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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.

Introduction : Neck pain is defined as pain experienced from the base of the head (occiput) to the upper part of the back and extends to the outer and upper borders of the shoulder blade (scapula). Excessive use of cellphones by continuously placing the head in the same position will cause weakness and fatigue in the neck muscles. Purpose : This education aims to explain the causes, symptoms and exercises that can be done independently to prevent ongoing pain. Method : The method used is by providing education to teenagers, with promotional media in the form of leaflets to make it more interesting and easy to understand which contains definitions, symptoms, risk factors and exercises to reduce the pain felt.  Conclusion : The educational activities that have been carried out at Ahmad Yani Jabung Vocational School, Malang can provide students with knowledge and insight regarding neck pain so that they can increase their knowledge about how to prevent and treat neck pain independently by carrying out active exercises.  

The rapid development of information technology and telecommunications has driven companies and MSMEs to adopt desktop, mobile, and web-based applications to enhance operational performance. PT HPS Painan Padang, previously relying on manual ticket bookings, faced challenges in efficiency and susceptibility to brokering practices. To address this, a web-based travel ticket booking application was developed, enabling customers to book tickets online more practically, quickly, and conveniently, anytime and anywhere. The integration of Natural Language Processing (NLP) technology in the form of a chatbot further enhances service efficiency and responsiveness. This feature provides real-time information on departure schedules, seat selection, and payment transactions while also supporting sentiment analysis and swift responses to customer feedback, ultimately improving service quality. The application, built using PHP, MySQL, and CodeIgniter with a Prototype development approach, adapts to changing market demands. Testing via GTmetrix on the https://desistravel.xyz/backend page demonstrated excellent performance with an 88% Performance score, 95% Structure score, and optimal Web Vitals metrics, indicating a fast, responsive, and stable platform. The final product is a user-friendly web-based ticket booking application supported by an intelligent chatbot, offering a seamless user experience, enhancing customer satisfaction, and streamlining the travel booking process efficiently.

Background: Dysmenorrhea, or menstrual pain, is a common health problem experienced by many adolescent girls worldwide. The prevalence of dysmenorrhea in Indonesia reaches 70%, significantly impacting adolescents' quality of life. This study aimed to explore the effectiveness of warm compresses as a method for managing dysmenorrhea pain among adolescent girls at SMA Negeri 1 Bonepantai. Objective: This study aims to measure the effect of using warm compresses on the level of dysmenorrhea pain in adolescent girls, as well as to provide insight into non-pharmacological methods that can be used as an alternative in dealing with this problem. Methods: This study used a pre-experimental design with one group pre- and post-test. The sample consisted of 35 tenth-grade female adolescents with dysmenorrhea, taken through purposive sampling. Initial data were collected using a visual analog scale (VAS) to measure pain levels before and after the warm compress intervention. Results: The analysis showed a significant decrease in pain levels after the application of warm compresses. The average pain score before the intervention was 7.5, while after the intervention it decreased to 3.2. The Wilcoxon Signed Rank Test showed a p-value of 0.000, indicating a significant difference between the pre-test and post-test scores. Conclusion: Warm compresses were proven effective in reducing dysmenorrhea pain in adolescent girls at SMA Negeri 1 Bonepantai. These findings demonstrate that simple interventions can have a positive impact on adolescent health and support the importance of further research into other methods of menstrual pain management.

Several psychological and physical physiological changes take place in pregnant women during the third trimester. Complaints of back pain, which can cause discomfort during pregnancy, are one of the frequent physical changes that occur. Endorphin massage, a light massage approach that may help alleviate these complaints, is one strategy that may be utilized to promote relaxation and comfort for expectant mothers, particularly during the later stages of pregnancy before delivery. The purpose of this research is to assess the impact of endorphin massage on the severity of back discomfort in expectant women during their third trimester. The study used a quantitative methodology with a sample size of 65 participants that were representative of the study population. The Wilcoxon Signed Rank Test was used to compare pain ratings before and after the intervention. According to the test findings, there is a substantial difference between the two measurement outcomes, as evidenced by a value of Z = -8.062 with p = 0.000. The study's results indicate that every subject's pain was reduced after receiving endorphin massage. In conclusion, endorphin massage is beneficial for alleviating back pain in pregnant women during the third trimester.

The rapid development of information technology and telecommunications has driven companies and MSMEs to adopt desktop, mobile, and web-based applications to enhance operational performance. PT HPS Painan Padang, previously relying on manual ticket bookings, faced challenges in efficiency and susceptibility to brokering practices. To address this, a web-based travel ticket booking application was developed, enabling customers to book tickets online more practically, quickly, and conveniently, anytime and anywhere. The integration of Natural Language Processing (NLP) technology in the form of a chatbot further enhances service efficiency and responsiveness. This feature provides real-time information on departure schedules, seat selection, and payment transactions while also supporting sentiment analysis and swift responses to customer feedback, ultimately improving service quality. The application, built using PHP, MySQL, and CodeIgniter with a Prototype development approach, adapts to changing market demands. Testing via GTmetrix on the https://desistravel.xyz/backend page demonstrated excellent performance with an 88% Performance score, 95% Structure score, and optimal Web Vitals metrics, indicating a fast, responsive, and stable platform. The final product is a user-friendly web-based ticket booking application supported by an intelligent chatbot, offering a seamless user experience, enhancing customer satisfaction, and streamlining the travel booking process efficiently.

Back pain is a disorder that is often encountered in pregnant women, this is caused by the shift of gravity towards the body's core towards the front. The aim of the research was to determine the relationship between pregnancy exercise and complaints of low back pain in pregnant women III at the Birem Bayuen Community Health Center. This research uses an experimental research design. The sample for this study was all pregnant women in the third trimester at the Birem Bayuem Community Health Center who were included. The results of this study were lower back discomfort in pregnant women before pregnancy activities, more than half of respondents reported low back pain on a scale of 3 (very painful). Most respondents reported reduced back pain, as many as 7 respondents reported no pain. This is lower back pain in pregnant women III after pregnancy exercise. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfort and reduce complaints during pregnancy, such as lower back pain in particular

As the elderly age, there are changes in physical changes that affect all systems, including the musculoskletal system. One of the daily health problems that often interfere with Activity of Daily Living in the elderly is low back pain (LBP)./1. This study aims to determine the relationship between LBP pain levels and ADL in elderly women in the Padang Kandis Health Center working area, Lima Puluh Kota Regency. This study is an observational analytic study with a cross sectional approach. The sampling technique used consecutive sampling technique with a total sample of 45 samples. Data collection using the Visual Analogue Scale (VAS) questionnaire, LBP, Katz Basic Activities Of Daily Living Scale (Index Katz). Data analysis using the Pearson Chi-Square test. The results of the Chi-Square test obtained a significant value (p-value) of 0.000 (p < 0.05). The p-value is smaller than 0.05 (0.000 <0.05), so the test decision is Ha accepted, which means “there is a relationship between the level of LBP pain and ADL in the elderly in the Padang Kandis Health Center working area, Guguak District, Lima Puluh Kota Regency, West Sumatra Province”. This study shows that there is a relationship between the level of LBP pain and ADL.

According to World Health Organization data in 2015, maternal deaths were 216 per 100,000 live births due to complications during pregnancy and childbirth. While in developing countries the maternal mortality rate jumped 20 times higher than in developed countries, reaching 239 per 100,000 live births. Keywords: Husband's support, Mother's attitude, Infant immunization. The time of the study was April to July at the Negeri Lama Health Center in 2022. The sample in this study who were planning to give birth in the month (TTP) at the time of the study from May to June 2022 at the Negeri Lama Health Center were 15 pregnant women in the control group and 15 pregnant women in the intervention group. After the normality test was carried out and the results were normally distributed, a paired t-test could be carried out. The results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

Background: Typically lasting six to eight weeks, the postpartum period is a time of recovery following childbirth. Afterpains are a type of discomfort that can be caused by uterine contractions during the involution process. Massage or other non-pharmacological treatment can be used to ease discomfort. Using specific techniques, massage can lessen or even eliminate pain. Methods: The cross-sectional design of the quantitative research design was used in this study. The objective was to compare how massage reduced postpartum pain in Cilacap City mothers before and after intervention. 30 postpartum mothers who were experiencing postpartum pain two hours later comprised the population. Saturation sampling was used for the sampling, and there were a total of 30 participants. The frequency distribution was used in univariate data analysis, while the paired-sample t-test was used in bivariate data analysis. For the pain scale, the paired-sample t-test analysis produced a t-value of 8.238. Results: As a result, the calculated t-value exceeded the critical t-value for a pain scale of 8.238 > 2.045, indicating acceptance of the alternative hypothesis (Ha) and rejection of the null hypothesis (Ho), indicating that massage is effective in reducing postpartum pain in women. Conclusion: massage has been shown to reduce postpartum pain in mothers.

One of the plants that can be used as a pain reliever is Nutmeg Leaves. One of the compounds contained in nutmeg leaves is phenolic compounds. These phenolic compounds play a role in the treatment and prevention of diseases including as antioxidants and are able to overcome health problems such as lower back pain. Purposes : to provide information about the benefits of boiled water from nutmeg leaves to overcome Low Back Pain (LBP) or lower back pain in the community in Boiyauw Village, Banda, Maluku. Method: by providing information through health education. The media used are leaflets, power point presentations, samples of boiled water from nutmeg leaves. Results: It is expected that there will be changes in participant behavior when positioning themselves at work and that they can utilize nutmeg leaves as a family medicinal plant to reduce or relieve lower back pain.

CV Cahaya Setia Mulia is a company engaged in the service and production of sports gloves. June-October 2024 production data, the demand for gloves increased significantly, from 3,850 pcs in May to more than 5,000 pcs, so tailor workers are expected to produce products quickly and do repetitive work for a long time. The chairs used by workers are plastic chairs without backrests. This research uses the Nordic Body Map questionnaire, Anthropometric method, and Quality Function Deployment (QFD) approach. Based on the results of the NBM questionnaire, the complaints felt by 16 workers were obtained, namely that the average worker had the highest complaints in low back pain with an average of 2.1 pain in the right shoulder, pain in the right thigh, pain in the right knee, pain in the right ankle, pain in the right foot with an average value of 1.9, pain in the left knee and pain in the bronze with an average value of 1.8. A QFD approach was applied to ensure the chair design met customer needs. As a result, four key attributes were identified: the chair has a backrest, foam on the backrest and seat, neutral color, and quality material from mahogany wood. Based on Anthropometric calculations from 5 tailor workers, the seat size for the seat width is 49.8 cm, seat height is 35 cm, seat length is 44.2 cm, seat back length is 60.9 and seat elbow base height is 26.9 cm. Sewing chair design using Autodesk Fusion software.

Childbirth is a process of expelling the results of conception (fetus and placenta), which can live to the outside world, from the uterus through the birth canal or by other means. During labor, the uterus contracts and pushes the baby down to the cervix. This study aims to determine the Effect of Deep Back Massage on Reducing Pain in the First Stage of Active Labor at BPM Pera, Medan City in 2024. This type of research is Experimental research. A research design used to find a causal relationship with the involvement of research in manipulating the independent variables. The population is 20 mothers giving birth at BPM Pera, Medan City in 2025, namely 10 people in the Treatment Group and 10 people in the Control Group. The data analysis technique uses t-test analysis. The results obtained in this study are the results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

Lower back pain is a complaint that often occurs in pregnant women in the second and third trimesters. Back pain occurs due to changes in pregnancy hormones which increase levels of the hormone relaxin, this affects the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause discomfort. Based on a preliminary study at the Sumarorong Community Health Center, it was found that the number of pregnant women in the second trimester was 72 and 70 in the third trimester in the working area of ​​the Sumarorong Community Health Center, Mamasa Regency. From this data, there were 22 (30%) pregnant women in the second trimester who experienced back pain, and there were 35 (30%) pregnant women in the second trimester. 50%) third trimester pregnant women experience back pain. Researchers are interested in conducting research on the factors that cause lower back pain in pregnant women in the second and third trimesters in the work area of ​​the Sumarorong Community Health Center, Mamasa Regency in 2024. The research method used is a cross-sectional study. Conducted at the Sumarorong Community Health Center, Mamasa Regency in July – August 2024. The population in this study was all 138 pregnant women in the second and third trimesters at the Sumarorong Community Health Center with a total sample of 57 pregnant women. The results of the study showed that there was a significant relationship between age, education, occupation and gestational age with back pain with each p value = 0.000.

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs.  Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.

Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.

During pregnancy, a woman must be able to adapt to various physical changes that often occur and can cause uncomfortable conditions, such as back pain which begins to be felt in the second and third trimesters. If this condition is not treated immediately, it can cause anxiety and disruption to the pregnant woman's activities. As a way to reduce complaints of back pain, pregnant women can do prenatal gentle yoga exercises. This study aimed to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. This study aims to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. Research method: This research adopted a quantitative design with a Pre-Experimental design, using the One Group Pretest-Posttest method. The sample of pregnant women in the second and third trimesters was 31 respondents. The sampling method involved Total Sampling and the use of a pain level measuring tool with the Numeric Rating Scale (NRS), while data analysis used the Wilcoxon Test. Research Results: Before carrying out prenatal yoga exercises, the majority of pregnant women felt lower back pain on a mild scale, the number of respondents was 17 (54.8%). After doing prenatal yoga exercises twice in 2 weeks, the majority of pregnant women no longer felt back pain, the number of respondents was 18 pregnant women (58%). The p-value of the analysis using the Wilcoxon test is 0.000.

This study discusses the use of beluntas plants (Pluchea indica) as medicinal plants in Bojong Salam Village, Banyuresmi District, Garut. Ethnobotany investigates the interaction between people and plants, particularly in the context of traditional medicine. The people of Bojong Salam Village have long used beluntas plants as medicine to treat body odor, bad breath, back pain, and vaginal discharge. This study involved interviews with 30 respondents using a purposive sampling method. In data analysis, quantitative and qualitative approaches were used, including calculating the Use Value (UV) and Fidelity Level Index (FIC). The results showed that beluntas leaves had the highest UV value of around 0.5 and FIC of around 50% as a medicine for vaginal discharge, followed by other benefits as a medicine to eliminate body odor, bad breath and back pain. The results showed that beluntas is an important plant in traditional medicine used by the people of Bojong Salam Village.