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This study focuses on the impact of Pursed Lips Breathing (PLB) exercises on the Respiratory Rate (RR) of Pulmonary Tuberculosis (TB) patients. Tuberculosis, caused by Mycobacterium tuberculosis bacteria, often leads to abnormal breathing patterns. The objective of this research is to determine the influence of Pursed Lips Breathing (PLB) exercises on the RR of TB patients. The research methodology employs a pre-experimental design with a One group Pretest-Posttest Design. The study includes a population of 30 respondents, and a total sample of 30 respondents selected through total sampling technique. Research instruments consist of observation sheets, SOP, and a Stopwatch. Data analysis utilizes the Dependent T-test. The study's findings indicate a significant impact of PLB exercises on the RR of TB patients, with a p-value of 0.000 (? ? 0.05). This underscores the importance of considering PLB exercises as an effective alternative therapy for managing changes in respiratory rate. Furthermore, it can be applied by families at home, ensuring that the therapy's benefits are more widely realized.

The incidence of injuries is increasing every year, both acute wounds and chronic wounds. A recent study in America showed that the prevalence of patients with wounds was 3.50 per 1000 population. The majority of wounds in the world's population are wounds due to surgery/trauma (48.00%), foot ulcers (28.00%), decubitus wounds (21.00%). In 2009, MedMarket Diligence, a wound association in America conducted research on the incidence of wounds in the world based on disease etiology. Data obtained for surgical wounds were 110.30 million cases, trauma wounds 1.60 million cases, abrasions there were 20.40 million cases, burns 10 million cases, decubitus ulcers 8.50 million cases, venous ulcers 12.50 million cases, diabetic ulcers 13.50 million cases, amputations 0.20 million per year, carcinoma 0.60 million per year, melanoma 0.10 million, skin cancer complications there are 0.10 million cases. Injuries that occur in all our daily activities. Abrasions due to falls, injuries from sharp objects such as knives, nails and so on are considered minor injuries.

Background. Non-contrast head CT scans utilizing X-rays are considered the gold standard in emergency units for patients with clinical head injuries. Rotation time is a parameter that influences the radiation dose received by patients. This study aims to evaluate the impact of rotation time on patient radiation doses, emphasizing the ALARA principle. The research findings can assist in optimizing CT scan settings to reduce radiation doses without compromising image quality.. Methods: This quantitative research employs an experimental approach to investigate the influence of rotation time variations on CTDI (CT dose index) and DLP (dose leght product) in non-contrast head CT scans. Results: Calculation of CTDI and DLP values to assess the impact of rotation time variations, using two variations, 1 s and 1.5 s, yielded the following results: CTDI and DLP for 1 s were 20.30 mGy and 239.54 mGycm, respectively, while CTDI and DLP for 1.5 s were 20.43 mGy and 249.26 mGycm. Conclusion: Rotation time variations affect CTDI and DLP values in non-contrast head CT scans, although both values tend to remain stabel. A rotation time of 1 s is considered optimal for CTDI and DLP in non-contrast head CT scans at the Radiology Department of Sunset Vet Kuta Animal Hospital.

CRS occurs when there is irritation to the cervical nerve roots due to the vertebral disc bulging out. In diagnosing CRS, supporting tools such as MRI are needed. The purpose of this study was to determine how the cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital and why the cervical MRI examination with a diagnosis did not use the T2*GRE and Proton Density sequences. This study used a qualitative method with a case study approach conducted from June-July 2023 with the object of research as many as five patients diagnosed with CRS. The respondents consisted of three radiographers, three radiology specialists, and one sending doctor. The cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital has no special preparation, the patient only releases metal objects in the patient's body before entering the examination room. The sequences used are Coronal T1 FSE, Coronal STIR, Sagittal T2 FRFSE, Sagittal T1 FSE, Sagittal STIR, Axial T2 FRFSE, Axial T1 FSE, and Myelography. Based on the results of the study, using T2*GRE in CRS diagnosis will produce a poor picture. While Proton Density is good for bone but because of the use of a long time and CRS diagnosis is more focused on nerve fibers and soft tissue, it does not need to be used.

Bronchopneumonia is an infection that affects the airways entering the lungs, also known as the bronchi. Symptoms that arise are cough, fever, restlessness, dyspnea, rapid and shallow breathing, and cyanosis around the nose and mouth. Physiotherapy measures in the form of breathing exercises (deep breathing exercise and coughing) and postural drainage are appropriate interventions for this condition. The aim of the research was to determine the effect of physiotherapy interventions in the form of breathing exercise (deep breathing exercise and coughing) and postural drainage on children's brochopneumonia conditions at Wijaya Kusuma Lumajang Hospital. The research instrument used the Dalhousie Dyspnea Scales. The results of the study showed a decrease in the degree of shortness of breath from 5 to 2 with 8 treatments. So it can be concluded that breathing exercise and postural drainage are effective in reducing the degree of shortness of breath in bronchopneumonia patients  

Background: Treatment of radiation therapy in patients with cervical cancer citobleeding at the Radiotherapy Installation of the NTB Provincial Hospital uses a 2D technique with 2 radiation fields, namely AP (Antero Posterior) and PA (Postero Anterior). The aim of this study is to describe the management of radiation therapy in patients with cervical cancer bleeding in the radiotherapy installation of the NTB Provincial Regional Hospital and its advantages and disadvantages. Method: This type of research is qualitative descriptive research with a case study approach. The author conducted interviews with research subjects, namely 1 radiation oncologist, 1 medical physicist and 3 radiographers/RTT. The author took the collected data such as images and medical record data. Data was collected using interview transcripts, then processed using a categorization table and an open coding system. Results: Based on the results of the author's observations and interviews, the management of radiation therapy in Cito bleeding cervical cancer patients at the Radiotherapy Installation of the NTB Provincial Regional Hospital uses a 2D technique with a dose of 3 x 3 Gy per fraction. The advantage of radiation therapy management for patients with bleeding cervical cancer is the use of a 2D technique which is simpler and faster so that the patient can be immediately irradiated, but the disadvantage is that it produces less than optimal dose distribution to the target and organs at risk (OAR). Conclusion: Treatment of radiation therapy in patients with bleeding cervical cancer at the NTB Provincial Hospital Radiotherapy Installation uses a 2D two-field AP and PA technique with a dose of 3 x 3 Gy per fraction to stop bleeding. The advantage of using the 2D technique is that it is faster and simpler, while the disadvantage is that the dose distribution is not optimal.

Setabelan, a neighbourhood in the Banjarsari sub-district, houses a popular healthcare centre called Puskesmas Setabelan. Recent data shows that hypertension is the second most common reason for visits to the centre, with a total of 273 visits and eight patients daily. To address this issue, educational activities were organized to increase awareness and knowledge of physical exercise, particularly brisk walking, and the control of salt consumption among individuals with hypertension. These activities included distributing leaflets, presenting material, demonstrating exercises, and engaging in question and answer sessions with prolanis participants in Taman Banjarsari, Surakarta. The programme led to a significant increase in understanding, as evidenced by the pre-test average score of 2.18 and the post-test average score of 4.48, indicating an improvement of 2.30. The hope is that this community service initiative will empower participants with hypertension to independently manage their blood pressure effectively, ensuring the sustainability of the programme.  

Diabetes Mellitus (DM) is a metabolic disorder characterized by increased blood sugar levels due to insufficient insulin function. Patients with diabetes mellitus often experience other health problems such as obesity, heart disease and kidney disease which further exacerbate their health problems, especially if they are exposed to Covid 19 which can eventually lead to death. The need for information that strengthens and refreshes the knowledge possessed is urgently needed so that while living life during this pandemic, you can stay healthy. The method used in community service activities is carried out by counseling and discussion methods. This activity was carried out face-to-face, the total number of activity participants was 45 people, although initially it was targeted to be 100 people. The results of this activity, the people of Taeno Hamlet said that 80% felt very satisfied and 20% were satisfied with this counseling activity. These results were obtained through a questionnaire after this activity took place. This can be seen by the enthusiasm of the participants to ask about a healthy lifestyle. Patients with diabetes mellitus must have a healthy behavior and exercise diligently in order to maintain body stamina and follow the treatment that has been carried out so far. Counseling activities for patients with co-morbidities not only diabetes mellitus are urgently needed to provide information, strengthen understanding and provide updated information regarding how Covid 19 can affect patients, especially those with comorbidities.

Periodontal disease is a complication that often occurs in diabetes mellitus (DM) patients. This disease can worsen the patient's general health condition. This community service aims to increase awareness and knowledge about periodontal disease in DM patients at the Bara-Barayya Health Center. The methods used include counseling, dental and oral health checks, and distribution of educational leaflets. The results of the activity showed a significant increase in the knowledge and awareness of DM patients regarding the importance of maintaining oral health. It is hoped that this will help in the prevention and management of periodontal disease in DM patients.

The background of this research is that vertigo is a symptom caused by disturbances in body balance due to the different locations of the lesions. Vertigo is not a disease but a symptomatic condition of vestibular system disorders. Evaluation of patients with audiovestibular disorders, sensorineural hearing disorders, tinnitus, and vertigo . Brain MRI is used to evaluate patients with audiovestibular dysfunction, including sensorineural hearing loss, tinnitus, and vertigo. This research method is descriptive qualitative research with a case study approach using a research design, namely observation, interviews and documentation which aims to find out why the T2 MATRIX 3D SPAIR sequence is needed for MRI brain examinations in vertigo cases at the Radiology Installation at Balimed Hospital, Denpasar. The data collection method was obtained using 3 Brain MRI patients, 3 radiology specialists and 3 radiographers. The results of this research show that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar uses the additional T2 MX3D SPAIR sequence for Vertigo cases because this sequence is able to show the nerve fibers in the brain. The conclusion is that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar does not require special preparation, only more attention is paid to the patient's condition, whether they are wearing braces or dentures because the two tools used will interfere with the results of the MRI image used. The reason for using the T2 MX3D SPAIR sequence is with the aim of adding diagnostic information from the image quality results in order to establish a diagnosis of many neurological disorders or nerve fibers, one of which is Vertigo.  

Hypertension is a measurement of systolic blood pressure of more than 140 mmHg or diastolic blood pressure of 90 mmHg and the measurement is more than 2 times. The purpose of this literature review is to determine the relationship between elderly sleep quality and high blood pressure in hypertensive patients based on the literature review. Writing this journal uses a literature study approach from several search databases from pubmed and proquest with the last 5 years of publication (2017-2022). Keywords used are sleep quality, elderly, and hypertension. The literature study showed that from 10 journals studied, there was a relationship between sleep quality and hypertension from several factors, including sleep duration <6 hours, frequent awakenings at night, illnesses suffered and the elderly experienced nocturia. Where nocturia is someone who often urinates excessively at night. In conclusion, from 10 articles that show a significant relationship, it has been analyzed that sleep quality is related to hypertension, but poor sleep quality can be caused by several triggering factors including sleep duration > 6 hours, illnesses such as diabetes mellitus, and hyperlipidemia, and sleep quality. in women aged > 60 years and over more often experience nocturia so that the quality of sleep decreases.

Abstract.Hypertension is one of the main risk factors for heart problems. Apart from causing heart failure, hypertension can also result in kidney failure and cerebrovascular disease. This disease is often called the silent killer because there are no symptoms and without realizing it, sufferers experience complications in vital organs. This study aims to assess factors influencing adherence to taking anti-hypertensive medication in hypertensive patients at the Pekkae Community Health Center. This research presents the characteristics of respondents, Univariate data analysis of each variable to see the relationship between the Independent Variable and the Dependent Variable using the Chi-Square test. Based on the results of research conducted in the Pekkae Community Health Center working area, it was found that there was a relationship between predisposing factors including knowledge, beliefs, values ​​and attitudes towards compliance with taking antihypertensive medication for hypertension sufferers at the Pekkae Public Health Center, Barru Regency.

The urographic ct scan is a diagnostic procedure which aims comprehensively evaluate kidney, ureter, and bladder, as well as the general function of the urinary tracts.   One of common pathologies detected on urographic examination is kidney cyst. The kidney cyst is a spherical or oval-shaped sac which contains a fluid form inside the kidney. This case study aims to explain the Urographic CT scan procedures with contrast media. This study assess the strengths and weakness of CT Urographic examinations with patients with kidney cysts. The study shows that CT Urographic exmination procedure involves informed consent, patient and equipment preparation, patient positioning, image acquisition and reconstruction. The study also shows that there was a difference in scanning phase on theory and clinical practices. While the theory  states that the the Urographic CT examinations must be conducted with with four phases including non-contractional phases, cortikomedular phases, nefrographic and excretion phases, in clinical practices, the scanning was acquired with non-contrast phase, kidney phase, ureter phase and bladder phase.  

The purpose of this study was to investigate how dhikr therapy can lessen psychopathological symptoms. Eighteen hypertension patients in all were chosen as volunteers and divided into two groups: experimental and control. While the control group (n = 9) was placed on a waiting list, the experimental group (n = 9) received the therapy. The Brief Symptoms Inventory (BSI), which measures psychopathological symptoms before therapy (pretest), after therapy (posttest), and during a two-week follow-up test, was administered to all participants. With Z = -3.339 and p = 0.000, data analysis using the Mann-Whitney U revealed a significant decrease in symptoms. The findings confirmed the theory that psychopathological symptoms were alleviated by dhikr treatment. This study concluded that spiritual therapy plays a significant influence in lowering psychological symptoms.

One of the cancers that causes the highest mortality is nasopharyngeal cancer. The number of nasopharyngeal cancer cases in Indonesia reached 19,943 new cases with a mortality rate of 13,399. Radiotherapy is the main treatment modality and part of standard care for cancer patients. The way radiotherapy works is to damage the DNA chain of tumor cells in order to kill tumor cells directly and eliminate the ability to proliferate. Giving radiation to the head and neck region has an influence on weight loss. The purpose of this study was to describe the BMI (Body Mass Index) of nasopharyngeal cancer patients who underwent IMRT therapy at the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. The type of research used is quantitative research with an observational approach using retrospective data. The samples of this study were 25 patients with nasopharyngeal cancer who underwent IMRT therapy from January to December 2021 at the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. The results of this study showed 25 samples of nasopharyngeal cancer patients who underwent IMRT therapy experienced weight loss with an average of 13.01 and BMI with an average of 4.93. Based on the results of the Statistical Test which shows that the p value <0.05 which means there is a decrease in body weight in nasopharyngeal cancer patients undergoing IMRT therapy in the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. Of the 25 samples of nasopharyngeal cancer patients who underwent IMRT therapy, there were changes in BMI (Body Mass Index) before irradiation and after irradiation. This is evident from the normality test value and Paired Twhich shows a p value <0.05, meaning that there is a decrease in body weight in nasopharyngeal cancer patients undergoing IMRT therapy.  

Stroke is a disease that is the third leading cause of death in the world after heart disease and cancer. Stroke is also the world's leading cause of serious and permanent disability. In the world stroke attacks occur in more than 15 million people each year. Of these 15 million people, 5 million die, and others survive, but experience permanent disability and live dependent on family and society, and a small percentage of people recover as before the stroke (WHO, 2010) to prevent the risk of excessive falls, physiotherapy has a way to prevent it through the Fukuda TEST. This study used a mix-method research design. The participants in this study were parties related to the problem of fall risk prevention, including the community around Tugurejo Semarang Hospital, local government, health cadres and community leaders. Qualitative data collection techniques used structured interview guides and observation and quantitative data in the form of Fukuda Test measurements on the community and IFI members who were present. After the data was obtained, FGD (Focus Group Discussion) was conducted with local government, health cadres and community leaders with the aim of validating the data that had been obtained. A total of 62 patients with unilateral BPPV were included in our study (35 female/27 male). The mean age was 45.3 years (range 23-67 years). Of these patients 51 (83.6%) were posterior and 11 (16.4%) were lateral canal BPPV. Two groups were created due to the FST results. Group 1 consisted of 33 (53.2%) patients with positive FST results and Group 2 consisted of 29 (46.8%) patients with negative FST results. No statistically significant differences were found between the gender and age distributions in Group 1 and Group 2, p=0.7943 and p=0.5262, respectively (Table 1). In addition, the ratio of FST positive and FST negative BPPV patients was not statistically significant. will cause daily activities to be disrupted then Qualitative data processing was carried out using the advocacy method according to the Covey and Miller advocacy framework, so as to obtain complete information related to the root causes of problems to the preparation of fall risk prevention strategies. Based on the results of data processing according to the Covey and Miller advocacy framework, the data is then analyzed through three stages: data reduction, data presentation and conclusion drawing. This research will be conducted at RSUD Tugu, Semarang City, conducted by physiotherapy in collaboration with STIKES KESDAM IV Diponegoro students.

Patient satisfaction is an assessment of whether or not the quality of health services for patients is good. One of the influences on the level of patient satisfaction is the queue, to prevent chaos in the waiting room caused by queues, a queue system is created in a health service. This study aims to determine the level of patient satisfaction with SIANTER (Integrated Queuing Information System) at the Kresek Health Center. The sample in this study amounted to 106 respondents using the Non Probability Sampling technique with the consecutive sampling method. To measure the level of patient satisfaction with the queuing system, the End User Computing Statistics (EUCS) method is used which consists of five dimensions of content, accuracy, format, ease of use, and timeline. The data collection technique used in the study was by filling in the patients themselves with the instrument used was a questionnaire. The results showed that (81.1%) were dissatisfied, and 20 respondents (18.9%) were satisfied. This study concluded that there are still many patients who are dissatisfied with the use of the SIANTER machine (Integrated Queuing Information System) at the Kresek Health Center.

Low back pain (NPB) Ischialgia is the pinching of the ischiadic nerve in the lower back region which causes the buttocks, thighs, lower legs and even feet to tingle, pain, sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching the nerve tissue to improve axonal transport so as to improve nerve conduction. Nerve mobilization can reduce the pressure in the nerve so that there is an increase in blood flow to the nerve, which can have a regenerating and healing effect on the injured nerve (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment in musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is performed on the branching of the lumbosacral plexus such as the ishiadicus nerve, peroneal nerve, and tibial nerve. But here the author only discusses LLTT on the ishiadicus nerve, namely LLTT 1 which is associated with low back pain. The purpose of knowing the effect of manual nerve mobilization on pain reduction in Ischialgia patients after IR and TENS therapy at RSD KRMT Wongsonegoro Semarang. Method two group pre test and post test. The place of this research is in the physiotherapy clinic of KRMT Wongsonegoro Hospital. Using Visual Analouge Scale (VAS) measuring instrument. The results were treated using the mann-Whtney test. With confidence interval (CI) (95%) The results revealed that there was a significant difference in pain between group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups on pain improvement (p = 0.152), so there was no better treatment between the two groups. It is concluded that ULTT is useful in the treatment of LBP patients to reduce pain in two groups. The targeted output is publication in Sinta indexed national journals and IPR. The TKT target of the implementation of gamelan accompaniment gymnastics is at level 2.

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

Background : Hemorrhoids is one of the most common anorectal diseases, this disease can cause physical and psychological discomfort due to its disturbing symptoms such as rectal bleeding, pain, and itching sensation and will significantly affect the quality of life of the person with hemorrhoids. According to Slavin (2008), the prevalence of hemorrhoids in the world reaches 5%. There are various risk factors for hemorrhoids, one of which is the length of sitting without changing the position and age. According to Ali and Shoeb (2017) in their research, there were 50 patients out of 60 drivers experiencing hemorrhoids. A driver job that requires a long time to sit because of the long duration of driving can cause hemorrhoids. Kumala, et al (2016) said in their research on intercity and interprovincial (AKAP) bus drivers who have a driving duration of ≥ 6 hours have a risk of hemorrhoids and those aged ≥ 45 years have a risk of developing hemorrhoids.Objective : Knowing the relationship between driving duration and age with hemorrhoids in bus drivers at the AKAP Payung Sekaki terminal Pekanbaru in 2020.Methode : The design used in this study was an observational analytic type with a cross-sectional method. The sampling technique was accidental sampling, with a sample of 60 respondents who had the inclusion criteria. Statistical test data using the Chi-Square test.The results : There was an insignificant relationship between the duration of driving and complaints of hemorrhoids in the driver (p-value = 0.057) and the relationship between age and complaints of hemorrhoids in the driver (p-value = 0.073).Conclusion : There is an insignificant relationship between driving duration and age with complaints of hemorrhoids in bus drivers at AKAP Payung Sekaki Terminal