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Background : An elderly person is someone over 60 years old who experiences changes, one of which is changes in musculoskeletal disorders. Joint pain is a symptom that disturbs the joints due to reduced synovial fluid so that the bones rub against the lining between the joints. Joint pain sufferers in Indonesia reach 81% of the 80 million elderly.  Treatment for joint pain is done with non-pharmacological treatment, one of which can be done with non-pharmacological therapy is Elderly Gymnastics. Objective : To determine changes in the pain scale in the elderly before and after doing elderly exercise. Method : This research is a case study research using descriptive methods, namely by interviewing 2 (two) elderly respondents who experienced joint pain before and after implementing elderly exercise 3 times a week every morning. The instrument used was the Numerical Rating Scale (NRS) to measure delivery pain. Results : Before doing elderly exercise, both respondents experienced right and left knee pain on a scale of 4 (moderate pain) and scale 1 (mild pain). After doing elderly exercise for both respondents, there was a decrease in the pain scale with a scale of 1 (mild pain). Conclusion : This application shows that after implementing elderly exercise for both respondents, there was a reduction in joint pain in the elderly.  

Background: The number of hypertension cases in Boyol ali Regency in 2019 was 26,685 people. Hypertension not only reduces the quality of life, but can also be life-threatening. A lifestyle that is less considered will be one of the factors for hypertension in the elderly. There are two treatments that can be given to people with hypertension, namely pharmacological and non-pharmacological treatments. Non-pharmacological therapy that can be done is physical activity such as exercise, one of which is ergonomic gymnastics. Objective: To describe the results of the implementation of ergonomic gymnastics in elderly people with hypertension in Kapurancak Village, Boyolali Regency. Method: this application with a case study that uses descriptive data collection methods and makes observations on 2 elderly respondents with a history of grade 2 hypertension. The instruments used are observation sheets, and sphygmomanometer. Results: After ergonomic exercise therapy for 20-30 minutes with a frequency of four times in two weeks showed a decrease in blood pressure in both respondents from grade 2 hypertension to grade 1 hypertension. Conclusion: Ergonomic exercise therapy can reduce blood pressure in the elderly.

Diabetic ketoacidosis (DKA) is a life-threatening form of diabetes mellitus emergency. Rapid and appropriate management is needed to prevent worsening condition. Fluid management in DKA is important to improve tissue perfusion, correct electrolyte imbalance, reduce blood glucose concentration and counterregulatory hormones. This case report aims to describe the fluid management in a client with instability of blood glucose levels in DKA. A 42-year-old woman was rushed to the emergency room with decreased consciousness for 3 hours. Laboratory examination results: blood glucose >600mg/dL, Base Excess <-30mmol, urine ketones +3, urine protein +2, urine glucose +4, pH 6.8, HCO3 1.9mmol/L. The client had unstable blood glucose levels while in the treatment room. Fluid management was performed by combining 0.9% NaCl, WIDA 2A, 40% dextrose bolus, and continuous insulin drip, that was adjusted according to the client's blood glucose level. After receiving fluid management, the client's blood glucose levels are stable in the range of 100 - 200mg/dL on the fifth day until the client recovered. Providing fluid management tailored to the management of DKA and client needs can improve the stability of blood glucose levels so that this fluid management intervention can be utilized for DKA clients with similar complaints.

The quality of health services is one of the important factors in the utilization of health services. Assessment of the quality of good health services is not limited to physical healing of the disease, but also to the attitude, knowledge and skills of officers in providing services, communication, information, courtesy, punctuality, responsiveness and the availability of facilities and physical environment. The research design used in this study was qualitative with in-depth interview techniques to key informants who were used as research objects totaling 1 (one) person, main informants 2 (two) people and supporters in this study totaling 3 (three) people with the characteristics as mentioned above, the total informants were 6 people. The results of the study all patients were satisfied with the physical evidence service (Tangible) about the cleanliness of the room in preventing and controlling infections. Some patients were satisfied with the responsiveness service regarding the collaboration of doctors, nurses and pharmacists in responding quickly to patient complaints. Some patients were satisfied with the reliability service regarding patient admission procedures, examination services, treatment and care. The conclusion is that there is an influence between service quality (Reliability, Responsiveness, Assurance, Empathy, Physical Evidence) on patient satisfaction at the inpatient installation of the Imelda Buruh Indonesia Hospital, Medan.

  Abstract: The Social Security Administering Body (BPJS) is an organizing body whose membership is mandatory. Every company is required to register its workers for a minimum of 6 months, while those who do not work for a company are required to register themselves and their family members with BPJS. Each BPJS participant will be charged a contribution, the amount of which will be determined later. Inactive BPJS membership is a participant whose registration process is hampered and services become payable independently. The aim of the research is to review the causes of Non-active BPJS participants in Cengkareng sub-district. The research method is a quantitative approach. The technique uses saturated sample observations. The research results showed that there were 75 Non-active participants. Of the 75 samples, there were 34 participants who were inactive due to premiums (45.33%), 13 participants because they left of their own accord (17.33%), 7 participants because their children were PPU> 21 years (9.33%), 10 participants were not covered (13 .33%), 11 participants with double data (14.66%). Follow-up of Inactive BPJS membership at the Cengkareng Community Health Center, there were 65 participants (86.67%) taking care of returning BPJS participants and 10 participants (13.33%) continuing at their own expense. Of the number of BPJS participants who registered for treatment at the Cengkareng sub-district health center, their membership status was inactive due to premiums being one of the highest. The follow-up is to pay all arrears and take care of returning the membership to the nearest BPJS. Suggestions In accordance with the vision and mission of BPJS Health to be able to improve the quality of service to participants, BPJS Health must be able to improve the quality of service, especially in the field of information technology which can be made to remind BPJS Health participants, especially those whose membership status is inactive, by using E-mail and Whatsapp.

This research includes research objectives to evaluate the effect of the traditional game Gobak Sodor on improving gross motor skills. The research method used is a quantitative method with a one group pretest-posttest research design. The research population was class IV students at SDN 1 Cipedes, the sample used was a purposive sampling technique with a sample of 16 class IV students. Data collection techniques were carried out through pre-tests and post-tests regarding students' abilities in terms of running speed. The research instrument used was a running speed test with a distance of 30 meters. Before the posttest, the researcher will provide treatment in the form of practicing the game Gobak Sodor. After the pretest-posttest is carried out, the researcher will carry out data processing to determine the students' running speed after practicing the game Gobak Sodor.

Hypertension is a health problem that is quite dangerous in the world, because it is a major risk factor for cardiovascular disease. Hypertension can be treated with nonpharmacological therapies, such as hypertension exercise and natural music therapy. The purpose of this study was to determine the effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure in hypertension sufferers in the working area of ​​the Modo Health Center. The research design used a pre-experimental one group pre-post test design on 52 hypertensive patients who were selected using a consecutive sampling technique from a total population of 109. The intervention was in the form of giving a combination of hypertension exercise and natural sound music for 10-15 minutes according to the SOP for hypertension exercise and natural sound music. After that, it was analyzed using paired t-test. The results showed that the average blood pressure before treatment was 168.77/95.12 mmHg. After being given treatment the average blood pressure was 156.69/85.88 mmHg. The results of the pre-post systolic and pre-diastolic statistical tests obtained a significance value of p=0.000 (p<0.005), which means that there is an effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure. The mechanism for reducing blood pressure after exercise is because exercise can relax blood vessels, so that by dilating blood vessels blood pressure will decrease. Providing natural sound music therapy can cause relaxation of arteriolar smooth muscles which play an important role in maintaining blood pressure. It is hoped that the combination of hypertension exercise and natural sound music therapy can be applied as an intervention at the Prolanis Health Center in Modo.

This study aims to analyze the effect of service quality at Puskesmas Pulorejo, Ngoro District on patient satisfaction. Variables that affect patient satisfaction at Puskesmas Pulorejo, Ngoro sub-district are room facilities, doctor services, nurse / officer services. This study uses associative quantitative research methods. Data collection techniques in this study using questionnaires, observation and documentation. This data was obtained by distributing questionnaires directly to patients visiting the Pulorejo puskesmas in Ngoro sub-district.  The population in this study were patients who sought treatment at the Pulorejo Health Center, Ngoro sub-district, sampling using purposive sampling. The analytical test tool in this study used SPSS with the analysis method of classical assumption test, multiple linear regression, hypothesis testing, and R2 determination coefficient test. In this study, it was stated that there was a positive and significant effect on patient satisfaction at the Pulorejo Health Center, the doctor's service variable had an effect on patient satisfaction, the nurse / officer service had a persial effect on patient satisfaction at the Pulorejo health center, and the variable room facilities, doctor services, and nurse / officer services had a positive and significant effect on patient satisfaction.

Background: Cervical cancer is the most common cancer in Indonesia. Cancer has a high mortality rate caused by delays in diagnosis and treatment. Nearly 70% of cancer patients are detected at an advanced stage. This is very unfortunate, because cervical cancer can be found at a stage before cancer occurs (precancerous lesions) which can be treated so that it does not become cancer. The early detection program for cervical cancer in Indonesia is carried out using the Acetic Acid Visual Inspection (IVA) method carried out by trained health workers. In three years (2020-2022), as many as 3,914,885 women aged 30-50 years or 9.3% of the target have undergone early detection of cervical cancer using the IVA method. The highest early detection of targets has undergone early detection of cervical cancer using the IVA method. Early detection was reported by West Nusa Tenggara Province at 34.1%, followed by South Sumatra at 33.5%, and Bangka Belitung Islands at 27.8%. Meanwhile, the province with the lowest early detection coverage is Papua at 0.1%, followed by West Papua at 0.4%, and North Sulawesi at 0.7%. In 2022, of the 2,175,314 women aged 30-50 years who had early detection of cervical cancer, 7,869 (0.36%) had positive VIA examination results and 1,232 (0.06%) were suspected of cervical cancer.

Background: Sectio Caesarea (SC) is a surgical procedure to deliver a fetus by making an incision to open the abdominal wall and uterine wall or a hysterotomy to remove the fetus in the mother's womb. In recent years, normal delivery has been considered a difficult way of giving birth and tends to be dangerous for the mother and her baby. The use of Caesarean section is increasing globally, and now accounts for > 1 in 5 (21%) of all births. This number is predicted to continue to increase, almost a third (29%) of all births are estimated to be carried out via sectio in 2030. Method: This type of research is quantitative with a quasi-experimental approach. The research was conducted at the Lake Paris Health Center, Aceh Singkil Regency in 2024. The research population was all post partum mothers with cesarean sections at the Lake Paris Health Center, Aceh Singkil Regency, namely 30 people. The sampling technique used was simple random sampling. The data analysis used was univariate analysis and bivariate analysis, the analysis used was the Non-Parametric Test (Man-Whitney) with α = 0.05. Results: The results of the study showed that before the intervention was carried out, there were 3 respondents experiencing mild pain (10.0%), 14 respondents experienced Moderate pain (46.7%), and 13 respondents experienced severe pain (43.3%). After the intervention, 2 experienced no pain (6.7%), 13 experienced mild pain (43.3%), 2 experienced moderate pain (6.7%), 13 experienced severe pain (43.3%). Conclusion: The results of statistical tests obtained P value = 0.000 < 0.05, meaning that there was a significant difference before and after giving early mobilization treatment to mothers post cesarean section at the Lake Paris Health Center, Aceh Singkil Regency in 2024

Background: Elderly is an aging process with increasing age which is characterized by a decrease in the ability of organ functions and an increase in the loss of active tissue, which makes the body more susceptible to various types of diseases. One of the diseases that elderly people often suffer from is hypertension or high blood pressure. One non-pharmacological treatment that can be done is the foot reflexology massage method..Purpose: To describe the results of comparing blood pressure before and after applying the foot reflexology massage method to elderly hypertensive people. Method: his study used a descriptive design on 2 elderly respondents with hypertension, which was carried out 3x a week with a frequency of 1x a day for 15-20 minutes. Results: There was a decrease in blood pressure after applying the foot reflexology massage method to Mrs. Y went from stage I hypertension to still being in the stage I hypertension category but has experienced a decline and Mrs. S from stage II hypertension to stage I hypertension.. Conclusion: Application of the foot reflexology massage method can reduce blood pressure in elderly people with hypertension.

. Children with temper tantrums will show reactions that are out of the child's control such as screaming, rolling and screaming so that the impact of the child's intellectual and social development is not balanced and the child uses the tantrum as a weapon so that his desires are fulfilled. The lack of knowledge of mothers in dealing with temper tantrums has a bad impact on children, so knowledge about handling temper tantrums is needed. Education using audiovisual is effective in increasing knowledge because it is interesting, not boring, and easy to carry around. The purpose of the study was to determine the influence of audiovisual education on maternal behavior in the handling of preschool-age temper tantrums. The design of this study uses a Pre-Experimental One Group Pretest-Posttest conducted on 34 mothers taken using the Total Sampling technique in May 2023. The intervention provided was in the form of playing educational videos on handling temper tantrums. The research data was taken with a temper tantrum knowledge questionnaire, then analyzed using the Paired T-test. The results showed that there was a significant influence on the knowledge of mothers about the treatment of temper tantrums after being given the audio-visual education method (p=0.000). Audio-visual education can increase a person's knowledge because the material conveyed can be received through the senses of sight and hearing. It is recommended that the public can enrich information about the treatment of temper tantrums, and for researchers to further research other aspects or use different methods.

This study aims to prove the influence of the application of snowball throwing on the learning outcomes of dance-cultural arts, namely by analyzing the influence of differences in higher learning outcomes after a learning treatment using the snowball throwing method in learning cultural-dance arts in class XI, MIPA-2 SMA Negeri 1 Rabatan, Tanah Datar Regency. This research uses quantitative type with quasi-experimental method. The population is all students of class XI of SMAN 1 Rambatan totaling 183, with a study sample drawn in a simple cluster on 32 students of class XI-MIPA-2 (being an experimental class) and 32 students of class XI-MIPA-4 (being a control class). Data collection techniques with tests and observations. The data analysis technique uses the analysis of the difference in class mean in the final test-test results at the end of learning. . Hypothesis testing was performed with a T-test using the SPSS version 16 program, to test differences in the mean significance of the final test results in the experimental class and control class. The test results proved that the calculated t value at a score of 7.625 proved to be greater than the table t at a score of 1.69552. So statistically the value of t counts > t of the table. The results of this test also proved significant because t count > t this table was accepted at a critical value in the T-table at df= 31 and a confidence level of 95%, or at an alpha level of 0.05. The conclusion of the results of this study is that there is a significant difference in dance knowledge learning outcomes between the use of the snowball throwing method and conventional discussion methods in dance learning in class XI.MIPA SMA Negeri 1 Rambatan, Tanah Datar Regency.'. This means that H1 is accepted and H0 is rejected.    

In the world consequently, pollution of water has become a great concern, and with emphasis on the quality of water especially on those which originate from natural sources, with regard to water borne diseases and their causing pathogens. Some of the more familiar water borne pathogens include: aquatic or enteric bacteria such as Salmonella typhi, Shigella, Coliform bacteria; viruses; and Protozoa. Also relevant to diarrhea are rotavirus, astrovirus, adenovirus, norovirus, picobirnavirus, and enterovirus. This research work was done on a cross-sectional study basis over a period of four months, from April to October of the year 2022 at various water supply stations in Tikrit City, Salah Al-Deen province. Grab samples were taken from both the wells and the Tigris River to carry out microbiological processing and quality check in the laboratory. The samples used in this study included river and well water sources taken at the water treatment centers. Samples were collected at three points in the Tigris River and at three points from wells, although the points varied across the different sites. The findings were mainly secular for E. coli followed by P. aeruginosa and parasite such as Giardia cysts, and amoebic cysts.

Children with temper tantrums will show reactions that are out of the child's control such as screaming, rolling and screaming so that the impact of the child's intellectual and social development is not balanced and the child uses the tantrum as a weapon so that his desires are fulfilled. The lack of knowledge of mothers in dealing with temper tantrums has a bad impact on children, so knowledge about handling temper tantrums is needed. Education using audiovisual is effective in increasing knowledge because it is interesting, not boring, and easy to carry around. The purpose of the study was to determine the influence of audiovisual education on maternal behavior in the handling of preschool-age temper tantrums. The design of this study uses a Pre-Experimental One Group Pretest-Posttest conducted on 34 mothers taken using the Total Sampling technique in May 2023. The intervention provided was in the form of playing educational videos on handling temper tantrums. The research data was taken with a temper tantrum knowledge questionnaire, then analyzed using the Paired T-test. The results showed that there was a significant influence on the knowledge of mothers about the treatment of temper tantrums after being given the audio-visual education method (p=0.000). Audio-visual education can increase a person's knowledge because the material conveyed can be received through the senses of sight and hearing. It is recommended that the public can enrich information about the treatment of temper tantrums, and for researchers to further research other aspects or use different methods.

Background: Self-medication is defined as using medicinal products to treat the disorders or symptoms diagnosed by oneself, Self-Medication is common practice worldwide in both developed and developing countries, Regulations usually distinguish between prescription-only medicines (POM) and over the counter (OTC) drugs. inappropriate self-treatment can pose various risks including drug side effects, recurrence of symptoms, drug resistance, etc. the purpose of this study was to investigate the knowledge, attitude, and practice of medical students towards self-medication.  Subjects and Methods: A cross-sectional study was carried out among five stages that were selected by the simple random sampling for choosing the students. Data collections were performed from the beginning of March to October 2023. Data were collected with A four-part researcher questionnaire. It was designed to address the students’ knowledge, attitude, and practice. Statistical analysis was performed using Statistical Package for the Social Sciences 23 software. Results: Out of 462 questionnaires distributed, 445 questionnaires were completed; giving a response rate of 96.3%. According to the results, 310 (69.7%) students had carried out self-medication within the past one year. Common cold was the most common ailment treated with self-medication (73.9%) and antipyretics analgesics (64.5%) were the most used drugs. The primary information sources used by the students were their academic knowledge and books (47.4%). Health problems are not serious the most reason for self-medication in the study and lack of knowledge about medicine the highest causes for not taking medication. Conclusion: students’ knowledge of self-medication appears to be good and significantly high. As well self-medication was highly practiced among the students. Therefore, medical students should be viewed as important contributors to the public health care system, and future health professionals should be properly educated on good pharmacy practice and responsible self-medication.

Utilizing white pepper peel waste (Pipper nigrum L.) as compost can minimize the problem of pepper peel waste. This research uses black soldier flies (BSF), the results of which are maggots as fertilizer for the growth of potpourri tomato plants (Lycopersicon pimpinellifolium). The aim of this research is to determine the quality of compost from white pepper skin waste resulting from bioconversion using BSF, and its effect on the growth of potpourri tomato plants. This research used an experimental method by pre-fermenting white pepper skin waste using 50 ml EM4 for 2, 3, 4 weeks and then using it as food for BSF larvae. Next, the cassava results are applied to potpourri tomato plants with P1 (1 kg of soil: 5 kg of cassava 2 weeks), P2 (1 kg of soil: 5 kg of cassava 3 weeks), P3 (1 soil: 5 kg of cassava 4 weeks), P4 (1 kg : 10 kg cashgot 2 weeks), P5 (1 kg : 10 kg cashgot 3 weeks), P6 (1 kg : 10 kg cashgot 4 weeks) and control (soil without cashgot). The data were analyzed using ANOVA via the SPSS 26 application. The cassava application showed that there was a significant effect on the highest plant height P6 (22.98 inches), the highest stem diameter P1 (4.58 mm), the highest number of leaves P3 (108.67 leaves), the highest fruit diameter was P2 (17.97) and the highest fruiting time was P0 (29.75). The highest number of fruit is P1 (13 fruits/plant), the highest fruit weight is P5 (39 grams/plant). In conclusion, P1 treatment is the best quality compost for the growth of potpourri tomatoes which is thought to have N (0.22%), P (0.15%), K (0.01%), C-organic (5.84) and a C/ N (26.5).

Severe hypertension in the country is many. One effort can be made with non-pharmacological therapies in which practice is Senior Elastic Band Exercise in  combination with religious music therapy. The purpose of this research is to know how a combination of Senior Elastic Band (SEB) exercise and religious music therapies affect a drop in blood pressure on hypertensive patients in Bangeran Village, Dukun District, Gresik Regency. The design of this research uses pre-experimental, with a sample of 35 people taken consecutive samples. A combination of practice and religious music therapy is performed twice a week for 20 minutes each exercise. Research instruments using sphygmomanometer, observation sheet blood pressure and SOP. The data analyzed is pre intervention 1 and the post data intervention 2 uses the wilcoxon test. Studies show that action can affect drop in blood pressure before and after action with a value of p= 0,000 (p<0.05) against a systolic 13.43 mmHg and diastolic 6.54 mmHg. SEB exercises can improve flexibility, fitness, promote blood circulation and improve vascularization of lower blood pressure. Exposure to religious music causes the body to relax so that the heart pumps slower and there will be a drop in blood pressure. The POSBINDU of bangeran village need to take precautions non-pharmacological hypertension besides doing pharmacological treatment.

Cervical cancer is a primary malignant tumor originating from squamous epithelial cells or cells originating from the vagina and urethra, usually occurring in the cervix or cervix which is located between the uterus and the sexual canal (vagina). According to WHO 2018, cervical cancer is the fourth leading cause of death in women throughout the world, estimated at 570,000, while new cases in 2018 or 6.6% of all cancers in women. Human papilloma virus or commonly called (HPV) is known to cause cervical cancer which can be transmitted through sexual intercourse, infection with several types of viruses, and personal hygiene. Symptoms of cervical cancer can be recognized by the presence of fluid from the birth canal, namely abnormal vaginal discharge, contact bleeding (bleeding during intercourse), and feeling pain during coitus / sexual intercourse as well as bleeding even after entering menopause. Early symptoms of pre-cancerous conditions are generally characterized by the discovery of abnormal cells. These abnormal cells develop into cervical cancer and then the following symptoms of cervical cancer appear; the appearance of pain and bleeding during sexual intercourse (contact bleeding), abnormal vaginal bleeding, such as bleeding outside the menstrual cycle, bleeding between regular menstrual periods, menstrual periods that are longer and more abundant than usual, bleeding after menopause, vaginal discharge excessive and abnormal, if the cancer has spread to the pelvis, the patient will suffer from complaints of pelvic pain, difficulty urinating, and enlarged kidneys. Cervical cancer can be prevented 100% by HPV vaccination, using condoms, avoiding tobacco consumption, and early detection and treatment of precancerous lesions.

This study evaluated the impact of papaya leaf (Carica papaya L.) supplementation in bran feed on body weight and body size of chickens (Gallus domesticus). Three groups of chickens were fed with papaya leaf flour supplementation to see the efficiency on chicken growth. This study was conducted for 28 days at the "Rinael Farm" Farm, Pulerejo Village, Manggis, Mojosongo, Boyolali, Central Java. This study was implemented through an experimental method with a Completely Randomized Design (CRD) design that included three treatments and three repetitions: P0 (no supplementation), P1 (10% supplementation), and P2 (20% supplementation). The results of the study proved that 10% and 20% papaya leaf supplementation did not have a significant effect on chicken weight (P> 0.05). However, papaya leaf supplementation had a significant impact on the characteristics of chicken body size, with a p value <0.001. Papaya leaf supplementation increased chicken body size, with group P1 experiencing the most significant and consistent increase, while group P2 showed greater variation in growth. Supplementation with 10% papaya leaves (P1) proved to be the most effective in increasing chicken growth efficiency.