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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

Gothic is a clothing style that is characterized by striking, mysterious, exotic, and complex dark features, in this study the author adds fabric painting with Dayak ethnic motifs on synthetic leather in a gothic look. This study aims to determine the process of making a ready-to-wear gothic look with variations of synthetic leather details and painting of Dayak ethnic motifs. The method used in this research process is a qualitative method. The process of making ready-to- wear which consists of a blazer, crop top, obi belt, and skirt begins with determining the fashion design, making patterns from basic patterns to breaking patterns, cutting materials, marking stitches, then sewing the sides of the crop top, combining with lining, attaching zipper and collar, sewing the sides and lining of the blazer, combining the main material and the lining, attaching the painting to the back, attaching the buttons, then sewing the sides and lining of the skirt, then combining the main material and the lining, reassembling, then combining the main material and the lining , reassembling, painting variations, installing tires on the waist, followed by combining all sides with a furing obi belt, sewing the waist, then installing chicken eyes, finally painting the Dayak ethnic motif on the skin, starting with making a pattern sketch of the motif, then installing it on the cloth, block the motif with white, and the last one gives color to the motif.

Rheumatoid arthritis is an autoimmune disease that occurs when the body's immune system mistakenly attacks healthy joints. The disease can start at any age, but the likelihood of onset is highest in older adults. In Rheumatoid Arthritis the tissue lining the joints becomes thickened resulting in swelling and pain. Elderly is an age that has a greater possibility of having an autoimmune this is based on the statement that the older you are, the greater the chance of having an autoimmune. Early diagnosis and treatment isthe key to successful treatment of Rheumatoid Arthritis because joint damage cannot be restored once it occurs. Rhematoid Factor examination is largely used to help diagnose rheumatoid arthritis. Community service activities aim to determine the description of RF levels in the elderly with supply disorders, descriptive research type with a cross sectional approach. The sampling technique used purposive sampling as many as 62 elderly people in the Social Service of NTT Province. The results of RF examination in all elderly samples 6.45% have positive results and 93.55% negative results.

Spinal pain in pregnancy is caused by hormonal, musculoskeletal, and stressful changes. Spinal pain in pregnancy if left untreated will have an impact on the quality of life and daily activities of pregnant women The management of spinal pain in pregnancy can include pharmacological and non-pharmacological. Non-pharmacological pain management is warm water therapy. Warm water therapy provides the effect of rirelaxation, vasodilation of blood vessels, removes metabolic waste that is no longer in use, and reduces muscle spasmsThe purpose of this study is to determine the effect of warm water therapy on reducing spinal pain in pregnant women at the Antang Health Center, Makassar City in 2022 This research is a quantitative study with a quasi-experimental design non-equivalent with one group pre-test post-test. The total population of 64 respondents with a sample of 30 respondents who met the inclusion criteria, the independent variable was warm water therapy and the dependent variable was the reduction of spinal pain in pregnant women. The results of the spinal pain scale study before warm water therapy were carried out on a moderate pain scale (4-6) there were 15 respondents with a percentage (50%). And after a warm compress was carried out, there were 18 respondents with a percentage (60%). The result of p value is 0.000 (<0.05), so Ha is accepted. There is an effect of providing warm water therapy on reducing spinal pain in pregnant women at the Rsu at the Antang Health Center, Makassar City in 2022The conclusion of this study is the effect of warm water therapy on reducing bone pain in pregnant women at the Antang Health Center, Makassar City in 2022. It is hoped that there will be further research on other non-pharmacological techniques against spinal pain in pregnancy.

Indicators to measure the quality of health services in an area can be seen from the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). One of the ways that can be done to reduce maternal mortality (MMR) and infant mortality (IMR) is by implementing continuous care. The purpose of this continuous midwifery care is to be able to provide comprehensive midwifery care to Mrs. "S" from pregnancy to family planning in accordance with midwifery care standards. Case study research method. The results of the implementation of midwifery care on an ongoing basis (Continuity of Care) on Mrs. "S" G1P0A0 age 24 years starting from the gestational age of 30 weeks 3 days to the age of 38 weeks. At the first pregnancy visit there was a problem in the mother, namely pregnancy with breech location. At the second visit the baby's position was in a normal position. The delivery process ended by cesarean section because the baby had an Early Rupture of Membranes. The baby was born at Budi Kemuliaan Hospital with a weight of 3000 gr Body Length : 48 cm Head Circumference: 33 cm, Chest Circumference: 32 cm. In the postpartum period, physiological complaints were found such as pain in the suture wound but not accompanied by signs of suture wound infection. Mrs. "S" chose to use 3-month injectable birth control. The conclusion of this assessment is that midwives are expected to be able to provide comprehensive care from pregnancy to family planning services and apply care in accordance with midwifery service standards.

It is necessary to build awareness to foster entrepreneurial motivation among the community at large, especially in the Study Group of Packages C citizens in the Technical Implementation Unit of the Education Office of the Bondowoso Regency Learning Activity Studio (SKB). Given that motivation is one of the drivers of the growth and development of a person's entrepreneurial spirit, one of the most needed motivations is the desire to continue learning and adding skills. Therefore, in order for the learning community to improve their welfare, insight into entrepreneurship is needed, so that through counseling on entrepreneurial motivation, it is hoped that the learning community can foster an entrepreneurial spirit and develop creativity and innovation in entrepreneurship so that it can be used as a provision in their lives. This service activity was carried out at the Technical Implementation Unit of the Bondowoso Regency Learning Activity Center education office, which was located in the SKB Hall. The objectives of this community service are (1) to provide insight and knowledge about the importance of fostering entrepreneurial motivation; (2) to provide insight and knowledge about the importance of developing an entrepreneurial spirit; (3) to develop creativity and innovation in entrepreneurship. The methods used are lecture, question and answer and discussion methods. the results achieved by the service activities are the provision of insights and knowledge about the importance of entrepreneurship for learning citizens pursuing package C in the Technical Implementation Unit of the Education Office of the Bondowoso Regency Learning Activity Center. Thus, through counseling, the learning community of pursuing package C is motivated to become entrepreneurs. Seeing the responses given by participants who are so positive and enthusiastic, shows that this activity is quite high and needs to be followed up with further activities, for that, it needs to be carried out periodically and continuously.

Introduction: Diplopia is a visual disorder in which a person sees two images of one object. This case is a neurological case caused by lesions on nerve III (Oculomotor nerve), nerve IV (Trochlear nerve), and nerve VI (Abducens nerve). The purpose of this study was to determine the effect of giving electrical stimulation, saccades exercise and pursuits exercise in cases of left monocular diplopia. The method used in this study was a case study conducted on a 44-year-old female patient with left monocular diplopia. The interventions provided such as electrical stimulation, saccades exercise and pursuits exercise were carried out 2x a week and this study was conducted for 3 weeks. After 6x interventions, the results showed a decrease in the degree of pain and an increase in functional eye movement. In future research, it is hoped that there will be research with a long enough period of time so that it can determine the effectiveness of saccades exercise and pursuits exercise in increasing visual ability.

This study aims to find out how the teacher's attitude is in dealing with students with special needs in class 2 at SDN Jelegong 01 Rancaekek. This research was conducted at SDN Jelegong 01 Rancaekek. The method used in this research is descriptive qualitative research. For data collection techniques in this study using classroom observations, interviews with grade 2 teachers, reviewing from literature studies by searching from book, articles, journals, theses, etc. related to the research being conducted. Based on the results of this study it can be concluded that in dealing with grade 2 students with special needs at SDN Jelegong 01 Rancaekek the teacher's attitude is painstaking in providing special treatment according to what the student needs but the teacher also tries so that these students and their families do not feel discriminated against and do not make Other students feel that there is something special in the class.

Implementation of School Health Efforts can improve health status and shape students' clean and healthy living habits. Therefore, School Health Efforts with an emphasis on promotive and preventive efforts supported by quality curative and rehabilitative efforts, are very important and strategic to achieve the highest degree of health. Currently, the partner's UKS room has its own room and is complete with first aid kits and medicines. However, there is still a lack of utilization programs and there are no UKS staff members who can immediately provide first aid when a student is in pain. The purpose of UKS is to improve the quality of education and student learning achievement through improving the behavior of a clean and spiritual life so that students can grow and develop harmoniously and optimally along with being independent in their activities and ultimately becoming quality human beings. This community service was held at Songkar Public Elementary School, North Moyo District in May 2023. There are two methods used in this community service activity, namely counseling about UKS, choosing peers as small groups and role playing.

Background: Pre-operative anxiety is the fear of pain after surgery, physical changes, facing surgical equipment and staff, death during anesthesia, failure of surgery or complications during surgery. Anxiety in patients who will undergo surgery can be overcome with non-framacological therapy, namely SEFT therapy which has a positive impact on reducing preoperative patient anxiety. Purpose: This case study aims to determine whether implementing SEFT therapy can reduce anxiety in preoperative patients Method : The method is a case study focusing on one patient. First, a numerical rating scale was utilised to measure the intensity of anxiety of the patients using the STAI (State-Traite Anxiety Inventory), then using SEFT therapy over of 3 stages, namely set-up, tune-in, and tapping between 10-15 minutes 1 time per day for 2 days, then re-evaluate using STAI to measure anxiety levels after the intervention  Results: The results show that using the SEFT therapeutic intervention, the preoperative patient's anxiety level decreased from moderate anxiety to mild anxiety Suggestion: Nurses could provide education to patients and their families in order to be able to reduce anxiety in the pre-operative phase so that patients can become more relaxed and comfortable.

Hypercholesterolemia occurs due to high blood fat traction, namely in the form of increased total and LDL cholesterol levels and decreased HDL levels. If let for a long time, cholesterol will stick to the walls of blood vessels and cause the walls of blood vessels to become stiff. Purpose of the study to determine the effectiveness before and afteer thee application of phycal exercise and dzikir in reducing pain with hypercholesterolemia in the elderly. Researce using describes a particular process or problem situation observed. Based on the research in the table obtained cholesterol in the elderly after the application of physical eexercise is that on client 1 there is decrease in cholesterol pain from 5 to4. Client 2 there is a decrease in cholesterol pain from 5 to 4 and client 3 there is decreasee in cholesterol pain and 6 to 5. So in these three cases the client experienced reduction of cholesterol levels the conclusion of the application of physical exercise and dzikir to reduce pain in the elderly with hiypercholesterolemia at the Griya Lansia Jannati Hame in 2022 cholesterol pain in the elderly before the application of physical exercise and dzikir men 2 has a decline from 5 men to 4, and lan 3 has decline from 6 men to 5    

Labor pain is a physiological response that occurs due to an increase in catecholamines that interfere with uterine contractions. Labor pain can be overcome with various alternatives. However, the lack of health promotion related to pain relief strategies causes the majority of pregnant women to lack information literacy on how to deal with pain relief during childbirth. This community service activity was carried out in conjunction with the KKN midwifery undergraduate students at STIKes Mitra Husada Medan in Desa Bangun Rejo, Tanjung Morawa District. The main activity program is to provide education to pregnant women who will give birth with counseling about pain relief strategies during childbirth. This community service method adopts action research steps. Evaluating the program using a questionnaire. The results of the community service which was attended by 10 third trimester pregnant women, it turned out that this activity received a good and positive response from pregnant women. Furthermore, the results of the evaluation of this counseling were obtained, 60% of pregnant women could understand and explain the definition of pain relief strategies and the goals of pain relief strategies, 70% of pregnant women could understand and explain the handling of pain relief strategies. It is hoped that village midwives can also provide health education to birth attendants about pain relief strategies that can be implemented.  

This article discusses the meaning of figure of speech as outlined in a choice of words that is quite interesting and makes the reader curious about the meaning, also seen from the expressive approach that we can see from the author's point of view in making the poem. The purpose of making this article is to develop writing skills and increase students' and the public's interest in reading, as well as to describe the relationship or purpose of the author in conveying the poem "I Want Your Painting" to find the meaning contained in the poem with an expressive approach.  

Sectio caesarea delivery is a form of labor process that is carried out by making incisions in the abdominal wall and uterine wall to deliver the fetus from the uterus. Patients who give birth by cesarean section method will usually feel various discomforts. One of the discomforts felt is pain originating from an abdominal incision. So we need a management that can reduce complications and improve quality in post partum mothers, namely by doing foot massage relaxation techniques. The purpose of this case study was to determine the effect of foot massage in reducing pain in post-cesarean section patients. This study used a case study method with a nursing care approach, namely taking 1 patient as a descriptive analysis. Methods of data collection by interviews, observation, pre-test, intervention, and post-test. The research was conducted on March 16-18 2023 at the PKU Gamping Firdaus Ward. The results of the case study showed a decrease in the pain scale in post sectio caesarea patients after foot massage was performed. From the results of the case study, it can be concluded that there is a significant effect of foot massage on changes in pain in post-cesarean section patients.