperatively hysterectomy. Based on the results of the evaluation of interventions that have been given, breathing exercises, pelvic floor muscle training, active exercises on the hip to the lower extremities as well as early transfer and ambulation exercises have been shown to reduce pain levels, strengthen pelvic floor muscles thereby reducing incontinence, and increase functional activity.

The skin is the widest organ that makes up the human body which is the outermost and covers the entire surface of the body. The outermost location causes the skin to receive stimulation for the first time such as touch stimulation, pain, or bad influences from outside. This causes the skin to stretch due to disease. One of the most common skin diseases suffered by people is acne. Acne occurs generally triggered by the bacterium Propionibacterium acnes (gram positive bacteria). Effective acne treatment can use antibiotics, but inappropriate use of antibiotics can lead to resistance. Therefore it is necessary to have alternative therapies from plants that have the potential as antibacterial. One of the natural ingredients from plants that have antibacterial properties is mangosteen (Garcinia mangostana Linn.)This research was conducted using a descriptive experimental method with the aim of knowing the presence of antibacterial activity in cream preparations of ethanol extract of mangosteen rind (Garcinia mangostana Linn.) against Propionibacterium acnes bacteria as seen from the inhibition of bacteria with varying concentrations of 10%, 15% and 25% by using paper disc diffusion method and solid liquid dilution method. The positive control used clindamycin cream and the negative control used 1% DMSO. Analysis of the diameter of the inhibition data was carried out using the One Way ANOVA test. The preparation formulation that has the largest diameter in the diffusion test is F3 with a concentration of 25% with an average inhibition of 6.36 in the medium category.  The MIC and KBM values in the dilution method were at a concentration of 12.5%. The results of a normally distributed One Way ANOVA are measured with a value (P> 0.05). Mangosteen peel extract (Garcinia mangostana Linn.) has antibacterial activity against Propionibacterium acnes bacteria.    

Bullying is a term for acts of violence or bullying committed by stronger parties both in terms of age, strength, power to the weak. Forms of bullying behavior are physical bullying, verbal bullying and mental / psychological bullying that can have a negative impact on the victim, such as bruises, wounds, pain, timidity, etc. and for the long term namely disruption of psychological conditions and poor social adjustment. The role of educational psychologyCounselors have an important role in preventing and overcoming bullying in schools, for that efficient and comprehensive services are needed to all students by using various skills and media that can help the performance of educational psychology in dealing with bullying.

Back pain is an inconvenience found in pregnant women, especially trimester III pregnant women. Back pain becomes a common problem for pregnant women and could make them feel anxious, afraid, and stressed. The birthing ball and lavender aromatherapy combination is a non-pharmacological therapy and simple physical therapy with the ball. This research determined the combination of birthing ball and lavender aromatherapy combination toward the backpain of trimester III pregnant women at an Obstetrician Practice Erta Faulina Semarang. This pre-experimental research used a one-group-pretest post-test design. The population consisted of all trimester III pregnant women at OB Erna Faulina Semarang. The researchers took 36 samples with purposive sampling. The instruments were a questionnaire and pain observation sheet. Then, the researchers used the Wilcoxon statistic test. The result showed the pain scale before implementing the combination was 5, moderate pain; after the implementation of a combined birthing ball and lavender aromatherapy, the pain scale relieved into 2, mild pain. The Wilcoxon test showed a p-value lower than < α (0,05). The result accepts Ha, indicating the influence of combined birthing ball and lavender aromatherapy on the back pain of trimester III pregnant women. The researcher recommends obstetricians provide the combined birthing ball and lavender aromatherapy for trimester III pregnant women with back pain. This research result could be a reference and insight for students of obstetrics and be an effective obstetric intervention to relieve the backpain of trimester III pregnant women.