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Emotional intelligence plays an important role in addressing various issues, especially self adjustment problems in post hysterectomy cervical cancer patients. This quantitative research with the correlational approach aims to determine the relationship between emotional intelligence and self adjustment in post hysterectomy cervical cancer patients. Sampling used is saturated sampling method which involve the entire population to be used as a research sample because the population was less than 100 people, namely 30 patient. To collect data using questionnaires and interview. The technique for the analysis used by the researcher in this study is Pearson’s product moment correlation. The analysis shows that there is a relationship between emotional intelligence and self adjustment. Emotional intelligence also had a direct and positive relationship with self adjustment, in which the value of r = 0,874; there is no negative sign, and it can be said that emotional intelligence and self adjustment have a very strong relationship.

Stroke is a major health problem for modern society today. According to WHO (World Health Organization) in 2016, 51% of stroke deaths worldwide were caused by high blood pressure. Based on data on the top 10 most common diseases in Indonesia in 2018, the prevalence of stroke cases in Indonesia based on health worker diagnosis was 10.9 per mille. Various problems that stroke patients may experience include paralysis, weakness, balance disorders, speech disorders, etc. so that these patients need help in meeting their daily needs. The family as a caregiver has a major role in providing primary support to individuals with stroke and is the first person to respond to changes in the patient's status during the course of the disease. The aim of this community service program is to maximize family assistance as caregivers in caring for stroke patients. The obstacles experienced by caregivers are financial and time problems in accompanying stroke families at Mardi Rahayu Kudus Hospital. Based on the results of interviews that have been conducted, almost all the feelings of families as caregivers in caring for stroke patients are sad, almost all participants answered that the service at Mardi Rahayu Hospital is good and fast, almost all participants' hopes for their husbands are that they can recover quickly, almost all The obstacles experienced by caregivers are financial and time problems. Therefore, assistance and providing motivation to families as caregivers for stroke patients is very important.

Workload is a description of the volume of work. In hospitals, the workload covers many aspects and this has an impact on compliance with the implementation of SOPs for new patient admissions which can be influenced by high workloads. The aim of this research is to determine "The relationship between emergency room nurse workload and compliance with standard operational procedures for accepting new patients." This research was conducted using a cross-sectional Descriptive Analytical research method, which emphasizes the time of measurement or observation and independent and dependent variables only once. The population in this study was 23 subjekts with a sampling technique using total sampling technique and the sample for this study was 23 subjekts. Data collection uses questionnaires and observation sheets. Analyzed using the chi square test. Based on the chi-square results, it can be seen that the p value is 0.026, which is smaller than p (α < 0.5), so it can be concluded that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures. The conclusion in this study is that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures at RSU GMIM Pancaran Kasih, Manado City. Suggestions to hospitals can pay more attention to the workload they experience so as to provide good service to patients.

The problems that usually arise in people with HIV/AIDS (PLWHA) are that apart from physical problems, there is also stigma, namely the bad social reaction towards people with HIV/AIDS. Such complex problems in PLWHA are accompanied by loss of social support such as lack of attention from family and community. This reaction is a bad experience for PLWHA where when they need support there is no one to help them, so depression often occurs in PLWHA. Depression in HIV AIDS sufferers can increase the risk of non-adherence behavior towards treatment resulting in a high risk of shorter survival. Failure to recognize and treat depression in HIV/AIDS sufferers not only endangers the patient but also endangers society. Research related to depression in PLWHA at Cipto Mangunkusumo Hospital, Jakarta, found that more than half of the patients experienced depression, namely 51.1%. The general aim of providing this counseling is so that PLWHA are able to overcome the depression they are experiencing. The design used in this community service is counseling with communication, information and education methods. The targets of this community service activity are housewives with HIV/AIDS in Cirebon district. From the preliminary study carried out, it was found that data on the problems that arise among PLWHA in Cirebon district cannot be separated from the emergence of psychological problems, this occurs because of feelings of sadness, disappointment, shame, fear of being ostracized by friends and family and fear of being abandoned by their husbands.

Patient anxiety during tooth extraction is a common challenge in dental practice that can affect patient experience and outcome of the procedure. This study aimed to evaluate the effectiveness of approaches and strategies to address patient anxiety during tooth extraction procedures. Through counseling designed to improve patient understanding of the causes of anxiety, relaxation skills, and communication with the dentist, this study measured its impact on patient anxiety levels and preparedness. The study involved patients undergoing tooth extraction procedures, where they attended a counseling session that included information on factors that cause anxiety, breathing relaxation techniques, and communication skills. Data were collected before and after the counseling through a survey that assessed patient knowledge, ability to apply relaxation techniques, self-confidence, and anxiety levels. The results showed a significant increase in patient understanding of the causes of anxiety from 50% to 85%, ability to apply relaxation techniques from 30% to 75%, and self-confidence in facing the procedure from 40% to 80%. In addition, the ability to communicate with the dentist increased from 45% to 78%, and anxiety levels decreased from 70% to 40%. These findings confirm that an educational approach is effective in reducing patient anxiety, increasing preparedness, and improving the experience during tooth extraction. This strategy can be implemented widely to improve the quality of care and patient well-being in dental practice.

As many as 7.3 million people worldwide die from heart disease. This indicates that heart disease is one of the diseases that cause the most deaths. As a preventive effort in handling heart disease, it is necessary to predict heart disease in patients. The classification process to predict heart disease is done using a decision tree. This decision tree is interesting because it is more flexible in providing the advantage of visualizing the advice so that the prediction can be observed. This study uses Heart Disease Prediction Dataset data with a total of 303 data. Then predictions are made using Decision tree so that the accuracy results are 83.60%, precision 89.28%, recall 78.12% and F1 score of 83.33%.

The lack of public knowledge about hypertension and information about drugs is an obstacle to success in the healing process. In line with this, Gebriet et al. (2017) explained that the level of knowledge and understanding of hypertensive patients regarding their disease can support the success of therapy so that the patient's blood pressure can be well controlled. The more patients understand their disease, the more aware patients will be in maintaining a lifestyle, regularly taking medication, and the level of patient compliance will also increase. Before conducting counseling, participants were given a pre-test to find out how much knowledge the community had about hypertension. During the implementation of the activity, participants paid attention enthusiastically and actively. This can be seen from the many questions from the participants and the right answers to questions from the community service team. At the end of the activity, participants conducted an evaluation. The results of the evaluation conducted from 10 participants showed that the pre-test results were 45% good, 55% fair value, the post-test results showed that 85% good 15% fair. So there has been an increase in knowledge from before and after counseling.

Use Of Fat Saturation (FS) Sequences In MRI Knee Joint Examination Of Osteosarcoma Cases At Installation Radiology Hospital In Jakarta. Magnetic Resonance Imaging (MRI) is one of the medical support modalities used by doctors to diagnose a disease. MRI is capable of producing high resolution images of soft tissue and is capable of displaying various cuts (sagittal, axial, coronal and oblique) using high-strength magnetic fields and nuclei resonances of hydrogen atoms. Fat saturation is used to detect or extract signals from adipose tissue. Three methods can be used to achieve leanness: lean saturation, investment mulihan, and leaning phase. Fat sat is an umbrella term that encompasses several techniques, each with its own unique advantages, disadvantages, and strengths. During the MR imaging process, proton lipids and hydrogen protons from the air have different behaviors, and fat suppression techniques.The knee joint is a hinge joint with changes and is formed by both femoral condyles that are jointed with the superior surface of the tibia condyles. The patella is located above the smooth pateller surface of the femur and above that the patella slides as the joint moves. Osteosarcoma is a relatively common middle to high grade malignant soft tissue tumor, often with an early course affecting young patients, and most often involving soft tissue.

Soft Tissue Neck MRI Examination Technique With Liposarcoma Clinical At The Mayapada Hospital Installation, South Jakarta. MRI examination techniques have a very important role in the medical field because of their ability to produce visual images of the body's soft tissue and metabolic processes. Liposarcoma is a malignancy of mature fat cells in the connective tissue space1. Liposarcoma is the most common type of soft tissue sarcoma, appearing slowly, enlarging, painless, non-ulcerated submucosal mass in middle-aged people, some lesions grow rapidly and become ulcerated early, Liposarcoma is a rare malignant tumor. The purpose of this examination is to find out whether the image results produced using the sequence at Mayapada Hospital can produce a firm image in confirming the diagnosis of liposarcoma. This research is a qualitative study with a case study method using 3 patients who underwent an MRI examination of neck soft tissue with clinical liposarcoma. Data was collected using observation, documentation and interviews with radiographers and radiologists. The results of the data that have been collected can be concluded that the results of the soft tissue MRI examination of the neck with clinical liposarcoma carried out at Mayapada Hospital, South Jakarta are good in confirming the diagnosis and the results of a more detailed anatomical picture.

Management Of External Radiotherapy Irradiation In Vaginal Cancer Using Intensity Modulated Radiation Therapy (IMRT) Technique At The Cancer Center Radiotherapy Santosa Hospital Bandung Kopo. Vaginal carcinoma constitutes approximately 2% of all malignant neoplasms that occur in the female genital tract. Vaginal carcinoma can arise from various types of cells within the vaginal wall and is often associated with risk factors such as exposure to certain carcinogens (8). Cancer is one of the main causes of death throughout the world. Based on GLOBOCAN data, the International Agency for Research on Cancer (IARC) in 2018, deaths caused by cancer reached around 9.5 million people, with 60% of cancer deaths in Asia. (7) Radiotherapy is a cancer treatment approach that uses light. ionizer to damage tumor cells while maintaining the integrity of surrounding healthy tissue. The main focus is to eliminate as many cancer cells as possible while reducing the negative impact on normal tissue around the tumor area. (20) There are several treatments for patients suffering from vaginal cancer, namely surgery, radiation, brachytherapy, and  external radiation based on the size and stage of the tumor suffered by the patient. (3) Based on the book "Target Volume Dileniation And Filed Setup" (a practical guide for conformal and Intensity-Modulated Radioation Therapy), Arno.J, (2013: 201), all vaginal cancer patients who undergo radiation using the IMRT technique must simulated in a supine position and the patient's legs straight with a thermoplastic immobilization mask and adjusted immobilization of the upper and lower body (16).

One of the patient safety indicators related to medical treatment of surgical wound infection is the main complication experienced by hospitalized patients, the determinants of the cause of surgical wound infection (ilo) post sectio caesaria are DM sufferers, wound care and HB levels Objective: determine hb levels, wound care and DM related to the incidence of surgical wound infection in post sc patients at H. Badaruddin Kasim Tanjung Hospital. The quantitative research method with the research design design carried out is a retrospective, retrospective observational study. The total population of 40 post-SC mothers in 2022 in September - December, total sampling technique. The data was analyzed using the Chi Square test. The results of the study found that there was a relationship between hb levels and ILO incidence in post sc patient respondents, p values = 0.001 and ? = 0.05, p < ?, there was a relationship between wound care and ILO events in post sc patient respondents, p values = 0.000 and ? = 0.05, p < ? and there was a relationship between dm and ILO events, p values = 0.000 and ? = 0.05, p < ?.

Background: CT scans are used for various types of examinations such as examinations of the head, thorax, abdomen and so on. The most frequently performed CT scan is a CT scan of the head. However, in the medical field, especially radiology, CT scans have the highest dose compared to other radiation equipment. Efforts to reduce radiation doses and radiation effects are by estimating the correct dose given to CT Scan patients using an optimization index called DRL (Diagnostic Level Reference), namely by evaluating the values ​​of CTDIvol and DLP on CT scans of the head, which have been determined in accordance with BAPETEN/I-DRL 2021 standards. Method: This research is a descriptive quantitative study with an observational approach which aims to analyze CTDIvol and DLP values ​​based on retrospective data on non-contrast brain CT scans at the Radiology Installation at Hospital X, Central Jakarta. Results: Calculation of the 2nd quartile (50th percentile) value of CTDIvol and DLP in Adult Non-Contrast Brain CT Scan examinations for the January-December 2022 Period at the Radiology Installation at X Hospital, Central Jakarta is CTDIvol 55.51 mGy and DLP 867.00 mGy* cm. Conclusion: The 50 percentile value of CTDIvol and DLP in the Adult Non-Contrast Brain CT Scan examination for the January-December 2022 period at the Radiology Installation at X Hospital, Central Jakarta is in accordance with the standards set by BAPETEN/I-DRL 2021. Where is the value for CT Non-Contrast Head Scan, namely a CTDIvol value of 60 mGy and a DLP value of 1275 mGy*cm.

.Degenerative diseases in the elderly, if not handled properly, will add to the state’s financial burden, which is not small. This study’s general purpose was to determine ergonomic gymnastics’s effectiveness in lowering blood pressure in the elderly. This research method uses a pre-experiment with a group pre-test and post-test design. The sample in this study amounted to 20 people, using the purposive sampling technique. The results of this study indicate that respondents before being given the intervention had blood pressure in the Stage 1 hypertension category, as many as 12 respondents (60%), and in the Stage 2 hypertension category, as many as eight respondents (40%). After being given the intervention, blood pressure in the Stage 1 hypertension category, as many as two respondents (10%), and pre-hypertension, as many as 18 respondents (90%). The chi-square statistical test showed a p-value = 0.018 (p < 0.05). These results indicate that H0 is rejected Ha is accepted, so it can be concluded that ergonomic exercises effectively reduce blood pressure in the elderly. It is recommended that health center officers socialize with the elderly by providing ergonomic exercises to reduce changes in blood pressure in elderly patients.      

Breast cancer occurs due to abnormal, uncontrolled, and irregular cellular growth in the breast. The management of breast cancer includes surgery, chemotherapy, radiation therapy, hormonal therapy, immunotherapy, and bone marrow manipulation. The physical impacts of chemotherapy include sleeping problems and fatigue. The non-pharmacological efforts to relieve this fatigue include progressive muscle relaxation (PMR). The research objective was to determine the effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy. The research design was a pre-experimental one group pre-posttest design. The population is breast cancer patients undergoing chemotherapy as many as 35 patients. The number of respondents is 35 respondents. The sampling technique used is total sampling. The research instrument used is the Fatigue Assessment Scale (FAS). The test used is the Wilcoxon test. The results showed that there was an effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy with a p value = 0.000 (<0.05). The research recommendation is Progressive Muscle relaxation (PMR) intervention as a non-pharmacological intervention to reduce the fatigue level of breast cancer patients undergoing chemotherapy in health services.

According to the American Heart Association or AHA, hypertension is a silent killer, with symptoms that can vary from individual to individual and are almost the same as symptoms of other diseases. Hypertension is a risk factor for various cardiovascular diseases and stroke. According to the AHA, hypertension is a disease that occurs due to an increase in systolic blood pressure> 140 mmHg or diastolic blood pressure> 90 mmHg. This type of research uses a descriptive analytic survey with a cross sectional design. The population in this study were all elderly (≥60 years) hypertensive patients at the Internal Medicine Polyclinic totaling 156 people, while the sample numbered 156 people by means of total sampling. Data analysis was performed using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test it is known that the incidence of hypertension affects smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity p = 0.000, meaning that there is an effect of smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity on hypertension incident. From the results of multivariate analysis it is known that the most influential variable in this study is obesity with an OR value of 62,850. The conclusion in this study is that obesity is the dominant factor influencing the incidence of hypertension in the Internal Medicine Polyclinic at Dr.R.M.Djoelham Binjai Hospital. In order to reduce the prevalence of hypertension, it is hoped that the Patients of the Internal Medicine Polyclinic at Dr, R.M.Djoelham Binjai Hospital will apply hypertension management with a healthy lifestyle so that diabetics can have controlled blood pressure levels.

Data from the World Health Organization (WHO) estimates that currently the global prevalence of hypertension is 22% of the total world population. Based on data on hypertension in the elderly in the Tangan-Tangan Community Health Center, Southwest Aceh Regency in 2021, there were 517 people, in 2022 there were 668 people, while in 2023, starting from January-August, there were 712 people. The aim of the research is to determine the factors that influence the quality of life of elderly people with hypertension in the Tangan-Tangan Community Health Center Area, Southwest Aceh Regency. The research design uses the Analytical Survey method with a Cross Sectional approach. The population in this study were all elderly people who experienced hypertension in the Tangan-Tangan Health Center Working Area, Southwest Aceh Regency, totaling 712 people. The sample consisted of 88 people using Quota sampling technique. Data analysis uses univariate, bivariate and multivariate analysis. The results of the research show that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency, while the dominant factor is family support. The conclusion of this research is that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency. It is recommended that the Tangan-Tangan Health Center create a program as a forum for hypertensive patients to always carry out efforts to control blood pressure as a form of monitoring and maintaining the patient's quality of life.

Indonesia's Health Profile in 2022, there were 845,000 cases of pulmonary TB and in 2021 there were 420,994 cases. There were 563,879 new confirmed cases of pulmonary TB and relapses. If this is not adhered to, it will cause drug resistance. The aim of the research was to determine the factors that influence the compliance of pulmonary TB sufferers in taking medication at the Batang Beruh Health Center UPT, Sidikalang District, Dairi Regency. The research design uses an analytical survey research method with a cross sectional research design. The population in this study was all 126 pulmonary TB patients. The sample was 56 people with a purposive sampling method. Data analysis uses univariate, bivariate and multivariate analysis. The results of the study showed that there was an influence of knowledge p = 0.010, attitude p = 0.006, family support p = 0.000 and drug side effects p = 0.000, while the variable that had no influence was gender, p = 0.057, on the compliance of pulmonary TB sufferers in taking medication. at UPT Batang Beruh Community Health Center, Sidikalang District, Dairi Regency, while the dominant factor was family support, p = 0.006 < 0.025, 95% CI = 2.715-519.110 and OR = 37.543. The conclusion is that there is an influence of knowledge, attitude, family support and side effects of drugs, while the variable that has no influence is gender on the compliance of pulmonary TB sufferers in taking drugs at UPT Puskesmas Batang Beruh, Sidikalang District, Dairi Regency. Recommended to UPT. Batang Beruh Community Health Center, Sidikalang District, increases public knowledge about pulmonary TB among sufferers and visiting residents by providing outreach and providing information on the SITB application. Targets at risk of contracting pulmonary TB are the sufferer's family and health workers. And as a Medicine Taking Supervisor are the families of pulmonary TB sufferers.

Background: Kidney stones (nephrolithiasis) are solid masses formed from urine precipitated crystals. The formation of stones is caused by increased calcium, oxalate and uric acid content in the body, scans to view kidney stones (nephrolithiasis) can be performed with or without contrast. Non-contrast CT urography is the imaging modality of choice for the initial evaluation of patients with suspected urolithiasis, as it has a sensitivity of up to 98% and specificity of 96-98%. Components that affect image quality in CT scans are spatial resolution, contrast resolution, and noise. One of the important parameters in image quality is the selection of slice thickness. Spatial resolution is the ability to show objects or organs with a high level of contrast. Noise is the standard deviation percentage of the sum of pixel values obtained from the waterbath image. Methods; This type of research is quantitative research with an experimental approach to analyze the effect of slice thickness variations on image quality using variations of 2 mm, 3 mm, 4 mm, 5 mm, and 6 m. The data were collected in August 2023 with 10 samples. Data were collected in August 2023 with 10 samples. Researchers took urographic CT scan examination data with a diagnosis of nephrolithiasis. Results and Conclusion: With the results of the research conducted, it can be concluded that in the overall Friedman test results there is an effect of using slice thickness variations on image quality in urographic CT Scan examinations with nephrolithiasis diagnoses. using slice thickness variations. Based on the results of this study, the researcher can recommend on CT Scan urography with nephrolithiasis diagnosis using 4 mm slice thickness to get good and optimal image quality results.

Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) is an invasive diagnostic technique used to evaluate the condition of the coronary blood vessels in patients with acute transmural myocardial infarction (MI). Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and its role in the management of Severe (MS) Patient preparation involves patient education about procedures, fasting before examination, renal function checks, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Narrowing of the heart's mitral valve is a pathological condition in which this narrowing inhibits blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) plays an important role in clinical evaluation and therapeutic planning. Background: Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. This can increase pressure in the left atrium and reduce the amount of blood pumped throughout the body. Because MS is associated with increased left atrial pressure and can affect overall cardiac hemodynamics, it is important to understand how this condition may interact with coronary artery pathology. This research method is a literature review study, where literature exploration is carried out in various databases with keywords such as Coronary Angiography, Severe Mitral Stenosis Cases. Results: Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and their role in the management of (MS) Severe Patient preparation involves patient education about the procedure, fasting before examination, renal function testing, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Severe (MS) patients require special attention in this preparation. Equipment preparation includes a stable catheterization table, a fluoroscopic imaging system, various types of catheters, appropriate contrast agents, resuscitation equipment, pre-procedure medications, and hemostasis equipment. The medical team involved in CAG examination in Severe (MS) patients involves an interventional cardiologist, radiological technologist, catheterization nurse, catheterization technician, and additional support personnel such as the anesthesia team and resuscitation team. The examination procedure includes patient preparation, vascular access, catheter insertion into the coronary arteries, evaluation and imaging of the coronary arteries, and completion of the procedure. CAG examination has an important role in the detection of coronary artery disease. CAG examination in patients with (MS) Severe requires careful preparation and involves the collaboration of a well-coordinated medical team to provide optimal results and a significant contribution in the management of (MS) Severe. Conclusion: Narrowing of the mitral valve, severe mitral stenosis (MS) is a pathological condition where this narrowing inhibits blood flow from the left atrium to the left ventricle. This condition is most often caused by rheumatic heart disease, which results in inflammation and ultimately thickening and narrowing of the mitral valve. Coronary Angiography (CAG) examination in Severe Mitral Stenosis (MS) cases has an important role in detecting coronary artery disease.

Breasts are organs that play a role in the lactation process. In men, this organ does not develop and does not have a function in the lactation process like in women. According to. cancer is characterized by the growth of abnormal cells beyond normal limits and can attack adjacent parts of the body or metastasize to other organs which can result in death for the sufferer. Cancer is also called malignant tumor and neoplasm. Breast cancer sufferers often find out about their disease too late, so they come to the hospital when it is in the final stage. Early detection is very necessary so that breast cancer sufferers can be treated more quickly. The prevalence of cancer in Bali Province in 2018 was 2.3 per 1000 population. This incidence increased compared to the 2013 Riskesdas results of 2.0 per 1000 population (Riskesdas, 2018). The total number of breast cancer cases recorded in the Medical Records Installation at Sanglah General Hospital Denpasar for the period 1 January – 31 December 2022 and which met the inclusion criteria was 70 people with a monthly average of 5.83%, around 6 patients. Inclusion criteria are breast cancer patients with stage II-IV and who have had a mastectomy. Based on a report from the Bali Province Integrated Disease Survey, it was found that the incidence of breast cancer in 2019 was 437 cases. especially in Denpasar City, the incidence of breast cancer was 293 cases. Denpasar City is an area that has the highest incidence of breast cancer in Bali.