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Based on the data ofNabire District Health Office concerning findings of cases in 2009 which are recorded as TB type patients: Positive BTA Pulmonary TB 209, Positive BTA relapsed TB 3, Negative BTA but positive Rontgen about 625 cases, Extra Pulmonary Pediatric patients 72 and 175 with total number for all cases of each type of TB patients about 1083 persons. The aim of this study is to analyse the risk factors of home environment Pulmonary Tuberculosis related Prevention Practices in Nabire Regency. The research design was observasionally retrospective study with case control study design. All of the patients who had been diagnosed as Positive BTA Pulmonary TB through microscopic examination both in the hospitaJ or Community Health Center (Puskesmas) laboratory were taken as the sample of the study, in January - July 2010 periode. Matching separation that based on age and gender, the control group member is each person who more or less has the same characteristic with the case group, live at Nabire district and 15 years of aged, as part of the case group neighbours but does not suffer pulmonary TB. The results indicate a signicantly relationship between occupation density (p = 0,001); OR= 4,376), in room ventilation (p = 0,001; OR = 3,541), in house ventilation (p = 0,017; OR= 2,637), in room lighting intensity (p = 0,017; OR= 2,615), in house lighting intensity (p = 0,002; OR= 3,455), in room hwnidity (p = 0,037; OR = 2,406), in house humudity (p = 0,001 ; OR = 4,376), presence of window in room (p= 0,002; OR= 3,500), in room temperature (p = 0,131; OR= 2,143), in house temperature (p = 0,001; OR= 3,984) with incidence of Pulmonary Tuberculosis. There is no relationship between floor type (p = 0,001; OR = 4,376) and separation room (p = 0,851;OR = 0,869) with the incidence of Pulmonary Tuberculosis. It is suggested to attempt the increment of Pulmonary tuberculosis findings, improvement of house environtment condition with emphasized on sanitation aspect of healthy house at the time of build, and increase clean and healthy behaviours.

Chronic renal failure is a progressive and continuous destruction of kidney structures. Chronic renal failure occurs in susceptible individuals, analgesic nephropathy, destruction of renal papillae associated with daily use of analgesic drugs for years. Whatever the cause, there is a progressive deterioration of kidney function which is characterized by a progressive decrease in the Glomelurus Filter Rate (GFR) (Corwin, 2009). Chronic kidney failure is a failure of kidney function to maintain metabolism and fluid and electrolyte balance due to progressive destruction of kidney structures with manifestations of accumulation of residual metabolites (uremic toxicants) in the blood (Muttaqin & Sari, 2011). as well as electrolytes and acid-base composition of body fluids, removing metabolic wastes that are no longer needed by the body, regulating blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008).     

The elderly group during the pandemic is the group most at risk of experiencing severity/morbidity and mortality due to Covid-19 disease. This is because elderly patients (geriatric) generally have various comorbidities, such as cardiovascular disease, chronic respiratory disease, diabetes mellitus and hypertension. The elderly as a vulnerable group, of course, really need the right information related to Covid-19 with the right media. Media that can be used to provide information on Covid-19 to the elderly are posters and power points. This provision can be done by nurses. This research will be conducted on 50 elderly people at Kelurahan Bendungan Semarang. The study was conducted by measuring the level of knowledge with a knowledge level questionnaire about the problem of covid-19, before and after treatment. The design of this study was a quasi-experimental pre-test post-test with control group. The research sample was determined by total sampling with certain criteria, namely: 1) elderly aged 60 years and over, 2) can read, write, communicate well, 3) do not experience sensory, cognitive, and movement disorders, 4) participate in all activities with 100% attendance. The division of the group was 25 people for the intervention group and 25 people for the control group. The provision of posters and PPT media was held 4 times in 4 weeks. This is done in combination because the combination of the two media can increase the level of better knowledge, especially for the elderly who have experienced a decline in function. There is an increase in the level of knowledge from low level 4 people (16%), medium level 15 people (60%), high level 6 people (24%) to low level 1 person (4%), medium level 9 people (36%), high level 15 people (60%).

Background : Hypertension is a medical condition characterized by increased contraction of arteries which causes resistance to blood flow which increases blood pressure against the walls of blood through narrow blood vessels. Objective : To determine the effect of finger grip relaxation techniques and deep breathing on reducing blood pressure in hypertensive patients. Methods : Research design with descriptive method with case study approach. The implementation of Hypertension nursing care was carried out in the internal medicine room starting from June 15 to June 21, 2021. The subjects in this study were 2 patients suffering from hypertension morning and afternoon. Results : After being treated for 3 days, the results showed that the blood pressure of both patients decreased in patient 1 Mr “I” from 180/100 mmHg to 160/90 mmHg, in patients 2 Mrs “S” from 160/100 mmHg to 140/90 mmHg the pain scale of the two patients from 6 (moderate) to 3 (mild) the body is not weak, has started to be energetic and can sleep at night. cooperation between the health team and patients and families is very necessary for the success of nursing care for patients. Conclusion : With the management of finger grip relaxation techniques and deep breathing to reduce blood pressure in hypertensive patients with the results of the nursing evaluation the problem was partially resolved.

Asthma is a heterogeneous disease characterized by chronic inflammation of the airways. This disease is diagnosed based on a history of respiratory symptoms such as wheezing, shortness of breath, a feeling of heaviness in the chest and coughing that varies in time and intensity, accompanied by limited expiratory air flow. The aim of this activity is to be able to understand asthma and administer simple steam inhalation to determine the effectiveness of airway clearance after administering inhalation therapy (UAP) to asthma patients. Health education about asthma and simple steam inhalation can increase the knowledge of  Kampung Baru village residents to do their best to treat asthma using traditional medicine. Health education to residents can increase their knowledge and skills in using traditional drugs in a simple way.

The emergency department that is connected to the inpatient room of the hospital always strives to provide the best service to patients. There are many obstacles in the effort to achieve quality service to patients due to when the inpatient room serves too many different patients based on age and certain indications of the incoming patient, the hospital will face the problem of limited capacity of human resources and supporting materials. so that it can cause the patient to be examined and treated for a limited time. If the increasing number of incoming patients will have an impact on hospitalization time, long waiting time and cause overcrowding of patients in the inpatient room which will certainly affect the level of patient satisfaction and quality of service.With the implementation of the queuing technique, the hospital was able to improve service and maximum patient satisfaction because the queuing technique was able to reduce hospitalization and waiting time so that it would not cause overcrowding of patients in the inpatient room in accordance with the capacity of the hospital's human and material resources.  

The main function of the kidneys under normal conditions is to regulate fluids and electrolytes and the acid-base composition of body fluids, remove metabolic wastes that are no longer needed by the body, regulate blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008). Cases of chronic kidney failure in the world have increased by more than 50%, in the United States which is a very developed country every year there are about 20 million adults suffering from chronic kidney failure and undergoing hemodialysis in more than 100,000 patients, while in Indonesia, according to the Indonesian Kidney Diatrans Foundation, YDGI), in 2007 there were about 100,000 chronic kidney failure patients but only a few patients were able to undergo hemodialysis. Kidney replacement therapy in Indonesia was started in 1972 in Jakarta (Dr. Cipto Mangunkusumo Hospital/FKUI), in Bandung in 1976 (Hasan Sadikin Hospital/FK UNPAD).

Diabetes mellitus type 2 is most often occurring and cause acute vascular diseases of vascular perifer and the loss of perifer blood circulation. One management of peripheral blood circulation in people with diabetes mellitus is to use diabetic feet spa therapy. The purpose of this case study is to describe the application of diabetic feet spa to peripheral blood circulation after and before therapy of diabetic feet spa. The type of the study belongs descriptive with a case study approach. The subjects of this study were two patients with type 2 diabetes mellitus, experienced mild peripheral blood circulation disorders who did not have ulcer wounds, and had the will and willing to follow a diabetic feet spa. Analysis of peripheral blood circulation was carried out descriptively and measured by the Ankle Brachial Index (ABI). The results of the case study showed that there was an increase in peripheral blood circulation subjects in both subjects, in subject I  from 0.83 (mild) to 0.92 (normal) and in subject II from 0.88 (mild) to 0.95 (normal) after being done therapy for diabetic feet spa. It is suggested to Puskesmas officers need to treat spa diabetics as one of the peripheral blood circulation management in patients with type 2 diabetes mellitus.

Hypertension is an increses of blood pressure which  the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg. SEFT therapy includes mind-body relaxation techniques that combine the body's energy system (energy medicine) and spiritual therapy with the tapping method at certain points on the body along the 12 energy pathways (energy meridians) of the body. The purpose of the case study was to describe the effect of SEFT therapy on the reduction of blood pressure in hypertension patients at Ungaran Regional General Hospital. The case study method used is a descriptive case study. The case study subjects were used as many as two people and had blood pressure above the normal limit. The data are obtained by observing and measured using a sphygmomanometer before and after therapy. The results of the case study show that the blood pressure of subject I decreases from 140/100 mmHg to 130/90 mmHg, while the blood pressure of subject II decreases from 150/110 mmHg to 140/100 mmHg. The conclusion of the case study is that the application of SEFT therapy is effective for reducing the blood pressure in patients with hypertension. For the development of nursing science and technology we suggest that to be able to apply SEFT therapy together with medical therapy in hospitals.

Lifestyle is an important factor that influences people's lives. This research method uses descriptive analytics with a cross sectional approach. The total population in this study was all patients who experienced hypertension at the Haji Makassar Regional General Hospital, totaling 316 people. In this research, the sample used was purposive sampling. The sample in this study was 47 patients who experienced hypertension at the Haji Makassar Regional General Hospital. The instruments used in this research were questionnaires and observations. The research results obtained a value of ρ=0.008<0.05, this means that there is a relationship between diet and hypertension in inpatients at the Haji Makassar District Hospital. Based on the results of data analysis, it was obtained that the value ρ=0.003<0.05 means that there is a relationship between smoking and hypertension in inpatients at the Haji Makassar Regional Hospital. This research is used as input for health workers who carry out their duties in providing nursing care, especially in cases of hypertension.

Patients who are going for sectio caesarea, face uncomfortable feelings including anxiety, this is related to concerns about the threat to their lives, therefore, family support is very important to reduce anxiety, because it can increase the spirit of life and reduce patient anxiety and strengthen commitment to undergoing treatment. The purpose of the study was to understand the relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu. This study uses a quantitative research design with non-experimental methods and a descriptive approach. The population in this study were all patients who underwent sectio caesarea surgery as many as 42 patients and the sample used a total sampling technique, where the entire population was taken as a sample. The results of the study: 59.5% of families supported preoperative sectio caesarea patients, 31% of preoperative sectio caesarea patients experienced mild anxiety and 23.8% experienced severe anxiety, based on the chi square statistical test obtained p value 0.000 < (0.05) . Conclusion: there is a relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu Regency. Suggestion: for nurses, considering that there is a relationship between family support and the patient's level of anxiety, they should provide nursing interventions, especially for preoperative sectio caesarea patients, involving the family, so that the impact of the patient is calm in facing the sectio caesarea operation.

Hypertension is a medical condition in which the systole and diastole pressure abnormally elevate. Q.S. Ar Rahman Murottal is a complementary therapy for lowering blood pressure. This case study aims at describe the effect of Q.S. Ar Rahman Murottal therapy on the blood pressure pattern in patients with hypertension at RSUD Ungaran. The method of this study is descriptive. The subjects of this case study are two Moslem patients with hypertension who have no hearing problems. The data are collected through observation and measurement by using medical tools such as sphygmomanometer and stethoscope before and after the therapy. The result of this study shows that the blood pressure in Subject I decreases from 150/90 mmHg to 120/80 mmHg, while in Subject II the blood pressure decreases from 160/90 mmHg to 120/90 mmHg. It means that Q.S. Ar Rahman Murottal therapy is effective in lowering the blood pressure in patients with hypertension at RSUD Ungaran. It is hoped that this case study can be the beginning of extensive researches in Q.S. Ar Rahman Murottal in lowering the blood pressure in hypertension patients. Hopefully, Ungaran Hospital will make Q.S. Ar Rahman Murottal as an SOP to be given to hypertension as a nonpharmacological therapy for pharmacological therapy.

Hypertension is situation where blood pressure exceeding the limit of normal with blood pressure 140/90 mmHg and which includes non contagious disease. Complementary therapy can reduce the risk of hypertension complications. SEFT therapy one of a complementary therapy that can be used to overcome the problem of increasing blood pressure. The purpose of this study was to carried out SEFT therapy towards decreasing blood pressure in hypertension patients in the built area of Puskesmas Rowosari Semarang. This type of researAch is descriptive using the case study approach method. The criteria used in the case study: primary hypertension patients, hypertension sufferers were able to communicate well, hypertension patients who did not take anti-hypertension drugs. Case study analysis was carried out by processing data through observation of blood pressure before and after SEFT therapy. The results of the case study showed that there was a decrease of blood pressure. Before therapy the blood pressure of  the subject I was 170/110 mmHg decreased to 120/80 mmHg and in subject II before therapy, blood pressure 160/100 decreased to 140/80 mmHg. The recommendation is with control of blood pressure by using SEFT therapy, the society can apply this therapy.

Schizophrenia is a neurological disease that affects the person's perception, thinking, language, emotional, and social behavior of a person. One of the symptoms of schizophrenia is hallucinations. Hallucination is a lost person's ability in distinguishing the stimulation from the outside or from within. The results of a survey obtained from RSJD Dr. Amino Gndohutomo central java province of hallucinations is the most common problem that is reaching 2.398 inhabitants. One of the efforts to deal with the hallucination is scolded. Scolded is an effort that can be done to control his hallucinations by way of rejecting the hallucinations that arise. The purpose of this case study to find out the decrease in the score of the hallucinations of schizophrenia patients have heard before and after the therapy done and scolded. This research uses descriptive analysis type by using the method of approach to the case studies. The subjects used are 2 subjects with impaired auditory hallucinations. The results showed there is a difference between before and after the therapy is carried out on the subject I from 42 became 37, and subject II from 39 became 30. It can be concluded that the result of this study indicate that scolded therapy able to reduce the level of hallucinations in schizophreia patients, therefore if done with a routine then the level of hallucination will come down and help the healing process.

Satisfaction is a person's feelings of pleasure or disappointment that arise after comparing the results of a service that are in accordance with or not in accordance with the expectations they had before getting service. Patients as users of nursing services demand nursing services in accordance with their rights, namely quality nursing services. In providing nursing services, Standard Operational Procedure (SOP) is very important to assist nurses in achieving quality nursing care. In giving medicine, one must pay attention to the six "correct" principles which have become mandatory procedures before giving medicine, namely: right patient, right drug, right dose, right method, right time, and correct documentation. This study aims to identify the effect of applying standard operational procedures (SOP) for drug administration with the six correct principles on the level of patient satisfaction in Ungaran Hospital. The design of this research is descriptive analysis using a cross sectional approach, the number of samples used is 90 respondents using the Slovin formula to determine. The results of the study using the Chi Square analysis test showed that there was a significant effect between the application (SOP) of drug administration with the six correct principles on the level of patient satisfaction (p = 0.000). From the results of the analysis obtained the value of Odds Ratio (OR) of 59.160. The recommendation from this research is that nurses always apply the SOP correctly to increase patient satisfaction.

Hipertensi merupakan gangguan pada sistem sirkulasi.Seseorang dikatakan hipertensi apabila keadaan tekanan darah mengalami peningkatan diatas normal yaitu ? 140 mmHg untuk tekanan sistolik dan atau ? 90 mmHg untuk tekanan diastolik secara terus-menerus. Penatalaksanaan dalam mengatasi hipertensi terbagi menjadi dua, yaitu pengobatan farmakologis dan nonfarmakologis. Terapi non farmakologis yang relatif praktis dan efisien yaitu saalah satunya dengan cara pemberian aromaterapi bunga mawar. Tujuan penelitian yaitu mengetahui pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Penelitian dilakukan bersifat eksperimental menggunakan desain penelitian one group pretest-postest design. Sampel diambil berdasarkan jumlah responden sebanyak 22 orang dengan menggunakan accidental sampling. Pengumpulan data dilakukan dengan cara melakukan observasi. Selanjutnya data yang terkumpul diolah dengan menggunakan bantuan komputer program SPSS versi 16.0 untuk dianalisa menggunakan uji wilcoxon sign test. Hasil penelitian diperoleh bahwa sebelum pemberian aroma terapi bunga mawar didapatkan rata-rata tekanan darah yaitu 151/90 mmHg. Setelah pemberian aroma terapi bunga mengalami penurunan rata-rata tekanan darah yaitu 136/81 mmHg. Data di uji dengan wilcoxon sign test. Dengan hasil nilai p value= 0,000 < ? = 0,05 dengan demikian H_0 ditolak dan H_aditerima.Artinya ada pengaruh pemberianaroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Kesimpulan dalam penelitian ini terdapat pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Saran agar penelitian ini dapat menjadi tambahan informasi kepada mahasiswa tentang pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pasien hipertensi danjuga dapat dijadikan sebagai bahan bacaan maupun pembelajaran bagi mahasiswa.

The quality of health services shows the level of perfection of health services in creating a sense of satisfaction in patients.In this study, researchers used a purposive sampling type of research, namely sampling with special criteria, namely inclusion and exclusion criteria with a cross sectional approach, namely research that explores, analyzes and explains the relationship between the quality of health services and patient satisfaction at the Ridge Health Center. The data needed comes from filling out questionnaires by patients or families of patients seeking treatment at the Ridge Health Center.The sample in this study used 44 respondents who received treatment at the Ridge Health Center. And in this research, the instrument used was a questionnaire with a total of 40 questions.The results of this study show that there is a relationship between the quality of health services, reliability (0.038<0.05), assurance (0.000<0.05), tangibility (0.002<0.05), empathy (0.000<0.05), and responsiveness (0.000 <0.05) with patient satisfaction. The conclusion of this research is that there is a relationship between the quality of health services (reliability, assurance, tangibility, empathy and responsiveness) with patient satisfaction at the Ridge Community Health Center. The advice that researchers can give is that they can evaluate and improve management to improve the quality of service so that patient satisfaction is related to research results, namely the components of speed of administration, patient comfort as well as completeness of medical equipment and accuracy of information so that it is hoped that it can increase patient satisfaction.    

Workload is the ability of the worker's body to accept the job. From the standpoint of ergonomics, every workload received must be appropriate and balanced against the physical and psychological ability. The good Response time for patients is <5 minutes. Handling of emergency is the whole act performed in emergency conditions that are effectively and efficiently. The purpose of this study was to determine the relationship workload response time nurses with nurses in emergency departments of RSUD Bitung General Hospital. This study was descriptive and cross sectional study. Samples were taken based on the number of respondents as many as 31 nurses by using total sampling. The data collection is done by filling out the observation sheet and questionnaire. Furthermore, the data that has been collected processed with the aid statistics analyzed by chi square test with significance level is ? = 0.05. After the results, the value of p = 0.008, this may imply that there is a relationship between the workload of nurses response time. CONCLUSIONS of this study found that there is a relationship between nurses workload response time. Suggestions for the research was taking place is setting a good system including facilities and infrastructure in order to nurse response time can be improved.

ABSTRAK The development of computer technology helps many aspects of life. One aspect of life that takes advantage of technological developments is the health sector, in order to solve problems including brain tumors. Brain Tumor Disease is the growth of abnormal cells in or around the brain in an unnatural and uncontrolled manner. Patients with brain tumors continue to increase every year, because the initial symptoms are often underestimated. Therefore created a software that can help diagnose brain tumors using the certainty factor method    

Breast milk is the best food for babies, because breast milk contains nutrients and all the nutrients with the amount and composition needed by the baby. one of the obstacles in the process of lactation on the first day is the mother does not produce enough breast milk or the baby does not want to suck so that the mother does not want to breastfeed the baby. Way that can be done to increase milk production is by doing the technique  marmet. This case study aims to illustrate the increased production breast milk in post partum mothers after nursing with marine techniques in hospitals Bougenville Room TK III 04.06.02 Bhakti Wira Tamtama Semarang. The type of this research is descriptive by using case study approach method. Subjects in this study were two patients with postpartum mother with criteria of primiparous mother, postpartum mother who breastfeeding, mother who is willing to be respoden, babies performed nursing. The analysis was measured based on an observed sheet of fluid milk production. the results of case studies show an increase in milk production from a score of 12 categories not smooth to score 19 categories smoothly on subject I and score 13 categories not smooth to score 20 categories smoothly on subject II. Recommendations need to be consistent nurses in taking action marmet techniques to increase milk production in primipara mother.