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Erysipelas is an infection of the nonnecrotic superficial skin accompanied by lymphangitis. This infection will cause a clinical picture in the form of well-defined erythematous plaques. Most cases of erysipelas are caused by bacteria, most often the normal skin flora such as Streptococcus bacteria but erysipelas can also be caused by S. aureus and group C or G Streptococcus. Erysipelas can occur at any age. Erysipelas is closely related to the patient’s physical condition and cellular immune status which underlies or facilitates the occurrence of infections, including chronic systemic diseases suffered by these patients, such as diabetes mellitus, immunocompromised states. The lower extremities are the most common predilection for erysipelas. Most erysipelas patients come for treatment with the main complaint of swelling, redness, and pain experienced by the patient accompanied by other complaints such as burning and itching which are predisposing factors to the occurrence of this infection. The diagnosis of erysipelas is based on anamnesis, physical examination and laboratory tests. The management of erysipelas is the administration of antibiotics and wound care.

Dental erosion is described as the loss of the enamel on the teeth. At first, people who experience tooth erosion will not feel that their teeth are experiencing tooth erosion, until when tooth erosion has reached the dentin. Tooth erosion that has reached the dentin is characterized by, among other things, a feeling of pain in the teeth. However, there are many people who are unfamiliar with dental erosion, so a system that can be accessed online is needed to help patients or the public to consult independently. This expert system is designed using the PHP Programming Language and MySQL Database and the method used is a certainty factor. The result of concultationtest with the system is able to determine the disease along with the intial treatment or treatment that be must be carried out based on the symstoms selected by the user.

Menstruation or menstruation is the discharge of blood from the uterus through the vagina which occurs once a month and starts at the age of 12 to 15 years. Usually the menstrual period is between 3 and 7 days. The arrival of the first menstruation is not the same for every teenager. Lack of knowledge about menstruation and dealing with pain during menstruation by young women will have a negative impact on life. Poor menstrual personal hygiene has a major effect on morbidity and complications. Therefore, adolescents must be prepared in terms of knowledge, attitudes and actions towards achieving healthy reproduction. Menstrual hygiene is most likely influenced by the level of knowledge about reproductive health. Stakeholders should further increase public understanding, especially young women, about menstruation by providing education in the form of counseling or other information media so that this information can be reached and accepted by the community, especially young women.

Pain is an uncomfortable and highly individualized feeling that others cannot feel. Lidocaine is a drug to relieve pain or has a numbing effect on the body. This study aims to determine the effect of lidocaine use on the pain level of urinary retention patients during catheter insertion in the emergency room of Dr Haryoto Lumajang Hospital. The research design used quasi-experiments with Two Group Post-test design. Accidental sampling was used to determine the number of samples and obtained 30 respondents, every 15 people in the intervention group and control group. The pain was measured using the NRS (Numeric Rating Scale) pain scale. The intervention group was given lidocaine 2% as much as one ampoule mixed with lubricant inserted into the urethra using a syringe. The control group only used lubricant. Statistical tests using the Mann-Whitney U Test. In the intervention group, 11 (73.3%) respondents experienced mild pain, and 4 (26.7%) respondents felt moderate pain. In the control group, 14 (93.3%) respondents experienced moderate pain and 1 (6.7%) respondent felt severe pain. Statistical test with a p-value of 0.000 means that lidocaine use has an effect on the pain level of patients with urine retention during catheter insertion. Taking into account the findings of this study, nursing can play a role in improving patient experience and providing better care during catheter insertion in patients with urine retention.

The work of farmers is prone to the risk of health problems such as pain in the joints and fatigue. The research problem is that farmers complain of rapid fatigue, so the purpose of the study is to determine the physiological workload on rice farmers when planting rice and determine the best time for farmers. Methods used are Cardiovascular Load (%CVL) and Energy Consumption to determine the weight of the workload of farmers, and rest time to determine the length of rest. Results and discussion, %CVL is 7 people with action no fatigue and 46 people with action needed improvement. Energy consumption is the smallest percentage of 4.14 kcal / minute with a mild classification and the largest percentage of 6.14 kcal / minute with a moderate classification. In the second measurement, the smallest percentage was 4.49 kcal/min with a mild classification, and the largest percentage was 6.90 kcal/min with a moderate classification. In the third measurement, the smallest percentage was 3.96 kcal/min with a mild classification, and the largest percentage was 6.39 kcal/min with a moderate classification. The smallest rest time was 12.65 minutes and the largest rest time was 120.39 minutes. In conclusion, the mean %CVL was 13.21% with no fatigue, 86.79% with improvement needed. Average energy consumption with mild classification with a percentage of 4.21% and moderate classification with a percentage of 6.26%. The smallest rest time is 12.65 minutes while the largest is 120.39 minutes

Diabetes mellitus is a chronic metabolic disease that causes hyperglycemia. Diabetic neuropathy is a complication of diabetes mellitus due to hyperglycemia. People who experience diabetic neuropathy complain of tingling, numbness, stabbing pain sensations, burning pain sensations, squeezing sensations, and allodynia, which can reduce their quality of life. Administering vitamin B reduces patient symptoms and improves nerve cell function. The aim of this study was to explain the effect of vitamin B on patients with diabetic neuropathy based on a literature review. The research method used was literature review. The results of this study, based on some of the reviewed literature, found that vitamin B has an effect on reducing pain complaints in neuropathic patients with diabetes mellitus.

Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate that can cause obstruction of the prostatic urethra. One of the measures to treat patients with benign prostate hyperplasia is surgery. Surgery can irritate the bladder mucosa, causing pain. One of the non-pharmacological pain management that can be used is Benson relaxation. This relaxation is an action to free mentally and physically from tension and stress so that it can increase tolerance to pain. The purpose, the application of Benson relaxation was carried out for 2 days with a frequency of 2 times a day and a duration of 15 minutes. Methods of this research includes descriptive research with a case study approach, which aims to determine the description and effect of differences between 1 patients in the application of Benson therapy to reduce pain in postoperative patients with benign prostatic hyperplasia. The results of study, researchers get an overview of the application of benzene therapy so that the results show that both respondents experienced a decrease in pain, the respondent complained of pain on a 6 scale after 2 days of benzene relaxation pain complaints decreased with a pain scale of 3. In conclusion, the application of Benson relaxation has an effect on reducing pain scale in postoperative patients with benign prostate hyperplasia.

This study aims to identify, analyze and mitigate the risks of work accidents at PT Dewa Ruci Agung. Occupational Health and Safety (K3) is very important to be implemented by every company. Prevention of work accidents can be done by knowing the existing risks, one of which is through the Hazard Identification, Risk Assessment and Determining Control (HIRADC) method. The data collection method used in this study uses primary and secondary data. From the results of the study it was found that there were 15 potential hazard risks including the Lifting Process of moving blocks/goods using a crane, the Cutting Process lifting material and placing it on the cutting machine, preparing the cutting machine, the Grinding Process lifting material and placing it in the grinding area, preparing grinding tools, Fitting Process and Working at Height plate installation process, Main Engine (ME) Overhaul Process, New metal seat removal process (ME) using manual tools, Removal process (ME) with Chain block, Cylinder liner (ME) removal process with chain block, Process Welding, Sandblasting and Painting Process, Zinc Anode Process, B3 Waste Disposal Process. Based on the results of the risk analysis, risk identification is then carried out using the HIRADC method which is most likely to reduce the level of risk severity. The risk identification proposed by the researcher is that it is recommended that every worker carrying out the task wear PPE in accordance with the provisions given by the company and the person in charge of the company's K3. So that unwanted events do not occur. Always check tools and Personal Protective Equipment (PPE) regarding their eligibility for worker safety.

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.

. Phlebitis is the area of skin around an intravascular catheter that is swollen, red, hot and painful. The aim of this research is to find out how nurses prevent phlebitis in patients. For this research, the design used is descriptive. The population consisted of all inpatients who were placed on an IV by a nurse in the emergency room and then admitted to the hospital. Data was collected using probability sampling techniques using the Slovin formula for 69 samples, using checklists and observation sheets, and analyzed using frequency distribution. The results of research conducted on 69 nurses in the Thamrin Medan inpatient room showed that there was an increase in the actions of respondents before the training was carried out. The majority had "bad" actions, namely 39 people (65.5%), 30 people (43.5%) had "good" actions. %). After the phlebitis prevention training was carried out, the results showed that those with "bad" actions decreased to 24 people (34.8%) and those with "good" actions increased to 45 people (65.2%). The results of the study showed that nurses' actions in preventing phlebitis averaged a score of 8, a minimum score of 4 and a maximum score of 10. This happened because the majority of nurses had taken action to prevent nosocomial infections well, so it was seen that there was a change in nurses' behavior before and after after training in phlebitis prevention at Bunda Thamrin Hospital, Medan.    

Ketoprofen is a non-steroidal anti-inflammatory drug that is used to reduce pain due to inflammation in various rheumatic conditions and degenerative disorders of the skeletal muscle system. In the manufacture of drugs, the examination of the levels of active substances is a requirement that must be met to ensure the quality of the drug. One of the quality requirements is that the content contained must meet the level requirements listed in the Indonesian Pharmacopoeia. The purpose of this study was to determine whether the levels of generic and trade name ketoprofen tablets on the market meet the requirements of the Indonesian Pharmacopoeia levels.This research is descriptive using UV-spectrophotometric method, with 0.1NN NaOH as solvent. The samples used in this study were 4 generic ketoprofen tablets and trade names. The test parameters of this research include Preparation of Standard Parent Solution I (LIB I), Preparation of Solution (LIB II). Determination of maximum wavelength, Determination of linearity of the Calibration Curve and Determination of Ketoprofen levels in tablet preparations. From the test results on samples obtained generic ketoprofen tablets (PT. Hexpharm jaya) of 103.70% ± 0.4280%, ketoprofen tablets with the trade name Kaltropen (PT. Kalbe Farma) of 106.38% ± 0.4879%, tablets Generic ketoprofen (PT. Bernofarm) 102.10%±1.9450%, and generic ketoprofen tablets (PT.Novell) 100.22%±0.8754%. All tablets found met the requirements for the general content, namely the content of the active substance was not less than 99% and not more than 110% of the amount stated on the label.

Introduction : Pain in labor is pain due to uterine contractions which can lead to increased activity of the sympathetic nervous system, changes in blood pressure, heart rate, breathing, and if not treated it will increase feelings of worry, tension, fear and stress. Warm and cold water compress therapy is a non-pharmacological method to meet the need for comfort and to treat pain. Objective : to determine the effectiveness of giving warm and cold compresses to reduce pain in active phase 1 infartu mothers at RSIA Siti Khadidjah Aisyiyah, Gorontalo city. Research Methods : One group of subjects will be used in this study with a pre-experimental research design with a one-group pre-post test strategy to determine cause and effect. Before the intervention, the subject group was monitored, and then after the intervention. Mothers who were in the early phase of the active phase of physiological labor in the VK room of RSIA Siti Khadijah Aisyiyah, Gorontalo City, were used as research subjects. Research Results : The results of this study found acute pain in the four patients, it was found that 2 patients were given warm water compresses, the pain level decreased to a pain scale of 4 (moderate) and in the administration of cold water compresses to 2 patients, the pain level decreased to a pain scale of 6 and 5 (currently). Conclusion : the conclusion of this study is seen from the level of pain that has decreased when given warm water or cold water compresses. Hot and cold compress therapy is a non-pharmacological method to treat pain.

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Bacground Sectio caesarea is a procedure that involves cutting the uterine and abdominal walls to deliver a fetus. This study aims to determine the application of hand-held relaxation techniques to reducing the pain scale of post-section caesarea patients at RSIA Sitti Khadijah Aisyiyah, Gorontalo City. Method : The method used is descriptive analytic with a case study approach on 4 Post sectio caesarea patients with pain at RSIA Sitti Khadijah Aisyiyah Gorontalo City which includes nursing assessment, nursing diagnosis, nursing intervention, nursing implementation and nursing evaluation. The process of applying this finger-held relaxation technique is carried out for 1 day. Measurement of the pain scale was carried out before and after the hand-held relaxation technique was carried out and using a Numeric Rating Scale (NRS) pain scale measuring instrument. Result : So the results obtained before and after the relaxation technique was carried out, the pain intensity decreased. This case study shows that after finger grip relaxation was performed in patients I, II, III, and IV who experienced postoperative sectio caesarea pain, the result was a change in the pain scale from a moderate pain scale to a mild pain scale. Conslusion : There is a significant effect of the application of finger grip relaxation techniques in post op section caesarean patients for changes in pain levels.

Background: Arthritis, better known as rheumatism, is a disease that attacks the joints and surrounding structures. Society often perceives rheumatism as a trivial disease because it does not cause death, even though if it is not treated immediately, rheumatism can cause abnormal limb function, ranging from lumps, stiff joints, and walking difficulty, to lifelong disability. Based on data from the Tungoi Health Center in 2022 the number of patients affected by rheumatoid arthritis was 127 people which was among the 10 highest number of diseases in the Tungoi Health Center. The study aimed to analyze the relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Methods: This study used a cross-sectional study approach. The location of the research was the Tungoi Health Center in October 2022. The study population consisted of patients seeking treatment in the working area of Tungoi Health Center with the number of study samples obtained was 92 patients using total sampling. Data analysis was carried out using the chi-square test. Results: the study showed that there was a relationship between rheumatoid pain and the level of independence in the elderly with a value of ? = 0.000. Conclusion: There was a relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Suggestion: Health workers who are responsible for the Integrated coaching unit (POSBINDU) are to provide support to elderly families so that they participate regularly in the elderly programs provided by the Integrated coaching unit (POSBINDU) and Integrated Healthcare Center (POSYANDU).

Background: Osgood-Schlatter (OSD) Including the most common injuries that occur during productive age, this  condition occurs due to inflammation of the patellar tendon insertion at the tuberosity of the tibia. Osgood Schlatter usually occurs in children and adolescents who are active in sports, usually occurs in male adolescents aged 13-14 years and female adolescents aged 10-11 years. Purpose: Reducing pain in the right knee, reducing edema, maintaining muscle strength and increasing muscle mass M.Quadriceps, M.Hamstrings, M.Gastrocnemius, M.Gluteus, M.Adductor hip, M.Pectineus, M.Adductor longus, M. Adductor brevis, M. Adductor magnus, M. Gracilis. evaluated with 8 items sport scale. Methods: This study involved boys aged 12 years who experienced Osgood-schlatter. The exercise program was carried out for 3 weeks. Results: In this study, patients were followed up every week. The patient underwent physiotherapy sessions for 3 weeks. Patients are given measurements for muscle strength, increase in LGS, changes in segment circumference, and are obtained from the patient's ADL. Conclusion: In this study it can be concluded that after being given intervention for 3 weeks there were still no changes in Pain Level, Muscle Strength Level, Range of Joint Motion, Segment Circumference and Activity Daily Living in patients with the Osgood- Schalatter condition.

The first stage process is accompanied by pain which is a physiological process, a subjective experience of physical sensations associated with uterine contractions, dilatation and effacement of the cervix. Primiparous mothers often worry because they don't understand how to deal with childbirth. Primiparas tend to experience more anxiety, causing tension and fear so that they cannot endure the pain. The aim of this study was to find out the effect of the upright position on pain during the first stage of the active phase of labor for primiparous mothers at the Jumpandang Baru Health Center, Makassar. This type of research is quantitative experimental with a Post Test Only One Group Design approach. The population in this study were all mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023. The sample in this study was part of the population of mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023, totaling 15 people. with Purposive Sampling sampling technique.

The purpose of making this final work is to visualize verses about being grateful for the blessings bestowed by Allah SWT, with the aim of direct preaching to oneself, appreciators and the general public. The method in making this work goes through several stages, namely: Preparation (observing and exploring), Elaboration (finding and gathering references), Synthesis (implementing main ideas/ideas), Concept Realization (creating works) and Completion Stage (in the form of reports and exhibitions of works end). In creating the work, the author uses acrylic paint and mixed media in the form of paper on canvas. The ten works that the author made each contain the theme of gratitude to Allah SWT, the resulting works measuring 100 x 120 cm with the title include: Al-Quran, Allah's Creatures, Sun and Moon, Plants, Sky without pillars , Earth where life is, The vast ocean, Balance of Justice, Pearl and Marjan, Every moment is busy.      

Karimun Regency, Riau Archipelago Province has an ocean with abundant marine life and has not been used optimally. Bronok (Acaudina malpadioides) is a type of marine biota that lives in muddy coastal areas. Bronok on Karimun Island is consumed fresh and is believed to reduce joint pain. This study aims to determine the content of water, ash, fat, protein and carbohydrates in bronok (Acaudina malpadioides). The proximate analysis includes the water content test using the thermogravimetric method, the ash content using the dry ashing method, the fat content method (Soxhlet), the protein content method (Kjeldhal), and the carbohydrate content method (By different). Bronok that has been analysed for proximate content is found to be present at 16% water content, 29,2% ash content, 5,39% fat content, 11,25% protein content and 38,16% carbohydrate content.

Introduction: Head injury is a traumatic disorder of brain function that does not result in a disconnection of brain continuity and can occur with or without interstitial hemorrhage of the brain substance. Purpose:Acute pain is one of the nursing problems experienced by patients with head injuries. To analyze the application of finger hold therapy interventions in reducing pain in patients with mild head injuries. Research methods: is Pre Experimental, which is a design with a One group pre test post test design approach, when this study was carried out from December 21, 2022 to January 23, 2023, with a sample of 6 patients. Research Results: The frequency of patients who experienced moderate pain levels before treatment was 4 patients (66.7.7%), and severe pain levels were 2 patients (33.3%) while the distribution of psien frequency who experienced mild pain levels after treatment was 3 respondents (50.0%), moderate pain levels were 1 patient (16.7%) and berst pain levels were 2 patients (33.3%). This shows that there is no change in pain levels in patients with severe pain scales, because finger hold terap cannot be applied to patients with severe pain levels.Conclusion :This study showed that there is an effect of finger hold therapy in reducing pain in patients with mild head injuries