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Hernia is the protrusion or protrusion of the contents of a cavity through a defect or a weak part of the cavity wall concerned. In an abdominal hernia, the abdominal contents protrude through a defect or a weak part of the musculoaponeurotic layer of the abdominal wall. The hernia consists of a ring, pouch and hernia contents (1). The incidence rate of inguinal hernia (medial and lateralis) is 10 times more than femoral hernia and both have a percentage of about 75- 80% of all types of hernia, incisional hernia 10 %, ventral hernia 10 %, umbilical hernia 3 %, and other hernia about 3%. Hernia surgery using a mesh is one of the most common actions performed in general surgery. With the installation of a mesh on an inguinal hernia can reduce the recurrence rate by less than 5%. This technique can also reduce the presentation of postoperative pain so that patients can quickly return to their daily activities. Another advantage with using the mesh method is that it reduces the pressure on the seam line and reduces long-term follow-up.

Low Back Pain (LBP) has long been recognized as the only musculoskeletal condition that adversely affects more than three adults in daily life, known as the second skeletal ganglion. Hot Stone Massage uses bones that have been trained to be used as a means of relaxing muscles, ligaments and tendons. Objective: to determine the effectiveness of Hot Stone Massage in reducing pain in LBP sufferers. The research method used is a literature review approach, by searching for references using the PICO method on the Google Scholar database over a period of 10 years. Results: From the 3 journals studied, Hot Stone Massage had an effect on reducing pain in patients suffering from LBP, with temperature intensity >38°C and p-value p<0.05 showing a significant effect. Conclusion: The use of hot stone therapy also reduces the amount of pain that interferes with daily activities, such as the ability to manage loads, work performance, and sleep quality, in addition to providing long-lasting pain protection for most users during use and for two weeks after use.

Hydropneumothorax is a condition where there is air and fluid in the pleural cavity resulting in the collapse of lung tissue. The exact incidence is unknown but it is found that the incidence of pneumothorax ranges from 2.4 to 17.8/100,000 population per year. In this case, a 42-year-old man with complaints of chest pain since 2 weeks before admission to the hospital. The complaints included shortness of breath and continuous coughing. From the examination results obtained BP 120/80, HR: 135x/I, RR: 18 x/I, and temperature: 37oC. Physical examination found asymmetrical chest movements, chest tube in the sinistra thorax, weak vocal fremitus in the basal part of the left hemithorax at the level of posterior ICS XI, hypersonor in the right lung at the level of ICS II-IV and dimmed in the left basal part at the level of ICS V and a decrease in left lung breath sounds. X-ray examination showed an area of lusensi without pulmonary scars in the lateral aspect of the sinistral hemithorax with a ridge in the basal aspect of the sinistral hemithorax accompanied by an air fluid level in the left hemithorax. The patient was diagnosed with hydropneumothorax ec pulmonary tuberculosis with water seal drainage.

Acute Coronary Syndrome (ACS) is a major cardiovascular problem because it causes high rates of hospitalization and mortality. The clinical manifestations of ACS are that the patient feels pain and discomfort that is not specific in the chest and legs radiating to the neck, left shoulder and arms and back then accompanied by cold sweat, nausea, vomiting, weakness and dizziness and can faint which occurs suddenly with high intensity.  Objective: To find out the results of applying Thermotherapy therapy to relieve chest pain in patients with Acute Coronary Syndrome. Moewardi Surakarta. Method: This type of research is a descriptive case study. The application was carried out on 2 patients selected by purposive sampling method with inclusion and exclusion criteria. Thermotherapy is carried out for 10-20 minutes 1x/day for 3 days. The research instrument used SOP foot massage, hemodynamic status observation sheets, and informed consent. Results: After being given the application to both respondents for 1 time a day for 3 consecutive days, a decrease in the level of the chest pain scale was found in the patient Mr. S with a pain scale level before being carried out by Thermotherapy therapy, severe pain and after being carried out by Thermotherapy therapy for 1 time in 3 consecutive days to mild pain. Meanwhile, in the patient Mr. A with the level of pain scale before the Thermotherapy therapy is severe pain and after the Thermotherapy therapy is done for 1 time in 3 consecutive days it becomes mild pain. Conclusion: there is a reduction in the chest pain scale in patients with Acute Coronary Syndrome at RSUD Dr. Moewardi Surakarta after being given thermotherapy.

Mesenteric artery thrombosis is a condition in which there is a narrowing or blockage of one or more branches of the main arteries that supply the small and large intestines called the mesenteric arteries. This condition can lead to mesenteric ischemia and acute mesenteric artery occlusion, which are associated with high morbidity and mortality. The prevalence of patients with mesenteric vein thrombus is not known because many cases are missed because the symptoms are atypical and disappear spontaneously. Early identification and management of non-occlusive mesenteric ischemia (ISNO) reduces mortality by 50-55%, whereas mesenteric vein thrombus has a 30-day mortality rate of 13-15%. The prevalence and incidence of patients with mesenteric ischemia in Indonesia are not known. Mesenteric artery thrombosis can be subdivided into non-occlusive mesenteric artery ischemia and occlusive mesenteric artery ischemia. Patient A 40 year old male came to the emergency room at Cut Meutia Hospital with complaints of abdominal pain for 4 days. Pain comes and goes. Nausea exists. bloody chapters. Before entering the hospital, the patient complained of diarrhea and stopped after taking entrostop.

Tonsillitis is inflammation of the palatine tonsils. Infection of the tonsils occurs if antigens, whether inhaled or ingested, easily enter the tonsils and the body resists and a focus of infection forms. Initially, the infection is acute, generally caused by viruses that grow on the mucous membrane, then followed by bacterial infection. As a result of chronic inflammation, the size of the tonsils will increase due to parenchymal hyperplasia or fibrinoid degeneration with tonsillar crypt obstruction. The definitive treatment for chronic tonsillitis is surgical removal of the tonsils or tonsillectomy where one of the complications is bleeding which triggers hypovolemic shock. This case report presents a 19 year old man who complained of pain in swallowing and a feeling of lump in the throat and based on the history, physical examination and supporting examinations that had been carried out, the patient was diagnosed with tonsillitis and planned to undergo a tonsillectomy. After the procedure, the patient experienced hypovolemic shock due to bleeding and died

Low back pain (LBP) is a non-specific condition of acute or chronic pain in or near the lumbosacral spines that can be caused by inflammatory, neoplastic, traumatic, or other disorders. Long standing can be caused discomfort for the worker’s body. A survey conducted by the Center for Disease Control and Prevention (CDC) in 2011, low back pain is found in the top 10 diseases in Indonesia. As for jobs that required on standing for long duration and correlation by increased risk for low back pain, one of which is in a cake company called Rotte Bakery in Pekanbaru. The production process at Rotte Bakery required a lot of human roles, especially in terms of physical aspects, allowing staffs to long standing while working which can cause ergonomic problems such as low back pain. The research conducted by observational analytic method, with a cross sectional study design. The sampling technique used accidental sampling which was statistically tested using the chi-square test. The research purposes to determine the correlation of the long standing with low back pain event on Rotte Bakery Pekanbaru city staffs 2020. The result showed that there was a relationship (p-value = 0,000) and a significant correlation (p-value < 0.05) long standing with lower back pain event on Rotte Bakery Pekanbaru city staffs. Rotte Bakery staffs advised to pay attention to standing time while working, adhere to the rules for using a complete PPE, and the company can provide education at the beginning before starting work.

Health is a state of health, both physically, mentally, spiritually and socially, which enables everyone to live a productive life socially and economically. Public health is a condition that describes the level of health that occurs in society. Society is a group of individuals who live together, work together to obtain common interests and have an order of life, norms and customs that are adhered to in their environment. Public Health is a part of science that discusses and studies the prevention and treatment of disease in each individual. Physiotherapy as a health worker plays a very important role and must have the ability to maximize the potential for movement and function within the promotive, preventive, curative and rehabilitative scope. Therefore, it is proof that physiotherapy not only plays a curative and rehabilitative role but also plays a big preventive role. Nape pain or neck pain is generally not a serious condition that needs to be watched out for. This condition can heal in a few days or weeks without special treatment. However, neck pain can also occur due to certain diseases. Bending over, looking down for too long, often gritting your teeth, or reading in bed, using a cell phone for a long time can cause the neck muscles to become tense. Over time, this condition will cause Kornik's neck pain, which is a myofascial condition. Smartphones are a real manifestation of technological progress and are devices that work very complexly with access to the internet, social media and games. Excessive smartphone use can cause musculoskeletal disorders. Musculoskeletal disorders associated with smartphone use cause neck muscle fatigue caused by poor posture. Using smartphones for a long time can cause muscle tension. Apart from using smartphones, household activities can also cause neck pain such as ironing and washing. Providing exercise therapy in the form of Free Active Movement can reduce complaints of neck pain.

Low back pain (LBP) in Indonesia is a musculoskeletal complaint in the lumbar segment of the spine. One of the factors that influence complaints of low back pain (LBP) is work factors such as work position, work period, workplace design and body posture as well as body movement factors. Repetitive work, inefficient use of energy, long hours of work, unergonomic work positions and heavy workloads cause the incidence of LBP to increase. Therefore, it is necessary to increase insight into LBP as a promotive and preventive effort in reducing LBP symptoms. The methods used are counseling and leaflets as output results. There is a difference in understanding from the community and fishermen that after participating in this outreach activity, those who previously did not understand LBP disorders now understand more about what it is, the signs and symptoms, causes, intervention and prevention of LBP.

Medicinal plants have been known and used worldwide for thousands of years. One type of medicinal plant that is often used is gaharu. The efficacy of gaharu leaves provides properties as a fever reducer, increases appetite, launches menstruation, and relieves pain. This study aims to determine whether there is an analgesic effect from the methanol extract of gaharu leaves in male Wistar rats using the heat stimulation method. This study was an experimental study using twenty-five male Wistar rats divided into five groups. Group I (negative control), rats were treated with 1% CMC-Na. Group II (positive control), rats treated with mefenamic acid 45 mg/kg BW. Group III, IV, and V rats were treated with gaharu leaf methanol extract suspension (100; 200, and 400) mg/kg BW. Pain stimulation was carried out by dipping the rat tail into a 40°C water bath. Data on response time to pain, stimuli were analyzed using the One-Way Analysis of Variance (ANNOVA) method with a 95% confidence level followed by a post-hoc Tukey test to determine which group had the same or significantly different effect. The results showed that the normal response time data for mice to painful stimuli ranged from 2.79 to 3.57 seconds. 1% CMC-Na treatment in mice was unable to increase the response time to a significant pain stimulus (p>0.05). Mefenamic acid treatment 45 mg/Kg BW significantly increased the response time to painful stimuli (p<0.05) with the longest average response time to painful stimuli, namely 8.87 seconds. Based on the method used in this research, methanol extract of agarwood leaves 400 mg/kgBW has almost the same analgesic effect as mefenamic acid 45 mg/KgBW.

Medicinal plants have been known and used worldwide for thousands of years. One type of medicinal plant that is often used is gaharu. The efficacy of gaharu leaves provides properties as a fever reducer, increases appetite, launches menstruation, and relieves pain. This study aims to determine whether there is an analgesic effect from the methanol extract of gaharu leaves in male Wistar rats using the heat stimulation method. This study was an experimental study using twenty-five male Wistar rats divided into five groups. Group I (negative control), rats were treated with 1% CMC-Na. Group II (positive control), rats treated with mefenamic acid 45 mg/kg BW. Group III, IV, and V rats were treated with gaharu leaf methanol extract suspension (100; 200, and 400) mg/kg BW. Pain stimulation was carried out by dipping the rat tail into a 40°C water bath. Data on response time to pain, stimuli were analyzed using the One-Way Analysis of Variance (ANNOVA) method with a 95% confidence level followed by a post-hoc Tukey test to determine which group had the same or significantly different effect. The results showed that the normal response time data for mice to painful stimuli ranged from 2.79 to 3.57 seconds. 1% CMC-Na treatment in mice was unable to increase the response time to a significant pain stimulus (p>0.05). Mefenamic acid treatment 45 mg/Kg BW significantly increased the response time to painful stimuli (p<0.05) with the longest average response time to painful stimuli, namely 8.87 seconds. Based on the method used in this research, methanol extract of agarwood leaves 400 mg/kgBW has almost the same analgesic effect as mefenamic acid 45 mg/KgBW.

One of the problems among silk sarong weavers is complaints of Musculoskeletal Disorders (MSDs), namely the emergence of muscle complaints due to unergonomic work attitudes. Complaints that are felt include the muscles of the neck, shoulders, arms, hands, fingers, back, waist and lower muscles. The aim of this research is to determine the factors associated with MSDs complaints among silk sarong weavers in Pakanna Village, Tanasitolo District, Wajo Regency. This research is a quantitative study, using a cross sectional study approach, with a population of 124 people and a sample of 42 people selected using purposive sampling. Work posture risk assessment uses the REBA method and measurement of the level of MSDs complaints using the Nordic Body Map questionnaire. The research results showed that of the 42 respondents there were 37 (88.1%) with medium work posture risk, and 5 (11.9%) with high work posture risk. Meanwhile, for MSDs complaints, there were 21 (50.0%) who suffered from moderate MSDs complaints, 11 (26.2%) who suffered from mild MSDs complaints, and 10 (23.8%) who suffered from severe MSDs complaints. Based on the results of the chi-square test, it shows that there is a relationship between MSDs complaints and work posture (p value = 0.005), age (p value = 0.013), work period (p value = 0.002), length of work (p value = 0.000), history of illness. (p value = 0.000). Therefore, workers are advised to rest when they start to feel pain or soreness in any part of their body, and diligently stretch their muscles while working. Relevant agencies should provide education regarding work risks and work procedures in accordance with ergonomic principles.

Physical activity is a form of physical movement that results from the body's systems, one of which is the musculoskeletal system. Physical activity requires energy expenditure in the process. One of physical activity that is often done is exercise. High levels of activity can cause muscle fatigue, tissue damage, pain and discomfort. Proper and effective exercise preparation can have an effect on improving body health such as blood circulation, metabolism, and increasing muscle strength and work. One of important exercise preparation is stretching. Stretching exercises that are carried out well and regularly have benefits in maintaining and improving quality and increasing the flexibility of the body.

Due to the fetus's expansion in the uterus, the mother's pelvic joints are slightly more mobile, resulting in back pain. Additionally, the shoulders are pulled back and the lumbar spine is more curved, both of which increase spinal joint flexibility. To overcome back pain, one effort that can be done is pregnancy exercise. The goal of this volunteer project is to develop a unified strategy for preventing and treating pregnancy-related back pain by educating the public about the issue. Implementation in community service activities on October 3, 2023 at 09:00 - 12:00 WIB has been followed by pregnant women totaling 10 pregnant women, with the average results of knowledge before counseling amounting to 52.5 and after counseling amounting to 89.0 it is concluded that overall counseling participants with good knowledge. It is hoped that by raising awareness of pregnancy exercises, particularly among pregnant women, this event will help to reduce the number of back pain complaints in the community. Health Education is a topic that is explored in both theory and practice during these events. With this program, it is hoped that pregnant women can do pregnancy exercises so that complaints of back pain and other complaints can be reduced. These are some of the desired results from this endeavor; (1). Scientific publications in journals with ISSN / Proceedings; (2). Publication in PT repocitory; (3). Leaflet; (4). Activity Video; (5). Increased knowledge    

Soft Tissue Neck MRI Examination Technique With Liposarcoma Clinical At The Mayapada Hospital Installation, South Jakarta. MRI examination techniques have a very important role in the medical field because of their ability to produce visual images of the body's soft tissue and metabolic processes. Liposarcoma is a malignancy of mature fat cells in the connective tissue space1. Liposarcoma is the most common type of soft tissue sarcoma, appearing slowly, enlarging, painless, non-ulcerated submucosal mass in middle-aged people, some lesions grow rapidly and become ulcerated early, Liposarcoma is a rare malignant tumor. The purpose of this examination is to find out whether the image results produced using the sequence at Mayapada Hospital can produce a firm image in confirming the diagnosis of liposarcoma. This research is a qualitative study with a case study method using 3 patients who underwent an MRI examination of neck soft tissue with clinical liposarcoma. Data was collected using observation, documentation and interviews with radiographers and radiologists. The results of the data that have been collected can be concluded that the results of the soft tissue MRI examination of the neck with clinical liposarcoma carried out at Mayapada Hospital, South Jakarta are good in confirming the diagnosis and the results of a more detailed anatomical picture.

Gangguan kandung empedu, hati, dan pankreas eksokrin dapat terjadi sebagai gangguan primer. Fungsi satu organ sering mempengaruhi organ lainnya. Inflamasi atau obstruksi duktus dan perubahan menyebabkan dampak. Mendeskripsikan Penatalaksanaan Nyeri dengan Teknik Mobilisasi Dini ROM ( Range Of Motion ) di RSUD Kardinah Kota Tegal. Jenis rancangan penulisan dalam karya tulis ilmiah ini adalah deskriptif dalam bentuk studi kasus dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosa keperawatan, perencanaan, implementasi, evaluasi. Hasil penelitian dapat disimpulkan penerapan terapi ROM ( Range Of Motion ) terbukti dapat mengatasi masalah diagnosa nyeri akut berhubungan dengan agen pencedera fisiologis, pelaksanaan asuhan keperawatan sendiri dilaksanakan selama 3 hari, dengan kriteria hasil nyeri berkurang.

As older people age, their muscle strength typically declines, including the weakening of the thenar muscles over time which can lead to a blockage of the median nerve often known as carpal tunnel syndrome. This blockage causes pain that can radiate from the shoulder to the fingertips. This counseling is designed to provide older adults with knowledge and training on hand pain, including its symptoms and triggering factors. The counseling method uses presentations to explain information to the elderly with the aim of health promotion. In addition, there was a question and answer session and education on exercises that can be done at home. The counseling process went smoothly, the elderly could follow and understand the exercises taught to be done at home. This counseling has the potential to reduce pain in the elderly after they do the exercises at home. Counseling activities at the Children and Elderly Posyandu Rw.3 Rampal Celaket, Klojen District, Malang City helped increase the understanding of the elderly about pain in the hands caused by median nerve blockage.

Introduction : Mastoiditis is inflammation that occurs in the mastoid bone located in the temporal bone. Mastoiditis can affect all ages, both children and adults. The most frequent cause of the disease is stressptococcus pneumonia. This disease requires surgery as soon as possible. Mastoiditis can develop into a bezold abscess if left untreated. Case report: This case report is about a 31-year-old male patient complaining of swelling the size of a marble seed on the bone behind the right ear ± 1 week, swelling from the protruding bone behind the right ear to the neck. Swelling is accompanied by pain, redness, fluctuations (+), fever that disappears and decreased hearing function. Conclusion: The patient has a bezold abscess preceded by mastoiditis. The diagnosis in this patient is based on history, physical examination, and supporting examinations in the form of laboratory and mastoid X-rays with stenvers and schuller positions. In patients carried out drainage measures of abscesses as well as pharmacotherapy administration.

Education about the use of family medicinal plants (TOGA) currently really needs to be disseminated early to school students to increase knowledge as medicine and food. The aim of this community service is to increase students' understanding of using TOGA plants earlier, especially aloe vera which is used for first aid in burn wound management. This activity was carried out by presenting material and demonstrations with 30 high school students as respondents. The results of activities before the educational intervention were carried out were found to be an average (53.00) and after the educational intervention was given an average (80.00). So, from the results of the average points before and after being given burn wound management education based on aloe vera moist dressing, it was found that there was an increase in Senior High School students' knowledge and insight regarding burn wound management. Aloevera contains sterols including campesterol, β-sitosterol, and cholesterol which can reduce inflammation, help in reducing pain and act as a natural analgesic. Aloevera Moist Dressing for burn wound management can be used as an alternative for treating burns at home independently, because it is quite easy to use and the aloevera ingredient is easy to find.

This research aims to analyze the communication strategies used by Jogja Painting in enhancing the brand image of the Jopa Jopi comic. Jogja Painting is a successful art and creative company that has created the popular Jopa Jopi comic, attracting numerous readers. However, the brand image of this comic still needs improvement to gain broader recognition and acceptance. The research method employed is a descriptive qualitative approach. Data was obtained through in-depth interviews with Jogja Painting's management and observations of their communication activities. The findings reveal that Jogja Painting's communication strategies are not yet optimal due to incomplete implementation. The various stages of the communication strategies have not been fully executed, resulting in minimal changes to the brand image and limited reach to a wider audience. Obstacles include difficulties in generating story ideas, monotonous content that fails to engage readers, and visually unappealing aspects of the Jopa Jopi comic. To enhance the brand image, Jogja Painting needs to improve its communication strategies and address these obstacles, enabling the Jopa Jopi comic to gain greater popularity among a wider audience. .