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Harmony in a household is the dream of every married couple. Building a harmonious family relationship means the establishment of a romantic relationship between married couples in a family and includes everything that has a relationship in the welfare and tranquility of a family. Even though the family does not have an offspring. The research was conducted in Tlogo Village, Kanigoro District, Blitar Regency. With informants 5 families who have no offspring, after approximately 10 households. The research method used in this research is qualitative with a phenomenological approach. The research methods used are observation, documentation and interviews. The results of this study show that the 5 families have good household conditions, despite not having a child. The method used by the 5 families in maintaining harmony in the household is by worshiping together, spending time, commitment, appreciation and affection, conducting medical and non-medical treatment and adoption.

Harmony in a household is the dream of every married couple. Building a harmonious family relationship means the establishment of a romantic relationship between married couples in a family and includes everything that has a relationship in the welfare and tranquility of a family. Even though the family does not have an offspring. The research was conducted in Tlogo Village, Kanigoro District, Blitar Regency. With informants 5 families who have no offspring, after approximately 10 households. The research method used in this research is qualitative with a phenomenological approach. The research methods used are observation, documentation and interviews. The results of this study show that the 5 families have good household conditions, despite not having a child. The method used by the 5 families in maintaining harmony in the household is by worshiping together, spending time, commitment, appreciation and affection, conducting medical and non-medical treatment and adoption.

Old age is one of the risk factors that affect hypertension because the higher the age, the higher the risk of getting hypertension, this is caused by natural changes in the body that affect blood vessels, hormones, heart. by using non-pharmacological treatment, namely the administration of cucumber infused water and acupressure therapy at the point of LI 4 (Hegu) can reduce blood pressure for people with hypertension.  Purpose : This study aims to determine the effectiveness of cucumber infused water and acupressure therapy at the point of LI 4 (hegu) on reducing hypertension in the elderly. Methods: The population in this study was the elderly affected by hypertension with a total of 240 patients. In this study, the sample number was 30 respondents with each intervention group of 15 respondents. The type of this study is quantitative research that uses a two-group pretest-postest experimental model and is analyzed using statistical tests. Results: Based on the results of the study, it can be concluded that the results of the Wilcoxon test data there is an effectiveness between the administration of cucumber infused water and acupressure therapy at the LI4 (Hegu) point against reducing hypertension. With the results of v – palue 0.003 for the results of cucumber infused water against reducing hypertension and p-value 0.002 for the results of giving acupressure therapy at the LI4 point (Hegu) against reducing hypertension. In this study, there was a significant influence before and after intervention and blood pressure measurement was given in the working area of the Karangtengah Health Center. Conclusion : the effectiveness of cucumber infused water intervention and acupressure therapy at the LI4 (Hegu) point for the elderly affected by hypertension in the working area of the Karangtengah Health Center.

The purpose of this study was to determine whether there was an effect of the problem-based learning model on mathematics learning outcomes in fifth grade students of UPTD SDN Gili Barat. This research is a quantitative research with the method used is quasi-experimental and the design used is nonequivalent control group design. The sample used was 45 students from fifth grade A and B of UPTD SDN Gili Barat. Sampling using saturated samples. In this study using the experimental class and control class. Data collection used multiple choice test questions, the test instruments used were validity tests, reliability tests, difficulty level tests and discrimination tests. The prerequisite test used is the normality test and homogeneity test while the hypothesis test uses the t-test. Based on the results of data analysis using the t-test with a significance level of 0.05, the results were sig. (2-tailed) of 0.010 means that Ho is rejected and Ha is accepted so that it can be concluded that there is a significant difference between the experimental group and the control group, the treatment given has a significant effect on the problem-based learning model of learning mathematics in fifth grade students of UPTD SDN West Gili.

Parkinson's disease is a disorder of brain function caused by the process of degeneration of the basal ganglia in the substantia nigra pars compacta (SNc) cells and is characterized by characteristics such as tremor at rest, rigidity of muscles and joints (rigidity), slowness of movement and speech (bradykinesia) and instability upright position (postural instability). Parkinson's Disease occurs in the range between the ages of 55 to 65 years and occurs in 1% -2% of people over the age of 60 years, increasing to 3.5% at the age of 85-89 years. Approximately 0.3% of the general population, the prevalence is higher in males than females with a ratio of 1.5:1.0. Manifestations that can be found in patients with Parkinson's Disease can be assessed through the Hoehn and Yahr Scale (HY). Current treatment for Parkinson's disease aims to reduce motor symptoms and slow the progression of the disease.

This research is motivated by the learning process which is still monotonous or only uses the lecture method and the lack of variations in learning so that students become less active in the learning process. The learning method used is quantitative with a one group pretest-posttest design which in its implementation only involves one class as an experimental class without any comparison class (control class). The purpose of this study was to determine the effect of using card sort types in learning Pancasila Education on student learning outcomes in class IV SD. Hypothesis testing was carried out with the Wilcoxon non-parametric test. Based on the results of the paired sample difference test using the Wilcoxon test with the help of SPSS, a p value of 0.000 (p <0.05) was obtained, which means that Ho is rejected and Ha is accepted, which means that there is a significant difference in the average pretest and posttest scores for students. or interpreted that the treatment of students is proven to be able to increase student scores.

The primary goal of this study was to measure the effectiveness of Let's Read app in visualization strategy in improving students' reading ability. Let’s Read is an application that contains many stories with audio and is equipped with visual pictures that can help students learn to read. This study uses a quantitative and pre-experimental design to test. The pre-experimental used 2 tests, the pre-test at the beginning and the post-test after treatment. The sample in this research consisted of 36 tenth-grade students. The results confirmed that the post-test scores increased and exceeded the pre-test values. Furthermore, at a significant level of 0.05%, the t-score is calculated to be smaller than t-table. From this analysis, the Alternative Hypothesis (Ha) was accepted, while the Null Hypothesis (Ho) was rejected. Based on the facts through the results of data analysis, using  Let's Read app in visualization strategy is proven to help in enhance students' reading comprehension. As a result, it is recommended that educators and students take advantage of this application to enhance reading comprehension.

Patient loyalty is often closely related to patient satisfaction with the experience they get during medical treatment. Issues related to service quality, long waiting times, lack of effective communication with patients, or disrespectful attitudes from medical staff can all cause patients to feel dissatisfied and unmotivated to return to the same health facility. This type of quantitative research with a design using correlation analysis, cross sectional. The population in the study were 193 patients treated at a private hospital in Jakarta. The research sample was 130 with the Slovin formula, the sampling technique used quota sampling and the data collection instrument used a questionnaire. Analysis of research data used multiple linear regression. The results showed that service quality partially had a significant effect on patient loyalty with a sig value of 0.036. Partial satisfaction has a significant effect on patient loyalty with a sig value of 0.001 Service quality and satisfaction simultaneously have a significant effect on patient loyalty with a sig value of 0.001 and each effect is 94.1%. In conclusion, the quality of hospital services and patient satisfaction have a significant effect on patient loyalty..  

ARI is an acute respiratory infection that affects one or more parts of the respiratory system. The high prevalence and risk factors in the prescription of ARI patients need to be considered in the completeness of the prescription and the provision of appropriate drugs to increase the effectiveness of treatment therapy. The purpose of this study was to determine the suitability of prescribing ARI patients aged 0-12 years administratively, pharmaceutically, and clinically based on PMK No. 72 of 2016. This type of research is descriptive observational and retrospective data collection. The sample used was the prescription of ARI patients at Bendan Hospital who met the inclusion criteria for the period April-May 2023, totaling 25 prescription sheets. The sampling technique used total sampling technique. The results showed that in administrative aspects including patient name, gender, age, address, doctor's name, SIP, telephone number, doctor's address, doctor's signature, prescription date was fulfilled 100% and body weight was fulfilled 92%. The pharmaceutical aspects include the name of the drug, dosage form, dosage strength, drug dosage, amount of drug, rules of use and how to use are fulfilled 100%. Clinical aspects include 100% indication accuracy, 100% dose accuracy and 52% drug interactions. It can be concluded that the suitability of prescribing ARI patients for children aged 0-12 years is administratively 100%, pharmaceutically 92%, and clinically 48%.                                       

Background: Schizophrenia is a common health problem worldwide, around 70% of people suffering from schizophrenia experience auditory hallucinations. Auditory hallucinations are where patients feel that they can hear voices without a sound source. This situation causes the patient's inability to perceive reality accurately. One of the nursing interventions performed for auditory hallucinations is perceptual stimulation group activity therapy. Method: The method used in this application is descriptive with a case study research design, research subjects totaling 2 respondents, sheet research instruments observation that is AHRS . Findings: There were differences in scores before and after being given Group Activity Therapy (TAK), namely a decrease in the hallucination level score on Mr. F and Mr. W. Implication: Based on the results of the study, it was found that there was an effect of Group Activity Therapy (TAK) in controlling auditory hallucinations in schizophrenic patients after being given Group Activity Therapy (TAK) for 2 applications. In addition to providing Group Activity Therapy (TAK), the patient's recovery or stability is also supported by continued treatment and rehabilitation.

The Social Security Administrative Body is a legal entity in administering social security programs to ensure that all people are able to meet the basic needs of a decent life. The purpose of this research is to analyze the BPJS Kesehatan service system which is capable of anticipating a surge in patients seeking treatment abroad. This study uses a Statute Approach and a conceptual approach using the interview method. Data analysis used qualitative analysis techniques to test the validity of the data in this study by looking for existing reference sources. Based on the results of the research, it shows that the National Social Security System (SJSN) is organized with a Social Insurance mechanism in which each participant is required to pay contributions to provide protection for socio-economic risks that befall participants and/or their family members. The BPJS service arrangement or system is complete by providing basic services and referrals as long as the person is still alive but not for treatment abroad. In the absence of this regulation, it automatically prevents someone from seeking treatment abroad, so they continue to seek treatment at home. The BPJS Kesehatan office in serving patients seeking treatment abroad has not found BPJS patients consulting for treatment abroad.

Chromoblastomycosis is a slowly progressive granulomatous skin infection caused by several species of black fungus such as Phialophora verrucosa, Fonsecaea pedrosoi, Rhinocladiella aquaspersa and Cladosporium carrionii. A case was found of a 51-year-old patient with a main complaint of a reddish, uneven lump, occasionally itchy, but not accompanied by pain in the right arm. On anatomic pathological examination, microscopic results were obtained in the form of epidermal skin tissue preparations that appeared hyperkeratosis, acanthosis, pseudoepitheliomatous hyperplasia. Intra-epidermal abscesses were seen with an accumulation of neutrophil inflammatory cells, lymphocytes, histiocytes and groups of epitheloid cells that formed granulomas. There was no sign of malignancy. The conclusion from the results of anatomical pathology readings is that there is a fungal infection (chromoblastomycosis). Treatment is given by oral itraconazole.

This study aims to determine the effect of liquid organic fertilizer and solid organic fertilizer on the growth and production of eggplant (Solanum melongena L). This study used a Factorial Randomized Group Design (RAK). The first factor is liquid organic fertilizer (POC) consisting of 4 treatment levels, namely: A0 = 0 ml/l (control), A1 = 2.5 ml/l, A2 = 5 ml/l and A3 = 7.5 ml/l. The second factor is solid organic fertilizer (POP) consisting of 3 treatment levels, namely: P1 = 600 g/plot (3 tons/ha), P2 = 1000 g/plot (5 tons/ha) and P3 = 1400 g/plot (7 tons/ha). The results showed that liquid organic fertilizer had a significant effect on plant height, number of leaves, number of fruits per plant, production weight per plant and production weight per plot but had no significant effect on the number of flowers, fruit length and weight per fruit. Solid organic fertilizer had a significant effect on plant height, number of leaves, number of fruits per plant, production weight per plant and production weight per plot but had no significant effect on the number of flowers, fruit length and weight per fruit. The interaction of liquid and solid organic fertilizers had no significant effect on plant height, number of leaves, number of flowers, number of fruits per plant, production weight per plant, production weight per plot, fruit length and weight per fruit.

This research is about mud cakes were made by proportioning the main ingredients, namely banana ambon puree and mung bean flour. This study aims to determine: 1) sensory quality of mud cake made from banana ambon and mung bean flour, 2) nutritional content of mud cake made from banana ambon and mung bean flour, 3) cost of raw materials needed to make mud cake made from banana ambon and mung bean flour. This type of research is an experimental study of making mud cake made from ambon banana and mung bean flour with 3 treatments with proportions of 70%: 30%, 80%: 20%, 90%: 10%. Data collection was done by observation method through sensory test. The product was rated by 40 panelists. Data were analyzed using one way anova test, followed by Duncan's test. The results showed: 1) the best product based on the results of the analysis with sensory quality is obtained in mud cake with the treatment of 90% ambon banana puree and 10% mung bean flour, 2) the results of the best mud cake product criteria test show that it has a water content of 38.26%, fat 4.98%, protein 6.24%, carbohydrates 48.50%, and ash 1.24%, 3) the cost of raw materials needed in making mud cake made from ambon banana and mung bean flour is Rp 23,646.  

The Healthy Indonesia Card (KIS) is one of the programs planned by Mr. President Joko Widodo and Vice President Mr. Jusuf Kalla on January 1 2014 ago, 14 days later, Mr. Joko Widodo and Jusuf Kalla were inaugurated as President and Vice President. The Healthy Indonesia Card (KIS) functions to provide health insurance for underprivileged/poor people to access health services free of charge. This study aims to find out how the Implementation of the Healthy Indonesia Card Program (Case Study at the UPTD Puskesmas Teluk Sasah, Seri Kuala Lobam District, Bintan Regency). This study uses a qualitative descriptive approach with primary and secondary data sources and data collection techniques using field observations, interviews, literature studies and documentation. This study uses Edwards III's theory with four indicators, namely communication, resources, disposition, and bureaucratic structure. The research results are based on the first indicator, namely the UPTD Teluk Sasah Health Center has provided information about Karu Indonesia Sehat to people seeking treatment in the area of Teluk Sasah Health Center by conducting outreach through the mass media. The second indicator is Resources, there are two resources in the implementation of the Healthy Indonesia Card program, namely human resources and financial resources. It is said that human resources are still lacking and financial resources such as facilities and infrastructure are sufficient. The third indicator is the disposition that the characteristics of the implementation of the Healthy Indonesia Card program are commitment, honesty, responsibility and fairness. The fourth indicator is the Bureaucratic Structure in which the implementation of the Indonesia Seat Card program has been carried out in accordance with the Standard Operating Procedures. The results of this study indicate that the Implementation of the Healthy Indonesia Card Program at the UPTD Puskesmas Teluk Sasah, Seri Kuala Lobam District, Bintan Regency has been implemented in a optimal.

Family medicinal plants (abbreviated as TOGA) are home-cultivated plants that have medicinal properties. A family medicine garden is essentially a plot of land, whether in the yard, garden or field, which is used to cultivate medicinal plants in order to meet the family's need for medicines. The purpose of this service activity is to provide social services for free medical treatment and dissemination of knowledge about family medicinal plants (TOGA) at the Tanjung Pura Langkat school. This method of activity involved lecturers at the Sari Mutiara Indonesia University, the regent, the sub-district head and the people of Langkat. The result of this activity is that the community service team hopes that the community can get free medication and knowledge about family medicinal plants. Based on the results of the Community Service activities carried out, these activities went well and the community received treatment and received knowledge about family medicinal plants so that the community could improve their health.

Human Immunodeficiency Virus (HIV) is one of the retro viruses that infects white blood cells which has an impact on a weakened immune system, damage to the function of cluster of differentiation 4 positive (CD4+) cells as well as other immune cells. CD4 count below 200, opportunistic infections and not taking treatment can exacerbate chronic conditions throughout life. The purpose of this study was to analyze nursing care for Mr. B with Stage 1 HIV at the Seroja Polyclinic, Gunung Jati Hospital, Cirebon City. The research design used was a descriptive case study including assessment, data analysis, nursing diagnoses, interventions, implementation and evaluation. This research was conducted in the seroja room of Gunung Jati Hospital, Cirebon City. Based on the results obtained, based on the assessment data, two nursing problems emerged, namely hyperthermia, related to the disease process marked by fever and secondly the risk of opportunistic infections associated with decreased immune system which was marked with a CD4 value close to 200. Actions taken were monitoring body temperature and collaborating on drug administration with doctors, providing health education about HIV, adherence to taking medication and advising regular eating patterns and adequate rest. It is recommended that health workers provide education about HIV/AIDS care and also provide medication taking assistance to prevent non-adherence in taking medication, social and spiritual.

 Accidents and emergency conditions can occur anywhere, at any time and attack anyone, including at school. Mistakes or delays in initial treatment can result in a further worsening of the victim's condition which can result in disability or other complications, so it is necessary to pay attention to management and management functions, namely aspects of implementation/movement or action as an effort to optimize and foster UKS. However, the problem is that the knowledge of teachers and school principals is still lacking, there is a lack of funds, and the infrastructure is inadequate for implementing UKS. The aim of this activity is to increase the knowledge of UKS officers and make them truly ready to handle emergency conditions in the school environment and its surroundings. In implementing the provision of UKS services at Bawakaraeng High School, UKS collaborates with teachers. With implementation methods, namely preparation, implementation and evaluation. The results of this activity show that the service activity process went smoothly and there was an increase in knowledge with a pre-test score in the good knowledge category, namely 10 people (33.33%) and less than 20 people (66.67%), then the post test results with good knowledge, namely 28 people (93.33%) and less than 2 people (6.67%)

Elderly is an age group in humans who have entered the final stages of their life phase. The group that is categorized as elderly will experience a process called the aging process. Indonesia is entering a period of aging population, where there is an increase in life expectancy followed by an increase in the number of elderly people. In Indonesia, there has been an increase in the number of elderly people from 18 million people (7.56%) in 2010 to 25.9 million people (9.7%) in 2019, and can be expected to continue to increase where in 2035 it will be 48.2 million people (15.77%). On the other hand, an increase in the number of elderly people will be a problem if the elderly have health problems. The elderly are a group of people who are susceptible to disease and have different physiological functions from young people, so their treatment pattern becomes more careful. The purpose of this community service activity is to provide outreach and information to the public about the proper and correct use of drugs in Tanjung Pura District, Langkat Regency regarding Provision of Drug and Wise Information on the proper and correct use of drugs. The method of this activity involved the community in Tanjung Pura District, Langkat Regency, namely lectures, distribution of leaflets, and questions and answers. Lectures are presented in the form of power point presentations, distribution of leaflets in the form of brochures followed by a discussion or question and answer session about Wisdom in taking medicine in the elderly. The result of this activity is that in Tanjung Pura District, Langkat Regency understand and are wise in taking drugs, especially in the elderly.

Traditional health services are expected to be implemented in health care facilities. Puskesmas had a traditional health clinic that has been running since 2019, but there is no evaluation on that program. This study aims to identify the implementation that has been carried out, in order to find out which aspects still need improvement. The research method used is descriptive qualitative research. Researchers collect data by interview, observation and secondary data. The results of the study show that traditional health services at the puskesmas have been implemented fairly well. In 2022 there were 20 visitors with the majority of visitors aged 31-45 years (50%), female (90%), all coming from the Javanese and Muslim religions. Meanwhile, the average number of visits was 1 time (55%) and 5% of visitors made 4 repeat visits. The most frequently treated complaints were dizziness/headaches (35%) and other pain complaints (45%). Treatment in traditional health polyclinics is provided with oral medication as much as 40% and 60% without drug administration. The traditional treatment given is acupressure (65%), cupping (15%) and a combination of both as much as 20%. Officers who provide traditional health services at the Palm Health Center are nurses with acupressure training. The implementation that has been carried out still requires various improvements in order to increase the number of patient visits. Further research is needed to find the right implementation model so that traditional health services at puskesmas are widely utilized by the community.