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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.

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.

Hypertension is a chronic disease which is one of the causes of death. Based on data from the Indonesian Ministry of Health in 2022, the prevalence of hypertension in Indonesia was 32.7%, an increase compared to the prevalence of hypertension in 2021 which was 25.8%. Old age is the final stage of development in which humans experience various health problems and are at high risk of dangerous diseases, one of which is hypertension. The Batam City Health Service noted that hypertension occurs more often in elderly people aged 60-70 years. Meanwhile, the number of elderly people suffering from hypertension aged over 60 years at the Tiban Baru Community Health Center is 402 cases. Many non-pharmacological therapies are used to lower blood pressure, one of which is laughter therapy. Laughter lowers blood pressure by calming the body and reducing stress hormones. The aim of this community service activity is to increase knowledge about hypertension and treating hypertension with non-pharmacological methods using laughter therapy. The methods used are lectures, discussions, questions and answers and demonstrations. The results of 20 elderly people showed an average blood pressure of 159.75/92.55 mmHg before laughing therapy, while after therapy the average blood pressure was 123.55/80.25mmHg.

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.

Shallots (Allium cepa variety ascalonicum) can be used as a fever-reducing medicine in infants and toddlers with fever. Infants with fever after Pentabio immunization is about 60% and the way to reduce fever after Pentabio immunization in infants so far is by giving pharmacological therapy, namely antipyrectic syrup (paracetamol syrup). The purpose of this study was to determine the effect of onion compress on reducing body temperature in the incidence of pentabio post-immunization follow-up (KIPI). The research method is an experimental quasy method with pretest and posttest approaches. The samples used accidental sampling technique, namely 12 infants who had been given pentabio immunization in January 2023 at PMB Hj. F Kotabaru. Data collection using questionnaires analyzed in the form of frequency distribution. The results showed that most of the babies who had a fever before being given onion compresses were 12 people (92.3%), babies who did not have fever after compressing shallots as many as 10 people (83.3%). The implication of the results of the study is that compresses using red onions are an effective alternative to reduce fever in infants.    

Hyperlipidemia is a metabolic disorder that indicates an increase in lipid levels in the body. Obesity, particularly central obesity, is correlated with hyperlipidemia and metabolic syndrome. Complications of hyperlipidemia such as coronary artery disease, type 2 diabetes, and high blood pressure can be fatal if left untreated. Education and early detection of hyperlipidemia are crucial to prevent serious complications and maintain good health. This community service involved 50 elderly at Santa Anna Elderly Care Facility. All respondents participated in a series of activities, including education through posters, physical examinations, and diagnostic tests. Results of the diagnostic tests indicated 2 respondents had LDL levels ? 135 mg/dL, 6 respondents had HDL levels < 40 mg/dL, and 12 respondents had total cholesterol levels ? 200 mg/dL. The results of the education activities are expected to increase public awareness, all of which can reduce the overall healthcare burden when applied correctly and properly.

Anxiety is a normal emotion that everyone has. Anxiety appears as a brain response to stress that warns of potential danger. Problems arise if the anxiety occurs continuously and even interferes with life. Anxiety like this can have a bad impact on body health and this is what is called an anxiety disorder. To reduce this anxiety problem, deep breathing relaxation and cognitive therapy can be done. The aim of community service is to find out about the application of the Si Mas Latif application (Overcoming Anxiety with Relaxation and Cognitive Therapy), in people who experience psychosocial anxiety problems at the Kertasemaya Health Center, Indramayu Regency.The method used is to create an application that can be used as a guide in overcoming anxiety using deep breathing therapy and cognitive behavioral therapy and outreach to program holders and the community using health services.Result: availability of the Si Mas Latif application (Overcoming Anxiety with Relaxation and Cognitive Therapy) and this application has been in HKI and socialization has been carried out to the Kertasemaya Community Health Center program holders.

A medical record folder is a thick paper cover that unites all of a patient's sheets so that they become one complete history, protects the medical record files inside so that they are not easily damaged and makes it easier to store, search and transfer medical record files (Heltiani, 2020). Designing a medical record folder has physical aspects, anatomical aspects and content aspects. The physical aspect consists of materials: Ivory paper, the shape resembles a rectangular book, there are folds to increase the capacity to store medical record forms accompanied by color coding. Anatomical aspects include the Header, which contains the logo, name, address and telephone number, Introduction, Instructions, which contains confidential information from the medical record folder, Body contains the Name and Medical Record Number. Register Number and Year of Visit, Font using Time New Roman, form title size 40, patient identity and year of visit size 12, while Arial font size 14 is used for instructions, Ruler has a ruler on the medical record folder to limit the heading and body of the map, Border there is a border in the medical record folder. Content aspects include the identity of the health service facility, the identity of the name of the health service facility, the patient's name, the medical record number, the year of the last visit and the row available in the year of the last visit in the medical record folder. Socialization is given to medical record officers using discussion, lecture and question and answer methods. It is hoped that the results of this socialization will be for the Bestari Community Health Center to redesign the medical record folder which refers to three aspects, namely: anatomical aspects, physical aspects and content aspects so that the medical record forms are not damaged or scattered.

Antioxidant compounds will donate one electron to unstable free radicals so that these free radicals can be neutralized and no longer disrupt the body's metabolism (Rahmi, 2017). The human body actually produces several types of antioxidant enzymes, namely superoxide dismutase (SOD), catalase, and glutathione peroxidase, but the amounts are not sufficient to overcome excessive free radicals, so exogenous antioxidants are needed.

Cocoa pod shell waste is the largest waste generated from cocoa plants that will cause problems for the environment if not processed properly. Further processing is needed in order to reduce pollution problems. Fresh cocoa fruit shells have a good nutrient content of 88% dry matter, 11.71% crude protein, 20.79% crude fiber, 11.80% fat and 34.90% extractable material without nitrogen (BETN). However, cocoa pods have a disadvantage when given as sole feed, due to the presence of theobromine in cocoa pods. This substance can inhibit the growth of rumen microbes. It is better to do fermentation first to increase digestibility and livestock liking of the feed. Protein content in cocoa pods can play a role in helping the growth or formation of body cells, especially in young cows and support production needs in adult cows. The crude fiber contained in cocoa pods is a complex carbohydrate that is needed by livestock in launching the digestive process. Meanwhile, fat contained in cocoa pods can play an important role for the growth and development of livestock and become a reserve source of energy. Fat serves as a carrier of vitamins in the body, especially vitamins A, D, E, and K because these vitamins are the type of vitamins that can dissolve in fat.

Cephalopelvic Disproportion (CPD) is a condition that describes a discrepancy between maternal and fetal pelvic capacity caused by maternal pelvic abnormalities (pelvic bone size and architecture) or abnormalities in the fetal head (size or presentation) or a combination of both. The dominance of sectio caesarea surgery for cephalopelvic disproportion according to the Basic Health Research Survey in Indonesia in 2010 was quite high at 4.40% of all childbirths. Factors affecting cephalopelvic disproportion can be influenced by both mother and baby. Factors of the mother include body height less than 145 cm, and, the size of the outer and inner pelvis is below normal that the baby is unable to pass through whereas factors in the baby is that the large baby size. Previous studies on pregnant women found that the majority of those who experienced cephalopelvic disproportion were mothers with short postures or a body height of less than 145 cm. Objective : To determine the relationship between maternal height and the incidence of cephalopelvic disproportion at the General Hospital in Mandau Subdistrict, Bengkalis Regency period 1 January - 31 December 2017.  Method : This type of research is analytic observational with cross sectional design. The sampling technique used is simple random sampling. The sample in this study amounted to 253 respondents. Data for height and incidence of CPD using medical record records of Mandau District Hospital Bengkalis Regency period 1 January - 31 December 2017. The data obtained will then be analyzed using the Spearman correlation test. Results : There was a significant relationship between the height of pregnant women with the incidence of CPD in the District Hospital of Mandau, Bengkalis Regency, period 1 January - 31 December 2017 with a p value of 0.00 (p <0,01) and correlation coefficient (r=-0,737) with strength relationship is very strong and negative direction. Conclusion : There is a significant relationship between the height of pregnant women with the incidence of CPD in the District Hospital of Mandau, Bengkalis Regency, period 1 January - 31 December 2017.

Background: Magnetic resonance imaging (MRI) is a cross-sectional imaging technique based on the principle of magnetic resonance of hydrogen atoms due to radio frequency (RF) signals with the same frequency as the precession frequency (lamor frequency). MRI at the beginning of its development used a semiconductor magnetic field with a power of 0.5-1.5 Tesla, but now MRI uses a superconductor magnetic field with a power of 1.5-3 Tesla. One of the advantages of brain MRI in epilepsy cases is that it can display clear information about the anatomy and pathology of the head in general in the temporal lobe area. The use of 3D sequences with isotropic voxels such as SPACE (Sampling Perfection With Application Optimized Contrasts With Varying Flip Angle Evolution) is very useful for generating images with high resolution, thinner cuts, and multi-level reconstruction can be performed in several fragments that allow the acquisition of 3D sequences at one time. Methods: The type used is descriptive qualitative research with a case study approach by conducting interviews with 2 radiology specialists, 1 neurology specialist and 3 radiographers related to MRI brain examinations with clinical epilepsy in August-September 2023 in the Radiology Unit of Prof. Dr. I. G. Ngoerah Denpasar Hospital. G. N. G. Ngoerah Denpasar. Results and Conclusion: This study used five (5) patient data who had clinical epilepsy. Based on the results of observations, interviews and documentation in the radiology unit of Prof. Dr. I.G.N.G. Ngoerah Denpasar Hospital, it can be seen that the procedure for examining MRI Brain with clinical epilepsy is that there is no special preparation, only filling out inform consent. The patient is positioned supine on the examination table with a head fixation device with a head first body position and hands beside the body. Radiographers put the patient into the gantry by setting the isocenter i n the middle of the glabella. After positioning the patient the radiographer sets the parameters using axial T2 Turbo Spin Echo (TSE), sagittal T2 Turbo Spin Echo (TSE), coronal T2 Turbo Spin Echo (TSE), axial T2 Turbo Spin Echo (TSE) dark fluit, axial T1 Turbo Spin Echo (TSE) axial Diffusion Weighted Imaging (DWI) and Susceptibility Weighted Imaging (SWI) and coronal T1 SPACE IR isotropic sequences.In addition, the role of coronal slice T1 SPACE sequences is to clearly see the presence of partical dystrophy, to see the thickening or irregularity of the cortex cerebri clearly. In addition, it is also to see the calcification of the temporal lobe and to measure the volume of the hippocampus.

This study aims to evaluate the positive influence of Integrated Education on body mineral balance and bone health in sufferers of Chronic Kidney Disease (CKD). An experimental research design with a control group was used. The research subjects involved sufferers of stage 3-4 CKD, who were divided into an intervention group (receiving Integrated Education) and a control group (no intervention). Research parameters include levels of calcium, phosphorus, parathormone, bone mineral density, as well as patient knowledge and behavior. Findings: Increased Knowledge: The intervention group experienced a significant increase in knowledge related to CKD management compared to the control group, Positive Behavioral Changes: Patients who took part in the integrated education program showed more positive behavioral changes, including medication adherence, a healthy diet, and a healthy lifestyle, Improvement in Mineral and Bone Disorder Parameters: The intervention group showed significant improvement in calcium, phosphorus and parathormone levels. Bone mineral density also increased significantly. Clinical Implications: The results of the study suggest that Integrated Education can be an effective approach in improving CKD management, with a positive impact on the body's mineral balance and bone health. Conclusion: Integrated education has a significant influence on knowledge, behavior and mineral and bone balance parameters in CKD sufferers. Implementation of this program can improve CKD management and prevent complications related to mineral and bone disorders. Recommendation: Further research could explore the long-term effects of Integrated Education, consider variations in individual responses, and involve a wider sample group.

Oxidative stress is a condition where there is an imbalance between oxidants and antioxidants in the body which can trigger psychological stress. Oxidative stress can be reduced by consuming exogenous antioxidants (antioxidants from outside), where green tea is thought to be able to reduce oxidative stress. The aim of this study was to examine the effect of steeping green tea on blood glucose and Malondialdehyde (MDA) levels in male Wistar Strain white rats exposed to psychological stress. The design used in this research was Randomized Post Test Only Group Design. There were 5 groups of mice; 2 are a normal control group and a stress control group, and 3 treatment groups. Previously, the mice were given psychological stress 1 x 24 hours in the form of disturbed sleep patterns, so that the experimental animals experienced oxidative stress, then green tea was given to the treatment group with a single dose of 3.6 ml/head in the 1st hour in the group. treatment 1, 6th hour in treatment group 2, and 24th hour in treatment group 3. Statistical analysis used the Manova test.  Based on statistical analysis, it shows that there was a decrease in blood glucose and Malondialdehyde (MDA) levels in all treatment groups given exposure to psychological stress and steeping green tea.  A single dose of green tea brewing in experimental animals experiencing oxidative stress was proven to be able to neutralize oxidative stress in the 1st hour after administration of green tea brewing and the antioxidant activity still lasted up to 24 hours.

Dental and oral hygiene is when there is no dirt and dental caries in the mouth. This is due to the fact that children in schools do not understand the effects of not brushing their teeth which can affect the body's metabolism. Preliminary research at SD Pertiwi showed that some school-age children do not understand the behavior of brushing their teeth. The purpose of this study was to determine how the behavior of brushing teeth at school age at SD Pertiwi. This study was designed to use a quantitative descriptive method. This study involved all students of SD Pertiwi, totaling 89 male and female students, and the sampling technique was random sampling. The research method was a questionnaire, consisting of 18 questions. Univariate analysis was used to analyze the data. The results showed that school-age children at SD Pertiwi Besar had good behavior when brushing their teeth (92.1%) and bad behavior as much as 7.9%.    

Background: CT Scan is a medical technology that can show images in the form of slices to see the anatomy of the human body because this technology combines X-rays and television. Basically, how a CT scan works uses a radiation source from X-rays. There are various examinations that can be carried out using a CT scan, one of which is a head examination with a CT scan. CT scan of the head at the Radiology Installation at Bhayangkara Hospital Makassar uses a Slice Thickness of 3 mm to produce a better image. The aim of this research is to determine the Head CT Scan Examination Procedure for Clinical Hemorrhagic Stroke in the Radiology Installation of Bhayangkara Hospital, Makassar. Results: The results of this study indicate that the CT scan procedure of the head with clinical hemorrhagic stroke at the radiology installation at Bhayangkara Hospital, Makassar was carried out without any special preparation but the patient was instructed to remove metal objects or accessories around the head such as earrings, hairpins and necklaces. Using a slice thickness of 3 mm is good enough to display image results and confirm the diagnosis. Conclusion: The head CT scan procedure for clinical hemorrhagic stroke was carried out using the head first protocol. The slice thickness used in this examination is 3 mm. The choice of slice thickness is the biggest factor because a thick slice thickness will produce images with low detail and cause artifacts, whereas a thin size will produce images with high detail but there is noise in the image.

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.  

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.

As elderly people age, their body's physiological functions will decrease. Decreased dynamic balance in the elderly can cause a high risk of falls. If this is not addressed, the risk of injury to the elderly will be greater. The aim of this research is to provide education and training to the elderly about dynamic balance and the risk of falls and how to do exercises to reduce these symptoms. This research method was carried out using a community service approach at the elderly posyandu by providing counseling material about "dynamic balance and the risk of falls in the elderly", after that balance measurements were carried out to find out how big the risk of falls was in the elderly and carrying out balance training practices to improve dynamic balance and reduce risk of falling. Counseling and practice regarding dynamic balance and the risk of falls went smoothly, all the elderly who took part in the activity were very enthusiastic and enthusiastic. The education carried out aims to provide knowledge to the elderly about dynamic balance and the risk of falls as well as the benefits of dynamic balance training to prevent the risk of falls in the elderly.

Gout Arthritis is an inflammatory joint disease caused by the accumulation of monosodium urate crystals in the body. Onion compress is a current form the treatment of gout arthritis with no side effects. The aim of this research is a to determine the effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The research conducted by using a pre-experimental (pre and post test design). The samples were 13 subjekts which taken using total sampling technique. Research instruments used observation sheet and SOP for measurement with the NRS (Numeric Rating Scale). Analyzed data by using a Wilcoxon test with the significance level α = 0,01. The results of this research obtained a value p=0.002 (α≤0.05), which means that Ha is accepted and Ho is rejected, so that can be concluded there were an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The conclusion of this research is that there is an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. Advice to subjekts who often experience gout arthritis pain is to treat it themselves by using shallot compresses.