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Background: When entering the third trimester of pregnancy, many pregnant women have difficulty sleeping as they face physical and psychological changes, such as back pain, frequent urination, anxiety, and worries about the upcoming labor process. Almost 66% of pregnant women experience sleep disruptions that can jeopardize maternal and fetal health, including the risk of preeclampsia and low birth weight. Prenatal yoga can relieve stress and anxiety, thus contributing to improving the sleep quality of third trimester pregnant women. Purpose: To know the influence of prenatal yoga on sleep quality of third trimester pregnant women at PMB Appi Ammelia Kasihan Bantul Yogyakarta. Methods: This research utilizes the Pre-Experimental research type and One-Group Pretest-Posttest Design. The sample comprised of three trimester pregnant women totaling 24 respondents. The sampling method used total sampling. Sleep quality assessment was evaluated using the PSQI questionnaire and applying Wilcoxon test analysis. Results: Before treatment, 3 respondents (12.5%) of third trimester pregnant women had good sleep quality. After treatment, there was a change so that 18 (75%) respondents had good sleep quality. A p-value of 0.001 was found from the Wilcoxon test analysis. Conclusion: Prenatal yoga affects the sleep quality of third trimester pregnant women at PMB Appi Ammelia Kasihan Bantul Yogyakarta.

Myogenic low back pain is a complaint of pain in the lower back area caused by disorders of muscle tissue or tendons, without nerve involvement. This complaint is often experienced by individuals who perform repetitive physical activities or maintain a hunched sitting position for long periods, resulting in muscle fatigue and discomfort. This study aims to analyze the effectiveness of McKenzie Exercise and infrared therapy in reducing myogenic low back pain. The study design used a one-group pre- and post-test with control design, with a total of 20 employees in the rehabilitation unit of RSU Medika Tanjung Mulia who had met the inclusion criteria. Subjects were randomly divided into two groups: Group I received McKenzie Exercise and infrared therapy interventions along with standard hospital therapy, while Group II only received standard hospital therapy. Pain levels were measured using a Numeric Rating Scale before and after the intervention. The results of statistical analysis showed a significant reduction in pain in both groups after the intervention, with a p value = 0.000 (p < 0.05). In addition, the results of the comparison between groups showed that the group receiving McKenzie Exercise and infrared therapy experienced a greater reduction in pain than the control group. This suggests that the combination of McKenzie Exercise and infrared therapy is more effective in reducing myogenic low back pain. This study recommends the use of both interventions as part of the physiotherapy management of low back pain caused by muscle disorders.  

Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation in the joints, causing pain, swelling, and limited movement. Heat therapy is one of the effective methods to relieve RA symptoms because it can improve blood circulation, relax muscles, and reduce joint stiffness. This study designed and analyzed an Arduino IDE-based rheumatic therapy device with two main features: a waist heater using a DC Heater and a back electrostimulator through the L298N module. The device has three operating modes (Low, Medium, High) that regulate the pulse delay to adjust the patient's comfort. An input temperature of 50°C is programmed to provide optimal warmth. The measurement results showed that the output voltage of the power supply was 4.51 V with an error of 9%, the microcontroller input was 4.98 V with an error of 0.4%, the output of the L298N driver was 23.9 V, and the input of the DC Heater was 4.98 V with an error of 0.4%. All values are within safe tolerance limits. The 15- and 25-minute temperature stability tests show a small difference between the temperature of the appliance and the thermocouple, indicating stable and accurate appliance performance. Based on the results of technical analysis and temperature testing, this rheumatic therapy tool is considered suitable for use as an alternative to non-pharmacological therapy for RA patients.

Introduction: Low back pain is one of the most common musculoskeletal disorders encountered in the work environment and is categorized as a disease caused by work activities. Methods: This study used health promotion counseling method on stretching exercise for low back pain (LBP). The counseling was held on March 15, 2025 at Bening's Clinic Pamekasan which is located on Jl. Trunojoyo no. 325-327, Pocok, Laden, Kec. Pamekasan, Pamekasan Regency, East Java. A total of 21 workers participated in this counseling. The promotional media used in this activity was a leaflet, and pre-test and post-test were applied as instruments to measure the effectiveness of the counseling. Results: The results of the evaluation of 21 participants showed that their understanding of Low Back Pain (LBP) and stretching exercise increased to 100%. Conclusion: Based on the results evaluation results, the counseling conducted at Bening's Clinic Pamekasan successfully increased participants' understanding of stretching exercise for low back pain (LBP).

Background: Dysmenorrhea is often experienced by women, the impact of untreated dysmenorrhea can interfere with daily activities. Purpose: The purpose of this study was to determine the effect of giving warm compresses to the abdomen on dysmenorrhea pain. Method: The quasi-experimental research method with the Pretest-Postest Nonequivalent Control Group Design. The population in this study were all female students at SMP Negeri 10 Denpasar totaling 547 students with a purposive sampling technique using the slovin formula. Result: The results of the Wilcoxon test on the pretest-posttest of the treatment group obtained a value of P = 0.0003 <0.05, meaning that there was a difference in the dysmenorrhea pain score before and after being given warm compresses to the abdomen and health education in the treatment group. The results of the next Wilcoxon test on the pretest-posttest of the control group obtained a value of P = 0.066> 0.05, meaning that there was no difference before and after health education in the control group. The results of the Man Whitney test on dysmenorrhea pain scores after being given Warm Compress Abdomen and Health Education in the Treatment and Control Groups obtained P = 0.000 <0.05 indicating that there is an effect of Warm Compress Abdomen and Health Education on dysmenorrhea pain. Conclusion: Warm abdominal compress therapy and health education are effective methods to reduce dysmenorrhea pain in adolescent girls. It is recommended that adolescent girls can apply warm compresses as an effort to reduce menstrual pain (dysmenorrhea) with complementary therapy both in the school environment and at home.

Background: Low back pain (LBP) is still one of the health problems, including in the dental profession. Doctor Dentists have a risk of experiencing Low Back Pain (LBP) when viewed from their static work activities. work activities that are static. The purpose of this study was to determine relationship between ergonomic factors and complaints of Low Back Pain (LBP) in general dentists practicing independently in Jambi City. general dentists practicing independently in Jambi City. Methods: This study is a quantitative study with an observational observational research design and using a cross sectional research design. The study population was general dentists practicing in Jambi City, totaling 204 people. Respondents in this study 70 people. Data collection using the ODI questionnaire for measurement LBP measurement, fingertip pulse oximeter for measurement of workload, Rapid Upper Limb Assessment (RULA) for work posture measurement, vibration meter for vibration measurement, and lux meter for lighting measurement. Data analysis using chi-square statistical test version 24. Results: The results showed the prevalence of complaints of Low Back Pain (LBP) in dentists was 60%. dentists amounted to 60%. The statistical test results show that the variables workload (p=0.000 <0.05), work posture (p=0.000 <0.05), length of work (p = 0.000 < 0.05), repetition (p = 0.003 < 0.05), lighting (p = 0.415 > 0,05). Conclusion: There is a relationship between workload, work posture, work duration, repetition with complaints of Low Back Pain (LBP) and there is no relationship between workload, work posture, work duration, repetition and lighting

This study aims to analyze the representation of Pancasila values ​​in the painting Laskar Rakyat setting Siasat by Affandi. This painting is considered to have a strong philosophical meaning related to the struggle of the Indonesian people in maintaining independence. This study uses a qualitative method with a literature study approach (library research), where data is obtained from various written sources such as books, scientific journals, articles, and related documents. The data collection technique is carried out through the documentation method, while the data obtained is analyzed using content analysis techniques to identify symbols, colors, and visual elements that reflect the values ​​of Pancasila. The results of the study show that the painting Laskar Rakyat setting Siasat represents the five values ​​of Pancasila. The value of Belief in the One Almighty God is seen in the slogan "Once Independent, Always Independent" which reflects the belief that independence is a gift from God. The value of Just and Civilized Humanity is seen in the solidarity of the fighters without distinguishing backgrounds. The value of Indonesian Unity is realized through the togetherness of the fighters who develop a joint strategy. The value of Democracy Led by the Wisdom of Deliberation and Representation is depicted in the discussion scene among the fighters. Finally, the value of Social Justice for All Indonesian People is reflected through the painting of simple war equipment that shows the struggle of the common people in maintaining independence. This study confirms that works of art, especially Affandi's paintings, are able to be an effective medium in conveying moral messages, values ​​of friendship, and the spirit of struggle.

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.

Work fatigue and Musculoskeletal Disorders (MSDs) are common health issues among workers in the weaving industry. Fatigue often results from excessive workload, while MSD complaints typically include pain in the back, neck, wrists, elbows, and legs. This study used a cross-sectional design with a total sample of 45 active weavers in Numponi Village. The results showed significant associations between work fatigue and age (p=0.003), work duration (p=0.007), working posture (p=0.002), workload (p=0.014), and working hours (p=0.017), but not with temperature (p=0.561). Similarly, MSD complaints were significantly associated with age (p=0.001), work duration (p=0.003), working posture (p=0.025), workload (p=0.003), and working hours (p=0.002), with no significant link to temperature (p=0.826). It is recommended that weavers apply proper ergonomic principles to reduce the risk of fatigue and MSDs.

Low back pain is still a trigger for health problems that interfere with activities. If not treated properly, it can reduce lumbar mobility so that there is limited movement. There are several treatment strategies for low back pain, namely pharmacology and non-pharmacology. Non-pharmacology therapy that can be done is cupping therapy. The cupping therapy that is carried out is Al Warik point cupping therapy. This study aims to determine the effect of Al Warik point cupping on reducing the pain scale in low back pain sufferers at the Probolinggo holistic nursing therapy clinic. The type of research used a pre-experiment with a one group pre-post test design. The population was 38 low back pain sufferers at the Probolinggo holistic nursing therapy clinic, the sample determination used the accidental sampling technique that met the criteria of 34 respondents. The instrument used the cupping therapy module, data management with the editing, coding, scoring, and tabulating processes. Furthermore, it was analyzed using the Wilcoxon test. The results of this study indicated that the average pain scale value that occurred before cupping therapy at the Al Warik point was 7.00, standard deviation 1.073, and the average pain scale value after cupping therapy at the Al Warik point was 4.74, standard deviation 1.024, the analysis test using the Wilcoxon test showed a decrease in the Low Back Pain Pain Scale at the Holistic Nursing Therapy Clinic in Probolinggo (ρ = 0.000 <α = 0.005). Cupping therapy can be a traditional alternative treatment that can be done routinely for the healing process of low back pain by performing cupping therapy at the Al Warik point.

Lower back pain is a common complaint experienced by pregnant women, especially in the second and third trimesters as the gestational age increases. This condition can interfere with daily activities and reduce the quality of life of pregnant women. Pregnancy exercise is one of the non-pharmacological interventions that is believed to help reduce lower back pain. This study aims to analyze the effect of pregnancy exercise on reducing the level of lower back pain in pregnant women in the second and third trimesters. The research method that can be used is a quasi-experimental design with a pre-post test design with one comparison treatment. The research sample was 28 pregnant women in the second and third trimesters who experienced lower back pain and met the inclusion criteria. Measurement of the level of lower back pain will be carried out before and after the intervention period using a valid and reliable pain scale. The data collected will be analyzed using an appropriate statistical test to compare changes in pain levels between before and after the intervention. The results of the study showed that the average lower back pain before the intervention was 3.32 and Std.Deviation 0.772. The average lower back pain after the intervention was 2.25 and Std.Deviation 1.005. Based on the results of bivariate analysis using the Paired-Samples T Test, a significant p value of 0.000 (p <0.05) was obtained, so there is a difference in lower back pain in pregnant women. Thus, it can be said that there is a significant difference in lower back pain before and after pregnancy exercise. It is hoped that the results of this study can provide scientific evidence regarding the effect of pregnancy exercise in reducing lower back pain in pregnant women in the second and third trimesters, so that it can be a recommendation in midwifery care to improve the comfort and quality of life of pregnant women.Keywords: Postpartum exercise, uterine involution, normal delivery

Lower back pain in pregnant women is caused by hormonal changes that loosen joints in the back of the pelvis, a lack of muscle in the abdomen, and reduced blood flow. Prenatal exercise in conjunction with citrus aromatherapy is a non-pharmacological treatment option for pregnant women to alleviate back pain. Objective: This research determined whether providing pregnancy exercises combined with citrus aromatherapy at Indri Sujarwo Midwifery Clinician Demak could relieve back pain in pregnant women. Method: This quantitative research applied a quasi-experimental design, utilizing a pretest and posttest framework. This study involved 44 respondents, who were pregnant women in their second and third trimesters and collected data through purposive sampling. The observation sheet and the NRS checklist served as the measuring instruments. Results: This study showed a p-value of 0.000 (<0.05). The study's findings denied Ho and accepted Ha, indicating the capability of pregnancy exercise and citrus aromatherapy to relieve back pain in pregnant women in their second and third trimesters. Conclusion: Pregnancy exercise, combined with citrus aromatherapy, has effects, four times higher, on relieving back pain for pregnant women, making this combination a viable alternative for pregnant women experiencing lower back painleaves (Piper ornatum) against vaginal discharge.

Low back pain refers to a syndrome with manifestations in the form of pain and uncomfortable complaints such as muscle tension or stiffness in the lower back area. Low back pain can be caused by various causes, including mechanical factors, disorders of tendons, ligaments, fascia, and muscles, and abnormal posture. Musculoskeletal lower back pain caused by mechanical factors can be related to work, hobbies, and daily activities. The age factor is also one of the risk factors for the incidence of low back pain. The Sari Sehat  elderly posyandu is one of the posyandu whose elderly are active in various activities in the community. For this reason, it is necessary to increase knowledge about the prevention of low back pain and its exercises. In this case, physiotherapy has an important role in increasing the knowledge of the elderly about prevention and exercise in low back pain so that the elderly can avoid complaints of back pain. Approach Method: Prevention counseling and exercises on low back pain. Place and time: Sari Sehat Elderly Posyandu, Palur Mojolaban, Sukoharjo.

Background: Menstrual disorders that are often found in women include late menstruation, and the amount of menstrual blood. Almost 75% of adolescents experience menstruation, including irregular cycles, pain, long and heavy bleeding during menstruation. The menstrual cycle is not only influenced by biological factors such as lifestyle, hormonal disorders, nutritional status, but can also be influenced by social and environmental factors. The purpose of this study was to determine the factors that influence the menstrual cycle in adolescent girls at MAN 1 Semarang City. Method: This type of research is quantitative with a cross-sectional approach. The sample of this study amounted to 168 respondents. The respondent selection used probability sampling technique. This study used univariate, bivariate, and multivariate analysis tests. The analysis used was Spearman's rho and multiple logistic regression. Results and Conclusions: The results of this study indicate that the factors age, menarche, diet, nutritional status, and hemoglobin levels have no relationship to the menstrual cycle in female adolescents, but from the factors of stress, physical activity, fast food consumption habits, and sleep quality there is a relationship to the menstrual cycle in female adolescents at MAN 1 Semarang City where for stress level obtained p value: 0.002, physical activity with p value: 0.012, fast food consumption habits with p value: 0.035, and sleep quality with p value: 0.022. The factors that most influence the menstrual cycle in female adolescents at AN 1 Semarang City are stress levels with p value 0.002 and Od Ratio 3.365.

Background: Adolescent development includes physical, social, emotional, cognitive and psychosocial. Adolescents are easily emotional, enjoy challenging things, act impulsively, pay little attention to personal safety so there is a risk of physical injury and falls, which can result in fractures. Fracture treatment is surgery. The impact of surgery is pain, pain management can be done by playing fidget spinner therapy. A fidget spinner is a toy that rotates between two fingers, in the shape of a propeller with a ball bearing in the middle, creating a stunning rotating pattern, unique design, attracting children and reducing pain. Objective: Fidget spinner play therapy is applied to reduce pain intensity in children aged 13-18 years. Method: The research method is a case study with 3 respondents who experienced post-operative fractures using a fidget spinner and the Wong Baker pain scale. Results: The results for respondents 1, 2 and 3 showed a decrease in pain intensity, the average pre test for respondent 1 had pain 4 and the average post test pain was 3. Respondent 2 had an average pre test pain scale of 4 and post test pain scale 2. For respondent 3, the average pre test pain scale was 5 and post test 3. Conclusion: The application of fidget spinner play therapy is effective in reducing pain in children with post-operative fractures. Suggestion: This application is expected to be used in nursing care for children with post-operative fractures on the second day.

Background: “The highest prevalence of LBP at Awal Bros Hospital in Pekanbaru is estimated to be 0.70% or 3,238 people in 2022, 1.38% or 5,584 people in 2023, and 2,084 people or 1.11% in 2024. The impact of low back pain can make movement difficult, affect quality of life, and limit work activities and mental health. Method: The design of this research is quantitative research, with a cross sectional approach. The sampling technique used the consecutive formula and the sample size was 83 respondents. The data collection method uses a questionnaire. The data analysis used is univariate analysis and bivariate analysis using Somer's test. Results: Characteristics of the majority of respondents were women, 51 people (61.4%), 60 people aged > 35 years (72.3%), 54 people with a working period of > 5 years (65.1%), with BMI obesity amounted to 49 people (59.0%), amounted to 53 people (63.9%) who never did physical activity (exercise per week). The majority experienced moderate lower back pain, amounting to 34 respondents (41.0%), and had poor sleep quality, amounting to 51 respondents (61.4%). Based on the analysis test results, the d value was 0.482, meaning there was a moderate positive correlation with the p value (0.000 < 0.05), meaning there was a relationship between lower back pain and sleep quality in LBP patients at Awal Bros Hospital, Pekanbaru. Conclusion: There is a relationship between lower back pain and sleep quality. This shows that the higher the lower back pain, the worse the sleep quality.”    

Background: Vertigo is a group of symptoms caused by a disturbance in the balance of the vestibular or central nervous system. Complaints of vertigo can come in the form of nausea, dizziness, spinning, or a feeling of being pulled or drawn in an upright position. Dizziness can also be caused by disturbances in the body's balance organs, including receptors in the eye (retina), in the vestibular and semicircular canals, as well as in tendons, joints, and internal sense organs. Objective: Identifying the characteristics of respondents including age, gender, and measuring the scale of moderate, mild and severe symptoms after performing brandt daroff combination therapy accompanied by lemon aromatherapy. Methods: Pre-experiment research design with one group pretest and post test design with purposive sampling technique, a total of 14 respondents with observation sheet instruments. Results: Based on the analysis, the average number of vertigo complaints experienced by respondents was a score of 32.9. After the respondents were given Brandt Deroff therapy accompanied by lemon, the level of vertigo headache decreased to a score of 1.50. wilcoxon test showed a significance value.2 marked 0.001 <0.05, also Ho is rejected and Ha is accepted. Conclusion: So it can be concluded that there is an average difference between the results of therapy before (pre-test) and after (post-test) which means that there is an effect of Brandt Daroff treatment accompanied by lemon aromatherapy on reducing the pain scale of vertigo patients in cases at RSI Sultan Agung Semarang.

Background:Gastritis is an inflammation of the stomach wall caused by irritation of the gastric mucosa. Gastritis caused by bacterial infections such as Helicobacteri pylory and irritant foods and drinks. The problem posed is acute pain. Nursing interventions to address this problem are pain management. Objective: This case study aims to describe the implementation of nursing pain management in gastritis patients with acute pain. Method: This case study design is a descriptive design in the form of a case study with a nursing care process approach. The case study subjects were 4 patients in the emergency room with the criteria of experiencing gastritis with problems acute pain. This case study was conducted at Muhammadiyah Palembang Hospital on March 16- 23, 2023. The nursing implementation provided was in the form of warm compress and deep breath relaxation to reduce pain in gastritis patients, in patient 1 before the implementation of the pain scale was 5 and fell to 3, the second patient initially had a pain scale of 4 decreasing to 2, in patient 3 the initial scale of 5 was reduced to a scale of 2, and finally patient 4 before the technique was carried out. out the pain scale in patients is 5 after being carried out down to a scale of 3. Using data collection techniques by means of observation, and interviews. Results: The research results describe the need for implementation of pain management (warm compress and deep breath relaxation) to reduce pain in gastritis patients from a moderate pain scale to a mild pain scale.Conclusion:There is an influence in implementing pain management on acute pain in gastritis patients.

Low back pain (LBP) is a common health issue that affects both adolescents and the elderly, impacting their daily activities and overall quality of life. This study aims to identify the causes, risk factors, and preventive measures associated with LBP in these two age groups. Various factors, including posture, physical activity, body weight, and occupational or academic demands, contribute to the prevalence of LBP. In adolescents, prolonged sitting, improper posture, and excessive screen time are significant contributors, while in the elderly, age-related degenerative changes, decreased muscle strength, and chronic conditions such as osteoporosis play a major role. This study utilizes a literature review and observational analysis to explore the similarities and differences in LBP risk factors across different age groups. The findings suggest that early prevention through proper ergonomics, regular exercise, and healthy lifestyle choices can help reduce the incidence of LBP. Additionally, awareness and education about spinal health should be emphasized in both adolescents and the elderly to mitigate future complications. This research highlights the importance of a multidisciplinary approach, including physiotherapy, medical interventions, and lifestyle modifications, in managing and preventing LBP effectively.

Low back pain (LBP) is a common health issue that affects both adolescents and the elderly, impacting their daily activities and overall quality of life. This study aims to identify the causes, risk factors, and preventive measures associated with LBP in these two age groups. Various factors, including posture, physical activity, body weight, and occupational or academic demands, contribute to the prevalence of LBP. In adolescents, prolonged sitting, improper posture, and excessive screen time are significant contributors, while in the elderly, age-related degenerative changes, decreased muscle strength, and chronic conditions such as osteoporosis play a major role. This study utilizes a literature review and observational analysis to explore the similarities and differences in LBP risk factors across different age groups. The findings suggest that early prevention through proper ergonomics, regular exercise, and healthy lifestyle choices can help reduce the incidence of LBP. Additionally, awareness and education about spinal health should be emphasized in both adolescents and the elderly to mitigate future complications. This research highlights the importance of a multidisciplinary approach, including physiotherapy, medical interventions, and lifestyle modifications, in managing and preventing LBP effectively.