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Self-management refers to an individual's ability to control aspects of himself, including physical, emotional, mental, and behavioral. Adherence to medication in Pulmonary Tuberculosis Patients is essential because, if not done regularly, it can cause drug resistance, recurrence of the disease, and even death. This study aims to determine the relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center. This research is a type of quantitative research; the research design uses cross-sectional. The sample in this study consisted of 67 respondents, and the sampling technique used was accidental sampling. Data collection used a questionnaire on self-care activities and medication adherence, and data analysis was conducted using the Spearman rank test.The results of the study showed that most respondents had good self-management which was 80.6%, and some respondents had very compliant medication adherence, which was 85.1%. Statistical tests showed a relationship between the self-management variable and medication adherence (p-value 0.001). Conclusion: There is a relationship between self-management and medication adherence in Pulmonary Tuberculosis patients at the Sukarahayu Health Center, Subang Regency. It is hoped that researchers can further explore appropriate efforts or actions for adherence to taking pulmonary tuberculosis drugs.

Abraham Maslow (1984) proposed a hierarchy of needs that includes 5 basic needs and desires in humans. The 5 levels of basic human needs are physiological needs Basic human needs are the elements needed to maintain balance, both physiologically and psychologically. One of them is sleep where humans need to meet their basic needs to achieve optimal energy needs. The current investigation employs a cross-sectional research design, utilizing a correlational approach to examine the research question at hand. The sampling method in this research used simple random sampling, the total sample was 94 respondents. The research instrument used the PSQI questionnaire and digital sphygmomanometer instrument. Where the Spearman Rank test results were obtained with a p-value < 0,001 and a Correlation Coefficient value of 0.503. So, based on the results of this research, it can be concluded that there is a relationship between sleep quality and MAP value in elderly people with hypertension in the work area of ​​the Palasari Health Center, Subang Regency in 2024 with a p-value<0,001 with a positive correlation coefficient. It is expected that the research will serve as a benchmark for future researchers in the field of education, particularly in their endeavors to enhance the quality of sleep in elderly individuals afflicted with hypertension, utilizing the MAP standards.

The study was conducted from January 2021 to March 2022. The study included samples of female patients arriving at some private laboratories in Samarra. The study included (50) serum samples from women arriving at health centers. The study groups were divided into two groups of women, the first group included (35) serum samples from pregnant women who suffered from previous miscarriages, and the second group was the control group, which included 15 samples from healthy women. Blood samples were collected in a volume of (5) ml in clean dry tubes and placed in an incubator at 37°C for (5) minutes, then the coagulated fraction was separated from the clear solution using a centrifuge at a speed of (2000 cycle/min) for (15) minutes. The clear solution represents the blood serum that was drawn using a micropipette, which was divided into (7) parts using plastic tubes, then the samples were kept at a temperature of 20 °C until the required tests were performed on them. Concentrations of thyroid hormon, (T3), (T4) and (TSH), were measured by used the equipment of all test.

Pregnancy is a very important experience for a woman. Based on the journal Of Midwifery issued in 2020, it is stated that lower back pain is the most common complaint in the third trimester of pregnancy. Predisposing factors for back pain include uterine growth which causes changes in posture, weight gain, the influence of the relaxin hormone on ligaments, previous history of back pain, parity and activity. Research Objective: to determine the effect of progressive muscle relaxation on lower back pain in third trimester pregnant women at the Malifut Community Health Center. This type of research is experimental research involving one group of subjects with a pre-experimental approach, one group pretest posttest design. The respondents for this research were 30 people. Purposive sampling technique. Results: This study showed that 30 respondents who had not been treated with progressive muscle relaxation techniques experienced moderate pain as many as 18 people (60%) and experienced mild pain as many as 12 people (40%). Shows that 30 people (100%) experienced a reduction in pain. The results after it was discovered that the Wilcoxon test was carried out above the P value = 0.000 (< 0.05) so that there was a significant difference between lower back pain before the relaxation intervention was given. Advice for pregnant women who experience levels of pain is to carry out progressive muscle relaxation to reduce the level of lower back pain  

Tuberculosis is an infectious disease caused by the Mycobacterium Tuberculosis germ, which mostly attacks the lungs. The problem of controlling pulmonary tuberculosis has been implemented in many countries since 1995, but it remains a health problem in the community that causes high mortality among infants, children, adolescents, and seniors. One of the government programs in controlling pulmonary tuberculosis is the Joint Movement against tuberculosis in education units, the targets in the program are students, teachers, and education personnel from kindergarten to senior high school by providing health promotion. Data collection conducted by researchers found a health center with the highest incidence of pulmonary TB in children in Banjarmasin city, there is one elementary school closest to the health center. This study aims to provide health promotion through leaflet media on students' knowledge about the prevention of pulmonary tuberculosis at SDN Sungai Lulut 8 Banjarmasin. This study used quantitative research Pre-experimental method with a one group pretest-posttest approach. The population in this study were 199 people. The sampling technique used was purposive sampling with a sample size of 67 students. This research instrument uses a questionnaire. The statistical test used is the Wilcoxon signed rank test. The results show that there is a difference between before and after giving promotion.

The stunting rate for toddlers in Surakarta increased from 2.0% (2021) to 2.7% (2022). The Pajang Community Health Center has the highest number of stunted toddlers, namely 142 toddlers. A history of infectious disease increases the risk of stunting 3-8 times. Objective: To describe the history of stunting in toddlers in the Pajang Community Health Center working area. Method: This research is quantitative descriptive. The research population was 187 stunted toddlers. The sampling technique used total sampling with inclusion and exclusion criteria, so that 142 respondents were obtained. Results: Characteristics of toddlers: 1-3 years old (69.7%), male (48.6%), and exclusively breastfed (81.7%). Characteristics of mothers of toddlers: aged 20-34 years (74.6%), not working (78.9%), and high school education (50.7%). History of infectious diseases in children under five: diarrhea (42.3%). Non-communicable diseases liver disorders (1.4%) and anemia (1.4%). The genetic disease is Congenital Heart Disease (0.7%). A total of 40 toddlers (28.2%) had no history of disease. Conclusion: Stunted toddlers are predominantly 1-3 years old, male, and exclusively breastfed. Mothers of toddlers aged 20-34 years, not working, and have a high school education. The dominant infectious diseases are diarrhea, non-communicable diseases anemia and liver disorders, as well as the genetic disease CHD. Toddlers with no history of illness in small numbers.

The quality of service at UPT Puskesmas Sibolangit is still not good. The quality of service at UPT Puskesmas Sibolangit is still not good which is related to the management of the health center which has not been able to carry out its functions properly including: planning, implementation and performance assessment. This study aims to determine the effect of planning, implementation and assessment of health center management work on service quality at UPT Puskesmas Sibolangit. This type of research is an analytical survey study with a cross-sectional design. The population of the study was all employees at the Sibolangit Health Center UPT as many as 52 people and using total sampling. The data collected were primary data and secondary data, primary data were obtained using a questionnaire. The data were analyzed using Multiple Logistic Regression statistical tests with a confidence level of 95%. The results showed that the majority of planning was less than good as many as 28 people (53.8%), the majority of implementation was less than good as many as 28 people (53.8%), the majority of assessment was less than good as many as 29 people (55.8%) and the majority of service quality was less than good as many as 29 people (55.8%). The conclusion of this study is that planning obtained p-value = 0.037 <α=0.05, implementation obtained p-value = 0.037 <α=0.05 and assessment obtained p-value = 0.022 <α=0.05 means that there is an influence of planning, implementation and assessment on the quality of service at the Sibolangit Health Center UPT and the most dominant health center management influencing the quality of service at the Sibolangit Health Center is the assessment variable that has an influence with a strength of influence of 29,153 times. It is recommended to the Head of the Health Center to increase the joint commitment of the leadership and employees and the Head of the Health Center to improve coordination, communication and cooperation by involving all program managers in the management process and for the Health Office to further improve technical guidance to the Health Center on health center management.

Pancasila values ​​are not only implemented at that time but are preserved every day. As the basis of the Indonesian nation and state, Pancasila is essentially derived from cultural values, not just as reflections or thoughts of individuals like other foundations in the world, religious values ​​contained in the outlook on life of the Indonesian nation before the founding of a country. The aim of the research is to see the implementation of these values. -Pancasila values ​​in services at the Nabarua Health Center. The method used in this research is literature study (data collection, literature references related to the implementation of Pancasila values) with a case study type of research using research.  Qualitative descriptive approach. The results of the research. The implementation of Pancasila values ​​is reflected in five principles, starting from the value of God to the value of Justice which is implemented in health services for medical record officers. The first principle is demonstrated by the activity of greeting and saying hello, the second principle is an attitude of helping each other through humanitarian activities such as Health Services for Children, Toddlers, Adults and the Elderly. The third principle is to join a professional organization. The fourth principle is demonstrated by providing opinions during evaluation meetings held every month at the Community Health Center. The fifth principle is implementing working relationships between medical record officers in accordance with the professional code of ethics. The suggestion in this research is to apply Pancasila values ​​at the Community Health Center, there are internal obstacles such as officers being late in attending the morning roll call and some officers being unable to attend the evaluation meeting which is held once a month. The head of the Community Health Center has an important role in applying Pancasila values ​​to medical records officers. So, the head of the community health center and his staff must be more able to provide motivation, support and examples for officers in implementing the values ​​of Pancasila.

Utilization of VCT services in Male Sex Men at Padang Bulan Medan Public Health Center Pematangsiantar City is still relatively low (34.4%). The low utilization of VCT services in Male Sex Men is related to the perception of seriousness and the possibility of taking action. This study aims to analyze the influence of perceptions of seriousness and the possibility of taking action on the use of VCT services in Male Sex Men at Padang Bulan Medan Health Center Pematangsiantar City Year 2018. The type of this research is analytic research using cross sectional design. The population in this study is all MSM who utilize VCT service at Padang Bulan Medan Public Health Center Pematangsiantar City in the year 2017 that as many as 189 people and sample counted 61 people. Data were obtained by questionnaire and observation interviews, analyzed by Multiple Logistic Regression statistic test at α = 5%. The results showed that the perception of seriousness and the possibility of taking action had an effect on the utilization of VCT service to MSM in Puskesmas Padang Bulan Kota Medan and the most dominant variable influencing the use of VCT service on Male Sex Men at Padang Bulan Medan Public Health Center Pematangsiantar City was the possibility variable to take action with Exp B = 11,450 . It is suggested to health workers to increase the extension to the MSM on the use of VCT services so that MSM will come to utilize VCT services to Kota Pemassiya Kota Pemassiantar Health Office to further improve the implementation and socialization to LSL (Male Sex Man) in Pematangsiantar City about the importance of VCT service utilization and to LSL (Male Sex Men) in Padang Bulan Medan Health Center Pematangsiantar City should routinely make use of VCT services.

World Health Organization (WHO) 41% of pregnant women worldwide experience anemia. Overall, the prevalence of anemia in pregnant women in developed countries is 49% and in developing countries it is 53%. In Indonesia, the rate of anemia in pregnant women is quite high, namely 48.9%. Anemia that is commonly experienced by pregnant women is iron deficiency anemia. Iron is needed in hemopoesis (blood formation), namely in the synthesis of hemoglobin. Iron absorption can be increased by consuming ± 25 mg of vitamin C sources in food. The aim of the research was to determine the difference in the effectiveness of papaya and red guava on hemoglobin levels in pregnant women with anemia. The research was conducted at the Nagaswidak Community Health Center in June 2024 using a quasi-experimental two group pretest and posttest. The population in this study were all pregnant women who were in the working area of the Nagaswidak Palembang Community Health Center in May 2024 with Hb levels of 9 – 10.9 gr/dl. The sampling technique used purposive sampling totaling 30 respondents. The results of the Wilcoxon test research showed that the effect of papaya (p value 0.000) and guava (p value 0.000) was obtained. The results of the Mann Whitney union obtained a p value of 0.116. There is an effect of papaya on hemoglobin levels in pregnant women, there is an effect of guava on hemoglobin levels. There is no difference in the effect of papaya and guava on hemoglobin levels in pregnant women at the Nagaswidak Community Health Center. It is hoped that health workers will increase education regarding the prevention of anemia in pregnant women, one of which is by consuming vitamin C in fruit.

The Tanjung Pura Class IIB Detention Center is one of the UPTs under the Ministry of Law and Human Rights which carries out Medical Rehabilitation and Social Rehabilitation. Rehabilitation is an effort to restore and restore narcotics abuse/addiction to health in the sense of physical, psychological, social and spiritual/religious (faith) health. With this healthy condition, it is hoped that they will be able to function normally again in their daily lives. The aim of this research is to find out the legal basis for providing rehabilitation sanctions in legislation, implementing rehabilitation. In accordance with statutory regulations and the effectiveness of rehabilitation implementation at the class IIB Tanjung Pura detention center. This research is included in analytical descriptive research with a type of empirical juridical research using qualitative analysis methods. Based on the research results, it is known that the legal basis and regulations related to rehabilitation of convicts and drug abusers are Law Number 35 of 2009 concerning Narcotics, Law Number 12 of 1995 concerning Corrections, Regulation of the Minister of Health of the Republic of Indonesia Number 46 of 2012 concerning Procedures for Implementing Rehabilitation Medical for addicts, abusers and victims of narcotics abuse. SEMA Number 4 of 2010, concerning the placement of drug abusers, victims of abuse, and narcotics addicts into medical and social rehabilitation institutions and SEMA Number 3 of 2011 concerning the placement of victims of narcotics abuse in medical and social rehabilitation institutions, implementation of rehabilitation in class IIB prisons in Tanjung Pura refers to statutory regulations related to the rehabilitation of perpetrators of criminal acts of narcotics abuse, including medical rehabilitation and social rehabilitation, until the inmates have completed their criminal term. Implementation. Rehabilitation at the Tanjung Pura class IIB detention center is quite effective in healing, educating and sensitizing prisoners, where prisoners are cured of addiction with medical rehabilitation and their personality and psychology are restored with social rehabilitation. So that after completing their prison term, inmates can return to living a normal life in society.

Background: Hyperthermia is an abnormally high body temperature caused by thermoregulatory dysfunction. High fever can lead to shock, which, if not treated promptly, can result in death. Hyperthermia in children is commonly caused by viral infections, excessive heat exposure, dehydration, allergies, and immune system disorders. Objective: To determine the level of parental knowledge regarding the management of hyperthermia in children at Pahandut Health Center. Method: This study used a questionnaire design with a sample of 31 respondents at Pahandut Health Center. Results: The research results showed the level of parental knowledge about hyperthermia management at Pahandut Health Center, with 31 respondents categorized as follows: 14 respondents (45%) had good knowledge, 14 respondents (45%) had sufficient knowledge, and 3 respondents (10%) had poor knowledge. Conclusion: The study highlights the importance of parental knowledge in preventing hyperthermia in children.

Stunting is a form of malnutrition which is characterized by an indicator of height according to age. The TB/U indicator provides an indication of chronic nutritional problems as a result of a long-standing condition. The aim of this research is to determine the relationship between feeding patterns and the incidence of stunting in toddlers aged 12-59 months in the working area of the Gunung Tinggi Community Health Center, Sukaraya Village.  This research uses correlational research with a cross-sectional approach. The population in this study were mothers who had stunted toddlers. Respondents in this study were 85 respondents, taken using purposive sampling technique. The independent variable in this research is feeding pattern. The dependent variable in this research is stunting. Data was collected using a questionnaire and the toddler's height was measured using a microtoise and converted into a standardized value (z-score). Data were analyzed using the Spearmen's Rho test with significance α=0.05. The research results showed that there was a significant relationship between feeding patterns and the incidence of stunting in toddlers aged 12-59 months (p=0.002; r=0.326). The relationship that occurs is a weak relationship and the relationship between these variables is in the same direction, meaning that the better the feeding pattern, the level of stunting incidents in the working area of ​​the Gunung Tinggi Community Health Center, Sukaraya Village will decrease, so the feeding pattern must be improved. Therefore, nurses and other health workers must increase health promotion regarding good feeding patterns for toddlers.

Diabetes mellitus (DM) is a global public health threat, and around 90% of all patients suffering from DM throughout the world are type 2 DM. Non-compliance related to Diabetes Mellitus is something that is a problem that should be avoided. This study aims to determine the level of patient compliance with the use of antidiabetic drugs at the Cidemp Indramayu Community Health Center, and to determine the relationship between the level of compliance of Diabetes Mellitus patients with blood glucose levels (fasting and while) at the Cidemp Indramayu Community Health Center. This research is a type of analytical observational research with a research design. cross-sectional. Data analysis in this study used SPSS version 23 software. The results showed that the majority of respondents fell into the "compliant" category, 20 respondents (62.5%) compared to "non-compliant" 12 respondents (37.5%). In addition, when checking blood glucose levels it was found that 62.5% of "compliant" patients had controlled fasting blood glucose levels, while only 28.1% of "compliant" patients had uncontrolled fasting blood glucose levels. Regarding the relationship between the level of absolute compliance with fasting blood glucose levels (P= 0.005), the results of compliance with glucose levels when controlled were (0.003). Keywords: diabetes mellitus, patient compliance, blood glucose levels.    

Community-based childbirth assistance (MPPBM) is an important approach in efforts to reduce maternal and infant mortality rates. Health cadres have a strategic role in assisting pregnant women and facilitating referrals to health facilities. This study aims to explore the knowledge and meaning of health cadres related to community-based childbirth assistance. This study used a qualitative approach with a descriptive phenomenological design involving 8 cadres in the Baloi Permai Health Center work area. Data were collected through in-depth interviews and analyzed using the Colaizzi phenomenological analysis method. The results showed five main themes that describe the knowledge and meaning of assistance according to cadres: Assistance as a form of social concern, Knowledge of pregnancy danger signs and referrals, Assistance as a form of spiritual and emotional service, Challenges in carrying out the role as a companion, and Expectations for health system support. These findings can be used to improve the quality of cadre training and strengthen community-based assistance policies.

Hyperemesis gravidarum is a condition of excessive nausea and vomiting in pregnant women that is worse than morning sickness, the cause is unknown. Psychological factors can worsen this condition, causing dehydration, weight loss, electrolyte imbalance, and complications such as liver damage and retinal hemorrhage due to increased blood pressure during vomiting. Treatment is done by administering fluids, glucose, electrolytes, and vitamins through an IV. This study aims to analyze the factors that influence the incidence of hyperemesis gravidarum at the Pagar Merbau Health Center, Deli Serdang, in 2023. This study uses a descriptive correlational method with a cross-sectional design to analyze the relationship between independent and dependent variables simultaneously. Data were collected retrospectively from 36 respondents using a purposive sampling technique. The research instruments were questionnaires and observation sheets, while data analysis was carried out using the chi-square statistical test which showed a p value = 0.021. There is a significant relationship between age, knowledge, parity, and multiple pregnancies with the incidence of hyperemesis gravidarum in pregnant women at the Pagar Merbau Health Center, Deli Serdang.

Background: There is a significant relationship between eating habits and the prevalence of hypertension in elderly citizens receiving care at community health centers. Objective: The purpose of this study was to determine whether the prevalence of hypertension in the community of Benteng Village RT 004/07, Benteng Health Centre Working Area, correlates with physical activity. Method: This study employed a cross-sectional methodology and was quantitative in nature. The sampling technique used was comprehenThe study employed a GPAQ questionnaire, a stethoscope, written consent, research tools, stationery, and data analysis procedures using Spearman's rank. tudy. Twenty-four respondents became the research sample. Results: According to the results of the Spearman rank statistical test, the incidence of hypertension in the Benteng Village community significantly correlates with physical activity (p value = 0.000), and the correlation is unidirectional (relationship coefficient = -0.324). The degree of hypertension among respondents decreased with increased physical activity. Suggestion: Community health centres can provide weekly fitness instructions for the elderly in an effort to reduce blood pressure in hypertensive patients through physical activity.

According to Mulyani (2018) breast self-examination (BSE) is a breast examination to find abnormal lumps. This examination can be done yourself without having to go to the health center and without having to pay any money. Based on data from the World Health Organization (WHO), the total number of cancer cases in Indonesia in 2020 reached 396,914 cases and the total deaths were 234,511 cases. Cancer prevalence in Indonesia in 2020 was dominated by breast cancer, with 65,858 cancer sufferers (16.6%). The research design used is an analytical type of research to determine the causal relationship between two variables.  with a cross sectional approach where data collection for independent variables and dependent variables is carried out at one time only. The population of this study is all teenagers in the Rohana am.keb midwife clinic area. a total of 35 teenagers. The entire research population was used as a sample, data obtained from primary data was analyzed using the chisquare test. Based on the statistical test table, it can be seen that from the chi square test, Knowledge (P=value=0.007) is smaller than sig α (0.05). It is hoped that health workers will pay more attention to young women about the dangers of breast cancer.

According to Mulyani (2018) breast self-examination (BSE) is a breast examination to find abnormal lumps. This examination can be done yourself without having to go to the health center and without having to pay any money. Based on data from the World Health Organization (WHO), the total number of cancer cases in Indonesia in 2020 reached 396,914 cases and the total deaths were 234,511 cases. Cancer prevalence in Indonesia in 2020 was dominated by breast cancer, with 65,858 cancer sufferers (16.6%). The research design used is an analytical type of research to determine the causal relationship between two variables.  with a cross sectional approach where data collection for independent variables and dependent variables is carried out at one time only. The population of this study is all teenagers in the Rohana am.keb midwife clinic area. as many as 35 teenagers. The entire research population was used as a sample, data obtained from primary data was analyzed using the chisquare test. Based on the statistical test table, it can be seen that from the chi square test, Knowledge (P=value=0.007) is smaller than sig α (0.05). It is hoped that health workers will pay more attention to young women about the dangers of breast cancer.    

According to Mulyani (2018) breast self-examination (BSE) is a breast examination to find abnormal lumps. This examination can be done yourself without having to go to the health center and without having to pay any money. Based on data from the World Health Organization (WHO), the total number of cancer cases in Indonesia in 2020 reached 396,914 cases and the total deaths were 234,511 cases. Cancer prevalence in Indonesia in 2020 was dominated by breast cancer, with 65,858 cancer sufferers (16.6%). The research design used is an analytical type of research to determine the causal relationship between two variables.  with a cross sectional approach where data collection for independent variables and dependent variables is carried out at one time only. The population of this study is all teenagers in the Rohana am.keb midwife clinic area. as many as 35 teenagers. The entire research population was used as a sample, data obtained from primary data was analyzed using the chisquare test. Based on the statistical test table, it can be seen that from the chi square test, Knowledge (P=value=0.007) is smaller than sig α (0.05). It is hoped that health workers will pay more attention to young women about the dangers of breast cancer.