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Pulmonary tuberculosis is an infectious disease that can be prevented and cured, but takes a long time so whether treatment is successful or not is influenced by the support of families and health workers. The purpose of this research was to determine the relationship between family support and health workers with medication adherence in pulmonary TB patients. This study used quantitative methods with a cross-sectional approach, Sampling using accidental sampling technique with a total sample of 34 people.. Data collection using questionnaire sheets and data analysis using univariate and bivariate analysis with chi-square test. The results of the study obtained good family support for the majority of compliance by 52.94% and poor family support by the majority of non-compliance by 29.4%, as well as the support of health workers in the majority of compliance by 59.94% and no support of health workers in the majority of non-compliance by 23.53%, the results of the chi-square statistical test obtained there was a relationship of family support (p-value=0.000) and health worker support (p-value= 0.004) with adherence to taking medications. It can be concluded that pulmonary TB patients who receive support from family and health workers can affect the patient's compliance in taking medications.  

The dental clinic is a dental and oral health service for adults and children including children with autism and special needs. The concept of 'Children and Adult Dental Clinic' is to provide dental services in a friendly and comfortable manner for dental clinic patients and is efficient in data processing, therefore with the development of data processing systems, its application in dental clinics is also needed, the design and manufacture of patient data processing systems at dental clinics is not new in data processing systems, the application of dental clinic patient data processing systems is made based on the needs of the dental clinic 'Children and Adult Dental Clinic', whose data processing is still processed manually, this dental clinic patient data processing system application is made using SQL Server 2012 database, Visual Studio 2012 and Crystal Reports 2013, making this dental clinic patient data processing application is not easy, book sources are trusted and source from int ernet is a guide in making dental clinic patient data processing system applications, we hope this application can be applied and used as a computer-based data processing system in the dental clinic 'Children and Adult Dental Clinic'.

Amyloidosis is a term for various groups of diseases with lots of amyloid protein in organs and/or tissues, causing disease. In this condition, amyloid protein is deposited in the dermis layer of the skin which is called lichen amyloidosis. Lichen amyloidosis is the most common type of cutaneous amyloidosis. The prevalence of cutaneous amyloidosis is relatively rare, only 0.2-0.3%. It is chronic in nature which usually appears later in life. This article discusses a case of a 39-year-old female patient who came with complaints of spots on both sides accompanied by itching. These complaints have been experienced since ± 2 years ago and are felt to be getting worse in the last few months. Previously the patient had used a type of topical medication obtained from the local puskesmas, but there was no improvement. Examination of the general status found the general condition of the patient looked moderately ill, conscious awareness, vital signs within normal limits. Dermatological status obtained efflorescence in the form of macules to multiple papules with hyperpigmentation, well defined, discrete available, accompanied by scaling and lichenification. Patients were treated with oral corticosteroids (methylprednisolone), topical corticosteroids (desoximethasone) and salicylic acid. Patients are also educated to avoid scratching and rubbing on the lesions. The patient showed thinning lesions after 7 days of therapy.

Labor is the process of opening and thinning the cervix, where the fetus is pushed out through the birth canal. Finger Grip Relaxation is a muscle relaxation action that is believed to reduced pain. The purpose of this research was to find out the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado.This research was conducted by using a quasi experimental one group pre-test and posttest design. Sampel in this research amounted to 15 respondents using accidental sampling technique. Data collection was done by sharing SOP. Then, the collected data was processed by running the SPSS computer program version 16.0 to be analyzed by a Wilcoxon test with the significance level ? = 0,05.The result showed that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.The conclusion of this research is that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado. It is suggested to update information about the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.

Diabetes Mellitus (DM) is a disorder in the processing of carbohydrates in the body, caused by a lack of hormone of insulin so that the carbohydrate cannot be used by the cell to be converted into energy. The purpose of this research was to find out the effect of the DM Gymnastic on fasting Blood Sugar Level in patients with type II DM at the Tuminting Public Health Center. The Research was conducted by using an analytic descriptive method that is cross sectional in characteristic. The sample was 17 respondents taken by using an Purposive Sampling. Instruments used in taking sample were pretest-posttest Blood Sugar Observating sheets and the SOP of DM Gymnasic. Data analysis used a statistic test of paired t-test. The result showed that from the paired t-test, it was obtained P=0,002. The average value of Blood Sugar level before performing DM Gymnastic was 145,41. Then, the average value after doing the DM Gymnastic was 129,71. The conclusion of this research that there is an effect of the DM Gymnastic on fasting Bloood Sugar Level in patients with type II DM at the Tuminting Public Health Centre.

Foot sensitivity is very important for people with Diabetes Mellitus because of the risk causing trauma, because there is a decrease in sensitivity, the feet of people with diabetes mellitus often do not feel stimulation, and wounds often occur so that they can make the wound bigger and smelly or diabetic ulcers occur and make sufferers experience a decrease in self-confidence.The purpose of this research is to know the effects of diabetic foot exercise on foot sensitivity of patients for Diabetes mellitus Type 2 at Talawaan Health Centre. This research is quantitative study through using experimental research. Involving the sample of 15 respondents and  used the sampling technique with total sampling. Collecting and processing using the Wilcoxon test with P Value of 0.001 with value (? = 0.05). The result of this study indicates that Ha is accepted, and Ho is rejected. The conclusion of study that can be drawn is that there is an effect that foot exercise therapy on has patients with Diabetes Mellitus Type 2 in the Talawaan Health Centre.

 Pregnant women are listed as one of the vulnerable groups at risk of infection with Covid-19, and the current pandemic conditions have made pregnant women anxious. The objective of this research was to describe the anxiety and causes of anxiety in pregnant women at the Umban Sari Health Center during the Covid-19 pandemic. Method: The research method used was simple descriptive. This research was carried out in the work area of Umban Sari Health Center, with a total sample of 80 pregnant women obtained using a purposive sampling technique. The Perinatal Anxiety Screening Scale questionnaire was used as a measuring tool, univariate analysis was used. Results: The majority of respondents (42.5%). The cause of anxiety was that 60.8% of respondents were concerned about conctracting Covid-19 from other patients who checked their pregnancies, 53.8% were concerned about childbirth with few visitors, and 68.8% were concerned about not receiving the expected service, the cause of anxiety was that 28.8%  experienced mild anxiety at non high risk ages, 30% in multigravida pregnancies, and 17.5% in the second trimester, reported mild anxiety. Conclusion: Pregnant women’s anxiety is mild anxiety, which health service, age, gravida and gestational age was the causes of anxiety.  

Background: According to WHO data, in Southeast Asia in 2015 the HIV rate reached 5.1 million patients with 77,000 pregnant women living with HIV, and 19,000 new cases of pediatric HIV infection have been found. This is a number that can be considered fantastic compared to other regions. Meanwhile for syphilis, the incidence rate has shown an increase of 0.32% in the Southeast Asian region. The number of patients shows up to 167,000 cases of syphilis in pregnant women. It had a disastrous impact by producing 65,800 adverse outcomes including early fetal death. For Hepatitis B, Southeast Asia bears 15% of the total number of Hepatitis B patients worldwide with a total of 39 million people. Prevention activities have been carried out by the Ministry of Health of the Republic of Indonesia by holding a program called Triple Elimination in accordance with WHO recommendations (2017). The activity was in the form of carrying out tests for HIV, Hepatitis B and Syphilis (triple Elimination) during Antenatal Care (ANC) for Pregnant. Research Objectives: to find out the factors that influence the triple elimination examination in pregnant women at the Sarageni Health Center, Lebak Regency in 2022. Research Methods: quantitative with cross sectional research design. The sample in this study was 65 pregnant women in the Sarageni Health Center area in November 2022 (Purposive Sampling). Data were collected using a questionnaire given to respondents then processed and analyzed univariate and bivariate and tested with the Chi Square test. The results of the study: the prevalence that affects the compliance of pregnant women Age p-value 0.006 <0.05 Education p-value 0.000 <0.05 Socio-economic p-value 1.000 >0.05 and Husband support p-value 0.000 <0.05.

EMERGENCY UNIT PATIENT REGISTRATION INFORMATION SYSTEM DESIGN IN LANUD SULAIMAN BANDUNG HOSPITAL This research aimed to know emergency unit patient registration information system design in Lanud Sulaiman Bandung Hospital. The method was descriptive qualitative method approach to data collection techniques were direct observation, interview and literate studies that had relevance to the subject matter of research problem. The problems that hinder the process of registration in the emergency department included: 1). Processing Installation Emergency Unit registration report as a whole was still done manually and not structured; 2). Installation Emergency Unit type of service structured not yet, so many patients who were not emergency services who came to the Emergency Unit. The suggestions were given to the optimization process of emergency unit registration at Lanud Sulaiman Bandung Hospital, there were: 1). Coordination to the Head of Medical Records and Head of the Hospital for the addition of a registration officer in the emergency unit and supporting facilities such as computer information systems; 2) The hospital provides information such as notice boards or brochures about the schedule of doctors in the hospital.

Pelvic inflammatory disease is a reproductive system disorder in women that can be caused by viruses or bacteria. Pelvic inflammatory disease is an inflammatory process of the female genital organs in the pelvic cavity, namely the genital tract consisting of the uterus, fallopian tubes and surrounding areas including the peritoneum. It is caused by Neisseria gonorrhoeeae or Chlamidia trachomatis and may be the organism involved in bacterial vaginosis. Objective: This study aims to describe the risk factors for pelvic inflammatory disease experienced by women of childbearing age. Research methods; This study uses an analytical survey. The population in this study were all cases of GSR who were treated in hospitals. Andi Makkasau, Parepare City with a total of 247 people. The sampling technique was purposive sampling. The method of data collection in this study is secondary data, namely if the desired data collection is obtained from other people or other places and is not carried out by the researcher himself where in this study the researcher records the register number of patients with pelvic inflammation (PRP) obtained from the register book at the GSR treatment room or medical record. Then take the patient's status on the medical record at Andi Makkasau Hospital. After that, take the data and select the complete data based on the specified criteria. The data were analyzed using chi-square. namely if the desired data collection is obtained from other people or other places and is not carried out by the himself where in this study the researcher records the register number of patients with pelvic inflammation (PRP) obtained from the register book at GSR treatment room or medical records. Then take the patient's status on the medical record at Andi Makkasau Hospital. After that, take the data and select the complete data based on the specified criteria. The data were analyzed using chi-square. namely if the desired data collection is obtained from other people or other places and is not carried out by the himself where in this study the researcher records the register number of patients with pelvic inflammation (PRP) obtained from the register book at GSR treatment room or medical records. Then take the patient's status on the medical record at Andi Makkasau Hospital. After that, take the data and select the complete data based on the specified criteria. The data were analyzed using chi-square.

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

Stroke is the number one cause of disability and the second cause of death in the world. Blood flow that is not smooth in stroke patients causes hemodynamic disorders including changes in the value of oxygen saturation in the blood (SpO2) which can interfere with the function of internal organs including the heart due to lack of oxygen intake. So we need a system to monitor the oxygen saturation value which can be used as an early indicator in recognizing stroke patients. This system uses detection of two sensors to measure oxygen saturation in the blood, a microcontroller to process data, a monitor to display data, a buzzer as a warning of the lower limit of measurement and a micro sd card module to store measurement data that has been running. Parameters displayed include the date of measurement, patient ID, SpO2-1, SpO2-2, last SpO2-1 and last SpO2-2. This system will measure and display the SpO2 value of both right and left arms simultaneously. Stroke patients who experience muscle weakness in one hand may experience different values with a hand that does not experience muscle weakness. This study aims to develop an SpO2 monitoring system that will be used to detect stroke patients with non-invasive methods. The results show that the system has been developed and can be used to measure the patient's SpO2 from both hands simultaneously with a measurement error rate of ±2% for each sensor from standard medical equipment.

The Mranggen III Health Center is one of the government agencies in the technical implementing unit of the Demak District health office. Patient registration services and administrative payments at the Mranggen III Health Center are still conventional, causing long queues. In addition, the process of processing data to become information cannot be accessed directly by the leadership because there are no computerized and multi-user or client-server applications. Based on these problems, a Puskesmas administration information system design was made that could suit the needs. Making an information system using the programming language Microsoft Visual Basic 6.0 and SQL Server 2000 as a multiuser-based database. With the design of the development of an administrative information system for the Mranggen III Health Center, it is hoped that it will be able to handle the problems that exist in the Mranggen III Health Center, namely being able to speed up service to patients and by using a multiuser-based information system. Leaders and several staff can access it simultaneously and quickly.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching nerve tissue to increase axonal transportation so that it can improve nerve conduction. Nerve mobilization can reduce the pressure in the nerves so that there is an increase in blood flow to the nerves, which can have a regenerative and healing effect on injured nerves (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment for musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is carried out at the branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses LLTT in the ishiadic nerve, namely LLTT 1 which is related to lower back pain. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the LLTT 1 method in cases of lower back pain on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating CTS patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Manipulation is a term to cover all forms of passive movement techniques used to treat musculoskeletal disorders. Manipulation techniques are passive movement techniques that are carried out quickly so that the movement is completed before the patient can prevent it. The movement that occurs should not exceed the physiological range of motion of the joint. G.D. Maitland (1997), The aim is to determine the effect of physiotherapy management on manual therapy in cases of lower back pain. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy polyclinic, KRMT Wongsonegoro Hospital. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.00), so there was a better effect between the two groups. Conclusion: It is concluded that manual therapy is useful in treating patients with lower back pain to reduce pain in two groups. The targeted outcome is publication in national indexed journals Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2

In 2016 - 2018 the number of visits to 6 poles including general surgery poly, echocardiography, eye poly, internal medicine, ENT poly, poly urology fluctuated from 11.23% to -5.23%. Fluctuations in the number of visits can be caused by several factors, one of which is consumer behavior in health service selection decisions. This study aims to determine the effect of the marketing mix on service selection decisions.This research is an analytic survey research with cross sectional approach. The population in this study were patients in 6 outpatient clinics at Jemursari Islamic Hospital in Surabaya. The number of samples is taken by quota sampling within one month.The results showed that the marketing mix at 6 Polis RSI Jemursari Surabaya with a good category of 77.5% resulted in high service selection decisions. The results of the ordinal regression test show a significance value of 0,000 which means that there is an influence of the marketing mix on the decision of choosing the Jemursari Hospital. Of the seven marketing mix elements that have the lowest influence on service selection decisions are the 47.1% price mix element, while the most influential marketing mix element is the human resource mix element with a percentage of 68.6%.The conclusion in this study is the positive influence of the marketing mix on the decision to choose outpatient services at the Jemursari Hospital in 2019.

Hypertension is a cardiovascular disease with a systolic blood pressure value of 140 mmHg and a diastolic blood pressure value of 90 mmHg. The prevalence of hypertension globally according to WHO is 22% of the total world population. Hypertension cases if not handled properly can cause death, so it is important for hypertensive patients to have good knowledge about hypertension management, especially pharmacological management. The method in this research is descriptive correlation, using a cross sectional approach. The number of respondents in the study were 45 respondents, the sampling technique used purposive sampling. The research data were analyzed using SPSS with the Kendall's-tau correlation test, the results obtained p-value 0.236 > 0.05, meaning that there was no relationship between knowledge of pharmacological management and blood pressure values in patients with hypertension. The implication of this study is that it is hoped that people with hypertension will not only have knowledge, but also have good behavior in taking drugs, and following a low-salt diet.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. The effects of pain that do not subside are myocardial ischemia, increased morbidity, and hopelessness. One intervention to relieve postoperative pain is Spiritual Emosional Freedom Technique (SEFT). The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Nusa Indah Room TK.III 04.06.02 Bhakti Wira Tamtama Semarang Hospital after SEFT intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of moderate to high pain. Analysis of pain measurements using the Numerical Scale Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 7 (high pain) became the pain scale 4 (moderate pain) and subject 2 the pain scale 8 (high pain) became the pain scale 4 (moderate pain). Effective SEFT therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

Mental disorders are one of the public health problems in Indonesia. In general, mental disorders are caused by psychological pressure both from outside the individual and from within the individual. Some of the things that cause this is the ignorance of the family and society about this mental disorder (Hawari, 2007). According to WHO or the World Health Organization (2002) states that the prevalence of mental health problems is currently quite high, 25% of the world's population has suffered from mental health problems, 1% of which are severe mental disorders. The potential for a person to be susceptible to mental disorders is indeed high, every time 450 million people around the world are affected by mental, nervous, and behavioral problems. One form of mental disorder that is found throughout the world is a severe mental disorder, namely Schizophrenia (Hawari, 2007). Schizophrenia comes from two words, namely schizo which means cracked or broken and phrenia which means soul. Thus, people who suffer from schizophrenic mental disorders are people who experience mental fractures or personality cracks. Schizophrenia can arise because of the integration between biological, psychosocial and environmental factors (Sinaga, 2007). In schizophrenic patients there is personal disintegration and personal division. Emotional and intellectual behavior becomes ambiguous (compound), and has serious disorders and has regression or total dementia. Schizophrenic patients escape from the reality of life and remain silent in their fantasy world (Kartono, 2010).  

Schizophrenia is a mental disorder that can end in the loss of a person's life. In handling this disease because the soul is disturbed, it is needed therapy, rehabilitation and counseling. The greatest effort to deal with mental disorders lies in the family and community, in this case the best therapy is a form of family support in preventing the recurrence of schizophrenia. In people with schizophrenia, there can be physical aspects of increased blood pressure, increased pulse and breathing, anger, irritability, tantrums and can injure themselves. Changes in cognitive, physiological, affective, to behavioral and social functions to cause the risk of violent behavior. This KIAN aims to provide an overview of Mental Nursing Care for Schizophrenic Patients at Risk of Violent Behavior. Violent behavior is a response to stressors faced by a person, this response can cause harm to oneself, others, and the environment. The function of the strategy for implementing violent behavior is to control the emotions of the hallucinations experienced by the client.