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Hypercholesterolemia is a condition where the concentration of cholesterol in the blood increases beyond normal values. One of the plants recommended for consumption by cholesterol sufferers is bay leaves. This is because bay leaves contain various active compounds such as flavonoids which can prevent the oxidation of Low Density Lipoprotein (LDL) and prevent the deposition of fat on blood vessel walls. Saponins can prevent fat absorption, increase excretion in the urine so that fat does not accumulate. This case study aims to provide an overview of implementing the provision of bay leaf boiled water in reducing cholesterol levels in Mrs. R at the health center often in Sidorejo sub-district, Medan Tembung sub-district. The type of research is descriptive with an observational approach through case studies to obtain an overview of the use of bay leaf boiled water in hypercholesterolemia sufferers. The subjects used in the case studies taken were patients with hypercholesterolemia. The instruments used in data collection were family protection observation sheets and taking action to apply boiled bay leaf water. The results of the research showed that boiled bay leaf water was effective in reducing cholesterol levels as applied by Mrs. R taken twice a day, namely morning and evening for 11 days, resulted in a decrease in cholesterol levels from 263 mg/dl to 187 mg/dl.

Hypertension is a condition where a person experiences an increase in blood pressure above normal which can lead to an increase in mordibity and mortality rates. One of the nonpharmacological therapies that has been widely proven to reduce blood pressure is Benson relaxation. The design of this scientific paper uses a case study design of one patient subject in the Medan Sunggal Health Center work area. Data collection instruments used sphygnomanometer, stethoscope and observation sheet. The implementation of the application of benson relaxation is done by checking blood pressure before and after doing benson relaxation therapy, therapy is done once a day for 7 days with a duration of 10 minutes. After the application of benson relaxation therapy on Mrs.A, it was found that there was a decrease in blood pressure in Mrs.A with systolic results of 150 mmHg to 140 mmHg and diastolic 90 mmHg to 85 mmHg Benson relaxation therapy performed for 7 days on Mrs.A had an effect on lowering blood pressure. With this it is found that blood pressure decreases and relieves pain.

 Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java, which has 15 villages. The district has Mojolaban main health center, Jatimalang auxiliary health center and Kustati Clinic. Low back pain (LBP) is a disease that is widely suffered in Sukoharjo Regency, according to the Sukoharjo Regency Health Office, LBP sufferers amounted to 3,670 people from 2018-2022. LBP is one of the health problems that is often not taken seriously by the community, especially the elderly. Even though if left unchecked it can interfere with daily life and reduce quality of life. The purpose of this counseling is to prevent, promote health related to LBP with the target participants of the Matahari Elderly Posyandu located in Ds. Wirun Mojolaban. The measurement used in this activity is a pre-test and post-test questionnaire to measure the understanding of the elderly. The results of the questionnaire showed a good improvement with an average pre test and post test increase of 50%. For this reason, posyandu cadres always follow-up so that the elderly can do this exercise not only during counseling but also at home.

Management Drug management consists of Planning, Procurement, Receiving, Storage, Distribution, Destruction, Control. During the Covid 19 pandemic, demand for medicines in the world increased to USD 4.5 billion, for this reason it is necessary to carry out good medicine management. This research uses a qualitative research method with a case study approach. The informants in this research were the Head of the Community Health Center, Head of the Medicine Warehouse, Medicine Warehouse Installation Staff, and Health Installation Staff at Simpang Jaya Health Center, Tadu Raya District, Nagan Raya Regency and from triangulated data. This research was conducted from February to October 2021, data collection was carried out by means of in-depth interviews and questionnaires. Data analysis by identifying problems using a fishbone diagram to obtain cause and effect relationships. The results of this research show that expert professions in drug management are very necessary, in order to achieve drug management in accordance with the Minister of Health's Regulation, the lack of cupboards is also an obstacle in drug management, the lack of facilities and infrastructure in the Puskesmas includes electronic devices such as computers so that the recording and reporting of drugs is still manually. It is recommended that the implementation of drug management based on the Minister of Health's Regulation concerning Standard Technical Instructions for Public Health Center Pharmaceutical Services in 2019 be maintained.

Mojolaban is a sub-district in Sukoharjo Regency, Central Java which has 15 villages. This sub-district has a Mojolaban main health center and a Jatimalang sub-district health center. Mojolaban sub-district has many elderly people aged 60-64 years, 42,481 people and most of them work as ethanol, roof tile and gamelan craftsmen. Ischialgia has risk factors such as age, unergonomic working positions, the habit of lifting too heavy weights, and injury. These risk factors are related to the majority of people's jobs in the Mojolaban District area. Ischialgia is a problem that often arises in the elderly and people in Mojolaban District do not yet know how to treat Ischialgia properly. This outreach method uses the lecture method and uses leaflets as an outreach medium. The aim of this outreach is to prevent, promote health related to Ischialgia, targeting participants at the Elderly Posyandu located in Palur Mojolaban Village. The measurements used in this activity were pre-test and post-test questionnaires to measure the elderly's understanding of Ischialgia.  The results showed a significant increase in understanding regarding Ischialgia material with an average pre-test score of 3.5 and an average post-test score of 6.1.

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by considering and taking into account women's health status (MMR). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in pregnant women III at the Sidomulyo Banyuasin Community Health Center. The research population was pregnant women in the third trimester at the Sidomulyo Banyuasin Community Health Center with a total of 16 pregnant women. Univariate and bivariate data analysis.  The results of research show that pregnancy exercise has an effect on reducing lower back pain in pregnant women. This shows that 0.018 is smaller than 0.05. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfortable and reduce complaints during pregnancy, such as lower back pain, especially.

Vaccination actively seeks to create/increase a person's immunity against disease. Vaccination protects children from several immunization-preventable diseases (VPD).  The aim of this study is to determine the relationship between age and parity and the incidence of retained placenta in mothers giving birth at the Sonomartani Labura Health Center in 2023. The population in this study includes all women giving birth with retained placenta and recorded in the medical records in January 2022-December 2022 at the Sonomartani Labura Health Center as many as 16 patients. Data analysis using univariate, bivariate analysis. The results of this study show the relationship between age and parity and the incidence of retained placenta in mothers giving birth at the Sonomartani Labura Community Health Center in 2023.

Diabetes Mellitus is a metabolic disease that has hyperglycemia caused by abnormalities in insulin secretion, insulin performance, or both. DM will cause several complications, one of which is sensory neuropathy or damage to sensory nerve fibers which causes DM patients to experience decreased foot sensitivity. The number of DM sufferers at the Sangkrah Health Center in 2022 was 2,404 cases. To describe the results of the implementation before and after the application of diabetic foot exercises on foot sensitivity in patients with diabetes mellitus. This study used a descriptive design by observing foot sensitivity in 2 respondents, carried out in the morning for 1 week with 2 meetings each meeting 15 minutes. The instruments used were observation sheets, monofilament test tools, and newspapers. There was an increase in foot sensitivity scores after diabetic foot exercises were carried out for 2 days in 1 week each meeting 15 minutes to both respondents. The application of diabetic foot exercises can be useful for increasing foot sensitivity in both respondents with diabetes mellitus.

The many possible risks associated with laboratory work are unavoidable. This study aimed to determine and analyze hazards, risks, impacts, risk levels and occupational safety and health (OHS) controls in the physics and chemistry laboratories of the Occupational Safety and Health Center (OHS) Medan. This is a qualitative research method with phenomenological approach hazard identification using Task Risk Analysis method using AS/NZS 4360: 2004 semi-quantitative. The tolerable risk threshold in the chemistry lab was 52, priority 3 was 10, and major was 11. The only thing OHS controlled in the physics lab was the air conditioning system. The presence of SOP (work procedures), MSDS (material safety data sheet) documents, OHS signs, supervision, managerial support, and the use of PPE masks, gloves, long-hand lab coats, rubber shoes, and other safety measures were all necessary in chemistry labs. Expanding the space, adding SOP, installing ventilation are all suggested at the physics laboratorium, Adopting ANSI / AIHA Z9.5-2003 ventilation guidelines, changing or replacing processes with safer chemicals, providing OHS training, and wearing coveralls and glasses are all recommended in the chemistry laboratory.

Background: Mothers' lack of understanding and knowledge about breastfeeding and the benefits of breastfeeding are the biggest factors that make parents easily influenced and switch to formula milk. Non-exclusive breastfeeding carries a risk of death due to diarrhea. There are several factors that can influence the success of exclusive breastfeeding, namely age, education, and parents' knowledge about exclusive breastfeeding. Objective: To determine the level of knowledge of parents in providing exclusive breastfeeding to babies at the Banyudono I Community Health Center. Method: Descriptive. The sampling technique was 41 pairs of parents who had babies in the working area of ​​the Banyudono I Community Health Center. Results: Univariate test results show the characteristics of respondents: fathers aged >35 years (53.7%) mothers aged 20-35 years (73.2%), Most of the fathers had a high school education, 30 respondents (73.2), mothers with a high school education, 26 respondents (60.7%), Fathers work as private employees, 33 respondents (80.5%), mothers as housewives, 22 (53.7%), and fathers' knowledge levels are in the good category, 34 respondents (82.9%), mothers' knowledge levels are good, 34 respondents (82.9%). Conclusion: The majority of parents' knowledge level in providing exclusive breastfeeding to babies aged 0-6 months is good, 82.9%.

Patients with schizophrenia may experience an indirect social exclusion, leading those in their immediate vicinity to grow intolerably intolerant of their abnormal conduct and viewpoints. This can exarcebate mental health issues that may lead to relapses, so therapy is necessary, including the use of relaxation techniques such as guided imagert, The purposes of this study was to ascertain how relaxing methods affected the mental state shifts in the number of schizophrenia patients at the Limboto Health Center’s operational region. A single-group pre-post test design was used in this pre-experimental study, which included 88 schizophrenia patient in total. Purposive sampling was used to choose a total of 19 patients for the sample and the Wilcoxon statistical test was used to evaluate the data. According to the study findings, most schizophrenia patients (73.7%) had a severe mental state prior to receiving relaxation technique; afterward, most were classified as moderate (52.6%); the p-value was 0.000 (<α0.05). The Limboto Community Health Center’s working area’s schizophrenia patient’s mental status alterations were found to be influenced by relaxing techniques.

Asthma is a disease of the respiratory system that causes inflammation or narrowing of the airways that can occur repeatedly due to exposure to allergic agents and this condition can cause shortness of breath for sufferers. According to the World Health Organization (WHO), predicts that by 2025 there will be an increase in the asthma population of 400 million and there will be 250 thousand deaths due to this disease. Data from the Kecipir Health Center in 2023 the incidence of asthma in the Kecipir Health Center working area in Kalibuntu Village is 0.67%. who have asthma. The results of the assessment of the patient said shortness of breath since 5 years ago after doing activities. The nursing diagnosis raised is ineffective airway clearance, and knowledge deficit.

Gastritis is a disease that is often found in the general public, this disease affects all walks of life according to the World Health Organization. The incidence of gastritis in the world is around 1.8-2.1 million of the total population each year. According to data obtained from the Weru Health Center ranks 10th out of 20 major diseases at the Weru Health Center, reaching 149 cases. Guide Imagery is one of the pain distraction techniques aimed at handling pain, lowering blood pressure, relieving anxiety. One group pre test and post design method, the subjects in this research case study were 2 respondents who experienced gastritis, 1 application of guide imagery was carried out for 3 days with a duration of 15 minutes. After the guide imagery technique, 1 application for 3 days, both respondents experienced a decrease in the epigastric pain scale from a moderate pain scale to a mild pain scale, Mrs. S from scale 5 to 2 and Mrs. M from scale 4 to 1. Guide imagery is very effective for reducing epigastric pain in gastritis patients.

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.    

Sexually Transmitted Infections (STIs) are diseases transmitted through sexual activity, whether vaginal, oral, or anal. However, these infections can also be transmitted outside of sexual contact, such as from mother to child (e.g., during birth or through breastfeeding) or through shared needles among drug users, as well as due to poor hygiene of the reproductive organs (http://dewibest.blogspot.com/2014/11/sap-kespro-pada-remaja.htm). STIs can be caused by bacteria, fungi, viruses, and protozoa. STIs are a significant public health issue globally, affecting both developed and developing countries. The actual incidence and prevalence of these infections are not precisely known in various countries (Fauziah Husna, 2020). According to the Centers for Disease Control (CDC) in 2022, the most frequently reported STIs worldwide include syphilis (including congenital syphilis), gonorrhea, chlamydia, chancroid, and HIV (Human Immunodeficiency Virus) (Niforatos, J.D., & Rothman, 2021).

Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.    

Medan Immigration Detention Center (Rudenim) is a technical implementing unit that carries out immigration functions as a temporary shelter for foreigners who are subject to administrative immigration actions in the Nangroh Aceh Darussalam and North Sumatra regions. There are several reasons why foreign nationals are placed in Rudenim, including being in the territory of the Republic of Indonesia without having a valid immigration permit, waiting for the repatriation or expulsion/deportation process, being subject to administrative immigration actions, having completed their sentence and not yet being able to be repatriated or deported. This study aims to determine the history, duties and functions of the Medan Immigration Detention Center and to determine the role of the Medan Immigration Detention Center in fulfilling the Human Rights (HAM) of detainees in the Medan Immigration Detention Center. The research method used is descriptive qualitative and uses a data collection method with a literature review through primary and secondary legal sources. Primary sources such as daily reports made by the Medan Immigration Detention Center, interviews with detainees and employees at the Medan Immigration Detention Center, and observations in the detention room building. As for the secondary sources in this journal, they include related laws and regulations. The results of the study indicate that Rudenim Medan has fulfilled human rights such as the right to worship, receive adequate health services and food, detainees are also given the opportunity to convey complaints, receive visits from family or sponsors, and communicate with representatives of their country. However, there are challenges in the implementation of human rights protection, including the lack of guards at Rudenim Medan and the lack of English language skills of Rudenim Medan officers and the presence of detainees who cannot speak English. Therefore, there needs to be continuous effort from officers at Rudenim Medan, the government and related institutions to strengthen the protection of human rights of detainees at Rudenim Medan.      

The aim of this research is to determine the effect of training, work experience, competence and motivation on performance. The study was conducted on mental health management employees at the Tasikmalaya Regency Regional Health Center. Sampling was carried out using census techniques, with a sample size of 97 samples, consisting of mental health management employees at the Tasikmalaya Regency Regional Health Center, which consists of 40 Community Health Centers. The research instrument used was a questionnaire with a Likert scale. The analysis technique used is path analysis using the SPSS application. The results of this research show that: 1) Training, work experience, competence, motivation and performance are in good condition. 2) Training, work experience and competence have a positive and significant effect on performance, motivation has a positive but not significant effect on performance. 3) Training, work experience, competency and motivation have a significant effect on the performance of mental health management health workers at the Tasikmalaya Regency Regional Health Center

The importance of special attention to mothers and children in health services is reflected in the high maternal mortality rate (MMR), which shows the quality of health services in a region. Pregnant women's knowledge of the danger signs of pregnancy is a key factor in preventing complications and death. Maternal and Child Health (KIA) books and pregnancy class programs are one of the efforts to increase this knowledge. This research aims to increase pregnant women's understanding of the danger signs of pregnancy through counseling in Sungai Beras Hilir Village. The methods used were counseling using KIA books, discussions and demonstrations by the Kulim Jaya Community Health Center team and KKN students. The results show an increase in pregnant women's knowledge about the danger signs of pregnancy and prevention of preeclampsia after being given counseling. In conclusion, this activity is effective in increasing pregnant women's understanding of the importance of knowing the danger signs of pregnancy and preventing them, as well as motivating them to carry out routine health control.