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Background: Postoperative pain is a common physiological response that can negatively affect the patient’s healing process. Deep breathing relaxation is a non-pharmacological method proven effective in reducing pain. Objective: To determine the effect of deep breathing relaxation technique on postoperative pain intensity in the Surgical Room of RSUD Hamba Muara Bulian. Methods: This study used a quasi-experimental design with a one-group pretest-posttest design involving 28 respondents. Data were analyzed using paired t-test to assess pain intensity differences before and after the intervention. Results: The mean pain intensity before the intervention was 5.36 (moderate category), which decreased to 2.89 (mild category) after the intervention. Statistical analysis showed a significant result with a p-value of 0.000. Conclusion: Deep breathing relaxation is effective in reducing postoperative pain intensity. It is recommended for implementation as a non-pharmacological intervention in surgical care settings.

Background: Myxoid liposarcoma is a malignant tumor composed of uniform, partially round to oval cells with lipoblast, in the myxoid stroma with branching capillaries. Very rarely presents as a primary neoplasm of the subcutis or retroperitoneum. Myxoid liposarcoma in the retroperitoneum is the most common metastases. Case description: We reported a case of  Mr M, male, 48 years old, came to the hospital. Private in the city of Medan on April 19 2021 with complaints of upper left abdominal pain, nausea (+), vomiting (-), fever. vital sign, general condition: compos mentis, temperature: 36 ℃, Pulse: 80 x/min. Breathing: 20x/min, Blood pressure: 120/80 mmHg. Previously, a gastric biopsy was performed on suspicion of gastric carcinoma and a histopathological examination was carried out with the results of a gastric adenoma. Subsequently, an exploratory laparotomy was performed with tumor debulking and the tissue was sent to the H. Adam Malik Hospital unit. On macroscopic examination, the tissue was split in a state of 16 cm x 12 cm x 7 cm, yellowish-gray in color, chewy consistency. The of cutting, a solid mass of white, yellow, and brown color appears, the consistency is chewy and brittle. With a tissue-weight of 800 grams then labeled O/1260/21. On microscopic examination of the tumor mass, it appears that the tumor mass is mostly arranged in solid sheets, consisting of round, relatively uniform cells, arranged back to back. Round and oval nuclei with increased N/C ratio, coarse chromatin, eosinophilic cytoplasm. Among them are lipoblast cells with spider web and small signet ring lipoblast. Atypical mitoses are relatively easy to find > 19 mitoses / 10 LPB. Proliferative and congested blood vessels, necrotic masses <50% are also seen. Immunohistochemical examination was carried out with S100 positive staining results on the nuclear membrane and cytoplasm of tumor cells with a proportion of more than 70% moderate to strong intensity. Conclusion: Based on macroscopic and microscopic examination this patient was diagnosed with High grade myxoid round cell liposarcoma grade III with ICD-O 8852/3.

Sewing workers at CV Cahaya Setia Mulia Abadi perform static and repetitive tasks, such as prolonged sitting in a bent posture and continuous sewing movements. These conditions lead to various physical complaints, including back pain (78%), lower neck pain (75%), upper neck discomfort (73%), as well as shoulder fatigue, wrist tingling, and lower back stiffness. This research is conducted to evaluate the potential risk of musculoskeletal disorders (MSDs) through the application of the Rapid Entire Body Assessment (REBA) method, determine the body parts most frequently affected using the Nordic Body Map (NBM) questionnaire, and develop posture correction strategies based on anthropometric measurements.The REBA results indicate that most sewing activities fall into the medium-risk category (score 5–7), with some in the high-risk category (score 8). The intervention involved adjusting chair dimensions based on anthropometry, and adding seat cushions and backrests. After the simulation of improvements, the REBA score decreased to 2, placing it in the low-risk category. These findings demonstrate that ergonomic chair design and proper working posture significantly reduce physical strain, increase comfort, and help maintain worker productivity. This study offers practical recommendations for creating a healthier and safer work environment in the manufacturing sector.

Nyeri punggung bawah (low back pain) merupakan salah satu masalah kesehatan muskuloskeletal yang sering terjadi di masyarakat, terutama pada kelompok usia produktif dan lanjut usia. Di Desa Tanjung Anom, kasus nyeri punggung bawah cukup tinggi akibat gaya hidup tidak aktif, posisi kerja yang salah, serta kurangnya pengetahuan mengenai pencegahan dan penanganan mandiri. Kegiatan edukasi ini bertujuan untuk meningkatkan pemahaman dan keterampilan masyarakat dalam mengelola nyeri punggung bawah melalui pendekatan self-care management. Metode yang digunakan dalam kegiatan ini adalah edukasi interaktif, demonstrasi latihan peregangan dan penguatan otot, serta pembagian leaflet sebagai media informasi. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta sebesar 85% dan kemampuan praktik mandiri sebesar 75% dalam melakukan teknik self-care, seperti senam punggung, teknik relaksasi, dan ergonomi sederhana dalam aktivitas sehari-hari. Edukasi self-care management terbukti efektif dalam meningkatkan kapasitas masyarakat Desa Tanjung Anom untuk mencegah dan mengatasi nyeri punggung bawah secara mandiri dan berkelanjutan. Diharapkan kegiatan ini dapat menjadi model intervensi promotif-preventif yang dapat direplikasi di desa lain dengan masalah serupa.

Lung adenocarcinoma is one of the most common types of lung cancer, especially in non-smoking women. This disease can develop progressively to cause complications such as pleural effusion and hydropneumothorax. Risk factors involved include exposure to secondhand smoke, air pollution, radon, and a history of previous tuberculosis. A 61-year-old woman came with complaints of right chest pain radiating to the back, shortness of breath, dry cough, weakness, and weight loss. The medical history showed that the patient had undergone chemotherapy for lung cancer and had a history of pulmonary tuberculosis that had been resolved. Supporting examinations such as CT-scan, bronchoscopy, and cytology showed a mass in the right lung inferior lobe and massive pleural effusion leading to a diagnosis of stage IVA right lung adenocarcinoma (T3N1M1A) complicated by hydropneumothorax. The patient underwent management in the form of chemotherapy, supportive therapy, and symptomatic care.

Drugs are an abbreviation of narcotics, psychotropics, and hazardous materials. Narcotics are addictive substances or materials that work on the nervous system, can cause loss of consciousness and pain, and can cause dependence. Psychotropics are substances or active materials that work on the central nervous system, can cause changes in mental activity and behavior, and can cause dependence. To deal with this problem, one of them is through the Sakinah Harakah Bhakti Center Foundation (Sahabat Foundation) South Tangerang, Banten which provides treatment to develop psychological strength called resilience through spiritual guidance. Through spiritual guidance, it is hoped that it will be able to form the resilience of drug abuse students so that they are able to bounce back from various pressures and face the next life with a better perspective. The purpose of this study was to determine how spiritual guidance activities in forming the resilience of drug abuse students at the Sakinah Harakah Bhakti Foundation (Sahabat Foundation). The research method used is qualitative with a descriptive type. The subjects in this study consisted of 1 Foundation administrator, 1 spiritual guide, and 3 beneficiaries (PM) of drug abuse. Through interviews and observations, it is known that spiritual guidance activities at the Sakinah Harakah Bhakti Foundation (Sahabat Foundation) are muhasabah, sirah nabawiyah, theory and practice of worship, and thematic interpretation.

Low Back Pain (LBP) is one of the most common musculoskeletal problems experienced by people in various age groups and work backgrounds. This complaint can be acute, subacute, or chronic, with various causes ranging from mechanical, degenerative, to psychosocial factors. This study aims to examine the characteristics of LBP through a literature review of several previous studies that focus on prevalence, risk factors, and their impact on patients' daily lives. The method used is a narrative literature review, with data sources coming from national and international journals, research reports, and academic repositories. The results of the study show that the prevalence of LBP is very high, with a significant percentage of occurrence in the elderly, pregnant women, administrative workers, and individuals with a sedentary lifestyle and non-ergonomic work posture. In addition to age, female gender, non-ideal body mass index, and long work duration, it was also found that psychosocial characteristics such as low social support and high work pressure play a role in triggering or worsening LBP. A study at Ibnu Sina Hospital Makassar showed that most LBP patients were elderly women with acute pain and radiological results showed lumbar spondylosis as the most common diagnosis. The conclusion of this study emphasizes the importance of prevention through ergonomic education, work stress management, and early intervention based on a healthy lifestyle. These findings are expected to be the basis for designing promotive and preventive strategies for high-risk groups.

Background: Normal delivery is a significant moment in a mother's life, marked by the expulsion of the fetus after a full-term pregnancy, typically between 37 to 40 weeks, accompanied by intense uterine contractions. During the active phase of labor, mothers often experience peak pain due to increased frequency and strength of these contractions. One effective method to alleviate this pain is through counter pressure massage. This study aims to explore the differences in pain intensity among mothers in the active phase of labor before and after the application of counter pressure massage at RSU Permata Hati Klungkung. Method: This study used a pre-experimental design and purposive sampling technique. The population in this study were all mothers who underwent normal delivery in September to November 2024 with a total of 80 people, until a sample of 39 participants was determined. Data were collected through observations using a rating scale based on the Numerical Rating Score. Result: Data analysis was performed using the Wilcoxon test, revealing that the average pain score before the massage was 6.92, which decreased to 3.20 afterward. The Wilcoxon test yielded a p-value of 0.001, indicating a significant difference in labor pain intensity. Conclusion: This study shows that there is a difference in pain intensity before and after counter pressure massage is performed on mothers giving birth in the first active phase at Permata Hati Hospital, Klungkung with a p-value of 0.001.

The creation of this artwork was inspired by the artist, who is a native of the Batak Toba tribe from Pollung District, Humbang Hasundutan Regency. This area is known as a horse breeding region, which produces waste in the form of horsehide scraps. This waste is then utilized as an alternative medium for painting. The idea for the artwork was inspired by traditional Batak Toba games rich in cultural value. This research aims to visualize the form, historical background, and function of traditional Batak Toba games through paintings. In the creation process, horsehide and oil paint were used as media. Each painting depicts the visual form of the traditional game with a simple approach yet still reflects the characteristics and meaning of the games. The method of creating the artwork is based on the stages described by Hedriyana, which include five stages: preparation, elaboration, contemplation, the creation process, and completion of the artwork. The final result of this research is a series of paintings with various titles, as the author's visual interpretation of traditional Batak Toba games.

Background: Premenstrual Syndrome (PMS) is a combination of physical, emotional, and behavioral symptoms that occur cyclically before menstruation and are commonly experienced by adolescent girls. Common symptoms include fatigue, abdominal pain, headaches, anxiety, and mood disturbances, which can affect sleep quality, concentration, and academic productivity. This article provides an in-depth examination of the definition, types, prevalence, causes, impacts, and management of PMS in adolescent girls. Based on epidemiological data, the prevalence of PMS is quite high, both globally and nationally, with incidence rates in Indonesia reaching 70–90% among women of reproductive age, and most cases beginning during adolescence. There are four main types of PMS: Type A (anxiety), Type H (hyperhidrosis), Type C (food cravings), and Type D (depression), each with specific characteristics and etiologies. Causes of PMS include hormonal imbalances of estrogen and progesterone, reduced serotonin levels, poor sleep quality, psychological stress, genetic factors, and unhealthy lifestyles. The impact of PMS on adolescents is complex, including decreased academic performance, social relationship disturbances, and reduced psychological well-being. Therefore, PMS management should be approached holistically through pharmacological (such as NSAIDs, antidepressants, and diuretics) and non-pharmacological (physical exercise, relaxation, lifestyle changes, and nutritional education) interventions. Environmental support and reproductive health education are crucial to help adolescents effectively manage PMS symptoms and improve their quality of life. This study is expected to serve as a foundation for promotive and preventive interventions in adolescent health care.

Work in the informal sector, such as weaving, has high health risks due to the repetitive nature and static positions required. Weavers often experience Musculoskeletal Disorders (MSDs) due to sitting too long in front of the loom for about 8 hours. This condition causes muscle contractions in the shoulders and neck, reduces blood flow, and causes pain and fatigue. A study of two sarong weaving industries in Dalangan Village found that 70% of 10 workers complained of low back pain. Many workers work with non-ergonomic positions and inappropriate equipment. Improvements in work attitudes are needed so that workers' health and productivity are maintained. This study aims to determine the relationship between work attitudes and MSDs disorders in the central craftsmen of the weaving industry. This research is a quantitative study using observational analysis method with cross sectional approach. The population was 35 from 4 locations with a sample of 35 respondents taken using total sampling technique. Assessment for work attitudes using the Rapid Entire Body Assessment (REBA) and for Musculoskeletal Disorders (MSDs) experienced using the Nordic Body Map (NBM). The results of the Spearman correlation test showed no significant relationship between work attitudes and musculoskeletal complaints with a p-value = 0.261 (p < 0.05) and a correlation coefficient value of r = 0.195 which is included in a weak correlation with a positive direction. The study shows there is no significant relationship between work attitude and musculoskeletal disorders in weaving industry workers. Routine ergonomics education is recommended to prevent complaints and maintain sustainable occupational health.

Background: Post operative pain is a common clinical effect found in patients undergoing surgical procedures that are usually seen in the first 24-48 hours after surgery so that it is included in acute pain. Methods: This study is a descriptive observational study of five patients with ORIF femur surgery who underwent surgery at Pandan Arang Boyolali Hospital using epidural anesthesia. Results: five patients successfully underwent epidural anesthesia as one of the anesthesia used with major surgery and as an option for continuous anesthetic drug administration and used as post-surgical pain management. Conclusion: Epidural analgesic administration can also be done using a syringe injector attached to the patient as one of the post-surgical pain management in patients.

This creation is based on Contemporary calligraphy (contemporary) is a work of art created by Muslim artists to express religious values, through paintings that have a combination of various colors and seem free but in the artwork the message contained in the painting can be conveyed. This creation uses the Lafadz Asmaul Husna with the type of Khat Kufi combined with a floral batik motif as the background. The combination of floral batik motifs with contemporary calligraphy painting is an interesting form of blending local culture and modern art expression. This creation aims to find out how the visualization process and techniques are used in the creation of contemporary calligraphy with floral batik motifs. This creation uses the I Made Bandem method which has 5 stages of creation, namely: preparation, elaboration, synthesis, concept realization, and completion. The result of this creation is a contemporary calligraphy painting with a floral batik motif of 12 paintings. This creation uses acrylic paint with a pelakat technique. Contemporary calligraphy painting using a floral batik motif is expected to be used as a cultural preservation because this work helps people to better understand, appreciate, and preserve cultural heritage through floral batik motifs integrated into calligraphy art.

Background: Cervical Root Syndrome (CRS), Cervical Radiculopathy, or Irritating Compression Brought on by the Invertebral Discnue Can All Induce Sensory or Motor Loss. In the instance of cervical root syndrome, this study attendes to ascertain the benefits of myofacial release, free active exercise, neck calliet exercise, stretching, and transcutaneous electrical nerve stimulation (tens). Method: Patients with Cervical Root Syndrome at Dr. Hospital Sardjito Yogyakarta are the subjects of this case study. Pain, Muscle Weakness, Restricted Range of Motion, and diminished functional activity are the issues that patients face. Findings: Assessment of visual pain Analog scale (VAS) reveals that pain in the NECK region of silent pain decreases from 6 to 4 pain Decreased pressure from 7 to 5, pain decreases from 8 to 6 and in the shoulder region there is a change in pain decreases from 6 to 4 pain decreases from 7 to 6, pain movement decreases from 8 to 6. extension, lateral flexion (D), lateral flexion (s), rotation (D), rotation (s) muscle strength there is no change with the value of MMT 3+ and in the shoulder region there are changes in each movement (extension flexion, adduction, abduction, internal rotation of external rotation rotation) NECK extension-flexion movement, which changes from S: 35 ° -0-20 ° to S: 45 ° -0-25 °, and rotation movement (D)-Rotation (s), where R: 70 ° -0-60 ° to R: 80 ° -0-70 °, in the Shoulder region extension-flexion, which changes from S: 25 ° -0-80 ° 45 ° -0-130 °, and abduction-adduction movement, where f: 90 ° -0-70 ° to F: 160 ° -0-50 ° Functional activity measured by the NECK Disability Index (NDI) shows an increase from the value of 40% decreased to 38%. Conclusion.

Background: Bell's Palsy is a condition of facial muscle weakness due to inflammation or damage to the VII cranial nerve (facial nerve), which is classified as a primary acute idiopathic lower motor neuron (LMN) type. This condition is characterized by unilateral facial paralysis and pain in the mastoid area, which can affect the patient's quality of life. Method: This study design used a case report method which observed one patient with a case of Bell Palsy Right. Physiotherapy intervention was carried out during four meetings at Dr. Moewardi Hospital, with therapy modalities including Transcutaneous Electrical Nerve Stimulation (TENS), massage, and mirror exercise. Evaluation was carried out using the Numeric Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for facial muscle strength, and the Ugo Fisch scale for functional ability. Results: This study shows that physiotherapy treatment during 4 meetings resulted in decreased pain, increased muscle strength, and increased functional ability with Bell palsy. Conclusion: Physiotherapy interventions in the form of TENS, massage, and mirror exercise are effective in reducing pain, increasing muscle strength, and improving functional abilities in patients with Bell's Palsy Right.

Adolescent Idiopathic Scoliosis (AIS) is the most common progressive musculoskeletal disorder among adolescents, characterized by a lateral curvature of the spine with an unknown cause. This condition often results in postural asymmetry, chronic low back pain, and reduced mobility. This case report involves a 17-year-old female high school student diagnosed with AIS, presenting with lower back pain and functional limitations. The physiotherapy intervention included three sessions over two weeks, utilizing Microwave Diathermy (MWD) as a physical modality, along with Schroth method and strengthening exercises. The outcomes demonstrated a reduction in pain intensity, improved muscle strength, increased spinal mobility, and enhanced thoracic expansion. Additionally, the patient showed an improvement in quality of life as measured by the Scoliosis Research Society-22 (SRS-22) questionnaire. These findings suggest that structured conservative physiotherapy, combining physical modalities and specific exercises, is effective in alleviating clinical symptoms, improving postural awareness, and supporting the functional well-being of AIS patients. This case highlights the importance of early and consistent physiotherapeutic intervention to manage symptoms and potentially slow curve progression.

Low back pain (LBP) is one of the most common musculoskeletal problems experienced by workers, especially those in professions that require prolonged static sitting, such as public transportation drivers. This condition not only impacts work productivity but can also disrupt daily activities and increase the risk of chronic health problems. This study aims to analyze factors associated with the incidence of LBP in public transportation drivers on the Latuhalat route at Mardika Terminal, Ambon City. The study design used an observational analytical approach with a cross-sectional approach. The study population consisted of 96 public transportation drivers, and 51 were selected as samples through a purposive sampling technique based on inclusion criteria. The independent variables in this study included driving position, driving duration, age, and length of service, while the dependent variable was low back pain. Data were collected using questionnaires and observation sheets, then analyzed using the Chi-square test. The results showed that all independent variables, namely driving position, driving duration, age, and length of service, had a significant relationship with the incidence of LBP (p < 0.05). Thus, ergonomic factors and workload significantly contribute to the occurrence of NPB in public transportation drivers. Therefore, ergonomic interventions, proportional work hour arrangements, and the implementation of occupational health programs are important steps in reducing the risk of NPB in drivers.

This study aims to analyze the impact of overtime work on physical and mental fatigue of the crew of the MV ship. Manalagi Tisya, by identifying the causal factors and consequences that may arise due to additional working hours. In this study, the researcher will apply a qualitative research method with a descriptive approach. This research was conducted by the author on the MV ship. Manalagi Tisya owned by PT Pelayaran Manalagi which is a subsidiary of PT Salam Pacific Indonesia Lines, with the ship call sign "YBTL2" and a total load capacity of 52201 MT. Data collection techniques in this study used observation, interviews and documentation. Data analysis techniques used data reduction, data presentation, drawing conclusions. Testing the validity of this research data used source triangulation, technical triangulation, and time triangulation. Based on the results of the study, it explains that the Overtime Pattern: The crew of the MV ship. Manalagi Tisya experienced an average of 4.5 hours of overtime per day, with the Engine Department experiencing the highest overtime (an average of 5.2 hours). Overtime most often occurs during loading and unloading at the port (35%) and when facing bad weather (27%), Physical Impact: Continuous overtime causes significant physical impacts in the form of sleep disturbances (80%), back and waist pain (70%), and muscle pain (60%), Mental Impact: As many as 85% of crew experience moderate to severe mental fatigue due to overtime, with the main symptoms being difficulty concentrating (75%), irritability (65%), and decreased decision-making ability (60%). Safety: There is a strong positive correlation (r = 0.82) between the duration of overtime and the frequency of safety incidents. The risk of incidents increases by 28% for every additional 2 hours of overtime, Work Performance: Overtime has an impact on decreased work performance, especially in problem-solving skills (45%), compliance with procedures (41%), and effective communication (37%), Overtime Management: The most effective overtime management strategies are task rotation and fatigue management training, but their implementation is still not optimal. Limited number of personnel and operational demands are the main obstacles in minimizing overtime, Regulatory Compliance: Average working hours of MV ship crew. Keywords: Overtime Work, Physical Fatigue, Mental Crew.

Background: Low back pain (LBP) is one of the most common musculoskeletal problems that affect the quality of life and productivity of individuals. LBP lasting more than 12 weeks is categorized as chronic LBP and often has no specific cause. Core stability exercise (CSE) is one of the effective rehabilitation methods in managing pain and disability in chronic LBP patients. Objective: This review aims to evaluate the effectiveness of CSE in reducing pain in patients with chronic LBP based on a literature review. Methods: This study used the literature review method by reviewing various relevant studies related to CSE and chronic LBP. Data sources were obtained from databases such as PubMed, ScienceDirect, Google Scholar, and PEDro. Articles used had inclusion criteria in the form of randomized controlled trial (RCT) studies published in the last 10 years (2014-2024), in English, and involving patients with non-specific chronic LBP. Article quality assessment was conducted using the PEDro scale. Results: From the analysis of eight articles that met the inclusion criteria, it was found that CSE has significant effectiveness in reducing pain in patients with chronic LBP. The mean visual analogue scale (VAS) score showed a greater reduction in the group undergoing CSE compared to the control group or other therapeutic methods. Moreover, the combination of CSE with adjunctive therapies such as pain neuroscience education (PNE), interferential therapy (IFC), and myofascial release technique (MRT) showed better results in reducing pain and improving postural stability and physical function. Conclusion: CSE can be an effective rehabilitation method to reduce pain and improve core muscle stability in patients with chronic LBP. Combination with other therapies may provide more optimal results.

Pediculosis capitis is an infestation of head lice Pediculus humanus capitis that live on the scalp and suck blood as a source of nutrition. Transmission occurs through direct contact or sharing personal items, especially in environments with poor sanitation. Risk factors include age, population density, personal hygiene, and socioeconomic status. Symptoms include severe itching due to a reaction to the saliva of the lice, which can cause excoriation, irritation, and secondary infections such as pyoderma. In this report, a 17-year-old girl complained of scabs, pain, heat, and itching on the head and neck. Lice and lice eggs were found, as well as ecthyma lesions in the form of pustules, yellow crusts, and excoriations in the occipital area and back of the neck. The therapy given was a combination of drug and non-drug treatment. The evaluation results showed improvement in symptoms. This case emphasizes the importance of early diagnosis and comprehensive management to prevent reinfection.